We Asked, You Said, We Did

Below are some of the issues we have recently consulted on and their outcomes.

We asked

In November 2020 we launched the statutory review of the Tobacco Products Control Act 2006 (the Act) and the Tobacco Products Control Regulations 2006 (the Regulations).

We published a discussion paper which asked for views on the operation and effectiveness of the Act and the Regulations, if the legislation is achieving it’s purposes, and how it could be improved. We also sought stakeholder views on other evidence-based legislative reforms that could update and strengthen WA’s tobacco control legislation to ensure that it continues to meet its objectives.

You said

A total of 53 submissions were received in response to the discussion paper.

Submissions were received from a wide range of respondents including members of the public, universities, industry stakeholders, nongovernment organisations and government departments. Submissions highlighted the varying perspectives and expectations that exist among different stakeholders regarding tobacco control legislation in Western Australia (WA).

We did

A consultation report summarising the submissions was tabled in Parliament by the Minister for Health on 24 June 2021.

The consultation report can be viewed on the Parliament website.

Information gathered from this stage of the review will assist in identifying possible areas for further investigation to strengthen the operation and effectiveness of the WA Tobacco Products Control Act 2006 and the Regulations. Following the development of options for regulatory improvements further consultation will be undertaken to inform the Government’s decision making process.

We asked

The WA Health End-of-Life Care Program released draft high level strategies for Advance Care Planning (ACP) education and awareness raising amongst health professionals and the community for broad consultation in September to October 2020.

The survey asked for input on the comprehensiveness and anticipated effectiveness of the overall approach outlined by the strategies and sought to identify existing education, training and awareness raising initiatives that are of relevance to the strategies.

All members of the WA community were encouraged to have their say, with the invitation to participate circulated amongst a broad range of stakeholders including consumers and carers, community organisations, Government departments/areas, health and allied health professionals, health and legal services, and aged care providers.

You said

Over 75 responses we received to the online survey.

Overall the feedback from the consultation was positive with 77% of respondents indicating they agreed/ strongly agreed that the strategies:

  • were easy to understand
  • outline an appropriate approach for advance care planning education, training and awareness in WA
  • provide appropriate direction for future advance care planning education, training and awareness in WA.

We did

As a result of the positive feedback, no strategies were removed but the following are some of the changes that were made:

  • More examples of current related activities in WA and Australia were added
  • The target population was clarified for some strategies where it was unclear
  • The need to tailor strategies to populations and provide information in a variety of formats was emphasised
  • The need to recognise existing resources and materials and adopt a coordinated approach where possible was noted
  • A strong emphasis on a collaborative design approach for the development of resources and implementation planning of the strategies was supported
  • The need to recognise the role that different professions play in supporting ACP varies, and education and training should reflect that.

Additional more-detailed feedback has been noted and recorded to inform the implementation phase.

Further background information was added to the document to provide clarity on the purpose, development process, and implementation (i.e. how it should be used and by who). A one-page summary has also been included. The final document is referred to as WA Health’s strategy for Advance Care Planning education and awareness raising: For health professionals and the community.

We asked

The first anniversary of the launch of the WA Men’s Health and Wellbeing Policy (the Policy) was celebrated during Men’s Health Week in June 2020.

A 12 Month Check-Up of the Policy was carried out to assist in understanding:

  • the level of awareness of the Policy
  • men’s health and wellbeing related activities that have been carried out in the previous 12 months
  • any issues and/or opportunities regarding the Policy that have arisen.

You said

An on-line survey was developed and was open for a period of five weeks (24 August - 25 September 2020). A total of 37 responses were received.

Overall, the feedback indicated that the majority of respondents were aware of the Policy and most people had some level of familiarity with its content. Despite the challenges of implementing the Policy (especially during the COVID-19 pandemic), a wide variety of men’s health and wellbeing events have occurred in the 12 months under review. The feedback was supportive of the purpose of the Policy as it provides a good framework to support the health and wellbeing of men and boys living in WA.

We did

Your feedback was summarised in the WA Men’s Health and Wellbeing Policy: 12 Month Check-Up Report. A copy of the 12 Month Check-up Report is available on the WA Department of Health website.

We asked

In 2020, the WA Health End-of-Life Care Program sought feedback on the revision of the WA Advance Health Directive (AHD) template. The consultation consisted of 2 phases:

  • an initial broad consultation phase in August 2020 to seek feedback on proposed content to help shape a draft template
    • included a survey and a series of open invitation face-to-face workshops, regional videoconference consultations, and targeted workshops with key clinicians as well as priority populations including people with mental illness, Aboriginal people, people with disability and people from culturally and linguistically diverse backgrounds.   
  • a road-testing phase in October/November 2020 to gather comments on the usability of the draft template
    • included a survey and 3 face-to-face workshops.

