Directions for your health system Metropolitan Health Strategy
www.health.vic.gov.au/metrohealthstrategy A responsible approach to health care
The Directions for your health system – Metropolitan Health Strategy recognises and responds to the changing trends in health services delivery and the key challenges facing the public health system. By building on the many strengths of the past, the strategy secures a future in which your health services will continue to respond to the advances in health care and deliv- er the best possible care. The aim is to ensure that quality health services are available to everyone — where and how they are needed. The strategy is a responsive and responsible approach to the complex issues impact- ing on our health system. It complements a number of existing documents including the Hospital Demand Management Strategy and its key initiatives and community health directions. We are confident that this framework will ensure that Victorians continue to receive world-class health care.
Hon Bronwyn Pike MP Gavin Jennings MLC Minister for Health Minister for Aged Care Metropolitan Health Strategy 1
Challenges to the system
The public health system continues Emerging technology Making the most of services to face some significant challenges in New and sophisticated technology, better Improved technology means more relation to the changing needs of the ways to deliver care and changing clinical treatment options and, as a community, emerging technology and practices impact on where and how consequence, increased costs to our getting the most out of the delivery of services are delivered. health system. services. To ensure that the system continues to In responding to these issues we are not Their impact on the way the system provide high quality services to those alone. Many of them are also being faced operates is demonstrated by: who need them, it is important that the by other health systems around •increasing specialisation of hospitals best possible value is derived from the the world. •a capacity to deliver many services system. without requiring hospital admission Increasing demands The strategy makes sure that we will •technological innovations such have a health care system that continues Increasing demands on the system as improved anaesthesia, to be both responsive and responsible. can be attributed to: pharmaceuticals and genetic •Melbourne’s overall population growth treatments • an increase in the percentage of older • new clinical practices providing new people treatment for people who, in the past, •the availability of more treatment options may not have been able to be treated at all •higher community expectations of, and interest in, health services. • new ways of treating chronically ill patients •increasing emphasis on prevention strategies. 2 Directions for your health system
Population growth by LGA 2000-01 to 2011-12 42,000 to 58,000 20,000 to 42,000 5,000 to 20,000 0 to 5,000 -3,000 to 0
Data source: Department of Infrastructure Metropolitan Health Strategy 3
Addressing the issues
Based on its practical planning guidelines, 3.Providing practical and beneficial 4.Developing new ways of the strategy details four ways in which alternatives to hospital admission. providing care. the public health system can deliver With advancing technology and The future demand for health services better services. changing clinical practice, many will also be met by continuing to services can now be provided without develop new approaches to the 1. Increasing the ability of the system the patient having to be admitted to delivery of health care services. The to meet growing patient needs. hospital for an overnight or longer stay. strategy identifies enhanced models Additional hospital capacity to meet This is beneficial to the patient as of care in the key areas of paediatric, growing demand has been planned treatment is quicker and there is less mental health and cancer services particularly in outer suburban areas. disruption to normal life. The system and services for older people. also benefits from the more efficient 2. Making the most of existing These models of care will mean that: facilities. delivery of services. •a strong person-centred approach to The strategy provides a sound The strategy builds on existing facilities the provision of care will be adopted by improving their design and function framework for the delivery of services and encouraging flexibility in service within the community and home •the complexity of older people’s care provision at each hospital to better environments. needs is better understood meet changing demands. •there will be better links between community-based programs and ongoing support services. 4 Directions for your health system
What the system will look like
The strategy is an important step in building a better public health system. It is a carefully planned approach, which presents a clear picture of what you can expect from your health system over the next five to ten years. State of the art hospital facilities are already being located where they are needed most; super clinics will build on existing community-based health care services; services will be tailored to better meet the needs of older people; and there will be a more integrated approach to the delivery of paediatric, mental health and cancer services. Metropolitan Health Strategy 5
Key facts
