Australian Government, 2008‑09 Budget
Budget

Health and Ageing (continued)

Election Commitments

Health and Hospitals Reform — Aged Care — Ministerial Council on Ageing

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $6.2 million over four years as its contribution to establish and maintain a Ministerial Council on Ageing. The Council will facilitate consultation and cooperation between the Commonwealth and the States and Territories; help initiate, develop and monitor policy reform; and agree joint action in the resolution of issues that arise between governments.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Aged Care — National Elderly Commissioner — Ambassador for Ageing

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 0.5 0.5 0.5 0.5

The Government will provide $2.0 million over four years to establish an Ambassador for Ageing. The Ambassador will promote positive and active ageing within the community and act as a spokesperson for older Australians.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Aged Care — Residential aged care — zero real interest loans

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -
Department of Health and Ageing - 1.6 4.9 6.9 6.8

The Government will provide $300.0 million in zero real interest loans to assist in expanding the availability of residential aged care beds. These loans will be available to aged care providers to build or expand facilities in areas where there is a shortage of beds for permanent and respite care, and will provide up to an additional 2,500 aged care beds in areas of need. Loan recipients will pay interest at a rate equal to the Consumer Price Index only.

The loans will be administered through two rounds. Loans totalling $150.0 million will be provided as part of the first round, which began in April 2008. The arrangements for the second round will be determined following a review, within six months, of the initial round.

Amounts loaned are treated as financial assets and therefore do not impact directly on the fiscal balance. Payments by aged care providers of the Consumer Price Index component of their loans are treated as interest revenue and are shown above. The public debt interest costs incurred by the Australian Government in financing both rounds of loans are estimated at $3.6 million in 2008‑09, $12.2 million in 2009‑10, $17.8 million in 2010‑11 and $17.6 million in 2011‑12, and are separately accounted for in the Budget papers.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Aged care — review planning ratios

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $2.0 million over four years to regularly review the ratio of aged care places available for the population of older Australians to ensure the supply of aged care places meets current and future needs. The reviews will take into account demographic changes and changing patterns of use of aged care services and the need for culturally appropriate care.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Aged Care — transition aged care — additional places

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 12.2 39.7 86.1 155.3

The Government will provide $293.2 million over four years to fund an additional 2,000 transition care places for older Australians, increasing the number of transition care places to 4,000. These new places will assist older people who no longer require hospital care to make the transition to an aged care facility or return home. This will also ensure more hospital beds are available for those with acute care needs.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Better outcomes for hospitals and community health

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 142.0 71.9 55.0 57.3 63.3

The Government will provide $389.5 million over five years in grants and recurrent funding to support health care facilities and improve patient outcomes. This includes funding for advanced medical technology, improved facilities and services and medical training infrastructure.

This measure will bring the benefits of advanced medical technology to communities around Australia. An additional 12 Medicare‑eligible magnetic resonance imaging units will be provided, along with new and upgraded technology in hospitals around the country. Funding will also support upgrades to hospitals and community health centres and expand services to areas of need. This includes improved access to renal dialysis and a mobile sexual assault referral centre for remote communities in the Northern Territory.

The Government is also committed to catering for Australia's future health needs. This measure invests in medical training infrastructure to help meet the training needs of medical graduates and provide a skilled health workforce in years to come.

This measure delivers on the Government's election commitments.

Health and Hospitals Reform — Chief Nursing and Midwifery Officer

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 0.3 0.3 0.3 0.3

The Government will provide $1.2 million over four years to create the position of Chief Nursing and Midwifery Officer. This position will provide national leadership in developing a strategic and collaborative approach to nursing policy issues. This will include providing advice on nursing and midwifery workforce issues and contributing to the development of a primary care strategy and midwifery review. The creation of this position recognises the vital role of nurses within the health system.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Child Health — Children's Cancer Centre

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.0 12.0 - -

The Government will provide $15.0 million over two years for the construction of a purpose‑built Children's Cancer Centre at the Women's and Children's Hospital in Adelaide, South Australia. The new centre will establish a fully integrated, dedicated children's cancer facility that will provide state‑of‑the‑art care and treatment facilities. The Centre will also provide a better working environment for doctors and nurses who treat child cancer patients.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Child Health — health check for four year old children

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 7.3 5.9 6.1 6.3

The Government will provide $25.6 million over four years to introduce a healthy kids check for all four year old children. This program is aimed at helping to ensure children are fit, healthy and ready to learn when they start school.

This measure will introduce new Medicare Benefits Schedule items to enable general practitioners and practice nurses to undertake health checks of all four year olds at the time the child has their four‑year immunisation. In addition, the Government will provide funding to State and Territory governments for health checks to be undertaken by other immunisation providers in local or community health clinics.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Child Health — Kitchen Garden Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.2 3.2 3.2 3.2

The Government will provide $12.8 million over four years to fund a pilot Kitchen Garden Program, based on the Stephanie Alexander Kitchen Garden Program, in 190 schools across Australia. The pilot program is aimed at tackling childhood obesity by giving children hands on experience in healthy eating. The program will help teach children in years three to six how to grow, harvest and cook produce as part of the school curriculum. This measure will also fund the Stephanie Alexander Kitchen Gardens Foundation to train teachers and staff, and oversee the administration of the program. Grants will be provided for costs associated with building kitchens and garden facilities.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Dental Health — Commonwealth Dental Health Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 92.0 96.6 101.4 -

The Government will provide $290.0 million over three years to establish a Commonwealth Dental Health Program. Funding will be provided to the States and Territories to supplement existing public services and/or purchase private dental services. Up to one million additional dental consultations will be funded to help reduce public dental waiting lists. As part of the funding arrangements, the State and Territory governments will be required to provide priority services to individuals with chronic diseases affected by poor oral health, provide timely preventative and emergency services and to maintain current effort.

Funding for this measure will, in part, be provided from the redirection of funds from the cessation of dental treatment items under Medicare.

See also the related savings measure titled Dental treatment — enhanced Medicare items for patients with chronic conditions and complex conditions in the Responsible Economic Management package of measures, and the related expense measure Health and Hospitals Reform — Dental Health — Teen Dental Plan in the Health and Ageing portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Dental Health — Teen Dental Plan

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 1.3 92.4 104.6 126.8 132.8
Medicare Australia 4.0 8.1 6.5 6.4 6.5
Total 5.4 100.5 111.1 133.2 139.3
Medicare Australia 0.2 0.9 - - -

The Government will provide $490.7 million over five years to contribute to the cost of an annual dental preventative check for eligible teenagers aged 12 to 17 years old.

