2010annual review annual review Contents Introduction Patient Profiles Message from Roger Corbett...... 3 Bailey...... 12 Message from Dr Tony Penna...... 5 Taiana...... 18 Message from Elizabeth Koff...... 7 Brittney...... 22 Our Hospital at a glance...... 8 Sophie...... 34 2010 Statistics...... 9 Wisam...... 38 18 59 46 51 William...... 46 2010 Highlights Bernadette...... 64 Khang...... 68 100 new lives...... 10 Mustapha...... 74 Mending broken hearts...... 14 Advancing adolescent health...... 20 Staff Profiles New technology for better care...... 24 From bench to bedside...... 28 Neil Street...... 17 The butterfly effect...... 32 Damien McKay...... 27 27 34 43 68 End of an era...... 36 John Christodoulou...... 31 Protecting precious babies from harm...... 40 David Fitzsimons...... 43 Somewhere over the rainbow...... 44 Jane Tinsley...... 51 Rapid response...... 48 Helena Young...... 55 Prevention is better than cure...... 52 Froska Kolaroska...... 59 Dedication and devotion...... 56 Margaret, Dian, Susan and Barbara...... 63 Lending many hands...... 60 Sean Hogan...... 73 Fundraising innovation...... 66 64 55 74 17 Changing face of health...... 70 Our Donors Founders...... 76 Benefactors...... 76 Major Supporters...... 76 Legacies and Bequests...... 85 Keith Miller...... 87
Finances 63 22 31 38 Financial overview...... 88 Resource Allocation 09/10...... 90 Service group reporting...... 91 The 2009/2010 budget...... 92 Future direction...... 92
Annual Review 2010 | 1 Reflecting on another year passed, it gives me The establishment of the Network is a key feature of an enormous sense of satisfaction to know what the NSW Kids Strategy and is designed to harness the a great difference the work of The Children’s Hospital strengths of both hospitals now and in the future. at Westmead has made to many families with Elizabeth Koff has been appointed as the new Chief sick children. Message from Executive of the Network. She has a proven track record This year will be remembered as one where a in NSW Health and a strong commitment to improving number of outstanding initiatives have taken place services for children in NSW. My sincere congratulations within the Hospital to extend and refine our world to Elizabeth on her appointment. Ao class health care services. Roger Corbett I would like to acknowledge the hard work of Dr Tony The introduction of these new services and the overall Penna, Chief Executive of The Children’s Hospital at continued high level of care for children is a credit to Westmead. Tony’s stewardship of the Hospital has been Chairman the passionate and dedicated staff of The Children’s exemplary and it has been a great privilege to work with Hospital at Westmead. him and his team. Children’s Hospital Advisory Council In my role as Chairman of the Children’s Hospital With the support of both hospitals, I have accepted Advisory Council, I have the pleasure of working closely the position of Chair for the Advisory Council for this with the other members of the Advisory Council to new Network. Together with the new Advisory Council shape the future direction of The Children’s Hospital at members, I look forward to some additional challenges. Westmead, enhancing the already outstanding paediatric I believe we have positioned ourselves to create health care services. They are an extraordinary group an even stronger future for paediatric healthcare in of people who have brought a diversity of skills and this state. I have confidence in the professionalism, experience to the Council, while sharing a common vision. commitment and tenacity of both workforces who share On 1 July, The Children’s Hospital at Westmead a common goal with such passion. became part of the Sydney Children’s Hospitals Network (Randwick and Westmead). This Network brings together the iconic institutions of the Sydney Children’s Hospital Randwick and The Children’s Hospital at Westmead, with Chaira single Advisory Council and a single Chief Executive.
Annual Review 2010 | 2 manAnnual Review 2010 | 3 It is with a deep sense of pride that I reflect on the such a talented and passionate group of people who highlights of our work over the past year, mixed with have inspired me immeasurably, both professionally sadness as this marks the end of my era as Chief and personally. Executive of The Children’s Hospital at Westmead. As The Children’s Hospital at Westmead moves This year’s highlights are a true reflection of the forward into a new era as part of the Sydney Children’s Message from diversity of work undertaken by staff at the Hospital. Hospitals Network (Randwick and Westmead), my role But this diversity is drawn together by a single common as Chief Executive comes to an end. I am moving onto theme – being able to provide the very best medical another role in NSW Health and I take with me many and emotional care for sick children and their families wonderful memories. I have learnt so much during in their time of greatest need. my time at The Children’s Hospital at Westmead and Dr Tony Penna I am sure this knowledge will bring new depth to my I am also extremely proud of the fact that the work future career. of The Children’s Hospital at Westmead does not just Chief Executive touch the lives of families with sick children, it reaches I would like to take this opportunity to acknowledge all families in our community, as many initiatives are and thank the many supporters of The Children’s Hospital of The Children’s Hospital aimed at improving the general health and wellbeing at Westmead in the community. Your contribution of all children. towards the Hospital is enormous and we could not have at Westmead 2006 - 2010 achieved many things showcased in this Annual Review I hope you enjoy reading about the highlights for without your valued support. I hope that your partnership this year throughout this Annual Review and reflecting with the Hospital continues well into the future. upon the lasting impact they will undoubtedly have on paediatric health care. I have had the great privilege of leading an amazing team of staff and volunteers at The Children’s Hospital Chiefat Westmead. Never before have I worked alongside Exec
utiveAnnual Review 2010 | 4 Annual Review 2010 | 5 On 1 July, The Children’s Hospital at Westmead and The size, scale and capacity of our new Network the Sydney Children’s Hospital were brought together as will exceed the majority of Australian and international the Sydney Children’s Hospitals Network (Randwick and hospitals, ensuring the best care for the sick children of Westmead). In September 2010 I had the very great our state and their families. privilege of being appointed as the new Chief Executive Message from I would like to offer heartfelt thanks to Dr Tony Penna of the Network. for his commitment and dedication to The Children’s The creation of the Network is in response to Hospital at Westmead. His contribution to child health recommendations made from the Garling Special has been enormous and his leadership will have a Commission of Inquiry into Acute Care Services in lasting impact on our Network. I am delighted that we Elizabeth Koff NSW Public Hospitals. will continue to benefit from his skills and expertise as he moves into another role within the health system. By sharing resources and harnessing the strengths Chief Executive of Sydney’s two children’s hospitals, we will see the For now, my priority is to ensure that clinical service development of new clinical networks, new models provision continues at a high level and that the creation The Sydney Children’s Hospitals Network of coordinated care, new partnerships and a boost to of our Network and the implementation of our future the research, training and development capacity of plans will benefit sick children and their families. both hospitals. (Randwick and Westmead) I am very much looking forward to working together with all stakeholders to ensure that The Children’s Hospital at Westmead continues to go from strength Chiefto strength. Exec
Annual Review 2010 | 6 utiveAnnual Review 2010 | 7 2010 Statistics Our Hospital at a glance 3,000 Number of staff
The Children’s Hospital at Westmead is the Number of volunteers largest paediatric centre in NSW, providing 500+ exceptional care for sick children from NSW, Number of Departments Australia and across the Pacific Rim. 150
Established in 1880, The Children’s Hospital at Westmead is a public Hospital and registered charity with 3,000 staff working in 150 departments. Over 70,000 sick children and their families are cared for each year in a family-focused, healing environment. 275 Average number of available beds The Children’s Hospital at Westmead is world-renowned for providing the best care for sick children and their families. This specialist care, combined with community education, advocacy for improved child health and ground-breaking research into childhood illnesses, is blended within a positive, caring and healing environment. Inpatient admissions Children with problems such as severe burns, major heart conditions, and liver 28,886 and kidney diseases are referred to The Children’s Hospital at Westmead because it houses leading specialty units within the Hospital grounds. The Children’s Hospital at Westmead is home to the NSW Paediatric Burns Unit, the paediatric arm of the Australian National Paediatric Liver Transplant Unit, the Outpatient occasions of service National Centre for Immunisation Research and Surveillance, the first Paediatric 735,669 Tumour Bank in the southern hemisphere, the NSW Newborn Screening Service and the National Poisons Information Centre. Research is one of the key ways in which the Hospital provides the highest standard Emergency presentations of care and treatment to sick children and their families. The Kids Research Institute 49,833 at The Children’s Hospital at Westmead is a world leader in research, leading to significant advances in the treatment of serious conditions including cancer, obesity, kidney and heart disease, diabetes, respiratory problems and muscular dystrophy. 14,936 Number of operations
3.2 days Average length of stay
Annual Review 2010 | 8 Annual Review 2010 | 9 100 new lives
When staff and patients gathered to celebrate the 100th kidney transplant performed at The Children’s Hospital at Westmead, it was a celebration of life, of young lives saved and the future of many families transformed forever.
The Children’s Hospital at Westmead is a major Australian centre for paediatric kidney transplantation, pioneering this life-saving surgery since 1995 when transplants for small children had only just commenced. In these early days, success was limited, but today children and young people tend to recover from this surgery better than adults. Over time, doctors at The Children’s Hospital at Westmead have refined surgery techniques and improved the level of care patients receive post-transplant. Increasingly effective immunosuppressive medication has also contributed to a better outlook for transplant patients. Staff at The Children’s Hospital at Westmead are thrilled to see children recover from kidney transplants and go on to lead full and normal lives, free from the constraints of kidney dialysis. Over 15 years of performing kidney transplants, staff have seen transplant patients resume playing sports, attending school and university and eventually having children of their own. Around 65 per cent of kidney transplants performed at The Children’s Hospital at Westmead are from a living donor, usually a family member. One of the reasons that this type of transplant is increasingly common is the declining organ donation rates, which Transplant Surgeons Dr Albert Shun (L) and Dr Gordon Thomas (C) with some of their transplant patients means that children may go on a waiting list until a suitable donor is available. Sadly though, many children needing a transplant don’t have access to a suitable living donor. As staff, patients and families gathered to celebrate the healthy lives of the 100 transplant recipients, they also acknowledged the families of those deceased who have given others the gift of life through their decision to become organ donors.
Annual Review 2010 | 10 Annual Review 2010 | 11 Bailey When Bailey was just a few weeks old his stomach became so swollen that his belly button was sticking out.
His distressed parents, Anthony and Melissa, were devastated when they were told that he could be suffering from heart, liver or kidney failure. At just six-weeks-old, Bailey was diagnosed with Congenital Nephrotic Syndrome. He had a one in 10,000 chance of contracting this condition and he was certain to need a kidney transplant in the future. Bailey’s kidneys began deteriorating further as he approached his third birthday and he began kidney dialysis. When the time soon came for his transplant, Bailey’s Dad, Anthony, didn’t hesitate to step up and have one of his kidneys removed and transplanted into his precious son. Bailey’s health has improved dramatically since his transplant. He is bouncing with health and energy and loves riding his bike and playing in his cubby house with his little sister. He can’t wait to start kindergarten next year and meet some new friends. Bailey’s Mum, Melissa, is full of praise for The Children’s Hospital at Westmead. “How lucky we are to have such an amazing place to take our children when they are sick”, she said.
