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Annual Report 2016-17

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Annual Report 2016-17 ANNUAL REPORT 2016-17 NSW HEALTH WE WORK TO PROVIDE WE STRIVE TO DELIVER THE PEOPLE OF NSW THE RIGHT CARE, WITH THE BEST IN THE RIGHT PLACE, POSSIBLE HEALTH AT THE RIGHT TIME. CARE THAT NOT ONLY MEETS TODAY’S HEALTH NEEDS BUT ALSO RESPONDS TO THE HEALTH NEEDS OF THE FUTURE. NSW MINISTRY OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900 Website. www.health.nsw.gov.au This work is copyright. It may be reproduced in whole or part for study and training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. The NSW Health Annual Report 2016-17 was edited, designed, coordinated and printed within the NSW Ministry of Health by the Strategic Communications and Engagement branch. Cover images: NSW Health. SHPN (SRC) 170596 ISSN 0815-4961 Further copies of this document can be downloaded from the NSW Health website www.health.nsw.gov.au/AnnualReport October 2017 ABOUT THIS LETTER TO REPORT THE MINISTER This annual report describes the performance The Hon. Brad Hazzard MP and operation of NSW Health during 2016-17. Minister for Health The report has been prepared according to Parliament House parliamentary reporting and legislative Macquarie Street requirements and is arranged in six sections: SYDNEY NSW 2000 Dear Minister SECTION I: OVERVIEW In compliance with the terms of the Annual Introduction to NSW Health values and priorities, Reports (Departments) Act 1985, the Annual organisation structure and NSW Health executive. Reports (Departments) Regulation 2015 and the Public Finance and Audit Act 1983, I submit the Annual Report and Financial Statements of NSW SECTION II: PERFORMANCE Health organisations for the financial year ended 30 June 2017, for presentation to Parliament. Summarises performance against the strategic The Financial Statements of these organisations priorities set out in the NSW State Health Plan. are presented in separate volumes as Financial Statements of Public Health Organisations under SECTION III: MANAGEMENT AND ACCOUNTABILITY the control of NSW Health 2016-17. I am also sending a copy of the report to the Treasurer. Reports on governance, public accountability, Yours sincerely financial management, information management, people management, environmental management, funding for research and development and equity and diversity. SECTION IV: FINANCES Details key financial management reporting. Elizabeth Koff SECTION V: FINANCIAL REPORTS Secretary, NSW Health NSW Health audited financial statements for 2016-17. SECTION VI: NSW HEALTH ORGANISATIONS Year in review reports are provided for the NSW Ministry of Health, each local health district, specialty health network, pillar and other NSW Health organisations. APPENDICES Additional information and data to supplement the report. NSW HEALTH SNAPSHOT THE NSW PUBLIC HEALTH SYSTEM IS WORLD CLASS. IT IS THE LARGEST PUBLIC HEALTH SYSTEM IN AUSTRALIA. $ 7.8MILLION 21.7BILLION 114,000 NSW RESIDENTS ON 809,444 SQ. KM 2017-18 BUDGET FULL-TIME EQUIVALENT STAFF LOCAL HEALTH DISTRICTS & SPECIALTY 228HOSPITALS* 17 HEALTH NETWORKS 2.8MILLION EMERGENCY DEPARTMENT ATTENDANCES 319,000 1.9MILLION 985,799 SURGERIES PERFORMED INPATIENT EPISODES AMBULANCE EMERGENCY RESPONSES $ *The number of public hospitals in NSW changed from 230 to 228 in the reporting year due to changes in the Northern NSW Local Health District. The Campbell Hospital at Coraki, which had been closed since 2011 due to storm damage, was removed from the 4605 count. The Coraki Campbell HealthOne service opened to the public in April 2017 offering various community health services and NSW STATE PRICE clinics to the people of the area. Also, the former Byron Bay Hospital and Mullumbimby District Hospital were amalgamated into Per national weighted activity unit for 2016-17. the Byron Central Hospital, a new $88 million facility that opened to the public in June 2016. THE NSW COMMUNITY 16.3% 35% 34.5% ARE 65 AND OVER LIVE IN REGIONAL WERE BORN OVERSEAS OR REMOTE AREAS 24.5% 2.9% 31.5% ARE 19 AND UNDER ARE ABORIGINAL PEOPLE HOUSEHOLDS WHERE TWO OR MORE LANGUAGES ARE SPOKEN ii NSW HEALTH Annual Report 2016–17 Preface ON A TYPICAL DAY IN NSW… 3038 people receive NSW Health 66,000 dental services MEALS SERVED TO PATIENTS 5446 NSW early childhood services and primary schools participate 46,000 in programs promoting healthy CLINICIANS USE THE ELECTRONIC MEDICAL eating and physical activity RECORD SYSTEM 1 1072 17,000 children are immunised PEOPLE SPEND THE NIGHT IN A PUBLIC HOSPITAL 350 Hospital in the Home services are delivered to help people 6300 shorten their stay in hospital PEOPLE ARE ADMITTED TO A PUBLIC HOSPITAL 44 860 ComPacks are delivered to people returning home from PATIENTS HAVE PLANNED SURGERY PERFORMED hospital, providing access to case IN A PUBLIC HOSPITAL management and community services for up to six weeks 300 167,123 PATIENTS HAVE UNPLANNED