Services and Facilities Content
NSW Health Selected Services 290 Maps and Profiles of Metropolitan Area Health Services 292 Northern Sydney Central Coast Area Health Service 293 South Eastern Sydney Illawarra Area Health Service 299 Sydney South West Area Health Service 308 Sydney West Area Health Service 315 Maps and Profiles of Rural Area Health Services 322 Greater Southern Area Health Service 323 Greater Western Area Health Service 329 Hunter New England Area Health Service 337 North Coast Area Health Service 344
NSW Department of Health Annual Report 2009–10 289 NSW Department of Health
NSW Department of Health Pharmaceutical Services Unit North Sydney Office Building 20 73 Miller Street Gladesville Hospital Campus North Sydney NSW 2060 Victoria Road, Gladesville NSW 2111 (Locked Mail Bag 961, North Sydney NSW 2059) (PO Box 103, Gladesville NSW 1675)
Telephone: 9391 9000 Telephone: 9879 3214 Facsimile: 9391 9101 Facsimile: 9859 5165 Website: www.health.nsw.gov.au Business hours: 8.30am–5.30pm, Monday to Friday Email: [email protected] Chief Pharmacist and Associate Director: Judith Mackson Business hours: 9.00am–5.00pm, Monday to Friday
Director-General: Professor Debora Picone, AM Methadone Program Telephone: 9879 5246 Centre for Oral Health Strategy Facsimile: 9859 5170 Corner Mons Road and Institute Road Enquiries relating to authorities to prescribe other drugs of Westmead NSW 2145 addiction: Telephone: 8821 4300 Telephone: 9879 5239 Facsimile: 8821 4302 Facsimile: 9859 5175 Business hours: 9.00am–5.00pm, Monday to Friday
Chief Dental Officer: Dr Clive Wright Health Professionals Environmental Health Branch Registration Boards Level 6 Building 11 477 Pitt Street, Sydney NSW 2000 Gladesville Hospital Campus (PO Box K599, Haymarket NSW 1238) Victoria Road, Gladesville NSW 2111 (PO Box 798, Gladesville NSW 1675) Telephone: 9219 0212 Facsimile: 9281 2030 Telephone: 9816 0234 Email: [email protected] Facsimile: 9816 0240 Business hours: 8.30am–5.00pm, Monday to Friday Business hours: 9.00am–5.00pm, Monday to Friday Cashier service: 8.30am–4.30pm, Monday to Friday Director: Dr Wayne Smith Director: Jim Tzannes
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Service Centres Service Newcastle Centre Service 2300 Newcastle Street, 464King 6, Suite 400 853 1800 Desk: Service Payroll Parramatta Centre Service 2150 Parramatta St, Macquarie 2-12 283 428 1800 Desk: Service Payroll 533 285 1300 Desk: Service Statewide EnableNSW 2124 NSW Parramatta 5270 Bag Locked 253) 800362 (1 800ENABLE 1 Telephone: 6543 8797 Facsimile: [email protected] Email: NSW Health Telephone: 8644 2000 Telephone: 99046296 Facsimile: [email protected] Email: Chatswood Office Head 1770 Box PO 2057 NSW Chatswood Health Support Services Support Health Metropolitan Area Health Services Maps and profiles
Northern Sydney Central Coast
Gosford ■ Sydney West
Penrith ■
Liverpool ■
Sydney South West
■ Wollongong
South Eastern Sydney Illawarra
292 Annual Report 2009–10 NSW Department of Health Services and Facilities 293
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Child and Family Health Family and Child Centre Health Childhood Early Avalon Centre Health Childhood Early Balgowlah Centre Health Childhood Early Berowra Centre Health Community Brooklyn Centre Health Childhood Early Carlingford Centre Childhood Early Chatswood Centre Childhood Early Cremorne Centre Childhood Early Nest Crows Centre Assessment Dalwood Centre Health Childhood Early Why Dee Centre Childhood Early Eastwood Centre Health Community Erina Centre Gateway Gosford Cottage Care Family Service Health Kanwal Wyong Cottage Care Family Public Hospitals Public Hospital Gosford Hospital Ku-ring-gai Hornsby Centre JettyHealthcare Long Hospital Manly Hospital, Macquarie Hospital Vale Mona Hospital Shore North Royal Hospital Wyong Hospital, Ryde Hospital Woy Woy Centres Health Community Centre Health Community Berowra Centre Health Community Brooklyn Centre Health Community Erina Centre Health Community Forest Frenchs Centre Health Community Galston Centre Health Community Hillview Centre Health Community Kincumber Centre Health Community Haven Lake Centre Health JettyCommunity Long Centre Health Community Mountain Mangrove Centre Health Community Vale Mona Centre Health Community Hills Pennant Centre Health Community Queenscliff Centre Health Community Ryde Centre Health Community Toukley Centre Health Community Ferry Wiseman’s Centre Health Community Woy Woy Centre Health Community Central Wyong Centre Health Community Wyong NSW Sydney
Northern www.nscchealth.nsw.gov.au
Chief Executive: Matthew Daly Matthew Executive: Chief Business hours: 8.30am-5.00pm, Monday to Friday to Monday 8.30am-5.00pm, hours: Business Gosford, Hornsby, Hunters Hill, Ku-ring-gai, Lane Cove, Cove, Lane Ku-ring-gai, Hill, Hunters Hornsby, Gosford, Ryde, Pittwater, Sydney, North Mosman, Manly, Wyong. and Willoughby Warringah, Local Government Areas Government Local 2333 4320 Telephone: 2477 4320 Facsimile: Website: Holden Street, Gosford Bag 2915 Locked NSW Centre Coast Business 2252 Central Frenchs Forest Early Childhood Health Centre Third Schedule Facilities Galston Community Health Gladesville Early Childhood Centre HammondCare Health and Hospitals – Greenwich Hospital, Harbord Early Childhood Health Centre Neringah Hospital, Northern Beaches Palliative Care Service Hornsby Early Childhood Centre Royal Rehabilitation Centre Kariong Neighbourhood Centre Kincumber Community Health Centre Other Services Lakehaven Community Health Centre Aboriginal Health Lane Cove Early Childhood Centre BreastScreen Lindfield Early Childhood Centre Child Protection Long Jetty Community Health Centre Drug and Alcohol Mangrove Mountain Mental Health Marsfield Early Childhood Centre Northern Sydney Home Nursing Service Mona Vale Early Childhood Health Centre Richard Geeves Centre – Dementia Day Centre Narrabeen Early Childhood Health Centre Sexual Health North Ryde Early Childhood Centre Violence, Abuse, Neglect and Sexual Assault Northbridge Early Childhood Centre Pennant Hills Community Health Centre St Ives Community Health Centre Chief Executive Year in Review Top Ryde Early Childhood Centre Toukley Community Health Centre One of the most significant achievements of the 2009–10 West Ryde Early Childhood Centre financial occurred on 30 June 2010, with all facilities across Willoughby Early Childhood Centre Northern Sydney Central Coast Health recording no patients Wiseman’s Ferry Community Health Centre waiting for surgery outside their clinically recommended Woy Woy Community Health Centre time. This was a great achievement and I congratulate staff Wyong Central Community Health Centre across the Area for getting us there.
Another important achievement was the redesign project Oral Health Clinics which saw significant increases in performance at both Cox’s Road Community Oral Health Clinic Gosford and Wyong Hospital Emergency Departments. Dee Why Child Oral Health Clinic Anyone who has visited Royal North Shore Hospital lately will East Gosford Child Oral Health Clinic be aware of the progress being made on the hospital Gosford Hospital Oral Health Clinic redevelopment, with the Community Health Building on Hornsby Hospital Oral Health Clinic target for a 2011 opening. Off campus, the Chatswood Mona Vale Hospital Oral Health Clinic Community Health Centre is scheduled for an official Royal North Shore Hospital Oral Health Clinic opening in September 2010. Stewart House Child Oral Health Clinic The Entrance Child Oral Health Clinic Hornsby Hospital’s four-bed coronary care unit opened in Top Ryde Community Oral Health Clinic February 2010, providing continuous cardiac monitoring to Woy Woy Hospital Oral Health Clinic patients with acute cardiac conditions. Wyong Hospital Oral Health Clinic Mona Vale Hospital’s eight-bed Medical Assessment Unit opened in January 2010 and by April/May 2010 it was achieving all targets and was, according to NSW Health data, the best performing MAU in the state.
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It is estimated that 1,147,379 people lived in the area in in area the in lived people 1,147,379 that estimated is It and NSW of population the of 16% represents This 2010. is range The more. or years 75 aged those of 19% considerably need groups age older because significant population. general the than care health more more be will population the that estimated is it 2020 By in population over’ and years ‘85 The 1,247,920. than in population NSW the of 10% around be will NSCCH 22% a be will there that expected is It group. age that 2020. by over and 85 aged population the in increase the over most the grow to expected group age other The between aged group retired’ ‘recently the is decade next be will there 2020 by that expected is It years. 74 and 65 increase) (22% years 65-69 aged people more 10,968 increase). (39% years 70-74 aged people more 15,124 and different a has (CCH) Service Health Coast Central The Less NSCCH. of remainder the from profile multicultural non-English a in born was population its of 5% than of 18% NSCCH of remainder the In country. speaking countries. English-speaking outside born were residents language the in reflected also is data birth of country The health metropolitan the In residents. of preferences English. only speak population the of 76% services Arabic, Japanese, Korean, Mandarin, Italian, Cantonese, the are Persian and Tagalog Spanish, German, Greek, in spoken English than other languages reported most government local the were Willoughby and Ryde NSCCH. who residents of proportion highest the with areas English. than other language a speaking reported significantly is residents NSCCH for rate mortality The better a indicating NSW of whole the for than lower deaths. 8,505 were there 2006 In status. health overall common most the was disease Cardiovascular Cancers deaths. all of 36% for accounting death of cause being death of cause common most second the were sites main the males For deaths. of 32% to attributed sites main the females For colon. and prostate lungs, were colon. and lungs breast, were NSW
Northern Sydney Central Coast Area Health Service Service Health Area Coast Central Sydney Northern extends that area an in services health provides (NSCCH) River Hawkesbury the across Harbour Sydney from north to west and Macquarie Lake of shore southern the to Ferry. Wiseman’s Demographic Summary Demographic Matthew Chief Executive Daly, Other highlights included commissioning of Royal North Royal of commissioning included highlights Other Tomography) Emission (Positron PET Hospital’s Shore opened officially was machine million $3.5 The machine. year, the in Early Rudd. Kevin Minister Prime then by Hospital ‘Metropolitan named was Hospital Vale Mona One of the real highlights of the 2009–10 financial year year financial 2009–10 the of highlights real the of One an for funding in million $38.6 of announcement the was will which Coast, Central the on service cancer integrated the of people the to services radiotherapy public bring Coast. Central Another achievement for the Northern Beaches was was Beaches Northern the for achievement Another single the with success Hospitals’ Vale Mona and Manly achieved compliance 95% with policy, ward gender hospitals. both across brought budget recent most Government’s NSW The with Beaches, Northern the of people the for news good Capital State’s the on back Hospital Beaches Northern the funding million $29 year four a of virtue by Program 2009–10 in allocated million $5 with announcement, for funding of confirmation brought also budget The the during highlights more brought success Accreditation Ku-ring- Hornsby and Ryde Shore North both with year, four-year full maximum the awarded services health gai survey. organisation-wide ACHS the in accreditation of the Year’ in the 2009 NSW Health Awards. This is well well is This Awards. Health NSW 2009 the in Year’ the of this of staff dedicated the for recognition deserved hospital. much-loved works. enabling for Centre) Care Emergency (Psychiatric PECC four-bed a 2010–11. in completed be to Hospital, Manly at • NSCCH Mental Health VETE (Vocation, Education, Highlights and Achievements Training and Employment) team won a Gold • Funding of $38.6 million announced for an integrated Achievement Award (for Specialist Service) at the cancer service on the Central Coast, including Australia and New Zealand Mental Health Service radiotherapy services. Conference in Perth in September, as well as a NSW Mental Health Matters Award, in the category of Cross • Mona Vale Hospital named ‘Metropolitan hospital Sector Collaboration. of the Year’ in 2009 NSW Health Awards. • Gosford’s Y Central (One Stop Youth Mental health • New $3 million Magnetic Resonance Imaging (MRI) Shop) received a Mental Health Matters Award in the scanner installed at Royal North Shore Hospital. category of Innovation in Service or Program Delivery. • Day only patients rate Ryde Hospital one of the state’s • Funding confirmed for the building of a 4 bed Psychiatric best, according to Bureau of Health Infrastructure’s Emergency Care Centre (PECC) at Manly Hospital, to be Insights into Care: Patients’ Perspectives on NSW Public completed in 2010–11. Hospitals report. • No NSCCH facility had any patients waiting for • Gosford Hospital’s new 30-bed mental health unit surgery outside their clinically recommended time officially opened. as at 30 June 2010. • Hornsby Ku-ring-gai Health Service wins 2009 NSW • Year Two of the NSCCH Financial Plan reached all Health Quality Award in the Building a Healthy Workforce targets, including creditors. category for its peer-oriented approach to orientation. • Commissioning of an eight-bed Medical Assessment • Official opening of Byrnes Cottage at Dalwood Children’s Unit (MAU) at Mona Vale Hospital. Services, Seaforth, by NSW Governor Marie Bashir. • Four-bed coronary care unit established at Hornsby • New front entrance and retail precinct opened at Hospital. Gosford Hospital. • First stage of PDP completed for 60-bed Graythwaite • Patient Satisfaction Survey places Royal North Shore Rehabilitation Centre at Ryde Hospital. first in the Principle Referral Group A for Overall Care • Non-Admitted Emergency Patients. Service Development Planning Group established to progress the masterplan for Hornsby Hospital. • $3.5 million Positron Emission Tomography (PET) machine • goes into operation at Royal North Shore Hospital. Co-location of all inpatient rehabilitation services to Mona Vale Hospital, as the hospital moves towards • Proposed Northern Beaches Hospital returns to the its goal of becoming a centre of excellence in the State Capital Program with $29 million funding allocated provision of rehabilitation services. over four years, beginning with $5 million in 2010–11 for • enabling works. Safe Assessment Room established in Manly Hospital’s ED. • • Wyong Hospital approved to establish a Podiatry Services at Woy Woy Hospital enhanced with the Education and Teaching Unit in conjunction with addition of $500,000 funding to improve access the University of Newcastle. to community health services. • • Funding confirmed for the building of a 12-bed Child Redesign project results in significant increase in and Adolescent Mental Health Inpatient Unit at Hornsby performance at both Gosford and Wyong Hospital Ku-ring-gai Hospital. Emergency Departments. • • Royal North Shore Hospital’s Radiation Oncology Wyong Hospital refurbishment, including new Department first in the Southern Hemisphere to be air-conditioning system. formally accredited as a teaching facility for new • Hornsby Ku-ring-gai Health Service achieves four years methods of radiotherapy. accreditation in ACHS organisation-wide survey, with nine • North Shore Ryde and Hornsby Ku-ring-gai Health criteria receiving an EA (Excellent Achievement) rating. Services awarded the maximum full four-year • Royal North Shore redevelopment and Chatswood accreditation in ACHS organisation-wide survey. Community Health Centre building works on schedule.
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297 94 80 94 98
1% 2% 104 76% 15% 2010 2010 0.4% 94 80 94 98 1% 2% 104 76% 15% 2009 2009 0.4% 5 2 aff al St 93 83 95 97 t 1% 2% 104 75% 16% 2008 2008 0.5% ution index Annual Report 2009–10 Report Annual % of To % of distrib 94 80 96 98 1% 3% 105 75% 15% 2007 2007 0.7% Health
of
94 80 96 95 1% 3% 1% 103 75% 14% 2006 2006 in Security Operations and obtain a provisional provisional a obtain and Operations Security in licence. security Increase in Aboriginal Nursing Cadetships and and Cadetships Nursing Aboriginal in Increase and supervision structured more a of provision the workplace. the in cadets for network support Health Environmental another of Establishment Unit Health Public the within Traineeship Officer offer to TAFE Hornsby with partnership a Established Islander Strait Torres and Aboriginal to employment II Certificate the complete successfully who people Strait Torres and Aboriginal three of graduation The in studies their completed have who staff Islander or Health) (Mental Science Health of Bachelor Islander Strait Torres and Aboriginal in IV Certificate Care). (Community Care Health Primary with workers 17 of placement the Supported disability. a
Department • • • • •
3 A distribution index of 100 indicates that the centre of distribution of the EEO EEO the of distribution of centre the that indicates 100 of distributionindex A 7% 4 50% 19% 12% 100 100 100 100 100 NSW 2.6% or target or target Benchmark Benchmark 1 4 Minimum target by 2015. 2015. by target Minimum 3 Excludes casual staff. Excludescasual 2 Excludes casual staff. Excludescasual 5 Support and promotion of key events of significance significance of events key of promotion and Support NAIDOCWeek. as such New theatre monitor stacks costing $600,000 put put $600,000 costing stacks monitor theatre New Hospitals. Vale Mona and Manly at operation into Single gender ward compliance in excess of 95% 95% of excess in compliance ward gender Single Hospitals. Vale Mona and Manly for achieved Free shuttle bus service established for patients, patients, for established service bus shuttle Free and Manly between travelling relatives and carers Hospitals. Vale Mona
• • • • EEO Group Women EEO Group Women Staff numbers are as at 30 June. June. 30 at as are Staffnumbers Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People whose first language was not English whose first language People Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People with a disability People People with a disability requiring work-related adjustment People People whose first language was not English whose first language People People with a disability People People with a disability requiring work-related adjustment People Table 1. Trends in the representation of EEO Groups EEO of representation the in Trends 1. Table Table 2. Trends in the distribution of EEO Groups EEO of distribution the in Trends 2. Table Some of the key achievements this year were: year this achievements key the of Some Equal Employment Opportunities Employment Equal Workforce Opportunity Employment Equal NSCCH Aboriginal and 2009–2012 Plan Management have both 2009–2012 Plan Strategy Employment the improve to strategies and priorities key established These groups. EEO our of retention and employment or implemented being currently either are strategies year. financial 2010–11 for planned group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is is than salary levels lower at concentrated more be to tends group EEO the that mean 100 than less staff.Values other of that to equivalent is salaryacross levels group at concentrated less is group EEO the that indicates 100 than more index An be. will index the lower the tendency is, this pronounced more staff.The other casefor the salary levels. lower the Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet. and SectorWorkforce DepartmentPremier Branch, Public Unit, of WorkforceProfile the by provided is tables above the for Information Note: 1 • Targeted positions for the exclusive employment Area Health Service of Aboriginal and Torres Strait Islander people with the successful employment of eight people. Statements and Reports • Review of the collection of EEO statistics during The NSW Health Annual Report provides a range of recruitment. additional source of information which reports on Area Health Services’ activity in the finance, service delivery and workforce aspects of their operation. Planned Activities and Outcomes for 2010–11 For a detailed and comparative view of each Area Health Service, please refer to the following contents: • Develop a disability employment framework. • Formalise and expand on the traineeship options Financial for Aboriginal and Torres Strait Island people. General creditors > 45 days • Advertise and promote traineeships for Aboriginal as at the end of the year 114 and Torres Strait Islander people to year 9 to 12 school Net cost of services 115 students in the Central Coast region. Major funding initiatives 116 • Improve the understanding of Aboriginal culture within Initial cash allocations 117 our workforce through training and information packages. Workforce • Provide training and development opportunities for Aboriginal and Torres Strait Islander staff seeking Workforce planning management roles. – non-casual staff separation rate 101 Multicultural Policies and Services Program 192–198 • Support the pilot of the Allied Health Aboriginal Cadetship Program. • Improve data collection through survey and promotion. Service Delivery Levels Infectious disease notifications 269–270 Public hospital activity levels 271–272 Mental Health Act – Acute and non-acute inpatient care utilisation 276–278
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Garrawarra Centre Garrawarra Centres Health Community Centre Health Community Bulli Centre Health Community Caringbah Centre Health Community Cringila Centre Health Community Culburra Centre Health Community Dapto Centre Health Community Darlinghurst Centre Health Community Engadine Centre Health Community Helensburgh Centre Health Community Hurstville Centre Health Community Bay Jervis Centre Health Community Perouse La Centre Health Community Menai Centre Health Community Nowra Centre Health Community Peakhurst Centre Health Community Wales of Prince Centre Health Community Rockdale Centre Health Community Basin Georges St Centre Health Community Inlet Sussex Centre Health Community Ulladulla Centre Health Community Warilla Centre Health Community Wollongong Centres Health Family and Child Centre Childhood Early Aboriginal Centre Childhood Early Park Albion Centre Childhood Early Arncliffe Centre Childhood Early Berkeley Public Hospitals Public Hospital Bulli Hospital Coledale Hospital Berry David Hospital Kiama Hospital Ulladulla Milton Hospital Kembla Port Service Health Community and Hospital Wales of Prince Women for Hospital Royal Hospital Shellharbour Hospital Shoalhaven Hospital Children’s Sydney Hospital Eye Sydney and Hospital Sydney Service Health Community and Hospital George St The Service Health Community and Hospital Sutherland The Hospital Wollongong Homes Nursing Public NSW Eastern
South www.sesiahs.health.nsw.gov.au
