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PALLIATIVE CARE IN THE<br />

NORTHERN TERRITORY<br />

The Year 2005 marks an important time in the development of<br />

<strong>Palliative</strong> <strong>Care</strong> in the Northern Territory. These developments<br />

have been made possible through funding provided by both<br />

the Northern Territory Government and the <strong>Australia</strong>n<br />

Government Department of Health and Ageing.<br />

The first Director of <strong>Palliative</strong> Medicine for the Northern<br />

Territory, Dr Mark Boughey, commenced in March 2005.<br />

Dr Boughey, formally Director of <strong>Palliative</strong> <strong>Care</strong> at Royal<br />

Melbourne Hospital, is a well-credentialed and respected<br />

Specialist, whose significant experience will assist in<br />

fashioning the future development of palliative care<br />

services in the Northern Territory. His goal is to build on<br />

the last 10 years when palliative care has been available<br />

in the NT, with a view to improving access and broader<br />

equity in service provision. In May 2005, the Northern<br />

Territory <strong>Palliative</strong> <strong>Care</strong> Strategy for 2005-2009 was<br />

launched. This is another important milestone for the<br />

Territory.<br />

The first Hospice in Darwin opened on 26 August 2005.<br />

The Hospice provides people with a life-limiting illness,<br />

specialised care in a supportive and peaceful environment.<br />

The facility is a 12-bed purpose built unit, which is both<br />

functionally and culturally appropriate for the population it<br />

serves. It is co-located on the grounds of the Royal Darwin<br />

Hospital. In the first 2 months of operation, care was<br />

provided to 25 patients and their families.<br />

The Programme of Experience in a <strong>Palliative</strong> Approach<br />

(PEPA) has had a positive impact across the NT.<br />

Numerous primary service providers, including from<br />

rural and remote areas, have undertaken placements and<br />

participated in workshops. The result has been a workforce<br />

with increased knowledge and skills about palliative care<br />

and ultimately patients receive better care.<br />

Finally, the Indigenous Practice Principles Project aims<br />

to develop palliative care resources specific to the region<br />

and raise awareness of palliative care amongst Indigenous<br />

<strong>Australia</strong>ns. In the NT, the Project Officers have developed<br />

a companion guide to the Resource Kit that was produced<br />

by Wodonga TAFE, including artwork, photographs<br />

and case studies from the region. This companion guide<br />

is based upon the NT Aboriginal palliative care model.<br />

An animated PowerPoint presentation has also been<br />

developed that will be produced as a DVD. This resource<br />

will use music, photographs and video clips from the<br />

NT to educate and support health care providers in the<br />

provision of palliative care to Indigenous people.<br />

NATIONAL PALLIATIVE<br />

CARE PROGRAM<br />

The National <strong>Palliative</strong> <strong>Care</strong> Program has been reviewed<br />

and the current funding arrangements are in the final<br />

months of delivery. Everyone in the <strong>Palliative</strong> <strong>Care</strong> sector<br />

will have undoubtedly been involved in many activities<br />

and the significant achievements under this program.<br />

The following diagram illustrates the 6 priority area themes<br />

and the names of the project. For further information<br />

please visit www.health.gov.au/palliativecare<br />

PCA is eagerly looking forward to learning of the next<br />

funding arrangements and federal government policy<br />

priorities for palliative care in the Federal Budget this<br />

May and will keep you informed.<br />

PALLIATIVE CARE<br />

MEDICINES WORKING<br />

GROUP<br />

A workshop in February has established a team of people<br />

who will be working to increase the awareness of the<br />

medicines available for patients under the <strong>Palliative</strong> <strong>Care</strong><br />

Section of the Pharmaceutical Benefit Scheme (PBS)<br />

This special section of the PBS has recognised the different<br />

types and quantities of medicines that are required by<br />

palliative patients and has established a mechanism for<br />

doctors to access these medicines with additional cost<br />

subsidy benefits under the PBS.<br />

For example, a palliative patient is able to obtain an initial<br />

supply of Oxazepam 30mg x 50 tablets with 3 repeats,<br />

where anxiety is a problem and where consultation with<br />

a palliative care specialist or service has occurred. Their<br />

doctor contacts Medicare <strong>Australia</strong> for an authority to<br />

prescribe these quantities under the PBS. These new<br />

arrangements go a long way to reduce the cost and access<br />

issues for palliative patients.<br />

For a full list of medicines available under this scheme,<br />

please visit www.health.gov.au<br />

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