Omeo District Health Annual Report 2009 - 2010

118th Annual Report for the year ended 30 th June 2010 incorporating the Consolidated Financial Statements

Omeo District Health Telephone: 03 51590100 12 Easton St / PO Box 42 Facsimile: 03 51590194 Omeo, VIC 3898 Email: [email protected] .au

“Quality, CarCaree & Commitment”

CONTENTS

Report of Operations

About Omeo District Health...... 2 Our Mission / Aim / Objectives...... 2 Our Services...... 3 Service Activity ...... 4 Governance Overview...... 5 Organisational Chart ...... 6 Board Chair & CEO/DON’s Report ...... 8 Clinical Services Report...... 11 Community Services Report...... 13 Support Services Report ...... 17 Workforce Data...... 19 Financial Results ...... 22

Disclosure Index

Financial Statement and Explanatory Notes Auditor General’s Report Accountable Officer’s, Chief Finance & Accounting Officer’s and Member of Responsible Body’s Declaration Statement of Financial Performance Statement of Financial Position Statement of Cashflows Notes to and forming part of Financial Statements

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Our History When gold was discovered in Omeo in 1851, the isolated communities of Omeo, Swifts Creek, Ensay and Benambra changed dramatically with the influx of visitors. The need to build a hospital was identified in November 1891 with incorporation of the Omeo District Hospital. Provision of care for the sick and injured commenced in August 1894 until the devastating 1939 bushfires that destroyed the original building. A new 19 bed hospital was built in 1940 on the Easton street site and continues to be utilised to provide acute and residential aged care, medical, community and allied health services. Services delivered by Omeo District Health (name change occurred in 2004) have been regularly reviewed to meet the changing needs of the community. In 1990, the acute service was reduced to twelve beds; following further reviews and funding changes in September 1993 the number was further reduced to four registered acute beds plus an emergency room and ten nursing home places. In July 1997, the construction of a purpose built four-bed hostel was completed. On the 9 th December 2005 the full redevelopment of the existing hospital buildings and service areas was completed and officially opened. The Board of Management has continued to review service provision and explore innovative ways of meeting the community’s needs. The growth in community care and allied health services, and the establishment of the Medical Centre and the Dental Clinic are a testament to this fact. Omeo District Health is established under the Health Services Act 1988. The responsible Minister during the reporting period is the Hon Daniel Andrews MP.

Our Objective Mission To promote and enhance the health and wellbeing of the people of Omeo and district.

Aim To provide the most effective and efficient physical, emotional and social care possible through the delivery of services that are accountable to individual and communities needs.

Objectives To ensure the Health Service is accessible to all and continues to develop within a Best Practice model in response to the community’s identified need.

To provide a coordinated continuum of health care to the communities of Omeo and district, encompassing aged and residential care, community care and appropriate acute services.

To maximise the health and wellbeing for all community members.

To provide a well-maintained, safe and pleasant environment for patients, residents, staff and visitors.

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Our Services

Omeo District Health provides broad-based health and support services to Omeo, Benambra, Swifts Creek, Ensay, Dinner Plain and surrounding districts.

Acute Care Ancillary Services 4 Acute beds for general medical care Radiology Emergency Stabilisation

Residential Aged Care Sub-Acute Care 10 High Level Care Beds Rehabilitation 4 Low Level Care Beds Aged Care Assessment Allied Health & Community Services Diversional Therapy Chronic Disease Management in conjunction Respite Care with Omeo Medical Centre Communities for Children District Nursing Services Community Care Coordination Equipment Hire Community Education & Development Home Visiting Counselling / Social Work Palliative Care Diabetes Education Post-Acute Care Program Dietetics Respite Care Domestic Violence Support Emergency Housing Home and Community Care Financial Counselling Home Care Foot Care Home Maintenance Health Promotion and Education Home Respite Information and Referral Meals on Wheels Kinder Gym Personal Care Occupational Therapy Planned Activity Group Physiotherapy Speech Therapy Youth Program

Medical Services Supporting Portfolios Omeo Medical Centre Administration Environmental & Food Services Dental Services Infection Control Public Dental Services Maintenance & Gardens Private Dental Service Occupational Health & Safety Pathology Quality

Use of the Facilities Visiting Services Community Group Meetings Maternal & Child Health Omeo Playgroup Podiatry Services Optometry Services Ambulance Victoria Senior Citizens Meetings Swifts Creek Community Centre

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Service Activity

Mental Other Admitted Patients Acute Sub-Acute Total Health (Aged Care) Separations Same Day 14 0 0 0 14 Multi Day 54 0 0 13.60 67.60 Total Separations 68 0 0 13.60 85.60

Total WEIS 60.29

Total Bed Days 727 0 0 4966 5693

Mental Non-Admitted Patients Acute Sub-Acute Other Total Health Emergency Department 432 0 0 0 432 Presentations Outpatient Services 241 0 0 0 241 (Occasions of Service) Total Occasions of Service 673 0 0 0 673

I, Ms Jo Cavill, certify that the Omeo District Health Service has put in place appropriate internal controls and processes to ensure that the Department of Human Services is provided with data that reflects actual performance. The Omeo District Health Service has critically reviewed these controls and processes during the year.

Ms Jo Cavill - CEO/DON Omeo District Health 17 th August 2010

Dr Marcus Kennedy, Director of Adult Retrieval Victoria (section of Ambulance Victoria), presented Mrs Jo Cavill, CEO/DON of Omeo District Health (ODH) with an Oxylog 2000 ventilator.

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Governance Overview

Board of Management

President (from 18/12/07) Vice President (from 25/11/08) Mr Russell Pendergast Mr Robert Vardy Self Employed Farmer Self Employed Business Operator Board member since 1987 Appointed 01/07/2008 Member of the Finance/Audit & the Facilities Member of the Facilities Committee Committees Appointment Expires 30/06/2010 Appointment Expires 30/06/2011 Board Meetings attended - 10/11 Board Meetings attended - 11/11

Treasurer (to 24/11/09) Mrs Rosemary Fitzgerald Mr Evan Newcomen Co-ordinator Community House Self Employed Farmer Appointed 24/03/2009 Board member since 2002 Member of the Quality Committee Member of the Finance/Audit & Facilities Sub- Appointment Expires 30/06/2011 Committees Board Meetings attended – 9/11 Appointment Expires 30/06/2011 Board Meetings attended - 9/11

