Annual report 2014–15 Victorian Department of Health and Human Services 2 Department of Health and Human Services annual report 2014–15 To receive this publication in an accessible format, email [email protected] Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, Department of Health and Human Services, October 2015 Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. This publication may contain images of deceased Aboriginal and Torres Strait Islander peoples. Where the term ‘Aboriginal’ is used it refers to both Aboriginal and Torres Strait Islander people. Indigenous is retained when it is part of the title of a report, program or quotation. ISSN 2205-5398 (print) 2205-5401 (online) Available at www.dhhs.vic.gov.au/annualreport Printed by Snap West Melbourne, Kensington on sustainable paper (1505017) 3 Accountable officer’s declaration Hon. Jill Hennessy MP Minister for Health Minister for Ambulance Services Hon. Martin Foley MP Minister for Housing, Disability and Ageing Minister for Mental Health Hon. Jenny Mikakos MP Minister for Families and Children Minister for Youth Affairs Hon. John Eren MP Minister for Sport Dear Ministers In accordance with the Financial Management Act 1994, I am pleased to submit to you the Department of Health and Human Services annual report for the period 1 July 2014 to 30 June 2015. Dr Pradeep Philip Secretary Department of Health and Human Services 4 Department of Health and Human Services annual report 2014–15 Contents Accountable officer’s declaration .................................................................... 3 Secretary’s foreword ....................................................................................... 5 Introduction ..................................................................................................... 7 Year in review ................................................................................................. 9 Performance reporting .................................................................................. 37 Additional service delivery data .................................................................... 58 Financial and budgetary performance .......................................................... 62 The Department’s ministers .......................................................................... 70 The Department’s senior executives at 30 June 2015 ................................ 72 People and culture ........................................................................................ 76 Disclosures ................................................................................................... 90 Environmental impacts ............................................................................... 121 Disclosure index.......................................................................................... 134 Financial statements ................................................................................... 137 5 Secretary’s foreword The Department of Health and Human Services > enhanced public health and emergency was established on 1 January 2015, bringing health capability to meet the need for Ebola together the staff and functions of the former preparedness Department of Human Services, Department > supported the Travis review of hospital of Health, and Sport and Recreation Victoria to bed capacity better align and integrate social policy and service > commenced the statewide rollout of the delivery to improve the health and wellbeing of the Strengthening Risk Management program Victorian community. to keep women and children safe in response This annual report highlights the early to family violence achievements of our new Department, which > worked to improve ambulance services is built around the mission of improving the through the Ambulance Performance and health and wellbeing of Victorians. The strength Policy Consultative Committee of the new Department lies in its unified purpose; > funded 61 significant sporting events around of addressing the needs of Victorians across Victoria, including the Stawell Gift and the the continuum of health and social care. The Melbourne to Warrnambool Cycling Classic outstanding goodwill and leadership across the > supported the creation of the Ice Action organisation has enabled us to establish our new Taskforce and the delivery of the Ice Action Department while ensuring continuity of service Plan, with the Department of Premier and delivery. I want to pay tribute to everyone for Cabinet making this possible. > expanded the public hospital system through The Department delivers and manages critical progressive construction phases of the La Trobe services to support and care for Victorians, often Regional Hospital redevelopment, Bendigo at particularly challenging points in their lives. Hospital, Victorian Comprehensive Cancer The Department is also charged with tackling Centre, Monash Children’s Hospital and some of the thorniest problems in public policy, completion of 33 new and replacement of individual wellbeing, active living, socio- ambulance stations economic participation, and vulnerability. Over the > initiated a range of reforms to improve the coming years, we will need to continue addressing care and safety of children in out of home care, challenges related to demography, shifting burdens including a new auditing program, stronger of disease, and rising community expectations of overnight staffing and safety requirements in person-centred service delivery and improved residential care, targeted care packages to patient experience. This will require us to innovate move children from residential care into better and embrace new technologies – including in alternative care arrangements, and a new enabling bold advances in medical and social reform effort to overall out of home care and care research. family services through the Roadmap to We have supported the incoming government to Reform initiative. implement election commitments and deliver its first It is critical for the Department to be transparent Budget which, in 2015–16, will see the Department and open in accounting for how it fulfils its purpose receive 32.7 per cent of all new output funding and and directs public funds towards improving an annual budget of $20.05 billion, effectively Victorians’ health and wellbeing. By providing such representing a 6.2 per cent increase on the a comprehensive account, there is one sense in previous year. which this annual report describes everything we Over 2014–15 we have: do. From another perspective however - one that starts with our purpose and our values - a different > progressed the rollout of the National Disability picture emerges of the depth and complexity of our Insurance Scheme, through the transition of service systems. clients to new personalised support plans in the Barwon launch site 6 Department of Health and Human Services annual report 2014–15 We care for Victorians and their families at life In the coming years, a systems perspective along changing moments. We provide long term supports with a person centred approach must enliven these to address ongoing needs. We enable communities themes and give rise to new approaches to social to thrive around local sports clubs and active living. policy at the macro level and new operating models Each individual encounter, each story matters as at the micro level across different institutions and we join individuals and communities on their settings of health, community care, mental health, journeys towards living well. drugs and alcohol, prevention, out of home care, child protection, disability, and housing. It will Earlier this year, hundreds of staff participated allow for a fundamental reappraisal of how we in focus group discussions and online surveys as operationalise core concepts such as a ‘therapeutic part of Creating our Culture Together – a collective model of care’ and ‘in the best interests of the effort to articulate how we work together. The child’. resulting new set of organisational values based on respect, integrity, collaboration, caring for The role of sport and recreation must become people, families and communities, accountability deeply ingrained in each of our service streams and innovation will inform the way that the as a means of improving wellbeing of all in society Department works and how we engage with not just as a program of grants. These themes must our partners and Victorians more broadly. give rise to new models – such as accountable care models and their emphasis on multidisciplinary Across all portfolios, the new department is models of care and payment for outcomes, new adopting a systems perspective across the diverse programs, new markets, and new approaches to range of health and social services; and the lens incentives including pricing as we tackle emerging through which we are observing the system is that challenges of family violence, the scourge of drugs of person-centred care. These two perspectives and alcohol, ageing, and mental health. allow us to balance hitherto mutually exclusive domains of population health and personalised The new Department of Health and Human care. They allow us to conceive of a continuum Services has begun the journey to meet these of care that addresses citizens’ needs that span challenges and realise our mission