Western Sydney Local Health District 2017-18 YEAR IN REVIEW

CONTENTS

WESTERN SYDNEY LOCAL HEALTH DISTRICT 5

About Us 6

Map of WSLHD 8

Financial Sustainability 9 1 A Word From the Chair & Chief Executive 11

HEALTHCARE FACILITIES 13

Westmead Hospital 14

Auburn Hospital 18 2 Blacktown ​ and​ Mount ​ Druitt​ hospitals 21

SPECIALTY SERVICES 26

Mental Health 27

Drug Health 29 3 Integrated & Community Health 30

COVER PHOTO: Westmead Hospital’s senior cardiopulmonary physiotherapist Alexia Kozary (left), surgical registrar Dr Nick Lee, dental student Roswin Grewal, and Blacktown and Mount Druitt hospitals’ deputy director Nursing & Midwifery Rola Tawbe embrace our digital future. CARING FOR YOUR TOMORROW 37

Building the Future 38 4 Digital Health 42

INNOVATION & QUALITY 45

Science 46

Clinical Education 48

Quality Awards 48 5 Patient Safety 52

OUR PEOPLE 53

Our Staff 54

Our Board 57

Our Executive Team 61 6 Partnering for Tomorrow 65

APPENDICES 67

Our Organisation 68

Our ​ Partners​ 73

Location Directory 74 7 Abbreviations &​ ​Glossary 77 1 WESTERN ABOUT US 6 Demography 6 SYDNEY Our Health 7 Map of WSLHD 8

LOCAL FINANCIAL SUSTAINABILITY 9 A WORD FROM THE CHAIR HEALTH & CHIEF EXECUTIVE 11 DISTRICT

PHOTO: Registered nurses Shantelle Morton (left) and Elizabeth Wilson look into the future at the unveiling of a 3D model of the Westmead Redevelopment project. WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

Mum Shaista Ghulam with her newborn Ali Ghulam at Westmead Hospital.

ABOUT US

Western Sydney Local Health needs. It spans the full economic DEMOGRAPHY District (WSLHD) provides public and social spectrums providing healthcare to more than a million a rich environment to develop Forty-seven per cent of our residents in Sydney’s west as and implement innovative residents were born overseas and well as services to those outside models of healthcare, research, one in two speak a language other our catchment from specialty infrastructure and new ways of than English at home with 71.1 per statewide centres of expertise. doing business. cent living in the Cumberland LGA. India leads as the country of origin We are responsible for delivering To meet our healthcare needs and Arabic is the most common and managing $1.8 billion and projected demand we have non-English language. in public healthcare across embarked on a multibillion-dollar more than 120 suburbs in the capital redevelopment program, Aboriginal people comprise 1.5 per Blacktown, The Hills Shire, and continue to research world’s cent of our population, residing Cumberland and Parramatta local best practice and innovations to largely in the Blacktown LGA. government areas (LGAs). maintain community expectations in healthcare delivery, research WSLHD has the highest One of 15 local health districts and education. proportion of females of (LHDs) in the NSW Health system, childbearing age at 51 per cent. WSLHD is the State’s second A total of 13,000 dedicated most populous and one of the individuals work across more than Our local health district is fastest growing areas with the 70 sites including Westmead, characterised by wealth at population expected to increase Auburn, Cumberland, Blacktown one end of the spectrum and by 48 per cent by 2036. and Mount Druitt hospitals as well significant social disadvantage at as a network of comprehensive the other bringing with it a range Our community is complex in integrated care and community- of complex health needs and its diversity and its healthcare based services. social circumstances.

6 2017-18 snapshot Forty-seven per cent of our residents were born overseas and one in two speak a language other than English at home. 192,122 PHOTO: Patient Miguel ED PRESENTATIONS Munos, of Fairfield, with his grandson Emilio Graziano.

181,446 ADMISSIONS

WSLHD residents experience It is estimated more than 189,200 greater socioeconomic people suffer diabetes, chronic disadvantage compared to obstructive pulmonary disease the general NSW population, (COPD), and heart conditions 43,546 except for those living in The averaging $2914 million annually SURGERIES Hills Shire LGA. in direct and indirect costs.

WSLHD has a 20 per cent higher OUR HEALTH incidence of diabetes and asthma than the NSW average, coupled Half the residents of western with challenging demographics. Sydney have a chronic disease and about 20 per cent have at Australia’s leading causes of least two. morbidity and mortality, the 10,471 effects of obesity, diabetes BIRTHS People from culturally and and cardiovascular disease linguistically diverse (CALD) are particularly pronounced backgrounds may have a higher in Sydney’s west. risk of developing some chronic diseases such as diabetes. Western Sydney is a diabetes hotspot with an estimated Additional considerations with quarter of the population likely CALD people may include to be affected by diabetes or language barriers, problems prediabetes. 52,108 with health literacy, absence of VACCINE INJECTIONS family support, financial stress, A total of 50 per cent of the IN HIGH SCHOOLS low social status and a sense of population is overweight and disempowerment. at risk of developing type 2 diabetes. Three categories of chronic disease in western Sydney are costing more than $2.9 155,744 billion annually. OCCASIONS OF DENTAL SERVICES SOURCE (SNAPSHOT): NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions.

7 WESTERN SYDNEY 01 2 4km N HOSPITALS

1. Mount Druitt Hospital 2. Blacktown Hospital 3. Westmead Hospital 4. Cumberland Hospital 5. Auburn Hospital

WESTERN SYDNEY COMMUNITY Maroota HEALTH CENTRES

6. Mount Druitt Community Health Centre Gosford > 7. Doonside Community Health Centre 8. Blacktown Community Health Centre 9. The Hills Community Health Centre 10. Parramatta Community Health Centre 11. Merrylands Community Health Centre 12. Auburn Community Health Centre The Hills Shire LGA

Rouse Hill Marsden Park

Blacktown LGA M1 Castle Hill

M2 Penrith 9 1 SeeSee footnotefootnote** 7 2 6 8 Macquarie Park M4 M7 4 Sydney Parramatta Harbour LGA 3 M2 Bridge 10 r Cumberland LGA 11 Future Western Prospect 5 Sydney Airport Reservoir 12 CBD Sydney M7 Parramatta Olympic Park Bondi >

Liverpool Sydney Airport * Hatched area of Parramatta LGA is outside Western Sydney Local Health District M5 WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

FINANCIAL SUSTAINABILITY

WSLHD’s expenditure for 2017- HIGHLIGHTS The performance and analytics 18 was $1.8 billion with 66 per team provides reporting, cent consisting of salaries and Strong engagement and analytics and expertise on wages for more than 10,000 full commitment by WSLHD patient activity data, activity time equivalent employees. operations and finance teams based funding (ABF) and enabled a sustainable financial patient level costing. Own source revenue contributed recovery program by the end of $264 million towards funding the year despite an increase in It designed and implemented a health services. demand for services. live smart application to monitor emergency treatment times to WSLHD ensures policies Underpinning the recovery assist in reading the waiting time and controls are in place to were improvements on several at our EDs. effectively manage its assets fronts including clinical key and finances. performance indicators. These We had a strong focus on include emergency access at all improving efficiency throughout Financial sustainability emergency departments (EDs), 2017-18 and as a result, underpins the ability to provide a sustained solid performance significant reductions were a diverse range of public in surgical programs and achieved in cost per National healthcare to the residents of reduced seclusion rates in Weighted Activity Unit (NWAU). Sydney’s west. mental health services. A NWAU is a measure for health Four portfolios comprise the A significant investment in service activity. Cost per NWAU WSLHD Finance directorate. essential maintenance of assets is an important gauge by which They are: and infrastructure across the the State and Commonwealth • Financial and management local health district (LHD) was governments determine the accounting completed in the final quarter efficiency of hospitals and LHDs. • Supply chain of the year. NSW reduced costs by 1.4 per • Performance and analytics cent, while WSLHD recorded a • Health records and The supply chain portfolio 5.6 per cent reduction. information management negotiated several important contracts that will provide The annual WSLHD costing multi-year benefits to WSLHD. study was provided to the NSW They include improved access Ministry of Health on a timely to cost-effective orthopaedic basis and data in the report and cardiac implant devices and used to inform future directions ophthalmology lenses. in health funding at a State and national level. The priority of our medical coding teams continued to be one of improving the quality of the patient record, resulting The complete audited in advancement up the leader financial statements are board which reflects NSW published in the 2017-18 Health’s State performance. NSW Health Statutory Financial Report and are The coverage of clinical available on our website documentation specialists has been expanded across www.wslhd.health.nsw.gov.au the LHD, enhancing clinical engagement. This resulted in improvements capturing the complexity of patient events within the patient record.

9 WSLHD COST PER NWAU VS STATE

Revenue

$4577

$4521

$4467 $4457 76% Sales of Goods and Services

$4366 $4348 24% $4317 $4306 Other Revenue

2014-15 2015-16 2016-17 2017-18 (6 months) Expenditure

NSW Average WSLHD Average

Linear (NSW Average) Linear (WSLHD Average) 66.4% Salary and Wages WSLHD had a strong focus on Between 2014-15 and 2017-18 improving efficiency throughout 2017-18. As a result, significant 26.9% reductions were achieved in Other Operating THE STATE Expenses cost per NWAU. costs grew by 2.1% The measurement used in the graph above is cost per NWAU (National Weighted Activity WSLHD Unit). A NWAU is a NSW costs grew by 0.3% and national unit of measure for activity. 3.6% Depreciation & Cost per NWAU is an Between 2016-17 and 2017-18 Amortisation important measure by which the State and Commonwealth measure the efficiency of THE STATE 2.4% hospitals and LHDs. reduced costs by 1.4% VMOs

SOURCE: NSW Health Activity WSLHD 0.6% Grants and Affiliated Based Management Portal. reduced costs by 5.6% Health Organisations

0.1% Other Items

10 WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

A WORD FROM THE CHAIR & CHIEF EXECUTIVE

This past year has been both We have faced major financial exciting and demanding. challenges in our organisation this year and have established It is our great pleasure to a recovery process that will acknowledge the many give us a solid foundation on individuals and organisations who which to plan and implement have shared the commitment of the massive infrastructure Western Sydney Local Health developments taking place District to provide the best in and around our facilities at possible healthcare for the Westmead, and Blacktown and community we serve. Mount Druitt hospitals.

Our hospitals, community At Westmead we have helped services, and our partnerships develop and share a vision of with the primary health what the future will be with network, WentWest, our general our partners at The Children’s practitioners and others who Hospital at Westmead, the provide health services in the University of Sydney, the NSW community, have been vital to Government, local councils, achieving great outcomes for schools and businesses. people with serious illnesses and diverse healthcare needs. The contribution to the planning and building of our new facilities from NSW Health Infrastructure has been inspirational.

The strength of Sydney University in research, education and scholarship as well as the breadth of its disciplines within and beyond health make this a vital partnership for our future and for developing innovative approaches to improving health in the Westmead precinct.

We are truly engaged in building the future together, utilising the best insights available, to plan clinical services, develop and educate the future health workforce and conduct research of the highest quality.

The local health district is in a wonderful position with regard to all our university and council partners and we acknowledge their growing contributions.

At Blacktown and Mount Druitt hospitals we will soon have the second stage of the expansion RICHARD ALCOCK, AO CHAIR. program completed. And we are fortunate to be working Information technology is already with Blacktown City Council, a changing the face of clinical champion of the Better Foundation practice, underpinning important which supports Blacktown and research in healthcare and Mount Druitt hospitals. providing a platform for each of us to be healthier. We are also partnered with Western Sydney University and WSLHD has focussed much energy their important and evolving and resources on developing our presence at both Blacktown capabilities and infrastructure in and Parramatta, to help develop this field during 2018. the smart city of students and advanced clinical research. We recognise the wonderful dedication and commitment of The University of Notre Dame our 13,000 medical, nursing, allied Australia at Auburn Hospital is health, managerial and support staff. successfully bringing research and broad educational opportunities Each person can tell a story of to our work in this distinctive and how they have gone beyond the important community. call of duty to meet the needs of people relying on our health Part of the rapidly growing services. In the pages that follow population of WSLHD, Auburn we touch on aspects of their Hospital has an important and commitment. developing future as a place for elective surgery, for bringing a large To all our supporters, we number of babies into the world and gratefully acknowledge and for meeting the specific needs of thank you for all you have done the local population. through the past year for us and the people of western Sydney. Still a young institution in many respects, WSLHD has the opportunity to shape its direction and develop its own approaches.

We are agile in the ways we are responding to the future. We are free to develop partnerships with others who can also access the wonderful opportunities of the rapidly expanding western Sydney community and the focus of Parramatta to create something exciting for the people of western Sydney.

These partners are crucial to making a successful and healthy environment for us all.

We thank all those who have offered the hand of friendship and engaged at so many levels in making the future so different to the past. Without the commitment, guidance and help that comes to us each day from the team at the NSW Ministry of Health, we could not provide for our community.

Just as the world has embraced new technology and social media so too DANNY O’CONNOR, CHIEF EXECUTIVE. are we moving with the times.

12 2 WESTMEAD HOSPITAL 14

HEALTHCARE Westmead Hospital Key Activity 2017-18 16 FACILITIES AUBURN HOSPITAL 18 Auburn Hospital Key Activity 2017-18 19

BLACKTOWN AND MOUNT DRUITT HOSPITALS 21

Blacktown Hospital Key Activity 2017-18 22

Mount Druitt Hospital Key Activity 2017-18 24

PHOTO: WSLHD director Innovation and Redesign Emma Clarke chats to patient Norman Alagha. HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18

Westmead neurosurgeons Dr Jacqueline McMaster (left), Dr Gemma Olsson with registrars Dianna Li and Sophia Roser.

WESTMEAD HOSPITAL

Westmead Hospital, which is • Huntington’s disease services; Our urogynaecologists have been currently undergoing a billion- and pivotal in developing guidelines dollar redevelopment, is our • Intra-utero neonatal referral and protocols for the use of largest tertiary referral hospital, for babies requiring high level vaginal mesh. Westmead Hospital providing comprehensive and post-birth surgical interventions is one of five NSW centres complex services to its local (neurological and cardiac) at The credentialled for the management community, as well as statewide Children’s Hospital at Westmead. of complex mesh patients. and nationally. The Westmead Institute for Maternal The pelvic floor unit’s research They range from nationally Fetal Medicine cares for more than has led to a substantial sustained funded programs such as 1000 of the most complicated reduction in obstetric anal pancreas islet cell transplants to pregnancies in the State, where sphincter injuries during birth primary healthcare. Tertiary and either the mother, baby or both have with WSLHD now having one of quaternary clinical services include: life-threatening conditions. the lowest rates nationally. • Major trauma • Bone marrow transplant The institute works closely with The Westmead Hospital continues • Renal transplant Children’s Hospital at Westmead to see growth in the number • Pancreas (islet) cell transplant (CHW), and together provide of patients presenting to the • Neurosurgery the State service for babies with emergency department (ED) • Interventional neuroradiology serious heart abnormalities. About with a 2 per cent increase • Oral health 120 babies a year require major compared with the previous • Radiation oncology heart surgery in the first hours or financial year. • Cardiology interventional days of life. services Despite record demand, there • Cardiothoracic surgery Westmead’s pelvic floor unit were improvements in emergency • Advanced gastroenterology cares for more than 5000 women treatment performance (ETP), that • Adult eating disorders including those with urinary is patients treated and discharged • Deep brain stimulation incontinence, utero-vaginal prolapse or admitted within four hours, • Complex epilepsy and pelvic floor dysfunction. It and in transfer of care (TOC), • Complex dermatology conducts the only public bladder patients arriving by ambulance • Neonatal intensive care function studies from Sydney’s inner transferred into hospital care • Cystic fibrosis services for adults west to the NSW border. within 30 minutes.

14 ETP improved by 5 percentage • An 83.4 per cent reduction in points and TOC by 2. phone interpreter wait times • A 49 per cent decrease in Fundus photography is used to interpreter usage costs; and inspect anomalies in the eye’s • A 67 per cent reduction In a busy clinic it’s retina associated with diseases in time spent booking so easy to focus on such as macular degeneration, interpreters per day. providing a patient retinal neoplasms, choroid with a diagnosis and disturbances and diabetic The geriatric rapid evaluation treatment plan . . . retinopathy. and treatment service (GREAT) but listening is just as realised a 26.3 per cent decrease Current standards of care in EDs in hospital admissions and a 30 important. This is a around the world miss up to 13 per per cent reduction in in-hospital skill. Whilst I greatly cent of patients with clinical signs deaths in residents from residential enjoy the intellectual indicating life or vision-threatening aged care facilities (RACFs), and thrill of reaching a pathologies because fundoscopy in an estimated $7.7 million in savings correct diagnosis and the ED is technically challenging. per year. applying the latest A portable non-mydriatic camera GREAT is an outreach program scientific research in (NMC) was introduced in ED provided to local RACFs during the care of my patients, with photos uploaded to the business hours. A management being a physician patient’s electronic medical plan is developed in collaboration haematologist is so record (eMR) and reviewed by our with the patient’s GP, RACF staff, ophthalmology team within 24 and family. much more than that. hours, improving the fundoscopy rate from 6.4 per cent to 89.5 per The Westmead Medical Research Dr Leo Pasalic, staff specialist cent during a trial period. Foundation raised nearly $3 million, in clinical and laboratory a 49 per cent increase on the haematology, Westmead Hospital. It was the first portable NMC previous year, to further the vital fundus photography program in work of clinicians and researchers. Australia and demonstrates the value of collaborative fundus In October 2017, Team Westmead imaging for patients presenting raised $75,000 competing in to ED. the Coleman Greig Challenge, to purchase lifesaving equipment for Stage one of the Westmead Women’s and Newborn Health. Redevelopment was completed with the opening of a new state- The Crown Princess Mary Cancer of-the-art car park, ear nose and Centre’s involvement with Dry July throat and audiology unit, and secured $85,000 to improve the a new inpatient unit, while work comfort, care and wellbeing of continued on the central acute patients receiving cancer treatment. services building. A detailed overview of the redevelopment Our volunteers brought in $132,225 program is on page 38. through various activities including the volunteer shop, chocolate Interpreter Project in Outpatients trolley and the buggy service. Clinics (IPOP), an initiative to reduce average wait time for A total of 75 volunteers work booking interpreters, aims to across Westmead Hospital’s improve access and the experience many departments enhancing the for culturally and linguistically experience of patients and visitors diverse (CALD) patients. through a variety of activities including pastoral care, wayfinding, Implemented in Westmead offering patient and carer support Hospital’s University Clinics, where and education, social interaction, 10 per cent of patients require an and providing a tea trolley and interpreter, IPOP achieved: library service. • Improved communication with CALD patients They also transport outpatients • Streamlined interpreter check- via buggy to various clinics. The in including a designated buggies conduct more than 1300 waiting area for interpreters runs a month.

15 WESTMEAD HOSPITAL KEY ACTIVITY 2017-18

105,383 317,581 SEPARATIONS* TOTAL BED DAYS

1

958 DAILY AVERAGE AVAILABLE BEDS 2 3

1,610,518 76,999 5688 HOSPITAL NON-ADMITTED ED PRESENTATIONS BIRTHS IN HOSPITAL PATIENT SERVICES (OCCASIONS OF SERVICE)

21,525 SURGERIES

4 5

25,612 134,152 AMBULANCE ORAL HEALTH PRESENTATIONS 6

1. Awards to our best performers. 2. Staff celebrate the opening of the refurbished inpatient unit for patients recovering from surgery. 3. Westmead Women’s and Newborn Health administration officer Jocelyn Conate shows patient Crystal Rincon the Q-Flow patient check-in system. 4. A kidney sculpture draws attention to research in polycystic kidney disease. 5. The birthing unit celebrates 1000 water births. 6. Celebrating Chinese New Year little Kingston Wilde and his mum Sandra Wilde with trauma service director Dr Jeremy Hsu.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. DR AMITH SHETTY EMERGENCY STAFF SPECIALIST

Dr Amith Shetty is on a sepsis, we have to be quick,” mission to stop one of says Dr Shetty. Clinical Australia’s most threatening interpretation health conditions in its tracks. With the assistance of WSLHD’s technical staff, of data is most Sepsis occurs when the Dr Shetty helped develop a important for any body’s response to infection sophisticated system alert causes organ dysfunction. which enables clinicians to digital solution confirm sepsis in patients in health. It is the leading cause of death much faster. from infection in Australia, Dr Amith Shetty, Westmead with a mortality rate higher “Because of the alerts, we emergency staff specialist. than the annual road toll. have been able to capture these patients early when Having worked at Westmead they present to ED, so we Hospital for 15 years, the can get them on antibiotics emergency staff specialist straight away.” knows just how threatening Sepsis can be. “Clinical interpretation of data is most important for “In ED, when you’re really any digital solution in health. PHOTO: Dr Amith Shetty sick, it can be due to a lot of Our systems are smart. That’s checks the status of his possible causes. Our job is how our local health district patients in Westmead’s ED. to find the cause and if it’s is moving into the future.”

