National Healthcare
Connected hospital networks, interoperable referrals and coordinated workforce planning.
On this page · Healthcare
01
What changes, and what people should notice.
Operational reform
Connected hospital networks, interoperable referrals and coordinated workforce planning.
What Australians could experience
Continuity of care, simpler referrals and reduced repeated administration.
Intended, conditional improvements — not guaranteed outcomes.
National framework
One consistent set of rules and standards for healthcare across Australia.
Regional decisions
Regional care networks plan for local need; clinicians, carers and caseworkers keep professional independence.
Local delivery
Frontline staff and service points remain in communities; duplicated back-office administration is the target, not frontline capacity.
02
Strategy and proposed delivery priorities.
- 1
Establish a public baseline for healthcare: laws, regulators, service locations, staff, contracts, information assets and spending in every jurisdiction.
- 2
Develop system-specific national standards and safeguards around the specific reform proposed — connected hospital networks, interoperable referrals and coordinated workforce planning — and test it against the stated protections before it is adopted.
- 3
Pilot the model in representative metropolitan, regional and remote settings, with results published before migration is considered.
- 4
Transfer functions only with lawful authority, workforce consultation and verified uninterrupted service; keep frontline delivery regional and local.
Health & Care group priorities
- Map referral, assessment and discharge pathways to find where people repeat their story to multiple agencies.
- Build interoperable records with privacy, consent and participant choice designed in from the beginning.
- Treat safe staffing, quality oversight and complaint rights as protected conditions of every pilot.
Public register · proposal status, not a delivery claim
Evidence and the next decision gate.
No system-specific evidence bundle is published or verified here. No approval, funding decision, authorised transfer or completed delivery is claimed.
Prerequisites before a design or pilot decision
- 01Earn a federal governing mandate; an election result at another level does not confer national powers.
- 02Publish independent legal advice on constitutional authority, affected laws and any state or territory agreement required before changing institutions or transferring functions.
- 03Establish a jurisdiction-by-jurisdiction baseline for National Healthcare, consult affected workers and communities, and publish the lawful options before deciding whether to proceed.
- 04Assess service continuity, regional access, workforce and the stated protections (Clinical independence, privacy, safe staffing) before any authorised design or pilot.
- 05Publish independently reviewable transition and ongoing costs; keep estimates, purchaser effects and gross scenarios separate from verified net savings.
Next decision gate
If a federal governing mandate is earned, publish the National Healthcare baseline, legal options, consultation findings and independently reviewable costs. Only then decide publicly whether to proceed to detailed design or an authorised pilot; no transfer or rollout is implied.
A proposed gate is a condition for a future decision, not evidence that the decision has been made.
Supporting evidence to publish
These are evidence requirements for this proposal, not completed research or verified findings.
Legal and institutional baseline
Map the laws, decision rights, regulators, providers and intergovernmental responsibilities that apply to National Healthcare; identify constitutional questions and any required consent.
Service and outcome baseline
Publish baseline and annual data on access, processing time, safety/quality, regional equity, complaints, gross efficiency, transition spending and verified net financial impact for national healthcare.
Cost and feasibility assessment
Validate the addressable baseline and these cost drivers — Purchasing, shared back office, clinical ICT. — then publish transition, parallel-running and ongoing costs separately from benefits.
Safeguards and consultation record
Document how the stated protections will be tested (Clinical independence, privacy, safe staffing), who was consulted, and how service continuity and regional equity will be monitored.
Official source starting points
These public bodies may hold relevant baseline material. Links do not mean that evidence has been collected, independently verified, or that any body endorses S38.
03 · proposed, not commenced
Phased rollout.
Years 1–2
Baseline and design
Inventory relevant laws, regulators, service locations, staff, contracts, information assets and expenditures; identify overlaps with adjacent systems; consult affected workers, communities and users.
Years 3–5
Standards and pilots
Develop system-specific national standards, safeguards and secure interoperability; pilot the proposed national healthcare model in representative metropolitan, regional and remote settings; publish evaluation results.
Years 6–10
Controlled migration
Transfer functions only after required approvals, establish regional delivery capability, migrate records and credentials, train personnel, operate parallel systems where necessary and verify uninterrupted service.
Years 11–30
Improvement
Expand capacity, retire duplicative administration only where demonstrated, modernise platforms, reinvest verified efficiencies and review outcomes at five-year intervals.
04
Cost drivers and financial status.
- proposed systems
- 38
- preliminary illustrative gross scenarios
- 11
- uncosted
- 27
- verified net impact not available
- N/A
Cost drivers · Purchasing, shared back office, clinical ICT.
- Mature annual gross scenario
- $2,320.5m
- Cumulative · 10 years
- $14.27bn
- Cumulative · 20 years
- $37.48bn
- Cumulative · 30 years
- $60.68bn
- Net impact
- Uncosted
Annual mature gross savings $2,320.5m; cumulative gross savings 10 years $14.27bn, 20 years $37.48bn, 30 years $60.68bn. These are inherited modelling assumptions, not validated system-specific estimates; net impact remains uncosted.