From 1 July 2008, around one million teenagers in families receiving the Family Tax Benefit Part A or teenagers in receipt of ABSTUDY or Youth Allowance will be eligible for assistance of up to $150 per year for dental services. Payments will be processed through Medicare Australia.

This measure includes funding for Centrelink of $1.3 million in 2007‑08, $0.9 million in 2008‑09, $0.4 million in 2009‑10, and $0.3 million per annum from 2010‑11 for costs associated with assessing eligibility.

Funding for this measure will partially be provided from the redirection of funds from the cessation of dental treatment items under Medicare.

See also the related savings measure titled Dental treatment — enhanced Medicare items for patients with chronic conditions and complex conditions in the Responsible Economic Management package of measures and the related expense measure Health and Hospitals Reform — Dental Health — Commonwealth Dental Health Program in the Health and Ageing portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Elective Surgery Waiting List Reduction Plan

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 75.0 155.0 150.0 220.0 -

The Government will provide up to $600.0 million over four years to reduce waiting lists for elective surgery in public hospitals in each State and Territory. This funding includes $150.0 million to conduct an immediate national blitz and provide more than 25,000 new procedures to help clear the backlog of people who have been waiting longer than the clinically recommended time for elective surgery.

A further $150.0 million will be provided to make systemic improvements to Australia's hospital system, including the construction of additional day surgery units. A further $300.0 million will be available in incentive payments to States and Territories that meet elective surgery waiting list reduction targets. The funding will be provided if performance benchmarks are met.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — GP Super Clinics

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 33.1 75.9 64.2 46.4 46.5
Department of Veterans' Affairs - 0.8 2.2 2.9 3.4
Total 33.1 76.6 66.3 49.3 49.8

The Government will provide $275.2 million over five years to improve access to primary and chronic health care through the establishment of 31 GP Super Clinics, in the following locations:

  • Blue Mountains, Southern Lake Macquarie, North Central Coast, Grafton, Riverina, Queanbeyan, Port Stephens, and Shell Harbour, in New South Wales;
  • Ballan, Bendigo, Berwick, Geelong, Wallan, in Victoria;
  • Bundaberg, Cairns, Gladstone, Ipswich, Redcliffe, Brisbane Southside, Strathpine, Townsville, and Mt Isa in Queensland;
  • Midland and Wanneroo in Western Australia;
  • Modbury, Onkaparinga, and Playford North, in South Australia;
  • Burnie, Devonport and Hobart Eastern Shores in Tasmania; and
  • Palmerston in the Northern Territory.

GP Super Clinics will co‑locate general practitioner and a range of other health services such as physiotherapy, dietary, podiatry and specialist care for seniors, tailored to the needs of the local communities.

Capital funding will be provided for each Super Clinic, with the amount for each to depend on the needs of the local community and whether the particular clinic is to be purpose‑built or to be an upgrade of an existing facility.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Health Workforce — additional higher education nursing places

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Education, Employment and Workplace Relations - 8.4 21.2 31.1 38.8

The Government will provide $99.5 million over four years from 2008‑09 to increase the number of Commonwealth supported university places for nursing by 90 places starting in July 2008, and by a further 1170 places starting in 2009. This measure will provide more opportunities for students to study nursing and assist in addressing skills shortages in nursing across Australia.

See also the related expense measure titled Health Workforce — supporting nurses back into the workforce in the Health and Ageing portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Health Workforce — specialist breast cancer nurses

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 3.0 3.0 3.0 3.0 -

The Government will provide $12.0 million over four years to the McGrath Foundation to recruit, train and employ up to 30 specialist breast cancer nurses. The nurses will provide information and support to women and the families of women diagnosed with breast cancer.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Health Workforce — supporting nurses back into the workforce

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.7 5.4 10.3 11.2 11.8

The Government will provide $39.4 million over five years to encourage qualified nurses to return to the nursing workforce in hospitals and residential aged care. Cash bonuses of $6,000 will be available for nurses who have been out of the health workforce for more than a year who return to work in hospitals and residential aged care. These nurses will be paid $3,000 after six months of being back in the nursing workforce and a further $3,000 after 18 months. Hospitals and aged care providers will receive a contribution of $1,000 per re‑entry nurse to assist with the costs of re‑training and re‑skilling.

This measure is expected to bring up to 7,750 extra nurses into hospitals and up to 1,000 extra nurses into residential aged care over five years.

See also the related expense measure titled Health Workforce — additional higher education nursing places in the Education, Employment and Workplace Relations portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Advisory Council on Mental Health

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $2.4 million over three years from 2008‑09 to establish a National Advisory Council on Mental Health. The Council will provide the Government with independent advice from experts on mental health and will assist the coordination of Commonwealth, State and Territory mental health services so as to improve support for people with mental illness and their carers.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — breast prostheses

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.2 14.5 2.4 6.8 7.2

The Government will provide $31.0 million over five years to the National Breast Cancer Centre to allow all Australian women who have had a mastectomy as a result of breast cancer to access external prostheses. Breast cancer takes the lives of more Australian women than any other cancer and this funding will assist women affected by this form of cancer. The measure will allow for the replacement of prostheses every two to five years.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — Comprehensive Cancer Centre in Sydney

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 2.0 40.0 8.0 -

The Government will provide up to $50.0 million over three years for the establishment of the Comprehensive Cancer Centre in Sydney, which will be co‑located with the Royal Prince Alfred Hospital. The Centre will combine cancer treatment facilities with cancer research facilities and will also pursue academic training, clinical training and career development for young cancer specialists and researchers in all disciplines. The Centre will also provide outreach cancer care services to regional New South Wales.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — increased funding for cancer research

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Cancer Australia - 5.0 5.0 5.0 -

The Government will provide $15.0 million over three years for additional independent clinical trials of drugs and research into cancer treatment. This funding will double Commonwealth support of cancer clinical trials and will accelerate the search for new treatments to improve the lives and survival rates of people with cancer.

