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1 18 Jan 2011

Community services and health industry

Community Services and Health Industry Skills Council (CSHISC) is responsible for the development and review of training packages in this industry.

While community services is a diverse industry, CSHISC highlights four key sectors: • disability services

• children’s services • mental health services • aged care services

Key sectors in the health industry include: • enrolled nursing

• health services assistance

• emergency medical service first response and basic health care • ancillary/support services

• dental work (including dental technology) • complementary and alternative health • allied health assistance

• Aboriginal and Torres Strait Islander health work

National context

According to the CSHISC Environmental Scan 2010 Australia’s ageing population and increased spending pressure in health, especially aged care, are major issues. CSHISC predicts continued growth in the industry over next 15 years.

C ommunity services industry

This industry sector is covered by the CHC08: Community Services Training Package.

National context

The main issues in this sector include increasing skill profiles for employees and redesigning jobs to reflect complexity of service provision as well as modernising the award and obtaining equal

remuneration for social and community service workers.

The Australian Government, in partnership with all state and territory governments, is making

important changes to early childhood education and care in Australia. This is being done through the introduction of the National Quality Framework which has been agreed by the Council of Australian Governments (COAG). The National Quality Framework will put in place a new National Quality Standard to ensure high quality and consistent early childhood education and care across Australia.

By 1 January 2014:

• within each long day care centre or preschool, half of all staff will need to have (or to be actively working towards) a diploma-level early childhood education and care qualification or above, and the remaining staff will all be required to have (or be actively working towards) a certificate III level early childhood education and care qualification, or equivalent.

• all family day care coordinators will need to have a diploma-level early childhood education and care qualification or above

• all family day carers will be required to have (or be actively working towards) a certificate III level early childhood education and care qualification, or equivalent.

Improving staff qualifications is important as the research shows that staff with higher qualifications are usually better able to get improved outcomes for children. More highly qualified staff means greater understanding of health and safety issues and that staff are more able to lead activities that inspire youngsters and help them learn and develop. Since 2009, the Australian Government has invested in

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2 18 Jan 2011

the TAFE fee waiver initiative that that removes TAFE fees for child care diplomas and advanced diplomas.

Community services occupations and qualifications in demand at the national level have been identified by CSHISC and are presented in Table 1.

Table 1: Community services occupations and qualifications in demand at the national level

Occupation Qualification

Welfare Worker 272613 Community Worker 411711

Cert II Community Services Work Cert III Community Services Work Cert IV Community Services Work Cert IV Community Development Cert IV Community Services Advocacy Dip Community Development

Dip Community Services Work

Dip Community Services (Case Management) Dip Community Services (Financial Counselling) Welfare Centre Manager 134214 Adv Dip Community Services Management

Voc Grad Dip Community Sector Management Youth Worker 411716 Cert IV Youth Work

Dip Youth Work

Family Support Worker 411713 Cert IV Child, Youth & Family Intervention (Residential & Out of Home Care)

Cert IV Child, Youth & Family Intervention (Child Protection) Cert IV Child, Youth & Family Intervention (Family Support) Aged or Disabled Carer 423111 Cert III Aged Care

Cert IV Aged Care

Cert III Home & Community Care Cert IV Home & Community Care Child Care Worker 421111

Child Care Centre Manager 134111

Cert III Children’s Services

Cert IV Children’s Services (Outside School Hours Care) Dip Children’s Services (Early Childhood Education and Care) Dip Children’s Services (Outside School Hours Care)

Adv Dip Children’s Services Aged or Disabled Carer 423111

Disabilities Services Officer 411712

Cert III Disability Cert IV Disability Dip Disability

Drug & Alcohol Counsellor 272112 Cert IV Alcohol & Other Drugs

Dip Community Services (Alcohol & Other Drugs)

Dip Community Services (Alcohol, Other Drugs & Mental Health) Welfare Support Workers 411700 Cert IV Mental Health

Dip Community Services (Mental Health)

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The following community services occupations are included on the current Department of Immigration and Citizenship Skilled Occupation List (SOL):

• Welfare Centre Manager • Child Care Centre Manager

Local context

The occupation Child Care Worker was shortlisted as a priority VET-related occupation by ACT industry stakeholders in the 2009 Skill Demand Survey. The occupation Other Specialist Managers (which includes the occupations Welfare Centre Manager and Child Care Centre Manager) was shortlisted by industry as an ACT prioritised occupation for 2009-13 in the ‘Managers and Administrators’ category. The following community services occupations are included on the current ACT State Migration Plan Occupation List:

• Welfare Centre Manager • Child Care Centre Manager • Drug and Alcohol Counsellor • Welfare Worker

