Annual Report

new name, new logo, new look

Cornish Street, Castlemaine Vic 3450, PO Box 50 www.castlemainehealth.org.au CENTRAL, VITAL AND THRIVING Contents Vision

Year in Brief 1 Our Facilities 10 Castlemaine Health will be widely acknowledged within our industry and by Overview of Services Provided 2 Our Environment 12 stakeholders as a preeminent Australian Rural Health Service. Report of Operations 3 Corporate Governance 13 Our Finance Team 4 Organisational Chart 14 Mission Our Nursing Care 5 Our Staff 15 As a comprehensive rural health service for the Castlemaine district we shall maturely Our Community Programs 7 Our Social Club 17 continue to expand our knowledge, learning, services and skills and partner Our Volunteers 9 Statutory Compliance 18 with other stakeholders to provide person centred care of the highest quality. Acknowledgements & Local Map 19 Disclosure Index 20

Castlemaine Health DDG undertook extensive consultation Five colours have been selected to with staff and community to gather the represent the organisation and the – the brand story data and opinion that would inform the different services: brand development, before recommending Navy: Corporate In 2008 the Board and Executive of a relevant new brand structure based on Orange: Residential Aged Care Mt Alexander Hospital (as it was then three key elements. Red: Administration known) recognised the need for a Blue: Acute and Rehabilitation re-think of the organisation’s image. The new name Green: Community Health The Hospital’s role within the Loddon Castlemaine Health communicates the Mallee Region had developed to meet organisation’s aspirations as a sub-regional The new positioning statement the needs of a growing population. entity that is much more than a Hospital. Central, vital and thriving encapsulates Delivery of a diverse range of inpatient, It reflects the breadth and depth of the the character of Castlemaine Health in a outpatient and outreach services to the services offered and delivers versatility for simple, connective phrase. ‘Central’ refers Shire of Mount Alexander had extended future extension or diversification. It gives to Castlemaine’s convenient geographical to include provision of assessment, the brand a central, familiar focus within position, its ‘heart of Victoria’ location. rehabilitation and allied health services to its regional catchment, expressed in a ‘Vital’ captures the imperative nature of neighbouring shires. simple, easy-to-recall name. the health service, and the spirited The organisation had a clear regional The new logo development of the organisation. focus and needed a brand that reflected ‘Thriving’ conveys the prosperous, Vibrant, clean and contemporary – just that positioning to Government, expanding aspect of the business. like the organisation it represents. stakeholders, staff and community. The multi-coloured graphic with an earthy, Today The journey elemental palette reflects the regional and diverse nature of the service. A simple, The ‘old’ Mt Alexander Hospital brand was The organisation engaged Dzign Diezel stylised Mount Alexander is central to the retired in 2009 and replaced with the fresh Group (DDG) as its brand management logo (but not overpowering). The graphic and forward-focussed Castlemaine Health project partner. DDG’s specialist team is ‘ownable’ and over time will be brand – a brand that will celebrate the worked closely with the Board and remembered and recognised as real essence of this contemporary and Executive to review the existing brand. symbolising the health service. dynamic organisation well into the future. Annual Report

Year in Brief

Key Achievements Performance at a Glance

• Development of Strategic Plan (page 3) Staff • Launch of new name and logo (page 3/inside front cover) 2009/10 2008/09 % Change • Organisational structure review (page 3) Number of Staff Employed 626 613 2.12% • Received Bronze Award at the Equivalent Full-Time 366.23 373.24 1.88% Australasian Reporting Awards (page 3) • Implementation of extensive new computer software (page 4) Patient Statistics • Closure of Thompson House low care unit (page 5) • Decrease in length of stay of Admitted patients rehabilitation clients (page 5) Sub- Sub- Acute Acute Other Other Total Total Acute Acute • Bushfire Strategy developed (page 5) 2009/10 2008/09 2009/10 2008/09 2009/10 2009/10 2008/09 2008/09 • Staff member named the first rural Separations palliative care Nurse Practitioner (page 6) Same Day 1602 1593 0 0 0 0 1602 1593 • Commencement of Monash Medical Multiday 1579 1709 345 324 25 18 1949 2051 School training program for medical Total Separations 3181 3302 345 324 25 18 3551 3644 students (page 6) Emergency * 1218 1223 • Implementation of Initial Registration Elective * 1842 1837 for Overseas Nurses Program (page 6) Other Including Maternity * 140 157

• Appointment of new positions: Blood Total Separations 3200 3217 Transfusion Nurse, Clinical Practice Total WIES * 1982 2148 Development Officer (page 6), Health Independence Program Manager, Total Bed Days * 8377 9125 7843 7630 749 433 16969 17188 Hospital Admissions at Risk Program Note Nurse, Community Rehabilitation Not applicable Centre Intake Worker (page 7), *Estimates due to change of software system Cafeteria Trainee & Health Information Services Trainee (page 10) • Increase in the number of surgical procedures (page 6) • Adult Day Services and Community Non admitted patients Aged Care Packages passed assessment against the Home and 2009/10 2008/09 Community Care Standards (page 7) • CADARG (Castlemaine and District Emergency Department Presentations * 5380 5359 Accommodation Resource Group) Outpatient Services – Occasions of Services 33184 32687 achieved accreditation against HASS (Homelessness Assistance Service Total 38564 38406 Standards) (page 8) *Estimates due to change of software system • Implementation of a lead tenant program to assist youth homelessness (page 8) • Extension of the Early Intervention service (page 8) • Reduced waste usage across the organisation (12) Resident Bed Days Babies Born

• Introduction of a corporate uniform 2009/10 2008/09 2009/10 2008/09 (page 15) 63132 62999 52 62

CENTRAL, VITAL AND THRIVING 1 Overview of Services Provided

Acute /Sub-Acute Facilities • Speech Therapy History (65 staffed beds) • Dietetics 2009 “Mt Alexander Hospital” renamed • Medical • Continence Management “Castlemaine Health” • Obstetric • Volunteer Assistance New logo implemented • Paediatric • Pharmacy 2008 Thompson House upgraded • Rehabilitation • Psychiatry 2007 Ellery House opened • Geriatric Evaluation & Management • Pastoral Care 2000 Newstead Hostel upgraded • Respite • Infection Control 1998 Renshaw House upgraded • Surgical • Recreational Activities 1998 Spencely House upgraded • Accident & Emergency • Transport 1996 Penhall Hostel opened Residential Aged Care High • Pathology-Provided on site by 1995 Acute Facilities relocated Care (90 beds) Gribbles Pathology 1995 Thompson House opened

