YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT

BUILDING THE FUTURE Vision and Values

■■ Better health services for the people of western Sydney and beyond.

■■ Underpinning our vision are NSW Health’s four CORE values of collaboration; openness; respect; and empowerment. Contents

01 About Western Sydney Local Health District page 4

02 Financial Summary page 6

03 Chair and Chief Executive Report page 7

04 Healthcare Facilities Westmead Hospital page 9 Blacktown Hospital, Mount Druitt Hospital page 12 Auburn Hospital page 14

05 Specialty Services Mental Health page 15 Community Health page 16 Aboriginal Health page 17 Population Health page 18 Drug Health Services page 19 Multicultural Health Services page 19 Interpreter Services page 20 Translation Services page 20

06 Research & Education page 21

07 Patient Safety, Quality & Innovation page 24

08 The Board page 29

09 Executive Leadership Team page 32

10 Our Staff, Our Partners page 34

11 Location Directory page 36

12 Abbreviations and Glossary page 38 01 About Western Sydney Local Health District

Western Sydney Local Health District (WSLHD) is responsible for providing and managing all public healthcare within five Local Government Areas (LGAs), incorporating 120 suburbs. It is one of 15 Local Health Districts (LHDs) in the NSW Health system.

Our cutting-edge services provide The Hills Shire LGA a broad range of needs-specific healthcare to more than 900,000 residents as well as Statewide specialty services.

We employ almost 9500 people across more than 100 sites including five hospitals and an extensive Blacktown LGA network of community health centres.

WSLHD has the second largest population in NSW and is projected to grow to more than 1 million by 2031. We cover an area of approximately 780 square kilometres spanning the Parramatta Holroyd LGA LGAs of Blacktown, The Hills, Holroyd, LGA Parramatta and Auburn.

Approximately 11,500, or 1.5 per cent of our population self-identified as Auburn being Aboriginal, with the majority Our major LGA (8000) living in the Blacktown LGA. healthcare facilities A total of 45 per cent of residents speak a language other than English Hospitals Community Health Centres at home with the largest proportion from Auburn at 79.5 per cent. 1 Auburn Hospital A Auburn Community Health Centre 2 Blacktown Hospital B Blacktown Community Health Centre 3 Mount Druitt Hospital C Doonside Community Health Centre 4 Cumberland Hospital D Merrylands Community Health Centre 5 Westmead Hospital E Mount Druitt Community Health Centre F Parramatta Community Health Centre G The Hills Community Health Centre

YEAR IN REVIEW 2013-14 4 WESTERN SYDNEY LOCAL HEALTH DISTRICT An average day in numbers at WSLHD 2013-14

478 admissions to our five hospitals

On average more than 650 patients were given appointments each day at our dental clinics

453 presentations to Emergency at four hospitals

On average more than 330 individual clients were seen each day by our WSLHD Community Health Centres

An average year in numbers at our LHD

165,481 63,340 9702 emergency babies delivered vaccinations were presentations administered

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 5 02 Financial Summary

Through effective management of our Grants and Aliated Health Organisations Other Items business we are ensuring our patients and 0.88% 0.15% those we serve are receiving the best possible Depreciation and Amortisation healthcare and services. 4.14%

Financial stability and sustainability are strategic priorities Other Operating for WSLHD. Expenses 25.22% Expenditure In 2013-14, WSLHD disbursed $1.43 billion providing healthcare to the people of western Sydney. The total number of healthcare services provided increased by 8 VMOs 2.42% per cent. Salary and Wages 67.18% More than half our budget was allocated to salaries and wages while $360 million was expended on operating expenses, predominantly clinical supplies and ancillary services.

WSLHD generated revenue totalled $198 million, including

$80 million from patient fees. The net cost of services Sales of Goods and Services before the government contributions was $1.231 billion. 77% Other Revenue 23% Looking ahead, WSLHD is committed to delivering quality patient care within budget notwithstanding the escalating costs associated with an increasing population, technological advances and complexity in patient Revenue conditions.

We are committed to maintaining open and transparent financial practices. The complete audited financial statements are published in the 2013-14 NSW Health Statutory Financial Report and available on our website www.wslhd.nsw.gov.au

Financial stability and sustainability are our priorities Leena Singh Executive Director Finance

YEAR IN REVIEW 2013-14 6 WESTERN SYDNEY LOCAL HEALTH DISTRICT 03 Chair and Chief Executive Report

We are pleased to present the and aged care to meet the growing Western Sydney Local Health patient needs of the community. District (WSLHD) 2013-2014 There was greater collaboration Year in Review. and strengthening of key strategic partnerships, both within our LGAs The past 12 months have been a and across the State. WSLHD time of progress in all our areas of formalised its alliance with Western operation not least of which has been Sydney Medicare Local which saw the announcement by the Minister for the district become one of three Health in November 2013 of $1 million demonstrator sites under the NSW in planning funding for the Westmead Integrated Care Strategy focused Hospital Redevelopment. A further $5 on improving the delivery of a more million has been allocated in the 2014- Stephen Leeder seamless and integrated healthcare 15 State Budget. system for the benefit of patients, GPs The planning will be underpinned and primary care providers. by the NSW Ministry of Health and As you read through the commentary the WSLHD commitment to deliver and highlights in this year’s edition, safe, high quality, innovative, and it is important to keep in mind the sustainable services into the future. goals and objectives of our business as The Westmead precinct is one of the reflected in WSLHD 2013-16 strategic largest integrated health, research, plan. The six priority areas that address and education precincts in the world. the diverse needs of our community This project will have the potential to now and into the future are: deliver in excess of 750,000 square metres of building area, which is 1. Culture approximately 380,000 square metres 2. Integrated care of additional space. 3. Partnerships At Blacktown Mount Druitt Hospital Expansion Project Stage 1 we 4. Organisational redesign are delivering a public health 5. Research and education; and infrastructure project that will expand 6. Financial stability and health services for the Blacktown sustainability. Local Government Area. The $322 million undertaking will add a range The WSLHD Board, Board sub- of contemporary health services committees, executive leadership including comprehensive care centres team and staff have worked for cancer, cardiology, respiratory determinedly to ensure our

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 7 03 Chair and Chief Executive Report

organisation is on track to fulfil these WSLHD is committed to creating priorities. Some examples of our and maintaining a workforce that is progress include: representative of our patients and communities where differences are • Reducing our overall operational respected and new ideas welcomed. deficit of $4.5 million from the Our people are our most valuable previous year, despite clinical resource and key drivers of this activity increasing by 8 per culture ensuring we plan, deliver and cent. The LHD has focussed evaluate better quality, safety and on improving its financial patient outcomes. transparency, implementing improved costing systems and This year has seen tremendous providing greater financial growth and development of WSLHD. reporting and training throughout From large-scale infrastructure Danny O’Connor the organisation enhancements to the implementation of innovative models of care, our • Developing a consumer and organisation has continued its steady community engagement program progression into one of NSW’s leading to guide the advancement, Local Health Districts. implementation and improvement of local health services We express our gratitude to the Board, executive management team, • Partnering with Westmead all staff and volunteers for their Millennium Institute (WMI) dedication in providing excellent for Medical Research, Health healthcare, education and research. Education and Training Institute (HETI) and academic institutions Together we are building the future of including The University of Sydney, healthcare for the people of western University of Western Sydney and Sydney and beyond. University of Notre Dame Australia

• Establishing an Information Technology (IT) strategic plan to support future IT innovation; and Stephen Leeder Chair • Achieving agreed National Elective Surgery Targets (NEST) through the work of the LHD Surgery Stream Taskforce resulting in more certainty and improved timeliness Danny O’Connor of access to elective surgery. Chief Executive

YEAR IN REVIEW 2013-14 8 WESTERN SYDNEY LOCAL HEALTH DISTRICT 04 Healthcare facilities and services Westmead Hospital

Westmead Hospital is a The NSW Government announced major teaching hospital of $6 million towards the hospital’s the University of Sydney for redevelopment. medical and dental students Once complete, Westmead Hospital and one of Australia’s largest and its affiliated campuses will be the Building Health – centres for postgraduate largest integrated health, research, Transforming Lives training to specialist level. education and training precinct in the Shaun Drummond, Executive world. Director Operations, WSLHD, The 900-bed facility is a specialist Westmead Hospital The 2013-14 year was remarkable for tertiary referral hospital for the our staff which saw bold new steps western metropolitan area of Sydney, in tackling the growing epidemics Key indicators serving more than 900,000 residents of our time, and the development of 2013-14 in 120 suburbs. innovative models of care to ensure Separations 105,514 The Westmead campus is home to we continue to provide optimal Total bed days 345,988 internationally recognised institutes of healthcare for people living and health research such as the prominent working in in our area. Daily average bed days 947.91 Westmead Millennium Institute for Average available beds* 987 Medical Research. Our success Non-admitted patient^ The past year saw the beginning of a services (hospital) 998,169 • In a world first, Dr James Chong, new future with planning initiated on a ED attendances 66,857 a clinical academic at Westmead multi-million dollar redevelopment of Hospital and physician-scientist Births in hospital 5,300 Westmead Hospital and precinct; and at Westmead Millennium Institute internationally recognised research Ambulance presentations 23,954 for Medical Research, collaborated achievements. * Excludes beds in ED and delivery suite. with scientists at the University ^ Service Events: The non-admitted definition for occasions of service. Within 24 hours all occasions of services for the patient received from the same service and establishment type are rolled into one service event. This is a much lower number than 2012-2013 as several occasions of service can make up one service event.

