Australian Government, 2012‑13 Budget
Budget

Part 2: Payments for Specific Purposes (Continued)

Health

In 2012‑13, the Commonwealth will provide funding of $15.5 billion to support state health services.

Under the National Health Reform arrangements, the National Healthcare SPP will be replaced by National Health Reform funding from 1 July 2012.

Table 2.4 provides information on payments to support state health services, including additional investments and reforms under the National Health Reform arrangements.

Table 2.4: Payments to support state health services

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Healthcare SPP 12,697.8 - - - -
National Health Reform funding - 13,518.2 14,383.0 15,943.6 17,639.2
National Partnership payments          
National Health Reform 880.6 663.9 803.2 99.5 99.5
Health infrastructure 970.2 566.8 434.7 395.6 504.1
Health services 101.7 44.9 50.2 48.4 49.9
Indigenous health 46.5 59.7 31.2 10.8 2.7
Mental health 9.0 71.5 100.8 121.8 125.5
Preventive health 100.3 151.2 196.6 235.9 -
Other health payments 597.1 383.3 469.2 429.0 308.7
Total 15,403.2 15,459.5 16,468.9 17,284.6 18,729.5

National Health Reform Agreement

On 2 August 2011, COAG agreed to the National Health Reform Agreement.

This Agreement introduces new arrangements for the financing of public hospital services. The Agreement builds on and complements the policy outcomes, progress measures and outputs outlined in the National Healthcare Agreement.

Under the National Health Reform Agreement, the majority of the Commonwealth's funding for public hospital services will be provided under activity based funding arrangements with the price determined by the Independent Hospital Pricing Authority. Previously public hospital funding had been provided on a block grant basis under the National Healthcare SPP, leaving States to meet the full costs of any increases over and above the indexation provided under the SPP. From 1 July 2014 the Commonwealth will meet 45 per cent of the efficient growth of public hospital services, increasing to 50 per cent from 2017‑18.

The National Health Reform Agreement also introduces greater transparency in the expenditure of Commonwealth and State and Territory public hospital funding and accountability for the performance of hospitals and health services through the establishment of a National Health Funding Administrator and the National Health Performance Authority. The Administrator and the Authority will report regularly on payments through the National Health Funding Pool to public hospitals and the performance of public hospitals respectively.

National Healthcare Agreement

The National Healthcare Agreement affirms the commitment of the Commonwealth and the States to:

  • ensuring that there is a focus on health policy and the prevention of disease and injury and the maintenance of health, not simply the treatment of illness;
  • meeting the primary health care needs of all Australians efficiently through timely and quality care;
  • ensuring that people with complex care needs can access comprehensive, integrated and coordinated services;
  • providing timely and appropriate high quality hospital and hospital‑related care to all Australians;
  • meeting the needs of older Australians through high quality, affordable, health and aged care services that are appropriate to their needs, as well as enabling choice and seamless, timely transition within and across the different sectors;
  • ensuring all Australians experience best practice care that is suited to their needs and circumstances;
  • achieving health outcomes for Indigenous Australians (and those living in rural and remote areas) that are comparable to the broader population; and
  • a sustainable health system that can respond and adapt to future needs.

National Healthcare SPP funding and National Health Reform funding

The Commonwealth is currently providing National Healthcare SPP funding of $12.7 billion in 2011‑12. From 1 July 2012, the National Healthcare SPP will be replaced with National Health Reform funding.

In 2012‑13, National Health Reform funding will be $13.5 billion, equivalent to the amount that would have been provided under the previous National Healthcare SPP.

National Healthcare SPP and National Health Reform funding

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12                  
National Healthcare SPP 4,137.8 3,099.4 2,545.4 1,311.7 989.1 279.6 183.6 151.3 12,697.8
2012-13                  
National Health Reform funding                  
Hospital services 4,279.4 3,245.2 2,660.7 1,374.5 1,004.5 291.4 198.8 149.5 13,204.0
Public health 101.8 77.2 63.3 32.7 23.9 6.9 4.7 3.6 314.2
Total 4,381.2 3,322.5 2,724.0 1,407.2 1,028.4 298.4 203.5 153.0 13,518.2
2013-14                  
National Health Reform funding                  
Hospital services 4,501.1 3,500.7 2,861.3 1,486.6 1,017.0 311.2 228.4 142.4 14,048.7
Public health 107.1 83.3 68.1 35.4 24.2 7.4 5.4 3.4 334.3
Total 4,608.2 3,584.0 2,929.4 1,521.9 1,041.2 318.6 233.8 145.8 14,383.0
2014-15                  
National Health Reform funding(a)                  
Hospital services 4,966.1 3,872.5 3,195.0 1,653.0 1,131.5 341.3 262.6 166.0 15,587.9
Public health 113.6 88.7 72.6 37.9 25.6 7.8 5.8 3.6 355.7
Total 5,079.7 3,961.2 3,267.6 1,690.9 1,157.2 349.1 268.4 169.5 15,943.6
2015-16                  
National Health Reform funding(a)                  
Hospital services 5,469.0 4,278.5 3,557.5 1,835.5 1,255.2 373.9 299.6 191.6 17,260.8
Public health 120.5 94.5 77.4 40.6 27.2 8.3 6.2 3.8 378.5
Total 5,589.5 4,373.0 3,634.9 1,876.1 1,282.4 382.1 305.8 195.4 17,639.2

(a) The efficient growth funding component of National Health Reform funding in 2014‑15 and 2015‑16 is indicative only. The distribution of efficient growth funding will be determined by efficient growth in each State.

Growth factor

The Intergovernmental Agreement defines the growth factor for the National Healthcare SPP as the product of:

  • a health specific cost index (a five year average of the Australian Institute of Health and Welfare health price index);
  • the growth in population estimates weighted for hospital utilisation; and
  • a technology factor (the Productivity Commission derived index of technology growth).

In 2012‑13 and 2013‑14, National Health Reform funding will be equivalent to the National Healthcare SPP indexed by the growth factor defined in the Intergovernmental Agreement. The growth factor for the National Healthcare SPP is currently estimated to be 6.46 per cent in 2012‑13.

Under the National Health Reform Agreement, a component of the National Health Reform funding will be identified as public health funding, to be paid to State health departments. The States will have full discretion over the application of public health funding to the outcomes set out in the National Healthcare Agreement. This amount represents the sum of amounts identified under the National Healthcare Agreement relating to national public health, youth health services and essential vaccines (service delivery) in 2008‑09 ($244.0 million), indexed by the former National Healthcare SPP growth factor.

