Note: Where available, the PDF/Word icon below is provided to view the complete and fully formatted document
Community Affairs Legislation Committee
29/05/2018
Estimates
HEALTH PORTFOLIO

HEALTH PORTFOLIO

In Attendance

Senator the Hon Bridget McKenzie , Minister for Sport , Minister for Rural Health , Minister for Regional Communications

Whole of Portfolio

Ms Glenys Beauchamp PSM, Secretary

Professor Brendan Murphy, Chief Medical Officer

Mr Daniel McCabe, Acting Deputy Secretary, Corporate Operations Group

Ms Caroline Edwards, Deputy Secretary, Health Systems Policy and Primary Care Group

Adjunct Professor John Skerritt, Deputy Secretary, Health Products Regulation Group

Ms Penny Shakespeare, Acting Deputy Secretary, Health Financing Group

Dr Lisa Studdert, Acting Deputy Secretary, Aged Care and Population Health Group

Mr Charles Wann, First Assistant Secretary, Financial Management Division

Mr Craig Boyd, Chief Financial Officer, Financial Management Division

Mr Nick Henderson, Chief Budget Officer, Financial Management Division

Ms Rachel Balmanno, First Assistant Secretary, People, Communication and Parliamentary Division

Ms Radha Khiani, Acting Assistant Secretary, Ministerial, Governance and Cabinet Branch, People, Communication and Parliamentary Division

Ms Jodie Grieve, Assistant Secretary, Communication and Change Branch, People, Communication and Parliamentary Division

Ms Donna Moody, First Assistant Secretary, Health Grants and Network

Mr Paul McCormack, Assistant Secretary, Program Advice and Frameworks Branch, Health Grants and Network

Ms Jackie Davis, First Assistant Secretary, Legal and Assurance Division

Mr Terry Green, Acting First Assistant Secretary, Information Technology Division

Ms Natasha Cole, First Assistant Secretary, Primary Care and Mental Health Division

Outcome 1

Ms Tania Rishniw, First Assistant Secretary, Portfolio Strategies Division

Ms Moira Campbell, Acting Assistant Secretary, Strategic Policy Branch, Portfolio Strategies Division

Mr Brian Kelleher, Assistant Secretary, Medicare and Aged Care Payments and DHS Relationships

Associate Professor Anne-Marie Boxall, Senior Adviser, Long Term Health Reform Taskforce

Mr Charles Maskell-Knight, Principal Adviser, Long Term Health Reform Taskforce

Dr Nick Hartland, First Assistant Secretary, Health Economics and Research Division

Ms Natasha Cole, First Assistant Secretary, Primary Care and Mental Health Division

Ms Adriana Platona, First Assistant Secretary, Technology Assessment and Access Division

Ms Louise Clarke, Assistant Secretary, Office of Health Technology Assessment - Policy Branch, Technology Assessment and Access Division

Dr Megan Keaney, Principal Medical Adviser, Technology Assessment and Access Division

Professor Anne Kelso, Chief Executive Officer, National Health and Medical Research Council

Mr Tony Kingdon, General Manager, National Health and Medical Research Council

Mr Tim Kelsey, Chief Executive Officer, Australian Digital Health Agency

Ms Bettina McMahon, Chief Operating Officer, Governance and Industry Collaboration and Adoption Division, ADHA

Mr David Delaporte, Chief Financial Officer, Financial Services, Australian Digital Health Agency

Mr Anthony Kitzelmann, General Manager, Cyber Security, Australian Digital Health Agency

Mr Ronan O'Connor, Executive General Manager, Core Services Systems Operations Division, Australian Digital Health Agency

Dr Monica Trujillo, Executive General Manager, Consumer Engagement and Clinical Governance Division, Australian Digital Health Agency

Mr Terence Seymour, Executive General Manager, Organisational Capability and Change Management Division, Australian Digital Health Agency

Mr Garth McDonald, General Manager, Service Delivery, Innovation and Development Division, Australian Digital Health Agency

Mr Gary Gaffel, Director, Financial Services, Australian Digital Health Agency

Ms Jenny Patton, General Manager, My Health Record Operations, Australian Digital Health Agency

Clinical Professor Meredith Makeham, Chief Medical Adviser, Australian Digital Health Agency

Mr Mark Kinsela, General Manager, Office of the Chief Executive, Australian Digital Health Agency

Outcome 2

Ms Bettina Konti, First Assistant Secretary, Cancer Policy, Screening and Services Taskforce

Ms Alice Creelman, Assistant Secretary, Cancer Policy and Services Branch Cancer Policy, Screening and Services Taskforce

Ms Elizabeth Flynn, Acting First Assistant Secretary, Population Health and Sport Division