Annual Review 2010 | 12 Mending broken hearts
The Heart Centre for Children at The Children’s Hospital at Westmead has introduced a new treatment, paving the way for major changes to the way cardiac conditions are treated.
A catheter is now used to replace deteriorating heart valves, removing the need for open heart surgery and greatly improving recovery periods. Five patients have now benefited from this new technology and are all praising the Heart Centre for Children for their new lease on life. This treatment means that patients can leave hospital the day after their procedure, avoiding a lengthy recovery, including time in the Intensive Care Unit. All five patients have returned to The Children’s Hospital at Westmead for further care and their operations have each been hailed a success. The patients and families have expressed their excitement at being the first to receive this treatment. Doctors at The Children’s Hospital at Westmead are proud to have pioneered a treatment that reduces the need for open heart surgery and the associated discomforts, allowing patients to return to normal life much quicker with minimal scarring. The Children’s Hospital at Westmead sees thousands of children with some form of heart disease each year. This high level care requires considerable skills and training for all healthcare staff. By working closely with a skilled team of researchers, clinicians never stop learning, improving and developing better ways to save kids’ lives. Heart conditions represent around one-third of all birth defects in children and heart disease is the leading cause of death in infants less than one year old in Australia. The Heart Centre for Children is dedicated to reducing these numbers through improved The five patients who have benefited from this innovative treatment care and rigorous research into the causes and cures for these deadly conditions.
Annual Review 2010 | 14 Annual Review 2010 | 15 Neil Street Anaesthetist There are many ‘behind the scenes’ roles among the staff at The Children’s Hospital at Westmead, especially that of the anaesthetists, entrusted with the special care of a child during and after surgery.
Dr Neil Street feels incredibly privileged to be trusted with that care. When he takes a child into the operating theatre he knows that the parents are feeling anxiety beyond description and are placing their child’s life in his hands. “To have that trust placed in you is always a special moment, but even more special is to return the child to their parents, safe and well after surgery,” Neil said. Neil also runs the Maligant Hypothermia Unit, the only one in NSW, and volunteers in his spare time to travel to other poorer countries to help with much-needed medical care. Neil finds that one of the most refreshing aspects of working at The Children’s Hospital at Westmead is communicating with children and enjoying their honesty. “When you work with kids you always know exactly where you stand. If they are unhappy with you it is expressed directly and quickly! Children never veil their emotions or speak in riddles. I enjoy this honest communication immensely,” he said.
Annual Review 2010 | 17 Taiana Life with a four-year-old child is busy enough, but it is especially hectic for Tony and Evelyn, as they are constantly taking their daughter, Taiana, to see specialists, speech pathologists, physiotherapists and occupational therapists.
Taiana has a range of medical conditions, including cerebral palsy and spastic quadriplegia, which affect her ability to walk, talk and eat. But her serious illnesses can’t take away her spirit – she loves guinea pigs, feeding the ducks at Centennial Park, the Sydney Aquarium and watching children play. Taiana and her parents often spend time at Bear Cottage, The Children’s Hospital at Westmead’s hospice for children with life-limiting illnesses and their families. This medically-supported facility has a home-like atmosphere where parents can have some much-needed rest and access a unique range of support services. Bear Cottage is one of the most uplifting and inspiring places you could ever visit. Even though they face an uncertain future, sick children laugh and play and live life to the fullest. Taiana’s Mum, Evelyn, says, “Caring for Taiana is very stressful but our daughter is the best thing that has ever happened to us and we are very lucky to have her with us”.
Annual Review 2010 | 18 Advancing adolescent health
The Children’s Hospital at Westmead is now home to Australia’s first university- supported Professor of Adolescent Medicine. Prof Kate Steinbeck is the inaugural Chair of Adolescent Medicine and has some big plans for adolescent care and support.
Most people are amazed to hear that one in five adolescents have a chronic illness or disability. Type 1 insulin dependent diabetes and inflammatory bowel disease are both increasing in adolescents, the reasons for which are not clear. Mental health issues are also a major health concern in young people, with anxiety and depression the most common. Prof Steinbeck believes that health services need to be redesigned to accommodate the increasing number of young people moving from paediatric to adult care. Although adolescence is usually defined as the high school years, the problems of young people don’t always fit neatly into that age range. Doctors regularly see issues usually defined as adolescent-related commencing earlier and extending well into a person’s twenties. Adolescence is a crucial time in life when individuals can be set on a healthy path or an unhealthy one which they and the community will pay a price for years later. Prof Steinbeck and the Adolescent Medicine Department at The Children’s Hospital at Westmead recognise that adolescents are notoriously bad at seeking help and it requires a lot of expertise to design services to which they’ll come and seek help.
Professor Steinbeck is an internationally recognised authority on adolescence, Prof Kate Steinbeck with a special research interest in the endocrinology of puberty, obesity and insulin resistance and transition from paediatric to adult care in chronic illness and disability.
Annual Review 2010 | 20 Annual Review 2010 | 21 Brittney An innocent walk to the local shops with a friend turned to disaster when Brittney was struck by a car near her home on the Central Coast.
Her injuries were so critical that she was flown to The Children’s Hospital at Westmead by the Child Flight emergency helicopter service. Brittney’s body was battered and bruised by the accident. She suffered a fractured pelvis and vertebrae and a severe brain injury and was in a medically-induced coma for eight days. Her devastated Mum, Jenny, was shocked to see her happy, outgoing and popular daughter so badly injured and she prepared herself for the worst. After intense treatment and rehabilitation Brittney is back on her feet, learning to walk again. She is progressing very well with her recovery and is keen to once again enjoy blue light discos, visit the beach with friends and return to playing netball and oz-tag. Brittney’s Mum, Jenny, says, “We will just take one day at a time and hopefully Brittney will eventually make a full recovery and life will resume as normal.
Annual Review 2010 | 22 New technology for better care A new magnetic resonance imaging machine (MRI) has been installed at The Children’s Hospital at Westmead to improve care for children, ranging from newborns to adolescents.
The new MRI machine will perform around 4000 scans each year and will be especially useful for detecting abnormalities of the brain, spinal cord, blood vessels, joints and other internal organs. It replaces the old version that had been in use for 15 years and has now been decommissioned. MRI scanning is an essential tool in paediatric healthcare. Children are more sensitive to radiation than adults and, unlike CT scanning and x-rays, MRI scanning does not use any radiation and is completely safe. During MRI scanning, pictures are taken at different angles and are processed by a computer to produce a detailed picture of the part of the body scanned. A large magnet, radio waves, antenna and a computer are used to obtain these images. The new machine will have advanced capabilities that will allow young babies with congenital heart abnormalities to be diagnosed in a non-invasive way and specialised scans can monitor the progress of cancer patients. The NSW Government funded the purchase of the $2.6 million MRI machine and the Sargents Pies Charitable Foundation donated another $2.2 million for the building works needed for installation. In addition to the new MRI machine, The Children’s Hospital at Westmead has also installed a mock MRI machine to help make the experience less daunting for children. MRI technology allows for the best diagnosis and treatment Child Life Therapists use the mock MRI machine to help familiarise young children with the experience, reducing the numbers of children who need to be anaesthetised during the scans as they are too frightened or are unable to lie still. This innovation not only provides a better experience for patients, it also allows for greater efficiency.
Annual Review 2010 | 24 Annual Review 2010 | 25 Damien McKay Sports Medicine Doctor Most kids take it for granted that they can play sport. But when something goes wrong with their health and a child has the ability to play sport taken away from them, Dr Damien McKay is there to help.
Damien works within the Children’s Hospital Institute of Sports Medicine (CHISM), a unique facility that helps patients to get back on their feet after illness or injury. For children with a chronic illness, Damien and the CHISM team help them to make the most of their abilities and to free them from the constraints of their illness as much as possible. “I really enjoy watching chronically ill patients grow up and hear about their Christmas presents, new pets, the goal they scored playing soccer – things that have nothing to do with their illness and everything to do with them being normal kids,” Damien said. Damien combines his role as a Sports Medicine Doctor with his other role at the Hospital as Chief Resident, leading the team of junior doctors. “I am really proud to work at The Children’s Hospital at Westmead – the team effort, atmosphere and the sense of community is second to none,” Damien said.
Annual Review 2010 | 27 From bench to bedside
The Kids Research Institute at The Children’s Hospital at Westmead received 14 NHMRC Project Grants in 2010, with more than $12 million being allocated to fund a range of important research initiatives.
The Kids Research Institute is a hub of innovation, with more than 250 staff working to unlock the puzzling medical mysteries of our time. The causes, improved treatments and cures for a range of serious childhood conditions could be just around the corner, thanks to the work of this dedicated team. NHMRC grants have been awarded to researchers at the Kids Research Institute who are addressing some important health issues, such as lethal brain tumours, hip disorders, chronic kidney disease and loss of sight due to diabetes. The positioning of the Kids Research Institute within The Children’s Hospital at Westmead is unique as it allows for a ‘bench to bedside’ approach. Researchers can take their findings directly from the laboratory to the clinical setting of the Hospital, allowing sick children access to the best treatment available worldwide. The Children’s Hospital at Westmead has a long and distinguished history of world- class medical research, dating back to the late 1800’s. This includes the discovery of the impact of rubella on the developing foetus by Dr Norman Grigg back in 1942. The significance of research is that success does not only have implications on a local scale. Research findings have a global impact, improving the health and wellbeing of all children across the world. An investment in the cutting edge research program at The Children’s Hospital at Westmead is an investment in global health. A/Prof Chris Cowell, Director of the Kids Research Institute
Annual Review 2010 | 28 Annual Review 2010 | 29 John Christodoulou Researcher and Clinician
Asked about his favourite moments working at The Children’s Hospital at Westmead, Prof John Christodoulou’s answer is simple. It’s the ‘a-ha moments’ he cherishes the most, when a puzzling diagnosis becomes clear and he can move ahead to provide the best treatment and therapies.
In his role as a researcher and clinician, John is relentless in his pursuit to establish the causes and treatment for many of the cruellest childhood conditions. John is in charge of the Western Sydney Genetics Program, the Genetic Metabolic Disorders Service and the NSW Centre for Rett Syndrome Research. So extensive is his work to improve the lives of sick children, that he was recently awarded a member of the Order of Australia in the Australia Day Honours List. “Working at The Children’s Hospital at Westmead really is a team effort. I am very lucky to have such a committed group of talented people to work with, including those who work with me at the bedside in our day-to-day care of patients and those who work in the research labs to better understand the biology of genetic conditions,” John said.
Annual Review 2010 | 31 The butterfly effect
Children with eating disorders and their families can now receive more individualised help and support, thanks to the opening of the Butterfly Wing.