All members of the WA community were encouraged to have their say, with the invitation to participate circulated amongst a broad range of stakeholders including consumers and carers, community organisations, Government departments/areas, health and allied health professionals, health and legal services, and aged care providers.

You said

In total, 295 survey responses were received, and 217 people participated in workshops. Extensive feedback was received including useful suggestions on how to ensure the revised AHD better meets the needs of the community and health professionals: Key themes included:

  • support for the inclusion of a value statement and including the value statement at the beginning of the AHD to allow the individual to consider what is important to them before making their treatment decisions
  • finding a balance between keeping the form as short as possible whilst also including enough guidance and detail within the questions so people are clear on how to complete it
  • need for examples and a clear guidance document to support individuals to complete the AHD
  • importance of being able to express the circumstances in which certain treatment decisions apply
  • the wording of the form should be simple, clear and in plain English
  • overall the majority of respondents felt the proposed changes are an improvement on the current form which can be considered as too vague and open-ended.

We did

The feedback was utilised to develop a final draft AHD template that was reviewed and refined by a working group comprised of WA Health stakeholders, key clinicians, consumers, and Office of the Public Advocate and Department of Justice representatives.

It is anticipated that WA Health will submit the finalised draft AHD template to the Department of Justice in April 2021. Once the Department of Justice have approved the final draft, they will proceed with drafting amendments to the Guardianship and Administration Act Regulations 2005 to incorporate changes to the prescribed AHD form. The revised AHD will be launched and promoted to the community once available.

We asked

The Patient Opinion™ Dashboard is intended to display a summary of Patient Opinion™ activity for all WA Health Service Providers. The dashboard displays data that is already publicly available but across several sites. Displaying data in one place as a web page on the HealthyWA website is intended to enable those interested to gain a quick snap shot of Patient Opinion™ activity in WA and guide those interested to more in depth information.

From the 29th of April to the 17th of May 2019 we invited you to provide feedback on a sample Patient Opinion™ Dashboard.

You said

We received 114 responses to the consultation. Majority of the feedback was positive and included a range of suggestions for further adjustments to the Patient Opinion™ Dashboard.

We did

In response to your feedback improvements have been made to: clarity of writing, definitions of the terms used by Patient Opinion and explanations of the purpose of the data provided. Patient Opinion™ Dashboard Consultation Report provides lists of all changes made in response to your feedback and areas identified for future improvement.

We asked

Your feedback about the Public Health Amendment (Immunisation Requirements for Enrolment) Bill 2019. Thank you for your input.

You said

You provided valuable feedback.

We did

Your feedback contributed to the Decision Regulatory Impact Statement. This document has now been completed and can be accessed at https://ww2.health.wa.gov.au/immunisationenrolment

The Bill was introduced into Parliament in May 2019.

Any queries can be directed to immunisation@health.wa.gov.au

 

 

We asked

The WA Men’s Health and Wellbeing Policy was developed to provide direction to the WA health system and its partners to deliver strategies that improve the physical, mental, social and emotional wellbeing of men and boys living in WA.

We asked for feedback on the draft Policy to inform and guide its development.

A series of community consultation forums also occurred from June to August 2018 and provided an opportunity for face-to-face feedback in addition to the online survey.

You said

A total of 107 responses were received via the online survey from various stakeholders groups. The online survey generated nearly 500 separate comments that were accurately processed, analysed and considered.  

Seventy seven per cent of respondents provided their views in the survey as an individual, with the remainder expressing views on behalf of a group or organisation.

Feedback from respondents showed there was broad support for the Policy’s guiding principles, vision, purpose, goals, priority populations and areas for action.

The feedback highlighted a variety of other priority population groups to consider for possible inclusion in the Policy, the need for a condensed version of the document and the importance of implementation and monitoring.

We did

Health Networks re-drafted the Policy to incorporate the consultation feedback with guidance from the WA Men’s Health and Wellbeing Policy Reference Group.

The Policy was launched in Men’s Health Week (10-16 June 2019). A copy of the Policy and a Summary Document is available from 

https://ww2.health.wa.gov.au/Articles/U_Z/WA-Mens-Health-and-Wellbeing-Policy

Thank you to everyone interested in men’s health who participated in the consultation of the draft WA Men’s Health and Wellbeing Policy.