• Disabilities Services Officer • Community Worker • Youth Worker

• Family Support Worker

The outcomes of ACT stakeholder consultations indicated that:

• pay rates are a significant issue in retaining workers in the children’s services sector as there are no incentives for workers to complete degrees

• increase in employees from non-English speaking backgrounds is welcomed although these employees need support to improve their English proficiency

• the children’s services sector experiences a high turnover of staff which makes training absolutely essential

• Certificate III in Children’s Services and Certificate IV in Children’s Services (Outside school hours care) are considered appropriate entry level qualifications for occupations in the children’s services sector but there needs to be a carryover of skills sets to diploma courses

• there is little flexibility in moving from one community services occupation to another • entry into children’s services provides a clear and visible career path where training and

qualification requirements are known.

• there may be future demand for tender/grant/proposal writing workshops, as skills are often lacking in this area

• skilled migrants contribute to labour supply in the community services sector. However, there is concern that the skill competency outcomes in English language are not meeting expectations in the aged care and disabilities occupations.

• certificate III should be the entry level for those working in institutions or facilities where staff are closely supervised whereas certificate IV is recommended as the entry level qualification at facilities where supervision is limited.

• workers are looking for generic training with specialities which would allow for movement into other care occupations. For example, from aged care into acute care.

• workers want their skills to be transferable across the community services sector • head hunting and poaching of staff from different areas of community services impact on

training needs in the industry.

• national registration for nursing will also have an impact on training and employment in the community services sector

• there is an ongoing need for skills sets, foundation training, and formalised mentoring training • with forthcoming accreditation requirements for the industry, there is going to be a greater need

for workers to be qualified

• Certificate II in Community Services Support Work is ideal for those seeking to re-enter the workforce

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4 18 Jan 2011

• organisations that employ volunteers would like all their workers to hold a minimum of a

certificate II, and ideally a diploma

• the Diploma of Children’s Services, Advanced Diploma of Children’s Services, and the Diploma of Community Welfare provide strong articulation to the Catholic University – Canberra campus. As seen in Table 2 below, the majority of demand for Australian Apprenticeship training in the children’s services industry is at certificate III and diploma level. Demand for these two traineeships has remained grown significantly compared to the 2008-09 levels. Demand has also increased for Australian School-based Apprenticeships (ASBAs) in the Certificate III in Children’s Services. There is a low level of demand for Certificate IV in Children's Services (Outside school hours care) which has remained steady over the past two years. In the Community Services sector, there has been an increase in traineeship commencements in Certificate IV in Community Services Work. Seven of the trainees commencing in this qualification in 2009-10 are employed by the ACT Department of Disability Housing & Community Services.

The majority of demand for Australian Apprenticeship training in the aged care sector is at certificate III level. The next highest are commencements in traineeships in Certificate III in Disability, which have shown an increase in 2009-10 when compared with 2008-09. Traineeships at Certificate IV in Aged Care and Certificate IV in Disability have shown a decrease compared to 2008-09 levels. However, there has been increased interest in ASBAs in Certificate III in Disability in 2009-10. Certificate IV in Education Support has shown notable demand for a new qualification. All the trainees commencing in this qualification are employed as learning support assistants in ACT public schools. While the Diploma of Disability is a level one priority under the User Choice program there have been no commencements in this qualification over the last two financial years.

Demand for traineeships in Certificate IV in Youth Work has remained steady over the last two years. However, there has been no demand in recent years for traineeships in Diploma of Youth Work, despite this qualification being designated a level one User Choice priority. As a result of requests from various ACT VET stakeholders, the Diploma of Community Services (Financial Counselling) was added to the ACT Australian Apprenticeships register on 30 July 2010.

Table 3, shows commencements in the training places allocated in the 2009 Productivity Places Program (PPP) application rounds. The most popular qualification taken up by both job seekers and existing workers was the Certificate III in Children’s Services, followed by the Certificate III in Aged Care. Among existing workers only, the Certificate IV in Disability proved very popular.

In 2010 PPP application rounds, training places in the following qualifications were allocated for job seekers wishing to commence training before 31 December 2010:

• Certificate II in Community Services • Certificate III in Children’s Services • Certificate III in Disability

• Certificate III in Aged Care.

In 2010 PPP application rounds, training places in the following qualifications were allocated for job existing workers seeking to commence training before 31 December 2010:

• Certificate III in Children’s Services

• Diploma of Children’s Services (Early Childhood Education and Care) • Advanced Diploma of Children’s Services

• Certificate III in Aged Care • Certificate IV in Aged Care • Certificate IV in Youth Work

There was also notable demand for PPP training places in the enabling qualifications

Certificate IV in Frontline Management and Diploma of Management from existing workers in the aged care industry.

