Balancing immediate action and long-term reformRecently, I welcomed the Interim Report of the Productivity Commission’s (PC) review of the National Mental Health and Suicide Prevention Agreement. It provides proposed immediate actions and validates our concerns on the system issues we have been working on for some time. In considering the PC’s recommendations, governments will be faced with a choice: to extend the existing National Agreement by a further 12 months as proposed by the PC; or to negotiate the next Agreement in earnest, to fix a system that in the Commission’s own words, is "alienating, inadequate, ill-informed, and under-resourced". The PC’s proposed extension to the Agreement is to ensure that there is time to develop a renewed National Mental Health Strategy, to provide a unified vision for long-term, strategic reform. This will, inevitably, take time to develop. However, extending the current ineffective National Agreement to June 2027 risks unnecessary delays on action to improve supports for people in the community now. This is particularly true for the almost half a million Australians missing out on psychosocial supports outside the National Disability Insurance Scheme, given Ministers’ recent indication they will consider these supports as part of the negotiations for the next Agreement. Our initial submission to the PC review offered an approach that balances the need for immediate action with longer-term improvements. We proposed developing new high-level objectives to guide the next Agreement – in consultation with people with lived experience, carers, family and kin and the sector – and then taking the appropriate time to develop the long-term National Mental Health Strategy while delivering on the next Agreement. This approach recognises that there is more than one way to achieve effective change, and it doesn’t need to be “linear”. Governments have 12 months to engage and work with the sector, lived experience leaders, and their counterparts across jurisdictions, to develop priorities for new arrangements, before the current agreement expires. The voices of those most impacted are critical at this point of the review. I encourage Mental Health Australia members and stakeholders to contribute your perspectives by making your own submission to the PC’s formal consultation on the Interim Report and draft recommendations (with the consultation concluding 31 July 2025). Learn more about this here. Mental Health Australia is preparing a submission to provide a national sector and system perspective. Importantly, it reflects the feedback from our members at our recent Policy Forum, and will re-iterate the importance of us both delivering immediate improvements in our mental health system, while also investing in the longer-term reform that is needed. Carolyn Nikoloski CEO, Mental Health Australia |