Health Workforce by Numbers

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1 Australia s Health Workforce Series Health Workforce by Numbers Issue 1 - February 2013 hwa.gov.au 1

2 Health Workforce Australia This work is copyright. It may be reproduced in whole or part for study or training purposes only, provided that the acknowledgment below is included. Any reproduction for purposes other than those indicated above, or otherwise not in accordance with the provisions of the Copyright Act 1968 or any other legal obligation, requires the written permission of Health Workforce Australia (HWA). IBSN: Enquiries concerning this report and its reproduction should be directed to: Health Workforce Australia GPO Box 2098, Adelaide SA 5001 T F E hwa@hwa.gov.au Citation: Health Workforce Australia 2013, Australia s Health Workforce Series - Health Workforce by Numbers: Health Workforce Australia: Adelaide 2

3 Introduction Health Workforce by Numbers helps build the evidence base. It draws together information from a range of sources to provide a statistical overview of: This publication is intended as a ready reference for health workforce planners and other interested people, for understanding the broad characteristics and size of the selected workforces. More detailed statistics can be accessed via HWA s website and through the cited data sources. Graphics within the publication are used to highlight statistics of particular interest. This is the first issue of Health Workforce by Numbers. It will be updated periodically following the release of new statistics. Symbols explanation - rounded to zero.. not applicable na not available np not published 3

4 Medical workforce Registrations (a) 2011 Total registrations 83,697 86,156 90,261 81,639 87,790 Total registered excluding multi-state 77,193 78,669 82,895 81,639 87,790 In medical labour force in Australia 68,812 70,193 74, ,621 Employed medical practioners 67,208 68,455 72, ,833 Proportion employed (%) Clinician 62,652 63,889 67, ,980 General practitioner (b) 24,121 24,015 25, ,056 Hospital non-specialist Specialist 21,702 22,458 24, ,475 Specialist-in-training ,491 Other clinician Non-clinician Administrator Teacher/educator Researcher Public health physician Occupational health physician Other non-clinician (c) On extended leave Looking for work in medicine Not in medical labour force Working in medicine overseas Not looking for work in medicine Retired from work (d) (a) 2010 data exclude Queensland and Western Australia due to their registration period closing after the national registration deadline of 30 September Therefore, 2010 is not comparable with any other year, and only the number of medical practitioner registrations is presented. (b) From 2010 general practitioner replaced primary care practitioner. Primary care practitioners who did not self-identify as general practitioners may be included in other clinician rather than general practitioner. Therefore, general practitioner data from 2010 onwards is not directly comparable with previous years. (c) From 2010 other non-clinician includes public health physician and occupational health physician which were previously reported as separate categories. (d) In 2011, Retired include only those who were retired from regular work. Source: Australian Institute of Health and Welfare (AIHW) medical labour force series 2007 to National Health Workforce Dataset (NHWDS): medical practitioners 2010 and

5 Registered medical practitioners 87,790 In medical labour force in Australia 81,621 (93.0%) Not in medical labour force in Australia 6169 (7.0%) Employed elsewhere and not looking for work in medicine 336 (5.4%) Not employed and not looking for work 769 (12.4%) Retired from work 2333 (37.8%) Working overseas 2731 (44.3%) Currently employed in medicine 78,833 (96.6%) On extended leave 2540 (3.1%) Looking for work in medicine 248 (0.3%) Clinician 73,980 (93.8%) General practitioner 25,056 (33.9%) Administrator 1344 (1.7%) Hospital non-specialist 9576 (12.9%) Teacher/educator 894 (1.1%) Specialist 24,475 (33.1%) Researcher 1307 (1.7%) Specialist-in-training 12,491 (16.9%) Other 1308 (1.7%) Other clinician 2382 (3.2%) Source: NHWDS: medical practitioners

