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Organisation at a Glance

Our Vision

Saving and improving Australian lives through a world-class blood supply.

Our role

The National Blood Authority (NBA) is a statutory agency within the Australian government health portfolio that manages and coordinates arrangements for the supply of blood and blood products and services on behalf of all Australian governments.

The primary objectives under the National Blood Agreement are to:

  • provide an adequate, safe, secure and affordable supply of blood products, blood related products and blood related services
  • promote safe, high quality management and use of blood products, blood related products and blood related services in Australia.

The NBA

  • works with all Australian Governments to determine the clinical requirements for blood and blood products and develop an annual supply plan and budget
  • negotiates and manages national contracts with suppliers of blood and blood products to obtain the products needed
  • assesses blood supply risk and develops commensurate contingency planning
  • supports the work of all Australian governments to improve the way blood products are governed, managed and used – including developing and facilitating strategies and programs that will improve the safety, quality and effectiveness of blood usage, particularly in the areas of national standards, criteria, guidelines and data capture and analysis
  • works collaboratively with key stakeholders to provide expert advice to support government policy development, including identification of emerging risks, developments, trends and new opportunities
  • manages the evaluation of proposals for blood sector improvements, including proposals for new products, technologies and system changes
  • provides secretariat support to the Jurisdictional Blood Committee (JBC).

Authority

The NBA was established by the National Blood Authority Act 2003 (NBA Act) following the signing of the National Blood Agreement by all state and territory Health Ministers in November 2002. As a material statutory agency, the NBA has a range of corporate and compliance responsibilities under the NBA Act, the Public Governance, Performance and Accountability Act 2013 (PGPA Act), and the Public Service Act 1999, along with a responsibility to meet ministerial, parliamentary and financial reporting requirements.

Accountable Authority

Details of the NBA's Accountable Authority during the current report period (2018-19) appear in Table 1.2 below.

TABLE 1.2 Details of Accountable Authority during the current report period (2018-19)

Name Position title/
position held
Date of commencement Date of cessation
Mr John Cahill Chief Executive October 2016 n/a

Responsible Ministers and Portfolio

The NBA exists within the portfolio responsibilities of the Minister for Health. The NBA General Manager is the Chief Executive of the NBA and is a statutory officer responsible to the Commonwealth Minister for Health and the Council of Australian Governments (COAG) Health Council.

Our Outcome

Access to a secure supply of safe and affordable blood products, including through national supply arrangements and coordination of best practice standards within agreed funding policies under the national blood arrangements.

Funding

Under the National Blood Agreement between the Australian Government and the states and territories, 63 per cent of NBA funding is provided by the Australian Government and the remaining 37 per cent is provided by the state and territory governments. The funding covers both the national blood supply and the operations of the NBA.

In the last ten years, governments have provided funding of $10,345.6 million for the supply of blood and blood products as summarised in Table 1.3. In 2018-19, the total amount provided was $1,203.6 million. Governments provided funding of $9.9 million in 2018-19, for the operation of the NBA.

TABLE 1.3 Government funding for the supply of blood and blood products, 2009-10 to 2018-19

Year
Amount ($M)
Growth (%)
2009-10 878.8 8.9
2010-11 939.2 6.9
2011-12 1,015.6 8.1
2012-13 1,049.3 3.3
2013-14 1,095.9 4.4
2014-15 922.7 -15.8
2015-16 1,040.9 12.8
2016-17 1,046.3 0.5
2017-18 1,153.3 10.2
2018-19 1,203.6 4.4
Total 10,345.6 3.9 (average)

Note: Figures balance to the Audited Financial Statements

Our Staff

As at 30 June 2019, the NBA had an average staffing level of 55.62 staff. At this date, it also employed 23 contract staff. The organisational structure at 30 June 2019 is shown at Figure 1.1.

FIGURE 1.1 NBA Organisation as at 30 June 2019

NBA Organisation as at 30 June 2019

Location

The NBA is located in Canberra at 243 Northbourne Avenue, Lyneham ACT.

Key Events in the NBA's History by Financial Year

 