17 HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18

AUBURN HOSPITAL

Auburn Hospital’s new nurses and midwives registered nurses Tracey Rose Abraham (left), Sinead Mills, Amy Rahmani, Eda Duygu Bayraktar, Emily Godden give Olivia Widjaja a lift.

A teaching hospital of the Auburn Hospital is WSLHD’s The hospital maintained its University of Notre Dame, centre for high-volume, short-stay emergency department treatment Auburn Hospital serves a unique surgical cases for people with a performance with an average of population with 60 per cent of low anaesthetic risk, including 81 per cent of patients treated local residents born overseas. plastic surgery. and discharged or admitted within four hours. Auburn prides itself as one of the In late 2017 planning started most multicultural communities to introduce low-risk joint Several teaching programs were in Australia. replacement services consistent reaccredited by the relevant within the high-volume short- colleges including: The hospital’s clientele has 17 stay model. Commencing with • Emergency medicine by core languages with more than knee joints, the program will the Australasian College for 67 per cent of patients coming mature to include hip joint, foot Emergency Medicine from a non-English speaking and ankle surgery along with • Obstetrics and gynaecology by background. And hospital staff a comprehensive pre-surgical the Royal Australian and New speak 70 languages. physiotherapy conditioning Zealand College of Obstetricians program. and Gynaecologists; and Auburn Hospital is networked • General surgery training by with Westmead Hospital. It Elective surgery access the Royal Australasian College provides emergency medicine performance maintained an of Surgeons. and has a close observation unit. excellent rating with 100 per Other key services include: cent compliance across all three Auburn Hospital’s close • Adult general medicine surgical categories. relationships with the local including some specialist community enhances its services. care such as cardiology, Access and support for aged Dooleys Lidcombe Catholic Club endocrinology and neurology care will benefit with the donated $25,557 for a Lucas • Paediatric day-only surgery, appointment of a specialist in Automatic CPR machine in ED mainly ear nose and throat, and geriatric medicine to commence and $33,367 for a wireless CTG short-stay medical in 2018-19, improving the flow machine to monitor the heartbeat • Obstetrics and newborn care and transition of patients from of babies during labour. A for low-risk births including acute hospitals to residential Centennial Grant of $30,000 community midwifery aged care facilities. from the Commonwealth Bank • Non-acute care was used to purchase a neonatal • Satellite renal dialysis; and January 2018 saw the installation resuscitation unit for the • Breast screening. of a state-of-the-art CT scanner. operating suite.

18 AUBURN HOSPITAL KEY ACTIVITY 2017-18

18,816 41,562 SEPARATIONS* TOTAL BED DAYS

1

166 DAILY AVERAGE AVAILABLE BEDS 2 3

121,085 28,755 HOSPITAL NON-ADMITTED ED PRESENTATIONS PATIENT SERVICES (OCCASIONS OF SERVICE) 4

1363 BIRTHS IN HOSPITAL

5 6

4999 7402 AMBULANCE SURGERIES PRESENTATIONS 7

1. Structured new antenatal program participants. 2. Auburn AQuA winners Joan Wang (left), Nusrat Tamanna, James Chen, Daniel Jr Orcullo and Ranji Jayawardena. 3. Nurse Khodor Issa and patient Kassem Abdelkafi.4. Fundraising donations. 5. Associate Professor Richard Haber retires after five decades.6. Food services assistants Hardheet Barar and Suna Orcun. 7. Auburn celebrates 110 years: Auburn Hospital operations director Debbie Sharpe (left), local residents Beryl Duff and Hazel Gibbs with Auburn Hospital director of nursing and midwifery Kate Murphy.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. OUR DIGITAL SOLUTION eFluids

Auburn Hospital will be the sure a system can support We are thrilled first health facility in NSW to clinical care. roll out eFluids, an electronic to be laying system for fluid orders “That’s what we’ve been important and drug infusions, further doing this year to make sure increasing patient safety. Auburn is ready to be the first ground work for facility in the State to go live the digital future The system is part of a suite with eFluids.” of upgrades across WSLHD. of healthcare Known as the digital health As well as eFluids, Auburn for the Auburn clinical program, it is taking Hospital will go live with the local health district essential digital upgrades in community. into the next era of digital operating theatres and across healthcare. multiple medical devices, Associate Professor Naren streamlining workflows so Gunja, WSLHD chief medical “Digital Hospitals don’t clinicians can spend more time information officer. just happen overnight,” focusing on their patients. says WSLHD chief medical information officer Associate “We’re at the beginning of Professor Naren Gunja. a digital transformation in

PHOTO: Emergency staff health, and we are making specialist Dr Felicity Day “There is a lot of planning, sure western Sydney is ready and nurse practitioner testing and consultation for the future, for our staff Dave Douglas. that goes into making and our patients.”

20 HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18

Doctors Amal Shandil (left) and Supriya Chhabra, nurse Jasmine Nijhar, nurse unit manager ED Camille Dooley, and emergency medicine director Associate Professor Reza Ali.

BLACKTOWN AND MOUNT DRUITT HOSPITALS

Blacktown is a modern bustling A teaching facility of Western during the delivery of the clinical city comprising 48 residential Sydney University (WSU), a services building and the planning suburbs including Mount Druitt clinical school is located on site of the acute services building due and is home to more than at Blacktown Hospital nurturing for completion in 2019. A detailed 360,000 people, making it the western Sydney’s doctors of overview is on page 39. second largest city by population tomorrow. The WSU partnership in NSW. is integral to our flourishing An initiative known as Project clinical research programs. RED has revolutionised the way To cater for the needs of its patients are treated in Blacktown growing and diverse community Mount Druitt Hospital offers and Mount Druitt hospitals. Blacktown and Mount Druitt 24-hour emergency care, and a hospitals are undergoing a $700 local health district-wide role in At Blacktown Hospital, Project million-plus expansion project. the provision of planned surgery, RED is improving patient flow with a high proportion of general, and emergency treatment Blacktown Hospital currently orthopaedic and breast surgery. performance, and reconfiguring provides 24-hour emergency, hospital systems and processes intensive and high dependency It has the highest volume ready for the transition to the new care, sub-specialty acute medical of paediatric medicine and acute services building in 2019. and surgical services, obstetrics paediatric emergency department and newborn care and sub-acute attendances of any WSLHD facility. A whole-of-hospital redesign rehabilitation. program, Project RED was Blacktown and Mount Druitt developed and implemented Inpatient acute mental health and Hospitals Expansion Project by Blacktown, to initially community mental health are has forged a strong partnership improve emergency treatment delivered from Bungarribee House. with NSW Health Infrastructure performance (ETP).

21 BLACKTOWN HOSPITAL KEY ACTIVITY 2017-18

45,394 162,458 SEPARATIONS* TOTAL BED DAYS 1

501 DAILY AVERAGE AVAILABLE BEDS 2 3

424,343 51,481 3420 HOSPITAL NON-ADMITTED ED PRESENTATIONS BIRTHS IN HOSPITAL PATIENT SERVICES (OCCASIONS OF SERVICE)

9608 SURGERIES

4 5

16,960 5246 AMBULANCE ORAL HEALTH PRESENTATIONS 6

1. Dr Anna Duke (left) congratulates Blacktown Mount Druitt 2017 Nurse of the Year Mitra Katebi with Dr Ahamed Zawab. 2. International Nurses Day. 3. Hitachi Billisoft machine donation. 4. Brendan Keirin at the NAIDOC week celebrations. 5. Dementia patient Shirley Mitchell and Bunnings Warehouse Prospect activities organiser Kylie Hazeltine in the new Blacktown Hospital sensory garden. 6. Volunteer Henderika Jongsma and salsa performer Sebastian Parisi kick up their heels as part of National Volunteers Week celebrations.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. The program focusses on An electronic record in intensive improving the journey of patients care (eRIC) was implemented at through the hospital. Blacktown in November 2017.

It involves key hospital eRIC is part of a statewide I love what I do; helping departments, from emergency clinical information system across people and saving lives to cleaning, working together to intensive care units (ICUs) in NSW is what makes my job so improve ETP and patient flow. to give clinicians full access to fulfilling. When I receive many different sets of bedside It has helped reduce waiting patient information to help in a phone call at 1 or times for patients to commence decision making, accurate data 2am to help a patient treatment, improved faster access capture and recording. with a life-threatening to imaging services and meant less condition, there is delays for patients during their More efficient and automated time in hospital. patient monitoring enables ICU nothing like the feeling staff to better care for critically that you have saved a Project RED examined patient ill patients. life. That’s the reward. flow and rectified areas that can slow treatment down resulting Patients at Mount Druitt Hospital’s Dr Ghiyath Alsnih, general in more efficient off-loading of supportive and palliative care and laparoscopic surgeon, ambulances on arrival, improving unit benefitted from a $658,000 Blacktown Hospital. streaming at triage for better patient investment providing greater management, improving patient flow comfort and security. for more efficient transfers, making better use of the patient discharge The mix of funding from the lounge, and instituting dedicated Ministry of Health, the Dry July cleaning and portering teams to fundraising event, and community make services more effective. support saw substantial refurbishment to coincide with the There were significant unit’s 20th Anniversary. improvements in the time to commence treatment in the Blacktown Workers Club and ED, and reduced emergency Blacktown Lions revamped the waiting times for patients despite front and back garden areas and Blacktown Hospital recording the a new community art mosaic was highest year-on-year growth rate installed with the help of Bidwill increase in ED attendances of any Uniting Church. NSW public hospital in 2017-18. The Better Foundation which Mount Druitt Hospital also supports Blacktown and Mount experienced high year-on-year Druitt hospitals was launched growth in ED presentations, more to maximise local corporate than twice the NSW ED attendance and community fundraising growth rate. relationships.

Despite the activity surge More than 400 people attended the across both EDs over the year, inaugural Better Foundation Gala there was a more than 10 per Dinner in May raising $40,000 to cent improvement in the key support a new multipurpose clinical performance areas relating to space in the children’s ward at timeliness of care in our EDs. Mount Druitt Hospital.

Since Project RED, the average Blacktown and Mount Druitt patient spends 80 fewer minutes hospitals fundraising program in ED. secured $484,000 through the generosity of individuals and Electronic medications businesses. management (eMEDs) was implemented at Mount Druitt More than 230 dedicated Hospital. eMEDs, a digital program volunteers donated 40,645 for the dispensing of medication, hours improving the experience reduces prescribing errors and for patients, carers and visitors improves patient safety. attending both hospitals.

23 MOUNT DRUITT HOSPITAL KEY ACTIVITY 2017-18

12,878 32,138 SEPARATIONS* TOTAL BED DAYS

1

157 DAILY AVERAGE AVAILABLE BEDS 2 3

34,904 34,887 HOSPITAL NON-ADMITTED ED PRESENTATIONS PATIENT SERVICES (OCCASIONS OF SERVICE) 4

5011 SURGERIES

5 6

4319 16,346 AMBULANCE ORAL HEALTH PRESENTATIONS 7

1. Mount Druitt Hospital’s 35th anniversary. 2. Ana Miranda (left), nurses Jenat Sakayanathan, Cassie Uly and Belinda Jordan. 3. Fatima Ouda (left) and daughter Souad seek guidance from GP liaison officer Angela McCole at the Mount Druitt Refugee Health Expo.4. NSW Premier Gladys Berejiklian and NSW Health Minister Brad Hazzard at the opening of the Mount Druitt Renal Dialysis Centre. 5. New technology at Mount Druitt Hospital to support breast cancer patients. 6. Free vaccinations blitz. 7. Patient Iris Ruby thanks her carer. *The process by which an episode of care for an admitted patient ceases, including ED only separations. SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. PROFESSOR MICHAEL EDYE DIRECTOR DIVISION OF SURGERY AND ANAESTHETICS

For many people, having theatre is fully equipped for high blood pressure doesn’t surgeries like this.” normally land you in a whiz- We are bang digital theatre. But that’s Patrick is one of more than continuing exactly what happened to 9000 patients who undergo Blacktown local Patrick Dako. surgery at Blacktown to make sure Hospital each year. western Sydney Patrick had a tumour on one of his adrenal glands causing “We have a huge volume is ready for very high blood pressure. He of patients, and they don’t the future of required multiple CT, MRI scans have to be in New York or and selective venous sampling Switzerland for modern healthcare. to compare the levels of two digital health tech. Blacktown different hormones inside Hospital is a very special Professor Michael Edye, his blood vessels. All before building, and we’re ready for director Division of Surgery having laparoscopic surgery what the future of healthcare and Anaesthetics, Blacktown in Blacktown Hospital’s digital brings,” says Prof Edye. and Mount Druitt hospitals. theatre to remove the lesion. Having moved from Africa “To put this in perspective, this to western Sydney 17 years is not an operation we do every ago, Patrick is very excited week,” says Patrick’s surgeon about the technological Professor Michael Edye. developments at Blacktown. PHOTO: Professor Michael Edye in Blacktown Hospital’s “It is not a common situation, but “It’s the place to be, that’s operating theatres. it’s correctable and our digital for sure,” he says.

25 3 MENTAL HEALTH 27

SPECIALT Y DRUG HEALTH 29 SERVICES INTEGRATED & COMMUNITY HEALTH 30 Western Sydney Diabetes 30

Community-Based Services 31

Population Health & Primary Prevention 32

Integration, Partnerships & Enablers 34

Population Health Key Activity 2017-18 36

PHOTO: WSLHD is protecting our Aboriginal kids, now and into the future. Immunisation nurse Hayley Carra vaccinates toddler Jirriga Councillor while comforted by her mother Emma Councillor. SPECIALTY SERVICES 3 WSLHD YEAR IN REVIEW 2017-18

1 2

MENTAL HEALTH 2017-18

snapshot One in five people aged 16-85 in The Balnaves Foundation has Australia will be directly affected funded the Unwired Mental Health MENTAL HEALTH by mental illness. WSLHD provides Project over three years which KEY ACTIVITY a comprehensive range of services tests the use of wearable e-health to assist people experiencing devices to maximise outcomes in mental illness or disorders across young people with severe mental their lifespan from prevention illness. through to early detection, early intervention, triage, assessment, Relapse and readmission set off acute and sub-acute care, and by stress creates a pattern which various levels of treatment and results in lost opportunity and ongoing support in the community. significant disability. Personal 4684 e-health devices that can ADMISSIONS Inpatient services include continuously monitor people acute adult; perinatal, child and and communicate physiological youth mental health services; data such as stress and sleep older persons mental health; quality to the individual and rehabilitation; and forensic their mental health team, creates rehabilitation. the opportunity to proactively intervene early in the process Our inpatient units are located of relapse and help develop in Westmead, Cumberland an awareness of stress for the and Blacktown hospitals and consumer. 4695 our community mental health SEPARATIONS* teams are based in Parramatta, At Cumberland Hospital Merrylands, Auburn, Dundas, the electronic medications The Hills Shire and Blacktown. management system eMeds was rolled out. UrbanGrowth NSW Development Corporation’s Parramatta North renewal, the Parramatta Light HIGHLIGHTS Rail project and the Westmead Innovation District Master Plan WSLHD Mental Health Services 151,151 have provided WSLHD with clinical services plan was HOSPITAL an opportunity to explore the further developed. It outlines NON-ADMITTED redesign and relocation of mental how WSLHD will deliver PATIENT SERVICES health services to better integrate world-class mental healthcare (OCCASIONS OF SERVICE) with general health in the over the next 10 years and Westmead precinct. considers mental health reform,

27 population growth, specific Our mental health services needs of the population and partnered with colleagues at changing models of integrated Westmead Hospital to screen mental health services. patients in Cumberland Hospital for hepatitis C. Mental health is such We continued to implement a dynamic place to mental health reforms including Blacktown Hospital’s work. The mental the Pathways to Community Living endocrinology department health professionals Initiative which has transitioned conducts metabolic screening 49 long-stay consumers to and monitors metabolic I work alongside are appropriate accommodation syndrome. exceptional, but the in the community. patients I have met Planning for cervical and breast along the way are the Care navigators were instituted cancer screening is underway. real stars. Their stories in Westmead Hospital’s ED where dedicated staff help WSLHD continues to reduce and their strength have transition consumers back into the use of seclusion through taught me so much. the community with the right the implementation of the six supports. The program is funded core strategies in addition to Samantha Pozzo, nurse unit through a partnership with the Creating Positive Cultures manager, mental health ward, WentWest, the Western Sydney of Care Program and the Safe Westmead Hospital. Primary Health Network. Wards Program.

The Whole Family Team clinical The successful Clozapine Clinic service was implemented was expanded improving access providing specialist in-home and to general healthcare through community-based interventions partnering with GPs. for children and families with complex mental health and WSLHD received the NSW drug and alcohol issues where Health Excellence in the one or more children have a Provision of Mental Health substantiated risk of significant Services Award for its harm report. innovative service delivery model, Mental Health Delivered in partnership with Acute Assessment Team, NSW Family & Community a collaboration with the Services, the NSW pilot Ambulance Service of NSW, demonstrated a 58 per cent which aims to provide the most reduction in repeat risk of appropriate care for mental significant harm reports health patients and minimise for children in families that inappropriate emergency completed treatment. department presentations via the triple-0 dispatch system. The Redbank acute adolescent 1. NSW’s Health achievement award unit received NSW Health’s Our volunteers play an team winners from Westmead’s Redbank House acute adolescent unit achievement award for its work important role in the provision nurse Jaclyn Mitchell (left), acting on the Productive Mental Health of services. Seven volunteers operations manager child and youth Ward Program designed to are registered as contingent services Sumithira Joseph, clinical nurse improve safety, productivity workers as part of the carer specialist Elissa Yoo and nurse unit and efficiency. reference group. And 19 are manager Julia Norcott. registered to support family and WSLHD Mental Health Services carers of people attending the 2. The Big Anxiety Festival director participated in community Mental Health Review Tribunal. Jill Bennett (left) with Parragirls Jenny awareness and countering stigma There are three chaplains. McNally, Lynne Edmondson Paskovski activities such as the Big Anxiety and Bonney Djuric. Festival, R U OK? Day, Check-Up Volunteers assist staff each *The process by which an episode of from the Neck-Up and the Sydney year with cooking or selling care for an admitted patient ceases, Science Festival. goods at hospital stalls. Money including ED only separations. raised helps contribute to the The physical healthcare of people rehabilitation journey of mental SOURCE (SNAPSHOT): with severe and persistent mental health consumers and enhances NSW Health Information Exchange and illness has been identified as a their hospital stay. A total of Enterprise Data Warehouse for Analysis serious public health challenge. $17,434 was raised in 2017-18. Reporting and Decisions.

28 SPECIALTY SERVICES 3 WSLHD YEAR IN REVIEW 2017-18

The new Centre for Addiction Medicine at Mount Druitt is bright and airy, easy to access and now we can offer longer dosing hours so it’s more convenient A mobile clinic provides for patients and their hepatitis C families. testing and screening. Our focus is on stabilising patients, so offering services earlier in the morning means people can get on with DRUG HEALTH their work or family commitments, and it normalises their day. WSLHD’s Drug Health Service information portal for GPs to use in Grant Katte, Centre for Addiction continued to grow and evolve patient consultations. It supports Medicine manager. over the past year to meet the better linkages between primary demand for services. care and our specialist services.