6 Medical workforce Employed medical practitioners per 100,000 population Clinician General practitioner (a) Hospital non-specialist Specialist Specialist-in-training Other clinicians Non-clinicians Total Employed medical practitioners FTE (40 hour week) per 100,000 population Clinician General practitioner (a) Hospital non-specialist Specialist Specialist-in-training Other clinicians Non-clinicians Total Specialty Employed specialists: clinicians per 100,000 population Internal medicine Pathology Surgery Other specialties Total Average weekly hours Working hours % working 50 hours or more Clinician General practitioner (a) Hospital non-specialist Specialist Specialist-in-training Other clinicians Non-clinicians Total (a) In 2011 primary care practitioners who did not self-identify as general practitioners may be included in other clinician rather than general practitioner. Therefore, general practitioner data in 2011 is not directly comparable with previous years. Source: AIHW medical labour force series 2006 to NHWDS: medical practitioners

7 Sector participation: employed medical practitioners Public sector 30,421 32,338 32,587 35,710 50,196 Proportion (%) Private sector 39,217 40,288 41,149 44,492 47,236 Proportion (%) Total (a) 62,425 67,208 68,455 72,739 78,883 (a) Total is less than the sum of the components as a medical practitioner can be employed in more than one sector. Demographics of employed medical practitioners Female proportion (%) Average age Proportion aged 55 years and over (%) Distribution of employed medical practitioners by state and territory NSW VIC QLD WA SA TAS NT ACT Australia Clinician 23,819 18,106 14, ,980 General practitioner ,056 Hospital non-specialist Specialist ,475 Specialist-in-training ,491 Other clinicians Non-clinicians Total 25,413 19,413 15, ,833 No. per 100, Distribution of employed medical practitioners by remoteness area (a) (b) Major Inner Outer Remote/ cities regional regional very remote Australia Clinician 58,166 10, ,980 General practitioner 17, ,056 Hospital non-specialist Specialist 20, ,475 Specialist-in-training 10, ,491 Other clinicians Non-clinicians Total 62,289 10, ,883 FTE per 100, (a) Derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details are unavailable, remoteness area of residence is used. Records with no information on all three locations are coded to Not stated. (b) Data include employed medical practitioners who did not state or adequately describe their place of principal practice and employed medical practitioners who reside overseas. Source: AIHW medical labour force series 2006 to NHWDS: medical practitioners

8 General practice workforce General practitioners Headcount 23,834 24,272 24,903 25,726 26,613 27,639 29,011 FTE (a) 14,789 15,133 15,532 16,045 16,482 16,928 17,607 FWE (a) 17,649 18,091 18,613 19,231 19,729 20,267 21,119 GP type by headcount Registrars Non-vocational Vocational 18,939 19,338 19,753 20,431 20,922 21,622 22,474 GP type by FWE Registrars Non-vocational Vocational 15,210 15,515 15,847 16,356 16,658 17,091 17,667 Demographics (%) 55 years and over Headcount FWE GPs Female Headcount FWE GPs Distribution by state and territory - FWE GPs NSW VIC QLD WA SA TAS NT ACT Australia 17,649 18,091 18,613 19,231 19,729 20,267 21,119 Distribution by remoteness area - FWE GPs Major cities 12,868 13,181 13,506 13,924 14,248 14,553 15,109 Inner regional Outer regional Remote Very remote Australia 17,649 18,091 18,613 19,231 19,729 20,267 21,119 (a) Full-time equivalent (FTE) and full-time workload equivalent (FWE) are defined in the glossary. Source: GP workforce statistics, Department of Health and Ageing website. 8

9 Demographics of general practice workforce

10 Distribution by state and territory - FWE GPs per 100,000 population NSW VIC QLD WA SA TAS NT ACT Australia Distribution by remoteness area - FWE GPs per 100,000 population Major Inner Outer Remote Very Australia cities regional regional remote Estimated resident population as at 30 June 2012 by remoteness area was not available at time of publication. Therefore FWE GPs per 100,000 population by remoteness area was not calculated for , and will be updated in the next issue. Source: GP workforce statistics, Department of Health and Ageing website. GPET advanced trainees 2011 NSW VIC QLD WA SA TAS NT ACT AUS (a) Trainees (b) na 2948 Proportion of (%) advanced trainees na.. First year advanced trainees (b) na 918 Female advanced trainees (b) na 1941 Female proportion (%) (a) State/territory trainees may not add to Australia total as trainees may transfer between regional training providers and/or state/ territories but are only counted once in totals. (b) Includes ACT trainees. 3GA programs (a) Approved medical deputising service program Approved private emergency department program Approved placements for sports physicians program Sports physician trainees Metropolitan workforce support program Pre-vocational general practice placements program Queensland country area relieving program Rural locum relief program Remote vocational training scheme Special approved placement program Temporary resident other medicial practitioners program (a) These are special purpose training programs established under section 3GA of the Health Insurance Act 1973, which target particular workforce requirements. Source: Medical Training Review Panel 15th report. 10

