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Legislative Council - Fifty-Fourth Parliament, First Session (54-1)
2018-11-07 Daily Xml
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HIV Services

In reply to the Hon. I.K. HUNTER (18 September 2018).

The Hon. S.G. WADE (Minister for Health and Wellbeing): I have been advised:

1. Internationally there has been a trend of diminishing demand for HIV specific respite services in countries with similar health systems and HIV burden to Australia. Publicly funded HIV specific respite services are no longer available in New Zealand; while a few remain in Canada and the United Kingdom, these are located in settings of relatively higher HIV prevalence.

In New South Wales (NSW) there has been a recent trend to adapt respite and supported accommodation models for people living with HIV. Notably, in 2014, the Bobby Goldsmith Foundation House in Sydney was closed. In partnership with various specialist and mainstream service providers, including the AIDS Dementia and HIV Psychiatry Service (ADAHPS), the foundation has transitioned to a model that provides support for greater numbers of clients in the community setting.

In response to the closure, NSW Health noted that 'even for those people with advanced HIV disease and multiple morbidities, the need for 24-hour care is required less, as the treatment and management of HIV has evolved to become a long-term chronic illness that can be very effectively managed in the community setting with in-home support services as required.

Further, NSW Health advised that 'continual quality improvement processes will ensure the current and future service needs of people living with HIV are being met through appropriate, integrated specialist and mainstream care'.

In South Australia, the Department for Health and Wellbeing has made a commitment to support Centacare and other relevant service providers to ensure people living with HIV currently accessing the Individualised Support Program for People with HIV are transitioned to appropriate care and support services in the community.

2. In 2017, the Department for Health and Wellbeing conducted a review to identify best practice and contemporary support services for people living with HIV in South Australia. In developing this report, South Australians living with HIV and South Australian HIV care and support services were consulted extensively.

3. The funding allocation for the ministerial office in 2018-19 includes departmental staff. These were not included in previous budget papers. There has been a reduction in real terms.

4. The Department for Health and Wellbeing met with Shine SA on 7 September 2018 to commence discussions regarding the implications of new funding arrangements for sexual health services provided by Shine SA, announced in the 2018-2019 state budget.

The department will continue to work closely with Shine SA to minimise impact and disruption to services as new service agreements are negotiated.

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