We are seeing and treating Two GPs are joining our Blacktown more patients in our ambulatory team to care for Aboriginal clients clinics and at Westmead and on the opioid treatment program. Blacktown hospitals. Plans are underway to provide The Centre for Addiction Medicine drug and alcohol training to GP opened at Mount Druitt Hospital registrars. in September 2017 offering a range of services including an Part of a strategy to increase the opioid treatment program. workforce in drug health, it will further our linkages to primary The needle and syringe team joined care, improving outcomes for the Drug Health Service as part of patients who require treatment for the harm minimisation program other chronic illnesses but do not assisting to eliminate hepatitis C routinely see a GP. among people who inject drugs. Research is integral to our Our clinics offer a one-stop- services and we participate in shop model of care, including many local and multicentre trials the screening, diagnosis and to improve the treatment of treatment of substance use substance use disorders. disorders and hepatitis C. We are involved in a double- A mobile clinic will provide drug blind randomised controlled and alcohol outreach along with trial to evaluate the efficacy of hepatitis C testing and screening. lisdexamfetamine in reducing A collaborative service, it includes methamphetamine use. There is gastroenterology, sexual health currently no pharmacotherapy and HIV teams. approved for methamphetamine dependence. A trial looking at We have further strengthened the use of buprenorphine depot relationships with local GPs with for opioid dependency is set HealthPathways, an online health to commence.

29 SPECIALTY SERVICES 3 WSLHD YEAR IN REVIEW 2017-18

Making healthy normal at Auburn Hospital, Anup Pradhan from Zouki’s café, and hospital administration officers Louise Yazbek and Maged Nessim.

INTEGRATED & COMMUNITY HEALTH

Integrated & Community Health the demand for healthcare with WESTERN SYDNEY (ICH) works to improve the an increase in chronic conditions, DIABETES health and wellbeing of the shifting consumer expectations population of western Sydney. and changing models of care. Western Sydney Diabetes (WSD) is a partnership between the It aims to provide treatment Half the residents of western Western Sydney Primary Health and care away from hospital Sydney have a chronic disease Network (WSPHN), Diabetes NSW through an integration and and around 20 per cent have at and ACT, the NSW Department partnership model. least two. of Premier and Cabinet and PricewaterhouseCoopers (PwC) ICH is responsible for population ICH works in partnership with the to address the diabetes hotspot in health, community-based community and a broad range of western Sydney. services, Aboriginal health, services to bridge the gap between priority populations and key community and hospital care. The diabetes burden is large and strategic initiatives including rapidly growing with about 30 per service delivery reform, the Our strategic partnerships with cent of people in our region with Health Partnership Council, the NSW Government’s health pre-diabetes and 20 per cent with Western Sydney Diabetes and the and social policy agencies diabetes and growing at 1 per Integrated Chronic Care Program. such as education, family and cent per year. community services, police and With a population of more than juvenile justice, address health The WSD leadership alliance has 1 million, projected to increase social determinants and provide a more than 110 members including to 1.2 million by 2021, western coordinated response to high-risk government, non-government Sydney is facing challenges in families and young people. and community organisations.

30 1 2

Joint specialist case conferences • Priority populations including independent functioning and (JSCC) assist general practitioners our Aboriginal and culturally wellbeing and independence. to better manage patients who and linguistically diverse present with diabetes. The JSCC peoples. The focus is to assist people have grown to include 1736 to regain or maintain physical, patients with diabetes and 229 Staff work in partnership with functional and cognitive abilities GPs at 76 practices. general practitioners, hospitals, which support them to either government and non-government maintain or recover a level of Three community diabetes organisations to provide independence, allowing them forums, held at Blacktown, healthcare in people’s homes, to remain living at home. attracted more than 400 people. community health centres or venues such as early childhood Services are provided within a WSD’s partnership with PwC, or aged day centres. multidisciplinary framework and WSPHN, and the Australian are delivered by a range of health Digital Health Agency saw the Child & Family Services professionals. rollout of DoubleJump enabling Child & Family Services engage data sharing from diabetes with women during their stay Chronic & Complex Care patients, hospital and general in hospital after giving birth continued to evolve into a practice for planning and and work in collaboration with WSLHD-wide stream providing monitoring over the next antenatal services, particularly services to residents across two years. in relation to vulnerable families western Sydney. identified in the antenatal period. We are in the early phases From July 2017 we assisted and of developing the WSD self- This year the Child, Youth continue to support our clients management app to support and Family Integrated Health to access the Commonwealth’s patients to better manage their Partnership Committee was National Disability Insurance diabetes and improve their established. Scheme. general health and health literacy. Electronic appointment reminders Patient-reported measures are were implemented. The text being implemented to ensure we COMMUNITY-BASED message reminder sent out prior meet the needs of our population. SERVICES to an appointment, improved attendance rates and patient Staff undertook community Clinical services are delivered via engagement. diabetes training to enhance streams and are focused on the their skills. following patient cohorts: Chronic & Complex Care • Child and family health Chronic & Complex Care services We worked and continue to work • Patients with chronic and centre on restoring, improving, closely with FACS Housing NSW complex conditions; and or maintaining people’s health, to modify the homes of our clients.

31 Our Reconciliation Action Plan will implement culturally appropriate changes and develop stronger relationships with our Aboriginal

3 4 and Torres Strait Islander communities to improve health outcomes. Chronic & Complex Care Immunisation participated in the WSLHD School vaccination nurses Associate Professor Stephen partnership with Silver Chain to provided 52,108 vaccine injections Corbett, director WSLHD Centre provide the terminally ill palliative to students in western Sydney for Population Health. care in the comfort of their home. high schools.

Our biggest achievement has POPULATION HEALTH & been closing the Aboriginal PRIMARY PREVENTION immunisation gap for children under five years with 97.5 per cent Population Health & Primary vaccinated, 2.6 per cent higher Prevention aims to improve than non-Aboriginal children. the health of all residents and reduce avoidable hospitalisations Tobacco Control by assisting people and Staff focused on working with organisations in western Sydney partners including the Greater to create environments, policies Western Aboriginal Health Service, and programs that support and Marrin Weejali Aboriginal healthy choices. Corporation to address smoking in pregnancy. Part of the program Aboriginal Health Strategy included a nappy incentive trial for WSLHD’s first Reconciliation Action Aboriginal mums-to-be. Plan was developed to implement culturally appropriate changes and Healthy Older People develop stronger relationships with A total of 31 Stepping On our Aboriginal and Torres Strait falls prevention courses were 1. Men and their families attended Islander communities to improve conducted with 363 older people the Make Healthy Normal Zone at health outcomes. who have had a fall or who are the Men’s Shed in Emerton. at risk. 2. Community member Robert WSLHD entered into Fitzpatrick with WSLHD senior agreements with major Moving On sessions were held health promotion officer Dr Kate construction companies AW to ensure older people at high Kennett supports Indigenous Edwards and Multiplex to assist risk of falls continue with an people to quit smoking. Aboriginal and Torres Strait exercise program. 3. Westmead respiratory clinic. Islander apprentice trades people into available positions. Healthy Children’s Initiative 4. Registered nurse Kristine Datuin and patient Qurat Ul Ain, at the Healthy children’s projects Hello Doctor initiative for newly A director of Aboriginal Health focused on staff training, menu arrived migrants and refugees Strategy was appointed. planning and policies in early in Mount Druitt.

32 We aim to build healthy public policy, create supportive environments, strengthen community actions, develop personal skills and reorient health services to 1 2 build a healthier community.

Christine Newman, WSLHD Health Promotion director. childhood centres, school were installed at Westmead and canteens and active travel at Blacktown hospitals. primary schools. Half of the 82 per cent of participating early Environmental Health childhood services implemented & Disaster Control the practices. And of the 60 per The environmental health team cent of primary schools taking investigated several child lead part, there has been a 60 per cent poisoning cases among Indian adoption rate. and Pakistani communities. The source was an imported kohl Go4Fun, a free 10-week healthy eyeliner found in Indian grocery lifestyle initiative for NSW kids stores at Parramatta, Harris Park, aged 7-13 who are above a healthy Stanhope Gardens and Quakers weight, reached 1867 western Hill. The discovery is assisting Sydney children and families. in the prevention of unsafe and unregulated imported cosmetic The program expanded to 163 products being sold in Australia. out of school hour (OOSH) care providers and supported Health Promotion Partnerships playgroups in healthy eating, We work with our partners to physical activity and screen time. ensure the environments in which people live, work and play Healthy Eating, Active Living promote good health. Our health More than 2025 people utilised promotion partnership team 1. Make Healthy Normal at this year’s the Get Healthy Information works with: Kidtopia Festival at Parramatta and Coaching Service with 1343 • Parramatta, Blacktown, Park encouraged kids and adults referred to the service by a health Cumberland and The Hills Shire to get active. professional. The free phone councils 2. Librarians educate young children service, staffed by qualified health • NSW Department of Education about healthy foods at the City of coaches, supports adults to • TAFE NSW and Western Parramatta Library as part of Make make lifestyle changes regarding Sydney University; and Healthy Normal. healthy eating, physical activity, • Legal Aid NSW.

3. Go4Fun, a free healthy lifestyle reducing alcohol consumption program, focussed on making physical and reaching and/or maintaining Together we promote healthy activity fun for kids aged 7-13 in western a healthy weight. eating and active living Sydney. © Geoff Jones, Fairfax Media. behavioural change programs, All sugar-sweetened beverages and advocate for changes in the 4. Students at Rooty Hill High School choosing healthy food options. were removed from all WSLHD built environment that support © Geoff Jones, Fairfax Media. facilities. Indoor water refill stations people to make healthy choices.

33 3 4

Initiatives include: Initiatives include the INTEGRATION, promotion of walking PARTNERSHIPS • The Healthy Higher Density groups, and ensuring built & ENABLERS Living project with the City environments encourage of Parramatta. walking for active transport We work with healthcare and and recreation by providing other providers to lead innovation Parramatta and all LGAs in safe and accessible routes, and integration through clinical WSLHD are experiencing public amenities, and shade. service redesign, new models of unprecedented growth care and information technology. including housing density and • Libraries Health Month, a joint population. Increased density project with all four councils Key milestones included: if done well can have positive and their 25 libraries, publicises Implementation of the five priority health impacts such as higher key health messages through areas of Aboriginal health; older rates of physical activity, resources and talks. Library persons health; children, youth with more of the population staff promote key NSW Health and family; mental health; and walking to work, school and programs such as Make Healthy chronic and complex diseases. other destinations. But if done Normal and the Get Healthy poorly can result in negative Information and Coaching The Western Sydney Health Care health impacts. Service. Interpreter Service provided 232,848 services in 86 languages A survey of residents about Communicable Disease at healthcare sites, over the their experience of living Surveillance phone, or in the home. in medium to high density All notifiable conditions were housing, a literature review, responded to and improvements The Integrated & Community and interviews with community made to the surveillance and Health central referral service health and council staff response to acute rheumatic fever, received 33,468 referrals informed council on a range and rheumatic heart disease. and introduced fax to email of strategies to minimise the e-technology to accept referrals negative and maximise positive The 2017 influenza season in NSW electronically resulting in health outcomes. was one of the most severe on improved, quicker processing. record, extending for more than • Implementation of the three months, due to concurrent More than 400 additional International Charter for peaks in influenza A and B strain HealthPathways, or care maps, Walking is a key project with activity. In preparation for the were developed for clinicians to Blacktown City Council to 2018 ’flu season, 54 per cent of access through the HealthPathways increase walking rates of aged care facilities took part in website enabling all members of a residents and assist in reducing the annual Residential Aged Care healthcare team, in a hospital or in chronic diseases such as Facility Outbreak Management the community, to work cohesively diabetes and obesity. Workshop. when planning patient care.

34 Critical to improved healthcare is The Western Sydney Integrated communication and integration Chronic Care program, a between the hospital, GPs partnership with the Western and patients. eHealth enablers Sydney Primary Health Network, Anyone can included: returned the following within the • LinkedEHR, a shared care patient cohort: deliver medication planning tool between hospital • 2857 (34 per cent) less but we can and general practice unplanned hospital admissions • Enrolled patient identification • 10,752 (25 per cent) less bed prevent patients in both hospital and general days/reduction in hospital from becoming practice length of stay • GoShare, a web-app platform • 1175 (37 per cent) reduction in more chronic that allows clinicians to provide preventable hospital admissions by developing a information and education • 3218 (32 per cent) decrease in materials to patients via text ED presentations; and relationship with and email • 1009 (23 percent) reduction them, assessing • Health record integration in arrivals to hospital by between hospital and general ambulance. and addressing practice allowing shared their needs. It is patient health summaries and very satisfying and documents from My Health A comprehensive report on Record; and the the initiative can be found at rewarding to work • Better Health Together website in prevention. and resources www.betterhealthtogether.com.au www.wslhd.health.nsw.gov.au/ ArticleDocuments/1231/The%20 Josfin Charles, New%20Frontier%20of%20Healthcare_ WSLHD care facilitator. Western%20Sydney%20Integrated%20 Care%20Demonstrator%202014-2017. PHOTO: WSLHD care facilitators pdf.aspx Josfin Charles (left), Prabash Odayan and Simon Mbugua.

35 POPULATION HEALTH KEY ACTIVITY 2017-18

218,995 128,823 CHRONIC & COMPLEX CHILD & FAMILY SERVICES SERVICES 1

24,930 PRIORITY POPULATION SERVICES 2 3

29,695 2417 INTEGRATED CARE WESTERN SYDNEY SERVICES DIABETES 4

TOTAL 404,860 (OCCASIONS OF SERVICE)

5 6

7 8 9

1. Mount Druitt Public School ride to school program. 2. A partnership with the St Vincent de Paul Society NSW encouraging people to access a free telephone health coach was recognised in the 2018 ZEST Awards: Louise McKeon (left), Rosslyn Williams and Rachael Graham. 3. Chifley College Shalvey Campus embrace Aboriginal youth smoking cessation. 4. Siblings Afreen, Inayat and Baaz Randhawa enjoy Westmead Hospital’s water station as part of the Make Water Normal campaign. 5. Mount Druitt child care Aboriginal ‘flu immunisation.6. Engaging the Australian Catholic University in Personal Development, Health and Physical Education (PDHPE). 7. Westmead allied health’s Walktober promotion. 8. Dr Francisco Valencia with patient Bill Kitson, of Toongabbie. 9. Integrated & Community Health nurses Jess King Hu (left) and Melissa Graf. SOURCE: Community Health Outpatient Clinic, Patient information Management System & NAP DataMart. 4 BUILDING THE FUTURE 38

CARING Westmead Redevelopment 38

Blacktown and Mount Druitt Hospitals FOR YOUR Expansion Project Expansion Project 39 TOMORROW Awards 41 DIGITAL HEALTH 42

Delivering Today 42

Planning For Tomorrow 43

Designing Our Future 43

PHOTO: Ajmal Ikhlas, team leader infrastructure services ITS, Blacktown Hospital server room. CARING FOR YOUR TOMORROW 4 WSLHD YEAR IN REVIEW 2017-18

BUILDING THE FUTURE

WSLHD is committed to Westmead is a national and expected to reach its highest delivering world-class international leader in critical and point by the end of 2018. The healthcare to meet the acute healthcare, research and CASB will include two emergency challenges of the future as education. The Westmead precinct departments – an adults’ and a well as to protect and improve partners are working together to children’s; state-of-the-art digital the health and wellbeing of provide world-class innovation and operating theatres; inpatient beds; those who reside in our local services for NSW and Australia. a centralised sterilising service; health district and beyond. pharmacy; and the NSW Infectious The NSW Government, along with Diseases Unit. Our multibillion-dollar the University of Sydney and other building program is upgrading investors, have committed more Stage one of the project’s hospitals and health services than $1 billion for: refurbishment program was so we can provide for our • A new 14-storey central acute completed in May 2018. It included rapidly growing and ageing services building (CASB), a new: population, while taking increasing service integration • Gastroenterology ward advantage of innovative ways between Westmead Hospital • Ear, nose and throat and to deliver healthcare priorities. and The Children’s Hospital at audiology units Westmead. The building will be • 64-bed inpatient unit for those Providing leading-edge the tallest hospital structure in recovering from a range of patient care relies not only on Australia when completed in 2020 surgical procedures traditional capital works but • A new plaza forecourt • Westmead Education and smart infrastructure. • Improved car parking Conference Centre, offering • Major refurbishment of the contemporary teaching and Importantly we are investing existing Westmead Hospital learning spaces; and the and exploring eHealth • Expansion of Kids Research • O3Hub, Westmead’s first initiatives that transform our • Early works and services activity-based working space for ability to deliver better and upgrades for the precinct finance, procurement and clinical safer clinical care for patients. • Embedded education, training governance staff. and research; and • Arts and culture for a diverse The Westmead Hospital WESTMEAD community. refurbishment is transforming more REDEVELOPMENT than 30 per cent of clinical areas The University of Sydney is between 2017 and 2022. The Westmead Redevelopment investing $500 million over 15 years project is revolutionising to broaden education facilities Planning and design are underway healthcare in western Sydney. and upgrade existing spaces at for stage two, with construction Westmead Hospital. to start late 2018. It will include The $1 billion NSW Government refurbishments to intensive care, project, the biggest health The Westmead Education and aged care, the loading dock, infrastructure program in Conference Centre was completed transit lounge, and the clinical and the State, will transform the in September 2017, and the executive offices to implement Westmead health, education Westmead Hospital Library opened activity-based working principles. and research precinct and in June 2018. deliver an innovative, integrated An eight-level, 1250-space car facility that will continue to Construction for the new central park opened in December 2017. provide high-quality healthcare acute services building kicked off It features an elevated pedestrian for decades to come. in February 2018 with the building link-bridge to the hospital.

38 Construction of the CASB BLACKTOWN AND prototype rooms began in May MOUNT DRUITT 2018. Set to open in August 2018, HOSPITALS EXPANSION they will be crucial for service PROJECT I’m thrilled such planning and training. The $700 million Blacktown good progress has May 2018 saw the launch of and Mount Druitt Hospitals been made and I the Aboriginal and Torres Expansion Project (BMDH Strait Islander Legacy Strategy Project) is delivering new want to thank all and Action Plan 2018-2022 services and facilities to meet the great people which aims to close the gap the growing healthcare needs in Aboriginal healthcare, of the community and reduce who continue to education and employment the need to travel out of the work day in and at Westmead and create area for treatment. welcoming, safe and connected day out to deliver spaces for Aboriginal people. The project has been recognised this world-class nationally and internationally The project’s arts and culture for its iconic design, digital facility to the strategy, due for completion in innovation, consumer and clinician people of NSW. 2018, embeds art into the fabric engagement, and partnerships. of the Westmead precinct. NSW Premier Gladys Berejiklian, Stage 2 expansion at Mount Druitt Blacktown Hospital August 2017. The long-term plan for Westmead Hospital was completed in 2017 is a health and education precinct and officially opened in March that develops over time to become 2018 by NSW Premier Gladys a world-class innovation district. Berejiklian. It includes: • A Centre for Addiction To achieve this, the Westmead Medicine Innovation District Master • Surgical expansion including a Plan project has been jointly digital theatre, pre-admissions commissioned by the City of clinic and recovery ward Parramatta and NSW Health. • A new community dialysis centre; and new The announcement of a • MRI unit. consortium of international and national design experts to lead the visionary master plan culminated 1. Artist’s impression of the Westmead in a two-day intensive charrette precinct. 2. Artist’s impression of a with government, industry birthing room in the Blacktown Hospital and planning stakeholders in acute services building. 3. Masters September 2017. Student Hafsa Rana (left) and PhD students Jake Rhodes and Christopher In 2018, workshops with key Denes enjoy the Westmead Education organisations discussed the vision and Conference (WECC) facilities. for the Westmead Innovation 4. WECC official opening with Member District as a connected, for Seven Hills Mark Taylor (left), WSLHD executive director Nursing & productive, vibrant place to live, Midwifery, and Clinical Governance work, learn and play. Joanne Edwards, and NSW Minister for Education Rob Stokes. 5. The Aboriginal A Sydney Metro West station was healing garden at Mount Druitt Hospital. announced for Westmead in April 6. NSW Health Minister Brad Hazzard 2018. The metro would provide (left), NSW Premier Gladys Berejiklian, a 20-minute journey between Member for Riverstone Kevin Conolly, Westmead and Sydney’s CBD Member for Seven Hills Mark Taylor, and is the first step in a future and BMDH Expansion Project manager east-west connection to the Robyn Campbell inspect the prototype room for the digital operating theatres at Western Sydney Aerotropolis. Blacktown Hospital. 7. Blacktown car park Work on the Parramatta Light opening: Andrew Paris (left), NSW Health Rail (PLR) continued with stops Minister Brad Hazzard, patient John Clive being announced for Westmead Riffel, NSW Premier Gladys Berejiklian, Hospital, The Children’s Hospital Member for Seven Hills Mark Taylor and at Westmead and Parramatta Member for Riverstone Kevin Conolly. North (Cumberland Hospital). 8. Westmead car park opening.