More hospital improvements Recent achievements: Metropolitan Health Strategy To date, our public hospitals have been •A 56 per cent reduction in projects include: the lynchpin of the public health system. ambulance bypass. •upgrades of Northern, Maroondah The strategy identifies the system • An 84 per cent increase in and Dandenong Hospitals changes needed to achieve further emergency patient admissions • completion of the new Casey improvement in the delivery of health within 12 hours. Hospital in Berwick services by public hospitals. •4,000 more nurses employed. •a new elective surgery centre This will ensure that hospital services, •A reduction from 50 to 40 average at the Alfred Hospital including elective and emergency care, bed days per patient for patients •a new 60-bed Knox Hospital are available when and where they are waiting for residential care. focusing on the provision of needed. specialist aged care and The strategy also continues the ongoing rehabilitation services commitment to the recruitment of • upgrade of Monash Medical Centre trained professionals including nurses to (Moorabbin) including an elective ensure that services are delivered safely surgery service and efficiently. • upgrade of Werribee Mercy Hospital including the emergency department • upgrade of the emergency department at Monash Medical Centre (Clayton) •a new 20-bed facility for acute respite and long term accommodation for ventilator dependant people. 6 Directions for your health system
Increases in same-day Health precincts Super clinics treatments Health precincts will bring together, Super clinics will be conveniently located The strategy recognises that the future of in the one area, a range of health and one stop shops capable of delivering our health system lies in creating the health related services to create a specialised treatment services, which right balance between services requiring community hub for service delivery. were previously only available on hospital hospital admission and those which do The range of services available will be sites. These clinics will form part of the not. This is the best outcome for patients flexible, reflecting the needs of local health precincts. and also for the health system. communities. Examples of services Super clinics will have flexible operating The move to providing patient care to be provided include: times and use the most modern outside of hospitals into the community •community health services equipment and procedures available. and home, when appropriate, is already •aged care and disability services well advanced. Ten years ago, only 34 per cent of patients were treated with same- •ambulance services day services; now the figure is around 55 •dental services per cent. •diagnostic services The strategy confirms that while some •GPservices same-day treatment services are best •rehabilitation services provided on hospital sites, others can be delivered away from hospitals in more •women’s health services convenient, patient-friendly facilities. • children’s health services • outpatient clinics •mental health. Metropolitan Health Strategy 7
Key facts
Forecast growth in same-day and multi-day admissions Recent achievements: 700,000 •An increase over ten years of
600,000 patients treated with same-day services from 500,000 34 per cent to 55 per cent. 400,000
300,000 Metropolitan Health Strategy projects:
Admissions 200,000 •Creation of health precincts across 100,000 Melbourne with the planning based 0 on existing Primary Care 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Partnership arrangements. Year Same-day •Initial establishment of super clinics at Lilydale, Melton and Craigieburn. Multi-day The forecast rapid growth in same-day hospital admissions requires us to find new ways of delivering these services to the community. 8 Directions for your health system Metropolitan Health Strategy 9
Key facts
Linking with community Recent achievements: health •Opening of new community health services including community dental clinics, Community health services are an in Sunbury, Preston, Werribee/Wyndham, Knox, Box Hill/Whitehorse essential element of the proposed health •Opening of a new community dental clinic at Brimbank (ISIS Community Health) precincts – a focal point for the delivery •Nearly 10 per cent increase in services, representing an additional 35,000 hours, of a wide range of localised health delivered by community health services in the last two years in metropolitan services. Community health services Melbourne. provide a strong local link to health prevention and activities. Metropolitan Health Strategy projects: There are 27 community health services •New community health services incorporating community dental clinics to be delivering services from approximately built including Banyule (Heidelberg), Doutta Galla (Niddrie), Inner South (South 100 sites in the Melbourne metropolitan Melbourne), Plenty Valley, and Ashburton area. Fourteen of the 27 community •A new ten-chair dental clinic to be built at Whitehorse (Box Hill) health services also have a general practice service. •More community health services to operate general practices This infrastructure will make a significant •A new counselling and support centre in Brunswick for the Victorian Foundation contribution to the proposed linking of forthe Survivors of Torture and Trauma. health care services in a community setting. 10 Directions for your health system
Focus on specialist services Cancer services Mental health services Cancer, mental health and paediatric The strategy recommends the The strategy builds on earlier policy reform by services have been identified as three establishment of a number of addressing the increasing level and changing of the key focal points of our public geographically-based Integrated Cancer nature of the demand for mental health care. health system. Services (ICS) in metropolitan and This will involve: regional Victoria. •more intensive adult and aged community Each ICS will comprise hospitals and services to substitute for, and divert from, associated health services delivering inpatient services services for people with all kinds of •more integrated care for people with cancers in a specific geographic area. co-existing substance abuse This initiative will address the need for: •improved early intervention and prevention •integrated care to provide the best focusing on children and young people. possible care for patients Paediatric services • better access for patients and their carers and families The strategy recommends a greater focus on delivering a wide range of services for children •enhanced quality and safe services. and adolescents in non-hospital and community settings. This new approach takes into account the need to manage long-term chronic conditions experienced by some children and adolescents and the need to address the increasing frequency of developmental, behavioural and psychosocial issues experienced by many young people. Metropolitan Health Strategy 11
