Health Performance Council

The Health Performance Council (HPC) was formed on 1 July 2008 (Health Care Act 2008) as an independent body to review the performance of South Australia’s health systems and provide advice to the Minister for Health and Wellbeing.

The new fifth term of the HPC is now operational, with the appointment of a new Chair effective February 2021 and the appointment of seven Council Members effective June 2021.


The operation of the new HPC will provide expert, independent and relevant advice about the performance of the SA health system – broadly defined -- to improve health services and the health and wellbeing of all South Australians.

The HPC takes into account the strategic objectives that have been set or adopted within the Government’s health portfolios, including the SA Health and Wellbeing Strategy.

In providing advice with respect to the provision of any health services (including proposed services), the HPC seeks to communicate three core aspects of value being:

  • the net benefit provided by the services, the cost effectiveness of services, and available resources;
  • the net impact that the adoption of the advice would have on other services, or on the community more generally; and
  • the value placed on any relevant services by members of the public who use those services.

The HPC is also required under the Act to conduct a four-yearly performance review of the South Australian health system.

For more information, refer to the Health Care Act 2008 and the HPC Terms of Reference.

Framework for the HPC

In terms of aligning the framework for the HPC with the goals of the SA Health and Wellbeing Strategy, four common areas of health system performance can be identified pertaining to access, quality, efficiency and engagement.  These span the themes and goals of the HWBS and provide a framework for the HPC’s intended work.


A critical issue for patients is access to care, including access to elective procedures and timely access in an emergency. Access measures need to be analysed by geography and characteristics of the patient (e.g. patients from Culturally and Linguistically Diverse backgrounds (CALD), Indigenous patients, people with a disability).


The HPC seeks to review quality indicators and patient reported outcomes across the health system.  Reviews can focus on both the impact on patient outcomes, as well as likely cost implications of unplanned care and other quality measures.  The HPC could examine both in-hospital care and out-of-hospital indicators.  As with access issues, quality measures should be analysed by geography and characteristics of the patient.


The HPC can seek to assess the efficiency of health services in South Australia, across the three types of efficiency (technical, allocative and dynamic).  This would include comparisons of health care in this state versus other states.


The Act requires the HPC to advise the Minister on the effectiveness of methods used within the health system to engage communities and individual in improving their health outcomes.  Consideration could be given to the effectiveness of existing forms of consumer engagement in the South Australian health system.


The fifth term membership of the HPC has now been appointed. For details on each of the members, see the HPC membership page.

Meeting minutes

Annual reports

Current reports

Palliative care

Inquiry into palliative care services

The Health Performance Council has been asked by the Minister to inquire into the provision of palliative care in South Australia.

The terms of reference from the Minister are:

I request the Council undertake an inquiry into the provision of palliative care services in South Australia.

The inquiry should consider:

a) The current provision of palliative care services in South Australia
b) Best practice models of palliative care in Australia and internationally
c) Recommendations for the most effective and efficient improvements that could be made to palliative care services in South Australia
d) Any other relevant matters.

Invitation to share your knowledge and experience about best practice models of palliative care

To help us address the Minister’s terms of reference, we invite you to share your knowledge and experience with us. At this time we are particularly interested in your feedback on the following questions:

Do you have any examples of existing good practice in palliative care service provision, in Australia or internationally, that could be applied to improve services in South Australia?

What examples do you have of good practice in addressing the diverse needs and preferences of patients and their families, considering factors such as cultural backgrounds, beliefs, and values? How might South Australia learn from these to address specific issues, for example for Aboriginal and culturally diverse people.

Please send your feedback to us at Health Performance Council by Friday, 28th July, 2023.

The Council’s internal project plan (PDF 502KB) gives an indication of how we intend to undertake the work (please note that this plan is subject to change) and our report will be published here when the inquiry has finished.


Administration of HPC’s affairs, research and analysis, management of projects and production of reports under HPC’s supervision is provided by the HPC Secretariat within the Commission on Excellence and Innovation in Health.