Paul Merrel, Rebecca Hendry, Sean Rom & Peta Marks - The one-two punch: Context and co-design - Transcript

N e ha hi i a edi ed a c i f a li e e e a d he ef e ma c ai e . Thi a c i
i he j i e f Ca i LIVE a d he a h i ed a e ible f a me a d ma be
c ied ed b a he a i h a h i a i .
www captionslive com au | captionslive outlook com |
UX A a a
D R a c Da 2
T da , 18 Ma c 2021
Ca i ned b : Hila Cadd

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PAUL MERREL: I'm ell, hank , S e e, l king f a d i .
STEVE BATY: W nde f l. Hang n, I h gh he e a ne m e b
he e he i . Hell Sean. I ill hand e , hank e m ch f
hel ing cl e da .
SEAN ROM: G ea . S I'll a ff. Hi e e ne. A fe hing bef e
e ge a ed. I j an ed ha e me ick eminde f he
e i n. Plea e d n' ake c een g ab , ca e e an image
ha e an f hi e en a i n. The ea n being ha e a e ha ing eal
ie i h li ed e e ience f ea ing di de and GP lea e e ec
he i ac . We al an ed a if he e en a i n b ing an
i e f , lea e c n ac e le h can incl ding all
he ele an gani a i n .
O e ne milli n e le in A alia a e li ing i h an ea ing
di de . Thi i e ima ed a ab f fi e e cen f he A alian
la i n. Pe le i h ea ing di de ha e he highe m ali a e ,
i h an e ia ne a ha e he highe f an chia ic di de . Thi
i c mm nl de e i n and/ an ie b in gene al he ' e j n
al a aigh f a d f GP iden if and ea . F na el he e a e
e idence ba ed ea men ha a e effec i e and e le can ec e f m
an ea ing di de a all age f illne . H e e , c en e ima e
gge ha le han ne in f , a nd 23.2 e cen f e le acce
ea men and nl a mall i n f h e ecei e e idence ba ed ca e.
A he ame ime, e le i h ea ing di de acce heal h
e ice a a m ch highe a e i h a nd... 73 e cen f he
ime he indi id al i eeking ea men f eigh l .
Wha all hi in and ha i clea f m he k a he in ide

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In i e and he gani a i n i ha he maj i f e le i h
an ea ing di de a e n being iden ified and being ided i h he
be ea men . Wha ' m e, al h gh e le can ec e , ea l
in e en i n i i al ed cing he c e and e e i f illne and
alle ia ing nnece a ffe ing. I ' n nc mm n f e le g f
30 ea i h diagn i ea men . E en hen eeing ha I GP
eg la l f c mm n ec ing i e , like eigh c nce n
de e i n. Pe le in ima ca e a e in a g ea i i n he
c eening, a e men and ea l in e en i n, ing he be a ailable
e idence.
Hi, I'm Sean R m and I'm a digi al... I al an in I hink
he e migh be an i e i h ha ing he lide a he m men . I'm n
e, a e e -
PAUL MERREL: Ye , I hink e' e ka . We'll j ge a h mb if
e le can ee h e.
SEAN ROM: I hink , b he a e n m ing al ng d ing he
e en a i n.
STEVE BATY: Y ' e ill j h ing he i le lide, Pa l.
PAUL MERREL: Oka . I'm eeing me hing diffe en n m c een. I'm
ab ha .
SEAN ROM: All g d.
PETA MARKS: G l e a bi ha e a echnical challenge a a digi al
c nfe ence.

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SEAN ROM: Ye .
PAUL MERREL: Sean, I migh ee if can ha e c een if ha ' all
igh , lea e.
SEAN ROM: S e, I can gi e i a g .
STEVE BATY: See h g .
SEAN ROM: And I migh j a hi . S , ne ec. The e e g .
PETA MARKS: Pe fec . Thank Sean.
SEAN ROM: A I aid, I'm Sean R m, I'm he digi al jec c dina
a in ide In i e and I'll hand if e Pe a n .
PETA MARKS: IOI i A alia' na i nal in i e f clinical e cellence in
ea ing di de , mi i n i an f m he ea men land ca e f
e le i h ea ing di de and e an d ha h gh e ea ch,
k lace de el men and ing clinical e cellence and ac ice
change.
The clinical digi al l jec a ed in A il la ea ,
j a COVID a kicking ff. I a f nded b he Fede al G e nmen
a ne f a n mbe f jec i n f c ing n an la ing e idence in
ac ice. In heal h, e kn ha i ake an a e age f 17 ea f a
e ea ch inn a i n make i in e e da ac ice and clea l hi i
blema ic. Tha ' h he g e nmen and IOI a e de e mined d
me hing im e hi .