Above: Clinician and researcher Dr James Chong made a significant breakthrough towards solving heart failure; Left: NSW Minister for Health (centre) with staff at Westmead Hospital’s simulation centre.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 9 Healthcare facilities and services 04 Westmead Hospital

of Washington in Seattle, US, to • The 5Ps proactive patient rounding • The Sleep Disorders Service successfully grow heart muscle program was recognised as a became the first in NSW and only cells in sufficient quantity to repair winning hospital initiative at the 2014 the fifth in Australia to meet all the damaged heart of a primate. NSW Falls Prevention Forum. Nurses service delivery standards and The significant breakthrough, conduct hourly rounds designed to achieve accreditation from the published in the prestigious improve patient safety and address National Association of Testing scientific journal Nature, is being needs that would otherwise prompt Authorities (NATA) and the described as a “bold new step” the use of buzzers or independent Australasian Sleep Association towards solving chronic heart risk-taking behaviour. (Australia and New Zealand). failure which kills more than • A $4.9 million redesign of • An energy efficiency upgrade will 20,000 Australians each year. Westmead Hospital Emergency save more than $450,000 in power • Renal physician Professor Jeremy Department (ED) including expenditure. Chapman was recognised as the four new resuscitation bays • Westmead Hospital celebrated 30 world’s foremost expert in kidney has enhanced treatment times years of internationally-recognised transplantation. by empowering clinical staff to adolescent care and treatment. implement new models of care. • Westmead Hospital surpassed As a result the ED has increased 1000 bone marrow transplants. performance in triage times against • In partnership with The University national treatment benchmarks. Westmead Hospital Intensive Care of Sydney, the Westmead Centre Unit nurses Ryan Thomas (left) and • A major review of the operating Daniel Little won Channel Seven’s for Oral Health developed a new theatre schedule led to more of our Amazing Race. The daring duo took clinical training facility for dental out the grand prize of $250,000. They patients receiving surgery within students consisting of six state-of- navigated their way through a shorter timeframe. The total the art dental surgeries to provide 10 countries, number of theatre attendances 6 continents oral healthcare for patients. and 90,000kms increased by 10 per cent. in the adventure of a lifetime.

YEAR IN REVIEW 2013-14 10 WESTERN SYDNEY LOCAL HEALTH DISTRICT Healthcare facilities and services Westmead Hospital 04

Commemorating 35 years

Westmead Hospital celebrated 35 years of caring for the The hospital opened with two wards. Since then it has community. grown to more than 40 wards and 19 operating theatres, and is home to the largest oral health centre in NSW. Opened in November 1978 to provide healthcare to the burgeoning western suburbs of Sydney, Westmead It has one of the busiest major trauma units in the State Hospital continues to serve the population as one of the and is a leader in transplantation, and diabetes prevention State’s premier teaching hospitals. and management.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 11 04 Healthcare facilities and services Blacktown Hospital, Mount Druitt Hospital

The most populous LGA in Blacktown, Mount Druitt and NSW, Blacktown is projected Doonside community health centres to continue to grow by (CHCs), and Blacktown Hospital and 0.9 per cent each year to Mount Druitt Hospital strengthened approximately 361,270 their collaborative efforts to Our staff have been realign services, allowing for better residents by 2031. empowered to improve our healthcare from the hospital to the core business WSLHD is taking every step to ensure patient’s home. Andrew Newton Blacktown Hospital and Mount Druitt Blacktown Hospital and Mount Druitt General Manager, Blacktown Hospital have the necessary resources Hospital are building for the future Hospital, Mount Druitt Hospital; and capacity to meet the increasing to provide contemporary, first-class Doonside, Mount Druitt, and demand. healthcare to the local population as Blacktown Community Health In 2013–14 Blacktown Hospital part of an integrated network in the Services continued stage one of its expansion LHD. project with the completion of a new Situated on land which is home to the specialist adult acute medical and multistorey carpark, a sub-acute largest urban Aboriginal population surgical services, obstetrics and mental health unit (Melaleuca) and in NSW, the tertiary care facilities newborn care, and mental health. refurbishment of buildings. are renowned for excellence in Looking ahead, the $322 million stage Mount Druitt Hospital’s significant patient care; training of healthcare one expansion is due for completion infrastructure milestones included professionals; and research and in 2016 and planning is underway for a new ED, urgent care centre, an innovation. stage two including an upgraded ED expanded oral health unit and a new They provide 24-hour emergency, at Blacktown, additional operating sub-acute rehabilitation unit. intensive and high dependency care, theatres and inpatient beds.

Blacktown Hospital multi-storey carpark topping out. Part of the $322 million stage one expansion, the carpark accommodates more than 600 vehicles.

YEAR IN REVIEW 2013-14 12 WESTERN SYDNEY LOCAL HEALTH DISTRICT Healthcare facilities and services Blacktown Hospital, Mount Druitt Hospital 04

Our Success • Doonside CHC started its Key indicators expansion program to double 2013-14 • The $322 million Blacktown Mount the available clinical space for a Separations 51,207 Druitt Hospital Stage 1 Expansion greater range of services including Project progressed. those provided by key partners Total bed days 183,751 who are part of HealthOne (a NSW • Blacktown Hospital became the Daily average bed days 503.43 Government model that brings first hospital in NSW to implement Commonwealth-funded general Average available beds* 554 Paper-Lite, a mobile electronic practice and primary healthcare Non-admitted patient^ medical records system. It provides services (hospital) 516,635 and State-funded primary and secure anywhere, anytime staff community healthcare services ED attendances 72,918 access to patient hospital records together). from any authorised device Births in hospital 3,118 (computer, smart phone or tablet) • Blacktown Mount Druitt Expansion Ambulance presentations 21,527 internally and externally including Project was the first in WSLHD to * Excludes beds in ED and delivery suite. a specialist doctor’s office or ^ Service Events: The non-admitted definition for occasions of implement social media: twitter. service. Within 24 hours all occasions of services for the patient received from the same service and establishment type are rolled community health setting. com/BMDHProject; www.facebook. into one service event. This is a much lower number than 2012-2013 as several occasions of service can make up one service event. com/bmdhproject; http://www. youtube.com/user/BMDHProject.

The compassion and dedication shown by our WSLHD volunteers is an inspiration for us all. Their selfless acts of kindness support our staff, patients and their families and I would like to thank them for their ongoing contribution to our organisation Stephen Leeder Chair of the Board

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 13 04 Healthcare facilities and services Auburn Hospital

Auburn Hospital, Auburn achieving the National Emergency Community Health Centre, and Access Target (NEAT) benchmark the University of Notre Dame with a year to date average of 79.5 Clinical School are co-located per cent. This means 79.5 per cent in one of Australia’s most of our patients who presented at We will be recognised by Auburn Hospital either physically diverse communities. our community as a leader in left the ED for admission to healthcare More than 53 per cent of Auburn’s hospital, were referred to another Rod Gilroy local residents were born overseas, hospital, or were discharged home Director Operations, Auburn making the area a colourful pattern of within four hours. Hospital and Westmead Hospital interwoven ethnic, cultural and social • Auburn Hospital hosted the backgrounds. Community Health and Wellbeing • More than 380 children and their The Living Wall, a multilingual elec- Forum in April 2014. Organised families participated in the Go4Fun tronic visual display of health infor- in partnership with Auburn City healthy eating and active living mation to address the community’s Council, it was an opportunity to program and 140 primary schools in health literacy needs, was launched by connect with local community Live Life Well@School, illustrating Auburn Hospital Multicultural Health agencies and services. our focus on positive health Unit and the University of Notre Dame outcomes for Auburn’s young. • The Auburn Staff Charter was Clinical School. developed and implemented. It • A partnering with culturally and linguistically diverse communities Our success aims to strengthen the positive reputation Auburn Hospital has (CALD) consumer and community • More patients had better access to as a facility where patients, carers strategy was implemented Auburn Hospital, with the facility and visitors receive best practice to improve collaboration and care within a respectful and community involvement in key collaborative team environment. decision-making processes. Key indicators 2013-14

Separations 20,313

Total bed days 49,916

Daily average bed days 136.76

Average available beds* 173 Non-admitted patient^ services (hospital) 52,170 ED attendances 25,706

Births in hospital 1,284

Ambulance presentations 5,517

* Excludes beds in ED and delivery suite. ^ Service Events: The non-admitted definition for occasions of service. Within 24 hours all occasions of services for the patient received from the same service and establishment type are rolled into one service event. This is a much lower number than 2012-2013 as several occasions of service can make up one service event.