• Ellery House • Radiology and Ultrasonography 1994 Building Program launched - Provided on site by Bendigo • Thompson House Radiology 1986 Castlemaine District Community Hospital amalgamated with Low Care (71 beds) Facility Management Support Alexander to become Mt Alexander Hospital • Spencely • Engineering Services 1959 Mount Alexander Hostels • Penhall • Supply Department established • Renshaw • Human Resources 1939 Halford Street Hospital opened Community • Health Information Services 1860 Castlemaine Benevolent Asylum • Information Services opened • District Nursing Services • Public Relations / Fundraising 1853 Gingell Street Hospital opened • Post Acute Care Home Services • Finance Department • Support Aged Care Assessment Castlemaine Health is a public hospital Service • Hotel Services incorporated under the Health Services • Adult Day Activity Centre • Occupational Health & Safety Act 1991 and has a variety of programs • Community Rehabilitation Centre / • Quality Department and services funded by: Allied Health Departments Training and Development The Department of Health Minister: • Volunteer & Social Support Program The Honourable Daniel Andrews • Castlemaine & District • Training and Development The Department of Health & Ageing Accommodation & Resource Group Apprenticeships & Traineeships Minister: (CADARG) • Graduate Nurse Program The Honourable Nicola Roxon • Early Intervention Program • Overseas Registration Program The Department of Education Minister: • Palliative Care • Public Health Programs / Health The Honourable Bronwyn Pike Promotions Client Services The Department of Human Services • Staff Education / Professional Minister: • Medical Development The Honourable Richard Wynne • Nursing & Personal Care • Undergraduate Program • Welfare/Social Work • Work Experience Program • Podiatry • Occupational Therapy • Physiotherapy

2 Annual Report

Report of Operations

In reporting this year, we will seek to acute medical admissions as a direct outline our achievements and explore the outcome of actions to reduce challenges and transformation journey preventable hospital admissions. We we are facing in meeting our newly have increased operating theatre developed strategic goals. sessions which has resulted in increased surgical activity. Our rehabilitation unit Our new strategic goals have been has treated more patients associated developed following an extensive review with shorter lengths of stay and improved which, coordinated by a consultant, case management. We have extended included literature review, analysis of services in early childhood development Government policy, stakeholder opinion, and have seen great expansion of our current operational and financial person centred care philosophy outcomes and future projections. After Graem Kelly, CEO Bill O’Donnell, throughout the organisation. Our much discussion and collaboration, the President of the overseas nurses training program, Board of Management has chosen the Board commenced in July 2009 and has following key strategic goals for 2010 to blossomed to offer placements three 2015: Thank you to all in the community who times per year. have voted their support in the 1. Seamless Person Centred Care Technology, funding and service demand comments and feedback they gave in 2. Leadership in provision of holistic changes have placed us in a position to this survey. care fully review our organisation, ensuring we Demand on residential aged care beds optimise tax payers’ funds. An extensive 3. Rural Centre of Excellence in has led to a reduction in hostel beds and organisational structure review has research, training and clinical practice we are seeking to introduce a new commenced and will be completed service in transitional care for the elderly. 4. Stakeholder and political during the next year. management We are also investigating the possibility of Environmentally, further to our continued introducing a 24 hour medical in house We have developed Operational Plans engagement in the Maines Power cover for emergencies. with reference to these goals which Project, we continue to work towards The annual Murray to Moyne Cycle Relay assist with planning and monitoring. reducing our carbon footprint and have had fewer teams this year, but with two implemented energy saving, recycling To ensure effective governance we are teams they still raised in excess of and waste management improvements. actively continuing Board member $30,000.00 for the health service. Their We have undertaken significant bush fire development with three places being support is greatly appreciated and we are preparations and have set out a capital funded for training with the Australian in awe of their commitment. Our plan which looks to define a plan for Institute of Company Directors. New volunteers on committees and those building and equipment management for members to the Board will be offered whom are helping us provide services to the next 10 years. training provided by the Department of this great community are appreciated as Health. Personal and Board performance Information technology changes have some of this district’s true unsung reviews will be completed annually. been a challenge to the organisation. heroes. New financial and patient management Open communications and relations with We were proud to win a Bronze Award in software has been implemented under both departmental and local political the Australasian Reporting Awards for the State HealthSMART initiatives. In representatives have been maintained our 2009 Annual Report. This verifies our addition, there has been new risk and expanded with staff representation commitment to informing our Public in management software and bedding on many key regional, state and national plain, simple terms what it is we are down of recently introduced human committees. We support attendance of doing, how we are doing it and where we resource and residential aged care appropriate staff at conferences to are going in the future. Thanks goes to systems. We have replaced over ensure ongoing representation and the dedicated team who made this $130,000.00 worth of video technology contemporary practice is incorporated in possible. service delivery. and a $30,000.00 cold sterilising unit in the operating theatre. All this has put The year has been an eventful one. This year we have undertaken a tremendous pressure on staff and we are Staff have been required to deal with rebranding project and changed our proud of how they have stood up to the continuing change so that we can meet name to Castlemaine Health. The original challenge. the contemporary expectations of this Mt Alexander Hospital title did not clearly health service and their commitment to Compliance with external bodies has portray our location and has historically providing professional, safe care and continued and the Health Service has led to confusion with Alexandra Hospital. service support. On behalf of the Board recently achieved our first accreditation in Following on from this, we have and the community we thank them for Homelessness Assistance Service implemented new uniforms for all staff. their efforts and continued support. The uniforms have assisted the public to Standards. We had successful visits clearly define the roles of the staff while from the Aged Care Standards Agency they are in our care. Signage is soon to and continued to meet food safety and be upgraded and other organisational cleaning audit requirements. I am proud materials used with insignia are being to inform our community that on a updated over the next 12 months. Our majority of elements in a recent Victorian Web site is undergoing updates to Patient Satisfaction Survey, we have Bill O’Donnell ensure it is contemporary and user shown improvement on nearly all levels. friendly. As a result, when benchmarked against our peers of the same level service, Clinically we have seen a reduction in Castlemaine Health is leading the way. Graem W Kelly

CENTRAL, VITAL AND THRIVING 3 Our Finance Team

Profile

The Finance Directorate oversees management of financial operations, health information and supplies (including new equipment and information technology).

Quality Outcomes

• Five new computers with internet access installed for resident’s use (an outcome of a $7,500 grant from the Department of Human Services)

• Introduction of a new style guide to standardise the formatting of documentation

• Review of the staff newsletter process

• Implementation of new software (electronic) systems: Management Leon Williams - Computer Systems Manager Advantage (Residential Aged Care), RiskMan (Incident Reporting System), services to Maldon, Maryborough, Oracle Finance/Supply electronic system. iPM (Patient Management) and Dunnolly, Birchip, Donald, Charlton, The result is that staff now order supplies Oracle Financial Management system Wycheproof and St Arnaud Hospitals. on line which increases efficiencies both in time and paper. The Supply Future Directions Long serving staff member, Heather Department also conducted a major Paulet, was promoted to the role of Chief • Implement Business Unit Reporting stock review and streamlined the stock at Health Information Manager in November. hand. • Develop an Information Technology The previous incumbent, Darryl O’Bryan Plan has remained on staff with a new role of Information Technology Project Manager for the implementation • Improve purchasing processes of a new electronic patient management Upgrading and installation of computers, • Continue to implement new software system. Darryl received the HIMAA installation of new programs and systems Victorian Branch Health Information overseeing education in the new Managers Achievement Award (Rural • Pursue the implementation of an electronic programs has been a focus of Category) 2009 for her service, e-Record work for the Computer Systems Officer achievements and dedication to health this year. Finance information services both internally and The use of computers continues to for the Loddon Mallee Region. To ensure the ongoing sustainability of increase as electronic communication the facility, the Finance Team oversees Erica Dickson was appointed as our first becomes a way of life. In addition to the systems in relation to accounts payable, Health Information Services Trainee in implementation of new program, there accounts receivable, resident trust, salary November. have also been some in house purpose packaging and financial reporting, built programs developed that have Supply including Maldon Hospital. reduced the use of paper and time whilst improving systems, this includes the Health Information Services The Supply Department oversees the Connolly Rehabilitation admission system smooth running of purchase and and a new system for the allocation of The Health Information Service Team distribution of necessary supplies, Health Service vehicles. oversees the medical records system, services and new equipment. admission and discharge procedures, This year has been an extremely busy and the reporting of demographics to the one, with a large amount of work Department of Human Services. Staff dedicated to implementation of the have continued to provide coding.

