Practice Connect #232

Issue 232 - 30 October 2025


 

Welcome to Practice Connect, a fortnightly update for practice managers, principals, nurses and administration staff on relevant issues, upcoming events and education.

 

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Medicare changes November 2025



From 1 November 2025, a range of updates and modifications will be implemented to the Medicare Benefits Schedule.

1. Expanded eligibility for Bulk Billing Incentives (BBI), to include all Medicare-eligible patients.

o   A triple bulk billing incentive can be claimed with face-to-face level B, C, D and E general attendance items, and level B video and phone general attendance.
o   A single bulk billing incentive item can be claimed with other bulk billed unreferred general practice services such as antenatal care, mental health services, chronic condition management and health assessment items.  For more information click here.
o   Click here to download the factsheet.

2. The Bulk Billing Practice Incentive Program (BBPIP) starts.

The BBPIP provides an additional quarterly incentive payment of 12.5% of MBS benefits for eligible services. The payment is split 50/50 between the doctor and the practice.

o   See newly released Bulk Billing Practice Incentive Program Guidelines.
o   Updated BBPIP signage requirements.
  How to register for BBPIP in Health Professional Services Online (HPOS), including how to view your BBPIP payment assessment and details.
o   Infographic on key steps for practices to register and participate in BBPIP.
o   Download the Frequently Asked Questions for practices and GPs document.
o   The practice must bulk bill every eligible service for every Medicare-eligible patient.
o   Eligible services are listed here Bulk Billing Practice Incentive Program: Eligible services.
o   Access the Bulk Billing Incentives Calculator
  View the new BBPIP Practice Readiness Checklist.
o   Download the new BBPIP Planning Kit for general practice, including planning templates and Practice Readiness Checklist.
o   RACGP Resources:
      – Bulk billing practices
      – Private/mixed billing changing to bulk billing
      – Private/mixed billing not changing to bulk billing
 
3. Changes to Mental Health item numbers under Better Access redesign.

o   Download the Better Access redesign document.
o   The Better Access Mental Health MBS User Guide provides examples of how to use relevant MBS items to meet the requirements of the Better Access Initiative, including links to the MBS items and MBS Online explanatory notes.  
o   Dedicated Better Access items remain in place to support mental health care, with these items being used to create new Mental Health Treatment Plans (MHTP).
o   Benefits for preparing a Mental Health Treatment Plan (e.g. items 2715, 2717, 92116, 92117) will only be available if the service is delivered by the usual medical practitioner or a medical practitioner at the person’s MyMedicare registered practice. This is to improve continuity of care. The usual medical practitioner is someone who has provided the majority of services in the past 12 months, or who is likely to provide the majority of services to the person in the following 12 months.
o   Item numbers for Review of a Mental Health Treatment Plan (e.g. 2712, 92126,92114) and Mental Health Consultation (e.g. 2713, 92127, 92115) will cease.



4. Increased rebates for Long-Acting Reversible Contraception.

o   Insertion of an IUD (item 35503) from $93.55 to $215.95
      Removal of an IUD under general anaesthesia (item 35506) from $62.60 to $134.45
o   Implantation of hormonal implants such as Implanon (item 14206) from $41.50 to $100.40
o   Removal of Implanon (item 30062) from $70.85 to $105.15

5. Information about the MBS Telehealth arrangements.

o   Ongoing MBS telehealth arrangements remain in place, providing a wide range of telephone and video services by qualified health practitioners to support safe and equitable access to telehealth services.
o   Further information and factsheets are available here.

6. Updated General Practice in Aged Care Incentive (GPACI) guidelines and Health Professional Education Resources are available.

o  The GPACI Guidelines have now been updated.
o  New GPACI hints & tips document is available. 
o  Further information on the changes and updates  will be emailed to practices soon. 

View the RACGP Changes to Medicare webinar series here.

You can find a full list of upcoming changes click here.