Chief Executive: Mr Terry Clout Terry Mr Executive: Chief Business hours: 8.30am-5.00pm, Monday to Friday to Monday 8.30am-5.00pm, hours: Business Local Government Areas Government Local Sydney, of Part Kogarah, Kiama, Hurstville, Botany, Shoalhaven, Shellharbour, Rockdale, Randwick, Woollahra Wollongong, Waverley, Shire, Sutherland Telephone: 4253 4888 4253 Telephone: 4878 4253 Facsimile: Website: Loftus Street, Wollongong Loftus Street, Wollongong Bag 8808Locked SCMC NSW 2521 Bondi Beach Early Childhood Centre Menai Dental Clinic Brighton Early Childhood Centre Nowra Community Dental Clinic (incl. Child Dental Clinic) Bulli Early Childhood Centre Port Kembla Hospital Dental Clinic (incl. Child Dental Clinic) Bundeena Early Childhood Centre Rockdale Dental Clinic Caringbah Early Childhood Centre Shellharbour Hospital Dental Clinic (incl. Child Dental Clinic) Cringila Early Childhood Centre Special Needs Dental Clinic Cronulla Early Childhood Centre Sutherland Hospital Dental Clinic (incl. Child Dental Clinic) Culburra Early Childhood Centre Ulladulla Community Dental Clinic (incl. Child Dental Clinic) Dapto Early Childhood Centre Warilla Dental Clinic (incl. Child Dental Clinic) Double Bay Early Childhood Centre Eastgardens Early Childhood Centre Third Schedule Facilities Engadine Early Childhood Centre Fairy Meadow Early Childhood Centre Calvary Health Care Gerringong Early Childhood Centre Gower Wilson Memorial Hospital (Lord Howe Island) Gymea Early Childhood Centre St Vincent’s Hospital Helensburgh Early Childhood Centre War Memorial Hospital (Waverly) Hurstville Early Childhood and Family Centre Hurstville South Early Childhood Centre Other Services Huskisson Early Childhood Centre Aboriginal Health Kurnell Early Childhood Centre Breastscreen NSW South Eastern Sydney Illawarra Mascot Early Childhood Centre Division of Population Health Menai Early Childhood Centre Drug and Alcohol Program Miranda Early Childhood Centre Falls Prevention Program Nowra Early Childhood Centre Health and Ageing Research Oak Flats Early Childhood Centre Health Promotion Program Oatley Early Childhood Centre Health Promotion Service Paddington Early Childhood Centre HIV/AIDs and Related Programs Possum Cottage – Sutherland Hospital Mental Health Service Ramsgate Early Childhood Centre Multicultural Health Randwick Early Childhood Centre Nursing and Midwifery Services Shoalhaven Heads Early Childhood Centre Oral Health St Georges Basin Early Childhood Centre Public Health Unit Sussex Inlet Early Childhood Centre Rehabilitation, Aged and Extended Care Sutherland Early Childhood Centre South Eastern Area Laboratory Services (SEALS) Thirroul Early Childhood Centre South Eastern Sydney Illawarra Medical Imaging (SESIAMI) Ulladulla Early Childhood Centre Women’s Health and Community Partnerships Program Warilla Early Childhood Centre Warrawong Early Childhood Centre Waverly Early Childhood Centre Chief Executive Year in Review The past twelve months have delivered significant and Oral Health Clinics important changes in the way we deliver health services in South Eastern Sydney and the Illawarra. Bulli Hospital Dental (incl. Child Dental Clinic) Chifley Dental Clinic These changes have been designed to improve patient care Daceyville Dental Clinic and many are a direct result of the implementation State Hurstville Dental Clinic Government’s Caring Together, the Health Action Plan for NSW Illawarra Centre for Oral Heath (incl. Child Dental Clinic) and Keep them Safe, the Government’s response to the Special Kiama Hospital Dental Clinic Commission of Inquiry into Child Protection Services in NSW. Mascot Dental Clinic
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for business, study and recreation. recreation. and study business, for highest the have areas George St and Shoalhaven The Illawarra, years. 70 over aged residents of proportion Government Local Sutherland and Shoalhaven Rockdale, aged children of proportion highest the have (LGA) Areas years. five than less reach to expected is Area the within population The over and years 65 aged people with 2031, by million 1.4 2031. to 2006 from 71% by grow to projected SESIH of population Aboriginal estimated the 2006 In The population. total the of 1.2% – 13,129 was Aboriginal of proportion highest the has LGA Shoalhaven highest The LGA. Shellharbour by followed people, Shoalhaven the in live people Aboriginal of numbers and Randwick Sydney, Wollongong, by followed LGA, LGAs. Shellharbour the of (300,577) 27% comprised overseas born People birth of countries major The 2006. in population SESIH China, UK, the order, in are, residents overseas-born for Macedonia. and Italy Greece, Zealand, New home at spoken languages reported frequently most The Mandarin, Cantonese, Greek, order, in are, English after Macedonian. and Italian, Arabic, Housing and Population of Census the from study A in people homeless 4,000 were there that estimated 2001. in SESIH Demographic Summary Demographic Service Health Area Illawarra and Sydney Eastern South kilometres. square 6,331 approximately covers an Housing and Population of Census 2006 the At Area, SESIH the in lived people million 1.17 estimated An population. NSW the of 18% for accounting day each Area the to travel people 750,000 additional NSW Terry Clout, Chief Executive I look forward to the year ahead working with our staff, staff, our with working ahead year the to forward look I local improve to volunteers and partners community further. even services health I am continually humbled by the compassion our staff our compassion the by humbled continually am I strive to commitment their with along patients to show care. of provision the in excellence for There has been an important focus on infection control control infection on focus important an been has There staff clinical our for communication and procedures clear made has strategy This year. this throughout better in resulting infection of rates our to improvements our with work to continue We patients. our for care further. results these improve to doctors We have made major inroads into the future planning planning future the into inroads major made have We the with services health our of direction and Clinical Area and Plan Strategic Area the of development the this, to addition In complete. now Plan Services Plan Service Healthcare and Plan Strategic 2010–2015 important increasingly are plans These revised. been have the with challenges greater face services health our as higher and expectancies life longer population, growing disease. chronic of levels I am pleased to report, our elective surgery waiting lists lists waiting surgery elective our report, to pleased am I patients no with improvements meaningful showing are continue We surgery. for months 12 than longer waiting progress good making are and operations more out carry to benchmarks. time waiting Health NSW all meeting in Our Emergency Departments continue to see increasing increasing see to continue Departments Emergency Our an brings services for demand This patients. of numbers – staffing nursing and medical for struggle ongoing hospitals. regional our in particularly I was heartened to see significant growth in our mental mental our in growth significant see to heartened was I of Prince at established services new with services health Wollongong. and Shellharbour Sutherland, Hospital, Wales the in improvements greater see will services These Shellharbour at developments further with year coming the and Wollongong with along Wales of Prince and Randwick. in Hospital Children’s Sydney I am encouraged by the commitment of our staff in their their in staff our of commitment the by encouraged am I areas the in particularly – care to improvements ongoing emergency our in and care chronic health, mental of departments. Highlights and Achievements • SESIH had the highest AHS participation in National Hand Hygiene Audit in NSW, this was a very positive result • SESIH has made great progress with the Caring Together showing that our staff are absorbing the message of the recommendations. Working in partnership with the importance of hand hygiene in everyday patient care. community though a program of consultative forums, • SESIH developed Area wide Infection Prevention and SESIH staff have successfully implemented measures to Control Standards: Improving Patient Safety: Standards accommodate patients in same gender rooms, improved for Reducing Healthcare Associated Infection. These hand hygiene and delivered a best practice model for standards provide a clear understanding for our staff managing deteriorating patients. on exactly what is required to ensure we minimise • Nursing staff now conduct clinical hand over at the infection rates. patient’s bedside giving patients a better understanding • Development and implementation of intranet based data of the progress of their car. entry and reporting programs for clinical governance. • 103 Clinical Support Officers have been appointed to • SESIAHS has seen improvements in key Access performance free the nursing and medical staff from clerical duties measures, with all but one triage time performance and spend a more time on clinical care. Support has also measure being met, and no patients on the waiting list been provided to Allied Health staff with an additional who have waited longer than 30 days for surgery in 10.3 FTE of clinical Pharmacists and funding for 1FTE the most urgent category. This has been achieved in for a Pharmacy Educator. spite of significant increases in both emergency and • There has been significant progress in ensuring that elective activity level. patient care is delivered in a supportive environment • More efficient management of patients’ stays in hospital through the work undertaken to define the has been achieved with 94% of elective surgical patients organisational values: Teamwork, Honesty, Respect, having their surgery on the day of admission – exceeding Excellence, Equity, Caring, Commitment and Courage. the 90% benchmark, and a 48% increase in utilisation • SESIH has established eight clinical councils ensuring of Medical Assessment Unit (MAU) beds. clinicians hold leadership positions and drive • Subacute Services to admitted and non-admitted improvements in care. patients has increased by greater than 10% over the • Consumer Advisory Committees have been formed past two years. across the Area. These committees, together with the Area Health Advisory Council, provide an ongoing Southern Hospital Network mechanism for health services to consult with the community. • Representatives of Illawarra Aboriginal Health • In 2009, 71 staff graduated from the SESIH Effective organisations signed the Southern Sector Aboriginal Leadership Program, which provides leadership Health Partnership with the SESIH, confirming the education in the clinical setting as well as the wider commitment of each group to work as equal partners on health care system. programs and priorities for Aboriginal health care. • • SESIH continues the roll-out of the Essentials of Care A NSW Health Keep Them Safe initiative, the Greater Program to enhance the skills of nurses in the delivery Eastern and Southern Child Wellbeing Unit was established of patient care, as well as enhanced support for the at Wollongong. The unit provides health staff with implementation of local nursing workforce retention advice when they have protection or wellbeing concerns strategies and clinical enhancement programs. about children, young people or unborn babies. • • The PACE (Patient with Acute Condition for Escalation) The expansion of Wollongong Emergency Department program has been rolled out across all SESIH facilities. commenced to add seven additional bays to treating It is designed to provide patients with the best chance emergency patients, including a dedicated paediatric of avoiding preventable adverse outcomes in the acute treatment room, twelve new short stay beds, and a hospital setting. dedicated Psychiatric Emergency Care Centre.
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St George Hospital, in partnership with the University University the with partnership in Hospital, George St provide to Centre Skills Clinical a established NSW, of and clinicians for training hands-on educational of care the improve to particular in students, patients. deteriorating the re-establishment of specialist services for for services specialist of re-establishment the patients. rehabilitation at (ACAU) Unit Assessment Care Aged The beds two additional an opened Hospital Sutherland The nine. to capacity bed total the brings which providing by patients elderly to care improves ACAU and assessment diagnosis, to access faster management. introduced have Hospitals Sutherland and George St (St SSWInG service, pregnancy designed specially a Group). Intervention Weight Sutherland and George complications of risk the reduce to aims Program The better to women helping by baby and mother for gain. weight pregnancy their manage Hospital, George St at services radiotherapy Improved state-of-the-art new a of installation the following the is machine This accelerator. linear million $3.5 Radiation the in installed be to accelerator third staffed fully Unit the with 2006, since Unit Oncology accelerators. linear three all operate to Port Kembla and Coledale Hospitals were the first first the were Hospitals Coledale and Kembla Port independent receive to NSW in sites hospital small junior of training the for IMET, by accreditation doctors. Nurse Clinical a appointment has Kembla Port enabled has which Rehabilitation for Consultant Medical Junior a appointed has Hospital Berry David Unit. Care Palliative the to officer Nurse Clinical a established Hospital Coledale of evaluation and delivery for position, Educator staff, nursing new all for education nurse clinical staff. existing for education ongoing as well as new two appointed has Hospital Milton/Ulladulla making are who Registrars Practitioner General emergency hospital the to contribution valuable a workloads. inpatient and
Department • • • • • • • • •
Central Hospital Network Hospital Central NSW Shoalhaven Emergency Services have improved with the the with improved have Services Emergency Shoalhaven Physician. Emergency time part a of commencement Bulli Hospital has gained Institute of Medical Medical of Institute gained has Hospital Bulli enabling (IMET) Accreditation, Training and Education positions. intern medical new four of incorporation the to appointed been have Trainees Advanced Four the improved initiatives These interns. the support Hospital. Bulli at care patient of continuity and service Enhanced cancer services at Shoalhaven through the the through Shoalhaven at services cancer Enhanced Trainee Advance Oncology Medical of appointment Wollongong. at Registrar Shoalhaven Hospital has improved cardiac care with with care cardiac improved has Hospital Shoalhaven and services echocardiography of establishment the Cardiologist, VMO additional an of appointment the re-established Service, Geriatric Acute an established introduced and Service Orthopaedic acute limited a women. local for services antenatal Shellharbour Hospital recruited its first Clinical Nurse Nurse Clinical first its recruited Hospital Shellharbour health improving Medicine, Respiratory in Consultant, disease. respiratory with patients for outcomes Shellharbour Hospital increased clinics and services, services, and clinics increased Hospital Shellharbour and scanner CT new a of installation the with stress cardiac as such services to access improved outpatients. surgical and bronchoscopy testing, The Midwifery and Family Care Centre opened at at opened Centre Care Family and Midwifery The health primary on focusing Hospital, Shellharbour their and women Aboriginal for particularly care, Service Infant and Maternity Aboriginal The families. centre. this in located also is A home birthing service commenced at Wollongong Wollongong at commenced service birthing home A for commenced services antennal and Hospital area. Shoalhaven the in living women Primary angioplasty cardiology services commenced commenced services cardiology angioplasty Primary non- with patients Most Hospital. Wollongong at attack) heart (including disease heart serious surgical dedicated a to transferred be to able now are having of instead Wollongong in theatre cardiology Sydney. to travel to A new Linear Accelerator was installed at the Illawarra Illawarra the at installed was Accelerator Linear new A more and faster providing Centre Care Cancer high-energy in latest the using treatment, efficient all in cells cancer kill to technology radiation cancers. treatable radiotherapy
• • • • • • • • • • • Sutherland Hospital has received Baby Friendly Sydney and Sydney Eye Hospital Accreditation, the third hospital in SESIH, after St George Hospital and the Royal Hospital for Women to receive • Sydney and Sydney Eye Hospital’s Microsurgical such recognition. Accreditation shows that hospitals Laboratory was commissioned in mid 2009. The second have met the highest standards of evidence-based floor of the North Block was refurbished and equipped practice and staff education. with operating microscopes, audio video equipment and lecture theatre seating. This provides a state of art facility • St George and Sutherland Medical Research Foundation for micro surgery training, especially in preparing and launched a 12-month fundraising Appeal in April 2010 improving surgical skills of eye and hand registrars. to raise $750,000 for medical research at St George and Sutherland Hospitals. • The Sydney and Sydney Eye Hospital’s Sterilisation Unit underwent extensive renovation to meet the revised • Improved radiology services at St George Hospital, with sterilising standards required by NSW Health. The the installation of a new $1.1 million Angiography Unit Hospital maintained wait list benchmarks during the which will provide radiology services to 2,000 patients refurbishment period. every year. The new system allows viewing of patient anatomy in a new way, with fusion of CT images and live screening images to assist in conducting technically Royal Hospital for Women difficult cases. • The Royal Hospital for Women (RHW) introduced a new management structure that places decision making Northern Hospital Network closer to where patients receive their care. It has allowed increased the representation that clinicians and other Prince of Wales Hospital staff have at an executive level. • Restructuring of the gynaecology outpatients services • Work continued on the construction of a new $8 million at the RHW, brought all gynaecological services into one state of the art hyperbaric chamber at Prince of Wales location and providing patients with a ‘single front door’ Hospital. The new hyperbaric chamber will be the first to access care. A gynaecology procedure room was of its kind in Australia. established to allow clinicians treat selected patients, • Appointment as Professor of Nursing Research and instead of using a resource intensive operating theatre. Practice Development at Prince of Wales Hospital and • The NH&MRC M@NGO (Midwives @ New Group Sydney Sydney Eye Hospital with the University of Options) trial being conducted at the RHW is well Technology Sydney. This position will develop the role underway with approximately half of the 2000 women of nurses as research users, supporting policy, business required being recruited. The study’s aim is to compare and practice development, and also collaboratively caseload midwifery care or Midwifery Group Practice establishing a Research and Education Council. with standard hospital care for women of all risks. • On 28 August 2009 the Langton Centre celebrated • The Mothersafe service based at RHW celebrated its 50 years of continuous operation as a leading alcohol 10th anniversary of providing advice to women and and drug treatment, training and research facility. healthcare professionals on the potential impact of • At an estimated cost of $1.3 million dollars, works to prescribed or non-prescribed medications on developing replace slate roofs and repair stone chimneys on the babies and those being breastfed. heritage Edmund Blacket Building at the Prince of Wales • The Pregnancy Lifestyle and Nutrition service (PLaN) Hospital continued. Works commenced in 2008 and commenced, providing free advice to women and will be completed in July 2010. couples planning a pregnancy, to improve chances of conception and the health of the babies.
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SEALS recently completed a tender for the replacement replacement the for tender a completed recently SEALS Haematology and Chemistry Clinical major of network. laboratory its throughout equipment SESIAMI has successfully re-equipped three old old three re-equipped successfully has SESIAMI and Wollongong George, St at suites angiography ready be to technology vital with Hospitals Randwick produce machines new The years. ten next the for assist to organs and arteries of images resolution high illnesses. treating and diagnosing in The South Eastern Sydney Illawarra Area Medical Medical Area Illawarra Sydney Eastern South The all that ensured has (SESIAMI) Service Imaging on-line accessible now is SESIH for imaging Radiology in Implemented remotely. and network Area the over suite integrated fully a gives eMR, with conjunction the for eMR the and radiology between functions of Area. whole 3Tesla new a of installation the managed has SESIAMI Hospital. George St at system Resonance Magnetic round- meaning in-house, provided now are Scans neurological, for service MRI to access the-clock patients. spinal and cardiac South Eastern Area Laboratory Service (SEALS) has has (SEALS) Service Laboratory Area Eastern South workflow the into LEANmethodology implemented Department (CSR) Reception Specimen Central its of minute 15-25 average an in resulting Randwick at rapid more allowing time, turnaround in reduction doctors. requesting to results expanded was service Collection SEALSHome The 2009, October in Network Central SESIH the into collection specimen blood pathology the bringing people infirm or elderly ill, chronically more to service homes. their in patient’s to access electronic provided SEALShave medical 400external than more to results, test Central and Northern SESIH the in practitioners successful the Following catchments. Network improve greatly will it Illawarra, the in initiative SEALSpathology of accessibility and timeliness SESIH. throughout reports
Department • • • • • • •
South Eastern Sydney Illawarra Area Illawarra Sydney Eastern South ServiceMedical (SESIAMI) Imaging South Eastern Area Laboratory Eastern South Service (SEALS) NSW
award at the 2009 2009 the at award Best Performing Principal Referral and and Referral Principal Performing Best The Service will bring together all aspects of organ organ of aspects all together bring will Service The NSW in transplantation for donation tissue and Bank, Eye NSW Lions the Banks, Tissue including Bank. Valve Heart Sydney Bank Bone NSW The NSW OTDS saw an increase in organ donors donors organ in increase an saw OTDS NSW The highest the 2009, in 69 to 2008 in donors 57 from transformed donors These 1994. since level recorded NSW. in people ill seriously 215 of lives the Ten hospital based Medical Directors and 19 expert 19 and Directors Medical based hospital Ten areas metropolitan and rural both in staff, Nursing of identification the improve to appointed, were support. family provide and donors potential The NSW Organ and Tissue Donation Service (OTDS), (OTDS), Service Donation Tissue and Organ NSW The Cross Red Australian the of part LifeGift, formerly St to close offices relocated (ARCBS), Service Blood 1 on SESIAH, of part became and Hospital George 2009. July A SCH Fellow was awarded the prestigious Gold Gold prestigious the awarded was Fellow SCH A highest the for exams specialist RACP the at Medal in time second the is This NSW. in result exam this received has Fellow SCH a that years two award. prestigious SCH opened its Clinical Trials Unit in 2009 to facilitate facilitate to 2009 in Unit Trials Clinical its opened SCH increase and outcomes health child improve to trials trials. driven investigator of quality and number the In NSW Health’s 2009 patient survey parents and and parents survey patient 2009 Health’s NSW In best the of one as SCH at experience the rated carers State. the in Sydney Children’s Hospital (SCH) was awarded the the awarded was (SCH) Hospital Children’s Sydney prestigious State the in Hospital Specialist Awards. Health NSW
• • • • • • • • NSW Organ and Tissue Donation Service Tissue Donation NSW and Organ Sydney Children’s Hospital Children’s Sydney Table 1. Trends in the representation of EEO Groups1
% of Total Staff2 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 50% 76% 76% 76% 76% 77% Aboriginal people and Torres Strait Islanders 2.6%3 1% 1% 1% 1% 1% People whose first language was not English 19% 19% 20% 20% 19% 20% People with a disability 12% 2% 2% 2% 2% 2% People with a disability requiring work-related adjustment 7% 1% 0.5% 0.4% 0.4% 0.4%
Table 2. Trends in the distribution of EEO Groups4
distribution index5 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 100 91 91 91 91 92 Aboriginal people and Torres Strait Islanders 100 85 84 82 82 85 People whose first language was not English 100 97 98 99 100 100 People with a disability 100 94 97 96 94 93 People with a disability requiring work-related adjustment 100 102 103 103 102 98
Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet.
1 Staff numbers are as at 30 June. 2 Excludes casual staff. 3 Minimum target by 2015. 4 A distribution index of 100 indicates that the centre of distribution of the EEO group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentrated at the lower salary levels. 5 Excludes casual staff.