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Our Nursing Care Residential Care Connolly Rehabilitation Unit The Director of Nursing, Dr Ann Allenby, In July 2009 Nurse Unit Manager, Jan Profile was invited to become a member of a Swift, and her team organised an event Nursing Leadership Group looking at for the Australasian Rehabilitation Nurses The Nursing Directorate manages the Association which was attended by 80 issues in residential aged care State provision of clinical care within Residential participants from around the State. The wide. This Group has been Aged Care, Rehabilitation, Acute Medical program included topics such as: pain and Surgical, Midwifery and Accident and commissioned by the Quality management, dementia issues in Emergency services. Improvement Unit at the Department of rehabilitation, medication in the elderly, Health and aims to gain a public sector burns management and dressings, Quality Outcomes industry perspective on current issues. current interventions in dysphasia and communication post stroke. • Implementation of the electronic As a result of a large number of documentation system called vacancies within our low care residential Jan left us in March to take a well earned “Management Advantage” within areas, Thompson House low care unit break and we welcomed new Nurse Unit Manager, Christine Sloman, in April. Residential Aged Care areas was closed and the residents and staff • Extension of multi-dose blister were relocated to other on site units. Over the year, the average length of stay medication packs to all residential Extensive consultation and negotiation for patients has decreased to 22 days care areas occurred to facilitate a smooth transition. compared with 24 days in the previous year. This is attributed to the opening of • Implementation of ward based Residential aged care staff has led the transition to care beds in early 2009, admission coordination in the way by implementing Management where people who no longer require Rehabilitation Unit Advantage, which is an electronic rehabilitation services can wait for a residential bed, thereby moving clients • “Living Well Ageing Well” Project roll documentation system. Several staff through the system more efficiently. out whom had never used a computer before have embraced the system and use it in The responsibility for coordination of • Bush Fire Strategy developed and daily practise. admissions to rehabilitation was tested relocated from the Support and In March 2009 the facility moved to a Future Directions Assessment Service to staff on the Unit new aged care funding system. This has early in 2010. To help manage the waiting subsequently been audited in February • Development of the Clinical Practice list a computer data base was developed Development role under Dr Amanda 2010 with evidence of claims made being internally and implemented for use in Watson checked. We are pleased to report an February. This will eliminate duplication excellent result which indicates our staff of work in assessing prospective clients • Development of “Transition to Care” is managing the new system well. to be admitted. Programs within our residential aged care units • Secured rehabilitation physician expertise to help guide the rehabilitation services • Opening second operating theatre as a procedure room • Implementation of the Person Centred Care principles throughout Castlemaine Health • Responded to demand for dialysis services • Investigated the viability of chemotherapy services • Extended benchmarking of clinical data with other hospitals • Improved transition of our residents into care through a funded project

Baby ‘Ella’

CENTRAL, VITAL AND THRIVING 5 Recreational Team

The Residential Recreation Team aims to provide all residents with an enjoyable and fun based program, to improve their quality of life. Group and individual activities are offered to suit the needs and interests of residents. The program is flexible and responsive to requests. In addition, the program aims to help residents settle into the care environment and continue their interests. Getting to know other residents and staff is an important part of adjusting to the lifestyle and feeling at home.

During the past year, the unit was successful in obtaining a grant to make computers available for residents. These computers are available in each unit and are used by residents to access email, the internet, play games, write life stories Overseas Medical Students and edit photographs, etc. assessment tools. In addition, activities Nurses Registration Program Geroe Acute Unit in establishing the concept of person centred care such as development of a The Return to Practice and Initial Nurse Unit Manager Craig DeLacy left policy, education of staff, conducting Registration of Overseas Nurses Program this year to take up a position as CEO of case reviews and reviewing handover has been consolidated with 24 nurses the Bendigo Division of General Practice processes have been undertaken. Work participating during the last year. This and we welcomed Helen Minkevicius as will continue across all directorates. has resulted in an increase of nurses the new Unit Manager in January. available for employment in the Loddon There were 52 babies born on site this Operating Suite/Day Mallee region. Nurses undertaking the year. Results of the midwifery survey Procedure Unit program have positively evaluated it, showed a high degree of satisfaction with indicating they are feeling safe and care and advice provided to families. The Following on from the work commenced confident to practice. ability to labour and give birth in a in the previous year, the operating suite community facility with minimal has increased the average number of Monash Medical School Training intervention is valued by the women and operations from 119 per month to 134 Program partners as a beautiful and calm way of per month. Funding for this came from This program commenced operation in giving birth. the Rural Patient Initiative designed to help reduce the rural public waiting list. February providing support to the Additional funding was received for a teaching of fourth year medical students A new orthopaedic surgeon commenced new position of Blood Transfusion Nurse in collaboration with Monash University in February specialising in shoulder in February. Registered Nurse Division 1, and local General Practitioner practices. Andrew Lewis, is currently working one arthroscopy and shoulder rotator cuff day per fortnight reviewing and improving repair, which will broaden the range of Palliative Care Nurse systems in relation to the safe provision surgery offered to the community. Practitioner of blood product transfusions. New equipment purchases included Registered Nurse, Merrill Cole, was replacement of the operating theatre The ‘Living Well, Ageing Well’ (LSOP) successful in becoming endorsed as the project is in its last year and several lights with halogen lights and new first rural palliative care Nurse Practitioner. activities have been undertaken focusing laparoscopic imaging equipment. This This was a result of many years on care in the acute ward. Achievements equipment will improve the surgeon’s preparation from her Master’s Degree include review of admission ability to visualise the operating site and through clinical internship to eventual documentation and implementation of a improve safety for patients. endorsement. system that makes use of validated