For information or support on the Medicare changes or MyMedicare please contact the Practice Assist Help Desk on 08 6278 7900 or via email practiceassist@wapha.org.au

 

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Free and low cost mental health support for patients



General practice is often the first point of contact for people experiencing mental health challenges, with GPs and practice nurses well placed to connect patients to a range of Australian Government-funded options available to patients seeking mental health support.

This includes low-cost Medicare Benefits Schedule subsidised services (such as the Better Access initiative) and free services commissioned by Primary Health Networks (PHNs).

As the operator of WA’s three PHNs, WA Primary Health Alliance commissions a range of other free mental health services from a wide network of community-managed organisations and health service providers, offered at no cost to the patient and without a Mental Health Treatment Plan, including:

Medicare Mental Health

Supports patients aged 18 and over by directing them to the most appropriate mental health service based on their needs (in person, online or over the phone). GPs can phone the Head to Health Assessment and Referral Phone Service during a patient consultation on 1800 595 212 to discuss confidential assessment and referral options. WA Primary Health Alliance (WAPHA) has currently established services in Armadale, Gosnells, Midland, Mirrabooka and Northam. See the Medicare Mental Health brochure for more information.
 

MindSpot GP

A digital psychology service designed to integrate with primary care and available at no cost to patients. A range of referral options are available for GPs and practice nurses. For more information or assistance with making a referral call 1800 614 434 (Monday to Friday, 8am to 8pm and Saturday 8am to 6pm AEST).
 

headspace

Provides free, confidential, youth-friendly services for 12–25-year-olds, covering mental health, physical (including sexual) health, alcohol and other drug concerns, and work or study support.  Face-to-faces services are available through headspace centres across WA as well as a range of support online or by phone (including headspace Telepsychiatry for rural and remote areas).
 

MOST

A free digital service for young people aged 12–25, supporting young people while they wait for care, during treatment, and as a step-down tool afterward. The blended model provides real-time connection and personalised resources they can work through at their own pace. You can direct patients aged 15 or older to register online with or without a referral.
 

Amber Youth Wellness

A culturally safe outreach service for young people aged 12 to 25 with complex mental health needs that are impacting on their everyday functioning and who are experiencing significant barriers to accessing supports.  Call the referral line on 1800 800 046 (Monday to Friday 9am to 5pm) or email yhreferrals@mercycare.com.au to discuss service availability and assessment.

The Australian Government Department of Health, Disability and Aged Care (DHDA) has developed the following resources to support conversations with patients eligible for Australian Government funded mental health supports:

 

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Cyclone - prepare your practice for the effects of cyclones and thunderstorms in your communities



Cyclones and thunderstorms can cause interruption to access to care needed by patients by causing damage and service interruptions. Thunderstorms increase asthma risks in the community and can severely impact on a patient’s health if unprepared.
 
General practice can contribute to preparing patients for the effects of cyclones and thunderstorms and can help to reduce the impact to communities. Education is crucial in ensuring patients are equipped with the knowledge and resources to protect themselves during cyclones. 

Who is at risk?

  • Children, older people, pregnant women, people experiencing homelessness and those living with a disability. 
  • Patients with asthma or respiratory illness.
  • Patients living with chronic conditions and/or on multiple medications.  
  • Patients who are unable to respond due to dementia, disability, or other factors. 
  • Aboriginal population living in remote areas.

How can general practice assist?

Encourage patients at most risk to prepare and plan: 
  • Encourage patients to establish a reliable location to go to in the event of evacuation,  
  • Have sufficient medications on hand in the event of supply chain interruption, 
  • Review management plans for patients with asthma or respiratory illness during this season and,
  • Encourage patients to the most appropriate sources of information (listed below).
  • Recommend patients utilise digital health tools such as My Health Record, which can assist patient care during emergency situations.

Key information:  


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Updated palliative care pathways are now live on Clinician Assist WA



Clinician Assist WA has recently updated the palliative care pathway suite, providing clinical and referral guidance to GPs and other primary health care professionals to support patients and their families throughout their palliative care journey.  

