A range of reforms and improvements to Victoria’s non-emergency patient transport (NEPT) sector is set to be introduced by the state government.
It follows an extensive review of the sector undertaken by Melton MP and former paramedic, Steve McGhie, with the review reporting that service demand has increased significantly since 2019 — averaging 400,000 individual transports each year.
The review also highlighted that while the current system has many strengths, improvements are necessary to boost access, increase efficiency, and better meet patient needs and workforce expectations.
In response to the review, the state government will implement improvements to the existing model, with licensed private providers to continue delivering services.
These include better integration and coordination of NEPT within the wider health system, strengthening monitoring of performance and patient experience, and improving staff conditions, governance and oversight.
To be considered for future contracts, private providers will be required to address the casualisation of the workforce through the implementation of permanent employment targets by 2027-28.
Dedicated strategies will also be developed to support the attraction, retention and ongoing development of the workforce.
This will include ensuring NEPT workers can respond to patients within their scope of practice, as well as career pathways to support transitions between the NEPT, broader health and emergency sectors.
Work will also get underway to improve timeliness and reliability of services, so planned transports aren’t delayed by crews being diverted to a Triple Zero caller.
To support this, HealthShare Victoria (HSV) – which is already responsible for the procurement of NEPT for health services – will assume responsibility for the procurement of NEPT for Ambulance Victoria.
Contract arrangements will be revised to minimise NEPT responses to Triple Zero callers that, in turn, disrupt planned responses to patients who require clinical monitoring to return home or access health care.
The centralised procurement of NEPT services by HSV, for both health services and Ambulance Victoria, will reduce the duplication that currently exists, enable more timely services across the state and keep paramedics free to respond to patients experiencing time critical medical emergencies.
These changes will also focus on giving NEPT providers sufficient transport volumes to support viability and improve access to services particularly in rural and regional areas where demand for NEPT is lower.
Additional policy changes in response to the NEPT Review remain under active consideration and are subject to further decisions by the government.
NEPT services are available to Victorians who require clinical monitoring and supervision during transport to, from and between health care service.
