Stephen Duckett

{{For|the British politician|Calne (UK Parliament constituency)}}

{{Use dmy dates|date=June 2020}}

{{BLP sources|date=February 2010}}

{{Infobox officeholder

| name = Stephen Duckett

| honorific-suffix =

| image = StephenDuckett2009.JPG

| office1 = Secretary of the Department of Human Services and Health

| term_start1 = 1 July 1994

| term_end1 = 11 March 1996

| predecessor1 = Tony Cole

| successor1 = Andrew Podger

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| birth_name = Stephen John Duckett

| birth_date = {{birth date and age|df=y|1950|2|18}}

| birth_place = Sydney, Australia

| death_date =

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| occupation = Public servant, health service manager, academic, economist

| years_active =

| nationality = Australian

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| spouse = Terri Jackson{{cite news|title=Wife defends Duckett, blasts Tories|url=http://www.cbc.ca/news/canada/edmonton/wife-defends-duckett-blasts-tories-1.918712|archiveurl=https://web.archive.org/web/20151122133821/http://www.cbc.ca/news/canada/edmonton/wife-defends-duckett-blasts-tories-1.918712|archivedate=22 November 2015|publisher=CBC/Radio-Canada}}

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| alma_mater = {{unbulleted list | Australian National University | University of New South Wales}}

| honorific_suffix = {{post-nominals|country=AUS|AM|FASSA|FAHMS|FAICD|size=100%}}

}}

Stephen John Duckett (born 18 February 1950) is a health economist, policy maker and manager who has occupied many leadership roles in health services in both Australia and Canada, including as Secretary of the Commonwealth Department of Health and Ageing. He was health program director at the Grattan Institute, an Australian public policy think tank, from 2012 to 2022. He is an Emeritus Professor of Health Policy at La Trobe University,{{Cite web|url=https://www.huffingtonpost.com.au/author/stephen-duckett/|title=Stephen Duckett|website=HuffPost Australia|language=en|access-date=23 July 2019}} and Chairperson of South Australia's Health Performance Council.{{Cite web|url=https://governmentgazette.sa.gov.au/sites/default/files/public/documents/gazette/2021/January/2021_005.pdf|title=South Australian Government Gazette|website=South Australian Government Gazette}}

Educational background

Stephen Duckett was born in Sydney and educated at Woollahra Public School (Opportunity classes) and Fort Street High School. He subsequently studied economics at the Australian National University (BEc) and health administration at the University of New South Wales (MHA, PhD).

Career 1970s to 2009

Duckett worked as an academic (Lecturer/Senior Lecturer) in the School of Health Administration at the University of New South Wales from 1974 to 1983. He was an active public commentator supporting Australia's Medicare scheme, and worked with a number of non-government organizations such as the Australian Council of Social Service and the New South Wales Council on the Ageing. His research also examined aspects of hospital administrationDuckett, S. J. et al. The organisation of medical staff in Australian hospitals. Churchill Livingstone, 1981

He worked in the Victorian health system for a number of years from 1983 including as Regional Director and subsequently Director of Acute Health for the Victorian Department of Health and Community Services, in the latter role he was responsible for introducing case mix funding to Australia. This was the first major application of this approach to hospital funding in a publicly funded health system{{citation|last=Duckett|first= Stephen|title= Hospital payment arrangements to encourage efficiency: the case of Victoria, Australia|journal=Health Policy|volume=34|issue=2|pages=113–134|date=1995|doi=10.1016/0168-8510(95)94014-y|pmid= 10153481}}

