RACS Advocacy

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2017

Letter regarding Rheumatic Heart Disease – Notifiable Condition

02 June 2017

Rheumatic heart disease is a complication of rheumatic fever in which the heart valves are damaged. Rheumatic fever is an inflammatory disease that begins with strep throat. It can affect connective tissue throughout the body, especially in the heart, joints, brain and skin.


Letter regarding proposed national recognition and response system

22 May 2017

The Royal Australasian College of Surgeons (RACS) is the leading advocate for surgical standards, professionalism and surgical education in New Zealand and Australia. RACS is a not-for-profit organisation that represents more than 7000 surgeons and 1300 surgical trainees and International Medical Graduates. It also supports healthcare and surgical education in the Asia-Pacific region and is a substantial funder of surgical research. RACS represents nine surgical specialties in New Zealand and Australia being: Cardiothoracic Surgery, General Surgery, Neurosurgery, Orthopaedic Surgery, Otolaryngology Head-and-Neck Surgery, Paediatric Surgery, Plastic and Reconstructive Surgery, Urology and Vascular Surgery. As part of its commitment to standards and professionalism, RACS strives to take informed and principled positions on issues related to surgical care in New Zealand including matters such as this proposed system.


Letter regarding investing in New Zealand’s Future Health Workforce. Post-entry training of New Zealand’s future health workforce: Proposed investment approach

19 May 2017

MCNZ has accredited RACS as the training organisation for nine surgical vocational scopes - cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head & neck surgery, paediatric surgery, plastic & reconstructive surgery, urology and vascular surgery. RACS determines the curriculum, standards and training requirements. It runs the examinations and courses and, in conjunction with specific specialist surgical societies, the administration associated with each programme. The clinical practice components of the programmes occur within District Health Boards (DHBs) who are the employers of the surgical trainees.


Letter regarding Health Practitioner Regulation National Law (National Law)

12 May 2017

RACS has considered the Committee's recent request for comment on the proposed reforms to address the inadequacies of the penalties under the National Law, in light of the recent worrying cases of individuals holding themselves out as health practitioners when they are not registered under the National Law. These rogue operators pose a significant risk to the public, and RACS thanks the Committee and Government's ongoing commitment to implementing substantial reform within this framework.


Implementation Plan Advisory Group (IPAG) Consultation 2017

05 May 2017

In addition to our co-authored submission with the Australian Society of Otolaryngology Head and Neck Surgery (ASOHNS), RACS also provides the following submission to the Implementation Plan Advisory Group's (IPAG) consultation on the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013-2023.


Implementation Plan Advisory Group (IPAG) Consultation 2017 2

05 May 2017

RACS and ASOHNS recognise that improving the health of Aboriginal and Torres Strait Islander peoples is a public health priority. The Australian Government's National Aboriginal and Torres Strait Islander Health Plan 2013-2023 (the 'Plan') and its associated Implementation Plan provide a crucial strategy that underpins much of the government and non-government work aimed at addressing the social and cultural determinants of health. In particular the Plan places a strong and healthy cultural identity at the centre of priorities for action.


Letter regarding Tasmanian Role Delineation Framework – Royal Australasian College of Surgeons – Paediatric Surgery Guidelines

05 May 2017

The position paper provides guidelines around the expectations RACS and the Speciality Societies have around the minimum quality of care standards that should be provided to children when undergoing surgical care. The paper also outlines a ten-point plan, which was compiled for the interface between the Specialist General and Paediatric Surgeons in hospitals which may have limited access and resources to paediatric care.


Letter regarding antimicrobial use and appropriateness in surgical prophylaxis draft Accreditation Advisory

05 May 2017

With respect to the letter from Professor Debora Picone to Mr Philip Truskett regarding antimicrobial use and appropriateness in surgical prophylaxis, RACS agrees that there is an issue in surgical antimicrobial prophylaxis. Although there has been an improvement in the length of time that the antimicrobial prophylaxis is being prescribed for, as noted in your studies from 35.9% in 2014, reduced to 27.4% in 2015, the 2016 data shows that the rate of inappropriate prescribing for surgical antimicrobial prophylaxis was 41.8% overall and 17.9% of prescriptions were for longer than 24 hours. As you correctly point out the benchmark for appropriate prescribing is 95% and this is nowhere near what is being undertaken or achieved at the moment.


Independent Review of Accreditation Systems within the National Registration and Accreditation Scheme for health professions

01 May 2017

RACS notes that the discussion paper for the accreditation systems review focuses on a broad range of issues, many which are associated with undergraduate and non-specialist health professionals. Given this, we will largely focus our feedback on the roles of specialist colleges and post-graduate medical councils (number 31 within the consolidated list of issues, p.6).