The funding will provide for approximately nine multi‑centre clinical trials and up to four new national cooperative cancer clinical trial groups.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — National Bowel Cancer Screening Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 30.7 27.1 29.3 -
Medicare Australia - .. .. .. -
Total - 30.8 27.2 29.4 -

The Government will provide $87.4 million over three years to fund bowel screening scheme for 50, 55 and 65 year olds. This funding will also provide for an information line to assist participants and to allow States and Territories to provide coordination services. It will also lead quality assurance activities for colonoscopy and data reporting. Early detection through effective screening will mean increased chances of survival and recovery from bowel cancer.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — National Centre for Gynaecological Cancers — additional funding

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Cancer Australia - 1.7 1.7 1.7 -

The Government will provide $5.1 million over three years to support the work of the National Centre for Gynaecological Cancers. The funding will assist the Centre in its support of women affected by gynaecological cancers, their families and carers by supporting research and clinical trials. The Centre also provides information to those involved in the treatment of gynaecological cancers.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — Olivia Newton‑John Cancer Centre

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 5.0 10.0 - -

The Government will provide $15.0 million over two years towards the establishment of the Olivia Newton‑John Cancer Centre at the Austin Hospital in Melbourne. The centre will be a purpose‑built facility that will combine cancer treatment services with the clinical research programs currently run by Austin Health and the International Ludwig Institute for Cancer Research. The centre will have a focus on improving support for cancer patients and their families, and will provide training for medical oncology and specialist cancer nursing and allied health staff.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — prostate cancer research centres

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.0 3.0 3.0 3.0

The Government will provide $15.0 million over five years (including $3.0 million in 2012‑13) to establish Australia's first two dedicated prostate cancer research centres. The centres will co‑ordinate research more effectively and develop improved diagnostic tests, screening tools and treatments for prostate cancer.

The centres will develop non‑invasive diagnostic tests to help underpin possible future population screening and prevention. The centres will also develop new therapies and identify accurate markers to assist in the prediction of treatment response.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Cancer Plan — youth cancer networks

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 5.0 5.0 5.0 -

The Government will provide $15.0 million over three years to CanTeen to assist in the establishment of youth cancer networks, including wards and services for adolescents and young adults with cancer. The funding will contribute towards facilities for treatment and support, including social and emotional support, for adolescents and young adults with cancer, and will facilitate participation in clinical trials to assess new cancer technologies.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — National Health and Hospitals Reform Commission — establishment

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 2.2 4.6 - - -

The Government will provide $6.9 million over two years to establish the National Health and Hospitals Reform Commission. The Commission will advise and report on a long‑term health reform plan to improve the performance of the health system. The plan will address the need to reduce inefficiencies; better integrate and coordinate care across the health sector; bring a greater focus on prevention to the health system; improve the provision of health services in rural areas; improve indigenous health outcomes; and provide a well qualified and sustainable health workforce in the future.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Preventative Health — Healthy guidelines for early childhood obesity reduction

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.5 1.0 1.0 1.0 1.0

The Government will provide $4.5 million over five years to develop and distribute guidelines on healthy eating and physical activity to early childhood and child care providers. These guidelines will help ensure the health and wellbeing of children by providing guidance on nutritious food and exercise appropriate to pre‑schools, childcare centres and other early childhood settings.

See also the related expense measure titled Early childhood education — universal access in the Education, Employment and Workplace Relations portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Preventative Health — Healthy Habits for Life Guide

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 1.4 1.5 - - -

The Government will provide $2.9 million over two years to produce a Healthy Habits for Life guide providing practical information to help parents assist their children to develop healthy dietary and exercise habits.

This measure will be partially offset by the related savings measure titled Healthy, Active Australia — Promoting Healthy Living in the Innovation, Industry, Science and Research portfolio.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Preventative Health — National Preventative Health Strategy

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.5 1.0 1.0 1.0 1.0

The Government will provide $4.5 million over five years to develop a national preventative health strategy. The strategy will tackle the burden of chronic disease caused by obesity, tobacco usage and excessive alcohol consumption. A taskforce will be established to support the strategy and will compile the relevant data, provide advice to policy makers, provide support to clinicians and help build inter‑governmental and public‑private partnerships to address the key issues. The taskforce will be supported by a dedicated secretariat within the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Preventative Health — Obesity Reduction — learning from successful community initiatives

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.4 0.4 0.4 0.4 -

The Government will provide $1.7 million over four years to encourage successful community initiatives to tackle obesity. Funding will be provided to the Collaboration of Community‑based Obesity Prevention Sites which has been developed by the World Health Organisation Collaborating Centre for Obesity Prevention.

The type of community projects that will be analysed by the Collaboration of Community‑based Obesity Prevention Sites include the Romp and Chomp program, which is a community response to childhood obesity in Geelong, Victoria, focusing on healthy eating and active play. The lessons learned from these projects will be shared with other communities that would like to be involved in similar activities.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Preventative Health — Osborne Division of General Practice's Obesity Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $235,000 over four years from 2008‑09 to the Osborne Division of General Practice's Obesity Program. This is a community‑based intervention program which includes professional development for general practitioners on how best to work with patients to tackle obesity; talks by general practitioners in schools; and family‑based interventions, including workshops and counselling on diet and nutrition.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Radiation oncology — funding contribution for services in Cairns

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 1.0 3.3 2.0 2.0

The Government will provide $8.3 million over four years as a contribution towards a radiation oncology facility in the Cairns area. This measure will improve access to radiation oncology services for people living in Cairns and the surrounding region.

See also the related expense measure titled Health and Hospitals Reform — Radiation oncology — funding for Lismore Integrated Cancer Centre in the Health and Ageing portfolio and the related savings measure Radiation oncology — redirect funds to establish oncology facilities in Cairns and Lismore in the Responsible Economic Management package of measures.

The measure delivers on the Government's election commitment.

Health and Hospitals Reform — Radiation oncology — funding for Lismore Integrated Cancer Centre

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.5 3.5 - -

The Government will provide $7.0 million over two years towards the completion of the Lismore Integrated Cancer Centre for the provision of radiotherapy and oncology services in Lismore, New South Wales, and the surrounding region. This is in addition to the $8.0 million previously committed by the Australian Government to this project and is consistent with the Government's aim of enhancing access to medical services for cancer patients.

See also the related expense measure titled Health and Hospitals Reform — Radiation oncology — funding contribution for services in Cairns in the Health and Ageing portfolio and the related savings measure Radiation oncology — redirect funds to establish oncology facilities in Cairns and Lismore in the Responsible Economic Management package of measures.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Rural Health — additional funding for John Flynn Placement Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 0.3 0.9 1.4 2.0

The Government will provide $4.6 million over four years to expand the John Flynn Placement Program, with an additional 150 places commencing each year. The total number of places through the program will increase from 600 in 2008 to 1,200 in 2012.

