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Queensland Health About the annual report Providing feedback The annual report provides detailed information about You can provide feedback on the annual report at the the Department of Health’s financial and non-financial Queensland Government Get Involved website at performance for 2018–19. It has been prepared in www.qld.gov.au/annualreportfeedback accordance with the Financial Accountability Act 2009, the Financial and Performance Management Standard 2009, and the annual report requirements for Copyright Queensland Government agencies. © The State of Queensland (Department of Health) 2019 The annual report aligns to the Department of Health Strategic Plan 2016–2020 and the 2018–19 Service Delivery Statements. The report has been prepared for Licence the Minister to submit to Parliament. It has also been prepared to meet the needs of stakeholders, including government agencies, healthcare industry, community groups and staff. The Department of Health is the commonly used term This annual report is licensed by the State of for Queensland Health. Queensland Health is the Queensland (Department of Health) under a Creative legally recognised body responsible for the overall Commons Attribution (CC BY) 4.0 International licence. management of Queensland’s public health system. All references to the Department of Health refer to In essence, you are free to copy, communicate and Queensland Health. adapt this annual report, as long as you attribute the work to the State of Queensland (Department of Health). Interpreter service To view a copy of this licence, visit statement http://creativecommons.org/licenses/by/4.0/ The Queensland Government is committed to providing accessible Attribution services to Queenslanders from all culturally and linguistically diverse Content from this annual report should be attributed backgrounds. If you have difficulty in as: The State of Queensland (Department of Health) understanding the annual report, you annual report 2018–2019. can contact us on (07) 3234 0111 or 13 QGOV (13 74 68) and we will arrange an interpreter to effectively Published by the State of Queensland (Queensland communicate the report to you. Health) 2019. ISSN: 1838–4110 Accessing this report Disclaimer This annual report is available on the Department of Health website at The content presented in this publication is distributed http://www.health.qld.gov.au/research- by the Queensland Government as an information reports/reports/departmental/annual-report in source only. The State of Queensland makes no electronic format or in hard copy on request. statements, representations or warranties about the accuracy, completeness or reliability of any information In lieu of inclusion in the annual report, information contained in this publication. The State of Queensland about consultancies, overseas travel, and the disclaims all responsibility and all liability (including Queensland language services policy is available at without limitation for liability in negligence) for all https://data.qld.gov.au expenses, losses, damages and costs you might incur as a result of the information being inaccurate or incomplete in any way, and for any reason reliance was For further information placed on such information. Contact: Office of the Director-General, Department of Health, GPO Box 48, Brisbane QLD 4001 Email: [email protected] Tel: (07) 3708 5376 Department of Health annual report 2018–19 Page 1 24 September 2019 The Honourable Dr Steven Miles MP Minister for Health and Minister for Ambulance Services Member for Murrumba Level 37, 1 William Street Brisbane QLD 4000 Dear Minister I am pleased to submit for presentation to the Parliament the Annual Report 2018–19 and financial statements for the Department of Health. I certify this annual report complies with: the prescribed requirements of the Financial Accountability Act 2009 and the Financial and Performance Management Standard 2019, and the detailed requirements set out in the Annual report requirements for Queensland Government agencies. A checklist outlining compliance with the annual reporting requirements can be found at page 122 of this annual report. Yours sincerely John Wakefield Director-General Queensland Health Department of Health annual report 2018–19 Page 2 Contents Director-General Foreword 2018–19 5 2018–19: Snapshot of our success 7 Financial highlights 9 How the money was spent 9 Income 9 Expenses 11 Chief Finance Officer assurance statement 12 Our department 13 Our vision 13 Our purpose 13 Our values 13 Our role 13 Our strategic direction 14 Our contribution to government 14 Queensland Public Service Values 14 Our performance 15 Strategic objective 1—Supporting Queenslanders to be healthier 15 Strategic objective 2—Enabling safe, quality services 