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Tasmanian Health Service TASMANIAN HEALTH SER VIC NNUAL R E A EPO RT 2017 -18 ABOUT THIS REPORT The Tasmanian Health Service is required under section 53 of the Tasmanian Health Organisations Act 2011 to produce an annual report in respect of its operation, financial statements and other particulars as required under the Act. This is the final report under the Tasmanian Health Service Act 2011. As of 1 July 2018 the Tasmanian Health Service will operate and report under the Tasmanian Health Service Act 2018. Tasmanian Health Service Annual Report 2017-18 Tasmanian Health Service ©Crown in the Right of the State of Tasmania THS Executive Tasmanian Health Services 2018 PO Box 1963 LAUNCESTON TAS 7250 No part of this publication may be reproduced by any process except in accordance with the Phone (03) 6777 4129 provisions of the Copyright Act 1968. Email [email protected] Web www.ths.tas.gov.au Published October 2018 ISSN - 2206-9917 (Print) ISSN - 2206-9925 (Online) TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 INTRODUCTION LETTER OF COMPLIANCE Hon Michael Ferguson MP Minister for Health Minister for Police, Fire and Emergency Management Minister for Science and Technology Leader of Government Business GPO Box 123 Hobart Tasmania 700 I Hon Peter Gutwein MP Treasurer Level 9, Executive Building, 15 Murray Street Hobart Tasmania 7000 Dear Ministers In accordance with the requirements of section 53 of the Tasmanian Health Organisations Act 2011 and section 27 of the Financial Management and Audit Act 1990, I as the delegate appointed am pleased to present the Annual Report 2017-18 and the financial statements for the Tasmanian Health Service. Yours sincerely Craig Watson Chief Corporate Officer Tasmanian Health Service 30 September 2018 3 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 3 4 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 TABLE OF CONTENTS INTRODUCTION 3 OUR PERFORMANCE 45 Letter of Compliance 3 Performance against Service Agreement 45 Year in Review 7 SUPPLEMENTARY INFORMATION 49 GOVERNANCE 9 Climate Change 49 Governing Council 9 Capital Works and Asset Management 50 Governing Council Attendance Records 9 Consultancies, Contracts and Tenders 52 Subcommittee Reports 10 Right to Information 61 Organisational Structure and Ministerial Directions and Executive Management Team 11 Performance Escalations 65 Research, Clinical Trials and Publications 66 OPERATIONS 13 Glossary 67 THS - Service Profile 13 Legislation 71 Statewide Services 15 Superannuation Declaration 72 Key Achievements 19 Pricing Policies 72 RHH Redevelopment 27 Public Interest Disclosure 73 Consumer and Community Engagement 29 FINANCIAL STATEMENTS 75 OUR PEOPLE 33 Statement of Certification 76 Human Resources Statistics 33 Statement of Comprehensive Income 77 Gender Diversity 36 Human Resource and Statement of Financial Position 78 Organisational Development 39 Statement of Cash Flows 79 Work Health, Safety and Wellbeing 40 Statement of Changes in Equity 80 Awards and Agreements 41 Notes to and forming part of the Quality and Patient Safety 42 Financial Statements 81 Accreditation 43 Independent Auditor’s Report 120 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 5 6 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 INTRODUCTION YEAR IN REVIEW This year we progressed the One State, Health System, and the THS. This will guide the THS as it continues Better Outcomes reforms strengthening the single to operate as a single statewide service through its statewide health system, transitioning service models network of hospitals, primary and community care and implementing a number of new initiatives with the services and mental health services to deliver high- primary aim of delivering better health outcomes for quality and safe health care for Tasmanians. all Tasmanians. On behalf of the THS Executive I would like to thank Patient-focused initiatives through the year included: CEO Dr David Alcorn, the Chair of the THS Governing • Deliv ering additional hospital beds as part of the Council John Ramsay and all Council members for the Patients First initiative. role they played in developing a single statewide health service, overseeing improvements in patient safety and • Finalising work on the new $7 million ward at the service quality, and preparing the THS to operate Hobart Repatriation Hospital with 22 new beds under the new Tasmanian Health Service Act 2018 available in 2018-19. from 1 July 2018. • Progressiv ely opening Integrated Operations Centres Most importantly, I want to thank all THS staff for to improve the management of patient flow at all our their commitment and dedication over the past hospitals. 