Informed, engaged communities for health

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
Flooding 2022
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Monkeypox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021
Support non-profit public interest journalism
Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
Flooding 2022
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Monkeypox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021

Federal Government urged to act on chemical restraints in aged care

Introduction by Croakey: Recently released figures showing as many as one in five aged care residents are still receiving antipsychotics in 2022 should be a call to action for the new Government, Charles Maskell-Knight writes.

Anika Wells, the newly elected Minister for Aged Care, has previously called for urgent implementation of Royal Commission recommendations preventing the use of chemical restraints by restricting their use to only the most extreme cases and only as a last resort.

Last week Wells described the crisis in the aged care sector as “worse than we thought,” telling the Guardian the Government’s most immediate priorities were short-term risks including those related to COVID-19 with funding reforms to follow.


Charles Maskell-Knight writes:

In its interim report the Aged Care Royal Commission observed that “restrictive practices [in aged care] have been identified as a problem in Australia for more than 20 years… Many recommendations for reform have been made, but not fully implemented”.

The Royal Commission went on to summarise the evidence relating to the use of pharmaceuticals as a form of restraint, noting that “research dating back to the 1990s has shown that the rate of prescription of psychotropic medication in residential aged care substantially exceeds the reasonable expected clinical needs of the people receiving care”.

It cited research by Dr Joanna Breen showing that 21.8 percent of residents were administered antipsychotics, and a study by the Registry of Older South Australians Research Team showing that the utilisation rate of antipsychotics among people entering aged care increased from well under 10 percent in the year before admission to over 20 percent following admission. It also referred to the Department of Health’s Aged Care Clinical Advisory Panel estimate that only 10 percent of antipsychotics and benzodiazepines used in residential aged care were clearly justified in the treatment of residents.

The Royal Commission also set out the side-effects from use of antipsychotics, including possible falls, fractures, increased confusion, and Parkinson-like effects. The Royal Australian and New Zealand College of Psychiatrists told the Commission that antipsychotics are associated with increased risk of respiratory complications, stroke, and heart rhythm abnormalities.

It is completely implausible that one in five aged care residents are suffering from a psychotic illness – psychosis does not confer a survival benefit. They are much more likely to be suffering from behavioural and psychological symptoms of dementia, and are being prescribed antipsychotics in the mistaken belief that these drugs will alleviate their symptoms.

Regulatory regime

Only one of the antipsychotics registered for use in Australia by the Therapeutic Goods Administration – risperidone – has registered indications that include “the treatment (up to 12 weeks) of psychotic symptoms, or persistent agitation or aggression unresponsive to non-pharmacological approaches in patients with moderate to severe dementia of the Alzheimer type”. Use of other antipsychotics to address behavioural and psychological symptoms of dementia is so-called “off-label” use.

The conditions for the supply of antipsychotics under the Pharmaceutical Benefits Scheme reflect the TGA indications. Most antipsychotics are restricted to use in patients with schizophrenia or bipolar disease under so-called “authority” requirements. Only risperidone is available for use in addressing behavioural and psychological symptoms of dementia, and then subject to a range of conditions, including that the patient has failed to respond to non-pharmacological methods of treatment.

However, as then Chief Medical Officer Professor Brendan Murphy told the Royal Commission, the Department of Health does not monitor compliance with PBS authority requirements, and does not audit prescribers to check that they hold supporting evidence. There can be no assurance that residents receiving risperidone have been offered non-pharmacological alternatives, nor that residents receiving antipsychotics limited to people suffering schizophrenia or bipolar disease have undergone a robust diagnostic process.

Carnell-Paterson review

It is important to note that the Royal Commission was not breaking new ground in examining the use of antipsychotics as chemical restraint. Two years earlier the Carnell-Paterson Review of National Aged Care Quality Regulatory Processes observed:

The use of antipsychotic drugs as a restrictive practice to control behaviour in residents with dementia may be inappropriate for several reasons.

First, there is evidence of their limited effectiveness in treating certain symptoms of dementia.