Mr David Laffan, Assistant Secretary, Alcohol, Tobacco and Other Drugs Branch, Population Health and Sport Division

Mr Alan Philp, Acting Assistant Secretary, Preventive Health Policy Branch, Population Health and Sport Division

Mr David Hallinan, First Assistant Secretary, Health Workforce Division

Ms Chris Jeacle, Assistant Secretary, Rural Access Branch, Health Workforce Division

Ms Fay Holden, Assistant Secretary, Health Training Branch, Health Workforce Division

Ms Lynne Gillam, Assistant Secretary, Health Workforce Reform Branch, Health Workforce Division

Dr Paul Cutting, Acting Assistant Secretary, Health Workforce Reform Taskforce, Health Workforce Division

Ms Natasha Cole, First Assistant Secretary, Primary Care and Mental Health Division

Ms Emma Wood, Assistant Secretary, Mental Health for Children and Adolescents and Suicide Branch, Primary Care and Mental Health Division

Mr Anthony Millgate, Assistant Secretary, Mental Health Services Branch, Primary Care and Mental Health Division

Ms Janet Quigley, Assistant Secretary, Primary Care, Dental and Palliative Care Branch, Primary Care and Mental Health Division

Mr Chris Bedford, Assistant Secretary, Primary Health Networks Branch, Primary Care and Mental Health Division

Dr Nick Hartland, First Assistant Secretary, Health Economics and Research Division

Dr Peggy Brown AO, Chief Executive Officer, National Mental Health Commission

Mr Mark Booth, Chief Executive Officer, Food Standards Australia New Zealand

Mr Peter May, General Manager, Food Safety and Corporate, Food Standards Australia New Zealand

Dr Scott Crerar, General Manager, Science and Risk Assessment, Food Standards Australia New Zealand

Mr James Downie, Chief Executive Officer, Independent Hospital Pricing Authority

Mr Shannon White, Chief Executive Officer, National Health Funding Body

Outcome 3

Ms Elizabeth Flynn, Acting First Assistant Secretary, Population Health and Sport Division

Mr Andrew Godkin, Sports Integrity Adviser, National Integrity of Sport Unit, Population Health and Sport Division

Mr Bill Turner, Head, Sports Integrity Review Taskforce, Population Health and Sport Division

Ms Narelle Smith, Assistant Secretary, Office for Sport, Population Health and Sport Division

Ms Kate Palmer, Chief Executive Officer, Australian Sports Commission

Mr Peter Conde, Director, Australian Institute of Sport, Australian Sports Commission

Ms Carolyn Brassil, General Manager, Corporate Operations, Australian Sports Commission

Ms Louise Eyres, General Manager, Marketing, Customer Insights and Analytics, Australian Sports Commission

Mr Peter Dunlop, Acting Chief Financial Officer, Corporate Operations, Australian Sports Commission

Mr Robin O'Neill, Executive Director, Strategy and Partnerships, Sport Business and Strategic Partnerships, Australian Sports Commission

Mr David Sharpe, Chief Executive Officer, Australian Sports Anti-Doping Authority

Mr Darren Mullaly, Acting National Manager, Legal and Corporate Services, Australian Sports Anti-Doping Authority

Mr Brian McDonald, National Manager, Operations, Australian Sports Anti-Doping Authority

Outcome 4

Ms Adriana Platona, First Assistant Secretary, Technology Assessment and Access Division

Ms Julianne Quaine, Assistant Secretary, PHI and Pharmacy Branch, Technology Assessment and Access Division

Ms Louise Clarke, Assistant Secretary, Office of Health Technology Assessment - Policy Branch, Technology Assessment and Access Division

Dr Harry Rothenfluh, Assistant Secretary, Office of Health Technology Assessment - Assessment Branch, Technology Assessment and Access Division

Ms Lisa La Rance, Assistant Secretary, Pricing and PBS Policy Branch, Technology Assessment and Access Division

Dr Megan Keaney, Principal Medical Adviser, Technology Assessment and Access Division

Mr David Weiss, First Assistant Secretary, Medical Benefits Division

Mr Andrew Simpson, Assistant Secretary, Medicare Reviews Unit, Medical Benefits Division

Ms Celia Street, Assistant Secretary, Diagnostic Imaging and Pathology Branch, Medical Benefits Division

Ms Natasha Ryan, Assistant Secretary, MBS Policy and Specialist Services Branch, Medical Benefits Division

Mr Simon Cotterell, First Assistant Secretary, Provider Benefits Integrity Division

Mr Craig Chalmers, Assistant Secretary, Compliance Targeting Branch, Provider Benefits Integrity Division

Mr Paul Hansen, Acting Assistant Secretary, Compliance Systems Branch, Provider Benefits Integrity Division