11 11

12 Employed medical practitioners Employed ( 000) Rate per 100, Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 3.8% for employed medical practitioners 2.2% for employed medical practitioners per 100,000 ERP 1.1% for FTE medical practitioners per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 40 hours = 1 FTE Data is presented for the ANZSCO code 253 medical practitioners. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no and ABS, Australian Demographic Statistics, June 2012, cat. no

13 Employed clinical doctors by type of clinician

14 Medical training Medical students who commenced courses leading to provisional registration Domestic International Total Medical students who completed courses leading to provisional registration Domestic International Total Medical students completing courses leading to provisional registration by state/territory NSW VIC QLD WA SA TAS NT ACT AUS Expected graduations (Australian universities) Domestic students International students Total PGY1 commencements Number Increase from previous year (%) PGY2 commencements Number 1536 (a) (b) (a) Figures are indictive only, due to missing data, extraction differences, and quality issues. (b) Queensland data not included. Source: Medical Training Review Panel 15th Report. 14

15 Medical students who completed courses leading to provisional registration

16 Overseas supply Overseas trained doctors OTD with s19ab exemption Note: section 19AB of the Health Insurance Act 1973 restricts access to Medicare provider numbers and requires overseas trained doctors and foreign graduates of an accredited medical school to work in a District of Workforce Shortage for a period of generally 10 years in order to access Medicare benefit arrangements. Source: Australian Government Department of Health and Ageing 30 June Employed medical practitioners by country of first medical qualification NSW VIC QLD WA SA TAS NT ACT Australia Australia 15,996 14,266 11, ,843 UK/Ireland New Zealand Other countries ,948 Not stated Total 21,992 18,118 14, ,739 Proportion trained in Australia (%) Source: AIHW medical labour force survey Temporary visas granted Visas granted to medical practitioners by subclass proportion of total (%) temporary (a) occupational trainee long stay Total Permanent visas granted (a) Visa sub-class 422 closed to applications from 1 July Source: Australian Government Department of Immigration and Citizenship administrative data. Overseas trained GPs Number ,857 Proportion all GPs trained overseas (%) Source: GP workforce statistics, Department of Health and Ageing website. 16

17 Overseas trained GPs The number and proportion of all GPs trained overseas (%) % % % % % % , %

18 Nursing workforce Registered and enrolled nurse registrations (a) Total registrations 317, , , ,817 Total registered excluding multi state 305, , , ,817 In nursing labour force 277, , , ,899 Employed nurses 263, , , ,996 Proportion employed (%) Clinician (b) ,321 Administrator (b) ,700 Teacher/educator (b) ,196 Researcher Other 13,100 13,585 14,070 29,248 On extended leave ,446 Looking for work in nursing Not in nursing labour force 28,537 29,860 29,735 37,918 Overseas ,628 Not looking for work in nursing 26,490 27,544 26,503 11,273 Retired from nursing ,213 Employed or on extended leave in midwifery ,804 Registered nurse registrations 245, , , ,883 Proportion of total nurses (%) In nursing labour force 223, , , ,170 Enrolled nurse registrations 60,343 59,143 60,861 59,934 Proportion of total nurses (%) In nursing labour force 53,984 52,773 54,941 56,730 (a) 2011 data should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See glossary for further information. (b) Category did not exist until 2011 survey. Source: AIHW nursing and midwifery labour force series 2007 to NHWDS: nurses and midwives