Ms Louise Armit Ms Suzanne Grinter Solicitor, Teacher, Self Employed Farmer Self Employed Company Director, Teacher Board member since 1995 Appointed 01/03/2007 Member of the Quality, Medical/Dental Credentialling Member of the Finance/Audit Committee & Facilities Committees Appointment expires 30/06/2012 Appointment Expires 30/06/2011 Board Meetings attended - 8/11 Board Meetings attended - 8/11

Mrs Alison Burston Mr Daniel Miller Self Employed Farmer Centre Leader & Co-ordinator, DPI Appointed 01/07/2008 Appointed 01/07/2008 Member of the Quality Committee Member of the Medical/Dental Credentialling & Appointment Expires 30/06/2010 Facilities Committees Board Meetings attended - 9/11 Appointment Expires 30/06/2010 Board Meetings attended - 3/11 Treasurer (from 24/11/09) Mr Colin Pittard Sales and Property Manager Appointed 03/03/2009 Member of the Finance/Audit and Facilities Committees Appointment Expires 30/06/2012 Board Meetings attended – 9/11

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OMMEOO DISTRIICT HEALTH ORGANISATIONAL CHART – 2009//2010

Community Committees: • Finance / Audit • Quality Improvement • Facilities Management Board of Management • Medical Appointment • Dental Appointment • SHINE (Supporting Health Chief Executive Officer / In New Events Fundraising) Director of Nursing

CEO / DON CEO / DON Community Care Support Services Omeo Medical Centre Nurse Unit Manager Manager

• Reception • Health Promotion • • Admin Support • Reception Acute Clinical Care • Physiotherapy • Finance / HR • Admin Support • Residential Care • Youth Employment • • Payroll • Practice Nurse Emergency • Social Work • • • IT Services • Medical Practitioners Clinical Education Occupational Therapy • • Dental Services • Infection Control District Nursing • • Clinical Risk Mgmt • Planned Activity Group Catering • • • Diversional Therapy Speech Pathology Cleaning • Dietetics • Maintenance • Rural Outreach • Foot Care • Home & Community Care • Volunteers • Kindy Gym

Created: 0 7/09/1999 Revised: 28/06/2010

Role of the Board of Management The Board of a public hospital is responsible for its governance. It is accountable to both Government and the community that it serves for ensuring the provision of agreed services within the resources with which they are provided. Board of Management members are appointed by the Governor-in-Council, upon the recommendations of the Minister for Health, Hon. Daniel Andrews, MP. Members of the Board of Management act in a voluntary capacity and have not received fees in the 2009-2010 financial year. To fulfil its role, the Board should have members with a range of appropriate expertise and experience. The functions of the Board of Management as determined by the Health Services Act 1988 are:
To oversee and manage the hospital; and
To ensure the services provided by the Hospital comply with the requirements of the Act and the aims of the organisation. Resignations and New Appointments The Management and staff would like to acknowledge and thank Mr Daniel Miller for his contribution to the Board of Management over a two year period. There were no new appointments made during 2009 – 2010. The Board of Management members serve voluntarily and are committed to working for the benefit of the Health Service and community.

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Strategic Planning The Board ensures the visionary direction of the hospital is focused and is able to be implemented and aligned to the mission statement of the hospital. In May 2010 the strategic planning process for the period 2010 to 2014 was completed, based on resident, patient/client, staff and community feedback. Local Policy The Board of Management oversees timely and appropriate policy setting to reflect current best standards of service delivery. Effective Management The Board is responsible for the appointment of the Chief Executive Officer who, in turn, is responsible for the effective management and operation of Omeo District Health. Mrs Jo-Anne Cavill continues in the combined Chief Executive Officer / Director of Nursing role. Pecuniary Interest It is an obligation for Board Members to declare a pecuniary interest when Board discussions include matters in which they have a direct, or indirect, financial or other interest. There were no occasions during the year when Board Members declared a pecuniary interest in connection with Board deliberations. Finance / Audit Committee The Board endorses plans and strategies, and monitors the performance of ODH through appropriate budgetary processes to ensure Financial Compliance Framework requirements are being met. During the reporting period the Finance / Audit Committee meetings were merged into the monthly Board of Management meeting. Mr Evan Newcomen was treasurer until Mr Colin Pittard was elected to this role in November 2009. The entire Board was therefore involved in audits, discussions and adoption or approval of items for this financial year. Of most significance was the Financial Performance Improvement Process in response to findings of an external Financial and Operational Review sponsored by the Department of Health. Quality Committee The Quality committee is responsible for oversight of the Quality Improvement Program, meeting on a monthly basis with at least one Board member and a range of staff from across the organisation attending. A quality improvement schedule informs the agenda and ensures the timely completion and evaluation of quality improvement activities. Facilities Committee This committee meets to contribute to the maintenance and improvement of the facility as necessary. Credentialling Committee Ensuring our medical and dental practitioners are appropriately qualified and experienced is an important role of this committee. With valuable input from our Director of Medical Services recommendations for appointments are made to the Board of Management for approval. In June 2010 four General Practitioners (3 to be locums) and one Dental Practitioner were formally credentialled.

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Board President’s & Chief Executive Officer’s Report We take great pleasure in presenting to you the 118th Annual Report of operations for Omeo District Health (ODH), in accordance with the Financial Management Act 1994 for the year ending 30 th June 2010. The Board and Management recognize the important role of ODH in the region, consistently reviewing service provision and delivery methods to ensure sustainability and relevance to community needs. The Strategic Plan review process was completed in May 2010 to determine a clear direction for the next four years from July 2010 to June 2014. This report will therefore be the last to report on the previous Strategic Plan. Enhancing the Services Available to the Community ODH continues to offer a broad suite of services to support the communities of the region. Omeo Medical Clinic (OMC) has continued to provide a regular service at Omeo, Swift’s Creek and Ensay. The rotational model utilizing the expertise of six ‘Grumpy Old Doc’s’ continues to be well supported, and additional Commonwealth funding (Round The Clock Medicare) has enabled the continuation of an after hours clinic at Omeo. The extension of the Practice Nurse role to incorporate Chronic Disease Management has lead to an increase in service provision and a more comprehensive and coordinated approach to maintaining the health of those suffering a chronic health condition. The demand for the provision of dental services in the Omeo Region continues to grow. In November 2009 Dr Lex Bertrand joined our dental team, replacing Dr Jeremy Sternson as the permanent dentist. This increase in dental service provision, together with associated staffing changes has resulted in a very busy but productive year. A culture of continuous quality improvement ensures that aged care, acute care, community and allied health services are reviewed on a regular basis. Areas in need of improvement are identified with appropriate actions taken to enhance services provided. Supportive and innovative practices are used to recruit and retain quality, appropriately qualified staff to deliver these services with the absence of any long term staff vacancies supporting this claim. We thank all past and present members of staff, including our medical and dental practitioners for their valuable contribution to the successful outcomes achieved during the year, and welcome newcomers to our organization. Delivering Quality, Accessible and Coordinated Care ODH continues to provide services that are responsive to community needs. Resident, patient, client and community feedback is regularly sought to improve service provision, and was used to inform the Strategic Planning process. ODH has maintained quality accreditation requirements under the Australian Council on Health Care Standards (acute), the Aged Care Standards and Accreditation Agency, and the Australian General Practice Accreditation Limited. The revised and systematic Quality Improvement Program has lead to an organization wide approach to improvement activities and maintained a high standard of data collection supported by all staff. Performance is monitored through internal and external auditing processes in areas including finance and probity, medical records, infection control and cleanliness, food safety, fire protection and Occupational Health and Safety.