The Butterfly Wing is a purpose-built accommodation facility in The Children’s Hospital at Westmead that allows whole families to stay for two to four weeks so parents and siblings can play an active and positive role in the physical and psychological treatment and recovery of their child from an eating disorder. The Butterfly Wing is a home-like environment, including a kitchen and dining area where families can begin to re-establish a healthy eating pattern with their sick child. Treatment for families who stay in the Butterfly Wing is based on the Maudsley Approach, which places emphasis on the family to help the patient to return to a healthy weight, take control of their eating and establish a healthy identity as part of their recovery. Since the introduction of Maudsley family-based treatment at The Children’s Hospital at Westmead in 2002, staff have seen a significant reduction in readmission rates among children and adolescents treated. Since its inception in 2000, The Children’s Hospital at Westmead’s Eating Disorder Service has been in high demand. The past decade has seen a 250 per cent increase in hospital admissions for eating disorders. Up to 100 children aged between eight and 16 years old are admitted to the Hospital each year, many with life-threatening complications from their starvation. The opening of the Butterfly Wing, supported by the Butterfly Foundation, has transformed the level of care able to be offered by The Children’s Hospital at Westmead and provides hope for children and families struggling with serious eating disorders. Dr Sloane Madden and Dr Michael Kohn at the Butterfly Wing
Annual Review 2010 | 32 Annual Review 2010 | 33 Sophie In many ways, Sophie is a typical three- year-old girl. She loves dancing, playing hide-and-seek and helping in the kitchen.
But the difference between Sophie and most other little girls is that she needs constant monitoring and treatment of her Type 1 Juvenile Diabetes. Sophie began developing symptoms of diabetes earlier this year and her worried Mum, Tara, took her to their family doctor for testing. A few days later they were at The Children’s Hospital at Westmead, dealing with the reality of Sophie’s newly diagnosed Diabetes. Sophie adapted to treatment quickly and by the end of her hospital stay she was indicating which finger she would use next for her blood tests and where she wanted her ‘fairy juice’ injections of insulin. Sophie has now been fitted with an insulin pump that delivers insulin directly under her skin, allowing her more freedom and less injections on a daily basis. Sophie’s family is proud of their brave little girl who is adapting to her illness and treatment well. Sophie is also very much enjoying her new role as ‘big sister’ to her baby brother, Zachary.
Annual Review 2010 | 34 End of an era
The journey into adulthood is an exciting milestone for all teenagers. But for those living with complex or chronic medical conditions, making the transition to adult care is a significant change that brings challenges as well as opportunities.
The Children’s Hospital at Westmead has begun recognising the transition of chronically-ill adolescent patients to adult care by introducing graduation ceremonies. These ceremonies have become an important rite of passage for long-term patients and their families. 20 per cent of adolescents are living with a complex or chronic illness. How the care of these young people is transitioned between paediatric and adult health services is crucial to how they continue to engage with health services in the long term. If this transition is not planned and executed well, it is common for young people to become ‘lost’ in the health system, failing to seek adequate care for their illness. The Children’s Hospital at Westmead sees transition planning as an important step in young people becoming independent and managing their own health care, starting from 12 years of age. Active transition commences at 16 years of age, when young people have a reasonable understanding of their medical condition and are able to meet with their healthcare team independently to be involved in planning their future healthcare needs. Patients and families who have had a long association with the Hospital often find it hard to move their care elsewhere. The Hospital environment is familiar, they Adolescent patients attend their graduation, with special guests, Dr Chris Brown, feel comfortable in their relationships with staff and may be apprehensive about the Chris Cranswick-Smith and Dr Twang. impending move to adult care. The Children’s Hospital at Westmead recognises these issues and works to alleviate them by celebrating the long association of patients with the Hospital and the beginning of the important new chapter in their lives.
Annual Review 2010 | 36 Annual Review 2010 | 37 Wisam The nurses looking after Wisam are always cautious. Not because of his health, but because he is the master of tricks and practical jokes.
It’s not surprising that Wisam plays tricks to pass the time. At last count he had been in Hospital for over 400 days. Wisam suffers from a range of medical conditions that prevent him from doing many things that normal 17-year-old boys take for granted. Since first being diagnosed with selenoprotein myopathy, restrictive lung disease and scoliosis when he was just six months old, Wisam’s second home has been The Children’s Hospital at Westmead. He has recently spent over three months in the paediatric intensive care unit with pneumonia and a collapsed lung and he has had a tracheostomy inserted to help him breathe. While in Hospital, Wisam is able to participate in a range of activities and programs specifically designed to meet the unique needs of adolescent patients. The Children’s Hospital at Westmead also works with other area health services to plan for the transition of care for chronically ill adolescents to adult facilities. Meanwhile, Wisam is working towards his dream to one day become an actor or a computer whiz.
Annual Review 2010 | 38 Protecting precious babies from harm
An innovative approach to the prevention of child abuse that has been saving precious babies from harm for almost ten years is now having a global impact.
The Shaken Baby Prevention Project, an initiative of The Children’s Hospital at Westmead, Sydney West Area Health Service, The Westmead Medical Research Foundation and Kidswest, was officially launched in 2001 to educate parents that shaking your baby is a dangerous form of child abuse. Shaken Baby Syndrome describes injuries caused by an adult violently shaking a baby, even for a few seconds. The shaking causes the baby’s brain to bounce around in the skull and bruise, bleed and swell. This can lead to brain injury, blindness, damage to the spinal cord and, sadly, about a quarter of babies subjected to this treatment die. Caring for a young baby can be overwhelming, especially when the baby is unsettled and crying. Most parents and carers of babies find it difficult to stay calm at times, especially when they are also experiencing stress in other aspects of their lives. A DVD resource, developed by the Shaken Baby Prevention Project team to educate parents and carers about Shaken Baby Syndrome, has now been translated into 12 languages for distribution in 25 countries. The DVD aims to provide parents with alternative strategies to deal with the stress of caring for a new baby and to dispel cultural myths that shaking a baby is safe. It uses universally appealing imagery that has been central to the international success of the awareness campaign. Most parents are unaware that a baby’s large head, weak neck and soft, fragile brain means that being shaken could be harmful or fatal. Armed with this knowledge and some new safe strategies to use when their baby is crying, they are much better placed to avoid harm.
Annual Review 2010 | 40 Annual Review 2010 | 41 David Fitzsimons Speech Pathologist One of the greatest milestones of a child’s development is when they learn to speak.
Speech opens up a new world of communication and interaction for children. But clear speech doesn’t always come naturally to children, as Speech Pathologist, David Fitzsimons, knows all too well. David’s primary role is to care for children who require palate surgery to improve their speech. He also liaises with Plastic Surgeons to determine the best type of surgery for each individual child. A major feature of David’s work is his involvement of the child’s parents and family in their speech therapy program. This approach is reflective of the family-centred care at the very heart of The Children’s Hospital at Westmead. David has been a dedicated member of staff at The Children’s Hospital at Westmead for 15 years and enjoys working with other staff who “genuinely work here because they want to improve the lives of children entrusted to our care.” The Cleft Palate Clinic, along with many other areas of the Hospital, is strongly supported by a long-term donor. The passion and dedication of donors to the work of the Hospital is truly remarkable and transforms the level of care that can be offered to children and families.
Annual Review 2010 | 43 Somewhere over the rainbow
The Children’s Hospital at Westmead has introduced Rainbow Serpent Tours for Aboriginal school students, a fun way to promote health and safety for these vulnerable kids.
Groups of Aboriginal children are invited to the Hospital to participate in a Rainbow Serpent Tour. They are shown around the Hospital, visiting areas such as the wards, x-ray area, gardens and, of course, the Starlight Room. This behind-the-scenes look at the Hospital alleviates the fears of children and creates a familiarity that helps if they ever need medical treatment. While at the Hospital, children on the Rainbow Serpent Tour are also taught some basic health and safety tips that help them to care for the health of their whole family. This special focus on health education and the prevention of illness and injuries has a direct and positive impact on the whole Aboriginal community, not just children. They are then checked over by staff from the Hospital’s Ear, Nose and Throat speciality and the Dental Clinic. These health checks are proving to be invaluable, with several children already identified as needing acute and ongoing medical care. The Rainbow Serpent Tours, funded by donations, have been established as part of The Children’s Hospital at Westmead’s ongoing commitment to providing specialised care to the Aboriginal community and to giving the Aboriginal community greater confidence in the healthcare system. The Hospital hopes to further improve services provided to these children and families by increasing and improving the services provided and building stronger partnerships with local Aboriginal Health Services. Aboriginal students on a Rainbow Serpent Tour
Annual Review 2010 | 44 Annual Review 2010 | 45 William When it comes to cute babies, they don’t come much cuter than eight-month-old William.
His smile lights up the room and everyone wants to pinch his chubby cheeks. You would never guess that he has been receiving treatment for congenital talipes equinovarus – otherwise known as club foot – since he was just eight days old. When William’s parents, Michael and Rebecca, went for their 20 week scan during Rebecca’s pregnancy, they were shocked to find out that William’s right foot was not growing as it should. At the tender age of eight-days-old, William was fitted with a plaster to help correct his growth and had an operation to release the tendons in his foot at just 11-weeks-old. He is now undergoing a four-year treatment plan to treat his condition. William’s Mum, Rebecca, says, “We were expecting to have a healthy baby and after our initial anxiety we realise that is exactly what we have! We do realise that because of his condition, William might not be an Olympic sprinter but we are confident that he will continue to be the happy person we know and love”.
Annual Review 2010 | 46 Rapid response
The Children’s Hospital at Westmead played a major role in the treatment of patients during the H1N1 Influenza (Swine Flu) pandemic and advocates for community immunisation against this and other infectious diseases on an ongoing basis.
The staff and resources of The Children’s Hospital at Westmead were put under great strain during the Swine Flu pandemic. Emergency Department presentations reached record numbers, peaking at 220 children per day, around 50 more than the Hospital would usually expect to treat on a busy day during the flu season. Staff managed the crisis so well that The Children’s Hospital at Westmead was commended for its handling of the pandemic in their Annual Performance Review by NSW Health. The Hospital dealt with this crisis effectively and rapidly while still providing the same high quality care to children with other illnesses and injuries. The Australian Paediatric Surveillance Unit and the National Centre for Immunisation Research and Surveillance, both part of The Children’s Hospital at Westmead, conducted urgent research into a safe vaccine for the pandemic and the correct dosage to provide the highest level of protection. This is part of the Hospital’s ongoing commitment to immunisation. Vaccination is responsible for the control of many infectious diseases that were once common in Australia, including polio, measles, diphtheria, whooping cough, rubella, mumps and tetanus. Australia’s immunisation program helps to protect our whole community against these threats and is also vital in addressing new threats, like Swine Flu. While vaccination rates in Australia are relatively high, it is important that we stay vigilant against infectious diseases as many remain prevalent in other countries and can be easily imported by travellers.
Annual Review 2010 | 48 Annual Review 2010 | 49 Jane Tinsley Nurse The enduring memory of being in Hospital for many sick children and their families is the care received by nurses.
Not only do nurses provide practical medical care, they also provide a helping hand, a listening ear and kind words when a family needs them most. Nurse Jane Tinsley sees this kindness and compassion as an integral part of her role. Jane works on Turner Ward, also known as the Care-by-Parent Ward. This ward provides supervised care for sick patients, where the primary care is managed by parents or carers. This combination of care and education gives families the skills they need to manage the treatment of their child’s illness once they leave hospital. Jane recalls a time when she supported a family during their daughter’s diagnosis with a serious illness. Her honesty, care and compassion throughout that process was evident when the family took the time to come back to visit Turner Ward for a chat and a hug. “Clearly I got something right with that family. I see staff ‘going the extra mile’ every day at work. When you can make a positive impact, that’s a good day at work,” Jane said.