19 Nurse registrations Registered (328,817) Enrolled nurses nurses 268, , % 18.2% In nursing labour force 234,170 (290,899) 52, % 94.6% Not in nursing labour force 34,712 (37,918) % 5.3% Employed in nursing 219,354 (271,996) 52, % 92.8% On extended leave 11,851 (14.446) % 4.6% Clinician 174,724 (214,321) 39, % 75.2% Administrator 14,498 (15,700) % 2.3% Teacher/educator 9612 (10,196) % 1.1% Researcher 2398 (2531) % 0.3% Other 18,123 (29,248) 11, % 21.1% Looking for work (a) 2965 (4458) % 2.6% Employed elsewhere and not looking for work in nursing 4473 (6140) % 52.0% Employed or on extended leave in midwifery 13,791 (13,804) % 0.4% Not employed and not looking for work 4063 (5134) % 33.4% Employed in nursing overseas 10,511 (10,628) % 3.6% Retired from nursing in Australia 1874 (2213) % 10.5% (a) Looking for work in nursing or midwifery. Includes 332 dual registered nurses and midwives who may only be looking for work in midwifery. It is not possible to identify which area people are looking for work in, therefore the 332 dual registered nurses and midwives looking for work are included in both the nursing and midwifery labour force. Total registered and enrolled nurses are bracketed. B print relates to registered nurses and plain print to enrolled nurses. Nursing role is based on main nursing job. Dual registered nurses and midwives who nominated their principal area of main job as midwifery are considered to be midwives. See glossary for further information. 19 Source: NHWDS: nurses and midwives 2011.

20 Nursing workforce Employment sector of employed registered and enrolled nurses (a) Public sector 173, , , ,269 Proportion working in public sector (%) Private sector 89,428 88,289 90,557 91,756 Proportion working in private sector (%) (a) Data for 20,972 records with unknown sector omitted. Headcount, FTE and FTE rate of employed nurses Registered nurses Headcount 212, , , ,354 FTE nurses 187, , , ,166 FTE per 100,000 population Enrolled nurses Headcount 50,990 50,263 51,711 52,643 FTE nurses 42,818 42,631 43,614 43,458 FTE per 100,000 population All nurses Headcount 263, , , ,996 FTE nurses 230, , , ,634 FTE per 100,000 population Full-time equivalent (FTE) based on 38 hour working week. Demographics of employed nurses Registered nurses Male proportion Average age (years) Proportion aged 55+ (%) Enrolled nurses Male proportion Average age (years) Proportion aged 55+ (%) All nurses Male proportion Average age (years) Proportion aged 55+ (%) Source: AIHW nursing and midwifery labour force series 2007 to NHWDS: nurses and midwives data should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See glossary for further information. 20

21 Clinical areas Nursing workforce Area of main job of registered and enrolled nurses 2011 NSW VIC QLD WA SA TAS NT ACT AUS Medical ,656 Surgical ,051 Mixed medical/surgical ,261 General practice/ medical practice ,711 Perioperative ,671 Maternity care Critical care ,655 Family and child health Paediatrics Community health ,042 Aged care 10,935 14, ,978 Mental health ,916 Rehabilitation/disability All clinical areas 61,273 60,831 42,232 21,952 21, ,902 Non-clinicial areas Education Management Research All non-clinicial areas ,625 Other ,049 Total (a) 76,212 74,970 53,003 26,978 26,067 7,049 3,252 4, ,996 (a) Includes not stated/inadequately described. Working hours Average weekly hours Part-time (%) 50 hours or more (%) Registered Enrolled All Registered Enrolled All Registered Enrolled All Average working hours of employed registered and enrolled nurses 2011 NSW VIC QLD WA SA TAS NT ACT AUS Clinician Non-clinician Administrator Teacher/educator Researcher Other Total Source: AIHW nursing and midwifery labour force series 2007 to NHWDS: nurses and midwives Data from 2011 should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See Glossary for further information. 21

22 Employment distribution Distribution of employed registered and enrolled nurses by state and territory 2011 NSW VIC QLD WA SA TAS NT ACT AUS Number 76,212 74,970 53,003 26,978 26, ,996 FTE per 100,000 population Distribution of FTE employed nurses by remoteness area 2011 Registered nurses Enrolled nurses FTE All nurses FTE FTE per 100,000 population per 100,000 population per 100,000 population Major cities Inner regional Outer regional Remote Very remote Australia (a) (a) Includes migratory, overseas and not stated. FTE based on 38 hour week. Distribution of employed registered and enrolled nurses by remoteness area 2011 Number Per 100,000 population Major cities 189, Inner regional 52, Outer regional 23, Remote Very remote Australia (a) 271, (a) Includes migratory, overseas and not stated. Source: NHWDS: nurses and midwives