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O king h he i i ha if e can im e ea l de ec i n
and in e en i n a he in f ima ca e, a ic la l i h GP , and if
e can in hem in he di ec i n f e idence b ing hei
deci i n-making, hen e h ld be able limi he g e i n f illne
and im e e le' heal h and ellbeing. The bjec i e f jec i
c ea e a digi al l f GP , e a ed la ea b
engaging Meld and king i h beck and call ake a de ign e ea ch
a ach l ing hi e c m le challenge.
The e a e l f i e ha eall need f c n ide ed in hi ace.
The e' em i e ch a lack f a ailable eciali e ice and l
f c m le i ie a nd Medica e eba e. The e a e ac ice i e ch a
h l ng GP ha e f c n l a i n and if a e n e en a blem X
and ' e nl g 10 min e ee hem, hen he e i n' ime f he
GP ai e a en ial blem Y. The e a e kf ce i e ch a
ed ca i n and aining a nd ea ing di de f heal h fe i nal .
And he fac ha n all GP a e in e e ed in eciali ing in men al heal h
ea ing di de . The e' e ignifican igma and i i ing
a nd an a cia e ea ing di de , and ha migh mean a a me ne
h ' g m m f an ea ing di de can be mi ed.
And, f c e, he e a e indi id al fac ha a e a cia ed i h
he e e ience f ha ing an ea ing di de . S ha e n, illne
h e e e i ac all i , a ell a ignifican fea ab engaging in
ea men and ha can mean ha e le c ld li h gh he c ack .
We kn ha e le h ha e ea ing di de i h hei l ed
ne can ggle find e ice and hel and e kn e le d n' ge
he ea men he need f en n il he e e i f hei illne i eall
im ac ing hei life. We kn e le ge di ec ed ea men hich i n' .
GP a e e ec n e e e hing ab e e hing and ha i n'
ible. We kn ha a ien alk hei GP ab men al heal h m e

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han an he heal h i e. Tha ' h i ' im an hel hem
a ach in a m e inf med, and e idence ba ed a .
We elec ed Meld nde ake hi k beca e he a ach
eall fi i h ha e kn i im an ab king i h e le h
ha e ea ing di de . C de ign i a ela i el , n c m le el ne b
ela i el ne e m b i ' an a ach ha ' n n m i h h e
k i h e le n a ne- n- ne le el. We can' make e le ec e .
Q ali f e ea ch f c ing n e le' ie and e e ience i eall
c mm n in heal h and in men al heal h e ea ch. We an ed b ing ha
a ach in he ce anal i ha e f digi al l
jec . I'm g ing hand e he Meld eam n .
REBECCA HENDRY: Thank Pe a. S e' e g ing ge in he h
n , me f he a e a ached hi challenge hich Pe a and
Sean ha e bea if ll laid f . S he i le f hi alk ela e
c n e and c de ign, and e' e alking al ab me f he
challenge ha e face i h COVID.
S ha ha ened a he beginning a e, a Pe a aid, i kicked
ff in A il and e had d he b lk f e ea ch em el , and hi
mean a l f g d hing a ell a a fe challenge hich e'll ge in
in a ec b n he i i e ide i eall ga e a can ee f m he
ma i ha e had hi g ea b ead h f ge g a h . We e e able
eak e le in n j me li an hich i la gel ha e e e
limi ed if e did all e i n face face b egi nal and al a
ell. Y can ee e had a g d ead ac he S a e he e.
We ke GP in diffe en e f ac ice , e ke GP
i h diffe en le el f kn ledge f ea ing di de e ha
en i ea men i e , e e e able eak e le in m e
em e a ea he e i ' m e diffic l ge ca e. And f c e n