Equal Employment Opportunity • Participation in research undertaken by IRIS Research on behalf of the Illawarra Aboriginal Community Based South Eastern Sydney Illawarra Health values the diversity Working Group to investigate the nature of the predicted of its employees and is committed to the implementation job growth in the community services and health of practices and processes in employment that ensures industry in the Illawarra area, and to find out from the fairness and equity. local Aboriginal community their views on any barriers to those wishing to pursue employment in this industry. A range of initiatives have been undertaken in 2009–10 to develop and implement initiatives to attract and support • The development of information packages to assist staff from EEO groups. These include: overseas and interstate health professionals, many of who are from Culturally and Linguistically Diverse • The commencement of two Aboriginal School Based backgrounds, in relocating to Australia to work at SESIH. Traineeships in Allied Health Assistance in partnership • The provision of relocation assistance and support for with Warrigal Employment and Project Murra. overseas trained health professionals relocating to SESIH, • The development of culturally appropriate promotional many of who are from Culturally and Linguistically materials for Aboriginal job seekers and development Diverse backgrounds. of information to assist managers of Aboriginal staff • The development of an orientation program and and Aboriginal staff in workplace relations. Orientation Information hub for International Medical • Support for two undergraduate nurses and three Graduates, many of who are from Culturally and undergraduate midwives in the Aboriginal cadet Linguistically Diverse backgrounds. program in 2009–10. • The inclusion of a compulsory unit ‘Working effectively with culturally diverse clients and co-workers’ in the qualification undertaken by 100 Clinical Support Officers.
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Statements and Reports and Statements Workforce planning Workforce rate separation staff non-casual – Program Services and Policies Multicultural Service Levels Delivery notifications disease Infectious levels activity hospital Public non-acute and Acute – Act Health Mental utilisation care inpatient Area Health Service Service Health Area of range a provides Report Annual Health NSW The Area on reports which information of source additional delivery service finance, the in activity Services’ Health operation. their of aspects workforce and Health Area each of view comparative and detailed a For contents: following the to refer please Service, Financial days 45 > creditors General year the of end the at as services of cost Net Major funding initiatives funding Major Initial cash allocations cash Initial NSW
Support for Aboriginal staff in accessing accessing in staff Aboriginal for Support training. management The implementation of the Break Through mentoring mentoring Through Break the of implementation The unemployed to support provide to program The opportunity for staff to gain qualifications qualifications gain to staff for opportunity The Indigenous in level Diploma and IV Certificate the at Torres and Aboriginal and Health Environmental Care) (Community Health Primary Islander Strait areas. Perouse/Botany La the in youth Aboriginal The implementation of the Department of Health Health of Department the of implementation The Training. Respect Cultural The development and implementation of processes processes of implementation and development The reporting and collection data EEO improve to Continued support for the four Aboriginal cadets cadets Aboriginal four the for support Continued and program Cadetship Nursing the in continuing with number the increase to strategies implementing underway. recruitment further
• • • • • • and Outcomes for 2010–11 for Outcomes and Planned Activities Activities Planned Sydney South West Area Health Service
Elizabeth Street, Liverpool Locked Bag 7017 Liverpool BC NSW 1871 Telephone: 9828 5700 Facsimile: 9828 5769 Website: www.sswahs.nsw.gov.au Business hours: 8.30am-5.00pm, Monday to Friday
Chief Executive: Mike Wallace
Local Government Areas Ashfield, Bankstown, Burwood, Camden, Campbelltown, Canada Bay, Canterbury, City of Sydney (part), Fairfield, Leichhardt, Liverpool, Marrickville, Strathfield, Wingecarribee, Wollondilly.
Public Hospitals Camperdown – Sexual Health Central Camperdown – Youthblock Health and Resource Service Balmain Hospital Camperdown Child, Adolescent and Family Health Services Bankstown-Lidcombe Hospital Canterbury Child, Adolescent and Family Health Service Bowral and District Hospital Canterbury Community Health Centre Braeside Hospital Canterbury Community Nursing Service Camden Hospital Canterbury Multicultural Youth Health Service Campbelltown Hospital Concord Community Nursing Service Canterbury Hospital Croydon – Community Paediatric Physiotherapy Services Carrington Centennial Hospital Croydon Child, Adolescent and Family Health Service Concord Repatriation General Hospital Croydon Community Health Centre Fairfield Hospital Croydon Community Nursing Service Liverpool Hospital Fairfield Community Health Centre Royal Prince Alfred Hospital Fairfield Liverpool Youth Health Team (FLYHT) Sydney Dental Hospital Hoxton Park Community Health Centre Thomas Walker Hospital Ingleburn Community Health Centre Liverpool Community Health Centre Community Health Centres Lurnea Aged Day Care Marrickville – Community Nursing Service Bankstown – The Corner Youth Health Service Marrickville – Migrant Health Team Bankstown Community Health Centre Marrickville Child, Adolescent and Family Health Service Bigge Park Centre Marrickville Community Health Centre Bowral Community Health Centre Miller – Mission Australia Cabramatta Community Health Centre Miller – The Hub Campbelltown – Traxside Youth Health Service Miller Health Centre Campbelltown Community Health Centre Moorebank Community Health Centre – Sexual Health Clinic Narellan Community Health Centre Camperdown – Community Nutrition New Berrima Camperdown – Eastern and Central Sexual Assault Service Newtown – The Sanctuary Prairiewood Community Health Centre
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Third Schedule Facilities Schedule Third Hospital Braeside Care Centennial Carrington Karitane Rehabilitation and Treatment the for Service NSW (STARTTS) Survivors Trauma and Torture of Home Memorial Victoria Queen Centres Care Family Tresillian Services Other Medicine Forensic of Department Services Pathology West South Sydney Review in Year Executive Chief to able was Service Health Area West South Sydney highlights many celebrate and results significant achieve more the all made were These months. 12 past the over also were time that during staff as commendable the of challenges the managing and to responding busiest the of one – influenza 2009 (H1N1) Pandemic memory. recent in hospitals our for periods of expertise medical and work hard the doubt, Without was I lives. many saved Pandemic the throughout staff our the at recognised were efforts these when proud immensely from staff care intensive as Awards Health NSW 2009 the won Hospitals Liverpool and (RPA) Alfred Prince Royal Award. Excellence special Director-General’s launched newly RPA’s Pandemic, the of peak the At Medical (ECMO) Oxygenation Membrane Extra-Corporeal were machines The demand. high in was Service Retrieval with patients serious most the recover to dispatched bring and state the across from failure respiratory severe to able then were machines The ICU. the to back them give help to lungs patient’s the of function the duplicate recover. to time them also Service Health Area the time, busy very this During of implementation the with progress significant made NSW for Plan Action Health The Together: Caring Enquiry. Garling the to response Government’s State been have recommendations the of 80% than More achieved. substantially or achieved NSW Glebe/Ultimo Greenacre Hilltop Homebush Lakemba Leichhardt Liverpool Fields Macquarie Marrickville Mittagong Vale Moss Pritchard Mt Berrima New Padstow Panania Redfern Roselands Hill Summer Oral Health Clinics Health Oral Clinic Health Oral Child Bankstown Clinic Health Oral Bowral Clinic Health Oral Canterbury Clinic Health Oral Concord Clinic Health Oral Croydon Clinic Health Oral Fairfield Clinic Health Oral Ingleburn Clinic Health Oral Adult Liverpool Clinic Health Oral Marrickville Clinic Health Oral Narellan Clinic Health Oral Rosemeadow Clinic Health Oral Alfred Prince Royal Hospital Dental Sydney Clinic Health Oral Tahmoor Clinic Health Oral Adult Yagoona Child and Family Health Family and Child Ashfield Balmain Belmore Cabramatta Camden Camperdown Campsie Heights Canley Hill Chester Chiswick Concord Croydon Drummoyne Hill Dulwich Earlwood Fairfield Heights Fairfield Dock Five Hall Georges Redfern – Community HIV/AIDS Allied Health Allied HIV/AIDS Community – Redfern Nursing Community – Redfern Service Health Mental – Redfern Centre Health Community Redfern Centre Health Community Rosemeadow Centre Health Community Wollondilly The Between the Flags standardised system for early Construction work also began on the site of the new recognition of the deteriorating patient has been successfully Lifehouse at RPA cancer centre. The Centre will operate in implemented in all facilities. The Essentials of Care Program, partnership with the Area Health Service with strategic which focuses on the patient experience, communication and directions aligned with the priorities of The Cancer Institute clinician teamwork has also commenced in each facility. All of NSW. The integrated centre will see cancer services provided the 113 Clinical Support Officer personnel have been by Lifehouse and cancer research and education delivered in recruited to support the administrative workload of clinicians collaboration with RPAH and the University of Sydney. on the wards. Throughout the year, several clinical service plans were also Construction of the $390 million redevelopment of Liverpool developed and implemented to set the future direction of the Hospital Stage 2.1 continues to progress well and is on target Area Heath Service in addressing the needs of its population, to accommodate the first patients in the new building in including: November 2010. When completed, the redevelopment and The Aboriginal Health Plan – features more than 100 its state-of-the-art facilities will meet the future healthcare initiatives aimed at closing the health gap between needs of the state’s fastest growth region. Aboriginal and non-Aboriginal people in the region. This is the largest capital works project for the Area Health The Disability Health Plan improves access to services and Service this year and will see almost 40 departments move health care for people with a disability and helps ensure into the new facilities by the end of 2010. The refurbishment disabled people receive the same quality of services and of the current Clinical Services Building will commence as health outcomes as other members of the community. departments of the Hospital vacate existing locations. Priorities for action include: Construction work also began on the Ingham Health Research Institute which will become a major research facility • Improving physical access. for Sydney’s South west. The IHRI is a partnership between • Developing accessible information about services. the local community, Sydney South West Area Health • Improving health care to people with a disabilities. Service, the University of New South Wales and the University of Western Sydney. The facility will not only lead • Promoting positive community attitudes. to improvements in the health of the local population but • Enhancing staff training and disability awareness. will also contribute more broadly to knowledge about health, • Increasing employment of people with disabilities. medicine and health services in Australia and internationally. • Improving complaints and feedback procedures. The Area Health Service also completed construction and redevelopment of the $9.8 million Redfern Health Centre, The Maternity Services Plan provides women with greater which brings together for the first time a range of services, birth choices, including increased availability of maternity such as community health nursing, community mental care options such as GP Antenatal Shared Care programs, health, harm minimisation program, community HIV/AIDs Midwifery-led models and community-based antenatal and heterosexual HIV/AIDS service, (Pozhets) under the clinics. one roof. It was with great pleasure that all facilities across Sydney The Health Centre, through integrating community, drug and South West Area Heath Service achieved their targets for alcohol and mental health services, represents a major step elective surgery for 2009–10. forward to proactively addressing the social and health needs Having all our patients receive their surgery within the of the local community. clinically appropriate timeframe is a great achievement.
This achievement and the others highlighted for 2009–10 are thanks to the continued commitment and hard work of our dedicated staff to whom I am extremely grateful.
Mike Wallace, Chief Executive
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The $390 million redevelopment of Liverpool Hospital Hospital Liverpool of redevelopment million $390 The provide will completed, when which, continued future the meet and facilities state-of-the-art region. growth fastest state’s the of needs healthcare A new Metabolic Rehabilitation Clinic providing a providing Clinic Rehabilitation Metabolic new A help to program multi-disciplinary comprehensive opened loss weight maintain and weight lose patients Practice General After-Hours An Hospital. Camden at Hospital. Canterbury at opened Clinic Consulting, Elton with consultation in SSWAHS, Checklist Development Urban Healthy the launched the of recognition growing the to response in (HUD), health, and environment built the between links diseases. chronic particularly new a unveiled Hospital Bankstown-Lidcombe (MRI) Imaging Resonance Magnetic million $2.575 system advanced and powerful most the Scanner, to clinicians and radiologists allowing kind, its of effectively. and quickly more patients treat and diagnose Fairfield- at opened Clinic Health Youth new A marginalised, provide to Service Health Youth Liverpool new and refugees are who people young risk at services. health to point access an Australia to arrivals Department
• • • • • Highlights and Achievements Achievements and Highlights Area-wide, there are approximately 260,000 children children 260,000 approximately are there Area-wide, the of 20% for account who years) 14 to 0 (aged population. SSWAHS The LGAs with the largest number of children aged (Campbelltown, Macarthur are: under and years 14 41,869; Liverpool 57,359; LGAs) 26,967. Wollondilly and Camden Canterbury and 38,299 Bankstown 39,710; Fairfield aged people of proportion highest the with LGAs Wingecarribee Burwood, Ashfield, are over and years 85 16,000 almost are there Area-wide, Strathfield. and population). the of (1.0% 85 of age the over people the over residents SSWAHS that indicates data Hospital days bed hospital acute all of 48% used years 65 of age Flow-Info 2008–09 in Health (NSW residents SSWAHS for and years 65 aged people of number The V10.02010). they when 2016, by 36% by increase to projected is over population. SSWAHS the of 13% represent will NSW
SSWAHS has some of the most disadvantaged disadvantaged most the of some has SSWAHS most fourth the is Fairfield NSW. in communities degree the level local a At NSW. in LGA disadvantaged Sydney South West Area Health Service was formed as as formed was Service Health Area West South Sydney the in LGAs between variation considerable is There Aboriginal, as identifying population the of proportion Wollondilly, Campbelltown, in highest is which Liverpool. and Marrickville Demographic Summary Demographic kilometres square 6,380 of area land a covers SSWAHS population residential estimated an had 2006 in and land new substantial both for projected areas With density medium and development residential for release fastest the of one be to continues SSWAHS infill, urban projected is population Its State. the in regions growing service health area diverse ethnically most the is SSWAHS a speaking population the of 40% with Australia, in notable most is This home. at English than other language the of 60% over where Canterbury, and Fairfield in high A home. at English speak not do population including Australia, to migrants new of proportion west. south Sydney’s in settle to choose refugees, 20,000 around by growing also is population Area’s The all of 22% than more representing annum, per births of some with areas contains SSWAHS NSW. in births a legal entity on 1 January 2005 and is currently the most most the currently is and 2005 January 1 on entity legal a approximately with NSW, in service health area populous borders. its within residing population NSW the of 20% residents. 1,342,316 of 1.5 reaching years, ten next the over 16% by increase to the 2010–2020, decade the In 2016. by people million 24,000 by increase to expect can SSWAHS in population annum. per people Bankstown, Canterbury, considerable. is disadvantage of most the in included also were LGAs Campbelltown and nine of total A NSW. in group quintile disadvantaged disadvantaged most 30 the in are SSWAHS in suburbs disadvantaged most 15 the in and NSW in suburbs Indexes (Socio-Economic Sydney metropolitan in suburbs Statistics). Bureau of Australian 2006 Areas for suburbs some with state, the in rates fertility highest the woman, per births 1.81 of average state the above well Camden (2.07), Canterbury (2.16), Bankstown including (Australian (1.93) Campbelltown and (2.05), Liverpool and 2007). Statistics, Bureau of • Surgeons at RPA performed Australia’s first percutaneous • SSWAHS’ Boomerangs Parenting Program, which tricuspid valve replacement procedure, which allowed provides emotional support and guidance to indigenous a heart patient to return home 24 hours after the parents, won a NSW Health Aboriginal Health Award. life-saving procedure rather than spending up to five SSWAHS launched the Prevent Diabetes Live Life Well months recovering in hospital. The procedure has been program, which targets Aboriginal communities in performed only twice before in the world. Researchers Sydney’s south west. Brenda Freeman, Aboriginal Social at Concord Hospital’s ANZAC Research Institute and the and Emotional Wellbeing Worker for the Campbelltown University of Sydney identified the cause of a disorder Community Mental Health Centre, won the Indigenous that degenerates motor nerves in men, raising the Mental Health category of the 2009 Mental Health potential of new treatments. Matters Awards. • The AHS launched the Aged Care Triage Service (ACT), • A dedicated Aboriginal oral health clinic opened at the a telephone support line to assist in the care of people in Sydney Dental Hospital as part of a $6 million program residential aged care facilities, developed as part of the aimed at improving access to dental services for Government’s Caring Together: The Health Action Plan Aboriginal people throughout NSW. for NSW. • Fairfield Hospital launched theBare Below the Wrist • Liverpool and Macarthur Cancer Therapy Centres (CTCs) campaign to encourage medical and nursing staff not to were awarded the prestigious Premiers Award for wear jewellery while treating patients. RPA and Liverpool Innovation in Clinical Trials at the NSW Premier’s Awards Intensive Care, Perfusion and Cardiothoracic staff were for giving local cancer patients access to cutting edge presented with the Director General’s special Excellence therapies through clinical trials. Concord Hospital opened Award at the 2009 NSW Health Awards for their role in a gymnasium to host world-first international research the treatment and care of patients throughout the trials into the benefits of physical activity for cancer Pandemic (H1N1) 2009 influenza. Community awareness patients. campaigns on hand hygiene and vaccination in • The Centre for Education and Research on Ageing preventing the spread of influenza were held across nine (CERA) based at Concord Hospital was recognised as hospitals. At Liverpool, signs were erected and hand one of the world’s leading ageing healthcare institutions hygiene stations installed to remind visitors of the clean when it was selected to be an international collaborating hands save lives message. centre of the International Association of Gerontology • RPA Aboriginal Liaison Midwife, Sister Alison Bush, was and Geriatrics (IAGG). RPA researchers, in conjunction inducted into the NSW Health Aboriginal Health Awards with the Heart Research Institute, lead breakthrough Hall of Fame in recognition of her commitment over the research into the role male sex hormones play in past 40 years to improving the health outcomes of repairing the effects of cardiovascular disease such as Aboriginal mothers and babies across Australia. heart attacks. • RPAH hosts seminar to raise awareness and provide • SSWAHS launched its 2010–2015 Aboriginal Health Plan, information on the common health conditions of which contains more than 100 initiatives aimed at closing Australian men as part of International Men’s Health the 17-year health gap between Aboriginal and non- Week. The launch of Liverpool Multicultural Health Aboriginal people in the region, home to one of the Service’s Pit Stop program, an innovative program that largest urban Aboriginal populations in NSW. applies the concept of regular mechanical tune ups to • SSWAHS, The Aboriginal Medical Service Redfern (AMS), men’s own health, proves to be an outstanding success. Babana Aboriginal Men’s Group and the Tharawal Aboriginal Corporation signed a Memorandum of Understanding with the common goal of reducing the Aboriginal smoking rate by 5% over the next three years. Community awareness campaigns on National Sorry Day held across 10 hospitals, incorporating dozens of multi-coloured plastic feet lining Hospital entrances to symbolically represent the long track home for members of the Stolen Generation.
312 Annual Report 2009–10 NSW Department of Health Services and Facilities 313 90 69 92 99
1% 3% 100
74% 36% 2010 2010 0.6% has has 90 72 92 99 1% 3% 103 75% 36% 2009 2009 0.6% 5 2 aff Work Effectively Effectively Work al St 89 74 92 97 t 1% 3% 102 75% 35% 2008 2008 0.6% ution index Annual Report 2009–10 Report Annual % of To % of distrib 89 75 92 99 1% 3% 101 75% 35% 2007 2007 0.7% Health
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90 75 92 97 1% 3% 1% 102 74% 34% 2006 2006
Department
3 Implementation of Aboriginal and Torres Strait Islander Islander Strait Torres and Aboriginal of Implementation recruiting on is focus The continues. strategies workforce Islander Strait Torres and Aboriginal of numbers traineeships. increasing through especially training, providing and staff at successful particularly been has approach This hospital. Campbelltown continued have Fairs Careers Healthwise Aboriginal The enthusiastic seen have and schools high local our with health. in career a about thinking in interest student launched was website Employment Aboriginal Our 2009–10. in work provide to Support Job with continues Work disability. a with people for opportunities experience program training our of review A Co-Workers and Clients Diverse Culturally With completed. been A distribution index of 100 indicates that the centre of distribution of the EEO EEO the distributionof of centre the that indicates 100 of distributionindex A 7% 4 50% 19% 12% 100 100 100 100 100 NSW 2.6% or target or target Benchmark Benchmark
1 4 Minimum target by 2015. 2015. by target Minimum 3 Excludes casual staff. Excludescasual 2 Excludes casual staff. Excludescasual 5 EEO Group Women EEO Group Women Staff numbers are as at 30 June. June. 30 at as are Staffnumbers Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People whose first language was not English first language whose People Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People with a disability with People People with a disability requiring work-related adjustment with People People whose first language was not English whose first language People People with a disability People People with a disability requiring work-related adjustment with a disability requiring work-related People The Area continues to promote the principles and and principles the promote to continues Area The its in Opportunity Employment Equal of practices relationships employment, of conditions of application is a fundamental right of every employee, and by applying applying by and employee, every of right fundamental a is aspect every to principles opportunity employment equal management good supporting is Area the life work of these governing legislation the observing and practice principles. and performance of evaluation the workplace, the in development. career and training for opportunity the Sydney South West Area Health Service believes equity equity believes Service Health Area West South Sydney a disability requiring an adjustment. an requiring disability a Equal Employment Opportunities Employment Equal ensuring concerns (EEO) Opportunity Employment Equal and harassment of forms all from free is workplace the are action affirmative of programs and discrimination, traditionally are who employees those for provided Torres and Aboriginal workplace: the in disadvantaged language whose people women, people, Islander Strait with people and English, not was child a as spoken first Table 2. Trends in the distribution of EEO Groups EEO of distribution the in Trends 2. Table Table 1. Trends in the representation of EEO Groups EEO of representation the in Trends 1. Table group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is is than salary levels lower at concentrated more be to tends group EEO the that mean 100 than less staff.Values other of that to equivalent is salaryacross levels group at concentrated less is group EEO the that indicates 100 than more index An be. will index the lower the tendency is, this pronounced more staff.The other casefor the salary levels. lower the Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet. and SectorWorkforce DepartmentPremier Branch, Public Unit, of WorkforceProfile the by provided is tables above the for Information Note: 1 Planned Activities and Outcomes for 2010–11
• Continue to implement our Aboriginal workforce strategies, including development of further traineeship opportunities and working with community groups and schools to encourage Aboriginal people to consider a career in health. • Expand the opportunities for people with a disability to pursue a career in health.
Area Health Service Statements and Reports The NSW Health Annual Report provides a range of additional source of information which reports on Area Health Services’ activity in the finance, service delivery and workforce aspects of their operation.
