Section 2 – Department Outcomes – 14 Biosecurity and Emergency Response Outcome 14 BIOSECURITY AND EMERGENCY RESPONSE Preparedness to respond to national health emergencies and risks, including through surveillance, regulation, prevention, detection and leadership in national health coordination Outcome Strategy The Australian Government, through Outcome 14, aims to strengthen the nation’s capacity and capability to protect the health of all Australians from threats posed by communicable disease outbreaks, natural disasters, environmental hazards and other incidents that may lead to mass casualties such as acts of terrorism. Through development and maintenance of effective systems and networks to detect, identify, and monitor threats, and by ensuring a level of preparedness through effective planning across the health system and investment in the National Medical Stockpile, the nation is well placed to meet current and future health protection challenges. In the event of a health emergency, the Government will use established and tested plans and protocols. The Department will provide national leadership and coordination when dealing with national health emergencies through chairing the Australian Health Protection Principal Committee, working with states and territories to prioritise the use of resources, and providing a clearing house for information critical in managing an emergency response. In addition, the Department will continue to provide human health risk assessment and advice on the regulation of agricultural and veterinary chemical products, drugs and poisons, and the import, export and manufacture of controlled drugs and chemicals. Outcome 14 is the responsibility of the Office of Health Protection. 217 Outcome I 14 The Department will maintain links with other Australian Government agencies, state and territory governments and international agencies, to obtain information on current and emerging population health risks. The Department will maintain a robust and timely communicable disease surveillance system to detect, assess and respond to communicable disease threats in Australia and to Australians overseas. Budget Statements – Department of Health and Ageing Program Contributing to Outcome 14 Program 14.1: Health emergency planning and response Outcome 14 Budgeted Expenses and Resources Table 14.1 provides an overview of the total expenses for Outcome 14 by program. Table 14.1: Budgeted Expenses and Resources for Outcome 14 Program 14.1: Health emergency planning and response1 Administered expenses Ordinary annual services (Appropriation Bill No. 1) Non cash expenses - write down of assets2 Special Accounts Human Pituitory Hormones Special Account 3 4 26,883 38,147 20,695 17,301 150 150 24,208 1,515 21,596 1,772 Total for Program 14.1 90,903 61,514 26,883 38,147 150 20,695 17,301 150 Departmental expenses Departmental appropriation3 Expenses not requiring appropriation in the budget year4 24,208 1,515 21,596 1,772 Total expenses for Outcome 14 90,903 61,514 2012-13 163 2013-14 147 Average staffing level (number) 2 2013-14 Estimated expenses $'000 Departmental expenses Departmental appropriation3 Expenses not requiring appropriation in the budget year4 Outcome 14 totals by appropriation type Administered expenses Ordinary annual services (Appropriation Bill No. 1) Non cash expenses - write down of assets2 Special Accounts 1 2012-13 Estimated actual $'000 This program includes National Partnerships paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) Framework. National partnerships are listed in this chapter under each program. For budget estimates relating to the National Partnership component of the program, please refer to Budget Paper 3 or Program 1.10 of the Treasury Portfolio Budget Statements. Non cash expenses relate to the write down of the drug stockpile inventory due to expiration, consumption and distribution Departmental appropriation combines "Ordinary annual services (Appropriation Bill No 1)" and "Revenue from independent sources (s31)". "Expenses not requiring appropriation in the Budget year" is made up of depreciation expense, amortisation expense, makegood expense and audit fees. 218 Section 2 – Department Outcomes – 14 Biosecurity and Emergency Response Program 14.1: Health emergency planning and response Program Objectives National health emergency planning and response The Department works with the states and territories to manage national health emergencies through the Australian Health Protection Principal Committee of the Australian Health Ministers' Advisory Council. The Department contributes to the development of response plans under the National Health Emergency Response Arrangements to ensure effective responses to national health emergencies. In 2013-14, the Australian Government will support national preparedness by replenishing the National Medical Stockpile for major health emergencies. Improve biosecurity, drug and chemical safety The Australian Government will continue to improve biosecurity, drug and chemical safety through regulatory schemes and control mechanisms. In 2013-14, the Department will administer the Security Sensitive Biological Agents Regulatory Scheme to reduce the threat of deliberate release of biological agents. An independent panel, with the support of the Department, will review the Commonwealth legislation underpinning the uniform system of controls for goods containing scheduled substances as required under s52EC of the Therapeutic Goods Administration Act 1989. Minimise the risks posed by communicable diseases The Australian Government is committed to strengthening Australia’s defences against communicable diseases, including the spread of mosquito-borne diseases, such as dengue fever. In 2013-14, the Department will continue an exotic mosquito detection, control and elimination program and support for cross border communications between Queensland and Papua New Guinea clinicians. The Australian Government is committed to ensuring that Australia’s existing ports