Annual Review 2010 | 51 Prevention is better than cure
Many staff at The Children’s Hospital at Westmead are taking on a dual role, not only treating sick patients, but also working hard to advocate on a range of health topics to prevent illness and injury among other children in the community.
Nowhere is the old adage that prevention is better than cure more relevant than at The Children’s Hospital at Westmead. Doctors are constantly treating patients who could have avoided illness or injury by taking a more preventative approach to their health and safety. The Hospital has a group of motivated staff who meet regularly to examine trends in admissions and formulate strategies to reduce the impact of preventable illnesses and injuries on the health of children. The Children’s Hospital at Westmead has had major input into some important preventative health initiatives this year, including the introduction of new car restraint laws and the prevention of window falls. Doctors at the Hospital who saw an alarming rise in the number of children falling from windows immediately formed a multi-disciplinary taskforce to look at ways this trend could be reversed. The group launched a media campaign, backed by the NSW Government, to educate families of the danger of serious injury or death to children from window falls. As well as providing families with simple solutions to avoid accidents, such as placing rods in their windows to only allow them to open a small amount, the group The Children’s Hospital at Westmead was instrumental in the introduction of new car restraint laws is also working with the NSW Government to make window locks and barriers compulsory on all newly constructed homes.
Annual Review 2010 | 52 Annual Review 2010 | 53 Helena Young Occupational Therapist Helena Young’s work as an Occupational Therapist reaches far into the community, so much so that she spends much of her time seeing patients in their own homes.
Helena’s role is to help children with neuromuscular conditions to manage the practicalities of day-to-day life and to keep them safe, comfortable, independent and engaged in family life, school and leisure. She recognises that children with neuromuscular conditions often have many physical restrictions but she works hard to ensure they have no barriers to expressing their unique personalities. Helena spends much time helping families to create positive experiences and memories, especially as children with neuromuscular conditions often have a shortened lifespan. Working at The Children’s Hospital at Westmead since the mid-1980s, Helena has experienced many touching moments when caring for children and families. “I feel humbled and proud when an Afghani refugee mother with two children with a neuromuscular condition sheds tears each time we meet, so eternally grateful for the care she receives. I find the courage, dignity and determination of families very inspirational,” Helena said.
Annual Review 2010 | 55 Dedication and devotion
When The Children’s Hospital at Westmead receives feedback from families who are grateful for the exceptional care their child has received, they almost always take time to praise staff for going above and beyond the call of duty.
The Hospital is renowned for the talent and commitment of staff, many of whom are long-standing employees with an ongoing commitment to providing the best possible care for sick children and their families. To recognise this commitment, a long service recognition program has commenced. Awards have been presented to staff who have given 10, 15, 20, 25, 30, 35 or 40 years of service to The Children’s Hospital at Westmead at a series of award ceremonies. The Hospital, at the present location in Westmead and at previous locations in Camperdown and Glebe, has never just been a collection of buildings. The backbone of the Hospital has always been the staff – all the people who have worked there in the past and to this day. Many staff being recognised through the long service recognition program started working at the Hospital before it relocated from Camperdown to Westmead in 1995. They have a wealth of knowledge and experience about the Hospital and paediatric health care that is a vital key to future success in caring for sick children and their families. Today, 3000 staff work at The Children’s Hospital at Westmead in a variety of clinical and non-clinical roles. Each staff member feels a connection to the Hospital’s overall care role and a sense of pride to be part of such a talented and dedicated team. Some of the long service award recipients The love, determination and persistence of so many staff members and their dedication to the Hospital’s work have made the Hospital the centre of excellence in paediatric health care that it is today.
Annual Review 2010 | 56 Annual Review 2010 | 57 Froska Kolaroska Food Services Supervisor When Froska Kolaroska started working at The Children’s Hospital at Westmead in 1974, never in her wildest dreams did she think she would still be an integral part of the Food Services team over 30 years later.
Froska, who is affectionately known as ‘Aunty’ by her workmates, came to Australia from Macedonia and started working in the kitchens, eventually becoming qualified in commercial cookery. She is now a Supervisor, coordinating over 70 staff who work hard around the clock to prepare meals for patients, families, visitors and staff. Froska and her team know that food can play a big role in recovery for children, tailoring meals to young tastebuds. A highlight for her is Christmas Party Day when the whole hospital is decorated and Santa and celebrities visit the kids. Party food is on the menu that day, making the children happy and allowing them to forget about their illness for a little while. “We have a great team from different backgrounds, different nationalities and different ages but we are all here to do the best we can for sick kids. I have made a lot of good friends here, they are like my family,” Froska said.
Annual Review 2010 | 59 Lending many hands
The commitment and dedication of the staff of The Children’s Hospital at Westmead is only matched by that of the volunteers.
Hundreds of volunteers are committed to supporting the work of the Hospital and to improving the lives of sick children and their families. Over 400 volunteers regularly assist with the day-to-day running of the Hospital – helping out on the wards, caring for sick children and their siblings, escorting guests around the Hospital and assisting with administration work. Volunteers also spend time in the Hospital’s Emergency Department in the evenings and on the weekends. They offer assistance to care for children, provide a listening ear, make the occasional cup of tea and generally help to maintain a friendly environment in an area where families are often under enormous stress with their sick child. The Volunteers also play a major role in fundraising for The Children’s Hospital at Westmead. Around 1000 volunteers are dedicated to assisting with the Hospital’s two main fundraisers, Bandaged Bear Day and the Teddy Bears’ Picnic. Additionally, volunteers run raffles, stalls and raise significant funds through the Volunteers’ Shop in the Hospital foyer. The tradition of volunteering at The Children’s Hospital at Westmead extends throughout our rich history. There are stories of volunteers visiting the children in the Hospital pre-1900, reading to the children and taking them for picnics when possible. A Voluntary Helpers Department was formally introduced in 1919. The Children’s Hospital at Westmead would not be the wonderful institution that it is today without ongoing support and assistance from Volunteers. Their selfless dedication to the Hospital is greatly appreciated by staff and by children and families who are touched by their work every day. Volunteers assist in many areas around the Hospital
Annual Review 2010 | 60 Annual Review 2010 | 61 Margaret, Dian, Susan & Barbara Volunteers Imagine how much you would have to love a job to do it for almost 40 years without a paycheck?
Margaret Minett, Dian Syme, Susan Farrell and Barbara Tibbey know that feeling. Together they have given almost 40 years of dedicated service to The Children’s Hospital at Westmead as volunteers. They are part of a group of over 400 general volunteers who selflessly give their time each week to the Hospital. Volunteers perform a variety of jobs around the Hospital – Margaret, Dian, Susan and Barbara can be seen working in the Volunteer Shop, helping families on the wards or to prepare for their child’s surgery, escorting visitors or assisting with administration work. Volunteers often form strong bonds with the families of sick children and are thrilled when a child is well enough to return home. Seeing this transition is a magical experience for everyone at the Hospital. Margaret sums up her love of The Children’s Hospital at Westmead well, “I love everything about the Hospital. This is the best job I have ever done and is more satisfying than any paid job.”
Annual Review 2010 | 63 Bernadette Within 24 hours, Bernadette went from happily playing at her grandparents’ house to being on life support in the paediatric intensive care unit at The Children’s Hospital at Westmead.
Two-year-old Bernadette developed a high fever in the evening and was feeling extremely unwell. Her parents monitored her throughout the night and raced her to the Emergency Department at The Children’s Hospital at Westmead when they noticed red and purple spots over her body and face early the next morning. Bernadette was soon diagnosed with meningococcal septicemia and her condition deteriorated rapidly. She was so ill, she even began crying tears of blood. She was quickly admitted to the paediatric intensive care unit and remained there for nearly five weeks. After three months in hospital, the effects of Bernadette’s brush with death are lasting – she has had both legs amputated below the knee, has lost some fingers and suffers from renal impairment and brain injury. Bernadette has a beautiful smile and a joyful nature and she loves music, singing and The Wiggles. Her two brothers are helping her to maintain her cheeky sense of humour during her long recovery.
Annual Review 2010 | 64 Fundraising innovation When a group of women banded together in 1880 to raise enough money to establish Sydney’s first children’s hospital at Glebe, they commenced a tradition that is still going strong 130 years later.
While the tradition remains, the methods of fundraising have evolved greatly over time. The Children’s Hospital at Westmead now gives the community more opportunities to be involved in the work of the Hospital and varied ways of supporting sick children and their families. This year, donors supported the work of The Children’s Hospital at Westmead to the tune of almost $23 million. These donations came from a variety of sources – including individuals, community groups, schools and corporations. One of the highlights of the fundraising calendar this year was the ‘Open Your Heart Appeal’. This appeal enabled donors to connect with the work of the Hospital and show support in a variety of ways. Classic Rock (then known as Vega 95.3FM) came on board to conduct a two-day radiothon, where listeners heard stories of hope, courage and survival of patients and also learnt more about the roles of staff at the Hospital and their motivations for working with sick children and their families. The ‘Open Your Heart’ Appeal raised funds to allow the Hospital to purchase life- saving equipment, employ specialist staff and fund research into the causes and cures of a range of childhood illnesses. Donors always excite and amaze Hospital staff with their innovative fundraising ideas and their dedication and passion to improving the lives of sick children and their families. Just some of the Hospital’s many generous donors with Hospital staff
Annual Review 2010 | 66 Annual Review 2010 | 67 Khang Khang is a bright young boy with a sparkle in his eye. But this sparkle hides a troubling medical condition that threatens to take his sight away.
13-year-old Khang started experiencing sore eyes and blurry vision seven years ago. His parents rushed him to see specialists at The Children’s Hospital at Westmead and were shocked to learn that Khang has cataracts and glaucoma in both eyes. He has since endured seven operations on his eyes and doctors are continually monitoring his condition to try and avoid future vision loss. The strength and bravery Khang has shown throughout this ordeal has helped him to also come to terms with being diagnosed with juvenile rheumatoid arthritis and severe eczema. Khang loves drawing and music and, according to his parents, is a patient and deep-thinking boy with maturity beyond his years. They recall feeling distressed by their son’s ill health and when they struggled to come to terms with their son’s diagnosis, Khang told them that his inner strength would help him to overcome all his problems and heal him from sickness.
Annual Review 2010 | 68 Changing face of health From 1 July 2010, The Children’s Hospital at Westmead is no longer a stand-alone entity, now forming part of a new Health Network created to improve and enhance paediatric health care in NSW.