These pathways address essential topics such as assessment of new patients with palliative care needs, management of common symptoms and prescribing advice, advance care planning, and supporting people who wish to die at home.

In addition, Clinician Assist WA has palliative care referral pages available to users, providing clear direction for patient referrals across Western Australia.

Visit the Clinician Assist WA website to explore the pathways.

Read more about the role of GPs in supporting patients who wish to die at home in WA Primary Health Alliance’s latest GP Connect clinical feature, by GP Clinical Editor, Dr Cory Lei. 
 

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New resources for GPs and primary care professionals: Supporting older people to access the new Support at Home program



Ahead of the changes to the Aged Care Act commencing on 1 November, the Department of Health, Disability and Ageing has released new resources for GPs, NPs and allied health providers to inform how they can support older people to access the new Support at Home (SaH) program.

From 1 November Support at Home will replace the current Home Care Packages (HCP) program and Short-Term Restorative Care (STRC) programme.  The Commonwealth Home Support Program (CHSP) will transition to SaH no earlier than 1 July 2027.

More detail can be found in the guidance linked below:

Support at Home includes a new End-of-Life pathway to support participants who have been diagnosed with 3 months or less to live and wish to remain at home, by providing more funding to access in-home aged care services.

A doctor or nurse practitioner must provide an assessment for the older person to access the End-of-Life pathway.  Further details about the assessment required can be found in the fact sheet linked below:

There are online training modules available to assist health professional understanding of the Support at Home program.  The below links are the modules most relevant to general practice and other primary care providers:

Further information and resources about the Support at Home program can be found at:

 

Upcoming event: Support at Home - Essentials for primary & community care professionals

Presented by Silverchain
12 November (6.30pm to 8pm AWST) Online

Learn about the new Support at Home aged care program, referral pathways, services available, and how to support your patients to receive in home care.

Silverchain Head of Policy and Advocacy, Dr Ronelle Hutchinson, will share her expertise on how to navigate the new aged care system. 

She will be supported by Silverchain GP Liaisons Dr Leena Patel and Dr Erin O’Donnell-Taylor; and Silverchain Director of Nursing and Safety, Chris Snepvangers.

These free, national webinars will provide 1.5 educational activity CPD hours. It is designed for doctors, practice nurses and community care teams, and is available across two live sessions. 

Register now - places are limited

 

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New measles cases reported in the Perth metro area



At the time of publication, Western Australia has recorded 52 measles cases in 2025, compared to six in 2024.

There have been 30 cases identified since July 2025, four identified in returned overseas travellers and 26 locally acquired.
 
12 cases have been linked to a Pilbara community outbreak and the most recent case has been identified in Perth - visiting Royal Perth and Fiona Stanley Hospitals. 
 
Clinicians are advised to remain vigilant for measles symptoms, especially in patients with recent travel or exposure.  The most recent exposure sites have been added to the active measles alert (last updated 22 October 2025).
 
Support a timely public health response with urgent notification of suspected cases by telephone to your local Public Health Unit (or 1800 434 122 if after hours).
 
Offer MMR vaccination to eligible individuals born after 1965 who haven't had two doses of a measles-containing vaccine. This state funded extra dose is free and does not require serology.

Resources

Refer to the Measles Pilbara Outbreak Alert for WA clinicians – 9 October 2025  and Measles quick guide for more information.
 
The National Centre for Immunisation Research and surveillance (NCIRS) has updated its measles vaccination guide for immunisation providers to align with state- and territory-funded measles catch-up vaccination programs introduced across Australia this year.
 
The simplified visual aid helps providers to assess the requirements for measles-containing vaccine based on if a person is born:

  • before 1966 – when natural immunity has likely been acquired from previous infection and measles-containing vaccine is not typically needed
  • during or after 1966 – when measles vaccination is recommended.

The updated measles vaccination tool joins a suite of measles immunisation resources, including measles FAQs and the Australian Immunisation Handbook Measles chapter.