Duckett was appointed Departmental Secretary to the Australian Government Department of Human Services and Health on the recommendation of Prime Minister Paul Keating in 1994 and served in that role until the change of government following the 1996 federal election.{{citation|title=CA 7853: Department of Human Services and Health, Central Office|url=http://naa12.naa.gov.au/scripts/SearchOld.asp?Number=CA+7853|publisher=National Archives of Australia|accessdate=18 January 2014}}{{cite press release|url=http://pmtranscripts.dpmc.gov.au/browse.php?did=9372|first=Paul|last=Keating|author-link=Paul Keating|archivedate=18 January 2014|archiveurl=https://web.archive.org/web/20140118092259/http://pmtranscripts.dpmc.gov.au/browse.php?did=9372|title=STATEMENT BY THE PRIME MINISTER, THE HON P J KEATING, MP APPOINTMENT OF SECRETARY, DEPARTMENT OF HUMAN SERVICES AND HEALTH|date=7 October 1994}}

From 1996 to 2005 he worked at La Trobe University in Melbourne, Australia as Professor of Health Policy, Dean of the Faculty of Health Sciences and, for part of that period, Pro-Vice-Chancellor, Learning and Teaching. During this period he continued research on aspects of hospital economics and published a book on the Australian health care system.

Duckett served as chair of the board of directors of the Brotherhood of St Laurence (2000–2005) and of Bayside Health (2000–2006).

He was recruited to Queensland Health in 2006 in the wake of the Dr Death scandal,{{cite news|url=http://www.abc.net.au/7.30/content/2006/s1788665.htm|archiveurl=https://web.archive.org/web/20100105022632/http://www.abc.net.au/7.30/content/2006/s1788665.htm|archivedate=5 January 2010|title=Health economist questions federal hospital funding|publisher=Australian Broadcasting Corporation|date=14 November 2006}} to lead improvements in quality and safety as chief executive officer of the Centre for Healthcare Improvement.

Alberta Health Services (2009–2010)

Duckett was hired by the provincial government of Alberta in the spring of 2009 as president and chief executive officer of its newly created health "superboard", Alberta Health Services with a significant reform agenda. (Alberta Health Services is a quasi-independent agency of the Alberta government created in May 2008 to operate hospitals and other public health services throughout the province of Alberta). Duckett moved to Edmonton Alberta and took up his duties on 23 March of that year.

Shortly after his appointment, the provincial government imposed a significant ($1billion) budget cut on Alberta Health Services. Implementation of these cuts by Alberta Health Services was unpopular and controversial.

= Cookie controversy =

On 20 November 2010, Duckett came under scrutiny for televised remarks to the media following a high-level meeting about the situation in the province's emergency rooms. During the aired segment, Duckett refused to answer questions by reporters waiting outside the meeting room, using the excuse he was eating his cookie{{cite news|date=19 November 2010|url=https://www.youtube.com/watch?v=5DxeCK5Ne_Q |archive-url=https://ghostarchive.org/varchive/youtube/20211215/5DxeCK5Ne_Q |archive-date=2021-12-15 |url-status=live|title= Stephen Duckett's "Cookie Exchange" with Edmonton media |work=CTV News|accessdate=19 November 2010}}{{cbignore}} and that another person had been designated to make comments. He later issued an apology noting that he had not felt comfortable as a non-elected official being asked to respond to the comments of other, elected, officials.[http://iblogs.albertahealthservices.ca/ceo/entry/apology blog entry] {{Webarchive|url=https://web.archive.org/web/20101123024603/http://iblogs.albertahealthservices.ca/ceo/entry/apology |date=23 November 2010 }} He has subsequently stated that he had been instructed by the office of Alberta Premier Stelmach not to make any comments.{{cite web |url=http://www.medicinehatnews.com/letters-to-the-editor/former-boss-defends-ahs-staffers-03012011.html |title=Former boss defends AHS staffers | Letters to the Editor | Medicine Hat News |access-date=4 March 2011 |url-status=dead |archive-url=https://web.archive.org/web/20110305081237/http://www.medicinehatnews.com/letters-to-the-editor/former-boss-defends-ahs-staffers-03012011.html |archive-date=5 March 2011}} On 24 November 2010, following political intervention,{{cite web|last=see page 175 of Health Quality Council of Alberta|title=Review of the Quality of Care and Safety of Patients Requiring Access to Emergency Department Care and Cancer Surgery and the Role and Process of Physician Advocacy|url=http://hqca.ca/assets/files/EDCAP%20FINAL%20REPORT.pdf|url-status=dead|archive-url=https://web.archive.org/web/20121219223056/http://www.hqca.ca/assets/files/EDCAP%20FINAL%20REPORT.pdf|archive-date=19 December 2012}} the chairman of the Alberta Health Services Board announced that, by mutual agreement, Duckett would vacate his role. Both parties felt that his ability to continue in his duties had been "compromised".{{cite news |date=24 November 2010|url=https://www.cbc.ca/news/canada/edmonton/alberta-health-board-replaces-controversial-ceo-1.886067|title= Alberta health board replaces controversial CEO |work=CBC News|accessdate=27 November 2010}} Three members of the Board of Directors of Alberta Health services also resigned. On 29 July 2011, based on the terms of his contract, Duckett was paid one year's salary as severance pay.{{cite web|last=Alberta Health Services|title=Settlement agreement with Dr Stephen Duckett concluded|url=http://www.albertahealthservices.ca/rls/ne-rls-2011-07-29-duckett-settlement-agreement.pdf|accessdate=29 July 2011}}

