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Hunter New England Area Health Service Annual Report 2005/2006 Hunter New England Area Health Setvice Hunter New England Health Lookout Road, New Lambton Heights, NSW 2305 Locked Bag 1, New Lambton NSW 2305 Telephone: (02) 4985 5522 Facsimile: (02) 4921 4969 All Hunter New England hospitals are open 24 hours. Letter to the Minister November 2006 Hon John Hatzistergos MP Minister for Health Parliament of NSW Macquarie Street, Sydney NSW 2000 Dear Mr Hatzistergos, I have pleasure in submitting the Hunter New England Area Health Service 2005/06 Annual Report. The Report complies with the requirements for annual reporting under the Accounts and Audit Determination for public health organisations and the 2005/06 Directions for Health Service Reporting. Contents Terry Clout CHIEF EXECUTIVE CHIEF EXECUTIVE’S MESSAGE 4 ORGANISATION 6 PERFORMANCE 16 OUR PEOPLE 68 OUR COMMUNITY 76 FINANCIAL REPORT 88 2005-2006 Highlights • Opening of the $100-million Royal • Establishment of a methamphetamine Newcastle Centre – the new home of treatment clinic as part of a State pilot specialist and outpatient services from to offer a range of targeted information Royal Newcastle Hospital and some and treatment services to people who medical, diagnostic and outpatient use the psycho-stimulant drug. services previously provided at John Hunter Hospital. • $100,000 additional funding over two years for the Memory Assessment • Highest coverage of immunisation for Program in Armidale to continue children 12-15 months of age in NSW its work in the early detection and with a rate of 92.9 per cent over the coordinated care of dementia past 12 months. sufferers. • Winner of two NSW Health Aboriginal • Opening of Stage 2 of Belmont Health Awards: one for the Aboriginal Hospital’s redevelopment – providing Suicide Prevention Package Lake Macquarie residents with implemented in Tamworth; and the access to a new operating theatre, other for Wiyiliin-ta – a partnership an upgraded day surgery and new with the Awabakal and Aboriginal imaging facilities. Medical Service in Newcastle. • Commencement of the Sub-Acute • Implementation of new iPM computer Fast Track Elderly Care program software at Lower Mid North Coast (SAFTE) - a year-long pilot program, hospitals, including Manning Hospital, focusing on people older than 75, who to give staff improved access to patient are at risk of acute deterioration. information and streamline patient movement throughout the hospital. • Enhancement of Tamworth Hospital’s Cardiac Catheterisation Laboratory to • Opening of the $9.6-million Guyra boost the number of patients treated at Multi Purpose Service in August, the state-of-the-art facility, from 400- bringing under one roof fi ve acute 500 each year. hospital beds, 17 aged care beds, an emergency department and • Winner of eight awards at the Baxter community health services, as well 2005 NSW Health Awards, including as co-locating Guyra’s Home and Best Metropolitan Access Block Community Care (HACC) services. Performance, and awards in consumer participation, education and training, effectiveness of healthcare and innovation. 2 Hunter New England Health Annual Report 2005-2006 Snapshot Population we care for 837,670 Number of people cared for in our emergency departments 323,536 Episodes of care delivered in a hospital setting 181,786 Average length of stay for acute hospital patients 3.4 days (including same day admissions) Number of people admitted for same day care 43.8% (% of total admissions) Non-admitted patient services 2,750 (includes community health) Number of babies born 8440 Percentage of children in the Hunter New England Health region fully immunised at one year 93% 3 Hunter New England Health Annual Report Message from the Chief Executive Hunter New England Health is committed spectrum, this year we began piloting to building healthier communities and a program designed to care for elderly providing excellence in healthcare. people in their homes to avoid the need for hospitalisation - The Sub-Acute Fast Over the past year we have worked hard Track Elderly Care program. to build an organisation that has skilled, enthusiastic and committed staff, a core As an organisation we have invested set of values that are refl ected in all that we considerable energy in planning for our do, robust systems, strong partnerships, health service to become completely sound fi nancial management and an Smoke-free by 31 October 2006 – a unwavering commitment to improving project which has demonstrated the people’s health. organisation’s leadership in its community and which is sending a strong message We have once again met our budget and to local people about the harmful effects activity targets. This means we have been of tobacco smoke. able to