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ha ing a el mean e c ld each kn diffe en a ea can ee
n he ma m e ea il . COVID mean a a id ad i n f ide
echn l g hich al hel ed he ca e.
J m e n, Sean. S hi i ne f a ici an h
gene l all ed ha e a mall a f he da . S a
fea e f he a ach i he in en i n h mani e he k ha e' e
d ing and I kn ha nd b i b lang age i a big a f hi
and e called he e le ha e ked i h a ici an he e e
ible e le, al e na i e c ld be e ea ch e nden e en e
bjec . And, f c e, in he c l e f heal h ca e, a l f he
acce ed c n en i n a e e d like a ien b he e e ible
and he c edi f he h le eam e al a ied alk ab
a ici an a e le i h li ed e e ience f ea ing di de e le
iding ca e f e le i h ea ing di de .
S I g e hinking a bi m e ca ef ll ab he lang age in hi
a can eall hel all dec n c me f he hie a chie hich
e i in hi c n e . The e hie a chie can lea e e le feeling
di em e ed and c ea e ainf l d namic be een he e g .
A man f ill e e ience hen e eimb e e ea ch
a ici an , e f en ba e hi n a le el f kill and h in demand he
c h a e, and he deci i n eimb e a ici an a he ame a e,
b h GP and e le i h li ed e e ience.
Thi i a bea if l image lied b he a ici an j a .
S e e e able e me e hn g a h a ici an and me f hem
did elf- ec ding a ell. Thi i an a k f m he a ici an called
M A m hich de c ibe he e e ience f he illne , can ee he
da k ide and he ligh e ide in ha . I ga e a i id j m ing ff in
he deci i n and in hi a ic la ca e, he ha ed i h ha ha
da k a i he illne and all he e le n he lef -hand ide a e he

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e le ing he . He he a i , die i ian, he ca e manage , famil ,
all he e le in h i al he an ed h ha i ' a eam eff .
I eall all ed e le eflec bef e he came he e i n
a ell, and al gi e a dee e le el f nde anding and in igh
in hei e e ience, he he i a GP , familie f e le he e le
hem el e .
S me hing ha e alk ab in e ice de ign i f n age and
back age and be een i hi line f i ibili . S e e e f c ed n
he e la gel e ec i e , GP and e le i h li ed e e ience and
hei familie . In he c n e f hi a ach, e e en' able ee hi
line f i ibili fi hand b i ing in and b e ing a li e c n l a i n in
he d c ' m , a ell a being in he mid f a andemic, he e a e
i e a i ac and c n en and he i e f e ea che b e ing
he e in e ac i n ha ing nin ended c n e ence f he e hing
ha e' e ing im e, ec i n and ca e.
We'll m e n, Sean. Thank . Gi en hi a ec f e ea ch
a mi ing, e ill fel e needed a a af e he e in e ie ia
Z m nde and ha line f i ibili he ne be hing f a
eak i h GP in hei c n l ing m e ma ked and e
gani ed, can ee Sean in hi ic e i h ne f he GP , e
gani ed ech eak GP . We ga e hem cena i f h
he can h ll la he f c n e a i n he ld be
ha ing i h e le h ld be e en ing, and ha g a l cl e
be e nde anding ha h e in e ac i n e e like. The e e able
dem n a e ha he ld d in h e c n e a i n , h he
c n e a i n migh g , ha ' he f inf ma i n he ld h
he e n, h hem n hei c een, e he ac ice f a e, in
me hing f hem, gi e hem me hing ake h me and
c m le e. I ga e a l f de ail and n ance ha a i e diffic l

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ge j f m a king GP ha he d . S ha a a eall ef l in
f .
F he de ign be ad ed in a ainable a , he need
in eg a e in GP' e i ing k fl . S a ne GP aid in he e ea ch,
GP a e a di e e a hei a ien . S hi ne ic e i f a GP and
he' ha ed a e i h he e a ell. And a f i a l king
a imila cena i ha d c face, like di c i n ab an ie and
de e i n. Thi i a e eciali ed a f men al heal h illne e . A
Pe a men i ned ea lie e kn ha e le alk hei GP ab
men al heal h m e han an he i e. Thi a a g ea ingb a d
f be e nde and ha a c llab a i e dial g e c ld l k like
f e le ge ing ca e f ea ing di de .
And ha ' aking lace i ha H chin call c gni i n in he
i land and hi efe h man c gni i n in i na al habi a . In hi
ca e he l ha e ed and e ed a e e e en a i n f he
c gni i n ha need ha en in ha c n e . The can make he
in e ac i n ha en in a a ha if he l a ab en i ldn' cc .
Thi de e i n and an ie l a a l ha e m ch all he GP
e e familia i h. I became an anal g e hel imagine a
c n e a i n ab de e i n and ange . Of en c gni i n ha en in he
b ain and e e hing' ha ening in he indi id al b ha hi h
i ha c gni i n i di ib ed in he c n e and am ng he e le
aking a in i . Ha ing a c n e a i n ab i i a eall diffic l hing
and b h he e n and he d c can find i eall ha d. The l e' e
l king e l e hel facili a e ha in e ac i n ha he c ld m e
ea il ha e ha c n e a i n.
And l k, he men al heal h e i n hei ac a ha e efe
a a T jan H e in a egic de ign.
S he le n e lea ned he e he e ible, can e j ge