In January 2010, the NSW Government released a discussion paper: ‘Caring Together: NSW Kids’. This paper outlined the Government’s plans to improve the delivery of health services for children up to 16 years of age, in response to findings by the Special Commission of Inquiry into NSW Health. Following the recommendations from the inquiry and the discussion paper, The Sydney Children’s Hospitals Network (Randwick and Westmead) was established on 1 July. The creation of this Network is a significant change to the paediatric health care landscape and has opened the door to huge opportunities to improve and enhance care in the future. It will enable a more focused and coordinated approach to child health and child protection services across NSW. Both The Children’s Hospital at Westmead and Sydney Children’s Hospital are high performing children’s hospitals. Uniting these strengths within this new Network and translating them across clinical areas will greatly enhance the service provided, directly benefiting sick children and their families. This unique opportunity will build on the successes and learning of the past 130 years through a governance structure that enables better communication, collaboration and increased transparency in decision making and strategic planning. The future looks promising and this remarkable milestone for paediatric health in NSW will be reflected upon in history as a positive transformation of care to best suit the needs of children and families.
Annual Review 2010 | 70 Annual Review 2010 | 71 Sean Hogan Orthotist Just as a parent rejoices in their child’s first steps, Sean Hogan rejoices in the first steps of his patients.
These children, at all different ages and stages, often think their dream of walking will never become a reality because of their illness or injury. Sean is the Head of the Orthotics Department, enhancing mobility for patients by supporting, protecting or correcting their musculoskeletal system. First starting work at The Children’s Hospital at Westmead in 1987, Sean thought he would give the Hospital a try for six months and over 20 years later he is still here, constantly enthralled and amazed by the courage of sick children and their families. “I have a patient who I have been treating since she was 18 months old when she was involved in a car accident which left her paralysed. She is now all grown up, but she is the same age, almost to the day, as my own son.” “There is nothing extraordinary about the families that these tragedies befall; it really can happen to anyone. This, more than anything, makes me realise how fortunate I am to have my own happy and healthy family,” Sean said.
Annual Review 2010 | 73 Mustapha Never in their wildest dreams did Fayez and Hamayda think that their sixth child, Mustapha, would be diagnosed with a rare seizure disorder when he was just six-months-old.
Mustapha has been admitted to the Paediatric Intensive Care Unit at The Children’s Hospital at Westmead four times and he has not yet celebrated his second birthday. He has been diagnosed with Dravets Syndrome, which causes severe and unpredictable seizures that are almost impossible to control. Life for Mustapha’s family has changed dramatically since his diagnosis. His illness doesn’t usually allow them to plan outings or keep to a routine, but they still like to enjoy long walks and trips to the park when they can. Despite all the hardships of their youngest son, Fayaz and Hamayda are amazed at his happy nature and his ability to put a smile on the face of everyone who meets him. Mustapha’s Mum, Hamayda, says, “This rare condition has no cure and Mustapha will never outgrow it. We don’t know what the future holds for him but we will try to make him the best he can be and will love and support him through whatever challenges he will face”.
Annual Review 2010 | 74 AMP Bank Ltd Balgowlah RSL Memorial Fishing Club Bloom, David AMP Foundation Balgowlah RSL Memorial Club BlueScope Steel - Melbourne AMP PA Network Balgowlah Seaforth Clontarf RSL Sub- Bob Jane T-Mart Amyson Pty Ltd Branch Body Corporate Services An Restaurant Balis, Dina BodyWar Fitness Challenge 2009 Anderson, Gail Bandage Bear Benefit Night Bonifacio, Michael Our Donors Banks, Andrea Angus, Alexander Boral Ltd Each year The Children’s Hospital at Westmead turns to the community for Ant-Eater Environmental Services Pty Ltd BankWest Boustani, Joseph additional financial support to help provide the best care for sick children and ANZ Private Equity Barakat, Michael Bovis, Darren give them a brighter and healthier future. ANZ Stadium Barclay, Peter R BP Australia Pty Ltd ANZ Staff Foundation Barclays Capital Bricknell, Graeme The Hospital extends a special heartfelt thank you to all donors and supporters ANZ Trustees- ACTA- Small Family Bequest Bart, Andrew Bridgestar Pty Ltd ANZ Trustees Foundation - Vrcelj Family Gift Barter, Martin Brierley, Ron who give so generously and selflessly. Some of these donors are listed below. Australasian Order of Old Bastards Barter, R G Briggs, Roy Appleroth, Herbert BASF Construction Chemicals Pty Ltd Britten, William Appleroth, Valerie Basha, Ken Broadbent, Jillian Founders Benefactors Major Apte, V R Baur, Louise A Bromley, Margaret Estate Late Margaret Douglas Brown Baxter Charitable Foundation Arain, Takako Bavarian Bier Cafe Brook, Carol W. Clubs NSW Eastern Zone Bear Cottage Best & Less Supporters Argyle Property Group Baxter Family Foundation Brooksight Investigations Pty Ltd & Other Charities Committee Bone Marrow Donor Institute 2CH Northbridge Womens Golf Armstrong, Russel Bayer Browne, Leo Geddes Philanthropic Trust Estate Late William Frederick Bradshaw 2mm Pty Ltd Arnott, Bruce Bayley & Friends, Lil Bruck Group Manildra Group of Companies Estate Late David Barry Creaghe 400 in 4 Charity Ride Arnott, WR BCC Adsystems Brunner, Paul The Volunteers Department, Estate Late Elizabeth Ingrid Cohen A & M Kazzi & Sons Pty Ltd Artvue Printing Beacon Hill Public School Brunsdon, Norman K The Children’s Hospital at Westmead Estate Late John Eldred Noel Christensen A 51 Inner Wheel District Committee Inc Ascham School Bear Brasserie Brydens Law Office Dell Pty Ltd A Bear Affair Committee Association Sinopolese Bear Cottage Volunteer Fundraising BT Financial Group Estate Late Violet Falls A Moment in Time Photography Associazione Bagnara Calabra of NSW Committee Buckle, Maree Estate Late Bebe Louise Fletcher A R V Rohini Village Monday Group Sydney Inc Beattie, James Buddha’s Light International Assoc. of FB Rice & Company A53 Inner Wheel District Athanase Yenibis Foundation Bedwell, John B Australia Loving Care Estate Late Nancy Gill AAK Finance Partnership Atkinson, James & Emma Begetis Real Estate Agent Built NSW Pty Ltd Gwynvill Group Abril Building Solutions ATR Belford, Rick Bulldogs Rugby League Football Club Howards Storage World ACCO Australia Audi Australia Pty Ltd Bell, Alan Bunnings Warehouse Integral Energy Australia Ackery, David Austbrokers RWD Pty Ltd Belle-Laide Events Bunting, Richard Estate Late Sarah Kiss ACP Magazines Austdac Pty Ltd Belrose Women’s Bowling Club Burling, Michael Estate Late Irene Rita Macken ACS ISP Austin, D M Benjamin, Max Burrowes, Merryn Macquarie Group Foundation Ltd Adams, David & Elizabeth Australia First Mortgage Bennett Elder Smash Repairs Pty Ltd Burton, Jennifer Estate Late Phyllis Mary Maloney Adams, William & Kathyn Australian Capital Equity Bennett, Margaret Butler, E G Estate Late Sybil May Millington Adamsas, Dieter Australian Careers Business College Berg Family Foundation Pty Ltd Butson, Jean Muscular Dystrophy Association Inc Adamson, Ross Australian Fed Cup Foundation Bernard, Berivan Buzzai, Marisa Estate Late Sybil Myra O’Brien Adriano Zumbo Australian Leisure & Hospitality Grp Ltd Betros, Daniel Byrne, Jonathan Estate Late Margaret A Prager Aegon Direct Marketing Services Australian Model Railway Assoc Bettina Child Model Management Bytecraft Entertainment Rellim Holdings No 2 Pty Ltd Ahrens, M Australian Turkish Women’s Helping Hand Beuman, Myra C & M Antoniou Pty Ltd Ronald Geoffrey Arnott Foundation Ainsworth, Lisa Australian Wagyu Association Ltd Bickford, E C & M Lawyers Estate Late Lily Ruttner Air Road Foundation Auty, Bruce Bidwill Hotel Cable, David Sydney Invitational Pty Ltd Al Noori Muslim Primary School AVHPA Spring Dinner Dance 2009 Bikram’s Yoga College of India Cable, Laurie The Butterfly Foundation Alagha, John Axiaq, Charlie Bill & Lea Ferris, Cabramatta Golf Club Ltd Estate Late Vivian May Thompson Albert, Robert Bailey, Geoff Bing Lee Electrics Pty Ltd CAF Community Fund Estate Late Ruby Grace True Alifakiotis, Constantina Bain International Black Tie & Thongs Paddock Bash Cafe Ilviszio Western Earthmoving Pty Ltd Allergan Bain, Lynette Blackman, Robert Cairns Auto One DBA Whites Wires Australia Pty Ltd Allerton, Tim Baines, Peter Blackmores Ltd Cairns, Grant Estate Late Maria Zuzich AMA Charitable Foundation Baird, Mike Blann, Susanne Cameron, John T Amalgamated Holdings Baisi, T P Blomfield, C I Camilleri, Vincenza