For a detailed and comparative view of each Area Health Service, please refer to the following contents:
Financial General creditors > 45 days as at the end of the year 114 Net cost of services 115 Major funding initiatives 116 Initial cash allocations 117
Workforce Workforce planning – non-casual staff separation rate 101 Multicultural Policies and Services Program 192–198
Service Delivery Levels Infectious disease notifications 269–270 Public hospital activity levels 271–272 Mental Health Act – Acute and non-acute inpatient care utilisation 276–278
314 Annual Report 2009–10 NSW Department of Health Services and Facilities 315
Service
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Area Annual Report 2009–10 Report Annual Sydney Richmond Springwood Marys St Windsor Health
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Department
Child and Family Health Family and Child Glenbrook Katoomba Druitt Mt Penrith Clinics Health Oral Clinic Health Oral Auburn Clinic Health Oral Blacktown Clinic Health Oral Katoomba Clinic Health Oral Lithgow Clinic Health Oral Druitt Mt Clinic Health Oral Nepean Clinic Health Oral Richmond Clinic Health Oral Springwood Clinic Health Oral Marys St Community Health Centres Health Community Centre Health Community Auburn Centre Health Community Blacktown Centre Health Community Cranebrook Centre Health Community Doonside Centre Health Community Dundas Centre Health Community Hawkesbury Centre Health Community Katoomba Centre Health Community Kingswood Centre Health Community Lawson Centre Health Community Lithgow Centre Health Community Merrylands Centre Health Community Druitt Mt Centre Health Community Parramatta Centre Health Community Penrith Centre Health Community Portland Centre Health Community Richmond Centre Health Community Springwood Centre Health Community Clair St Centre Health Community Marys St Centre Health Community Hills The NSW estmead W Nepean Public Hospitals Public Hospital Auburn Hospital Blacktown Hospital Memorial Anzac District Mountains Blue Hospital Cumberland Hospital Hawkesbury Services Health Integrate Lithgow Hospital Stewart Lottie Hospital Druitt Mt Hospital Nepean Centre Health Tabulam Portland Hospital Springwood Hospital Joseph’s St Hospital Westmead Auburn, Baulkham Hills, Blacktown, Blue Mountains, Mountains, Blue Blacktown, Hills, Baulkham Auburn, Penrith. and Parramatta Lithgow, Holroyd, Hawkesbury, Local Government Areas Government Local Chief Executive: Heather Grey Heather Executive: Chief 2120 4734 Telephone: 3737 4734 Facsimile: www.swahs.health.nsw.gov.au Website: Friday to Monday 8.30am-5.00pm, hours: Business Cnr Derby and Somerset and Streets, Derby Cnr Kingswood PO 63 Box NSW 2751 Penrith Third Schedule Facilities • introduction and roll out of the Patient Safety Handover Checklist to all our wards and facilities Governor Phillip Nursing Home • introducing the Advanced Medical Planning Policy Tresillian Wentworth Family Care Centre and information resources Other Services • the adoption and introduction of new hand hygiene policies and systems Anxiety Clinic • the investment in strategies to lessen the impact Blue Mountains Access Team of hospital acquired infections Child and Adolescent Mental Health Team • Consultation Liaison – Emergency Department roll-out of three-way phones in seven emergency Early Psychosis Intervention departments for use by the HCIS. Hawkesbury Mental Health Team Health promotion continues to provide valuable education Hornseywood House and information to the community with 89 schools Katoomba Mental Health participating in the Live Life Well@School program, 160 Lithgow Community Mental Health Team childcare services implementing the Munch & Move program, Mental Health Information Development Unit and more than 1,200 participants in the Fit & Strong – 65 PECC Unit – Emergency Department & Beyond challenge. Training has also started for over 200 Penrith Access – Community Assessment and Liaison Centre health professionals for Promoting Healthy Kids project and Penrith Mental Health the Keeping Koori Kids Smoke Free campaign was launched. Pialla Unit Psychological Medicine A number of major capital works have been completed and Springwood Mental Health new technology introduced such as the completion of St Marys Mental Health Nepean Sterilisation Department upgrade, Westmead’s Westworks opening of the Cardiac Catheterisation Laboratory, new Renal Dialysis Unit and Clinical School at Auburn, opening Chief Executive Year in Review of the Rouse Hill HealthOne Clinic and new Computed Tomography (CT) Scanner at Blacktown. Work has As the new Chief executive I have pleasure in presenting commenced on the HealthOne Clinic at Auburn and the the Sydney West Area Health Service (SWAHS) achievements East Block wing redevelopment at Nepean. The area in 2009–10. In a year of significant speculation and change continues to experience record levels of patient demand for it is the dedication of the hardworking staff and volunteers services and the associated increases in the cost of delivery across the service that continued to deliver excellent care them. Collectively the area health service has worked hard and service to patients and clients. to review and adapt how care is provided to meet these changing community needs and to ensure public funds are Congratulations to everyone for receiving such positive used effectively and responsibly. feedback in the 2010 Patient’s Perspectives on NSW Public Hospitals report showing 95% of day only patients and 90% It is with great appreciation I would like to acknowledge of overnight patients surveyed rated their overall care as our volunteers, donors and fundraising groups who work good, very good or excellent. The survey provides invaluable tirelessly to make a difference to the comfort and care of feedback about how patients and their families experience patients and clients of Sydney West. In my short time as care and will help our hospitals to further improve services. the Chief Executive of SWAHS I have been impressed by the commitment of all staff to our primary goal of providing With the introduction of the Caring Together: The Health quality care for our patients and look forward to the year Action Plan for NSW we have made great leaps towards ahead as we work towards the establishment of the Local implementing many of the recommendations including: Hospital Networks. • implementing the Between the Flags program where more than 6,000 staff have completed awareness Heather Gray, Chief Executive training aimed at identifying and responding to patients who may be deteriorating
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September 2009 saw the opening of the new Renal Renal new the of opening the saw 2009 September SWAHS the providing Hospital Auburn at Unit Dialysis dialysis for chairs six another with community to access patients renal 24 allows This treatment. their to closer environment an in week every dialysis languages. five into translated was This home. Westmead Hospital is the first hospital in the the in hospital first the is Hospital Westmead guidance magnetic use to hemisphere southern with children and adults treat to catheterisation Cardiac million $4.3 The problems. heart serious the reduces equipment Laboratory Catheterisation surgery, heart open have to patients many for need hospital prolonged for need the preventing thereby term long and rehabilitation of periods lengthy stays, therapies. drug
Department
• • Highlights and Achievements Achievements and Highlights The increasing populations of older people, culturally culturally people, older of populations increasing The and new engender arrivals new and communities diverse delivery service planning, care health in challenges unique care. specialised to access and (SEIFA) Area for Indexes Socio-Economic the on Based SWAHS Disadvantage, Socio-economic of Index 2006, most the Among spectrum. the of ends both at LGAs has the below well scoring NSW, in areas disadvantaged (922), Auburn and (937) Lithgow were average, 1,000 attainment, educational and income low by characterised are end opposite the At unemployment. of levels high and disadvantage, least suggesting 1,000, over scores with LGAs (1,051) Mountains Blue (1,116), Hills Baulkham including (1,033). Hawkesbury and for residents SWAHS for rates death standardised age The to comparable were 2006 to 2002 period year five the 100,000 per 777.2 and (777.0 males for average state the (531.8 females for higher significantly and respectively) causes major The respectively). 100,000 per 515.8 and respiratory cancers, diseases, circulatory were death of pattern similar A poisoning. and injury and diseases less aged residents among deaths (premature) for existed among higher slightly was rate the Although years. 75 than per 325.3 and (319.9 NSW to compared SWAHS in males significant. not was difference the respectively), 100,000 higher significantly was females among rate the However, per 187.7 and (199.0 average state the than SWAHS in respectively). 100,000 NSW
The estimated resident population of SWAHS in 2010 2010 in SWAHS of population resident estimated The Sydney West Area Health Service (SWAHS) consists of of consists (SWAHS) Service Health Area West Sydney 9,000 almost covering areas, semi-rural and urban both providing for responsible is AHS The kilometres. square the in living people for care health secondary and primary The Hawkesbury, Mountains, Blue Blacktown, Auburn, local Parramatta and Penrith Lithgow, Holroyd, Shire, Hills of residents to care tertiary and (LGAs) areas government Region. Western Greater the Demographic Summary Demographic children aged pre-school of proportion largest The culturally highly is SWAHS surprisingly, not Perhaps the of third one 2006, in night Census On diverse. most The overseas. born being reported population UK, were birth of countries reported frequently Fiji, Lebanon, Zealand, New China, India, Philippines, is 1,164,477, which includes a substantial Aboriginal Aboriginal substantial a includes which 1,164,477, is Wiradjuri and Gundungarra Darug, The community. the of owners traditional the as acknowledged are people identifying people of number The AHS. the by covered land recent in increasing been has Census the in Indigenous as although 2006 in 16,629 reached figure official The years. larger The underestimate. an as regarded widely is this Penrith. and Blacktown in reside communities indigenous wider the than younger is population indigenous The age. of years 25 under 57.5% with community SWAHS Auburn and Blacktown the in are years) five than (less end other the At 2010). in population the of (8-9% LGAs Blue and (11.5%) Lithgow of LGAs the spectrum, the of older of proportion highest the have (9.6%) Mountains to 2010 period the In over. and years 70 aged residents than less aged population the of proportion the 2020, migrants, Humanitarian 1,156 received SWAHS 2008, In subclass. visa refugee the under entered whom of 27% Holroyd and Parramatta Auburn, Blacktown, of LGAs The SWAHS. in settlers new these of recipients main the were Malta. and Korea South Lanka, Sri Births to existing residents contributed 18,496 persons in in persons 18,496 contributed residents existing to Births in occurring rate fertility total highest the with 2008, 2.4 with Auburn by followed woman) per density (2.5 Blacktown greater releases, land major Continued woman. per refugees of arrivals new and areas older in dwellings of growth. population to contribute all migrants other and 10 years is expected to remain steady (from 14.4% to to 14.4% (from steady remain to expected is years 10 will residents older of proportion the while 14.6%), 9%. to 7% from increase • Blacktown Hospital upgraded its imaging technology • Nepean Hospital installed a new Positron Emission with the introduction of a new Computed Tomography Tomography (PET)-CT scanner, one of seven in NSW. (CT) Scanner in June. Once the Cardiac Catheterisation This new imaging technology will dramatically improve Laboratory is opened later this year patients with Radiologist and Oncologists ability to diagnose and treat life-threatening heart conditions will be diagnosed cancer and heart attack patients. and treated almost immediately. • Auburn Hospital welcomed 24 student doctors into its • Nepean Hospital’s increased number of Medical brand new clinical school in February. The school is part Assessment Unit beds by 10 and completed the upgrading of an innovative partnership between the University of of the sterilising department in late 2009. This supports Notre Dame Australia, School of Medicine Sydney and the hospital’s $68 million expansion which commenced SWAHS. construction in May 2010. The new East Block wing • Improvements to the Patient Safety Handover Checklist redevelopment completion is expected in 2012. continue to be identified and implemented with the • Commenced work on the $15.2 million Auburn introduction of the online learning module available in Community Health Centre including the new HealthOne January 2010. It is an interactive tutorial which teaches Auburn service. The co-location of the new centre with nurses and midwives how to use the Patient Safety the existing hospital will provide the local community Handover Checklist designed to help nurses and midwives with a comprehensive range of health services on one provide safe care to all patients. site. Expected for completion in 2011. • Continue to implement NSW ‘Between the Flags’ • The Breast Cancer Institute’s (BCI) open another five Program including: Sunflower Clinics at Myer in Castle Towers, Westpoint – Introduced a standardised clinical communication Blacktown and Penrith Plaza as well as Clinics based at framework for Sydney West called ISBAR to assist with Blue Mountains and Mt Druitt Hospitals. The free digital accurate and timely communication across clinical mammography service to women 50 years and over teams, with clinical handover practices, transfer of care aims to improve access to breast screening programs. and the delivery or escalation of care. The images from screening done through the clinics are – Rollout standard observation chart across all hospitals transmitted to BCI at Westmead Hospital where they to facilitate recognition and earlier management of are read by radiologists. a patient who may be deteriorating. • A comprehensive Dermatology Clinic Centre has been – Introduced standardised clinical protocols to assist staff completed in June 2010 at Westmead Hospital. better identify when to request a clinical review or • Commenced the implementation of infrastructure make a rapid response call. requirements to support rollout of Picture Archiving • SWAHS commitment to Multicultural Policies and Computer system (known as PACS) and Radiology Services Program was demonstrated by improved Information System at Westmead Hospital to enable communication amongst the culturally and linguistically electronic capture and reporting of x-ray and other diverse community. radiology procedures. This is planned to go live later in 2010. – Rolled out three-way phones in seven emergency departments for use by the Health Care Interpreter • SWAHS opened its second HealthOne Clinic at Rouse Hill Service (HCIS) in response to the Caring Together: which builds on the commitment of shared care with The Health Action Plan for NSW. local GPs to provide more co-ordinated care for people with chronic and complex health conditions. – Developed all the education resources and trained Bilingual Community Educators in Healthy Eating for the Whole Community (13 languages) and Get to Know the Australian Aged Care System (16 languages). • Parramatta Chest Clinic and NSW Refugee Health developed an educational DVD to assist refugees identify services provided by the clinic, tests and treatment of TB. This was translated into five languages.
318 Annual Report 2009–10 NSW Department of Health Services and Facilities . 319
Munch & Move & Munch Live Life Well@ Life Live Annual Report 2009–10 Report Annual remains current, with recruitment recruitment with current, remains Health
in Lithgow Community Healthy Lifestyle Lifestyle Healthy Community Lithgow in of
a program to get more students more active active more students more get to program a Training provided to over 170 childcare workers. Over Over workers. childcare 170 over to provided Training messages lifestyle healthy to exposed families 11,000 families. and children for employed SWAHS year, financial 2009–10 the During Nursing Aboriginal NSW the under person Aboriginal an of total a employs now Area The Program. Cadetship program this under Cadets Nursing Aboriginal eight year two a provided also Unit Health Population The person. Aboriginal an to Traineeship titled Strategy Employment Aboriginal Area’s The in People Aboriginal for Careers – Together Walking 2008-2013 SWAHS year. coming the over increase to likely activity Live Life Well Life Live the from participants 1,100 over with run Challenge population). adult the of (7.2% community Lithgow in participating schools local 89 School, habits. eating their improve and often more in participated services childcare 160 is (WCCC) Centre Care Cancer Hospital’s Westmead be to NSW in centre care cancer only, and first, the European the by accreditation international awarded providing for (ESMO) Oncology Medical for Society services. care palliative and cancer integrated NSW the in leader a as recognised was SWAHS implementating for management risk in Sector Public team The Program. Handling Manual SWAHS the (OHS) Safety and Health Occupational the won Risk Management Award category at the (TMF) Risk Fund Managed Treasury NSW prestigious Awards. Management
Department • • • • • • • •
Equal Employment Opportunities Employment Equal Area West Sydney the of achievements key Some Opportunities Employment Equal Services Health were: 2009–10 during initiatives Strait Torres and Aboriginal People Islander NSW
run, with over over with run, launched. Training Training launched. Promoting Healthy Kids Project Kids Healthy Promoting improve to professional health 200 over to provided activity physical and nutrition promote to capacity children. in obesity and overweight address and Fit & Strong – 65 & Beyond Challenge Beyond & 65 – Strong & Fit raises Challenge The part. taking participants 1,200 can they what about people older among awareness of risk their reduce and independent well, stay to do injury. fall Nepean Hospital’s Falls and Fracture Clinic is one of of one is Clinic Fracture and Falls Hospital’s Nepean balance unique a offer to world the in clinics five people. older in falls prevent to technique retraining of risk their reduced have clinic the of clients The 65%. by falling Launched the Keep Koori Kids Smoke Free campaign campaign Free Smoke Kids Koori Keep the Launched key the with community Aboriginal the targeting (ETS) smoke tobacco environmental around messages is it why and smoking passive as known otherwise exposure. their reduce to how and kids to harmful Aboriginal Health now provide a mobile risk factor factor risk mobile a provide now Health Aboriginal mobile This service. outreach referral and screening of signs early and risks health identify will service to earlier people Aboriginal for disease and illness early advice, health to access their improve help new The services. treatment and intervention Longer’ ‘Living meaning Service, Tarimi Mootang will be screening at sports events and festivals festivals and events sports at screening be will SWAHS. throughout SWAHS Mental Health Network is one of the two the of one is Network Health Mental SWAHS the under funded NSW within sites pilot HASI Initiative Support Accommodation and Housing Aboriginal eligible ten for support to (HASI) people assist to designed is HASI individual/families. requiring disorders problems/ health mental with the in participate to support accommodation improve tenancies, successful maintain community, in assist to importantly most and life of quality their illness. mental from recovery their a comprehensive collection of practical information information practical of collection comprehensive a community hospital, for contacts including carers for payments. carer and support respite services, The highly sought after Walking with Carers in in Carers with Walking after sought highly The providing August in launched was booklet SWAHS
• • • • • • • Table 1. Trends in the representation of EEO Groups1
% of Total Staff2 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 50% 76% 76% 75% 76% 75% Aboriginal people and Torres Strait Islanders 2.6%3 1% 1% 1% 1% 1% People whose first language was not English 19% 30% 30% 32% 31% 30% People with a disability 12% 4% 3% 3% 3% 3% People with a disability requiring work-related adjustment 7% 1% 0.6% 0.5% 0.5% 0.5%
Table 2. Trends in the distribution of EEO Groups4
distribution index5 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 100 88 88 87 88 87 Aboriginal people and Torres Strait Islanders 100 88 88 89 86 88 People whose first language was not English 100 93 93 92 94 94 People with a disability 100 102 102 102 102 101 People with a disability requiring work-related adjustment 100 101 99 99 96 93
Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet.
1 Staff numbers are as at 30 June. 2 Excludes casual staff. 3 Minimum target by 2015. 4 A distribution index of 100 indicates that the centre of distribution of the EEO group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentrated at the lower salary levels. 5 Excludes casual staff.