39 1

2 3 4

5 6

7 8

40 An Aboriginal Healing Garden They include a concierge model was created for the community in the ED and more options dialysis centre. Designed by local in the birthing unit under a artist Uncle Danny Eastwood, wellness model of care. A suite it features Aboriginal totems of prototype rooms opened in including kangaroo, platypus early 2018 to support design and emu, with sculptural seats consultation, and tours of the ASB by artist Henryk Topolnicki. during early construction assisted in model-of-care development. Stage 2 at Blacktown Hospital is well underway. The project’s popular arts and culture program continued in The multi-storey car park extension Stage 2. Staff and consumers was officially opened by the chose 21 works from the 2017 State’s Premier Gladys Berejiklian BMDH Photo Competition for AWARDS in February 2018, providing an the new facilities at Mount extra 400 car spaces and the first Druitt Hospital. red/green light parking guidance BMDH Project system in a NSW hospital. Selections from the 2018 communications manager competition will be displayed in Lilly Dolenec received An Aboriginal smoking ceremony Blacktown Hospital. the 2017 NSW Health in July 2017 marked the start of Infrastructure Project construction on the new acute Work Out West, initiated in early Communications and services building at Blacktown. 2018 to support recruitment Engagement Award. It reached roof-level in April 2018 and training for the redeveloped and is on track for completion in WSLHD hospitals attracted Stage 1 of the BMDH mid-2019. 22,000 people to the Western Project was highly Sydney Careers Expo. The commended as a finalist The acute services building program included nursing in the prestigious Prime (ASB) will provide purpose-built career information nights and an Minister’s Awards in 2017. facilities for emergency, intensive intensive social media campaign. care, operating theatres, and Consumers Marj and Ken women’s and newborn care. The BMDH Expansion Project Freeman each received Weekly Update newsletter an Order of Australia In response to growing reached a major milestone Medal (OAM) in the 2018 population needs, paediatrics will with 250 issues produced Queen’s Birthday Honours return to Blacktown Hospital in complementing a growing for their contribution 2019 with paediatric emergency, social media presence. to the Blacktown clinics and an inpatient unit. community, including Clinical staff will benefit from Rouse Hill Hospital their involvement in the contemporary activity-based Planning continued in 2018 for codesign of Blacktown workspaces on all levels. a new hospital at Rouse Hill. Hospital. An activity-based workspace WSLHD Capital Works for allied health is due to open Improving hospital facilities has in 2018. been a priority for WSLHD’s capital works team with $30 Further refurbishment from mid- million in projects completed. 2019 will expand outpatients and create new services including The main entrance to Westmead endoscopy. Hospital was upgraded to provide a more welcoming In parallel with the construction space for patients, carers, program, several projects are families and visitors. underway to ensure Blacktown Regular updates on transitions successfully from a Westmead Hospital’s University our multibillion-dollar district-level hospital to a major Clinics underwent a much- redevelopment and expansion tertiary hospital. needed makeover. The hospital’s projects can be found at: lifts are being upgraded with Contemporary, patient-centred the first new patient lifts opened www.westmeadproject.health.nsw.gov.au and clinician-led models of care in April 2018. The elevator www.bmdhproject.health.nsw.gov.au are being developed ahead of the refurbishment program will transition to the new facilities. continue until mid-2019.

41 CARING FOR YOUR TOMORROW 4 WSLHD YEAR IN REVIEW 2017-18

We’re at the beginning of a digital transformation in health, and we are making sure western Sydney is ready for the future, for our staff and our patients.

Personalising patients’ care Associate Professor Naren Gunja. at the click of a button. Westmead Breast Cancer Institute’s Dr Elisabeth Elder uses eMR.

DIGITAL HEALTH

Australia is at the beginning of a DELIVERING TODAY Blacktown Hospital the previous new era of digital healthcare and year. ABW recognises that in NSW, WSLHD is a leader when While we prepare for the next 30 people perform different it comes to the technological years, we continue to develop the tasks and need a variety of upgrades we are delivering to systems of our hospitals today. work settings and the right cater for our growing community. technology. Vast improvements have been Our digital solutions are made to the way we work Electronic medications consistent with statewide, behind the scenes. management (eMEDs) systems national and international increase patient safety by agendas, which will see This year, WSLHD became the supporting doctors, nurses and increased democratisation and first local health district to have pharmacists to prescribe, order, personalisation of healthcare. a major hospital with a dedicated check, reconcile, dispense and dual fibre connection, ensuring record the administration of During the past 12 months, a backup connection during medicines. Information Technology Services network outages. (ITS) has equipped our facilities The eMEDs expansion was one of with the infrastructure, 24-hour And we were the first healthcare the largest in NSW with four out support and clinical solutions to service in the southern of five hospitals using the system. ensure we are delivering today, hemisphere to adopt activity- planning for tomorrow and based working (ABW), with The electronic medical record designing the future of digital set-ups in Westmead Hospital (eMR) now includes the Westmead healthcare for WSLHD. this year following on from Breast Cancer Institute.

42 Other key initiatives encompass DESIGNING OUR FUTURE a digital theatre with advanced imaging at Mount Druitt Hospital, WSLHD is one of the state’s fastest the implementation of the growing local health districts, with 2017-18 Q-Flow patient check-in system more than 1.3 million residents to reduce queues at Westmead estimated by 2031. snapshot Hospital’s Women’s and Newborn Health clinics. Our proactive strategic planning means we will be equipped. KEEPING OUR WSLHD was the first local health FACILITIES TECH district in NSW to introduce We’ve completed essential HEALTHY REQUIRES guest Wi-Fi. business planning for our district- wide digital program, which will take our facilities to the next level PLANNING FOR of digital healthcare solutions. TOMORROW Our partnerships with sector- The next 12 months will see leading universities, research the implementation of crucial institutes and commercial technological foundations for entities at the Westmead 1820 the next stage of the Blacktown Innovation Centre will bring new KILOMETERS Hospital and Westmead precinct technological capabilities. OF DATA CABLE redevelopments. We are investing in the technology At Westmead Hospital, we have of tomorrow with $160,000 continued to build the vital digital dedicated to the implementation framework that will underpin the new of a diabetes self-management app clinical acute service building (CASB). with health innovator Longevum. Information and communication Part of the Western Sydney technology (ICT) facilities have been Diabetes (WSD) initiative, it is installed in the audiology unit and designed to keep our community 4000 new surgical ward. healthy outside our hospitals. WI-FI ROUTERS A digital map was designed for We are generating large volumes patients to find their way around of data to better understand the Westmead Hospital, and patient specific health needs of western check-in kiosks will significantly Sydney, and investigating how reduce waiting times in our clinics. these data sets will contribute to safer, more efficient healthcare At Blacktown Hospital, we are in the future as we come closer preparing the physical ICT fit out for to the arrival of machine learning the Stage 2 acute services building and artificial intelligence. which will safeguard our network 219 and server infrastructure. Other ITS initiatives in the past AIR CONDITIONERS 12 months will see a saving to to keep the At Auburn Hospital, planning for WSLHD each year of: the State’s first implementation • $1 million in the HP support communications of eFluids, the electronic fluid contract rooms at 19C management feature in eMEDs, • $320,000 by migrating to a will see the initiative launched in new internet link that is five October 2018. times faster • $700,000 by migrating to new, Complex planning has been dedicated fibre network links completed for the implementation to all facilities of upgraded clinical systems for • $500,000 per annum on Novell Blacktown, Mount Druitt, Auburn licensing; and and Westmead hospitals next year. • A projected $1 million per A NETWORK annum for managed print The improvements will provide our services. 1000 clinicians with more sophisticated TIMES FASTER than clinical data and streamline the average home workflows as they enter a new phase of healthcare.

43 FIONA NEILL BREAST CANCER PATIENT

Fiona Neill remembers what patient’s many specialists hospitals used to be like. have access to structured The team looked data,” says BCI executive After her grandmother died director Associate Professor after everything. of breast cancer and her Nirmala Pathmanathan. The patient mother suffered breast and ovarian cancer, Fiona was Using a sophisticated doesn’t have having regular mammograms digital system, specialists that pressure by her mid-30s. from different disciplines decide on a unique of trying to “Fast forward to 2015, I tested treatment as a team. keep track. This positive for the BRAC1 gene and got breast cancer. It came “Clinicians could spend half system is gold, crashing together,” she says. the time flicking through it’s the future. pages to figure out which Fiona is one of the one in doctor has done what, when Fiona Neill, patient. eight Australian women who and where. will be diagnosed with breast cancer before the age of 85, “This can be quite distressing and one of 15,000 patients for a patient. The electronic who come through the doors medical record (eMR) now means all that time goes to PHOTO: Westmead BCI’s of Westmead Breast Cancer Nirmala Pathmanathan Institute (BCI) every year. the patient’s care.” shows patient Fiona Neill the benefits of having her “To give everyone quality Three years on, Fiona can own eMR. care, it is important the see the positive impact.

44 5 SCIENCE 46

INNOVATION CLINICAL EDUCATION 48 & QUALITY QUALITY AWARDS 48 PATIENT SAFETY 52

PHOTO: Dr Jeremy Hsu, director of trauma at Westmead Hospital. INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

Clinical research nurse Paige Stapleton (left) and Associate Professor Judith Trotman browse the ClinTrial Refer mobile app which helps connect patients, clinicians and clinical trial units to active studies into various diseases.

SCIENCE

Embedding positive advances There are 2000 studies in progress • Botox injections being used from contemporary research throughout WSLHD, with 570 new experimentally to treat disabling evidence in clinical and projects initiated in the past year tremors common in older people preventive practice is a high at Westmead, Blacktown, Mount by Westmead’s Associate priority for Western Sydney Local Druitt and Auburn hospitals. Professor Victor Fung’s Health District. neurology research group. Major research achievements Our goal is that all healthcare included: • Research on the effects of workers will use evidence-based breast feeding on mothers with practice as the foundation for • Understanding the genetic diabetes in pregnancy and its the technical aspects of care for variability in human liver effect on the next pregnancy our patients today and use this disease. Westmead’s Storr by clinical midwife consultant research to transform the care of Liver Unit is leading the study Sarah Melov. our patients into the future. with the International Liver Disease Genetics Consortium. • A study into alternatives to Our highly culturally and drugs in the management linguistically diverse population • The Mu Catheter, a new of patients with serious provides us with the opportunity technology to treat kidney- breathlessness by the to customise our care to different induced hypertension co- Department of Respiratory and social groups based on research invented by cardiologist Dr Sleep Medicine at Westmead from within WSLHD and beyond. Pierre Qian and biomedical Hospital. engineer Tony Barry at Research funding increased by 20 Westmead Hospital, is being • Investigations on the best way per cent to $44 million this year, commercialised in partnership to find and treat early cancer including $3 million from the NSW with the University of Sydney. It of the large bowel, stomach Health Translational Research has secured multimillion-dollar and oesophagus by Professor Grants Scheme. support from NSW Health. Michael Bourke and his team.

46 ARANKA MORTON DIABETES PATIENT

Aranka Morton doesn’t have lead Professor Clara Chow to travel to see her beautiful from the Westmead Applied I just turned new grand-bubby. She Research Centre. simply picks up her phone 60. For my while she’s having a cuppa “We created a program age group who to view the latest photo. that sends customised education in bite-sized always have “I always carry it. I have so chunks via text messages, our phones, many photos of the little one!” to support patients back in the community.” it’s amazing When she isn’t getting baby what a digital updates, the 60 year old Aranka’s messages include receives daily tips to help tips such as remember health service manage her type 2 diabetes when you’re cooking chips, like this does.” from Westmead Hospital via use some spice instead of SupportMe, a digital health sauces or if you’re driving to Aranka Morton, program assisting patients somewhere, park a bit further diabetes patient. after they leave hospital away and walk. anywhere, anytime. “The reality is diabetes “For those suffering chronic never goes away. You have illness, it’s understandably to manage it for life. This very hard to stay on track program is like having PHOTO: SupportMe text when they have to get back Westmead Hospital in your messages help Aranka to work and to their lives,” pocket, helping you along Morton manage her diabetes. says SupportMe program the way” says Prof Chow.

47 INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

CLINICAL EDUCATION

WSLHD supported the continuing • Work with our university • An $8 million upgrade of the education of more than 5000 partners to develop articulation Westmead Education and nursing and midwifery, allied pathways from specialty skills Conference Centre (WECC), and health, medical and dental development programs into a $3 million transformation of students and 800 doctors in postgraduate qualifications to the Westmead Hospital Library the Network Training Program foster lifelong learning. completed in partnership with in 2017-18. University of Sydney. • The intake of high school Nearly 10,000 staff received students undertaking the • Sydney Concepts, a weekly training through simulation to certificate III Health Service initiative of the Westmead improve quality and safety. Assistance program which precinct education hub Major achievements included: doubled from 40 to 80 in collaboration with the participants. University of Sydney, presented • Teaching on the Run, designed innovative ideas to staff, to improve the quality of the • The use of virtual reality as students and academics to teaching and supervision of a training tool trialled for encourage collaboration across trainee doctors and students, patients and staff. The initiative all disciplines. delivered to 90 clinical is a partnership with University educators. of Sydney and The Children’s Hospital at Westmead. • The LEADR program, designed to provide continuing professional development for clinical educators, introducing new forms of pedagogy, and updating the skills and confidence for clinical educators to use methods more suited to a contemporary learner.

• Overseas dental students participating in elective research modules at Westmead’s Centre for Oral Health. A new pain management program for patients experiencing persistent • Mount Druitt Hospital’s spinal pain was the result of a collaboration between the University of Sydney, the Agency for Clinical Innovation and Westmead Hospital. palliative care team educating registered nurses employed by Dr Annalee Yuhico (left), physiotherapist Joshua Pate, clinical psychologist Anglicare in how to provide a Madeline Begg, clinical nurse consultant Sabine Boensch, physiotherapist Josip positive end-of-life experience Sulentic and the University of Sydney’s Dr Andrew Malcolm at the launch. for their residents so they can die in their own home.

• A bullying and resilience program introduced to support junior doctors and help them address intimidating behaviours. QUALITY AWARDS

The WSLHD Quality Awards recognise staff for their dedication and contribution to innovation and the improvement in the quality and delivery of healthcare to the people of western Sydney.

A total of 45 submissions were received across eight categories and four peak awards. The winners of the peak awards were:

48 1 2

QUALITY AWARD QUALITY AWARD

BOARD CHAIR AWARD CHIEF EXECUTIVE AWARD More Aboriginal FOR INNOVATION AND EXCELLENCE FASTER Screening for Stroke children than ever – Blacktown and Mount are protected against IPOP – Interpreter Project Druitt hospitals vaccine-preventable in Outpatients – Westmead diseases thanks to the Hospital and Integrated & The FASTER screening work of the Western Community Health protocol (Fast, Affordable, Safe and True assessment in Sydney Local Health IPOP significantly reduced the Emergency Room) has District. average wait times for been established for stroke booking interpreters with presentations. Patients Ninety-five per cent of an 83 per cent decrease receive an urgent magnetic Aboriginal children are in phone wait times and a resonance imaging (MRI), now fully vaccinated at 67 per cent reduction in generally completed within 12 months in western time spent per day booking five minutes. In 996 cases, interpreters. 20 per cent were positive Sydney and 98.5 per for stroke, which was much cent are fully vaccinated Solutions were tailored to higher when compared to at five years. address issues affecting the traditional CT screening. culturally and linguistically Prior to this project, patients, PHOTO: Protecting our Aboriginal diverse (CALD) patients. particularly if young, were kids, now and into the future. often told that stroke was Little Jirriga Councillor and mum They included SMS follow-up, unlikely based on a non- Emma Councillor. phone calls by interpreters for contrast CT and were appointment confirmation, and discharged with no firm improved check-in including a diagnosis. Now all stroke designated interpreter waiting episodes are identified area, a dedicated phone line FASTER. for on-the-day enquiries and additional block bookings for interpreters.

The project’s success was the result of a partnership between patients, the Health Care Interpreter Service, Westmead Hospital University Clinics, and WSLHD’s Innovation and Redesign.

49 3 4

WITHIN A FEW MONTHS AUBURN HOSPITAL QUALITY AWARD QUALITY AWARD STAFF RECYCLED:

WENTWEST PARTNERSHIP NEWSLOCAL PEOPLE’S 12,000 AWARD CHOICE AWARD PLASTIC BOWLS

Protecting Our Aboriginal Think Before You Bin It – Kids, Now and Into the Future Auburn Hospital 6,000 – Integrated & Community KIDNEY DISHES & GALLEY POTS Health Plastic recycling has not only saved money for Auburn The project saw immunisation Hospital but is benefitting a 20,000 rates drastically increase, medical charity. ITEMS OF OUT-OF-DATE STOCK helping to close the gap in healthcare for Aboriginal The hospital’s general services children. noticed a marked increase in 21,000 the amount of plastic matter PIECES OF KIMGUARD An Aboriginal immunisation discarded by the operating healthcare worker was suite and set up collection employed to engage parents points for reusable plastic 20,000 and carers of Aboriginal items and out-of-date or no- ARTICLES OF CLOTHING children in their youngster’s longer-required consumables. immunisation journey. Usable items were sent to A purpose-built database Doctors Assisting in South- assists to plan and keep Pacific Islands and other 1. IPOP: Coordinator of interpreters a record for follow-up via charitable organisations. The Chamoun Bechara (left) with manager letters, text messages and waste management budget of the Western Sydney Interpreter phoning parents or carers of reduced by $2500 in the Service Gordana Vasic. overdue children. first month and thousands 2. Faster Screening for Stroke: of items have been recycled Blacktown Hospital’s director of The Australian Immunisation since November 2017. emergency medicine Associate Register quarterly report Professor Reza Ali (left), Dr Dushan showed 95.1 per cent of Jayaweera and patient Bruce Eden. Aboriginal children were fully 3. Protecting Our Aboriginal Kids, immunised at age 1, and 98.5 Now and Into the Future: Mum Jessica For more information on the per cent at 4 years of age, Hey (left) and baby Noah Hey with winning projects visit exceeding both the targets, immunisation nurse Hayley Carra. and the immunisation rate for 4. Think Before You Bin It: Auburn non-Aboriginal children of the www.wslhd.health.nsw.gov.au/Quality- Hospital’s patient services assistant same age. Barbara Chapman (left), project Patient-Safety/WSLHD-Quality-Awards- participant Alex Roberts, and project in-Healthcare/2018-quality-awards lead, senior nurse manager Kristina Roberts.

50 So far we have helped 31 men regain their strength and confidence through our support and their will power. It’s great to see patients feeling happier and healthier after the program.

Gerard Regan, Westmead Hospital physiotherapist, The X-Men program.

1 Doing these exercises has given me plenty of energy and has made me feel better.

I looked forward to EDUCATION AND TRAINING CATEGORY WINNERS Increasing Dysphagia going to the sessions and

Awareness in Mental Health enjoyed the interaction Westmead Hospital with other people and doing exercise. PATIENTS AS PARTNERS IPOP – Interpreter Project RESEARCH AND INNOVATION Gianni Spiteri, Westmead Hospital in Outpatient Clinics Pharmaceutical Supply Chain X-Men program patient. Westmead Hospital and and Medicines Optimisation Integrated & Community Health Westmead Hospital

6S Success! A Redevelopment DELIVERING Lean Storeroom Initiative. INTEGRATED CARE Building Capability and GREAT (Geriatric Rapid Collaboration to Ensure Evaluation and Treatment) a Successful Transition Service Westmead Hospital Westmead Hospital

PATIENT SAFETY FIRST KEEPING PEOPLE HEALTHY Fundus Photography in the ED: The X-Men – Exercise Classes Saving Lives, Eyes and Time 2 for Prostate Cancer Westmead Hospital Westmead Hospital

A SAFE AND HEALTHY 1. The X-Men team: Physiotherapists COLLABORATIVE TEAMS WORKPLACE Gerard Regan (left), Chrissian Segaram, Protecting Our Aboriginal Kids, A State of Biopreparedness Josip Sulentic, clinical nurse specialist Now and into the Future Westmead Hospital and genitourinary cancers Meg Hughes, Integrated & Community Health Integrated & Community Health Dr Amy Hayden, and Associate Professor Sandra Turner. 2. Patient Gianni Spiteri (left) with his physio Gerard Regan.