From 2014‑15, the Commonwealth will begin to increase its funding contribution to 50 per cent of the efficient growth in hospital costs. This will be done in two stages: increasing to 45 per cent in 2014‑15, and 50 per cent in 2017‑18.

Efficient growth funding will comprise:

  • for services funded on the basis of activity — the increase in the efficient price of delivering public hospital services, and the increase in service provision; and
  • for services funded on the basis of block grants — the increase in the efficient cost of delivering those services.

The efficient price will be determined annually by the Independent Hospital Pricing Authority.

The Commonwealth has guaranteed that its increased contribution will be at least $16.4 billion greater than the States would have received from the National Healthcare SPP between 2014‑15 and 2019‑20. If the amount required to fund the Commonwealth's public hospital growth commitment over this period is less than $16.4 billion, the residual amount will be paid to fund health services that will reduce the growth in demand for hospital services.

Additional information on the National Health Reform arrangements is provided in Part 1 of this Budget Paper.

National Partnership payments for health

In addition to National Health Reform funding, the Commonwealth will provide funding through National Partnerships to alleviate key pressure points to help meet the growing demand for hospital services. Further details on these National Partnerships and their components are provided below.

A total of $1.9 billion will be provided to the States in 2012‑13 under the following health categories:

  • National Partnerships supporting National Health Reform arrangements;
  • health infrastructure;
  • health services;
  • Indigenous health;
  • mental health;
  • preventive health; and
  • other health payments.

National Partnerships supporting National Health Reform arrangements

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
National Health Reform          
Improving Public Hospital Services          
Flexible funding pool for emergency departments,
elective surgery and subacute care
25.0 25.0 - - -
National emergency access target          
Capital funding 59.8 50.0 - - -
Facilitation and reward funding 98.8 50.0 50.0 50.0 50.0
National elective surgery target          
Capital funding 31.6 - - - -
Facilitation and reward funding 171.5 - 49.5 49.5 49.5
New subacute beds guarantee funding 387.9 446.5 625.5 - -
Financial assistance for long stay older patients 106.1 92.4 78.2 - -
Total 880.6 663.9 803.2 99.5 99.5

National Partnership on Improving Public Hospital Services

Several payments are provided under the National Partnership on Improving Public Hospital Services which implements the public patient access to elective surgery, emergency department and subacute care services elements of the National Health Reform Agreement. This National Partnership follows on from the National Partnership on the elective surgery waiting list reduction plan and the National Partnership on hospital and health workforce reform.

Flexible funding pool for emergency departments, elective surgery and subacute care component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 7.0 5.6 4.7 2.7 2.1 1.1 0.9 0.8 25.0
2012-13 7.0 5.6 4.7 2.7 2.1 1.1 0.9 0.8 25.0
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding to increase hospital capacity and improve services to patients through a flexible funding pool. The funding pool gives the States additional capacity to respond to capital and recurrent cost needs in the public hospital system in relation to emergency departments, elective surgery and subacute care.

National emergency access target

The Commonwealth is providing funding to expand capacity in the public hospital system and reduce the time taken to treat, admit or discharge patients in public hospital emergency departments as part of a reform to introduce a four hour national emergency access target for emergency department treatment.

Capital funding component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 14.5 11.4 9.6 5.4 12.1 1.9 3.3 1.4 59.8
2012-13 14.5 11.4 9.6 5.4 4.0 1.9 1.7 1.4 50.0
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the expansion of emergency departments and associated facilities to help achieve the agreed new national emergency access target. This measure allows for the redesign and upgrade of public hospital emergency departments in order to meet the new target and funding will be distributed based on population and need.

Facilitation and reward funding component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 32.5 18.7 20.1 11.6 10.4 1.7 2.9 0.9 98.8
2012-13 16.0 12.4 10.3 5.2 3.6 1.1 0.8 0.5 50.0
2013-14 15.9 12.4 10.4 5.3 3.5 1.1 0.8 0.6 50.0
2014-15 15.9 12.4 10.4 5.3 3.5 1.1 0.8 0.6 50.0
2015-16 15.9 12.4 10.4 5.3 3.5 1.1 0.8 0.6 50.0

The Commonwealth is providing funding to introduce a four hour national emergency access target. Under the target, 90 per cent of all patients presenting to a public hospital emergency department will leave the emergency department for admission to hospital or referral to another hospital for treatment or will be discharged within four hours. From its commencement on 1 January 2012, the target applies to all five triage categories and is to be achieved through stepped improvements by 2015.

The Commonwealth will provide reward funding to jurisdictions based on their achievement in meeting the national emergency access target. This will be based on the performance achieved in each of the assessment periods, subject to assessment by the COAG Reform Council.

National elective surgery target

The Commonwealth is providing funding to ensure elective surgery patients are seen within clinically recommended times, and reduce the number of patients waiting beyond the clinically recommended time.

Capital funding component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 6.7 5.4 4.6 2.8 6.5 1.2 3.4 1.0 31.6
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the national elective surgery target to boost elective surgery capacity in public hospitals.

Expanding the capacity to perform elective surgery will help to achieve the Commonwealth's new national elective surgery target. This target seeks to ensure that, by the end of 2016, 100 per cent of elective surgery patients in all urgent categories are treated within the clinically recommended times.

Facilitation and reward funding component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 49.1 43.9 29.8 9.5 33.6 2.3 2.2 1.2 171.5
2012-13 - - - - - - - - -
2013-14 15.8 12.3 10.6 5.4 3.4 0.9 0.7 0.5 49.5
2014-15 15.8 12.3 10.6 5.4 3.4 0.9 0.7 0.5 49.5
2015-16 15.8 12.3 10.6 5.4 3.4 0.9 0.7 0.5 49.5

The Commonwealth has provided funding to achieve elective surgery targets by expanding elective surgery capacity and improving the delivery of elective surgery. The Commonwealth will provide reward funding to jurisdictions based on their achievement in meeting the national elective surgery target.

The national elective surgery target is comprised of two complementary parts. Part 1 is based on achieving a progressive increase in the proportion of elective surgery procedures undertaken within clinically recommended times so that 100 per cent of patients waiting for surgery are treated within the clinically recommended waiting times by 2016. Part 2 aims to reduce the number of patients who have already waited longer than the clinically recommended time for elective surgery.

New subacute beds guarantee funding component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 131.4 93.0 76.1 38.1 28.2 8.4 8.5 4.1 387.9
2012-13 145.0 111.1 89.8 45.9 32.8 10.6 7.0 4.3 446.5
2013-14 203.8 154.7 125.9 64.3 46.0 14.0 9.9 6.9 625.5
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for over 1,300 additional beds for subacute services.