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An increased understanding of the importance of this process for safety and risk management is also evident, complimented by further occupational health and safety staff education. The electronic ‘Riskman’ reporting program has also enhanced monitoring and reporting of incidents, and assists timely and appropriate responses to issues. Coordination of services both internally within ODH and externally between other agencies has improved with the introduction of case conference meetings and the consolidation of the electronic Service to Service (S2S) referral system. Improving the Organisation’s Infrastructure Maintaining and improving the infrastructure of ODH remains a high priority. Commitment to the development of a garden walkway, enthusiastically supported by staff and community members is a testament to this. $26,000 was raised from a very generous community to finance construction of a suitable fence, and the Department of Health also made a substantial contribution of $40,000 towards the project. ODH sincerely thanks all those involved for their remarkable contribution, and we look forward to completion of this area for the enjoyment of everyone. The doctor’s residence was painted internally, and a concrete path was laid from the house to the car park. Electrical works to rectify issues from the redevelopment of the facility were completed. The continued adherence to a thorough preventative maintenance program, along with caring staff in both domestic support services and maintenance has contributed to maintaining the standard of the facility. Our Information Technology program included the upgrading of specific computers throughout the organization, and the introduction of the new financial management system ‘Oracle’ was finally completed. Ensuring the Best Use of Available Resources All staff are encouraged to pursue both professional and personal goals to most effectively support the functions of the organization and enhance personal growth. We are committed to education delivered internally and via external providers, with staff throughout ODH participating in a variety of educational pursuits. A coordinated in-house mandatory training program for staff ensures currency of core competencies including basic life support, infection control, manual handling/no lift and fire safety. Sincere appreciation is expressed for our dedicated Volunteers who provide support to many of the services provided, including the Planned Activity Group, residential care activities, Volunteer Drivers program and health promotion activities. Without the commitment of our volunteers, many services would not be possible. Unfortunately the SHINE (Supporting Health in New Events) fundraising and support group went into recess this year due to lack of support, but remaining funds have been utilized for resident activities. Accounting and Audit Solutions Bendigo (previously Evolve Accounting Solutions) continue to provide excellent financial support services. We wish to acknowledge the work of the ODH Board of Management incorporating the Finance & Audit Committee, in ensuring sound governance with financial and auditing responsibilities. ODH is fortunate to have a dedicated and committed employee group. The people that serve the organisation provide an exceptional level of care and support to residents, clients, carers, community members and to their co-workers. We sincerely thank all members of staff, including those who have left ODH in the past year, from all areas for their contribution as individuals to the organization as a whole.

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We would like to acknowledge the continued high standard of work and care provided by Mrs Jo Cavill as Chief Executive Officer / Director of Nursing, Mr Darren Fitzpatrick as the Nurse Unit Manager and Ms Marijs Last as Community Care Manager. ODH would like to take this opportunity to recognize and thank those from whom we have received donations or bequests. Community generosity greatly assists the sustainability of the Health Service, and the strong commitment to support ODH demonstrated by our community is greatly appreciated. Finally, we wish to extend our gratitude to the members of the ODH Board of Management. All members give their valuable time as community representatives who have an interest in improving the range and quality of health services provided to the community. We acknowledge the work of Mr Russell Pendergast as Board President over the year for his commitment and dedication to the role, and to all current, outgoing and incoming Board Members who strive to ensure the ongoing future and success of ODH. Board of Management membership is voluntary, and the commitment required of the members is very much appreciated.

Russell Pendergast Jo-Anne Cavill President, Board of Management Chief Executive Officer / Director of Nursing

Board of Management Members Back: Mr Russell Pendergast, Mr Colin Pittard, Mr Robert Vardy Front: Mrs Rosemary Fitzgerald, Ms Sue Grinter, Mrs Lou Armit Absent: Mrs Alison Burston, Mr Evan Newcomen, Mr Daniel Millar

Attestation on Compliance with Australian/New Zealand Risk Management Standard I, Russell Pendergast certify that Omeo District Health has risk management processes in place consistent with the Australian/New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The Finance/Audit Sub-Committee to the Board of Management verifies this assurance and that the risk profile of Omeo District Health has been critically reviewed within the last financial year.

Russell Pendergast Chairperson Omeo District Health Board of Management Date: 17 th August 2010