Key facts
Recent achievements: Metropolitan Health Strategy •Funding provided to upgrade and projects: expand radiotherapy equipment •Upgrading of radiotherapy at Monash Medical Centre equipment at Peter MacCallum (Moorabbin), The Alfred and Austin Cancer Centre. Hospitals. •Piloting of new and extension of •An increase in support for current models of mental health community-based mental health service delivery in areas such as services through initiatives such intensive aged services, sub-acute as the opening of extra inpatient services and conduct disorder acute beds and better housing programs for primary school support services. children. •New specialist psychiatric mother •Development of community-based baby unit at the Werribee Mercy health services for children within Hospital. health precincts. 12 Directions for your health system
Tailored for older people The strategy addresses this demand Centres Promoting Health by creating a framework, which will: Independence Older people with complex care • build better linked services requirements must be provided with the The strategy recommends the kind of care that is suited to their •make the most of the professional establishment of these centres to assist individual needs. expertise located in the specialist in the maintenance of independence and hospital system the provision of ongoing support in the •draw on the support of the primary and home. The centres will play an important community care system. role in the prevention, treatment and management of disabling conditions and Some of the key initiatives include the prevention of unnecessary developing a new approach to the admissions to hospital. complex assessments of patients, the maintenance of independence and the A Pathways Home package is being provision of non-acute services. provided by the Commonwealth Government to provide a greater focus on rehabilitation services to support people, particularly older people, to return home in a timely and appropriate manner following a hospital admission. Pathways Home funding will initially be allocated to facilitate the refocusing of extended care centres and some major sub-acute facilities as Centres Promoting Health Independence. Metropolitan Health Strategy 13
Key facts
Recent achievements: •Opening of a new community Metropolitan Health Strategy •Opening of new falls and mobility rehabilitation centre in Northcote projects: clinics at Caulfield General Medical • Expansion of home-based • ensure hospital settings will better Centre, Kingston Centre, Mt Eliza rehabilitation services address the issues relating to the Centre and Sunshine Hospital. care of older people • Expansion of continence clinics • Expansion of community and cognitive dementia and memory • strengthening and refocusing rehabilitation centres enabling services of existing facilities into Centres services to be delivered five days Promoting Health Independence. • Expansion of inpatient rehabilitation per week services at Angliss Hospital.
Percentage of metropolitan population and public hospital activity by age 100% 90% 80% 70% 60% 50% 40% 30% 20% 0 – 69 years of age Despite representing only 9 per cent of the population, 10% people aged 70+ account for 27 per cent of hospital 0% 70+ years of age admissions and 42 per cent of hospital bed days. 14 Directions for your health system
Meeting the challenge
A message from the metropolitan health services’ chairpersons Our shared challenge is how best • partner effectively with other health The Metropolitan Health Strategy to meet future demand for health service providers to ensure continuity provides a clear and coherent framework services including ambulance services— of care to assist us to plan effectively to meet services that are safe and of high quality, • engage our communities in the the needs of our communities. We responsive to individual needs, timely and planning and development of services welcome it and look forward to working efficient, and underpinned by excellence so that we can best meet their needs in partnership with Government, the in teaching and research. We must: Department of Human Services and • continue to search for ways to improve each other to improve our health system. • facilitate best health outcomes in the our health system and implement Our next challenge is to translate the least intrusive manner these. key directions into more detailed • promote safe clinical practice and strategic plans. effective health service organisation
Mr Tim Daly Professor Stephen Duckett Ms Helen O'Kane (National Board Chair) Ms Jay Bonnington Austin Health Bayside Health Calvary Health Care Bethlehem Dental Health Services Victoria Metropolitan Ambulance Service
Mr Alister Maitland Professor David Karpin Mr Barry O'Callaghan Ms Anne-Marie Corboy Eastern Health Melbourne Health Mercy Health & Aged Care Group Northern Health
Mr Barry Nicholls Dr Heather Wellington Professor Graeme Ryan AC Ms Brenda Shanahan Peninsula Health Peter MacCallum Cancer Centre Royal Victorian Eye & Ear Hospital St Vincent's Health
Mr Peter Maloney Ms Rennis Witham Ms Kerrie Cross Southern Health Western Health Women's & Children's Health Metropolitan Health Strategy 15
How the strategy will benefit your local area
The Metropolitan Health Strategy is a framework for future action. It builds on a range of initiatives, many of which have already been funded or are in the process of implementation. The following project commitments and recommendations will commence or be completed in the next 1–3 years.
