Western Local Health District 2017-18 YEAR IN REVIEW

CONTENTS

CARING FOR YOUR TOMORROW 38

Building the Future 39 WESTERN SYDNEY LOCAL HEALTH DISTRICT 6 Digital Health 43 About Us 7 4 Map of WSLHD 9

Financial Sustainability 10

A Word From the Chair & Chief Executive 12 INNOVATION & QUALITY 46 1 Science 47 Clinical Education 49

Quality Awards 49

Patient Safety 53 HEALTHCARE FACILITIES 14 5 Westmead 15

Auburn Hospital 19

Blacktown ​ and​ Mount ​ Druitt​ 22 OUR PEOPLE 54 2 Our Staff 55 Our Board 58

Our Executive Team 62

Partnering for Tomorrow 66 SPECIALTY SERVICES 27 6 Mental Health 28

Drug Health 30

Integrated & Community Health 31 APPENDICES 68 3 Our Organisation 69 Our ​ Partners​ 74

Location Directory 75 COVER PHOTO: Westmead Hospital’s senior cardiopulmonary physiotherapist Alexia Kozary (left), surgical registrar Dr Nick Lee, dental student Roswin Grewal, and Blacktown and Mount Druitt Abbreviations &​ ​Glossary 78 hospitals’ deputy director & Midwifery Rola Tawbe embrace our digital future. 7 4 5 WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

Mum Shaista Ghulam with her newborn Ali Ghulam at Westmead Hospital.

ABOUT US

Western Sydney Local Health needs. It spans the full economic DEMOGRAPHY District (WSLHD) provides public and social spectrums providing healthcare to more than a million a rich environment to develop Forty-seven per cent of our residents in Sydney’s west as and implement innovative residents were born overseas and well as services to those outside models of healthcare, research, one in two speak a language other our catchment from specialty infrastructure and new ways of than English at home with 71.1 per statewide centres of expertise. doing business. cent living in the Cumberland LGA. India leads as the country of origin We are responsible for delivering To meet our healthcare needs and Arabic is the most common 1 and managing $1.8 billion and projected demand we have non-English language. in public healthcare across embarked on a multibillion-dollar ABOUT US 7 more than 120 suburbs in the capital redevelopment program, Aboriginal people comprise 1.5 per WESTERN Blacktown, The Hills Shire, and continue to research world’s cent of our population, residing Demography 7 Cumberland and local best practice and innovations to largely in the Blacktown LGA. government areas (LGAs). maintain community expectations Our Health 8 SYDNEY in healthcare delivery, research WSLHD has the highest One of 15 local health districts and education. proportion of females of Map of WSLHD 9 (LHDs) in the NSW , childbearing age at 51 per cent. WSLHD is the State’s second A total of 13,000 dedicated LOCAL FINANCIAL SUSTAINABILITY 10 most populous and one of the individuals work across more than Our local health district is fastest growing areas with the 70 sites including Westmead, characterised by wealth at A WORD FROM THE CHAIR population expected to increase Auburn, Cumberland, Blacktown one end of the spectrum and & CHIEF EXECUTIVE 12 HEALTH by 48 per cent by 2036. and Mount Druitt hospitals as well significant social disadvantage at as a network of comprehensive the other bringing with it a range Our community is complex in integrated care and community- of complex health needs and DISTRICT its diversity and its healthcare based services. social circumstances.

PHOTO: Registered nurses Shantelle Morton (left) and Elizabeth Wilson look into the future at the unveiling of a 3D model of the Westmead Redevelopment project. 7 WESTERN SYDNEY 01 2 4km N HOSPITALS

2017-18 1. snapshot Forty-seven per cent 2. of our residents were 3. Westmead Hospital born overseas and 4. Cumberland Hospital one in two speak a 5. Auburn Hospital language other than English at home. WESTERN SYDNEY

PHOTO: Patient Miguel COMMUNITY 192,122 Maroota ED PRESENTATIONS Munos, of Fairfield, with his grandson Emilio Graziano. HEALTH CENTRES

6. Mount Druitt Community Health Centre Gosford > 7. Doonside Community Health Centre 8. Blacktown Community Health Centre 181,446 9. The Hills Community ADMISSIONS Health Centre 10. Parramatta Community Health Centre 11. Merrylands Community Health Centre WSLHD residents experience It is estimated more than 189,200 greater socioeconomic people suffer diabetes, chronic 12. Auburn Community disadvantage compared to obstructive pulmonary disease Health Centre The Hills Shire LGA the general NSW population, (COPD), and heart conditions 43,546 except for those living in The averaging $2914 million annually SURGERIES Hills Shire LGA. in direct and indirect costs.

WSLHD has a 20 per cent higher OUR HEALTH incidence of diabetes and asthma Rouse Hill than the NSW average, coupled Marsden Park Half the residents of western with challenging demographics. Sydney have a chronic disease Blacktown LGA and about 20 per cent have at ’s leading causes of M1 least two. morbidity and mortality, the Castle Hill 10,471 effects of obesity, diabetes BIRTHS M2 People from culturally and and cardiovascular disease Penrith 1 9 linguistically diverse (CALD) are particularly pronounced SeeSee footnotefootnote** 7 2 backgrounds may have a higher in Sydney’s west. 6 8 risk of developing some chronic Macquarie Park diseases such as diabetes. Western Sydney is a diabetes M4 M7 4 Sydney Parramatta hotspot with an estimated Harbour Additional considerations with quarter of the population likely LGA 3 M2 Bridge CALD people may include to be affected by diabetes or 10 r language barriers, problems prediabetes. Cumberland 52,108 with health literacy, absence of VACCINE INJECTIONS LGA 11 family support, financial stress, A total of 50 per cent of the IN HIGH SCHOOLS Future Western 5 low social status and a sense of population is overweight and Prospect Sydney Airport Reservoir 12 disempowerment. at risk of developing type 2 diabetes. CBD Three categories of chronic Sydney Olympic Park disease in western Sydney M7 Parramatta are costing more than $2.9 Bondi > 155,744 billion annually. Liverpool OCCASIONS OF Sydney Airport DENTAL SERVICES SOURCE (SNAPSHOT): NSW Health Information Exchange and Enterprise Data * Hatched area of Parramatta LGA is outside Warehouse for Analysis Reporting and Decisions. Western Sydney Local Health District M5

8 WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

FINANCIAL SUSTAINABILITY

WSLHD’s expenditure for 2017- HIGHLIGHTS The performance and analytics WSLHD COST PER NWAU VS STATE 18 was $1.8 billion with 66 per team provides reporting, cent consisting of salaries and Strong engagement and analytics and expertise on Revenue wages for more than 10,000 full commitment by WSLHD patient activity data, activity time equivalent employees. operations and finance teams based funding (ABF) and enabled a sustainable financial patient level costing. $4577 Own source revenue contributed recovery program by the end of $264 million towards funding the year despite an increase in It designed and implemented a $4521 health services. demand for services. live smart application to monitor emergency treatment times to $4467 $4457 76% Sales of Goods WSLHD ensures policies Underpinning the recovery assist in reading the waiting time and Services and controls are in place to were improvements on several at our EDs. effectively manage its assets fronts including clinical key $4366 $4348 and finances. performance indicators. These We had a strong focus on 24% $4317 include emergency access at all improving efficiency throughout $4306 Other Revenue Financial sustainability emergency departments (EDs), 2017-18 and as a result, underpins the ability to provide a sustained solid performance significant reductions were a diverse range of public in surgical programs and achieved in cost per National healthcare to the residents of reduced seclusion rates in Weighted Activity Unit (NWAU). Sydney’s west. mental health services.

A NWAU is a measure for health 2014-15 2015-16 2016-17 2017-18 (6 months) Four portfolios comprise the A significant investment in service activity. Cost per NWAU Expenditure WSLHD Finance directorate. essential maintenance of assets is an important gauge by which They are: and infrastructure across the the State and Commonwealth • Financial and management local health district (LHD) was governments determine the NSW Average WSLHD Average accounting completed in the final quarter efficiency of hospitals and LHDs. • Supply chain of the year. NSW reduced costs by 1.4 per Linear (NSW Average) Linear (WSLHD Average) • Performance and analytics cent, while WSLHD recorded a 66.4% • Health records and The supply chain portfolio 5.6 per cent reduction. Salary and Wages information management negotiated several important WSLHD had a strong focus on Between 2014-15 and 2017-18 contracts that will provide The annual WSLHD costing improving efficiency throughout multi-year benefits to WSLHD. study was provided to the NSW 2017-18. As a result, significant 26.9% Other Operating They include improved access Ministry of Health on a timely reductions were achieved in THE STATE Expenses to cost-effective orthopaedic basis and data in the report cost per NWAU. costs grew by 2.1% and cardiac implant devices and used to inform future directions The measurement used in the lenses. in health funding at a State and graph above is cost per NWAU national level. (National Weighted Activity WSLHD costs grew by The priority of our medical Unit). A NWAU is a NSW 0.3% coding teams continued to be and national unit of measure one of improving the quality for activity. 3.6% Depreciation & of the patient record, resulting The complete audited Cost per NWAU is an Between 2016-17 and 2017-18 Amortisation in advancement up the leader financial statements are important measure by which the State and Commonwealth board which reflects NSW published in the 2017-18 Health’s State performance. NSW Health Statutory measure the efficiency of THE STATE 2.4% reduced costs by Financial Report and are hospitals and LHDs. 1.4% VMOs The coverage of clinical available on our website documentation specialists SOURCE: NSW Health Activity WSLHD 0.6% has been expanded across www.wslhd.health.nsw.gov.au Grants and Affiliated Based Management Portal. reduced costs by the LHD, enhancing clinical 5.6% Health Organisations engagement. This resulted in improvements capturing the % complexity of patient events 0.1 Other Items within the patient record.

