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 Nurse practioners face problems with PBS 

Nurse practioners face problems with PBS

08 Dec, 2009 03:00 AM
DESPITE a critical shortage of medical professionals across the Hunter, nurse practitioner graduates are struggling to find work because they are unable to access the pharmaceutical benefits scheme.

Ruth Mursa, who recently graduated from the University of Newcastle's master of nursing program in October, said most of her peers were yet to find employment.

"About 24 people did the program and hardly anyone has got a job," Ms Mursa said.

The Australian Nurse Practitioner Association estimates only about 300 nurse practitioners, who are authorised to prescribe some drugs and refer patients directly to specialists, presently work in Australia.

At issue is an impasse with the Federal Government that prevents nurse practitioners from accessing the Pharmaceutical Benefits Scheme or from gaining a Medicare provider number.

Ms Mursa, a registered nurse with 22 years experience, said nurse practitioners were frustrated at not being able to help patients to their maximum potential.

"If I write a prescription it can cost $50 but if the doctor writes it it's $5," she said.

GP Access chief executive Mark Foster said a trial of a part-time nurse practitioner as part of its after-hours clinic in Maitland had allowed more patients to be seen.

"Basically we have to wear the cost because the alternative is to treat fewer patients or have doctors work longer hours," he said.

"We feel it's been a good outcome for everyone involved."

Dr Foster said nurse practitioners could make a major contribution to general practice if they worked as part of a collaborative team.

"At the moment there a lot of things that highly trained GPs do which nurse practitioners could do," he said.

"It makes more sense to allow GPs to focus on things that they have specialised skills in."

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comments


Date: Newest first | Oldest first
Who is the PBS? How about an article on this little known group who seem to wield a large amount of power in an unchecked and unchallengable manner. Meanwhile the Fedral Government could stop 'banging on' about climate change and start listening to what people really want. One of those wants is a more efficient medical service.
Posted by tellus, 8/12/2009 4:55:00 AM, on The Herald
"If I write a prescription it can cost $50 but if the doctor writes it it's $5," she said. THIS doesnt seem right. Why should this be.
Posted by Concerned Resident, 8/12/2009 8:00:45 AM, on The Herald
Nurse pratitioners need to have access to PBS for prescribing and a medicare number otherwise we have well qualified people unable to work in a health community crying out for more staff. NPs are often prepared to work in areas where there are no doctors or where Drs do not want to live and work. The idea of collaorative practice is great, but if there is no Dr in the area who do you practice with ? Its time to step outside the east coast urban areas and realise there are greater health needs to be met elsewhere in the state and its time we seriously looked at meeting them.
Posted by Sue H, 8/12/2009 8:58:33 AM, on The Herald
@tellus, the Pharmaceutical Benefits Scheme (www.pbs.gov.au) is run by the federal Department of Health and Ageing. Just because you don't know much about it doesn't mean it isn't checked and challenged. They can't spend $4 billion per year without the approval of Parliament.
Posted by Brad, 8/12/2009 10:17:44 AM, on The Herald
When people are waiting for several weeks to see their GP for a routine visit, why is it taking so long for the government to put these Nurse Practitioners to work. I would be happy to see a Nurse Practitioner, instead of waiting weeks to see my GP.
Posted by needagp, 8/12/2009 4:50:28 PM, on The Herald
It's like asking an air hostess to do a pilot's job. Should we have a deluge of NPs or trained medical practitioners ? It takes the same number of years to train both professionals.
Posted by MoreGPsPlz, 8/12/2009 9:19:28 PM, on The Herald
The problem here is that the PBS and the entire Medicare scheme is being held to ransom by the AMA who are concerned about potential loss of revenue. Given that there is no intention to set NPs up in competition with GPs, that many of the NPs will be working in specialist areas or based in places where access to doctors is a challlenge, this is a baseless argument. This turf war has gone on too long and the lack of access to subsidised care by nurses, midwives, physiotherapists and others allows the health of the community to be a secondary consideration to the income of the doctors who support this argument.
Posted by Informed consumer, 9/12/2009 9:13:21 AM, on The Herald
Who does take ultimate responsibility of an individual? in the end someones got be a fall-guy/gal if anything does go wrong - be it NP, GP, podiatrist. Health Reform blunders made cant be rectified by successive govt's.
Posted by Health_Reform_Blunder, 9/12/2009 10:28:52 PM, on The Herald

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PBS ACCESS DENIED: Ruth Mursa said few of her fellow graduates from the nurse practitioner program were employed to their full potential.- Picture by Dean Osland
PBS ACCESS DENIED: Ruth Mursa said few of her fellow graduates from the nurse practitioner program were employed to their full potential.- Picture by Dean Osland

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