2 responsibility for health facilities and services
Responsibility for Health Care
The Australian Constitution specifies the broad role of Federal and State/Territory Governments:
The Federal is responsible for direct funding of individual health benefit programs
The states/territories are responsible for delivery of a large proportion of health services.
The Australian Government takes a leading role to provide universal and affordable access to high quality
medical, pharmaceutical and hospital services. States and territories have primary responsibility for the
provision of health services, including most acute and psychiatric hospital services. Formal Federal/State
partnerships exist for hospital funding and for public health. The private sector also plays a significant role in
funding and provision of health services.
(Source: Reforming Australia’s Health System, Dept of Health & Ageing)
Table 1 below summarises some major current roles in relation to the five governance functions. This is not
meant to be comprehensive (and excludes, for example, the roles of professional boards and learned
(Source: Australias health 2014: http://www.aihw.gov.au/australias-health/2014/health-system/)
What are the responsibilities of each of the three levels of government for the delivery of health services in
Australia? (4 marks)