As shown in Table 4, during 2009-10 the highest level of demand for community services training under the Priorities Support Program (PSP) was for Certificate I in Work Preparation (Community Services). This qualification can provide a pathway to further study in higher level community services

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5 18 Jan 2011

qualifications. There was also notable demand for Certificate III in Aged Care and skill sets training in competences from the Certificate IV Community Services (Protective Care). According to the ACT Department of Disability Housing & Community Services accredited training of foster carers is a vital tool in ensuring higher attraction and retention rates. The next highest demand was for skills sets or full qualifications in Certificate II in Community Services. This qualification is a means for potential

employees to gain appropriate skills in preparation for employment or as a pathway to further training in the Certificate III in Community Services Work and Certificate IV in Community Services Work. There was also demand for training in competencies in safe food hygiene practices from the

Certificate III in Children’s Services, a pre-requisite in child care and aged care facilities. There was also a notable demand from small business operators in the family day care industry for the full Certificate III in Children’s Services.

Seven community services qualifications were identified as ‘skill shortage areas other than traditional trades’ under the Skilling Australia’s Workforce (SAW) Agreement 2005-2008. During this period the ACT agreed to achieve specific commencements targets for these qualifications. Table 5 sets out the ACT targets over the four years and the actual commencements achieved. Commencements data are drawn from the National Centre for Vocational Education Research (NCVER) Students and Courses Database and represent students commencing in funded programs administered by the ACT Department of Education and Training on behalf of the ACT and Australian Governments as well as courses funded by the ACT Government through the Canberra Institute of Technology (CIT). The commencements target for:

• Certificate III in Disability Work: exceeded by 105 percent • Certificate IV in Aged Care Work: exceeded by 26 percent • Certificate IV in Disability Work: exceeded by 88 percent

• Certificate IV in Out of School Hours Care: under subscribed by 16 percent • Certificate IV in Community Services Work: exceeded by 108 percent

• Certificate IV in Community Services (Lifestyle & Leisure): exceeded by 296 percent

• Certificate IV in Community Services (Service Co-ordination): under subscribed by 47 percent Two qualifications currently linked to skill shortage occupations show no evidence of demand under any of the funding programs administered by the ACT Department of Education and Training. These are Certificate IV in Community Development and Diploma of Disability. Funding for both of these qualifications was available under the Australian Apprenticeship through User Choice program, PPP and PSP. However, there were no commencements in these qualifications under any of these

programs during 2008-10. On the other hand, there is evidence of some training in these qualifications occurring outside the funding programs administered by the ACT Department of Education and Training. According to NCVER Students and Courses Database, 11 students commenced in a

Certificate IV in Community Development and two students commenced in Diploma of Disability in 2009. According to the database, this training was delivered by CIT.

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Table 2: ACT Australian Apprenticeship commencements in community services qualifications,

2008-10

Qualification Type Year Commencements

Cert II Community Services CHC20108 ASBA 2009-10 0 2008-09 1 Cert II Community Services CHC20108 Traineeship 2009-10 1 2008-09 1 Cert III Community Services CHC30108 Traineeship 2009-10 0 2008-09 0 Cert III Children’s Services CHC30708 Traineeship 2009-10 295

2008-09 231 Cert III Children’s Services CHC30708 ASBA 2009-10 24

2008-09 9 Cert IV Children’s Services CHC41208 (outside school

hours care)

Traineeship 2009-10 9 2008-09 10 Cert IV Community Services Work CHC40708 Traineeship 2009-10 9

2008-09 4 Cert IV Community Services CHC42002 (Service

Co-ordination)

Traineeship 2009-10 - 2008-09 4 Dip Children’s Services CHC51008 (outside school

hours care)

Traineeship 2009-10 2 2008-09 6 Dip Children’s Services CHC50908 Traineeship 2009-10 191

2008-09 122 Cert III Aged Care CHC30208 Traineeship 2009-10 127 2008-09 175

Cert III Aged Care CHC30208 ASBA 2009-10 4

2008-09 8 Cert III Disability CHC30408 Traineeship 2009-10 25

2008-09 17

Cert III Disability CHC30408 ASBA 2009-10 5

2008-09 0 Cert III Home & Community Care CHC30308 Traineeship 2009-10 15

2008-09 29 Cert IV Aged Care CHC40108 Traineeship 2009-10 12 2008-09 26 Cert IV Disability CHC40308 Traineeship 2009-10 4