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Our Community Programs

Profile Future Directions Occupational Therapy

The Community Programs staff provides • Implementation of a Shared Care During the year the Occupational integrated programs and health Protocol in medication administration Therapy Department was restructured in the community between the District promotion based on person centred care with the department now integrated into Nursing Service and the Shire’s and health independence principles. HACC personal care workers the HIP stream. Additionally, some staff Multidisciplinary services include inpatient hours that were traditionally allocated for and outpatient rehabilitation, assessment, • Implementation of the Active Service OT specific work have been reoriented Model across all HACC Programs treatment, and social support across the towards providing more generic care Goldfields, Macedon Ranges and Mount • Ensuring compliance with Health coordination for clients with complex Alexander Shires. Independence Program (HIP) needs and chronic conditions. This Quality Outcomes guidelines position is a significant step toward • Increasing integrated chronic disease improving interdisciplinary care planning • Appointment of an Intake Worker management and self management within the CRC. approach (including development and • Appointment of a Health The Occupational Therapy Department Independence Programs Manager evaluation of group program) has joined with Mount Alexander Shire in • Improvement of staff skills in • Funded Flinders Chronic Disease Self facilitation of case conferences and providing the “Active HACC” Program Management Training family meetings which is aimed at improving client’s • 100% compliance with use of independence after a hospital stay. • Development of staff skills in relation e-referral via Connecting Care and Shared care plans are now developed to to presenting at conferences the Service Coordination Tool increase the client’s functional capacity Templates across the Community • Responding to recommendations and independence after illness. Rehabilitation Centre (CRC) made in the sub-acute review Speech Pathology • Expansion of membership of the Health Independence Community Consultative Committee Programs (HIP) to include representatives from The past 12 months has seen several various client populations including The introduction of Health Independence changes, including employment of locum carers and refugees Programs Guidelines has seen the Speech Pathologists to help provide • Further development of Culturally and implementation of many changes in the services to inpatients and outpatients. Linguistically Diverse (CALD) way the Community Rehabilitation Centre Despite staffing issues, the Speech provides services. resources and education sessions for Pathologists have continued to provide a nursing, allied health and General New positions have been developed wide range of services to the community Practitioners including: including the annual Kindergarten • Participation in the Castlemaine • Employment of a HIP Manager to Screening Program which is offered to all African Community Health Working assist with managing the many Kindergarten children in the Mount Party changes needed to ensure Alexander Shire. Speech Pathology consistency within CRC’s subacute • Implementation of the Medication services commenced an extra day per programs Care Project and the Active Home week at Macedon Ranges Health and Community Care (HACC) model • Employment of a Hospital Admissions Services through More Allied Health in partnership with the Mount at Risk Program (HARP) Nurse whose Services (MAHS) funding from the GP Alexander Shire Council role is to coordinate care for clients Network. Staff from the department has who are over 65 years of age and also been involved in several activities • Initiation post discharge follow-up have complex needs and chronic phone calls for all acute patients 70 conditions. By providing education and projects which include: years of age and over around disease process and • Coordination of activities and symptom management, Ian Morelli • Implementation of the key worker role information displays for Stroke Week in CRC and Early Intervention works to reduce the need for preventable hospital admissions. The • Ongoing contribution to the Modified • Introduction of client held records, HARP Program is evaluated using Texture Food and Fluid Project at with all CRC clients now offered a measures of quality of life and fitness Castlemaine Health, to increase the copy of their care plan • A new position of Intake Worker was safety of patients with swallowing • Regional HACC conference “A officially commenced in August. problems Question of CULTURE in Social Carol Porker and Sue-Ellen Ford Support “ organised by Adult Day share the intake role and are the first • Ongoing participation in the Services coordinator for Loddon contact for clients and carers. The Dysphagia Quality Assurance Mallee Planned Activities Support Intake Worker screens and prioritises Program - a national program aimed Network all referrals and conducts the initial at developing the knowledge and assessment and prioritises client quality of skills in dysphagia (difficulty • Adult Day Services and Community access to the appropriate service, Aged Care Packages were assessed ensuring people get the right care, at swallowing) assessment and as fully compliant with Home and the right time, in the right place management Community Care Standards

CENTRAL, VITAL AND THRIVING 7 Our Community Programs Continued

Podiatry District Nursing/Palliative Care/ On 1st and 2nd of June 2009 the service Post-Acute Care was assessed by the Quality Highlights for the year included Virginia Improvement and Community Services Bennett presenting at the 2009 Loddon District Nurses provide quality nursing for Accreditation (QICSA) against the Mallee Region Home and Community people in their own homes. Nurses with Housing and Supportive Services (HASS) Care (HACC) Quality Forum on the specific knowledge in Palliative Care now Standards and passed with outstanding partnership between Mount Alexander provide a service to residents of Mount results. This is the first time that we have Shire and Castlemaine Health Podiatry Alexander Shire. The Post Acute Care required accreditation against these Department. The department provided Service provides the provision of services and we are still waiting the final foot care training to staff at Ellery House short-term care for patients with complex report which will include some so that they have a better understanding needs during their recovery from an recommendations for improvement for us of foot health and can provide basic foot episode of acute illness or injury. to work towards. care to residents. Community services District Nurses together with the personal During the past 12 months CADARG’s including wax bath clinics, kindergarten carers from Mount Alexander Shire, Youth Homelessness Action Plan has screenings, and home visiting service developed the Shared Care Protocol for supported a Lead Tenant Program which have continued. Medication Administration in the has provided young people with an Dietetics Community. The pilot program has opportunity to live in a secure and stable commenced and will be evaluated in environment. The program has achieved The Dietitians have had a varied and June. good outcomes and was evaluated interesting year providing nutritional positively. service to Acute, Rehabilitation and Continence Service Residential Care clients. They have been Adult Day Services involved in Healthy Bones Week with A full time Continence Nurse and part activities in the cafeteria for staff, a Stroke time Physiotherapist provide confidential Adult Day Services continue to provide Awareness display and activities during assessment, treatment and management respite services (National Respite for Stroke Week. Community presentations strategies for adult clients in the Carers program) and Planned Activity included label reading at the Returned community suffering from bladder and Groups (Home and Community Care Services League Club, healthy lunches at bowel dysfunction. The Continence program) in clubs at Harcourt, Castlemaine Primary School and cardiac Nurse also acts as a consultant to staff to Castlemaine and surrounds. Four long health at Maldon Hospital. Staff assist in the management of hostel weekends of respite were provided using presented at the Allied Health Conference residents and inpatients on the Acute the Seven Hills Holiday House in White and the Victorian Rehabilitation Nurses and Rehabilitation Units. Community Hills and two holidays for couples to study day. They continue to provide a clients are usually referred by a General Mulwala and Warrnambool were enjoyed consultancy service to Loddon Prison, Practitioner or case manager, but may immensely. Malmsbury Youth Training and Kyneton also be self referred. Referrals are A holiday for young people with a District Health Service. currently accepted from Mount Alexander disability was rescheduled due to and Macedon Ranges Shires, although extreme heat conditions. Activities Support and Assessment boundaries for the service are under offered during the year have included Services review. cultural days, art gallery visits, regular The Support and Aged Care Assessment CADARG (Castlemaine and music and craft activities and some new (ACAS) Team has reviewed the District Accommodation and technology has been introduced following department’s objectives during the year Resource Group) a gift of a Wii (television game) and TV for and as a result has rationalised the clients. The new Strength Training for service provided to Connolly CADARG is funded through the Carers Planned Activity Groups Rehabilitation Unit. The service has been Supported Accommodation Assistance commenced in April 2009 in response to restructured to have less staff who have Program (SAAP) - a program jointly discussions held with carers. There are been provided with dedicated roles in financed by the Commonwealth and currently seven participants, with the either ACAS or the Support Program. State Governments. Our goal is to potential to expand. enable people in the Mount Alexander Early Intervention Shire to access appropriate housing so that they can achieve independence and The Early Intervention Program was quality of life. successful in obtaining funding for extra places for children with complex needs. CADARG also provides a rural Centrelink Since the program commenced in mid agency service to the Mount Alexander 2001 the number of children seen has Shire and visiting service from Housing, increased from 23 to 40. This has also Consumer Affairs Victoria, Legal Aid and lead to an increase in staff from 1.6 EFT Child Support. to 2.0 EFT. During the year a review was held of forms, procedures and building standards compliance. Community Programs Team