23 Distribution of full-time equivalent registered and enrolled nurses per 100,000 population by state and territory 2011 NT 1406 QLD 1041 WA 982 SA 1329 NSW 949 VIC 1126 ACT 1104 TAS 1187 Full-time equivalent (FTE) is a useful measure of supply, as it takes into account people working full-time and people working part-time. In 2011, the Australian supply of FTE nurses was 1056 per 100,000 population. This ranged from 949 FTE nurses per 100,000 population in New South Wales to 1406 FTE nurses per 100,000 population in the Northern Territory. 23

24 Employed nurses Employed ( 000) Rate per 100, Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 2.8% for employed nurses 1.3% for employed nurses per 100,000 ERP 1.5% for FTE nurses per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 38.0 hours = 1 FTE. Data is presented for the ANZSCO codes 2542 nurse educators and managers, 2543 nurse managers, 2544 registered nurses and 4114 enrolled and mothercraft nurses. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no and ABS, Australian Demographic Statistics, June 2012, cat. no

25 Employed in nursing by principal role , % % 29, % 15, % 271, , % 25

26 Nurse training Students who commenced courses for initial registration as a nurse Domestic ,337 11,090 11,093 12,500 13,829 13,749 International Total 11,046 12,045 13,436 13,580 15,210 16,626 16,328 Students who completed courses for initial registration as a nurse Domestic International Total Note: Data excludes enrolled nursing students. Source: Australian Government Department of Industry, Innovation, Science, Research and Tertiary Education ucube, accessed 11 September Temporary sub-class 457 visas granted Overseas supply Visas granted to nurses (a) Nurse managers Nurse educators and researchers Registered nurses Enrolled nurses Total temporary sub-class Permanent visas granted Nurse managers Nurse educators and researchers Registered nurses Enrolled nurses Total permanent visas (a) Covers applications where the nominated occupation was in ANZSCO 2542 nurse manager, 2543 nurse educator and researcher, 2544 registered nurse and 4114 enrolled and mothercraft nurse. Source: Australian Government Department of Immigration and Citizenship administrative data. 26

27 Midwifery workforce Headcount, FTE and FTE rate of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Headcount ,136 14,710 FTE ,315 11,652 FTE per 100,000 population FTE based on 38 hour working week. Demographics of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Male proportion (%) Average age (years) Proportion aged 55+ (%) Headcount, FTE and FTE rate of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Average working hours Distribution of employed midwives by state and territory 2011 NSW VIC QLD WA SA TAS NT ACT AUS Registered midwives only Dual registered working as a midwife ,136 All midwives ,710 Distribution of employed midwives by remoteness area 2011 Major Inner Outer Very city regional regional Remote remote Australia Registered midwives only Dual registered working as a midwife ,136 All midwives 10, ,710 Source: NHWDS: nurses and midwives Overseas supply Visas granted to midwives (a) Temporary subclass 457 visas granted Permanent visas granted (a) Covers applications where the nominated occupation was in ANZSCO 2541 midwives. Source: Australian Government Deparment of Immigration and Citizenship administrative data. 27

28 Total midwifery registrations Registered (41,432) Dual midwife only registered nurse and midwife , % 95.5% In midwifery labour force 1711 (15,847) 14, % 35.7% Not in midwifery labour force 152 (25,586) 25, % 64.3% Employed in midwifery 1573 (14,710) 13, % 92.9% Employed elsewhere and not looking for work in midwifery 33 (657) % 2.5% On extended leave 107 (775) % 4.7% Not employed and not looking for work 21 (624) % 2.4% Looking for work in nursing or midwifery (a) 31 (363) % 2.3% Overseas 91 (583) % 1.9% (a) The 332 dual registered nurses and midwives may be looking for work in nursing and/or midwifery. It is not possible to identify which area they are looking for work in, therefore the 332 are included in both the nursing and midwifery labour force. Retired 7 (504) % 2.0% Employed or on extended leave in nursing n.a. 23, % B print relates to those registered as a midwife only and plain print to dual registered nurses and midwives. Dual registered nurses and midwives who nominated their principal area of main job as midwifery are considered to be midwives. See glossary for further information. Source: NHWDS 2011: nurses and midwives. 28