10 11 WESTERN SYDNEY LOCAL HEALTH DISTRICT 1 WSLHD YEAR IN REVIEW 2017-18

And we are fortunate to be working Information technology is already with Blacktown City Council, a changing the face of clinical champion of the Better Foundation practice, underpinning important A WORD FROM THE CHAIR which supports Blacktown and research in healthcare and Mount Druitt hospitals. providing a platform for each of us & CHIEF EXECUTIVE to be healthier. We are also partnered with Western Sydney University and WSLHD has focussed much energy their important and evolving and resources on developing our This past year has been both We have faced major financial presence at both Blacktown capabilities and infrastructure in exciting and demanding. challenges in our organisation and Parramatta, to help develop this field during 2018. this year and have established the smart city of students and It is our great pleasure to a recovery process that will advanced clinical research. We recognise the wonderful acknowledge the many give us a solid foundation on dedication and commitment of individuals and organisations who which to plan and implement The University of Notre Dame our 13,000 medical, nursing, allied have shared the commitment of the massive infrastructure Australia at Auburn Hospital is health, managerial and support staff. Western Sydney Local Health developments taking place successfully bringing research and District to provide the best in and around our facilities at broad educational opportunities Each person can tell a story of possible healthcare for the Westmead, and Blacktown and to our work in this distinctive and how they have gone beyond the community we serve. Mount Druitt hospitals. important community. call of duty to meet the needs of people relying on our health Our hospitals, community At Westmead we have helped Part of the rapidly growing services. In the pages that follow services, and our partnerships develop and share a vision of population of WSLHD, Auburn we touch on aspects of their with the primary health what the future will be with Hospital has an important and commitment. network, WentWest, our general our partners at The Children’s developing future as a place for practitioners and others who Hospital at Westmead, the elective surgery, for bringing a large To all our supporters, we provide health services in the , the NSW number of babies into the world and gratefully acknowledge and community, have been vital to Government, local councils, for meeting the specific needs of thank you for all you have done achieving great outcomes for schools and businesses. the local population. through the past year for us and people with serious illnesses and the people of western Sydney. diverse healthcare needs. The contribution to the planning Still a young institution in many and building of our new facilities respects, WSLHD has the from NSW Health Infrastructure opportunity to shape its direction has been inspirational. and develop its own approaches.

The strength of Sydney University We are agile in the ways we are in research, education and responding to the future. We scholarship as well as the breadth are free to develop partnerships of its disciplines within and with others who can also access beyond health make this a vital the wonderful opportunities of partnership for our future and for the rapidly expanding western developing innovative approaches Sydney community and the to improving health in the focus of Parramatta to create Westmead precinct. something exciting for the people of western Sydney. We are truly engaged in building the future together, utilising These partners are crucial to the best insights available, to making a successful and healthy plan clinical services, develop environment for us all. and educate the future health workforce and conduct research We thank all those who have offered of the highest quality. the hand of friendship and engaged at so many levels in making the The local health district is in a future so different to the past. wonderful position with regard Without the commitment, guidance to all our university and council and help that comes to us each day partners and we acknowledge from the team at the NSW Ministry their growing contributions. of Health, we could not provide for our community. At Blacktown and Mount Druitt hospitals we will soon have the Just as the world has embraced new second stage of the expansion technology and social media so too RICHARD ALCOCK, AO CHAIR. DANNY O’CONNOR, CHIEF EXECUTIVE. program completed. are we moving with the times.

12 13 HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18

Westmead neurosurgeons Dr Jacqueline McMaster (left), Dr Gemma Olsson with registrars Dianna Li and Sophia Roser.

WESTMEAD HOSPITAL

Westmead Hospital, which is • Huntington’s disease services; Our urogynaecologists have been currently undergoing a billion- and pivotal in developing guidelines dollar redevelopment, is our • Intra-utero neonatal referral and protocols for the use of largest tertiary referral hospital, for babies requiring high level vaginal mesh. Westmead Hospital providing comprehensive and post-birth surgical interventions is one of five NSW centres complex services to its local (neurological and cardiac) at The credentialled for the management community, as well as statewide Children’s Hospital at Westmead. of complex mesh patients. and nationally. The Westmead Institute for Maternal The pelvic floor unit’s research They range from nationally Fetal Medicine cares for more than has led to a substantial sustained funded programs such as 1000 of the most complicated reduction in obstetric anal pancreas islet cell transplants to pregnancies in the State, where sphincter injuries during birth primary healthcare. Tertiary and either the mother, baby or both have with WSLHD now having one of quaternary clinical services include: life-threatening conditions. the lowest rates nationally. 2 • Major trauma WESTMEAD HOSPITAL 15 • Bone marrow transplant The institute works closely with The Westmead Hospital continues • Renal transplant Children’s Hospital at Westmead to see growth in the number HEALTHCARE Westmead Hospital Key Activity 2017-18 17 • Pancreas (islet) cell transplant (CHW), and together provide of patients presenting to the • Neurosurgery the State service for babies with (ED) AUBURN HOSPITAL 19 • Interventional neuroradiology serious heart abnormalities. About with a 2 per cent increase FACILITIES • Oral health 120 babies a year require major compared with the previous Auburn Hospital Key Activity 2017-18 20 • Radiation oncology heart surgery in the first hours or financial year. • Cardiology interventional days of life. BLACKTOWN AND services Despite record demand, there MOUNT DRUITT HOSPITALS 22 • Cardiothoracic surgery Westmead’s pelvic floor unit were improvements in emergency • Advanced gastroenterology cares for more than 5000 women treatment performance (ETP), that Blacktown Hospital Key Activity 2017-18 23 • Adult eating disorders including those with urinary is patients treated and discharged • Deep brain stimulation incontinence, utero-vaginal prolapse or admitted within four hours, Mount Druitt Hospital Key Activity 2017-18 25 • Complex epilepsy and pelvic floor dysfunction. It and in transfer of care (TOC), • Complex conducts the only public bladder patients arriving by ambulance • Neonatal intensive care function studies from Sydney’s inner transferred into hospital care • Cystic fibrosis services for adults west to the NSW border. within 30 minutes.

PHOTO: WSLHD director Innovation and Redesign Emma Clarke chats to patient Norman Alagha. 15 WESTMEAD HOSPITAL KEY ACTIVITY 2017-18

ETP improved by 5 percentage • An 83.4 per cent reduction in points and TOC by 2. phone interpreter wait times • A 49 per cent decrease in Fundus photography is used to interpreter usage costs; and inspect anomalies in the eye’s • A 67 per cent reduction In a busy clinic it’s retina associated with diseases in time spent booking so easy to focus on such as macular degeneration, interpreters per day. providing a patient retinal neoplasms, choroid with a diagnosis and disturbances and diabetic The geriatric rapid evaluation 105,383 317,581 SEPARATIONS* TOTAL BED DAYS treatment plan . . . retinopathy. and treatment service (GREAT) but listening is just as realised a 26.3 per cent decrease 1 Current standards of care in EDs in hospital admissions and a 30 important. This is a around the world miss up to 13 per per cent reduction in in-hospital skill. Whilst I greatly cent of patients with clinical signs deaths in residents from residential enjoy the intellectual indicating life or vision-threatening aged care facilities (RACFs), and thrill of reaching a because fundoscopy in an estimated $7.7 million in savings correct diagnosis and the ED is technically challenging. per year. applying the latest A portable non-mydriatic camera GREAT is an outreach program scientific research in (NMC) was introduced in ED provided to local RACFs during the care of my patients, with photos uploaded to the business hours. A management 958 being a physician patient’s electronic medical plan is developed in collaboration DAILY AVERAGE haematologist is so record (eMR) and reviewed by our with the patient’s GP, RACF staff, AVAILABLE BEDS ophthalmology team within 24 and family. 2 3 much more than that. hours, improving the fundoscopy rate from 6.4 per cent to 89.5 per The Westmead Medical Research Dr Leo Pasalic, staff specialist cent during a trial period. Foundation raised nearly $3 million, in clinical and laboratory a 49 per cent increase on the haematology, Westmead Hospital. It was the first portable NMC previous year, to further the vital fundus photography program in work of clinicians and researchers. Australia and demonstrates the value of collaborative fundus In October 2017, Team Westmead imaging for patients presenting raised $75,000 competing in 1,610,518 76,999 5688 to ED. the Coleman Greig Challenge, to HOSPITAL NON-ADMITTED ED PRESENTATIONS BIRTHS IN HOSPITAL purchase lifesaving equipment for PATIENT SERVICES Stage one of the Westmead Women’s and Newborn Health. (OCCASIONS OF SERVICE) Redevelopment was completed with the opening of a new state- The Crown Princess Mary Cancer of-the-art car park, ear nose and Centre’s involvement with Dry July throat and audiology unit, and secured $85,000 to improve the a new inpatient unit, while work comfort, care and wellbeing of continued on the central acute patients receiving cancer treatment. services building. A detailed overview of the redevelopment Our volunteers brought in $132,225 program is on page 39. through various activities including the volunteer shop, chocolate 21,525 Interpreter Project in Outpatients trolley and the buggy service. SURGERIES Clinics (IPOP), an initiative to 4 5 reduce average wait time for A total of 75 volunteers work booking interpreters, aims to across Westmead Hospital’s improve access and the experience many departments enhancing the for culturally and linguistically experience of patients and visitors diverse (CALD) patients. through a variety of activities including pastoral care, wayfinding, Implemented in Westmead offering patient and carer support Hospital’s University Clinics, where and education, social interaction, 10 per cent of patients require an and providing a tea trolley and interpreter, IPOP achieved: library service. 25,612 134,152 • Improved communication with AMBULANCE ORAL HEALTH CALD patients They also transport outpatients PRESENTATIONS • Streamlined interpreter check- via buggy to various clinics. The 6 in including a designated buggies conduct more than 1300 1. Awards to our best performers. 2. Staff celebrate the opening of the refurbished inpatient unit for patients recovering from surgery. waiting area for interpreters runs a month. 3. Westmead Women’s and Newborn Health administration officer Jocelyn Conate shows patient Crystal Rincon the Q-Flow patient check-in system. 4. A kidney sculpture draws attention to research in polycystic kidney disease. 5. The birthing unit celebrates 1000 water births. 6. Celebrating Chinese New Year little Kingston Wilde and his mum Sandra Wilde with trauma service director Dr Jeremy Hsu.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. 16 SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18

