August 2014 Commonwealth of Australia 2014



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Conclusion


Workforce planning projections for the oral health workforce, based on current utilisation patterns, clearly demonstrate extra capacity exists within the current and future workforce. Extensive literature exists highlighting inequalities in access to oral health services, focused around specific populations of interest.

The workforce planning analysis conducted by HWA, where those populations of interest have an increased level of expressed demand applied, still results in the supply of the oral health workforce exceeding expressed demand for services in 2025. This analysis clearly indicates there is scope to effect change and support better health outcomes for those populations of interest, within the scope of the projected new entrants to the workforce (through domestic education and immigration).




Appendix A – Current adult oral health services provided by the States and Territories


State / Territory

Eligibility Criteria – Age

Eligibility Criteria – Card holders and other

Services

Co-payment

QLD

Above the age of completion of Year 10.

Health Care Card

Pension Concession Card

Pensioner Concession Card (Department of Veterans’ Affairs)

Queensland Seniors Health Card

Commonwealth Senior Health Card


General and emergency dental care – check-ups, oral hygiene, fillings, endodontics, extraction, dentures, oral surgery and dentures. Limited specialist dental services are available.

No cost to patient.

NSW

18 years of age and older.

Health Care Card

Pensioner Concession Card

Commonwealth Seniors Health Care Card

Must normally be a resident within the boundary of the providing Area Health Service.



General and emergency dental care – check-ups, oral hygiene, fillings, endodontics, extraction, dentures, oral surgery and dentures. Limited specialist services are available through two teaching hospitals (Westmead Centre for Oral Health and the Sydney Dental Hospital), including paediatric dentistry, oral and maxillofacial surgery, endodontics and periodontics.

No cost to patient for emergency and general dental care in public dental clinics. Co-payments may apply for patients of some teaching services, specialist dental services and denture services.

VIC

18 years of age and older.

Health Care Card

Pensioner Concession Card

Refugees and asylum seekers are also eligible for public dental services.


General dental care – including check-ups and advice, cleaning, fillings and extractions. Emergency care and dentures. Specialist services available – orthodontics, oral and maxillofacial surgery, endodontics, periodontics, prosthodontics, paediatric dentistry, and oral medicine.

Care is also available to adults with special needs, including a domiciliary service for homebound patients.



Fee schedule effective from 1 September 2013:

General dental - $26 per visit, up to $104 for a complete course of care

Emergency care - $26 flat fee

Dentures - $63 per denture capped at $126 for a full upper and lower denture

Specialist services – dependent on treatment, up to a maximum of $312 for a course of care

Fee exemptions apply for the following groups:

Aboriginal and Torres Strait Islander people

Homeless people and people at risk of homelessness

Refugees or asylum seekers

Registered clients of mental health and disability services

Those experiencing financial hardship

Those receiving dental treatment from undergraduate students



TAS

18 years of age and older.

Health Care Card

Pensioner Concession Card



Priority care for urgent dental needs. General care – includes check-ups, fillings, extractions and other dental services. Denture services.

Special care dental units at the Royal Hobart Hospital and North West Regional Hospital provide services for patients who have medical conditions that impact their oral health, or who due to health conditions require routine dental treatment to be provided in a hospital setting.



Fee schedule effective until 30 June 2014:

Single urgent dental problem - $44

General dental care - $44 per appointment

Dentures – upper or lower - $215; full upper and lower - $381; partial denture and other denture services – cost varies

Additional co-payments may apply for high cost treatments.


SA

18 years of age and older.

Health Care Card

Pensioner Concession Card

Pensioner Concession Cards (Department of Veterans’ Affairs)


General, emergency, and denture care. Specialist services including oral and maxillofacial surgery, orthodontics, specialist restorative care, and special needs dentistry are provided at the Adelaide Dental Hospital.

Fee schedule effective 1 July 2013:

Emergency care - $54

General care - $152

Dentures – fee varies according to type (new or repair), number of dentures, and provider (different fees for dentist and prosthetist). Ranges from $54 to $304.50 for new dentures and $20.65 to $77.40 for repairs and replacements.

Specialist care – varies according to treatment


NT

18 years of age and older.

Health Care Card

Pensioner Concession Card



General and emergency dental care, including pain and trauma management, restorative fillings and repairs, endodontics, extractions, oral hygiene, oral health promotion, and denture services.

Specialist services, including orthodontics, oral surgery, and treatment in hospital under general anaesthetic, are also available.



No cost to patient.

WA

18 years of age and older.

Health Care Card

Pensioner Concession Card

Veterans’ Affairs Gold Card (remote locations only).

In remote locations where public dental health services are the only dental health providers, all patients are able to access these services. However, patients without eligibility for the above concession cards are required to pay the full service fee.



General and emergency dental care. Specialist services are provided by the Oral Health Centre at the University of Western Australia, and include endodontics, oral medicine and oral pathology, oral surgery, orthodontics, paediatric dentistry, periodontics, and prosthodontics.

Residents of aged care facilities are eligible for a free annual dental examination and care plan.

In metropolitan areas, patients eligible for public dental services may be referred to private dental practitioners for treatment (at the subsidised rate) through the Metropolitan Patient’s Dental Subsidy Scheme.

The Country Patient’s Dental Subsidy Scheme allows persons eligible for public dental services who live in an area where there are no public dental clinics to access care through private dental services at a subsidised rate.



Varies according to treatment. All dental charges are in line with the Department of Veterans’ Affairs schedule of dental fees, and treatment obtained through a public dental clinic is subsidised up to a maximum of 75 per cent of the cost of treatment.

ACT

18 years of age and older.

Health Care Card

Pension Concession Card



General restorative services, emergency dental care, and denture services (including repairs, relines, and new dentures).

Emergency care – minimum charge of $38.50 per visit.

Restorative treatment – maximum of $300 in any year (excluding molar endodontics, general anaesthetic, and dentures).

Dentures – minimum charge of $35 for a course of treatment. No annual cap.



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