Summary of the outcomes of the AHC Private Practitioner engagement Working Group. The Department of Agriculture, Fisheries and Forestry (DAFF) and the Animal Health Committee (AHC) established the Private Practitioner engagement working group to: 1. develop overarching guidance for the application of nationally consistent arrangements for private veterinary practitioners engaged in an emergency animal disease (EAD) response. 2. develop an outline of contractual arrangements and employment conditions that could be used as a national template. The outline should specify all contractual inclusions, exclusions and expected standards of conduct. 3. propose options for the engagement of private veterinary practitioners in EAD response roles across all jurisdictions, taking into consideration the work of the AHC FMD resourcing working group and the number of private veterinarians expected to be required in a medium to large scale outbreak of a high-impact EAD affecting livestock. Membership CHAIR: Ms Sharon Turner Dr Jakob Malmo Dr Ben Gardiner Dr Geoff Withers Dr Nancy Bombardieri Ms Fiona Thompson Dr Richard Rubira Mr Simon Kempson Dr Michael Paton Dr Dwane O’Brien Ms Kristy McPhillips Department of Agriculture Fisheries and Forestry Honorary Professorial Fellow, Faculty of Veterinary Science, University of Melbourne Registered Veterinary Specialist in Veterinary Medicine - Cattle Medicine, Maffra Veterinary Centre President, Australian Veterinary Association Shepparton Veterinary Clinic Acting Manager, Emergency Management, Biosecurity SA Industry Liaison Officer, Biosecurity Queensland Department of Agriculture, Fisheries and Forestry Department of Agriculture Fisheries and Forestry Director Industrial Relations, NSW Trade & Investment Department of Agriculture and Food WA Principal Veterinary Officer, VIC Department of Primary Industries Department of Agriculture Fisheries and Forestry The working group has also been supported by Dr Ron Glanville, former Queensland CVO. Considerations of the working group The working group met in Melbourne on 12-13 June 2013 and later by teleconference to discuss the best options, arrangements and conditions for engaging private veterinarians in an EAD response that would ensure equity and consistency across jurisdictions. The working group discussed numerous options and agreed that the most efficient and flexible arrangement would be to cater for engagement of private veterinarians as either employees or contractors of the jurisdiction, under terms based on nationally agreed arrangements to ensure consistency. It was considered that jurisdictions will be best placed to manage the logistics of recruitment via their control centres, as they will have local knowledge of both the available veterinary capacity and the disease response requirements which would expedite deployment. The Commonwealth will provide support to the responding jurisdiction(s) for crossjurisdictional resource deployment, secondments and the management of international emergency veterinary reserves. The working group agreed on two options for engagement of private veterinarians by the jurisdiction: (i) Government employee: The veterinarian is engaged directly by the responding jurisdiction (relevant State government Department of Agriculture / Primary Industries) as a government employee on either a temporary or casual basis. (ii) Contractor: The veterinarian is directly contracted by the responding jurisdiction to perform specified services to support the response. The contract may be entered into with an individual, a partnership, a trust or a company. A package of three documents was developed to provide guidance to private veterinarians and to assist with the application of consistent arrangements across all jurisdictions: (i) (ii) (iii) A national guidance document for government and private veterinarians; A standard contract elements document for use with contractors; and: An outline of employment conditions for private veterinarians engaged as employees The national guidance document (attached) provides overarching advice on engagement arrangements and options, including advice on which circumstances are best suited to engaging private veterinarians as contractors or as jurisdictional employees. Of most significance is that veterinarians employed within control centres will normally be engaged as employees. Contractor arrangements are best suited to veterinarians working semiindependently in field based roles. The guidance document also covers a range of other issues, including methods of engagement, indicative remuneration rates, an outline of the potential roles for private veterinarians, what induction and training will be provided and performance criteria. The employment conditions document includes a proposed schedule of Commonwealth pay rates that salaries for private veterinarians should be indexed against. This will provide jurisdictions with a benchmark for what they should be paying private veterinarians engaged as employees during an EAD response. The document also covers leave and overtime entitlements, superannuation information, accommodation/travel allowances, expected duties and training. The proposed salary and contractor rates, as well as some other issues of detail will be submitted to Animal health Committee for their consideration in Oct / Nov 2013. The standard contract document outlines the nationally consistent contract elements and engagement terms that should be offered to all private veterinarians engaged in an EAD response. These standardised elements include items such as pay rates, insurance requirements, background and context of the EAD, reporting