JOHN HUNTER HEALTH & INNOVATION PRECINCT ‘VALUE FOR THE HUNTER’ DR ANTHEA BILL HUNTER RESEARCH FOUNDATION CENTRE 3 SEPTEMBER 2018 PRESENTATION OUTLINE 1. JHH&I precinct snapshot 2. Workforce & patient reach JHH&I precinct 3. Economic importance to the region 4. Knowledge cluster / innovation precinct 5. Future opportunities JHH&I PRECINCT: SNAPSHOT MEMBERS John Hunter Hunter Research and Transplant Centre John Hunter Children’s Ronald Mcdonald Hospital (JHCH) House Charities Pediatric Intensive Care Unit Nexus Hunter Medical Royal Newcastle Research Institute Centre Newcastle Private Rankin Park Hospital Rehabilitation Centre Hunter New England Health District Head Office JHH&I PRECINCT: REGIONAL IMPACT

Hunter New England District

Community

Workforce

John Hunter Hospital JOHN HUNTER/CHILDREN’S HOSPITAL

• Largest hospital in Hunter New England District – tertiary referral, major trauma, community.

• Busiest Trauma Centre & Neurosurgery Unit NSW

• One of the busiest Emergency Dept’s in NSW

• Services Greater Newcastle

• Network of tertiary services across Hunter New England Health District

• Maternity & , medical & interventional, surgical care, critical care, outpatient services

• Innovative practices – telehealth + telecare JOHN HUNTER : HIGH QUALITY PATIENT-CENTRED CARE % of patients receiving surgery within clinically recommended times

Non-urgent elective surgery Semi-urgent elective surgery Urgent elective surgery 100 100 100

80 80 80

60 60 60

40 40 40

20 20 20

0 0 0

JHH Australia JHH Australia JHH Australia

Source: Australian Institute of Health and Welfare. (2018). GEOGRAPHIC REACH: COMMUNITIES SERVICED

Queensland

Civilisation

Newcastle WHO WORKS AT THE JH HEALTH & INNOV PRECINCT? 60% bachelor Approx. 4,000 WORKERS degree or REGION’S SINGLE LARGEST EMPLOYER higher qualification* JHH Region* Average (2016) ATSI 3% 3.9% Female 75% 49% Part-time 36% 36% Professional 65% 24% *Newcastle & 17% of region’s health, science Lake Macquarie = 20% and IT knowledge workers

Source: ABS, Census 2016.* Newcastle and Lake Macquarie SA4 WHO WORKS AT THE JH HEALTH & INNOV PRECINCT?

Registered nurses 1165 233 GPs and resident Medical Officers Midwives 191 152 Medical technicians Nursing Support and Personal 100 Medical Laboratory Scientists Care workers 123 80 Medical Imaging Professionals Enrolled and Mothercraft Nurses 94 69 Physiotherapists Nurse Managers 79 John 51 Surgeons Specialist Physicians 66 Hunter 42 Health and Welfare Service Managers Anaesthetists 48 Occupational Therapists 40 Hospital 39 Pharmacists Social Workers 38 31 Nurse Educators and Researchers Nutrition professionals 25 25 Accounting clerks Audiologists and Speech Pathologists 16 13 Ambulance Officers and Paramedics 11 Human Resource Managers

Source: ABS, Census of Population and Housing 2016 WHERE DO WORKERS COME FROM? HEALTH: LOCAL ECONOMY MAINSTAY Biggest Employer Greatest Value Add*

Arts & Recreation Services Health Care Agriculture, Forestry & Fishing and Social Other Services Assistance Information Media &… Mining Wholesale Trade Accommodation & Food Services Administrative & Support… Retail Trade Public Administration & Safety Electricity, Gas, Water & Waste… Transport, Postal & Warehousing Professional, Scientific &… Manufacturing Education & Training Construction Financial & Insurance Services Rental, Hiring & Real Estate… Health Care & Social Assistance

0.0% 5.0% 10.0% 15.0% Source: ABS, Census of Population and Housing 2016; Newcastle and Lake Macquarie LGAs. Source: REMPLAN, 2018; * Newcastle LGA. Newcastle and Lake Macquarie 18% = No. 1 Mid North Coast Coffs Harbour - Grafton Richmond - Tweed Central Coast Illawarra Far West and Orana % of Total Employment Southern Highlands and Shoalhaven in Health Care & Social Central West Sydney - Blacktown Assistance – NSW SA4s Murray New England and North West Riverina Sydney - Parramatta Sydney - Ryde Sydney - North Sydney and Hornsby Sydney - Outer West and Blue Mountains Sydney - Outer South West Sydney - Inner West Hunter Valley exc Newcastle Capital Region Sydney - Eastern Suburbs Sydney - Inner South West Sydney - Sutherland Sydney - Baulkham Hills and Hawkesbury Sydney - Northern Beaches Sydney - South West Sydney - City and Inner South 0.0 5.0 10.0 15.0 20.0 Source: ABS, Census of Population and Housing, 2016. HEALTH: REGIONAL GROWTH ENGINE

