MHCSA State Budget Review

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MHCSA State Budget Review

There has been a lot of budget analysis and response over the past 24 hours and this update will not cover off any key budget initiatives that were already announced. This update will deal purely with the mental health relevant aspects of the State Budget.

The overall 2019-20 net cost of services for SA Health is $3.88bn which is less than the estimated actual result for 2018-19 of $4.05bn.  The reduction of $17m means there will be continued pressure to find cost savings within the Department to achieve this result.

There is $286.1m in infrastructure spends across the portfolio for 2019-20, most of which are ongoing or previously announced. Of note to mental health there is the Repatriation Hospital redevelopment, which will include an 18-bed facility to support people experiencing the most extreme behavioural and psychological symptoms of dementia.

There is no relief regarding the 25% reduction in funding for NGO mental health services with the $6.8m being transferred to the Commonwealth NDIS. However this reduction and transfer did not appear in the budget papers.

We also noted the future of the SA Mental Health Commission remains uncertain and noted as subject to a decision following the SA Mental Health Governance Review that is underway.

There is $550m provisioned over the forward estimates for a new Women’s and Children’s Hospital to be co-located with the new Royal Adelaide Hospital with completion date estimated to be as late as 2025-26.

In other news there is $3m to trial an Anglicare initiative to provide intensive support to families where children are at risk of entering the child protection system.

An additional $383,000 to continue the Domestic Violence Disclosure Scheme along with previously announced ongoing DV measures.

There is $5.5m committed to creating a ‘dedicated central response unit’ to respond to the Commonwealth Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability and $3.2m for a similar unit to respond to the Royal Commission into Aged Care Quality and Safety.

Housing package to build up to 170 new homes and to assist around 290 families. This  will start this year with the aim of building new Housing Trust homes while others will receive and upgrade.

A broader analysis from SACOSS can be found here.

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