All areas
Service Details
Development of health precincts Identification of locations and opportunities to bring together, in each area, a range of health and health related services to create a community hub for service delivery.
Infrastructure renewal Continuation of the Renewal and Replacement Program for health service facilities. The program will replace or renew building and engineering components and systems. ($16 million in 2003–04)
Medical equipment Upgrade and replacement of medical equipment in health care facilities across the sector. ($50 million over two years)
Health Information and Communication Integrated approach to the implementation and ongoing support of health information systems, Technology Strategy business applications and their underpinning. ($138.5 million)
Electronic prescribing in Victorian hospitals Establish Australia’s first electronic prescribing program in key Victorian hospitals. The program will assist clinicians with inpatient care by providing timely alerts for prescriptions and eliminating handwriting errors. ($21 million) 16 Directions for your health system
Melbourne Extended Care & Rehabilitation Service
Yarra Royal Children's Hospital
Royal Women's Hospital Dental Health Services Royal Melbourne Hospital
St Vincent's Hospital Royal Eye & Ear Hospital Peter MacCallum Cancer Centre
Melbourne
Stonnington
The Alfred Port Phillip
Legend:
Community health centres Public hospitals Super clinics Metropolitan Health Strategy 17
Inner City
Service Details
Alfred Hospital Establish The Alfred Centre (Centre for Elective Surgery) to provide short stay procedural care. ($60 million) Radiotherapy machine replacement: two linear accelerators and one CT simulator. ($9 million)
Inner South Community Health Service Four new dental chairs at the Inner South Community Health Service located in South Melbourne. ($0.4 million)
Melbourne Extended Care Refocus as a Centre Promoting Health Independence to improve health care of the elderly and Rehabilitation Service and people with a disabling condition.
PeterMacCallum Cancer Centre Explore options for the longer-term collocation of the Peter MacCallum Cancer Centre with a general tertiary hospital. Radiotherapy machine replacement: Two Linear accelerators and one CT stimulator. ($9 million)
Port Phillip Community Rehabilitation Centre The proposed redevelopment will include construction of a new facility for the Port Phillip Community Rehabilitation Centre.
Royal Children’s Hospital Undertake detailed planning for a major redevelopment to maintain facilities at world class standard. ($2 million)
Royal Dental Hospital New facility opened 2003. Continue to develop as a centre of excellence for the provision of specialist dental services and clinical education.
Royal Melbourne Hospital Complete current stage 3 redevelopment project including helipad. Continue role as a major tertiary hospital, including cancer services.
Royal Victorian Eye & Ear Hospital Explore options for the longer-term collocation of the Royal Victorian Eye & Ear Hospital with a general tertiary hospital.
Royal Women’s Hospital Rebuild the Royal Women’s Hospital adjacent to the Royal Melbourne Hospital in the Parkville Precinct. ($190 million)
St Vincent’s Hospital Rebuild Depaul House in Fitzroy, a 12-bed residential drug treatment service including an assessment centre, counselling services and facilities for education and training. ($2.5 million)
Mental health services Undertake detailed planning for the Poplar Road site in Parkville to establish the future of the site forcomplementary purposes,including the ORYGEN Research Centre and services for complex clients from a range of departmental programs. 18 Directions for your health system
Healesville & District Hospital
Yarra Ranges Manningham Lilydale Super Clinic Maroondah Royal Talbot Rehablilitation Centre Caritas Christi St George's HS Maroondah Hospital Box Hill Hospital O'Connell Family Centre (Grey Sisters) Inc. Whitehorse Boroondara Whitehorse Knox Sub-acute The Peter James Centre Stonnington
Monash Knox Angliss Hospital MMC Clayton
Legend:
Community health centres Public hospitals Super clinics Metropolitan Health Strategy 19
Eastern area
Service Details
Ambulance services A new ambulance station to be opened in the Tooronga/Burwood area.
Angliss Hospital The first part of the Angliss redevelopment will be completed in late 2003 and will provide a new rehabilitation ward, additional car parking and infrastructure upgrades. The next stage will deliver an expanded emergency department with short stay area, plus a new high dependency care area by late 2004.