AUBURN HOSPITAL

Auburn Hospital’s new nurses and midwives registered nurses Tracey Rose Abraham (left), Sinead Mills, Amy Rahmani, Eda Duygu Bayraktar, Emily Godden give Olivia Widjaja a lift. DR AMITH SHETTY A teaching hospital of the Auburn Hospital is WSLHD’s The hospital maintained its EMERGENCY STAFF SPECIALIST University of Notre Dame, centre for high-volume, short-stay emergency department treatment Auburn Hospital serves a unique surgical cases for people with a performance with an average of population with 60 per cent of low anaesthetic risk, including 81 per cent of patients treated local residents born overseas. . and discharged or admitted Dr Amith Shetty is on a sepsis, we have to be quick,” within four hours. mission to stop one of says Dr Shetty. Auburn prides itself as one of the In late 2017 planning started Clinical Australia’s most threatening most multicultural communities to introduce low-risk joint Several teaching programs were health conditions in its tracks. With the assistance of interpretation in Australia. replacement services consistent reaccredited by the relevant WSLHD’s technical staff, within the high-volume short- colleges including: of data is most Sepsis occurs when the Dr Shetty helped develop a The hospital’s clientele has 17 stay model. Commencing with • Emergency medicine by body’s response to infection sophisticated system alert important for any core languages with more than knee joints, the program will the Australasian College for causes organ dysfunction. which enables clinicians to 67 per cent of patients coming mature to include hip joint, foot Emergency Medicine digital solution confirm sepsis in patients from a non-English speaking and ankle surgery along with • Obstetrics and gynaecology by It is the leading cause of death much faster. in health. background. And hospital staff a comprehensive pre-surgical the Royal Australian and New from infection in Australia, speak 70 languages. physiotherapy conditioning Zealand College of Obstetricians Dr Amith Shetty, Westmead with a mortality rate higher “Because of the alerts, we program. and Gynaecologists; and emergency staff specialist. than the annual road toll. have been able to capture Auburn Hospital is networked • training by these patients early when with Westmead Hospital. It Elective surgery access the Royal Australasian College Having worked at Westmead they present to ED, so we provides emergency medicine performance maintained an of Surgeons. Hospital for 15 years, the can get them on antibiotics and has a close observation unit. excellent rating with 100 per emergency staff specialist straight away.” Other key services include: cent compliance across all three Auburn Hospital’s close knows just how threatening • Adult general medicine surgical categories. relationships with the local Sepsis can be. “Clinical interpretation of including some specialist community enhances its services. data is most important for care such as cardiology, Access and support for aged Dooleys Lidcombe Catholic Club “In ED, when you’re really any digital solution in health. and care will benefit with the donated $25,557 for a Lucas sick, it can be due to a lot of Our systems are smart. That’s PHOTO: Dr Amith Shetty • Paediatric day-only surgery, appointment of a specialist in Automatic CPR machine in ED checks the status of his possible causes. Our job is how our local health district mainly ear nose and throat, and geriatric medicine to commence and $33,367 for a wireless CTG patients in Westmead’s ED. to find the cause and if it’s is moving into the future.” short-stay medical in 2018-19, improving the flow machine to monitor the heartbeat • Obstetrics and newborn care and transition of patients from of babies during labour. A for low-risk births including acute hospitals to residential Centennial Grant of $30,000 community midwifery aged care facilities. from the Commonwealth Bank • Non-acute care was used to purchase a neonatal • Satellite renal dialysis; and January 2018 saw the installation resuscitation unit for the • Breast screening. of a state-of-the-art CT scanner. operating suite.

18 19 AUBURN HOSPITAL KEY ACTIVITY 2017-18

18,816 41,562 SEPARATIONS* TOTAL BED DAYS

1

166 DAILY AVERAGE AVAILABLE BEDS 2 3

OUR DIGITAL SOLUTION eFluids 121,085 28,755 HOSPITAL NON-ADMITTED ED PRESENTATIONS Auburn Hospital will be the sure a system can support PATIENT SERVICES We are thrilled first health facility in NSW to clinical care. (OCCASIONS OF SERVICE) 4 roll out eFluids, an electronic to be laying system for fluid orders “That’s what we’ve been important and drug infusions, further doing this year to make sure increasing patient safety. Auburn is ready to be the first ground work for facility in the State to go live the digital future The system is part of a suite with eFluids.” of upgrades across WSLHD. of healthcare Known as the digital health As well as eFluids, Auburn for the Auburn clinical program, it is taking Hospital will go live with the local health district essential digital upgrades in 1363 community. into the next era of digital operating theatres and across BIRTHS IN HOSPITAL healthcare. multiple medical devices, Associate Professor Naren streamlining workflows so 5 6 Gunja, WSLHD chief medical “Digital Hospitals don’t clinicians can spend more time information officer. just happen overnight,” focusing on their patients. says WSLHD chief medical information officer Associate “We’re at the beginning of Professor Naren Gunja. a digital transformation in

PHOTO: Emergency staff health, and we are making specialist Dr Felicity Day “There is a lot of planning, sure western Sydney is ready and nurse practitioner testing and consultation for the future, for our staff 4999 7402 Dave Douglas. that goes into making and our patients.” AMBULANCE SURGERIES PRESENTATIONS 7

1. Structured new antenatal program participants. 2. Auburn AQuA winners Joan Wang (left), Nusrat Tamanna, James Chen, Daniel Jr Orcullo and Ranji Jayawardena. 3. Nurse Khodor Issa and patient Kassem Abdelkafi.4. Fundraising donations. 5. Associate Professor Richard Haber retires after five decades.6. Food services assistants Hardheet Barar and Suna Orcun. 7. Auburn celebrates 110 years: Auburn Hospital operations director Debbie Sharpe (left), local residents Beryl Duff and Hazel Gibbs with Auburn Hospital director of nursing and midwifery Kate Murphy.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. 2121 HEALTHCARE FACILITIES 2 WSLHD YEAR IN REVIEW 2017-18 BLACKTOWN HOSPITAL KEY ACTIVITY 2017-18

45,394 162,458 SEPARATIONS* TOTAL BED DAYS 1

Doctors Amal Shandil (left) and Supriya Chhabra, nurse Jasmine Nijhar, nurse 501 unit manager ED DAILY AVERAGE Camille Dooley, and AVAILABLE BEDS emergency medicine 2 3 director Associate Professor Reza Ali.

BLACKTOWN AND 424,343 51,481 3420 MOUNT DRUITT HOSPITALS HOSPITAL NON-ADMITTED ED PRESENTATIONS BIRTHS IN HOSPITAL PATIENT SERVICES (OCCASIONS OF SERVICE)

Blacktown is a modern bustling A teaching facility of Western during the delivery of the clinical city comprising 48 residential Sydney University (WSU), a services building and the planning suburbs including Mount Druitt clinical school is located on site of the acute services building due and is home to more than at Blacktown Hospital nurturing for completion in 2019. A detailed 360,000 people, making it the western Sydney’s doctors of overview is on page 40. second largest city by population tomorrow. The WSU partnership in NSW. is integral to our flourishing An initiative known as Project clinical research programs. RED has revolutionised the way 9608 To cater for the needs of its patients are treated in Blacktown SURGERIES growing and diverse community Mount Druitt Hospital offers and Mount Druitt hospitals. 4 5 Blacktown and Mount Druitt 24-hour emergency care, and a hospitals are undergoing a $700 local health district-wide role in At Blacktown Hospital, Project million-plus expansion project. the provision of planned surgery, RED is improving patient flow with a high proportion of general, and emergency treatment Blacktown Hospital currently orthopaedic and breast surgery. performance, and reconfiguring provides 24-hour emergency, hospital systems and processes intensive and high dependency It has the highest volume ready for the transition to the new care, sub-specialty acute medical of paediatric medicine and acute services building in 2019. and surgical services, obstetrics paediatric emergency department and newborn care and sub-acute attendances of any WSLHD facility. A whole-of-hospital redesign 16,960 5246 rehabilitation. program, Project RED was AMBULANCE ORAL HEALTH Blacktown and Mount Druitt developed and implemented PRESENTATIONS Inpatient acute mental health and Hospitals Expansion Project by Blacktown, to initially 6 community mental health are has forged a strong partnership improve emergency treatment 1. Dr Anna Duke (left) congratulates Blacktown Mount Druitt 2017 Nurse of the Year Mitra Katebi with Dr Ahamed Zawab. 2. International delivered from Bungarribee House. with NSW Health Infrastructure performance (ETP). Nurses Day. 3. Hitachi Billisoft machine donation. 4. Brendan Keirin at the NAIDOC week celebrations. 5. Dementia patient Shirley Mitchell and Bunnings Warehouse Prospect activities organiser Kylie Hazeltine in the new Blacktown Hospital sensory garden. 6. Volunteer Henderika Jongsma and salsa performer Sebastian Parisi kick up their heels as part of National Volunteers Week celebrations.

*The process by which an episode of care for an admitted patient ceases, including ED only separations. 22 SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. MOUNT DRUITT HOSPITAL KEY ACTIVITY 2017-18

The program focusses on An electronic record in intensive improving the journey of patients care (eRIC) was implemented at through the hospital. Blacktown in November 2017.

