Issues & Advocacy


The Type 1 Diabetes Network's volunteers endeavour to bring the voice of people living with Type 1 diabetes to bear on health policy in Australia.

On this page, you will find some of the correspondence we have written, and responses received, in recent times:


Issue: Type 1 Diabetes in the ACT

To:
President and CEO, Diabetes Australia-ACT
28 June 2008

"The Type 1 Diabetes Network endorses the call for improved services for people with Type 1 Diabetes which has been made by the Canberrans at last weekend’s forum, and congratulates attendees on the constructive and practical suggestions that were generated."

Read the full letter...


Issue: Introducing the Type 1 Diabetes Opinion Leaders Group

To:
Federal Minister for Health & Ageing
State government Ministers for Health
Federal & State Government Opposition Spokespersons

Chair, National Health & Hospitals Reform Committee
Parliamentary Diabetes Support Group
15 June 2008

"Eight health professional bodies, six non-government organisations and three voluntary consumer groups are represented on the newly-formed Type 1 Diabetes Opinion Leaders Group, alongside 14 people with Type 1 Diabetes and four parents of children with diabetes.

The Type 1 Diabetes Network, a consumer-led health promotion charity, has convened the group to develop A Statement of Issues affecting Australians with Type 1 Diabetes, and stimulate discussion about solutions."

Read the full letter...

Read attachments to the letter:
Type 1 Diabetes Opinion Leaders Group Membership List
Type 1 Diabetes in Australia: A Review, 2008

Responses

From: Craig Ritchie, Acting Assistant Secretary, Chronic Disease Branch, Department of Health and Ageing, 4 July 2008

"I am delighted to learn of the development of The Type 1 Diabetes Opinion Leaders Group and appreciate the positive contribution this group will make in improving outcomes for Australians of all ages who live with type 1 diabetes.

The Government is concerned at the increasing incidence ... and particularly the difficulties encountered by people with type 1 diabetes in managing the condition....."

Read the full response... (PDF, 490KB)

From: Michelle Lensink MLC, Assisting Shadow Minister for Health, South Australia, 3 July 2008

"Thank you for your letter ... I wish you well with your endeavours." Full response... (PDF, 196KB)

From: Paul Lynch MP, Minister Assisting the Minister for Health, New South Wales, 9 July 2008

"Thank you for your letter ... The NSW Government has a strong commitment to communication with consumers and carers to inform decision making .... Thank you for bringing your Network's progress to my attention." Full response... (PDF, 226KB)

From: Jillian Skinner MP, Shadow Minister for Health, New South Wales, 10 July 2008

"I read your background paper with interest, and share your concerns that greater awareness needs to be accomplished. It is a concern that close to 90,000 Australians have Type 1 Diabetes and that it has increased by 21 per cent in children between 2000 and 2005. Please keep me informed and updated with your progress...." Full response... (PDF, 630KB)

From: Guy Barnett, Liberal Senator for Tasmania, 14 July 2008

"May I congratulate you on this excellent initiative and if you think I can contribute I would be delighted .... I would be pleased to offer my ongoing support to your organisation and am keen to be kept informed of your future reports and actvities.

On another matter the JDRF Kokoda Trek was most rewarding...."
Full response...
(PDF, 704KB)

From: John Hyde MLA, Parliamentary Secretary to the Minister for Health for Western Australia, 16 July 2008

"Type 1 Diabetes continues to be a priority for WA Health. This is reflected in the recently released Diabetes Model of Care for Western Australia developed by the Endocrine Health Network .... [who] would likenmto be kept informed fo the work of the Diabetes opinion Leaders Group." Full response... (PDF, 340KB)


Issue: Indefinite Referrals

To:
Medicare Consumer Consultative Committee via
Dr Christine Walker, Chronic Illness Alliance
1 June 2008

"We would like to highlight the frequent misapplication of Medicare rules with regards to indefinite referrals which is impacting upon the care of many people with Type 1 diabetes....

We would welcome any initiatives which saw Medicare:
• raising awareness amongst specialists of the requirement to accept indefinite referrals, and the correct application of the ‘initial consultation’ fee;
• providing an avenue for consumers to formally and anonymously raise concerns with Medicare directly where they believe policies are not being applied correctly’;
• raising awareness amongst consumers of the availability of indefinite referrals; and
• aligning the Enhanced Primary Care Program with evidence-based practice for more complex conditions such as Type 1 diabetes such that the consultant physician item (132) for a comprehensive assessment can be applied at critical points during the course of a life-long condition, not only at diagnosis."

Read the full letter...


Issue: Consumer Input to the NDSS Supply Chain review

To:
Federal Minister for Health
30 January 2008

"We understand that the Department of Health and Ageing recently launched a review of the National Diabetes Services Scheme with specific regard to the effectiveness of delivery mechanisms and supply-chain management for diabetes supplies .....

Could you please advise whether there is a consumer consultation phase included in this review? And if so, how our members might be able to contribute their experiences and suggestions towards this process?"

Read the full letter...


Issue: Pre-Budget Submission

To:
The Treasurer of the Commonwealth of Australia
January 2008

" The Challenge:
Recommended blood glucose control, management of risk factors and complication screening rates are achieved by less than 20% of those with Type 1 diabetes (Bryant et al., 2006, Gilbert et al., 2006).
....

Recommendation:
The Type 1 Diabetes Network recommends that evidence-based clinical practice guidelines for the management of Type 1 diabetes in adults be developed collaboratively by health professionals and consumers and that these guidelines be produced for the use of both health professionals and consumers.
"

Read the full submission...

