Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association

Realising the potential of health needs assessments

Matthew Anstey A B F , Paul Burgess C D and Lisa Angus E

A Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, WA 6009, Australia.

B Curtin University, School of Public Health, Kent Street, Bentley, WA 6102, Australia.

C NT Clinical School, Flinders University, Nightingdale Road, Royal Darwin Hospital Campus, Darwin, NT 0810, Australia. Email:

D Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Rocklands Drive, Casuarina, NT 0810, Australia.

E Affiliation during preparation of manuscript: Centre for Health Economics Research & Evaluation (CHERE), University of Technology Sydney, PO Box 123, Haymarket, NSW 2007, Australia. Email:

F Corresponding author. Email:

Australian Health Review -
Submitted: 22 November 2016  Accepted: 28 March 2017   Published online: 15 May 2017


Population-level assessment and planning has traditionally been the role of public health departments but in establishing Primary Health Networks (PHNs), the Australian Government has instituted a new mechanism for identifying community needs and commissioning services to meet those needs. If PHNs are to achieve the vision of nimble organisations capable of identifying and addressing local health needs via integrated health and social services, several things need to occur. First, PHN funding schedules must become more flexible. Second, the Federal health department must maintain an open dialogue with PHNs, permit waivers in funding schedules to suit local conditions and be prepared to back innovations with seed investment. Third, health data exchange and linkage must be accelerated to better inform community needs assessments and commissioning. Finally, PHNs must be encouraged and supported to develop collaborations both within and outside the health sector in order to identify and address a broad set of health issues and determinants. By following these principles, PHNs may become leading change agents in the Australian healthcare system.


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