It involves key hospital eRIC is part of a statewide I love what I do; helping departments, from emergency clinical information system across people and saving lives to cleaning, working together to intensive care units (ICUs) in NSW is what makes my job so improve ETP and patient flow. to give clinicians full access to 12,878 32,138 fulfilling. When I receive many different sets of bedside SEPARATIONS* TOTAL BED DAYS It has helped reduce waiting patient information to help in a phone call at 1 or times for patients to commence decision making, accurate data 1 2am to help a patient treatment, improved faster access capture and recording. with a life-threatening to imaging services and meant less condition, there is delays for patients during their More efficient and automated time in hospital. patient monitoring enables ICU nothing like the feeling staff to better care for critically that you have saved a Project RED examined patient ill patients. life. That’s the reward. flow and rectified areas that can slow treatment down resulting Patients at Mount Druitt Hospital’s Dr Ghiyath Alsnih, general in more efficient off-loading of supportive and palliative care and laparoscopic surgeon, ambulances on arrival, improving unit benefitted from a $658,000 157 Blacktown Hospital. streaming at triage for better patient investment providing greater DAILY AVERAGE management, improving patient flow comfort and security. AVAILABLE BEDS for more efficient transfers, making 2 3 better use of the patient discharge The mix of funding from the lounge, and instituting dedicated Ministry of Health, the Dry July cleaning and portering teams to fundraising event, and community make services more effective. support saw substantial refurbishment to coincide with the There were significant unit’s 20th Anniversary. improvements in the time to commence treatment in the Blacktown Workers Club and ED, and reduced emergency Blacktown Lions revamped the 34,904 34,887 waiting times for patients despite front and back garden areas and HOSPITAL NON-ADMITTED ED PRESENTATIONS Blacktown Hospital recording the a new community art mosaic was PATIENT SERVICES highest year-on-year growth rate installed with the help of Bidwill (OCCASIONS OF SERVICE) 4 increase in ED attendances of any Uniting Church. NSW public hospital in 2017-18. The Better Foundation which Mount Druitt Hospital also supports Blacktown and Mount experienced high year-on-year Druitt hospitals was launched growth in ED presentations, more to maximise local corporate than twice the NSW ED attendance and community fundraising growth rate. relationships.

Despite the activity surge More than 400 people attended the 5011 SURGERIES across both EDs over the year, inaugural Better Foundation Gala there was a more than 10 per Dinner in May raising $40,000 to 5 6 cent improvement in the key support a new multipurpose clinical performance areas relating to space in the children’s ward at timeliness of care in our EDs. Mount Druitt Hospital.

Since Project RED, the average Blacktown and Mount Druitt patient spends 80 fewer minutes hospitals fundraising program in ED. secured $484,000 through the generosity of individuals and Electronic medications businesses. management (eMEDs) was 4319 16,346 implemented at Mount Druitt More than 230 dedicated AMBULANCE ORAL HEALTH Hospital. eMEDs, a digital program volunteers donated 40,645 PRESENTATIONS for the dispensing of medication, hours improving the experience 7 reduces prescribing errors and for patients, carers and visitors improves patient safety. attending both hospitals. 1. Mount Druitt Hospital’s 35th anniversary. 2. Ana Miranda (left), nurses Jenat Sakayanathan, Cassie Uly and Belinda Jordan. 3. Fatima Ouda (left) and daughter Souad seek guidance from GP liaison officer Angela McCole at the Mount Druitt Refugee Health Expo.4. NSW Premier Gladys Berejiklian and NSW Health Minister Brad Hazzard at the opening of the Mount Druitt Renal Dialysis Centre. 5. New technology at Mount Druitt Hospital to support breast cancer patients. 6. Free vaccinations blitz. 7. Patient Iris Ruby thanks her carer. *The process by which an episode of care for an admitted patient ceases, including ED only separations. 24 SOURCE: NSW Health Information Exchange and Enterprise Data Warehouse for Analysis Reporting and Decisions. PROFESSOR MICHAEL EDYE DIRECTOR DIVISION OF SURGERY AND ANAESTHETICS

For many people, having theatre is fully equipped for high blood pressure doesn’t surgeries like this.” normally land you in a whiz- We are bang digital theatre. But that’s Patrick is one of more than continuing exactly what happened to 9000 patients who undergo Blacktown local Patrick Dako. surgery at Blacktown to make sure Hospital each year. western Sydney Patrick had a tumour on one of his adrenal glands causing “We have a huge volume is ready for very high blood pressure. He of patients, and they don’t the future of required multiple CT, MRI scans have to be in New York or and selective venous sampling Switzerland for modern healthcare. to compare the levels of two digital health tech. Blacktown different hormones inside Hospital is a very special Professor Michael Edye, his blood vessels. All before building, and we’re ready for director Division of Surgery 3 having laparoscopic surgery what the future of healthcare and Anaesthetics, Blacktown MENTAL HEALTH 28 in Blacktown Hospital’s digital brings,” says Prof Edye. and Mount Druitt hospitals. theatre to remove the lesion. SPECIALT Y DRUG HEALTH 30 Having moved from Africa “To put this in perspective, this to western Sydney 17 years INTEGRATED & COMMUNITY HEALTH 31 is not an operation we do every ago, Patrick is very excited week,” says Patrick’s surgeon about the technological SERVICES Western Sydney Diabetes 31 Professor Michael Edye. developments at Blacktown. PHOTO: Professor Michael Community-Based Services 32 Edye in Blacktown Hospital’s “It is not a common situation, but “It’s the place to be, that’s operating theatres. it’s correctable and our digital for sure,” he says. Population Health & Primary Prevention 33

Integration, Partnerships & Enablers 35

Population Health Key Activity 2017-18 37

PHOTO: WSLHD is protecting our Aboriginal kids, now and into the future. Immunisation nurse Hayley Carra vaccinates 26 toddler Jirriga Councillor while comforted by her mother Emma Councillor. SPECIALTY SERVICES 3 WSLHD YEAR IN REVIEW 2017-18

population growth, specific Our mental health services needs of the population and partnered with colleagues at changing models of integrated Westmead Hospital to screen mental health services. patients in Cumberland Hospital for hepatitis C. Mental health is such We continued to implement a dynamic place to mental health reforms including Blacktown Hospital’s work. The mental the Pathways to Community Living endocrinology department health professionals Initiative which has transitioned conducts metabolic screening 49 long-stay consumers to and monitors metabolic I work alongside are appropriate accommodation syndrome. exceptional, but the in the community. patients I have met Planning for cervical and breast along the way are the 1 2 Care navigators were instituted cancer screening is underway. real stars. Their stories in Westmead Hospital’s ED where dedicated staff help WSLHD continues to reduce and their strength have transition consumers back into the use of seclusion through taught me so much. the community with the right the implementation of the six supports. The program is funded core strategies in addition to Samantha Pozzo, nurse unit through a partnership with the Creating Positive Cultures manager, mental health ward, WentWest, the Western Sydney of Care Program and the Safe Westmead Hospital. MENTAL HEALTH Primary Health Network. Wards Program. 2017-18 The Whole Family Team clinical The successful Clozapine Clinic snapshot One in five people aged 16-85 in The Balnaves Foundation has service was implemented was expanded improving access Australia will be directly affected funded the Unwired Mental Health providing specialist in-home and to general healthcare through MENTAL HEALTH by mental illness. WSLHD provides Project over three years which community-based interventions partnering with GPs. KEY ACTIVITY a comprehensive range of services tests the use of wearable e-health for children and families with to assist people experiencing devices to maximise outcomes in complex mental health and WSLHD received the NSW mental illness or disorders across young people with severe mental drug and alcohol issues where Health Excellence in the their lifespan from prevention illness. one or more children have a Provision of Mental Health through to early detection, early substantiated risk of significant Services Award for its intervention, triage, assessment, Relapse and readmission set off harm report. innovative service delivery acute and sub-acute care, and by stress creates a pattern which model, Mental Health various levels of treatment and results in lost opportunity and Delivered in partnership with Acute Assessment Team, ongoing support in the community. significant disability. Personal NSW Family & Community a collaboration with the 4684 e-health devices that can Services, the NSW pilot Ambulance Service of NSW, ADMISSIONS Inpatient services include continuously monitor people demonstrated a 58 per cent which aims to provide the most acute adult; perinatal, child and and communicate physiological reduction in repeat risk of appropriate care for mental youth mental health services; data such as stress and sleep significant harm reports health patients and minimise older persons mental health; quality to the individual and for children in families that inappropriate emergency rehabilitation; and forensic their mental health team, creates completed treatment. department presentations via rehabilitation. the opportunity to proactively the triple-0 dispatch system. intervene early in the process The Redbank acute adolescent 1. NSW’s Health achievement award Our inpatient units are located of relapse and help develop unit received NSW Health’s Our volunteers play an team winners from Westmead’s Redbank House acute adolescent unit in Westmead, Cumberland an awareness of stress for the achievement award for its work important role in the provision nurse Jaclyn Mitchell (left), acting and Blacktown hospitals and consumer. on the Productive Mental Health of services. Seven volunteers operations manager child and youth 4695 our community mental health Ward Program designed to are registered as contingent SEPARATIONS* services Sumithira Joseph, clinical nurse teams are based in Parramatta, At Cumberland Hospital improve safety, productivity workers as part of the carer specialist Elissa Yoo and nurse unit Merrylands, Auburn, Dundas, the electronic medications and efficiency. reference group. And 19 are manager Julia Norcott. The Hills Shire and Blacktown. management system eMeds registered to support family and was rolled out. WSLHD Mental Health Services carers of people attending the 2. The Big Anxiety Festival director UrbanGrowth NSW Development participated in community Mental Health Review Tribunal. Jill Bennett (left) with Parragirls Jenny Corporation’s Parramatta North awareness and countering stigma There are three chaplains. McNally, Lynne Edmondson Paskovski renewal, the Parramatta Light HIGHLIGHTS activities such as the Big Anxiety and Bonney Djuric. Rail project and the Westmead Festival, R U OK? Day, Check-Up Volunteers assist staff each *The process by which an episode of Innovation District Master Plan WSLHD Mental Health Services from the Neck-Up and the Sydney year with cooking or selling care for an admitted patient ceases, have provided WSLHD with clinical services plan was Science Festival. goods at hospital stalls. Money 151,151 including ED only separations. HOSPITAL an opportunity to explore the further developed. It outlines raised helps contribute to the NON-ADMITTED redesign and relocation of mental how WSLHD will deliver The physical healthcare of people rehabilitation journey of mental SOURCE (SNAPSHOT): PATIENT SERVICES health services to better integrate world-class mental healthcare with severe and persistent mental health consumers and enhances NSW Health Information Exchange and (OCCASIONS OF SERVICE) with general health in the over the next 10 years and illness has been identified as a their hospital stay. A total of Enterprise Data Warehouse for Analysis Westmead precinct. considers mental health reform, serious public health challenge. $17,434 was raised in 2017-18. Reporting and Decisions.