Annual Review 2010 | 76 Annual Review 2010 | 77 Campbell, Bernie CMC Australia Pty Ltd Cullen, Sam Durie, Jason Frearson, Ines Grace, Megan Camp Quality Limited CML Finance Solutions Pty Ltd Culter, Joan Duursma, L Freeman Catholic College Grace, Neville Canberra Girls’ Grammar School Coates Hire Operations Pty Ltd Cumberland Radio Control Modellers Club Inc Dynamic Brands Freeman, Lindsay Graduate Nurses Auxiliary Canberra Rent the Roo Coca-Cola Amatil Cummins South Pacific E J Hart Group Pty Ltd FreePour Espresso Graham, Ian Canley Vale Public School Coca-Cola Amatil Workplace Giving Scheme Cure Our Kids East & Partners Freight Train Music Graham, J Cannon, John Cockburn, Michael Cuthbert, Chris EcoDirect Pty Ltd Fresha Product Gray, Warren M C Cant, Michael Cocos Constructions Pty Ltd D A Strati & Associates Pty Ltd Economus, Helen Fry, GH Green, Judith Canterbury Bulldogs Leagues Club Colbridge Pty Ltd D D Chandler Quantity Surveyor Edwin Street Residents Fuchs, Matthias Greig, E Cardow, E C Coleman & Greig - Solicitors & Notaries Daikin Australia Pty Ltd Effie Holdings Pty Ltd Fuller, John Gresham Partners Ltd Caring for Kids - Bankstown Group Collier Charitable Fund Dam, Van Ping Egan, Michael Gabriel, Shirley Greyhound Publications Pty Ltd Caringbah North Public School Colmer, David Danks Trust Ellinas, Julie Gadens Lawyers Gribble, David Carpenter, Brian Combined Civil Group Datacom Elliott, Elizabeth Gage, Louise Griffin Air Conditioning Carr, David Combined Plumbing Services David Moffet’s Active Dental Elters, Milad Gallery at the Wentworth Pty Ltd Griffith, Andrew Carroll, Peter Commercial Interior Projects Pty Ltd Davidson AO, JA Empire Financial Planning Galston High School Grigg, John Carroll, Phillip Commonwealth Bank Davis, Garry & Lynn Energy Australia Game Grimish, Geoff Carrozzi, Joseph Commonwealth Bank - Corporate Financial Davis, Jason Energy Australia Employees’ Children’s Appeal Gaudry, Alan J Grosvenor Australia Asset Management Pty Ltd Carswell, Judy Services Day of Difference Foundation Epper, David Gazal, Ann-Marie Group FX Pty Ltd Carters, Graham Commonwealth Bank - Lidcombe Dee Why RSL Club EPS Property Search Gazcorp Pty Ltd GTD Industries Pty Ltd Cary, Barbara Commonwealth Bank - Manly Defence Maintenance Management Era Polymers Pty Ltd Geberit Guildford Leagues Club Ltd Castle Hill Country Club Ltd Commonwealth Bank of Australia - Del Gallo, Peter Erdstein, Alexander Geikie, John Gulgong Women’s Bowling Club Cayas, Alex Parramatta Precinct Delgaty, Darren Errington, Roger General Mills Australia Pty Ltd H & R Israel Fund Celebration Concert Complete Renovations and Additions Demirtan, Mark Executive Electrical Voice & Data Services Pty Ltd Genua, L Habib Bros - Truck & Car Smash Repairs Celebrity Speakers Conca D’Oro Classic Lounge Demlakian, Ken Express Glass Pty Ltd Genworth Financial Habibeh, Nakhleh Central Coast Kids In Need Inc Concord Senior Citizens Club Dental Corporation Fagan, Patricia Genzyme Australasia Pty Ltd Haddad, Elizabeth Central Cumberland Racing Pigeon Conde AO, John Derwin, Troy Fairbridge Foundation George, Simon Hadley, Chris Federation Inc ConnecTeD for Kids Inc Detech Building Services Pty Ltd Fairfax Media Payroll Contribution Scheme Georges Hall Public School Hadley, Susan Central Motors Nepean Pty Ltd Consolidated Lawyers Deutsche Bank Fairfax, James Georges River District Womens Bowling Assoc Haines Bros Earthmoving & Engineering Cereform Coogans, David Deutsche Bank Workplace Giving Fairfield RSL Memorial Club Ltd Georges River Lioness Club Halloran, Warren Chambers, Ian Cooper, Lani Dexion Integrated Systems Fairvale High School Gerathy, Hilder Halmagyi, Ed Chan, Kum-Ling Corben, Phil & Lucy Dickenson, Ken Farrell Coyne Projects Pty Ltd Gerstle, Gary Hamrun Association Ltd Chant, Michael Corbett, Honora Dickfos, Rod Farrugia, David GHD Pty Ltd Hanbury, John Charcot-Marie-Tooth Association of Aust Cornucopia Committee Inc Dickson, Irena FDC Fitout Giandomenico, Joe Hardhat Constructions & Maintenance Charity Greeting Cards Pty Ltd Cornwall Stodart Didio, Antonio Federman, Diane and Edward Giannone, Richard Hardiman, Ian Chester Hill Hotel Golf Club Corona, Deana Dieu Pham Association Inc. Feely, John Gilbera, Daniel Harker, Steve Chester Hill North Public School Corporate Express Aust Ltd DLA Phillips Fox Felsch, Ron Gilbert & Roach Harrington, Tony Chidgey, Joyce Corporate Express Project Group Dolden, Reginal Ferrington, Mark GILD Insurance Litigation Pty Ltd Harris, F Children’s Cancer Welfare Services Corrigan, Patrick Dolman, Bette Finemore, Ron Gill, Deepak Harvey Norman - Head Office Chinese Culture Club Ltd Costco Wholesale Australia Pty Ltd Don Stein Investments Pty Ltd Finnerty, Mellissa Gill, Tony Harvey, Les & Vicki Chow, Jessie Costi, George Donazzolo, Monica Fiona Daley Memorial Fund Gillogly, Amber Harvey, S Citi - Sydney Cottee, Beverley Donnelly, Max Fire Fighters Calendar Glaxo Smith Kline Hassall, Mark City of Blacktown RSL Club Ltd Coulton, Dixie Dooleys Lidcombe Catholic Club Ltd Fire Protection Association Australia NSW Division Glenhaven Public School Hawker, RE Clark, Jim & Angela Count Charitable Foundation Dr Formwork First Hand Foundation Gold Crest Security Hay, Jean & David Clark, Mark Coxon, Alexander Drew, AJ Fitzgerald, Barry Goldman, Barry Haynes, Barbara Clarke, David Crane, Carmel Drogas Fitzgerald, Stephen Gomes, Joseph Haynes, F Clarke, Nigel Cranium Hair Drummoyne Sports Club Ltd Fleetstone Pty Ltd Gonopoulos, Bill HCF Clarke, Rosie Craven, Bruce Duffy, Matthew FM Global Goodwin, C Health Support Services Clarke, Vera Crawley, M I Dulux Australia Footwear Leather & Allied Trades Cot Fund Gorman, B & T Heartkids NSW Inc Clayton UTZ Credit Union Australia Ltd Dunlop, John Forestville RSL Club Ltd Goss, John Hellenic Lyceum Club Clifford Hallam Healthcare Pty Ltd Crown Scientific Dunn Family Trust Fund Fowler, Guy Gow Recruitment Hernando, Linda Club Marconi CSR Ltd Payroll Contribution Dunn, Michael Franchimon, Charles Gowing, BG Hext, Timothy Club Toukley RSL Ltd Cub Campers Pty Ltd Duong, Aiden & Ethan Francis Egan & Co Goymer, Ray & Margaret HIC NSW Social Club
Annual Review 2010 | 78 Annual Review 2010 | 79 Hill, Adam & Michelle J B Bedwell Foundation Klaric & Partners Property Consultants Lions Club of Winston Hills McCaffery, Toni Mustang Owners Club of Australia (NSW) Hillsbus J Farren Price Jewellers Knight, Stephen Lipsian Brotherhood Saint John Theologos McCann, Deidre Mustica, Carmelo Hillsy Jackson, Brian & Narelle Knott, Wendy Liquid Capital Australia Pty Ltd McConnell, Stephanie My Baby Warehouse Hilton Parkes First National Real Estate Jackson, Bruce Knox Grammar Preparatory School Liso, Bob & Joanne McCormacks Strata Management My Little Cupcake Hing, Stephen Jackson, Cynthia Koch, Don Little Kids Big Kids Pty Ltd McCullagh, P Myer - Parramatta Hodgson, Tony Jackson, Julianne Kolek, Maryanne Liverpool City Council McDonalds Australia Ltd Myer Community Fund Hofbauer, Rachelle Jacobs, Ken Kremer, Joseph Lloyd, Brian McGrath Liverpool N & M Hurll Charitable Trust Hoggard, Peter James N Kirby Foundation Kuringai Model Flying Club Lloyd, Geoff McGrath Subaru Nagaruban, Akalya Holden, Karen Jamieson, Robyn L J Hooker - Double Bay Lodge Wyong 310 Royal Antediluvian McNee, Kate Nagra, Satinder Holden, Sonja Janssen, Christopher Lady Anne Funerals Order of Buffaloes Mcnee, Michael Nalebirch Interiors Holiday Village Group Jardine Lloyd Thompson Lai, Shish Loewenthal, Lady AJ McNeill, Rose Nash, W Holland, Andrew J Jarlk Pty Ltd Laidlaw Foundation Pty Ltd Loquat Valley School McWilliam, Bruce National Foods Ltd Holt, Carl Jason Taylor Pty Ltd Laing O’Rourke Australia Construction Pty Ltd Loud & Clear Audio Medibank Private National Patios Pty Ltd Hong, Youdong JE Allen Pty Ltd Lalor Park Waratah Slimmers Lowcarter, Mary Medtronic Australasia Pty Ltd National Rugby League Hooper, Robert Jennifer Ross Graphic Design Lamb & Walters Luddenham Antique Truck & Machinery Meier, Craig NCR Information Services Social Club House 2 Home Jenolan Caves Reserve Trust Lambeth Street Carols Rally Mellor, Robert Nelson Meers Foundation Howlett, Doug & Beryl John Boyd Properties Landro, J Lumara Timber Sydney Mentis, C Nesbitt, Geoff HPL Lawyers John Colet School Lane, Robert & Carol Luong, Hi Merchant OAM, Dennis Nestle Staff Childrens Fund HR Connections John R Keith NSW Pty Ltd Langford, Doreen Luscombe, Michael Mercieca, Darryl Network Fire Solutions Hudson Meats Johnson, Barry Langley, Andrew Lyone, Dominique Merrett Foundation Network Ten Hughes, Warren Johnston, John C Larizza, Robert M & F Katz Family Foundation Merrick and Rosso Pty Ltd Neurofibromatosis Association of Australia Humpty Dumpty Foundation Jones, Michelle Latham, Ada M Projects Pty Ltd Metleg/Kayrouz Neville, Chris Hurlstone Agricultural High School Jump, Marjorie LATMA Australia Mackisack, JM Metromix Pty Ltd Nexia Court & Co Hutchinson, Rick Kaldor AO, Renata Lau, Isaac Maclean, Connor Metzmacher, Susan Nguyen, K T Dinh & T M Hyundai Motor Company Australia Kaldor, A Laws, Laura Macquarie Bank MGA Motor Repairs Nicholls, Brian & Cassandra Ianni, Frank Kallas, Kay Layne Beachley Corporation Macquarie Grove Retirement Village Miller-Page, Vanessa Nichols, Brian Imagine8 Australia Kanwal General Store & Fuel Supplies Lazaris, Angelo Madden, Greg Mint Property Services Night Shift - Westcliff Colliery Independence Studios Pty Ltd Kapstream Capital Lees, Andrew Magdalene Catholic High School Mitchell, Mark Nine Network Australia Pty Ltd Infinity Constructions Karavanz for Kids Lemoar Nominees Pty Ltd Maguire, Patricia Mobbs, Walter & Betty Nippon Oil (Australia) Pty Ltd Inghams Enterprises Pty Ltd Katalinic, Matt Lendlease Mamaq Pty Ltd Moissanite Pty Ltd Noel’s Plumbing & Bathroom Supplies P/L Inner Wheel Club of Guildford Kayaking for Kemo Kids Leung, Evelyn Manly Bowling Club Mona Vale Golf Club Ltd North Ryde Community Church Inner Wheel Club of Northern Beaches Keith Soames Real Estate Leung, Mei Han Manly Masquerade Ball Monaghan, Michael North Sydney Girls High School Inner Wheel Club of Ryde Keith, John Leura Public School Manly Taxi Management Pty Ltd Mong, Daniel North, Kathryn N Institute of Strata Title Management Kells, Gavin Lewis, Neil R Manly Warringah Touch Football Assoc Montgomery, Peter Northbridge Financial Consulting Insultech Pty Ltd Kennards Hire Pty Ltd Liang, Alice Chen Chun Hwa Manmachine Pty Ltd Moore, Alex Northbridge Financial Solutions Insurance Australia Group Kenney, P Liangrove Foundation Pty Ltd Marisa Buzzai Fundraising Moore, Elizabeth Northern Beaches Airconditioning Integral Energy - Payroll Contributions Keogh, John Liebhold, Alf