51 INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

PATIENT SAFETY

Western Sydney Local Health Planning commenced on rolling out • Excellence in the Provision District is committed to eFluids at Auburn Hospital which of Mental Health Services, continuously improving the will be the first hospital in NSW to for the Innovative Service safety and quality of care go live with an electronic system Delivery Model. provided to our patients for fluid orders and drug infusions. and consumers. Community Eye Care (C-EYE-C) My Experience Matters was was launched in 2017 and partners The quality of care affects not extended to include Blacktown and with local optometrists for patients only the patient, but their carer, Mount Druitt hospitals with 2541 with low-risk and stable glaucoma family and our staff. Our safety surveys collected across WSLHD and diabetic retinopathy. and quality strategy prioritises recording favourable rates in: patient safety, person-centred • Kindness and respect, In 2017, there were 699 C-EYE-C care, reliability of care and quality 89 per cent assessments completed, with an improvement. • Involvement in care, 78 per cent overall reduction in the need for • Likely to recommend, 88 per hospital-based appointments of Programs such as the My cent; and a 62 per cent. Experience Matters survey • Patient experience rating of of patients, their families and 86 per cent. In 2018, the C-EYE-C model carers help us identify areas for has continued through strong improvement. Patient feedback initiated several partnerships with local optometrists. improvements such as the Shhh WSLHD continues to transition campaign to reduce noise at night The Agency for Clinical to technological tools to assist and the ward orientation program. Innovation’s ophthalmology in ensuring patient safety and Workshops were developed to network is finalising model-of- quality such as the electronic improve the capabilities of staff to care guidelines to support wider record for intensive care (eRIC) engage patients in their care. implementation throughout and electronic medication NSW Health. management (eMEDs). WSLHD won three of the eight NSW Health Awards in 2017. The The C-EYE-C evaluation results Electronic systems provide access accolades recognise innovation will be presented at the Global to patient information and clinical and excellence in the delivery of Symposium on Health Systems decision support in real time. health programs and services. Research in Liverpool, England WSLHD took out the following in October 2018. eRIC was successfully categories: implemented at Blacktown • Delivering Integrated Care, WSLHD’s Mental Health Service ICU improving accessibility to for Community Eye Care in has incorporated a multi-faceted information for all staff involved Western Sydney approach to reduce the use, and in a patient’s care. The inclusion • Patient Safety First, for Not where safe eliminate the use of of the eRIC electronic handover Another DVT in the ED; and the seclusion and restraint. of care provides a concise report for the receiving ward or service outlining observations, medications and comprehensive care plans, improving continuity of care for patients. eRIC enables downloading of meticulous observations directly from cardiac monitors, ventilators and dialysis machines, graphing Westmead results that are easily interpreted nurses to improve clinical decisions. Juliet Akuoko (left) eMEDs enhances patient and Britt safety and modernises patient Richard. care by improving medication management in the hospital.

52 6 OUR STAFF 54

OUR OUR BOARD 57 PEOPLE OUR EXECUTIVE TEAM 61 PARTNERING FOR TOMORROW 65

PHOTO: Westmead nurses Robbie Cruceanu (left) Isabella Trethowan and patient Lidia Hall celebrate the Royal wedding of Prince Harry to Meghan Markle. OUR PEOPLE 6 WSLHD YEAR IN REVIEW 2017-18

OUR STAFF I’ve come and gone from Westmead a Western Sydney’s unprecedented HealthRoster will replace three couple of times, but I’ve growth is reflected across our rostering systems by December always come back. It’s organisation as we redesign and 2018, reducing risks and costs the people. I walk the develop new facilities, models associated with legacy systems halls here and it feels of care, and new ways of doing and improve the allocation of business to meet the present and suitably skilled staff to cover like home, I see so many future demand for our services. anticipated demand for our people I know. People services. that I’ve trained with, At the core of our organisation people that I’ve known are our people. Teams of In April 2018 People and Culture since I was 18. dedicated clinicians, technical and completed the Working With support staff are committed to Children Check (WWCC) phase- Jo Tallon, Westmead Hospital empowering each of our facilities in program in partnership with clinical nurse consultant and community health settings to the NSW Office of the Children’s infection control. provide safe, world-class, patient- Guardian and the NSW Ministry of centred healthcare. Health to ensure staff who work in an identified role obtained a We employed 13,000 individuals current WWCC. in 2017-2018, totalling 10,161 full time equivalents (FTEs), in a More than 9500 employees hold diverse range of settings spanning a valid WWCC. hospitals to the community. We introduced mandatory The People and Culture team influenza inoculations for staff supports WSLHD in the working in high-risk areas and management of our people, coordinated more than 8000 providing workforce systems vaccinations. and solutions that make it easier for staff and clinicians to provide Two new senior Aboriginal excellence in patient care. leadership positions will enhance They include: our Aboriginal workforce as we • Human resources work to improve health outcomes • Recruitment in our local Aboriginal and Torres • Staff health assessment and Strait Islander community. vaccination • Rostering and payroll related processing • Policy and diversity • Training and development • Child care services • Medical and dental workforce services; and • Consumer and community engagement.

We partnered with eHealth NSW to implement new statewide people management systems.

Recruitment and Onboarding Westmead’s (ROB) went live in November ICU mother 2017 with our recruitment team and daughter adopting a centralised model, team Marizon Villanueva (left) acting as system users and taking and Maridy on the majority of administration Morrison have for our hiring managers. worked together for 19 years.

54 1069 ALLIED HEALTH

1 2

1808 420 CORPORATE SERVICES HOTEL SERVICES & HOSPITAL SUPPORT 3

57 MAINTENANCE & TRADES 4 5

1376 MEDICAL

6

4343 NURSING

7 8

55 267 395 ORAL HEALTH OTHER PROF & PARA PRACTITIONERS PROFESSIONALS & SUPPORT WORKERS 9 & SUPPORT STAFF

376 SCIENTIFIC & TECHNICAL CLINICAL SUPPORT STAFF 10 11

50 OTHER STAFF

12

TOTAL 10,161

13 14

1. Movember in the Westmead eye clinic. 2. Occupational therapists. 3. Cumberland Hospital mental health assessment team. 4. Westmead Hospital infection control staff celebrate Infection Prevention Week.5. Westmead’s happiest cleaner Ljubica Simic dances with Mimi Wellisch. 6. International Nurses Day Blacktown Hospital. 7. Christmas Day in Mount Druitt Hospital’s ED. 8. Melbourne Cup day in Westmead’s ED. 9. Westmead’s Centre for Oral Health opens wide for its new interns. 10. Research clinicians professors Golo Ahlenstiel (left), Mark McLean and Vicki Flood. 11. Hamming it up in the Westmead Institute for Medical Research. 12. Radiology staff Alison Brown, Julie Han, Arabella Norman and Vossco Ngyen celebrate National Radiographers and Radiation Therapist Week. 13. Westmead Hospital environmental services manager Raynelle Howat (left) and hospital assistant Pamela Stevens farewell Graham Dominick. 14. Blacktown Hospital pathology team cheering on local Aussies in the 2018 Winter Olympic Games.

Contracted full time equivalent (FTE) information as at June 30 2018 by Treasury Code. SOURCE: SMR Workforce Reporting.

56

OUR BOARD*

The members of the WSLHD RICHARD ALCOCK AO Board are appointed by the NSW BCom, LLB (UNSW) Minister for Health for a term of up to five years. CHAIR Richard Alcock is the chair There are 10 board committees of the WSLHD Board, and that oversee specific areas of was previously the deputy the business including providing chairman and chairman of advice on the organisation’s the Finance and Performance strategy, approving key Committee of the Sydney investments, ensuring major risks Children’s Hospitals Network. are identified and managed, and assisting the WSLHD Board in Richard is the vice chairman, achieving its goals and objectives. Bank of America Merrill Lynch, They are: Global Banking Markets, and was • Health Care Quality previously the managing director • Finance Performance and Asset and co-head of Transport, • Audit and Risk Management Infrastructure, Power & Utilities at • Medical and Dental Merrill Lynch Markets (Australia) Appointments Advisory Pty Limited from 2007. • Research Development • Education and Training Formerly a corporate lawyer • Governance for 25 years with Allens Arthur • WSLHD Nominations Robinson, he worked in Sydney, • Aboriginal Health Collaborative; Singapore and Jakarta, was and the made a senior partner, head of • WSLHD & SCHN Redevelopment Governance, and chairman of the Joint Committee Ethics Committee.

PROFESSOR JEREMY BACK ROW: CHAPMAN AC MB, BChir, MD, FRACP, FRCP Professor Mark McLean (left), Professor Diana O’Halloran, Bruce Turner, Narelle DEPUTY CHAIR Bell, Professor Christopher Liddle, Jeremy is the clinical director of the Elizabeth Crouch, Dr Andrew Pesce, Division of Medicine and Cancer at Professor Don Nutbeam. Westmead Hospital and director of the Western Renal Service. FRONT ROW: Jane Spring (left), Professor Michael Recognised nationally and Edye, chair Richard Alcock, deputy chair internationally in transplantation Professor Jeremy Chapman, Adjunct he chairs the Australian Bone Professor Kathy Baker, Andrew Bernard. Marrow Donor Registry and Cord *As at June 30 2018 Blood Bank Network; is past- president of The Transplantation Society; expert advisor to the World Health Organisation in Human Cell Tissue and Organ Transplantation; secretary general and past president of the World Marrow Donor Association, and the inaugural co-chair of the Declaration of Istanbul.

Jeremy has more than 400 peer-reviewed publications and is editor-in-chief of the Transplantation and Transplantation Direct. a member of the Centre for Health JANE SPRING PROFESSOR MICHAEL EDYE Record Linkage Community BEc (Hons), LLB, MPA, FAICD, MBBS (Syd), FRACS, FACS Advisory Committee, and the FCIS, FGIA former legal member of the NSW Michael is the director, Division Medical Council. Jane is an executive director with of Surgery and Anaesthetics the NSW Department of Industry. at Blacktown and Mount Druitt She is chair of the Nominations hospitals. Committee and a member of the A solicitor with extensive corporate Governance Committee, both sub- governance experience, she has A pioneer in laparoscopic surgery, committees of the WSLHD Board. had a range of roles working for Michael was recruited to The Mount NSW Government. Sinai Hospital in New York in 1993 She has worked as a lawyer in the where he practiced for 20 years private, public and community Her involvement on diverse establishing the new discipline. sectors including as senior boards including the University member of the Commonwealth of Sydney senate, Venues NSW, For a decade he worked as a Administrative Appeals Tribunal. and Wheelchair Sports Australia national advocate to the American has equipped Jane with a strong Medical Association and US Narelle teaches and consults in understanding of the strategies Medicare in the areas of surgical legal reasoning and writing and required for effective performance coding and reimbursement. hearing skills. in complex organisations. In 2013 he returned to Australia as Personal experience as a chair of surgery at the Blacktown PROFESSOR paraplegic for more than 20 years Clinical School of Western Sydney CHRISTOPHER LIDDLE has given Jane an appreciation of University. BSc (Med), MBBS, PhD, FRACP the care provided to her by health professionals and made her a WESTMEAD HOSPITAL strong advocate for patients and PROFESSOR DIANA MEDICAL STAFF COUNCIL the public hospital system. O’HALLORAN AO REPRESENTATIVE MBBS, MPHEd, FRACGP, FAICD Chris is an academic hepatologist and clinical pharmacologist Di is a general practitioner with PROFESSOR MARK MCLEAN at Westmead Hospital and longstanding involvement in BMed, PhD, FRACP the Western Clinical School, primary healthcare reform and the University of Sydney. BLACKTOWN AND MOUNT development of new integrated DRUITT HOSPITALS (BMDH) models of care. MEDICAL STAFF COUNCIL He heads Westmead Hospital’s Department of Clinical REPRESENTATIVE Di chairs WentWest Ltd, the Pharmacology and Toxicology Mark is divisional director, Western Sydney Primary Health and is chair of the Westmead ambulatory medicine at BMDH, and Network (WSPHN), which works in Hospital Medical Staff Council chairs the hospital’s research and partnership with WSLHD to improve and the WSLHD Drug and education committees. cross-system integration. Therapeutics Committee. A practicing endocrinologist at A conjoint professor with Western Chris’s research in the functional BMDH and Westmead Hospital Sydney University’s department of genomics of liver diseases has led since 1996, his previous roles general practice, Di is the chair of to many high impact publications include director of physician the NSW & ACT PHN Council and as well as several patent training at Westmead Hospital, and co-chair of the Agency for Clinical families, two of which have been foundation professor of medicine Innovation’s General Practice successfully commercialised. at Blacktown Clinical School, Advisory Group. She is a past chair of Western Sydney University. the NSW General Practice Ministerial Advisory Council and past board ELIZABETH CROUCH Mark’s research interests span member of the Royal Australian BEc (MQ), FAICD clinical and basic science aspects College of General Practitioners. of diabetes and hormone action. Elizabeth Crouch chairs the board of SGS Economics and Planning, He is past-president of the NARELLE BELL is a board member of NSW Health Endocrine Society of Australia. BA LLB Infrastructure and the NSW Institute of Sport. She is a trustee An active clinical teacher, Mark is a Narelle is Australia’s Aircraft Noise of the Museum of Applied Arts member of the national examining Ombudsman. She is also the legal and Sciences and chairs audit and panel for the Royal Australasian member on WSLHD’s Human risk committees for the City of College of Physicians. Research Ethics Committee, Sydney, RailCorp and the Office

59 *As at June 30 2018 of Environment and Heritage. for the NSW Auditor-General and Andrew has been a resident of She has vast experience in the NSW Department of Finance western Sydney since 1977. His corporate governance and Services and Innovation. career includes general manager enterprise risk management, at Fairfield, and Bankstown- construction and infrastructure He retired as chief internal Lidcombe hospitals, general and recently retired as deputy auditor of the Australian Taxation manager of Clinical Services at the chancellor of Macquarie University. Office and previously held senior former Sydney South West Area executive roles at StateRail and Health Service, and director of Elizabeth is a fellow of the Integral Energy with responsibilities operations at the Prince of Wales Australian Institute of Company including corporate governance, and Sydney hospitals. Directors, a member of Women compliance, risk management, on Boards, and a mentor and probity, and auditing. Andrew’s experience as a non- facilitator for the Orijen Group. executive director has included the boards of the Service for the PROFESSOR Treatment and Rehabilitation of DR ANDREW PESCE DONALD NUTBEAM Torture and Trauma Survivors MBBS, FRANZCOG PhD, FFPH (UK) (STARTTS), Bankstown City Aged Care, Neuroscience Research Andrew is a leading obstetrician Don is a professor of public health Australia (NeuRA), Prince of Wales and gynaecologist at Westmead at the University of Sydney, and a Hospital Foundation, and the Hospital. senior advisor at the Sax Institute. Health Roundtable Limited.

As federal president of the Don’s career has spanned Invitees Australian Medical Association in senior positions in universities, The following members of the WSLHD 2009 he vigorously advocated government, health services and executive team participated in agenda for public hospitals and clinician an independent health research items relating to their area of expertise: engagement during the national institute. health reforms. Danny O’Connor, chief executive Don has worked as an advisor on Adjunct Associate Professor Joanne Locally, he chaired the Westmead public health issues for the World Edwards, executive director Nursing & Medical Staff Council from 2008-9. Health Organisation for more than Midwifery, and Clinical Governance (July 30 years, and as consultant for the 2017-May 2018); and as acting general His long association with World Bank. manager Westmead and Auburn hospitals Westmead Hospital began as an (June 2018) intern in 1984, eventually training Adjunct Associate Professor Robynne in obstetrics and gynaecology. ADJUNCT PROFESSOR Cooke, executive director Operations KATHY BAKER AM (January-June 2018) He was clinical director of M EdA, BHA, RN, CC, CT, Dip NE, Andrew Newton, general manager Women’s and Children’s Health MAICD, ACN (DLF), Honorary Fellow Westmead and Auburn hospitals (July- from 2007 to 2011. UTS, Wharton Fellow November 2017)

Sue-Anne Redmond, acting general Andrew is currently the consultant A registered nurse, Kathy is manager Westmead and Auburn hospitals heading the Breech Clinic at an adjunct professor with the (December 2017-June 2018) Westmead Hospital. University of Technology, Sydney, the University of Sydney, and Luke Sloane, acting executive director Western Sydney University. Nursing & Midwifery, and Clinical Governance (June 2018) BRUCE TURNER AM FFin, FPNA, FIML, PFIIA, CGAP, She is a non-executive director Leena Singh, acting executive director CRMA, CISA, CFE, MAICD, JP on the board of Bolton Clarke and Finance (July-December 2017) a member of their Audit & Risk Tina Stoian, executive director Finance As a lifelong resident of greater Management Committee. (December 2017-June 2018) western Sydney, Bruce’s background spans commercial, Kathy is the nurse advisor at the Professor Chris Liddle, chair Westmead merchant and central banking, Australian Commission on Safety Hospital Medical Staff Council and public administration. and Quality in Health Care and an Professor Mark McLean, chair Blacktown advisor to Evercare Health Limited, and Mount Druitt hospitals Medical Staff He sits on the board of Wentworth Hong Kong. Council (March-June 2018) Healthcare Limited (WHL). He is chairman of the audit and risk Acknowledgement committees (ARC) for the Western ANDREW BERNARD We recognise the commitment, dedication Sydney Parklands Trust, WHL BSc (Syd), MPH (Syd), Grad Cert and stewardship of outgoing board and Penrith City Council, and an BA (Exec) (Monash Mt Eliza), member Bruce Turner who served from independent member of the ARCs AFCHSM, MAICD January 2015 to June 30 2018

*As at June 30 2018 60

OUR EXECUTIVE TEAM*

The members of the WSLHD DANNY O’CONNOR executive, individually and as BSOCSTD (Hons) MSW (Social Policy) a committee, support the chief executive to lead, direct, coordinate CHIEF EXECUTIVE and control the operations and Danny was appointed chief performance of WSLHD. Their role executive of the Western Sydney as strategic leaders is to formulate Local Health District in January 2011. and execute business strategies to produce desired results critical to the He believes the primary purpose of organisation. The WSLHD executive healthcare is to improve people’s is headed by the chief executive and lives. And central to success is a comprises 11 individuals. strong partnership with consumers in continually improving services. Likewise, a robust collaboration BACK ROW (STANDING): is required between science and Doug Catchpole (left), Adjunct Associate practice to ensure the continuous Professor Joanne Edwards, Danielle evolution of best practice in clinical Levis, Barry Mitrevski, Barry Mather, care and population health programs. Victoria Nesire, Mat Nott. Danny is an invitee on the WSLHD FRONT ROW (SITTING): Board and serves on the boards of Adjunct Associate Professor Robynne the Westmead Institute for Medical Cooke (left), Danny O’Connor, Associate Research, and the Westmead Professor Beth Kotze, Brett Thompson. Medical Research Foundation. *As at August 2018

