Australia s s Experience with Health PPP s

Size: px
Start display at page:

Download "Australia s s Experience with Health PPP s"

Transcription

1 Australia s s Experience with Health PPP s Annette Schmiede Adj. Assoc Professor Menzies Centre for Health Policy Sydney University Berlin 2009

2

3 Federal and State Governments Pop 23 mill high growth, highly urbanised Federal Government with six states and territories. Federal govt raises taxes States provide services States operate and fund the public hospital system and community health Federal govt funds primary care, GP s s and specialists. Complex system, poor accountability, major reform imminent

4 Mixed Private and Public System 70% funded by govt, 19% funded through out of pocket 70% provided by private providers Tax funded national health insurance system, all residents have access to hospital services through public hospitals free of charge. Private health insurance available to cover private hospital stay. Private health insurance subsidized by the Government.

5 Role of Private Hospitals Private hospitals are an essential component of the health system Account for 30% of all hospital beds but do almost half of all surgical episodes, mainly elective Do not provide trauma services or teaching Private hospitals owned by charitable groups (mainly religious) and investor companies.

6 First Generation PPP s First health PPP s introduced in the early 90 s by conservative State governments Began as an early adoption of ideology of liberalising public infrastructure, roots in Thatcherism Not driven out of health policy

7 First Generation PPP s Full service contracts All services bundled including clinical services, community health and emergency 20 year plus contracts Service prices to be discounted Demand risk shifted to operator Mainly replacement of existing hospital some new greenfields First project caused major public outcry Second project limited to not for profit operators 7 projects across country 3 projects reverted to public ownership in early years of contract Ideological opposition from bureaucracy and State Labor govts.

8 Project Year Capital value Beds Location Port Macq 1992 $40mil 160 country NSW Hawkes 1994 $47mil 127 outer met. NSW Joond lup 1996 $70mil 335 outer met. WA Latrobe 1997 $56mil 257 country Vic Mildura 1998 $37mil 130 country Vic Noosa 1998 $20mil 100 Regional Qld Robina 1998 $48mil 192 Regional Qld New or replace replace. replace new replace replace new new

9 SERVICE CATEGORIES SERVICE SUB- ACUTE CATEGORIES MENTAL INPTS ACUTE COMMUNITY A&E INPTS HEALTH OUTPTS HEALTH ACUTE MENTAL HEALTH SUBACUTE HAWKESBURY X X X X LATROBE X ROBINA X X

10 SERVICE CATEGORIES ACUTE INPTS SUB-ACUTE INPTS A&E COMMUNITY HEALTH OUTPTS MENTAL HEALTH ACUTE SERVICE CATEGORIES MENTAL HEALTH SUBACUTE HAWKESBURY Fee for Service Direct Billing Direct Billing LATROBE Case Payment Per Diem Annual Budget Annual Budget Per Diem Per Diem ROBINA Case Payment Per Diem Fee for Service Per Diem Per Diem

11 OPERATING FUNDING MODEL CASE PAYMENT FEE FOR SERVICE DIRECT BILLING OR LUMP SUM PER DIEM PRIVATE PATIENT REVENUE INFRASTRUCTURE OR TEACHING AND RESEARCH GRANT. COMPONENTS CAPITAL RECOVERY COSTS OF FUNDING THE DEVELOPMENT, PRINCIPAL & INTEREST. MAINTENANCE CAPITAL EXPENDITURE INSURANCE EQUITY RETURN (NOT ALWAYS) GROUND LEASE

12 Implementation Issues Risk exposure for operators around open ended demand, particularly with A&E services. Some projects significantly cross subsidised services from private patients. Growth assumptions in tender documents not reflected in annual operating budgets. Bureaucratic opposition, proposals mainly came from asset management and capital works branches. Service and policy areas were often opposed. Once facilities completed responsibility passed to these areas. Relationships often adversarial.

13 Implementation Issues Policy did not have bi partisan support at a State political level. Significant ideological opposition against many of the projects when governments changed. Failure to negotiate acceptable annual operating budgets. Disputes over the methodology for covering price increases, CPI versus real cost increases.

14 Process Issues Financing and ownership structures were complex. No standardised approach across the projects each state and almost each project differed in approach contract fundamentals and project structure.

15 Process Issues Methodologies used by State governments to set ongoing prices has not always been transparent, consistent or logical. Pricing methodologies were complex and not easily benchmarked to govt. services.

16 Lessons Policy intent should be clear. The community must be supportive. Process must be understood and driven by health not treasury. Health policy implications need to be clearly understood. Need for clarity about the role of the private sector in the overall health system. Need to understand the real costs of providing govt services, capital and operating. Accurate awareness of the capacity of the private sector to participate. Risk allocation must be equitable. Goodwill and commonsense.