Mark Wilkinson Morgan Stanley Australia Northern Beaches College Student Funds Interiorinstyle Kerameas, Connie Lindt & Sprungli (Australia) Pty Ltd Marlais, Robert Morgan, Bruce Northwest Car Care International College Management Khannah, Gagan Lioness Club of Oak Flats Maroubra RSL Club Sub-Branch Morris, Anne Norwest Amcal Pharmacy International Events Pty Ltd Khoury Corporation Pty Ltd Lions Club NSW-ACT, Public Health Care Marrickville Golf Club Morris, Jason Nott, Rory International Order of the Rainbow for Girls Kids West Foundation Martin, Frank Moss, PJ Novak, Liliane Grand Assembly Kids with Cancer Foundation Lions Club of Balgowlah Mason, Peter Moubarak, Samantha NSW Association of Past Matrons Order of Interpharma Pty Ltd Kiel, Fergus Lions Club of Berowra MasoniCare Mpeleris, Denise Eastern Star Ireland, AR Killard Excavations Pty Ltd Lions Club of Carlingford - Dundas Massy-Greene, Roger & Belinda Mr & Mrs GA & SW Commerford Pty Ltd NSW Fire Brigades - Alexandria Ireland, Peter King, Murray Lions Club of Lithgow Matthews, Moira Mr Scaffold Pty Ltd NSW Fire Brigades - Greenacre Logistics Isaacs, David Kinghorn, Geoffrey Lions Club of Manly Inc. Maurizio’s Restaurant Mudaliar, Anil Krishna Support Italian Catholic Federation - Smithfield Kingsleigh Farm Pty Ltd Lions Club of Parramatta Maxwell, Marion Muirfield High School NSW Fire Brigades - Katoomba Iveco Trucks Australia Ltd Kingy & Co Pty Ltd Lions Club of Richmond Inc Maxwell, Roy A Mulcahy, Elaine NSW Fire Brigades - Payroll Deductions J & G Bedwell Foundation Kirkpatrick, Leanne Lions Club of St Ives District 201N5 May, Alan Mulhearn, Paul J NSW Fire Brigades - Training College J & M Lighting Kirribilli Hotel Lions Club of West Pennant Hills - MBO Tours Inc Mum’s on a Mission NSW Fire Brigades - Umina J A Hordern Pty Ltd Kitchen Complex Cherrybrook Inc. McBean, Pamela Munns, Julie-Anne NSW Fire Brigades Band - Illawong
Annual Review 2010 | 80 Annual Review 2010 | 81 NSW Food & Allied Trades Golf Assoc Pilequip Australia Pty Ltd Ramanan, Parasakthy Sansome, Brett Sporting Chance Cancer Foundation Sydney Cycling Club NSW Police - St George District Police Pireh, Jason Rameh, Jessica SAS Building Maintenance Springwood Country Club Ltd Sydney FC Charity Ball Committee PKU Association Ramsden, EJI SAS Institute Australia Pty Ltd Spruson & Ferguson Lawyers Sydney Ferries Nulon Poate, WJ & R Rat Pack Golf Tours Sauer’s Bakehouse Pty Ltd Squadrito, Craig Sydney Olympic Park Aquatic Centre O’Connor, John Podda, Efisio Ravenswood School for Girls - Senior Saunders, Margaret St Charbel’s College Sydney Tax and Financial Services Offset Alpine Printing Social Club Politis, Nick Ray White Real Estate Save Our Sons St George Bank Sydney Technical High School Offset Social Club Pontifex, Gary Reardon Bros Savill Galleries St George Foundation Ltd Sydney Turf Club Ogle, Dwyer Pooley, Victoria RedKite Saxby’s Pharmacy St Hilda’s School Sydney Water Corporation O’Hara, Ben Popink Reece, Paul Say Family Foundation St Johns Park Bowling Club Sydneysiders Express Inc. Olver, Rob Potter, Brad Reed Business Information SCECGs Redlands St Johns Park Women’s Bowling Club Symond AM, John Omax Coating Potter, Robin Reel Freight Solutions Schering Plough St Paraskevi Greek Orthodox Church Symond, James Oncology Children’s Foundation Powerline Concrete Construction Regiti Pty Ltd Schmiede, Annette St Pauls Tavern Tahmoor Coal Pty Ltd Order of the Eastern Star Mount Beulah Precise PSM - Property Strata Management Rendle, J & C Scopelitis, Niki Stage Artz Tailby, Mark Chapter No 5 Precision Group Renshaw, John SDN Children’s Services Standby Forty-Six Pty Ltd Taleski, Liliana O’Sullivan, D & S Premier Media Group ResMed Ltd Sefton High School Stanley, Ian Tara Anglican School for Girls O’Sullivan, Susan Prestige Auto Traders Rett Syndrome Australian Research Fund Sellers AM, Basil Starlight Foundation Target Australia Head Office Our Lady of Fatima Craft & Leisure Centre Price Waterhouse Coopers RG Capital Sellers, Clare Stasia P/L Target Social Club Our Lady of Lourdes School Priestley, John Rhima Australia Pty Ltd Selpak Automation Pty Ltd State Street Aust Ltd Tech Plas Extrusions Pty Ltd Our Lady Queen of Peace School Priestley, Robert Riach, Lesley Serendipity Craft Group Stavros Georgallis Telestar Communications Ouvrier, Robert Prior, Richard RJ Workspace Seven Network (Operations) Ltd Steel, Jodi TeleTech Overton, Peter & Lauraine Prior, RD Robert Oatley Vineyards Pty Ltd Shah, Uday Stekovic, Snezana Temperance Rugby Club Non Players P & J Racing Fundraising Pritchard, Greeba Roche, Michael Shamoun, Maureen Stephen Richardson Memorial Golf Day Tenn, Michael P & M Galea Plant Hire Procter & Gamble Australia - Oral-B ANZ Rogan, Michael Shannon’s Fundraiser Stephen, AM The Bernard David Rothbury Trust P Lavery & Partners Prodinger, Kim Romeo, Maria Sheldon, Jenni Stephens, Malcolm The Blackmore Foundation Pty Ltd Pace Farms Pty Ltd Project Management Institute - Sydney Rose, Margaret Shell Clyde & Gore Bay Steve Waugh Foundation The Catholic Federation Liverpool Pace, Joe Chapter Rosehill Gardens Event Centre Sherwood, Mary P Stevens, Patricia The Children’s Help Foundation Padstow Park Public School Protege Building Ross Equipment Aust Pty Ltd Shipping Industry Golf Challenge Steward, Val The Clifford Wallace Agency Pallet Logistics Protiviti Pty Ltd Ross, Vic & Shelagh Shirley Old Girls’ Union Stockwell Building Supplies Pty Ltd The Corio Foundation Pang, Man To PSP Alliance Rotary Club of Balgowlah Shock & Vibration Technologies Pty Ltd Stokes, Bryant The Daily Telegraph Pan-Rhodian Benevolent Society Publicis Mojo Pty Ltd Rotary Club of Belrose Shop Distributive & Allied Employees’ Stora Enso Australia Pty Ltd The Diavitiko Association Papagianopoulos, Jamie Puskas, M Rotary Club of Bowral-Mittagong Association Storrie, Colin The Exodus Trust Paramount Building & Construction Pymble Ladies College - Preparatory School Rotary Club of Dee Why Warringah Sidhu, Navkamal Strachan, Fiona The Freedman Foundation Parnell, Kerri Pymble Ladies College - Senior School Rotary Club of Frenchs Forest Sillence, David Strange, Brian The Gallop Family Account Parsons, Dominic Pymble Pub Pensioners Rotary Club of Mosman Silvant Nominees Pty Ltd Strong, J The George Gregan Foundation Parsons, Jean Q Station Rotary Club of Newcastle Harbour Singleton High School Structus Pty Ltd The Independent Liquor Group (Suppliers) Passanante, Roberto Quach, Ha Rotary Club of Pennant Hills Sir Robert & Lady Askin Charities Trust Stuart Alexander & Co Pty Ltd Co-Operative Ltd Pat Elliot & Taryn Young, Quattroville, Peter Rotary Club of Pittwater Sivasanthakumar, Lalithambal Styles, Alice The John & Lois Turk Charitable Gift Patrons of North Richmond Hotel Queensland Police Service Rotary Club of Sydney SKAL International Sydney Sun Man Nursing and Community Care The K & G Gluck Trust Peninsula Pals Quintessence Rotary Club of Terrey Hills Skea, David Sunshine Foundation The Kids Charity Ute Muster Penna, Antonio R & A Family Holdings Rothery, Sophie Skinner, Rachel Sunsports Footwear Pty Ltd The Macintosh Foundation Pennant Hills High School R D & S Prior Pty Ltd Rouse Hill Renegades Rugby Slee, Carole Superscan The Maple-Brown Family Charitable Penrith Party Hire R2 Builders Club Rowe, Paul Smith AM, Warwick Sutcliffe, Esdale Foundation Perceval, Ella Radiomarathon Roxburgh, Richard Smith, Robert & Alida Sutherland Shire Toy Restoration Centre The Margaret Pemberton Foundation Perfection Fresh Australia Pty Ltd RAHC - Graduate Nurses Auxiliary Rufle, Frank Smithfield RSL Sub-Branch Club Sutherland, Andrew The McLean Perpetual Children’s Perry, Greg Rahnch Constructions Pty Ltd Russell, Peter Smiths’ Speciality Store Sutton, Ben Foundation Peter Lee Associates Rail, Tram & Bus Union S & D George Investments Sothebys Australia Pty Ltd Suttons Motors Homebush The Mill House Foundation Peter’s of Kensington RailCorp Saffine, Charbel Southern Classic Group Pty Ltd Swift Plumbing The Owen Miller Foundation Philpotts, Gayle Raine & Horne - Double Bay Sage Business Solutions Southern Highlands News and Post Swiss Re Australia Ltd The Patrons of the Family Inn Philpotts, Graeme & Gayle Rali Productions Pty Ltd SAI Global Ltd Southwood, Sheryl Switch Australia The Powder Principle Phoenix Hotel Ralph First Real Estate Samuel Morris Foundation Ltd Specialized Engineering Services Sydney Civil & Maintenance The Profield Foundation Phuah, Nancy Ramage, Steven San Rocco Association Spencer Travel Sydney Cochlear Implant Centre The Rotary Club of The Hills - Kellyville
