Tasmanian Codeine Rescheduling Implementation Group - Terms of Reference

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This document defines the governance arrangements of the Codeine Rescheduling Implementation Group (CRIG) including the roles and responsibilities of the working group and its members.

Purpose

The Tasmanian CRIG has been established to provide advice to the Department of Health and Human Services  Secretary on a Tasmanian specific response to the decision by the Therapeutic Goods Administration to reschedule codeine to prescription only on 1 February 2018 and to implement actions  within the remit of member organisations.

The purpose of the CRIG is to:

  • maximise individual and public safety as a result of the re-scheduling of over-the-counter (OTC) codeine containing products
  • minimise negative impact on consumers
  • minimise negative impact on primary care (general practice, allied health and pharmacy) and specialist alcohol and drug, pain and emergency department services
  • improve interdisciplinary and inter-organisational dialogue and cooperation regarding issues relating to opioid addiction and pain management
  • contribute to improving the long term outcomes for Tasmanians treated for pain and addiction.

Objectives

The objectives of the CRIG are to:

  • identify implications for Tasmania of the national decision to reschedule codeine for consumers, pharmacists, general practitioners, allied health professionals, primary health network, alcohol and drug services, persistent pain services, emergency department services, and other tertiary care services
  • identify and agree upon actions required to prepare pharmacists, general practitioners, allied health and other health professionals, and tertiary care services in Tasmania to provide evidence based care for the issues relating to consumers resulting from the rescheduling of codeine
  • facilitate or recommend implementation of these actions through representative organisations
  • evaluate these actions.

Roles and Responsibilities

Be committed to the purpose of the CRIG

  • Provide relevant expert advice.
  • Bring professional expertise to the CRIG in a timely, effective way.
  • Be willing to listen and to work productively and collaboratively with others.
  • Provide solutions or ways forward wherever practically possible.
  • Be a champion for the actions identified.
  • Communicate the identified implications within relevant professional networks and organisations.
  • Facilitate or recommend the implementation of agreed actions within relevant professional and consumer networks and organisations.

Membership

The CRIG comprises the following members:

  • Chair – Dr Scott McKeown - Public Health Physician and General Practitioner, Specialist Medical Advisor, Department of Health and Human Services (DHHS)
  • Deputy Chair – Peter Boyles – Chief Pharmacist, DHHS
  • Assistant Deputy Chair – Sam Halliday – Deputy Chief Pharmacist, DHHS
  • Executive Officer - Bibiche Franssen – Senior Pharmacist, DHHS
  • Lesley Brydon – National CEO, Painaustralia to be replaced by Carol Bennett incoming National CEO, Pain Australia (July 2017)
  • Dr Clare Ballingall – State Chair, Royal Australian College of General Practitioners (RACGP) to be replaced by Dr Jenny Presser incoming State Chair, RACGP
  • Dr Paul Pielage – Australasian College of Emergency Medicine (ACEM) Tasmanian Faculty
  • John Dowling – President, Tasmanian Branch of the Pharmacy Guild of Australia (PGA)/ Helen O’Byrne proxy for John Dowling - Tasmanian Branch of the PGA
  • Rachel Dienaar – Pharmaceutical Society of Australia (PSA)/Emily Thorp proxy for Rachel Dienaar - PSA.
  • Debra Rabe – CEO, Alcohol, Tobacco and other Drugs Council of Tasmania (ATDC)
  • Dr Don Rose – Australian Medical Association (AMA)
  • Dr Alexandra Seidel – President, Rural Doctors Association Tasmania (RDAT)
  • Simon Watt – Tasmanian Director, Australian Pain Society (APSOC)
  • Catherine Spiller – Primary Health Tasmania (PHT)
  • Dr Annette Pantle – Executive Director of Patient Safety, Tasmanian Health Service (THS)
  • Paula Hyland – Executive Director Allied Health, THS
  • Hannah Paal – Statewide Elective Surgery Manager, THS
  • Dr Adrian Reynolds – Statewide Clinical Director, Alcohol and Drug Service, THS
  • Dr Nina Loughman – Pain Specialist and Anaesthetist, Persistent Pain Service, THS
  • Dr Rob Pegram – Director of Medical Services, THS North West
  • Dr Keith McArthur – GP Liaison Officer (GPLO), THS North West
  • Dr Beth Mulligan – GPLO, THS North
  • Dr Annette Barratt – GPLO, THS South
  • Dr Liz Webber – GPLO, THS South
  • Dr Jodi Glading – Deputy Principal Medical Advisor, DHHS to be replaced by Dr Sue Inglis, Medical Administration Registrar, DHHS (July 2017)
  • Dr Kim Atkins – Rural Health Program Manager, DHHS
  • Dr Kaylene Raynes – Director, Scheduling & Committee Governance Section, Therapeutic Goods Administration (TGA)
  • Dr Stefanie Alexander – Scheduling & Committee Governance Section, TGA (Observer)
  • Matthew Rush – State Manager, RACGP Tasmania (Observer)

Other attendees may attend at the invitation of the chair.