Box Hill Hospital Funding has been allocated for the planning and design of a major redevelopment of Box Hill Hospital. The redevelopment will enable the hospital to meet projected future service requirements. It will improve the capacity of Box Hill Hospital to manage demand for elective surgery access as well as meet emergency demand. ($2 million)
Craig Family Centre–Inner East An additional four dental chairs will improve access to, and reduce waiting list for, public dental health Community Health Centre in Ashburton services in the local community of Ashburton. ($0.9 million)
Healesville & District Hospital Undertake service planning for the Healesville & District Hospital to ensure appropriate services for the local community.
Knox Sub-acute facility A new 60-bed facility specialising in rehabilitation, day medical and aged care services. ($30 million)
Lilydale Super Clinic New service providing community-based health services that will provide specialist coordinated care and support for medical patients. The super clinic will respond to patients multiple care needs in one place. ($40 million includes Melton and Craigieburn)
Maroondah Hospital Complete the redevelopment and expansion of the emergency department, the collocation of the short stay unit and a 32-bed inpatient ward. The next stage will expand the medical imaging department and upgrade the lifts and service infrastructure. ($10 million)
Peter James Centre Develop the Peter James Centre as a Centre Promoting Health Independence to improve health care of the elderly and people with a disabling condition.
St George’s Hospital Refocus as a Centre Promoting Health Independence to improve health care of the elderly and people with a disabling condition.
Whitehorse Community Health Service Whitehorse Community Health Service is relocating to new premises at Box Hill. At the new premises ten dental chairs will be provided. ($1 million)
Mental health services Develop and implement an Eastern Health Mental Health Service Plan.
Palliative care Develop a regional approach to palliative care service provision in conjunction with Eastern Palliative Care, St Vincent’s Health and Eastern Health. 20 Directions for your health system
Whittlesea
Hume Craigieburn Super Clinic Nillumbik
The Northern Hospital
Broadmeadows Health Service
Bundoora Extended Care Centre Moreland Darebin Banyule
Heidelberg Repatriation Hospital Austin Hospital Mercy Hospital for Women
Legend:
Community health centres Public hospitals Super clinics Metropolitan Health Strategy 21
Northern Area
Service Details
Ambulance services An additional crew at Broadmeadows to trial the ‘super station’ concept. A new ambulance station to be opened in the Reservoir/Bundoora area.
Austin Hospital Complete the redevelopment of the Austin Hospital including a new clinical block and refurbishment of existing buildings, and redevelopment and expansion of mental health precinct ($376 million including relocation of Mercy Hospital for Women).
Banyule Community Health Service Redevelopment of the community health service including expanded dental clinic on the existing site in West Heidelberg. ($11million)
Bouverie Centre Plan for the relocation of the Bouverie Centre providing specialist mental health services for children and families.
Broadmeadows Health Service Increase the use of day surgery overall to treat elective surgery patients. Refocus sub-acute services into a Centre Promoting Health Independence.
Bundoora Extended Care Centre Refocus as a Centre Promoting Health Independence to improve health care of the elderly and people with a disabling condition.
Craigieburn Super Clinic A new service providing community-based health services that will provide specialist coordinated care and support for medical patients. The super clinic will respond to patients multiple care needs in one place. ($40 million includes Melton and Lilydale)
Heidelberg Repatriation Hospital Consolidate services on the southern part of the site. Radiotherapy machine replacement – one CT simulator. ($1 million)
Mercy Hospital for Women Complete the rebuilding and relocation of the Mercy Hospital for Women to a new site in Heidelberg by 2005.
Northern Hospital The next stage will establish an additional 64 bed inpatient unit and an infrastructure upgrade. ($23 million)
Plenty Valley Community Health Centre Plan for the extension to and refurbishment of existing Plenty Valley Community Health Service.
Victorian Foundation for the Survivors A new counselling and support centre for the Victorian Foundation for the Survivors of Torture and Trauma Torture and of Trauma to be located in Brunswick. ($5 million)
Victorian Respiratory Support Service Relocation of accommodation and respite services for long-term ventilator dependent patients from the Austin hospital campus to a new 20-bed purpose built facility. ($6.5 million) 22 Directions for your health system
Glen Eira Caulfield General Medical Centre Bethlehem Hospital Inc.