The States will deliver an agreed number of new subacute beds or bed equivalents each year in public hospitals or in community settings. Funding will provide beds and services for palliative care, rehabilitation, psychogeriatric care and geriatric evaluation and management, and subacute mental health care.

National Partnership on financial assistance for long stay older patients(a)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 32.9 12.7 21.2 15.9 18.0 3.2 1.1 1.1 106.1
2012-13 28.7 11.1 18.5 13.9 15.7 2.8 0.9 0.9 92.4
2013-14 24.3 9.4 15.6 11.7 13.3 2.3 0.8 0.8 78.2
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

(a) Amounts in 2012‑13 and 2013‑14 are indicative distributions.

The Commonwealth is providing funding for the National Partnership on financial assistance for long stay older patients to assist with the care of long stay older patients in public hospitals.

The funding contribution will assist with the care in public hospitals of older people, aged 65 years or over, who have finished acute and post‑acute care and are awaiting Commonwealth aged care placement.

On 20 April 2012, the Commonwealth announced the $3.7 billion Living Longer. Living Better package to build a better, fairer, more sustainable and nationally consistent aged care system.

Health infrastructure

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Health infrastructure          
Health and Hospitals Fund          
Hospital infrastructure and other projects of national significance 375.8 263.6 134.1 50.0 0.6
National cancer system 465.8 221.7 129.7 72.4 50.0
Regional priority round 68.1 79.1 151.0 273.2 453.5
Translational research and workforce training 51.0 - 20.0 - -
Other Health infrastructure payments          
Cairns integrated cancer centre 2.0 - - - -
Children’s cancer centre, Adelaide 1.5 - - - -
Funding for Grafton Hospital 3.0 2.0 - - -
Health infrastructure projects in Tasmania 1.4 - - - -
Tasmanian health package          
Patient transport and accommodation services 1.2 - - - -
Radiation oncology services in North/North West Tasmania 0.4 0.4 - - -
Total 970.2 566.8 434.7 395.6 504.1

Health and Hospitals Fund

A number of projects are funded from the Health and Hospitals Fund through Implementation Plans as part of the National Partnership on Health infrastructure or Project Agreements.

Hospital infrastructure and other projects of national significance component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 64.5 4.0 44.8 186.5 51.0 5.5 - 19.5 375.8
2012-13 9.4 0.3 142.1 0.3 103.0 1.0 - 7.5 263.6
2013-14 - 0.2 55.1 62.8 16.0 - - - 134.1
2014-15 - - - 50.0 - - - - 50.0
2015-16 - - - 0.6 - - - - 0.6

The Commonwealth is providing funding from the Health and Hospitals Fund to support the development of health infrastructure projects of national significance. The Commonwealth will collaborate with the States to expand and modernise key public hospitals across Australia to improve hospital care.

National cancer system component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 72.1 279.0 53.2 3.5 37.0 10.0 10.9 - 465.8
2012-13 45.4 40.4 73.2 14.3 34.5 3.7 10.3 - 221.7
2013-14 4.0 75.6 36.1 8.0 3.5 1.0 0.2 1.2 129.7
2014-15 - 67.0 - - - 4.8 - 0.6 72.4
2015-16 - 50.0 - - - - - - 50.0

The Commonwealth is providing funding from the Health and Hospitals Fund to support infrastructure to deliver a world class cancer care system in Australia. This funding will help modernise cancer services and improve detection, survival and treatment outcomes, particularly for patients in regional and rural Australia.

Regional priority round component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 21.9 - - 0.8 - 20.0 1.4 24.0 68.1
2012-13 31.4 12.6 5.7 4.4 7.8 - 0.9 16.2 79.1
2013-14 71.1 28.6 20.8 4.6 9.4 - - 16.4 151.0
2014-15 139.8 42.7 35.9 12.0 16.8 - - 26.0 273.2
2015-16 228.8 49.1 44.5 16.8 25.4 50.0 - 38.9 453.5

The Commonwealth is delivering on the $1.8 billion commitment to Health and Hospitals Fund investment in Regional Australia, with 76 projects announced in this Budget under the 2011 Regional Priority Round, at a cost of $475.0 million. $251.5 million of this funding will be provided to the States. Regional Priority funding will improve access to essential health services for Australians living in rural, regional and remote areas.

The Commonwealth will work in partnership with the States to expand and modernise key health infrastructure, including hospitals, across Australia to improve health care. This will improve health services across a range of areas including acute care, primary care, e‑Health, integrated health facilities, Indigenous health and workforce and training.

A new spending measure associated with the Regional Priority round is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

Translational research and workforce training component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - 51.0 - - - - - - 51.0
2012-13 - - - - - - - - -
2013-14 - 20.0 - - - - - - 20.0
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding from the Health and Hospitals Fund to support translational medical research infrastructure and workforce training. This translational research funding will provide new medical research infrastructure in the areas of mental health and neurological disorders, child health, Indigenous health and medical bionics. The funding has been targeted at projects that will focus on translating research into clinical practice to deliver better health outcomes for all Australians. The Commonwealth will also provide funding to enhance health workforce capability through investment in new and existing clinical schools, universities and training facilities to support an Australian health workforce for the future.

National Partnership on Health infrastructure

A number of projects are funded as part of the National Partnership on Health infrastructure.

Cairns integrated cancer centre component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 2.0 - - - - - 2.0
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth has provided funding towards the establishment of an integrated cancer centre at the Cairns Base Hospital. The integrated cancer centre is a purpose built facility offering a range of cancer treatments including a radiation oncology service. This project has now been completed.

Children's cancer centre, Adelaide component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - 1.5 - - - 1.5
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth has provided funding to South Australia for the construction of a purpose built children's cancer centre at the Women's and Children's Hospital in Adelaide. This project has now been completed.

Funding for Grafton Hospital component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 3.0 - - - - - - - 3.0
2012-13 2.0 - - - - - - - 2.0
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the Grafton Hospital initiative. The measure has been established to enable faster and safer treatment for elderly patients and patients with chronic conditions, improve the timely diagnosis of patients and improve the operating theatre infrastructure for surgical procedures.

Health infrastructure projects in Tasmania component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - 1.4 - - 1.4
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth has provided funding to upgrade chemotherapy and cancer facilities in North West Tasmania, with a focus on the North West Regional Hospital at Burnie.

Tasmanian health package

The Commonwealth is providing funding to improve health services in Tasmania. The Tasmanian package includes increased patient transport and accommodation services through the Tasmanian patient transport initiative and expanded radiation oncology services in North/North West Tasmania.