2003
  • Established by the National Blood Authority Act 2003 following the signing of the National Blood Agreement by all State and Territory Health Ministers in November 2002
2004
  • Commencement of national supply arrangements for imported intravenous immunoglobulin (IVIg) to ensure sufficiency of supply in all jurisdictions
2005
  • Commencement of an adequate supply of recombinant Factors VIII and IX to fully meet demand
2006
  • NBA executed a Deed of Agreement with the Australian Red Cross Society for the provision of fresh blood products and plasma for fractionation
  • NBA won the Prime Minister's Silver Award for Excellence in Public Sector Management for procurement of recombinant (manufactured) products
2007
  • First edition of Criteria for the clinical use of IVIg in Australia was approved
2008
  • Launch of the National Blood Supply Contingency Plan (NBSCP) to provide clear governance for managing blood shortages
  • Launch of the redeveloped Australian Bleeding Disorders Registry (ABDR) to better support planning and clinical management of people with bleeding disorders
2009
  • Establishment of the Australian National Haemovigilance Program to report on serious transfusion related adverse events
  • NBA was awarded the Australian Government Comcover Award for Excellence in Risk Management for the NBSCP
2010
  • New CSL Australian Fractionation Agreement came into effect
  • NBA won a United Nations Public Service Award in the Advancing Knowledge Management in Government category
2011
  • National rollout of BloodNet, an online web based blood ordering system
  • Release of the first module (Critical Bleeding/Massive Transfusion) of the Patient Blood Management (PBM) Guidelines
2012
  • Release of PBM Guidelines Module 2 Perioperative and Module 3 Medical
  • Second edition of IVIg Criteria in Australia was published
2013
  • Release of PBM Guidelines Module 4 Critical Care
  • Inaugural National Blood Symposiums conducted in Sydney, Melbourne and Adelaide
2014
  • National rollout of MyABDR
  • Inaugural PBM Conference held in Perth
  • Immunoglobulin governance program and National Immunoglobulin Governance Advisory Committee (NIGAC) established
2015
  • NBA won ACT iAwards in three categories for innovation surrounding the development of BloodNet interfaces with health provider laboratory information systems
  • National Blood Symposium held in Brisbane, including the presentation of the inaugural National Blood Awards for Excellence in the Management of Blood
  • Release of PBM Guidelines Module 5 Obstetrics and Maternity
2016
  • A new Deed of Agreement was finalised with the Australian Red Cross Society for the provision of fresh blood products and plasma for fractionation supplied by the Australian Red Cross Blood Service
  • Release of PBM Guidelines Module 6 Neonatal and Paediatrics
  • Release of National Haemophilia Guidelines developed with the Australian Haemophilia Centre Directors' Organisation (AHCDO)
  • National Blood Sector Research and Development Pilot commenced
  • BloodSTAR launched for registration by hospitals and clinicians
2017
  • The new Deed of Agreement with the Australian Red Cross Society for the provision of fresh blood products and plasma for fractionation supplied by the Australian Red Cross Blood Service implemented on 1 July 2016
  • BloodSTAR implemented in most states and territories
  • Round 2 of the National Blood Sector Research and Development Pilot commenced
  • Redevelopment of BloodNet commenced (BloodNet 5)
  • Negotiations to replace CSL Australian Fractionation Agreement commence
2018
  • National Fractionation Agreement for Australia (NaFAA) commenced on 1 January 2018 and continues until 31 December 2026 subject to a review in 2022
  • National Blood Sector Research and Development Program continued with two further funding rounds
  • BloodSafe eLearning delivered more than 1 million courses and celebrated its tenth (10th) year anniversary
  • Consultation for potential future arrangements for imported plasma and recombinant products completed
  • Limited interim arrangements for extended half-life clotting factor products
  • Redevelopment of BloodNet completed with go live on 1 July 2018
2019
  • Implementation of redeveloped BloodNet on 1 July 2018
  • National implementation of BloodSTAR completed in all states and territories with NSW going live in October 2018
  • Interim access arrangements for extended half-life clotting factor products continued
  • Revised Criteria for the clinical use of intravenous immunoglobulin in Australia (the Criteria) implemented and available in BloodSTAR for users in all states and territories
  • National Blood Sector Research and Development Program continued and round four grant funding commenced
  • NBA organisation restructured and additional Deputy Chief Executive position filled

Year at a Glance: Snapshot of the blood sector in 2018-19

Snapshot of the blood sector in 2018-19

KEY ACHIEVEMENTS

DELIVERY OF UNINTERRUPTED SUPPLY TO MEET CLINICAL DEMAND AT A SIGNIFICANT SAVING OF $68.9 MILLION

BLOODNET REDEVELOPMENT RELEASED IN ALL JURISDICTIONS

BLOODSTAR FULLY IMPLEMENTED AS A NATIONAL SYSTEM

VERSION 3 OF THE CRITERIA FOR IMMUNOGLOBULIN RELEASED IN BLOODSTAR IN OCTOBER 2018

KEY ACHIEVEMENTS

KEY ACHIEVEMENTS

A REDUCTION IN RED BLOOD CELL WASTAGE FROM 2.2% to 1.9%

NATIONAL BLOOD SECTOR RESEARCH AND DEVELOPMENT PROGRAM FUNDING FOR ROUND FOUR COMMENCED

CONSULTATION FOR POTENTIAL FUTURE ARRANGEMENTS FOR IMPORTED PLASMA AND RECOMBINANT PRODUCTS COMPLETED

CONTINUED LIMITED INTERIM ARRANGEMENTS FOR EXTENDED HALF-LIFE CLOTTING FACTOR PRODUCTS

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