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Clinical Services Omeo District Health continues to provide a broad range of excellent clinical services to promote and enhance the health and wellbeing of the people of Omeo and district. Our Board of Management and staff have demonstrated a commitment to excellence evidenced in care and service provision. Ensuring a seamless transition from the Nurses Board of Victoria to the Nursing & Midwifery Board of Australia saw discussion undertaken and clarification as Registered Nurse Division 2 Nurses revert back to Enrolled Nurses nationally. This also resulted in the recognition for nursing staff that completed the Rural Collaborative Practice Model pilot program conducted by the Department of Human Services (DHS) being endorsed for Rural and Isolated Practice. Changes continue to be pursued in Acts and Legislation to enable these staff members to function more independently in the absence of a Medical Practitioner. Four division two nurses have taken the opportunity to up-skill and broaden their scope of practice by attaining their medication endorsement, permitting them to administer medications. Another nurse is currently working through the endorsement program. Mandatory in-house training sessions have been scheduled every three months throughout 2009 - 2010. These include Fire Safety/Evacuation, Basic Life Support, Manual Handling/No Lift and Infection Control. Staff have been requested to ensure attendance at one session per year, and attendance has been pleasing. Competencies of nursing staff are tested on-line. Education for both clinical and non-clinical staff remains a high priority. Aged Care Channel programs and our local General Practitioners and Paramedics have also provided relevant and well attended education sessions. Active participation in off-site education has also been supported. Two years after the introduction of the Aged Care Funding Instrument (ACFI), March 2008, all staff have been involved with reassessments of some of our residents. This provided the opportunity to reassess the priorities in care delivery and enabled Care Plan updates to occur more efficiently and in a timely fashion. Case Conference meetings continue to enhance communication and coordination between services within Omeo District Health, improving ongoing care delivery to community members, residents and in-patients. These meetings have been consistently held and well attended, ensuring more ideas are considered when planning care for individuals. Omeo District Health offered to provide a clinical rotation for graduate registered nurses from Bairnsdale Regional Health Service, and whilst no graduates attended Omeo in the 2009–2010 financial year interest was received to maintain this offer into the 2010-2011 year. Division two trainees from TAFE and placement for medication endorsement studies for division two nursing staff from TAFE has also enabled greater exposure of the facility to potential new staff. Enhancing nursing home/hostel resident lifestyle and encouraging individual interests is an important aspect of care provision at Omeo District Health. Our diversional therapists and volunteers make a significant contribution through planned activities and informal relationship building. This willing team have offered art, exercise, cookery and reading/discussion sessions. Outings are organised on a fortnightly basis and have included trips to Benambra, the snow, the local calf sales and the Omeo Show.

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Community involvement with Omeo District Health has been fostered in many ways. A Residents Family and Friends meeting is conducted bi-monthly, providing information and encouraging feedback from all those involved with our residents. Local school children visit the residents weekly after school, and local and visiting musicians regularly share their talents. Senior citizens visit the residents every month to play cards and scrabble, and provide enjoyable opportunities for socialisation. A non-denominational church service is also conducted once a month to assist in meeting the spiritual needs of the residents. There have been a number of purchases throughout the 2009-2010 year, and Omeo District Health would like to thank the fundraising group SHINE and the DH for their assistance. These purchases include but are not limited to: • Defibrillator and monitoring device • 12 Lead ECG • Intraosseous drill and practice kit • Portable suction device • low-low bed Finally, I would like to express sincere appreciation for the support, encouragement and commitment of all our Staff, Board of Management, Volunteers and the Community. All are to be commended for the ongoing achievements at Omeo District Health over the 2009-2010 year

Darren Fitzpatrick - Nurse Unit Manager .

Case Conference Meeting Dr Ian & Mrs Wil Seymour

Dental Staff, Jackie, Lex & Jaci New Residents outdoor walkway development

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Community Services Community Services is comprised of allied health services funded through the Commonwealth Regional Heath Service program and the Multi Purpose Centre program; and District Nursing, Home Care Services, Planned Activity Group and Community Transport all funded through the Home and Community Care program. An additional program, Transitional Housing is also administered through the Community Services arm. Omeo District Health (ODH) has embraced the ‘Social Model of Health’ as its approach to health services across the board. This approach recognises that ‘health’ is a complex interaction of the following determinants:- • Income and social status • Healthy child development • Social support networks • Biological and genetic endowment • Education • Health services • Employ ment • Gender • Social environment • Culture • Physical environment • Rurality • Personal health practices and coping skills ODH Community Health Services have strong links with East Gippsland Primary Care Partnership at a regional level, and at a local level works in collaboration with such services as Swifts Creek Bush Nursing Centre, Ensay Bush Nursing Centre, Swifts Creek Community Centre, Benambra Neighbourhood House, Ambulance Victoria, TAFE Outreach, and local schools. Outreach services are provided out of the Swifts Creek Bush Nursing Centre on a regular basis. Services operating from this location include: Physiotherapy, Social Work and Footcare Care coordination is greatly improved through fortnightly case conferencing meetings with input from community health direct care staff, ODH acute nursing staff and medical practitioners from Omeo Medical Centre. These meetings have led to improved referral processes and streamlined care coordination for community based clients. HACC Funded Services District Nursing District Nursing is a service that provides community based nursing care to individuals in order to improve and restore quality of life and maintain an optimal level of health and independence. Services include direct clinical care, clinical assessment and the provision of information and education. In addition to home based clinical services, the district nursing service participates in health promotion activities such as health screening events. Omeo District Health provides a nine-day per fortnight service. Services are provided to clients in the Omeo, Benambra, Cobungra and surrounding areas. Planned Activity Group This program provides a structured opportunity for isolated older persons in the community to come together and share a meal and social interaction. The Planned Activity Group program is aimed at the Home & Community Care target group (frail aged persons and people living with disabilities in the community). The program operates one day per week and is facilitated by two workers. Sessions are provided in two locations- fortnightly at Omeo District Health and the alternative fortnight at the Albion Hotel at Swifts Creek. This arrangement allows access to the program for a wide district population.

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Home Care The Home Care program is aimed at assisting frail aged people and people with disabilities to remain living independently at home in a community setting. Services encompassed by the Home Care program include: - • Housekeeping, • Home maintenance, and • Personal care, • Meals on Wheels. • Respite care, Monitoring of clients health status and providing a case coordination role form an important part of the service provision. The service is facilitated by 10 part time home care workers across the district and overseen by a Home Care Coordinator, with administration support. Community Transport The Home and Community Care program also offers a coordination role to assist clients to access the range of supported transport options available. A pool of volunteer drivers play an important role in the success of this program, however other schemes are used where applicable including Red Cross transport, Dept Veterans Affairs and Victorian Patient Transport Assistance Scheme. Work commenced on organizing a regular weekly community bus run in the district and this should be introduced in the second half of 2010. HACC Designated Assessment Agency HACC services are presently undergoing a change of focus with the introduction of the “Active Service Model” across Victoria. The model places greater emphasis on maintaining independent living and restoring function for clients accessing services. A new holistic assessment process has been introduced- the “Living at Home Assessment”. ODH has been identified as the designated HACC Assessment Agency for the district for the Living at Home Assessments. This extended role has attracted additional HACC funding for Allied Health services including Occupational Therapy, Physiotherapy and Social Work. Regional Health Service Funded Services Counselling/ Social Work A significant demand for counselling and social work services has continued during the 2009/2010 period. Depression and anxiety related disorders remain the most common reason for clients seeking service. Referrals are received from a wide variety of sources including: local GPs, community nursing, schools, other health service staff and an increasing number of self referrals. There has been a continuation of the arrangement with the local schools cluster to provide specific counselling to local primary and secondary school students and their families. The social worker continues to facilitate our fortnightly Case Discussion/Discharge review committee. The aim of this committee is to review the progress of ODH service users including; acute inpatients, aged care residents and outpatients receiving Allied Health services and make appropriate recommendations regarding their care. This meeting is attended by representatives from Nursing, Aged Care, O.T., S/Work, District Nursing, HACC , D.O.N., Chronic Care Nurse and our G.P. The service maintains strong links with other agencies such as Bairnsdale Primary Mental Health Service, Gippsland Lakes Community Health and East Gippsland Division of General Practice, Regional Health Services and The Office of Housing.