29 Employed midwives Employed ( 000) Rate per 100, Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 5.8% for employed midwives 4.1% for employed midwives per 100,000 ERP 4.3% for FTE midwives per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population FTE - full-time equivalent 38 hours = 1 FTE Data is presented for the ANZSCO code 2541 midwives. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no and ABS, Australian Demographic Statistics, June 2012, cat. no

30 Oral health Dental workforce Registrations Number employed 2006 (a) 2009 (a) Dentists(b) 11,686 12,941 14,179 10,404 11,882 12,734 Clinical role ,001 11,455 12,154 Non-clinical role Dental therapists (c) Dental hygienists (c) Oral health therapists (c) Dental prosthetists (c) (a) Excludes multi-state registrations. (b) Includes dental specialists. (c) Oral health therapist data were first collected in In 2003 OHTs were categorised as either hygienists or therapists. Caution is advised when interpreting the change in numbers in these groups across the relevant years. (d) For 2006 no data was available for prosthetists practising in the NT. Employed dentists demographics Female proportion (%) Average age Proportion aged Employed dentists by remoteness area (a) Number Per 100,000 population Major cities , Inner regional Outer regional Remote/very remote Australia (b) 10,404 11,882 12, (a) In 2011 remoteness area was derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details were unavailable, remoteness area of residence was used. Records with no information on all three locations were coded to not stated. In previous years, remoteness area of main job used. (b) Includes dentists who did not state or adequately describe their location of practice and those who were overseas. Employed dentists by work setting NSW VIC QLD WA SA TAS NT ACT AUS Private Aboriginal health services Community health care Hospital Educational facility Defence forces Other (a) Total ,734 (a) Other includes other residential health care facility, commercial/business service, correctional services, other government department or agency, other and not stated. Source: NHWDS: dental practitioners

31 Employed allied dental workforce by state and territory (a) NSW VIC QLD WA SA TAS NT ACT AUS Dental therapists Dental hygienists Oral health therapists Dental prosthetists Number employed per 100,000 population by state and territory (a) Dental therapists Dental hygienists Oral health therapists Dental prosthetists (a) Derived from state and territory of main job where available; otherwise, state and territory of principal place of practice is used as a proxy. If principal practice details are unavailable, state and territory of residence is used. Records with no information on all three locations are coded to not stated. Employed allied dental workforce by remoteness area (a) Remote/ Major cities Inner regional Outer regional very remote Australia Dental therapists Dental hygienists Oral health therapists Dental prosthetists(a) Number employed per 100,000 population by remoteness area (a) Remote/ Major cities Inner regional Outer regional very remote Australia Dental therapists Dental hygienists Oral health therapists Dental prosthetists(a) (a) Derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details are unavaliabe, remoteness area of residence is used. Records with no information on all three locations are coded to not stated. (a) Includes those who did not state or adequately describe their location of practice and those who were overseas. Source: NHWDS: dental practitioners 2011.

32 Employed dentists Employed ( 000) Rate per 100, Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 3.7% for employed dentists 2.1% for employed dentists per 100,000 ERP 1.2% for FTE dentists per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 38.0 hours = 1 FTE. Data is presented for the ANZSCO code 2523, which includes dentists and dental specialists. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no and ABS, Australian Demographic Statistics, June 2012, cat. no

33 33

34 Dentist training Students who commenced course leading to provisional registration as dental practitioner Domestic International Total Dental students who completed courses leading to provisional registration Domestic International Total Source: , Australian Research Centre for Population on Oral Health (ARCPOH), based on data sourced from DEST on graduates from dental schools offering Bachelor of Dental Studies or Bachelor of Health Science with Master in Dentistry. Source: , Department of Industry, Innovation, Science, Research and Tertiary Education ucube, may include postgraduate course completions. Overseas supply Temporary sub-class 457 visas granted Visas granted (a) Dentist Dental specialist Dental hygienists, technicians and therapists Permanent visas granted Dentist Dental specialist Dental hygienists, technicians and therapists (a) Covers applications where the nominated occupation was in ANZSCO dental specialist, dentists and 4112 dental hygienist, technician and therapist. Source: Australian Government Department of Immigration and Citizenship administrative data. 34