17 Factors influencing outcomes. Lack of clear expectations of the desired outcomes of projects Shortage of experience and skills transfer. Unbalanced risk transfer. Lack of flexibility in implementation process. Inadequate commitment to averting and resolving disputes. Uneven capability within the public and private sectors. No bipartisan political support.

18 Project Updates Joondalup longest operating, 14 yrs, to have significant investment by government, $ 230mill, and operator, $90 mill. 530 beds. Emergency Dept busiest in Perth 63,000. Runs more efficiently than public sector Hawkesbury, flexibility allows quick responses to emerging needs, innovation

19 New Wave PPP s No clinical services Berwick Community Hospital, Victoria Royal Women s s Hospital, Victoria Royal Children s s Hospital, Victoria Orange Base Hospital, New South Wales Royal North Shore Hospital, New South Wales Long Bay Prison Forensic Hospital, New South Wales Newcastle Mater Hospital, New South Wales Royal Adelaide Hospital, South Australia

20 Future Need Australia needs substantial capital investment driven by past underinvestment, population growth and ageing Federal govt set up Hospital Fund as part of GFC response investing $5-10bill plus state investment. Most projects now over $1bill will still need private strategy

21 New Projects Sunshine Coast University Hospital Qld. Collocated private hospital

22 Noosa Hospital Mildura Base Hospital Joondalup Health Campus Hawkesbury District Hospital

23 Port Macquarie Base Hospital Robina Hospital

24

Peter Davis, Marcus Jefferies and Peter Ward Faculty of engineering and built environment School of architecture and built environment October 2015

Peter Davis, Marcus Jefferies and Peter Ward Faculty of engineering and built environment School of architecture and built environment October 2015 Relationshipbased Procurement for the Provision of Infrastructure Peter Davis, Marcus Jefferies and Peter Ward Faculty of engineering and built environment School of architecture and built environment

More information

PPPs in Australia. Public Private Partnerships Opportunities and Challenges 22 February 2005. Presented by Colin Duffield

PPPs in Australia. Public Private Partnerships Opportunities and Challenges 22 February 2005. Presented by Colin Duffield PPPs in Australia Public Private Partnerships Opportunities and Challenges 22 February 2005 Presented by Colin Duffield Director, The Australian Centre for Public Infrastructure The University of Melbourne

More information

PPP in Australia: Hospital Sector Case Study

PPP in Australia: Hospital Sector Case Study PPP in Australia: Hospital Sector Case Study Richard Foster Executive Manager, Partnerships Victoria Kylee Anastasi Consultant, World Bank Institute Knowledge Sharing on Infrastructure - Public Private

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Office Support about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients, candidates and other

More information

heavy motor Product Profile

heavy motor Product Profile heavy motor Product Profile Heavy Motor Product Profile Lumley Insurance Heavy Motor provides insurance protection via market leading wordings, risk management and claims service, delivering holistic risk

More information

Investment. Phillip Street, Sydney. Capability Statement

Investment. Phillip Street, Sydney. Capability Statement Investment ADVISORY services Australia Phillip Street, Sydney Capability Statement Optus Centre, Macquarie Park Investment Advisory Services OVERVIEW CBRE s Investment Advisory Services team provides a

More information

2013-14 Key Budget Facts

2013-14 Key Budget Facts 2013-14 Key Budget Facts NSW Health Expenses Budget In 2013-14, the NSW Health recurrent expenses budget is $17.9 billion Provides growth of $884 million or 5.2% over the 2012-13 revised 1 expenses budget

More information

Primary Health Networks Life After Medicare Locals

Primary Health Networks Life After Medicare Locals Health Industry Group Primary Health Networks Life After Medicare Locals BULLETIN 2 25 MARCH 2015 HEALTH INDUSTRY GROUP BULLETIN a Federal health policy is changing with 30 Primary Health Networks (PHNs)

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Human Resources about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients, candidates and other

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Supply Chain & Procurement about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients, candidates

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Legal about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients, candidates and other sources

More information

Appendix A: Database quality statement summaries

Appendix A: Database quality statement summaries Appendix A: Database quality statement summaries This appendix includes data quality summaries and additional detailed information relevant to interpretation of the: National Hospital Morbidity Database

More information

2003-08 Australian Health Care Agreement

2003-08 Australian Health Care Agreement Information Bulletin 2003-08 Australian Health Care Agreement Document Number IB2005_005 Publication date 23-Feb-2005 Functional Sub group Corporate Administration - Fees Department of Health, NSW 73 Miller

More information

Health care in Australia

Health care in Australia Health care in Australia Stephen R. Leeder MD Professor of Public Health and Community Medicine Director The Menzies Centre for Health Policy The University of Sydney March 26th 2012 Australia at a glance

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Accounting & Finance about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients, candidates and

More information

Managed Portfolio Portfolio Administration Service

Managed Portfolio Portfolio Administration Service Managed Portfolio Portfolio Administration Service How can Morgans make a difference to you? Our clients have been accessing a wealth of experience in financial services since 1987. While our reputation