Ms Ann Smith, Assistant Secretary, Compliance Operations Branch, Provider Benefits Integrity Division

Ms Tiali Goodchild, Acting Assistant Secretary, Compliance Legislation Taskforce, Provider Benefits Integrity Division

Ms Fiona Buffinton, First Assistant Secretary, In Home Aged Care Division

Mr Nick Morgan, Assistant Secretary, Home Support and Hearing Branch, In Home Aged Care Division

Ms Natasha Cole, First Assistant Secretary, Primary Care and Mental Health Division

Ms Janet Quigley, Assistant Secretary, Primary Care, Dental and Palliative Care Branch, Primary Care and Mental Health Division

Mr Derek Bazen, Director, Primary Care Dental and Palliative Care Branch, Primary Care and Mental Health Division

Mr Charles Maskell-Knight, Principal Adviser, Long Term Health Reform Taskforce

Outcome 5

Ms Sharon Appleyard, First Assistant Secretary, Office of Health Protection

Dr Gary Lum AM, Principal Medical Adviser, Office of Health Protection

Dr Jenny Firman, Principal Medical Advisor, Office of Health Protection

Dr Lucas de Toca, Principal Advisor, Enhanced Response Unit, Office of Health Protection

Ms Sandra Gebbie, Acting Assistant Secretary, Health Emergency Management Branch, Office of Health Protection

Ms Sarah Norris, Acting Assistant Secretary, Health Protection Policy Branch, Office of Health Protection

Dr Masha Somi, Assistant Secretary, Immunisation Branch, Office of Health Protection

Ms Gillian Shaw, Assistant Secretary, Regulatory Policy Branch, Office of Health Protection

Mr Chris Carlile, Assistant Secretary, Enhanced Response Unit, Office of Health Protection

Adjunct Professor Tim Greenaway, Chief Medical Adviser, Health Products Regulation Group

Ms Jenny Francis, Principal Legal and Policy Adviser, Health Products Regulation Group

Dr Larry Kelly, First Assistant Secretary, Medicines Regulation Division, Health Products Regulation Group

Ms Tracey Duffy, Acting First Assistant Secretary, Medical Devices and Product Quality Division, Health Products Regulation Group

Ms Nicole McLay, Acting First Assistant Secretary, Regulatory Practice and Support Division, Health Products Regulation Group

Mr George Masri, Assistant Secretary, Regulatory Services and Improvement Branch, Health Products Regulation Group

Dr Raj Bhula, Gene Technology Regulator, Office of the Gene Technology Regulator

Mr Neil Ellis, Executive Director, Regulatory Practice and Compliance Branch, Office of the Gene Technology Regulator

Dr Michael Dornbusch, Assistant Secretary, Evaluation Branch, Office of the Gene Technology Regulator

Outcome 6

Ms Maria Jolly, First Assistant Secretary, Aged Care Reform Taskforce

Ms Amy Laffan, Assistant Secretary, Aged Care Quality and Regulatory Reform Branch, Aged Care Reform Taskforce

Ms Helen Grinbergs, Assistant Secretary, Aged Care Policy Reform Branch, Aged Care Reform Taskforce

Mr Jaye Smith, First Assistant Secretary, Residential and Flexible Aged Care Division

Mr Graeme Barden, Assistant Secretary, Residential and Flexible Care Branch, Residential and Flexible Aged Care Division

Ms Jo Mond, Assistant Secretary, Specialised Programs and Regulation Branch, Residential and Flexible Aged Care Division

Mr Nigel Murray, Assistant Secretary, Funding Policy and Prudential Branch, Residential and Flexible Aged Care Division

Ms Fiona Buffinton, First Assistant Secretary, In Home Aged Care Division

Ms Rachel Goddard, Assistant Secretary, Aged Care Access Branch, In Home Aged Care Division

Mr Travis Haslam, Assistant Secretary, Home Care Branch, In Home Aged Care Division

Mr Nick Morgan, Assistant Secretary, Home Support and Hearing Branch, In Home Aged Care Division

Mr Nick Ryan, Chief Executive Officer, Australian Aged Care Quality Agency

Ms Rae Lamb, Australian Aged Care Complaints Commissioner

Mr John Dicer, Aged Care Pricing Commissioner

Committee met at 09:01

CHAIR ( Senator Brockman ): I declare open this meeting of the Community Affairs Legislation Committee on 29 May 2018. The Senate has referred to the committee the particulars of proposed expenditure for 2018-19 for the portfolios of Health, Social Services and Human Services. The committee may also examine the annual reports of the departments and agencies appearing before it. The committee is due to report to the Senate on 26 June 2018 and has fixed 16 July 2018 as the date for the return of answers to questions taken on notice. Senators are reminded that any written questions on notice should be provided to the committee secretariat by close of business on 8 June 2018.

