Primary Health Networks (PHNs) are mandated by the Australian government to improve the efficiency and effectiveness of health services for local populations, particularly those at risk of poor health outcomes. They are also mandated to improve the coordination of health services, and increase access and quality support for people in their local region [1]. They are entrusted with taxpayer funds to achieve this.
To deliver on this mandate it is imperative that local PHNs understand their local population of clinicians and communities to make sure that they know what services are working and what are not. The most frequently used vehicle to do this is to put together two groups using an expression of interest approach - a Clinical and a Community Council.
Council members tell us that a common error made by the health organisation is assuming that the purpose is to (mostly) give presentations informing members about the business of the PHN. In many cases, Councillors may not deeply understand that business - and may or may not be able to provide their input to make a difference. There are foundation stones missing and its hard to build on that. Its a bit like missing out on primary school and jumping into high school without the foundations.
We have found interesting ways to work towards realising the talent lying within your Councils. We evolved two Councils over a two year period and found that Councillors were able to contribute significantly to the business of the PHN, and enjoyed the experience, feeling a sense of commitment and connection to the PHN. The staff knew they were part of a joyful and rich process that delivered. We don't have to continue doing things that don't deliver a great outcome for everyone.
1. Australian Government. What Primary Health Networks are. 2021 [cited 2023 13 January]; Available from: https://www.health.gov.au/our-work/phn/what-PHNs-are.
2. World Health Organisation. Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1