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m e c n e f he hing ha e' e ing nde and, inf m, a
Pe a and Sean de c ibed, i a eall c m le challenge. Al e' e back
me f he ame e le a e in c n e and ha ' he
image, GP king in he ame ac ice and l king a and alking
ab me f he e af e e had c de ign e i n i h he
a ici an c me i h h e idea .
Then e al e em el and ha enabled again ge
ha ge g a hical ead and ha di e i . We en back e le e'd
al ead ken h hem h hei idea an fe ed in
e , hich mean he c ld add an he la e inf m h
he e hing can be ed. I a g ea beca e e eak he e e le
a ec nd ime and he a I' e been hinking ab i and he e'
me hing I an ed add. We f nd he e a al e in ca ef ll
c a ing he diffe en a ici an in he ce . We had a bigge n mbe
in he beginning and hen e d illed d n and ied main ain ha
di e i a e did idea i n ge he and in e and e ing he
e. Thi a e he idea f a ici a i e de ign, he e le
h ha ed hei ie and came i h idea e e able a ici a e
in making h e idea be e nce he had a e in f n f hem.
We lea ned m ch h gh hi ce and e feel inc edibl
l ck ha e d ne hi k. The bi e' e h n da i j he
beginning and i ' a l ng g am f k. Pa l i n g ing lead a
di c i n i h Pe a and Sean n he big hing e k a a .
PAUL MERREL: Thi fi lea ning b ed f m Dan Hill' la b k and
he idea f la e , and he idea ha me la e m e fa e han he
and I hink heal h in a ic la i ne f h e l e m ing la e . And
he e' g d ea n f ha beca e ha ace ba icall hel
manage he i k and he c me ha c ld be i e di e if e m ed

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ickl i hin ha em. S i ' l f a ea n.
B a e hea d, 17 ea i ch a l ng ime m e in ha ace
ac all ha e e le ge ing hel and e kn e need ha e e le
ge ing hel ne . S i he e a a ha e can a k in a a
ha ac all all ha e me la e in heal h m e fa e han
he . S he idea f ing can be a g d a a mi iga e
ha i k. B ha e me ne ell ha be e han me I'm g ing
hand e Pe a ake h gh.
PETA MARKS: I kn ha fig e f 17 ea ac all h ck e le
f en, b he fac i ha an la i n ce can ake a l ng ime
beca e bef e e d an hing in a ide ead a e eall need
make e ha inn a i n , he he i ' medicine me hing ha '
digi al i effec i e and d e n ha m, like, d n ha m i ne f main
ene . And hence he e ea ch ce hich i , ake a l ng ime
j m h gh.
S he he hing, ha hen mean ha a l f e ea ch i n'
f nded all he a h gh. The 'll f nd he fi ime a , hen ' e
g e ha i k and hen he ne a ill be f nded n , a
he ca e ma be. T ea men need be a ed b he TGA. The e' a
billi n h . F hinking c de ign inc ea e he likelih d ha an
in e en i n ill be acce able he e le h i ' mean be hel ing
and i de- i k in e m f hen e ge ha an la i n
im lemen a i n ha e a e e likel be able deli e me hing ha '
g ing be acce able he c mm ni and he e le ha i ' mean
e e.
S I hink hi kind f c de ign ce ma n nece a il eed
an la i n in and f i elf, beca e all de ign a nd ea men ill
l ima el need be il ed in a m e e ea ch kind f a h gh an

