Reflecting on the Productivity Commission's review of the National Agreement and next steps
Last week, we welcomed the release of the Productivity Commission’s Interim Report into their review of the National Mental Health and Suicide Prevention Agreement.
The Commission’s early findings provide a necessary, frank and compelling assessment of the shortcomings of the existing National Agreement, as well as the funding and governance arrangements behind it.
Together, the Interim Report and What We’ve Heard So Far paper describe many of the flaws in the mental health system, that consumers, carers, family and kin have been telling us for generations – our mental health system is "alienating, inadequate, ill-informed, and under-resourced". The report also reflects the concerns and shortcomings included in Mental Health Australia’s initial submission to the review. It paints a picture of an existing Agreement that is not fit for purpose, or achieving the systemic change that is needed.
At the same time, the report reflects on the importance of governments genuinely partnering with consumers, carers, family and kin, and the sector, in the design and governance of the next National Agreement. It presents thoughtful, immediate actions that decision-makers can take to improve both existing service access (such as an immediate uplift to psychosocial supports) and the design and delivery of the next Agreement, which is due for negotiation in the next year.
In particular, Mental Health Australia welcomes the recommendations for immediate action to deliver commitments remaining under the current Agreement, namely releasing the National Stigma and Discrimination Reduction Strategy and National Guidelines on Regional Planning and Commissioning by the end of 2025, and working to address the unmet need for psychosocial support outside the National Disability Insurance Scheme (NDIS).
We also welcome recommendations to increase the transparency and effectiveness of governance arrangements, including by increasing the involvement of lived experience and sector representatives in both co-design and governance forums, and ensuring a stronger role for the National Mental Health Commission to independently monitor the progress of delivery of the Agreement.
These actions offer a pathway to creating the strong, shared foundation that is integral to effective system reform and implementation. Some of these actions – such as increasing transparency of existing governance forums and reporting mechanisms – could also be done now, without needing to wait for the next Agreement.
There are further opportunities for sector input into the review before the final report is handed to Government in October, through further submissions (due by 31st July 2025), public hearings and responses to information requests. Mental Health Australia’s submission will include feedback and insights from our members, captured at our most recent Policy Forum.
The existing arrangements and future approach are rightly under scrutiny. We look forward to the Commission’s final report and continuing to advocate for a more effective National Agreement, and a better approach to mental health and suicide prevention that provides everyone in our community with the care and support they need and deserve.
Carolyn Nikoloski CEO, Mental Health Australia |