28 29 SPECIALTY SERVICES SPECIALTY SERVICES 3 WSLHD YEAR IN REVIEW 2017-18 3 WSLHD YEAR IN REVIEW 2017-18

The new Centre for Addiction Medicine at Mount Druitt is bright and airy, easy to access and now we can offer longer dosing hours so it’s more convenient A mobile clinic provides for patients and their hepatitis C families. testing and screening. Our focus is on stabilising patients, so offering services earlier Making in the morning means healthy normal people can get on with at Auburn DRUG HEALTH Hospital, Anup their work or family Pradhan from commitments, and it Zouki’s café, and hospital normalises their day. administration WSLHD’s Drug Health Service information portal for GPs to use in officers Louise Grant Katte, Centre for Addiction continued to grow and evolve patient consultations. It supports Yazbek and Medicine manager. Maged Nessim. over the past year to meet the better linkages between primary demand for services. care and our specialist services.

We are seeing and treating Two GPs are joining our Blacktown more patients in our ambulatory team to care for Aboriginal clients clinics and at Westmead and on the opioid treatment program. INTEGRATED & Blacktown hospitals. Plans are underway to provide COMMUNITY HEALTH The Centre for Addiction Medicine drug and alcohol training to GP opened at Mount Druitt Hospital registrars. in September 2017 offering a range of services including an Part of a strategy to increase the opioid treatment program. workforce in drug health, it will Integrated & Community Health the demand for healthcare with WESTERN SYDNEY further our linkages to primary (ICH) works to improve the an increase in chronic conditions, DIABETES The needle and syringe team joined care, improving outcomes for health and wellbeing of the shifting consumer expectations the Drug Health Service as part of patients who require treatment for population of western Sydney. and changing models of care. Western Sydney Diabetes (WSD) the harm minimisation program other chronic illnesses but do not is a partnership between the assisting to eliminate hepatitis C routinely see a GP. It aims to provide treatment Half the residents of western Western Sydney Primary Health among people who inject drugs. and care away from hospital Sydney have a chronic disease Network (WSPHN), Diabetes NSW Research is integral to our through an integration and and around 20 per cent have at and ACT, the NSW Department Our clinics offer a one-stop- services and we participate in partnership model. least two. of Premier and Cabinet and shop model of care, including many local and multicentre trials PricewaterhouseCoopers (PwC) the screening, diagnosis and to improve the treatment of ICH is responsible for population ICH works in partnership with the to address the diabetes hotspot in treatment of substance use substance use disorders. health, community-based community and a broad range of western Sydney. disorders and hepatitis C. services, Aboriginal health, services to bridge the gap between We are involved in a double- priority populations and key community and hospital care. The diabetes burden is large and A mobile clinic will provide drug blind randomised controlled strategic initiatives including rapidly growing with about 30 per and alcohol outreach along with trial to evaluate the efficacy of service delivery reform, the Our strategic partnerships with cent of people in our region with hepatitis C testing and screening. lisdexamfetamine in reducing Health Partnership Council, the NSW Government’s health pre-diabetes and 20 per cent with A collaborative service, it includes methamphetamine use. There is Western Sydney Diabetes and the and social policy agencies diabetes and growing at 1 per gastroenterology, sexual health currently no pharmacotherapy Integrated Chronic Care Program. such as education, family and cent per year. and HIV teams. approved for methamphetamine community services, police and dependence. A trial looking at With a population of more than juvenile justice, address health The WSD leadership alliance has We have further strengthened the use of buprenorphine depot 1 million, projected to increase social determinants and provide a more than 110 members including relationships with local GPs with for opioid dependency is set to 1.2 million by 2021, western coordinated response to high-risk government, non-government HealthPathways, an online health to commence. Sydney is facing challenges in families and young people. and community organisations.

30 31 Our Reconciliation Action Plan will implement culturally appropriate changes and develop stronger relationships with our Aboriginal

1 2 3 4 and Torres Strait Islander communities to improve health outcomes. Joint specialist case conferences • Priority populations including independent functioning and Chronic & Complex Care Immunisation (JSCC) assist general practitioners our Aboriginal and culturally wellbeing and independence. participated in the WSLHD School vaccination nurses Associate Professor Stephen to better manage patients who and linguistically diverse partnership with Silver Chain to provided 52,108 vaccine injections Corbett, director WSLHD Centre present with diabetes. The JSCC peoples. The focus is to assist people provide the terminally ill palliative to students in western Sydney for Population Health. have grown to include 1736 to regain or maintain physical, care in the comfort of their home. high schools. patients with diabetes and 229 Staff work in partnership with functional and cognitive abilities GPs at 76 practices. general practitioners, hospitals, which support them to either Our biggest achievement has government and non-government maintain or recover a level of POPULATION HEALTH & been closing the Aboriginal Three community diabetes organisations to provide independence, allowing them PRIMARY PREVENTION immunisation gap for children forums, held at Blacktown, healthcare in people’s homes, to remain living at home. under five years with 97.5 per cent attracted more than 400 people. community health centres or Population Health & Primary vaccinated, 2.6 per cent higher venues such as early childhood Services are provided within a Prevention aims to improve than non-Aboriginal children. WSD’s partnership with PwC, or aged day centres. multidisciplinary framework and the health of all residents and WSPHN, and the Australian are delivered by a range of health reduce avoidable hospitalisations Tobacco Control Digital Health Agency saw the Child & Family Services professionals. by assisting people and Staff focused on working with rollout of DoubleJump enabling Child & Family Services engage organisations in western Sydney partners including the Greater data sharing from diabetes with women during their stay Chronic & Complex Care to create environments, policies Western Aboriginal Health Service, patients, hospital and general in hospital after giving birth continued to evolve into a and programs that support and Marrin Weejali Aboriginal practice for planning and and work in collaboration with WSLHD-wide stream providing healthy choices. Corporation to address smoking monitoring over the next antenatal services, particularly services to residents across in pregnancy. Part of the program two years. in relation to vulnerable families western Sydney. Aboriginal Health Strategy included a nappy incentive trial for identified in the antenatal period. WSLHD’s first Reconciliation Action Aboriginal mums-to-be. We are in the early phases From July 2017 we assisted and Plan was developed to implement of developing the WSD self- This year the Child, Youth continue to support our clients culturally appropriate changes and Healthy Older People management app to support and Family Integrated Health to access the Commonwealth’s develop stronger relationships with A total of 31 Stepping On patients to better manage their Partnership Committee was National Disability Insurance our Aboriginal and Torres Strait falls prevention courses were 1. Men and their families attended diabetes and improve their established. Scheme. Islander communities to improve conducted with 363 older people the Make Healthy Normal Zone at general health and health literacy. health outcomes. who have had a fall or who are the Men’s Shed in Emerton. Electronic appointment reminders Patient-reported measures are at risk. 2. Community member Robert were implemented. The text being implemented to ensure we WSLHD entered into Fitzpatrick with WSLHD senior COMMUNITY-BASED message reminder sent out prior meet the needs of our population. agreements with major Moving On sessions were held health promotion officer Dr Kate SERVICES to an appointment, improved construction companies AW to ensure older people at high Kennett supports Indigenous attendance rates and patient Staff undertook community Edwards and Multiplex to assist risk of falls continue with an people to quit smoking. Clinical services are delivered via engagement. diabetes training to enhance Aboriginal and Torres Strait exercise program. 3. Westmead respiratory clinic. streams and are focused on the their skills. Islander apprentice trades following patient cohorts: Chronic & Complex Care people into available positions. Healthy Children’s Initiative 4. Registered nurse Kristine Datuin and patient Qurat Ul Ain, at the • Child and family health Chronic & Complex Care services We worked and continue to work Healthy children’s projects Hello Doctor initiative for newly • Patients with chronic and centre on restoring, improving, closely with FACS Housing NSW A director of Aboriginal Health focused on staff training, menu arrived migrants and refugees complex conditions; and or maintaining people’s health, to modify the homes of our clients. Strategy was appointed. planning and policies in early in Mount Druitt.

32 33 We aim to build healthy public policy, create supportive environments, strengthen community actions, develop personal skills and reorient health services to 1 2 3 4 build a healthier community.