Australian immunisation experts continue to urge the community to prioritise measles vaccination in the wake of surging measles cases globally and declining coverage in Australia.
 
Access the clinical decision tool here.
 

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Updated recommended sites for childhood vaccination resource

The National Centre for Immunisation Research and Surveillance (NCIRS) has recently updated the recommended sites for childhood vaccination resource to include the latest pneumococcal program changes for children. 
 
This printable (A3) resource details the recommended sites for childhood vaccines funded under the National Immunisation Program (NIP) Schedule as well as additional vaccines funded by some states and territories.
 
Please note that Beyfortus is NOT included on this chart.
 
To view and print, please click here.


 

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Invitation to participate in the antenatal immunisation survey

The WA Department of Health invites you to participate in a short survey aimed at identifying potential barriers to antenatal immunisation in Western Australia. Your insights will help shape future program initiatives to improve immunisation coverage rates among pregnant women.

Key details:

  • Purpose: To assess barriers to antenatal immunisation in WA
  • Time commitment: Approximately 5–10 minutes
  • Timeframe: 21 Oct to 17 Nov
  • Confidentiality: All responses are anonymous
  • Impact: Your input will inform future planning and support improved immunisation outcomes

As an immunisation provider, your on-the-ground experience is invaluable. Your feedback will contribute to a better understanding of the challenges faced in antenatal immunisation and guide efforts to address them.

Access the survey here.

 

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World Cervical Cancer Elimination Day - 17 November 2025



On 17 November 2025, Australia will proudly join the World Health Organization (WHO) in celebrating the inaugural World Cervical Cancer Elimination Day. This milestone recognises the significant progress already made towards eliminating cervical cancer as a public health problem in Australia by 2035. It also highlights the important work still ahead to ensure equitable access, sustained participation, and lasting impact.
 
Clinics and health services across WA are encouraged to get involved by marking World Cervical Cancer Elimination Day with their patients, in their communities.

This could include:

  • ​​Hosting an event
  • Running pop-up or outreach screening clinics on the day
  • Extending screening hours
  • Sharing educational resources (order form below)
  • Decorating your clinic, wearing purple, or sharing key messages
  • Spreading awareness on social media #CervicalCancerEliminationDay

Every action, big or small, helps spark conversations, raise awareness, and keep the momentum strong as Australia continues to lead the way towards a future free from cervical cancer!

Further information available here by visiting the Australian Centre for Prevention of Cervical Cancer website.
 

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National Lung Cancer Screening Program



A public awareness campaign for the National Lung Cancer Screening Program has now been launched. 
 
Titled ‘It’s Good to Know, the campaign spans mainstream and social media components and assets, and will be delivered nationally in its first phase until June 2026. 
 
Program resources are available on the NLCSP website.

Print-ready resources for Health professionals can now be ordered from the Department of Health, Disability and Ageing via the website.
 
The resources include:

A new shared decision-making poster is also available.
 
To find these, and many more resources, click here.
 

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Breast cancer screening



BreastScreen WA offers free mammograms every two years for women aged 50–74, with women aged 40–49 or 75 and older also eligible on request. Despite this, only 52% of women participate, underscoring the important role of primary care professionals in encouraging and reminding patients about screening.
 
During October, Breast Cancer Awareness month, BreastScreen WA launched its new campaign, Show Up, encouraging women across Western Australia to prioritise their health.

The message is simple: Show up for yourself. Show up for those who love you. Show up and put your health first.
 
You may notice increased interest or questions from patients following this campaign, use the link below to access resources to help support these conversations in your practice.
 
View the Breastscreen WA resources.
 
Cancer Council WA offers a Breast Cancer Screening Quality Improvement activity designed to help your practice improve patient participation in the screening program.

This activity is RACGP accredited for 6 CPD hours under the Measuring Outcomes category.

Additional Quality Improvement activities focus on modifiable lifestyle risk factors, supporting practices to improve recording of alcohol status, weight (BMI), and smoking status.
 