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Chronic Disease Management / Practice Nurse The role seeks to establish a service focus within ODH to provide a best practice approach to the treatment and prevention of chronic disease (in particular: diabetes, asthma, cardiovascular disease and cancer), utilizing a population based approach, integrated service provision, client centered focus and incorporating the principals of client self management. The position has strengthened links between Omeo Medical Centre and ODH Community Health Services. Occupational Therapy The main aim for Occupational Therapy services in the community health team is to facilitate independent living in the community, particularly for people with health problems or restrictions due to disability or frailty. Interventions include: - • Home safety and home modif ication • Support for carers, and assessments, • A broad health promotion focus such • Specialist equipment provision, as health education and provision of • Increasing physical access to public gentle exercise programs. facilities, • Advice on management of particular disorders, Physiotherapy

Omeo District Health continued its collaborative arrangement with Orbost Regional Health to share the services of a full time Physiotherapist. The arrangement provides weekly services to both Omeo and Swifts Creek. The Physiotherapy service has a focus on providing clinical treatment for musculoskeletal conditions, mobility issues and rehabilitation following orthopaedic surgery. In addition, group programs such as gentle exercise and back care education have been provided. Speech Pathology The speech pathology service is supported by collaborative arrangements between Omeo District Health, Gippsland Lakes Community Health and Bairnsdale Regional Health. This allows a speech pathology service covering 4 days per month in the district. The service has a strong focus on pre school and school age clients and works closely with the primary schools and kindergarten services in supporting Early Years development. Dietetics Dietetic services are provided on a contract basis through Bairnsdale Regional Health Service, one day per month. The service provides advice on general nutrition and nutritional issues related to illness and specific conditions. In addition, the Dietitian has provided health promotion activities and educational presentations to schools, ODH staff and community groups. Youth and Children’s Services Youth and children’s services continue to be provided two days per week. The service looks to improve the environment for young people in the area by focusing on training in work readiness, improving access to social activities locally and regionally, and increasing community connectedness and peer support. The service works closely with the local Swifts Creek P12 school in delivering programs.

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Emergency Housing ODH undertakes a coordination role for the Omeo District Transitional House on behalf of Community Housing Limited. The Transitional House has had a consistent occupancy rate over the past year. Kindy Gym This popular program is targeted at children 0-5 and provides a range of fun physical activities and play aiming to develop healthy bodies, sensory awareness, perceptual awareness, and social skills. Considerable volunteer input went into developing a dedicated space for the program located at the Omeo Recreation Reserve Complex. Funding has been secured to continue to offer the program for one session per week. Podiatry/ Foot Care Foot care services have continued to be provided on a one-day per month basis with a qualified foot care technician. The service alternates venues between Omeo and Swifts Creek and Ensay. Services provided include fingernail and toenail trimming and foot massage. The services of a visiting qualified Podiatrist continue to be offered on a quarterly basis from Omeo. The priority areas for podiatry service provision are clients with diabetic conditions and older clients who have difficulty accessing podiatry services available in Bairnsdale. Health Promotion This role aims to ensure that the health outcomes of the community are improved by addressing key risk factors and determinants associated with poor health outcomes. ODH Health Promotion work focuses on a number of key health priority areas including: • Physical Activity • Men’s and Women’s Health • Mental Wellbeing • Youth and Alcohol The health promotion worker at ODH ensures the delivery of improved health outcomes through providing access to health information and education, programs and activities, identifying and advocacy for community needs, and partnerships with key organizations (local and regional). Some key health promotion activities over the past year include: • Youth Alcohol Awareness Project (YAAP) • Get off the Couch Healthy Activity (GotCHA) Project • Health Matters Newsletter- quarterly publication. Volunteers Omeo District Health has a small but dedicated pool of volunteers. They provide support and assistance in the following areas:- • Transport as part of the Omeo District Health Community Transport program • Assistance to the residential Diversional Therapy program, • Assistance in the residents’ dining room, and • Delivery of meals in the Meals On Wheels program. • SHINE fundraising committee

“The contribution that volunteers make to the Marijs Last residential and community-based programs and Manager – with organizational fundraising activities is Community

greatly appreciated” Care

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Support Services

Public & Private Dental Services In November 2009 Dr Lex Bertrand joined our dental team as Dr Jeremy Sternson had indicated that his availability would be reduced. This has resulted in an increase from 2 to 5 days on average per month of dental coverage. Jackie Pendergast and Jaci Fyfe took over the assistant and receptionist roles from Sonya Lawlor and Jackie Smith to continue the provision of quality dental care. We thank Jeremy, Sonya and Jackie for their valuable contribution to our dental clinic. ODH is committed to further developing this valuable community service. Omeo Medical Centre The Omeo Medical Centre continues to provide excellent medical services under the capable management of Tracey AhSam. Annie Kissane also continues to enthusiastically develop the Practice Nurse/ Chronic Disease Management role, providing valuable support for affected community members. The ‘Grumpy Old Docs’ rotational roster will undergo some changes in the new financial year as Dr Ian Seymour and Dr Gordon McIntosh prepare to retire (for good this time!). We are very grateful and thankful for their significant contribution to our service, a sentiment shared by all the community at a farewell function in June. Additional weekend and public holiday after hour’s clinics have continued, made possible through the ‘Round the Clock Medicare: Investing in After Hours GP Services Program’ funding from the Commonwealth Government. Support for the provision of a medical service out of normal business hours continues to grow as demonstrated by both local community member and visitor attendances at these clinics. Omeo Medical Centre retains its AGPAL accreditation and is continuously seeking improvements to enhance the delivery of its service. Catering Services An external food audit was conducted in April 2010 with results clearly demonstrating the continued delivery of excellent catering services and compliance with regulations. Catering staff, under the supervision of Margaret Worcester and Cate Spencer (until April 2010) maintain a continuous quality improvement approach to all aspects of operations, as evidenced by food quality and safety initiatives. Domestic / Cleaning Services It is now a government requirement that 3 external cleaning audits be conducted annually. The latest result of 98.4% on 24 th April 2010 demonstrates a continued very high standard of cleanliness. The facility environment is a testament to all those entering, and in particular Lorraine Roberts and Lorinda Leighton are to be congratulated on their efforts. Occupational Health and Safety Occupational Health & Safety (OH&S) is monitored through the Quality Improvement program and at regular OH&S management meetings. Review of incidents and identified risks from across the organisation result in changes, upgrades or education as appropriate. This process is now assisted by the electronic ‘Riskman’ program. Chris Summerton received formal OH&S training this year, and together with Marijs Last (OH&S management representative) has initiated OH&S improvements.