Christine Newman, WSLHD Health Promotion director. childhood centres, school were installed at Westmead and Initiatives include: Initiatives include the INTEGRATION, canteens and active travel at Blacktown hospitals. promotion of walking PARTNERSHIPS primary schools. Half of the 82 • The Healthy Higher Density groups, and ensuring built & ENABLERS per cent of participating early Environmental Health Living project with the City environments encourage childhood services implemented & Disaster Control of Parramatta. walking for active transport We work with healthcare and the practices. And of the 60 per The environmental health team and recreation by providing other providers to lead innovation cent of primary schools taking investigated several child lead Parramatta and all LGAs in safe and accessible routes, and integration through clinical part, there has been a 60 per cent poisoning cases among Indian WSLHD are experiencing public amenities, and shade. service redesign, new models of adoption rate. and Pakistani communities. The unprecedented growth care and information technology. source was an imported kohl including housing density and • Libraries Health Month, a joint Go4Fun, a free 10-week healthy eyeliner found in Indian grocery population. Increased density project with all four councils Key milestones included: lifestyle initiative for NSW kids stores at Parramatta, Harris Park, if done well can have positive and their 25 libraries, publicises Implementation of the five priority aged 7-13 who are above a healthy Stanhope Gardens and Quakers health impacts such as higher key health messages through areas of Aboriginal health; older weight, reached 1867 western Hill. The discovery is assisting rates of physical activity, resources and talks. Library persons health; children, youth Sydney children and families. in the prevention of unsafe and with more of the population staff promote key NSW Health and family; mental health; and unregulated imported cosmetic walking to work, school and programs such as Make Healthy chronic and complex diseases. The program expanded to 163 products being sold in Australia. other destinations. But if done Normal and the Get Healthy out of school hour (OOSH) poorly can result in negative Information and Coaching The Western Sydney Health Care care providers and supported Health Promotion Partnerships health impacts. Service. Interpreter Service provided playgroups in healthy eating, We work with our partners to 232,848 services in 86 languages physical activity and screen time. ensure the environments in A survey of residents about Communicable Disease at healthcare sites, over the which people live, work and play their experience of living Surveillance phone, or in the home. Healthy Eating, Active Living promote good health. Our health in medium to high density All notifiable conditions were More than 2025 people utilised promotion partnership team housing, a literature review, responded to and improvements The Integrated & Community 1. Make Healthy Normal at this year’s the Get Healthy Information works with: and interviews with community made to the surveillance and Health central referral service Kidtopia Festival at Parramatta and Coaching Service with 1343 • Parramatta, Blacktown, health and council staff response to acute rheumatic fever, received 33,468 referrals Park encouraged kids and adults referred to the service by a health Cumberland and The Hills Shire informed council on a range and rheumatic heart disease. and introduced fax to email to get active. professional. The free phone councils of strategies to minimise the e-technology to accept referrals 2. Librarians educate young children service, staffed by qualified health • NSW Department of Education negative and maximise positive The 2017 influenza season in NSW electronically resulting in about healthy foods at the City of coaches, supports adults to • TAFE NSW and Western health outcomes. was one of the most severe on improved, quicker processing. Parramatta Library as part of Make make lifestyle changes regarding Sydney University; and record, extending for more than Healthy Normal. healthy eating, physical activity, • Legal Aid NSW. • Implementation of the three months, due to concurrent More than 400 additional

3. Go4Fun, a free healthy lifestyle reducing alcohol consumption International Charter for peaks in influenza A and B strain HealthPathways, or care maps, program, focussed on making physical and reaching and/or maintaining Together we promote healthy Walking is a key project with activity. In preparation for the were developed for clinicians to activity fun for kids aged 7-13 in western a healthy weight. eating and active living Blacktown City Council to 2018 ’flu season, 54 per cent of access through the HealthPathways Sydney. © Geoff Jones, Fairfax Media. behavioural change programs, increase walking rates of aged care facilities took part in website enabling all members of a All sugar-sweetened beverages and advocate for changes in the residents and assist in reducing the annual Residential Aged Care healthcare team, in a hospital or in 4. Students at Rooty Hill High School choosing healthy food options. were removed from all WSLHD built environment that support chronic diseases such as Facility Outbreak Management the community, to work cohesively © Geoff Jones, Fairfax Media. facilities. Indoor water refill stations people to make healthy choices. diabetes and obesity. Workshop. when planning patient care.

34 35 POPULATION HEALTH KEY ACTIVITY 2017-18

Critical to improved healthcare is The Western Sydney Integrated communication and integration Chronic Care program, a between the hospital, GPs partnership with the Western and patients. eHealth enablers Sydney Primary Health Network, Anyone can included: returned the following within the • LinkedEHR, a shared care patient cohort: deliver medication planning tool between hospital • 2857 (34 per cent) less but we can and general practice unplanned hospital admissions • Enrolled patient identification • 10,752 (25 per cent) less bed 218,995 128,823 prevent patients in both hospital and general days/reduction in hospital CHRONIC & COMPLEX CHILD & FAMILY SERVICES SERVICES from becoming practice length of stay 1 • GoShare, a web-app platform • 1175 (37 per cent) reduction in more chronic that allows clinicians to provide preventable hospital admissions by developing a information and education • 3218 (32 per cent) decrease in materials to patients via text ED presentations; and relationship with and email • 1009 (23 percent) reduction them, assessing • Health record integration in arrivals to hospital by between hospital and general ambulance. and addressing practice allowing shared their needs. It is patient health summaries and very satisfying and documents from My Health A comprehensive report on 24,930 Record; and the the initiative can be found at PRIORITY POPULATION rewarding to work • Better Health Together website SERVICES 2 3 in prevention. and resources www.betterhealthtogether.com.au www.wslhd.health.nsw.gov.au/ ArticleDocuments/1231/The%20 Josfin Charles, New%20Frontier%20of%20Healthcare_ WSLHD care facilitator. Western%20Sydney%20Integrated%20 Care%20Demonstrator%202014-2017. PHOTO: WSLHD care facilitators pdf.aspx Josfin Charles (left), Prabash Odayan and Simon Mbugua. 29,695 2417 INTEGRATED CARE WESTERN SYDNEY SERVICES DIABETES 4

TOTAL 404,860 (OCCASIONS OF SERVICE)

5 6

7 8 9

1. Mount Druitt Public School ride to school program. 2. A partnership with the St Vincent de Paul Society NSW encouraging people to access a free telephone health coach was recognised in the 2018 ZEST Awards: Louise McKeon (left), Rosslyn Williams and Rachael Graham. 3. Chifley College Shalvey Campus embrace Aboriginal youth smoking cessation. 4. Siblings Afreen, Inayat and Baaz Randhawa enjoy Westmead Hospital’s water station as part of the Make Water Normal campaign. 5. Mount Druitt child care Aboriginal ‘flu immunisation.6. Engaging the Australian Catholic University in Personal Development, Health and Physical Education (PDHPE). 7. Westmead allied health’s Walktober promotion. 8. Dr Francisco Valencia with patient Bill Kitson, of Toongabbie. 9. Integrated & Community Health nurses Jess King Hu (left) and Melissa Graf. 36 SOURCE: Community Health Outpatient Clinic, Patient information Management System & NAP DataMart. CARING FOR YOUR TOMORROW 4 WSLHD YEAR IN REVIEW 2017-18

BUILDING THE FUTURE

WSLHD is committed to Westmead is a national and expected to reach its highest delivering world-class international leader in critical and point by the end of 2018. The healthcare to meet the acute healthcare, research and CASB will include two emergency challenges of the future as education. The Westmead precinct departments – an adults’ and a well as to protect and improve partners are working together to children’s; state-of-the-art digital the health and wellbeing of provide world-class innovation and operating theatres; inpatient beds; those who reside in our local services for NSW and Australia. a centralised sterilising service; health district and beyond. pharmacy; and the NSW Infectious The NSW Government, along with Diseases Unit. Our multibillion-dollar the University of Sydney and other building program is upgrading investors, have committed more Stage one of the project’s hospitals and health services than $1 billion for: refurbishment program was so we can provide for our • A new 14-storey central acute completed in May 2018. It included rapidly growing and ageing services building (CASB), a new: population, while taking increasing service integration • Gastroenterology ward advantage of innovative ways between Westmead Hospital • Ear, nose and throat and to deliver healthcare priorities. and The Children’s Hospital at audiology units Westmead. The building will be • 64-bed inpatient unit for those Providing leading-edge the tallest hospital structure in recovering from a range of patient care relies not only on Australia when completed in 2020 surgical procedures traditional capital works but • A new plaza forecourt • Westmead Education and smart infrastructure. • Improved car parking Conference Centre, offering • Major refurbishment of the contemporary teaching and Importantly we are investing existing Westmead Hospital learning spaces; and the and exploring eHealth • Expansion of Kids Research • O3Hub, Westmead’s first initiatives that transform our • Early works and services activity-based working space for ability to deliver better and upgrades for the precinct finance, procurement and clinical safer clinical care for patients. • Embedded education, training governance staff. and research; and 4 • Arts and culture for a diverse The Westmead Hospital BUILDING THE FUTURE 39 WESTMEAD community. refurbishment is transforming more REDEVELOPMENT than 30 per cent of clinical areas CARING Westmead Redevelopment 39 The University of Sydney is between 2017 and 2022. The Westmead Redevelopment investing $500 million over 15 years Blacktown and Mount Druitt Hospitals project is revolutionising to broaden education facilities Planning and design are underway FOR YOUR Expansion Project Expansion Project 40 healthcare in western Sydney. and upgrade existing spaces at for stage two, with construction Westmead Hospital. to start late 2018. It will include Awards 42 The $1 billion NSW Government refurbishments to intensive care, TOMORROW project, the biggest health The Westmead Education and aged care, the loading dock, DIGITAL HEALTH 43 infrastructure program in Conference Centre was completed transit lounge, and the clinical and the State, will transform the in September 2017, and the executive offices to implement Delivering Today 43 Westmead health, education Westmead Hospital Library opened activity-based working principles. and research precinct and in June 2018. Planning For Tomorrow 44 deliver an innovative, integrated An eight-level, 1250-space car facility that will continue to Construction for the new central park opened in December 2017. Designing Our Future 44 provide high-quality healthcare acute services building kicked off It features an elevated pedestrian for decades to come. in February 2018 with the building link-bridge to the hospital.