Register for the Quality Improvement activity here.
 

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Protecting adolescents through immunisation: insights, drivers and opportunities for action

Presented by National Centre for Immunisation Research and Surveillance
5 November 2025 (4pm to 5pm AWST)

This webinar from the National Centre for Immunisation Research and Surveillance (NCIRS) will explore the latest evidence and practical strategies to help reverse the trend and strengthen community confidence in immunisation.

The session is intended for anyone who has a role in supporting adolescent health, including public health professionals, educators, school staff, nurses, general practitioners and pharmacists.
 
For further information and to register, click here.
 

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Diphtheria, Tetanus and Pertussis webinar

Presented by Immunisation Coalition
5 November 2025 (3.30pm to 4.30pm (AWST)

The Immunisation Coalition is hosting this webinar to provide an important update for healthcare professionals involved in childhood immunisation.

Since the COVID-19 pandemic, vaccination rates in children under 5 years have declined across several key disease areas, including DTPa (diphtheria, tetanus, and pertussis).
 
Learning Objectives: 

  • Review the epidemiology, disease burden and Australian immunisation rates of DTPa in children under 5 years of age
  • Explain the importance of DTPa immunisation and the rationale behind the 5 dose NIP schedule (2, 4, 6, 18 and 48 months of age)
  • Summarise the key reasons behind the declining vaccination rate and detail practical strategies for healthcare professionals and parents that lead to reversing the decline
  • Summarise available real-world experience on DTPa vaccines including global vaccination rates, strategies to address this, and a focus on safety, efficacy and effectiveness
  • Discuss the need for ongoing evidence generation and post-marketing surveillance of DTPa immunisation, to support continued evaluation and confidence of DTPa immunisation

For more information and to register, click here.
 

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Eliminating Cervical Cancer Conference 2025

Presented by Immunisation Coalition
17 November 2025 (9am to 12 noon AWST)

Hosted by the NHMRC Centre for Excellence in Cervical Cancer Control, the Eliminating Cervical Cancer Conference will be a virtual event on the inaugural World Cervical Cancer Elimination Day.

ECC2025 will bring together leading experts, researchers, and healthcare professionals to discuss and advance the mission of eliminating cervical cancer.
 
The theme for ECC2025 is Working towards Elimination: Success, Innovation and Challenges in Implementation. This conference will feature:

  • Panel Discussions: Engage with thought leaders as they explore the successes, innovations, and challenges in implementing cervical cancer elimination strategies across the region.
  • Showcase of C4 Funded Research: highlighting equity-focused initiatives, meaningful consumer and community engagement, and innovative data systems that enable targeted, impactful approaches—demonstrating the transformative outcomes of C4-funded projects in action.
For further information and to register, click here.
 

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Shingles update

Presented by Immunisation Coalition
19 November 2025 (3pm to 4pm AWST)

This Immunisation Coalition webinar on Shingles completes a suite of 7 infectious diseases webinars.
 
Professor John Litt will provide an update on shingles epidemiology, revisit eligibility criteria including immunocompromised individuals and risk categories, disease burden and current trends in vaccination rates.
 
To register and for further information, click here.
 

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Shared care for ADHD in children – webinar three

Presented by WA Primary Health Alliance
19 November 2025 (6pm to 7pm



Join us for webinar three on Wednesday 19 November, which will cover the following topics: 

  • Commonly used medications for ADHD.
  • Common adverse effects and common issues that can be addressed in primary care.
  • Medication issues regarding compliance and diversion.
  • Medication issues requiring paediatric review.

This webinar is accredited for 1 RACGP EA CPD hour.
 
To find out more, view the flyer and register for webinar three today.

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Enhancing men’s and women’s health in primary care

Presented by WA Primary Health Alliance
19 November
2025 (12pm to 1pm)



Join us for a practical and engaging quality improvement (QI) webinar designed to support primary care professionals with delivering gender-responsive health care.
 
