Appendix 3
COAG
Communiqué
At
its 42nd meeting, in Canberra, COAG increased hospital funding and made an
historic commitment to explore fundamental changes to our federation that will
drive economic reform and secure better outcomes for all Australians. We have
sharpened our focus on improving Indigenous economic participation and received
our final report on reducing violence against women and their children – an
issue of ongoing concern for all of us. Treasurers joined First Ministers for
the discussion on economic and federation reform.
Hospital funding
and health reform
COAG
reaffirmed that providing universal health care for all Australians is a shared
priority.
Leaders
agreed a Heads of Agreement for public hospitals funding from 1 July 2017 to
30 June 2020 ahead of consideration of longer-term arrangements. This will
see the Commonwealth providing an estimated additional $2.9 billion in funding
for public hospital services, with growth in Commonwealth funding capped at 6.5
per cent a year.
This
Agreement preserves important parts of the existing system, including activity
based funding and the national efficient price, and focuses on improving
patient safety and the quality of services, and reducing unnecessary
hospitalisations.
As
part of this Agreement, all jurisdictions agreed to take action to improve the
quality of care in hospitals and reduce the number of avoidable admissions, by:
-
reducing
demand for hospital services through better coordinated care for people with
complex and chronic disease – the current system does not always provide the
care the chronically ill need – this means they are hospitalised more than is
necessary;
-
improving
hospital pricing mechanisms to reflect the safety and quality of hospital
services by reducing funding for unnecessary or unsafe care – reducing
hospital-acquired complications will improve patient safety; and
-
reducing
the number of avoidable hospital readmissions – too many patients are
readmitted to hospitals as a result of complications arising from the management
of their original condition.
The
Commonwealth will continue its focus on reforms in primary care that are
designed to improve patient outcomes and reduce avoidable hospital admissions.
Schools
COAG
recognised the positive contribution high quality schooling makes to both
individuals and the economy. It noted that the Commonwealth’s contribution to
school education is funded through to the end of 2017, and agreed that
discussions on new funding arrangements should be concluded by early 2017.
A more efficient
federation for all Australians
COAG
welcomed the Commonwealth’s initiative to help resolve the longstanding problem
of vertical fiscal imbalance and improve state autonomy.
There
was not a consensus among states and territories (states) to support further
consideration of the proposal to levy income tax on their own behalf.
Leaders agreed to consider
proposals to share personal income tax revenue with the states to:
- provide
them access to a broad revenue base that grows in line with the economy;
- reduce the
number of tied Commonwealth grants to the states, providing them with greater
autonomy and reducing administrative burden; and
- create
flexibility for states to meet their ongoing expenditure needs.
COAG
further agreed to continue pursuing initiatives that will enhance transparency
by providing Australian citizens with a greater level of real time data on how
government money is spent and on the outcomes and performance of government
initiatives.
COAG agreed
that this work, along with the work on broader opportunities for tax reform,
including state tax reform, will be progressed by the Council on Federal
Financial Relations, with a progress report to COAG at its next meeting.
Competition
reform
COAG
agreed that competition and productivity reforms are important to drive
Australia’s economic performance and living standards. Treasurers will develop
a new competition and productivity enhancing reform agreement, for
consideration at the next COAG meeting.
The
draft agreement will incorporate:
-
an
updated set of Commonwealth-state competition principles drawing from, and
expanding on, those recommended by the Harper Competition Policy Review report;
-
shared
national and state‑specific competition and productivity reforms;
-
independent
evaluation and assessment mechanisms; and
-
innovation
payments, based on performance, including consideration of recent reforms.
COAG
will look to build on these important economic reforms by collaborating to
improve our cities, better target our infrastructure investment and lift
productivity across the country, to deliver for all Australians, no matter
where they live.
Indigenous
economic development
COAG
welcomed progress toward an Indigenous Economic Development Framework. Leaders
agreed it is important to engage with Indigenous leaders and communities to
support its further development.
COAG
discussed and supported Indigenous procurement policies as they can provide
better opportunities for Indigenous Australians to engage in the economy,
increase employment prospects, and be less reliant on welfare.
Leaders
will work in partnership to develop strategies to improve educational outcomes
for Indigenous students. Leaders noted that if a further 640 Indigenous
children, nation-wide, met the Year 3 reading national minimum standard, we
could halve the gap.