35 Dental students who completed courses leading to provisional registration 35

36 Aboriginal and Torres Strait Islander health workforce Employed Aboriginal and Torres Strait Islander medical practitioners and nurses NSW VIC QLD WA SA TAS NT ACT Australia Medical practitioners Proportion of total employed medical practitioners (%) Nurses (registered and enrolled) Proportion of total employed nurses (%) Source: NHWDS: medical practitioners 2011 and NHWDS: nurses and midwives Employed Aboriginal and Torres Strait Islander health workers Number Proportion (%) Male Female Total Employed Aboriginal and Torres Strait Islander health workers distribution (a) Major Inner Outer Very cities regional regional Remote remote Australia Male Female Total (a) 2011 Census data was not available by remoteness area at time of publication. This table will be updated in the next issue. Source: AIHW Aboriginal and Torres Strait Islander health labour force statistics and data quality and ABS Census of Population and Housing

37 Aboriginal and Torres Strait Islander health workers distribution Distribution of Aboriginal health workers across Australia 37

38 Health workforce Registered health practitioners by profession and nominated principal place of practice ACT NSW NT QLD SA TAS VIC WA No AUS PPP (a) Chiropractor Dental practitioner ,087 Dentist ,372 Dental therapist Dental hygienist Oral health therapist Prosthetist Dental hygienist and dental therapist Medical practitioner , , , ,648 Midwife Nurse , ,491 28, ,982 31, ,245 Nurse and midwife , ,297 3, ,271 Optometrist Osteopath Pharmacist ,548 Physiotherapist ,501 Podiatrist Psychologist , , ,645 Australia , ,730 46,397 12, ,643 55,729 10, ,528 (a) Principal place of practice (PPP) is not specified. This may be because the practitioner maintains registration in Australia while working overseas. Source: Australian Health Practitioner Regulation Agency (AHPRA) annual report (30 June 2012). 38

39 Health occupations as identified in the Census of Population and Housing Persons employed in health occupations Occupation Medical practitioners Generalist medical practitioners 29,016 32,042 35,453 43,429 Anaesthetists Specialist physicians Psychiatrists Surgeons Other medical practitioners Oral health workforce Dental specialist Dentist Dental hygienists, technicians and therapists Dental assistants 11,281 13,073 15,380 18,824 Nursing workforce Nurse educators and researchers Nurse managers ,900 12,632 Registered nurses 141, , , ,916 Enrolled nurses 24,574 19,510 19,396 17,892 Midwives 10,900 11,640 12,236 14,105 Other selected health occupations Audiologist Chiropractors and osteopaths Complementary health therapists Dietitians Aboriginal and Torres Strait Islander health workers Medical imaging professionals ,146 13,245 Occupational therapists Optometrist Orthoptist Pharmacists 12,308 13,966 15,337 19,934 Physiotherapists ,279 12,286 15,929 Podiatrists Psychologists ,441 18,603 Speech pathologist Social workers ,442 16,916 Cells in this table have been randomly adjusted to avoid the release of confidential data. Data is presented by selected ANZSCO codes. Source: Australian Bureau of Statistics Census of Population and Housing, 1996 to