Response to Safer Care Victoria Clinician Engagement Scoping Paper

28 April 2017

As the leading advocate for surgical standards, professionalism in surgery and surgical education in Australia and New Zealand, the Royal Australasian College of Surgeons (RACS) is committed to taking informed and principled positions on issues of public health at both state and federal levels. RACS represents more than 7000 surgeons and 1300 Surgical Trainees and International Medical Graduates (IMGs) across Australia and New Zealand.


RACS Response to Victorian Voluntary Assisted Dying Bill Discussion Paper

27 April 2017

As the leading advocate for surgical standards, professionalism in surgery and surgical education in Australia and New Zealand, the Royal Australasian College of Surgeons (RACS) is committed to taking informed and principled positions on issues of public health at both state and federal levels. RACS represents more than 7000 surgeons and 1300 Surgical Trainees and International Medical Graduates (IMGs) across Australia and New Zealand.


Universal access to safe, affordable surgical and anaesthesia care when needed

18 April 2017

The Royal Australasian College of Surgeons (RACS) has developed strong partnerships for surgical care delivery and training with our Pacific and South East Asian neighbours. We write to you in view of your candidature for the position of WHO Director General, a leading position that holds great potential to improve universal health coverage, including access to safe, affordable surgery and anaesthesia care when needed.


Response to Regulation of Certain Cosmetic Surgical Procedures Under the Private Health Facilities Act 1999 Discussion Paper - QLD

13 April 2017

RACS does not support the creation of a new class of surgery within the cosmetic procedures group; however greater oversight of the appropriate credentialing of facilities, including appropriate credentialing of practitioners is needed.

If any type of intravenous sedation is required to perform a procedure, then the surgery should only be undertaken in a licensed facility. This generally means a larger operation which requires the resources and oversight found in a larger facility.


Inquiry into the performance of the Queensland Health Ombudsman's functions pursuant to section 179 of the Health Ombudsman Act 2013

06 April 2017

As the leading advocate for surgical standards, professionalism and surgical education in Australiaand New Zealand, the Royal Australasian College of Surgeons (RACS) is committed to taking informed and principled positions on issues of public health at both state and federal level.

Thank you for your consultation for the Inquiry into the performance of the Queensland Health Ombudsman (QHO). The College wishes to acknowledge the very in-depth and well-constructed document which has been provided into the performance of the OHO.

The College has the view that the complaints management processes in Queensland have had major problems for more than a decade. There have been a number of bodies tasked with this responsibility over the past decade - Health Rights Commission, Health Quality and Complaints Commission, Office of the Health Ombudsman, Queensland Medical Board, Health Practitioner Registration Boards, National Boards and AHPRA. These organisations, it would appear from the evidence provided over a number of years, have not been able to efficiently or effectively manage the complaints processes.


Medical Council of New Zealand Consultation on Strengthening Recertification for Vocationally Registered Doctors

31 March 2017

The Royal Australasian College of Surgeons (RACS) is pleased to provide feedback on the Medical Council of New Zealand's (MCNZ) consultation on strengthening recertification for vocationally registered doctors.

RACS is the leading advocate for surgical standards, professionalism and surgical education in New Zealand and Australia. RACS is a not-for-profit organisation that represents more than 7000 surgeons and 1300 surgical trainees and International Medical Graduates across New Zealand and Australia. As part of its commitment to standards and professionalism, RACS strives to take informed and principled positions on issues associated with surgical standards and the delivery of health services.


Model Scopes of Clinical Practice Project – Consultation on Tranche 2 of Model Scopes of Clinical Practice

16 March 2017

The NSW State Committee greatly appreciate this opportunity to have further input into the Model Scopes of Clinical Practice Project and we would also like to congratulate you on the high level of communication that you have continually tried to bring to the development. The NSW Committee have been given opportunity to not only discuss the project but also to be involved in its development.


Prevention & Management of Head Injuries in AFL with particular reference to the ‘Sling Tackle’

15 March 2017

We commend the AFL for consulting with the AFL Doctors Association regarding player safety and appreciate the changes made to the interpretation of 'dangerous tackle' in the AFL Laws.

We are thankful that the 'sling tackle' has been prohibited.

We anticipate abolition of the 'sling tackle', and expect severe penalties to be issued to delinquent players guilty of the offence of 'sling tackle'.


Remake of the Health Records and Information Privacy Regulation 2012

14 March 2017

We greatly appreciate this opportunity to comment on the Ministry of Health proposal to remake the Health Records and Information Privacy Regulation in the same form as the 2012 version. We support this action in general but would like to comment on one Clause 6B and ask for clarification on Clause 5.