YEAR IN REVIEW 2013-14 14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 05 Specialty Services

An innovative mental health sub-acute unit opened at Blacktown Hospital. Called Melaleuca, the 20-bed facility provides unique consumer-led care.

There were also commendable achievements from staff with Redbank House’s Integrated Adolescent Service receiving a Star Performer Award at the 7th Child Adolescent Mental Health Services (CAMHS) benchmarking forum in May 2014.

Our success

• The Family Room initiative has led to the development of a family friendly area on two wards at Cumberland Hospital where families, including children, are able to visit and spend quality time together in a safe, therapeutic environment.

• The Integrated Employment Program at Blacktown Mental Health City Mental Health Service is helping more people WSLHD Mental Health Services provide find work thanks to a unique collaborative partnership specialist care for people with mental illness with employment agencies. The program has seen 22 and disorders through early detection, early mental health consumers obtain employment in the past intervention, triage and assessment and acute financial year. care. • The Redbank Integrated Adolescent Service (RIAS) adopted the six core strategies for Creating Positive A highly dedicated group of individuals work in close Culture of Care. partnership with non-government organisations (NGOs), general practitioners (GPs) and other government departments to provide inpatient care and community based programs.

Inpatient services provided at Westmead, Cumberland, Blacktown and Mount Druitt hospitals include: acute adult; sub-acute; Child and Adolescent Mental Health Services We are empowering people with a mental (CAMHS); Specialist Mental Health Services for Older People (SMHSOP); non-acute rehabilitation; short-stay; illness to recover and lead fulfilling lives and forensic rehabilitation. Dr Senthil Muthuswamy Director Mental Health Services Community mental health teams are based in Parramatta, Merrylands, Auburn, Dundas, The Hills Shire, and Blacktown.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 15 05 Specialty Services

Community Health An average year in numbers Community Health comprises a diverse range Westmead Community Health of services delivered throughout our five LGAs Parramatta, Merrylands, The Hills including complex aged and chronic care; child New Individual Occasions and family health; and youth health services. referrals clients seen of service

Staff work in partnership with GPs, hospitals, government 18,184 38,361 92,467 agencies and NGOs to provide healthcare in people’s homes; at Community Health Centres; or other venues Auburn including Early Childhood (baby health) Centres; and Aged Day Centres. New Individual Occasions referrals clients seen of service Despite more than 250,000 referrals and occasions of service during 2013-14, Community Health continued to 6381 12,354 40,531 produce outstanding results including:

• An invitation to present its Aboriginal child sexual Blacktown Mount Druitt assault prevention program Got Ya Back Midiga at the Community Health 2013 NSW Health Innovation Symposium Blacktown, Doonside, Mount Druitt New Individual Occasions • More than 50 per cent of WSLHD’s four year olds taking referrals clients seen of service part in a vision screening program; and 16,547 36,743 91,826 • The Statewide adaptation of the Out-of-Home Care (OOHC) program for children and young people who are not able to live at home safely.

YEAR IN REVIEW 2013-14 16 WESTERN SYDNEY LOCAL HEALTH DISTRICT Specialty Services 05

An Aboriginal employment consultant was appointed in Aboriginal Health 2013-14 as part of the WSLHD’s goal to become one of the largest employers of Aboriginal people in NSW. The Aboriginal Health Unit provides an invaluable service to the community and With the State’s most populous Aboriginal metropolitan informs the priorities for the Aboriginal Health community, WSLHD recognises the need for active Services Board subcommittee, chaired by involvement and engagement to improve health service access, utilisation and performance. Associate Professor Dea Delaney-Thiele.

In recognition of Close the Gap, WSLHD used 2013-14 to solidify its commitment to help reduce the Indigenous life expectancy gap through a range of initiatives including the Mootang Tarimi (meaning living longer) mobile van; Western Sydney is home to the largest early parenting support; and the Breast Cancer Institute Indigenous population in urban NSW Sunflower Clinic BreastScreen mobile van. with more than 11,500 people self- In partnership with Ngallu Wal Aboriginal Child and Family identifying as Aboriginal Centre, WSLHD invited the community to a free family fun day in March where expert staff provided blood pressure, lung capacity, height, weight, and waist measurement checks; flu shots; and risk drinking assessments.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 17 05 Specialty Services

in the district moved to meeting more than 70 per cent of the recommended healthy eating and physical activity practices.

A total of 320 older people at high risk of falling completed the Stepping On program.

The Health Promotion team worked with the University of Western Sydney to become the first smoke-free university campus in NSW.

Following successful grant applications, the tobacco team has been working with Arabic and Aboriginal communities to develop innovative strategies to address the high rate of smoking in these groups.

During the past financial year, the Public Health immunisation team administered more than 63,000 vaccinations to Year 7 and Year 9 western Sydney students against the human papilloma virus, hepatitis B, chicken-pox Population Health and diphtheria, tetanus and whooping cough.

The Western Sydney Centre for Population The Influenza Prevention Program conducted 88 clinics Health is responsible for public health, and with 1522 high-risk patients and 964 staff vaccinated health promotion programs that include multi- in Auburn, Blacktown, and Westmead hospitals and disciplinary partnerships aimed at building at NAIDOC (National Aborigines and Islanders Day individual communities and organisational Observance Committee) events. capacity to improve and sustain health. The communicable disease team supported 92 institutions The centre works with healthcare providers, government with gastroenteritis outbreaks including residential care agencies, NGOs, the private sector, councils, workplaces, aged care and disability facilities. universities, TAFE colleges and schools to deliver a The measles project involved 21 medical centres to reduce comprehensive range of high quality, evidence-based the risk of disease following an increase in transmission. programs. The environmental health team responded to 226 Health Promotion projects focussed on healthy eating and complaints and information requests including non- active living; tobacco control and healthy older people. compliance with smoke-free environment regulations; More than 380 children and their families participated skin penetration regulations in the body art industry; in a healthy eating and active living program showing wastewater and air quality issues as well as infectious significant decreases in Body Mass Index (BMI). diseases associated with public swimming pools. More than 140 primary schools took part in Live Life Well@School and 50 per cent of early childcare services

YEAR IN REVIEW 2013-14 18 WESTERN SYDNEY LOCAL HEALTH DISTRICT Specialty Services 05

Drug Health Services Multicultural Health A $1.5 million tender was awarded for the Services construction New Beginnings, an outpatient methadone clinic at Mount Druitt Hospital. WSLHD provides health services to some of the Planning started for the expansion of inpatient most culturally and linguistically diverse LGAs services at Westmead Hospital for eight in NSW. To minimise health risks and enhance additional beds. the quality of services and health outcomes, Multicultural Health works with communities Drug Health is developing its workforce to provide an and health professionals to ensure all services integrated model of care, with accreditation to provide and programs in WSLHD are culturally psychiatry and physician training. appropriate and accessible to people from A new psychiatry position will address substance use and CALD communities. mental illness for the homeless; a neuropsychologist and The Healthy Eating and Physical Activity Program was specialist in gastroenterology will deliver a more holistic developed in 2014 to raise awareness among our CALD approach. population. Course content incorporated the 2013 Dietary Guidelines and Australia’s Physical Activity and Sedentary Behaviour Guidelines (2014). Bilingual Community Educators (BCEs) were trained to deliver the program in Arabic; Vietnamese; Chinese; Korean; Khmer; Hindi; Tagalog; Punjabi; Tamil; Turkish; and Dari.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 19 05 Specialty Services

Interpreter Services Translation Services The Health Care Interpreter Service (HCIS) The WSLHD Translation Service assists is a 24-hour-service providing onsite and health services to engage and communicate phone interpreting across several LHDs and effectively with CALD communities. Health Networks in more than 130 languages During 2013-14, the Translation Service developed 36 and dialects including Auslan for the hearing educational resources in different languages and 78 clinical impaired. documents; averaging 1935 occasions of service.