Sector adds approx. 1,000 jobs to Jobs Growth Health Care and Newcastle/Lake Mac economy every Social Assistance, 2011-16 year… Sydney - Blacktown Sydney - South West Sydney - Parramatta % Jobs Growth Sydney - Inner South West Health Care Sydney - Outer South West 25 Health Care Sydney - City and Inner South & Social Newcastle and Lake Macquarie & Social Hunter Valley exc Newcastle Assistance Illawarra 20 Assistance Central Coast Sydney - Ryde Coffs Harbour - Grafton 15 Mid North Coast Sydney - Baulkham Hills and Hawkesbury Riverina Total Sydney - Inner West 10 Sydney - Northern Beaches Sydney - North Sydney and Hornsby Southern Highlands and Shoalhaven Richmond - Tweed 5 Total Central West Sydney - Sutherland Capital Region Sydney - Outer West and Blue Mountains 0 Sydney - Eastern Suburbs 2006-11 2011-16 Murray 2006-11 New England and North West Far West and Orana Source: ABS, Census 2016; Newcastle and Lake Macquarie LGAs. 0% 10% 20% 30% HEALTH: FUTURE DRIVERS • Australian Productivity Commission (2017) Health and education sectors crucial for productivity growth • Australia has ageing demographic - Hunter more pronounced • 2015 Intergenerational Report - Australia’s growing population is living longer - Costs to health system rising at 2x rate of GDP • Cost effective health service delivery to ageing population needs innovative solutions to drive down costs 7 JOB CLUSTERS FUTURE OF JOBS

Source: Foundation for Young Australians, New Work Mindset KNOWLEDGE CLUSTER AND INNOVATION DISTRICT New model -> ‘health centred’ innovation district: • Hospital as a regional anchor institution • Collaboration among knowledge intensive sectors (universities & research institutions) share ideas + practice open innovation • Talent attraction, retention & development • Transport connections + diverse growing population INTERNATIONAL EXAMPLES International case studies -> effectiveness of hospital-based innovation districts:

• ‘Corridor Manchester’ - United Kingdom

• ‘Kendall Square Initiative’ - Massachusetts, United States

• ‘Discovery District’ – Toronto, Canada HUNTER MEDICAL RESEARCH INSTITUTE (HMRI) Opened 1998 - world-class medical research institute 1,500 medical researchers, students, support staff. • Strategic imperatives: • Enable research excellence across ‘translation pipeline’ • Support, enable & develop Hunter research community • Provide world class research infrastructure • Grow funding for research • Partner with the community HMRI: RESEARCH PERFORMANCE $ 40,000,000 Category 1 Funding HMRI (Philanthropic and Infrastructure) 35,000,000

30,000,000 12,706,331 9,583,906 11,139,609 25,000,000 6,918,164 7,789,418 8,093,329 20,000,000

15,000,000 22,621,180 23,186,829 10,000,000 19,625,817 19,113,049 19,518,580 20,816,170

5,000,000

0 2012 2013 2014 2015 2016 2017 Source: HMRI, Performance Report 2017. UON PARTNERSHIPS UON STUDENT PLACEMENTS 2017 • JHH main of University of Royal Newcastle Centre Newcastle/Joint Medical Program. 315

• JHH clinical placements part of exemplary Rankin Park program for training medical professionals – 59 ‘best learning in medicine is practical’

• JHH facilities - excellent education technology, e.g., simulated learning facilities - Chameleon Clinical Skills Lab

John Hunter Hospital 2,123 FUTURE OPPORTUNITY? JHH&I precinct - global leader for pursuit of innovation & excellence Build on distinct advantages: • Long-standing integration & collaboration for medical and allied services on one site. • Public & private health services co-located with world leading education & medical research, including translational research – integration of research & practice. • Region possesses key specialisations & eco-system for innovation. CONCLUSION The John Hunter Health & Innovation Precinct delivers value for through: 1. High quality, patient-centred care 2. Region’s single largest employer 3. Historic ‘buffer’ & future growth engine 4. High-performing knowledge cluster 5. Catalyst for talented labour + training ground for future workforce needs THANK YOU

DR ANTHEA BILL HUNTER RESEARCH FOUNDATION CENTRE

3 SEPTEMBER 2018