PHOTO: Ajmal Ikhlas, team leader infrastructure services ITS, Blacktown Hospital server room. 39 Construction of the CASB BLACKTOWN AND prototype rooms began in May MOUNT DRUITT 2018. Set to open in August 2018, HOSPITALS EXPANSION they will be crucial for service PROJECT I’m thrilled such planning and training. The $700 million Blacktown good progress has May 2018 saw the launch of and Mount Druitt Hospitals been made and I the Aboriginal and Torres Expansion Project (BMDH Strait Islander Legacy Strategy Project) is delivering new want to thank all and Action Plan 2018-2022 services and facilities to meet the great people which aims to close the gap the growing healthcare needs in Aboriginal healthcare, of the community and reduce who continue to education and employment the need to travel out of the work day in and at Westmead and create area for treatment. welcoming, safe and connected day out to deliver spaces for Aboriginal people. The project has been recognised this world-class nationally and internationally The project’s arts and culture for its iconic design, digital facility to the strategy, due for completion in innovation, consumer and clinician people of NSW. 2018, embeds art into the fabric engagement, and partnerships. of the Westmead precinct. 1 NSW Premier Gladys Berejiklian, Stage 2 expansion at Mount Druitt Blacktown Hospital August 2017. The long-term plan for Westmead Hospital was completed in 2017 is a health and education precinct and officially opened in March that develops over time to become 2018 by NSW Premier Gladys a world-class innovation district. Berejiklian. It includes: • A Centre for Addiction To achieve this, the Westmead Medicine Innovation District Master • Surgical expansion including a Plan project has been jointly digital theatre, pre-admissions commissioned by the City of clinic and recovery ward Parramatta and NSW Health. • A new community dialysis 2 3 4 centre; and new The announcement of a • MRI unit. consortium of international and national design experts to lead the visionary master plan culminated 1. Artist’s impression of the Westmead in a two-day intensive charrette precinct. 2. Artist’s impression of a with government, industry birthing room in the Blacktown Hospital and planning stakeholders in acute services building. 3. Masters September 2017. Student Hafsa Rana (left) and PhD students Jake Rhodes and Christopher In 2018, workshops with key Denes enjoy the Westmead Education organisations discussed the vision and Conference (WECC) facilities. for the Westmead Innovation 4. WECC official opening with Member District as a connected, for Seven Hills Mark Taylor (left), WSLHD executive director Nursing & productive, vibrant place to live, Midwifery, and Clinical Governance work, learn and play. Joanne Edwards, and NSW Minister for Education Rob Stokes. 5. The Aboriginal 5 6 A Sydney Metro West station was healing garden at Mount Druitt Hospital. announced for Westmead in April 6. NSW Health Minister Brad Hazzard 2018. The metro would provide (left), NSW Premier Gladys Berejiklian, a 20-minute journey between Member for Riverstone Kevin Conolly, Westmead and Sydney’s CBD Member for Seven Hills Mark Taylor, and is the first step in a future and BMDH Expansion Project manager east-west connection to the Robyn Campbell inspect the prototype room for the digital operating theatres at Western Sydney Aerotropolis. Blacktown Hospital. 7. Blacktown car park Work on the Parramatta Light opening: Andrew Paris (left), NSW Health Rail (PLR) continued with stops Minister Brad Hazzard, patient John Clive being announced for Westmead Riffel, NSW Premier Gladys Berejiklian, Hospital, The Children’s Hospital Member for Seven Hills Mark Taylor and at Westmead and Parramatta Member for Riverstone Kevin Conolly. North (Cumberland Hospital). 8. Westmead car park opening. 7 8

40 41 CARING FOR YOUR TOMORROW 4 WSLHD YEAR IN REVIEW 2017-18

An Aboriginal Healing Garden They include a concierge model was created for the community in the ED and more options dialysis centre. Designed by local in the birthing unit under a artist Uncle Danny Eastwood, wellness model of care. A suite it features Aboriginal totems of prototype rooms opened in We’re at the including kangaroo, platypus early 2018 to support design and emu, with sculptural seats consultation, and tours of the ASB beginning by artist Henryk Topolnicki. during early construction assisted of a digital in model-of-care development. Stage 2 at Blacktown Hospital transformation is well underway. The project’s popular arts and in health, and we culture program continued in The multi-storey car park extension Stage 2. Staff and consumers are making sure was officially opened by the chose 21 works from the 2017 western Sydney State’s Premier Gladys Berejiklian BMDH Photo Competition for AWARDS is ready for the in February 2018, providing an the new facilities at Mount extra 400 car spaces and the first Druitt Hospital. future, for our red/green light parking guidance BMDH Project system in a NSW hospital. Selections from the 2018 staff and our communications manager competition will be displayed in patients. Lilly Dolenec received An Aboriginal smoking ceremony Blacktown Hospital. Personalising the 2017 NSW Health in July 2017 marked the start of patients’ care Associate Professor Naren Gunja. Infrastructure Project construction on the new acute Work Out West, initiated in early at the click Communications and services building at Blacktown. 2018 to support recruitment of a button. Engagement Award. It reached roof-level in April 2018 and training for the redeveloped Westmead and is on track for completion in WSLHD hospitals attracted Breast Cancer Institute’s Dr Stage 1 of the BMDH mid-2019. 22,000 people to the Western Elisabeth Elder Project was highly Sydney Careers Expo. The uses eMR. commended as a finalist The acute services building program included nursing in the prestigious Prime (ASB) will provide purpose-built career information nights and an Minister’s Awards in 2017. facilities for emergency, intensive intensive social media campaign. care, operating theatres, and Consumers Marj and Ken women’s and newborn care. The BMDH Expansion Project Freeman each received Weekly Update newsletter an Order of Australia In response to growing reached a major milestone Medal (OAM) in the 2018 population needs, paediatrics will with 250 issues produced DIGITAL HEALTH Queen’s Birthday Honours return to Blacktown Hospital in complementing a growing for their contribution 2019 with paediatric emergency, social media presence. to the Blacktown clinics and an inpatient unit. community, including Clinical staff will benefit from Rouse Hill Hospital their involvement in the contemporary activity-based Planning continued in 2018 for Australia is at the beginning of a DELIVERING TODAY Blacktown Hospital the previous codesign of Blacktown workspaces on all levels. a new hospital at Rouse Hill. new era of digital healthcare and year. ABW recognises that Hospital. in NSW, WSLHD is a leader when While we prepare for the next 30 people perform different An activity-based workspace WSLHD Capital Works it comes to the technological years, we continue to develop the tasks and need a variety of for allied health is due to open Improving hospital facilities has upgrades we are delivering to systems of our hospitals today. work settings and the right in 2018. been a priority for WSLHD’s cater for our growing community. technology. capital works team with $30 Vast improvements have been Further refurbishment from mid- million in projects completed. Our digital solutions are made to the way we work Electronic medications 2019 will expand outpatients and consistent with statewide, behind the scenes. management (eMEDs) systems create new services including The main entrance to Westmead national and international increase patient safety by endoscopy. Hospital was upgraded to agendas, which will see This year, WSLHD became the supporting doctors, nurses and provide a more welcoming increased democratisation and first local health district to have pharmacists to prescribe, order, In parallel with the construction space for patients, carers, personalisation of healthcare. a major hospital with a dedicated check, reconcile, dispense and program, several projects are families and visitors. dual fibre connection, ensuring record the administration of underway to ensure Blacktown During the past 12 months, a backup connection during medicines. Regular updates on transitions successfully from a Westmead Hospital’s University Information Technology Services network outages. our multibillion-dollar district-level hospital to a major Clinics underwent a much- (ITS) has equipped our facilities The eMEDs expansion was one of redevelopment and expansion tertiary hospital. needed makeover. The hospital’s with the infrastructure, 24-hour And we were the first healthcare the largest in NSW with four out projects can be found at: lifts are being upgraded with support and clinical solutions to service in the southern of five hospitals using the system. Contemporary, patient-centred the first new patient lifts opened ensure we are delivering today, hemisphere to adopt activity- www.westmeadproject.health.nsw.gov.au and clinician-led models of care in April 2018. The elevator planning for tomorrow and based working (ABW), with The electronic medical record www.bmdhproject.health.nsw.gov.au are being developed ahead of the refurbishment program will designing the future of digital set-ups in Westmead Hospital (eMR) now includes the Westmead transition to the new facilities. continue until mid-2019. healthcare for WSLHD. this year following on from Breast Cancer Institute.