The John Flynn Placement Program helps support medical services in regional areas by providing financial assistance for medical students to undertake placements in rural and remote communities, for a minimum of two weeks per year for four years.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Rural Health — additional funding for the Medical Specialist Outreach Assistance Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.0 3.0 3.0 3.0

The Government will provide $12.0 million over four years for the Medical Specialist Outreach Assistance Program. The Medical Specialist Outreach Assistance Program improves access to specialist health services in rural and remote areas by providing funding to specialists to support the provision of services to these areas. Under the program, payments are also made to visiting specialists who provide professional support to local GPs and specialists.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Rural Health — Australian Allied Health Rural and Remote Clinical Placement Scholarship program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 0.8 0.8 0.8 -

The Government will provide $2.5 million over three years to provide scholarships for allied health students who undertake clinical placements in rural and remote communities.

The scholarships will enhance allied health services in regional areas and will be available to students in disciplines such as psychology, occupational therapy, physiotherapy and podiatry starting in the 2009 academic year.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Rural Health — National Rural and Remote Health Infrastructure Program

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $1.9 million in 2008‑09 for a number of rural medical infrastructure projects. The projects will be funded under the National Rural and Remote Health Infrastructure Program which has been established through a merger of the previous Rural Medical Infrastructure Fund and the Rural Private Access programs. The Rural Medical Infrastructure Fund was formerly in the Department of Infrastructure, Transport, Regional Development and Local Government portfolio and has been transferred to the Department of Health and Ageing to allow for better integration with other rural and remote health programs. The National Rural and Remote Health and Infrastructure Program provides grants to improve access to medical infrastructure to ensure quality health services in rural and remote communities. Provision for this funding has already been included in the forward estimates.

This measure delivers on the Government's election commitment.

Health and Hospitals Reform — Rural health — Specialist Obstetrician Locum Scheme

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 1.9 2.0 2.0 2.0

The Government will provide $7.9 million over four years to subsidise the cost of specialist obstetrician locums working in rural and regional areas. The funding will subsidise the wages, travel costs and medical registration of specialist obstetrician locums who participate in the scheme and is aimed at increasing access to obstetric services in rural areas.

This measure delivers on the Government's election commitment.

Other measures

Health and Hospitals Reform — COAG — additional funding for public hospitals

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 500.0 - - - -

The Government will provide $1.0 billion to State and Territory governments through the Australian Health Care Agreements to help meet the demand for services in public hospitals. The existing Health Care Agreements have been extended by twelve months to coincide with the new framework for Special Purpose Payments agreed between the Commonwealth and States and Territories. Provision for funding of $512.5 million in 2008‑09 has already been included in the forward estimates. This funding will mean that more people will be able to receive the hospital services they need.

Overall, this will result in an increase in Commonwealth funding for public hospitals between 2006‑07 and 2008‑09 of more than 10 per cent. This reverses the national trend of Commonwealth cut‑backs to hospital funding over the past five years.

See also the related expense measure titled Elective Surgery Waiting List Reduction Plan in the Health and Ageing portfolio.

Health and Hospitals Reform — National Binge Drinking Strategy — community partnerships

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $14.5 million over four years to strengthen partnerships with sporting and other non‑government organisations to counter binge drinking by young people. Support will be provided for projects such as information campaigns, the development of codes of conduct and for local community organisations to work with police to address underage drinking. This is part of the Government's commitment to working with communities, parents and young people to tackle the binge drinking problem.

See also the related revenue measure titled Excise and customs duty — increased rates on 'other excisable beverages' in the Treasury portfolio.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

Health and Hospitals Reform — National Binge Drinking Strategy — early intervention

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $19.1 million over four years to support early intervention and diversion programs for people under the age of 18 involved in binge drinking. The Government will seek support from State governments and health organisations for at least one pilot project in each State. This could include requiring young people to participate in education and diversionary activities and allowing police to confiscate alcohol or provide formal warnings. This is part of the Government's commitment to working with communities, parents and young people to tackle binge drinking.

See also the related revenue measure Excise and customs duty — increased rates on 'other excisable beverages'.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

Health and Hospitals Reform — National Binge Drinking Strategy — education and information campaign

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $20.0 million over two years to deliver a television, radio and internet campaign that will confront young people with the costs and consequences of binge drinking. The campaign will draw on the lessons of previous effective campaigns such as those addressing smoking, the road toll and HIV/AIDS. This is part of the Government's commitment to working with communities, parents and young people to tackle the binge drinking problem.

See also the related revenue measure Excise and customs duty — increased rates on 'other excisable beverages'.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

Health and Hospitals Reform — National Cancer Plan — additional funding for the National Tobacco Strategy

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 2.5 5.0 5.0 2.5

The Government will provide $15.0 million over four years to expand the National Tobacco Strategy. This measure is targeted at reducing smoking rates, especially among young people, as part of the Government's efforts to prevent diseases such as cardiovascular disease and cancer. It will include communication campaigns, research, evaluation and implementation of best practice in smoking prevention programs. This additional support will bring total Government funding for the program to approximately $40 million over four years.

Other measures in the Health and Ageing portfolio

Election Commitments

2011 World Sailing Championships

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 1.0 2.0 2.0 3.6

The Government will provide $8.6 million over four years to help stage the 2011 World Sailing Championships off the coast of Western Australia. This funding will assist with costs such as travel, shipping, community activities and training programs. This funding matches the funding provided by the Western Australian Government for the event.

This measure delivers on the Government's election commitment.

Breastfeeding mothers — funding for a 24‑hour helpline

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 0.5 0.5 0.5 0.5 0.5

The Government will provide $2.5 million over five years to the Australian Breastfeeding Association to set up a national toll‑free 24‑hour helpline to support new mothers who are breastfeeding. This funding will allow the Association to expand its existing service to enable access to one‑to‑one expert support around the clock.

This measure delivers on the Government's election commitment.

Campbelltown Sports Stadium upgrade — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 6.0 2.0 - - -

The Government will provide $8.0 million over two years to assist in the upgrade of Campbelltown Stadium in Campbelltown, New South Wales. The upgrade will improve the functionality of the stadium, including through additional seating, refurbishment of player facilities, lift access to enable disabled access to all seating levels, upgrade of catering and toilet facilities and a portable electronic screen. This will facilitate greater use of the stadium by sporting groups.

This measure delivers on the Government's election commitment.

Counselling services — funding for the Sisters of Charity Outreach

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $1.3 million over four years from 2007‑08 to the Sisters of Charity Outreach to provide an additional 1,500 counselling sessions for approximately 400 people a year. The Sisters of Charity Outreach specialise in grief and trauma counselling services for people in the north‑west region of Tasmania.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

EnergyAustralia Stadium redevelopment — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 7.0 3.0 - - -

The Government will provide $10.0 million over two years to assist in the redevelopment of EnergyAustralia Stadium in Newcastle, New South Wales. This will provide a better facility for both spectators and players, and will include new seating and replacement of existing seating, and upgrades to player change rooms, warm up facilities and emergency services areas.