People with Disabilities education delivery model for SWAHS staff has also been undertaken and final recommendations regarding • During 2009–10 SWAHS continued its focus on better training delivery have been drafted for consideration by meeting the needs of staff with a disability, and the above committee. There has also been a ‘Frequently improving employment opportunities for people in the Asked Questions’ information sheet developed for broader community. For the second consecutive year, managers and employees on the concept of ‘reasonable SWAHS celebrated International Day of People with adjustment to the workplace’. a Disability through an awards ceremony, recognising • SWAHS partnered with a non-government training services that have excelled in their work with people agency specialising in the work placement of young with a disability; and recognising a member of staff people with intellectual disabilities. This partnership has with a disability as an Ambassador for the celebration. seen young people on transition to work programs move Consultations have been held with staff and with to employment with SWAHS with four young people volunteers with a disability to gain a better employed at Westmead Hospital in Food Services and understanding as to how SWAHS has supported them Health Information Management Services. This initiative and where other improvements could be made. was established to increase the presence of people with • Learning and Development Services, in consultation with a disability in the workplace and also to improve the relevant stakeholders, completed a disability training plan culture of the organisation to better support people with which has been endorsed by the SWAHS Disabilities a disability. It is the understanding of SWAHS that this Planning Committee. Staff induction materials have been permanent employment following transition to work amended to increase new employees’ awareness of their placements is the first time an AHS/hospital has disability-related rights and responsibilities. Extensive so employed people through this type of work transition. consultation with a number of specialty disability education service providers to determine the best
320 Annual Report 2009–10 NSW Department of Health Services and Facilities 321 117 115 114 116 101
192–198 271–272 276–278 269–270
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It is proposed that each of the major facilities in in facilities major the of each that proposed is It programs work to transition establish will SWAHS programs of implementation successful the following the at and Services Food in Hospital Westmead at also is It Services. Management Information Health employment disability of range wide a that proposed the with engage to canvassed be will agencies people of pool wide a that so hospitals respective engaged. be can disability a with
Department
• Statements and Reports and Statements Financial days 45 > creditors General year the of end the at as Workforce planning Workforce rate separation staff non-casual – Program Services and Policies Multicultural Service Levels Delivery notifications disease Infectious levels activity hospital Public non-acute and Acute – Act Health Mental utilisation care inpatient Area Health Service Service Health Area of range a provides Report Annual Health NSW The Area on reports which information of source additional delivery service finance, the in activity Services’ Health operation. their of aspects workforce and Health Area each of view comparative and detailed a For contents: following the to refer please Service, services of cost Net Major funding initiatives funding Major Initial cash allocations cash Initial NSW
In 2010–11 much of the work undertaken for for undertaken work the of much 2010–11 In including continue, will disabilities with people through program training staff the of implementation training. face-to-face and online of development the Area’s the continuing to pivotal be will training This work supportive of creation the in improvements culture. place In May 2010 the NSW Department of Health wrote wrote Health of Department NSW the 2010 May In Expressions seeking Services, Health Area NSW all to Allied Aboriginal new a in participate to Interest of subsequently SWAHS Program. Cadetship Health recruitment and Interest of Expression an lodged 2010–11. in occur will Program this under In 2009–10, 75%of the SWAHS workforce were were workforce SWAHS the 75%of 2009–10, In 50% NSW the above 25% was which female, sector care health the of typical is This benchmark. in general, where the single largest occupational occupational largest single the where general, in female. are who of most nursing is group SWAHS continued to be above the benchmark for for benchmark the above be to continued SWAHS not was language first whose people employing of 30% that estimated was it 2009–10 In English. English than other language a spoke workforce the previous the than less slightly language, first their as including reasons of number a to due is This year. our which from communities local of diversity the of Bureau Australian (The recruited are employees the of 29% that indicated 2006 Census Statistics English); than other language first a speak population the and overseas; from professionals of recruitment people for SWAHS in positions targeted of existence improve to background speaking non-English of bilingual example (for services health to access educators). community
• • • • Planned Activities and and Activities Planned 2010–11 for Outcomes Women People whose First Language First whose People English not was Rural Area Health Services
Lismore ■
North Coast
Hunter Greater Western New England
■ Dubbo
Newcastle ■
Greater Southern
■ Queanbeyan
322 Annual Report 2009–10 NSW Department of Health Services and Facilities 323
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Cootamundra Hospital Cootamundra Hospital Corowa Hospital Crookwell Service Multi-Purpose Culcairn Service Multi-Purpose Delegate Hospital District Deniliquin Hospital Finley Hospital Goulburn Hospital Base Griffith Hospital District Gundagai Service Health and Hospital Hay Service Multi-Purpose Henty Hospital District Hillston Hospital District Holbrook Service Multi-Purpose Jerilderie Service Multi-Purpose Junee Hospital Kenmore Hospital District Leeton Hospital Lockhart Hospital District Moruya Hospital Murrumburrah-Harden Hospital District Narrandera Hospital District Pambula Service Health District Queanbeyan Hospital District and Temora Hospital Tocumwal Service Multi-Purpose Tumbarumba Hospital District Tumut Service Multi-Purpose Urana Hospital Base Wagga Wagga Hospital Wyalong West Hospital District Yass Hospital District Young NSW
Dr Maggie Jamieson (Acting) Jamieson Maggie Dr
www.gsahs.nsw.gov.au
Chief Executive: Chief Monday to Friday to Monday Business hours: 8.30am-5.00pm, 8.30am-5.00pm, hours: Business Barham Koondrook Soldiers’ Memorial Hospital Memorial Soldiers’ Koondrook Barham Hospital District Bay Batemans Service Multi-Purpose Batlow Hospital District Bega Service Multi-Purpose Berrigan Service Multi-Purpose Bombala Hospital Boorowa Service Health Street Bourke Service Multi-Purpose Braidwood Service Multi-Purpose Coolamon Hospital Cooma Public Hospitals Public and Wakool. and Albury, Bega Valley, Berrigan, Bland, Bombala, Boorowa, Boorowa, Bombala, Bland, Berrigan, Valley, Bega Albury, Cooma-Monaro, Coolamon, Conargo, Carrathool, Greater Eurobodalla, Deniliquin, Corowa, Cootamundra, Harden, Gundagai, Griffith, Mulwaree, Greater Hume, Murray, Lockhart, Leeton, Junee, Jerilderie, Hay, Queanbeyan, Palerang, Narrandera, Murrumbidgee, Upper Tumut, Tumbarumba, Temora, River, Snowy Wagga Wagga Young, Valley, Yass Urana, Lachlan, Local Government Areas Government Local 9100 6933 Telephone: 6363 6299 Facsimile: Website: Corner Erin and Collett and Streets, Erin Corner Queanbeyan PO 1845 Box NSW 2620 Queanbeyan Public Nursing Homes Murrumburrah-Harden Community Health Centre Narooma Community Health Centre Barham Hospital Narrandera Community Health Centre Gundagai Hospital Queanbeyan Community Health Centre Hay Hospital Talbingo Community Health Centre Hillston Hospital Tarcutta Community Health Centre Lockhart Hospital Temora Community Health Centre Tocumwal Hospital The Rock Community Health Centre Tocumwal Community Health Centre Community Health Centres Tooleybuc and Early Childhood Tumbarumba Community Health Centre Adelong Community Health Centre Tumut Community Health Centre Albury Community Health Centre Ungarie Community Health Centre Ardlethan Community Health Centre Urana Community Health Centre Barellan Community Health Centre Wagga Wagga Community Health Centre Barham Community Health Centre Weethalle Community Health Centre Barmedman Community Health Centre West Wyalong Community Health Centre Batlow Community Health Centre Yass Community Health Centre Bega Valley Community Health Centre Young Community Health Centre Berrigan Community Health Centre Boorowa Community Health Centre Captains Flat Community Health Centre Child and Family Health Cooma Community Health Centre Child and Family Services are provided Coleambally Community Health Centre at all GSAHS Community Health Centres. Cootamundra Community Health Centre Corowa Community Health Centre Crookwell Community Health Centre Oral Health Clinics Culcairn Community Health Centre Albury Moruya Darlington Point Community Health Centre Berrigan Narrandera Deniliquin Community Health Centre Cooma Pambula Eden Community Health Centre Cootamundra Queanbeyan Eurobodalla Community Health Centre Deniliquin Temora Finley Community Health Centre Goulburn Tumbarumba Goulburn Community Health Centre Griffith Tumut Griffith Community Health Centre Hay Wagga Wagga Gundagai Community Health Centre Hillston West Wyalong Hay Community Health Centre Jerilderie Yass Henty Community Health Centre Junee Young Hillston Community Health Centre Leeton Holbrook Community Health Centre Jerilderie Community Health Centre Jindabyne Community Health Centre Third Schedule Facilities Junee Community Health Centre Karabar Community Health Centre Mercy Health Service, Albury Leeton Community Health Centre Mercy Care Centre, Young Lockhart Community Health Centre Mathoura Community Health Centre Moama Community Health Centre Moulamein Community Health Centre
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In 2009–10 GSAHS provided around 26,241 operations operations 26,241 around provided GSAHS 2009–10 In increase (4.6% 2010 June 30 ended months 12 the in (booked surgery of types two 2008–09).the Of on GSAHS period month 12 that in emergency), and increase (7.3% operations emergency 5,924 provided across departments emergency our 2008–09). In on were patients increase) (1.9% 227,185 Area, the (1.4% 29,097 those, of and EDs, in initially attended wards. to admitted were patients increase) World No Tobacco Day – GSAHS developed a World World a developed GSAHS – Day Tobacco No World raise to page Facebook 2010 Day Tobacco No advertising tobacco of effects harmful the of awareness give to and globally women on forms its all in how on support and links information, smokers quitting. about go to GSAHS came very close to achieving Commonwealth Commonwealth achieving to close very came GSAHS a only with surgeries, booked for targets zero triple remaining. cases outstanding of number small very was target Commonwealth’s the of Achievement patients’ all that means it because only not important that but completed, been have surgeries booked manner. timely a in care their receiving are patients develop to University Sturt Charles with Partnership readiness school improve and assess to program a Wagga. Wagga in children Aboriginal in program development leadership a Implemented program and leaders team health Aboriginal for co-ordinators. 48-hour the of implementation Commenced people. Aboriginal for program followup
Department • • • • • •
Highlights and Achievements Achievements and Highlights GSAHS is divided into three clinical sectors around clusters clusters around sectors clinical three into divided is GSAHS and NSW of third a covers It areas. government local of Dividing Great the across Coast, South the from extends South-West the through Mountains, Snowy the and Range Murray and regions Murrumbidgee and Riverina Slops, areas. border agriculture. to related is area the in industry the of Much industrial and business other of variety a also is There defence departments, government including enterprises, GSAHS tourism. and forestry institutions, tertiary forces, employing communities, to significantly contributes of range a in staff equivalent time full 4,500 around roles. non-clinical and clinical NSW
) programs. ) strategies and and strategies Between the Flags the Between Caring Together Caring Demographic Summary Demographic a has and 166,000km of area an covers GSAHS Census). (2006 474,000 approximately of population 498,000 around to grow to expected is population The aged were residents GSAHS all of half 2006, In 2016. by aged was population the of 15.5% Over older. or years 39 increase an indicate 2016 to Projections over. and years 65 years. coming the in 50 over groups age all across Dr Maggie Jamieson (Acting), Chief Executive I also thank the volunteers and others who give their their give who others and volunteers the thank also I the acknowledging in services health our all for speak I hospital various the of members the of contribution vital provide to funds raise to tirelessly work who auxiliaries quality the increase that fittings and furniture equipment, a such go that and patients, to provided be to able care of comfortable more hospitals our making towards way long carers. and families their and patients for I would like to take this opportunity to extend my deep deep my extend to opportunity this take to like would I who non-clinical, and clinical staff, the all to appreciation and difficult frequently quite under roles their perform their manage nevertheless but circumstances demanding quality and safe clinically delivering for responsibility dedication. and professionalism with care patient members the including Service Health Area the to time Ian Dr by led Council, Advisory Health Area the of Service Health Local the of members the all Stewart, Greater of communities many the in Committees Advisory groups, fundraising volunteer various the and Southern, provision the to commitment and enthusiasm their for area. our in services health of recommendations with good progress made across Area Area across made progress good with recommendations on advances significant made has GSAHS facilities. health of recognition early and handover clinical hygiene, hand ( patient deteriorating the Considerable resources have been dedicated to to dedicated been have resources Considerable embedding A number of these achievements are detailed later later detailed are achievements these of number A report. this in In 2009–10 Greater Southern AHS has made considerable considerable made has AHS Southern Greater priorities 2009–10 In strategic and goals its of achievement in progress Chief Executive Year in Review in Year Executive Chief as documented in the annual Area Performance Plan. Plan. Performance Area annual the in documented as • Physical Activity Leader Network including Tai Chi and • eMR implementation has commenced with the first site Community Exercise classes now 154 classes with 125 live in May 2010 and another five sites currently active leaders across rural communities. undergoing implementation. • Keep Them Safe – Children and Young People Wellbeing • The NSW Health Director-General, Professor Debora Program – 2009–10 achievements included: co-ordinator Picone, AM, commenced her National Health Reforms appointed; managers and staff completed training sessions, ‘Listening Tours’ in GSAHS. Along with GSAHS Area mandatory reporting guidance tool and training information Health Advisory Council Chair, Dr Ian Stewart, and posted to intranet; Out of Home Care co-ordinator GSAHS Acting Chief Executive Dr Maggie Jamieson three appointed; increased interagency work taking place. meetings were convened, in Goulburn, Wagga Wagga • Establishment of Hospital Clinical Councils – Wagga and Queanbeyan, to discuss the National Health Wagga, Griffith, and Goulburn established, and smaller Reforms. Though at short notice, a broad representation sites grouped regionally in the Western Sector, Central of Area Health Service stakeholders attended, from Sector and Bega Valley Clinical Councils. According to health services managers, medical and nursing staff their hospital size and geographic representation, Clinical including VMOs, allied and community health service, Councils have members representing doctors (VMOs, Area Heath Advisory Council and Local Health Service staff specialists, GPs), nurses, community and allied Advisory Committee members. health professionals, health service managers, community • A particular highlight of this year’s International Nurses members (Area Health Advisory Council and Local Day celebration was the awarding of a prestigious new Health Service Advisory Committee members), GSAHS Statewide scholarship to GSAHS CNC Palliative Care Directors of Medical Services, Directors of Nursing and Margaret Dane, one of four scholarship winners, at NSW Midwifery, Patient Safety and Quality Managers, and Parliament House on 12 May. The scholarship, named Mental Health managers. after NSW’s first Chief Nursing Officer, Judith Meppem, • GSAHS is rolling out the Severe Chronic Disease provides up to $12,000 to each winner or ongoing Management Program. Formal partnerships and service education and development. level agreements have been made with Divisions of • GSAHS is addressing the rural staff shortage and General Practice and four Divisions are employing liaison healthcare crisis with a number of education and training clinicians to provide support to general practices for programs. One of these, the Rural Allied Health co-ordinated client care. A model of care for the Severe Assistants Project, won the prestigious ‘National Chronic Disease Management Program has been Accolades for Excellence’ – a new awards program for developed and there is good initial engagement of the nationally focused Community Services and Health community health staff with the program. A web-based Industry Skills Council. Students still at school can database has been developed to track and evaluate commence in a Certificate III, then move to employment clients’ involvement. and training in Certificate IV then to the new Bachelor of • Australian Council on Healthcare Standards (ACHS) Health and Rehabilitation Science through Charles Sturt awarded all GSAHS Western Sector health facilities with University – all without leaving their communities. four years’ (full) accreditation under its core accreditation • GSAHS has sponsored several candidates in Aboriginal program, EQuIP (Evaluation and Quality Improvement cadetship programs for students undertaking the Program). ACHS accreditation is a formal process to ensure Bachelor of Nursing course. Two people who completed delivery of safe, high quality health care based on the course last year are employed in graduate programs standards and processes devised and developed by health – one at Wagga Health Service and one at Queanbeyan care professionals for health care services. It is public Health Service. Currently we have Nursing & Midwifery recognition of achievements by the health care cadets studying and participating in the program at organisation of requirements of national health care Albury and Griffith. Griffith Health Service leads the way standards. The surveyors noted the very good systems in with three current cadets, two completing the Bachelor place and commended the Western Sector on cohesive of Nursing at Charles Sturt University, and our first team work that was highly evident. Endorsed Enrolled Nurse cadet studying at Riverina TAFE in Griffith.
326 Annual Report 2009–10 NSW Department of Health Services and Facilities
327 93 78
2% 6% 5% 114 102 108 83% 2010 2010 1.1% 92 81 2% 5% 5% 115 107 109 83% 2009 2009 1.3% 5 2 aff al St 90 80 t 2% 6% 5% 114 109 113 83% 2008 2008 1.3% ution index Annual Report 2009–10 Report Annual % of To % of distrib 91 84 2% 6% 6% 118 109 109 83% 2007 2007 1.5% Health
of
91 85 2% 6% 7% 2% 117 108 110 83% 2006 2006 of EEO target group employees to have the the have to employees group target EEO of and leadership in participate to opportunity programs. development management workforce. skilled and diverse A Employees’ views are heard. The key strategy is is strategy key The heard. are views Employees’ the on item agenda standing EEO an of inclusion agenda. meeting Committee Consultative Joint EEO planning. agency in included are outcomes EEO in included be will issues management diversity and templates. planning all culture workplace a and procedures, and policies Fair behaviours. and practices fair displaying improved and groups, EEO for programs Needs-based groups. EEO by participation and access employment positions of identification the include strategies Key for cadetships/traineeships for suitable GSAHS across encouragement the and groups, EEO from employees and trained informed, employees and Managers EEO. for accountable
Department • • • • • •
3 A distribution index of 100 indicates that the centre of distribution of the EEO EEO the of distribution of centre the that indicates 100 of distributionindex A 7% 4 50% 19% 12% 100 100 100 100 100 NSW 2.6% or target or target Benchmark Benchmark
1 4 Minimum target by 2015. 2015. by target Minimum 3 Excludes casual staff. Excludescasual 2 Excludes casual staff. Excludescasual 5 A sound information base. A key implementation implementation key A base. information sound A survey staff a of development current the is strategy to be carried out later in 2010 and promoting EEO EEO promoting and 2010 in later out carried be to staff. all to principles GSAHS formally graduated the 2009 Clinical Clinical 2009 the graduated formally GSAHS celebrated event The 2010. April in Cohort Leadership from graduates 12 of talent and achievements the diverse A Program. Leadership Clinical GSAHS the was projects improvement process clinical of range have Some 2009. in implemented and identified the All progress. in still are others while completed enhanced and/or safety patient a have projects focus. delivery service
• • EEO Group Women EEO Group Women Staff numbers are as at 30 June. June. 30 at as are Staffnumbers Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People whose first language was not English whose first language People Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People with a disability People People with a disability requiring work-related adjustment People People whose first language was not English whose first language People People with a disability People People with a disability requiring work-related adjustment People Table 1. Trends in the representation of EEO Groups EEO of representation the in Trends 1. Table Table 2. Trends in the distribution of EEO Groups EEO of distribution the in Trends 2. Table 2008–2012 EEO Management Plan. The implementation implementation The Plan. Management EEO 2008–2012 GSAHS has updated its implementation plan for the the for plan implementation its updated has GSAHS Equal Employment Opportunities Employment Equal plan is addressed to all GSAHS managers and Workforce Workforce and managers GSAHS all to addressed is plan the achieve to strategies describes and Unit Development of: outcomes EEO designated is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentratedless is group EEO the that indicates 100 than more index An be. will index the lower the tendency is, this pronounced more staff.The other casefor the is group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than than salary levels lower at concentrated more be to tends group EEO the that mean 100 than less staff.Values other of that to equivalent is salaryacross levels group Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet. and SectorWorkforce DepartmentPremier Branch, Public Unit, of WorkforceProfile the by provided is tables above the for Information Note: 1 salary levels. lower the at Planned Activities and Outcomes for 2010–11 Key objectives for 2010–11 relate to:
• Managing activity within budget allocations • Achieving improvements in population health and mental health • Improving permanent recruitment of rural medical and nursing staff • Working with NSW Health to deliver initiatives outlined in the Commonwealth’s National Health Reform agenda • Continuing to embed recommendations from Caring Together • Improving clinical practice and clinical leadership across GSAHS.
Area Health Service Statements and Reports The NSW Health Annual Report provides a range of additional source of information which reports on Area Health Services’ activity in the finance, service delivery and workforce aspects of their operation.