12 months. The work of our nurses, doctors, allied • A Winter Flu Plan to ensure Tasmania was better health professionals, managers, operational and support prepared than ever for seasonal increased demand staff is crucial to the quality of the health care we on our health services. This included additional provide to the Tasmanian community. hospital beds and a multi-faceted flu vaccination I would also like to thank the THS staff who delivered strategy. on the organisational task required to effectively • Starting work on the new paediatric ward at the facilitate statewide clinical service delivery and Launceston General Hospital. improvement and strengthen local leadership at the facility level. I am confident all this hard work has put the • Building a new Pre-Admission Clinic at the North THS in a strong position to meet the expectations of West Regional Hospital. the Tasmanian community. • Contin uing support for the $689 million Last but not least, I want to recognise the work of our redevelopment of the Royal Hobart Hospital. more than 750 volunteers who continue to provide Following the State Election in March 2018, the exceptional support to patients, clients and staff. We Government moved to strengthen local hospital thank all of them for the many hours they donate to leadership and decision-making. Legislation was improve our services. passed by the Tasmanian Parliament in June 2018 to It is my pleasure to present to you the THS 2017-18 have the THS report directly to the Secretary of the Annual Report. Department of Health, effective from 1 July 2018. As a result, the roles of the THS Governing Council and CEO were abolished. With the THS moving into this new era, the Minister for Health released a Ministerial Charter that sets out Craig Watson his broad policy expectations of both the Secretary Chief Corporate Officer 7 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 7 ONE STATE, ONE HEALTH SYSTEM, BETTER OUTCOMES The Delivering Safe and Sustainable Clinical Services - Establishment of a consumer engagement stream White Paper (White Paper) released in June 2015 in the patient safety service leading a range of recognised that Tasmania is best served by having a strategies including the Patient Stories Video single statewide system with facilitates and people project, a statewide patient experience survey networked to achieve high quality, safe and efficient and improvements in consumer complaints and services. The White Paper continues to drive the feedback management. reform program for the THS in 2017-18. - Continued support to Health Consumer Groups Executive Directors of operations for the North operating in each of the regions. These groups and North West and South were established and act as collaborative partners and are invited to have day-to-day responsibility for managing acute be involved in service design, improvement and hospital operations and for ensuring that the four performance evaluation. major hospitals, community and satellite sites are - The establishment of the Health Consumer appropriately managed. The Executive Directors Group Chairs meeting to discuss matters of roles strengthen local leadership and empower mutual interest, including potential barriers decision making at a facility level. to consumer participation, a common The Executive Directors of Operations have led governance model for their groups and ideas for the implementation of the clinical stream structures improvement. to guide the management of clinical services at - Co-development of THS principles for our hospital facilities. The streams provide the consumer engagement to provide foundations foundation for necessary clinical leadership to for a renewed approach to increasing support the delivery of services to all Tasmanians. participation and involvement in care delivery, Implementation of the stream structure was finalised design and evaluation. at the RHH in early 2018 and will continue to be rolled out across the other three acute care facilities Next year the THS will continue to focus on in 2018-19. activities necessary to strengthening local leadership and empower decision making at a facility level In recognition that in partnering with patients, to improve coordination and integration of THS clinicians, consumers, carers and family we are able services across the state and build upon the One to achieve high quality, safe, person centred care in State, One Heath System, Better Outcomes reform all our facilities, the THS achieved the following: program. 8 TASMANIAN HEALTH SERVICE | ANNUAL REPORT 2017-18 GOVERNANCE GOVERNANCE GOVERNING COUNCIL Divisions 1 and 2 and Schedule 3 of the Tasmanian Health Organisations Act 2011. In addition to In 2017-18 the THS was governed by a single the Governing Council, the Audit and Risk Sub- Governing Council which comprised a chairperson Committee was convened and operated in and eight skills based members
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