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Good Practices and Innovations in Public Governance 2003-2011

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<strong>Good</strong> <strong>Practices</strong> <strong>and</strong> InnovATIONS <strong>in</strong> <strong>Public</strong> <strong>Governance</strong><br />

Asia <strong>and</strong> the Pacific<br />

Australia<br />

2010 category 4 – 1st Place W<strong>in</strong>ner<br />

Knowledge Network<br />

National Blood Authority<br />

Description<br />

This is a public-private knowledge network <strong>in</strong>itiative enabl<strong>in</strong>g the National Blood<br />

Authority to deliver a safe, affordable <strong>and</strong> secure supply of blood products for all<br />

citizens <strong>and</strong> better value for the government.<br />

Summary<br />

Australia’s National Blood Authority (NBA) was set up <strong>in</strong> <strong>2003</strong> to improve the management<br />

of the nation’s blood supply <strong>and</strong> get better value for government expenditures<br />

on blood products. As part of an organisational capacity-build<strong>in</strong>g strategy, the<br />

NBA decided to create a private <strong>and</strong> civil knowledge network. Through this knowledge-network<br />

<strong>in</strong>itiative, the NBA has ma<strong>in</strong>ta<strong>in</strong>ed an adequate supply of blood, plasma<br />

<strong>and</strong> recomb<strong>in</strong>ant products to meet 100 percent of identified cl<strong>in</strong>ical needs s<strong>in</strong>ce<br />

<strong>2003</strong>. There has been no recurrence of the previous supply shortfalls. Establishment<br />

of the network has enabled them to develop more robust risk-analysis <strong>and</strong> risk-mitigation<br />

strategies based on an <strong>in</strong>-depth underst<strong>and</strong><strong>in</strong>g of how products are used, the<br />

supply cha<strong>in</strong> <strong>and</strong> product production. Based on a detailed needs assessment, this<br />

<strong>in</strong>itiative has addressed the challenges of achiev<strong>in</strong>g reliable <strong>and</strong> appropriate supplies<br />

of safe <strong>and</strong> affordable blood products through a well-thought-through <strong>and</strong> well-implemented<br />

strategy for cooperation between public <strong>and</strong> private actors to provide citizens<br />

with a more secure supply of high-quality blood products, better value for money<br />

<strong>and</strong> more appropriate use of products.<br />

The Problem<br />

Australia spends approximately 0.73 percent of its national health budget on provid<strong>in</strong>g<br />

fresh blood, plasma <strong>and</strong> recomb<strong>in</strong>ant blood products. These are key elements <strong>in</strong><br />

the ongo<strong>in</strong>g <strong>and</strong> emergency health-care requirements for many citizens. The NBA<br />

was established <strong>in</strong> <strong>2003</strong> to undertake plann<strong>in</strong>g, purchas<strong>in</strong>g <strong>and</strong> management functions<br />

for the Australian blood sector.<br />

The challenge was to create the NBA as a small expert body that could improve the<br />

delivery of blood-related health services to all citizens <strong>and</strong> be a valuable <strong>in</strong>formation<br />

resource for the government about contemporary blood issues. An <strong>in</strong>itial assessment<br />

of core capability requirements highlighted the need to:<br />

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