For a detailed and comparative view of each Area Health Service, please refer to the following contents:
Financial General creditors > 45 days as at the end of the year 114 Net cost of services 115 Major funding initiatives 116 Initial cash allocations 117
Workforce Workforce planning – non-casual staff separation rate 101 Multicultural Policies and Services Program 192–198
Service Delivery Levels Infectious disease notifications 269–270 Public hospital activity levels 271–272 Mental Health Act – Acute and non-acute inpatient care utilisation 276–278
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Service
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Public Nursing Homes Nursing Public Home Nursing Memorial Cross Peg Centres Health Community Centre Health Community Balranald Centre Health Community Bathurst Clinic Health Community Binnaway Centre Health Community Blayney Centre Health Community Bourke Centre Health Community Hill Broken Centre Health Community Canowindra Centre Health Community Collarenebri Centre Health Community Condobolin Centre Health Community Cudal Centre Health Community Cumnock Centre Health Community Dubbo Centre Health Community Dunedoo Centre Health Community Eugowra Centre Health Community Forbes Centre Health Community Gilgandra Centre Health Community Gooloogong Dunedoo Muti-Purpose Service Muti-Purpose Dunedoo Hospital Memorial Eugowra Hospital District Forbes Service Multi-Purpose Gilgandra Service Multi-Purpose Grenfell Service Multi-Purpose Gulargambone Hospital District Gulgong Service Multi-Purpose Cargelligo Lake Service Multi-Purpose Ridge Lightning Hospital District Molong Hospital District Mudgee Hospital District Narromine Service Multi-Purpose Nyngan Service Multi-Purpose Oberon Hospital Base Orange Hospital District Parkes Hospital Hill Peak Service Multi-Purpose Rylstone Service Multi-Purpose Tottenham Service Multi-Purpose Tullamore Service Multi-Purpose Trangie Service Multi-Purpose Trundle Service Multi-Purpose Warren Hospital Wellington Hospital Walgett Dubbo Base Hospital Base Dubbo NSW www.gwahs.nsw.gov.au
Chief Executive: Danny O’Connor Danny Executive: Chief Business hours: 8.30am-5.00pm, Monday to Friday to Monday 8.30am-5.00pm, hours: Business Public Hospitals Public Hospital District Balranald Service Multi-Purpose Baradine Hospital Base Bathurst Service Multi-Purpose Blayney Hospital Bloomfield Service Multi-Purpose Bourke Service Multi-Purpose Brewarrina Hospital Base Hill Broken Hospital Memorial Soldiers’ Canowindra Hospital District Condobolin Hospital District Cowra Hospital District Cobar Service Multi-Purpose Collarenebri Service Multi-Purpose Coolah Hospital District Coonabarabran Hospital District Coonamble Balranald, Bathurst, Regional, Blayney, Bogan, Bourke, Bourke, Bogan, Blayney, Regional, Bathurst, Balranald, Cobar, Darling, Central Cabonne, Hill, Broken Brewarrina, Lachlan, Gilgandra, Forbes, Dubbo, Cowra, Coonamble, Parkes, Orange, Oberon, Narromine, Mid-Western, Wellington, Weddin, Warrumbungle, Warren, Walgett, West. Far Unincorporated and Wentworth Local Government Areas Government Local 2222 6841 Telephone: 2230 6841 Facsimile: Website: Hawthorn Street,Hawthorn Dubbo PO 4061 Box Dubbo NSW 2830 Grenfell Multipurpose Health Service Oral Health Clinics Grenfell Community Health Centre Hill End Community Health Centre Balranald Dental Clinic Lake Cargelligo Community Health Centre Bathurst Community Dental Clinic Lightning Ridge Community Health Centre Broken Hill (Morgan Street) Dental Clinic Manildra Community Health Centre Cowra Child Dental Clinic Mendooran Community Health Centre Dubbo Community Dental Clinic Menindee Community Health Centre Forbes Child Dental Clinic Molong Community Health Centre Mudgee Community Dental Clinic Mudgee Community Health Centre Orange Community Dental Clinic Narromine Community Health Centre Parkes Child Dental Clinic Nyngan Community Health Centre Wentworth Dental Van Oberon Community Health Centre Orange Community Health Centre Third Schedule Facilities Peak Hill Community Health Centre St Vincent’s Private Hospital Quandialla Community Health Centre Lourdes Hospital Rylstone Community Health Centre Sofala Community Health Centre Tottenham Community Health Centre Chief Executive Year in Review Trundle Community Health Centre The key priorities for the Greater Western Area Health Tullamore Community Health Centre Service in 2009–10 were to: Tullibigeal Community Health Centre Walgett Community Health Centre • Make significant progress implementing theCaring Wilcannia Community Health Centre Together program. Woodstock Community Health Centre • Expand services and clinical networks to increase the Yeoval Community Health Centre sharing of clinical expertise and improve access to services. • Further develop clinical and business partnerships Other Services with other organisations. Bathurst Mental Health Services • Improve the efficiency and productivity Bourke Mental Health and Counselling Services of the organisation. Brewarrina Aboriginal Medical Service Broken Hill Child and Family Health Centre The major focus for improving the quality of services was Broken Hill Magistrates Early Referral Into Treatment Program implementing the Caring Together program to improve the (MERIT) safety and satisfaction of the patient experience and provide Cowra Mental Health Services additional support to clinicians caring for patients. Key Curran Centre Community Mental Health Services achievements included: Dareton Mental Health and Counselling Services Enngonia Health Outpost • The Essentials of Care program. Forbes Mental Health Services • The team nursing model of care including bedside Kandos Early Childhood Centre handover. Lightning Ridge Mental Health • An enhanced focus on patient nutrition, wound care Mudgee Mental Health and pressure ulcer management. MERIT (Magistrates Early Referral Into Treatment Program) Incorp. RAD (Rural Alcohol Diversion Program) • Enhanced leadership and management programs for Parkes Mental Health Services nurses. Pooncarie Outpatients Clinic SHIPS (Satellite Housing Integrated Programmed Support) Wentworth Community Nursing Service
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Annual Report 2009–10 Report Annual , the Aboriginal hepatitis C health health C hepatitis Aboriginal the , Health
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Roll-out of a redesigned rostering system which which system rostering redesigned a of Roll-out care. patient quality and safety promote will to provide H1N1 immunisation to those not able able not those to immunisation H1N1 provide to GP. a access to Plan Strategic clinical Asset year five a of local Establishment and policy health public current by informed plans. services Imaging Medical for Unit Business a of Establishment Breastscreen. and equipment Resuscitation Neonatal of Upgrading hospitals. procedural eight the in Cowra at equipment Theatre Operating of Upgrade Hospitals. Parkes and budgets based Funding Episode of Introduction Hospitals. Base four the at Record Medical Electronic an of Implementation roll-out further with Orange, and Hill Broken in (eMR) early in Mudgee and Dubbo Bathurst, for scheduled 2010–11. Archiving Picture for technology new of Introduction Radiology and (PACS) System Communication and will This AHS. the across (RIS) System Information specialist of availability the improve significantly in people for especially tests, imaging on opinion communities. remote more and smaller with Aboriginal Medical Services in some communities working and clinics vaccination communities H1N1 of some Promotion in Services Medical Aboriginal with Liver Chopped and promoted NSW to returned initiative promotion Liver Chopped AHS. Western Greater through funded Dubbo, in facilities correction three in shown was first. NSW a creating Brewarrina, and Wellington models of implementation and Development partnership in pandemic a during response rapid for clinics flu including others and services health with laboratory antivirals, of distribution and transport packs. isolation and quarantine specimen, within sectors with partnerships key of Development implement to organisations partner with and health response. pandemic a
Department
• • • • • • • • • • • • Managing costs and improving productivity were major major were productivity improving and costs Managing targets performance key meet to order in challenges included: highlights Some budget. within NSW
Sales to Minors- compliance testing has occurred occurred has testing compliance Minors- to Sales outlets. retail 80 in Live Life Well @ School: a healthy weight school school weight healthy a School: @ Well Life Live which participated have schools 47 – initiative based for Target AHS. the in schools eligible of 31.5% is 30%. was 2009–10 Crunch and Sip program- a healthy weight school school weight healthy a program- Sip and Crunch 35 and registered schools 81 – initiative based AHS. the across year this certified Expansion of Breastscreen services to Aboriginal Aboriginal to services Breastscreen of Expansion Muuji. Bila with collaboration in communities Collaboration with Outback Division General Practice Practice General Division Outback with Collaboration initiatives promotion health and intervention early on Cobar, Collerenebri, Walgett, Brewarrina, Bourke, in Goodooga. and Ridge Lightning Introduction of the subacute care strategy for elderly elderly for strategy care subacute the of Introduction patients. rehabilitation and Opening of Health One at Molong and Rylstone. and Molong at One Health of Opening Plan. Action Disability Area’s the of Finalisation Start of construction on Multipurpose Health Health Multipurpose on construction of Start Balranald. and Coonamble Eugowra, at Services 80% retention of new Registered Nurses. Registered new of retention 80% Nurses. Enrolled of retention 82% Keeping – Flags the Between the of Introduction program. Safe Patients Nurse Practitioner and Transitional Nurse Practitioner Practitioner Nurse Transitional and Practitioner Nurse Wanaaring, Parkes, Menindee, at appointments care. disease Chronic in and Walgett
• • • • • • • • • • • • • Relationships with other organisations are vital to the the to vital are organisations other with Relationships key Some communities. our in care health of delivery and AMS’ Practice; General of divisions include partners Royal organisations; controlled community Aboriginal other institutions; Education Tertiary Service; Doctor Flying Some more. and providers support and service community included: year this gains key A central goal of the organisation is to ensure there there ensure to is organisation the of goal central A are appropriate and well resourced facilities in in facilities resourced well and appropriate are that intended further is It Area. the across communities as well as other, each with network facilities these expertise available share to organisations’, partner other included: achievements Major technology. and The past year has been one of significant achievement by • The Area Health Service continues to actively attract Greater Western AHS in the interest of the communities we Aboriginal Nursing/Midwifery Undergraduate cadets, seek to serve. I commend all members of the AHS for their with an additional three cadets recruited to Dubbo, commitment to achieving excellent health care and public Coonabarabran and Broken Hill in 2010. service to the people of the greater west of NSW. • Nursing vacancies has improved from 122 fte to 85 fte vacancy. Danny O’Connor, Chief Executive • The first Asset Strategic Plan for the Greater Western Area Health Service was completed in 2009–10 Demographic Summary providing a comprehensive management plan for capital and minor works across the Area Health Service for the The Greater Western Area Health Service covers a future. geographic area of 444,586 square kilometres, an area representing more than 55% of the landmass of NSW. • Completion of the refurbishment of Ward 19 for Mental Health Services on the Bloomfield site in Orange. This is While it is the biggest NSW health service in terms of the first completed work for the redevelopment of the landmass, it is the smallest in terms of population, covering new Orange Health Service. approximately 290,000 people. • Implementation of an Electronic Medical Record (eMR) There are a total of 45 health services providing inpatient eMR is the foundation of an electronic medical record services in the Greater Western Area Health Service. 20 of replacing paper-based patient records. The system these are Multipurpose Services (MPSs). Currently three of is now live in Broken Hill and Orange and is scheduled the community non-acute hospitals – Coonamble, Balranald for go-lives in Bathurst, Dubbo and Mudgee by the end and Eugowra – are being redeveloped as MPS services and of September 2010. will be commissioned in 2010. • A new Business Unit for Medical Imaging and Breastscreen has been established and will commence Lourdes is an Affiliated Health Service, managed by Catholic operations on the 1st July 2010. Health Care that provides services under a service level agreement with Greater Western AHS. These include • Expansion of Breastscreen services has provided inpatient and outpatient rehabilitation, geriatric evaluation increased access to Aboriginal communities. This has management and palliative care services. It also provides occurred through active participation in Bila Muuji a range of community health services including primary care Aboriginal Health meetings and further development nursing services and outreach services. of links with local Aboriginal Medical Services and the provision of mobile screening at those sites. There are a total of 64 Community Health Centres, 20 are • Construction of three new Multipurpose Health Services stand alone facilities (that is they do not have associated for the communities of Eugowra, Coonamble and inpatient services) and eight are in separate locations from Balranald with relocation from existing Hospitals to take the inpatient facilities. place in the early part of 2010–11 financial year. • Molong Health One officially opened in December Highlights and Achievements 2009. It is an initiative of Cabonne Shire Council, Greater Western AHS and NSW Department of Health. The • The Essentials of Care program started in six units facility brings together general practitioners, community within the Area health Service with a further 10 sites health workers, allied health professionals and other to join the program by December 2010. health related workers. • Either bedside clinical handover and/or team nursing • Blayney HealthOne provides a single location for the model in place at 25 (51%) facilities across the Area community of Blayney’s’ primary health care needs Health Service. opening its doors in November 2009; its first consumer • A Nurse Practitioner was appointed in Menindee evaluation demonstrates over whelming satisfaction and four additional transitional NPs also appointed with the new facility and services provided. in Parkes Emergency, Wanaaring Primary Health Care, Walgett Health Service and in Chronic care.
332 Annual Report 2009–10 NSW Department of Health Services and Facilities
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The appointment of a Clinical Nurse Specialist for for Specialist Nurse Clinical a of appointment The creating is Orange in Donation Tissue and Organ opportunity and need the for locally awareness The redevelopment of Dubbo’s Physiotherapy Physiotherapy Dubbo’s of redevelopment The times waiting seen has Clinic Fracture Department minutes 20 just to minutes 80 from reduced average. on at Councils Clinical Senior of establishment The directly Hill Broken and Orange Bathurst, Dubbo, decision-making in doctors senior all involves activities. facility Service Health Orange new the of Building 2011. mid completion for due and underway well is Assessment Medical Service Health Orange The support will unit This 2010. April in commenced unit assessment clinical extensive require who patients on demand the reduce and unit this to admitted to Department. Emergency the donation. Tissue and Organ of Installation of NSW Health Award winning Mental Mental winning Award Health NSW of Installation Project Access Rural Care Emergency Health emergency provides project This (MHECRAP). health mental for assessment and consultation Area. the across facilities remote and rural in patients Program Care Coordinated Respiratory Bathurst The diseases respiratory chronic with clients seeing started the in decrease a in resulted has This 2009. January in enrolment following admissions hospital of number program. the to Council Australian gained Service Health Hill Broken in accreditation (ACHS) Standards Healthcare of Broken that time first the was This 2008. November set requirements the met has Service Health Hill women natal post for program discharge early An Service. Health Hill Broken at underway is program a introduced has Hospital Base Dubbo The better bond to babies their and mothers allow to attends midwife a initiative, this Under birth. after new a with remains and birth caesarean elective each mother the until baby newborn well her and mother ward. postnatal the to back transferred are baby and by ACHS. ACHS. by A new staff specialist general surgeon commenced at at commenced surgeon general specialist staff new A provide will and 2010 April in Hospital Base Dubbo such towns remote to future the in services outreach Bourke. as
Department • • • • • • • • • • •
NSW
. Following the important work and achievements achievements and work important the Following for project pilot the with Hospital Base Dubbo at to access a GP. a access to patient of management and recognition early the played has AHS Western Greater deterioration, implementation state-wide the in role important an program, Commission Excellence Clinical the of Safe Patients Keeping – Flags the Between Chopped Liver, the Aboriginal hepatitis C health health C hepatitis Aboriginal the Liver, Chopped and promoted NSW to returned initiative promotion Liver Chopped AHS. Western Greater through funded Dubbo, in facilities correction three in shown was first. NSW a creating Brewarrina, and Wellington Promotion of H1N1 vaccination clinics and working working and clinics vaccination H1N1 of Promotion communities some in Services Medical Aboriginal with able not those to immunisation H1N1 provide to Implementation of PHREDSS, the Public Health Health Public the PHREDSS, of Implementation that System Surveillance Data Emergency Realtime Emergency in attendance usual than higher flags This issues. or diseases specific for Departments required. as response and investigation rapid enables Smoke Free Forum for Local Government – Smoke Smoke – Government Local for Forum Free Smoke five and attended Councils 14 – environments free policy. free smoke implemented have councils Social marketing project for Measure Up, a small small a Up, Measure for project marketing Social AHS the across sites 22 by up taken program grants the for weight healthy in activities of range a run to nutrition A olds. year 25-50 of population target staff support to well as developed being is package to access little with or without communities in support. nutrition Crunch and Sip program- a healthy weight school school weight healthy a program- Sip and Crunch 35 and registered schools 81 – initiative based AHS. the across year this certified The Dubbo Aged Care Assessment Team program program Team Assessment Care Aged Dubbo The as well as access and delivery service improve to aims clients aged Aboriginal for experience better a create within worker specialist indigenous an establishing by the Aged Care Assessment team Dubbo. team Assessment Care Aged the Outback Health Program – Working in partnership partnership in Working – Program Health Outback early deliver to Practice General Division Outback with in initiatives promotion health and intervention Cobar, Collerenabri, Walgett, Brewarrina, Bourke, Goodooga. and Ridge Lightning
• • • • • • • • • • Intensive Care Service Clinical Nurse Consultant • Four renal chairs at Walgett are expected to be appointed at Orange Health Service and Supporting functional by end of July 2010. Dubbo, Bathurst and Broken Hill Services. • Establishment of a permanent Aboriginal Health • The Coolah MPS Advisory Committee successfully Education Officer at Warren Health Service. lobbied to have improvements made to the Coolah • The recently completed Dareton Primary Health Care staff accommodation. Dental Clinic commenced operation providing a new • The Coonabarabran Health Council was successful service to clients in the Wentworth LGA. The clinic in obtaining a grant for the Australian Better Health provides an adult dental service one day per week. Initiative to run a local Measure-Up Campaign called • Building of the new University Dental and Oral Health the Coona Can Measure Up. Centre in Dubbo has commenced. This joint initiative • A Memorandum Of Understanding was signed between between the Area Health Service, Charles Sturt Coonamble Health service and the Coonamble Shire University and the University of Sydney will provide Council for the delivery of Health promotion Services. expanded modern and up to date accommodation for • A very successful Drought Expo was held in May 2010 the existing public dental service in Dubbo and will at Dunedoo and MERV, the Greater Western Area Health provide enhanced opportunities for (dental) student Service men’s van made an appearance. The day was a placements in Dubbo. combined effort with other organisations such as • There has been ongoing success promoting water Centrelink. The community were able to access up to fluoridation. Menindee water supply is now fluoridated. date information and have a health screen as well. There is progress toward fluoridating the water supplies • Refurbishment of the Exterior of the Grenfell MPS at Wilcannia, Balranald and Bourke. in early 2010. • The AHS StEPS Program (Statewide Eyesight Preschool • A Transitional Nurse Practitioner for the Emergency Screening Program) has achieved 84% screening rate for Department has commenced at Parkes Emergency children aged 4years. This is above the State average. Department. • The Child Wellbeing Unit for the Western region has • A Mudgee Community Health Nurse Unit Manager been established and commenced operation in January was successful in gaining a Innovative Nursing 2010. The Unit provides guidance to health staff to Scholarship for $10,000 from Nursing and Midwifery appropriately assess children who may be at risk of harm. Office for the program WHIM- Workplace Health • The Safe Families Initiative has been established in in Mudgee. Wilcannia and Lightning Ridge in partnership with • Refurbishment of Room for cancer sufferers at Human Service Agencies and the Sexual Assault Service. Narromine Health Service with funds from Narromine This focuses on community development within Cancer Support Group. Donations received from Hospital Aboriginal communities. Auxiliary, Lions Club, 25 Club and Health Service • The Centre for Rural and Remote Health Education Fundraisers and many community members and grateful (CRRE) is a new structure for the delivery of education relatives. across Greater Western Area Health Service that has • Rylstone HealthOne – now has Mental Health, speech been establishment as an integrated, multidisciplinary Pathology, dietician, GP clinic four afternoons per week, education centre representing a new approach to Breast Care Nurse, Women’s health, Diabetic educator. education and training across the Greater Western AHS. • The completion and opening of Wandering Garden at rear of Trangie Health Service. • Measure up program at Tullamore saw participation in the Steps component where participants started walking from Tullamore to Taree and ended up walking half way around Australia.
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94 88 98 99
5% 3% 2% 106 80% 2010 2010 0.8% 93 98 98 97 107 81% 32% 50% 41% 2009 2009 0.6% 5 2 aff al St 92 80 99 t 5% 2% 2% 113 106 81% 2008 2008 0.9% ution index Annual Report 2009–10 Report Annual % of To % of distrib 91 79 5% 2% 3% 120 100 108 80% 2007 2007 1.0% Health
of
90 82 4% 2% 3% 1% 126 102 108 79% 2006 2006 The development of an Aboriginal Health Worker Worker Health Aboriginal an of development The Enrolled the of that to (similar Profile Professional supervision practice, of scope includes; that Nurses) to commenced been has review competency and qualification, the of implementation ongoing support A review of AHW State/National workforce workforce State/National AHW of review A feedback and descriptions, position standards/trends, inform to undertaken was workforce the across from and roles standardised develop structure, new a description position standard A practice. of scope a first the was Officers Liaison Hospital Aboriginal for is work and review this following developed be to positions. relevant all towards progressing Worker Health Aboriginal the of cohort second The 2010. April/May in commenced IV Certificate Trainees have achievements education/employment Other Mental Administration, of areas the in made been the within Health; Environmental and Health gap and learning prior of recognition assessment/ Torres and Aboriginal IV Certificate the for training Care) (Community Care Health Primary Islander Strait of creation the and Western; TAFE with partnership in example (for people Aboriginal for positions permanent Narromine). at position CDEP a of conversion the
Department • • •
3 A distribution index of 100 indicates that the centre of distribution of the EEO EEO the distributionof of centre the that indicates 100 of distributionindex A 7% 4 50% 19% 12% 100 100 100 100 100 NSW 2.6% or target or target Benchmark Benchmark
1 4
Minimum target by 2015. 2015. by target Minimum 3 Making It Our Our It Making Excludes casual staff. Excludescasual 2 Excludes casual staff. Excludescasual 5 and the key result areas within – Recruitment, Recruitment, – within areas result key the and A review of the Aboriginal Health Workforce was was Workforce Health Aboriginal the of review A vacancies; AHW existing identify to undertaken ratios; population Aboriginal to workforce review Business Retention, Development, Career and Acquisition Skills Engagement. Community and Education, Cultural priority the against achievement and AES, the While been has progress review, further requires themes, areas. many in made workforce recruitment, for opportunities and trainees. additional and enhancement The Greater Western AHS Aboriginal Employment Employment Aboriginal AHS Western Greater The the and launched was (AES) 2008–2011 Strategy This 2008. in began processes implementation Government State the with alignment in is strategy document Employment Aboriginal