Patient transport and accommodation services component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - 1.2 - - 1.2
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

Radiation oncology services in North/North West Tasmania component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - 0.4 - - 0.4
2012-13 - - - - - 0.4 - - 0.4
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

Health services

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Health services          
COAG Long Stay Older Patients Initiative 45.0 - - - -
Early intervention pilot program 0.1 0.2 - - -
Health care grants for the Torres Strait 8.1 5.3 4.5 4.5 4.6
Healthy kids health checks 2.1 2.0 2.0 2.0 2.0
National antimicrobial utilisation surveillance program 0.2 0.2 0.2 - -
National perinatal depression initiative 15.5 6.1 11.3 8.7 8.7
National public health – human quarantine services 0.7 0.5 0.5 0.5 0.5
Northern Territory medical school – funding contribution 1.6 2.2 2.3 2.3 2.3
Torres Strait health protection strategy – mosquito control 1.1 0.9 0.9 1.0 1.0
Vaccine-preventable diseases surveillance 1.9 0.8 0.8 0.8 0.8
Victorian cytology service 7.7 8.1 8.5 8.9 9.4
BreastScreen Australia radiography workforce initiatives 0.3 0.2 - - -
National Bowel Cancer Screening Program – participant follow-up function 1.4 2.0 2.6 2.7 3.2
OzFoodNet 1.6 1.6 1.7 1.7 1.7
Royal Darwin hospital – equipped, prepared and ready 14.5 14.8 15.0 15.3 15.6
Total 101.7 44.9 50.2 48.4 49.9

National Partnership on Health services

A number of projects are funded as part of the National Partnership on Health services.

COAG Long Stay Older Patients Initiative component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 13.0 9.5 10.1 6.6 3.3 1.5 0.3 0.6 45.0
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding to better meet the care needs of older patients in public hospitals and improve their access to alternative care. The funding enables the States to provide a range of services relevant to their own service systems, to enhance the care of older people in public hospitals and reduce their risk of hospitalisation.

A measure associated with the COAG Long Stay Older Patients Initiative is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

On 20 April 2012, the Commonwealth announced the $3.7 billion Living Longer. Living Better package to build a better, fairer, more sustainable and nationally consistent aged care system.

Early intervention pilot program component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.1 - - - - - - - 0.1
2012-13 0.2 - - - - - - - 0.2
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the early intervention pilot program under the National Binge Drinking Strategy. The program is being implemented by the New South Wales Police Force using their existing 'Your Choice' model as a base. It provides early intervention and diversion programs for young people under the age of 18 years who are at risk of developing alcohol‑related problems.

Health care grants for the Torres Strait component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 8.1 - - - - - 8.1
2012-13 - - 5.3 - - - - - 5.3
2013-14 - - 4.5 - - - - - 4.5
2014-15 - - 4.5 - - - - - 4.5
2015-16 - - 4.6 - - - - - 4.6

The Commonwealth is providing funding in Queensland health facilities for the treatment of Papua New Guinea (PNG) nationals, as a contribution to the costs associated with the provision of these health services.

This funding will also assist the Queensland Government to continue to treat PNG nationals with tuberculosis while the capacity to treat these patients is progressively strengthened in the South Fly District of PNG through AusAID investments.

A new spending measure associated with health care grants for the Torres Strait is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

Healthy kids health checks component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.5 0.4 0.4 0.4 0.2 0.1 0.1 0.1 2.1
2012-13 0.5 0.4 0.4 0.2 0.2 0.1 0.1 0.1 2.0
2013-14 0.5 0.4 0.4 0.2 0.2 0.1 0.1 0.1 2.0
2014-15 0.5 0.4 0.4 0.2 0.2 0.1 0.1 0.1 2.0
2015-16 0.5 0.4 0.4 0.2 0.2 0.1 0.1 0.1 2.0

The Commonwealth is providing funding to promote the provision of health assessment services to children between 3 and 5 years of age. The program will promote early detection of lifestyle risk factors, delayed development and illness, and introduce guidance for healthy lifestyles and early intervention strategies.

National antimicrobial utilisation surveillance program component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - 0.2 - - - 0.2
2012-13 - - - - 0.2 - - - 0.2
2013-14 - - - - 0.2 - - - 0.2
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the national antimicrobial utilisation surveillance program. The program collects, analyses and reports on inpatient antimicrobial usage data in Australian hospitals to support the development of strategies to minimise antimicrobial resistance.

National perinatal depression initiative component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 4.5 3.7 3.2 2.0 0.6 0.5 0.4 0.5 15.5
2012-13 1.7 1.4 1.2 0.7 0.4 0.2 0.2 0.2 6.1
2013-14 3.2 2.7 2.3 1.4 0.8 0.3 0.3 0.4 11.3
2014-15 2.5 2.1 1.7 1.1 0.6 0.3 0.2 0.3 8.7
2015-16 2.5 2.1 1.7 1.1 0.6 0.3 0.2 0.3 8.7

The Commonwealth is providing funding for the national perinatal depression initiative. The initiative aims to improve prevention and early detection of antenatal and postnatal depression and provide better support and treatment for expectant and new mothers experiencing depression.

National public health — human quarantine services component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.7
2012-13 0.2 0.1 0.1 0.1 .. .. .. .. 0.5
2013-14 0.2 0.1 0.1 0.1 .. .. .. .. 0.5
2014-15 0.2 0.1 0.1 0.1 .. .. .. .. 0.5
2015-16 0.2 0.1 0.1 0.1 .. .. .. .. 0.5

The Commonwealth is providing funding for human quarantine services to support the implementation of health measures at Australia's international borders. The aim of these health measures is to protect the Australian public, through human quarantine activities, from serious communicable diseases, particularly exotic, new and re‑emerging infectious diseases.

A new spending measure associated with human quarantine services is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

Northern Territory medical school — funding contribution component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 1.6 1.6
2012-13 - - - - - - - 2.2 2.2
2013-14 - - - - - - - 2.3 2.3
2014-15 - - - - - - - 2.3 2.3
2015-16 - - - - - - - 2.3 2.3

The Commonwealth is providing funding as a contribution to the recurrent costs of the Northern Territory Medical Program (NTMP) to provide medical training activities across the full four years of the graduate entry medical course.

The NTMP is delivered by Flinders University, with recurrent funding provided by the Northern Territory Government. The Commonwealth contribution is in addition to the capital grant it provided in 2009‑10 and 2010‑11 from the Health and Hospitals Fund for the establishment of the teaching facilities for the NTMP.