This measure delivers on the Government's election commitment.

Football Federation of Australia — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 8.0 8.0 - - -

The Government will provide $16.0 million over two years to the Football Federation of Australia to support the growth of football in Australia. This funding will provide support for activities including: a football facilities fund to deliver grants to local football clubs; Australia's participation in the 46‑member Asian Football Confederation; a televised national women's league; and coach, referee and volunteer education and recognition programs.

This measure delivers on the Government's election commitment.

Illicit drug use — targeting young people who use methamphetamines

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will tailor existing national education programs on illicit drugs (such as the National Illicit Drugs Campaign) to help combat methamphetamine use, particularly amongst young people aged 18‑25 years. Information will be disseminated to high risk groups such as through strategic sponsorship of major youth events.

The cost of this measure will be met from within the existing resources of the Department of Health and Ageing.

This measure delivers on the Government's election commitment.

Leichhardt Oval upgrade — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 3.0 - - - -

The Government will provide $3.0 million in 2007‑08 to upgrade Leichhardt Oval in Leichhardt, New South Wales. This will improve the functionality of the facility, including by increasing seating, ground resurfacing and drainage, improved public amenities and catering facilities and development of corporate and media facilities. The improvements to the Oval will facilitate its use by a range of community and sporting groups.

This measure delivers on the Government's election commitment.

Local sporting champions — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission - 1.6 1.6 1.6 1.6

The Government will provide $6.4 million over four years to provide grants to junior athletes to participate in significant or specialist sporting events which involve travel of more than 250 kilometres.

Grants of up to $500 for individuals and $3,000 per team will be available to people under 18 years of age to cover travel, accommodation, uniforms and equipment. This will enable more young people to be more engaged in sport, particularly those in rural and regional locations.

Matching funding for the program will be sought from corporate sponsors.

This measure delivers on the Government's election commitment.

Northern Territory Australian Football League and netball development — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission - 0.5 0.5 0.5 0.5

The Government will provide $2.5 million over five years (including $0.5 million in 2012‑13) to help a Northern Territory Australian Football League team participate in either the South Australian or West Australian, Australian Football League competitions. This measure will also assist with the development of junior Australian Football League and netball in the Northern Territory. This measure will help promote participation in sport and the development of sports people in the Northern Territory.

This measure delivers on the Government's election commitment.

Penrith Valley Sports Hub — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 5.0 - - -

The Government will provide $5.0 million to assist in the construction of a double sided grandstand connecting Penrith Football Stadium and Howell Cricket Oval in Penrith, New South Wales. This will provide a 4,000 seat spectator grandstand at Penrith Stadium; a new pavilion and clubhouse at Howell Oval; food and beverage facilities and shared amenities servicing both grounds; and multi‑purpose rooms to be used for sports administration, junior development activities, and sports injury treatment. The measure will facilitate increased use of the sports hub by a range of community and sporting groups.

This measure delivers on the Government's election commitment.

Perinatal depression — national plan

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 6.0 8.8 11.9 14.6

The Government will provide $55.0 million over five years (including $13.8 million in 2012‑13) to combat perinatal depression. This measure will provide for mothers to be screened before and after pregnancy by midwives, child and maternal health workers and general practitioners. This measure will also provide training for health professionals; improve follow up support and care for women assessed as 'at risk'; and establish research and data collection processes.

Funding of $5.0 million over five years will be provided to 'Beyondblue' to support the implementation of the National Perinatal Depression Plan. The Government will seek a funding contribution of $30.0 million toward this program from State and Territory governments.

This measure delivers on the Government's election commitment.

RecLink — support for national programs

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 0.6 0.6 0.6 0.6

The Government will provide $2.3 million over four years to assist RecLink to expand programs nationally and establish links between more than 200 community agencies. RecLink is a non‑profit organisation that runs sport and cultural programs to improve the lives of Australians suffering from drug and alcohol abuse, mental illness, social disconnection and homelessness. It currently operates only in Victoria. This measure will assist Reclink to help disadvantaged Australians re‑engage with life and their community by building self esteem and purpose through enjoyable and meaningful activities.

This measure delivers on the Government's election commitment.

Sport and Recreation Facilities — contribution to funding

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 13.9 6.9 - -

The Government will provide $20.8 million over two years to fund 91 community sport and recreation facilities as a part of its commitment to increasing participation in sport through developing accessible community facilities. Contributions to these projects will also be made by private and community sector organisations.

Significant projects funded through this measure include $1.5 million for the Parramatta Cycleways in New South Wales, $3.0 million for the Hidden Valley International Dragstrip in the Northern Territory, $200,000 for the community sports field upgrade on Palm Island, Queensland, $1.0 million for the North East Hockey Club in South Australia, $750,000 for the Low Head to George Town Recreation Trail in Tasmania, $550,000 for the Mallacoota Pathways in Victoria and $1.0 million for Macedonia Park in Western Australia.

This measure is part of the Government's approach to preventative health and tackling obesity through increasing participation in sport and tackling mental health problems through increasing participation in meaningful recreation activity.

This measure delivers on the Government's election commitments.

Western Australia's Children's Health Telethon — donation

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 1.5 - - - -

The Government will provide $1.5 million in 2007‑08 to the Telethon organisation to support its work in Western Australia. Telethon is a charitable trust benefiting the Princess Margaret Hospital for Children, the Telethon Institute for Child Health Research and the Telethon Speech and Hearing Centre. It holds an annual televised fundraising event, also called Telethon, in conjunction with Channel 7 Perth.

This measure delivers on the Government's election commitment.

Other measures

Aged Care — Conditional Adjustment Payment — increase

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 80.0 84.4 88.8 91.7
Department of Veterans' Affairs - 14.6 15.4 16.2 16.7
Total - 94.6 99.7 104.9 108.3

The Government will provide $407.6 million over four years to increase the Conditional Adjustment Payment to aged care providers from 7.0 per cent to a total of 8.75 per cent of the recurrent basic subsidy in 2008‑09. This increase in funding is in addition to annual indexation of the subsidy and is conditional on providers making audited financial statements publicly available, participating in a periodic workforce census and encouraging staff training.

This additional funding will contribute to maintaining the financial viability of aged care providers.

Aged Care — increased funding for the National Seniors' Association

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $0.8 million over five years to the National Seniors' Association to enable it to continue providing advice on issues affecting older Australians.