There were 129,418 incoming calls; and of the 90,261 The Translation Service presented a paper at an appointments provided in 2013-14 there was a 99.8 per international conference on Community Translation hosted cent satisfaction rate. by the UWS. The paper discussed the challenges of developing quality health resources and outlined the focus testing methodology which involves extensive consumer engagement as an essential means of quality control in A total of 45 per cent of residents developing multilingual health resources. speak a language other than English at home with the largest proportion from Auburn (79.5 per cent). Arabic, Cantonese, Mandarin, Korean, Hindi, Tagalog, Turkish, Punjabi and Tamil are the most commonly spoken languages other than English

YEAR IN REVIEW 2013-14 20 WESTERN SYDNEY LOCAL HEALTH DISTRICT 06 Research & Education

The Research & Education • Identifying and fostering key Network (REN) advances priority areas with a particular healthcare in western focus on inter-professional Sydney through the effective research and education, with a governance of WSLHD view to building academic research We are supporting our and educational endeavours research and education. researchers to push the in nursing and allied health barriers of knowledge Under the leadership of Emeritus disciplines; and Stephen Leeder Professor Stephen Leeder, the REN is • Strengthening partnerships in Director WSLHD Research & dedicated to creating an environment research and education. Education Network where researchers and educators can flourish. The REN developed and fostered key partnerships and collaborations In accordance with the WSLHD with many universities as well as the Strategic Plan 2013-16, the REN Westmead Research Hub including focused on: the Westmead Millennium Institute for • Developing strategic directions Medical Research (WMI); the Sydney Children’s Hospitals Network, and the • Building infrastructure to support Children’s Medical Research Institute. the growth of education for our staff

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 21 06 Research & Education

WSLHD recognises the pivotal role Our success Centre, Seattle, USA, Westmead research and education plays in Hospital and the WMI. advancing patient care. • Westmead Hospital renal • Professor Richard Lindley and the physician Professor Jeremy Valuable alliances were established Stroke Unit team at Westmead Chapman was recognised as the between clinical disciplines, Hospital conducted the largest world’s foremost expert in kidney universities and the REN, enabling meta-analysis undertaken to transplantation. Ranked number research and education initiatives investigate the use of alteplase. one in Expertscape’s top-10 list, from numerous arms of the The study was published in one of Prof Chapman was placed ahead organisation, including nursing and the world’s leading general medical of kidney transplant specialists midwifery, and allied health. journals, The Lancet. The research from world-class institutions in the showed thrombolysis of ischaemic The REN is proud to report on its US and Europe. stroke and the reduction of blood successful partnerships with the WMI, • In a world first, Dr James Chong, pressure in haemorrhagic stroke the Health Education and Training a clinical academic at Westmead sufferers improves outcomes. If Institute (HETI) and academic Hospital, demonstrated the use alteplase is given promptly after institutions including The University of of human embryonic stem cells to stroke, it can reduce long-term Sydney, University of Western Sydney regenerate hearts of non-human disability even in older people and the University of Notre Dame primates. Dr Chong was a first and in those with the most severe Australia. author on the work published in stroke. The findings revealed that the prestigious scientific journal if stroke sufferers could be treated Nature. The pioneering research within three hours, benefits were was a collaboration of The twice as great compared to those 1 University of Washington, Fred treated 3 to 4 /2 hours after the Hutchinson Cancer Research stroke onset. Prof Lindley’s work provides clear data to guide stroke

Professor Jeremy Chapman has been named world number one expert on kidney transplantation. Jeremy is at the top of a global list which ranks medical specialists.

YEAR IN REVIEW 2013-14 22 WESTERN SYDNEY LOCAL HEALTH DISTRICT Research & Education 06

thrombolysis protocols for the alliance between the University of Key internal and external stakeholder future. Sydney, WSLHD, and the WMI. workshops were held to inform the development of a WSLHD Research • Dr Calvin Hsieh of Westmead • The first Allied Health and Strategic Plan and an Issues Paper. Hospital’s Department of Community Forum was held at the They will form the backbone of the Cardiology brought the prestigious Blacktown Mount Druitt Clinical REN’s workplace capacity building Ralph Reader prize of the Cardiac School and Research Centre in plan for the year ahead. To support Society of Australia and New conjunction with the University of this work, key appointments were Zealand back to Westmead after a Western Sydney. It was designed made, including: gap of 28 years. to assist staff in understanding the research journey of their academic • Acting director of Education • Dr Sarah Zaman was awarded peers, investigate opportunities the 2014 Dean’s Publication Prize • Manager, Education and Training available through university for her papers published in the partnerships for research, • Clinconnect coordinator American Heart Association’s education, and training. scientific journals Circulation; • Nurse educator – Simulation and Circulation Arrhythmia & • The REN supported 338 research • Clinical nurse educator – Electrophysiology. projects through ethics and Simulation; and governance approvals. The • After an exhaustive international • Project support officer – Research Office streamlined search, professor of Translational e-Learning and Technology ethics and governance Cancer Research Anna DeFazio, processes, increased information, was appointed Sydney west chair communication and training in Translational Cancer Research. following the publication of the The position is funded by The Research Governance Review University of Sydney Cancer Report 2013. Research Fund. The role is an

WSLHD recognises the pivotal role research and education plays in advancing patient care

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 23 07 Patient Safety, Quality & Innovation

Providing the best possible Excellence Commission’s (CEC) healthcare to our patients Sepsis Pathway. and clients in the safest • A facility-specific IT strategic plan 2014 Quality Awards environment is fundamental. was developed to support future innovation during the Blacktown WSLHD established the directorate Mount Druitt Hospital Expansion The WSLHD Quality Awards of Organisational Effectiveness Project. to monitor, evaluate and facilitate recognise innovations in continual improvement of patient • Westmead Hospital’s Neonatal healthcare that benefit safety and clinical excellence in each Intensive Care Unit implemented a carers, families, staff and the of the LHD’s healthcare services. unique program targetting control community. of multi-resistant staphylococcus Organisational Effectiveness is The awards attracted a aureus infection reducing the focused on enabling the healthcare risk to patients; and providing record number of entries in 11 system to build the necessary a blueprint for implementation categories. In a first, WSLHD capability and culture to support hospital-wide. It won the partnered with NewsLocal, one change and quality improvement. prestigious Harry Collins Award at of Australia’s largest community During the next year it aims to the 2013 NSW Health Innovation newspaper networks, to support the implementation of Awards. promote the awards across its organisational development and print and digital mastheads in quality improvement strategies our five LGAs. A NewsLocal that will support our people on the online poll attracted more than frontline and ensure their involvement 500 entries for the Community and input during WSLHD’s rapid Choice Award. development phase. Your health in safe hands This year’s winners were: Our success Carrie Marr Executive Director Organisational • Westmead Hospital ED built on Effectiveness and sustained success in the early recognition and management of sepsis, a potentially fatal medical emergency. The department became the State’s most consistently high performer in implementing the Clinical

YEAR IN REVIEW 2013-14 24 WESTERN SYDNEY LOCAL HEALTH DISTRICT Patient Safety, Quality & Innovation 07

2014 Quality Awards

CHAIR OF THE BOARD AWARD FOR INNOVATION & EXCELLENCE Doing the SALSA: Engaging Teens as LifeStyle Activists

The innovative program encourages healthy eating and aims to fight against teen obesity. So successful, it has been adopted by high schools in the Middle East. It helps students exercise more, eat less junk food and minimise time spent on electronic devices. Part of the curriculum at 13 high schools across western Sydney, SALSA has been implemented in four schools in Jordan.

COMMUNITY CHOICE AWARD Doing the SALSA: Engaging Teens as LifeStyle Activists

CHIEF EXECUTIVE’S AWARD Always ASK, Always ASC: Active Supervision by Consultants

After reviewing 550 professional articles from around the world, Westmead Hospital’s chief medical adviser Dr Roslyn Crampton (left) devised the perfect guidelines to empower junior doctors.

Known as Active Supervision by Consultants (ASC), it aims to ensure patient safety and provide personal development for the 785 young medicos at the hospital. Through a series of triggers, junior doctors know when to escalate a patient matter to a senior clinician.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 25 07 Patient Safety, Quality & Innovation

PATIENTS AS PARTNERS Nurses Returning to the Bedside with 5Ps: Proactive Patient Rounding

Westmead Hospital nurses adopted an American model, 5Ps Proactive Patient Rounding, proven to enhance patient safety, comfort and care. Nurses conduct hourly rounds designed to improve patient safety and address needs that would otherwise prompt the use of buzzers or independent risk-taking behaviour.

INTEGRATED HEALTHCARE LOCAL SOLUTIONS Orderlies Pushing the Envelope: Moving A Strategy to Optimise and Maintain Early Patients out of Emergency Quickly and Safe Discharge in Gastroenterology

Westmead’s Hospital orderlies introduced an Westmead Hospital gastroenterology (GE) electronic system to help manage the 40,000 services implemented strategies to optimise tasks they deliver each month for nurses and discharge timing, length of stay (LOS) and clinicians. It enables the team to respond to diagnosis-related group (DRG) coding while multiple requests at the same time rather than safeguarding the patient. The new approach taking phone calls. means a GE patient spends one day less in hospital, saving about $120,000 per month.