Gross scenario, not a net or guaranteed benefit. Figures are inherited modelling assumptions in constant dollars. Transition costs, new operating responsibilities, National Service costs, inflation and discounting are excluded. No government-wide net saving is established.
Show values as a table
| Year | Annual gross | Cumulative gross |
|---|---|---|
| 1 | $0.000bn | $0.000bn |
| 2 | $0.232bn | $0.232bn |
| 3 | $0.580bn | $0.812bn |
| 4 | $1.044bn | $1.856bn |
| 5 | $1.508bn | $3.365bn |
| 6 | $1.856bn | $5.221bn |
| 7 | $2.088bn | $7.310bn |
| 8 | $2.321bn | $9.630bn |
| 9 | $2.321bn | $11.951bn |
| 10 | $2.321bn | $14.271bn |
| 11 | $2.321bn | $16.592bn |
| 12 | $2.321bn | $18.912bn |
| 13 | $2.321bn | $21.233bn |
| 14 | $2.321bn | $23.553bn |
| 15 | $2.321bn | $25.874bn |
| 16 | $2.321bn | $28.194bn |
| 17 | $2.321bn | $30.515bn |
| 18 | $2.321bn | $32.835bn |
| 19 | $2.321bn | $35.156bn |
| 20 | $2.321bn | $37.476bn |
| 21 | $2.321bn | $39.797bn |
| 22 | $2.321bn | $42.117bn |
| 23 | $2.321bn | $44.438bn |
| 24 | $2.321bn | $46.758bn |
| 25 | $2.321bn | $49.079bn |
| 26 | $2.321bn | $51.399bn |
| 27 | $2.321bn | $53.720bn |
| 28 | $2.321bn | $56.040bn |
| 29 | $2.321bn | $58.361bn |
| 30 | $2.321bn | $60.681bn |
Ramp: 0% in year 1, rising to full value from year 8. Red bars mark the 10, 20 and 30-year horizons. Values are this system's proportional share of the 11-system scenario.
- Illustrative gross
- Modelled potential before costs; not realised or independently audited savings.
- Uncosted
- No defensible savings amount is available.
- Purchaser saving
- A reduction in customer bills that may be offset elsewhere; not automatically a net national gain.
- Program cost
- New expenditure that must be reported separately from efficiency claims.
- Verified net — not available
- Independently audited realised cash savings less all incremental recurring and transition costs. No verified whole-program net amount exists.
05
Protections and risks.
System-specific protections
- Clinical independence
- privacy
- safe staffing
Risks to monitor
Monitor service disruption, privacy, workforce impacts, unequal regional access and unintended consequences.
Democratic authority
Legally assess and obtain constitutional, referendum and any applicable state-consent approvals before institutional abolition or irreversible transfers.
National standards, regional delivery
Set consistent rights and technical standards nationally, with regional decision-making, accessible service offices and local frontline delivery.
Independent institutions
Protect courts, electoral bodies, integrity agencies, regulators and police oversight from partisan direction.
Uninterrupted public services
Protect emergency services, benefits, licensing, schools and healthcare throughout migration. Dual-running is a cost to plan for, not a reason to put continuity at risk.
Financial integrity
Report cashable savings, noncash efficiencies, transition spending, new operating costs and service outcomes separately. No government-wide net savings claim is established.
Participation and equity
Protect accessibility, remote communities, First Nations interests, worker rights, privacy, independent complaints and review.
06
Outcome measures to establish.
Publish baseline and annual data on access, processing time, safety/quality, regional equity, complaints, gross efficiency, transition spending and verified net financial impact for national healthcare. Baselines come first; targets will only be set once independent baselines exist.
Access
Who can reach the service, where, and how quickly — including remote and assisted access.
Baseline: to be established
Processing time
Elapsed time from application, referral or call to decision or service.
Baseline: to be established
Safety and quality
Incidents, clinical or technical quality indicators and independent inspection findings.
Baseline: to be established
Regional equity
Differences in access and outcomes between metropolitan, regional and remote communities.
Baseline: to be established
Complaints
Volume, resolution time and independent review outcomes.
Baseline: to be established
Gross efficiency
Administrative cost changes before transition and new operating costs are subtracted.
Baseline: to be established
Transition spending
Every year of parallel running, migration, workforce, legal and technology expenditure.
Baseline: to be established
Verified net financial impact
Audited cashable savings minus recurring and transition costs.
Baseline: to be established
Living policy status
This page is part of a living policy library. Strategy papers, consultation responses, independent costings and delivery evidence will be added here as they are prepared. Nothing on this page reports completed delivery: the Party does not currently hold government, and every phase below is proposed.
- Policy foundation · published
- Strategy paper · forthcoming
- Independent costing · forthcoming
- Consultation report · forthcoming
- Delivery evidence · forthcoming