Annual Review 2010 | 82 Annual Review 2010 | 83 The Schwinghammer Foundation Walker, Lang Wylie, Douglas Estate Late Richard Thomas Hall Estate Late Jocelyn Phlug The Spastic Centre Walsh, James Xstrata Coal Pty Ltd Legacies & Estate Late Isobel Hancock Estate Late Laura May Pickering The Trust Company (Australia) Ltd Wannan, Rob Yabsley, Robyn Estate Late Gertrude Hardie Estate Late Betty Jean Pontey The University of Sydney Ward, June Yager, Lynn Bequests Estate Late Grace Elaine Hayes Estate Late May Mathieson Rattenbury The Westpac Group Ward, Marjorie Gladys M Yarra’s Nursing Service Estate Late Caroline Adamson Estate Late Francis Henry Hawkey Estate Late Helen McGregor Savage Thiess Services Staff Fundraising Warren, Mark Yates, Oliver Estate Late Leslie John Blewett Estate Late Margaret Martha Heinisch Estate Late Barbara Scherbanow Thomas Electronics of Australia Warringah Mall Yerong Pty Ltd Estate Late Thelma Bolot Estate Late Barbara Jacqueline Hine Estate Late Mary Vimala Selvam Thomas Hare Investments Ltd Warringah Mall Child Care Centre Yiu, Helen Estate Late Emily Lydia Brown Estate Late Nancy Josephine Holden Estate Late Karla Slagmolen Threlfo, Paul Warringah Mall Community Club Yokohama Tyres Estate Late Leslie Vernon Bryce Estate Late James Brian Hopkins Estate Late Valerie Ruth Street Tighe, Hugh & Colleen Watson Erskine & Co Pty Ltd Young, Laurie M Estate Late Phyllis May Burgess Estate Late Neville Vernon Huntington Estate Late George Emmerson Sullivan Timms, Brian JM Waugh, John Young, RF Estate Late Arthur Raymond Court Estate Late Elizabeth Helen Hurlstone Estate Late David Szyf Tindill, Troy Welsh, Greg Younis, Jeff Estate Late Adele Daly Estate Late Eileen Ada James Estate Late Dorothea Elva Vincent Tobias, Murray Welsh, RM Estate Late Lionel Ernest F Dege Estate Late Barbara Kathleen Kendall Estate Late Robert Joseph Walters Tom Hobbs Fundraising Wenona School For Girls Estate Late Hazel Elaine Denniss Estate Late Barbara Anne Kinsella Estate Late Evan Frederick J Williams Tong, Millie West Epping Panthers Bowling Club Estate Late Arthur Gilbert Dugdale Estate Late Elizabeth Mary Lawson Estate Late Joan Muriel Whitfield Toongabbie Sports & Bowling Club Ltd Westfield Capital Corp Ltd Estate Late Clifton Albert Ellis Estate Late Joan and Peter J Morrissey Estate Late Frank Maxwell Wootten Total Construction Westmead Public School Estate Late Francis Fleming Estate Late John Merrill McCulloch Tour de Kids Westpac Business Lending Operations Estate Late George Fordham Estate Late Donald John McNeall Tourism Southern Highlands Concord Estate Late Frances Grace Frew Estate Late Valda Marion Orton Town Hall Hotel Wheeler, Peter Estate Late Joan Gollan Estate Late Colvin Verner Paine ToyBox International Whelan, Cynthia Toys R Us (Australia) Pty Ltd White, Rene TRAS Marketing and Sales Pty Ltd Whitehead, Chris Tri Thai Whitehorse Hotel Trieu, Minh White-Smith, Marcus Tull, Graeme Whitworth, HD Turton, MP Wicked Australia Tusa Pty Ltd Wilks, Chris Tzannes, Alec Willis, Melanie UBS Australian Foundation Pty Ltd Wilson, John & Adrienne Ueber Photography Wilson, Shelley Ultimate Sign Installations Pty Ltd Wingecarribee Shire Council Unaeze, Stephens Nnamdi Winning Appliances Pty Ltd Unilever Australasia Winten Property Group United Way Wisdom, Peter & Krystyne University of Western Sydney CoB OHS Wise, Darren Committee Witmac Pty Ltd Uren, Rogert WJSB Leagues Club Ashfield Variety the Children’s Charity Wolff, Frank Vedanta Child Care Services Pty Ltd Wollongbar Primary School Vega 95.3fm Wolski Coppin Architecture Veitch, Margaret Wong, Bik Ching Verlander, Andrea Woodend Pty Ltd Village Roadshow Ltd Woods, Tatum Villatora, Walter Woolworths - Minchinbury VIP Buliding Projects Woolworths Supermarkets Vourdanos, Anthony Woolys Wheels Pty Ltd Wahroonga Preparatory School Wright, Julian Wahroonga Public School Wright, Tony Wakehurst Golf Club Lady Members Wurth Australia Wales, Tony & Gai Wykes, Jamee
Annual Review 2010 | 84 Annual Review 2010 | 85 Keith Miller Donor Keith Miller has supported the work of The Children’s Hospital at Westmead for 25 years.
A chronically ill child himself, Keith feels a strong connection to the Hospital and an affinity with the courageous patients and families. Keith has a regular donation deducted from his salary from his job as a Corporate Support Officer for a government department. He also donates extra items to the Hospital, like wheelchairs or DVD players, to directly improve the lives of patients. Keith also donates his time to The Children’s Hospital at Westmead as a volunteer. He escorts tour groups around the Hospital and regularly gives up his weekends to be on hand to help where needed. Keith feels very passionate about the work of The Children’s Hospital at Westmead and its need for support. “There is no better goal in life than to strive to alleviate suffering. Any charity that works toward that goal is worthy of wide support. I have seen the way The Children’s Hospital at Westmead can change a child’s life. The more support it receives the better the outcomes will be for sick children.”
Annual Review 2010 | 87 Financial Overview
The audited financial statements of The Children’s The increase in demand for services resulted in a Hospital at Westmead for the year ended 30 June 2010 $10 million increase in costs above budget. Offsetting Abridged Operating Statement provide for a Net Cost of Services budget of $70.5 million, these costs was the total revenue favourability of $13 against which the actual of $67.5 million represents a million. The Hospital outperformed targeted budget in Year ended 30 June CONSOLIDATED favourable variance of $3.0 million or 4.25%. the areas of investment income, grants and contributions, 2008/09 2009/10 2009/10 other revenue and the sale of goods and services. There was a significant increase in activity from last Actual Actual Budget year, of 5.6% for total separations and 3.6% for total bed $000 $000 $000 days. In addition, the Hospital performed 5,475 more non-admitted patient occasions of service (NAPOOS), Expenses with increased presentations to the Emergency Department as a result of the swine flu pandemic. Employee Related Expenses 236,918 254,176 248,957 Visiting Medical Officers 5,538 5,225 5,346 Goods & Services 77,243 76,839 72,131 Maintenance 4,795 9,525 10,795 Depreciation & Amortisation 17,360 16,956 17,293 Grants & Subsidies 1,181 1,923 338 Borrowing Costs 29 114 - Abridged Statement of Financial Position Total Expenses 343,064 364,758 354,860 At 30 June CONSOLIDATED 2008/09 2009/10 2009/10 Revenue Actual Actual Budget Sale of Goods & Services 243,251 246,054 242,623 $000 $000 $000 Investment Revenue 2,173 8,186 2,882 Current assets 82,485 97,807 82,011 Grants & Contributions 43,349 37,370 35,022 Non-current assets 390,204 378,489 386,821 Other Revenue 4,408 6,146 4,336 Total assets 472,689 476,296 468,832 Total Revenues 293,181 297,756 284,863
Gain/loss Current liabilities 99,059 104,862 98,882 Gain/(Loss) on Disposal of Non Current Assets (275) (257) - Non-current liabilities 5,389 5,123 6,592 Other Gains / Losses (140) (249) (509)
Total liabilities 104,448 109,985 105,474 50,298 67,508 70,506 Net assets 368,241 366,311 363,358 Net Cost of Services (NCOS) Total Government Contributions 40,594 65,578 65,623 Deficit (9,704) (1,930) (4,883)
Annual Review 2010 | 88 Annual Review 2010 | 89 Resource Allocation 09/10 Service Group Reporting The Children’s Hospital at Westmead reporting of Service Groups is consistent with the ten Service Groups of healthcare delivery utilised across NSW Health and satisfies the methodology for apportionment advised by NSW Health.
Inter-state Patient Flows Investment Income & Revenue 1% $3m 5% $14m 2008/09 2008/09 2008/09 2009/10 2009/10 2009/10 Grants 5% $15m Expenses Revenues NCOS Expenses Revenues NCOS $000 $000 $000 $000 $000 $000 Contributions 7% $22m Service Group
Primary & Community $6,889 $2,527 $4,362 $9,129 $3,289 $5,840 Aboriginal Health $193 $104 $89 $554 $77 $477 Sale of Goods Outpatients $71,988 $13,965 $58,023 $82,569 $14,821 $67,748 & Services $17,572 $12,832 $4,740 $15,569 $13,516 $2,053 13% $40m Emergency Overnight Acute $152,080 $183,344 -$31,264 $159,632 $188,079 -$28,447
Revenue Same Day Acute Inpatient $12,194 $37,049 -$24,855 $15,349 $37,367 -$22,018 Inter-area Patient Flows 69% $203m Mental Health $14,145 $342 $13,803 $15,874 $526 $15,348 Rehab & Extended Care $7,123 $2,928 $4,195 $7,855 $2,712 $5,143 Population Health $9,676 $2,942 $6,734 $9,286 $3,310 $5,976 Teaching & Research $51,204 $36,733 $14,471 $48,941 $33,553 $15,388
Total $343,064 $292,766 $50,298 $364,758 $297,250 $67,508
This table shows that the Hospital has increased investment in the Ambulatory Program. Despite the shift to new models of care, there continues to be an increase in complex patients needing overnight and same day acute services. The overall $17 million increase in Net Cost of Services is largely attributable to $10 million in relation to Goods & Services Depreciation & Amortisation outpatients and $9 million for inpatient services, offset by smaller movements (totalling $2 million) across all other 21% $77m 5% $17m service groups.
Maintenance 3% $10m
Grants & Subsidies 1% $2m
Staff Cost 70% $259m Expenditure
Annual Review 2010 | 90 Annual Review 2010 | 91 The 2010/11 Budget
The Children’s Hospital at Westmead received its • State funding 2010/11 budget allocation on 9 June 2010. The • Paediatric ICU bed - $1.4 million allocation provides additional funding as follows: • Nursing strategies and Clinical Nurse Educators - • Commonwealth funding $1.2 million • 14 acute beds - $4.2 million • Bone Marrow Transplantation - $0.5 million • 5 sub-acute beds and capacity - $1.5 million • Emergency Department Winter Staffing and • Elective surgery waiting list - $1.4 million additional bed capacity - $0.3 million
Future Direction
On 1 July 2010, The Children’s Hospital at Westmead • Economies of scale and efficiencies from support joined the Sydney Children’s Hospitals Network services (Randwick and Westmead) (incorporating the Royal • A long-term capital plan to provide better facilities Alexandra Hospital for Children). This provides an and equipment for the delivery of child health care exciting opportunity for the future. in New South Wales As a new and united Network, the Hospital will The Children’s Hospital at Westmead will continue to continue to work with NSW Health on: work with the community to facilitate fundraising and • Implementation of Caring Together, the Health volunteer support and will continue to explore innovative Action Plan for NSW – the changes initiated ways of improving efficiency for better services and following the Garling Inquiry will further improve improved patient outcomes. each child’s journey through the health system • Activity-based funding to provide better funding for growing demand
Annual Review 2010 | 92 Cnr Hawkesbury Road & Hainsworth Street, Westmead NSW 2145 Australia
Locked Bag 4001 Westmead NSW 2145
Telephone: (02) 9845 0000 Fax: (02) 9845 3489
Website: www.chw.edu.au
© 2010 The Children’s Hospital at Westmead