YEAR IN REVIEW 2013-14 26 WESTERN SYDNEY LOCAL HEALTH DISTRICT Patient Safety, Quality & Innovation 07

HEALTHY LIVING COLLABORATIVE TEAM MOVE Project: Motivating and Engaging Endoscopy Waitlist Reduction Initiative Clients with Physical Activity Westmead Hospital’s endoscopy service More than 600 elderly residents from western developed and implemented systems to reduce its Sydney have benefited from a healthy lifestyle waiting lists. The clinic, which provides up to 400 program. The MOVE project has seen WSLHD train endoscopies a month, established a process to more than 100 staff at 17 western Sydney aged ensure patients receive their procedure within the day care centres to provide nutritional advice and clinically appropriate time frame. falls prevention exercises to people aged over 65, reducing the risk of hospitalisation.

BUILDING PARTNERSHIPS Doing the SALSA: Engaging Teens as LifeStyle Activists

The innovative program encourages healthy eating and aims to fight against teen obesity. So successful, it has been adopted by high schools in the Middle East. It helps students exercise more, eat less junk food and minimise time spent on electronic devices. Part of the curriculum at 13 high schools across western Sydney, SALSA has been implemented in four schools in Jordan.

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 27 07 Patient Safety, Quality & Innovation

DECREASING HEALTHCARE ASSOCIATED AWARD FOR EXCELLENCE IN THE BLOODSTREAM INFECTIONS PROVISION OF MENTAL HEALTH SERVICES Antimicrobial Stewardship: Recovery Oriented and Evidence-Based The Electronic Era Acute Home Treatment

Hospitals across WSLHD took a leap into the A redesign of Blacktown Hospital’s community future implementing a digital system to guide mental health service has clients treated in their doctors in prescribing the optimal antibiotic home, reducing the need for hospitalisation and treatment for the appropriate time frame. emergency presentations.

The system was developed because overuse of The service, modelled around evidence-based antibiotics has caused these drugs to be less research and best international practice, has effective. minimised inappropriate referrals; increased access by consumers at risk; reduced repeat crisis presentations of people with personality disorder; and increased rates of hospital at home treatment for people with acute psychosis.

YEAR IN REVIEW 2013-14 28 WESTERN SYDNEY LOCAL HEALTH DISTRICT 08 The Board

The members of the WSLHD WSLHD has seven Board subcommittees: Sydney began in 1986. He headed the Board are appointed by the • Health Care Quality Committee Department of Community Medicine at Westmead Hospital for more than 10 • WSLHD Medical Staff Executive NSW Minister for Health for a years steering it in disease prevention, Council term of up to four years. health service research, health economics • Medical and Dental Appointments and health promotion. He is a passionate Advisory Committee advocate for integrating care in the • Finance, Performance and Assets community with hospital services Management Committee and has advised Federal and State • Research and Education Committee governments. Stephen is editor-in-chief of the peer-reviewed Medical Journal • Audit and Risk Management of Australia, the official journal of the Committee; and Australian Medical Association. • Aboriginal Health Services Committee

The subcommittees oversee specific Professor Peter Zelas OAM areas of the business including providing MB, BS, FRACS, FRCS (ED), MIPH advice on the organisation’s strategy, Deputy Chair approving key investments, ensuring Peter is clinical dean of Blacktown Mount Stephen Leeder AO major risks are identified and managed, Druitt Clinical School of the University and assisting the WSLHD Board in of Western Sydney having retired achieving its goals and objectives. from a long career in surgery. He is committed to the provision of integrated Our Board high quality medical services across the WSLHD and to improving access for patients. His interests include the Professor Stephen Leeder, AO fostering of community participation MD, PhD, FRACP, FFPH, FAFPHM, and engagement, supporting medical FRACGP (Hon) Peter Zelas OAM education and promoting strategies for Chair disease prevention. Stephen is Emeritus Professor of Public Health and Community Medicine at Professor Jeremy Chapman OAM The University of Sydney. He directed MB, BChir, MD, FRACP, FRCP the Menzies Centre for Health Policy, Jeremy is the clinical director of the a collaborative centre between the Division of Medicine and Cancer at Australian National University and The Westmead Hospital and director of the University of Sydney from 2005 to 2013. Western Renal Service. Jeremy Chapman OAM As well as chair of the WSLHD Board, he is director of the WSLHD Research His work in transplantation has been & Education Network. Stephen has a recognised nationally and internationally. long history in public health research, He is chairman of the Australian educational development and policy. His Bone Marrow Donor Registry and the key interests as a clinical epidemiologist Australian Cord Blood Bank Network; have been asthma and cardiovascular a member of the Australian Organ and disease. He has worked in the highlands Tissue Authority’s Advisory Council; of Papua New Guinea, and at Columbia past-president of The Transplantation University, New York, the Earth Institute Society; advisory member of the World and Mailman School of Public Health. Health Organisation’s Expert Advisory Stephen’s distinguished career in western Panel on Human Cell Tissue and Organ

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 29 08 The Board

Transplantation; secretary general and NSW Ministerial Advisory Committee past president of the World Marrow on Ageing; and the Griffith University Donor Association and the inaugural Enterprise (Commercialisation) Advisory co-chair of the Declaration of Istanbul Board. She has co-founded three Custodian Group. He has more than medical device companies. She chairs 350 peer-reviewed publications and is the WSLHD Finance, Performance editor-in-chief of the Transplantation and Assets Management Board subcommittee. A former executive in Hadia Haikal-Mukhtar Journal. the NSW Health system, she has worked Dr Hadia Haikal-Mukhtar in more than 20 countries. She is an BSc (Hons), MB BS, FRACGP, Dip Ger adjunct professor at the Menzies Centre Med, LLB (Hons), Grad Cert Health for Health Policy, School of Public Prof Ed Health at The University of Sydney and has lectured at The University of Hadia is an academic and an Sydney, and Yale University, USA, where experienced general practitioner who she taught Yale’s first course in global heads the Auburn Clinical School for health. Her interests include highly Paul Gibson the University of Notre Dame Australia. regulated utilities and other services; She holds degrees in medicine, science workplace health; ageing; chronic back and law. Hadia migrated to Australia pain; and sustainable public-private from Lebanon in 1969. She brings to partnership models. the Board knowledge and experience in community healthcare, medical Associate Professor Dea Delaney- education and medical regulation and Thiele is committed to promoting healthcare MPH, Post Grad Dip HSM responsive to the needs of western Abby Bloom Sydney’s large multicultural community. Dea is a very proud Dunghutti woman born at the Burnt Bridge Mission, Mr Paul Gibson Kempsey, NSW, and has almost 25 years’ Paul is a businessman with a strong experience working with the Aboriginal community voice. He represented the Community Controlled Health Sector people of western Sydney in the NSW (ACCHS). She holds a Post Graduate in Parliament from 1988-2011. He was a Health Management, a Masters in Public passionate advocate for health service Health and is undertaking a Doctorate, development, promoting the case for Public Health at the University of New Dea Delaney-Thiele rebuilding Blacktown and Hawkesbury South Wales. She is the chief executive hospitals. A former first grade rugby officer of the National Aboriginal & league player, he continues to champion Torres Strait Islander Women’s Alliance sport in western Sydney and beyond. and head of the Population Health & Research Unit at the Aboriginal Medical Adjunct Professor Abby Bloom Service, Western Sydney. Dea was chief executive officer of the National BA (Hons), MA, MPH, PhD, FAICD Aboriginal Community Controlled Health Abby is an experienced company Organisation in Australia (NACCHO) director. She is currently a director from 2003-2010. of Sydney Water; a member of the

YEAR IN REVIEW 2013-14 30 WESTERN SYDNEY LOCAL HEALTH DISTRICT The Board 08

Professor Diana O’Halloran as a paraplegic of more than 20 years MB BS, MPHEd, FRACGP, FAICD has given her an appreciation of the care provided to her by health professionals. Di is a general practitioner with It has made her a strong advocate for a longstanding involvement in patients and the public hospital system. primary healthcare reform and the development of new service and care Dr Andrew Pesce models including HealthOne, and Connecting Care. Di chairs the Western MB BS, FRANZCOG Diana O’Halloran Sydney Medicare Local which works Andrew is a leading obstetrician collaboratively with the LHD to improve and gynaecologist at Westmead planning, coordination and integration Hospital. As federal president of the of care in the community and across the Australian Medical Association in 2009 hospital-community interface. he vigorously advocated for public A conjoint professor in the Department hospitals and clinician engagement of General Practice, University of during the national health reforms. Western Sydney, Di is a member of Locally, he chaired the Westmead Jane Spring the Australian Medicare Local Alliance Medical Staff Council from 2008-2009. Board and the Agency for Clinical His long association with Westmead Innovation’s General Practice Advisory Hospital began as an intern. In 1993 he Group. She is a past board member of was appointed to specialist positions in the Royal Australian College of General obstetrics and gynaecology and in 2004 Practitioners and NSW faculty chair; he became a Visiting Medical Officer. and the past chair of the NSW General Practice Advisory Council. Adjunct Professor Kathy Baker AM M EdA, BHA, RN, RM, CC, CT, Dip NE, Andrew Pesce Ms Jane Spring MAICD, ACN (DLF), Honorary Fellow BEc (Hons), LLB, MPA, FAICD, FCIS, FGIA UTS, Wharton Fellow Kathy chairs the WSLHD Health Care Jane chairs the Medical and Dental Quality subcommittee of the Board. Appointments Advisory Committee, a A registered nurse and a midwife, subcommittee of the WSLHD Board. Kathy is an adjunct professor with A solicitor with extensive corporate the University of Technology, Sydney governance experience, Jane is and the University of Western Sydney. director of the NSW Centenary of Kathy was appointed as a Member in Anzac program. Her involvement Kathy Baker AM the General Division of the Order of on diverse boards including The Australia for service to the nursing University of Sydney Senate, Venues profession through contributions NSW, and Wheelchair Sports Australia to education and the promotion of has equipped Jane with a strong clinical excellence. She is the senior understanding of the strategies required accreditation and education advisor at for effective performance in complex the Australian Commission on Safety organisations. Her personal experience and Quality in Health Care.