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Our Volunteers

Volunteer participation at Castlemaine Health Service enhances quality service provision to patients, clients and residents of the Health Service, aged care facilities and community. Volunteers enthusiastically support Castlemaine Health across the breadth of our operations by: • Visiting and assisting with lifestyle/ recreation programs and care support in residential facilities and within the Adult Day Services in Harcourt and at Faulder Watson Hall in Castlemaine • Providing individual companionship to, and sharing of interests with, older community members • Assisting in the café and with our lolly and library trolleys • Providing pastoral care to residents and assisting with palliative care in Our Trolley Ladies the community • Driving and escorting people to Partnership with Goldfields Library medical related appointments and Service community activities A project officer has been employed by • Sharing enriching, musical and the Goldfields Library Service to help artistic skills and talents with the older people connect with libraries. Castlemaine Health community Volunteers are assisting residents of our residential units to select from a range of • Facilitating a Companion Walking written and recorded materials available Program through the library service. This service • Regular visiting with pets to will greatly benefit avid readers and those residential facilities with specific interests that our small in-house library cannot cater to. Support • Assisting with administration, equipment such as magnifiers, book publishing, surveys and special rests and specialised compact disc projects in various departments, and players are now available for borrowing • Participating through our Board of or purchase “From the people at reception to the Management and Community nurses and doctors I found the most The ‘Connys’ Consultative Committee pleasant and competent medical Many Connolly Rehabilitation Unit treatment. The best hospital I’ve ever Quality Outcomes patients spend weeks or months with attended”- Comment received from a reduced access to recreation or social day surgery patient Aug 2009. Making Music, Being Well Week activities. We have introduced volunteers This celebratory national biannual week to engage patients in one to one or small of active music making was brought to group activities and to encourage social Castlemaine Health this year thanks to interaction. the foresight of one of our volunteers. This is an initiative celebrating the link New volunteers are welcome please between making music and feeling good. contact the Castlemaine Health Mount Alexander Shire’s talented Volunteer Office on 5471 1565 musicians, many of whom are also our volunteers and paid employees, performed in various locations around Castlemaine Health including our Adult Day Service.

CENTRAL, VITAL AND THRIVING 9 Our Facility Services

Profile • Improve compliance with all high instead of one which is reported to the priority work requested of the Department of Health. There has been In order to ensure ongoing efficient and Engineering Department to be an increase in the number and types of reliable services, the General Services completed within two days areas that require monthly auditing. Directorate oversees the management of • Reduce the number of false fire During the year, a replacement program assets and facilities, management of the alarms was commenced whereby all window vehicle fleet, provision of catering, curtains in the Acute and Rehabilitation cleaning, waste disposal, recycling and • Investigate the purchase of a larger Units are being progressively replaced security services. washing machine for the Linen with curtains that are able to be Service Quality Outcomes laundered in the facility laundry. Transport Management The external audit of cleaning conducted • Excellent results on external food in May had an outstanding result of 97% safety and cleaning audits Over the past year, Castlemaine Health compliance which is well above the 85% Transport Department has concentrated • Refurbishment of Slater House to required. provide accommodation for staff and on providing specialist services in the students following two areas: Food Services • Upgrading of building automation/ Day Respite Program - This service The kitchen staff provide in excess of temperature control system for Geroe meets the growing demand of local and 273,000 meals per year to our Acute and Acute, Connolly Rehabilitation and regional clients who suffer from a Rehabilitation Units, residential aged care Community Rehabilitation Centre cognitive impairment. The objective of facilities, staff, visitors, Maldon Hospitals this service is to provide access to • Upgrading of the Theatre and CSSD and community clients who receive specialist programs and provide air conditioning control system and meals on wheels. maximum respite time for carers. The installation of a return air duct challenge is to apply Person Centred A newly developed position of trainee in • Implementation of an electronic Care principles, by scheduling collection the cafeteria was filled by Stephanie vehicle booking diary for the vehicles and delivery times to meet individual Wilson, who has helped the team managed by Engineering circumstances and maintain an increase sales associated with an • Employment of Trainee in Food operationally efficient service. extension of products and services Services available to staff and the public. Inter Hospital Transport - This service is • Deliveries of linen and meals to for appropriately assessed non time Congratulations to Sarah Chislett, Maldon Hospital reduced from seven critical patients who are required to Apprentice Cook, on winning a Silver trips to four per week attend regional and metropolitan Medal at the State Australian-Tafe hospitals for admission or diagnostic Culinary Challenge August 2009. • Refurbishment of two rooms in services. The benefits are that the service Tolstrup wing for use by Monash An annual external food safety audit was is cost effective, time responsive and University Medical Students as a conducted in June with excellent results. lecture theatre and study room relieves the pressure on the time and non time critical service providers. Security • Completion of the removal of asbestos from the ceiling space The Department continues commercial To improve the safety for our clients and above the Acute and Rehabilitation partnership providing services to the staff, the following additional security wards Community Health Centre, Maldon measures have been put in place: Hospital and Mount Alexander Shire. • Change in rostering in the Laundry • Review of evening and night shift enabling staff to have weekends off Support services include vehicle positions led to an increase in hours allocation, resident activity programs, covered by security staff and a saving Future Directions courier service, meal delivery, mail of eight hours per week in EFT collection, processing and despatch. • Replacement of signage as funds • Installation of additional security become available Cleaning Services cameras in Penhall and Ellery House • Investigate options for the use of the former Hospital site at Halford Street To ensure compliance with increased cleaning audit requirements, there has • Landscape and build paths between been an increase in the frequency and Ellery House and the Administration thoroughness of cleaning audits. There office are now three external audits per year

10 Annual Report

Engineering changes within Hotel Services department, and the establishment of Key roles of the Engineering Department CHIRP (Castlemaine Health Information include the coordination of building works Resources and Promotion). Graeme has and building maintenance. In addition also been involved in the introduction and the department oversees the facilities fire development of standards to enable the safety emergency systems. Health Service to receive accreditation Major projects for the year included: status and the introduction of a staff gymnasium and upgrading the cafeteria. • Audits of energy and water usage Graeme has also been the Coordinator of • Fire prevention works including the twinning relationship with Kundiawa removal of trees and bush Hospital in Papua New Guinea since its • Replacement of the roof over the commencement in 2000 and has made a gymnasium number of visits both as part of the project and as a volunteer during his • Upgrade or installation of annual leave. airconditioning to Health Information Services, Reception, Day Procedure RECOGNITION OF THE SERVICE OF: Graeme’s achievements and Unit and Central Sterilising GRAEME HILL contributions to the Health Service are far Department, Head Chef and Hotel Deputy Chief too numerous to list and his impact on Service Manager offices Executive Officer Ceased Duties the staff, clients and the community have June 2010 been invaluable. Linen Services “One of the most hard working and We would like to wish Graeme the very Castlemaine Health Linen Service committed staff we have ever had, best for his future endeavours after provides linen services to client’s who has always had the staff welfare at leaving the service in June. (particularly resident’s) and internal heart.” departments as required and several external customers (the number of which “A wonderful leader and example of has increased substantially this year). people centred management.” This service includes washing, ironing and repairs. “A very supportive manager and After a successful trial, fitted sheets have always with the best interests of the been purchased to replace flat sheets. organisation in mind.” There has been positive feedback from both staff and clients stating this makes Dedication, hard work and commitment the beds more comfortable and easier to are reflected in Graeme Hill’s 39 years of make. service with this organisation. Weekend shifts in the Linen Service were Graeme commenced working in 1971 as transferred to week day shifts reducing an Administration Clerk for the then the costs of paying penalty wages and known Alexander Home & Hospital for improving satisfaction of employees. the Aged. He has held a number of positions including Pay Master, Contracts Administrator of Maldon Hospital, Director of General Services and has had Old and New Contracts continue to be monitored many other responsibilities including using an electronic program. During the Acting Chief Executive Officer. year contracts were commenced through Health Purchasing Victoria for bread and Graeme has been instrumental in driving milk resulting in savings of up to $30,000 many major contributions within the per annum. Health Service. This has included involvement in the planning and construction of Capital Works projects, the amalgamation of Castlemaine District Community Health Service and Alexander Home and Hospital for the Aged,