provide the care and services we promised within allocated resources. This year I have had the privilege of meeting an array of inspiring people and I During the past year we have refurbished have learnt about hundreds of innovative or built new health facilities across our projects. This Annual Report provides area, which enable our skilled staff to a snapshot of some of this outstanding deliver even better care to local people. work and these achievements, as well as Among these was the $100-million Royal our challenges. There is still work to be Newcastle Centre which opened in March done, and our commitment to ongoing and is now the home of specialist and improvement stands fi rm. outpatient services from Royal Newcastle Hospital and some medical, diagnostic Each year we are able to deliver and outpatient services previously these impressive results thanks to the provided at John Hunter Hospital. teamwork, skill, dedication, passion and caring of Hunter New England Health’s Our service improvement program – the 14,500 staff, 1500 visiting doctors, Maggie Program – continues to be rolled countless volunteers and our partners out across Hunter New England Health in the community. I acknowledge their to redesign the way we provide services efforts and commend their work – and so we can better care for patients. am sure our community members are equally as proud. We continue to enhance services for all people – from the very young, through to the older people – in our communities. We continue to achieve the highest coverage of immunisation for children 12-15 months of age in NSW with a Terry Clout rate of 92.9 per cent over the past 12 Chief Executive months. And at the other end of the age Hunter New England Health 4 Hunter New England Health Annual Report Hunter New England Health Structure and Responsibilities Hunter New England Health is one local government areas: Armidale of eight Area Health Services in New Dumaresq, Barraba, Bingara, South Wales. It is classifi ed as one of Cessnock, Dungog, Gunnedah, Glen four rural Area Health Services, but Innes, Gloucester, Great Lakes, it is the only one with a metropolis Greater Taree, Guyra, Inverell, Lake (Newcastle/Lake Macquarie) within its Macquarie, Maitland, Manilla, Moree borders. Plains, Muswellbrook, Narrabri, Newcastle, Nundle, Parry, Port Hunter New England Health has: Stephens, Quirindi, Scone, Severn, Singleton, Tamworth, Tenterfi eld, • approximately 14,500 staff (or approx. Upper Hunter, Uralla, Walcha and 10,500 Full Time Equivalents) Yallaroi • about 1500 medical offi cers • has major employment in industries, • more than 1600 volunteers manufacturing, retail, health, property • an Area Administration offi ce in and business, education, hospitality, Newcastle and a Regional Offi ce in recreation, tourism, government Tamworth administration and defence, • public hospitals/health facilities at: agriculture, viticulture, fi shing, mining, Armidale, Barraba, Belmont, Bingara, construction and communications Boggabri, Bulahdelah, Cessnock, • is traversed north to south by the New Denman, Dungog, Glen Innes, England Highway and passenger and Gloucester, Gunnedah, Guyra, freight rail lines Inverell, James Fletcher (Newcastle), • has a growing commercial airport John Hunter (New Lambton), Kurri adjacent to the Royal Australian Air Kurri, Maitland, Manilla, Manning Force based at Williamtown (Taree), Mater Misericordiae • has the second busiest harbour on the (Waratah), Merriwa, Moree, Morisset, east coast situated at Newcastle Muswellbrook, Narrabri, Prince Albert Memorial (Tenterfi eld), Quirindi, Hunter New England Health’s Scott Memorial (Scone), Singleton, population: Tamworth, Tingha, Tomaree (Nelson Bay), Vegetable Creek (Emmaville), • The Hunter New England Health area Walcha, Warialda, Wee Waa, currently has a population of 837,670 Werris Creek and Wilson Memorial (DIPNR Dec 2004), approximately 12 (Murrurundi) per cent of the population of NSW • 56 Community Health Centres • The population is widely distributed across the Area: from a densely Hunter New England is an area of more populated coastal zone to small rural than 130,000 square kilometres – the townships with declining populations size of England – and: • Modest population growth is projected: 2.8 per cent over the next fi ve years • spans 25 local council areas and 32 (compared to 4.5 per cent in NSW) 5 Hunter New England Health Annual Report reaching 856,870 in 2011 and 875,580 city of Newcastle where they make up in 2016 (DIPNR Dec 2004) nearly 7 per cent of the population • The main areas of population growth • Newly arrived refugees are increasing for 2006-2011 will be in the Great in number across the Area Lakes, Port Stephens and Maitland • Socio-economic disadvantage is LGAs spread across the area, particularly