Leaders
also agreed to work in partnership with Indigenous leaders and communities,
consistent with the principles of empowering communities. This is important to
securing better informed decisions and transparency around government efforts
to improve community outcomes.
There
are still disproportionally high incarceration and re-offending rates for
Indigenous Australians. COAG further agreed to develop ways to address barriers
to employment on release and to support Indigenous people as they transition
from incarceration to employment. The Commonwealth will undertake initiatives
with states, drawing on existing programs.
Reducing
violence against women and their children
COAG
discussed the importance of ensuring female representation in leadership
positions.
COAG
agreed that, while not all disrespect of women leads to violence against women,
all violence against women begins with disrespect of women.
As
such, COAG welcomed the final report from the COAG Advisory Panel on Reducing
Violence against Women and their Children (the Panel), thanking the Panel,
guided by Mr Ken Lay APM, Ms Rosie Batty and Ms Heather Nancarrow, for its
commitment in this area. All COAG members remain committed to making sure that
women and their children live free from violence in safe communities.
The
final report notes that, despite current efforts, rates of violence against
women remain unacceptably high and negative gender-based attitudes continue
largely unchallenged. In its final report, the Panel advises COAG of the need
for collective, long-term action and leadership in order to address gender
inequality and to achieve lasting change in community attitudes which underpin
and enable violence.
COAG
supports, in-principle, the six areas identified by the Panel for further joint
action:
-
national
leadership to challenge gender inequality and transform community attitudes;
-
empowering
women who experience violence to make informed choices;
-
recognising
children and young people as victims of violence against women;
-
holding
perpetrators to account for their actions and supporting them to change;
-
providing
trauma-informed responses to violence for Aboriginal and Torres Strait Islander
communities; and
-
providing
integrated responses to keep women and their children safe.
Jurisdictions
will consider the recommendations in each of these areas in developing the
Third Action Plan of the National Plan to Reduce Violence against Women and
their Children 2010-2022 this year.
COAG
noted the outcomes of the Victorian Royal Commission into Family Violence
released this week.
COAG
also noted the COAG Summit on Reducing Violence against Women and their
Children would be held in Brisbane at the end of October 2016.
Counter-terrorism
COAG
noted the progress that had been made on the countering violent extremism initiatives agreed
at the 11 December 2015 COAG meeting. First Ministers supported the development
of a nationally consistent post sentence preventative detention scheme, with appropriate
protections, that covers high risk terrorist offenders. They agreed that the
Commonwealth would draft legislation, to be introduced as soon as practicable,
following consultation with states.
COAG
agreed, in-principle, to the NSW model as the basis for a strengthened
nationally consistent pre-charge detention scheme for terrorism suspects, with
the ACT reserving its position. NSW will introduce the legislation and consult
with other jurisdictions.
National
Disability Insurance Scheme (NDIS)
COAG
discussed the timing of access to the DisabilityCare Australia Fund (DCAF), and
potential changes to governance to simplify and streamline NDIS decision-making
and rule-making. COAG requested Senior Officials to provide further advice.
Medicinal
cannabis
COAG
noted the progress in all jurisdictions to facilitate patient access to
medicinal cannabis. The passage of Commonwealth legislation to establish a
national licensing scheme for cultivation of medicinal cannabis will provide
patients with a safe, legal and reliable supply. Jurisdictions will continue
working together to implement the scheme, with a view to Australian-grown
products being available for use in 2017.
COAG
noted health ministers are already considering options to expedite patient
access to medicinal cannabis.
COAG
also noted NSW has commenced trials of medicinal cannabis and other
jurisdictions are invited to participate.
Northern
Territory statehood
COAG
welcomed Chief Minister Giles’s update on progress towards statehood and noted
the Northern Territory would bring forward a proposal to the next COAG meeting.
Reportable
conduct scheme
COAG
welcomed Chief Minister Barr’s proposal for nationally harmonised reportable
conduct schemes to improve oversight of responses to allegations of child abuse
and neglect. COAG agreed, in-principle, to harmonise reportable conduct
schemes, similar to the current model in operation in NSW and announced in the
ACT and Victoria.
Redress
COAG
discussed the importance of providing redress for survivors of institutional
child sexual abuse. The Commonwealth will engage with all jurisdictions on next
steps.
1
April 2016
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