requirements, accommodation and travel allowances. The working group will be recommending to AHC an hourly payment rate of $150 (excluding GST) for private veterinarians engaged as contractors. The contractor rate is all inclusive with no additional employee entitlements. Mileage, consumables and accommodation costs will be paid for by the jurisdiction. In determining this hourly rate, private veterinarians’ views on an acceptable pay rates were sought by the private veterinarians and Australian Veterinary Association representatives on the working group. Based on the information received, and outcomes of the equine influenza outbreak, consensus was that a rate of $60 per hour with a multiplier of 2.5 was appropriate. The amount of $60 per hour was based on an average annual salary figure for a government veterinarian involved in an EAD response, while the multiplier was used to meet current market rates for veterinary services. This hourly rate equates to $1500 a day based on a 10 hour work day. The other main principles within these documents that the working group will propose to be adopted as national policy by Animal Health Committee include: 1. Upfront communication on engagement terms: It is important that private veterinarians be provided with sufficient information on the conditions of engagement so that they can make an informed decision on their potential involvement well before formal arrangements are entered into. 2. Contractor insurance: The working group agreed a number of criteria concerning when it would be most appropriate to engage a private vet as either an employee or contractor. It was agreed that if veterinarians are to act as contractors, they must carry their own public liability and professional indemnity insurance or be in the employment of a veterinary practice and thus be covered by their insurance policy. This insurance cover must be at levels (yet to be determined) that will be deemed appropriate by the supervising jurisdiction. If the private veterinarian does not have insurance then they may be engaged as a jurisdictional employee and thus covered under government insurance arrangements. 3. The working group will also recommend that private veterinarians engaged as employees be paid levels indexed against the veterinary and science pay scales within the Australian Government Department of Agriculture, Fisheries and Forestry. It is expected that jurisdictions will pay private veterinarians the award pay scale that is closest to the agreed Commonwealth rate. Mileage if a government vehicle is not supplied will paid by the jurisdiction as well as consumables and accommodation costs. Three salary levels will be used for veterinarians engaged as employees: (i) (ii) Private veterinarian with less than 5 years experience since graduation Private veterinarian with more than 5 years experience since graduation or has particular areas of expertise Private veterinarian with more than 5 years experience since graduation, plus completion of additional training for roles in an LCC such as coordinator of tracing, coordinator of surveillance, IP Operations etc. (iii) The package should give both government and the private practitioners some transparency and certainty going forward, so that in the crucial early stages of a rapid EAD response there are robust and agreed systems in place for engagement of private practitioners. DAFF will submit the package of documents to the Animal Health Committee (the CVOs from each of the states and the Commonwealth) for comment and endorsement as national policy at their next meeting in November 2013. Background The response to some EAD’s require veterinary resources that are in excess of those employed in the various state/territory governments in Australia. Private practitioners and other private veterinarians are an essential resource that can supplement the government veterinarians in the effected jurisdictions. The 2007 equine influenza outbreak was the single largest animal disease emergency in Australia’s history, involving widespread infection within limited areas of two states. In order to obtain the resources necessary to control this outbreak, jurisdictions engaged large numbers of personnel from outside their departments using a wide variety of engagement / employment arrangements. Subsequently, the Animal Health Australia report of the National Review of Australia’s Response to the 2007 Outbreak of Equine Influenza1 identified a number of significant issues relating to the employment of staff in an emergency animal disease response including: 1 The processes for procuring and delivering the necessary services from external sources during a crisis was unclear to many government responders. Difficulties with the employment of private veterinarians during the response resulted from the level of remuneration offered, and differing scales of remuneration in neighbouring jurisdictions, leading to inequities. Remuneration levels were not enough to attract sufficient numbers of veterinarians. Many veterinarians had concerns about employment conditions, especially insurance arrangements and reimbursement of essential travel costs. Veterinarians in practice may be able to use their practice insurance in this situation, but it was found very difficult to obtain insurance for groups such as retired veterinarians. Investigations into obtaining suitable insurance cover failed to identify suitable insurance packages, but this will be further investigated. Animal Health Australia. Report of the National Review of Australia’s Response to the 2007 outbreak of equine influenza. Animal Health Australia, Canberra, March 2009, P43