Ex-Officio The following ex-officio Board members participate in agenda items relating to their areas of expertise: Danny O’Connor Chief Executive, WSLHD Shaun Drummond Executive Director Operations WSLHD and Westmead Hospital Tony Hickmott Executive Director Finance, WSLHD Resigned April 2014 Dr Kim Hill Executive Medical Director, WSLHD (rotating) Carrie Marr Executive Director, Organisational Effectiveness (rotating) Associate Professor Peter Klineberg Director Anaesthesia & Perioperative Medicine, Westmead Hospital (rotating)

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 31 09 Executive Leadership Team*

Danny O’Connor Chief Executive

Danny was appointed chief executive of WSLHD in January 2011. Accountable to the WSLHD Board, he is responsible for providing safe, equitable, quality healthcare to the people of western Sydney through strategic leadership and sound governance. Under his management WSLHD is implementing enhanced operations, performance, innovation and skills to deliver world-class health services. Danny is an ex-officio Danny O’Connor member of the WSLHD Board.

Leena Singh Executive Director Finance

Appointed in May 2014, Leena is responsible for the leadership and management of financial services and performance reporting. She is accountable for ensuring policies and controls are in place to safeguard WSLHD assets and finances.

Leena Singh Shaun Drummond Executive Director Operations

Shaun was appointed as the district’s executive director of operations in December 2012. He is accountable for district-wide service planning, management of performance against key indicators, and strategic relationships. He is an ex-officio member of the WSLHD Board.

Dr Kim Hill

Shaun Drummond MB BS, MHP, FRACMA, FAICD Executive Medical Director

Appointed in August 2011, Kim is the executive medical director. She is responsible for clinical strategy, planning and redesign of service delivery, promotion of innovation and evidence-based practice, and professional standards of practice. Kim is a rotating ex-officio member of the WSLHD Board.

Carrie Marr BSc (Nursing), DipEd, MSc (OrgCons) Kim Hill Executive Director Organisational Effectiveness

Carrie is accountable for monitoring, evaluating and facilitating continual improvement of patient safety and clinical excellence in each of the district’s healthcare services. She commenced in December 2013. Carrie is a rotating ex-officio member of the WSLHD Board.

Carrie Marr

YEAR IN REVIEW 2013-14 32 WESTERN SYDNEY LOCAL HEALTH DISTRICT Executive Leadership Team 09

Belle Mangan MHS Executive Director Corporate Governance

Appointed in February 2013, Belle is responsible for policy management and legislative compliance systems, human resources, corporate records, privacy, enterprise risk, work health safety, procurement, medical and non-medical asset management, fleet and internal ambulance. Belle Mangan Richard Chrystal RN, BHSc, Grad Dip HSM Executive Director Nursing and Midwifery and Disaster Response

Richard is accountable for the development, monitoring and reporting of all aspects of professional activities to optimise health outcomes provided by nurses and midwives in WSLHD. He was appointed to the role in June 2013. Richard is the Health Services Functional Area Coordinator (HSFAC) responsible for emergency management for WSLHD. Richard Chrystal

Andrew Newton RGN, MHM, GDPA, BHlthSc (Nurs), DipAcc, GradCert (CritCare), GradCert (NursEd) General Manager, Blacktown Hospital, Mount Druitt Hospital; Doonside, Mount Druitt, and Blacktown Community Health services.

Andrew is responsible for the operational service delivery and performance of Blacktown Hospital, Mount Druitt Hospital; and Doonside, Mount Druitt, and Blacktown Community Health services and for the successful management of the Andrew Newton BMDH Expansion Project. He was appointed in July 2012.

Rod Gilroy BAppSc Sp Path, MBA Director Operations, Auburn Hospital and Westmead Hospital

Rod is accountable for all service delivery, operational matters, performance against key indicators and strategic initiatives for Auburn Hospital and Community Health Centre as well as a range of Westmead and district-wide services. Rod and his Rod Gilroy team work to ensure safe and responsive patient-centred clinical services. He was appointed in August 2013.

*As at June 30 2014

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 33 10 Our Staff, Our Partners

of the Stafflink payroll system. This WSLHD is an employer that WSLHD is proud to be associated online tool ensures staff have access places a high value on its with many organisations including: to their payslips, leave balances people. Our staff are the • Aboriginal Medical Service and other employee-related payroll enablers that help us fulfil Western Sydney information anytime, anywhere. our mission of providing a • Agency for Clinical Innovation better health service for the • Auburn City Council Our Partners people of western Sydney and • Blacktown City Council beyond. WSLHD partners with organisations • Bureau of Health Information that share our vision of providing • Cancer Institute NSW We inspire our employees to work better health services for the people • Carers NSW within the NSW Health CORE values of western Sydney and beyond. Their • Clinical Excellence Commission of collaboration; openness; respect; long-term commitment is essential to • Department of Education & and empowerment to help us to addressing the health needs of those Communities continue our organisational and we serve. • Family & Community Services, infrastructural growth now and into NSW the future. From volunteers and donors, to councils, NGOs, government • Health Consumers NSW In 2013-14, Human Resources (HR) departments, community groups and • Health Education and Training appointed an Aboriginal employment consumers, each partnership ensures Institute consultant as part of our goal to we are delivering, planning and • Health Infrastructure become one of the biggest employers evaluating better quality, safety and • HealthShare NSW of our Indigenous people. patient outcomes. • Holroyd City Council There was significant technological • Hills Shire Council investment with the introduction • Justice Health and Forensic Mental Health Network • NSW Kids and Families Scientific & Technical Clinical Support Sta • NSW Mental Health Commission Other Prof & Para Professionals 389 & Clinical Support Sta • NSW Ministry of Health 423 Allied Health Professionals 995 • NSW Health Pathology Other • Parramatta City Council 49 Oral Health Practitioners • St Vincent’s Health Australia & Support Workers 283 • The Children’s Hospital at Corporate Services Westmead, part of the Sydney 1,540 Nursing Children’s Hospital Network 3,914 Sta profile • The University of Sydney • University of Notre Dame Hotel Services 458 Australia

Maintenance & Trades • University of Western Sydney 64 • Western Sydney Medical Local Medical • Westmead Millennium Institute 1,284 for Medical Research (WMI)

YEAR IN REVIEW 2013-14 34 WESTERN SYDNEY LOCAL HEALTH DISTRICT Our Staff, Our Partners 10