The additional funding to the National Seniors Association will bring its level of Government funding in line with that provided to Council on the Ageing Over 50s Limited.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing.

Australian Equestrian Olympic Team — support following equine influenza

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Agriculture, Fisheries and Forestry - - - - -
Australian Sports Commission - - - - -
Department of Health and Ageing - - - - -
Total - - - - -

The Government will provide $1.5 million in 2008‑09 to the Equestrian Federation of Australia to assist in preparations for the Beijing Olympic Games in the aftermath of the recent equine influenza outbreak. The funding will allow prospective Olympic riders, horses and support staff to travel overseas to access training, competition and Olympic qualification opportunities not available in Australia.

The cost of this measure will be met from within the existing resourcing of the Department of Health and Ageing and the Department of Agriculture, Fisheries and Forestry.

Australian Paralympic Committee — additional contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission - - - - -

The Government will provide $22.8 million over five years to assist the Australian Paralympic Committee to prepare for major upcoming sporting events, including the Beijing and London Summer Paralympics in 2008 and 2012 respectively and the Vancouver Winter Paralympics in 2010. This funding includes $8.0 million for the Australian Paralympic Committee, $1.0 million for televising the Beijing Paralympics and $13.8 million to assist athletes in their preparations for major sporting events.

This is part of the Government's commitment to ensure that appropriate programs, resources and facilities exist for Paralympic and disability sport.

Provision of funding has already been included in the forward estimates.

Australian Red Cross Blood Service — support The Year of the Blood Donor initiative

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
National Blood Authority - - - - -

The Government will provide $2.0 million in 2007‑08 to the Australian Red Cross Blood Service to support increased marketing activities to encourage people to donate blood.

Provision for this funding has already been included in the forward estimates.

Australian Sports Anti‑Doping Authority — facilitating compliance with the World Anti‑Doping Code

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Anti-Doping Authority - 4.3 - - -
Australian Sports Anti-Doping Authority - 0.1 - - -

The Government will provide $4.4 million in 2008‑09 to continue funding for the Australian Sports Anti‑Doping Authority's education programs, athlete testing regime, investigation and prosecutions framework and the Athletes Whereabouts tracking system used to monitor the location of athletes for random testing purposes. These programs will facilitate Australia's compliance with the revised World Anti‑Doping Code.

This measure is part of the Government's commitment to the abolition of performance enhancing drugs in sport and to increasing participation in physical and recreational activities to promote physical and mental health. Further funding for these activities beyond 2008‑09 will be informed by the outcome of a review into Australian Sports Anti‑Doping Authority's cost recovery arrangements.

Australian Sports Commission — maintenance of sports grants funding

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission 0.5 2.2 1.9 1.7 1.3

The Government will provide $7.6 million over five years to the Australian Sports Commission to ensure that funding paid as grants to sporting organisations by the Australian Sports Commission is not affected by the additional 2 per cent efficiency dividend that has been applied to Commonwealth agencies. This will assist the Australian Sports Commission to continue to deliver the Government's sporting outcomes.

Bradman Centenary Project — contribution to the construction of two new wings at the Bradman Museum

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $6.5 million in 2007‑08 as a one‑off contribution to meet the cost of expanding the Bradman Museum in Bowral, New South Wales. The funding will enable the construction of two new wings of the Bradman Museum, to house the International Cricket Hall of Fame and to better display the modern game of cricket.

Provision for this funding has already been included in the forward estimates.

Cricket Australia Centre of Excellence — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $17.5 million in 2007‑08 to Cricket Australia to assist in the redevelopment of the Cricket Australia Centre of Excellence, based at the Allan Border Field in Brisbane.

Provision for this funding has already been included in the forward estimates.

Grafton Hospital

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $18.0 million in 2007‑08 for the upgrade of the accident and emergency department and three operating theatres at Grafton Hospital in New South Wales. This funding will no longer be tied to the condition of a hospital board being established at Grafton Hospital.

Provision for this funding has already been included in the forward estimates.

Greenslopes Private Hospital — funding for a clinical school

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $13.0 million over two years (including $11.7 million in 2007‑08) to establish a specialist clinical training school at Greenslopes Private Hospital in Brisbane, Queensland. The new school will offer up to 60 training places a year to medical students from the University of Queensland.

Provision for this funding has already been included in the forward estimates.

Hepatitis C Litigation Settlement Scheme — continuation

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 1.4 1.4 1.4 1.4

The Government will provide $5.6 million over four years for the continuation of the Hepatitis C Litigation Settlement Scheme.

This scheme provides a contribution to the State and Territories' schemes to administer the out‑of‑court settlement costs for eligible individuals who contracted Hepatitis C through the blood supply between the years of 1985 and 1991. The Scheme has been extended due to the time taken for claims to be made and to address claims that are now being submitted for the secondary infection of children in‑utero.

Human Papilloma Virus Register — completion

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 4.7 6.9 4.9 2.5 -

The Government will provide an additional $19.0 million over four years to complete the development of, and provide operating costs for, an electronic register for women vaccinated against Human Papilloma Virus. Funding will also provide operating costs for a call centre to assist women and parents of children participating in this program to access vaccination information. The register will record the immunisation status of participants and will be used to recall women for booster doses if required.

Insulin Pumps — subsidy for young people with type 1 diabetes

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 1.0 1.4 1.5 1.6

The Government will provide $5.5 million over four years to provide subsidies of up to $2,500 towards the cost of insulin pumps for people under the age of 18 who have type 1 diabetes, where insulin pump therapy is deemed clinically necessary.

Families with incomes of less than $59,842 will be eligible for the maximum subsidy of $2,500. Families with incomes of between $59,842 and $98,386 will be eligible for a sliding scale of subsidy ranging from $500 to $2,500. Families with incomes above $98,386 will be eligible for a subsidy of $500. The income thresholds will be indexed on 1 July each year.

Insulin pumps are medical devices designed to deliver a continuous flow of insulin. Insulin pump therapy results in greater blood glucose control and lower rates of hypoglycaemia. Greater blood glucose control reduces the severity and incidence of health complications associated with type 1 diabetes.

This measure includes funding for Centrelink to administer means testing, which includes the setup costs and processing time required for Centrelink to determine eligibility for a subsidy.

Life Saving Drugs Program — funding for Naglazyme® (galsulfase)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 4.9 6.3 6.8 7.3

The Government will add Naglazyme® (galsulfase) to the Life Saving Drugs Program for the treatment of Mucopolysaccharidosis Type VI, at an estimated cost of $25.3 million over four years.