17 Strategic objective 3—High performance 22 Strategic objective 4—Equitable health outcomes 24 Strategic objective 5—Broad engagement with partners 29 Strategic objective 6—Dynamic policy and planning leadership 31 Strategic objective 7—Engaged and productive workforce 33 Our governance 35 Management and structure 35 Risk management and accountability 54 Human resources 64 Public health report 68 Indigenous health 68 Chronic disease and cancer 71 Environmental health 74 Communicable disease prevention and control 77 Service delivery statements 80 Department of Health 80 Acute inpatient care 82 Outpatient care 84 Emergency care 85 Sub and non-acute care 86 Department of Health annual report 2018–19 Page 3 Mental health and alcohol and other drug services 86 Prevention, primary and community care 88 Ambulance services 93 Appendices 95 Appendix A – Department of Health Organisational Structure 95 Appendix B – Queensland Health (Public Health) Regulatory Performance Report 2018–19 102 Acronyms 111 Glossary 117 Compliance checklist 122 Financial statements 125 Department of Health annual report 2018–19 Page 4 Director-General Foreword 2018–19 As Director-General for Queensland Health, I am pleased to present the Annual Report 2018–19. Queensland Health aims to provide leadership, direction and a collaborative approach to enable the health system to deliver quality services that are safe and responsive for Queenslanders. In support of this, over the past year we have continued to execute significant bodies of work contributing to our vision for healthier Queenslanders. One of our key objectives is promoting and protecting the health of Queenslanders. In 2018–19 we mandated the sale, promotion and advertisement of only healthier drinks in Hospital and Health Services. We also developed suicide prevention strategies and programs to be used in the health service delivery context, including enrolling over 100 school-based youth nurses in suicide risk assessment and management training, and the development of a web-based statewide clinical pathway for the assessment and management of suicide risk in general practices. Another key objective for Queensland Health is improving health outcomes through better access to services for Queenslanders. We dedicated $16 million over two years to expand the scope and reach of the Deadly Choices Healthy Lifestyle Program, which aims to encourage Aboriginal and Torres Strait Islander Queenslanders to make healthy choices, and focuses on good nutrition and risk factors such as physical inactivity, smoking and substance abuse. Our 2018 Closing the Gap report revealed that Queensland now leads the way nationally with the highest life expectancy for Aboriginal and Torres Strait Islander males and females and the lowest life expectancy gaps. We also funded an additional 160 nurse navigator positions to support patients with chronic illnesses navigate the health system and access care appropriate for their needs. Some other highlights for 2018–19 include: establishing Health and Wellbeing Queensland to drive change to help Queenslanders make healthier choices and address high overweight and obesity rates. Health and Wellbeing Queensland will bring together the community, private sector and all levels of government to drive collaboration and change launching the Our Child IT solution, which draws data from government systems to enable rapid information sharing between agencies to assist with locating children in care who are missing. This initiative was in response to the Queensland Family and Child Commission report When a child is missing: Remembering Tiahleigh enhancing our ability to respond in state emergencies by arranging for the Royal Flying Doctor Service to urgently fly-in mental health staff to flood affected areas in north and western Queensland launching a new five-year plan, Shifting Minds: Queensland Mental Health Alcohol and Other Drugs Strategic Plan 2018–2023, for improving the mental health and wellbeing of all Queenslanders. Initiatives like these help us ensure Queensland Health provides a health system that meets the current and future needs of Queenslanders. Department of Health annual report 2018–19 Page 5 Earlier this year, I announced that I will retire from my role as Director-General in September 2019. Working in Queensland Health has been the biggest honour of my career. Fostering a culture in Queensland Health that enables greater support and trust for the wonderful work done across the system is something I am extremely proud of. Above all else, healthcare is delivered by people for people, and it is how we come together to do good things—things that make a material difference to people’s lives—that I am most proud of. I thank our hard-working staff and our
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