Responses

From: Chief of Staff, Office of the Treasurer, 5 February 2008

"Community views are a critical consideration for the Government when forming its budget policies, and your submission will be taken into account during the decision-making process."

Read the full response...


Issue: “DANA Diabecare IISG [insulin pump] Guarantees normal blood glucose control.”

To:
Australian Competition & Consumer Commission
January 2008

" Dear Sirs,

We would like to bring to your attention the activities of a medical devices manufacturer which we believe to be both:
• misleading or deceiving a consumer; and
• acting unconscionably
......

It is of further concern that the representative of this company in Australia is the NSW arm of the national peak body representing people with diabetes in Australia. A formal and publicised affiliation of this kind, naturally provides support and endorsement of a product to a consumer. The more vulnerable people in our community (many people with long-term diabetes experience devastating health impacts from the condition and desperately seek improved treatment methods) would be especially drawn to a promise such has been asserted here where it is supported by a peak consumer body ...

Insulin pump therapy is a safe, effective and sometimes revolutionary therapy for people with Type 1 diabetes. It is not, however, a cure or a magic bullet as is being asserted by Sooil Development Company Limited with support from Diabetes Australia-NSW. "

Read the full letter...

To:
Australian Competition & Consumer Commission
January 2008

" We would like to bring to your attention the activities of a medical devices manufacturer which we believe contradicts the Therapeutic Goods Advertising Code, specifically the following points:

Advertisements for therapeutic goods must not be:
• likely to arouse unwarranted or unrealistic expectations of product effectiveness;
• mislead directly or by implication or through emphasis, comparisons, contrasts or omissions;
• contain any claim, statement or implication that it is infallible, unfailing, magical, miraculous, or that it is a certain, guaranteed or sure cure;
• contain any claim, statement or implication that it is effective in all cases of a condition
"

Read the full letter...

Responses

From: Executive Officer, Complaints Resolution Panel, 31 January 2008

"The advertiser has been notified that a complaint about the advertisement for the product has been received. The Complaints Resolution Panel is scheduled to meet each month and considers the complaints as soon as possible. .... You will be kept informed appropriately."

Read the full response...

From: Assistant Director, Canberra Enforcements Branch, ACCC, 31 January 2008

"I do note that in the expanded information on insulin pumps, the anticipated outcomes of the use of insulin pumps do not use the term 'normal' in the same way ....

"My analysis of the site does not provide any evidence that the trader is selling directly to consumers, in particular Australian consumers ....

"I appreciate all the points that you have made .... I do not intend to take the investigation further.

".... I will be flagging the matters you have raised with our US counterparts, the US Federal Trade Commission ...

"I have written to Diabetes Australia-NSW pointing out the representations in question ...."

Read the full response..


Issue: Submission to the Victorian Health Promotion Framework Consultation

To:
Victorian Government Department of Human Services
,
September 2007

" The introduction to the framework states that its focus excludes people with 'established disease' or 'controlled chronic disease'. Our organisation believes that firstly, the term 'chronic disease' is being misused in this context, and secondly, the principles of health promotion, and the framework proposed, are extremely relevant to the population who have a chronic disease, most especially when considered with its true meaning.

We would like to highlight an important confusion in terminology - in your writings the term chronic disease is being used to refer to conditions with modifiable risk factors .... but excludes long-term or chronic diseases which occur (often much earlier in life) without the presentation of risk factors, such as Type 1 diabetes, rheumatoid arthritis, multiple sclerosis and epilepsy to name but a few. This latter group of conditions and their affected populations have quite a separate nature to those with 'modifiable risk factor chronic diseases' and the rationale presented for excluding those with established disease or controlled chronic disease from a health promotion framework no longer applies when chronic disease is more accurately defined. "

Read our full submission ...


Issue: The Don't Ignore Diabetes campaign

To:
Federal Minister for
Health
September 2005

"Dear Mr Abbott,

We need to alert you to a serious issue which is confronting the community of people affected by diabetes in Australia. We have been grateful for your government’s support through the funding for insulin pumps and an islet transplant research centre in recent times, and know that you understand the complexity of the disease with which we live.

The Don’t Ignore Diabetes campaign run by Diabetes Australia this year is an inappropriate use of scare tactics in social marketing. The advertisements show gruesome images of an eye being operated on, people on hospital beds undergoing renal dialysis, treatment for heart attack and stroke and an amputation

....

Now that we have already been subjected to this disturbing campaign, what can be done?

We propose two actions.

1. Psychological support for people living with diabetes be given greater importance through the development of a national strategy.
....

2. A thorough evaluation be undertaken of the Don’t Ignore Diabetes campaign which includes its impact on people already living with diabetes."

Read the full letter ...

Responses

From: Nathan Smyth, Assistant Secretary, Health Priorities and Suicide Prevention Branch, Federal Department of Health & Ageing

"Dear Ms Gilbert and Ms Seed,

Thank you for your letter of 29 September 2005 to the Minister for Health and Ageing ..... I am advised that the campaign followed three years of formative research conducted by Diabetes Australia Western Australia ....

I would like to take this opportunity to assure you that the Australian Government is aware of the burden of disease that diabetes represents in the Australian community, including the psych-social aspects."

Read the full the letter...


From: Professor Don Chisolm,
Former Chariman, National Diabetes Strategy Group

"Over the years there have been repeated debates within the diabetes movement, about the possible benefits and possible adverse effects of media material which dramatises the complications of diabetes. It may be difficult to strike the right balance - but I appreciate your concerns."

Read the full letter...

 

For further enquiries about any issues raised on this page, please don't hesitate to contact us.

Page last revised July 23, 2008


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