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academic in i i n b e e hing ha e d ed ce he i k a nd
ha ill hel eed he ce . And a c de ign ce a nd hi
e f jec eall inc ea e c nfidence in e m f ha d e
m e h gh, ha d e m e ahead i h in e m f de el men .
And l k, in a ld f ll f eall limi ed f nding e' e g a m ch be e
chance f i i e c me if e engage e le igh a he a and
igh h gh he jec .
PAUL MERREL: I hink hi ne ne i eall im an a ell. Thi idea
f c -c ea i n hea e i ' ha he e gani a i n can end m e
e ce ac all alking ab le ing a ien hel , in e ma k
he e, a he han ac all d ing he ha d k f c -c ea i n. S me ime
he e' in en d i b he e' l f c l al ba ie i hin an
gani a i n. S I hink ha ' im an f c n ide and ac all
h e f c n d ing he ac al k m e han alking ab i , b
I'll le Sean ake hi ne a ell.
SEAN ROM: Thank Pa l. I hink e le migh a he ' e d ing i
hink he ' e d ing i and ha can la gel be nin en i nal. I hink in a l
f ca e e le an d i b migh n kn h d i e l
migh be c l al ba ie . L king a jec in a ic la , d ing hi
a f i ell, made i i e an e en i e in e men . D ing hi kind f
ne- n- ne e ea ch i h e le i h li ed e e ience and GP , h e
e i n e i e e a a i n and ime and in e men f m all in l ed,
and e did l k a he m del he e d a 20 GP in a m
ge he , 20 e le i h a li ed e e ience f an ea ing di de and
a k hem e i n , b e an ed end ime n h e indi id al
c n e a i n and ie ma he hing ha ld c me f
hem and j eall end ime in he ecifici f h e indi id al

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c n e a i n .
PETA MARKS: The he hing i ha in men al heal h, he c n me
e ice e he e n' i i n f n hing ab i h i
eall famil held, and hi eall need e end ac all ha e f an
jec e ice lanning in men al heal h. And i ' eall im an ha
ha ce i n' keni ic. The e' b i l i e a fe challenge
a nd ha . In hi jec e c -de igned a e aid, b he e en'
a f lanning eam and m l f agma ic ea n , he ' e g
he j b and he c ldn' ac all j in igh a ha fi age. T
ge a nd ha ha e c n l i h and be led b e le a a man
in in he c n in m a ible.
In e m f he hea e a ec , ne he hing e c ld d in
m ing f a d jec like ld be en ing b ge ing e le n
aff in a jec eam and hen h gh ac i e e ea ch and c edi e ing
and e en he e a hi in e ld ha e c n me , e le
i h li ed e e ience f ea ing di de and GP he e e en ing
lea ning i h da .
PAUL MERREL: The la ne he e I hink, ha can e d diffe en l
c n in e ha .
PETA MARKS: Ma be I can j ell ickl ha e' e d ne ince
he c m le i n f k. S Meld e ha f en ial
e ba ed n ha c -c ea i n ce . We k he e and he
ec mmenda i n in e nall , IOI, he clinical eam, e ea che , e e GP
and ac ice manage all l ked a he e and ec mmenda i n . And
ac ice manage in a ic la a ed l king a he ac ice k
fl , n j he GP a ien e n k fl , and e a ed

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hinking ab he e d e need c ea e change in ha b ade em
GP and j a king el e ha e e mi ed an hing in ha
b ade c n e .
And e needed kn he he he e eall d . We
kne he did be een he GP and he e n. We had k ha
end n de el men ld need d and al ha i didn'
need d . And ha b ade em hich incl de ac ice manage
and n e and h he flag i e i hin ac ice f a e and f nding
mechani m and all f ha kind f hing. S a he end f ha in e nal
ce , I'm e ha e ha he Meld finding and e
e e eall alida ed e came f ll ci cle nce e e l ed h e
addi i nal elemen .
In an e e i n, Pa l, i ' a l ng a e nd
b if e had ime again I hink and e kne hen ha e kne
n , e ha e ld ha e e anded he b ief incl de ha b ade
em a bi m e and h e b ade k fl , c n ide ing h
im an he eall a e f he a GP k. And ha babl ld
ha e gi en he g e he de el men age ea lie .
PAUL MERREL: Thank . Tha ' all f m . I j an a again a
big hank Sean and Pe a and in ide in a ic la i h he
ni k i h hem hi eek. We eall enj ed m ch f i ,
and hank e e ne f ning in da .
STEVE BATY: Thank Pa l.
PETA MARKS: I ld j like hank Meld. The ' e ama ing, ama ing
e le k i h.

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Paul Merrel, Rebecca Hendry, Sean Rom & Peta Marks - The one-two punch: Context and co-design - Transcript

Paul Merrel, Rebecca Hendry, Sean Rom & Peta Marks - The one-two punch: Context and co-design - Transcript

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Paul Merrel, Rebecca Hendry, Sean Rom & Peta Marks - The one-two punch: Context and co-design - Transcript

Paul Merrel, Rebecca Hendry, Sean Rom & Peta Marks - The one-two punch: Context and co-design - Transcript

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