BARRY MITREVSKI1 B Comm (Econ), Dip Acc, MBA, CPA

ACTING EXECUTIVE DIRECTOR FINANCE Appointed in July 2018, Barry brings strong governance and rigour to WSLHD’s financial, strategy and operational management. He has more than 35 years’ Sunshine Coast Hospital and Brett has more than 30 years’ experience in finance oversight Health Service where he was experience in health service including 30 years with NSW responsible for IT strategy, delivery, strategic and operational Health. IT operations, clinical leadership across clinical and information services and IT corporate services, capital Understanding the needs of the projects including technology development and implementation. business is the basis of his strategic design and implementation and operational approach. at the new Sunshine Coast He is committed to supporting University Hospital. staff to achieve their potential Barry is driven to ensure WSLHD and deliver the best possible is financially sustainable to deliver healthcare. the best available healthcare to ADJUNCT ASSOCIATE the people of western Sydney. PROFESSOR JOANNE EDWARDS3 DANIELLE LEVIS5 RN MN Grad Cert (Operating RN, Masters (Critical Care), Gard ADJUNCT ASSOCIATE Theatres) Cert (Business Administration) PROFESSOR ROBYNNE COOKE EXECUTIVE DIRECTOR NURSING ACTING GENERAL MANAGER RN, BN, Grad Dip Gerontology, & MIDWIFERY AND CLINICAL BLACKTOWN AND MOUNT MHSM, GAICD GOVERNANCE DRUITT HOSPITALS Joanne is accountable for the Danielle assumed the role of EXECUTIVE DIRECTOR development, monitoring and acting senior operational manager OPERATIONS reporting of professional activities accountable for the management Robynne commenced with to optimise health outcomes and performance of Blacktown and WSLHD in January 2018 and is provided by nurses and midwives Mount Druitt hospitals in July 2018. accountable for the operations in WSLHD. of the LHD. She is also responsible for the Additionally, Joanne is responsible expansion of Blacktown and Previously the general manager for WSLHD Clinical Governance, Mount Druitt hospitals, working of Liverpool Hospital, she has a the Research & Education Network closely with staff, stakeholders distinguished 20-year record of and is the Health Services and the community. service in corporate and clinical Functional Area Coordinator healthcare. (HSFAC) for emergency Danielle’s extensive clinical and management for the LHD. operational experience in health Her experience has equipped her provides a focus on quality, safety with an extensive understanding Joanne’s extensive clinical and and compassion. of healthcare challenges. operational experience delivers a strong focus on systems that She has a deep commitment to promote patient safety and ASSOCIATE PROFESSOR innovation. Under her stewardship, practice improvement. BETH KOTZE the robotic surgery program was MBBS, FRANZCP, FRACMA, Cert Child implemented and the Australian Psych, MMed (psychotherapy), MHA Pacific Minimal Invasive and BRETT THOMPSON4 (UNSW) Robotic Surgery Training Centre BSc (Nutrition), Grad Dip developed at Liverpool Hospital. (Dietetics), MBA EXECUTIVE DIRECTOR MENTAL HEALTH SERVICES GENERAL MANAGER Appointed in April 2016, Beth is BARRY MATHER2 WESTMEAD AND AUBURN accountable for the management HOSPITALS and performance of mental CHIEF DIGITAL HEALTH OFFICER Brett assumed the role of senior health services spanning child, Joining WSLHD in August 2018, operational manager accountable adolescent to adults across a Barry is responsible for the for the management and diverse range of settings from the digital health strategy, planning, performance of Westmead and community to inpatient. solution delivery and assurance Auburn hospitals in August 2018. of technology reliability across Beth is a psychiatrist and medical WSLHD. He is co-leading a billion- administrator who has worked dollar capital works program in a variety of public and private Barry is passionate about the role to rebuild Westmead Hospital settings spanning 25 years technology plays in enabling safe, working with staff, precinct including senior leadership and efficient and effective healthcare. partners and the community management positions. She is to ensure the redevelopment passionately committed to the His experience includes chief transforms the delivery of delivery of quality and modern information officer at the healthcare in western Sydney. mental healthcare.

63 *As at August 2018 He is a former journalist who VICTORIA NESIRE entered corporate communications DipArts RCAE, GradDip Ed with Queensland Health. EXECUTIVE DIRECTOR Mat has a specific interest in the INTEGRATED & COMMUNITY I have experienced up growth and application of social HEALTH media within government. close the people who Victoria was appointed as care for others. And director for Integrated Care to He is admitted as a lawyer in the through this I have oversee the implementation of Supreme Court of NSW. the Western Sydney Integrated observed enormous Care Demonstrator, one of three generosity of spirit. demonstrators under the NSW Acknowledgments It also made me aware Integrated Care Strategy. In September 2018 WSLHD chief of the great diversity executive Danny O’Connor retired after of people’s personal In mid-2016 she became nearly 38 years of public service to the executive director Integrated people of NSW. lives and circumstances & Community Health. He served as WSLHD chief executive we reach. for seven years from 2011 overseeing She has more than 25 years’ visionary transformation in models of With complete sincerity experience working in the NSW care and infrastructure to address the I say that every success public health system and has held current and future healthcare needs of our community. I have been associated senior management and executive with is because of the positions with NSW Health and at Graeme Loy, executive director System three local health districts. Management in the Ministry of Health, teams I have worked assumed the position of acting chief with. I extend my executive, WSLHD. sincere gratitude to 6 DOUG CATCHPOLE Over the past 12 years Graeme has held everyone who has BCom CA several executive roles, including chief worked with me. executive of Northern Sydney Local DIRECTOR CORPORATE Health District. His knowledge of clinical Danny O’Connor, GOVERNANCE and corporate services includes a strong chief executive WSLHD Doug commenced as the director focus on system performance through Corporate Governance in July healthy relationships. 2017, having previously served as WSLHD executive director Corporate the deputy director Finance. Governance Belle Mangan retired after 43 years’ in NSW healthcare. His portfolio responsibilities include overseeing policy and legislative compliance systems, risk management and corporate legal services.

He is also responsible for the management of People & Culture services across the local health district. 1. Acting director Finance July - December 2017 Leena Singh; executive director Prior to joining the LHD, Doug Finance December 2017 - July 2018 Tina Stoian spent 10 years as a senior finance 2. Chief information officer July 2017 - June 2018 Sabrina Walsh; acting chief leader in a large multinational media information officer May - August 2018 Les Forrest organisation where he successfully steered several change programs. 3. Acting executive director Nursing & Midwifery, and Clinical Governance June - August 2018 Luke Sloane

4. General manager Westmead and Auburn hospitals July - November 2017 Andrew MAT NOTT Newton; acting general manager Westmead and Auburn hospitals November 2017 - BA Comm (Journalism), Dip Law LPAB June 2018 Sue-Anne Redmond and from June - August 2018 Joanne Edwards

5. General manager Blacktown and Mount Druitt hospitals July - November 2017 DIRECTOR CORPORATE Sue-Anne Redmond; acting general manager November 2017 - July 2018 Jude COMMUNICATIONS Constable and from July - August 2018 Danielle Levis Mat oversees WSLHD’s internal and external communications, 6. Acting executive director People and Culture July - September 2017 Helen Emmerson branding and marketing, media Executive director Strategic Business Development & Commercial Services July 2017 - relations, and digital platforms. June 2018 Leena Singh

*As at August 2018 64 OUR PEOPLE 6 WSLHD YEAR IN REVIEW 2017-18

1 2

PARTNERING FOR TOMORROW

Understanding the needs of community representatives to media, our website and our daily our diverse community is partner with staff and patients electronic newsletter, The Pulse. paramount in meeting the to improve our understanding healthcare challenges of today of the needs of culturally and WSLHD’s social media is an and planning for the future. linguistically diverse patients. important tool that allows us to engage with our stakeholders and We encourage the community We developed the WSLHD Youth staff in real time. to partner with us to assist in Council to better recognise the providing the best available care. requirements of young people Our average weekly reach on aged 18-25 who transition all our social media platforms Formal and informal channels from The Children’s Hospital at at June 30 2018 was more than foster a two-way dialogue that Westmead to Westmead Hospital. 100,000 people and continues to updates our stakeholders on increase. current and future initiatives The Youth Council strengthens and invites feedback and the voice of adolescent and Social media enables us to: participation. young adults in western • Build a trusted bond with the Sydney and contributes to the community Our Community and Consumer development of youth-focused • Inform the public on important Partnership program enables us health services. health issues and alerts to understand the health needs • Provide immediate responses of the people of western Sydney. The WSLHD Consumer Council and information in the case of meets monthly with up to 40 emergency incidents We purposefully select, consumer and community • Promote our initiatives, and mentor, and train consumer representatives of all ages and the diversity of the roles of representatives to partner backgrounds attending. our staff with our staff to build patient- • Highlight research success and centred healthcare for our Consumer representatives clinical achievements region and beyond. participated in 41 committees • Publicise our events and across the LHD and gave projects, and There are more than 170 significant input into the design • Foster positive staff morale. language groups used in our of our capital redevelopment local health district, and half of programs and new models of Our Facebook audience is western Sydney residents speak care ensuring we are meeting primarily women who comprise a language other than English the needs of our residents. 80 per cent of followers with at home. 30 per cent aged 25-34, and We use a mix of platforms to 19 per cent aged 35-44. This To reflect our population, we communicate with our community is similarly reflected in our recruited a team of multi-lingual including traditional and social Instagram audience.

65 2017-18 Donald Ferrick’s stay at Westmead Hospital is snapshot enriched by two things: his beautiful wife of 62 years and one of Australia’s most iconic drinks, Milo. FACEBOOK WESTERN SYDNEY HEALTH @humansofthehospital Westmead patient Donald and wife Jill Ferrick. 100,000 MONTHLY REACH

TWITTER @WESTSYDHEALTH Eleven per cent of Facebook 30,000 followers and 21 per cent of the TWEET VIEWS PER MONTH @humansofthehospital Instagram audience are aged 18- 24. We are working to increase this demographic on our social Our community can find media channels. out how they can make a difference to the provision of INSTAGRAM Our Corporate Communications healthcare in Sydney’s west at team works with the WSLHD @HUMANSOFTHEHOSPITAL Youth Council to identify young www.wslhd.health.nsw.gov.au/ people’s social media and news Consumer-Engagement 1000 consumption habits. ACCOUNTS REACHED MONTHLY Data from Facebook users who To access our digital newsletter go to have disclosed their location www.thepulse.org.au show that while the majority of our audience lives in Australia, we have overseas followers from India, the United Kingdom, LINKEDIN US and the Philippines. 1. Celebrating Youth Week Eunice Toriola (left), Jocelyne Noonan, WESTERN SYDNEY LOCAL The Pulse digital news site is the Nina Livingstone, Emma Sov, Emma HEALTH DISTRICT first of its kind in Australia devoted Rafraf, Joanne Pogorelsky, Fatimah Al Gharbawi, Jessica Dry and Jessica Lam. to a local health service district. 178 2. University of Sydney students FOLLOWERS It is a fully responsive platform focused on developing innovative that transports 20-30 news and solutions to digital wayfinding at feature stories a week to people’s Westmead Hospital. mobile devices and computers.

The Pulse provides WSLHD with YOUTUBE an unfiltered voice and builds WESTERN SYDNEY HEALTH community awareness.

In May 2017, there was a peak 166 of 13,000 unique visitors, and SUBSCRIBERS 25,000 page views in a week.

66 *As at June 30 2018 7 OUR ORGANISATION 68

APPENDICES OUR ​ PARTNERS​ 73

LOCATION DIRECTORY 74

ABBREVIATIONS & GLOSSARY 77

PHOTO: Transplant pioneer Professor Henry Pleass was recognised67 by the Royal Australasian College of Surgeons with a merit award. APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

Director of Nursing & Midwifery Danielle Levis

OUR ORGANISATION* Deputy Director of Nursing & Midwifery Rola Tawbe

Divisional Medical Director Surgery and Anaesthetics AUBURN HOSPITAL Head of General Medicine Professor Michael Edye Senior Management Dr Jonathan Marks Acting general manager Westmead Divisional Medical Director Acute Medicine and Auburn hospitals Head of General Surgery Dr Michael Datyner Adjunct Associate Professor Dr Lynne Mann Joanne Edwards Divisional Medical Director Ambulatory Head of Obstetrics & Gynaecology Medicine Director Operations Dr Archana Bakal Professor Mark McLean Debbie Sharpe Head of Emergency Divisional Medical Director Women’s Director Nursing & Midwifery Dr Romesh Singam and Children’s Health Kate Murphy Associate Professor Harry Merkur Head of Plastic Surgery Deputy Director Medical Services Dr Paul Curtin Divisional Nurse Manager Women’s Dr Mary Boyd Turner and Children’s Health Head of Cardiology Helen Konowec Nurse Operations Manager Dr Gopal Sivagangabalan Hillary Nowlan Divisional Nurse Manager Acute Medicine Chief Medical Radiation Scientist Cheryl Trudinger Acting Director Human Resources Damien Fielden Business Partners Divisional Nurse Manager Ambulatory Kim Daniel Head of Pharmacy Medicine Wai-Jen Lee Leanne Watson Director Finance Analytics and Performance Westmead and Nurse Unit Manager Medical Ward Divisional Nurse Manager Surgery Auburn hospitals Dianne Ford & Anaesthetics Damien Van Rosmalen Cesare Aguilar Acting Nurse Manager Perioperative Director Corporate Services Service Divisional Director Business Analytics and Director Allied Health Mia Shui Performance Mathivanan Sakthivel Luke Elias Midwifery Unit Manager Auburn Executive Council Natalie Wearne Manager Finance Performance and Analytics Acting general manager Westmead Dileeni Chanmugam and Auburn hospitals Hospitalist/Career Medical Officer Adjunct Associate Professor Dr Antonio Llado Acting Manager Human Resources Business Joanne Edwards Partners Hospitalist/Career Medical Officer Gaye Wright Director Nursing & Midwifery Dr Edward David Kate Murphy Acting Quality and Accreditation Hospitalist/Career Medical Officer Operations Manager Deputy Director Medical Services Dr Vikas Kesarwani Katie Conciatore Dr Mary Boyd Turner Manager Community Health Manager Blacktown and Mount Druitt Director Operations Eva Litherland hospitals Expansion Project Debbie Sharpe Robyn Campbell Patient Safety & Clinical Quality Officer Nurse Operations Manager Ruth McCrudden Blacktown and Mount Druitt hospitals Hillary Nowlan Clinical Council School of Medicine University of Notre Acting General Manager Acting Director Human Resources Dame, Australia Blacktown and Mount Druitt hospitals Business Partners Associate Professor Hadia Mukhtar Jude Constable Kim Daniel Governance Officer Executive Director Mental Health Director, Corporate Services Joyce Murphy Associate Professor Beth Kotze Mathivanan Sakthivel Consumer Representative Acting Director of Medical Services Allied Health Representative (vacant) Dr Brett Gardiner James Chen BLACKTOWN AND MOUNT Deputy Director of Medical Services Business Manager DRUITT HOSPITALS Dr Elizabeth West Nicole Tsering Senior Management Acting General Manager Director of Nursing & Midwifery Chair Medical Staff Council Blacktown and Mount Druitt hospitals Danielle Levis Professor Geoff Brooke-Cowden Jude Constable Deputy Director of Nursing & Midwifery Head of Anaesthetics Acting Director of Medical Services Rola Tawbe Dr Alpha Tung Dr Brett Gardiner Divisional Medical Director Surgery Head of Paediatrics Deputy Director of Medical Services and Anaesthetics Dr Mithran Coomarasamy Dr Elizabeth West Professor Michael Edye

*As at June 30 2018 68 Divisional Medical Director Acute Medicine Director Nursing & Midwifery Director Oral Health Dr Michael Datyner Kate Hackett Dr Josephine Kenny

Divisional Medical Director Ambulatory Clinical Director Surgery and Chair Westmead Medical Staff Council Medicine Anaesthetics Professor Christopher Liddle Professor Mark McLean Associate Professor Gary Morgan Sydney Medical School representative Divisional Medical Director Women’s Operations Director Surgery Richard Allen, professor of transplantation and Children’s Health and Anaesthetics surgery, University of Sydney Associate Professor Harry Merkur Jenelle Matic Head of Department Upper Gastrointestinal Divisional Nurse Manager Women’s Clinical Director Critical Care and Medicine Dr Arthur Richardson and Children’s Health Dr Peter Landau Helen Konowec Staff Specialist Emergency Department Acting Operations Director Critical Dr Amith Shetty Divisional Director Business Analytics Care and Medicine and Performance Peter Rophail Clinical Nurse Consultant Emergency Luke Elias Department Clinical Director Medicine and Margaret Murphy Manager Financial Performance Cancer Services & Analytics Professor Jeremy Chapman Department Head Social Work Westmead Dileeni Chanmugam and Auburn hospitals Acting Operations Director Medicine Theodora Bikou Director Intensive Care and Cancer Services Professor Graham Reece Emma Clarke WSLHD MENTAL HEALTH SERVICES Head of Department Cardiology Clinical Director Women’s and Senior Management Dr David Burgess, Newborn Health Executive Director Mental Health Dr Terry McGee Associate Professor Beth Kotzé Head of Department Anaesthesia Associate Professor Helen Currow Operations Director Women’s Executive Manager Mental Health and Newborn Health Clare Lorenzen Head of Department Neurology Donna Garland Dr Nigel Wolfe Director of Nursing Director Oral Health WSLHD Charles MacMillan Head of Department Paediatrics Dr Josephine Kenny Dr Peter Hong Acting Director Clinical Services Operations Director General Dr Pradeep Jarabandahalli Head of Department Aged Care Manager’s Unit and Rehabilitation Luke Felicetti Director Perinatal, Child and Youth Dr Stephanie Polley Dr Ashwini Padhi Director of Corporate Services Senior Medical Advisor Acting Director Allied Health Director Community Mental Health Professor Peter Zelas Mathivanan Sakthivel Carolyn Fozzard

Medical Administration Trainee Westmead Clinical Board Manager Financial Performance and Dr Daryl-Anne Elias Acting General Manager Westmead Analytics and Auburn hospitals Shan Chan Divisional Nurse Manager Acute Medicine Adjunct Associate Professor Cheryl Trudinger Joanne Edwards Human Resources and Workforce Manager Business Partner Divisional Nurse Manager Ambulatory Executive Director Mental Health Kristin Adair Medicine Associate Professor Leanne Watson Beth Kotze Service Development & Executive Support Manager Divisional Nurse Manager Surgery Chief Medical Advisor Alex Bird and Anaesthetics Dr Roslyn Crampton Cesare Aguilar Mental Health Clinical Council Director Nursing & Midwifery Executive Director Mental Health Clinical Academic Gastroenterology Kate Hackett Associate Professor Beth Kotzé and Hepatology Professor Golo Ahlenstiel Acting Operations Director Critical Executive Manager Mental Health Care and Medicine Clare Lorenzen Head of Department Occupational Peter Rophail Therapy Director of Nursing Julianne Gibbons Clinical Director Surgery and Charles MacMillan Anaesthetics Head of Department Infectious Diseases Associate Professor Gary Morgan Acting Director Clinical Services Dr Scott Chapman Dr Pradeep Jarabandahalli Clinical Director Critical Care and Medicine WESTMEAD HOSPITAL Dr Peter Landau Director Perinatal, Child and Youth Senior Management Dr Ashwini Padhi Acting General Manager Westmead Clinical Director Medicine and Cancer and Auburn hospitals Services Director Community Mental Health Adjunct Associate Professor Joanne Professor Jeremy Chapman Carolyn Fozzard Edwards Clinical Director Women’s and Manager Financial Performance Chief Medical Advisor Newborn Health and Analytics Dr Roslyn Crampton Dr Terry McGee Shan Chan

