INDUSTRY PERSPECTIVE
State of Private Hospitals sector in Australia
Michael Roff CEO Australian Private Hospitals Association
The Australian Private Hospitals Association is the leading industry body that represents the majority of private hospitals in Australia. They provide a diverse range of healthcare services, including general medical surgical hospitals, mental health facilities, and hospitals that provide inpatient rehabilitation. Private hospitals play a crucial role in the Australian health system, comprising about 30% of all hospital beds and provide 40% of admissions and 60% of all surgeries.
The Chief Executive Officer of the Australian Private Hospitals Association (APHA), Michael Roff, has served APHA for the past 30 years, first as Public Affairs Manager in 1994 before being appointed CEO in March 2000.
Recently Mr Roff, advised the APHA Board he will be stepping down in July 2024. Australian Health Journal spoke with him to discuss the recent announcement by the Federal Government to retain the General Use Items, an issue APHA has successfully lobbied to retain over the past few years.
Mr Roff also discusses his broader thoughts on the current state of the private hospital sector in Australia and reflecting on the changes over the past 30 years whilst working at APHA and 24 years as the Chief Executive Officer.
Mr Roff talks about the financial challenges due to long-term underfunding, which has led to many hospitals struggling to meet their usual capital expenditure. This issue has caused some private hospitals to close, which reduces the healthcare options available to Australians. According to Mr Roff, it is essential to address this issue to ensure that Australians continue to have access to high-quality, private healthcare services.
The growth in exclusionary health insurance products is also a problem that needs attention, says Mr Roff. Many Australians cannot adequately self-assess their own risk of needing a particular hospital service, which makes it difficult for them to choose the right health insurance policy. Additionally, health insurance intermediaries, which compare health insurance products and provide recommendations, often work on a commission basis, which may not necessarily provide consumers with the best options available.
“To address these issues, it is necessary to create a balanced system that benefits both private hospitals and private health insurance companies. Private hospitals need to receive adequate funding to continue to provide high-quality healthcare services, and private health insurance companies should provide fair payments to private hospitals for their services.”, says Mr Roff.
During Mr Roff’s working career at APHA he has represented the private hospitals sector to nine different Federal Health Ministers and eight Prime Ministers. He believes the government should take steps to regulate the health insurance industry to protect consumers and ensure that Australians have access to affordable and comprehensive healthcare services.
“I have spent half my life and the majority of my professional life with APHA and it has been an honour to represent a sector committed to providing the highest quality health services to millions of Australians each year”, Mr Roff said.
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Misinformation impacts routine vaccines
More significant changes in recent years have been health-related misinformation eroding trust in healthcare professionals, leading to people seeking alternative treatments or avoiding medical advice altogether. This can make it more difficult for healthcare professionals to provide effective treatment and care.
Recent vaccines delivered as part of the COVID-19 response, are having a consequential impact on the uptake of routine vaccines.
Australian Health Journal spoke with Dr Paul Griffin, an Infectious Diseases Physician and Microbiologist at Mater Health, and who has been involved in over 150 clinical trials in the field of infectious disease.
Paul talks about the importance of having reputable sources of information that can used to encourage people to understand what is involved in clinical trials and the roles of vaccines.
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Interview with Kylie Ward, CEO Australian College of Nursing
Kylie Ward, CEO Australian College of Nursing spoke with Anne Dao from Australian Health Journal, at last week’s Australian Healthcare Week Expo on the vital role of the nursing professional.
Australian College of Nursing oversees 390,000 nurses in Australia and is the national leader in the nursing profession.
Changes in nursing policy are needed in areas of aged care, chronic disease and workforce sustainability. There are forecasts of shortages in nursing by the year 2025 of 80,000 and by 2030 the number growing by 125,000.
Kylie also mentioned the new Nursing Trailbrazers Award that has been recognised by Federal Health Minister, Greg Hunt. The 4 finalists have been recognised for influencing models of care, and implementing game changing initiatives across the country. They will be presented at the Nursing Now Australia event held by the ACN on 9th April.
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Medical research institutes association responds to draft national research strategy
On 27 August 2025, the Minister for Health, Disability and Ageing announced the release of the draft National Health and Medical Research Strategy (the National Strategy).
Involved in the initial consultation phase, was the Association of Australian Medical Research Institutes (AAMRI), the peak body for medical research institutes across Australia. Member institutes work on a broad spectrum of human health issues such as preventive health, chronic disease, mental health, immunology and Indigenous health. Their research ranges from fundamental biomedical discovery through to clinical research and the translation of research findings.
