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Appendix H: Treatment monitoring

This appendix is provided in accordance with DVA’s obligations under the Repatriation Private Patient Principles 2004 (RPPPs). The National Treatment Monitoring Committee (NATMOC) and State Treatment Monitoring Committees were established in 1992 under the Veterans’ Entitlements Act 1986 via the RPPPs to address and monitor possible concerns from ex-service organisations (ESOs) regarding the integration or sale of the Repatriation General Hospitals and subsequent delivery of hospital care to the veteran community. In 2009, the National Consultation Framework was introduced, replacing the National Treatment Monitoring Committee. The State Treatment Monitoring Committees were incorporated into the state-based consultative forums with representatives from relevant ESOs.

In late 2013, the National Consultation Framework was reviewed and the then Minister for Veterans’ Affairs announced a number of changes to ensure the ongoing effectiveness and relevance of the National Consultation Framework

DVA has arrangements with each state and territory health authority for public hospital access, and it has service agreements with private hospitals including day procedure centres and mental health facilities. The state and territory consultative forums are chaired by the respective Deputy Commissioners and are the consultation mechanism used for sharing information with the ESO community regarding complaints and concerns relating to health and hospital matters.

National Consultation Framework

The National Consultation Framework is responsible for treatment monitoring on behalf of both the Repatriation Commission and the Military Rehabilitation and Compensation Commission. Previously, the framework included the:

  • Ex-Service Organisation Round Table
  • Current and Former Members of the ADF – Emerging Issues Forum (EIF)
  • Operational Working Party (OWP)
  • National Mental Health Forum (NMHF)
  • National Health, Aged and Community Care Forum (NHACCF)
  • state and territory forums.

Following the review in 2013, the National Consultation Framework includes:

  • Ex-Service Organisation Round Table
  • Younger Veterans – Contemporary Needs Forum (YVF), which combines the previous EIF, OWP and NMHF
  • National Aged and Community Care Forum (NACCF) – a redesigned NHACCF.

National consultation forums

During 2013–14, the ESO Round Table met four times, the NHACCF and OWP met once each, and the EIF and NMHF did not meet. Of the new forums, the YVF and the NACCF met once. Common themes discussed across the national consultation forums included:

  • the National Consultative Review and the changes to the National Consultation Framework
  • the MRCA
  • mental health initiatives, including the focus of the new Prime Ministerial Advisory Council
  • progress of the Government’s reviews into the Military Rehabilitation and Compensation Act 2004 and the Safety, Rehabilitation and Compensation Act 1988 (including the SRCA White Card)
  • advocacy programmes (Building Excellence in Support and Training; and the Training and Information Program) including the Veteran’s Advocacy Review
  • refining the process to a single appeal pathway
  • the Anzac Centenary 2014-18, including the Gallipoli 2015 ballot process; local, national and international matters; commemoration updates; and grant programmes
  • claims processing
  • Time Taken to Process Claims and Statutory Timeframes
  • the National Disability Insurance Scheme.

State and territory forums

Common themes discussed across all state and territory forums included:

  • mental health initiatives, including the new Prime Ministerial Advisory Council and mobile applications
  • progress of the On Base Advisory Service
  • Anzac Centenary 2014-18, including the Gallipoli 2015 ballot process; local, national and international matters; commemoration updates; and grant programmes
  • progress of the Government’s reviews into the Military Rehabilitation and Compensation Act 2004 and the Safety, Rehabilitation and Compensation Act 1988 (including the SRCA White Card)
  • advocacy programmes (Building Excellence in Support and Training; and the Training and Information Program), including the Veteran’s Advocacy Review
  • the Coordinated Veterans’ Care Program
  • the use of telemonitoring in enhancing patient care
  • the use of personally controlled electronic health records
  • the Choice and Maintainability in Veterans’ Services project – including MyAccount
  • streamlining compensation claims and entitlements processing
  • veteran transport entitlements including the conduct of the Veterans Transport Roundtable in New South Wales and Victoria
  • client and service delivery trends, and access to and quality of health services provision
  • Defence–DVA Links, liaison on programmes
  • Veterans’ Health Week
  • the Rehabilitation Transition Project and its progress
  • Veterans’ Pharmaceutical Reimbursement Scheme implementation and Veterans’ MATES
  • the 2014–15 Budget briefing
  • complaints and feedback management
  • Repatriation health cards – bulk reissue
  • Veterans Access Network
  • MRCA claims – the introduction of communication protocols
  • Men’s Health Peer Education
  • the ADF Service Women Steering Committee
  • brief on DVA’s new strategic plan, DVA Towards 2020
  • a refresh of the DVA website
  • the National Commission of Audit
  • the Veterans Employment Initiative.
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