More information

HUDSON SALARY GUIDES 2015

HUDSON SALARY GUIDES 2015 Australia HUDSON SALARY GUIDES 2015 Sales, Marketing & Communications about this publication This Salary Guide is a compilation of salary and market information provided by Hudson consultants, clients,

More information

State Super. Fee Booklet. Date of Issue 20 January 2015

State Super. Fee Booklet. Date of Issue 20 January 2015 State Super TAILORED SUPER PLAN FLEXIBLE INCOME PLAN Fee Booklet Date of Issue 20 January 2015 State Super Financial Services Australia Limited ABN 86 003 742 756 Australian Financial Services Licence

More information

Introduction. Dr Christine Bennett, Chief Medical Officer, Bupa

Introduction. Dr Christine Bennett, Chief Medical Officer, Bupa M AY 2 0 1 1 B u pa H e a lt h watc h P o l l Introduction The Bupa Healthwatch Poll (May ) looks at the Australian community s healthcare concerns and compares the findings against earlier Bupa Healthwatch

More information

Ramsay Health Care Limited Asian Briefing December 2012. Christopher Rex, Managing Director Bruce Soden, Chief Financial Officer

Ramsay Health Care Limited Asian Briefing December 2012. Christopher Rex, Managing Director Bruce Soden, Chief Financial Officer Ramsay Health Care Limited Asian Briefing December 2012 Christopher Rex, Managing Director Bruce Soden, Chief Financial Officer AGENDA 1. Ramsay Health Care Overview Growth Story Formula for Success Global

More information

AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2010-2011. Final Report

AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2010-2011. Final Report AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2010-2011 Final Report Compiled by Public & Indigenous Library Services State Library of Queensland July 2012 Foreword The National Library and the State

More information

Activity Based Funding and Palliative Care

Activity Based Funding and Palliative Care Activity Based Funding and Palliative Care Professor Kathy Eagar Director, Australian Health Services Research Institute Sydney Business School Palliative Care Australia Forum, Canberra October 2012 Some

More information

Housing Market Overview Prepared for CitiBank. January 2014

Housing Market Overview Prepared for CitiBank. January 2014 Prepared for CitiBank January 214 Combined capital cities Combined capital city home values increased by 2.8% over the final quarter of 213 according to the RP Data-Rismark Home Value Index. Home values

More information

National Disability Insurance Scheme : new deal for people with a disability

National Disability Insurance Scheme : new deal for people with a disability National Disability Insurance Scheme : new deal for people with a disability Richard Madden> Centre for Disability Research and Policy (CDRP) University of Sydney This presentation has been prepared for

More information

Outline. Background Injury in Australia Why a national approach? Re-thinking clinical quality registry development

Outline. Background Injury in Australia Why a national approach? Re-thinking clinical quality registry development AusTQIP - Challenges and Achievements for National Collaboration and Data Sharing Nathan Farrow, National Quality Improvement Manager Meng Tuck Mok, Australian Trauma Registry Manager on behalf of the

More information

Public Private Partnerships

Public Private Partnerships Public Private Partnerships A Public Private Partnership is a complex relationship between multiple stakeholders. It is designed to deliver best value for money for Government clients by minimising risks

More information

JLT Mining. Utilising our expert knowledge of the mining industry and through understanding your individual business, JLT Mining can deliver:

JLT Mining. Utilising our expert knowledge of the mining industry and through understanding your individual business, JLT Mining can deliver: Mining Jardine Lloyd Thompson is one of the world s largest providers of insurance, reinsurance and employee benefits related advice, brokerage and associated services. JLT s client proposition is built

More information

National Health Performance Authority. Hospital Performance: Length of stay in public hospitals in 2011 12

National Health Performance Authority. Hospital Performance: Length of stay in public hospitals in 2011 12 Hospital Performance: Length of stay in public hospitals in 2011 12 Hospital Performance: Length of stay in public hospitals in 2011 12 GPO Box 9848 Sydney, NSW 2001 Australia Telephone: +61 2 9186 9210

More information

Self Managed Super Funds

Self Managed Super Funds Self Managed Super Funds How can Morgans make a difference to you? Our clients have been accessing a wealth of experience in financial services since 1987. While our reputation was established in stockbroking,

More information

Optus Submission to Productivity Commission Inquiry into National Frameworks for Workers Compensation and Occupational Health and Safety

Optus Submission to Productivity Commission Inquiry into National Frameworks for Workers Compensation and Occupational Health and Safety Optus Submission to Productivity Commission Inquiry into National Frameworks for Workers Compensation and Occupational Health and Safety June 2003 Overview Optus welcomes the opportunity to provide this

More information

The WA Experience: Public Private Partnerships (PPPs) March 2014

The WA Experience: Public Private Partnerships (PPPs) March 2014 B The WA Experience: Public Private Partnerships (PPPs) March 2014 Dr D J Russell-Weisz Chief Executive Fiona Stanley Hospital Commissioning Delivering a Healthy WA PPPs Objectives are to motivate the