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Reception / Administration / Finance / Payroll /Human Resources Judy Wood, Ann Bingham and Carol Fleming work together to deliver a wide range of administrative services, a matter of necessity in a small but diverse organization. They are to be congratulated on their ability to multi-task, and still greet the public with a smile! Completing the transition to the Oracle financial information management system was a major achievement, whilst continuing to meet a range of reporting requirements. Mr Steven Jackel has provided excellent financial reporting, advisory and system support throughout this transition. Human Resources are managed by the CEO/DON and the area managers, with administrative assistance from administrative staff. ODH maintains clear policies on performance and behaviour for all staff and contractors. Maintenance / Facilities / Grounds Chris Summerton coordinates this important area, including conducting a comprehensive preventative maintenance program for both general and essential services. Completion of the electrical rectification works, meeting fire safety requirements and the garden walkway development have been the main projects throughout the year. Provision of home maintenance under the Home and Community Care service has also continued to expand. A major highlight was shifting the maintenance department to the old ambulance station building when vacated by Ambulance Victoria, providing a safer and more comfortable working environment. Information Technology & Management The provision of information technology (IT) support services remains contracted with Sage Technologies. ODH is an active member of the Gippsland Health Alliance, an IT alliance that provides our network infrastructure and support. ODH has been involved in the broad implementation of new software suites as part of a statewide rollout by the government. These rollouts challenge the resources of ODH but ultimately provide software and reporting benefits and align ODH with all other public Health Services. Planned replacement of ageing IT equipment continues across the organisation and all staff have ready access to computer terminals. The use of videoconferencing equipment has become more widely accepted practice through the Gippsland Health Alliance network for attendance at meetings. This has been of major benefit to ODH in reducing the amount of travel time and traveling costs and also enabling increased representation of our service at various events. Jo-Anne Cavill Chief Executive Officer / Director of Nursing

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Workforce Data - Our People

Chief Executive Officer/Director of Nurse Unit Manager Nursing Mr D Fitzpatrick Mrs J Cavill RN1 RN1, B Nursing

Community Services Manager/ Finance Occupational Therapist Mr S Jackel, (CA) Accounting & Audit Solutions Ms M Last Bendigo (previously Evolve Accounting B. App Sc (Occupational Therapy) Solutions)

Director of Medical Services Dental Practitioners Dr Jane Greacen Dr L Bertrand (from 30/11/2009) MB.BS, Mast.P.H, FACRRM, FACOM BDSc, LDS Dr J Sternson (casual from 09/11/2009) BDSc, FRACDS

General Practitioners Dr I Seymour Dr L Prokopowicz MB.BS, Hons, FACRRM MB.BS

Dr G McCallum Dr G McIntosh MB.BS, FACRRM, D. Obst.RCOG (UK) MB.BS

Dr T Watford Dr M Dawkins MB.BS, L.R.C.P. (Lond), MRCS (Eng), D. Obst. RCOG, MB.BS, Dip. Anaes. (UK), FRACCP, FRACOG, FACRRM Dip. Anaes. (Eng)

Registered Nurses (Division 1) Registered Nurses (Division 2) Ms K Buttery Ms J Anderson Ms S Cordery Mr D Beesley Ms T Crowe Ms M Connally Ms L Disney (from 1/2/2010) Ms J Connley Ms A Dmytrenko Ms K Driscoll Ms B Flannagan Ms C Faithfull Ms L Gilmore Ms J Graske (Quality coordinator) Ms H Goudie (from 15/2/2010) Ms G Guyatt Mr M Grinter (from 15/1/2010) Ms A Higgins Ms H Kewish Ms J Jenkins (to 14/3/2010) Ms P Leon (to 2/1/2010) Ms C Johnson Ms H Moss Ms S Johnson (from 25/3/2010) Ms C Onslow Ms A Kissane Ms Z Pendergast Ms L McGregor (to14/9/2009) Ms R Pittard Ms K McLeod Ms T Sedgman (Infection Control Nurse) Ms L Mitchell Ms R Shumski Ms A Thorburn (OH&S Rep) Ms W Sey mour Ms H Whelan (to 23/11/2009) Ms S Vardy Ms K White (from 15/2/2010) Ms D Wilson

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Diversional Therapy Dental Nurses / Assistants Ms P Carruthers Ms J Pendergast Ms R Walker Ms J Fyfe (from 1/3/2010) Ms S Lawlor (casual from 9/12/2009) Ms J Smith (to 22/2/2010)

Omeo Medical Centre Administrative Assistants Ms T AhSam Ms A Bingham Ms M Worcestor Ms C Fleming Ms W Sey mour (Casual) Ms J Wood

Omeo Medical Centre – Practice Nurse Maintenance / Engineering Ms A Kissane (incorporating Chronic Disease Mr S Disney Management) Mr C Summerton (OH&S Rep) Ms W Sey mour (Casual) Mr G Williams

District Nursing Service Kinder Gym Ms M Budge RN1 Ms A Hayward Ms C Onslow RN1 Ms L Miller (to 17/12/2009)

Home Care Coordinator Social Worker / Counsellor Ms N Boucher Mr W Newcomen Ms J Pendergast (Admin assistant) Ms L Edwards (Casual) Ms T Crisp (Admin assistant)

Home & Community Care Workers Physiotherapy Ms L Airs Mr R Hart Ms M Bohacik (to 15/1/2010) B.Sc (Physiotherapy) Ms P Craig Ms T Crisp Health Promotion Ms K Ennis Ms L Mooney Ms A Hayward B. App Sc (Health Promotion) Ms J Kennedy Ms L Leighton Planned Activity Group Ms B Love Ms M Pendergast Ms L Miller Ms R Walker Ms J Tuck Ms T Crisp Ms R Turner Ms R Walker Youth & Children’s Services Worker Ms J Fyfe (from 1/3/2010) Ms C Mass (to 28/10/2009) Food & Domestic Services Ms S Anderson Ms B Love (to 28/2/2010) Ms M Burke Ms M Pendergast Ms A Curren Ms L Roberts Ms K Ennis Ms P Sim Ms R Gardam Ms J Smith Ms M Goudie Ms C Spencer ( to 23/04/2010) Ms D Hocking (to 16/12/2009) Ms J Sy mons Mr R Hill Ms M Thumerer (to 14/3/2010) Ms L Leighton Ms M Worcester

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Equal Employment Opportunity (EEO) Omeo District Health is subject to the requirements of the Equal Opportunity Act 1995 and applies appropriate merit and equity principles in its management of staff. The Health Service expects all staff to take responsibility for fair, non-discriminatory behaviour. Recognition of Service Omeo District Health recognises staff as its greatest asset and acknowledges the dedication and commitment of all staff to residents, patients and the community. Their loyalty to the health service is highly valued.