CENTRAL, VITAL AND THRIVING 11 Our Environment

Castlemaine Health abides by a strict Water kL Environmental Policy that provides the staff with guidance to ensure that we offer an environmentally friendly health 26000 service and workplace. We are 24000 Water kL committed to protecting the environment and ensuring sustainability wherever we 22000 can. Ongoing consideration is given to 20000 conserving energy and water, reducing 18000 greenhouse gas emissions and improving 2008/2009 2009/2010 waste management. Energy conservation

Over the past year we have introduced Natural Gas MJ the following initiatives to reduce energy usage: 31000000 • T5 lighting low energy 30000000 • Variable speed drives to plant room’s 29000000 Natural 28000000 7 and 7a Gas MJ 27000000 • Direct digital control of the air 26000000 conditioning system on the North 25000000 Block 24000000 • Return air duct to theatre with a 50% 2008/2009 2009/2010 capacity to recondition and recycle the air • New boiler strategy to control on demand Electricity kWh As a result of the above we have recorded an 11.2% reduction in power 2300000 use and a 10% reduction in natural gas 2200000 Electricity use compared with the same period last 2100000 kWh year. 2000000 1900000 Waste management 1800000 2008/2009 2009/2010 To ensure ongoing minimisation of waste we have established systems to maximise recycling of paper, metals, plastics and batteries. Water consumption

Ongoing work funded through a Community Water Grant has seen a reduction in water usage this year in excess of 1380 kLitres. One strategy implemented to assist with this reduction was rainwater harvesting from the South Block for flushing toilets in Ellery House. Future directions

• Regular internal energy and water usage audits • Ongoing monitoring for opportunities for additional funding to facilitate sustainable initiatives Our Engineering Department

12 Annual Report

Corporate Governance

PRESIDENT Board of Management Audit Committee Mr Bill O’Donnell Structure and Function Ms Jude Jackson (Resigned) BA, LLB The function of the Board of Mr Ian McKenzie (Chair) Solicitor, Notary Public and Mediator Management is to oversee the Mr Rob Waller governance of the Health Service and to Appointment Expires 30/06/2011 Mr Richard Hetherington (Independent) ensure that the services provided by the VICE PRESIDENT Health Service comply with the Ms Sandra Wilson (Independent) requirements of the Health Act 1988 and Mr Glenn Sutherland the By-Laws of the Health Service. Executive Management BA, Dip Ed, Grad Dip Ed Admin, Grad Dip Mgmt Members are required by the Act to act The Directors meet with the Chief with integrity and objectivity at all times. Executive Officer every Monday to Lecturer and Online Retailer They are required to declare a pecuniary discuss strategic issues relating to the Appointment Expires 01/07/2010 interest, when applicable, during Board management of the organisation. The debate and withdraw from proceedings. Director of Medical Services does not TREASURER There were no occasions that required attend on that day, but attends a full day Mr Ian McKenzie declaration this year. on Thursday at the Health Service. Bach of Pharmacy Conflict of interest is declared during Pharmacist / Wine Maker Board proceedings, in accordance with CHIEF EXECUTIVE OFFICER Appointment Expires 01/07/2010 the By-Laws of the service. Mr Graem Kelly, PSM

BOARD MEMBERS Board members serve in a voluntary MBA, BA App Sc, Grad Dip Rural Health, capacity and do not receive payments. Adv Dip Bus, RN, AFCHSE, MAICD, Ms Lee Bower AIMM, FARLF A number of sub-committees consisting BSc (Monash) of Board, Staff, Visiting Medical Officers DIRECTOR OF GENERAL SERVICES Employment & Training Consultant and members of the community have AND DEPUTY CEO Appointment Expires 30/06/2011 been formed to advise and recommend on relevant matters. Mr Graeme Hill Dr Les Fitzgerald Dip Acc, Cert Bus Studies (Hosp Admin), The Board of Management meets on the RN, RM, Dip (Teach), BA Ed, M Nurse fourth Tuesday evening of each month PNA, Grad Dip Bus Manag, FCHSM PhD (except January) to deal with a formal (Ceased duties June 2010) agenda and reports on the Health Senior Lecturer in Health Sciences DIRECTOR OF NURSING Appointment Expires 30/06/2011 Service’s performance as reported by the Chief Executive Officer and each of the Dr Ann Allenby Directors. Meetings commence at Ms Elizabeth Grainger RN, Cert Onc Nsg, Cert Steril & Inf 6.30pm in the Board Room, Level 4 of Trained Infant Teachers Cert Control, MedSt, DN, Cert Business & Castlemaine Health and are open to the Grad Dip, Special Ed Public. Admin, MRCNA Assistant Principal Board of Management DIRECTOR OF MEDICAL SERVICES Appointment Expires 30/06/2012 membership of Sub- (Resigned June 2010) committees Ms Jude Jackson Dr Albert Ip Trained Primary Teachers Cert Credentials & Medical Appointments MB BS, MBA, MPH Advisory Committee Grad Dip, Special Ed (Retired) Mr Bill O’Donnell (Chairperson) DIRECTOR OF COMMUNITY SERVICES Appointment Expires 30/06/2012 Ms Lee Bower Mrs Rhonda Williams Mr Bruce Johnsen Mr Les Fitzgerald RN, B Pub Health BSc Biology, Grad Dip Computing Ms Elizabeth Grainger Teacher Mr Bruce Johnsen DIRECTOR OF FINANCIAL SERVICES Appointment Expires 30/06/2012 Mr Glenn Sutherland Mr Geoff Vendy BBus (Acc) Mr Rob Waller Chief Executive Officer Evaluation Committee CEA (REIV) DIRECTOR OF HUMAN RESOURCES Mr Bill O’Donnell (President) Estate Agency Director Mr Mark Kesper Mr Glenn Sutherland (Vice President) Appointment Expires 30/06/2012 Mr Ian McKenzie (Treasurer) Dip Civil Eng