More information

Private Hospitals in Australia. Commission Research Paper

Private Hospitals in Australia. Commission Research Paper Private Hospitals in Australia Commission Research Paper Commonwealth of Australia 1999 ISBN 1 74037 120 8 This work is subject to copyright. Apart from any use as permitted under the Copyright Act 1968,

More information

Emerging Themes in the Australian & Global Health Systems

Emerging Themes in the Australian & Global Health Systems Emerging Themes in the Australian & Global Health Systems 2013 Annual Stockbrokers Conference - 31 st May 2013 Ramsay Health Care Managing Director, Chris Rex Ramsay Health Care 117 hospitals in Australia,

More information

Procurement the unlikely hero Rob Ackland CEO, LGA Procurement

Procurement the unlikely hero Rob Ackland CEO, LGA Procurement Procurement the unlikely hero Rob Ackland CEO, LGA Procurement Thank you to ArcBlue for supporting the Procurement Roadmap program and providing information used in the development of this presentation

More information

PHILOSOPHY IN AUSTRALIAN UNIVERSITIES

PHILOSOPHY IN AUSTRALIAN UNIVERSITIES PHILOSOPHY IN AUSTRALIAN UNIVERSITIES Forward Thinking project This Report forms part of a series of summary reports on philosophy in Australian Universities produced as part of the Forward Thinking: Learning

More information

Australian Housing Outlook 2014-2017. By Robert Mellor, Managing Director BIS Shrapnel Pty Ltd October 2014

Australian Housing Outlook 2014-2017. By Robert Mellor, Managing Director BIS Shrapnel Pty Ltd October 2014 Australian Housing Outlook 2014-2017 By Robert Mellor, Managing Director BIS Shrapnel Pty Ltd October 2014 Recent Residential Property Market Trends Residential property demand has varied across purchaser

More information

Partnerships Victoria Requirements

Partnerships Victoria Requirements Partnerships Victoria Requirements May 2013 Version Control Version Control Last Updated Updated sections Rationale 1 February 2009 Original publication 2 January 2010 Section 12 and Annexure 6 Annexure

More information

Governments implement PPP programmes in the healthcare sector for one or more of a number of reasons:

Governments implement PPP programmes in the healthcare sector for one or more of a number of reasons: UNECE Healthcare PPP Project Team Project Brief Introduction This is a very active time globally for the healthcare sector as demand for services continues to grow exponentially, driven by rising life

More information

Video. http://www.youtube.com/watch?v=5e5ssmkebhs

Video. http://www.youtube.com/watch?v=5e5ssmkebhs Video http://www.youtube.com/watch?v=5e5ssmkebhs Overview Radiation Oncology - a world class cancer treatment Career choices that Help Save Lives Radiation oncologists (RANZCR) Radiation therapists (AIR)

More information

There are also, as indicated below, scoliosis clinics in some public hospitals and in most children s hospitals throughout the country.

There are also, as indicated below, scoliosis clinics in some public hospitals and in most children s hospitals throughout the country. www.scoliosis-australia.org An Australian directory of spinal specialists (orthopaedic surgeons) who have a particular interest in the management of spinal curvature (scoliosis and kyphosis) A state-by-state

More information

National Health Reform Public Hospital Funding. Queensland Report January 2015

National Health Reform Public Hospital Funding. Queensland Report January 2015 National Health Reform Public Hospital Funding Queensland Report January 2015 Issued by the Administrator of the National Health Funding Pool under section 240 of the National Health Reform Act 2011 This

More information

Best Practice in Design of Public-Private Partnerships (PPPs) for Social Infrastructure, particularly in Health Care and Education

Best Practice in Design of Public-Private Partnerships (PPPs) for Social Infrastructure, particularly in Health Care and Education EMAIL contact@fosterinfrastructure.com WEB www.fosterinfrastructure.com Best Practice in Design of Public-Private Partnerships (PPPs) for Social Infrastructure, particularly in Health Care and Education

More information

Electricity network services. Long-term trends in prices and costs

Electricity network services. Long-term trends in prices and costs Electricity network services Long-term trends in prices and costs Contents Executive summary 3 Background 4 Trends in network prices and service 6 Trends in underlying network costs 11 Executive summary

More information

A Guide to Aged Care and Retirement Villages in Australia FOR INVESTORS AND PROSPECTIVE OPERATORS PREPARED BY ARTHUR KOUMOUKELIS, PARTNER, GADENS

A Guide to Aged Care and Retirement Villages in Australia FOR INVESTORS AND PROSPECTIVE OPERATORS PREPARED BY ARTHUR KOUMOUKELIS, PARTNER, GADENS A Guide to Aged Care and Retirement Villages in Australia FOR INVESTORS AND PROSPECTIVE OPERATORS PREPARED BY ARTHUR KOUMOUKELIS, PARTNER, GADENS 2014 Gadens providing straightforward, clear advice you