2008-09 23 Cert IV Education Support CHC41708 Traineeship 2009-10 15 2008-09 - Cert IV Leisure & Health CHC40608 Traineeship 2009-10 1

2008-09 3 Dip Leisure & Health CHC50508 Traineeship 2009-10 0 2008-09 4

Dip Disability CHC50108 Traineeship 2009-10 0

2008-09 0 Cert III Employment Services CHC30908 Traineeship 2009-10 0 2008-09 11 Cert IV Alcohol & Other Drugs CHC40408 Traineeship 2009-10 1

2008-09 2 Cert IV Youth Work CHC41808 Traineeship 2009-10 9 2008-09 10 Cert IV Employment Services CHC42008 Traineeship 2009-10 11 2008-09 5 Cert IV Social Housing CHC40908 Traineeship 2009-10 0 2008-09 3

Table 3: ACT PPP commencements in community services qualifications, October 2009 to June 2010

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Qualification Commencements

Job Seekers Existing Workers

Cert III Children’s Services CHC30708 71 169

Dip Children’s Services CHC50908 0 5

Ad Dip Children’s Services CHC60202 0 5

Cert III Aged Care CHC30208 73 27

Cert III Disability CHC30408 21 2

Cert IV Aged Care CHC40108 1 0

Cert IV Disability CHC40308 0 31

Cert IV Youth Work CHC41808 23 4

Dip Youth Work CHC51408 - 6

Table 4: ACT PSP commencements in community services by qualification* 2009-10

Qualification Commencements

Cert II Community Services 36

Cert III Children’s Services 35

Cert IV Child, Youth and Family Intervention (Residential and Out of Home Care) CHC41408

16 Cert IV Community Services (Protective care) CHC41802 82

Dip Community Services Coordination CHC52208 7

Cert III Aged Care CHC30208 106

Cert III Disability CHC30408 56

Cert III Home & Community Care CHC30308 4

Cert IV Aged Care CHC40108 18

Cert IV Disability CHC40308 11

Cert IV Leisure & Health CHC40608 6

Cert I in Work Preparation (Community Services) CHC10108 133 *Note: These qualifications may have been delivered as skills sets or full qualifications.

Table 5: ACT targets and commencements in identified skills shortage areas in community services under the SAW Agreement 2005-08.

Qualification Target 2005-2008 Actual commencements

Cert III Disability Work CHC30302 80 164

Cert IV Aged Care Work CHC40102 61 77

Cert IV Disability Work CHC40302 144 271

Cert IV Out of School Hours Care

CHC40402 37 31

Cert IV Community Services Work

CHC40902 40 83

Cert IV Community Services

(Lifestyle & Leisure) CHC41602 25 99

Cert IV Community Services

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Conclusion

The following qualifications have been identified as priority industry-specific training needs for the ACT community services industry in 2011-12. These qualifications, and associated occupations, have been identified using the combined evidence of past demand for Australian Apprenticeships, PPP and PSP training places, ACT industry feedback, availability of training courses in the ACT, and evidence of skill shortages presented in the 2009 ACT Skills Demand Survey, ACT State Migration Plan Occupation List, CSHISC Environmental Scan 2010, and Australian Government’s PPP Priority Occupations and

Qualifications List.

Community services occupations and qualifications for the

ACT Industry Training Needs List 2011-12

Occupation Qualification

Welfare Worker 272613 Community Worker 411711

Cert II Community Services CHC20108 Cert IV Community Services Work CHC40708 Dip Community Services Coordination CHC52208 Dip Community Services (Financial Counselling) CHC52108

Child Care Worker 421111

Out of School Hours Care Worker 421114

Cert III Children’s Services CHC30708

Cert IV Children's Services (Outside school hours care) CHC41208

Youth Worker 411716 Cert IV Youth Work CHC41808 Dip Youth Work CHC51408

Family Support Worker 411713 Cert IV Child, Youth and Family Intervention (Residential and out of home care) CHC41408 Cert IV Child, Youth & Family Intervention (Child Protection) CHC41508

Child Care Centre Manager 134111 Dip Children's Services (Outside school hours care) CHC51008

Dip Children's Services (Early childhood education and care) CHC50908

Adv Dip Children's Services CHC60208 Aged or Disabled Carer 423111 Cert III Aged Care CHC30208

Cert IV Aged Care CHC40108

Cert III Home & Community Care CHC30308 Cert IV Home & Community Care CHC40208 Aged or Disabled Carer 423111

Disabilities Services Officer 411712

Cert III Disability CHC30408 Cert IV Disability CHC40308

Cert IV Education Support CHC41708 Clerical and Office Support Workers 561999 Cert I Work Preparation CHC10108

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Health industry

This industry sector is covered by the HLT07: Health Services Training Package.

