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Wednesday, 10 May 2006
Page: 209


Mr Katter asked the Minister for Health and Ageing, in writing, on 7 February 2006:

(1)   Is he aware that following the ‘Dr Death’ Inquiry the Queensland State Government and Medical Registration Board put in place stricter rules for overseeing foreign doctors that have directly contributed to the closure of the Bedside Manor Medical Centre in Charters Towers because the operators were unable to engage any foreign doctors and this has forced the remaining 5 doctors to operate under enormous pressure.

(2)   Is he aware that the Mareeba Hospital is open only because the remaining 8 Tableland doctors, for a town of 20,000 people, have agreed to work longer hours.

(3)   Is he aware that there are only 4 doctors in Thuringowa’s northern beaches but that there should be 20 doctors for the 22,000 residents.

(4)   Will he explain what he is doing to circumvent the strict overseeing of foreign doctors by qualified Australian doctors when there are few doctors to do this work.

(5)   What has he done to alleviate the current doctor shortages that are placing people’s lives at risk.


Mr Abbott (Minister for Health and Ageing) —The answer to the honourable member’s question is as follows:

(1)   Medical registration in Queensland is the responsibility of the Queensland State Government. The rules and regulations governing medical practitioners in Queensland are promulgated by Queensland legislation and the Queensland Medical Registration Board.

(2)   The provision of public hospital services in Queensland is the responsibility of the Queensland State Government.

(3)   In order to confirm the number of doctors working in Thuringowa’s northern beaches, more specific information on the defined boundary of this area would be required. Thuringowa is a district of medical workforce shortage. Therefore, it is likely that an overseas trained doctor who was subject to Medicare provider number restrictions would be granted a provider number to work in this locality.

(4)   Overseas trained doctors who enter Australia must meet certain quality standards in order to be registered to practise medicine. Medical registration is the responsibility of the states and territory governments and all doctors must be registered before they can provide clinical services. Under the auspices of the Strengthening Medicare package, the Commonwealth has been working with state and territory health departments, medical registration boards, and major medical stakeholders to develop nationally consistent principles for the assessment and supervision of temporary resident overseas trained doctors. On 10 February 2006 the Council of Australian Governments (COAG) agreed to implement a national assessment process for overseas qualified doctors to ensure appropriate standards in qualifications and training, and to increase the efficiency of the assessment process.

(5)   The Australian Government has made medical workforce a major focus of its $4 billion package for Strengthening Medicare. The range of initiatives contained in the Strengthening Medicare package have short, medium and long term objectives.

  • Since 2000, the Australian Government has increased the number of publicly funded medical school places by more than 30%:
  • It has supported the establishment of new medical schools at James Cook University and Griffith University in Queensland, the Australian National University in the Australian Capital Territory, and the University of Notre Dame in Western Australia.
  • The government has also announced its support for the establishment of three new medical schools at the University of Western Sydney, the University of Wollongong and the University of Notre Dame in Sydney.
  • In 2005, the Australian Government introduced new arrangements that allow medical schools to provide full fee paying places in medicine for Australian students. At that time, each school could offer an additional 10% of their publicly funded places as full fee paying places.
  • On 10 February 2006, COAG agreed to increase the number of full fee paying domestic medical school places available annually. In addition to the Higher Education Contribution Scheme (HECS) funded places, universities can now accept up to an additional 25% of the medical student load as full fee paying.
  • As part of the Strengthening Medicare package, the government is implementing a range of other measures to increase medical workforce capacity including:
  • More than 1,600 general practices are now being supported to employ practice nurses and all general practitioners can claim Medicare items for specific services undertaken by practice nurses;
  • The number of appropriately qualified overseas trained doctors working in Australia is being increased through international recruitment strategies, reduced red tape in approval processes and changes to immigration arrangements;
  • 280 funded short term placements are being made available each year for junior doctors to work under supervision in general practices in outer metropolitan, rural and regional areas;
  • Refresher training courses and other support for general practitioners and specialists no longer practising medicine to help them return to the medical workforce;
  • Higher Medicare rebates for services provided in areas of workforce shortage by doctors registered before 1996 who don’t hold vocational registration;
  • Greater support for rural general practitioners who provide procedural services like obstetrics and minor operations; and
  • Additional funding for doctors who provide care to patients in aged care facilities.