More information

THE CANADIAN COUNCIL FOR PUBLIC-PRIVATE PARTNERSHIPS. The Canadian Case for Hospital PPP Projects

THE CANADIAN COUNCIL FOR PUBLIC-PRIVATE PARTNERSHIPS. The Canadian Case for Hospital PPP Projects THE CANADIAN COUNCIL FOR PUBLIC-PRIVATE PARTNERSHIPS The Canadian Case for Hospital PPP Projects In 1999, 73 percent of UK public construction projects exceeded the price agreed at contract and 70 percent

More information

Telehealth in the land of Oz. Leif Hanlen Director Health Business

Telehealth in the land of Oz. Leif Hanlen Director Health Business Telehealth in the land of Oz Leif Hanlen Director Health Business Who is NICTA? Australia s ICT research center of excellence Use inspired research Making fundamental advances in ICT that can underpin

More information

Application for Attendant Allowance

Application for Attendant Allowance Application for Attendant Allowance Attendant allowance The Department of Veterans Affairs (DVA) recognises and supports the need for veterans to receive assistance with activities of daily living. Attendant

More information

Commercial notes SECURITIES: ENSURING PAYMENT OF DEBTS TO THE COMMONWEALTH. What types of property can be used as security?

Commercial notes SECURITIES: ENSURING PAYMENT OF DEBTS TO THE COMMONWEALTH. What types of property can be used as security? Number 33 9 November 2009 Commercial notes SECURITIES: ENSURING PAYMENT OF DEBTS TO THE COMMONWEALTH In this note we consider the ways that Commonwealth departments, agencies and authorities can obtain

More information

An overview of the Australian health market. Dr John Ballard Chief Executive Officer Mercy Health

An overview of the Australian health market. Dr John Ballard Chief Executive Officer Mercy Health An overview of the Australian health market Dr John Ballard Chief Executive Officer Mercy Health Session Outline Snap shot of Australia The Australian Health Sector Funding the System Technology within

More information

Home loan affordability report

Home loan affordability report Home loan affordability report Joint Quarterly Survey No. 89. ember Quarter Low affordability challenges Gen X, Y Home loan affordability has taken another beating as the proportion of family income required

More information

Standard Complaints and Dispute Resolution Procedure

Standard Complaints and Dispute Resolution Procedure Standard Complaints and Dispute Resolution Procedure Introduction QEnergy has a customer focussed approach to its business and is committed to effective and efficient resolution of customer complaints

More information

Current as at 1 July 2014 Adviser use only. Technical guide: Challenger Lifetime and Term Annuities

Current as at 1 July 2014 Adviser use only. Technical guide: Challenger Lifetime and Term Annuities Current as at 1 July 2014 Adviser use only Technical guide: Challenger Lifetime and Term Annuities Table of contents Introduction 1 Challenger Lifetime Annuities 2 Product features 3 Centrelink treatment

More information

2013 RAIL SALARY SURVEY

2013 RAIL SALARY SURVEY 2013 RAIL SALARY SURVEY KINETIC RECRUITMENT Kinetic Recruitment is an award-winning recruitment solutions provider operating within the Australian Rail, Defence, Energy & Resources and ing marketplaces,

More information

Financial Services Guide (FSG)

Financial Services Guide (FSG) Financial Services Guide (FSG) A guide to the services we provide and how we will work with you to achieve your goals PRPIA Pty Ltd trading as Guild Financial Planning Melbourne Office: 636 St Kilda Road,

More information

WATE R O&M S E RV I CE S An asset management perspective

WATE R O&M S E RV I CE S An asset management perspective WATE R O&M S E RV I CE S An asset management perspective Smart asset management solutions create long term value With more than 150 years of water industry experience and responsibility for operations

More information

Professional Practice Commission: March 2013. Alternative Project Delivery Systems

Professional Practice Commission: March 2013. Alternative Project Delivery Systems Professional Practice Commission: March 2013 Alternative Project Delivery Systems UIA Accord Building project delivery systems. Definition Building project delivery systems are defined as the contractual

More information

Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)!

Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)! Surprisingly Australia is a civilized and developed country! We have universal health care (more or less)! s About 21 million people live in a country of 7,692,024 square kilometers So we seem to have

More information

UBS Australian Healthcare Conference 6 November, 2008 Chris Rex, Managing Director

UBS Australian Healthcare Conference 6 November, 2008 Chris Rex, Managing Director UBS Australian Healthcare Conference 6 November, 2008 Chris Rex, Managing Director AGENDA Ramsay investment profile Well positioned in a robust industry MLS update Balanced healthcare system PHI incentives

More information

NATIONAL HEALTH REFORM AGREEMENT

NATIONAL HEALTH REFORM AGREEMENT NATIONAL HEALTH REFORM AGREEMENT Council of Australian Governments An agreement between the Commonwealth of Australia and the States and Territories, being: the State of New South Wales; the State of Victoria;

More information

Investment & Reliability in the Australian National Electricity Market: A Perspective

Investment & Reliability in the Australian National Electricity Market: A Perspective Investment & Reliability in the Australian National Electricity Market: A Perspective Doug Cooke Energy Diversification Division International Energy Agency Joint IEA-NEA Workshop on Power Generation Investment

More information

Supporting Australia s Live Music Industry: Suggested principles for best practice

Supporting Australia s Live Music Industry: Suggested principles for best practice Supporting Australia s Live Music Industry: Suggested principles for best practice 2010 2010 Commonwealth of Australia, in conjunction with the governments of the Australian Capital Territory, New South

More information

Health expenditure Australia 2011 12: analysis by sector

Health expenditure Australia 2011 12: analysis by sector Health expenditure Australia 2011 12: analysis by sector HEALTH AND WELFARE EXPENDITURE SERIES No. 51 HEALTH AND WELFARE EXPENDITURE SERIES Number 51 Health expenditure Australia 2011 12: analysis by sector

More information

MENTAL HEALTH SERVICES IN VICTORIA

MENTAL HEALTH SERVICES IN VICTORIA MENTAL HEALTH SERVICES IN VICTORIA Presentation to FCDC Inquiry into Supported Accommodation Wednesday 10 December 2008 Gill Callister Executive Director Mental Health and Drugs Division Department of

More information

How To Manage Property In Australia

How To Manage Property In Australia ASSET SERVICES One team with one goal: managing assets to maximise your financial returns. ASSET SERVICES Knight Frank is the world s largest privately owned global property agency and consultancy firm.

More information

StepUP Loans are available for individuals or families. You need to be able to attend a face to face interview at one of the listed locations below.

StepUP Loans are available for individuals or families. You need to be able to attend a face to face interview at one of the listed locations below. StepUP Loans - FAQs Am I eligible for a StepUP Loan? StepUP Loans are available for individuals or families. You need to be able to attend a face to face interview at one of the listed locations below.

More information

COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE.

COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE. COMMINSURE HOME INSURANCE PREMIUM, EXCESS AND DISCOUNT GUIDE. This document provides you with information to help you understand how your total premium has been calculated, discounts that are available

More information

Gary Tamsitt, Director Gary.Tamsitt@anu.edu.au

Gary Tamsitt, Director Gary.Tamsitt@anu.edu.au The following PLT Courses are members of APLEC: AUSTRALIA Australian Capital Territory Legal Workshop Faculty of Law Australian National University CANBERRA ACT 0200 Telephone: +61 2 6125 5763 Fax: +61

More information

RP Data Housing market update. October 2014

RP Data Housing market update. October 2014 RP Data Housing market update October 2014 Residential real estate underpins Australia's wealth Source: RP Data, ASX, SPAA, PCA 2 Capital gain: Home values up 9.3% over past year, however the annual rate

More information

State Super Retirement Fund

State Super Retirement Fund State Super Retirement Fund Investment Booklet Fixed Fund Date of Issue 20 January 2015 State Super Financial Services Australia Limited ABN 86 003 742 756 Australian Financial Services Licence No. 238430

More information

MAURICE BLACKBURN LAWYERS WILL DISPUTES

MAURICE BLACKBURN LAWYERS WILL DISPUTES MAURICE BLACKBURN LAWYERS WILL DISPUTES 02 MAURICE BLACKBURN YOU RE WORTH FIGHTING FOR. If you are facing an unfair situation, you and your family shouldn t have to suffer. That s why we never stand back

More information

35) DEPRECIATION AND DEBT CHARGES

35) DEPRECIATION AND DEBT CHARGES 35) DEPRECIATION AND DEBT CHARGES Key Points of ACT Argument A Working Party of the Commonwealth Grants Commission and Treasury officers was established to review the depreciation and debt charges assessments

More information

IF YOU DO NOT ATTEND THE CONFERENCE THE CASE MAY BE SENT TO COURT AND ORDERS MADE IN YOUR ABSENCE.

IF YOU DO NOT ATTEND THE CONFERENCE THE CASE MAY BE SENT TO COURT AND ORDERS MADE IN YOUR ABSENCE. The Case Assessment Conference the first Court event This brochure provides general information and suggests ways to prepare for what will be the first Court event most people have at the Family Court

More information

OUTSOURCING MAINTENANCE SERVICES: AUSTRALIAN OVERVIEW AND SYDNEY WATER CASE STUDY

OUTSOURCING MAINTENANCE SERVICES: AUSTRALIAN OVERVIEW AND SYDNEY WATER CASE STUDY OUTSOURCING MAINTENANCE SERVICES: AUSTRALIAN OVERVIEW AND SYDNEY WATER CASE STUDY Colin Rymer 1, John Davis 2 1. Sydney Water, Sydney, NSW 2. Infrastructure Transaction Network, Brisbane, QLD ABSTRACT