CENTRAL, VITAL AND THRIVING 13 Organisational Chart l a l c o l i a r d t c i d o n M e C y t M e c s i l s s Services g o n r r a i i Dr Albert lp t n m a e e i r c c t c c i i i a e e f f s f f f Director of Medical Director i h p n (Resigned June 2010) V O P I S O r e c g e o n i a n t y n a l l d n e i m a n M a h F e c s t o r t f V o n c i o g y o f M i n e t f s I e s o l o j e i y o f r c r o r l h c n t t i m a P e n h l p h c v a C y a p r G c t o r e i f n l e r u e i e i a n S F I T H S u D Q g , h s / n t n s l i t a n r o n n i i m a o n e t e s i a t u r a p e H l a m e s & T H c l l e e r r e t e a R & g e a n o f K R o u a o n C e l i s k n t l o r r e o n a y m e e i t i o n t t a a t l i r i c t t e R p o y a M a f u l o l e c o r M a s r c u r t r a i e k u c c l y u s s S d c D e i e m p a d a n R S I E R O & P E P Y r t e n T t c O I i n l f E f o g y a m e N r C y o l m e O e l & y l h n g e t t s e g e e e u a a a v s p i K G P n o n n t e i e t c g u & g i o f D a M U m l n v c n M a i / t M a i r e e r t e o r s e s g O i t e o r y a R c x o g y r e r n c o f a S e p a i Graeme Hill r c d c r l r e E C s o l n i i t i l r G d n d e e i n v f d t r g i b n r u a D e o n a o t a n u u r E e a i E P F C T R L H C S h H Ceased Duties June 2010 B o a C T s y s t i r c e y : n c n s e a g i g e U s e v n D i a r c g e i e s / s y r n e o u r v c e b / r r e t S e u H c i t l n i i e s m e M a e n N a e v u o u l S s r E l c o n U o n y r i s i l o u S o n l s e t o f i w A l s r u d e a t & l e e H i S a g a y r t t a t a c n N R l r i o n n o r h y l u o u i n i e l l n h t n n i r t M e a e t s r d f e c a a e n e H b o m p c i e A a a n c l e e d c c e d r l e p a h r c i i i t i e e w r g i i e h s e u r E T P S n n u c d o c t i i R R p l l e e f d c u c r D A C C E A S M i A R O P R * * * * * * y e y p : t n i a i e s e r r n r e t l e y a e c n a i m a h m s i p c e e C v e r a T y a l r c i i o n t l s C r l o c p d i l e g i v t s e e o u a a S o m u r S n r n a c s h i g e i / e W t C e e e o n s o n T C v i A i S r n y s v ( y r h e t a t y t R t r i h r c u i o f c e a d a i y t & t o t e t c t n G n i n i t N S p a a t c m e t l e i e m i i s e o r n t R ) o n u t s r t D I y e a b t n o r o r c c p s h e i A c i t i h p o d s a t l y p p c r i e l e R t D h P S D P u r p p r s o u o g r i O s D r o m u e i o n A o m u d a r u s u D C R * * * D * * A E P C C & G S A C S Hospital Admissions at Risk Program (HARP) Social Work

14 Annual Report

Our Staff

Profile The next phase of this process will be the introduction of the VHIMS (Victorian The Directorate provides support in the Health Incident Management System). areas of recruitment, payroll, This will see all health services providing occupational health and safety as well as the Department with regular reports of general advice to facilitate having a various incidents and will allow similar workforce that is capable and reporting to other regulatory authorities. accountable. A manual handling working group was Quality Outcomes established in early 2009 following an identified increase in staff experiencing • Implementation of a corporate manual handling injuries. Although there wardrobe and uniforms across all has not been a substantial increase in the departments Kate Jermyn & Evita Ferguson with our new uniforms total number of WorkCover claims lodged, the nature of these injuries • Review of the Compulsory Education Clerical and Administrative suggested that further preventative Program Review actions needed to be investigated and • Implementation of Initial Registration implemented. of Overseas Nurses (IRON) Program A review of clerical and administration processes was conducted to ensure staff The key outcome from this working group has been the recommendation to • Introduction of additional traineeships in this work area are supported and actively promote the principles of a “Fit appropriately resourced. Outcomes of • Review of medical practitioner for Life – Fit for Work” program, to train the review include updated position credentialling documentation key personnel in the principles of descriptions and adjustments to Manutention and to encourage manual • Review of administration and clerical administration staffing allocations. roles handling champions in each of the high risk areas of the health service. • Introduction of Riskman online Equal Employment incident reporting system Opportunity (EEO) Improved Emergency Radio Communications • Introduction of a Code Grey Castlemaine Health continues to observe (Potential Personal Threat) Procedure and follow principles of Equal Considerable work was undertaken in • Review of the Emergency Procedure Opportunity, including selection on merit. preparation for the 2009 – 2010 bushfire Manual Vacant positions are advertised internally season following the inclusion of and externally to ensure the Health Castlemaine as one of the 52 townships Future Directions Service continues to attract and retain a of extreme risk. In addition to several dedicated and skilled workforce. new procedures being implemented, ten • Development of a comprehensive portable hand held radios were management training program Pastoral Care Services purchased and distributed to all key • Implementation of an absence areas of the health service to aid in management strategy Danni Moore was appointed as our new improving communications. Training Pastoral Care Coordinator, coming to us continues to be provided to staff in the • Revision and update of staff position from Austin Health. Her role is to provide use of these radios which will be of great descriptions into a newly developed a safe and confidential space for people assistance in all types of emergency format to explore issues of importance to them, situations. • Investigate implementation of regardless of background. KRONOS (a time and attendance Injury Management & Pastoral care is available to all patients, WorkCover Risk Management electronic system) residents, families and staff members. All interactions are conducted in a sensitive, • Extend use of computerised on line The prevention of injuries and the learning tools person-centred and non-religious manner and requests for support can be made rehabilitation of injured employees is a Education and Training via reception or nursing staff. Danni is key focus of our OHS Risk Management also one of four prevention of Bullying program. Returning injured employees to work can be a complex process; we Professional development continues to and Harassment Contact Officers. continue to have positive results through be an important component of the a proactive and consultative approach. education and training program. This Occupational Health and Safety We work closely with injured employees, assists staff to fulfil their professional (OHS) medical practitioners, other health educational requirements and ensures that clients receive the best possible An online incident reporting system professionals and our WorkCover insurer, care. A variety of opportunities are (Riskman) was launched following a CGU Insurance. provided including education sessions, detailed implementation and training While the number of reported back study days, practical sessions, clinical process. The system has eliminated the injuries continues to decline, an support and learning packages. A review use of paper based report forms and has increasing trend of stress and shoulder allowed more detailed trend reporting of of the compulsory education staff related injuries has been identified. program was conducted and resulted in adverse events. The quality of a more streamlined system, with information being captured has improved In conjunction with CGU Insurance, we additional provision of on line training. as has the follow-up and overall risk have provided training to Managers for management process.

CENTRAL, VITAL AND THRIVING 15 Human Resources Directorate Continued

successfully managing stress and OHS responsibilities. This training will continue throughout the next year and topics will WorkCover Premiums include Return to Work, Claims Year Premium % of Remuneration Management and additional Risk Management training. 09/10 $485,608 2.1113% New equipment continues to be 08/09 $414,971 1.9363% introduced to ensure a safe workplace. 07/08 $353,124 1.6879% Items include: 06/07 $303,883 1.3155% • Electric motorised trolleys to aid in moving furniture and stores • Safety barricades and warning signs for engineering • Portable radios for emergency communications WorkCover Days WorkCover Claims Year Days Compensation • Smaller linen bags Year Claims Lodged Paid • A system of safe sharps to reduce potential needle stick injuries 09/10 517 09/10 6 • Ergonomic office furniture 08/09 480 08/09 10 • Improved air conditioning equipment and controls 07/08 294 07/08 4 • More electric beds 06/07 253 06/07 6 • Lifting equipment and slide sheets to aid in the safe transferring of clients 05/06 1076 05/06 11 Changes to WorkCover legislation

On 11 March this year, the Victorian Parliament adopted and passed the Accident Compensation Amendment Bill Our Staff Profile as at 30 June 2010 2009. These amendments have resulted in increased benefits for injured June Current Labour Category June YTD FTE employees and increased compliance Month FTE requirements for employers. Further amendments will see greater emphasis Nursing 160.24 157.94 on successfully returning injured workers to work. Administration and Clerical 55.85 55.78 Industrial Relations Medical Support 24.12 23.41 There has been no lost time due to industrial disputes at Castlemaine Health. The Workplace Consultative Committee Hotel and Allied Services 95.20 95.12 meets each month to discuss future changes in direction and to provide an Medical Officers 0.58 0.58 avenue for employees and Union representatives to table any concerns. The introduction of monthly Department Hospital Medical Officers 0.49 0.49 Head and quarterly Executive and All Staff meetings has improved communication significantly. Enterprise Ancillary Staff (Allied Health) 29.75 28.05 Bargaining Payments have been made during the year as per Government policy and consistent with Victorian Hospitals.