National context

In December 2008 the Australian Government published the final report of the Review of Higher Education (the Bradley Review). In 2009, in response to the Bradley Review’s recommendations, the Australian Government committed $5.4 billion to support higher education and research over the next four years, and signalled significant changes to Australia’s higher education system that will affect the health industries. For example, financial incentives will be offered to organisations offering some training programs within the industries, such as nursing.

Depending on how the Bradley Review recommendations are implemented, the implications for the VET sector may be far-reaching. According to the Community Services and Health Industry Skills Council 2010 Environmental Scan, a single governance framework for the tertiary sector combining VET and higher education may better serve the community services and health industries in terms of articulation and links between the VET and university sectors. However, CSHISC argues that consideration will also need to be given to links between the community services and health industries and the possibilities and consequences of workforce development across community services and health.

A National Registration and Accreditation Scheme for health professions and accreditation of their education and training was introduced in July 2010. This will make it easier for health professionals to work across state borders. The scheme will initially cover the nine health professions that are currently subject to statutory registration in each state and territory: physiotherapy, optometry, nursing and midwifery, chiropractic care, pharmacy, dental care, medicine, psychology and osteopathy and podiatrists.

Health occupations and qualifications in demand at the national level have been identified by CSHISC and are presented in Table 6.

Table 6: Health occupations and qualifications in demand at the national level

Occupation Qualification

Enrolled Nurse 411411 Cert IV Nursing (Enrolled/Division 2) Dip Nursing (Enrolled/Division 2) Adv Dip Nursing (Enrolled/Division 2) Personal Care Assistant 423313

Nursing Support Worker 423312

Cert III Health Service Assistance

N/A Cert IV Medical Practice Assisting

N/A Cert III Allied Health Assistance Cert IV Allied Health Assistance

Cert III Nutrition and Dietetic Assistance

Cert III Hospital/Health Services Pharmacy Support Cert IV Hospital/Health Services Pharmacy Support Medical Technicians 311299 Cert IV Audiometric Assessment

Dip Hearing Device Prescription and Evaluation Pathology Assistant N/A Cert III Pathology

Cert IV Pathology Optical Mechanic 399914

Optical Dispenser 399913

Cert IV Optical Technology Cert IV Optical Dispensing Environmental Health Officer

251311

Cert II Indigenous Environmental Health Cert III Indigenous Environmental Health Cert IV Indigenous Environmental Health Dip Indigenous Environmental Health Aboriginal and Torres Strait

Islander Health Worker 411511

Cert II Aboriginal and/or Torres Strait Islander Primary Health Care

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Care

Cert IV Aboriginal and/or Torres Strait Islander Primary Health Care (Practice)

Cert IV Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care)

Dip Aboriginal and/or Torres Strait Islander Primary Health Care (Practice)

Dip Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care)

Dental Assistant 423211 Cert III Dental Assisting Cert IV Dental Assisting

N/A Cert III Dental Laboratory Assisting Dental Technician 411213 Dip Dental Technology

N/A Cert IV Population Health

The following health occupations are included on the current Department of Immigration and Citizenship Skilled Occupation List (SOL):

• Medical Administrator • Nursing Clinical Director

• Primary Health Organisation Manager • Medical Laboratory Scientist

• Optometrist • Chiropractor • Osteopath • Ophthalmologist • Occupational Therapist • Physiotherapist • Podiatrist • Audiologist • Speech Pathologist • Pathologist • Psychologists nec • Midwife • Nurse Practitioner

• Registered Nurse (aged care)

• Registered Nurse (child and family health) • Registered Nurse (community health)

• Registered Nurse (critical care and emergency) • Registered Nurse (development disability) • Registered Nurse (medical)

• Registered Nurse (medical practice) • Registered Nurse (mental health) • Registered Nurse (perioperative) • Registered Nurse (surgical) • Registered Nurse nec • Dentist • Dental Hygienist • Dental Prosthetist • Dental Technician • Dental Therapist

Local context

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The CSHISC 2010 Environmental Scan reports on the need to realign roles in health care delivery to include cross-disciplinary professional scope, and the need for allied health assistant roles to meet demand for services. Industry stakeholders confirm this is the case locally. The new Canberra Hospital Walk-in Centre, where advanced health practitioners deliver integrated care in a state of the art

information technology environment is an example of the way in which health services are more likely to be delivered in the future.