Mucopolysaccharidosis Type VI is an extremely rare, enzyme deficiency disorder that leads to widespread disruption of tissues and organs. Naglazyme will be made available to those eligible under approved treatment guidelines. This addition to the program follows a recommendation made by the Pharmaceutical Benefits Advisory Committee, which determined that Naglazyme® was clinically effective but did not meet the necessary cost‑effectiveness requirements to be listed on the Pharmaceutical Benefits Scheme.

Medicare Benefits Schedule — knee and brain Magnetic Resonance Imaging services

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -
Department of Veterans' Affairs - - - - -
Medicare Australia - - - - -
Total - - - - -

The Government has made provision for $13.1 million over four years to list new items on the Medicare Benefits Schedule which will allow a general practitioner to directly refer a patient for a Magnetic Resonance Imaging of their knee or brain.

Provision for this funding has already been included in the forward estimates.

Mental Health Nurses Training Subsidy — additional funding and redevelopment

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 5.0 10.0 10.0 10.0

The Government will provide an additional $35.0 million over four years to provide up to 1,070 new post‑graduate and Masters degree scholarships for mental health nurses of which over 100 will be specifically targeted to nurses in rural and remote areas. This funding will also provide for up to 222 new post‑graduate and Masters scholarships for psychologists in rural and regional areas. Provision within this funding has also been made to allow for additional professional support for mental health nurses and psychologists, and to enhance the national accreditation process for qualified mental health nurses currently run by the Australian College of Mental Health Nurses.

This measure will improve access to post‑graduate and Masters programs to help address the current shortage of qualified mental health nurses and psychologists. This measure will also have a focus on nurses practising in rural and remote areas, through targeted marketing and assistance with the cost of training in rural areas.

National Cord Blood Collection Network

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - -2.8 -2.8

The Government will continue to fund the National Cord Blood Collection Network in 2008‑09 and 2009‑10. The Cord Blood Collection Network collects and stores donated placental cord blood to be used to treat child and adult blood cancers, particularly leukaemia.

Provision for the funding for the National Cord Blood Collection Network has been included in the forward estimates. This measure will continue funding of $2.7 million in 2008‑09 and $2.7 million in 2009‑10.

Funding for the Network beyond 2009‑10, previously included in the forward estimates, will be considered following a review of the National Cord Blood Collection Network due to be completed by January of 2010. Funding has been removed from 2010‑11 and 2011‑12 pending that review.

National recreation safety organisations — continuation of funding

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 2.5 2.5 2.5 2.5

The Government will provide $10.0 million over four years to continue funding four National Recreation Safety Organisations: Surf Life Saving Australia, the Royal Life Saving Society Australia, AUSTSWIM and the Australian Ski Patrol Association. This funding will help meet operational costs to enable these organisations to continue to deliver water and snow safety programs aimed at reducing the number of aquatic and skiing accidents and deaths in Australia.

Netball Australia — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission - - - - -

The Government will provide $2.4 million over three years to Netball Australia. The funding includes $1.0 million in 2007‑08 to assist Netball Australia to establish the ANZ Championship (a new national netball league); $0.2 million in 2007‑08 to establish a National Indigenous Netball Strategy; and $1.2 million over three years to establish a Junior Participation Program.

Provision for this funding has already been included in the forward estimates.

Pambula Surf Life Saving Club — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $90,000 in 2007‑08 to the Pambula Surf Life Saving Club in New South Wales, to complete the establishment of a new club house and community facility.

Provision for this funding has already been included in the forward estimates.

Pharmaceutical Benefits Scheme — extension to the listing of Remicade® (infliximab)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -
Department of Veterans' Affairs - - - - -
Medicare Australia - - - - -
Total - - - - -

The Government has extended the listing of Remicade® (infliximab) on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme from 1 December 2007, at an estimated cost of $25.5 million over four years from 2007‑08. This includes funding for administering payments through Medicare Australia.

The extension to the listing will provide subsidised access for patients with severe chronic plaque psoriasis.

Each patient requires approximately seven treatments per year resulting in an average annual cost to the Pharmaceutical Benefits Scheme of $23,600 per patient. General consumers will pay a $31.30 co‑payment per prescription and concession card holders will pay a $5.00 co‑payment per prescription.

Provision for this funding has already been included in the forward estimates.

Pharmaceutical Benefits Scheme — extension to the listing of Topamax® (topiramate)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -
Department of Veterans' Affairs - - - - -
Medicare Australia - - - - -
Total - - - - -

The Government has extended the listing of Topamax® (topiramate) on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme from 1 December 2007 at an estimated cost of $39.1 million over four years from 2007‑08. This includes funding for administering payments through Medicare Australia.

The extension to the listing will provide subsidised access for suitable patients who suffer from severe migraines.

Each patient requires approximately 12 scripts per year resulting in an annual average cost to the Pharmaceutical Benefits Scheme of $720 per patient. General consumers will pay a $31.30 co‑payment per prescription and concession card holders will pay a $5.00 co‑payment per prescription.

Provision for this funding has already been included in the forward estimates.

Pharmaceutical Benefits Scheme — listing of Champix® (varenicline)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 12.1 23.8 19.3 19.7 19.0
Department of Veterans' Affairs 0.2 0.5 0.4 0.4 0.3
Medicare Australia 0.2 0.3 0.3 0.3 0.3
Total 12.6 24.6 20.0 20.3 19.6

The Government has, listed Champix® (varenicline) on the Pharmaceutical Benefits Scheme and the Repatriation Pharmaceutical Benefits Scheme, from the 1 January 2008, at an estimated cost of $97.1 million over five years. This includes funding for administering payments through Medicare Australia.

Champix® is used as a short‑term treatment to help people stop smoking and will be restricted to one course of treatment per person per year. The average cost to the Pharmaceutical Benefits Scheme of providing Champix will be approximately $203 per course of treatment. Each course of treatment requires two prescriptions. General consumers will pay a $31.30 co‑payment per prescription and concession card holders will pay a $5.00 co‑payment per prescription.

Pharmaceutical Benefits Scheme — listing of Renagel® (sevelamer)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -
Department of Veterans' Affairs - - - - -
Medicare Australia - - - - -
Total - - - - -

The Government has listed Renagel® (sevelamer) on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme from 1 December 2007, at an estimated cost of $65.2 million over four years from 2007‑08. This includes funding for administering payments through Medicare Australia.

Renagel® is listed for the treatment of phosphate build‑up that occurs to patients suffering from kidney failure who are on dialysis.

Each patient requires approximately 16 scripts per year resulting in an annual average cost to the Pharmaceutical Benefits Scheme of $5,700 per patient. General consumers will pay $31.30 co‑payment per prescription and concession card holders will pay $5.00 co‑payment per prescription.

