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Funding Osteoporotic Re-fracture Prevention – Allied Health


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obtain resources from Leading Better Value Care funding to support employment
of a Physiotherapist & Occupational Therapist under the clinical
initiative – Osteoporotic Re-fracture Prevention.


The service provided by a 0.5 FTE Physiotherapist &
0.5 FTE Occupational Therapist ($96K) will provide individuals predisposed to
minimal trauma fractures (MTF)   
Identification of people presenting with MTF
Provide health education to support the patient in
understanding the need to address their bone health
Provide early access to investigations e.g. bone
density scanning, various blood serum levels that can help identify the cause
of reduced bone density
Provide early access to treatment e.g. medical
assessment and treatment, falls prevention and physical activity
prescription, dietary advice
Supportive review over time to ensure primary care
monitoring and self-management support.
The Occupational therapist will give the case management
aspect, the ADL and IADL functional assessment and management to the assessment
of the patient.
Osteoporosis is a chronic disease that is characterised by
reduced bone density and strength which predispose to minimal trauma
fractures (MTF)
The model of care was designed to guide best
practice coordinated, multi-disciplinary care to improve outcomes for people
with MTF, resulting in reduced refracture rates and the resultant health
usage, morbidity and mortality that refracture causes.


Outline the action you are
seeking to have approved.

Start each recommendation with
‘Approve’, ‘Note’, or ‘Sign’.

Number your recommendations
only if there is more than one.


Chief Executive’s signature




Key reasons

Use this template when you are seeking formal approval for
a decision. If the purpose is purely informational, use the ‘For information’
template. If the only recommendation is to sign a response to correspondence,
use the ‘Correspondence’ template.

Add one paragraph of context if it is essential to
understand the issue, but generally try to avoid it. You can add further
background under the ‘Context’ section below.

Structure by reasoning

Use the reasons you summarise in the ‘Analysis’ box above
to structure this section rather than a narrative of the issue and research
process. Ask why the Chief Executive
should support the recommendation. Each reason would follow a ‘because…’

Use analytical headings to capture each reason

Summarise each reason in the subheadings of this section. This
will allow the Chief Executive and senior readers to understand the topic,
analysis and recommendations, then scan the key points of the argument. They
can navigate more effectively to the supporting evidence under each subheading.

Keep the brief short and to the point

Write so that the ‘Key reasons’ section does not go over the
first page. If the topic calls for more extensive analysis, cover the most
important reasons here and add further analysis in the ‘Further analysis’
section over the page.

Use the pre-set styles to format the text

Use the pre-set styles in the template and do not vary the
formatting, such as the font or margins. Delete or overtype all the
instructional text.

Write in plain English

Use plain English expression by:

choosing short, simple
expressions (‘to’ not ‘in order to’; ‘for’ not ‘for the purpose of’)

using an average sentence
length of 15–20 words

preferring active rather than
passive voice (‘The district considers’ not ‘it is considered that’)

eliminating repetition and
process detail (‘is developing’ not ‘is in the process of developing’).


Further analysis

Add further analysis if needed

If the topic calls for more extensive analysis, cover the
most important reasons on page one and add further reasons here. Otherwise
delete the ‘Further analysis’ section.

Analyse the options

Where useful, include the
options considered. You might explain the preferred option under the ‘Key
reasons’ but list all of the options considered in a table under ‘Further
analysis’, such as:







Consider the impacts and risks

As part of your analysis, highlight any financial impacts
or impacts that may significantly affect patients. If these are key to the
recommendation, cover them on page one under ‘Key reasons’.

Also consider the legal, resource, business continuity or
reputational risks of the proposed recommendation. Where useful, rate each risk
and discuss mitigation strategies.


Add context if necessary

Add a ‘Context’ section if readers need more background
than can fit on the first page, such as the legal or policy context or the
background history. But leave this section out if not needed. Break up the
‘Context’ section with analytical subheadings that summarise the content.

Summarise the consultation

Where relevant, outline what has already been communicated
to the public and media and what ongoing communication is proposed. Otherwise,
you may simply list who was consulted.

Use tables where effective

Consider tables to summarise a
chronology or to list who was consulted:







Contact and approval



Phone number








Name of most senior reviewer



Name of reviewer



Add other reviewers as needed







Use a clear title for each attachment


Only list separate files as attachments, not sections of
this brief


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