Stakeholders expressed the view that the new certificate IV and diploma level qualifications need to be supplemented with higher level qualifications, such as in advanced practice and management roles. These findings are consistent with those identified in the CSHISC’s Mental Health Articulation Between VET Providers and Universities Report 2009.

The ACT Health Workforce Plan 2005-2010:

• identifies a number of strategies to respond to the increasing demand for health services and changing models of health care

• these initiatives rely on strong partnerships with both the tertiary and VET sectors to

collaboratively develop skill sets and training programs for changing and emerging roles, with the potential for flexible career paths with articulation between VET and higher education. • this includes supporting skill sets that improve the potential for interprofessional collaborative

care, and training in delegation and supervision for allied health professionals working with support staff.

• Certificate IV in Allied Health Assistance or an equivalent qualification is considered to be the relevant qualification for Allied Health Assistants. Some trainees with a Certificate III in Allied Health Assistance fulfill appropriate positions.

The following health occupations are included on the current ACT State Migration Plan Occupation List: • Ambulance Officer • Audiologist • Dental Hygienist • Dental Prosthetist • Dental Technician • Dental Therapist • Dietician

• Environmental Health Officer

• Intensive Care Ambulance Paramedic • Massage Therapist

• Medical Administrator

• Medical Laboratory Technician • Medical Laboratory Scientist • Midwife

• Nurse Educator • Nurse Researcher • Nurse Manager • Nurse Practitioner • Nursing Clinical Director

• Occupational Health and Safety Advisor • Occupational Therapist

• Ophthalmologist • Pathologist • Physiotherapist • Podiatrist

• Primary Health Organisation Manager • Psychologists nec

• Registered Nurse (aged care)

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• Registered Nurse (community health)

• Registered Nurse (critical care and emergency) • Registered Nurse (development disability) • Registered Nurse (medical)

• Registered Nurse (medical practice) • Registered Nurse (mental health) • Registered Nurse (perioperative) • Registered Nurse (surgical) • Speech Pathologist

The occupation Personal Care and Nursing Assistants was shortlisted as a priority VET-related occupation by ACT industry stakeholders in the 2009 Skill Demand Survey. The occupations

Registered Nurse and Psychologists were shortlisted by industry as an ACT prioritised occupation for 2009-13 in the ‘Professionals and Administrators’ category.

ACT industry stakeholders indicated that:

• there are new occupations evolving in the health industry – e.g. those which involve going into people’s homes to provide health support services

• in 2011 there is a need for Certificate IV in Nursing (Enrolled/Division 2 nursing) and Diploma of Nursing (Enrolled/Division 2 nursing)

• Certificate IV in Nursing (Enrolled/Division 2 nursing) would fill the gap as enrolled nurses gradually retire

• because there is a high level of demand for nursing, there is also a need for assistant nurses who need a Certificate III in Health Service Assistance

• Certificate III in Health Support Services should be considered as entry-level requirement for wardsmen

• training towards nationally recognised qualifications for all ambulance employees is base-line and mandatory. Successful completion of recognised qualifications is an employment condition • the ACT Ambulance Service considers the following qualifications to be entry-level for the

following occupations:

o Communications Centre operators: Certificate III in Ambulance Communications (Call-taking)

o Patient Transport Service: Certificate III in Non Emergency Client Transport o Ambulance Paramedic (emergency operations): Diploma of Paramedical Science

(Ambulance)

o Intensive Care Paramedic: Advanced Diploma of Paramedical Science (Ambulance) • funded training provides greater flexibility and more options for the ambulance industry in how

workforce expansion is achieved

• there may be a place for specific roles within the ACT Ambulance Service which do not involve physical activity e.g. as communications centre staff, if there is a change to ACT Ambulance Service employment classifications in the future. There will be a shortfall in qualified ambulance staff when those who are aged 54 years retire

• the ACT Ambulance Service prioritises the following qualifications for 2011: o Certificate III in Non Emergency Client Transport

o Certificate III in Ambulance Communications (Call-taking) o Certificate IV in Ambulance Communications

o Certificate IV in Health care (Ambulance) o Diploma of Paramedical Science (Ambulance)

o Advanced Diploma of Paramedical Science (Ambulance)

• the extent of unmet need within particular groups, such as youth and older people, has driven a national mental health reform agenda and increased access for such groups to mental health care services, which in turn drives a need for practice enhancement there is a small but growing workforce within ACT Health, for whom the most appropriate (but currently not mandatory) qualification is the Certificate IV in Allied Health Assistance

• ACT Health has supported training in the Certificate IV Allied Health Assistance as well as employing a number of graduates from the training program

the supply of graduates, together with job applicants with other relevant qualifications, is currently meeting the demand for Allied Health Assistants within the ACT and this group is not identified as experiencing high vacancy rates in 2010

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• allied health professionals have not traditionally engaged in the VET sector as under-graduate

training at entry level is primarily through the higher education sector

• people interested in Allied Health Assistant roles, or existing staff employed in these roles, appear to be influenced by employment conditions including rates of pay, mandatory requirement for training/qualification and access to ongoing (permanent) employment; by provision of employer-supported training including access to paid study and study leave; existence of/participation in other relevant qualifications for the role; or by access to a pathway that articulates acquisition of competency skill sets to the higher education pathway of their choice.