June 2010 – Current June 2010 – Year To June 2010 – Current Labour Category Month Full Time Date Full Time Month Head Count Equivalent Equivalent Administration 4.45 3.61 7 - C hief Executive O fficer 0 0 0 - C EO/DON 1 1 1 - A dmin Assistants 2.09 2.09 3 - Dental Assistants 1.26 0.42 2 - Q uality Control Admin 0.10 0.10 1 Community Services 9.87 9.55 21 - Manager /OT 0.84 0.84 1 - District Nursing 0.9 0.97 2 - Kinder Gym 0.07 0.07 1 - Physiotherapist 1 1 1 - Health Promotion 0.74 0.58 1 - Social Worker 0.84 0.84 1 - Planned A ctivity Group 0.26 0.26 2 - Youth Worker 0.42 0.42 1 - Home Care 2.96 3 8 - Manager Home Care 0.84 0.84 1 - C ommunity Services 1 0.73 2 Admin Hotel Services 6.86 6.95 11 - F ood Services 3.27 3.54 6 - Domestic Services 2.07 1.89 3 - Maintenance 1.52 1.52 2 Medical Officers 1.52 1.10 8 - General Practitioners 0.84 0.84 6 - Specialist Services 0.05 0.05 1 - Dentist 0.63 0.21 1 Medical Support 1.47 1.47 2 - Medical Admin 0.84 0.84 1 - Practice Nursing 0.63 0.63 1 Clinical Services 14.11 17.71 32 - Director of Nursing (DON) 0 0 0 - Nursing Unit Manager 1 1 1 - Division 1 4.6 7.38 15 - Division 2 7.98 8.80 14 - Diversional Therapy 0.53 0.53 2

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Financial Results

2009/2010 2008/2009 2007/2008 2006/2007 2005/2006 Financial $,000 $,000 $,000 $,000 $,000 Total Revenue 4,279 3,962 3,799 3,749 3,559 Total Expenses 4,603 4,097 4,038 3,758 3,814 Surplus / (Deficit) (324) (135) (239) (9) (255)

Retained Surplus / 3,175 3,499 3,633 3,873 3,980 (A ccumulated Deficit)

Total Assets 7,860 8,173 8,720 8,846 8,870 Total Liabilities 949 938 857 787 803 Net Assets 6,911 7,235 7,862 8,058 8,067 Total Equity 6,911 7,235 7,862 8,058 8,067

Summary of Significant Changes in Financial Position during Financial Year There have been no significant changes in the financial position of the service during the financial year. Operational and Budgetary Objectives of Omeo District Health for the Financial Year The Service incurred a deficit of $324,033 (after charging depreciation of $511,825) during the year, an unfavourable comparison to a budget deficit of $251,405. Summary of Major Changes or Factors Affecting Achievement of Operational Objectives The revaluation of Buildings conducted last year at the request of the Department has resulted in greatly increased depreciation recognized for the year (2009 Depreciation $304,427, 2010 Depreciation $511,825). Events Subsequent to Balance Day, which may have significant effect on Operations in Subsequent Years There have been no events subsequent to balance day which may have a significant effect on operations in subsequent years. Consultancies costing in excess of $100,000 (ex GST) There were no consultancies costing in excess of $100,000 during the financial year. Consultancies costing less than $100,000 (ex GST) There as one consultancy costing less than $100,000 during the financial year, the external financial and operational review funded by the Department of Health. Fees Charged by Omeo District Health Aged Care ODH is bound by the Schedule of Resident Fees as set down by the Commonwealth Department of Health & Ageing on a bi-annual basis. Fees for clients include daily care fees, accommodation charges, income tested fees and accommodation bonds.

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Dental ODH is bound by the fee structure set down by Dental Health Services Victoria. Fees are applicable for public and private patients. Admitted & Non-Admitted Patients ODH is bound by the Victorian Department of Human Services Fees Manual for admitted public, private, DVA, Workcover and TAC patients. The DHS Fees Manual also provides information on charges for non-admitted patients, referred to by ODH for Physiotherapy and Outpatient Facility Fees. Home and Community Care ODH is bound by the ‘Schedule of Costs for Services Provided’ as set down by the Victorian Department of Human Services. Fees to other health agencies include post acute care, home care for DVA clients, home care and respite for supported clients. Fees to clients include home care, home maintenance and District Nursing Service visits. Other ODH also charges a small fee to clients for items that are not directly funded, nor specified in the Fees Manual, by the Victorian Department of Health or the Commonwealth Department of Health & Ageing. Fees to clients include rental of Health Service equipment, rental of Health Service buildings, and outpatient charges for procedures, starter packs and interventions. Average Collection Days Revenue Indicators 2010 2009 2008 Private (Acute) 45 30 190 TAC (Physio & Outpatients) 45 53 106 VWA (Acute, Physio & Outpatients) 60 60 0 Other Compensable 34 42 95 (HACC, DNS, PAG, PAC & MOW) Other Compensable 31 31 294 (Physio, Medical Centre & Outpatients) Psychiatric 0 0 0 Residential Aged Care 21 24 20

Abbreviations: ‘TAC’ - Transport Accident Commission; ‘VWA’ - Victorian Workcover Authority; ‘HACC’ – Home & Community Care; ‘DNS’ – District Nursing Service; ‘PAG’ – Planned Activity Group; ‘PAC’ – Post Acute Care; ‘MOW’ – Meals on Wheels

