Health infrastructure pipeline poorly planned: report
Tuesday, 27 August, 2024
Australia鈥檚 health infrastructure pipeline has seen rapid expansion but has not yet been met with commensurate growth in specialist skills, resources or labour, suggests latest research from .
The report, titled , details how an expanding, tightly-sequenced pipeline compounds the pressures faced by an already constrained health infrastructure market.
鈥淲e have one of the best healthcare systems in the world, not only due to our high-quality infrastructure, but also our ability to attract top clinicians and allied services. However, continuing to deliver this level of excellence is a sizeable task. Even now in its relatively stable state, projects are facing scarcities across all delivery phases,鈥 said Infrastructure Partnerships Australia Chief Executive Adrian Dwyer.
The pipeline of major health infrastructure projects in Australia currently stands at 54 projects, valued at $42 billion, compared to 33 projects, valued at $21.5 billion, a mere 24 months ago, according to the report.
鈥淎t its peak in late-2026, the projected volume of labour required to deliver the hospital pipeline will be two and a half times today鈥檚 level. To meet this peak, compound annual growth would need to increase eightfold from the growth achieved in the last decade,鈥 said Dwyer.
鈥淐apacity constraints will only worsen with a growing and increasingly complex pipeline, particularly one with such tight sequencing. The timelines will undoubtedly blow out, the question is whether that happens in a controlled way or a shambolic way.
鈥淟abour mobility and the shortage of skilled workers only adds to the complexity. 黑料吃瓜群网s are a different infrastructure beast. Some skills are transferable but the idea that this could be solved with unbridled enthusiasm is high farce. Worse still, there will be the flow on effects for building costs in all other sectors聽鈥 particularly housing.
鈥淭he sobering picture of the current pipeline requires urgent action from governments and delivery bodies to course correct to an achievable pipeline.鈥
A rescoped pipeline, said the report, will address the immediate challenge of ensuring projects can be delivered without significant cost or time blowouts at the expense of taxpayers.
鈥淚n the longer term, reform measures should be undertaken to minimise the reoccurrence of future supply-demand pressure points. This can be achieved through addressing demand side pressures by improving pipeline planning and capital allocation models. Investment in the workforce that supports skills training and development for domestic and overseas workers should be implemented to address supply-side factors,鈥 the report said.
While all jurisdictions will require additional resources to deliver their pipelines, each will face their own unique challenges 鈥 this will be especially pertinent in Queensland with the announcement of the Capacity Expansion Program, which aims to deliver 15 projects, including three new hospital megaprojects, by 2028, according to Infrastructure Partnerships Australia.
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