This webinar will cover the following topics:

  • Understanding QI
  • Data-driven decision making
  • Gender-specific health issues
  • Primary care led initiatives
  • Health promotion
  • Further education

To find out more, view the flyer and register today.

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Register now for a Clinician Assist WA live demonstration

Presented by Clinician Assist WA
Tuesday 18 November – 12:30pm to 1:15pm 


 

Clinician Assist WA is a secure website providing GPs and other health professionals with guidance for assessing, managing and referring patients across Western Australia. It has replaced HealthPathways WA, offering the same trusted local guidance, features and functionality and remains available at no cost.

The Clinician Assist WA team will run online demonstrations facilitated by a GP Clinical Editor throughout 2025 to support users. These sessions will demonstrate how to maximise integration of Clinician Assist WA into your clinical practice. Learn key functionalities of the website and how to access condition specific tools and resources, Referral Access Criteria (RAC) (where available), GPbook Specialist Directory and visiting specialist rosters.

Sessions have been approved for 1 CPD Educational Hour with RACGP and will be held online. This will be the final live demonstration for 2025 with no further sessions planned for 2026. If you are interested, register now.

Demonstrations are open to general practitioners, general practice staff and other health professionals registered to practice in WA.

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Immunisation and Cancer Screening Preventative Health Forum

Presented by WA Primary Health Alliance
26 November and 1 December 2025 (6pm to 9pm)



Join us for one of the Immunisation and Cancer Screening Preventative Health Forums in Perth South or Perth North.
 
These in-person events are designed to support practice nurses with understanding the National Immunisation Program (NIP), administering vaccinations and increasing cancer screening rates.
 
To find out more, view the flyer and register for the Perth South Forum or the Perth North Forum today.

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Medico-legal considerations for GPs responding to family and domestic violence

Presented by WA Primary Health Alliance
29 November 2025 (8am to 10.30am) Aloft Rivervale - 1.5 RACGP EA hours

This WA Primary Health Alliance workshop invites GPs and supporting members of the practice team to strengthen their response to patients experiencing family and domestic violence (FDV) through best-practice documentation and collaborative care. A multidisciplinary panel from the Sexual Assault Resource Centre, MDA National, Women’s Legal Service and the Police FDV Response Team will share insights on medical and legal processes in responding to FDV. 

Download the flyer or register register here. Breakfast provided. 

 

 

Other Webinars, Events & Workshops

BreastScreen WA visit to Karratha
Presented by BreastScreen WA
30 October to 22 December
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Wanneroo)
Presented by Wesley LifeForce
4 November
Hepatitis C in Primary Care 
Presented by ASHM
5 November
BreastScreen WA visit to Northam
Presented by BreastScreen WA
7 November to 21 January
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Online)
Presented by Wesley LifeForce
7 November
Asia Pacific Autism Conference (APAC)
Presented by Autism Association of Western Australia
13 November to 15 November
Wesley LifeForce Suicide Prevention Training Primary Care Support Staff Workshop (Online)
Presented by Wesley LifeForce
15 November
BreastScreen WA visit to Kambalda West
Presented by BreastScreen WA
24 November to 1 December
Contraception Essentials in Primary Care
Presented by ASHM
26 November and 3 December
BreastScreen WA visit to Norseman
Presented by BreastScreen WA
2 December to 3 December
BreastScreen WA visit to Esperance
Presented by BreastScreen WA
5 December to 18 March


 

Acknowledgement 
WA Primary Health Alliance acknowledges and pays respect to the Traditional Owners and Elders of this country and recognises the significant importance of their cultural heritage, values and beliefs and how these contribute to the positive health and wellbeing of the whole community.

 

Practice Assist acknowledges and pays respect to the Traditional Owners and Elders of this country and recognises the significant importance of their cultural heritage, values and beliefs and how these contribute to the positive health and wellbeing of the whole community.

Disclaimer
While the Australian Government Department of Health has contributed to the funding of this website, the information on this website does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided on this website.