SURGERY pathology test are undertaken PERFORMED IN PUBLIC HOSPITALS 2458 210 patient discharge summaries BABIES ARE BORN are sent to their GPs 7400 19,000 people are seen in an KILOMETRES ARE TRAVELLED BY PATIENT emergency department TRANSPORT SERVICE VEHICLES 55,000 non-admitted patient services events take place 1 Excludes St Vincent’s Health Network Sydney and Justice Health & Forensic Mental Health Network. Sources: Australian Bureau of Statistics, 2016 census; NSW Ministry of Health. Some figures are approximate. NSW HEALTH Annual Report 2016–17 Preface iii SECRETARY YEAR IN REVIEW THE NSW HEALTH SYSTEM WORKS TO Improving service levels in hospitals PROTECT, PROMOTE AND MAINTAIN Emergency department and surgery performance are priority areas for improving service levels. In THE HEALTH AND WELLBEING OF THE 2016-17 there were almost 2.8 million attendances at RESIDENTS OF NSW. THIS IS IMPORTANT emergency departments, an increase of nearly 48,000 on the previous year. Over the year 91.7 per cent of TO ALL CITIZENS TO ASSIST THEM LEADING patients were transferred from an ambulance to the emergency department within 30 minutes, an A LIFE THEY VALUE, CONTRIBUTING TO improvement on the previous year and surpassing the THEIR COMMUNITY. target rate of 90 per cent. More than 70 per cent of patients were through emergency departments within four hours and we have programs in place to work Our efforts cross the age spectrum of the population towards the statewide target rate of 81 per cent by from newborns to those who are ageing, target 2019. Almost nine in 10 of our rural and regional specific population groups, diseases and conditions emergency departments already achieve this goal. and span the geography of our state from metropolitan During the year at least 97 per cent of patients received to rural and remote regions. All efforts intend to ensure elective surgery on time, and urgent elective surgeries the residents of NSW experience a good life and are were performed on time in 99.7 per cent of cases. connected to their local communities. Consulting with and listening to our community is Delivering infrastructure important to assisting current services and planning future service delivery. Tools such as the NSW Patient This year almost $1.5 billion has been spent on Survey Program and regular Population Health Surveys capital works to grow our world class health care help us understand patients’ views about their care facilities and meet the Premier’s goal of delivering and health outcomes. While survey results indicate infrastructure on time and on budget. Major 94 per cent of people consider their hospital experience redevelopments are underway at St George, is ‘good’ or ‘very good’, we still have work to do in Westmead and Blacktown hospitals, while projects allowing more patients to provide feedback on the completed across the State include the $114 million care they receive. We have also conducted a number Bright Alliance project at Randwick, the $80.25 million of statewide consultations over the year relating Lismore Base Hospital Redevelopment Stage 3A, and to palliative care services, and mental health services the $211 million Tamworth Hospital Redevelopment specifically the use of restraint and seclusion. Stage 2. The biggest transformation in regional Thank you to all who participated so willingly infrastructure in NSW Ambulance history is underway, in providing the consumer voice to our services. with $122 million to be spent on building or upgrading 22 stations. In metropolitan areas, ambulance In 2016-17 there have been significant advances in our superstations opened at Bankstown, Kogarah and Premier’s and statewide priority initiatives. These Blacktown, the first among nine as part of a $150 initiatives reflect our desire to provide better services, million infrastructure strategy. to the people of NSW now and with a view to the future health of our population. Other priorities Tackling childhood obesity With regard to the additional priorities of the health system, we have made significant progress on The rate of overweight and obesity is 21.9 per cent delivering better value care for the people of NSW for children aged five to 16 and we are committed to while maintaining our critical focus on patient safety, the Premier’s target of reducing that rate by five the quality of care and its efficiency. There are many percentage points by 2025. Our healthy eating programs outlined in this annual report which and active living campaigns, including Make Healthy simultaneously serve these goals, including the Normal, Healthy Kids, Munch & Move and Live Life introduction of a statewide process to monitor risk Well @ School, provide proactive, supportive and management and harm minimisation, investigation detailed resources for families, schools and care of methods to reduce clinical variation in the treatment centres to improve the health of our children.
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