69 *As at June 30 2018 Director Health Services Planning Finance Manager Westmead Manager Research Office and Development and Auburn hospitals Kellie Hansen Maureen Fitzpatrick Damien Van Rosmalen Manager Research Governance Nursing Staff Representative Finance Manager Blacktown Lani Attwood Karen Hazell Raine and Mount Druitt hospitals Dileeni Chanmugam Director Animal Care Department Allied Health Staff Representative Executive Officer Animal Ethics Antoni Yesudoss Finance Manager Mental Health Services Committee Shan Chan Dr Ross Matthews Carer Representatives Cathy Kearny Finance Manager District Management Manager Library Westmead Patricia Andersen Accounting Linda Mulheron Kaushaliya Kumar Consumer Network Representative Director Epidemiology and Health Suzanne Rix WSLHD NURSING & MIDWIFERY Analytics AND CLINICAL GOVERNANCE Dr Helen Achat Medical and University of Sydney Senior Management Representative Acting Executive Director Nursing & Senior Research and Evaluation Officers Professor Anthony Harris Midwifery and Clinical Governance Dr Veth Guevarra Luke Sloane Joanne Stubbs WSLHD DRUG HEALTH SERVICES Dr Lieu Trinh Senior Management Acting Nurse Manager Workforce Acting Director Drug Health Yervette Jones Informatics & Data Management Officer Dr Thao Lam Leendert Moerkerken Counter Disaster Unit Senior Nurse Manager Drug Health Disaster Manager Senior Health Service Analyst/ Glenn Hughes Caren Friend Biostatistician Dr Hassan Assareh INTEGRATED & COMMUNITY Clinical Governance HEALTH Acting Director Clinical Governance WSLHD INFORMATION Senior Management Natalie Fester Lloyd TECHNOLOGY SERVICES Executive Director Senior Management Victoria Nesire Quality & Accreditation Manager Acting Chief Information Officer, and (vacant) Chief Technology Officer Director Centre for Population Health Les Forrest Associate Professor Stephen Corbett Manager Patient Safety and Clinical Quality Chief Medical Information Officer Director Western Sydney Diabetes Heather Doolan Associate Professor Naren Gunja Professor Glen Maberly Manager Patient and Carer Experience Digital Health Program Manager Director Clinical Operations Wendy Cain Sal Austin Adam Cruickshank Clinical Quality Programs Manager Digital Health Program Director Director Integration, Partnerships Catriona Middleton Rennie Simon Hester and Enablers Linda Soars Clinical Governance Officer Director of Clinical Systems Sally Henderson Jian Liu Acting Director Nursing Jennifer Fitzsimons WSLHD RESEARCH & EDUCATION Director of Innovation and Architecture NETWORK Raymond Tong Acting Director Corporate Operations Senior Management Jasmine Glennan Director Research and Education Network Director Portfolio and Project Emeritus Professor Stephen Leeder Management Finance Business Partner Chris Keller Austin Hang Director Education (vacant) Business Support Group Manager Acting Human Resources Business Partner John Luk David Attard Director Operations Helene Abouyanni WSLHD PEOPLE AND CULTURE WSLHD FINANCE Senior Management Senior Management Manager Medical Education Director Executive Director Finance Tanya Jolly Doug Catchpole Tina Stoian Manager Nursing & Midwifery, Director Workforce Deputy Director Finance and Allied Health Education Julie Welch Elizabeth Andersen Tanya Critchlow Director Workforce Effectiveness Director Supply Chain Manager Finance Susan Scott Christopher Howard Dalia Younan Director Human Resources Business Director Health Informatics Unit Manager Research Development Partners Natasha Smith Mark Smith Kim Daniel

Director Clinical and Business Performance Manager Clinical Trials Director Learning and Development Vijay Nair Sharon Lee Maria Saupin

Financial Controller Manager IP & Commercialisation Director Medical and Dental Workforce Grahame Weeks David Markwell Dr Yogendra Narayan

*As at June 30 2018 70 Community and Consumer Engagement WSLHD CONSUMER COUNCIL INDIVIDUALS AND TEAMS Manager AND CONSUMER CELEBRATED Dr Coralie Wales REPRESENTATIVES Australia Day Honours 2018 Aimee Downs Di O’Halloran, AO, WSLHD Board WSLHD REDEVELOPMENT Ajay Vashney member, for distinguished service to Senior Management Alison Austin medicine in the field of general practice Executive Director Strategic Business Alison Coles through policy development, health Development and Commercial Services Amal Etri system reform and the establishment of Leena Singh Amanul Karim new models of service and care Amparo Landman Project Director Capital Works Angela Yiu Professor Paul Mitchell, AO, head Jonathan Darwen Anne Stanfield of ophthalmology at Westmead Bev Jordan Hospital, for distinguished service to Business Manager Capital Works Bob Hunter ophthalmology as a clinician, particularly Ellie Kallianis Brenda Bartlett in the management of age-related Caroline Raunjack macular degeneration, through research Director Asset Maintenance Cathy Kerr into public health and ophthalmic Robert Moffat Claudia Reed epidemiology, and as an educator Dayla Karezi Westmead Redevelopment Director Edward (Ted) Hartley Professor Creswell Eastman, AO, the Strategy and Development – Westmead Eliseus Feng founding director of endocrinology Stefan Perkovic Erron Palmer and diabetes at Westmead Hospital, Evert Van Oeveren for distinguished service to medicine, Westmead Redevelopment Director Fiona Niell particularly to the discipline of pathology, Strategy and Development – Cumberland Francisco Valencia through leadership roles, to medical Moureen Wong Gary Armstrong education, and as a contributor to Gordana Knezevic international public health projects Associate Director Strategic Business Graham Brown Development and Commercial Services Heather Johnson Dr Helen Mary Somerville, AO, Westmead Anna Thornton Ian Hofman Hospital, for distinguished service to Jafar Sabdi medicine, particularly developmental Director Clinical Strategy and James Butler paediatrics, as a clinician, and through Redevelopment Jane Mab advocacy roles for the care and Deanne Turner Janette Welsby treatment of people with intellectual Jenny Williams disabilities Director Redevelopment Redesign Jessie Gavin and Transformation Judith Lababedi Queen’s Birthday Honours 2018 Carla Edwards Julie Milsom Lorraine Koller, OAM, Westmead Hospital Juliette Wiggins deputy director of pharmacy, for services Director Service Redesign Redevelopment June Heinrich to pharmacy Amanda Green Kaitlyn Hockey Kanchana Balakumar Jane Griffith, OAM, Westmead Hospital Director Furniture, Fitting and Equipment Karen Walsh neurology clinical nurse consultant, Ashley Fuller Kathryn Van Oeveren for services to nursing Kathy Collins Director Communications & Engagement Ken Freeman Consumer Marj Freeman, OAM, for Emma Spillett Kittu Randhawa her contribution to the Blacktown Laurence Hibbert community, including her involvement Program Director Digital Hospitals Lisa Keast-Jones in the codesign of Blacktown Hospital Simon Hester Lorraine Shaw Madhusmitha Raghavan Consumer Ken Freeman, OAM, for BLACKTOWN & MOUNT DRUITT Mae Rafraf his contribution to the Blacktown HOSPITALS EXPANSION PROJECT Maria Dahm community, including his involvement Manager Stage 2 Expansion Marj Freeman in the codesign of Blacktown Hospital Robyn Campbell Maryam Zahid Michael Watts City of Parramatta Council Awards, Project Operations Manager Mike Font and NSW Volunteering Awards Matthew Tadorian Mike Kane Caroline Raunjak, WSLHD consumer Monique Pockran representative, Australia Day Parramatta Workforce Development Manager Natasha Caldwell Citizen of the Year, Parramatta Woman Julia Shaw Nav Johal of the Year, NSW Volunteer of the Nitin Chitre Year Award Fixtures, Furniture & Equipment Manager Peta Fraser Jenny Saunders Philip Lee Wilson Giles, WSLHD consumer Rachel Taurfer representative, Parramatta Young Fixtures, Furniture & Equipment Admin Ron Robertson Citizen of the Year Support Officer Russel Ashley Nirajan Tamrakar Sean Vicary Karen Walsh, WSLHD consumer Shivani Vasisith representative, NSW Volunteer of Project Officer Stephanie Lee the Year Award David Glastonbury Sue Ramsay Tiffany Watts PROFESSIONAL ACCOLADES Project Officer Tim Attinger Dr Khushboo Baheti, WSLHD psychiatry Nathan Ferguson Tony Myatt registrar, the Australian Medical Tricia Crispe Association’s 2017 Doctors Project Support Officer Viji Dhayanathan in Training Award Kristy-Ann Cuthbert Wilson Giles Willy Bagatcholon Dr Eric Hau, staff specialist and Zulfa Lalee researcher in radiation oncology,

71 *As at June 30 2018 the Harvard Plaque to complete the 2017 NSW Family & Community Melanie Wong, Smriti Mathema Global Clinical Scholars Program at Services Simply the Best Customer Shrestha, Dr Leesa Giang Harvard University. The prestigious Service Awards Harvard Plaque is awarded to the top Making a Safe Home (MaSH) Program, Keeping People Healthy three students worldwide a joint collaboration between WSLHD The X-Men – Exercise Classes and FACS, Customer Service Team for Prostate Cancer Linda Bell, manager of surgical skills Excellence Award training program, awarded Training Westmead Hospital: Gerard Regan, Manager of the Year by the NSW AMA 2017 Australian Crime and Violence Dragana Ceprnja, Damien Dubois, Prevention Awards Meg Hughes, Dr Amy Hayden Katherine Dr Sujitha Thavapalachandran, Westmead The NSW Health Education Centre Maka, Chrissan Segaram, Josip Sulentic, Hospital’s clinical fellow, the 2018 Ralph Against Violence’s Aboriginal Dr Sandra Turner Reader Basic Science Prize for her Qualification Pathway, Silver Award research into new ways of repairing in the community-led category Collaborative Teams damaged hearts with growth factors Protecting Our Aboriginal Kids, Now and 2018 Golden Scalpel Games, awarded by Into the Future Dr Pierre Qian, Westmead Hospital’s the NSW Health Education and Training cardiologist, the 2018 Ralph Reader Institute to WSLHD Integrated & Community Health: Joanne Clinical Prize for his work on a medical Cheatham, Salwa Gabriel, Julie McLean, device that targets renal nerve WSLHD 2018 QUALITY AWARD Christine Newman, Caroline Scott, connections to reduce blood pressure WINNERS Hayley Carra, Valerie Hunter, Sunita Lata, Board Chair Award for Innovation Leendert Moerkerken, Jo Fuller, Kylie Lilly Dolenec, BMDH Project and Excellence Hughes, Narelle Holden, Yvonne Toa, communications manager, 2017 IPOP – Interpreter Project in Outpatient Jamie Matthews NSW Health Infrastructure Project Clinics Communications and Engagement Award Education and Training Westmead Hospital and Integrated & Increasing Dysphagia Awareness in Community Health: Debbie Sharpe, Mental Health 2018 Westmead International Nurses Clementia Yap, Julianne Harvey, Day Awards Gordana Vasic, Ting Ting Chen, Westmead Hospital: Katrina Moore, Reesa Lim, Excellence in Clinical Practice, Terri Bell, Susan Jones Alison Battin, Bronwen Craig, Laura Enrolled Nurse or Assistant in Nursing Foley, Grace Hardie, Clare Lorenzen Chief Executive Award Urmila Shrestha, Excellence in Clinical FASTER Screening for Stroke Research and Innovation Practice, Transition to Practice Nurse Pharmaceutical Supply Chain and or Midwife Blacktown and Mount Druitt hospitals: Medicines Organisation Dr Andrew Owen Jones, Dr James Nol, Dr Susan Lane, Excellence in Clinical Basim Alqutawneh, Dr Patrick Wong, Dr WSLHD-wide, led by Westmead Hospital: Practice, Registered Nurse or Midwife Brett Gardiner David Ng, Christopher Howard, Wendy Marfleet, David Jogia, Amy Murray, Tegan Dawson, Excellence in Clinical WentWest Partnership Award Lorraine Koller, Nay Myo, Mark Zahra, Teaching Protecting Our Aboriginal Kids, Now and Helga Gelo, Paul Spindler, Christopher Into the Future Liddle, Ann Gouffe, Alkeshkumar Patel, Monique Bartlett, Excellence in Rommel Navitidad, Irena D’Elia, Dr Roslyn Outstanding Clinical Leadership Integrated & Community Health: Joanne Crampton, Akram Behdasht, Anne Chok, Cheatham, Salwa Gabriel, Julie McLean, Deirdre D’Souza, Paulo Higa, Wai-Jen Lucia Labib, Excellence in Clinical Christine Newman, Caroline Scott, Lee, Otto Chan Practice, Outstanding Leadership Hayley Carra, Valerie Hunter, Sunita Lata, Leendert Moerkerken, Jo Fuller, 6S Success! A Redevelopment Lean Richard Conway, Excellence in Clinical Kylie Hughes, Narelle Holden, Yvonne Storeroom Initiative. Building Capability Practice, Nurse or Midwife of the Year Toa, Jamie Matthews and Collaboration to Ensure a Successful Transition Stomal therapy, Excellence in Clinical NewsLocal People’s Choice Award Practice, Nursing Team of the Year Think Before You Bin It Westmead Hospital: Emma Clarke, Carla Edwards, Hayley Manyu, Michelle Lincoln, Auburn Hospital: Kristina Roberts, Natalie Tasker, Bradley Keam, Suzanne 2018 Integrated & Community Health Barbara Chapman, Roshni Kumar, Helen Armstrong International Nurses Day Awards Sala, Roseanne Smith, Sanjay Sharma, Natasha Maunsell, Nurse of the Year Rosalind Jindra, Alex Youssef, Sangita Patient Safety First Tuli, Mamdoh Tobbieh, John Holder, Fundus Photography in the ED: Saving Nina Livingstone, People’s Choice Award Irena Tuo, Pamela Thirunamam, Dianne Lives, Eyes and Time Ford, Daryl Rose, Fatima Smajovic Premalosani James, Excellence in Clinical Westmead Hospital: Dr Hamish Dunn, Leadership Award Patients as Partners Jason Montgomery, Associate Professor IPOP – Interpreter Project Andrew White, Dr Matt Vukosevic, Julia Rowena Urweiss, Innovation Award in Outpatient Clinics Costello, Megan Greig, Alison Pryke, Megan Allen, New Graduate of the Year Dr Kai Zong Teo, Lakni Weerasinghe Westmead Hospital and Integrated TEAM ACCOLADES & Community Health: Debbie Sharpe, A Safe and Healthy Workplace NSW Health Excellence in the Provision Clementia Yap, Julianne Harvey, A State of Biopreparedness of Mental Health Gordana Vasic, Ting Ting Chen, WSLHD Mental Health Services for its Terri Bell, Susan Jones Westmead Hospital and Integrated & innovative service delivery model, Community Health: Kavita Varshney, Mental Health Acute Assessment Team, Delivering Integrated Care Margaret Murphy, Angela Berry, Kath a collaboration with the Ambulance GREAT (Geriatric Rapid Evaluation Dempsey, Patricia Ferguson, Caren Service of NSW to provide the most and Treatment) Service Friend, Shopna Bag, Penelope Clark appropriate care for mental health patients and minimise inappropriate Westmead Hospital: Dr Poorani emergency department presentations Muruganantham, Amy Lazzaro,

*As at June 30 2018 72 APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

OUR ​ PARTNERS​

WSLHD is committed to working in • Clinical Excellence Commission • National Centre for Immunisation partnership with community members, • Community Migrant Resource Centre Research and Surveillance (NCIRS) consumers and key organisations in • Connect Hearing • National Council of Social Service decisions about planning, delivering and • Continence Foundation (NCOSS) evaluating healthcare leading to better • Cook Islands Council • National Disability Insurance Agency quality, safety and patient outcomes. • Cox Architects (NDIA) Our capital redevelopment teams • CSIRO • National Health and Medical Research work closely with construction bodies, • Cumberland Council Council industry and the local community to • Cumberland Women’s Health Centre • National Heart Foundation enhance collaboration in creating truly • Definitions Health Club • National Institute of Complementary innovative, contemporary facilities. • Dementia Australia Medicine (NICM) Health Research • Diabesity Institute We were proud to be associated with • Diabetes NSW & ACT • Nazarian Optometrist many organisations during 2017-18 • Dooleys Lidcombe Catholic Club • Neami National including: • Donnelly Construction • Nepean Blue Mountains Local Health • A W Edwards • Dr Sundar’s Medical Practice District • Aboriginal Catholic Care Toongabbie • Nepean Therapy Dogs • Aboriginal Men’s Shed Emerton • Eating Disorder and Obesity Clinic • New South Wales Nurses and • Active Living NSW • eHealth NSW Midwives’ Association • Afghani Women’s Group, Blacktown • Ellawell • Ngroo Education Inc • African Women’s Group, Blacktown • Epilepsy Action Australia • Northern Sydney Local Health District • After Care • Evolve Housing • NSW Department of Education • Agency for Clinical Innovation • Fair Trading NSW • NSW Department of Family and • Alzheimer’s Australia • Family Planning NSW Community Services • Ambulance Service of NSW • First Friday Poets Group, Blacktown • NSW Department of Industry • ANSTO • Food Authority • NSW Department of Planning and • Arabic Speaking Group, Mount Druitt • Foodbank Environment • Arthritis Foundation NSW • Get Kids Cooking • NSW Department of Premier and • Auburn Diversity Services • GHD Cabinet • Australian Cook Islands Community • Glenwood Indian Women’s Group • NSW Department of Sport and Council • Glycaemic Index Foundation Recreation • Australian Dental Association • Good Foundation • NSW Environment Protection • Australian Digital Health Agency • Greater Sydney Commission Authority • Australian Federal Police • Greater Western Aboriginal Health • NSW Government Architect • Australian Health Practitioner Service (Wellington Aboriginal • NSW Health Pathology Regulation Agency Corporation Health Service) • NSW Industrial Relations Commission • Australian Huntington’s Disease • Harman Foundation • NSW Juvenile Justice Association • Harvest Hub • NSW Kids and Families • Australian Salaried Medical Officers • Hawkesbury Harvest • NSW Mental Health Commission Federation • Health and Arts Research Centre Inc • NSW Ministry of Health • Babbayn Aboriginal Corporation • Health Care Complaints Commission • NSW Office of the Children’s Guardian • Baxter • Health Consumers NSW • NSW Office of Sport • Bipolar Australia • Health Education and Training • NSW Police Force • Blacktown Arts Centre Institute (HETI) • NSW Office of Preventive Health • Blacktown City Council • Health Infrastructure • NSW Refugee Health Service • Blacktown Historical Society • Health Services Union • NSW Volunteering • Blacktown Medical Practitioners • HealthShare NSW • Nuba Mountains Community Women’s Association • Healthy Older People’s Association Group • Blacktown Podiatry • Hearing Australia • Nutrition Australia • Blacktown Women’s and Girl’s Health • Heart Foundation NSW • Office of Health and Medical Research Centre • Homicide Victims Support Group (OHMR) • Brain and Mind Centre • Jacobs (architects) • Optimum Health Solutions • Brain Injury Association • Jamie’s Ministry of Food • OzHarvest • BreastScreen NSW • Jobs for NSW • PACER Network • Bridgeview Medical Practice • Justice Health and Forensic Mental • Parramatta Heritage Centre • Brighter Futures Health Network • Parramatta Light Rail • Bureau of Health Information • Kids Research • Parramatta Mission • Burnside • Kildare Road Medical Centre • Parramatta Park Trust and WS • Campbelltown Hospital • Legal Aid NSW Parklands • Cancer Council Australia • Lifeline Western Sydney • PCYC • Cancer Institute NSW • Live Life Get Active • Pharmaceutical Society of Australia • Carers NSW • Macquarie University • Pharmacy Guild of Australia • Catholic Education • Marist 180 • Playgroup NSW • Celestino Pty Limited • Marrin Weejali Aboriginal Corporation • Powerhouse Museum • Centre for Oral Health Strategy NSW • Mount Druitt Ethnic Communities • PricewaterhouseCoopers • Chester and Jakes Pharmacy Agency (MECA) • Ray Kelly Fitness • Charles Perkins Centre • Mount Druitt Medical Centre • Reclink • Child Health Network • Multiple Sclerosis Australia • Richmond PRA • Children’s Medical Research Institute • Multiplex Construction • Richmond Road Family Practice • City of Parramatta Council Aboriginal • Muru Mittigar Aboriginal Cultural and • Riverstone Neighbourhood Centre and Torres Strait Islander Advisory Education Centre • Settlement Services International (SSI) Council • National Australia Bank (NAB) • SHARE

73 • Silver Chain Group • Ted Noffs • University of Wollongong • South Western Sydney Institute • The Australian Commission on Safety • UrbanGrowth NSW Development TAFE NSW and Quality in Health Care Corporation • South Western Sydney Local Health • The Australian Council on Healthcare • Walking Volunteers District Standards • WASH House • Southern Cross Care • The City of Parramatta Council • Wesley Mission • Spiritual Revaluation Centre • The Children’s Hospital at Westmead, • Western Sydney Institute TAFE NSW • Sri Om Care part of the Sydney Children’s Hospitals • Western Sydney Primary Health • St Joseph’s Auburn, part of St Network Network (WentWest Ltd) Vincent’s Health Australia • The Food Coach • Western Sydney Region of Councils • St Vincent de Paul • The George Institute for Global Health WSROC • St Vincent de Paul Society, Parramatta • The Hills Shire Council • Western Sydney University Central Council • The Hive (United Way) • Western Sydney Woodworkers, • STARTTS • The Practice Lalor Park • Stephanie Alexander Kitchen Garden • The Schizophrenia Fellowship NSW Inc • Westmead Alliance Foundation • The Shed • Westmead Institute for Medical • Sydney Business Chamber • The Sydney Children’s Hospitals Research (WIMR) • Sydney Health Partners Network • Westmead Medical Research • Sydney Living Museums • The University of Sydney Foundation • Sydney Local Health District • Their Futures Matter, NSW • Westmead Private Hospital • Sydney Markets Government • Westmead Precinct Education Hub • Sydney Physios & Allied Health • Transport for NSW • Westmead Research Hub Services • UnitingCare • Woolworths • SydWest Multicultural Services • University of Notre Dame Australia • YMCA • TAFE NSW • University of NSW • Youth Action • Tamil Women’s Group, Mount Druitt • University of Technology Sydney • Youth Rezolutions

