ENABLING INFRASTRUCTURE ADVANCE PRIORITIES 2019/20 CAIRNS UNIVERSITY HOSPITAL INNOVATION PRECINCT COUNCIL: ALL TNQ STATE ELECTORATE: ALL TNQ FEDERAL ELECTORATE: KENNEDY, LEICHHARDT

THE ISSUE Clinical research, education and expanded health services are critical to meeting the health needs of Tropical North ’s (TNQ’s) growing population. Establishment of a Research, Education and Innovation (REI) Centre and an expansion of services at Cairns Hospital will be a key element in the The centre will also allow for research and transition of Cairns Hospital to University status, education staff to be relocated from the allowing the hospital to deliver world-class, Hospital’s A Block, enabling a relocation of BRIEFING NOTE high-quality care to address the critical health administration staff from B Block to create space SUMMARY challenges facing TNQ. there for clinical use. • Establishment of a Research, The proposed REI Centre will be adjacent The REI Centre will house a clinical education Education and Innovation to and support the Cairns Hospital in the areas facility and a virtual care facility to support the (REI) Centre will support the transition of Cairns Hospital of research and development and training, delivery of telehealth patient services. A core to Cairns University Hospital transforming the sector to a high-tech, research- element of the precinct will be James Cook status. driven collaborative enterprise between the University’s CTEC, a research-driven medical • The new five-storey REI Cairns and Hinterland Hospital and Health facility that received a $60 million bi-partisan Centre is proposed on land Service (CHHHS), James Cook University commitment from the Prime Minister and then adjacent to Cairns Hospital. James Cook University’s (JCU), TAFE, scientists, and private medical and Leader on 21 January 2019. Cairns Tropical Enterprise technology firms. The proposed REI Centre The $60 million bi-partisan commitment Centre (CTEC) will also be will enable CHHHS to address known research will progress the acquisition of land for the REI developed on the proposed site. gaps, such as: Centre and enable JCU to establish the CTEC • Aboriginal and Torres Strait Islander health; facility. A further $90 million is now sought from • The REI Centre has received $60 million in Stage 1 • Tropical health and medicine; the State Government to enable the REI Centre funding. This funding is for • Healthcare data linkages and health service to progress to design and construction phase acquisition of land for the models of care; and as well as $60 million to fit-out an additional 80 REI Centre and to fund the development of James Cook • Equity of access to healthcare for patients with beds in Cairns Hospital. University’s CTEC. rheumatic heart disease, sexually transmitted The proposed REI centre will support the • A Stage 2 State investment infections, renal disease, diabetes and blood transition of Cairns Hospital to Cairns University of $90 million is sought to borne viruses. Hospital. The CHHHS has recently finished a progress the REI Centre to In addition to clinical research, the REI will master plan which identifies about $500 million design and construction provide opportunities for innovative delivery in infrastructure needs over the next 20 years. phase and a further $60 million is required to fit out of health workforce education programs, plus $10 million is required to complete a business an additional 80 beds in ongoing clinical advancement in nursing, case to deliver the master plan. Cairns Hospital. medical and allied health services for its patients • To implement the CHHHS’ and its workforce. new master plan, $10 million is sought for a business case. BACKGROUND The Cairns Hospital supports an estimated who live outside Cairns, in rural and remote resident population of 278,000 and areas including Cape York and Torres Strait. regularly provides acute medical services Demand for CHHHS services will for residents of the Cape and Torres region therefore continue to rapidly increase. (population of 26,399). Combined with Expansion of the capability and status of estimated population growth of 1.1% the Cairns Hospital is required to meet the per annum, and an ageing population, it future health needs of the growing TNQ is estimated that by 2026 an additional population. NEXT STEPS 67,000 people will reside in the catchment The proposal for a five-storey REI Centre area with close to one in five residents to service this population has broad partner To deliver on the vision for the being over 65 years of age. In addition, support and seeks to build on successive REI Centre, CHHHS is required to Cairns Hospital provides medical services government investments. CHHHS, construct a dedicated new facility for the estimated five million tourists that supported by the Northern Queensland adjacent to Cairns Hospital. Having visit the region annually. Primary Healthcare Network (PHN), JCU secured $60 million in Federal funding In 2018-2019 there were 74,667 and Advance Cairns, is collectively seeking to progress the land acquisition for the presentations to the Cairns Hospital to improve the ability of Cairns to build its project, a further $90 million is now emergency department, a 24% increase own medical, nursing and allied health sought from the State Government over the preceding five years, and 82,727 workforce and translate research into to progress the REI Centre to design patients were admitted to the Hospital. practice to improve health outcomes in our and construction phase as well as $60 Throughout 2019 the emergency community. million to fit out an additional 80 beds department has faced unprecedented in Cairns Hospital. pressure, averaging 211 patients per day, Through expanding the Cairns an increase of 4% year on year. Also 30% of Hospital precinct to accommodate emergency patients are tourists or people medical research and specialised workforce training, the REI Centre will support the transition of Cairns Figure 1. Interrelationship between JCU strategic initiatives and Hospital to Level 6 University status. the Cairns University Hospital initiative A core element of the precinct will be James Cook University’s CTEC, a Cairns University Hospital Innovation Precinct research-driven medical facility. The combined footprint of the Cairns Hospital, REI Centre and CTEC is REI proposed to be known as the Cairns RESEARCH, EDUCATION & University Hospital Innovation INNOVATION CENTRE CAIRNS Precinct. TROPICAL UNIVERSITY GLOBAL CTEC HOSPITAL HEALTH CENTRE CAIRNS TROPICAL ENTERPRISE CENTRE

https://profile.id.com.au/cairns/population-estimate CAIRNS, Queensland Treasury, Service Delivery Statements, Queensland Health 2019-2020 CAIRNS ESPLANADE , https://www.myhospitals.gov.au/hospital/310000214/cairns- MACKAY hospital/emergency-department https://www.myhospitals.gov.au/hospital/310000214/cairns- hospital/admissions

OUR RECOMMENDATION

• That to fast-track purchase of the land, in 2020 the commits $90 million in funds to Queensland Health ESIMATED PROJECT COST 2019- 2020- 2021- 2022- to progress Stage 2 of the Cairns University Hospital’s Health and 2020 2021 2022 2023 Knowledge Precinct, enabling the establishment of a Research, $160M Education and Innovation Centre in Cairns. Recommended • That the Queensland Government over three years from 2020- $10m $120m $15m $15m 2021 provides $60 million to fit out an additional 80 beds in Cairns State Investment Hospital. • That the Queensland Government provides $10 million in 2019- 2020 to fund a business case to implement the CHHHS master plan.

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