Provision for this funding has already been included in the forward estimates.

Pharmaceutical Benefits Scheme — listing of Sensipar® (cinacalcet)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 34.0 37.8 40.4 43.0
Department of Veterans' Affairs - 2.7 2.8 2.8 2.9
Medicare Australia - .. .. .. ..
Total - 36.7 40.6 43.2 45.8
Department of Health and Ageing - nfp nfp nfp nfp

The Government will list Sensipar® (cinacalcet) on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme, from 1 July 2008 at an estimated cost of $166.4 million over four years. This includes funding for administering payments through Medicare Australia and additional expenditure under the Medicare Benefits Schedule for greater monitoring of patient hormone levels. A pricing agreement negotiated between the Government and the drug manufacturer allows for offsets to the gross cost of Sensipar.

Sensipar® is used to treat secondary hyperparathyroidism in patients with chronic kidney disease who are on dialysis and will be available on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme under a restricted authority for dialysis patients who have parathyroid hormone and calcium levels within specific concentrations.

Each patient requires approximately 13 scripts per year resulting in an annual average cost to the Pharmaceutical Benefits Scheme of $12,600 per patient. General consumers will pay a $31.30 co‑payment per prescription and concession card holders will pay a $5.00 co‑payment per prescription.

Pharmaceutical Benefits Scheme — listing of Tysabri® (natalizumab)

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 48.4 77.9 100.8 119.6
Department of Veterans' Affairs - 3.8 5.5 6.7 7.6
Total - 52.2 83.4 107.5 127.1
Department of Health and Ageing - nfp nfp nfp nfp

The Government will, from 1 July 2008, list Tysabri® (natalizumab) on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme, at an estimated cost of $370.2 million over four years. This includes additional expenditure under the Medicare Benefits Schedule for the administration of the drug via infusion. A pricing agreement negotiated between the Government and the drug manufacturer allows for offsets to the gross cost of Tysabri.

Tysabri® is used to reduce the symptoms associated with relapsing‑remitting multiple sclerosis. It will be available on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme under an authority restriction for individuals over 18 years old who have experienced two documented attacks of neurological dysfunction in the previous two years, which is believed to be due to multiple sclerosis, and who have had Magnetic Resonance Imaging of the brain and spinal cord.

Each patient requires approximately 13 scripts per year resulting in an average annual cost to the Pharmaceutical Benefits Scheme of $23,700 per patient. General consumers will pay a $31.30 co‑payment per prescription and concession card holders will pay a $5.00 co‑payment per prescription.

Pharmaceutical Benefits Scheme — minor new listings

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing 12.7 29.8 36.0 39.8 41.8
Department of Veterans' Affairs 1.0 4.0 4.2 4.3 4.5
Medicare Australia 0.1 0.8 0.8 1.0 0.8
Total 13.8 34.6 41.0 45.1 47.0

The Government has agreed to a number of minor new listings on the Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme since the Mid‑Year Economic and Fiscal Outlook 2007‑08, at a cost of $181.5 million over five years. This includes funding for administering payments through Medicare Australia.

The minor new listings (including extensions to Pharmaceutical Benefits Scheme listings) are medicines that have been listed at either no additional cost to the Budget (because they replace existing listings) or at an estimated cost each of less than $10.0 million per annum.

Minor new listings include:

  • Alimta® for the treatment of mesothelioma;
  • Velcade® for the treatment of multiple myeloma in patients who have failed other specific therapies;
  • Dysport® for the treatment of moderate to severe spasticity of the upper limbs as a result of stroke;
  • Glivec® for the treatment of acute lymphoblastic leukaemia; and
  • Tykerb® for the treatment of advanced or metastatic breast cancer in patients who have failed other specific therapies.

Further information can be found in the press releases of 1 January 2008, 1 February 2008, 1 April 2008, 8 April 2008 and 1 May 2008 issued by the Minister for Health and Ageing and the updates to the Schedule of Pharmaceutical Benefits issued by the Department of Health and Ageing.

Punt Road Oval — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $2.0 million in 2007‑08 as a one‑off contribution towards the development of Punt Road Oval in Richmond, Victoria. The development includes an indoor sports centre to house community sports, community swimming change rooms and new football change rooms. This will facilitate increased use of the oval by a range of community and sporting groups.

Provision for this funding has already been included in the forward estimates.

Ray Owen Sports Centre — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government will provide $0.2 million in 2007‑08 as a one‑off payment towards the upgrade and refurbishment of the Ray Owen Sporting Centre in Lesmurdie, Western Australia. The funding will assist the centre to complete the upgrade and refurbishment of the basketball and netball courts and associated facilities. The upgrade to the centre will facilitate its use by a range of community and sporting groups.

Provision for this funding has already been included in the forward estimates.

Saving lives in the water

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - 3.2 3.0 3.0 3.0

The Government will provide $12.2 million over four years to assist national water safety organisations reduce injuries and deaths from drowning in Australia.

Organisations such as Surf Life Saving Australia, the Royal Life Saving Society Australia and AUSTSWIM will receive $8.0 million over four years to support a range of national projects and priority initiatives identified in the new Australian Water Safety Strategy 2008‑11. This may include projects such as benchmarking the water safety skills of children, increasing access to water safety skills programs, developing teacher resources and boosting beach safety programs.

A further $4.2 million will be provided, including to support the Kids Alive initiative to reduce drowning injuries and deaths in the 0‑4 years age group and includes the distribution of a DVD featuring water safety messages to parents of every child born in Australia.

See also the related expense measure titled National recreation safety organisations — continuation of funding in the Health and Ageing portfolio.

Special Olympics Australia — increased funding

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Australian Sports Commission - 0.3 0.3 0.3 0.3

The Government will provide $1.2 million over four years to Special Olympics Australia. This organisation provides year‑round training and competition for children and adults with intellectual disability to help them get fit, develop skills, make friends and be part of the community. The Special Olympics is open to all Australians with an intellectual disability.

Sydney 2009 World Masters Games — contribution

Expense ($m)
2007‑08 2008‑09 2009‑10 2010‑11 2011‑12
Department of Health and Ageing - - - - -

The Government has provided $8.5 million in 2007‑08 to contribute to the Sydney World Masters Games in 2009. The Sydney World Masters Games are the largest multi‑sport event in the world in terms of participant numbers, with approximately 30,000 mature‑age sports men and women expected to participate in 28 sporting events.

Provision for this funding has already been included in the forward estimates.

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