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2013 Environmental Scan - Community Services & Health Industry ...

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KEY INSIGHTS<br />

KEY WORKFORCE<br />

CHALLENGES<br />

In <strong>2013</strong>, the health and community<br />

services workforce will need to respond to<br />

three significant challenges:<br />

1. High demand for care from the<br />

community, driven by growing<br />

expectations, increasing comorbidity,<br />

the contribution of technology and<br />

an ageing population (AIHW 2012b;<br />

ACOSS 2012).<br />

2. Ambitious government reforms to move<br />

the industry towards a client-led model<br />

of funding and care, beginning with the<br />

Aged Care Reform Package (DoHA<br />

2012a) and the National Disability<br />

Insurance Scheme (COAG 2012a).<br />

3. Reduced growth in expenditure by<br />

Australian and State governments<br />

(DoHA 2012; FaHCSIA 2012).<br />

KEY INDUSTRY<br />

PRIORITIES<br />

The following industry challenges and skills<br />

have been identified in this <strong>Environmental</strong><br />

<strong>Scan</strong> (E<strong>Scan</strong>) as the top priorities for the<br />

<strong>Community</strong> <strong>Services</strong> and <strong>Health</strong> industry<br />

in <strong>2013</strong> and over the next five years:<br />

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Workers and managers within the<br />

industry need to develop new skills<br />

to adapt to the client-led model of<br />

care, particularly within autonomous<br />

care environments. Critical skills<br />

that training packages will need<br />

to incorporate include:<br />

––<br />

Service coordination<br />

––<br />

Financial management<br />

––<br />

Goal-based planning (KPMG 2012;<br />

Chenoweth and Clements 2009).<br />

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More sustainable workforce development<br />

models that make more efficient use of<br />

Higher Education (HE) and Vocational<br />

Education and Training (VET) based<br />

roles, and which provide more fluid<br />

pathways for workers to move between<br />

sectors and from VET-based to higher<br />

education-based roles and vice versa<br />

ww<br />

Creating a common pathway of<br />

competencies, so that workers at all<br />

levels and across the industry (but<br />

particularly in aligned sectors, for<br />

example mental health, aged care<br />

and disability services) can respond<br />

appropriately to comorbidity and<br />

complex care needs (DoHA 2012a;<br />

NMHCCF 2012). Common pathways,<br />

which have the potential to increase the<br />

retention of skilled workers, may assist<br />

career planning and development with<br />

the industry, provided cultural issues<br />

and hierarchies, are considered<br />

ww<br />

Improving and supporting management<br />

and leadership capacity in a rapidly<br />

changing workforce development<br />

environment. This will create the drive<br />

for future workforce development and<br />

job redesign.<br />

BROADER INDUSTRY<br />

TRENDS<br />

The introduction of a demand-led system<br />

has the potential to increase the supply<br />

of VET-trained workers in health and<br />

community services. However, there are<br />

concerns within industry about the quality<br />

and regulation of training in a demandled<br />

system. The <strong>Community</strong> <strong>Services</strong> &<br />

<strong>Health</strong> <strong>Industry</strong> Skills Council (CS&HISC)<br />

also awaits the implementation of further<br />

planned reforms, that enable reporting<br />

on the total VET activity in Australia not<br />

only delivery through Government-funded<br />

institutions and places. Reporting of this<br />

data will improve assessment of the impact<br />

of CS&HISC Training Packages.<br />

Responding to the industry’s skills needs<br />

in a timely manner will require adaptations<br />

to the existing Training Packages, and an<br />

improvement in ‘speed to market’, with<br />

a greater emphasis and sophistication<br />

in workforce development – evaluation<br />

of successful approaches – coordinated<br />

planning and strategy – adoption of a<br />

systems approach. Action will need to be<br />

oriented around the following approaches:<br />

The priority areas for CS&HISC in <strong>2013</strong><br />

have been reinforced by the Standing<br />

Council on Tertiary Education Skills<br />

& Employment (SCOTESE) and its<br />

endorsement of the new Training Package<br />

standards and its reaffirmation of VET<br />

as competency based and not capability<br />

based tertiary education.<br />

CS&HISC will be driving discussion and<br />

action on increasing the ‘speed to market’<br />

for Training Package revisions to meet<br />

the increasing demand for new skills,<br />

qualifications and roles; and monitoring<br />

the quality assurance regime (particularly<br />

ensuring workplace content and the<br />

regulation of assessment). This latter<br />

priority is also driven by jurisdictions<br />

moving to a demand-led system for VET.<br />

The <strong>2013</strong> E<strong>Scan</strong> findings build on themes<br />

identified in previous E<strong>Scan</strong>s, such as<br />

the growing emphasis on primary health,<br />

person-centred service work models<br />

and the need for greater investment in<br />

workforce planning and development.<br />

The issues identified in this E<strong>Scan</strong> have<br />

significant implications for the <strong>Community</strong><br />

<strong>Services</strong> and <strong>Health</strong> industry.<br />

As the major industry body,<br />

we will continue to consult<br />

and engage with industry<br />

stakeholders and policy<br />

makers to ensure that<br />

Australia has the workforce<br />

it deserves, to best meet<br />

the challenges of a growing<br />

population which demand<br />

affordable, accessible high<br />

quality care<br />

THE CARE INDUSTRY – A TIME FOR ACTION<br />

The introduction of a demand-led system has the potential<br />

to increase the supply of VET-trained workers in <strong>Community</strong><br />

<strong>Services</strong> and <strong>Health</strong><br />

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In the short term, further action to<br />

support industry provided clinical and<br />

work placements for VET students.<br />

This is already an under-funded and<br />

under-supported activity and the<br />

transition to demand-led funding<br />

for VET students has the potential<br />

to overwhelm existing capacity<br />

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Over the medium term, more<br />

sustainable models of quality care are<br />

required that alleviate the pressure<br />

on professional roles, particularly<br />

Registered Nurses, giving greater<br />

prominence to existing and new<br />

VET-based roles.<br />

CS&HISC is the recognised national<br />

advisory body on skills and workforce<br />

development.<br />

As the major industry body, we will<br />

continue to consult and engage with<br />

industry stakeholders and policy makers<br />

to ensure that Australia has the workforce<br />

it deserves, to best meet the challenges<br />

of a growing population which demand<br />

affordable, accessible high quality care.<br />

ENVIRONMENTAL SCAN <strong>2013</strong> : KEY INSIGHTS<br />

6 7

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