Health

Upsetting the Balance: How the Growth of Private Patients in Public Hospitals is Impacting Australia’s Health System

Catholic Health Australia's (CHA) latest report titled Upsetting the Balance: How the Growth of Private Patients in Public Hospitals is Impacting Australia’s Health System is the not-for-profit Catholic hospital sector’s response to concerns about the significant increase in private patients in public hospitals. It finds that the trend is having a damaging effect on patients, stakeholders, as well as the balance of Australia’s mixed model health system, and ultimately, the universality of Medicare.

The report finds growing inequity between public and private patients, with private patients receiving a number of inducements in some public hospitals that are not available to public patients. There is also evidence that, on average, public patients are waiting more than twice as long as private patients for elective surgeries in public hospitals.

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Submission to Targeted Prostheses Review

Catholic Health Australia (CHA) is pleased to note that a targeted review of prostheses was a recommendation from the Senate Inquiry into Community Affairs (Price regulations associated with the Prostheses List framework) report (11 May 2017).

While acknowledging that the intent of the draft proposal was to outline an indicative approach, CHA would like to highlight the a number of considerations for inclusion into any framework going forward, with particular emphasis upon utilising an evidence-based, and rigorous review process – without pricing deliberations.

Follow this link to read the submission.

CHA-APHA report: Education and training in the private hospital sector

Private hospitals make a significant contribution to training Australia’s health professionals. Since the last time a similar survey was undertaken in 2004 (Allen Consulting Group 2005), private hospitals have increased their investment in medical workforce training by nearly 250 per cent.

This report outlines the nature of training and education costs incurred by the private hospital sector, along with the return on investment by government. This report also places those achievements in the context of the challenges facing the health sector in addressing current and forecast workforce and skills shortages while at the same time meeting growing demands for health services as efficiently and effectively as possible.

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Submission to the Voluntary Assisted Dying Bill (VIC) Discussion Paper

CHA's submission on behalf of members and their clinicians outlining concerns with the content of Victoria's Voluntary Assisted Dying Bill Discussion Paper that does not adequately support patients or clinicians and has the potential consequence of redirecting patients away from humane end-of-life alternatives offered through palliative care.
 
Follow this link to read the submission. 

Response to the Productivity Commission Inquiry into Introducing Competition and Informed User Choice in Human Services: Reforms to Human Services

The opportunities for competition, contestability, and choice in human services are variable across different fields and jurisdictions. CHA acknowledges that where there is a dearth of providers to offer services or the sector is underfunded, opportunities for competition, contestability, and choice in human services may be limited. This is of particular concern in regional, rural, and remote jurisdictions. 

Due to the overlapping and complex needs of those who access human services, there is a need for better coordination among providers within each area as well as across sectors that build on the existing infrastructure to promote innovation and quality improvements. Using integrated models to coordinate the delivery of services could reveal greater gains from efficiencies in the system.

Please follow this link to read the submission. 

Pre-Budget 2017-18 Submission (Health & Aged Care)

Although Australians generally enjoy good health by comparison with most other countries, there are many groups that are still missing out. They include people whose circumstances and background make it more likely that they will disproportionately suffer from ill health than those in society at large, as well as those who find it hard to access necessary health services. 

CHA's Pre-Budget Submission 2017-18 provides a number of policy recommendations to government to improve Australia’s vast and complex health and aged care system.   

Please follow this link to read the submission.

Submission to Senate Inquiry into Price Regulation associated with the Prostheses List Framework

In order to achieve savings in prostheses that does not negatively impact on patient safety and quality, CHA emphasises the need for a rigorous clinical efficacy review of currently listed products that link outcomes to each device and ensure clinicians have access to their choice of clinically relevant devices; ensure the listed benefits are comprehensive and take into account the cost of all components and support; and legislate cost control to establish that any reduction in the price of a device is reflective of a true price reduction and not cost-shifting to an alternative revenue stream.
 
CHA recommends that any future frameworks that are adopted by the Government involve a rigorous evidence-base and further consultation with stakeholders. We look forward to participating in future discussions regarding the Prostheses Reform process.
 
Please follow this link to read the submission.

Response to IHPA Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2017-2018

Catholic Health Australia's submission to the Independant Hospital Pricing Authority (IHPA) in response to its Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2017-2018. 

Please follow this link to read the submission. 

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