MBS Review - NP Group Recommendations
The Medicare Benefits Schedule Review Taskforce Report from the Nurse Practitioner Reference Group (NPRG) has been released, with 14 detailed recommendations. This report will now be considered by the MBS Taskforce, and released to Stakeholder consultation, which includes the ACNP. Following that, the taskforce can make recommendations to the Minister.
What we hope to achieve from the current MBS review is significant increase in access to Nurse Practitioners services for the Australian public. This will assist the development of more roles in the Private sector, and more Nurse Practitioners will be able to work towards addressing the gaps in health services, and the health of our community.
The ACNP is pleased that the changes outlines within the 14 recommendations will also lead to significant growth in Nurse Practitioner numbers in Australia, especially in areas of need, and a more sustainable workforce. The ACNP has been heartened by the large number of responses to our sharing of the "MBS Report from the NP Reference Group". You can access the full report from the MBS Review - NP Reference Group here.
You can read about the scope of practice of a Nurse Practitioner at Nurse Practitioners.
December 2019 - Update
At the end of November ACNP President, Leanne Boase wrote to Prof. Bruce Robinson and The Hon. Greg Hunt to request an urgent update on the progress of the MBS review - Final Report of the Nurse Practitioner Reference Group (NPRG). We had been expecting an outcome in November.
The ACNP received a prompt response from Prof. Bruce Robinson, Chair of the Medicare Benefits Schedule Review Taskforce.
The ACNP has been advised that a Taskforce meeting will be held on the 11th & 12th December, 2019, where the recommendations from all of the Primary Care Reference Groups (including the NPRG) are being considered. It is possible that we may receive an update following this meeting, and we will advise members ASAP.
Please be assured that the ACNP is continuing to communicate with key stakeholders, and support the recommendations of the NPRG. These recommendations are based on extensive evidence, and will significantly improve access to nurse practitioner services, address gaps in health service delivery, and improve the health of the community.
We will keep members updated of the progress.
Dr Richard Di Natake's letter to Greg Hunt, Health Minister Dated 6/12/2019
The Terms of reference, membership of the Taskforce and reports of the Medicare Benefits Schedule (MBS) Review Taskforce are available at:
To find out more about 'Eligible Nurse Practitioners Questions and Answers' you can go to:
Letters of Support:
The ACNP is pleased to acknowledge the support of the following organisations who are equally encouraged by the recommendations and their positive improvement to better health outcomes for all Australians, including the Aged Care sector and Rural and Remote areas.
Read the letter of support from ASHM.
Read the letter of suppot. from Bendigo Health.
Read the CNSA letter of Support.
Read the ACORN Letter of Support..
Read the letter of support from Heathcote Health in Victoria.
Read the letter of support from the Council of Deans of Nursing and Midwifery.
Read the letter of support from the Drug and Alcohol Nurses of Australasia.
Read the ACMHN Support Letter here. ACMHN are setting the standard in mental health nursing.
Read the Support Letter from AHPA - the national voice for allied health professionals..
Read the Support letter from CRANAplus who are improving remote health.
Read the Support Letter from the College of Emergency Nursing Australia
Read the press release from ANMF here.
Read the letter of support from the Australian Primary Health Care Nurses Association
Read the abstract from APNA's weekly News Hook-up below.
Letter Campaign - September 2019, Part 2
The aim is to write to your own Federal MP, Senator, and also the Health Minister, the Hon Greg Hunt. If you wish to write to more Federal MPs in your area, that would be beneficial.
In order to have maximum impact, we recommend making changes to the template, while sticking with positive messages and the main themes already included.
Remember to keep it positive and patient focussed. You can use the prompts in the template, and also make changes to it to individualise your response.
We have created a letter template (below) and included the steps and tips to streamline this process for you below:
Please contact the ACNP on 1300 433 660 if you need any assistance.
As the closing date of June 7, 2019 approaches your College is reaching out to other individuals and bodies to encourage them to provide feedback. You can see further down the page those who have already expressed their support. Here is the ACNP Letter to Stakeholders NPRG for written submission that has been distributed.
To offer your support you can send a submission of your own to the Medicare Benefits Schedule Review Taskforce, Professor Tim Usherwood, Chair – General Practice and Primary Care Clinical Committee. If you are not sure what to write, ACNP has a NPRG Submission Template For Members to build on.