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 35 11 Location directory*

Public Hospitals Community Health Services Parramatta Community Health Centre Auburn Hospital Auburn Aged Day Service Jeffrey House 18 Hargrave Rd, Auburn NSW 2144 Cnr Water St & Hargrave Rd, Auburn NSW 2144 162 Marsden St, Parramatta NSW 2150 Ph: (02) 8759 3000 Fax: (02) 8759 3123 Ph: (02) 8759 3899 Fax: (02) 9749 1825 Ph: (02) 9843 3222 Fax: (02) 9671 6360 Blacktown Hospital Auburn Community Health Centre Rosewood Cottage Aged Day Service Blacktown Rd, Blacktown NSW 2148 Norval St, & Hevington Rd, Auburn NSW 2144 22 Fullager Rd, Wentworthville NSW 2145 Ph: (02) 9881 8000 Fax: (02) 9881 8020 Ph: (02) 8759 4000 Fax: (02) 8759 4154 Ph: (02) 9633 5496 Fax: (02) 9633 5428 Mount Druitt Hospital Balcombe Heights Aged Day Services Tallowood Dementia Day Service 75 Railway St, Mount Druitt NSW 2770 Building 17, Balcombe Heights Estate, Mount Druitt Hospital Ph: (02) 9881 1555 Fax: (02) 9881 1538 92 Seven Hills Rd, Baulkham Hills NSW 2153 67 Railway St, Mount Druitt NSW 2770 Ph: (02) 9881 1524 Fax: (02) 9881 1925 Cumberland Hospital (Mental Health Services) Ph: (02) 8852 6300 Fax: (02) 9686 2138 1-11 Hainsworth St, Westmead NSW 2145 Blacktown Community Health Centre The Hills Community Health Centre Ph: (02) 9840 3000 Fax: (02) 9840 3700 Cnr Blacktown Rd & Marcel Cres, Blacktown NSW 183 Excelsior Ave, Castle Hill NSW 2154 2148 Ph: (02) 8853 4500 Fax: (02) 8853 4565 Westmead Hospital Cnr Hawkesbury & Darcy Rds, Westmead NSW 2145 Ph: (02) 9881 8700 Fax: (02) 9671 6360 Western Area Adolescent Team (WAAT) Ph: (02) 9845 5555 Fax: (02) 9845 6891 Blacktown/Mount Druitt Sexual Assault Service Mount Druitt Community Health Centre, Cnr Blacktown Rd & Marcel Cres, Blacktown Cnr Burran and Kelly Cl, Mount Druitt NSW 2770 Community Drug Health Services NSW 2148 Ph: (02) 9881 1230 Fax: (02) 9625 9110 Auburn Community Drug Health Counselling Ph: (02) 9881 8700 Fax: (02) 9671 6360 Westmead Sexual Assault Service Auburn Community Health Centre Child Protection Counselling Service Westmead Hospital, Grevillea Cottage, Westmead Norval St, & Hevington Rd, Auburn NSW 2144 Cnr Blacktown Rd & Marcel Cres, Blacktown NSW 2145 Ph: (02) 8759 4000 Fax: (02) 8759 4154 NSW 2148 Ph: (02) 9845 7940 Fax: (02) 9845 8328 Ph: (02) 9881 8787 Fax: (02) 9881 8789 Blacktown Community Drug Health Counselling Early Childhood Health Clinics Blacktown Community Health Centre Carinya Aged and Ethnic Day Service Auburn Early Childhood Centre Cnr Blacktown Rd & Marcel Cres, Blacktown 8 River Rd, Ermington NSW 2115 NSW 2148 Ph: (02) 9684 2179 Fax: (02) 9638 0621 Norval St, Auburn NSW 2144 Ph: (02) 8759 4000 Ph: (02) 9881 8700 Fax: (02) 9671 6360 Copperfield Cottage Aged Day Service Blacktown Opioid Treatment Unit (Drug Health) Mount Druitt Hospital Baulkham Hills Early Childhood Centre Cnr Blacktown Rd & Marcel Cres, Unit 7/1 Railway St, Mount Druitt NSW 2770 Old Northern Rd, Baulkham Hills NSW 2153 Blacktown NSW 2148 Ph: (02) 9881 1636 Fax: (02) 9881 1773 Ph: (02) 8853 4500 Ph: (02) 9851 6200 Fax: (02) 9622 6265 Crestwood Aged Day Service Blackett Public School Centre for Addiction Medicine Cumberland Embark building, Blacktown Hospital Bolderwood Rd, Blackett NSW 2770 Cumberland Hospital east campus Blacktown Rd, Blacktown NSW 2148 Ph: (02) 9881 1200 5 Fleet St, North Parramatta NSW 2151 Ph: (02) 9881 8954 Fax: (02) 9881 8899 Blacktown Early Childhood Centre Ph: (02) 8860 2560 Fax: (02) 9840 3869 Doonside Community Health Centre 40 Kildare Rd, Blacktown NSW 2148 Centre for Addiction Medicine Mount Druitt 30 Birdwood Ave, Doonside NSW 2767 Ph: (02) 9881 8650 15 Cleeve Cl, Mount Druitt NSW 2770 Ph: (02) 9881 8650 Fax: (02) 9831 8683 Castle Hill Early Childhood Centre Ph: (02) 8887 5800 Fax: (02) 8887 5822 HealthOne Rouse Hill Castle Grand Centre Doonside Community Drug Health Counselling The Terrace, Suite 1, 40 Panmure St, Rouse Hill 9 Castle St, Castle Hill NSW 2154 30 Birdwood Ave, Doonside NSW 2767 NSW 2155 Ph: (02) 8853 4500 Ph: (02) 9881 8650 Fax: (02) 9831 8683 Ph: (02) 8853 4500 Dean Park (William Dean) Public School Fleet Street Clinic Hevington House Dementia Day Service Yarramundi Dve, Dean Park NSW 2761 4A Fleet St, North Parramatta NSW 2151 19 Hevington Rd, Auburn NSW 2144 Ph: (02) 9881 1200 Ph: (02) 9840 3888 Fax: (02) 9840 3936 Ph: (02) 8759 3899 Dundas Early Childhood Centre Merrylands Community Drug Health Counselling High Street Youth Health Service 21 Sturt St, Telopea NSW 2117 14 Memorial Ave, Merrylands NSW 2160 65 High St, Harris Park NSW 2150 Ph: (02) 9682 3133 Ph: (02) 9682 3133 Fax: (02) 9897 3313 Ph: (02) 9687 2544 Fax: (02) 9687 2731 Epping Early Childhood Centre Parramatta Community Drug Health Counselling Hills Physical Disabilities Team 39 Bridge St, Epping NSW 2121 Jeffrey House Jasper Road Public School Ph: (02) 9682 3133 162 Marsden St, Parramatta NSW 2150 Jasper Rd, Baulkham Hills NSW 2153 Ermington Early Childhood Centre Ph: (02) 9843 3222 Fax: (02) 9891 2825 Ph: (02) 9639 6801 65 Spurway St, Ermington NSW 2115 The Hills Community Drug Health Counselling Merrylands Community Health Centre Ph: (02) 9682 3133 183 Excelsior Ave, Castle Hill NSW 2154 14 Memorial Ave, Merrylands NSW 2160 Glendenning Public School Ph: (02) 8853 4500 Fax: (02) 8853 4565 Ph: (02) 9682 3133 Fax: (02) 9897 3313 Armitage Drive, Glendenning NSW 2761 Mount Druitt Community Health Centre Ph: (02) 9881 8650 Cnr Burran and Kelly Cl, Mount Druitt NSW 2770 Granville Early Childhood Centre Ph: (02) 9881 1200 Fax: (02) 9671 6360 2 Diamond Ave, Granville NSW 2142 Ph: (02) 9682 3133

