Annual Report 2018 –2019
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Annual Report 2018 –2019 health.wa.gov.au contents previous page next page Department of Health Annual Report 2018 –2019 Department of Health 189 Royal Street East Perth, Western Australia 6004 PO Box 8172 Perth Business Centre Perth, Western Australia 6849 Telephone: 08 9222 4222 This annual report provides an overview [email protected] of the Department of Health operations www.health.wa.gov.au for the financial year ended 30 June 2019. i Statement of compliance HON ROGER COOK MLA DEPUTY PREMIER MINISTER FOR HEALTH; MENTAL HEALTH In accordance with section 63 of the Financial Management Act 2006, I hereby submit for your information and presentation to Parliament, the Annual Report of the Department of Health for the financial year ending 30 June 2019. The Report has been prepared in accordance with the provisions of the Financial Management Act 2006. The financial statements comply with Australian Accounting Standards – Reduced Disclosure Requirements issued by the Australian Accounting Standards Board. Dr D J Russell-Weisz DIRECTOR GENERAL DEPARTMENT OF HEALTH 16 September 2019 ii Contents From the Director General v Our governance 18 Our achievements vii Our governance structure 18 Overview of agency 1 Our management and oversight functions 19 Our direction 2 Our internal governance 20 About us 3 Agency performance 23 Our responsible Minister 3 Summary of WA Health financial and service delivery performance 24 Our accountable authority 3 Summary of financial performance 24 Our organisational structure 4 Summary of key performance indicators 25 Our operational structure 6 Summary of patient evaluation of our health services 28 Public and Aboriginal Health Division 6 Significant issues 33 Purchasing and System Performance Division 6 Our challenges 34 Clinical Excellence Division 7 Ensuring statewide community health needs are met 34 Strategy and Governance Division 7 Managing health information and communications technology 36 Our executive team 8 Managing our budget and resources efficiently 36 Our legislative obligations 11 Managing financial and service delivery performance 36 Our partnerships 12 Our case for change 37 Our stories 14 Sustainable Health Review Final Report 37 iii Disclosure and compliance 39 Other legal disclosures 142 Audit opinion 40 Advertising 142 Certification of financial statements 44 Disability and access inclusion plan 143 Financial statements 45 Compliance with public sector standards 143 Special purpose account 114 Freedom of information 144 Certification of key performance indicators 118 Record keeping plans 144 Key performance indicators 119 Substantive equality 145 Key effectiveness indicators 120 Occupational safety, health and injury management 145 Key efficiency indicators 130 Annual estimates 147 Ministerial directives 138 Appendix 149 Summary of board and committee remuneration 138 Appendix 1: Individual board and committee member remuneration 150 Other financial disclosures 139 Pricing policy 139 Capital works 140 Employment profile 140 Industrial relations 141 Workers’ compensation 141 Unauthorised use of purchasing cards 141 iv From the Director General I am pleased to report that there were many The important achievements made across the Sustainable Health Review Department of Health during 2018–19 that will also challenges create lasting benefits for the WA health system us to innovate and the community. for sustainability. As such, laying There were also several major challenges, each providing the groundwork lessons from which we must reflect and learn. for a Future Health Research and Innovation High on our list of achievements was the release in April Fund – a priority 2019 of the Sustainable Health Review, a comprehensive implementation action document that provides us with an ambitious blueprint for and a key State Government reshaping the health system over the next decade. election commitment – kept the It serves as a guide to transforming the system into one that Department busy during 2018–19. is sustainable into the future – changing it from one centred The fund will provide a secure and primarily on hospital-based care to one that prioritises ongoing funding source for the health illness prevention and investment in more readily accessible, community-based services. and medical research sector. While the fund is expected to come into place by July Following its release in April 2019, an implementation 2020, extensive work has been undertaken to support team was formed. This team wasted no time in develop the appropriate legislation, governance setting to work on supporting the reform agenda set and evaluation frameworks. Wide stakeholder out in the Review’s eight Enduring Strategies and engagement was also undertaken to help prioritise 30 Recommendations. Implementation itself will be led by areas for funding. the Department and the Heath Service Providers, along with our key external stakeholders. Key among this consultation was an in-person stakeholder forum and a month-long online survey. The Sustainable Health Review’s fifth enduring strategy calls Feedback from both will inform the Future Health Research on us to drive safety, quality and value through transparent and Innovation Fund Strategy which will guide the allocation funding and planning. The Department has undertaken of funding. work on the non-hospital services model, which provides greater transparency to funding allocations for the non- Through its role in facilitating community consultation ahead hospital services program. The Department also continues of the State Government’s proposed voluntary assisted dying to improve stakeholder engagement with Health Service legislation, the Department also embraced the Sustainable Health Providers and community sector regarding directions and Review’s third enduring strategy: Great beginnings and a dignified expectations of funding allocations. end of life. v Similarly it supported the 13-member Ministerial Expert inquiry into the impact of climate change on health in WA. begun to implement strategies to address the main areas of Panel, chaired by former Governor Malcolm McCusker, The inquiry will investigate the health implications of more concern, as identified in the survey. which was established to report on the issues. frequent and intense weather events and will explore ways of improving the preparedness of the health system and Through 2018–19 the Department also worked hard to In what was one of the largest programs of consultation community to deal with such impacts. minimise the spread of infectious disease in the community. ever undertaken by the Department, members of the public Work commenced on the introduction of a “no jab, no play” were given the opportunity to contribute their views via a The inquiry will also consider options for reducing the health policy, a measure expected to enhance vaccination rates for dedicated online portal or at one of 11 public forums held in system’s environmental footprint. metropolitan and regional centres throughout the State. young children. Under new regulations, which will come into Last year also saw the release of a significant Corruption effect next year, young children will be excluded from non- More than 1,400 Western Australians participated in the and Crime Commission report that detailed allegations of compulsory education if they are not fully up to date with consultation – 867 in person and 541 through written serious corruption in a section of the health system. their vaccinations and do not meet exemption criteria. submissions – contributing to a report of the Ministerial panel which will be used to inform development of It was extraordinarily disappointing that the misconduct of While working on this important policy change, the workable legislation. a small few tarnished the reputation of our organisation and Department’s Communicable Disease Control Directorate overshadowed the work of the vast majority of honest and was also stretched as it dealt with the unseasonably early Alongside the voluntary assisted dying legislation, equal highly dedicated staff members. start to the influenza season. On top of its regular business focus has been placed on better resourcing our palliative of managing vaccine supplies, arranging staff immunisation care sector. An additional $35.2 million was announced in It did however highlight the importance of being vigilant to clinics, monitoring trends in infection and providing public 2018–19 primarily in rural and regional areas to significantly wrongdoing and much has been done since to strengthen health direction and advice it also contended with relentless enhance this critical part of health care delivery. safeguards to protect the integrity of our health system, in media interest in the outbreak. the fields of education, prevention and detection. Two further reform priorities were also put into the spotlight Another significant staff development in 2018–19 was the after stakeholder consultations into mental health and This has included the development of a systemwide Integrity relocation of public health staff based at Grace Vaughan House climate change were announced. Policy Framework and Fraud and Corruption Policy and the in Shenton Park to the Department’s head office in Royal Street establishment of online Gift Declaration and Conflict of East Perth. This will lead to stronger working relationships The Review of the Clinical Governance of Public Mental Interest Declaration registries. between the public health team and other divisions. Health