Career 2011–present

After leaving Alberta Health Services, Duckett worked as a professor in the School of Public Health at the University of Alberta, and published a book about the future of the health care system in Canada.Duckett, Stephen Where to from here? Keeping Medicare Sustainable. McGill Queen's University Press, 2012 He returned to Australia in 2012 and helped to design Australia's new activity based funding arrangements. In late 2012 he joined Grattan Institute, a domestic public policy think tank based in Melbourne, as head of its Health program. He has since published reports identifying improvements to be made in pricing for Australia's Pharmaceutical Benefits SchemeDuckett, S., Breadon, P., Ginnivan, L. and Venkataraman, P. (2013) Australia's bad drug deal: High pharmaceutical prices, Grattan Institute and ways to improve paying for hospital care.Duckett, S., Breadon, P., Weidmann, B. and Nicola, I. (2014) Controlling costly care: a billion-dollar hospital opportunity, Grattan Institute He has also published on improving access to primary care in rural and remote Australia.Duckett, S., Breadon, P. and Ginnivan, L. (2013) Access all areas: new solutions for GP shortages in rural Australia, Grattan Institute

Dr Duckett was as a member of the South Australian Health Performance Council from 2012 to 2020. In 2021 he was re-appointed as the Council's Chairperson for the next four years.

Books

  • Duckett S, Warburton J (2014). Foreword
  • Duckett S, Peetoom A (2013). Canadian medicare: We need it and we can keep it
  • Duckett S (2004). The Australian health care system
  • Kendig H, Duckett S (2001). Australian directions in aged care: the generation of policies for generations of older people
  • Duckett S (2000). The Australian Health Care System

Awards and recognition

Duckett's academic contributions have been recognized by the University of New South Wales by the award of a higher doctorate, Doctor of Science, (DSc), and by election as a Fellow of the Academy of the Social Sciences in Australia (FASSA) in 2004{{Cite web |title=Academy Fellow – Professor Stephen Duckett AM FASSA FAHMS |url=https://socialsciences.org.au/academy-fellow/?sId=0032v000033l9YmAAI |access-date=2023-11-24 |website=Academy of the Social Sciences in Australia |language=en-AU}} and of the Australian Academy of Health and Medical Sciences (FAHMS) in 2015.{{Cite web |title=Fellowship {{!}} AAHMS – Australian Academy of Health and Medical Sciences |url=http://www.aahms.org/fellowship/ |access-date=26 June 2018 |website=www.aahms.org |language=en-AU}} In the 2023 Australia Day Honours he was appointed a Member of the Order of Australia for "significant service to public health policy and management, and to tertiary education".{{Cite web |date=2023-01-26 |title=Emeritus Professor Stephen John DUCKETT |url=https://honours.pmc.gov.au/honours/awards/2012564 |access-date=2023-02-14 |website=It's an Honour}}

References

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