*As at 30 June 2014

YEAR IN REVIEW 2013-14 36 WESTERN SYDNEY LOCAL HEALTH DISTRICT Greystanes Early Childhood Centre Community Mental Health Services Centre for Population Health 732 Merrylands Rd, Greystanes NSW 2145 Assertive Community Treatment Team Cumberland Hospital east campus Ph: (02) 9682 3133 63 Railway St, Mount Druitt NSW 2770 5 Fleet St, North Parramatta NSW 2151 Guildford Early Childhood Centre Ph: (02) 9832 1432 Fax: (02) 9832 4749 Ph: (02) 9840 3603 Fax: (02) 9840 3608 Cnr Stimpson & O’Neill Sts, Guildford NSW 2161 Auburn Community Mental Health Team Education Centre Against Violence (ECAV) Ph: (02) 9682 3133 Auburn Community Health Centre Cumberland Hospital east campus Hassall Grove Public School Norval St, & Hevington Rd, Auburn NSW 2144 5 Fleet St, North Parramatta NSW 2151 Buckwell Drive, Hassall Grove NSW 2761 Ph: (02) 8759 4000 Fax: (02) 8759 4154 Ph: (02) 9840 3737 Fax: (02) 9840 3754 Ph: (02) 9881 1200 Blacktown City Community Mental Health Services Forensic Medical Unit (for victims of domestic Holy Family Centre Blacktown Hospital violence) Luxford Rd, Emerton NSW 2770 Blacktown Rd, Blacktown NSW 2148 Mount Druitt Hospital Ph: (02) 9881 1200 Ph: (02) 9881 8888 Fax: (02) 9881 8899 Blacktown Hospital Ph: (02) 9881 7752 Jasper Road Public School Blacktown Early Access Team (BEAT) Jasper Rd, Baulkham Hills NSW 2153 Headspace Mount Druitt Health Care Interpreter Service Ph: (02) 8853 4500 Shop 12, Daniel Thomas Plaza Cumberland Hospital east campus Kellyville Public School 6-10 Mount St, Mount Druitt NSW 2770 5 Fleet St, North Parramatta NSW 2151 Windsor Rd, Kellyville NSW 2155 Ph: (02) 8887 5600 Fax: (02) 8887 5610 Ph: (02) 9912 3800 Fax: (02) 9840 3789 Ph: (02) 8853 4500 Community Rehabilitation Services Multicultural Health Lalor Park Early Childhood Centre 40 Jamieson St, Granville NSW 2142 Cumberland Hospital east campus Parkside Dve, Lalor Park NSW 2147 Ph: (02) 8868 4401 Fax: (02) 9897 1246 5 Fleet St, Bld 55, North Parramatta NSW 2151 Ph: (02) 9840 4156 Fax: (02) 9840 4100 Ph: (02) 9881 8650 Dundas Community Mental Health Team Lidcombe Early Childhood Centre 21 Sturt St, Telopea NSW 2117 New Street Adolescent Service 3 Bridge St, Lidcombe NSW 2141 Ph: (02) 9638 6511 Fax: (02) 9684 2058 Cumberland Hospital east campus 5 Fleet St, North Parramatta NSW 2151 Ph: (02) 8759 4000 Getting on Track in Time (GOT IT!) Ph: (02) 9840 4088 Fax: (02) 9840 4090 Marayong Early Childhood Centre Headspace Mount Druitt Cnr Allendale and Wakers Rds, Marayong NSW 2148 Shop 12, Daniel Thomas Plaza NSW Education Program on Female Genital Ph: (02) 9881 8650 6-10 Mount St, Mount Druitt NSW 2770 Mutilation (FGM) Cumberland Hospital east campus Minchinbury Public School Ph: (02) 8887 5600 Fax: (02) 8887 5610 5 Fleet St, Bld 55, North Parramatta NSW 2151 McFarlane Dve, Minchinbury NSW 2770 Hills Mental Health Team Ph: (02) 9840 4182 Fax: (02) 9840 3004 Ph: (02) 9881 1200 The Hills Community Health Centre Pre Trial Diversion Program North Rocks Public School 183 Excelsior Ave, Castle Hill NSW 2154 Cedar Cottage Cnr North Rocks & Barclay Rds, North Rocks Ph: (02) 8853 4500 Fax: (02) 8853 4564 28 Railway Pde, Westmead NSW 2145 NSW 2151 Merrylands Community Extended Hours Ph: (02) 8890 3300 Fax: (02) 9891 1080 Ph: (02) 8853 4500 Merrylands Community Health Centre Old Toongabbie Early Childhood Centre 14 Memorial Ave, Merrylands NSW 2160 Westmead Breast Cancer Institute (BCI) Emma Crescent, Old Toongabbie NSW 2146 Ph: (02) 9682 3133 Fax: (02) 9682 9854 Level 1, Westmead Hospital Cnr Hawkesbury & Darcy Rds, Westmead NSW 2145 Ph: (02) 9682 3133 Parramatta City Mental Health Team Ph: (02) 9845 8888 Fax: (02) 9845 8355 Parramatta North Public School Jeffrey House Albert St, North Parramatta NSW 2151 162 Marsden St, Parramatta NSW 2150 Westmead BCI Treatment & Assessment Clinics Ph: (02) 9682 3133 Ph: (02) 9843 3237 Fax: (02) 9843 3266 Ph: (02) 9845 8888 Fax (02) 9845 8334 Plumpton Public School Prevention Early Intervention Recovery Services Westmead BCI Administration Ph: (02) 9845 6728 Fax: (02) 9845 7246 Bottles Rd, Plumpton NSW 2761 (PEIRS) Ph: (02) 9881 1200 Headspace Parramatta BreastScreen NSW Sydney West clinics Quakers Hill East Public School 2 Wentworth St, Parramatta NSW 2150 Auburn Chase Dve, Acacia Gardens NSW 2763 Ph: 1300 737 616 Fax: (02) 9635 9134 BCI Sunflower Clinic Ph: (02) 9881 8650 PEIRS Recovery Auburn Hospital Outpatients Regents Park Early Childhood Centre 2a Fennell St, Parramatta NSW 2150 Hargrave Rd, Auburn NSW 2144 Amy St, Regents Park NSW 2143 Ph: (02) 9840 3549 Fax: (02) 9840 3554 Ph: 13 20 50 Ph: (02) 8759 4000 Statewide Outreach Perinatal Service Blacktown Riverstone Early Childhood Centre Westmead Hospital BCI Sunflower Clinic Elizabeth St, Riverstone NSW 2765 Cnr Hawkesbury & Darcy Rds, Westmead NSW 2145 Myer Level 2 Lingerie Department Ph: (02) 9881 8650 Ph: (02) 8821 4457 Fax: (02) 8821 4443 Westpoint Shopping Centre Blacktown NSW 2148 Ropes Crossing Community Resource Hub Therapy 4 Kids – Children’s Mental Health Team Ph: 13 20 50 Cnr Pulley Dve and Hollows Pde, Ropes Crossing Auburn Community Health Centre NSW 2760 Norval St, & Hevington Rd, Auburn NSW 2144 Castle Hill Ph: (02) 9881 1200 Ph: (02) 8759 4000 Fax: (02) 8759 4154 BCI Sunflower Clinic Rouse Hill Public School Myer Level 4 Lingerie Department Annangrove Rd, Rouse Hill NSW 2155 Oral Health Services Castle Towers, Castle Hill NSW 2154 Ph: (02) 8853 4500 Blacktown Dental Clinic Ph: 13 20 50 Seven Hills Early Childhood Centre Blacktown Hospital Mount Druitt Boomerang Pl, Seven Hills NSW 2147 Marcel Cres, Blacktown NSW 2148 BCI Sunflower Clinic Ph: 9881 8650 Ph: (02) 9881 8275 Fax: (02) 9881 8981 Mount Druitt Hospital 75 Railway St, Mount Druitt NSW 2770 Sherwood Ridge Public School Mount Druitt Dental Clinic Roseberry Rd, Kellyville NSW 2155 Mount Druitt Hospital Ph: 13 20 50 Ph: (02) 8853 4500 Railway St, Mount Druitt NSW 2770 Parramatta Ph: (02) 9881 1715 Fax: (02) 9881 1527 BCI Sunflower Clinic Tregear Public School Wilkes Cres, Tregear NSW 2770 Westmead Centre for Oral Health Myer Level 2 Lingerie Department Ph: (02) 9881 1200 Darcy Rd, Westmead NSW 2145 Westfield Shoppingtown, Parramatta NSW 2150 Ph: (02) 9845 6766 Fax: (02) 9893 8671 Ph: 13 20 50 Wentworthville Early Childhood Centre Women’s Health at Work (WHAW) Friend Park, 3 McKern St, Wentworthville NSW 2145 Other Services Ph: (02) 9682 3133 Multicultural Health Unit Aboriginal Health Unit Cumberland Hospital east campus Winston Hills Public School Mount Druitt Hospital 5 Fleet St, Bld 55, North Parramatta NSW 2151 Hillcrest Ave, Winston Hills NSW 2153 Entrance via Luxford Rd, Mount Druitt NSW 2770 Ph: (02) 9840 3768 Fax: (02) 9840 4100 Ph: (02) 9682 3133 Ph: (02) 9881 1670 Fax: (02) 9881 1544

*As at 30 June 2014

YEAR IN REVIEW 2013-14 WESTERN SYDNEY LOCAL HEALTH DISTRICT 37 12 Abbreviations and Glossary

BMI Body Mass Index NEAT National Emergency Access Target

CAMHS Child Adolescent Mental Health Services NEST National Elective Surgery Targets

CORE Collaboration Openness Respect NGO Non-government organisation Empowerment (NSW Health’s values) NSW New South Wales CEC Clinical Excellence Commission OOHC Out-of-Home Care CHC Community Health Centre Primary The work of healthcare professionals who CALD Culturally and Linguistically Diverse care act as a first point of consultation for all patients within the healthcare system such as DRGs Diagnosis-Related Groups general practitioners, and nurse practitioners ED Emergency Department RIAS Redbank Integrated Adolescent Service GE Gastroenterology REN Research & Education Network HCIS Health Care Interpreter Service Service The non-admitted definition for occasions HETI Health Education and Training Institute Events of service. Within 24 hours all occasions of HealthOne A NSW Government model that brings services for the patient received from the Commonwealth-funded general practice and same service and establishment type are primary healthcare and State-funded primary rolled into one service event. This is a much and community healthcare services together lower number than 2012-2013 as several occasions of service can make up one service HSFAC Health Services Functional Area Coordinator event. These figures do not include HR Human Resources Westmead Centre for Oral Health. Further breakdown by facility was not available so IT Information Technology a split by hospital was made based on LOS Length of stay previous year’s activity

LLWatS Live Life Well @ School is a joint initiative SMHSOP Specialist Mental Health Services for Older between the NSW Department of Education People and Communities and the NSW Ministry of UWS University of Western Sydney Health that aims to get more students, more active, more often, as well as improving VMOs Visiting medical officers students’ eating habits WSLHD Western Sydney Local Health District LGA Local Government Area WMI Westmead Millennium Institute for Medical LHD Local Health District Research

NAIDOC National Aborigines and Islanders Day Observance Committee

Western Sydney Local Health District

Institute Road Westmead NSW

PO Box 574 Wentworthville NSW 2145

Telephone (02) 9845 9900 Facsimile (02) 9845 9901 www.wslhd.health.nsw.gov.au

YEAR IN REVIEW 2013-14 40 WESTERN SYDNEY LOCAL HEALTH DISTRICT