• • EEO Group Women EEO Group Women Staff numbers are as at 30 June. June. 30 at as are Staffnumbers Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People whose first language was not English first language whose People Aboriginal people and Torres Strait Islanders Strait Torres Aboriginal people and People with a disability with People People with a disability requiring work-related adjustment with People People whose first language was not English whose first language People People with a disability People People with a disability requiring work-related adjustment with a disability requiring work-related People Table 1. Trends in the representation of EEO Groups EEO of representation the in Trends 1. Table Aboriginal Employment Aboriginal Area Health Services Equal Employment Opportunities Opportunities Employment Equal Services Health Area were: 2009–10 during initiatives Some key achievements of the Greater Western Western Greater the of achievements key Some Equal Employment Opportunities Employment Equal Table 2. Trends in the distribution of EEO Groups EEO of distribution the in Trends 2. Table is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentratedless is group EEO the that indicates 100 than more index An be. will index the lower the tendency is, this pronounced more staff.The other casefor the is group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than than salary levels lower at concentrated more be to tends group EEO the that mean 100 than less staff.Values other of that to equivalent is salaryacross levels group Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet. and SectorWorkforce DepartmentPremier Branch, Public Unit, of WorkforceProfile the by provided is tables above the for Information Note: 1 salary levels. lower the at outline the role and scope of practice for AHW’s and Disability Action Plan prepare for future National/State registration. Within the Greater Western Area Health Service Disability • GWAHS, through the Aboriginal Health Management Action Plan 2009 to 2012, priorities for action include Team, has developed an action plan to implement the NSW increasing employment participation for people with a Aboriginal Health Impact Statement and Guidelines (PD2008 disability. Performance indicators and reporting processes will _082), including application to recruitment and workforce be developed and a staff survey will be incorporated into the enhancement and use of the declaration and checklist. review and development of opportunities for improvement in the area of employment for people with disabilities, including • An action plan for review of compliance with the COAG both existing and potential employees. Working Group on Indigenous Reforms Indigenous Workforce Strategies has been developed and will be progressed throughout the remainder of 2010. Area Health Service • In relation to achieving the Aboriginal workforce target ratios, cultural issues have been identified as a Statements and Reports potential barrier. Caring Together funding under the The NSW Health Annual Report provides a range of Just Culture banner has been obtained to investigate additional source of information which reports on Area the nature, extent, causative factors and possible Health Services’ activity in the finance, service delivery and solutions to this problem, with the view to promoting workforce aspects of their operation. retention, recruitment and productivity of the Aboriginal workforce. The anticipated outcome of this work is a For a detailed and comparative view of each Area Health positive culture package for implementation across the Service, please refer to the following contents: Area Health Service. It will comprise a complementary suite of strategies aimed at prevention, recognition and Financial management of negative aspects of workplace culture. General creditors > 45 days as at the end of the year 114 Planned Activities and Outcomes Net cost of services 115 for 2010–11 Major funding initiatives 116 Initial cash allocations 117 EEO Plan A Greater Western Area Health Service Equal Employment Workforce Opportunity Management Plan (2009–2013) has been developed. The Plan includes strategies and related performance Workforce planning indicators to monitor progress. Anticipated outcomes include – non-casual staff separation rate 101 a sound information base, incorporation of staff consultation, Multicultural Policies and Services Program 192–198 inclusion of EEO in workforce planning targets, supportive policies and procedures, skill development to support career Service Delivery Levels progression, recruitment strategies and improving accountability for EEO. Strategies working towards a diverse Infectious disease notifications 269–270 and skilled workforce will include: clear equal employment Public hospital activity levels 271–272 targets, for example 50% of women in leadership roles and Mental Health Act – Acute and non-acute Aboriginal people comprising 8.5% of the workforce. inpatient care utilisation 276–278
336 Annual Report 2009–10 NSW Department of Health Services and Facilities 337
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Public Nursing Homes Nursing Public Gloucester Home, Nursing Hillcrest Gloucester Hostel, Lodge Kimbarra Facility Care Aged Muswellbrook Facility Care Aged Wallsend Denman Multi Purpose Service Purpose Multi Denman Hospital Community Dungog Service Purpose Multi Creek Vegetable – Emmaville Hospital District Innes Glen Hospital Memorial Soldiers Gloucester Hospital District Gunnedah Service Purpose Multi Guyra Hospital District Inverell Hospital Fletcher James Hospital Hunter John Hospital Children’s Hunter John Hospital Kurri Kurri Hospital Manilla Service Purpose Multi Merriwa Hospital Moree Hospital Morisset Memorial) (Wilson Hospital Community Murrurundi Hospital Muswellbrook Hospital Narrabri Hospital Community Quirindi Centre Park Rankin Centre Newcastle Royal Memorial) (Scott Hospital Scone Hospital Singleton Hospital Tamworth Hospital (Taree) Manning Hospital Community Tenterfield Hospital Maitland The Service Purpose Multi Tingha Hospital, Community Tomaree Service Purpose Multi Walcha Service Purpose Multi Warialda Hospital Community Waa Wee Hospital Community Creek Werris Hospital Community Wingham NSW Hunter www.hnehealth.nsw.gov.au
Chief Executive: Dr Nigel Lyons Nigel Dr Executive: Chief Business hours: 8.30am-5.00pm, Monday to Friday to Monday 8.30am-5.00pm, hours: Business Armidale Hospital Armidale Service Purpose Multi Barraba Hospital Belmont Service Purpose Multi Bingara Service Purpose Multi Boggabri Hospital Community Bulahdelah Hospital Cessnock Public Hospitals Public Armidale Dumaresq, Cessnock, Dungog, Glenn Innes Innes Glenn Dungog, Cessnock, Dumaresq, Armidale Taree, Greater Lakes, Great Gloucester, Severn, Macquarie, Lake Inverell, Gwydir, Guyra, Gunnedah, Muswellbrook, Plains, Moree Maitland, Plains, Liverpool Tamworth Singleton, Stephens, Port Newcastle, Narrabri, Walcha. and Uralla Hunter, Upper Tenterfield, Regional, Local Government Areas Government Local Lookout Road, New Lambton Heights New Road, Lookout Lambton 2305 New Bag 1, Locked 3000 4921 Telephone: 4969 4921 Facsimile: Website: Community Health Centres Uralla Community Health Centre Walcha Community Health Centre Armidale Community Health Centre Walhallow Community Health Centre Ashford Community Health Centre Wallsend (Western Newcastle) Community Health Centre Barraba Community Health Centre Warialda Community Health Centre Beresfield Community Health Centre Wee Waa Community Health Centre Bingara Community Health Centre Werris Creek Community Health Centre Boggabilla Community Health Centre Windale (Eastlakes) Community Health Centre Boggabri Community Health Centre Bulahdelah Community Health Centre Child and Family Health Bundarra Community Health Centre Cessnock Community Health Centre Anna Bay Morisset Clarencetown Community Health Centre Belmont Raymond Terrace Denman Community Health Centre Charlestown Stockton East Maitland Community Health Centre Edgeworth Salamander Bay Forster Community Health Centre Hamilton Toronto Glen Innes Community Health Centre Kotara Wallsend Gloucester Community Health Centre Lambton Waratah Gresford Community Health Centre Mallabula Windale Gunnedah Community Health Centre Maryland Woodrising Guyra Community Health Centre Medowie Gwabegar Community Health Centre Merewether Harrington Community Health Centre Hawks Nest/Tea Gardens Community Health Centre Inverell Community Health Centre Oral Health Clinics Kurri Kurri Community Health Centre Armidale Oral Health Clinic Manilla Community Health Centre Barraba Oral Health Clinic Merriwa Community Health Centre Beresfield Oral Health Clinic Moree Community Health Centre Cessnock Oral Health Clinic Mungindi Community Health Centre Forster Oral Health Clinic Murrurundi Community Health Centre Glen Innes Oral Health Clinic Muswellbrook Community Health Centre Gunnedah Oral Health Clinic Narrabri Community Health Centre Inverell Oral Health Clinic Nelson Bay Community Health Centre Maitland Oral Health Clinic Newcastle Community Health Centre Moree Oral Health Clinic Nundle Community Health Centre Muswellbrook Oral Health Clinic Pilliga Community Health Centre Narrabri Oral Health Clinic Premer Community Health Centre Nelson Bay Oral Health Clinic Quirindi Community Health Centre Newcastle Oral Health Clinic Raymond Terrace Community Health Centre Scone Oral Health Clinic Scone Community Health Centre Singleton Oral Health Clinic Singleton Community Health Centre Stockton Oral Health Clinic Stroud Community Health Centre Tamworth Oral Health Clinic Tambar Springs Community Health Centre Taree Oral Health Clinic Tamworth Community Health Centre Toronto Oral Health Clinic Taree Community Health Centre Tenterfield Oral Health Clinic Tenterfield Community Health Centre Wallsend Oral Health Clinic Toomelah Community Health Centre Windale Oral Health Clinic Toronto (Westlakes) Community Health Centre Walcha Oral Health Clinic
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The availability of these services in Newcastle is a major major a is Newcastle in services these of availability The to travel to had previously who patients for milestone treatment. for Sydney to commitment Health’s England New Hunter year, This recognised was care of quality possible best the providing NSW 2009 the in highly scored We who ways. of number a in patients of 90% than more with Survey, Patient Health in received they care the rating survey the to responded proud am I excellent. or good very good, as facilities our this in strongly so performed again once have we that work the on reflection positive a is which survey, annual Area. the across facilities in day every doing are staff our Health England New Hunter from teams and Individuals national and state of number a in represented well were Aboriginal NSW 2009 the at awards two won We awards. NSW 2009 the at categories 25 of 10 Awards, Health an and Awards, Premier’s 2009 two Awards, Health Quality 2009 Standards’ Healthcare of Council Australian allows level this at Recognition Award. Improvement us to gauge our performance against our peers and is a is and peers our against performance our gauge to us concerned. all from effort fantastic setting for reputation a has Health England New Hunter continued have we and planning pandemic in standard the together work, This area. this in focus strong a maintain to good targeting strategy communication proactive a with vaccination, influenza seasonal and practices hygiene manage to us enabling year this beneficial very proved the impact of H1N1 Influenza while continuing to provide provide to continuing while Influenza H1N1 of impact the period. winter busy the over services normal largest State’s the for cares that service health Asthe people, Islander Strait Torres and Aboriginal of percentage staff. all for focus key a is outcomes health their improving Training Respect Cultural our continued we year, This deliver to capacity their build staff help to Program the for services effective and appropriate culturally our on focus to continued and community; Aboriginal community- Aboriginal with Agreement Partnership Health HNE the progress to services health controlled Plan. Health Aboriginal England New Hunter of copies framed placed also We hospitals Health HNE all in Statement Sorry own Health’s and health services, as a tangible sign of regret and and regret of sign tangible a as services, health and of symbol a and policies and actions past for sympathy reconciliation. true to commitment our NSW
Caring Together: The The Together: Caring , which enabled us to employ employ to us enabled which , During the past year, our skilled and dedicated employees employees dedicated and skilled our year, past the During providing to commitment and work hard their continued health the improving and care patient safe quality, high locations, several at commenced works capital Major at unit health mental sub-acute 20-bed new a including provide will unit This Newcastle. in Hospital Fletcher James rehabilitation short-term intensive and care transitional Narrabri new the of construction on began also Work and project million $41.7 a Service, Health District NSW and Commonwealth the between partnership new a for commenced also Planning governments. services, new from benefited communities Several John at service rheumatology paediatric new a including breast public new a and Hospital Children’s Hunter Newcastle. Mater Calvary at surgery reconstructive to building healthier communities by delivering excellence excellence delivering by communities healthier building to healthcare. in made we particular, In communities. our in people the of implementing progress significant NSW for Plan Action Health many make and Area the across staff new of hundreds patients. for care better deliver to improvements for track on is and illness mental with people for 2010. July in completion are works and Creek, Werris at Service Purpose Multi Raymond Quirindi, at facilities HealthOne for planning in Forster/Tuncurry. and Manilla Terrace, Hunter New England Health (HNE Health) is committed committed is Health) (HNE Health England New Hunter Chief Executive Year in Review in Year Executive Chief Hunter New England Health has seven Area Clinical Clinical Area seven has Health England New Hunter across from staff link to Streams Clinical 31 and Networks service improve and capacity staff build together Area the quality, high of provision equitable ensure to delivery Networks Clinical seven The care. effective clinically Young Children Rehabilitation and Care Aged include and Health Women’s Cancer Families and People Critical Alcohol and Drug and Health Mental Maternity Vascular. and Services Emergency and Care Other Services Other Calvary Mater Newcastle Mater Calvary Third Schedule Facilities Schedule Third This year has been a successful, challenging and rewarding • Two HNE Health projects took top honors at the 2009 period for HNE Health. Through our quality people, core Premier’s Awards, where a total of five HNE Health values, robust systems, strong partnerships and ongoing projects were competing across the seven categories. sound financial management, we expect to continue these The Clinical Outreach Program Implementation won the outstanding results for our communities in 2010–11. category for Project Delivery – Making it Happen; and HNE Health and Calvary Mater Newcastle’s ‘Postcards Dr Nigel Lyons, Chief Executive Reduce Repeat Suicide Attempts’ won the Succeeding Through Innovation category. Demographic Summary • Singleton Health Service’s No Barriers multidisciplinary The Hunter New England Area Health Service head discharge project won the Health Care Performance office is located in Newcastle and a regional office Indicators category at the Australian Council of is located in Tamworth. Healthcare Standards’ 2009 Quality Improvement Awards. HNE Health is unique, in that it is the only Area Health • Scored highly in the 2009 NSW Health Patient Survey, Service with a major metropolitan centre (Newcastle/Lake with 92.6% of patients surveyed across the HNE Health Macquarie) as well as a mix of several large regional centres region rating their care as good, very good and many smaller rural centres and remote communities or excellent. within its borders. • Implementation of the HealthOne program across the The health service covers a geographical area of over Area progressed with works in planning at Quirindi, 130,000 square kilometres and serves a population of Raymond Terrace, Manilla and Forster/Tuncurry. approximately 840,000 people, including approximately • Progressed the staff accommodation capital works 20% of the State’s Aboriginal population. program with completion of refurbishments at Quirindi Its public health facilities includes two tertiary referral and Murrurundi, commencement of construction at hospitals, four rural referral hospitals, 20 community hospitals Gloucester, and planning completed for Muswellbrook. and Multi Purpose Services, 13 district health services and 55 • Planning commenced for development of a new Multi community health centres, together with a number of mental Purpose Service at Werris Creek. health and aged care facilities. • Construction commenced on a new $8.91 million, 20-bed sub-acute mental health unit at James Fletcher Highlights and Achievements Hospital in Newcastle. • Work began on the construction of the new Narrabri • Made significant progress implementingCaring District Health Service. The $41.7 million project is a Together: The Health Action Plan for NSW. partnership between the Commonwealth and NSW • Won 10 of the 25 categories at the 2009 NSW Health governments. Awards, including Best Overall Performance by an Area • Preliminary works began and tenders were called for the Health Service. construction of a new building on the Rankin Park • Seven individuals and projects were named as campus to house the Hunter Medical Research Institute. finalists in the 2009 NSW Aboriginal Health Awards. The • A new medical skills training facility was established in Shake a Leg Health Promotion took top honors in the the grounds of John Hunter Hospital. Strengthening Aboriginal Families and Children category, • Significant renovation works were carried out within while the HNE Health Aboriginal Employment Program John Hunter Children’s Hospital including facilities won the Excellence in Workforce category. Shake A Leg for paediatric allied health services, an emergency was also named as one of the top three finalists in the department waiting area for paediatric patients, and NSW Regional Achievement and Community Awards. new palliative care facilities funded by the Nicholas Trust.
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Six Aboriginal and/or Torres Strait Islander staff have have staff Islander Strait Torres and/or Aboriginal Six day five a Resolution, Mediation in trained been analysis, policy as such topics covering program up-skilling. and debriefing day five a completed staff senior Aboriginal Two internal provide to program mentoring intensive staff. Aboriginal to mentoring appointed. was EAPCounsellor Aboriginal An two a attended have managers 624 2007, Since 69 addition, In workshop. Respect Cultural day employees Islander Strait Torres and/or Aboriginal the explains which program a attended have awareness appropriate ensure to content workshop assessment risk of discussion content, workshop of resilience. of identification and who people Islander Strait Torres and/or Aboriginal contacted now are Health England New Hunter exit Equity and Employment Aboriginal the from directly was initiative The data. survey exit requesting Unit understand and identify better to implemented retention develop and issues workforce cultural any barriers. identified any overcome to strategies Aboriginal and/or Torres Strait Islander staff were were staff Islander Strait Torres and/or Aboriginal understanding an gain to 2009 September in surveyed the within improvements suggested and issues of workforce. Islander Strait Torres and/or Aboriginal
Department
• • • • • • Equal Employment Opportunities Employment Equal hard work to continues Health England New Hunter Aboriginal for opportunities employment increasing towards disability a with people people, Islander Strait Torres and background. speaking non-English a from people and faced challenges the of some period, reporting the During of transition a and restrictions recruitment included Services. Support Health to staff 1,500 approximately encourage and develop monitor, to continue we However, staff in fully participate to groups disadvantaged in people progression. career and programs development approach proactive a takes also Health England New Hunter the in discrimination and harassment bullying, eliminate to programs, Respect Cultural as such Initiatives workplace. Conduct of Code and training Workplace Respectful goal. this to contribute all requirements NSW
Commitment to our Aboriginal Employment Strategy Strategy Employment of Aboriginal our to Commitment comprised being workforce our of 2.1% in several resulted with people, Islander Strait Torres and Aboriginal 2.6%. of benchmark Health HNE the achieving units Framed copies of HNE Health’s own Sorry Statement Statement Sorry own Health’s HNE of copies Framed were people Islander Strait Torres and Aboriginal to hospitals Health England New Hunter all in displayed will receive $1 million over next three years. three next over million $1 receive will services. health and The Hunter Institute of Mental Health was awarded awarded was Health Mental of Institute Hunter The foundation NIB new the under grant inaugural the in Partners its deliver to program grants national Institute The Australia. across program Depression A new public breast reconstructive surgery service service surgery reconstructive breast public new A service The Newcastle. Mater Calvary at commenced and Newcastle Mater Calvary of initiative joint a is Health. HNE A new Paediatric Rheumatology Service opened opened Service Rheumatology Paediatric new A Hospital. Children’s Hunter John at Completed the rollout of the Picture Archiving Archiving Picture the of rollout the Completed Information Radiology / System Communication and Health Area first the Health HNE making System, service imaging digital fully a have to NSW in Service facilities. all in Federal funding was announced for a $41.6 million million $41.6 a for announced was funding Federal the in built be to Centre Cancer Integrated Regional Hospital. Tamworth of grounds A Development Application to build a GP Super Clinic Clinic Super GP a build to Application Development A was Service Health Gunnedah of grounds the in by facilitated was project million $6 The approved. and funding Government Federal in million $4.8 contribution. private local substantial Continued planning for the redevelopment redevelopment the for planning Continued campus. Service Health Tamworth of Work continued on the $10 million redevelopment redevelopment million $10 the on continued Work emergency and entry front Hospital’s Maitland The of completion for track on is project The department. of other sites. other of 2010. late in Improvements were made to mental health safe safe health mental to made were Improvements across departments emergency in rooms assessment Tamworth, at completed works with Area the is Planning hospitals. Hunter John and Armidale number a at rooms assessment safe for underway
• • • • • • • • • • • Table 1. Trends in the representation of EEO Groups1
% of Total Staff2 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 50% 76% 77% 78% 78% 79% Aboriginal people and Torres Strait Islanders 2.6%3 2% 2% 2% 2% 2% People whose first language was not English 19% 5% 7% 9% 8% 9% People with a disability 12% 3% 3% 3% 3% 3% People with a disability requiring work-related adjustment 7% 1% 0.9% 0.7% 1.0% 1.0%
Table 2. Trends in the distribution of EEO Groups4
distribution index5 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 100 88 86 87 86 83 Aboriginal people and Torres Strait Islanders 100 81 81 80 78 77 People whose first language was not English 100 118 112 108 111 111 People with a disability 100 99 98 96 99 96 People with a disability requiring work-related adjustment 100 96 96 95 102 99
Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet.
1 Staff numbers are as at 30 June. 2 Excludes casual staff. 3 Minimum target by 2015. 4 A distribution index of 100 indicates that the centre of distribution of the EEO group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentrated at the lower salary levels. 5 Excludes casual staff.
• Hunter New England Health has developed an Equity • Aboriginal Employment and Equity Unit called for and Diversity Strategy to demonstrate its commitment to submissions and sponsored 13 women to attend the promoting an equitable and diverse workforce culture. Regional Women’s Leadership Forum 2010 to promote The strategy is in its final stages of approval and is further career progression and networking opportunities. expected to be launched in the first quarter of the new • Hunter New England Health has signed a Commonwealth financial year. Agreement to appoint 100 Aboriginal and Torres Strait • In the current report period, Hunter New England Health Islander people in the next two years. has recruited 68 Aboriginal and/or Torres Strait Islander • Hunter New England Health appointed eight Aboriginal employees, 33 people with a disability and 214 people Nurse Cadets during the reporting period. from a non-English speaking background. Those employees that have completed apprenticeships during the reporting period have continued in full time Planned Activities and Outcomes employment. for 2010–11 • Support continues for eight staff on the Disabled For the 2010–11 financial year, Hunter New England Health Apprentice Program (DAP). Two of the apprentices who will need to consider increased skills shortages and the completed their apprenticeships in this reporting period impact of the ageing workforce by developing and have been accepted into the next stage of the NSW implementing systems and policy that accommodate staff Training Awards. that includes those that have traditionally experienced disadvantage in employment. • Work experience placements commenced for 17 people from a non-English speaking background, one person with a disability and six Aboriginal and/or Torres Strait Islander students.
342 Annual Report 2009–10 NSW Department of Health Services and Facilities 117 115 114 116 101 343
192–198 271–272 276–278 269–270
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Statements and Reports and Statements Workforce planning Workforce rate separation staff non-casual – Program Services and Policies Multicultural Service Levels Delivery notifications disease Infectious levels activity hospital Public non-acute and Acute – Act Health Mental utilisation care inpatient Area Health Service Service Health Area of range a provides Report Annual Health NSW The Area on reports which information of source additional delivery service finance, the in activity Services’ Health operation. their of aspects workforce and Health Area each of view comparative and detailed a For contents: following the to refer please Service, Financial days 45 > creditors General year the of end the at as services of cost Net Major funding initiatives funding Major Initial cash allocations cash Initial NSW
In-house Women’s Networking Forum planned for for planned Forum Networking Women’s In-house called be will Submissions 2010. November in delivery mentoring pathways, progression career including for, opportunities. networking program, Develop pathways to encourage more external external more encourage to pathways Develop Health in III Certificate in participate to applicants in IV Certificate and Program Administration Primary Health Care for Aboriginal and Torres Strait Strait Torres and Aboriginal for Care Health Primary staff. Islander Attend Hunter Aboriginal Public Sector Conference Conference Sector Public Aboriginal Hunter Attend day two a in resulting forum new a is which 2010, positions Thirty 2010. September in conference to staff Health England New Hunter for available progression. career encourage Quarantine one position for an Aboriginal or Torres Torres or Aboriginal an for position one Quarantine Syndicated the of part as member staff Islander Strait the of part as positions two and Program Leaders Program. Leadership Clinical Continue to make donations to Westlake’s NAIDOC Westlake’s to donations make to Continue Newcastle’s of University The and Committee fund. Scholarship Indigenous Continue to be Gold Sponsor for the Hunter Hunter the for Sponsor Gold be to Continue Market. Jobs Indigenous Continue to support Draft Disability Employment Employment Disability Draft support to Continue Speaking Non-English develop and Strategy Strategy. Employment Background Deliver area wide in-house Disability Awareness Awareness Disability in-house wide area Deliver outcomes. measure and Review Program. The Area will launch an Equity and Diversity Strategy Strategy Diversity and Equity an launch will Area The effective for strategy communication a develop and managers. to delivery Two Cultural Co-ordinators employed by Hunter New New Hunter by employed Co-ordinators Cultural Two Cultural Aboriginal roll-out will Health England 2010. July beginning training Respect
• • • • • • • • • • With the development of the Equity and Diversity Diversity and Equity the of development the With equitable an that recognise will workforce our Strategy, excellence underpins base employee diverse culturally and are We service. health our in patients to delivery service in increasing in made have we achievements the of proud workforce the in groups disadvantaged in people the raise to strategies develop to continue we and profile workforce progressive culturally and awareness strategies. employment North Coast Mullumbimby Area Health Service Bonalbo
Hunter Street, Lismore Lismore NSW 2480 Telephone: 6620 2100 Facsimile: 6620 7088 Website: www.ncahs.nsw.gov.au Business hours: 8.30am-5.00pm, Monday to Friday
Chief Executive: Chris Crawford
Local Government Areas Bellinger River Ballina, Bellingen, Byron, Clarence Valley, Coffs Harbour, Kempsey, Kyogle, Lismore, Nambucca, Port Macquarie Hastings, Richmond Valley and Tweed Shire.