Torres Strait health protection strategy — mosquito control component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 1.1 - - - - - 1.1
2012-13 - - 0.9 - - - - - 0.9
2013-14 - - 0.9 - - - - - 0.9
2014-15 - - 1.0 - - - - - 1.0
2015-16 - - 1.0 - - - - - 1.0

The Commonwealth is providing funding for the Torres Strait health protection strategy — mosquito control component to assist in mosquito detection and eradication. Funding also supports the Torres Strait communication officer to improve communication and coordination between Australia and Papua New Guinea to reduce the spread of communicable diseases in the Torres Strait.

Vaccine‑preventable diseases surveillance component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.4 0.5 0.4 0.2 0.1 0.1 0.1 0.1 1.9
2012-13 0.2 0.2 0.2 0.1 0.1 .. .. .. 0.8
2013-14 0.2 0.2 0.2 0.1 0.1 .. .. .. 0.8
2014-15 0.2 0.2 0.2 0.1 0.1 .. .. .. 0.8
2015-16 0.2 0.2 0.2 0.1 0.1 .. .. .. 0.8

The Commonwealth is providing funding for the vaccine‑preventable diseases surveillance program. The program will improve surveillance reporting of nationally notifiable vaccine‑preventable diseases and allow national monitoring, analysis and timely reporting of data to provide an evidence base for policy formulation.

Victorian cytology service component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - 7.7 - - - - - - 7.7
2012-13 - 8.1 - - - - - - 8.1
2013-14 - 8.5 - - - - - - 8.5
2014-15 - 8.9 - - - - - - 8.9
2015-16 - 9.4 - - - - - - 9.4

The Commonwealth is providing funding for the Victorian cytology service; a joint government pathology laboratory, responsible for reporting cervical cytology tests across the whole of cervical cytology in Australia.

Other health services

Several payments have been combined under the category of other health services.

National Partnership on BreastScreen Australia radiography workforce initiatives

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - .. .. .. .. .. .. 0.3
2012-13 - - .. .. .. .. .. .. 0.2
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth will provide funding for the National Partnership on BreastScreen Australia radiography workforce initiatives to increase provision of recruitment and/or retention activities such as professional development, training, or employment opportunities for both trainee and experienced radiographers.

National Partnership on the National Bowel Cancer Screening Program — participant follow‑up function

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - 0.4 0.4 0.2 0.1 0.1 0.1 0.1 1.4
2012-13 0.6 0.4 0.4 0.2 0.1 0.1 0.1 0.1 2.0
2013-14 0.8 0.6 0.5 0.2 0.2 0.1 0.1 0.1 2.6
2014-15 0.8 0.6 0.5 0.3 0.2 0.1 0.1 0.1 2.7
2015-16 1.0 0.7 0.6 0.3 0.2 0.1 0.1 0.1 3.2

The Commonwealth is providing funding for the National Partnership on the National Bowel Cancer Screening Program — participant follow‑up function. This initiative funds the follow‑up of participants who return a positive test result. The second phase of the program commenced on 1 July 2008 and offers testing to people who turn 50, 55 or 65 years of age.

A new spending measure associated with the National Bowel Cancer Screening Program is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

National Partnership on OzFoodNet

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.3 0.2 0.2 0.2 0.2 0.2 0.1 0.1 1.6
2012-13 0.3 0.2 0.2 0.2 0.2 0.2 0.1 0.1 1.6
2013-14 0.3 0.2 0.2 0.2 0.2 0.2 0.1 0.1 1.7
2014-15 0.3 0.3 0.3 0.2 0.2 0.2 0.1 0.1 1.7
2015-16 0.4 0.3 0.3 0.2 0.2 0.2 0.1 0.1 1.7

The Commonwealth is providing funding for the National Partnership on OzFoodNet. This is a collaborative initiative with state health authorities for enhanced food borne disease surveillance. This initiative aims to provide a better understanding of the causes and incidence of food borne disease in the community and to provide an evidence base for policy formulation.

OzFoodNet collaborates nationally to coordinate investigations into food borne disease outbreaks, particularly those that cross state and country borders.

National Partnership on Royal Darwin hospital — equipped, prepared and ready

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 14.5 14.5
2012-13 - - - - - - - 14.8 14.8
2013-14 - - - - - - - 15.0 15.0
2014-15 - - - - - - - 15.3 15.3
2015-16 - - - - - - - 15.6 15.6

The Commonwealth is providing funding for the National Partnership on Royal Darwin hospital — equipped, prepared and ready to maintain the National Critical Care and Trauma Response Centre at Royal Darwin Hospital in a state of readiness to respond to major health incidents in the region.

Indigenous health

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Indigenous health          
Health infrastructure          
Indigenous mobile dental program 2.0 - - - -
Health services          
Reducing acute rheumatic heart fever among Indigenous children 2.4 2.5 2.6 2.6 2.7
Satellite renal dialysis facilities in remote Northern Territory communities 0.1 - - - -
Sexual assault counselling in remote Northern Territory areas 1.1 1.3 - - -
Closing the Gap in the Northern Territory – Indigenous health and related services 4.1 - - - -
Family-centric renal accommodation for Aboriginal and Torres Strait Islander peoples in the Northern Territory 3.0 9.0 1.0 - -
Improving ear health services for  Indigenous Australian children 6.1 6.5 0.7 - -
Improving trachoma control services for Indigenous Australians 2.9 3.9 0.4 - -
Indigenous early childhood development – antenatal and reproductive health 23.5 24.3 24.4 6.0 -
Renal dialysis services in Central Australia - 1.6 1.7 1.7 -
Stronger Futures in the Northern Territory          
Hearing health services component - 2.4 nfp nfp nfp
Mobile Outreach Service Plus component - 4.3 nfp nfp nfp
Oral health services component - 2.3 nfp nfp nfp
Torres Strait health protection strategy – Saibai Island Health Clinic 1.2 1.5 0.5 0.5 -
Total 46.5 59.7 31.2 10.8 2.7

National Partnership on Health infrastructure

One project is provided for Indigenous health under the National Partnership on Health infrastructure.

Indigenous mobile dental program component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 1.0 - 0.3 - - 0.6 2.0
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding to implement and evaluate mobile dental pilot projects targeted to Indigenous communities where dental services and facilities are scarce.

National Partnership on Health services

A number of projects for Indigenous health are funded as part of the National Partnership on Health services.