More information

Seniors Access Home Loan (SAHL) Product Specification

Seniors Access Home Loan (SAHL) Product Specification Seniors Access Home Loan (SAHL) Product Specification For further information www.partners.stgeorge.com.au Mortgage Central 1300 137 532 This product specification is the property of St.George Bank. It

More information

Guidelines for comprehensive mental health services for older adults in Canada Executive Summary

Guidelines for comprehensive mental health services for older adults in Canada Executive Summary Guidelines for comprehensive mental health services for older adults in Canada Executive Summary Introduction Prepared by Penny MacCourt, PhD, MSW, University of Victoria Kimberley Wilson, PhD(c), MSW

More information

6 Intergovernmental financial relations

6 Intergovernmental financial relations 6 Intergovernmental financial relations Features The Queensland Government is committed to working with the Australian Government to achieve outcomes for Queenslanders. The fiscal constraints facing all

More information

AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2011-2012

AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2011-2012 AUSTRALIAN PUBLIC LIBRARIES STATISTICAL REPORT 2011-2012 Compiled by Regional Access and Public Libraries, State Library of Queensland July 2013 Foreword The National Library and the State and Territory

More information

The annualised rental income from the three data centres in our portfolio totals $12.5 million.

The annualised rental income from the three data centres in our portfolio totals $12.5 million. Asia Pacific Data Centre Group Asia Pacific Data Centre Holdings Limited ACN 159 621 735 Asia Pacific Data Centre Trust ARSN 161 049 556 ASX RELEASE ASX Code: AJD 21 November 2013 Annual Meetings held

More information

Barriers to Affordable & Accessible Student Accommodation

Barriers to Affordable & Accessible Student Accommodation Barriers to Affordable & Accessible Student Accommodation June 2015 STAFF RESPONSIBLE FOR THIS REPORT WERE: Director Associate Director Senior Consultant Job Code Clinton Ostwald Mark Dawson Ryan Mackenzie

More information

AUSTRALIAN UNITY INVESTMENTS Strong foundations. Innovative approach.

AUSTRALIAN UNITY INVESTMENTS Strong foundations. Innovative approach. Australian Unity Investments 13 29 39 www.australianunity.com.au Victoria Level 4 114 Albert Rd South Melbourne, VIC 3205 New South Wales Level 15 60 Margaret St Sydney, NSW 2000 Queensland Level 4, Suite

More information

NSW mental health services in context Professor Kathy Eagar, Director of Australian Health Services Research Insititute, University of Wollongong

NSW mental health services in context Professor Kathy Eagar, Director of Australian Health Services Research Insititute, University of Wollongong NSW mental health services in context Professor Kathy Eagar, Director of Australian Health Services Research Insititute, University of Wollongong This paper was prepared for the Mental Health Commission

More information

Administrator National Health Funding Pool Annual Report 2012-13

Administrator National Health Funding Pool Annual Report 2012-13 Administrator National Health Funding Pool Annual Report 2012-13 Design Voodoo Creative Printing Paragon Printers Australasia Paper-based publications Commonwealth of Australia 2013 This work is copyright.

More information

TRENDS IN STUDENT ENROLMENTS FOR AUSTRALIAN BACHELOR DEGREES: IS THE PRESENT GROWTH STRATEGY SUSTAINABLE?

TRENDS IN STUDENT ENROLMENTS FOR AUSTRALIAN BACHELOR DEGREES: IS THE PRESENT GROWTH STRATEGY SUSTAINABLE? AUSTRALIAN HIGHER EDUCATION POLICY ANALYSIS TRENDS IN STUDENT ENROLMENTS FOR AUSTRALIAN BACHELOR DEGREES: IS THE PRESENT GROWTH STRATEGY SUSTAINABLE? The University of Melbourne SUMMARY The Rudd Labor

More information

SUPERANNUATION & DISABILITY INSURANCE. Disability benefits

SUPERANNUATION & DISABILITY INSURANCE. Disability benefits SUPERANNUATION & DISABILITY INSURANCE Disability benefits FIGHT BACK THROUGH MAURICE BLACKBURN When you ve been hurt, injured or suffered loss, it s easy to feel powerless in the face of big organisations

More information

Legal Aid Schemes and Services Approval 2013

Legal Aid Schemes and Services Approval 2013 Legal Aid Schemes and Services Approval 2013 Family Law (Fee) Regulation 2012, Federal Magistrates and Federal Court Regulations 2012, High Court of Australia (Fees) Regulations 2012 I, NICOLA ROXON, Attorney-General,

More information

GREENACRE EDUCATIONAL PUBLICATIONS (GEP) Economics Working Paper Series

GREENACRE EDUCATIONAL PUBLICATIONS (GEP) Economics Working Paper Series GREENACRE EDUCATIONAL PUBLICATIONS (GEP) Economics Working Paper Series Ranking Universities in Australia in Terms of the Quality of Teaching and Graduate Employment in Accounting, Business, Commerce and