Debtors Outstanding at Under 30 – 60 60 – 90 Total at Total at 30 June 2010 30 Days Days Days 30/06/10 30/06/09 Private (Acute) 0 0 560 560 6530 TAC (Physio & Outpatients) 0 0 98 98 2881 VWA (Acute, Physio & 470 260 67 797 245 Outpatients) Other Compensable (HACC, 8699 515 868 10082 20681 DNS, PAG, PAC & MOW) Other Compensable 11566 989 818 13373 13973 (Physio, Medical Centre, Outpatients & Sundry Other) Psychiatric 0 0 0 0 0 Residential Aged Care 6103 0 0 6103 1383 TOTAL 26838 1764 2411 31013 45693

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Occupational Health & Safety Omeo District Health observes and abides by the Occupational Health and Safety Act 2004 and seeks to secure the health, safety and welfare of employees and other persons at work by eliminating or minimizing risks at the source when possible. Management and OH&S staff representatives have participated in further education and have been involved in the formulation and implementation of health, safety and welfare standards. OH&S work area assessments conducted to determine areas in need of improvement required minimal follow-up action. Building & Maintenance Compliance In the year ended 30 June 2010, all buildings of Omeo District Health were fully compliant with the Building Act 1993 . No further major building works were undertaken during the reporting period. Freedom of Information Requests Omeo District Health is subject to the Freedom of Information Act (Victoria) 1982 . All health service records are accessible to the limitations imposed by the Act. The public may seek access to such records by making a written request to the Chief Executive Officer. In the year ended 30 June 2010, three (3) applications for access to documents under the Freedom of Information Act were received. Application & Operation of Whistleblowers Policy Omeo District Health is subject to the Whistleblowers Protection Act 2001 . In the year ended 30 June 2010, there were no protected disclosures to the Ombudsman requiring operation of the Omeo District Health Whistleblowers Policy. Implementation and Compliance with National Competition Policy In accordance with the national competition principles agreed by the Federal and State Governments in April 1995, Omeo District Health has implemented policies and procedures to ensure compliance with the National Competition Policy. These programs and policies include tendering for the provision of goods and services, and a number of services are already outsourced on a competitive basis including the supply of dairy, bakery and fresh meat and vegetable produce. External Reviews Undertaken in 2009 - 10 August 2009 – Annual Auditor General’s Financial Audit August 2009 – External Cleaning Audit October 2009 – External Financial and Operational Review completed October 2009 – Review of Essential Services November 2009 – Australian General Practice Accreditation Limited Accreditation January 2010 – Food safety inspection, East Gippsland Shire March 2010 – Annual fire detection, alarm and brigade connection March 2010 - Australian Council on Healthcare Standards Self Assessment Task March 2010 – External Food Safety Audit April 2010 - Aged Care Standards & Accreditation Agency – Unannounced visit. April 2010 – External Cleaning Audit

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Details of Major Promotional, Public Relations and Marketing Activities to Develop Community Awareness of ODH Articles and advertisements of interest to the local community and beyond are regularly placed in the Omeo Region News Sheet, published on a weekly basis. Bairnsdale newspapers are also utilised as required. ODH produces “Healthmatters” newsletter on a quarterly basis, distributed to all local residents providing relevant health and activity information. Community health promotional activities included health checks at the annual calf sales and Omeo Show, women’s and men’s health information evenings and initiatives in response to youth issues. Details of overseas visits No overseas visits occurred during the reporting period. Details of Assessments and Measures Undertaken to improve OH&S of Employees Influenza vaccination – offered to all staff and residents with variable uptake. Home and Community Care (HACC) – pre-visit telephone home safety assessments conducted for HACC workers and District Nurses. On-site risk assessments also performed for HACC workers prior to commencement of service. Organisation wide mandatory training days for all staff covering Manual Handling/No Lift, Infection Control and Fire Safety training scheduled on a regular basis. Organisation wide fire / emergency exercises Work area OH&S inspections conducted General Statement on Industrial Relations & Details of Time Lost through Industrial Accidents & Disputes ODH management meets regularly with employee Australian Nursing Federation representatives, and the regional Industrial Officer. There has been no time lost through industrial accidents or disputes.

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______Disclosure Index

The Annual Report of the Omeo District Health Service is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department’s compliance with statutory disclosure requirements. Legislation Requirement Page Reference

Ministerial Directions

Report of Operations – FRD Guidance

Charter and purpose FRD 22B Manner of establishment and the relevant Ministers 2 FRD 22B Objectives, functions, powers and duties 2 FRD 22B Nature and range of services provided 3

Management and structure FRD 22B Organisational structure 6

Financial and other information SD 4.2(j) Accountable officer, signed of report of operations 3a(FS) SD 4.5.5 Risk Management Compliance 10 FRD 22B Operational and budgetary objectives and performance against 22 objectives FRD 22B Statement of merit and equity 21 FRD 22B Workforce Data Disclosures 19,20,21 FRD 22B Occupational health and safety 24 FRD 22B Summary of the financial results for the year 22 FRD 22B Significant changes in financial position during the year 22 FRD 22B Major changes or factors affecting performance 22 FRD 22B Subsequent events 22 FRD 22B Application and operation of Freedom of Information Act 1982 24 FRD 22B Compliance with building and maintenance provisions of Building 24 Act 1993 FRD 25 Victorian Industry Participation Policy disclosures n/a FRD 22B Statement on National Competition Policy 24 FRD 22B Application and operation of the Whistleblowers Protection Act 24 2001 FRD 22B Details of consultancies over $100,000 22

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Legislation Requirement Page Reference FRD 22B Details of consultancies under $100,000 22 FRD 22B Statement of availability of other information 23 FRD 10 Disclosure index Addendum FRD 11 Disclosure of ex-gratia payments 18 (FS) FRD 21A Responsible person and executive officer disclosures 38(FS)

Financial Statements – FRD Guidance

Financial statements required under Part 7 of the FMA SD 4.2(b) Operating Statement 1(FS) SD 4.2(b) Balance Sheet 2(FS) SD 4.2(b) Statement of Changes in Equity 3(FS) SD 4.2(b) Cash Flow Statement 5(FS) SD 4.2(c) Accountable officer’s declaration 3a(FS) SD 4.2(c) Compliance with Australian accounting standards and other 6(FS) authoritative pronouncements SD 4.2(c) Compliance with Ministerial Directions 38(FS) SD 4.2(d) Rounding of amounts 6(FS)

Legislation Freedom of Information Act 1982 24 Whistleblowers Protection Act 2001 24 Victorian Industry Protection Act 2003 n/a Building Act 1993 24 Financial Management Act 1994 1(FS) Audit Act 1994 1(FS)

FS = Financial Statements

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