LOCATION DIRECTORY*

PUBLIC HOSPITALS AGED DAY SERVICES Hevington House Dementia Blacktown Community Auburn Hospital Auburn Aged Day Service Day Service Health Centre 18 Hargrave Rd, Auburn Cnr Water St & Hargrave Rd, 19 Hevington Rd, Cnr Blacktown Rd & Marcel NSW 2144 Auburn NSW 2144 Auburn NSW 2144 Cres, Blacktown NSW 2148 Ph: (02) 8759 3000 Ph: (02) 8759 3899 Ph: (02) 8759 3899 Ph: (02) 9881 8700 Fax: (02) 8759 3123 Fax: (02) 9749 1825 Fax: (02) 9671 6360 Rosewood Cottage Aged Blacktown Hospital Balcombe Heights Aged Day Day Service Blacktown Opioid Treatment Blacktown Rd, Blacktown Services 22 Fullager Rd, Unit (Drug Health) NSW 2148 Building 17, Balcombe Heights Wentworthville NSW 2145 Cnr Blacktown Rd & Marcel Ph: (02) 9881 8000 Estate, 92 Seven Hills Rd, Ph: (02) 9633 5496 Cres, Unit 7/1 Blacktown Fax: (02) 9881 8020 Baulkham Hills NSW 2153 Fax: (02) 9633 5428 NSW 2148 Ph: (02) 8852 6300 Ph: (02) 8670 0200 Mount Druitt Hospital Fax: (02) 9686 2138 Tallowood Dementia Day Fax: (02) 9622 6265 75 Railway St, Mount Druitt Service NSW 2770 Carinya Aged and Ethnic Day Mount Druitt Hospital Centre for Addiction Ph: (02) 9881 1555 Service 67 Railway St, Mount Druitt Medicine Cumberland Fax: (02) 9881 1538 8 River Rd, Ermington NSW 2770 Building 83 Cumberland NSW 2115 Ph: (02) 9881 1524 Hospital east campus Cumberland Hospital (Mental Ph: (02) 9684 2179 Fax: (02) 9881 1925 5 Fleet St, North Parramatta Health Services) Fax: (02) 9638 0621 NSW 2151 1-11 Hainsworth St, Westmead COMMUNITY DRUG Ph: (02) 8860 2560 NSW 2145 Copperfield Cottage Aged HEALTH SERVICES Fax: (02) 9840 3869 Ph: (02) 9840 3000 Day Service Centralised Intake Fax: (02) 9840 3700 Mount Druitt Hospital Ph: (02) 8860 2565 Centre for Addiction Railway St, Mount Druitt Fax: (02) 9840 3869 Medicine Mount Druitt Westmead Hospital NSW 2770 15 Cleeve Cl, Mount Druitt Cnr Hawkesbury & Darcy Rds, Ph: (02) 9881 1636 Auburn Community Drug NSW 2770 Westmead NSW 2145 Fax: (02) 9881 1773 Health Counselling Ph: (02) 8887 5800 Ph: (02) 8890 5555 Auburn Community Health Fax: (02) 8887 5822 Crestwood Aged Day Service Centre, Norval St & Hevington Western Sydney Sexual Embark building, Blacktown Rd, Auburn NSW 2144 Doonside Community Drug Health Centre Hospital Ph: (02) 8759 4000 Health Counselling Jeffrey House Blacktown Rd, Blacktown Fax: (02) 8759 4154 30 Birdwood Ave, Doonside 162 Marsden St, Parramatta NSW 2148 NSW 2767 NSW 2150 Ph: (02) 9881 8954 Blacktown Community Drug Ph: (02) 8670 3300 Ph: 9843 3124 Fax: (02) 9881 8899 Health Counselling Fax: (02) 8670 3381

*As at June 30 2018 74 Fleet Street Clinic Mount Druitt Community Ermington Early Riverstone Early 4A Fleet St, Health Centre Childhood Centre Childhood Centre North Parramatta NSW 2151 Cnr Burran & Kelly Cl, 65 Spurway St, Elizabeth St, Ph: (02) 9840 3888 Mount Druitt NSW 2770 Ermington NSW 2115 Riverstone NSW 2765 Fax: (02) 9840 3936 Ph: (02) 9881 1200 Ph: (02) 9682 3133 Ph: (02) 8670 3300 Fax: (02) 9671 6360 Merrylands Community Glendenning Early Riverstone Neighbourhood Drug Health Counselling Parramatta Community Childhood Centre Centre 14 Memorial Ave, Health Centre Armitage Drive, Park St, Riverstone NSW 2765 Merrylands NSW 2160 Jeffrey House, 162 Marsden St, Glendenning NSW 2761 Ph: (02) 8670 3300 Ph: (02) 9682 3133 Parramatta NSW 2150 Ph: (02) 9881 1200 Fax: (02) 9897 3313 Ph: (02) 9843 3222 Ropes Crossing Community Fax: (02) 9671 6360 Greystanes Early Resource Hub Parramatta Community Childhood Centre Cnr Pulley Dve & Hollows Pde, Drug Health Counselling The Hills Community 732 Merrylands Rd, Ropes Crossing NSW 2760 Jeffrey House, Health Centre Greystanes NSW 2145 Ph: (02) 9881 1200 162 Marsden St, 183 Excelsior Ave, Ph: (02) 9682 3133 Parramatta NSW 2150 Castle Hill NSW 2154 Rouse Hill Public School Ph: (02) 9843 3222 Ph: (02) 8853 4500 Guildford Early Annangrove Rd, Fax: (02) 9891 2825 Fax: (02) 8853 4565 Childhood Centre Rouse Hill NSW 2155 Cnr Stimpson & O’Neill Sts, Ph: (02) 8853 4500 The Hills Community Western Area Adolescent Guildford NSW 2161 Drug Health Counselling Team (WAAT) Ph: (02) 9682 3133 Seven Hills Early 183 Excelsior Ave, Mount Druitt Community Childhood Centre Castle Hill NSW 2154 Health Centre Hassall Grove Public School Boomerang Pl, Ph: (02) 8853 4500 Cnr Burran & Kelly Cl, Buckwell Drive, Seven Hills NSW 2147 Fax: (02) 8853 4565 Mount Druitt NSW 2770 Hassall Grove NSW 2761 Ph: 8670 3300 Ph: (02) 9881 1230 Ph: (02) 9881 1200 COMMUNITY HEALTH Fax: (02) 9625 9110 The Ponds Early Childhood SERVICES Kellyville Public School Centre Auburn Community Westmead Sexual Windsor Rd, Kellyville NSW 2155 45 Riverbank Drive, Health Centre Assault Service Ph: (02) 8853 4500 The Ponds NSW 2769 Norval St & Hevington Rd, Westmead Hospital, Grevillea Ph: (02) 8670 3300 Auburn NSW 2144 Cottage, Westmead NSW 2145 Lalor Park Early Ph: (02) 8759 4000 Ph: (02) 8890 7940 Childhood Centre Wentworthville Early Fax: (02) 8759 4154 Fax: (02) 8890 8328 Parkside Dve, Childhood Centre Lalor Park NSW 2147 Friend Park, Blacktown Community EARLY CHILDHOOD Ph: (02) 8670 3300 3 McKern St, Health Centre HEALTH CLINICS Wentworthville NSW 2145 Cnr Blacktown Rd & Marcel Auburn Early Childhood Lidcombe Early Ph: (02) 9682 3133 Cres, Blacktown NSW 2148 Centre Childhood Centre Ph: (02) 9881 8700 Norval St, Auburn NSW 2144 3 Bridge St, Lidcombe NSW 2141 Winston Hills Public School Fax: (02) 9671 6360 Ph: (02) 8759 4000 Ph: (02) 8759 4000 Hillcrest Ave, Winston Hills NSW 2153 Blacktown/Mount Druitt Baulkham Hills Early Marayong Early Ph: (02) 9682 3133 Sexual Assault Service Childhood Centre Childhood Centre Cnr Blacktown Rd & Marcel Old Northern Rd, Cnr Railway Rd and Quakers Yenu Allowah Aboriginal Cres, Blacktown NSW 2148 Baulkham Hills NSW 2153 Rd, Marayong NSW 2148 Child and Family Centre Ph: (02) 9881 8700 Ph: (02) 8853 4500 Ph: (02) 8670 3300 1 Luxford Road, Fax: (02) 9671 6360 Mount Druitt NSW 2770 Blacktown Early Minchinbury Public School Ph: (02) 8670 3300 Child Protection Childhood Centre McFarlane Dve, Counselling Service 40 Kildare Rd, Minchinbury NSW 2770 COMMUNITY MENTAL Cnr Blacktown Rd & Marcel Blacktown NSW 2148 Ph: (02) 9881 1200 HEALTH SERVICES Cres, Blacktown NSW 2148 Ph: (02) 8670 3300 Assertive Community Ph: (02) 9881 8787 Ngallu Wal Aboriginal Treatment Team Fax: (02) 9881 8789 Blacktown Women’s and Child and Family Centre 63 Railway St, Girls Health Centre 259 Kildare Road, Mount Druitt NSW 2770 Doonside Community 6 Prince Street, Blacktown Doonside NSW 2767 Ph: (02) 9981 8888 Health Centre NSW 2148 Ph: (02) 8670 3300 Fax: (02) 9881 8899 30 Birdwood Ave, Ph: (02) 8670 3300 Doonside NSW 2767 Old Toongabbie Early Auburn Community Ph: (02) 8670 3300 Castle Hill Early Childhood Centre Mental Health Team Fax: (02) 9831 8683 Childhood Centre Emma Crescent, Auburn Community Castle Grand Centre Old Toongabbie NSW 2146 Health Centre High Street Youth 9 Castle St, Ph: (02) 9682 3133 Norval St & Hevington Rd, Health Service Castle Hill NSW 2154 Auburn NSW 2144 65 High St, Ph: (02) 8853 4500 Parramatta North Public Ph: (02) 8759 4000 Harris Park NSW 2150 School Fax: (02) 8759 4006 Ph: (02) 8860 2500 Dundas Early Childhood Albert St, North Parramatta Fax: (02) 9687 2731 Centre NSW 2151 Blacktown City Community 21 Sturt St, Telopea NSW 2117 Ph: (02) 9682 3133 Mental Health Services Merrylands Community Ph: (02) 9682 3133 Embark Building, Health Centre Quakers Hill East Public Blacktown Hospital 14 Memorial Ave, Epping Early Childhood School Blacktown Rd, Merrylands NSW 2160 Centre Chase Dve, Blacktown NSW 2148 Ph: (02) 9682 3133 39 Bridge St, Epping NSW 2121 Acacia Gardens NSW 2763 Ph: (02) 9881 8888 Fax: (02) 9897 3313 Ph: (02) 9682 3133 Ph: (02) 8670 3300 Fax: (02) 9881 8899

75 *As at June 30 2018 Blacktown Early Access Redbank House Multicultural Health Team (BEAT) Dragonfly Drive, Cumberland Hospital east campus, Headspace Mount Druitt, Westmead Hospital campus 5 Fleet St, Bld 57, Shop 12, Daniel Thomas Plaza, Westmead NSW 2145 North Parramatta NSW 2151 6-10 Mount St, Ph: (02) 8890 6577 Ph: (02) 9840 4156; Mount Druitt NSW 2770 Fax: (02) 9891 5690 (02) 9840 3877 Ph: (02) 8887 5600 Fax: (02) 9840 4100 Statewide Outreach Community Case Perinatal Service New Street Services Management Team – Redbank House – Cumberland Hospital east campus, LikeMind Seven Hills Westmead Hospital campus 5 Fleet St, 4/197 Prospect Highway, Dragonfly Drive, North Parramatta NSW 2151 Seven Hills NSW 2147 Westmead NSW 2145 Ph: (02) 9840 4088 Ph: (02) 8806 3800 Ph: (02) 8821 4457 Fax: (02) 9840 4090 Fax: (02) 8806 3887 Fax: (02) 8821 4443 NSW Education Program on Community Rehabilitation Therapy 4 Kids – Children’s Female Genital Mutilation (FGM) Services Mental Health Team Cumberland Hospital east campus, 40 Jamieson St, Auburn Community 5 Fleet St, Bld 55b, Granville NSW 2142 Health Centre, North Parramatta NSW 2151 Ph: (02) 8868 4401 Norval St & Hevington Rd, Ph: (02) 9840 3877 Fax: (02) 9897 1246 Auburn NSW 2144 Fax: (02) 9840 3004 Ph: (02) 8759 4000 Dundas Community Mental Fax: (02) 8759 4154 Westmead Breast Cancer Health Team Institute (BCI) 21 Sturt St, ORAL HEALTH SERVICES Level 1, Westmead Hospital Telopea NSW 2117 Blacktown Dental Clinic Cnr Hawkesbury & Darcy Rds, Ph: (02) 9638 6511 Blacktown Hospital, Westmead NSW 2145 Fax: (02) 9684 2058 Marcel Cres, Ph: (02) 9845 6728 Blacktown NSW 2148 Fax: (02) 9845 7246 Getting on Track in Time Ph: (02) 9881 8275 (GOT IT!) Fax: (02) 9881 8981 Westmead BCI Treatment & Headspace Mount Druitt Assessment Clinics Shop 12, Daniel Thomas Plaza, Mount Druitt Dental Clinic Ph: (02) 9845 8888 6-10 Mount St, Mount Druitt Hospital, Fax (02) 9845 8334 Mount Druitt NSW 2770 Railway St, Ph: (02) 8887 5600 Mount Druitt NSW 2770 Westmead BCI Administration Fax: (02) 8887 5610 Ph: (02) 9881 1715 Ph: (02) 9845 6728 Fax: (02) 9881 1527 Fax: (02) 9845 7246 Hills Mental Health Team The Hills Community Health Westmead Centre for BreastScreen NSW Sydney Centre, 183 Excelsior Ave, Oral Health West clinics in WSLHD Castle Hill NSW 2154 Darcy Rd, Auburn Ph: (02) 8853 4500 Westmead NSW 2145 BCI Sunflower Clinic Fax: (02) 8853 4564 Ph: (02) 8890 6766 Auburn Hospital Outpatients Fax: (02) 9893 8671 Hargrave Rd, Merrylands Community Auburn NSW 2144 Extended Hours and OTHER SERVICES Ph: 13 20 50 SMHSOP Aboriginal Health Unit (Specialist Mental Health Mount Druitt Hospital Blacktown Services for Older People) Entrance via Luxford Rd, BCI Sunflower Clinic Merrylands Community Health Mount Druitt NSW 2770 Myer Level 2 Lingerie Department, Centre, 14 Memorial Ave, Ph: (02) 9881 1670 Westpoint Shopping Centre Merrylands NSW 2160 Fax: (02) 9881 1544 Blacktown NSW 2148 Ph: (02) 9682 3133 Ph: 13 20 50 Fax: (02) 9682 9854 Centre for Population Health Cumberland Hospital east Castle Hill Parramatta City Mental campus BCI Sunflower Clinic Health Team 5 Fleet St, Myer Level 3 Lingerie Department, Jeffrey House, 162 Marsden St, North Parramatta NSW 2151 Castle Towers, Parramatta NSW 2150 Ph: (02) 9840 3603 Castle Hill NSW 2154 Ph: (02) 9843 3237 Fax: (02) 9840 3608 Ph: 13 20 50 Fax: (02) 9843 3266 Education Centre Against Parramatta Prevention Early Violence (ECAV) BCI Sunflower Clinic Intervention Recovery Cumberland Hospital east Myer Level 2 Lingerie Department, Services (PEIRS) campus, 5 Fleet St, Westfield Shoppingtown, Headspace Parramatta North Parramatta NSW 2151 Parramatta NSW 2150 2 Wentworth St, Ph: (02) 9840 3735 Ph: 13 20 50 Parramatta NSW 2150 Fax: (02) 9840 3754 Ph: 1300 737 616 Mount Druitt Fax: (02) 9635 9134 Health Care Interpreter BCI Sunflower Clinic, Service Mount Druitt Hospital, PEIRS Recovery Cumberland Hospital east 75 Railway St, 2a Fennell St, campus, 5 Fleet St, Mount Druitt NSW 2770 Parramatta NSW 2150 North Parramatta NSW 2151 Ph: 13 20 50 Ph: (02) 9840 3549 Ph: (02) 9912 3800 Fax: (02) 9840 3554 Fax: (02) 9840 3789 *As at June 30 2018

*As at June 30 2018 76 APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

ABBREVIATIONS & GLOSSARY

ABF Activity based funding is eMR Electronic medical record NWAU National weighted activity unit. a way of funding hospitals NWAU is a measure of health whereby they get paid for the EN Enrolled nurse service activity expressed as number and mix of patients a common unit, against which they treat. If a hospital treats the national efficient price eRIC Electronic record more patients, it receives (NEP) is paid. It provides a in intensive care more funding. Because some way of comparing and valuing patients are more complicated each public hospital service to treat than others, ABF also ETP Emergency treatment (whether it is an admission, takes this performance emergency department in to account presentation or outpatient FACS NSW Department of Family episode), by weighting it for its ABW Activity-based working is a & Community Services clinical complexity transformational business strategy that provides people FTE/s Full time equivalents PCYMHS Perinatal, Child and Youth with a choice of settings for a Mental Health Services variety of workplace activities GREAT Geriatric rapid evaluation and treatment service PLR Parramatta Light Rail ACI Agency for Clinical Innovation HealthPathways PwC PricewaterhouseCoopers AMA Australian Medical Association An online health information portal for GPs to use in Q-Flow A patient check-in system A/Prof Associate professor patient consultations. It to reduce queues supports better linkages between GPs and specialist ARC Audit and risk committee Quaternary service services An extension of tertiary care, ASB Acute services building even more specialised and ICH Integrated & Community Health highly unusual BCI Westmead Breast Cancer ICT Information and Institute RACFs Residential aged care facilities communication technology

BMDH Blacktown and Mount Druitt Tertiary service ICU/s Intensive care unit/s hospitals Highly specialised healthcare, often for inpatients and on IPOP Interpreter project in referral from a primary or BMDH Project outpatient clinics secondary health professional. Blacktown and Mount Druitt It includes complex medical or Hospitals Expansion Project ITS Information Technology surgical procedures Services CALD Culturally and linguistically TOC Transfer of care diverse JSCC Joint specialist case conferences WECC Westmead Education and CASB Clinical acute service building Conference Centre LHD Local health district CBD Central business district WHL Wentworth Healthcare Limited LGA Local government area C-EYE-C Community Eye Care WSD Western Sydney Diabetes Managed print services CHW The Children’s Hospital Visibility and control of WSLHD Western Sydney Local Health at Westmead printing, which helps save District money and boost productivity, CPR Cardio pulmonary resuscitation and improves environmental WSPHN Western Sydney Primary Health sustainability and document Network CT Computerised tomography security (WentWest Ltd)

CTG Cardiotocography MRI Magnetic resonance imaging WSU Western Sydney University

EDs Emergency department/s NMC Non-mydriatic camera WWCC Working With Children Check eFluids Electronic fluid management feature of eMEDs eMEDs Electronic medications management

77 WESTERN SYDNEY LOCAL HEALTH DISTRICT

PO Box 574 Wentworthville NSW 2145

+61 2 8890 9902

[email protected]

www.wslhd.health.nsw.gov.au

FACEBOOK LINKEDIN TWITTER @WesternSydneyHealth Western Sydney Local Health District @WestSydHealth

INSTAGRAM YOUTUBE @humansofthehospital Western Sydney Health