More information

TRUST BOND FUND CTF18

TRUST BOND FUND CTF18 TRUST BOND FUND CTF18 Facts & Update March 2012 TRUST BOND FUND CTF18 Fund objective The Trust Bond Fund CTF18 ( the Fund ) aims to provide investors with exposure to Australian fixed interest assets in

More information

Adviser AT YOUR FINANCIAL SERVICE. Equate TM 6.0 User Guide. Information Guide

Adviser AT YOUR FINANCIAL SERVICE. Equate TM 6.0 User Guide. Information Guide Adviser AT YOUR FINANCIAL SERVICE Life Solutions Wealth Solutions Equate TM 6.0 User Guide Information Guide Contents Getting started 1 Adviser maintenance 1 Equate roadmap 2 Case study 7 A few tips 7

More information

ISBN 978-0-7246-5379-9. Copyright

ISBN 978-0-7246-5379-9. Copyright Comparison of Australian Standing Offer Energy Prices as at 1 July 2015 Printed October 2015 Office of the Tasmanian Economic Regulator Level 3, 21 Murray Street, Hobart TAS 7000 GPO Box 770, Hobart TAS

More information

Financial Services Guide

Financial Services Guide Financial Services Guide JLT Discretionary Trust (JDT) Arrangement MARCH 2014 About JLT The JDT Arrangement is a well-established proven alternative to standard insurance for many companies throughout

More information

Building and protecting your wealth the tax effective way

Building and protecting your wealth the tax effective way Building and protecting your wealth the tax effective way Strategies guide 2014/2015 The lead up to End of Financial Year (EOFY) provides a good opportunity to review your wealth creation plans. At this

More information

Feedback on the Inquiry into Serious Injury. Presented to the Road Safety Committee of the Parliament of Victoria. 08 May 2013

Feedback on the Inquiry into Serious Injury. Presented to the Road Safety Committee of the Parliament of Victoria. 08 May 2013 Feedback on the Inquiry into Serious Injury Presented to the Road Safety Committee of the Parliament of Victoria 08 May 2013 About the APA The Australian Physiotherapy Association (APA) is the peak body

More information

21 August 2015 ACSA CONTACTS

21 August 2015 ACSA CONTACTS ACSA response to Exposure Draft Legislation Tax and Superannuation Laws Amendment (2015 Measures No. #) Bill 2015: Limiting fringe benefit tax concessions on salary packaged entertainment benefits 21 August

More information

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE Prepared by National Policy Office May 2014 COTA Australia Authorised by: Ian Yates AM Chief Executive iyates@cota.org.au

More information

June 2013 This report contains 153 pages 18470462_1.DOCX

June 2013 This report contains 153 pages 18470462_1.DOCX This report contains 153 pages 18470462_1.DOCX CABINET IN CONFIDENCE RECORD OF A DELIBERATIVE PROCESS WITHIN GOVERNMENT Please note that certain information contained within this report has been redacted.

More information

Data Analytics Transforming our Understanding of Procurement in Local Government

Data Analytics Transforming our Understanding of Procurement in Local Government Data Analytics Transforming our Understanding of Procurement in Local Government Chris Newman MBA Director ArcBlue Consulting 21 November 2014 ArcBlue Consulting Group www.arcblue.com.au @arcblueconsulting

More information

Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide

Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide Primary Health Care Reform in Australia National Health and Hospital Reform Commission Professor Justin Beilby University of Adelaide } Fragmentation between Commonwealth and state funded services }

More information

3.3 Lumbar spine surgery hospital admissions 18 years and over

3.3 Lumbar spine surgery hospital admissions 18 years and over 3.3 Lumbar spine surgery hospital admissions Context This data item examines hospital admissions for lumbar spine surgery for people. Hospital admission data are sourced from the Admitted Patient Care

More information

LEGISLATIVE ASSEMBLY FOR THE AUSTRALIAN CAPITAL TERRITORY

LEGISLATIVE ASSEMBLY FOR THE AUSTRALIAN CAPITAL TERRITORY LEGISLATIVE ASSEMBLY FOR THE AUSTRALIAN CAPITAL TERRITORY REVIEW OF AUDITOR-GENERAL S REPORT NO 9, 1997 Fleet Leasing Arrangements STANDING COMMITTEE FOR THE CHIEF MINISTER S PORTFOLIO (INCORPORATING THE

More information

Association of Consulting Architects Australia Strategic Plan

Association of Consulting Architects Australia Strategic Plan Association of Consulting Architects Australia Strategic Plan Box 17 Flinders Lane Post Office Melbourne Vic 8009 T 1300 653 026 E nat@aca.org.au www.aca.org.au Contents 1. Introduction 5 2. Survey 7 3.

More information