The committee's proceedings today will begin with its examination of the health portfolio, commencing with whole of portfolio and corporate matters. The committee will then continue with the Department of Health and other portfolio agencies listed on the program. On Thursday morning at 9 am the committee will move forward to examining the Social Services portfolio, followed at 4.45 pm by the Department of Human Services. On Friday morning at 9 am the committee will resume its examination of the social services portfolio.

Under standing order 26, the committee must take all evidence in public session. This includes answers to questions on notice. I remind all witnesses that in giving evidence to the committee they are protected by parliamentary privilege. It is unlawful for anyone to threaten or disadvantage a witness on account of evidence given to a committee, and such action may be treated by the Senate as a contempt. It is also a contempt to give false or misleading evidence to a committee.

The Senate by resolution in 1999 endorsed the following test of relevance of questions at estimates hearings: any question going to the operations or financial position of the departments and agencies which are seeking funds in the estimates are relevant questions for the purpose of estimates hearings. I remind officers that the Senate has resolved that there are no areas in connection with the expenditure of public funds where any person has discretion to withhold details or explanations from the parliament or its committees unless the parliament has expressly provided otherwise.

The Senate has resolved also that an officer of a department of the Commonwealth shall not be asked to give opinions on matters of policy and shall be given reasonable opportunity to refer questions asked of the officer to superior officers or to a minister. This resolution prohibits only questions asking for opinions on matters of policy and does not preclude questions asking for explanations of policies or factual questions about when and how policies were adopted.

I particularly draw the attention of witnesses to an order of the Senate of 13 May 2009 specifying the process by which a claim of public interest immunity should be raised. Witnesses are specifically reminded that a statement that information or a document is confidential or consists of advice to government is not a statement that meets the requirements of the 2009 order. Instead witnesses are required to provide some specific indication of the harm to the public interest that could result from the disclosure of the information or the document. I incorporate the public immunity statement.

The extract read as follows—

Public interest immunity claims

That the Senate—

(a) notes that ministers and officers have continued to refuse to provide information to Senate committees without properly raising claims of public interest immunity as required by past resolutions of the Senate;

(b) reaffirms the principles of past resolutions of the Senate by this order, to provide ministers and

officers with guidance as to the proper process for raising public interest immunity claims and to

consolidate those past resolutions of the Senate;

(c) orders that the following operate as an order of continuing effect:

(1) If:

(a) a Senate committee, or a senator in the course of proceedings of a committee, requests information or a document from a Commonwealth department or agency; and

(b) an officer of the department or agency to whom the request is directed believes that it may not be in the public interest to disclose the information or document to the committee, the officer shall state to the committee the ground on which the officer believes that it may not be in the public interest to disclose the information or document to the committee, and specify the harm to the public interest that could result from the disclosure of the information or document.

(2) If, after receiving the officer’s statement under paragraph (1), the committee or the senator requests the officer to refer the question of the disclosure of the information or document to a responsible minister, the officer shall refer that question to the minister.

(3) If a minister, on a reference by an officer under paragraph (2), concludes that it would not be in the public interest to disclose the information or document to the committee, the minister shall provide to the committee a statement of the ground for that conclusion, specifying the harm to the public interest that could result from the disclosure of the information or document.

(4) A minister, in a statement under paragraph (3), shall indicate whether the harm to the public interest that could result from the disclosure of the information or document to the committee could result only from the publication of the information or document by the committee, or could result, equally or in part, from the disclosure of the information or document to the committee as in camera evidence.

(5) If, after considering a statement by a minister provided under paragraph (3), the committee concludes that the statement does not sufficiently justify the withholding of the information or document from the committee, the committee shall report the matter to the Senate.

(6) A decision by a committee not to report a matter to the Senate under paragraph (5) does not prevent a senator from raising the matter in the Senate in accordance with other procedures of the Senate.

(7) A statement that information or a document is not published, or is confidential, or consists of advice to, or internal deliberations of, government, in the absence of specification of the harm to the public interest that could result from the disclosure of the information or document, is not a statement that meets the requirements of paragraph (1) or (4).

(8) If a minister concludes that a statement under paragraph (3) should more appropriately be made by the head of an agency, by reason of the independence of that agency from ministerial direction or control, the minister shall inform the committee of that conclusion and the reason for that conclusion, and shall refer the matter to the head of the agency, who shall then be required to provide a statement in accordance with paragraph (3).

(d) requires the Procedure Committee to review the operation of this order and report to the Senate by

20 August 2009.

(13 May 2009 J.1941)

(Extract, Senate Standing Orders)