40 Data sources Australian Bureau of Statistics (ABS) Census of Population and Housing The Census of Population and Housing is a descriptive count of everyone who is in Australia on one night, and of their dwellings. Its objective is to accurately measure the number and key characteristics of people who are in Australia on Census Night, and of the dwellings in which they live. Information in the Census of Population and Housing is self-reported. ABS Labour Force Survey (LFS) The ABS LFS provides estimates of the civilian labour force derived from the LFS component of the monthly population survey (MPS). Information presented in this publication is derived from the quarterly LFS release (which contains more detailed information that the monthly LFS release). Australian Institute of Health and Welfare (AIHW) labour force surveys Prior to the introduction of the National Regulation and Accreditation Scheme (NRAS), the AIHW labour force surveys were administered by regulatory authorities in each jurisdiction. Response rates and coverage for the labour force surveys vary across years, and across jurisdictions. Comparisons, particularly in relation to the distribution of health professionals, should be undertaken with caution. Australian Health Practitioner Regulation Agency (AHPRA) annual report AHPRA is the national organisation responsible for implementing the NRAS across Australia, in partnership with the National Boards. AHPRA and the National Boards work to regulate the health professions in the public interest. This includes registering practitioners who are suitably trained and qualified to provide safe healthcare, and investigating concerns about registered health practitioners. In their annual report, AHPRA publishes extensive data on health practitioner registration and regulation, including notifications, for the registered professions. 40 Department of Immigration and Citizenship (DIAC) administrative data DIAC provides administrative data about the number of permanent and temporary visa grants and visa holders in Australia. Department of Industry, Innovation, Science, Research and Tertiary Education (DIISRTE) ucube The DIISRTE ucube allows custom tables to be generated via a browser application. The cube data are based on selected higher education data collected through the Higher Education Statistics Collection. GP Workforce Statistics Department of Health and Ageing The GP Workforce figures include only those GPs who provided at least one Medicare service during the reference period and had at least one claim for Medicare service processed during the same reference period. Medical Deans Australia and New Zealand Medical Deans collect statistics annually from all member universities on medical student numbers and demographics. The source of this data is the medical school itself. Medical Training Review Panel (MTRP) Report The MTRP covers the three levels of medical training in Australia, providing data on all trainees in undergraduate, postgraduate and vocational training programs; as well as graduates and college fellows, for the latest available year. National Health Workforce Dataset (NHWDS) The NHWDS combines data from the NRAS with survey data collected on each of the registered health professions at the time of annual registration renewal. Symbols explanation - rounded to zero.. not applicable na not available np not published

41 Glossary Aboriginal and Torres Strait Islander health worker The AIHW sourced information on the number of Aboriginal and Torres Strait Islander health workers from the Australian Bureau of Statistics Census of Population and Housing (the Census). In the Census, occupations are classified according to the Australian and New Zealand Classification of Occupations (ANZSCO). In ANZSCO, an Aboriginal and Torres Strait Islander health worker is described as someone who: Liaises with patients, clients, visitors to hospitals and other medical facilities and staff at health clinics, and works as a team member to arrange, coordinate and provide health care delivery in Aboriginal and Torres Strait Islander community health clinics. Registration or licensing may be required. Only those with an occupation of Aboriginal and Torres Strait Islander health worker who also reported they were Indigenous (that is, persons who identified themselves as being of Australian Aboriginal and/or Torres Strait Islander origin) were included in the AIHW count of Aboriginal and Torres Strait Islander health workers. Clinician A clinician is a person who spends the majority of their time working in the area of clinical practice, that is, the diagnosis, care, and treatment (including recommended preventative action), of patients or clients. Clinical practice may involve direct client contact or may be practised indirectly through individual case material (as in radiology and laboratory medicine). Employed medical practitioner A medical practitioner who reported working in medicine in the week before the survey. In this report, data on employed medical practitioners include those who are: practitioners on leave for less than three months). with the discipline of medicine (including medical research, administration, or teaching of medicine). Employed midwives Employment is counted as someone who either: before the survey in a job or business for pay, commission, payment in kind or profit, or pay) for less than three months, on strike or locked out, or rostered off. Employed midwives are separately identified for the first time in Employed midwives are those people who were employed, and were: enrolled nurse and midwife who reported midwifery as their principal area of main job. Before 2011, registered midwives and registered nurses and enrolled nurses also registered as a midwife were not able to be separately identified, and are included in the nursing section. Employed nurses An employed nurse is one who either: before the survey in a job or business for pay, commission, payment in kind or profit, or pay) for less than three months, on strike or locked out, or rostered off. In 2011, employed nurse data excludes those registered nurses and enrolled nurses also registered as a midwife, who reported their principal area of main job as midwifery. These people are considered to be midwives, and are included in the midwifery section. Before to 2011, registered nurses and enrolled nurses also registered as a midwife were not able to be separately identified, and are included in the nursing section. 41

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