Funding
The Rural Health Outreach Fund (RHOF) provides a flexible funding pool for initiatives aimed at improving access to medical specialists, GPs, allied and other health providers in rural, regional and remote areas of Australia. RHOF is administered by jurisdictional fundholders; funding generally covers specialists’ travel and accommodation costs only, no other costs outside of travel related costs.
The Medical Outreach – Indigenous Chronic Disease Program (MOICDP) provides funding to support a broad range of multi-disciplinary team based health outreach services that focus on the prevention, detection and management of chronic disease (primary and secondary care) for Aboriginal and Torres Strait Islander people.
Primary Health Networks – manage the Integrated Team Care (ITC) Activity (PDF) funding. ITC focuses on assisting “Aboriginal and Torres Strait Islander people to obtain primary health care as required, provide care coordination services to eligible Aboriginal and Torres Strait Islander people with chronic disease/s who require coordinated, multidisciplinary care, and improve access for Aboriginal and Torres Strait Islander people to culturally appropriate mainstream primary care”.
ACCHOs often have numerous funding sources with separate reporting requirements. Within the context of in service specialist care, this has the potential to affect the ability to deliver targeted specialist care as it requires the existence of core funding to support the service as a whole. NACCHO entered into an Aboriginal Community Controlled Health Sector Support Network – Network Funding Agreement with the Commonwealth Government (as represented by the Department of Health) to manage funding to its Affiliates for the provision of services and support to the ACCHSs.
The distribution of funding for Aboriginal Health is unrelated to population size or need, is not indexed for inflation or service demand, and is not distributed equitably within and between the States and Territories. See NACCHO Aboriginal Health 2015-16 Budget Submission.