Document ID: chunk:federal_register_of_legislation:C2004Q01024:body:0:p1
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COMMONWEALTH OF AUSTRALIA

ELIZABETH THE SECOND, by the Grace of God Queen of Australia and Her Other Realms and Territories, Head of the Commonwealth:
TO

JAMES HARDIE JAMISON, O.B.E.

                 JOHN SAMUEL YEATMAN,

                 CHARLES WILLIAM LANE de BOOS

GREETING:
WHEREAS the Commonwealth, the States and the Northern Territory are concerned at escalating expenditure on recognized hospitals (including hospitals conducted by the Repatriation Commission) and on associated and related institutions and services:
AND WHEREAS it is the desire of the Commonwealth, the States and the Northern Territory that the high quality of the care provided by such hospitals, institutions and services be maintained:
AND WHEREAS the Commonwealth, the States and the Northern Territory have agreed that it is desirable that there be a Commission of Inquiry to make inquiries in relation to these matters:
NOW THEREFORE We do, by these Our Letters Patent issued in Our name by Our Governor-General of the Commonwealth of Australia on the advice of the Federal Executive Council and in pursuance of the Constitution of the Commonwealth of Australia, the Royal Commissions Act 1902 and other enabling powers, appoint you to be Commissioners to make inquiry, for the purpose of the exercise and performance of the powers and functions of the Parliament and Government of the Commonwealth (including powers and functions in relation to the Territories) either alone or in conjunction with the States, into the following matters, namely:
       (1) factors behind the costs and escalation of costs of hospitals and associated or related institutions and services;
       (2) effectiveness of machinery for determining objectives, policy and resource allocation in hospitals and associated or related institutions and services;
       (3) ways in which the efficiency of the hospital and associated or related health systems and services might be improved; and
       (4) ways in which cost increases in hospital and associated or related services can be constrained:
AND WE direct you to make such recommendations arising out of your inquiries into the above matters as you think appropriate:
AND, without restricting the scope of your inquiry, We further direct you, for the purposes of your inquiry and recommendations, to give particular attention to the following matters:
       (a) the budgetary process for, and cost accountability of, hospitals;
       (b) the effectiveness of existing organisational structures, and the relationships between central health authorities (Commonwealth, State and Territory), hospital boards and managements, and medical and other staff, including any constraints adversely affecting efficiency in hospital management;
       (c) staff utilisation and training, purchasing policy, management methods and advisory services;
       (d) methods of payment and conditions of service for medical and other practitioners using hospital facilities and other associated or related services, including charging practitioners for use of hospital facilities and resources, and the effect of