16 Annual Report

Our Social Club

Profile

The Social Club currently has 203 members and the Committee’s aim for this year was to build on the number of individual prizes and benefits for Club members. This was achieved by the number of individual prizes increasing to 161 compared to 136 for the previous year. Prizes are in addition to the other activities conducted by the Club, which included:

• Lunches in the Cafeteria (four) - Free of charge

• Staff Christmas Party - Free of charge for staff. Held in conjunction with the Board of Management at Campbell’s Creek Community Centre with entertainment by Horizon. It was terrific to welcome a group of Face Painting at Childrens Christmas Party colleagues from Maldon Hospital who attended and thoroughly enjoyed the The Club maintains its commitment to The Social Club Committee and night our clients by donating a gift to all members would like to especially residents and inpatients at Christmas. acknowledge Graeme Hill for his • Children’s Christmas Parties generous contribution to the Club during - Free of charge. This was held at the Expenditure Summary: his time at the Health Service. Graeme Chewton Oval with an increased Presidents Christmas gifts - $1,483, TV has been an Office Bearer, Committee number of children delighted with the Thompson House - $792.00, total of member and has for many years donated broad range of activities and of $2,275.15. Thompson House staff his time to undertake the annual audit of course, providing an enthusiastic raised $200.00 towards the large screen the Club’s financial records. Graeme has welcome to Santa as he arrived on TV, management contributed $250.00 always been a willing, active and the fire truck. Thanks to the Chewton and the Social Club contributed the unobtrusive participant in helping with Fire Brigade for providing Santa’s balance via funds allocated for residents’ Social Club activities. His departure will transport gifts. The purchase included a bonus 26” create a vacuum, that will be difficult to replace and he will be sadly missed by • Coffee & Cake Voucher – Free. TV which was drawn as a prize for Social staff and residents. Club members were issued with a Club members. voucher that enabled them to enjoy a The success of the past year would not The Club extends best wishes for the treat at one of two popular cafes in have been possible without the support future to Graeme, Robyn and their the Castlemaine business district. of the Social Club Committee, members, families The Committee received positive management, the Board of Management, feedback from members, particularly the local business community, Food In conclusion, I would like to convey my those working evening and night shift Service department, cafeteria staff and all sincere thanks to a hard working who were able to participate in this other staff who have assisted the Club Committee consisting of Heather & promotion over the past year. The Club extends its Robert Stuchbree, Carla Roberts (resigned Feb 10), Diann Turnbull, Lisa • Melbourne Shopping Tour appreciation for their assistance. Pollard, Marg Patton, Dallas Weston, Greg Hughes and Cheryl Bridgland for • Castlemaine Business Discount The Social Club acknowledged the their excellent work over the past year. Scheme - Members who shop at resignations of Graeme Hill (39 years of participating businesses receive a service) and Robyn Grant (27 years of Frank Carroll discount. Four additional businesses service). Both were presented with a gift President joined the scheme this year and Certificate of Appreciation in recognition of their service as Club members.

CENTRAL, VITAL AND THRIVING 17 Statutory Compliance

18 Annual Report

Acknowledgements

We wish to thank everyone, especially staff, who contributed to the writing and production of this year’s annual report

Printing & Design Castlemaine Health BMP Total Image Management

Cover and Page Layout Jane Prideaux, Graphic Designer

Photography Fran Taylor

Collation Julie Best, Chris Mitchell, Heather Paulet, Fran Taylor & Tina White

Support Data Regional Office, Department of Health

Banker Bendigo Bank

Auditors Auditor-General, Victoria

External Auditors Agents Richmond Sinnott & Delahunty

Internal Auditor Accounting & Audit Solutions, Bendigo

Castlemaine Health was successful in receiving a Bronze Award at the Australasian Reporting Awards for our Annual Report 2008/09

CENTRAL, VITAL AND THRIVING 19 Disclosure Index

Legislation Requirement Page Reference

Charter and purpose

FRD 22B Manner of establishment and the relevant Ministers 2 FRD 22B Objectives, functions, powers and duties Inside front cover FRD 22B Nature and range of services provided 2 Management and structure

FRD 22B Organisational structure 14 Financial and other information

FRD 10 Disclosure index 20 FRD 11 Disclosure of ex-gratia payments 18 FRD 21A Responsible person and executive officer disclosure Audited Financial Statements– page 1 FRD 22B Application and operation of Freedom of Information Act 1982 18 FRD 22B Application and operation of the Whistleblowers Protection Act 2001 18 FRD 22B Compliance with building and maintenance provisions of Building Act 1993 18 FRD 22B Details of consultancies over $100,000 18 FRD 22B Details of consultancies under $100,000 18 FRD 22B Major changes or factors affecting performance Appendix 1 FRD 22B Occupational health and safety 15 FRD 22B Operational and budgetary objectives and performance against objectives Appendix 1 FRD 22B Significant changes in financial position during the year Appendix 1 FRD 22B Statement of availability of other information 18 FRD 22B Statement of merit and equity 15 FRD 22B Statement on National Competition Policy 18 FRD 22B Subsequent events Audited Financial Statements– page 1 FRD 22B Summary of the financial results for the year Appendix 1 FRD 22B Workforce Data Disclosures 16 FRD 25 Victorian Industry Participation Policy disclosure 18 SD 4.2(j) Report of Operations, Responsible Body Declaration 3 Attestation on Compliance with Australian/New Zealand Risk SD 4.5.5 18 Management Standard Financial statements required under Part 7 of the Financial Management Act

Compliance with Australian accounting standards and other authoritative SD 4.2(a) Audited Financial Statements– page 8 pronouncements SD 4.2(b) Operating Statement Audited Financial Statements– page 4 SD 4.2(b) Balance Sheet Audited Financial Statements– page 5 SD 4.2(b) Statement of Changes in Equity Audited Financial Statements– page 6 SD 4.2(b) Cash Flow Statement Audited Financial Statements– page 7 SD 4.2(b) Accountable officer’s declaration Audited Financial Statements– page 1 SD 4.2(c) Compliance with Ministerial Directions Audited Financial Statements– page 1 SD 4.2(d) Rounding of amounts Audited Financial Statements– page 8 Legislation

Freedom of Information Act 1982 18 Whistleblowers Protection Act 2001 18 Victorian Industry Participation Policy Act 2003 18 Audit Act 1994 Audited Financial Statements– page 2 Building Act 1993 18 Financial Management Act 1994 Audited Financial Statements– page 1

20 Annual Report

new name, new logo, new look

Cornish Street, Castlemaine Vic 3450, PO Box 50 www.castlemainehealth.org.au CENTRAL, VITAL AND THRIVING