Second, there is at times an over-reliance on using antipsychotics as a first line of response, missing other needs of the resident.

Overuse of antipsychotic drugs may be the result of a ‘quick-fix’ mentality, reflecting an organisational culture that is not centred on the resident, or lack of training, qualified staff or other resources.”

It also drew attention to the significant adverse side effects of the medications.

The Review recommended that the “Chief Clinical Advisor [in the proposed Aged Care Commission] must approve the use of antipsychotic medications for aged care residents” (recommendation 7(iv)).

The Government did not accept this recommendation.  It responded that:

“The recommendation that the Chief Clinical Advisor must approve the use of anti psychotic medications for aged care residents is not supported as prescribing and managing antipsychotic medication is best undertaken by an individual’s health professional team in consultation with the resident and their representatives.

“Conducting desktop assessments of the appropriateness of prescribing antipsychotic medication without direct engagement with residents to assess their care needs presents risks.”

In other words, despite all the evidence that residents’ “health professional teams” were overprescribing ineffective and harmful medications, they should be left to get on with it.

Royal Commission recommendation

In its final report the Royal Commission returned to the issue of overprescription of antipsychotics. It noted that under the Pharmaceutical Benefits Scheme the antipsychotic risperidone could only be dispensed for the treatment of autism in children if the child’s treatment was under the supervision of a paediatrician or psychiatrist.

It recommended that the Government should amend the PBS by November 2021 so that “only a psychiatrist or a geriatrician can initially prescribe antipsychotics as a pharmaceutical benefit for people receiving residential aged care”, with GPs able to issue repeat prescriptions for up to a year (recommendation 65).

The Government responded that it “accepted in principle” this recommendation – the kiss of death for any hope of prompt or effective action.  It went on to say:

The Government supports better regulation of the use of prescribed antipsychotics in residential aged care settings. In accordance with legislation, the Government relies on the advice of the independent, expert Pharmaceutical Benefits Advisory Committee (PBAC) regarding new Pharmaceutical Benefits Scheme (PBS) listings and changes to PBS listings. The Government will refer this recommendation to the PBAC for consideration.”

At its November 2021 meeting the PBAC determined that it would not implement the recommendation because of the ‘substantial risk’ of unintended consequences. In making this determination it had before it several submissions from medical groups strongly opposed to the recommendation.

In other words, despite all the evidence that large numbers of aged care residents are being prescribed ineffective medications with a substantial risk of adverse health consequences, nothing should change.

What do the latest data show?

Since June 2021 the previously very limited suite of residential aged care performance indicators has been expanded to include the number of residents receiving antipsychotic medications. Data is reported quarterly by the Australian Institute of Health and Welfare, with the most recent data released last week on the day before Australia’s Health 2022 was published.

The March 2022 quarter data shows that, in those providers who supplied data on time, 35,619 or 20.5 percent of residents received an antipsychotic. While this is a decline from the 36,310 or 21.6 percent reported in the September 2021 quarter, it is far too early to call this a trend. It may simply reflect differences in the composition of the group of responding providers.

In any event, the headline estimate of about a fifth of residents receiving antipsychotics is broadly the same as that found in the research from the period up to 2015 reported by the Carnell-Paterson Review and the Royal Commission.

Nothing has changed.

Ministerial action

The previous Government seemed prepared to go along with a situation where – as its own Advisory Panel concluded – 90 percent of the 36,000 or so people receiving antipsychotics are doing so without a clear justification and at a risk to their health.

Under the PBS children are not prescribed antipsychotic drugs without the involvement of a specialist – why should vulnerable older people be able to receive these drugs without a similar level of professional scrutiny?

Ministers Mark Butler and Anika Wells should revisit this issue if they are serious about improving the quality of life for people in residential aged care.

Charles Maskell-Knight, a former senior public servant in the Commonwealth Department of Health for over 25 years, contributes regularly to Croakey.


See here for previous articles on aged care

 

 

 

 

 

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Search by: Categories or tags

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Healthdirect Australia series 2019
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth