A promise delivered.

2019/20 Annual Report Royal Flying Doctor Service Central Operations In times of change and uncertainty, the power of keeping a promise becomes more important than ever. Your Flying Doctor has confronted the challenges of the present with confidence and compassion, while remaining steadfast in our vision for the future. In 2019/20, we have been proud to deliver on our promise of the finest care to the furthest corner, serving our community at a time when they need us the most. A promise delivered.

9,053 75 10,425 1,111 647 6,268 948 106 Patients transported Patients transported Face-to-face Face-to-face Face-to-face Digital health Immunisations Patients supported by aeromedical by road ambulance primary health mental health oral health consultations administered at by Aboriginal Health aircraft consultations consultations consultations remote clinics Coordinator

OUR COVER: Mental Health Clinician Niamh Gallagher and General Practice Nurse Abbe Rejack check the blood pressure of a station worker at Mobella Station, outback SA. Flight Nurse Jasmin Poole dons full PPE for a COVID-19 transfer at Adelaide Base.

2 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 3 OUR STORY >

The Royal Flying Doctor Service of Australia (RFDS) has been saving lives in rural and remote Australia for more than 90 years.

Using the latest in aviation, medical and communications technology, the RFDS delivers emergency aeromedical and essential primary health care services to people who live, work and travel throughout Australia, every day (and night) of the year. Established in 1928 by the Reverend John Flynn, the RFDS has grown to become the world’s largest and most comprehensive aeromedical organisation. Nationally, its vital services are delivered via a fleet of 77 aircraft, through the operation of 23 aeromedical bases and five remote primary health facilities across the country. Today the RFDS delivers more than 370,000 episodes of care across Australia every year – equivalent to someone every two minutes. Services are delivered on a day-to-day basis by six RFDS operating sections – Central Operations, Queensland Section, South Eastern Section, Tasmania Section, Victoria Section and Western Operations. RFDS Central Operations began in 1939 and delivers 24/7 emergency aeromedical and essential primary health care services throughout South Australia and the Northern Territory. It operates four aeromedical bases in Adelaide, Alice Springs, Darwin and Port Augusta, as well as three remote primary health care facilities in Andamooka, Marla and Marree in outback South Australia. The RFDS is a not-for-profit organisation. While supported by Commonwealth, State and Territory governments, the RFDS depends on bequests, fundraising and donations to bridge the gap in operational funding and to finance its capital-raising program for the replacement of aircraft, medical equipment and other major capital initiatives. Acknowledgement > Our Patrons > The RFDS acknowledges His Excellency Our Vision > Our Mission > Our Promise > the Traditional Owners of the Honourable country throughout Australia Hieu Van Le AC, A mantle of health care Providing excellence in The furthest corner. and recognises their continuing Governor of services for improving aeromedical and primary The finest care. connection to land, waters South Australia and saving lives in rural, health care across and community. We pay our Her Honour remote and regional South Australia and respects to them and their the Honourable South Australia and the the Northern Territory. cultures and to elders past, Vicki O’Halloran AO, Northern Territory. present and emerging. Administrator of the Northern Territory

Patients attend the Oodnadatta Health Service for annual flu vaccinations administered by the RFDS.

4 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 5 HIGHLIGHTS 2019/20 >

Improved blood glucose levels of Winner of Diabetes patients 2019 SA Health South Australia’s managed remotely Darwin Tourist Facility Supplier Award first regional Patient during COVID-19 wins NT Brolga Award for Transfer Facility opened lockdown Best Visitor Experience in Mount Gambier

Finalist in the 2019 SafeWork $2 million South Australia donation from the Awards Rinehart Medical Foundation to ensure response-readiness for COVID-19

$12.54 million RFDS Medi-Jet 24 generated from slashes mission times fundraising & by one hour over first bequests year of service

Doubled digital mental health consultations Expansion of oral health care services in the Northern Territory

4 4 8 10 12 14 16 38 40 42 44 50 52 54 Our Story Our Vision, Chairman’s Chief Our Services Our Our Our Footprint Our Activity Our Board & Our People Our Our Financial Mission, Report Executive’s Locations COVID-19 2019/20 2019/20 Management Community Corporate Reports Promise Report Response Partners Partners

6 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 7 CHAIRMAN’S REPORT >

“We are truly privileged to have the trust of the community in times of crisis and in times of good health.”

In a year in which our This focus, however, did not compromise Our partnerships with State, Territory Federation) for the purchase of In 2019/20, our capital investment As an organisation, we are truly the sustained delivery of vital emergency and Commonwealth Governments additional life-saving equipment across included: privileged to have the trust of the approach to service and primary health services relied upon strengthened and expanded as we all sites including ventilators, heart community in times of crisis and › acquisition of ‘Hotel’ (VH-FNH), a delivery changed by our remote and rural communities. worked together to deliver above and monitors, ventilators, iSTAT machines, $7 million new medically-equipped in times of good health. In many respects, the pressing need beyond in the rapidly-evolving IV infusion pumps, Automated External Pilatus PC-12 aircraft to replace an Finally, I would also like to take this irrevocably, the Flying COVID-19 environment. Defibrillators, and telehealth hubs. Doctor’s promise to to deliver on our core promise inspired older aircraft in the fleet; opportunity to thank the RFDS Central new thinking and new outcomes, In addition to regular aeromedical This investment has also provided › redevelopment of Marree Remote Operations workforce for honouring provide the finest care opening the door for permanent retrievals and primary health delivery, seed funding for development of a Area Clinic into a state-of-the-art our collective promise to the community to the furthest corner enhancements to our model of care. our teams assisted our funding partners national RFDS Electronic Health health precinct in response to and delivering on this promise in all The results have been far-reaching. with vaccination programs in locked- Record – another technological the region’s increase in tourist that you do. has continued to be down communities, air freight of urgent innovation that will well and truly numbers; and Digital health consults doubled in the pathology tests, as well as the transport bridge the tyranny of distance › investment in the RFDS Mount delivered. latter half of 2019/20 as our teams of medical specialists to country and between patient and health provider. Gambier Patient Transfer Facility, sought non-traditional channels to cross-border hospitals when commercial We thank and acknowledge the selfless the first of its kind in regional South As the COVID-19 pandemic ground the connect with isolated communities. flights were unavailable. world to a halt in early 2020, RFDS support of our 24 Auxiliaries and Australia designed to improve Our expanded mental health team Central Operations reliably delivered its Our endeavours to respond whenever Support Groups, community fundraisers, response times and enhance delivered interventional care through to signature patient-centred care – and and wherever required was met individual donors and our dedicated comfort and care for patients. social support events hosted via Facebook much more – right through the central favourably by others, at all levels. corporate partners – all of whom and ZOOM videoconferencing. Outback I have been privileged to serve as corridor of Australia. assisted our marketing and fundraising venues such as the Glendambo Hotel At a national level, the Commonwealth Chairman since April 2020 and I wish Government matched the additional team to generate $12.54 million in to acknowledge Loretta Reynolds’ This was achieved in spite of myriad in SA’s Far North helped the Flying fundraising and bequests in 2019/20. challenges presented for cross-border Doctor undertake socially-distanced financial demands of resourcing the significant contribution to this role over travel, community access and social wellbeing sessions on large screens for COVID-19 response with a $2.7 million These funds underpin the essential the past three years. Loretta continues contact. older residents. contribution (to 30 June 2021) as part work of the Flying Doctor – firstly, in to serve the Board in the capacity of of its national support package to the meeting the shortfall in our operational Deputy Chairman and as our delegate As the first aeromedical organisation to In primary health, our team combined RFDS Federation. deficit and secondly, in the ongoing on the RFDS Federation Board. manage a COVID-19 case on Australian telephone and videoconference calls investment in our capital asset program. soil, our team invested significant with SMS alerts to keep patients on Mrs Gina Rinehart and the Rinehart I would also like to highlight the Peter de Cure energy and expertise in establishing a track with at-home chronic disease Medical Foundation supported our Our long-term development of assets tireless contribution of retiring Directors Chairman swift and best-practice clinical and management during community COVID-19 surge capability through the that are purpose-built for enhanced Paul Prestwich OAM and Dr Ian Gould operational response to the crisis. lock-down periods. This method, over generous provision of $2 million in patient care ensures we can consistently AM who, with over four decades of funds directly to RFDS Central deliver the finest possible treatment, as volunteer service between them, have In the space of five months, our a four-week period, delivered a 7.5% improvement in blood glucose levels for Operations ($6 million across the well as demonstrate value and flexibility and will always be true friends of the aeromedical teams airlifted 69 for our service delivery partners. Flying Doctor. confirmed or suspected COVID-19 patients living with Type 2 Diabetes. patients in South Australia and the The digitisation of clinical information Northern Territory. accelerated, providing greater access for our clinicians to deliver the best care, anywhere.

8 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 9 CHIEF EXECUTIVE’S REPORT >

It is my pleasure to We consolidated our position as a Already a priority outlined in our Strategic Of course, one of the most tangible When I reflect upon this year, I do so in I would like to acknowledge the Board, leading prevention-based oral health Plan, enhancing our patient-centred outcomes attributed to technology and appreciation of our exceptional health chaired capably by Loretta Reynolds introduce the RFDS provider in remote Australia, increasing care through the adoption of technology innovation is surely the report card of service partners – particularly SA Health and Peter de Cure throughout this Central Operations our periodontal services by 87% and and innovation became even more the RFDS Medi-Jet 24 following its and NT Health. financial year, for its consistent support 2019/20 Annual Report our preventative and restorative salient as the COVID-19 pandemic inaugural year of service. In a year where traditional models were of our activity. services by 50%. challenged traditional delivery models. Our first purpose-built aeromedical jet challenged, our strong partnerships In closing, I want to thank our dedicated and reflect upon an Importantly for long-term health Ongoing work in the clinical governance exceeded all expectations, significantly with SA Ambulance Service and SAAS Executive Leadership Team and every extraordinary year for outcomes, the RFDS Oral Health Care space provided additional opportunities cutting mission time for each of its 320 MedSTAR made all the difference to our member of our outstanding workforce. our workforce and our team recorded an increase in return for the organisation to invest in best- tasks in 2019/20. capacity to deliver the finest care. At the start of 2020, we all committed visitation for clients in remote areas. practice data collection and reporting. Collectively, the jet saved 360 flying Equally, our long-standing partnership to step towards the challenge of COVID-19 patients. Our Port Augusta-based Mental Health We introduced the Whispir messaging hours in getting patients to specialist with the Central Australian Retrieval with confidence and compassion. I am & Wellbeing team provided expertise platform and developed the Content care – time that saves lives. Service marked Alice Springs as one of proud to say we delivered on this In the last 12 months, we have and compassion to patients in twice and Evac apps to digitally house This achievement was realised by the country’s busiest RFDS aeromedical promise and will continue to pivot with delivered more than 46,000 as many consultations compared to and communicate new and updated our newly-developed Long Haul retrieval locations in 2019/20. purpose well into the future. episodes of care including: the previous year. Almost half of these procedures and patient data to ensure Aeromedical team in Adelaide, a group As leaders in rural health, we also › 9,053 aeromedical evacuations; consultations linked patients with a seamless information transfer. of specially trained jet nurses, pilots worked to educate and inspire the psychologist, mental health nurse or › 6,268 digital health consultations; Our team also commenced a trial and doctors and specialist engineers next generation of health innovators. social worker through telephone, video › 10,425 face-to-face primary health of PS Trax, a digital asset management who understand the specific needs of Alongside partners at National Critical or online conferencing – a vital tool to defragment our approach to patients over long distances. consultations; connection during a time where many Care and Trauma Response Centre, quality assurance from consumables It was our honour to win the Innovation we developed the Charles Darwin › 1,111 face-to-face mental health communities felt more isolated than ever. to engineering. consultations; category of the 2019 SA Health Supplier University’s Master of Public Health Thanks to the support and advocacy of The Flying Doctor’s signature fundraising Awards thanks to the successful (Aeromedical Retrieval) program › 647 face-to-face oral health our RFDS Aboriginal Health Coordinator, event – the ‘Wings for Life’ Gala Ball introduction of the RFDS Medi-Jet 24. and together with the University of consultations; and 85 per cent of Aboriginal patients – even went online for the first time, Our second RFDS Medi-Jet 24 Adelaide and the National Rural Health › 948 immunisations administered transferred from remote communities evolving into an interactive quiz night Commissioner, we continue to be at remote clinics. to Port Augusta stayed for the duration commenced operations in August attracting more than 700 participants. 2020 and will complement the RFDS’ involved in establishing a state-of-the- While these numbers proudly signify of their treatment – exceptional outcome art Rural Medical School. in the face of COVID-19 ‘worries’ More than $10,000 was donated fleet of turbo-prop flying intensive care the breadth and scope of our service through this event, contributing towards units, linking the RFDS network of We look forward to working with all provision across South Australia and among Indigenous patients and biosecurity lockdowns in community. the incredible $12.54 million raised during dedicated patient transfer facilities in of our partners in the coming year and the Northern Territory, I want to highlight the financial year – a truly humbling Darwin, Alice Springs, Adelaide, Port working together in our shared vision some of the compelling patient outcomes Further examples of the impact of our Tony Vaughan ASM testament to the loyalty and support of Augusta and beyond. for better health outcomes for rural and Chief Executive behind the statistics. work can be found in the following pages. our donors, fundraisers, volunteers, regional Australians. bequestors and corporate sponsors.

Patient Evacuations > Primary Health Consultations > Digital Health Consultations > Source of Funds > Application of Funds > Where Fundraising is Applied >

10,000 14,000 7,000 Commonwealth 12,000 6,000 Government Aviation & Engineering Administration Costs 9,000 10,000 Fee-for-Service Activity 5,000 (inc. SA IHT Contract) Health Services Delivery of Health Services/Operations 8,000 Administration Donations, Sponsorships, 8,000 4,000 Aircraft Replacement & Bequests & Investments Operations & 6,000 Medical Equipment Communications 3,000 State/Territory 7.000 4,000 Governments Tourism & Commercial Tourism & Retail Activities 2,000 2,000 Fundraising & PR Other Grants & Revenue 6,000 0 1,000 2015/16 2016/17 2017/18 2018/19 2019/20 2015/16 2016/17 2017/18 2018/19 2019/20 2015/16 2016/17 2017/18 2018/19 2019/20

10 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 11 OUR SERVICES >

Aeromedical Evacuations > Immunisations > Integrated 24/7 aeromedical evacuation Delivery of public health immunisation and coordination service spanning outback programs, including child and maternal patient retrievals to inter-hospital transfers health, targeted ‘high risk’ adult and of patients from country hospitals to major disease outbreak campaigns. metropolitan hospitals. Mental Health & Wellbeing > Long-Haul Medi-Jet > Psychologists, Mental Health Nurses, Long-haul (interstate) transfers of critically Social Workers and Community Liaison ill patients between major hospitals using Officers working under a stepped model the world’s first purpose-built aeromedical of care to provide culturally appropriate jet, the RFDS Medi-Jet 24. preventative and early intervention mental health services to isolated communities. GP/Nurse Health Clinics > Regular ‘fly-in’ health clinics delivered by Aboriginal Health > Medical Officers and Registered Nurses Providing advice and advocacy for with specialties in chronic disease, child Aboriginal patients from remote areas and maternal health, midwifery, Aboriginal during their treatment in hospital or within health, breast cancer and mental health their own community, including support operating under a shared model of care. to navigate social and health systems and language/cultural barriers. Remote Area Nursing > Remote Area Nurses providing in-clinic Clinic Charter Service > primary health care, home visits, referrals, Reliable aircraft transport of government 24/7 medical consultations and 4WD and service delivery partners to deliver emergency ambulance services to primary and allied health care services residents and tourists in outback to outback communities. communities. Health Promotion > Telehealth & Digital Health > Community engagement to build Medical Officers and Registered Nurses awareness and understanding of chronic providing 24/7 emergency telehealth and disease, cancer self-screening, diet and digital health consultations to people nutrition, exercise and mental health and living, working or travelling in rural and wellbeing. remote areas. Emergency Training > Medical Chests > Provision of emergency medical skills Provision and administration of Medical training for service delivery partners Chests to isolated individuals, communities as well as First Aid training for people and businesses in conjunction with 24/7 living and working in rural and remote on-call emergency telehealth and digital communities. health services. Professional Placements > Oral Health > Workplace placements in partnership Dentists and Dental Hygienists delivering with professional institutions such as a complete suite of preventative, early the RACGP GP Registrar Program, as intervention and treatment services well as short-term placements for medical ranging from simple check-ups, x-rays and nursing students to encourage and and hygiene services through to fillings attract the future workforce to the rewards and extractions. of rural and remote medicine.

The Flying Doctor meets the locals at Commonwealth Hill Station, outback SA, during a regular ‘fly-in’ station visit.

12 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 13 OUR LOCATIONS >

Aeromedical Bases & Tourist Facilities > Alice Springs Adelaide Serving a 1.25 million square kilometre The Adelaide Base and its operational area from Marla in South Australia’s team of pilots, clinicians and engineers Far North to Elliott and Barkly Tableland, provide 24/7 emergency retrievals and the Alice Springs Base provides 24-hour inter-hospital transfer across all regions emergency retrievals, inter-hospital of South Australia and the Sunraysia transfers, mental health services and region of Victoria. The base also houses regular charter services for NT Health the Operations, Health Services into Central Australia. It is also home to Development & Clinical Governance, the award-winning RFDS Alice Springs Medical & Retrieval Services, Corporate Tourist Facility, marking the history of Services, Marketing & Stakeholder the Flying Doctor since its 1939 arrival Relations, People & Culture and into the Territory. The Bill and Dawn Prior Executive teams of the organisation. Village, which provides accommodation for staff and visiting clinicians, is also in Darwin Alice Springs. Darwin Base provides 24-hour inter-hospital transfers in addition to Port Augusta regular charter services for NT Health Headquarters for our primary health for the transport of health professional care services, the Port Augusta Base throughout the Top End. The RFDS serves a 840,000 square kilometre Darwin Tourist Facility at Stokes Hill area spanning South Australia’s Far Wharf – winner of two Brolga NT North and Far West. Services include Tourism Awards – uses virtual reality telehealth services and remote ‘fly-in’ technology to showcase the Flying primary health clinics offering specialist Doctor story and the historic chronic disease management, mental 1942 Bombing of Darwin. health, oral health, maternal health, Aboriginal health and community health services. The Operations Communications Centre is also located in Port Augusta, from which our Operations Coordinators receive emergency calls and plan and assign all 24-hour emergency retrieval and inter-hospital transfer missions throughout South Australia and Northern Territory.

Remote Clinics > Marree, Andamooka & Marla Located in South Australia’s Far North, the Marree, Andamooka and Marla Health Services provide in-situ primary health care, home visits, referrals and 4WD ambulance services. Each staffed by a Remote Area Nurse and Health Services Assistant in line with Gayle’s Law, the remote clinics also provide a platform to promote and deliver other RFDS primary and preventative health programs as an extension to the RFDS Port Augusta Primary Health Care Service.

Flight Nurse Jackie Matear at Adelaide Base.

14 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 15 A promise delivered. RESPONSE READY DURING COVID-19 >

Stepping up to the challenges to meet the needs of Australians.

With patient-centred › Creation of an Incident Management › Increased patient access and clinical Team to lead organisational response, response capacity to deliver 24/7 care at the core, our liaise with service partners and to primary health consultations by video organisational response monitor and manage risk. conference from Port Augusta Base › Formation of a national RFDS between scheduled ‘fly-in’ health clinics. to the COVID-19 COVID-19 Working Group, led by › $2 million investment in additional pandemic spanned RFDS Central Operations chief vital medical equipment for COVID-19 executive Tony Vaughan ASM, response in SA/NT, including heart We remain on stand-by clinical services, safety to collaborate and coordinate Flying monitor/defibrillators, ventilators, and quality, operations Doctor resources across the country. iSTAT machines, IV infusion pumps to deploy additional › Implementation of specific COVID-19 and AEDs through the generosity of resources to outbreak and people and culture procedures spanning operational, Mrs Gina Rinehart and the Rinehart – taking into account clinical and OHS requirements Medical Foundation. areas if and when they the unique environments supporting flight clinicians, pilots, › Application of ZOOM video conferencing engineers, primary health and remote to maintain communication and are needed. in which our crews work. area nursing teams. seamless operations between staff › Transition of all aeromedical bases into working on base and from home. From the outset, our Business Continuity lock-down, relocating our non-operational › Development of a stand-by aircraft Plan ensured we maintained our frontline workforce to working from home. charter service for oil/gas and mining workforce and resources to safely and › Expansion of mental health telephone companies to assist with the swift efficiently deliver our contractual and and digital health services to replace removal of suspected COVID-19 community obligations, while retaining and/or supplement traditional face-to- employees from remote mine camps. capacity to deploy additional resources face patient contacts in remote to outbreak areas as required. communities.

69 1,294 4,510 Patients airlifted Digital mental Digital primary under COVID-19 health consultations health consultations procedure

Frontline staff prepare for a COVID-19 patient transfer in full PPE.

16 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 17 A promise delivered. COMMUNITY LEADERSHIP DURING COVID-19 >

A trusted presence in the community when it’s needed the most.

As our teams focussed When commercial regional and › Air transport of Top End countrymen › Partnered with SA Arid Lands Natural interstate flights were cancelled at Purple House to return home to Resources Management to engage on our operational and and face-to-face access became their communities to attend funerals remote station communities in online We remain steadfast in clinical response to the significantly limited through biosecurity in Elcho Island and Borroloola. ZOOM social events and self-care measures, RFDS Central Operations › Freight transport of urgent pathology sessions. fulfilling our purpose of COVID-19 pandemic in led a number of new and adapted tests from remote communities and › Creation of a Mental Health & supporting healthier and the first half of 2020, we COVID-19 response activities to assist country hospitals for processing by Wellbeing Group page on Facebook isolated communities across South NT Health and SA Health. to keep remote South Australian remained steadfast in Australia and the Northern Territory: happier Australians – no › Interstate transport of Territory residents connected to preventative fulfilling our purpose of › Interstate transport of outpatients by students by commuter aircraft advice and professional services. matter where they live. commuter aircraft between Darwin, between Darwin, Alice Springs and › Partnered with SA Health to supporting healthier and Alice Springs and Adelaide hospitals Adelaide to resume their secondary administer flu vaccinations in 11 happier Australians – no for specialist medical treatment. education. communities in lockdown due to matter where they live. › Clinic charter flights to remote NT › Supported young hospitality workers biosecurity measures. communities in Central Australia in isolation through the Yulara › Created and mentored a COVID- and the Top End in partnership Workforce Development Program. Safe Plan for volunteers to ensure with Specialist Outreach NT and a safe transition back to fundraising NT Carers. activities.

Indigenous health practitioners from Tiwi Island and East Arnhem Land chartered an RFDS flight to travel to Borroloola (Roper Gulf region) for a funeral service.

18 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 19 A promise delivered. EMPOWERING OUR COMMUNITY >

Supporting remote Australians to respond in a medical emergency.

The Flying Doctor Twenty-five new AEDs were donated 92% of survey as part of a COVID-19 response serves a vital role in funding package generously provided respondents felt empowering remote by Mrs Gina Rinehart and the Rinehart Medical Foundation. confident to assist communities to respond These additions brought the total of effectively in the event AEDs under RFDS management to in a medical crisis 105, located in selected RFDS Medical of an emergency. Chests, stations, tourist facilities and following RFDS First licenced venues across outback SA. Aid training. Along with providing education In addition, RFDS Central Operations and advice around remote airstrip donated five AEDs to the Kangaroo procedures that enable crews to land Island community to replace five AEDs safely at all times of the day and night, that were destroyed by the devastating the RFDS also provides three key bushfires in February 2020. programs that support community first responders. Medical Chests > First Aid Training > A staple of remote life for decades, the RFDS Medical Chest program Responding to consumer feedback underwent internal review and update regarding barriers to access, we to align with best practice guidelines streamlined our accredited First Aid for drug safety and quality. training packages in 2019/20 to offer single-day sessions for the first time. Supported by new pharmaceutical provider HPS, a new Drug Register Provide First Aid (PFA) and and auditing system were introduced Cardiopulmonary Resuscitation (CPR) to the program, making it easier for training was delivered to 118 remote RFDS Medical Chest custodians to residents at 10 locations across safely track and manage the contents. outback South Australia. In addition, third-party AUSCompliance “One of the most First Aid trainers were orientated in aeromedical retrievals, emergency valuable things in contacts and the RFDS Medical Chest network to provide its own our day-to-day life course participants with situational is the First Aid courses awareness of RFDS services and capabilities in the event of a medical the RFDS runs for us emergency in outback areas. every year in remote Automated External locations.” Defibrillators (AEDs) > – Anna Nunn, Wertaloona Station Investment in AED distribution and remote user training continued in 2019/2020 to enhance the capability of first responders – before the RFDS arrives. AEDs are designed for use by first responders with little or no medical training. Applied to a patient, the AED can automatically deliver an electrical current through the chest to shock the heart into a normal rhythm. 118 105 148 Participants in AEDs managed in Medical Chests First Aid training isolated locations under management

Three-year-old Roy joins adult attendees in learning resuscitation at an RFDS First Aid training session in Arkaroola, Flinders Ranges, SA.

20 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 21 A promise delivered. IMPROVING ACCESS TO ORAL HEALTH CARE >

A mobile dental service providing a suite of preventative, early intervention and treatment services.

While the COVID-19 “Our return visitation has been a credit to the work undertaken in co- pandemic disrupted creating a culturally appropriate patient the 2020 schedule of environment in Kintore over multiple visits in the past 12 months,” says ‘fly-in’ visits to remote Senior RFDS Dentist Vaibhav Garg. “We are making great communities, the RFDS “For some patients, this is the first time Remote Oral Health there has been a regular connection in-roads in educating with oral health professionals who Care team continued track and celebrate their improved oral and encouraging patients to deliver a program health,” Dr Garg says. “It is a real shift in how patients are to maintain their dentition and focused on accessibility able to view their oral health – from a gum health, leading to positive and strong, inclusive perspective of pain and inconvenience to a mindset of empowerment and long-term health outcomes.” patient-provider improvement.” relationships. The delivery of quality care in all – Senior Dentist Vaibhav Garg locations was supported with the introduction of the NSK VIVA Ace The team conducted 647 scheduled Mobile Dentistry Set, combining the consultations across six remote high functionality of a dental treatment communities, including Mutitjulu – centre with a compact, lightweight its second established service location design ideal for long distance travel. in the Northern Territory. The team also worked closely with Supported by funds through the SA the RFDS Port Augusta Primary Health Country Primary Health Network, Service to develop an early intervention an additional telehealth service was model of care for patients with risk introduced to screen medical histories factors for poor general and oral health. and assess patient complaints prior to remote appointments. In its first year, this integrated program proactively targeted patients living with Services were also significantly diabetes and chronic kidney disease. expanded in Marree to accommodate increased demand from the local “We’re a proud prevention-based community living on outback South service. We have conducted 647 Australia’s Birdsville Track. consultations in six remote locations this year and are actively planning In partnership with Pintupi Homelands to expand the program into another Health Service, the RFDS Remote community that has not received Oral Health Care team reported a regular oral health services in a demonstrated rise in return visits from decade,” Dr Garg says. patients in Kintore, a remote community 530 kilometres west of Alice Springs on the NT/WA border.

87% 50% 50% Increase in Increase in Increase in periodontal preventation- restorative services based services services

Dental Hygienist Kelly Fargher treats a young patient in the remote community of Kintore in the Northern Territory.

22 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 23 A promise delivered. SETTING BENCHMARKS IN OUTBACK HEALTH >

Connecting with leading health partners to provide reliable, innovative care.

The Port Augusta-based › With face-to-face consultations as the Glendambo Hotel supported restricted during COVID-19, Type the program by screening the Primary Health Service 2 Diabetes patients were monitored sessions. maintained a consistent via text messages and phone calls. › One-on-one dietetic consults were The team combined remote real-time introduced, providing tailored advice and essential presence monitoring with daily texts/calls to around a range of conditions including within rural and remote achieve a 7.5% blood glucose Type 2 Diabetes, hypertension, high improvement in patients during cholesterol, weight loss and gain and communities in the face lockdown. coeliac disease. of COVID-19 restrictions › Together with Adelaide’s Queen Elizabeth Hospital Liver Clinic, this year. the RFDS is developing a care “I was so happy coordination ‘one stop shop’ for when I heard about As well as delivering 10,425 face-to-face Aboriginal and non-Aboriginal this program because consultations, the team also partnered patients diagnosed with Hepatitis with fellow health care organisations to B or C. The service will provide being out here, we deliver a wide-ranging program of services specialist access to abdominal including chronic disease management, ultrasounds and fibroscans, negating always seem to miss nutrition and palliative care. the need for remote patients to out on these spend up to a week in a major city Remote Area Clinic Care > to undertake these tests. opportunities.” › RFDS Remote Area Nurses (RANs) - Andamooka participant at Marree, Andamooka and Marla Vaccination Program > in the inaugural RFDS ‘Better Remote Area Clinics served an › Additional flu clinics were set up Ageing Program’ important role in educating their to account for cancelled community communities about COVIDSafe events and 626 flu vaccinations were procedures, liaising regularly with administered in rural and remote councils and other health providers. communities, including 93 vaccinations › Introduction of Health Service undertaken across a multi-day visit Assistants at remote RFDS clinics in to the APY Lands in partnership with line with Gayle’s Law, ensuring a second SA Health. responder is available for unscheduled or out-of-hours remote call-outs. Allied Health > › RFDS RANs engaged more than 50 › Supported by Sports Australia’s patients in the ‘Talking In The Bush’ Move It Australia Grant, the RFDS Type 2 Diabetes patients program, an inaugural partnership introduced a ‘Better Ageing with Palliative Care Australia to Program’, engaging more than reported a 7.5% improvement encourage older Australians or those 80 participants in Andamooka, in blood glucose levels through with chronic disease to start Hawker and Yalata. Prior to the considering ‘End of Life’ wishes. program, only 17% of participants at-home tests tracked with daily had been practicing any form of Chronic Disease Management > strength, resistance or balance RFDS phone or SMS check-ins. › Despite COVID-19 biosecurity exercises. Sessions were measures limiting access into supplemented with group nutrition Yalata and Oak Valley, the RFDS education with a focus on healthy was able to continue to deliver lifestyles. chronic disease management to › The team also introduced ‘Yoga patients in the Anangu Pitjantjatjara on the Fly’ utilising telehealth services Yankunytjatjara (APY) Lands of to reach and engage remote remote SA in partnership with Yalata communities in fortnightly yoga and Tullawon Health Services. sessions. Community venues such

Primary Health Care Manager Mandy Smallacombe speaks with a patient during a regular check-up.

24 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 25 A promise delivered. MEETING DEMAND FOR IMPROVED WELLBEING >

Culturally appropriate preventative and early intervention mental health services to support healthier and happier communities.

85% of Aboriginal patients supported by RFDS remained in Port Augusta Hospital for Demand for RFDS mental The Alice Springs-based team continues to work closely with Central Australian completion of their treatment health and wellbeing communities. The Yulara Indigenous support in outback Trainee Program has been supported despite ‘worries’ of COVID-19. by the RFDS through regular group South Australia surged wellbeing activities and guided in 2019/2020, with discussions around healthy relationships, nutrition and work/life balance. almost half of patient Service Expansion > consultations undertaken A dedicated wellbeing clinic was via digital platforms. established in Oodnadatta, resulting in 330 face-to-face consultations and Supported through additional funding a total of 547 patient contacts over from the Commonwealth Government the past year. A new drive-in, drive-out and the Country SA Primary Health clinic was also launched in Andamooka, Network, the expanded Port Augusta- with the team visiting the regional based RFDS Mental Health & Wellbeing centre on a monthly basis. The clinic team conducted 2,670 consultations undertook 113 patient contacts in its including patient support services this first year, including familiarisation events year under a stepped model of care – to promote service availability within more than doubling the services the community. provided in 2018/19. Stronger Partnerships > Of these, 1,294 consultations connected a psychologist, mental health nurses In partnership with headspace, the and social workers with patients via RFDS Mental Health & Wellbeing team telephone, online and video conferencing. continued to deliver child and youth support to isolated families in Marree COVID-19 Outreach > and Oodnadatta in 2019/20, and As the COVID-19 pandemic challenged developed plans to expand the traditional modes of service delivery, program into additional communities the RFDS also sought different ways to over the next 12 months. engage and support remote and rural More than 80 community members patients. participated in ‘R U OK?’ events A dedicated Facebook Group page coordinated by the RFDS in Mintabie, for remote South Australians was set Oodnadatta, Marree and Yalata, up in early March as a central source focusing on empowering people to of relevant pandemic information and broach mental health issues. wellbeing advice as a preventative approach to the amplified isolation RFDS Aboriginal Health Coordinator > caused by the pandemic. The RFDS Aboriginal Health The public page connected and Coordinator continued to provide engaged existing patients and those medical, cultural and logistical support new to the RFDS Port Augusta Primary to patients requiring treatment in Port Health Service in online social engagement Augusta, encouraging improved activities, including art and self-care wellbeing during a time where ZOOM sessions coordinated in partnership COVID-19 ‘worries’ impacted on with the SA Arid Lands Natural Resource remote communities. In 2019/20, 80 1,294 547 Management Board. 106 clients benefited from this service. Participants in Consultations Engagements via R U OK? events undertaken via new Wellbeing digital channels Clinic in Oodnadatta

Mental Health Clinician Brendan Pyne chats with a patient in Titjikala.

26 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 27 A promise delivered. BEST-PRACTICE CARE THROUGH CLINICAL GOVERNANCE >

Continually improving the quality and consistency of our patient-centred care.

In pursuit of continuous Best Practice Care > › New clinical policies introduced to improvement of patient- our Health Services Manual to reflect centred care – informed best-practice patient treatment. and supported by › Introduction of a Harm Minimisation Procedure developed specifically for specialist sub-committees patients undergoing aeromedical – our internal Governance transfer. Committee led extensive Patient First Approach > clinical systems redesign › Formalising the procedure and escalation pathway to care for in 2019/20. deteriorating patients, including the roll-out of a new escalation process for concerned loved ones. Credentialling & Skills Development > › Introduction of new patient › Creation of a credentialling framework collateral in Aboriginal languages for clinical roles to ensure our including Arrernte, Pitjantjatjara in-house expertise aligns with and Yankunytjatjara. changing health care needs. › Increased integration of task review Consumer Feedback > recommendations in ongoing clinical The RFDS captures consumer training. › feedback, both positive and critical, for presentation and review Enhanced Access > at internal forums such as the Health › Integration of the Content app, a Advisory Sub-Committee. digital platform providing our health teams with easy access to clinical procedures and guidelines in the air and at bases and remote clinics. Compliment 11 › Introduction of a High Risk Medicines Complaint Comment list and an organisational formulary to O streamline the use of approved drugs 1 in treatment. › Creation of a single source for aeromedical patient documentation supporting a seamless patient experience, including structured handover tools for pre and post flight.

Retrieval Nursing Director Vikki Denny leads skills training.

28 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 29 A promise delivered. INTEGRATING TECHNOLOGY TO IMPROVE OUR SERVICES >

Harnessing the digital environment to deliver services more reliably and efficiently

We have continued › Trial of PS Trax, a digital platform for the real-time tracking and maintaining to embrace digital of RFDS clinical and aviation assets. transformation across In its early weeks of trial, 99.8% of asset checks were completed on all areas of the business, time via this platform. developing improved › Expanded use of the Content app, housing clinical procedures and communication and training videos for health teams collaboration solutions working in the air and on the ground. › Introduction of the Whispir messaging for our modern platform as a primary channel to workforce. advise frontline staff of new and updated procedures, particularly effective during the fast-paced Technology has also significantly helped COVID-19 environment. to bridge the gap between patient and provider, complementing existing face-to- › Development of an Evac app to face health platforms by: provide a central source for patient data pre-flight and post-flight, An increase in ZOOM video- › ensuring seamless information conferencing use across the transfer. organisation for workforce communication and training, as well › Development of an Electronic Health as remote patient consultations Record system, a web-based and group lifestyle and wellbeing software application with offline sessions. capability for use in-air and on-road to better assist clinical teams in the Collaboration with RFDS Federation › tracking and service of patients. on the development of Mantle, a national program scheduled for 2020/21 to bring consistency and efficiency to RFDS telehealth services across the country. › Introduction of a network of ProEX Visionflex videohealth hubs, engineered to enable RFDS clinicians to confidently carry out detailed medical examinations on patients based in remote and rural areas. All RFDS policies and procedures are accessible in real-time on digital platforms.

Mental Health Clinician Niamh Gallagher uses telehealth technology at the Port Augusta Base.

30 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 31 A promise delivered. BUILDING ASSETS THAT SUPPORT THE FINEST CARE >

Investing in infrastructure and innovation to enhance the patient experience.

Mount Gambier Patient effectively prior to flight or, more simply, Marree Remote Modular and prefabricated construction “The establishment enables the transfer of patients into the will be used to create a purpose- Transfer Facility > aircraft under cover and protected from Area Clinic > designed agile health infrastructure of the Mount Gambier extremes of weather. precinct featuring: Patient Transfer Facility The first of its kind in regional South The significant infrastructure investment The Marree Remote Area Clinic project › treatment spaces for mental health, Australia, the new RFDS Mount Gambier by the RFDS will be supported by the is set to establish a new state-of-the- dental, general treatment, sterilisation, and the redevelopment Patient Transfer Facility will enhance SA Ambulance Service contribution of art health precinct servicing South dispensary and patient hold/emergency; of the Marree Remote patient care and operational response Australia’s Far North region. an ambulance on site which will enable › reception, office administration, times for hundreds of critically ill Area Clinic are important RFDS and SAAS MedSTAR teams to The existing clinic provides primary training and conference facilities patients a year. improve response times and jointly health care to residents and pastoralists and staff breakout spaces; steps towards enhancing RFDS crews land twice a day in South deliver a better patient experience. as well as an increasing number of › an external ambulance drop-off the quality of care we Australia’s South East region – at least The $500,000 project was funded tourists visiting the region. A RFDS space; and once a day at Mount Gambier Airport. solely by the RFDS Capital Asset ‘fly-in’ GP/Nurse clinic team also visits deliver every day to fortnightly from Port Augusta Base. › a new staff dwelling comprising two To improve patient comfort and care, Program through fundraising and bedrooms, two bathrooms, shared patients in every the RFDS purchased an existing aircraft cash/in-kind donations from the The project has received a $716,000 living quarters and car parking. hangar on site and refurbished half the local community, including major boost from the SA Government’s corner of our footprint,” contributions from Bendigo Bank’s The Marree Remote Area Clinic project structure into an indoor patient care Regional Growth Fund, with more than – RFDS Chief Executive Mt Gambier & District Community is due to open in early 2021. facility and retained the other half as a $1 million for the redevelopment to be Tony Vaughan ASM traditional hangar for aircraft parking. Bank and the Barry Maney Group. funded by the RFDS Capital Asset The converted hangar assists both The first patient was transferred Program through corporate RFDS and SAAS MedSTAR crews to through the facility in June 2020. sponsorships, fundraising and stabilise a deteriorating patient more donations from the community.

SA Ambulance Service’s Andy Thomas (second from left) with RFDS team members Karina Pascoe, Tony Vaughan ASM and Steve Cameron at the announcement of the Mount Gambier Patient Transfer Facility project.

32 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 33 A promise delivered. SLASHING MISSION TIMES THROUGH JET INNOVATION >

Celebrating one year of service of the RFDS Medi-Jet 24.

Our first purpose-built The $14 million flying intensive care unit Setting a new benchmark in operational conducted its inaugural mission on 6 versatility, the RFDS Medi-Jet 24 can In 2019/20, the aeromedical jet, the June 2019 with the emergency transfer land on an unsealed airstrip to airlift a RFDS Medi-Jet 24, of a critically-ill patient from Alice critically-ill patient from a remote RFDS Medi-Jet saved 360 Springs Hospital to Royal Melbourne community through to transferring a has established itself Hospital for life-saving neurosurgery. high acuity patient from Darwin direct flying hours in getting as a game changer in The direct flight took just three hours – to Adelaide or Melbourne. two hours faster than previously achieved The purchase of the RFDS Medi-Jet patients to life-saving care. aeromedical care with in a turbo-propelled aeromedical aircraft. 24 was funded solely by fundraising, an impressive first year The RFDS Medi-Jet 24 also has played bequests, donations and corporate of operational service a role in the nation’s response to the sponsorships, including inaugural Jet COVID-19 pandemic. In February the Partner S. Kidman & Co. and recognition in the jet transferred infected patients from 2019 SA Health Supplier the Diamond Princess cruise ship docked in Darwin. Awards. It has demonstrated superior aeromedical capability by transporting three stretchered patients on the same mission, and it has completed the first aeromedical mission utilising two Mansell Neocots concurrently for the interstate transfer of premature twins.

Airlifted Flew 230,000 Landed in 31 320 patients kilometres locations

Crews load a patient into the RFDS Medi-Jet 24 for aeromedical transfer.

34 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 35 A promise delivered. CELEBRATING THE CONTRIBUTION OF OUR PEOPLE >

Acknowledging nurses and midwives as the lifeblood of rural and remote Australia.

The year 2020 marks the International Year of the Nurse & Midwife, as announced by the World Health Organisation.

RFDS Central Operations has more than 70 dedicated nurses and midwives delivering the finest care to rural and remote communities throughout South Australia and the Northern Territory. They are the faces our patients see when they visit a remote clinic for a primary health appointment, when they are pregnant and receiving antenatal care, when they seek mental health and wellbeing support, and when they are being airlifted in a Flying Doctor aircraft. To celebrate this milestone year, all RFDS aircraft and 4WD ambulances were badged with custom ‘We Love Our Nurses & Midwives’ branding to acknowledge the significant contribution our nursing workforce makes. This message also carried across to special-edition lapel pins and stickers for staff and supporters to demonstrate their personal appreciation throughout the calendar year.

Flight Nurses Chloe Wehlow, Derani Burns and Michael Penno with a badged PC-12 aircraft.

36 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 37 IMAGE CAPTION? 38 Croker Island Garden Point Snake Bay ROYAL FLYING DOCTOR SERVICE Pirlangimpi OUR FOOTPRINT 2019/20> Milikapiti South Goulburn Island Elcho Island Bathurst Island Top 20 Landing Locations* Oenpelli Maningrida Yinyiaky Henbury Milingimbi Mt Gambier 618 Ramingining Lake Evella Darwin Whyalla 562 Jabiru Port Pirie 517 Renmark 500 Tennant Creek 428 Bulman Peppimenarti Delara Kadina 403 Palumpa Groote Eyelandt

| Port Lincoln 394

CENTRAL OPERATIONS Port Keats Numbulwar Ceduna 250 Tindal Kingscote 219 Ngukurr Hodgson Downs Bullo River Valley Yorketown 163 Timber Creek Marla 146 Kununurra Yarralin Yuendumu 136 Kalkgurung

Naracoorte 130 Borroloola

Coober Pedy 123 Robinson River Ayers Rock 121 Maitland 120 Waikerie 112 Gallipoli Papunya 103 Elliott

Oodnadatta 96 Eva Downs Anthony Lagoon Olympic Dam 91 Brunchilly Station

Brunette Downs Hooker Creek Top Interstate Landing Locations Alexandria Station Essendon, VIC 67 Kiwirrkurra, WA 24

Mildura VIC 22 Tennant Creek Broken Hill, NSW 15 Ali Curung Soudan Sydney, NSW 5 Epenarra The Granites Delara, QLD 4 Warrabri Canteen Creek Giles WA 4 Tanami Mine

Alpurrurulam Brisbane, QLD 2 Warrabri Mt Isa, QLD 2 Willowra Elkedra Ampilawatja

* Landings in Adelaide, Alice Springs, Darwin and Utopia

Port Augusta are not included as these locations Yuendumu Ti-Tree Yuelamu are where our aircraft are based. Napperby Engawala Kiwirrkurra Nyrripi Baikal Engawala Bonya Alcoota Station Harts Range Mt Liebig Papunya Kintore Christmas Creek Haasts Bluff Alice Springs

Mereenie Hermannsburg Areyonga Santa Teresa Kings Creek Station

Titjikala Docker River

Giles Yulara Imanpa Erldunda Uluru Mutitjulu

Jameson Finke Kulgera Town Birdsville Blackstone Range Wingellina Amata Nypari Mt Dare Warburton Range Mt Davies Murputja Ernabella Umawa

Fregon Dalhousie

Everard Park Clifton Hills Hamilton Station

Marla

Todmorden Oodnadatta Cowarie Arckaringa Kalamurina Homestead Mungeranie Moomba Cadney Park Nilpinna Station Peake Station

Lake Eyre Anna Creek Etadunna

William Creek Coober Pedy Dulkaninna Muloorina

Ingomar Prominent Hill Marree Murnpeowie Billa Kalina Commonwealth Hill The Twins Oak Valley Andamooka Mulgathing Mt Eba Beverley Mine Traegar Roadstrip Arkaroola Village Olympic Dam Wilgena Leigh Creek Balcanoona Maralinga Roxby Downs Cook Barton Siding Kingoonya Glendambo Lake Torrens Iluka Mine Carrapateena Blinman Nullarbor Motel Lake Everard Yalata Mission Woomera Merna Mora Chadwick Roadstrip Lake Gairdner

Hawker Broken Hill Penong Ceduna Thurlga Quorn Yunta Port Augusta Orroroo Streaky Bay Booleroo Centre Wudinna Whyalla Peterborough Kimba Port Pirie Jamestown

Elliston Cowell Cleve Clare Kadina

Maitland Cummins Renmark Waikerie Tumby Bay Mildura Loxton Port Lincoln Minlaton Adelaide Yorketown Murray Bridge Pinnaroo

Kingscote Goolwa Meningie

First Aid Training Program Mental Health Outreach Program Keith 2019/20 ANNUAL REPORT Facilitated Clinics Aeromedical Evacuations Bordertown GP/Primary Health Clinics* Remote Area Nurse Clinics Kingston SE Remote Oral Health Care Program Aeromedical Bases Naracoorte

* Primary Health clinics include clinics conducted by RFDS Community Health Nurses

Millicent

Mt Gambier 39 OUR ACTIVITY 2019/20 >

Health > Aircraft Register >

Northern South Australia SA/NT Registration Description Year of Date of Dedication Major/Jet Sponsor Territory Manufacture Acquisition Alice Darwin Adelaide Port Andamooka Marla Marree Total VH-FMW* Pilatus PC-12 1995 September 1995 Springs Augusta Health Health Health ^ Service Service Service VH-FMZ* Pilatus PC-12 1996 March 1996 Roy & Marjory Edwards Digital Health^ Consultations VH-FDE Pilatus PC-12 2000 September 2000 VH-FGR Pilatus PC-12 2001 December 2001 Primary Health Consultations - - - 4,510 147 130 187 4,974 VH-FGS* Pilatus PC-12 2001 December 2001 Mental Health Consultations - - - 1,294 - - - 1,294 VH-FGT* Pilatus PC-12 2001 December 2001 Total Digital Health Consultations - - - 5,804 147 130 187 6,268 VH-FDK Pilatus PC-12 2002 December 2003 Patients Attended VH-FDJ Pilatus PC-12 2007 January 2008 Beth Stewart Klugh^ RFDS General Practice (GP) Clinics - - - 2,177 - - - 2,177 VH-FVA Pilatus PC-12 2009 March 2010 Our Auxiliaries & Support Groups # RFDS Nurse Clinics* - - - 1,675 1,518 1,051 4,004 8,248 VH-FVB Pilatus PC-12 2010 April 2010 BHP RFDS Facilitated Clinics** 8,952 9,024 - 389 - - - 18,365 VH-FVD Pilatus PC-12 2010 July 2010 Our Inaugural Doctors# Remote Mental Health Outreach Program 361 - 750 - - - 1,111 VH-FVE Pilatus PC-12 2010 September 2010 Our Pioneering Women# IGA Remote Oral Health Care Program 227 - - 420 - - - 647 VH-FVF Pilatus PC-12 2010 October 2010 Barry Lodge OAM^ OZ Minerals Aboriginal Health Coordinator - - 106 - - - 106 VH-FXJ Pilatus PC-12 2015 August 2015 Hackett Foundation Total Patients Attended 9,540 9,024 - 5,517 1,518 1,051 4,004 30,654 VH-FXN Pilatus PC-12 2016 June 2016 Senex Energy VH-FXW Pilatus PC-12 2016 October 2016 Elders Limited Patients Transported VH-FXZ Pilatus PC-12 2017 June 2017 7 NEWS Primary Evacuations 1,386 - 41 147 - - - 1,574 VH-JDN Pilatus PC-12 2018 March 2019 John Schirmer^ Beach Energy Inter-hospital Transfers 943 - 4,564 1,893 - - - 7,400 VH-FNH Pilatus PC-12 2019 January 2020 Repatriations 23 - 44 12 - - - 79 VH-FMP Pilatus PC-24 2018 April 2019 John Francis Lynch^ S Kidman & Co Road Ambulance - - - - 35 27 13 75

Total Patients Transported 2,352 - 4,649 2,052 35 27 13 9,128 Registration *: Aircraft re-fitted to commuter configuration for delivery of remote health clinic services Dedication ^: Badging remains in line with life of aircraft only Total Patient Contacts 11,892 9,024 4,649 13,373 1,700 1,208 4,204 46,050 Dedication #: Badging remains forever Major Sponsor: Badging remains for term of sponsorship - - - 716 154 28 50 948 Immunisations Jet Sponsor: Badging remains for term of sponsorship Total Immunisations - - - 716 154 28 50 948

Clinics Conducted RFDS General Practice (GP) Clinics - - - 316 - - - 316 Aviation > RFDS Nurse Clinics* - - - 409 492 492 492 1,885 RFDS Facilitated Clinics** 1,119 1,128 - 59 - - - 2,306 Northern Territory South Australia SA/NT RFDS Mental Health Outreach Clinics 108 - - 423 - - - 531 Alice Springs Darwin Adelaide Port Augusta Total RFDS Oral Health Outreach Clinics 4 - - 15 - - - 19 Base Base Base Base Total Clinics Conducted 1,231 1,128 - 1,222 492 492 492 5,057 No. of Aircraft 8 3 6 3 20 No. of Landings 3,937 639 7,437 4,347 16,360 Health Program Participants ------Kilometres 2,026,609 232,557 2,321,162 1,330,352 5,910,680 Medical Chest Program - - - 148 - - - 148 Block Time (hrs) 5,766 672 7,360 4,162 17,960 First Aid Training Program - - 118 - - - - 118 Central Australian Retrieval Training 40 ------40 Healthy Lifestyle Program - - - 365 - - - 365 Total Health Program Participants 40 - 118 513 - - - 671

* RFDS Nurse Clinics include clinics conducted by RFDS Community Health Nurses & Remote Area Nurses. ** RFDS Facilitated Clinics utilise RFDS aircraft to transport non-RFDS health clinicians. ^ Digital Health consultations comprise telephone, video, internet/email, SMS etc.

40 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 41 OUR BOARD & MANAGEMENT >

Peter de Cure Dr Tim Cooper AM Hon Graham Gunn AM (JP) Geri Malone Michael O’Neill Peter Read (BEc Adel FAICD FCA) (MSc MD MBA FAICD) (BNSc, MPH, Grad Cert Remote Health) (BCom, Adv Dip HR Mgt, Dip Proj Mgt, (B App Sci (Ag), JP) Commenced on Board – 2010 FAICD MRMIA) Chairman (from 7 April 2020) / Treasurer Commenced on Board – 2005 › Attended 8/9 meetings Commenced on Board – August 2019 Commenced on Board – June 2020 › Attended 7/8 meetings Commenced on Board – October 2018 › Commenced on Board – June 2018 › Attended 6/9 meetings › Member Finance Committee Attended 0/0 meetings › Member Finance Committee › Member Health Advisory Committee › Attended 8/9 meetings › Attended 9/9 meetings Farmer and grazier at Mount Cooper on Director, Nut Producers Australia Pty (from 31 October 2019) (from 8 August 2019) › Chair Board SQR Sub-Committee › Chair Board Executive Committee Eyre Peninsula; Councillor District Council Ltd; Director, Riverland Almonds Pty Ltd; › Member Board Tender Sub-Committee. › Member Board Executive Committee (from 7 April 2020) › Member Health Advisory Committee of Streaky Bay; Current Member Director, Century Orchards Ltd; Board (from 8 August 2019). › Chair Finance Committee (to 31 October 2019). Commonwealth Parliamentary Association; Registered Nurse and Midwife with a Masters Member, Pembroke School; Justice of the Peace. Held various managerial positions › Member Board SQR Sub-Committee Managing Director, Coopers Brewery Justice of the Peace; Former Member South in Public Health and vast experience in Fellow Australian Institute of Company Australian House of Assembly (1970-2010); with National Australia Bank (NAB) regional Member Board Tender Sub-Committee. Ltd; Chairman, Morgan’s Brewing Pty clinical, management, advocacy and Directors; Fellow Governors Leadership › and metro based. Past Member, NAB State Ltd; Chairman, Coopers DIY, LLC (USA); Parliamentary Natural Resources Committee; leadership roles, including consultancy Foundation; Member Risk Management Leadership Team SA; Past Member, Eyre An experienced non-executive director Past President, Institute of Brewing & Former Speaker House of Assembly and and project work within the health sector, Institute of Australasia; Member Police Regional Development Board. Promoted and chairman, with strong technical skills Distilling (UK); Deputy Chair, Brewers Deputy Speaker; Former Chairman focusing on rural and remote health. Commissioned Officers Mess. Director in governance, finance, accounting, taxation, Economic & Finance Committee. corporate volunteering throughout career Association of Australia Inc; Governor, Currently, Board Director Flinders & Upper Police Health Group. mergers, acquisitions and practical business at NAB, supporting various RFDS events, Coopers Brewery Foundation Inc; Deputy North Local Health Network Governing knowledge across many industries. Chairman, Held senior positions in the field of risk Bedford Industries and bushfire recovery Chair, Liberal Foundation Inc. Dr Christine Lesnikowski Body; Board Director Resthaven Incorporated; Australian-American Fulbright Commission; and governance across a range of industry programs. (FRACGP BMBS BSc Hons) Member, Australian Institute of Company Chairman, Accord Property Holdings; Chairman, sectors including Mineral Resources, Dr Ian Gould AM* Directors. Previous roles include but not Gifford Hill Joint Venture & Gifford Hill Pty Commenced on Board – July 2018 Defence, Professional Services, Tourism limited to; Chair National Rural Health Ltd; Member, Tax Practitioner’s Board; (PhD DUniv FTSE FAusIMM) › Attended 9/9 meetings and Public Safety. Alliance (NRHA) as CRANAplus representative; Advisory Board Chairman, Tim Adams Commenced on Board – 1998 › Chair Health Advisory Committee Member of National Enhanced Response to Wines; Director and Past Chairman, Variety Paul Prestwich OAM* › Attended 8/9 meetings BBV/STI in Indigenous Populations Governance the Children’s Charity; Chairman RG&RT Resides in Alice Springs. A General Practitioner (BEc MBA FCPA FAICS FGIA FAICD RegTA › Member Board Executive Committee Group; Member of the Commonwealth Trott Pty Ltd, Wirra Wirra Vineyards. and a Medical Educator (HealthPathways Dip Fin Planning) Government Distribution Working Group; (to 11 June 2020). Clinical Lead for Northern Territory Primary MANAGEMENT > Fellow, Australian Institute of Company Health Network) with a strong interest in Past Board Director National Rural Women’s Commenced on Board – 1995 Former Chancellor, University of South Executive Leadership team Directors; Fellow, Institute of Chartered primary health care for all across both rural Coalition. › Attended 1/1 meetings Accountants Australia & New Zealand. Australia; Chairman, St Andrew’s Hospital and remote settings. › Deputy Chairman (to 8 August 2019) Previously a Partner with KPMG. Board; Member & Past Chairman, South Peter Nottage › Tony Vaughan ASM Chief Executive Australian Minerals & Petroleum Expert Lived, worked and trained in remote Central › Member Board Executive Committee (FAICD) › Stephen Batt Chief Financial Officer Group; Former Member, South Australian Australia and the Top End including Alice (to 8 August 2019) Loretta Reynolds › Steve Cameron Executive General Premier’s Science & Industry Council; Springs, Katherine and Darwin in a variety › Member Board SQR Sub-Committee (BEc LLB SFFin FAICD) Commenced on Board – June 2019 Manager Operations Former Member, Economic Development of settings from public hospitals, private GP (to 29 August 2019) › Attended 8/9 meetings › Charlie Paterson Executive Board; Former Managing Director, Normandy clinics and Central Australian remote community › Member Finance Committee Deputy Chairman › Member Board SQR Sub-Committee General Manager Marketing & Mining Ltd; Former Managing Director, Rio health clinics involving clinic visits and medical (held position of Chairman to 7 April 2020) (from 8 August 2019); (to 2 September 2019). Stakeholder Relations Tinto - Australia; Past President, Australasian retrievals via NT Department of Health and Member Board Tender Sub-Committee. Commenced on Board – 2011 Institute of Mining & Metallurgy; Twenty-eight RFDS Alice Springs. › Principal of an accounting firm, company › Dr Mardi Steere Executive General Director and management consultant in the Manager Medical & Retrieval Services › Attended 8/9 meetings years’ service to the RFDS including terms Current part owner/Director, LTM Aerospace Fellow, Royal Australian College of General areas of financial and management accounting, › Member Board Executive Committee as an Independent Councillor and President, Pty Ltd; Director, The Helicopter Company › Natalie Szabo Executive General Practice. risk management, organisation review, (Chair of Committee to 7 April 2020) RFDS Australian Council and Deputy (operations based in Saudi Arabia). Served Manager Health Services Development investment and asset management, strategic › Chair Board Tender Sub-Committee. Chairman, RFDS Central Operations. the aviation industry as President and Chief & Clinical Governance planning and development. Former General *Retired 11 June 2020 Executive Officer of Cobham Aviation Services › Josie Vartuli Executive General Manager Corporate Partner and Chairman of national Manager of a large pharmacy group and global business (an aviation career spanning People & Culture law firm, Thomson Geer; Non-Executive Chief Financial Officer with a significant more than 30 years) with substantial experience Director, ASC Pty Ltd; Member RFDS South Australian member service organisation. in Government and Defence contracting and Federation Board. considerable exposure in managing large *Retired 8 August 2019 and complex projects in the industry.

42 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 43 OUR PEOPLE >

Staff Employed >

Full Time Part Time* Management and Administration 36 7 Engineers / Engineering Support 20 3 Health Promotion 1 Community Health Workers 2 9 Oral Health 1 5 Mental Health / Drug and Alcohol Workers 3 Medical Practitioners 2 6 Pilots 42 1 Fundraising 7 Marketing and Communications 2 Operations Coordinators 13 1 Registered Nurses 35 37 Tourist Facilities / Merchandising / Other 3 17 General Hands 1 Total Staff 167 87 *Part Time staff includes Casual Staff Milestones >

Staff, 35 years > Adam Andrews, Engineer, Alice Springs

Staff, 30 years >

Ray Mundy, Pilot, Adelaide

Staff, 25 years > Steve Davis, Pilot, Adelaide Employee Wellbeing > Culture Survey > Staff, 15 years > Introduced this year, the RFDS Employee Wellbeing RFDS Central Operations conducted an Matt Cosier, Head of Training & Checking, Adelaide Framework comprises a program of activities endorsed by organisation-wide Culture Survey in September/ Helen McLachlan, Operations Support Officer, Port Augusta the National Mental Health Commission and the Mentally October 2019, utilising the Human Synergistics Healthy Workplace Alliance. The framework outlines a multi- culture diagnostic tool. Kate Guerin, People & Culture Advisor, Adelaide faceted approach across topics such as resilience training, The purpose of the survey was to assess our current pre-employment screening, wellbeing checks, peer support Staff, 10 years > culture, identify our desired culture and understand schemes and post-trauma interventions underpinned by key how to align our culture to ensure the achievement Adam Cattonar, Pilot, Adelaide initiatives including: of our strategic goals. Alana Daw, Operations Coordinator, Port Augusta › Critical Incident Response – All people leaders have undergone All staff were invited to participate and 68% Trudi Kluge, Flight Nurse, Adelaide training in Psychological First Aid response to assist peers in completed the survey. the case of a critical incident or traumatic event. Adam Ind, IT Manager, Adelaide › Psychological Wellness Checks – Psychological Wellness Sonia Lyon, Flight Nurse, Port Augusta Checks have been introduced to enhance and maintain the Denise Martin, Aboriginal Health Coordinator, Port Augusta psychological wellbeing and physical health of employees working in remote area clinics and other remote settings. Lesley Prince, Manager, Alice Springs Tourist Facility, Alice Springs › Mental Health Awareness – People leaders, employees and their immediate family members have participated in training Alistair Singh, Flight Nurse, Alice Springs on mental health awareness. This training covered identifying signs and symptoms of depression and anxiety, how to Board, 10 years > approach a person with concern and aspects of self-care. Graham Gunn AM

Engineer Adam Andrews has worked at Alice Springs Base for 35 years.

44 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 45 FUNDRAISING & PARTNERSHIPS >

In a year in which many traditional fundraising channels were challenged, our donors, fundraisers, volunteers, bequestors $12.54 11% $893,000 and corporate sponsors million generated Increase in raised by volunteer RFDS demonstrated an amazing from fundraising active donors Auxiliaries/Support Groups level of support for and bequests their Flying Doctor. 143% 700 10% registrations for growth in online growth in our regular inaugural online donations giving program fundraising event

Community Fundraising Specialist Kristen Newlyn with Tea Tree Gardens Retirement Village residents.

46 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 47 OUR FUNDRAISING > ‘A Night In Hollywood’ Online Quiz Night >

With COVID-19 restrictions impacting major events in 2020, RFDS Central Operations made the decision in late March to cancel its annual Wings for Life Gala Ball, which was scheduled in May. In place of a physical event, the “Night In Hollywood” theme and original event date were retained and ticket-holders were instead invited to take part in the inaugural RFDS Online Quiz Night. Invitations to the event were extended to the general public, with attendance on the night topping 700 participants and close to 200 teams logging in from Sydney to Switzerland. RFDS Ambassador Jessica Adamson hosted the evening and prizes were generously donated by Edible Blooms and IGA Supermarkets. One of the first online fundraising events launched by a major not-for-profit in response to COVID-19, the Quiz Night was free to attend but raised more than $10,000 to support the Flying Doctor’s ongoing work. Patient Transfer Facility Appeal >

More than 800 South East individuals and businesses donated almost $400,000 in cash and in-kind services to the Royal Flying Doctor Service’s first Patient Transfer Facility in regional South Australia, located at Mount Gambier. Championed by the RFDS Mount Gambier & District Support Group, the infrastructure project was heartily embraced by the local community. Among the corporate contributors were Barry Maney Group, Mount Gambier & District Community Bank (Bendigo Bank), SA Power Networks, Origin Energy, MGA Insurance Brokers and Beach Energy. Head contractor Ahrens Group demonstrated significant cash and in-kind support during construction, supported by in-kind contributions from local painter Greg Saunders and his assistant Aaron Knowles, concreter Angas Roulston and Dulux Paints’ Dean Flett, who donated the paint for the interior and hangar floor. At a local government level, Mount Gambier City Council provided IGA Simulator Roadshow > generous financial support and the District Council of Grant has pledged 6 support for the ongoing maintenance of the facility through the waiver of In the first corporate/community activation of its kind, the Flying Days on the road utilities costs, lease fees and rates. Doctor joined forces with Major Partner IGA Supermarkets to launch an RFDS Simulator Roadshow. S. Kidman & Co extends The Simulator Roadshow visited 13 IGA and Foodland stores in regional South Australia across six days in November 2019, 1,873 Jet Partnership > providing franchisees, staff and local communities the unique opportunity to step inside a fully-equipped replica RFDS flying Kilometres travelled Outback icon S. Kidman & Co announced an extension of its $1 million-plus intensive care unit and feel what it is like to be a patient at RFDS ‘Jet Partner’ sponsorship to support the Flying Doctor’s work in 30,000 feet. remote communities. Funds were raised by gold coin donations, Tap ‘n’ Go card 13 The investment, spanning another four years, benefits both the inaugural donations, merchandise sales, as well as donations direct from RFDS Medi-Jet 24 and the second purpose-built aeromedical jet, which the stores or local communities. Stores visited was scheduled to join the Central Operations fleet in August 2020. The IGA Simulator Roadshow coincided with the annual David Larkin AM, Chief Executive Officer of Hancock Agriculture, said S. Streaky Bay Rodeo By The Sea and raised more than $5,000 Kidman & Co was delighted to continue the alignment of its famous brand for the RFDS. alongside Australia’s leader in aeromedical and primary health care in rural and remote Australia. In the Northern Territory, the Simulator also visited IGA Zuccoli as part of a community activation promoting IGA’s Christmas “Like the Royal Flying Doctor Service, S. Kidman & Co has a rich history Hamper Food Drive. and a strong future invested in the Territory,” Mr Larkin said. Across both South Australia and the Northern Territory, the RFDS “We are delighted to be the inaugural Jet Partner of the RFDS Medi-Jet Simulator visited more than 50 locations in 2019/20. 24s – one in South Australia and the other in the Northern Territory – and to dedicate our ongoing community support to the life-saving work undertaken by this essential Australian service.”

48 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 49 OUR COMMUNITY PARTNERS > OUR COMMUNITY PARTNERS >

Auxiliaries & Support Groups > Community Fundraisers > We are grateful to the many individuals, organisations and community groups who Adelaide Auxiliary Agribusiness Australia fundraise, host events and volunteer for their Flying Doctor. Here are just a few Alice Springs Auxiliary Alice Springs Town Council ‘Pets on Parade’ Ceduna Support Group Anna Nunn ‘Where is Cowboy Roy’s Hat?’ of our community fundraisers who have helped keep our crews in the sky this year. Clare Support Group Anna Villa Ram Sale Copper Coast & District Support Group Arthur Brinsley Southern Grassfed Carcase Classic Mount Lofty Rangers 4WD Club Cowell & District Support Group Austin 7 Club of SA Inc ‘Austins over Australia 2019’ > $27,700 > $4,000 Fleurieu Support Group Australian Stud Sheep Breeders Association As the largest competition of its kind in A four-day 4WD event hosted in the Flinders Ranges raised more Gawler & District Support Group Beach Energy Corporate Team Australia, the Southern Grassfed Carcase than $4,000 for the RFDS. Jamestown & District Support Group Blinman Progress Association Classic attracted a record 1619 beef cattle entries, with one per cent of sale Kangaroo Island Support Group Border Village Roadhouse – Border Dash proceeds from each carcase donated to Kingston & District Support Group Bordertown Golf Club the RFDS. Over $170,000 has been raised Marree Support Group Burra Picnic Races across the 12 years of the competition. Millicent & District Support Group Campbelltown Rotary Outback Experience Mount Gambier Support Group Cummins Wool Show Petroleum Exploration Society of NT Fire & Rescue Service Car Wash Naracoorte & District Support Group David Meyer (Car 150) Outback Car Trek Australia (PESA) > $18,500 > $1,500 Port Augusta Auxiliary Funke’s Ram Sale More than 100 golf buffs teed off at Fifty cars and half a dozen dogs Port Lincoln Auxiliary Gawler Ranges Progress Association the 40th annual PESA Golf Tournament were washed and buffed to a high in March 2019. The event, hosted shine to raise money for the RFDS Port Pirie & District Support Group Geoff Richmond Fundraising Dinner at Flagstaff Hill Golf Club, has raised at a fundraising car wash at the Riverland Support Group Gloria Bristow-Miell more than $380,000 over the last Yulara Fire Station in October. Roxby Downs Auxiliary Graham Abbott 12 years. Southern Yorke Peninsula Support Group Harry Butler Centenary Celebrations Sunraysia Support Group Henley & Grange Community Woodworkers Tatiara Support Group Keith RFDS Op Shop A Night at the Movies > $1,500 Burra Picnic Races > $15,000 Whyalla Support Group Keyneton Primary School ‘Wheels Day’ More than 150 people attended the The Burra Picnic Races – a staple Kingoonya Amateur Racing Club Flying Doctor’s two movie fundraising in the Clare Valley events calendar – Lewis Bruhn Memorial & Long Lunch evenings in 2019. Hosted at GU raised $15,000 for the Flying Doctor Photography > Lions Club of Rostrevor Black Hill Challenge Filmhouse at Glenelg, screenings of at its successful October race meet, Shane Reid, Fotonaut Lower Lakes Stockmans Challenge & Bush Festival ‘Ride Like A Girl’ and ‘Last Christmas’ bringing its total donation to $75,000 raised more than $1,500. since 2015. Loxton Golf Club Mambray Creek Progress Association Volunteers > Mick O'Brien Groovy Memorial Weekend Speaker Program Volunteers Mount Lofty Rangers 4WD Club REDARC Electronics > $10,000 Border Dash > $12,000 Adelaide Office Volunteers Mundulla Concert Committee To celebrate 40 years of Australian More than 30 participants dashed Simulator Volunteers Murray Bridge Hangar Op Shop electronics manufacturing, REDARC the 13-kilometre stretch along the Eyre Operational Volunteers NT Athletics Electronics raised $40,000 for the Highway between the Eucla Motel and Event Volunteers Oodnadatta Racing & Horse Sports Inc community, shared between the the SA/WA border in October in aid of Petroleum Exploration Society of Australia (PESA) Golf Day RFDS and three other charities. the Flying Doctor. The 13th annual event, RAA together with auction and raffle, raised more than $12,000. Ambassador > REDARC Electronics Jessica Adamson Renmark Rovers Football Club Rockleigh Uniting Church Where is Cowboy Roy? > $2,200 Mambray Creek Progress Association > Royal Adelaide Show Wool Exhibitors Anna Nunn’s first foray into children’s $14,100 Patrons > Seymour College Boarders literature Where Is Cowboy Roy? The Association’s stand-alone fundraiser His Excellency the Honourable Hieu Van Le AC, Simpson Desert Bike Challenge was inspired by her son and raised a event ‘Doin’ it for the Doc’ featured live Governor of South Australia Southern Grassfed Carcase Classic dollar for the Flying Doctor from every music, auctions, raffles and a BBQ at Her Honour the Honourable Vicki O’Halloran AO, Stealth Tools copy purchased. the local Trapper Bar. An auction Administrator of the Northern Territory Strathalbyn Campdraft highlight was an RFDS baseball cap that attracted a $500 donation. Summit Trax 4WD Club Inc SYP Community Shop Incorporated Awards & Acknowledgements > The Annual Ranger Meetup 2019 Henley & Grange Community RFDS Hangar Op Shop > $17,100 Gary Bastin – NT Government Chief Minister’s The Teakle Foundation Woodworkers > $50,000 Volunteer of the Year Award Dorothy Head, who operates the Murray The Wanderers Car Run The Henley & Grange Community Bridge RFDS Hangar Op Shop, generously RFDS Clare Support Group – Clare & Gilbert Valleys Council Australia Day Award Tunarama entrant, Belinda Currie Woodworkers celebrated a major donates part proceeds to the Adelaide Welly’s Poker Run milestone in November, marking a total Auxiliary. The shop sells quality second- William Creek Gymkhana of $50,000 in donations to the RFDS hand goods to the local community and William Creek Hotel over 14 years. The group handcrafts has raised more than $300,000 for the Winery Engineers of Australia wooden toys, furniture and artwork for sale Flying Doctor since 2002. with all proceeds to the Flying Doctor. Wudinna Bowling Club

50 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 51 OUR CORPORATE PARTNERS > OUR HEALTH PARTNERS >

Jet Partner COVID-19 Response Partner We thank the following partners for working with and supporting RFDS Central Operations in 2019/20.

Funding Partners

Major Partners

Service Delivery > Skills Training > Central Australian Aboriginal Congress Adelaide University Central Australian Retrieval Service Aus Compliance - First Aid Child and Family Health Service (Women’s & Children’s Hospital) Australian Resuscitation Training Country & Outback Health Charles Darwin University GPEX – Australian General Practice Training Flinders University National Partners headspace Guardian Personal Safety Training McGrath Foundation Skilled Manual Handling MedSTAR Emergency Medical Retrieval Oak Valley Health Service Aviation > Office of the Chief Psychiatrist (SA) Adelaide Airport Limited Program Partners Aircraft Partner Pintupi Homelands Health Service Aboriginal Corporation AirBP Palliative Care Australia Air Services Australia Rural Doctors Workforce Agency Civil Aviation Safety Authority SA Arid Lands Natural Resource Management Board Flight Safety International Sports Australia Pilatus Australia Community Partners St John Ambulance NT OzRunways Tullawon Health Services NT Airports

AWARDS >

Supporting Partners

Media Partners

52 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 53 FINANCIAL REPORT >

Statement by the Board ...... 56 Statement of Comprehensive Income...... 57 Statement of Changes in Equity...... 58 Balance Sheet ...... 59 Statement of Cash Flows...... 60 Report of Independent Auditor...... 61

Acting Operations Manager Sam Bennett with Base Coordinator Mark Edwards at Darwin Base.

54 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 55 OUR FINANCIAL REPORT >

For the year ended 30 June 2020 Statement of Profit and Loss and Other Comprehensive Income >

For the year ended 30 June 2020

2020 2019 $ $ Revenue 48,386,052 43,663,394 Royal Flying Doctor Service Other income 16,407,891 18,769,017 of Australia Central Operations > 64,793,943 62,432,411

Employee expenditure 28,668,302 25,687,041

Statement by the Board Aviation fuel 5,524,727 5,912,953 The financial statements and other specific disclosures are a summary Aviation maintenance 4,605,487 3,145,369 of and have been derived from the Royal Flying Doctor Service of Australia Depreciation and amortisation 8,402,969 7,002,761 Central Operations full financial report for the financial year. Other information Amortisation of engine and propeller overhaul 2,427,532 2,232,932 included in the summary financial report is consistent with the Service’s full financial report. Other expenses 10,181,306 10,128,461 The summary financial report does not, and cannot be expected to provide 59,810,323 54,109,517 as full an understanding of the financial performance, financial position and financing and investing activities of the Service as the full financial report. Surplus before financial income and expense 4,983,620 8,322,894 A copy of the Service’s 2020 Annual Financial Report, including the independent audit report, is available to all members, and will be sent to members without Financial income 1,837,278 3,736,800 charge upon request. Financial expense (2,117,857) - Review of Operations and Results (280,579) 3,736,800 The Directors report that the Service recorded a surplus for the period ended 30 June 2020 of $4.7 million ($12.1 million in 2019) Surplus for the year 4,703,041 12,059,694 The result excluding donations and sponsorship of $7.9 million ($6.5 million in 2019), legacies and bequests of $4.7 million ($7.8 million in 2019), net financial expense of ($0.3) million (net financial income of $3.7 million in 2019) and capital Other comprehensive income grants of $2.2 million ($2 million in 2019) is a deficit of $9.8 million ($7.9 million in 2019). This deficit represents the funding shortfall from operational activities. Items that will never be reclassified to profit or loss The surplus generated from non-operational activity (donations and sponsorship of $7.9 million, legacies and bequests of $4.7 million and net financial expenses Revaluation of Land & Buildings - 738,028 of ($0.3) million) has contributed to total cash and investments of $68.8 million Equity securities - net change in fair value (962,015) 206,500 ($70.2 million in 2019). The Service requires this level of investment holdings to (962,015) 944,528 support its capital replacement program. In the next five years it is anticipated the capital replacement program will require $68.5 million at current values including the final payment of a second medically-equipped twin engine Jet TOTAL COMPREHENSIVE INCOME FOR THE YEAR 3,741,026 13,004,222 PC24, three medically-equipped PC-12s, together with medical, aviation and general equipment upgrades in excess of $2.5 million per annum.

Dated at Adelaide this 10th day of September 2020. Signed in accordance with a resolution of the Board of Directors

P de Cure L Reynolds Chairman Deputy Chairman

56 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 57 OUR FINANCIAL REPORT >

Statement of Changes in Equity > Balance Sheet >

For the year ended 30 June 2020 For the year ended 30 June 2020

Asset Asset Capital Fair Value Retained Total 2020 2019 Revaluation Realisation Grant Reserve Earnings Equity $ $ Reserve Reserve Reserve Current Assets $ $ $ $ $ $ Cash and cash equivalents 37,633,128 4,099,720 Balance at 1 July 2018 8,910,806 6,580,285 39,707,004 2,101,343 105,994,372 163,293,810 Trade and other receivables 3,612,800 2,845,856 Inventories 910,203 471,065 Total comprehensive income for the year Investments 31,172,864 66,146,941 Surplus for the year - - - - 12,059,694 12,059,694 Total current assets 73,328,995 73,563,582 Changes in fair value of financial assets - - - 206,500 - 206,500 Change in fair value of land and buildings 738,028 - - - - 738,028 Non Current Assets Total comprehensive income for the year 738,028 - - 206,500 12,059,694 13,004,222 Property, plant and equipment 120,660,767 113,743,516 Transfer (to)/from reserve (6,796,170) (6,580,285) 1,996,109 - 11,380,346 - Intangibles 265,877 220,612 Total recognised income and expense (6,058,142) (6,580,285) 1,996,109 206,500 23,440,040 13,004,222 Right-Of-Use Assets 19,397,911 - BALANCE AT 30 JUNE 2019 2,852,664 - 41,703,113 2,307,843 129,434,412 176,298,032 Total non-current assets 140,324,555 113,964,128

Total assets 213,653,550 187,527,710 Balance at 1 July 2019 2,852,664 - 41,703,113 2,307,843 129,434,412 176,298,032

Total comprehensive income for the year Current Liabilities Surplus for the year - - - - 4,703,041 4,703,041 Trade and other payables 4,259,043 5,352,441 Changes in fair value of financial assets - - - (962,015) - (962,015) Lease Liability 893,788 - Total comprehensive income for the year - - - (962,015) 4,703,041 3,741,026 Contract liabilities – Grant funding 4,226,954 1,405,419 Transfer (to)/from reserve - - 2,222,115 - (2,222,115) - Employee benefits 4,034,496 3,274,235 Total recognised income and expense - - 2,222,115 (962,015) 2,480,926 3,741,026 Total current liabilities 13,414,281 10,032,095 BALANCE AT 30 JUNE 2020 2,852,664 - 43,925,228 1,345,828 131,915,338 180,039,058

Non Current Liabilities Lease Liability 19,045,350 - Long service leave 1,154,861 1,197,583 Total non-current liabilities 20,200,211 1,197,583

Total liabilities 33,614,492 11,229,678

NET ASSETS 180,039,058 176,298,032

Equity Reserves 48,123,720 46,863,620 Retained earnings 131,915,338 129,434,412 TOTAL EQUITY ATTRIBUTABLE TO EQUITY HOLDER 180,039,058 176,298,032

58 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 59 SUMMARY FINANCIAL REPORT >

Statement of Cash Flows > Independent Auditor’s Report

For the year ended 30 June 2020 To the members of Royal Flying Doctor Service of Australia Central Operations 2020 2019 Report on the Summary Financial Statements $ $

Cash flows from operating activities Opinion Cash receipts from grants 29,165,208 24,834,034 We report on the Summary Financial Statements of Royal Flying The Summary Financial Statements comprise: Cash receipts from customers 20,966,626 20,326,837 Doctor Service of Australia Central Operations (the Service) as at and • Balance sheet as at 30 June 2020; for the year ended 30 June 2020. The Summary Financial Statements Cash paid in the ordinary course of operations (47,922,828) (39,015,778) are derived from the audited financial report of Royal Flying Doctor • Statement of profit and loss and comprehensive income, Statement of changes in equity and Statement of cash flows for the year then Cash receipts from tourist activities 1,633,811 2,450,538 Service of Australia Central Operations (the Audited Financial Report). ended; and In our opinion, the accompanying Summary Financial Statements Cash receipts from donations, legacies and bequests 12,321,218 9,595,683 of Royal Flying Doctor Service of Australia Central Operations are • Related notes. Cash paid for tourist activities (1,373,133) (1,833,405) consistent, in all material respects, with the Audited Financial Report, in accordance with the basis of preparation described in Note 1 to the Cash paid for fundraising activities (1,299,928) (1,267,211) Summary Financial Statements. Net cash from operating activities 13,490,974 15,090,698 Scope of the Summary Financial Statements The Audited Financial Report and our auditor’s report thereon

Cash flows from investing activities The Summary Financial Statements do not contain all the We expressed an unmodified audit opinion on the Audited Financial disclosures required by Australian Accounting Standards applied Report in our auditor’s report dated 10 September 2020. Acquisition of property, plant and equipment and intangible assets (11,226,671) (22,172,149) in the preparation of the Audited Financial Report. Reading the Acquisition of engine & propeller overhaul (5,365,952) (3,167,815) Summary Financial Statements and this Auditor’s Report thereon, therefore, is not a substitute for reading the Audited Financial Report Proceeds from sale of fixed assets 4,000 10,000 and our auditor’s report thereon. (Acquisition) / Proceeds of investments 34,423,443 8,355,011 Emphasis of matter – basis of preparation and restriction on use Proceeds from capital grants 2,248,465 1,996,109 Interest received 34,586 62,472 We draw attention to Note 1 to the Summary Financial Statements, This Auditor’s Report is intended solely for the Directors of Royal which describes the basis of preparation. Flying Doctor Service of Australia Central Operations and should not Dividends received 499,497 109,443 The Summary Financial Statements have been prepared to assist be used by parties other than the Directors of Royal Flying Doctor Net cash (used) in investing activities 20,617,368 (14,806,929) the Directors of Royal Flying Doctor Service of Australia Central Service of Australia Central Operations. We disclaim any assumption Operations for the purpose of fulfilling the Directors’ financial reporting of responsibility for any reliance on this Auditor’s Report, or on the responsibilities under the ACNC Act 2012. As a result, the Summary Summary Financial Statements to which it relates, to any person other Cash flows from financing activities Financial Statements and this Auditor’s Report may not be suitable for than the Directors of Royal Flying Doctor Service of Australia Central another purpose. Our opinion is not modified in respect of this matter. Operations or for any other purpose than that for which it was prepared. Repayment of lease liability (659,702) - Net cash (used) in financing activities (659,702) - Other information Responsibilities of the Directors for the Summary Financial Statements

Other Information is financial and non-financial information in Royal The Directors are responsible for the preparation of the Summary Net increase / (decrease) in cash and cash equivalents 33,448,640 283,769 Flying Doctor Service of Australia Central operations’ annual reporting Financial Statements in accordance with the basis of preparation which is provided in addition to the Financial Report and the Auditor’s described in Note 1 to the Summary Financial Statements, including Cash and cash equivalents at 1 July 4,099,720 3,773,824 Report. The Directors are responsible for the Other Information. their derivation from the Audited Financial Report of the Service as at Effect of movements in exchange rates on cash held 84,768 42,127 Our opinion on the Financial Report does not cover the Other and for the year ended 30 June 2020. Information and, accordingly, we do not express any form of CASH AND CASH EQUIVALENTS AT 30 JUNE 37,633,128 4,099,720 assurance conclusion thereon. Auditor’s responsibilities for the Summary Financial Statements In connection with our audit of the Financial Report, our responsibility is to read the Other Information. In doing so, we consider whether Our responsibility is to express an opinion on whether the Summary the Other Information is materially inconsistent with the Financial Note 1: Basis of preparation of the summary financial report > Financial Statements are consistent, in all material respects, with the A full description of the accounting policies adopted by the Report or our knowledge obtained in the audit, or otherwise appears Audited Financial Report/Statements based on our procedures, which The summary financial report has been prepared based on Service may be found in the Service’s full financial report. to be materially misstated. were conducted in accordance with Australian Auditing Standard the Service’s full financial report. Other information included The accounting policies have been applied consistently to all We are required to report if we conclude that there is a material ASA 810 Engagements to Report on Summary Financial Statements. in the summary financial report is consistent with the periods presented in the financial report. misstatement of this Other Information, and based on the work we have performed on the Other Information that we obtained prior to Service’s full financial report. The summary financial report The financial report is presented in Australian dollars, which the date of this Auditor’s Report we have nothing to report. does not, and cannot be expected to, provide as full an is the Service’s functional currency. understanding of the financial performance, financial position and financing and investing activities of the Service as the full financial report. The financial report is prepared on an historical costs basis except for the following: KPMG Sheenagh Edward › land and buildings are stated at fair value; Partner › investments are stated at fair value; and Adelaide, 10 September 2020 › liabilities for defined benefit obligation.

KPMG, an Australian partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG Liability limited by a scheme approved under 60 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS International Cooperative (“KPMG International”), a Swiss entity. Professional Standards Legislation. Image Credits > This spectacular bird’s-eye view of everything that we transport inside an RFDS PC-12 was captured at Alice Springs Base by Dr Tom Huang. We thank the following photographers for use of their images in this publication: › Jacqui Bateman › Russell Millard › Shane Reid › Matt Turner (The Advertiser)

62 ROYAL FLYING DOCTOR SERVICE | CENTRAL OPERATIONS 2019/20 ANNUAL REPORT 63 How you can help > Where to find us >

Thanks to the kind support of individuals, Adelaide Base 1 Tower Road, Adelaide Airport SA 5950 corporations, governments and the t 08 8238 3333 f 08 8238 3395 community, the Royal Flying Doctor e [email protected]

Service has proudly served Australia Alice Springs Base for over 90 years. Help us continue to Alice Springs Airport, 28 Davis Drive, Alice Springs NT 0870 deliver the finest care to the furthest t 08 8958 8400 f 08 8958 8680 corners of Australia. Darwin Base Darwin Airport, 10a Lancaster Road, › Mail your donation to: Eaton NT 0820 Royal Flying Doctor Service t 08 8998 9940 f 08 8998 9942 PO Box 381 Marleston SA 5033 Port Augusta Base › Call us on 1800 813 318 Port Augusta Airport, Airport Road, Port Augusta SA 5700 › Email us at [email protected] t 08 8648 9500 f 08 8648 9591 › Visit flyingdoctor.org.au/sant to make an online donation Andamooka Health Service flyingdoctor.org.au/sant Hospital Road, Andamooka SA 5722 08 8672 7087 08 8672 7222 facebook.com/royalflyingdoctorservice t f @RoyalFlyingDoc Marla Health Service instagram.com/royalflyingdoc 8 Cockatoo Crescent, Marla SA 5274 linkedin.com/company/royal-flying-doctor-service t 08 8670 7007 f 08 8672 7007 -of-australia/ Marree Health Service First Street, Marree SA 5733 t 08 8675 8345 f 08 8675 8385

Alice Springs Tourist Facility 8-10 Stuart Terrace, Alice Springs NT 0870 t 08 8958 8411 w rfdsalicesprings.com.au

Darwin Tourist Facility 39 Stokes Hill Road, Darwin NT 0800 t 08 8983 5700 w rfdsdarwin.com.au

ABN 81 108 409 735