Response to QoN - Senate Red Tape Committee

09 March 2017

During the hearing we were asked to clarify some points as listed below. Thank you for this further opportunity to provide inpout into this enquiry.

 


Response to Quad Bike safety in Tasmania Issues Paper

02 March 2017

RACS is extremely concerned about the increasing number of deaths and major injuries as a result of quad bike use. Trauma surgeons who manage these injuries on a far too regular basis are acutely aware of the inherent dangers of quad bikes and have been advocating for quad bike safety for decades.


Submissions to DFAT Foreign Policy White Paper (Joint Submission and RACS Submission)

28 February 2017

Health among Australia's geographical neighbours should be regarded as a key component in Australia's foreign policy due to the burden of global disease and shifting disease patterns. By 2025, Asia will produce half of the world's economic output, and will increasingly demand high quality healthcare, education, and training services to ensure stability. Factors such as natural disasters, extreme weather events, infectious pandemics, escalating demographic changes, and population movements mean that strong health services are mandatory. Supporting strong health services, health education, and workforce development is a cost-effective approach to achieving security and prosperity in the region.


2017 Western Australian Election Position Statement

16 February 2017

Prior to all government elections in Australia and New Zealand, RACS provides an opportunity for political parties to outline their policy positions on key issues relevant to the delivery of surgical services. RACS then distributes these responses to its membership and the public. This document outlines areas of specific concern and relevance to our membership.


Inquiry Into Price regulation associated with the Prostheses List Framework

31 January 2017

The regulation of prostheses costs in Australia is complex and RACS welcomes the Community Affairs References Committee's inquiry into price regulation associated with the prostheses list framework. In making a submission to this inquiry, RACS considers the following principles as being central to improving existing processes and structures - patient safety and quality assurance; clinician driven reviews and; greater transparency and improved coordination.


Submission to the Senate Red Tape Committee’s Inquiry into the effect of red tape on the sale, supply and taxation of alcohol

31 January 2017

RACS has strongly advocated for recognition of the harmful effects of alcohol abuse for many years, not only for the increased risk of complication that it poses to surgical patients, but also for the broader ramifications it has on the sustainability of our public health system and society as a whole. In the past year RACS has released an updated position paper on alcohol related harm and made multiple submissions to alcohol policy and regulatory reviews across Australia and New Zealand.


Patient Access to Medicinal Cannabis in South Australia

31 January 2017

As the leading advocate for surgical standards, professionalism and surgical education in Australia and New Zealand, the Royal Australasian College of Surgeons (RACS) is committed to taking informed and principled positions on issues of public health at both a state and federal level.


Submission to the National Digital Health Strategy

30 January 2017

RACS is supportive of the Commonwealth's ongoing efforts to make improvement across the specturam of eHealth. RACS recognises that there are complex challenges in delivering effective eHealth policy and solutions in Australia and was pleased to provide input into the initial National Digital Health Strategy Consultation Draft in April 2016.


Submission to the National Health and Medical Research Council on the Effects of Alcohol

17 January 2017

The harmful use of alcohol is a significant contributor to the global burden of disease, and its misuse substantially contributes to social disruption, injury and death. While there is some evidence that small amounts of alcohol consumption may have health benefits, overwhelmingly the evidence points to the short and long-term health risks commensurate with increased consumption of alcohol.


South Australian Liquor Licensing (Liquor Review) Amendment Bill 2016

06 January 2017

RACS acknowledges the consultative approach taken by the South Australian Government throughout the development of this Bill. RACS has previously made submissions to the original Liquor Licensing discussion paper, and a supplementary submission that was co-authored by a number of like-minded organisations. We also met directly with the Independent Reviewer, Justice Tim Anderson QC, to discuss our submission in greater detail.


Review of the Victorian Liquor Reform Act 1998

03 January 2017

The Royal Australasian College of Surgeons (RACS) is the leading advocate for surgical standards, professionalism and surgical education in New Zealand and Australia. RACS is a not-for-profit organisation that represents more than 7000 surgeons and 1300 surgical trainees and international medical graduates across New Zealand and Australia. It also supports healthcare and surgical education in the Asia-Pacific region and is a substantial funder of surgical research. RACS provides training in nine surgical specialties, cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head and neck surgery, paediatric surgery, plastic and reconstructive surgery, urology and vascular surgery. The College plays an active role in the setting of standards of surgical care, the training of surgeons and their participation in continuing medical education throughout their lifetime of surgical practice.

As part of our commitment to standards and professionalism RACS strives to take informed and principled positions on issues associated with the delivery of health services. The Royal Australasian College of Surgeons is a member of the Alcohol Policy Coalition in Victoria.


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