Reducing acute rheumatic heart fever among Indigenous children component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 0.8 0.8 - - - 0.8 2.4
2012-13 - - 0.8 0.8 - - - 0.8 2.5
2013-14 - - 0.9 0.9 - - - 0.9 2.6
2014-15 - - 0.9 0.9 - - - 0.9 2.6
2015-16 - - 0.9 0.9 - - - 0.9 2.7

The Commonwealth is providing funding to support register and control programs for acute rheumatic fever and rheumatic heart disease in Indigenous children.

Satellite renal dialysis facilities in remote Northern Territory communities component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 0.1 0.1
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding to improve access to renal dialysis services targeted to remote Indigenous communities in the Northern Territory.

Sexual assault counselling in remote Northern Territory areas component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 1.1 1.1
2012-13 - - - - - - - 1.3 1.3
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for sexual assault counselling in remote Northern Territory areas as part of Mobile Outreach Service Plus. This program provides culturally safe counselling and other support to Indigenous children, their families and communities in remote areas of the Northern Territory, who are experiencing trauma related to any form of child abuse, including sexual assault.

National Partnership on Closing the Gap in the Northern Territory — Indigenous health and related services component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 4.1 4.1
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the National Partnership on Closing the Gap in the Northern Territory — Indigenous health and related services component. Funding under this component will improve access to effective primary health care services in partnership with the Northern Territory Government, Aboriginal Medical Services Alliance Northern Territory, and through consultation with other key stakeholders. This National Partnership is delivering health improvements through a system wide approach to enhancing quality and access to services across the Northern Territory. It is also complemented by related initiatives in the areas of law and order, community safety, education, food security, and provision of interpreters.

The Commonwealth and Northern Territory Governments are currently negotiating arrangements as part of the Stronger Futures in the Northern Territory initiative, which will replace the National Partnership on Closing the Gap in the Northern Territory. See the section on the National Partnership on Stronger Futures in the Northern Territory in this Part.

Other payments made as part of the National Partnership on Closing the Gap in the Northern Territory are discussed in the Education and Community Services sections of this Part.

National Partnership on family‑centric renal accommodation for Aboriginal and Torres Strait Islander peoples in the Northern Territory

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - 3.0 3.0
2012-13 - - - - - - - 9.0 9.0
2013-14 - - - - - - - 1.0 1.0
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth will provide funding for the National Partnership on familycentric renal accommodation for Aboriginal and Torres Strait Islander peoples in the Northern Territory for the construction of two family‑centric long‑stay renal accommodation facilities for renal patients and their families. The facilities will be located in Alice Springs and Tennant Creek.

National Partnership on improving ear health services for Indigenous Australian children

$million NSW(a) VIC QLD WA SA TAS ACT NT Total
2011-12 0.9 0.3 1.1 1.5 1.0 - - 1.3 6.1
2012-13 0.9 0.3 1.4 1.4 0.8 - - 1.9 6.5
2013-14 0.1 .. 0.2 0.2 0.1 - - 0.2 0.7
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

(b) Amounts for New South Wales are indicative only as the National Partnership is under negotiation with this State.

The Commonwealth is providing funding for the National Partnership on improving ear health services for Indigenous Australian children to support the delivery of additional surgical services, clinical leadership programs and ear health services to Victoria, Queensland, Western Australia, South Australia and the Northern Territory.

Further discussions are occurring between the Commonwealth and New South Wales.

National Partnership on improving trachoma control services for Indigenous Australians

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.2 - 0.2 1.0 0.6 - - 0.9 2.9
2012-13 0.1 - 0.2 0.9 1.0 - - 1.7 3.9
2013-14 - - - 0.1 0.1 - - 0.2 0.4
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the National Partnership on improving trachoma control services for Indigenous Australians for the continued expansion of trachoma control activities in jurisdictions where trachoma, an infectious disease which can lead to blindness, is endemic. Funding is also being provided to jurisdictions where trachoma has been previously found, in order to determine whether full trachoma control programs are required in those jurisdictions.

National Partnership on Indigenous early childhood development — antenatal and reproductive health

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 5.7 1.1 7.0 3.4 1.2 0.6 0.2 4.2 23.5
2012-13 5.7 1.3 7.1 3.8 1.3 0.7 0.2 4.1 24.3
2013-14 5.5 1.4 7.6 3.9 1.1 0.7 0.3 3.8 24.4
2014-15 2.6 - - 2.0 0.5 0.4 - 0.5 6.0
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the National Partnership on Indigenous early childhood development — antenatal and reproductive health to all jurisdictions to improve antenatal care, teenage sexual and reproductive health, and pre‑pregnancy care, as well as building linkages with existing child and maternal health programs to increase uptake of these services.

National Partnership on renal dialysis services in Central Australia

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 - - - - - - - 1.6 1.6
2013-14 - - - - - - - 1.7 1.7
2014-15 - - - - - - - 1.7 1.7
2015-16 - - - - - - - - -

The Commonwealth will provide funding for the National Partnership on renal dialysis services in Central Australia to contribute to delivery of renal dialysis and support services in Central Australia. This funding will improve access to renal services targeted to Indigenous Australians.

National Partnership on Stronger Futures in the Northern Territory

The Commonwealth will provide funding to the Northern Territory Government through the National Partnership on Stronger Futures in the Northern Territory.

There are three health components under the National Partnership on Stronger Futures in the Northern Territory. The Stronger Futures in the Northern Territory initiative is described further in the Community Services section of this Part.

Funding for the National Partnership on Stronger Futures in the Northern Territory is a new spending measure in the 2012‑13 Budget. This measure is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

Hearing health services component(a)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 - - - - - - - 2.4 2.4
2013-14 - - - - - - - nfp nfp
2014-15 - - - - - - - nfp nfp
2015-16 - - - - - - - nfp nfp

(a) Estimates from 2013‑14 onwards are subject to negotiation of the National Partnership on Stronger Futures in the Northern Territory.

The Commonwealth will provide funding for integrated hearing health services with the capacity to reach children in remote communities. These services continue to support improved hearing outcomes for Indigenous children across the Northern Territory.

Mobile Outreach Service Plus component(a)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 - - - - - - - 4.3 4.3
2013-14 - - - - - - - nfp nfp
2014-15 - - - - - - - nfp nfp
2015-16 - - - - - - - nfp nfp

(a) Estimates from 2013‑14 onwards are subject to negotiation of the National Partnership on Stronger Futures in the Northern Territory.

The Commonwealth will provide funding for the Mobile Outreach Service Plus program to ensure families living in remote areas of the Northern Territory who are affected by trauma associated with child abuse and neglect are provided with counselling and support.

