
A very successful symposium was recently run by the ACMHN Northern NSW Branch at Southern Cross University. This was on the topic: "Mental Health Nurses are the Solution". This featured practical workshops on advanced empathy, developing a sense of safety, DBT skills, and focused psychological strategies that every mental health nurse can, ought and often does apply in everyday practice. This was a fantastic day. However, there was a pulpable sense of grievance amongst MHN practitioners that they still can't access the MBS item numbers under 'Better Access' and associated MBS item numbers (e.g. for any psychotherapy or target group) to be able to work to their scope of practice and provide a subsidised service in primary care. It is not, never was, and never will be OK that only some guilds can claim a different rate of subsidy to provide the same service. Some Primary Health Networks are even indexing the rates of pay against the MBS for what used to be known as 'ATAPs' (the focuses and capped alternative to the MBS for those that can't afford the gap!). They are apparently taking their lead from the Government which is indemnified from passing discriminatory legislation and regulation. It is also not OK that this Government has used the MBS as the primary lever to increase access to focused psychological services during COVID but have done less than nothing to include MHNs as part of the solution (a belated review of the MBS item numbers by vested interests is not a solution). As a consequence this petition has received renewed interest by those who seek to enable the best qualified, to provide the best service to those least able to afford or access psychotherapy and psychological services. So now that we are near the 5,000 signatures lets go for 10,000!