• ACT Health has developed workplace innovation and reform projects in response to the national workforce taskforce strategies

• the ACT Government 2009-2010 Budget provided funding to establish new health support roles including a total of 6 traineeships in Certificate IV in Allied Health Assistance over 2010 and 2011

• shared competencies/skill sets will allow the development of a flexible health workforce to meet future demand, whilst also providing individuals with a flexible career pathway.

• with training in Certificate IV in Allied Health Assistance the industry is unable to provide sufficient industry placements for the necessary work experience for students nor is it able to provide enough trained health professional teachers for small groups of students studying specific skill sets e.g. Dietetics Assistance

• a significant shortage of dental assistants

• ongoing need for qualified dental assistants who need Certificate III in Dental Assisting • a need for trained reception staff in dentist practices

• locally, training for Dental Technician and Prosthetist are neglected areas

• continued difficulty in attracting people to the dental industry in the public sector as the pay rates are so low.

As seen in Table 7 below, there have been no commencements in nursing qualifications under the Australian Apprenticeships program. While the Advanced Diploma of Nursing (Enrolled/Division 2 nursing) is available as an Australian Apprenticeship pathway, no ACT-based RTO is scoped to deliver this qualification. In 2009, both the Diploma of Nursing (Enrolled/Division 2 nursing) and Advanced Diploma of Nursing (Enrolled/Division 2 nursing) were included on the Australian Government’s Incentives Higher Technical Skills Employer Incentives list, attracting incentives payments for eligible employers of Australian Apprentices.

Table 7 also shows a strong and increased demand for Certificate III in Health Support Services

possibly reflecting the change to health service delivery as mentioned in the ACT Health Workforce Plan 2005-10. It shows increased demand for Certificate IV in Optical Dispensing and decreased demand for in Certificate IV in Massage Therapy Practice and Certificate IV in Health Administration.

Table 7 shows a steady demand for Certificate III in Dental Assisting and an increased demand for Certificate IV in Dental Assisting. There are no RTOs are registered to deliver the Certificate III in Dental Laboratory Assisting in the ACT. Industry has not requested to the Certificate III in Dental Laboratory Assisting be added to the ACT Australian Apprenticeship Register, making it ineligible for User Choice funding.

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Table 7: ACT Australian Apprenticeship commencements in health qualifications, 2008-10

Qualification Type Year Commencements

Cert III Non Emergency Client Transport HLT30207 Traineeship 2009-10 2 2008-09 6 Cert IV Nursing (Enrolled/Division 2 nursing)

HLT43407

Traineeship 2009-10 0 2008-09 0 Cert IV Mental Health work (nonclinical)

CHC40508

Traineeship 2009-10 1 2008-09 0 Cert IV Health Care (ambulance) HTL41007 Traineeship 2009-10 6 2008-09 4 Dip Nursing (Enrolled/Division 2 nursing)

HTL51607

Traineeship 2009-10 0 2008-09 0 Ad Dip nursing (Enrolled/Division 2 nursing)

HTL61107

Traineeship 2009-10 0 2008-09 0

Cert II Health Support Services HLT21207 ASBA 2009-10 0 2008-09 2 Cert II Health Support Services HLT21207 Traineeship 2009-10 0 2008-09 9 Cert III Health Services Assistance HLT32507 Traineeship 2009-10 0 2008-09 3 Cert III Health Support Services HLT32807 Traineeship 2009-10 147

2008-09 7 Cert III Health Administration HLT32907 Traineeship 2009-10 2 2008-09 6 Cert IV Allied Health Assistance HLT42507 Traineeship 2009-10 3 2008-09 0 Cert IV Massage Therapy Practice HLT40307 Traineeship 2009-10 0 2008-09 16 Cert IV Health Administration HLT43207 Traineeship 2009-10 7

2008-09 17 Cert IV Optical Dispensing HLT43507 Traineeship 2009-10 11 2008-09 0 Dip Practice Management HLT52007 Traineeship 2009-10 0 2008-09 0