Oral health services component(a)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 - - - - - - - 2.3 2.3
2013-14 - - - - - - - nfp nfp
2014-15 - - - - - - - nfp nfp
2015-16 - - - - - - - nfp nfp

(a) Estimates from 2013‑14 onwards are subject to negotiation of the National Partnership on Stronger Futures in the Northern Territory.

The Commonwealth will provide funding for an integrated oral health program for children in communities in the Northern Territory. The focus on preventive oral health services will have a direct impact on these children's wellbeing through a decrease in the burden of dental problems and an increase in good oral health practices.

National Partnership on the Torres Strait health protection strategy — Saibai  Island Health Clinic

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - 1.2 - - - - - 1.2
2012-13 - - 1.5 - - - - - 1.5
2013-14 - - 0.5 - - - - - 0.5
2014-15 - - 0.5 - - - - - 0.5
2015-16 - - - - - - - - -

The Commonwealth will provide funding for the National Partnership on the Torres Strait health protection strategy — Saibai Island health clinic to provide additional staff for the treatment of communicable diseases at the health care clinic on Saibai Island, and development and implementation of a culturally appropriate sexual health education campaign for the Torres Strait.

Mental health

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Mental health          
Expanding the Early Psychosis Prevention and Intervention
Centre model
- 28.2 50.2 70.2 80.2
Supporting National Mental Health Reform 9.0 43.3 50.6 51.6 45.3
Total 9.0 71.5 100.8 121.8 125.5

National Partnership on Expanding the Early Psychosis Prevention and Intervention Centre model(a)(b)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 3.5 3.5 3.5 3.5 3.5 3.5 3.5 3.5 28.2
2013-14 6.3 6.3 6.3 6.3 6.3 6.3 6.3 6.3 50.2
2014-15 8.8 8.8 8.8 8.8 8.8 8.8 8.8 8.8 70.2
2015-16 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 80.2

(a) Yearly profiles and State splits are indicative distributions only and have been allocated on an equal State split.

(b) Amounts associated with 2011‑12 have been removed as the National Partnership agreement will now be developed in 2012‑13.

The Commonwealth will provide funding for the National Partnership on Expanding the Early Psychosis Prevention and Intervention Centre model initiative to explore how the model could be used to reform early psychosis management within the Australian mental health system. Under this measure, up to 16 new centres will be established across Australia. The new centres will provide an integrated and comprehensive psychiatric service to help address the needs of people aged 15‑24 with emerging psychotic disorders. Services provided include early intervention and clinical treatment.

National Partnership on Supporting National Mental Health Reform

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 3.4 1.7 1.4 1.4 0.7 0.1 0.3 0.1 9.0
2012-13 13.6 9.2 8.9 5.3 3.3 1.6 0.6 0.9 43.3
2013-14 13.6 9.3 15.3 6.0 3.4 1.6 0.6 0.9 50.6
2014-15 13.6 9.5 15.6 6.4 3.4 1.6 0.6 0.9 51.6
2015-16 13.6 7.6 10.4 7.0 3.4 1.7 0.6 0.9 45.3

The Commonwealth is providing funding for the National Partnership on Supporting National Mental Health Reform to address major service gaps in mental health services including accommodation, emergency departments and community based crisis support. This National Partnership, agreed by COAG on 13 April 2012, will improve access and quality of services for people with mental illness.

Preventive health

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Preventive health          
Enabling infrastructure 2.5 2.5 - - -
Healthy children 32.5 64.9 97.4 130.8 -
Healthy communities 25.8 15.2 11.1 - -
Healthy workers 33.6 62.6 88.2 105.2 -
Social marketing 6.0 6.0 - - -
Total 100.3 151.2 196.6 235.9 -
Memorandum item - payments direct to local
governments included in payments above
         
Healthy Communities 25.8 15.2 11.1 - -
Total 25.8 15.2 11.1 - -

National Partnership on Preventive health

The Commonwealth is providing funding for the National Partnership on Preventive health. This National Partnership has been established to address the rising prevalence of lifestyle related chronic diseases by laying the foundations for healthy behaviours in the daily lives of Australians. The objectives of this National Partnership are being achieved through settings such as: communities; early childhood education and care environments; and schools and workplaces. In addition, these objectives are being supported by national social marketing campaigns. A key feature of this National Partnership is the establishment of infrastructure required to monitor and evaluate the progress of interventions, including the Australian National Preventive Health Agency.

Enabling infrastructure component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 0.8 0.6 0.5 0.3 0.2 0.1 .. .. 2.5
2012-13 0.8 0.6 0.5 0.3 0.2 0.1 .. .. 2.5
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for additional state‑based surveillance activities covering nutrition and physical activity measures consistent with national protocols and to enable reporting on performance benchmarks in the National Partnership.

The Commonwealth has established the Australian National Preventive Health Agency, and has provided additional funding to create the Australian Health Survey. The survey will collect representative data on the prevalence of chronic diseases and lifestyle related risk factors amongst Indigenous and non‑Indigenous Australians, including nutrition, physical activity and biomedical measures.

Healthy children component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 10.7 7.8 6.6 3.3 2.3 0.8 0.5 0.4 32.5
2012-13 21.3 15.7 13.3 6.6 4.6 1.6 1.0 0.8 64.9
2013-14 32.0 23.5 19.9 9.9 6.9 2.4 1.5 1.2 97.4
2014-15 43.0 31.5 26.8 13.3 9.3 3.2 2.1 1.6 130.8
2015-16 - - - - - - - - -

The Commonwealth is providing facilitation and reward funding for the healthy children initiative. Funding will deliver programs for children from birth to 16 years of age to increase levels of physical activity and improve the intake of fruit and vegetables in settings such as child care centres, preschools and schools.

The Commonwealth will provide funding for reward payments to the States upon attainment of agreed performance benchmarks under this National Partnership.

Healthy communities component(a)

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 6.4 5.6 5.0 3.6 3.1 0.8 0.3 0.8 25.8
2012-13 3.7 3.2 2.9 2.2 1.8 0.6 0.3 0.6 15.2
2013-14 2.9 2.5 2.2 1.5 1.4 0.3 - 0.3 11.1
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

(a) All payments are made direct to local governments.

The Commonwealth is providing funding direct to local governments for the healthy communities initiative. Funding supports 92 local government areas nationally in the targeted, progressive roll out of community based healthy lifestyle programs that facilitate increased access to physical activity, healthy eating and healthy weight activities for disadvantaged adults who are predominantly not in the paid workforce.

