At both the Commonwealth and state level, the agenda for healthcare reform is moving rapidly. The National Health and Hospitals Reform Commission (NHHRC) is currently reviewing the health system to make recommendations for sustainable Improvements to the performance of service delivery. Several states have also undertaken inquiries over the past two years in response to major issues identified in the delivery of patient care within the public health system. The need for improvement is evident. Rising health costs, the growing impact of chronic disease, an ageing population and the inefficiencies derived through a disjointed funding and policy mechanism, are Just a few of the many challenges ahead. Despite current national health expenditure being in excess of $94 billion, significant issues exist in terms of access and equity, safety and quality, poor health outcomes for Indigenous people and others with special needs, workforce shortages and a lack of focus on the promotion of health and wellbeing.