Cert III Dental Assisting HLT31807 2009-10 14

2008-09 17

Cert IV Dental Assisting HLT43007 2009-10 5

2008-09 1

Dip. Dental Technology HLT50507 2009-10 3

2008-09 1 Adv. Dip. Dental Prosthetics HLT60407 2009-10 1 2008-09 0

(15)

15 18 Jan 2011

There were 15 commencements in the Diploma of Nursing (Enrolled/Division 2 nursing), 10

commencements in Certificate IV in Health Supervision, and 20 commencements in Certificate III in Health Support Services (Food Services) under Phase II of the Productivity Places Program (PPP) in 2008-2009. Table 8 shows commencements of training places allocated in the 2009 PPP application rounds under Phase III of the PPP. There were no training places for health related qualifications allocated in the 2010 PPP application rounds in 2010.

Table 8: ACT PPP (Phase III) commencements in health qualifications, October 2009 to June 2010

Qualification Places allocated

Job Seekers Existing Workers Cert IV Allied Health Assistance HLT42507 10 5

Table 9 shows demand for training in health qualifications accessed through the Priorities Support Program (PSP).

Table 9: ACT PSP commencements in health by qualification* 2009-10

*Note: These qualifications may have been delivered as skills sets or full qualifications. Four health qualifications were identified as ‘skill shortage areas’ under the Skilling Australia’s Workforce (SAW) Agreement 2005-2008. During this period the ACT agreed to achieve specific commencements targets for these qualifications. Table 10 sets out the ACT targets over the four years and the actual commencements achieved. Commencements data are drawn from the National Centre for Vocational Education Research (NCVER) Students and Courses Database and represent students commencing in funded programs administered by the ACT Department of Education and Training on behalf of the ACT and Australian Governments as well as courses funded by the ACT Government through the Canberra Institute of Technology (CIT).

Table 10: ACT targets and commencements in identified skills shortage areas in health under the SAW Agreement 2005-08.

Qualification Target 2005-2008 Actual commencements

Dip Dental Technology HLT50502 15 16

Cert III Health Support Services HLT31002 16 77 Cert III Health Service Assistance

(Client/Patient Services) HLT31602 51 24

Cert IV Health Support Services (Supervision)

HLT40402 36 75

Qualification Commencements

Apply First Aid HLTFA301B 21

Certificate IV in Mental Health Work (Non-clinical) CHC 41102

(16)

16 18 Jan 2011

According to the NCVER Students and Courses database, there is evidence of training occurring in the Diploma of Nursing (Enrolled/Division 2 nursing) in recent years other than that delivered under

programs funded through the ACT Department of Education and Training. According to the database, in 2009 there were 171 enrolments in Diploma of Nursing (Enrolled/Division 2 nursing).

Conclusion

The following qualifications have been identified as priority industry-specific training needs for the ACT health industry in 2011-12. These qualifications, and associated occupations, have been identified using the combined evidence of past demand for Australian Apprenticeships, PPP and PSP training places, ACT industry feedback, availability of training courses in the ACT, and evidence of skill

shortages presented in the 2009 ACT Skills Demand Survey, ACT State Migration Plan Occupation List, CSHISC Environmental Scan 2010, and Australian Government’s PPP Priority Occupations and

Qualifications List.

Health occupations and qualifications for the

ACT Industry Training Needs List 2011-12

Occupation

Relevant qualifications

Ambulance officer

Certificate III in Non-Emergency Client Transport Certificate IV in Health Care (Ambulance) Certificate IV in Ambulance Communications Diploma of Paramedical Science (Ambulance)

Advanced Diploma of Paramedical Science (Ambulance)

Registered Nurse / Enrolled Nurse

Certificate IV in Nursing (Enrolled/Division 2 Nursing) Diploma of Nursing (Enrolled/Division 2 Nursing)

Registered Mental Health Nurse Certificate IV in Mental Health Work (Non-clinical) Personal Care Assistant Certificate III in Allied Health Assistance

Personal Care Assistant / Occupational Therapist

Certificate IV in Allied Health Assistance Personal Care Assistant Certificate III in Health Services Assistance Primary Health Organisation Manager

Certificate IV in Health Supervision

Other Elementary Service Workers Certificate II in Health Support Services

Certificate III in Health Support Services

Office Manager

Certificate III in Health Administration Certificate IV in Health Administration Optometrist Certificate IV in Optical Dispensing Medical Administrator Diploma of Practice Management Dental Technician Diploma of Dental Technology

Dental Assistant

Certificate III in Dental Assisting Certificate IV in Dental Assisting

References

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