Healthy workers component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 10.7 8.3 6.9 3.6 2.5 0.7 0.6 0.3 33.6
2012-13 19.9 15.4 12.8 6.7 4.6 1.4 1.1 0.6 62.6
2013-14 28.1 21.7 18.1 9.5 6.4 1.9 1.6 0.9 88.2
2014-15 33.5 25.9 21.6 11.3 7.7 2.3 1.9 1.1 105.2
2015-16 - - - - - - - - -

The Commonwealth is providing facilitation and reward funding for the healthy workers initiative. This funding supports workplace health programs that focus on decreasing rates of overweight and obesity, increasing levels of physical activity and intake of fruit and vegetables, smoking cessation and reducing harmful levels of alcohol consumption.

As part of this National Partnership, the Commonwealth has developed a national healthy workplace charter with peak employer and employee representatives (the Joint Statement of Commitment), and is developing a portal to provide supporting resources and tools to employers. A national quality framework and National Awards Scheme will also be developed.

The Commonwealth will provide funding for reward payments to the States upon attainment of agreed performance benchmarks under this National Partnership.

Social marketing component

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 2.0 1.5 1.2 0.6 0.5 0.1 0.1 0.1 6.0
2012-13 2.0 1.5 1.2 0.6 0.5 0.1 0.1 0.1 6.0
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding to develop social marketing campaigns that extend and complement the Australian Better Health Initiative and reinforce local activities on preventive health.

Other Health National Partnership payments

$million 2011‑12 2012‑13 2013‑14 2014‑15 2015‑16
National Partnership payments          
Other          
East Kimberley Development Package          
Health – related projects 18.6 2.8 - - -
Elective surgery waiting list reduction plan 135.7 - - - -
Essential vaccines 401.4 255.8 314.0 309.4 308.7
Hospital and health workforce reform – activity based funding 41.4 55.5 - - -
Public dental waiting list program - 69.2 155.2 119.6 -
Total 597.1 383.3 469.2 429.0 308.7

National Partnership on the East Kimberley Development Package — Health related projects

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - 18.6 - - - - 18.6
2012-13 - - - 2.8 - - - - 2.8
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the National Partnership on the East Kimberley Development Package for health infrastructure projects. Investment priorities under the package include primary and preventive health care, drug and alcohol services, short term patient accommodation, housing for health service providers, improvements to remote clinics, aged care facilities and environmental health measures. Improving primary and preventive health care services in these areas will reduce the incidence of chronic and acute illness in the community as well as reduce the pressure on acute health services in Kununurra and Wyndham.

A description of the East Kimberley Development Package as a whole is provided in the Infrastructure services section of this Part.

National Partnership on the elective surgery waiting list reduction plan

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 45.4 29.9 30.9 12.2 12.1 3.1 1.3 0.8 135.7
2012-13 - - - - - - - - -
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth has provided funding for the National Partnership on the Elective surgery waiting list reduction plan. Facilitation funding has been provided for systemic improvements such as the construction of additional operating theatres and the purchase of new surgical equipment to improve long‑term elective surgery performance. Reward funding has been provided to the States in recognition of reduced elective surgery waiting times and increased surgery throughput.

Funding for elective surgery is now provided under the National Partnership on Improving Public Hospital Services discussed earlier in this section.

National Partnership on essential vaccines

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 101.6 83.7 104.9 50.0 36.3 11.1 7.7 6.0 401.4
2012-13 100.1 82.6 35.5 16.9 12.2 3.7 2.6 2.2 255.8
2013-14 94.9 79.0 68.6 32.4 22.9 7.0 4.9 4.4 314.0
2014-15 93.1 78.3 67.7 32.0 22.5 6.8 4.8 4.2 309.4
2015-16 90.8 77.9 71.1 31.7 22.2 6.5 4.6 4.0 308.7

The Commonwealth is providing funding for the National Partnership on essential vaccines to improve the health and wellbeing of Australians through the cost‑effective delivery of immunisation programs under the National Immunisation Program. This National Partnership provides funding to the States for the purchase of essential vaccines, which have not yet transitioned to centralised purchasing arrangements, for all eligible individuals under the National Immunisation Program.

Facilitation funding will improve essential vaccine service delivery by assisting the States to invest in activities related to the distribution of vaccines to providers, cold chain management, vaccine storage, analysis of data around the provision of vaccines and to undertake projects to support performance benchmarks. The Commonwealth is providing reward funding to the States for achieving performance benchmarks that maintain or increase vaccine coverage amongst Indigenous Australians and four year olds as well as in low coverage areas, and that maintain or decrease vaccine wastage and leakage.

A proportion of funding from 2012‑13 has been brought forward into 2011‑12 to assist some States with vaccines purchasing arrangements.

National Partnership on hospital and health workforce reform — activity based funding

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 12.3 11.0 7.0 4.1 3.6 1.2 1.0 1.2 41.4
2012-13 16.5 14.7 9.4 5.5 4.8 1.7 1.3 1.7 55.5
2013-14 - - - - - - - - -
2014-15 - - - - - - - - -
2015-16 - - - - - - - - -

The Commonwealth is providing funding for the National Partnership on hospital and health workforce reform — activity based funding to improve the efficiency of public hospital services, enhance health workforce capability and supply, increase the volume and quality of subacute care services, and improve the operations of emergency departments. This National Partnership will support an efficient and effective public hospital system that delivers high quality and safe services to patients.

Under the National Health Reform Agreement, the Commonwealth and the States have agreed to introduce a national system of activity based funding from 1 July 2012. This will be based on the efficient price for each service, set by the Independent Hospital Pricing Authority. In some instances, such as payments to smaller regional hospitals, funding will continue to be paid in block grants.

National Partnership on the public dental waiting list program

$million NSW VIC QLD WA SA TAS ACT NT Total
2011-12 - - - - - - - - -
2012-13 22.3 17.2 13.5 5.8 5.6 2.5 1.1 1.2 69.2
2013-14 50.0 38.5 30.4 13.0 12.5 5.5 2.5 2.8 155.2
2014-15 38.5 29.7 23.4 10.1 9.6 4.3 1.9 2.1 119.6
2015-16 - - - - - - - - -

The Commonwealth will provide funding of $345.9 million through a new National Partnership to assist the States to provide treatment for those on public dental waiting lists, including ensuring support for the Indigenous population. This is part of the Commonwealth's $515.3 million dental package.

The Government will redirect currently unallocated Commonwealth Dental Health Program funding towards this Budget's dental health package. This funding was intended to replace the Chronic Disease Dental Scheme (CDDS) but has been redirected to boost dental services before the CDDS is closed and any new scheme commences. It still remains Government policy to close the CDDS.

A new spending measure associated with the public dental waiting list program is discussed in Budget Paper No. 2: Budget Measures 2012‑13.

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