The federal Department of Health and Aged Care needs a deeper commercial understanding of the providers it funds and regulates, including hospitals and medical specialists, to avoid being influenced by those with the “loudest voices”.
The recommendation has been published in a capability review of the department [link here] – the first in almost a decade, which was conducted as part of a pilot program ordered by the Australian Public Service Commission.
“These providers include hospitals, aged care homes, general practitioners, medical specialists and allied health practitioners,” the report stated.
“The knowledge required includes the economics of the businesses, the distribution curve of providers in terms of performance, and the impact of funding or regulatory changes on the sector.
“Without that knowledge, the department is seen by many to be susceptible to place too much weight on the loudest voices in discussions and negotiations, when they often represent the views of less sophisticated providers or practitioners rather than the average or more sophisticated providers.”
The reviewers, which included the Department of Infrastructure deputy secretary and two former senior public servants, said the health department had access to a lot of data and expertise in this area but wasn’t making full use of its resources.
Other criticisms raised by stakeholders included the need for the department to work more closely and collaboratively with its state and territory counterparts.
This included the adoption of a less “transactional way” of engagement.