and airports are able to respond to public health events, in compliance with the World Health Organization (WHO) International Health Regulations (2005) (IHR). In 2013-14, the Department will coordinate information exchange with the states, territories and other countries to enable the tracing and management of potentially infected people through the National Focal Point. Antimicrobial Resistance (AMR) The Australian Government is committed to providing national and international leadership to help prevent and contain the spread of AMR. In 2013-14, the Government will implement activities to respond to AMR, including through 219 Outcome I 14 The Department will continue to administer a licensing and permit regime for controlled drugs in line with Australian legislation and international conventions; provide human health risk assessment advice on the regulation of agricultural and veterinary chemical products, drugs and poisons; and determine the need for medicines and chemicals to be included in the Standard for the Uniform Scheduling of Medicines and Poisons (SUSMP). Budget Statements – Department of Health and Ageing funding to the Australian Commission on Safety and Quality in Health Care to improve national surveillance of antibiotic usage and resistance, and initiatives to reduce costs relating to healthcare associated infections (funded under Outcome 10.5). Program 14.1 is linked as follows: This Program includes National Partnership payments for: Royal Darwin Hospital: Equipped, Prepared and Ready; OzFoodNet; and Continuation of mosquito control and cross border liaison in the Torres Strait. Partnership payments are paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) Framework. For Budget estimates relating to the National Partnership component of the program, refer to Budget Paper 3 or Program 1.10 of the Treasury’s Portfolio Budget Statements. The Attorney-General’s Department (Australian Customs and Border Protection Service – Trade Facilitation – Program 1.2) for drug imports and exports. The Attorney General’s Department (Australian Customs and Border Protection Service – Civil Maritime Surveillance and Response – Program 1.4) for national health emergency response activities. Program 14.1: Expenses Table 14.2: Program Expenses $'000 2014-15 Forward year 1 $'000 2015-16 Forward year 2 $'000 2016-17 Forward year 3 $'000 26,883 38,147 20,695 17,301 20,706 25,978 21,098 6,407 21,486 12,814 150 150 160 160 160 Program support 25,723 23,368 23,156 23,335 23,839 Total Program 14.1 expenses 90,903 61,514 70,000 51,000 58,299 Annual administered expenses Ordinary annual services Non cash expenses1 2012-13 Estimated actual $'000 2013-14 Budget Special account expenses Human Pituitory Hormones Special Account 1 Non cash expenses relate to the write down of drug stockpile inventory due to expiration, consumption and distribution 220 Section 2 – Department Outcomes – 14 Biosecurity and Emergency Response Program 14.1: Deliverables Qualitative Deliverables for Program 14.1 National health emergency planning and response Qualitative Deliverable 2013-14 Reference Point or Target Develop, exercise and refine national health emergency policy under the National Health Emergency Response Arrangements National Health Emergency Response Arrangements will be exercised and revised and a paediatric annex detailing the national health response arrangements to a mass casualty incident with paediatric casualties will be developed Improve biosecurity, drug and chemical safety Qualitative Deliverables 2013-14 Reference Point or Target Update and maintain the SUSMP SUSMP to be amended as soon as practicable after the Secretary’s, or the Secretary’s delegate’s, final decision under the Therapeutic Goods Regulations 1990 Review the Commonwealth legislation underpinning the uniform system of controls for goods containing scheduled substances as required under s52EC of the Therapeutic Goods Administration Act 1989 Review to start no later than 1 July 2013 and to be completed within six months Qualitative Deliverable Manage and control exotic mosquito populations to reduce the risk of disease transmission in the Torres Strait and mainland Australia 2013-14 Reference Point or Target Regular mosquito surveillance to indicate whether the mosquito population has declined in the Torres Strait and not spread to the mainland 221 Outcome I 14 Minimise the risks posed by communicable diseases Budget Statements – Department of Health and Ageing Quantitative Deliverables for Program 14.1 Improve biosecurity, drug and chemical safety Quantitative Deliverable 2012-13 Revised Budget 2013-14 Budget Target 2014-15 Forward Year 1 2015-16 Forward Year 2 2016-17 Forward Year 3 Percentage of applications for the import, export, and manufacture of controlled substances that are assessed and processed within agreed timeframes 95% 95% 95% 95% 95% Program 14.1: Key Performance Indicators Qualitative Key Performance Indicators for Program 14.1 National health emergency planning and response Qualitative Indicator 2013-14 Reference Point or Target Containment of national health emergencies through the timely engagement of national health coordination mechanisms and response plans National responses to health emergencies are successfully managed Improve biosecurity, drug and chemical safety Qualitative Indicator 2013-14 Reference Point or Target Perform human health risk assessments and regulate access to chemicals and drugs Chemical assessments completed in a timely manner and authorisation to access drugs and chemicals issued in accordance with legislative requirements Quantitative Key Performance Indicators for Program 14.1 Minimise the risks posed by communicable diseases Quantitative Indicator 2012-13 Revised Budget 2013-14 Budget Target 2014-15 Forward Year 1 2015-16 Forward Year 2 2016-17 Forward Year 3 Percentage of designated points of entry into Australia capable of responding to public health events, as defined in the International Health Regulations 100% 100% 100% 100% 100% 222