For further information on the WA Men’s Health and Wellbeing Policy, please contact Health Networks on 9222 0200 or email  healthpolicy@health.wa.gov.au.

We asked

People were asked a series of questions about their thoughts on the health status report and objectives and policy priorities outlined in the Interim State Public Health Plan. A total of 63 responses were received from various stakeholder groups. Local government represented 33 per cent of responses received. 

You said

Data

  • A number of submissions highlighted the absence of data and information around social, economic and environmental determinants of health and wellbeing and requested stronger links on how these determinants relate to health inequities and poorer health outcomes. 
  • It was suggested that, if possible, data needs to be presented by age group, Aboriginal status, Cultural and Linguistic Diversity status, region, other priority populations e.g. refugees, people with disability
  • Submissions also requested easier access to data and sharing of data across departments, health profiles, preferably at the suburb or local government level, to be made available online, and a list of available data sources for local government to use when preparing their public health plans

Objectives and priorities

  • There was overall support for the three priorities identified in the Interim Plan, particularly the focus on Aboriginal Health.
  • Mental health was clearly identified across a number of submissions as the most notable omission. This was closely followed by drugs other than alcohol and tobacco, including use of illicit drugs and misuse of pharmaceuticals.

Partnerships and other suggestions

  • Overall, respondents were positive about the Interim Plan. However a number of submissions indicated that the Interim Plan should include targets, action plan, tangible outcomes, clarification on the types of evidence based programmes and initiatives that local government can implement at a local level to support the objectives and priorities and clarification on the role and expectation of State Government and Local Government when it relates to public health interventions.
  • A number of submissions discussed the need to develop WA centric health indicators in order to better measure progress on objectives implemented. 
  • Numerous respondents requested a list of health services, within the State that local government may seek to partner with.
  • Resourcing was identified as a concern of local government, particularly when there is uncertainty about what local government is expected to do to support the objectives and policy priorities. 
  • A number of submissions suggested further workshops or information, particularly targeting elected members and local government executives, to clarify roles and responsibilities relating to the local health plans and to dispel misinformation relating to ‘cost shifting’.

We did

The CHO will consider the feedback received and use it to inform a revised State Public Health Plan. This process will involve:

  • Reviewing the health status report to include information on any new public health priorities or objectives and, where feasible, responding to other data-related suggestions raised in the submissions.
  • Partnering with mental health related bodies to discuss the potential inclusion of mental health in future State Public Health Plans.
  • Partnering with relevant agencies to address the potential inclusion of priorities related to use of illicit drugs use.
  • Ensuring that the Plan incorporates:
    • Targets, where possible.
    • An action plan that identifies tangible and achievable outcomes.
    • Clarification on the types of programmes and initiatives that local government can implement at a local level to support the objectives and priorities. 
  • Develop information on:
    • what health services are available to support and partner with local government 
    • the role and expectation of State Government and Local Government when it relates to public health.

We asked

For your feedback about the Medicines and Poisions Regulations 2015.

Thank you for your input.

You said

You provided valuable feedback.

We did

Your feedback contributed to the Decision Regulatory Impact Statement.

The Decision RIS has now been complete and can be accessed at: http://ww2.health.wa.gov.au/Articles/A_E/Development-of-the-Medicines-and-Poisons-Regulations

Drafting instructions are currently being completed for the Parliamentary Council Office to compile into legislation to be presented to Parliament.

Any questions can be directed to poisonsregulation@health.wa.gov.au

We asked

What you thought about cancer prevention in Western Australia

You said

  • You were surprised by the overall preventability of cancer
  • You were positive about the role government can play in cancer prevention
  • More needs to be done to improve awareness around risk factors and screening for bowel cancer
  • There are opportunities for improving sun protection messages at high schools
  • You were supportive of the HPV vaccination program and Breastscreen WA
  • Keep up the good work in tobacco control
  • You didn’t know much about oesophageal and stomach cancers, including who is at risk, what the symptoms are, and how to prevent these cancers
  • You were confused about recommendations on prostate cancer screening

We did

  • Shared the consultation findings with the community and other organisations involved in cancer prevention
  • Created an agenda for action on cancer prevention in WA

To see the full consultation findings and agenda for action, click here:

http://healthywa.wa.gov.au/~/media/Files/HealthyWA/Original/Your-say-on-cancer-wa/13009-chief-health-officer-report.ashx