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November 2003
Securing the future of our health system
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The many faces of Melbournes public health system.

Minister for Health Bronwyn Pike and Minister for Aged Care
Gavin Jennings with Metropolitan Health and Aged Care Executive
Director Shane Soloman, Eye and Ear Hospital Board Chair Professor
Graeme Ryan, Northern Health CEO Dr Andrew Perignon and Robyn
Batten, responsible for community and mental health services
at Southern Health.
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The Government has developed a comprehensive five-year plan for
the development of Melbournes health services.
Launching the Metropolitan Health Strategy: Directions for your
health system, Health Minister Bronwyn Pike said it was a responsible
and responsive approach to the complex issues impacting on the health
system.
Ms Pike said the Strategy developed the framework for the next
step in the health system.
This Strategy gives Victoria a cohesive plan for the future
which takes into account the health needs of our ageing population
and we have a framework to plan services to meet their needs.
Older people living longer create different demands on health
systems and the Metropolitan Health Strategy has planned for them.
Ms Pike said health systems throughout the Western world continued
to face major challenges with:
The increase in the percentage of older people;
People living longer;
Availability of more treatment options;
Higher community expectations and interest in health
services.
Many people in the community recognise that Victoria has
one of the best health systems in the world. It is our job to maintain
and build on the strengths, Ms Pike said.
Ms Pike said the Strategy built on the successes of the Governments
health policies, which have delivered a $1 billion investment in
capital works, recruitment of more than 4,000 extra nurses, an extra
$1 billion between 1999 and 2002 with an additional $900 million
on top of that since.
At the same time, Victoria had been able to treat more than 35,000
extra patients each year while achieving reductions in hospital
bypass and 12-hour bed waits.
Ms Pike said the Strategy focused on ensuring state-of-the-art
hospital facilities were located where they are most needed, and
where they are readily accessible to the community.
It proposes the relocation of specialist hospitals to sites closer
to major general hospitals, to ensure quick access to general medical
services when required.
Currently being considered is a proposal that the Peter MacCallum
Cancer Centre be relocated to a site closer to the Parkville health
precinct.
Ms Pike said the Strategy also developed proposals for a wider
range of alternative treatments and services for patients, including
practical and beneficial alternatives to hospital admission and
new community-based care and treatment options.
The Government has already made significant advances in the
development of our health system for the future and the Strategy
provides the blueprint for the next steps, Ms Pike said.
We have made a commitment to establish super clinics and
health precincts that build on existing community-based health services
with super clinics being built at Craigieburn, Lilydale and Melton
over the next two years.
The Strategy confirms that while some same-day treatments
are best provided in hospital, others can be delivered in more convenient,
patient-friendly facilities.
Ms Pike said that while many people in the community equated good
health care with hospital beds this was simply not the case todayclinical
advances meant that many treatments that previously required long
hospital stays were much quicker.
The Strategy recognises the future of our health system lies
in creating the right balance between services requiring hospital
admission and those that dont.
Ten years ago, only 34 per cent of patients were treated
with same day servicesnow the figure is around 55 per cent,
Ms Pike said.
Health precincts will bring together in one area a range of health
and health-related services to create a community hub for service
delivery.
Ms Pike said the next step was an important task for the 14 metropolitan
health services to apply the broad directions in the Strategy and
prepare a detailed plan for each local area.
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