Public Hospitals Ballina District Hospital Bellinger River District Hospital Bonalbo Health Service Byron District Hospital Casino and District Memorial Hospital Coffs Harbour Health Campus Byron Bay Community Health Centre Dorrigo Multi Purpose Service Camden Haven Community Health Centre Grafton Base Hospital Casino Community Health Centre Kempsey District Hospital Coffs Harbour Community Health Centre Kyogle Memorial Multi Purpose Service Coraki Community Health Centre Lismore Base Hospital Dorrigo Community Health Centre Macksville Health Campus Evans Head Community Health Centre Maclean District Hospital Grafton Community Health Centre Mullumbimby and District War Memorial Hospital Iluka Community Health Centre Murwillumbah District Hospital Kempsey Community Health Centre Nimbin Multi Purpose Service Kingscliff Community Health Centre Port Macquarie Base Hospital Kyogle Community Health Centre The Campbell Hospital, Coraki Lismore Adult Health Centre The Tweed Hospital Lismore Child and Family Health Centre Urbenville Multi Purpose Service Macksville Community Health Centre Wauchope District Memorial Hospital Maclean Community Health Centre Mullumbimby Community Health Centre Community Health Centres Murwillumbah Community Health Centre Nimbin Community Health Centre Alstonville Community Health Centre Port Macquarie Community Health Centre Ballina Community Health Centre South West Rocks Community Health Centre Bangalow Community Health Centre Tweed Heads Community Health Centre Banora Point Community Centre Centre Urbenville Community Health Centre Bellingen Community Health Centre Wauchope Community Health Centre Bonalbo Community Health Centre Woolgoolga Community Health Centre
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Service (NCAHS) now supplies the largest number of of number largest the supplies now (NCAHS) Service were TACS time first the for residents, its to Compacs were places CAPACS and Macquarie Port in provided Also Network. Harbour/Clarence Coffs the in expanded One the through promoted were practices health good exercise, increased on emphasis its with Program initiative Less Car Care Health Smoke-Free the of out roll further a by via and Units Health Mental Inpatient NCAHS include to health better promote to programs targeted several communities. Aboriginal Coast North various within practices different in established were services new Various Centre, Care Cancer a Hospital Base Lismore At localities. Cardiac a and Service, Radiotherapy a included which Port existing the At opened. were Laboratory Catheter an Centres Care Cancer Harbour Coffs and Macquarie commenced was service Machine Superficial Ultravoltage which Units, Assessment Medical cancers. skin treat to of types particular with patients of recovery the up speed intense more of provision the through conditions, medical Coffs Macquarie, Port at developed were treatment, the Throughout Hospitals. Base Lismore and Harbour support and treatment proactive more new a NCAHS developed was patients disease chronic severe for regime The commenced. patients of enrolment the with support better to established was Program DonateLife funded Commonwealth This donation. Tissue and Organ Medical a appoint to NCAHS enabled has program better to Specialists Nurse Clinical two and Specialist donation. Tissue and Organ support and promote progressed were projects works capital key of number A Port the of upgrade An completed. being some with bunkers Department, Emergency Hospital Base Macquarie in Machines Superficial Ultravoltage the accommodate to and assembly Harbour, Coffs and Macquarie Port Coffs in Accelerator Linear second a of calibration Catheter Cardiac and Centre Cancer new Harbour, The at Clinic Care Express an and Lismore in Laboratory Base Grafton At completed. all were Hospital Tweed Theatres Operating new three of development the Hospital and Department Emergency the of upgrade major a and Hospital Base Harbour Coffs the at Clinic Care Express an advanced. well are and commenced have rollout the by improved was Technology Information was which (EMR), Record Medical Electronic the of its record now can Hospital each so completed, has It electronically. data Patient Department Emergency is but EMR the to adapt to Staff for time little a taken NSW
, including various quality improvements, improvements, quality various including , was implemented. Initiatives to promote good health and and health good promote to Initiatives implemented. was from received feedback The expanded. were wellness response in services health Coast North about patients Chief Executive Year in Review in Year Executive Chief achieved. was much year, 2009–10 challenging a During major various introduced, were services clinical Additional and progressed successfully were projects works capital The out. rolled was technology information clinical entitled Report, Garling the to response Government Together Caring type Home the in Hospital admission, to Alternative community of categories three of up made are services (Compacs), Packages Community being services, health Community and (TACS) Services Care Aged Transition these of Each (CAPACS). Services Acute Post and Acute some took they together and expanded services of types Health Area Coast North hospitals. major the off pressure There were three main objectives being pursued through through pursued being objectives main three were There demand Patient achieved. was objectives these of Each The services. Hospital expanding through met better was more opened Hospitals Base Macquarie Port and Tweed more enabling so previously, than periods longer for beds complemented were beds extra These treated. be to patients work to Nurses Initiatives Clinical of appointment the by Base Macquarie Port and Base Grafton Tweed, The in large the of each At Departments. Emergency Hospital treated, were Patients Surgery booked more Hospitals patients no were there 2010, June 30 by meant which surgery. their for times benchmark the over waiting to formal survey questions was very positive. very was questions survey formal to were These services. clinical additional of introduction the extra the with cope to services hospital existing expand to provide to population, ageing new and growing a of demands entirely provide to and services hospital to alternatives locality. particular a in exist previously not did that services Other Services Other Health Aboriginal Alcohol and Drug Health Mental Health Sexual Assault Sexual and Neglect Abuse, Violence, Lismore Oral Health Clinics Health Oral now being accepted as an advance that will bring many Managers that went into achieving this result is acknowledged. benefits to patient care in the future. Also the Picture A key outcome has been the introduction of much better Archiving Computer System/Radiology Information System systems to monitor staffing levels and expenditure. was introduced into the Radiology Department at Coffs The Area Health Advisory Council (AHAC) again made a Harbour Base Hospital. Over the next twelve months it will major contribution to the operation of the Area Health Service. be rolled out to most other Hospitals in NCAHS. It will enable Apart from providing its regular helpful advice and feedback scans to be read on a computer screen and transferred to NCAHS Managers, it has made a major contribution to our electronically, so they can be read remotely from where the planning. Firstly, assisted by the NCAHS Panning Unit and scan was taken. Considerable preparation has been undertaken seconded Clinicians, it participated in a major review of each to soon introduce a new Human Resource Information System. NCAHS acute Hospital, in response to recommendation 117 The Caring Together Response to the Garling Report of the Garling Report. Arising from this review a report was recommendations was progressively implemented. This has submitted to the NSW Department of Health. Following on meant introducing a range of changes, which have made from this analysis, the AHAC, Planning Unit and other Hospitals more friendly and responsive to patient needs, Clinicians then set about producing an Area Health Care while improving the quality of services and patient safety. Services Plan 2010–2015, which will guide the development of The recommendations aimed to provide better supervision North Coast Clinical Service over the next five years. of junior staff, clinical leadership from the Nurses in Charge, NCAHS Managers, Clinicians and the AHAC have also been improved teamwork, including bedside handovers involving assisted by other community advisory and support bodies, the patients and the appointment of extra clinical and clinical including Network Health Participation Forums, Auxiliaries, support staff. In particular, more Medical and Pharmacy Staff Pink Ladies and Service Clubs, whose contributions are have been appointed to the major Hospitals. welcomed and warmly acknowledged. As well, formal clinical Special focus has been given to greater engagement of advice has been received from the NCAHS Nursing, Allied clinical staff in decision-making, implementation of additional Health and Clinical Councils, which is also appreciated. measures to reduce bullying and harassment and the During the second half of 2009–10, considerable changes introduction of the Between the Flags Program to better were proposed as part of the National Health Reforms. These identify and respond to patients, whose condition changes will be supported by more clinical staff, acute and deteriorates, while they are in hospital. The effective sub-acute beds and alternative to admission services, which implementation of the Caring Together initiatives has been will be funded by the Commonwealth. subject to extensive audit which found that mostly, NCAHS In addition, the Commonwealth will fund Emergency is implementing the changes in a positive manner. Department and Operating Theatre equipment upgrades In the most recent NSW Health Patient Survey, North Coast within all Areas and on the North Coast a second Linear Patients gave the Clinical Staff who care for them, Accelerator, Positron Emission Tomography (PET) and a big vote of confidence. The Bureau of Health Information, Magnetic Resonance Imaging (MRI) Scanners at Lismore Base which analysed the Survey data, stated that more services Hospital, an MRI Scanner at Coffs Harbour Health Campus within NCAHS received high ratings from patients than in and a second Linear Accelerator at Port Macquarie Base any other Area. Our highest priority is to satisfy our patients Hospital. By the end of 2009–10, NCAHS had commenced and it is pleasing this is occurring to a significant extent. We work to implement all of these changes. When these must keep our focus on better satisfying our patients’ needs. changes are completed, NCAHS will have the most comprehensive Cancer Service in Regional Australia. This has all transpired in a year, when NCAHS has also undertaken a significant restructure of its administrative, In closing I would like to thank NCAHS Staff and Managers, corporate and support services. In the previous two years, the Area Executive, AHAC Chair, Ms Hazel Bridgett and the NCAHS incurred budget deficits. Therefore, in 2009–10 it very many people and organisations who support NCAHS completed a major restructuring of its Staffing levels to for their tremendous contribution, which has meant that better align the number of Staff employed with the budget. high quality services have been and continue to be provided This was achieved while the amount of clinical services to our patients and clients. delivered was expanded. As a consequence, a much better financial result was achieved. The hard work of Staff and Chris Crawford, Chief Executive
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A second linear Accelerator commenced operation operation commenced Accelerator linear second A (CHHC) Campus Health Harbour Coffs the at develop to announced was Funding Centre. Cancer Base Macquarie Port and LBH at Accelerators second North Coast Area Health Service (NCAHS) received received (NCAHS) Service Health Area Coast North many regarding patients from feedback positive very Patient Statewide recent most the in services its of survey. accreditation current hold hospitals NCAHS All Standards Healthcare on Council Australian the with (ACHS). new a and Centre Cancer Integrated new A Lismore at opened Laboratory Catheter Cardiac (LBH). Hospital Base (PMBH). Hospital
Department • • • •
Highlights and Achievements Achievements and Highlights Aboriginal communities have higher proportions of of proportions higher have communities Aboriginal older of proportions lower and people young and children aged Children communities. non-indigenous than people Torres and Aboriginal of 39.6% up make 15 than less compared Coast, North the on communities Islander Strait Approximately whole. a as population the for 18.9% to is population Aboriginal Coast North the of (50.4%) half make over and years 50 aged People 20. than less aged to compared population, Aboriginal the of 12.2% up population. NCAHS overall the of 39.2% born was population Coast North the of 11% 2006, In than less is proportion This residents). (48,019 overseas proportions highest The (26%). average NSW the of half coastal major three the in were residents born overseas of Harbour Coffs and (14.3%) Tweed (16.2%), Byron of areas Valley Clarence (5%), Valley Richmond the while (11.6%), had areas government local (6.9%) Kempsey and (6.8%) residents. overseas-born of proportions lowest the and health with associated closely is status Economic disadvantaged economically are who People wellbeing. economically are who those than health poorer experience disadvantaged most the of one is NCAHS The advantaged. the than lower scores and NSW in services health area socio-economic of measures most on average NSW disadvantage socio-economic of level overall The status. health of levels average than higher to contributes services for demand and community the in problems Coast. North the on NSW
In 2006, it is estimated that there were 18,584 Aboriginal Aboriginal 18,584 were there that estimated is it 2006, In the of 3.8% representing NCAHS, the in living people Aboriginal total the of 12.5% around and population total numbers highest the with LGAs The NSW. in population the of (9.5% 2,719 Kempsey are people Aboriginal of and 2,473 Harbour Coffs 2,533 Tweed population), 2,426. Valley Clarence The proportion of the population aged 0–14 years is is years 0–14 aged population the of proportion The a has NCAHS (19.5). average NSW the to similar 19.3%, (34%) years 15-44 aged people of proportion lower 45–64 proportion larger a and (42.3) NSW to compared the has NCAHS NSW). in 24.5 to compared (28%, years at over, and years 65 aged people of proportion largest (13.5) NSW to compared population, total the of 18.4% comprise 65 over aged People services. health other and population. Coast North the of segment growing fastest the to increased have will group age this that predicted is It 2016. by (122,275) 23% to and 2011 in (101,897) 20% slightly, increase to projected also is group 45-64 The age 2016. by (155,088) 29% to 2006 in (134,674) 28 from NCAHS is the fastest growing rural area health service in in service health area rural growing 479,544 fastest the is of NCAHS population residential estimated total The NSW. by 511,146 to 7% by increase to projected is 2006 in 2011 to 2006 from annum per 1.3% of growth This 2011. the than higher is – 2016 and 2011 between 1.2% and per 1.1% by grow to expected is which NSW, of rest 2016. and 2011 between 1.1% and 2011 to annum NCAHS comprises a total of 20 statistical local areas areas local statistical 20 of total a comprises NCAHS divided is and (LGAs) areas government local 12 (SLAs), estimated an with networks, planning four into acknowledged also is It 479,544. of 2006 in population Tweed the in services access residents Queensland that the in included not is population this however – Valley when Therefore, population. Network Tweed/Byron this to given is consideration services, specific for planning Heads. Tweed at services of utilisation its and population of 35,570 square kilometres from the Hastings Shire in in Shire Hastings the from kilometres square 35,570 of It north. the in border Queensland the to south the Dividing Great the to coast the from westward extends Tweed and Coast Gold southern the of services, Residents Range. health tertiary and secondary primary, share Valley NSW. and Queensland both by provided North Coast Area Health Service (NCAHS) covers an area area an covers (NCAHS) Service Health Area Coast North Demographic Summary Demographic • Medical Assessment Units have been established • Assessment and review of the 21 NCAHS Hospitals at PMBH, CHHC and LBH. in response to Garling Review Recommendation 117 was • The new CHHC Mental Health Rehabilitation Unit was completed, so that the future direction for their service progressively ramped up to its full 20-bed capacity to provision can now be determined. provide sub-acute care to patients with less acute • 205 NCAHS staff signed a pledge to leave their car Mental Illnesses. at home for at least one work day per week as part of • PMBH Emergency Department upgrade and the One Car Less program which aims to improve fitness expansion completed. and protect the environment. • Bunkers were built at the CHHC and PMBH Cancer • Since last year, rates for risky alcohol drinking, smoking, Centres to accommodate Ultravoltage Superficial over-weightness and obesity for North Coast adults have Machines to treat Skin Cancers. declined due to a range of health promotion strategies, which NCAHS has pursued. • Expansion and consolidation of alternative to Hospital admission services, such as Community Acute and Post • Radiology Picture Archiving Computer System/Radiology Acute Care services, Community Packages and Transition Information System, which allows scans Aged Care Services into the umbrella ‘Hospital in the to be read on a computer screen and transferred Home’ service. electronically, so they can be read remotely, was introduced at CHHC. • Rollout of the Electronic Medical Record into Hospitals across the NCAHS completed. • A four-bed stroke unit was opened at CHHC. • Implementation of the Between The Flags Program to • Smoking cessation success was achieved by Bugalwena identify and recover deteriorating patients at NCAHS Aboriginal Medical Service with two cessation programs Hospitals occurred. conducted in 2010 involving 20 participants with a 33% quit rate and a 65% nicotine reduction rate being • NCAHS achieved the best result in NSW for two to eight the outcome. year olds consumption of two or more serves of fruit per day; 2-15 year olds eating five or more serves • Grafton Base Hospital (GBH) Surgical Services and of vegetables per day; and 5-8 year olds being Emergency Department redevelopment commenced. sufficiently active. • Express Community Care Clinic developed at CHHC. • Research conducted by the George Institute for • Falls incidents in NCAHS facilities reduced from 4-5 International Health has identified RRISK (Reduce Risk; falls per 1000 bed days to 2.5-3 per 1,000 bed days. Increase Student Knowledge) as the first and only • A number of entries from NCAHS were successful program to have resulted in a 44% reduction in road in the NSW Health Quality Awards: crashes for participants. These findings are part of ‘DRIVE’ the largest study of young drivers ever – The All Children Being Safe program won the undertaken in Australia. Promoting Health Award category. • RRISK Program was the 2009–10 winner of the Institute – Focus on Home submission won the Director-General’s of Public Works Engineers, Australia Award for Encouragement Award. excellence in road safety. – The ‘Yellow Envelope’- Improving Communication • NCAHS implemented the National Hand Hygiene between Residential Aged Care Facilities and the Acute Initiative in November 2009, with all 21 Hospitals Care Settings was a finalist in the Building Partnerships participating by February 2010. An 11% increase in hand for Health Category. hygiene rates was achieved between November 2009 – Mister Germ Hygiene and Nutrition Program was and February/March 2010. a finalist in the Promoting Health category. • E-Learning expanded with 49 online courses now available. 4382 staff completed their mandatory training requirements online in 2009–10.
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of pre-employment workplace modifications modifications workplace pre-employment of required. as of Health Services Vacancies and completion completion and Vacancies Services Health of Development of an accessible e-learning program program e-learning accessible an of Development to designed and workforce of whole the targeting inappropriate addressing and identifying in staff support and discrimination as such behaviours workplace harassment. program training based school a of Implementation with placements the filling on focus priority a with Islander. Strait Torres and Aboriginal Health Aboriginal of support and Co-ordination Education Vocational obtaining in Officers Education recognition in (VET) qualifications sector Training experience. and skills existing of cultural/ a of implementation and Development North with conjunction in workshop communication and induction the support to Training, GP Coast Graduates. Medical International of integration actively to strategies recruitment of range A review a including groups, EEO the from employ Development of an accessible e-leaning Cross- e-leaning accessible an of Development the support to designed program Awareness Cultural a of delivering the to both contributing in workforce creation the and service appropriate Culturally more program This workplace. sensitive Culturally more a of Cross- face to face existing the to adjunct an is across delivered is that program Awareness Cultural area. the undertake to people Aboriginal two Supporting Service Health of College Australian the in placement Service Health of Masters year two (ACHSE), Executives supported are students The Program. Management hosted be will and mentoring salary, placements, with program. year two entire the for NCAHS by
Department • • • • • • •
Equal Employment Opportunities Employment Equal 2009–10for Activities and Achievements NSW
Together Caring Needle and Syringe Program (NSP) staff in collaboration collaboration in staff (NSP) Program Syringe and Needle Injecting first the conducted educators peer with 2009. July in Harbour Coffs at Forum (IDU) Users Drug The Telehealth Connecting Critical Care Emergency Emergency Care Critical Connecting Telehealth The into introduced successfully was Project Department Clarence Coffs the across Departments Emergency Networks. Macleay Hastings and NC-AHAC commenced a trial of an e-participation e-participation an of trial a commenced NC-AHAC series a to community the from input seeking activity to respondents 360 were There surveys. on-line of survey. first the clinicians and management at Base Hospitals on mornings mornings on senior with meetings Hospitals breakfast introduced Base NC-AHAC at management and clinicians canvass principally meetings These visits. AHAC of of implementation on feedback Reform, was attended by Professor Sabina Knight, Knight, Sabina Professor by attended was Reform, Hospitals and Health National Commissioner, Commission. Reform Recommendations Reform) Commission (Garling Coordinators Network from presentations include and progress. implementation local on North Coast Area Health Advisory Council (NC-AHAC) (NC-AHAC) Council Advisory Health Area Coast North Engagement Community and Clinical a hosted Services Health of theme the with Conference A Legionella Management Plan was developed by the the by developed was Plan Management Legionella A Councils local the and Unit Health Public Coast North and Kempsey Nambucca, Harbour, Coffs Bellingen, of Macquarie-Hastings. Port New Aboriginal Maternal and Infant Health Strategy Strategy Health Infant and Maternal Aboriginal New opened. Grafton and Macksville Macquarie, Port Sites, Aboriginal Chronic Disease Program (Walgan Tilley) Tilley) (Walgan Program Disease Chronic Aboriginal Sites. three to rolled-out and piloted initiatives Aboriginal Health Promotion Programs – ‘All Kids Kids ‘All – Programs Promotion Health Aboriginal Flick’ the Smokes ‘Give and ‘Healing’ Safe’; Being local by received well been have and launched were Communities. Aboriginal All three NSW Sugar Mills on the North Coast Coast North the on Mills Sugar NSW three All Harwood with commencing Smoke-free, now are a as Condong and Broadwater by followed then NCAHS the from support receiving of consequence team. Promotion Health
• • • • • • • • • • Table 1. Trends in the representation of EEO Groups1
% of Total Staff2 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 50% 75% 76% 75% 75% 75% Aboriginal people and Torres Strait Islanders 2.6%3 3% 3% 3% 3% 3% People whose first language was not English 19% 3% 5% 5% 5% 4% People with a disability 12% 4% 29% 5% 5% 4% People with a disability requiring work-related adjustment 7% 1% 26.7% 1.3% 1.2% 1.0%
Table 2. Trends in the distribution of EEO Groups4
distribution index5 EEO Group Benchmark 2006 2007 2008 2009 2010 or target Women 100 93 92 91 91 91 Aboriginal people and Torres Strait Islanders 100 83 84 86 88 84 People whose first language was not English 100 118 115 111 117 114 People with a disability 100 107 100 104 102 101 People with a disability requiring work-related adjustment 100 115 99 98 100 102
Note: Information for the above tables is provided by the Workforce Profile Unit, Public Sector Workforce Branch, Department of Premier and Cabinet.
1 Staff numbers are as at 30 June. 2 Excludes casual staff. 3 Minimum target by 2015. 4 A distribution index of 100 indicates that the centre of distribution of the EEO group across salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group tends to be more concentrated at lower salary levels than is the case for other staff. The more pronounced this tendency is, the lower the index will be. An index more than 100 indicates that the EEO group is less concentrated at the lower salary levels. 5 Excludes casual staff.
Planned Activities and Outcomes For a detailed and comparative view of each Area Health for 2010–11 Service, please refer to the following contents:
• Establishment and implementation of strategies Financial to support EEO groups and initiatives in the transition to Local Health Networks. General creditors > 45 days • Maintenance of existing EEO strategies. as at the end of the year 114 Net cost of services 115 Major funding initiatives 116 Area Health Service Initial cash allocations 117 Statements and Reports Workforce The NSW Health Annual Report provides a range of additional source of information which reports on Area Workforce planning Health Services’ activity in the finance, service delivery and – non-casual staff separation rate 101 workforce aspects of their operation. Multicultural Policies and Services Program 192–198
Service Delivery Levels Infectious disease notifications 269–270 Public hospital activity levels 271–272 Mental Health Act – Acute and non-acute inpatient care utilisation 276–278
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