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Annual Report - Appendix 4: Discretionary Grants
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Appendix 4 – Discretionary Grant Programs


Discretionary grants are payments where the portfolio minister or paying agency has discretion in determining whether or not a particular applicant receives funding and may or may not impose conditions in return for the grant. The payment can be made to an organisation or individual and is provided without expectation of a service to Government in return for the grant. This definition includes program grants as well as ad-hoc and one-off payments and excludes:
  • service agreements, which should now be treated as contracts rather than grants;
  • intra-Australian Government funding;
  • payments to States and other government agencies;
  • Specific Purpose Payments, inter-government transfers;
  • payments to overseas aid organisations;
  • Government income support programs;
  • emergency payment programs;
  • grants under commercial industry development programs (including increasing research and development, and assisting exporters);
  • grant programs specifically for educational institutions and medical research institutions;
  • grants approved by Commonwealth bodies outside the General Government Sector; and
  • payments of a specific sum of money or fixed percentage of shared funding to an organisation or individual that are made according to a Cabinet Decision, a letter from the Prime Minister, or a determination of a Ministerial Council.

In 2005-06, the overall value of discretionary grants increased by 7.8 per cent. Variances in outcomes from 2004-05 to 2005-06 were due to the re-classification of some grant programs as discretionary or otherwise, after discussions with the Department of Finance and Administration to clarify the application of the Discretionary Grant Guidelines.

An increase of over $200 million against 2004-05 to 2005-06 in Outcome 7 – Indigenous Health is attributed to the inclusion of annual recurrent funding agreements being included in 2005-06. The Aboriginal and Torres Strait Islander Health program commenced reporting of discretionary grants during 2003-04 after being removed from the exclusion list, and systems were not capable of identifying all discretionary grants at that point in time.

A decrease is also noted against Outcome 3 – Aged Care and Population Ageing, due to the change in program structure during 2004-05 from discretionary grant to service agreement. This process was done under agreement between the Minister for Ageing and the Minister for Finance and Administration.

Discretionary grant reporting was moved from outcome level to program group level in 2005-06 to improve the quality of data reported. The following list details discretionary grants by outcome and program group within the Department and the total aggregate payments made in 2005-06 (GST inclusive). Only outcomes and program groups with discretionary grants are listed.

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Outcome

Outcome Description and Program Group

Total Expensed for 2005-06
$

Outcome 1 The incidence of preventable mortality, illness and injury in Australians is minimised.
Population Health Communicable Disease Control
2,485,238
  Drug Strategy
4,648,284
  Immunisation
275,000
  Public Health
190,000
OUTCOME 1 TOTAL
7,598,522
Outcome 2

Australians have access through Medicare to cost-effective medicines and medical services.
Medicines and Medical Services Targeted Assistance - Pharmaceuticals, Aids and Appliances
469,836
OUTCOME 2 TOTAL
469,836
Outcome 3

Older Australians enjoy independence, good health and wellbeing. High quality, cost-effective care is accessible to frail older people, and their carers are supported.
Aged Care and Population Ageing Community Care
299,872
  Culturally Appropriate Aged Care
5,356,590
  Residential Care
24,100,032
OUTCOME 3 TOTAL
29,756,494
Outcome 4

Australians have access to high quality, well-integrated and cost-effective primary care.
Primary Care Primary Care Education and Training
367,385
  Primary Care, Financing, Quality and Access
4,875,007
  Primary Care, Policy, Innovation and Research
218,900
OUTCOME 4 TOTAL
5,461,292
Outcome 5 Improved health outcomes for Australians living in regional, rural and remote locations.
Rural Health Rural Health Services
22,942,163
OUTCOME 5 TOTAL
22,942,163
Outcome 7 Improved access by Aboriginal and Torres Strait Islander peoples to effective primary health care and substance use services and population health programs.
Indigenous Health Aboriginal and Torres Strait Islander Health
324,925,880
OUTCOME 7 TOTAL
324,925,880
Outcome 9

The capacity and quality of the health care system meet the needs of Australians.

Health System Capacity and Qualitye Health Information
3,441,923
  Mental Health
220,000
  Rural Workforce
171,666
OUTCOME 9 TOTAL
3,833,589
Outcome 10 Australians have access to public hospitals, related hospital care, diagnostic services and medical services underpinned by appropriate medical indemnity arrangements.
Acute Care Alternative Funding for Health Service Provision
3,746,282
OUTCOME 10 TOTAL
3,746,282
Outcome 12

Australia’s health system has coordinated arrangements to respond effectively to national health emergencies, including infectious disease outbreaks, terrorism and natural disasters.
Biosecurity and Emergency Response Health Emergency Planning and Response
30,800
  Surveillance
95,000
OUTCOME 12 TOTAL
125,800
Departmental Grants paid from departmental funding.
699,907
DEPARTMENTAL TOTAL
699,907

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Produced by the Portfolio Strategies Division, Australian Government Department of Health and Ageing.
URL: http://www.health.gov.au/internet/annrpt/publishing.nsf/Content/appendix4-discretionary-grants-2
If you would like to know more or give us your comments contact: annrep@health.gov.au