We ask our members to consider the following main principles of the ACNP response, including focus on:
- Benefits to patients - the patient comes first
- Improvement of access to care - not all needs are being met in our community
- Nurses, including Nurse Practitioners, can deliver better health care in more places if enabled to work to full scope of practice
- Nurse Practitioners focus on preventative care and health education, as well as managing acute or chronic illness, and are therefore economically sustainable, and excellent value for the taxpayer dollar
The College is not responding to negative media, or statements that are not supported by evidence. We will instead focus on the added value we bring to the Australian Health care system and our community, and engaging with key stakeholders to support the 14 recommendations.
If members would like to complete an individual submission, you can choose to focus on any, or all of the recommendations, or the general principles as above.
On the 27th March the ACNP attended the Stakeholder Consultation relating to the Medicare Benefits Schedule (MBS) Review Taskforce – Report from the Nurse Practitioner Health Reference Group.
In attendance representing ACNP and our members were Catherine Smith, Amanda Davies and Leanne Boase.
Each of the recommendations were discussed with Taskforce and NPRG members, other nursing stakeholders, and consumer representatives. We were very well supported by the other attendees at the Stakeholder consultation.
We clearly expressed strong support for each of the 14 recommendations in the Report, highlighting case examples and the evidence to support them. We will continue with our working groups to ensure we are well prepared for our written response. Thank-you to all of our members that helped us to prepare.
The ACNP would like to sincerely thank the over 200 members who contributed to this submission, there are far too many to name, but we are immensely pleased with the response and engagement we have had, and we look forward to the outcome, knowing that we have truly represented the interests of the community first and foremost. Leanne Boase
View the ACNP MBS Review Media Release
Please click below to listen to radio interviews conducted with ACNP President, Leanne Boase:
Please click below to watch the TV interview conducted by WIN News Gippsland with ACNP President, Leanne Boase:
A letter was sent to the Prime Minister, the Hon Scott Morrison MP, requesting support. Reply was received via Letter from The Hon Steve Irons MP.
We have been in contact with the Honourable, Greg Hunt, MP, Federal Health Minister, via mail. You can read our comments in the Letter to Minister Hunt.
The ACNP MBS Review survey was sent to all members and your College obtain deidentified case studies and valuable feedback. Thank you to the many members who took time to complete the Survey. We were thrilled and overwhelmed with more than 150 replies. As a result of the informed and detailed replies your Board has set up 10 working parties to fully address the 14 recommendations. The working parties were:
Recommendation 1 & 2 Working Group
Recommendation 1: Enable patients to access MBS rebates for long-term and primary care management provided by NPs
Recommendation 2: Improve access to MBS-subsidised NP services in aged care settings
Lead: Stephanie Dowden WAChapter@acnp.org.au
Recommendation 3 Working Group
Recommendation 3: Enable DMMRs and RMMRs to be initiated by NPs
Lead: Melanie Proper QLDChapter@acnp.org.au
Recommendation 4 Working Group
Recommendation 4: Significantly increase the schedule fee assigned to current MBS NP professional attendance items
Lead: Catherine Smith (email@example.com)
Recommendation 5 Working Group
Recommendation 5: Longer NP attendances to support the delivery of complex and comprehensive care
Lead: Verena Tinning (NTChapter@acnp.org.au)
Recommendation 6 Working Group
Recommendation 6: Enable patients to access MBS rebates for after-hours or emergency care provided by NPs
Lead: Juliane Samara ACTChapter@acnp.org.au
Recommendation 7 Working Group
Recommendation 7: Enable patients to access MBS rebates for NP care received outside of a clinic setting
Lead: Hazel Bucher firstname.lastname@example.org
Recommendation 8 Working Group
Recommendation 8 – Remove the mandated requirement for NPs to form collaborative arrangements
Lead: Leanne Boase (email@example.com)
Recommendation 9 Working Group
Recommendation 9: Remove current restrictions on diagnostic imaging investigations when requested by NPs
Lead: Debra Earl SAChapter@acnp.org.au
Recommendation 10 Working Group
Recommendation 10: Enable patients to access MBS rebates for procedures performed by an NP
Lead: Kerrie Duggan TASChapter@acnp.org.au
Recommendation 11-14 Working Group
Recommendation 11: Add GPs as eligible participants in NP patient-side telehealth services
Recommendation 12: Add patients in community aged care settings to residential aged care telehealth items
Recommendation 13: Create new MBS items for direct NP-to-patient telehealth consultations
Recommendation 14: Allow telehealth consultations to take place via telephone where clinically appropriate
Leads: Melissa Robinson Reilly firstname.lastname@example.org and Amanda Davies email@example.com