Bayside MMC Moorabbin Hampton Rehabilitation Hospital
Kingston Centre Sandringham & District Hospital Queen Elizabeth Centre Dandenong Hospital Kingston
Greater Dandenong Cardinia Casey Hospital Cardinia Casey
Cranbourne Integrated Care Centre
Frankston Frankston Hospital Mt Eliza Aged Care, Rehabilitation & Palliative
Mornington Peninsula Sub-acute service
Mornington Peninsula
Rosebud Hospital
Legend:
Community health centres Public hospitals Super clinics Metropolitan Health Strategy 23
Southern area
Service Details
Ambulance services New ambulance stations will be opened in the South Melbourne and Brighton/Bentleigh areas.
Calvary Health Care Bethlehem Undertake feasibility planning for the possible relocation to the Caulfield General Medical Centre.
Casey Hospital The new Casey Hospital at Berwick is a 229 bed public community hospital providing inpatient medical, surgical and obstetric services, ambulatory care and emergency care, mental health, sub-acute and palliative care services to its local community. Opening 2004. ($80 million)
Caulfield General Medical Centre Refocus Caulfield General Medical Centre as a key Centre Promoting Health Independence to improve health care of the elderly and people with a disabling condition.
Cranbourne Integrated Care Centre Increase the use of day surgery overall to treat elective surgery patients.
Dandenong Hospital Continue the redevelopment and expansion of acute facilities at the Dandenong Hospital – 64 acute beds, a new 20-bed rehabilitation ward and expansion and upgrade of theatres. ($24 million)
Kingston Centre Refocus service as a Centre Promoting Health Independence to improve health care of the elderly and people with a disabling condition.
Kooweerup Regional Health Service Undertake service planning for the Kooweerup Regional Health Service to ensure appropriate services for the local community.
Monash Medical Centre (Moorabbin) Establish a new elective surgery service; provide a new operating theatre to replace an existing facility, double the capital of the High Dependency Unit to accommodate four beds and improve facilities for the management of day cases. Radiotherapy: two additional radiotherapy bunkers with one bunker to be fitted out with a linear accelerator. ($19 million)
Monash Medical Centre (Clayton) Reconfiguration and upgrade of emergency department facilities including a dedicated area for children, improved waiting areas and establishment of a short stay unit of eight beds. ($10 million)
Mornington Peninsula sub-acute service A new 60-bed rehabilitation and aged care centre at Mornington, which will include services, relocated from Mt Eliza. ($20 million) Develop a Centre Promoting Health Independence.
Sandringham and District Memorial Hospital Expand role in delivering services to the local community, including elective surgery.
Mental health services Develop and implement a Southern Health mental health service plan. 24 Directions for your health system
Melton Super Clinic Melton
Brimbank Moonee Valley
Sunshine Hospital
Western Hospital Tweddle Child & Family Health Centre Maribyrnong
Hobsons Bay Wyndham Williamstown Hospital
Mercy Werribee
Legend:
Community health centres Public hospitals Super clinics Metropolitan Health Strategy 25
Western area
Service Details
Ambulance services A new ambulance service will be opened in Keilor Downs.
Djerriwarrh Health Service Undertake service planning for the Djerriwarrh Health Service to ensure appropriate services for the local community.
Doutta Galla Community Health Service Redevelopment and expansion of the existing community health service including a six chair dental clinic in Niddrie. ($2 million)
Mental Health Service for Kids and Youth The Stage 2 development in Footscray will accommodate education, day programs, clinical support, case management and clinical research services. ($7 million)
Melton Super Clinic A new service providing community-based health services that will provide specialist coordinated care and support for medical patients. The super clinic will respond to patients multiple care needs in one place. ($40 million includes Lilydale and Craigieburn)
Sunshine Hospital Develop detailed service and master plans to ensure the services meet the needs of the growing populations in the west of Melbourne. Refocus sub-acute services into a Centre Promoting Health Independence.
Werribee Mercy Hospital Upgrade of the hospital including expansion of the emergency department and operating suite, a new 4-bed High Dependency Unit and a purpose built 12-bed palliative care unit. ($10 million)
Western Hospital Develop detailed service and master plans to ensure the services meet the needs of the growing populations in the west of Melbourne.
Williamstown Hospital Develop detailed service and master plans to ensure that services meet the needs of the growing populations in the west of Melbourne. Published by the Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services, October 2003 © Copyright State of Victoria 2003 This publication is copyright, no part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. Authorised by the Victorian State Government, 555 Collins Street, Melbourne. Printed by Print Bound 8 Apollo Court, Blackburn