Anticipatory Care Projects in Tasmania

Project title: Anticipatory Care Projects in Tasmania

Start date: July 2018

Estimated end date: June 2020

What is the issue?

In Tasmania, the number of people with chronic conditions is increasing. The Anticipatory Care project aims to improve the prevention and management of these conditions.

‘Anticipatory Care’ is a population approach to providing health care which identifies and engages people who are at risk of health deterioration. Through relationship building and by recognising the social context in which they live, people are supported to be ‘co-producers’ of their health.

This action learning research project aims to study different and combined approaches to implementing anticipatory care in Tasmania.

The aim is to find effective ways of reaching people who need care most; identifying and assessing future risk; enabling people to improve their health; improving people’s experience of the health system, and using local health data and consumer input to plan care.

How is the project addressing the issue?

The project aims to learn from local communities about the different ways anticipatory care is happening in a select number of local Tasmanian communities, and to better understand what is working well and why, and what can be improved and further developed.

The Prevention Centre has been engaged to support the action research, along with the University of Tasmania and the Sax Institute.

The four Tasmanian communities involved are:

  • Ulverstone – led by the Patrick Street Clinic
  • Flinders Island – led by Flinders Island Aboriginal Association (FIAAI) together with the Flinders Island Health Co-ordination Group
  • Northern suburbs of Launceston – led by Starting Point Neighbourhood House and the Northern Suburbs Community Centre (NSCC)
  • Clarence – led by Clarence City Council.

How is the Prevention Centre contributing to the project?

The Prevention Centre is providing resources and mentoring on systems approaches. We will facilitate action learning/systems thinking workshops in each community.

We are also contributing to the project reference group and project team as required, and, along with the Sax Institute, will undertake the overall evaluation of the Tasmanian Anticipatory Care Project. We have designed an overarching Guiding Principles Agreement to facilitate the shared understanding and ways of working across  this community based initiative.

Relevance for policy and practice

The project will contribute to the evidence base around place-based and community development approaches to supporting health and wellbeing. The aim is for communities to be supported to make effective and sustainable changes that will strengthen ways of working across their communities and across the state.

The Anticipatory Care project is a significant project for Tasmania to demonstrate its continued commitment to health reforms that aim to more effectively respond to chronic conditions.

It aligns with the Healthy Tasmania Five Year Strategic Plan, and with the Tasmanian Department of Health’s strategic priority to deliver key strategic projects to build services that continue to improve the health, wellbeing and safety of Tasmanians.

What are the expected outcomes?

  • Increased knowledge and understanding about anticipatory care in different communities
  • Greater knowledge and understanding about the enablers and barriers in each community in relation to delivering anticipatory care approaches
  • Greater knowledge and understanding about how communities and health services can work together to engage ‘at risk’ Tasmanians in primary health care for assessment and management of their health needs.

Project leads

  • Flora Dean, Tasmanian Department of Health
  • Susan Banks, University of Tasmania

Prevention Centre and Sax Institute people involved in the project

The Anticipatory Care project is funded by the Australian Government through the National Partnership Agreement on Improving Health Services in Tasmania.

It is supported by:

  • Primary Health Tasmania
  • Tasmanian Department of Health
  • Tasmanian Health Service
  • The Australian Prevention Partnership Centre
  • The Sax Institute
  • University of Tasmania