The CRIG comprises three sub-working groups (SWG) which focus on pharmacist and self-management, general practitioner management and tertiary management.

See Attachment A for proposed membership of the SWGs.

CRIG meeting process

The CRIG will meet fortnightly for the first three meetings.The CRIG will then break into three sub-working groups (SWG) focusing on issues relating to:

  • pharmacist and self-management
  • general practitioner management
  • tertiary management.

The SWGs will meet separately during the first half of 2017 and identify implications and actions related to their focus area Membership of each SWG will be finalised at the third CRIG meeting.

The CRIG will again meet early in the second half of 2017 to develop an action plan from the work undertaken by the SWGs. This action plan will be implemented during the second half of 2017.

The quorum for the CRIG meetings is 10 members (or their nominated representative) and includes the Chair. The quorum excludes invitees.

Reporting requirements

The Chair/Deputy Chair is responsible for developing the meeting agenda, scheduling meetings and managing the conduct of the CRIG meetings.

The Assistant Deputy Chair is responsible for recording action items arising from meetings of the CRIG.
The Chair and Executive Officer will produce and disseminate minutes and action items from each meeting to all members.

The SWGs will be separately chaired by Sam Halliday (pharmacist and self-management SWG), Scott McKeown (general practitioner management SWG), and Peter Boyles (tertiary management SWG).

Assistance will be sought within each SWG for minute taking. The chairs will be responsible for aligning the work occurring within the SWGs.

The chairs will also facilitate the sharing of expertise if required between the SWGs. The schedule and location of SWG meetings will be determined by each chair in consultation with the group members.

Agenda papers

The agenda and any papers will be circulated to members at least two days prior to the meeting.

Attachment A – Proposed SWG Membership

Name

Organisation

Sub-working Group

Sam Halliday

Deputy Chief Pharmacist, Pharmaceutical Services Branch (PSB), DHHS

Pharmacist and self-management (Chair)

Lesley Brydon

National CEO, Painaustralia

Pharmacist and self-management

Helen O’Byrne/John Dowling

Tasmanian Branch of the Pharmacy Guild of Australia (PGA)

Pharmacist and self-management

Rachel Dienaar

Pharmaceutical Society of Australia (PSA)

Pharmacist and self-management

Debra Rabe

CEO Alcohol, Tobacco and other Drugs Council of Tasmania (ATDC)

Pharmacist and self-management

Dr Liz Webber

GPLO, Tasmanian Health Service (THS) South

Pharmacist and self-management

Dr Kaylene Raynes

Director, Scheduling & Committee Governance Section, Therapeutic Goods Administration (TGA)

Pharmacist and self-management

Dr Scott McKeown

Specialist Medical Advisor, Public Health Services (PHS), DHHS

General practitioner management (Chair)

Bibiche Franssen

Senior Pharmacist, PSB, DHHS

General practitioner management

Dr Clare Ballingall

State Chair, Royal Australian College of General Practitioners (RACGP) Tasmania

General practitioner management

Matt Rush

State Manager, RACGP Tasmania

General practitioner management (Observer)

Dr Don Rose

Australian Medical Association (AMA)

General practitioner management

Dr Alexandra Seidel

President, Rural Doctors Association Tasmania (RDAT)

General practitioner management

Catherine Spiller

Primary Health Tasmania (PHT)

General practitioner

Dr Beth Mulligan

GPLO, THS North

General practitioner management

Dr Annette Barratt

GPLO, THS South

General practitioner management

Dr Kim Atkins

Rural Health Program Manager, DHHS

General practitioner management

Peter Boyles

Chief Pharmacist, PSB, DHHS

Tertiary management (Chair)

Dr Paul Pielage

Australasian College of Emergency Medicine (ACEM) Tasmanian Faculty

Tertiary management

Simon Watt

Tasmanian Director, Australian Pain Society (APSOC)

Tertiary management

Dr Annette Pantle

Executive Director of Patient Safety, THS

Tertiary management

Paula Hyland

Executive Director Allied Health, THS

Tertiary management

Hannah Paal

Statewide Elective Surgery Manager, THS

Tertiary management

Dr Adrian Reynolds

Clinical Director Alcohol and Drug Service (ADS), THS

Tertiary management

Dr Nina Loughman

Pain Specialist and Anaesthetist, Persistent Pain Services (PPS), THS

Tertiary management

Dr Rob Pegram

Director of Medical Services, THS Northwest

Tertiary management

Dr Keith McArthur

GP Liaison Officer (GPLO), THS Northwest

Tertiary management

Dr Jodi Glading

Deputy Principal Medical Advisor, DHHS

Tertiary management