42 43 Other key initiatives encompass DESIGNING OUR FUTURE a digital theatre with advanced imaging at Mount Druitt Hospital, WSLHD is one of the state’s fastest the implementation of the growing local health districts, with 2017-18 Q-Flow patient check-in system more than 1.3 million residents to reduce queues at Westmead estimated by 2031. snapshot Hospital’s Women’s and Newborn Health clinics. Our proactive strategic planning means we will be equipped. KEEPING OUR WSLHD was the first local health FACILITIES TECH district in NSW to introduce We’ve completed essential HEALTHY REQUIRES guest Wi-Fi. business planning for our district- wide digital program, which will take our facilities to the next level PLANNING FOR of digital healthcare solutions. TOMORROW Our partnerships with sector- The next 12 months will see leading universities, research the implementation of crucial institutes and commercial technological foundations for entities at the Westmead 1820 the next stage of the Blacktown Innovation Centre will bring new KILOMETERS Hospital and Westmead precinct technological capabilities. OF DATA CABLE redevelopments. We are investing in the technology At Westmead Hospital, we have of tomorrow with $160,000 continued to build the vital digital dedicated to the implementation framework that will underpin the new of a diabetes self-management app FIONA NEILL clinical acute service building (CASB). with health innovator Longevum. Information and communication Part of the Western Sydney BREAST CANCER PATIENT technology (ICT) facilities have been Diabetes (WSD) initiative, it is installed in the audiology unit and designed to keep our community new surgical ward. healthy outside our hospitals. Fiona Neill remembers what patient’s many specialists 4000 hospitals used to be like. have access to structured A digital map was designed for We are generating large volumes WI-FI ROUTERS data,” says BCI executive patients to find their way around of data to better understand the The team looked After her grandmother died director Associate Professor Westmead Hospital, and patient specific health needs of western after everything. of breast cancer and her Nirmala Pathmanathan. check-in kiosks will significantly Sydney, and investigating how mother suffered breast and reduce waiting times in our clinics. these data sets will contribute to The patient ovarian cancer, Fiona was Using a sophisticated safer, more efficient healthcare doesn’t have having regular mammograms digital system, specialists At Blacktown Hospital, we are in the future as we come closer by her mid-30s. from different disciplines preparing the physical ICT fit out for to the arrival of machine learning that pressure decide on a unique the Stage 2 acute services building and artificial intelligence. of trying to “Fast forward to 2015, I tested treatment as a team. which will safeguard our network positive for the BRAC1 gene and server infrastructure. Other ITS initiatives in the past keep track. This 219 and got breast cancer. It came “Clinicians could spend half 12 months will see a saving to AIR CONDITIONERS system is gold, crashing together,” she says. the time flicking through At Auburn Hospital, planning for WSLHD each year of: to keep the pages to figure out which the State’s first implementation • $1 million in the HP support it’s the future. communications Fiona is one of the one in doctor has done what, when of eFluids, the electronic fluid contract rooms at 19C Fiona Neill, patient. eight Australian women who and where. management feature in eMEDs, • $320,000 by migrating to a will be diagnosed with breast will see the initiative launched in new internet link that is five cancer before the age of 85, “This can be quite distressing October 2018. times faster and one of 15,000 patients for a patient. The electronic • $700,000 by migrating to new, who come through the doors medical record (eMR) now Complex planning has been dedicated fibre network links of Westmead Breast Cancer means all that time goes to completed for the implementation to all facilities PHOTO: Westmead BCI’s Institute (BCI) every year. the patient’s care.” of upgraded clinical systems for • $500,000 per annum on Novell Nirmala Pathmanathan Blacktown, Mount Druitt, Auburn licensing; and shows patient Fiona Neill “To give everyone quality Three years on, Fiona can and Westmead hospitals next year. • A projected $1 million per the benefits of having her own eMR. care, it is important the see the positive impact. A NETWORK annum for managed print The improvements will provide our services. 1000 clinicians with more sophisticated TIMES FASTER than clinical data and streamline the average home workflows as they enter a new phase of healthcare.

44 45 INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

Clinical research nurse Paige Stapleton (left) and Associate Professor Judith Trotman browse the ClinTrial Refer mobile app which helps connect patients, clinicians and clinical trial units to active studies into various diseases.

SCIENCE

Embedding positive advances There are 2000 studies in progress • Botox injections being used from contemporary research throughout WSLHD, with 570 new experimentally to treat disabling evidence in clinical and projects initiated in the past year tremors common in older people preventive practice is a high at Westmead, Blacktown, Mount by Westmead’s Associate priority for Western Sydney Local Druitt and Auburn hospitals. Professor Victor Fung’s Health District. neurology research group. Major research achievements Our goal is that all healthcare included: • Research on the effects of workers will use evidence-based breast feeding on mothers with 5 practice as the foundation for • Understanding the genetic diabetes in pregnancy and its SCIENCE 47 the technical aspects of care for variability in human liver effect on the next pregnancy our patients today and use this disease. Westmead’s Storr by clinical midwife consultant INNOVATION CLINICAL EDUCATION 49 research to transform the care of Liver Unit is leading the study Sarah Melov. our patients into the future. with the International Liver QUALITY AWARDS 49 Disease Genetics Consortium. • A study into alternatives to & QUALITY Our highly culturally and drugs in the management PATIENT SAFETY 53 linguistically diverse population • The Mu Catheter, a new of patients with serious provides us with the opportunity technology to treat kidney- breathlessness by the to customise our care to different induced hypertension co- Department of Respiratory and social groups based on research invented by cardiologist Dr Sleep Medicine at Westmead from within WSLHD and beyond. Pierre Qian and biomedical Hospital. engineer Tony Barry at Research funding increased by 20 Westmead Hospital, is being • Investigations on the best way per cent to $44 million this year, commercialised in partnership to find and treat early cancer including $3 million from the NSW with the University of Sydney. It of the large bowel, stomach Health Translational Research has secured multimillion-dollar and oesophagus by Professor Grants Scheme. support from NSW Health. Michael Bourke and his team.

PHOTO: Dr Jeremy Hsu, director of trauma at Westmead Hospital. 47 INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

CLINICAL EDUCATION

WSLHD supported the continuing • Work with our university • An $8 million upgrade of the education of more than 5000 partners to develop articulation Westmead Education and nursing and midwifery, allied pathways from specialty skills Conference Centre (WECC), and health, medical and dental development programs into a $3 million transformation of students and 800 doctors in postgraduate qualifications to the Westmead Hospital Library the Network Training Program foster lifelong learning. completed in partnership with in 2017-18. University of Sydney. • The intake of high school Nearly 10,000 staff received students undertaking the • Sydney Concepts, a weekly training through simulation to certificate III Health Service initiative of the Westmead improve quality and safety. Assistance program which precinct education hub Major achievements included: doubled from 40 to 80 in collaboration with the participants. University of Sydney, presented • Teaching on the Run, designed innovative ideas to staff, to improve the quality of the • The use of virtual reality as students and academics to teaching and supervision of a training tool trialled for encourage collaboration across trainee doctors and students, patients and staff. The initiative all disciplines. delivered to 90 clinical is a partnership with University ARANKA MORTON educators. of Sydney and The Children’s Hospital at Westmead. DIABETES PATIENT • The LEADR program, designed to provide continuing professional development for clinical educators, introducing Aranka Morton doesn’t have lead Professor Clara Chow new forms of pedagogy, to travel to see her beautiful from the Westmead Applied and updating the skills and I just turned new grand-bubby. She Research Centre. confidence for clinical educators simply picks up her phone to use methods more suited to a 60. For my while she’s having a cuppa “We created a program contemporary learner. age group who to view the latest photo. that sends customised education in bite-sized • Overseas dental students always have “I always carry it. I have so chunks via text messages, participating in elective research our phones, many photos of the little one!” to support patients back modules at Westmead’s Centre in the community.” for Oral Health. it’s amazing When she isn’t getting baby A new pain management program for patients experiencing persistent updates, the 60 year old Aranka’s messages include • Mount Druitt Hospital’s spinal pain was the result of a collaboration between the University of what a digital Sydney, the Agency for Clinical Innovation and Westmead Hospital. receives daily tips to help tips such as remember palliative care team educating health service manage her type 2 diabetes when you’re cooking chips, registered nurses employed by Dr Annalee Yuhico (left), physiotherapist Joshua Pate, clinical psychologist like this does.” from Westmead Hospital via use some spice instead of Anglicare in how to provide a Madeline Begg, clinical nurse consultant Sabine Boensch, physiotherapist Josip SupportMe, a digital health sauces or if you’re driving to positive end-of-life experience Sulentic and the University of Sydney’s Dr Andrew Malcolm at the launch. Aranka Morton, program assisting patients somewhere, park a bit further for their residents so they can diabetes patient. after they leave hospital away and walk. die in their own home. anywhere, anytime. “The reality is diabetes • A bullying and resilience “For those suffering chronic never goes away. You have program introduced to support illness, it’s understandably to manage it for life. This junior doctors and help very hard to stay on track program is like having them address intimidating QUALITY AWARDS PHOTO: SupportMe text when they have to get back Westmead Hospital in your behaviours. messages help Aranka to work and to their lives,” pocket, helping you along Morton manage her diabetes. says SupportMe program the way” says Prof Chow. The WSLHD Quality Awards recognise staff for their dedication and contribution to innovation and the improvement in the quality and delivery of healthcare to the people of western Sydney.

A total of 45 submissions were received across eight categories and four peak awards. The winners of the peak awards were:

48 49 1 2 3 4

WITHIN A FEW MONTHS AUBURN HOSPITAL QUALITY AWARD QUALITY AWARD QUALITY AWARD QUALITY AWARD STAFF RECYCLED:

12,000 BOARD CHAIR AWARD CHIEF EXECUTIVE AWARD More Aboriginal WENTWEST PARTNERSHIP NEWSLOCAL PEOPLE’S FOR INNOVATION AND AWARD CHOICE AWARD PLASTIC BOWLS EXCELLENCE FASTER Screening for Stroke children than ever – Blacktown and Mount are protected against Protecting Our Aboriginal Think Before You Bin It – IPOP – Interpreter Project Druitt hospitals vaccine-preventable Kids, Now and Into the Future Auburn Hospital 6,000 in Outpatients – Westmead diseases thanks to the – Integrated & Community KIDNEY DISHES & GALLEY POTS Hospital and Integrated & The FASTER screening work of the Western Health Plastic recycling has not only Community Health protocol (Fast, Affordable, saved money for Auburn Safe and True assessment in Sydney Local Health The project saw immunisation Hospital but is benefitting a 20,000 IPOP significantly reduced the Emergency Room) has District. rates drastically increase, medical charity. ITEMS OF OUT-OF-DATE STOCK average wait times for been established for stroke helping to close the gap in booking interpreters with presentations. Patients Ninety-five per cent of healthcare for Aboriginal The hospital’s general services an 83 per cent decrease receive an urgent magnetic Aboriginal children are children. noticed a marked increase in 21,000 in phone wait times and a resonance imaging (MRI), now fully vaccinated at the amount of plastic matter PIECES OF KIMGUARD 67 per cent reduction in generally completed within An Aboriginal immunisation discarded by the operating 12 months in western time spent per day booking five minutes. In 996 cases, healthcare worker was suite and set up collection interpreters. 20 per cent were positive Sydney and 98.5 per employed to engage parents points for reusable plastic 20,000 for stroke, which was much cent are fully vaccinated and carers of Aboriginal items and out-of-date or no- ARTICLES OF CLOTHING Solutions were tailored to higher when compared to at five years. children in their youngster’s longer-required consumables. address issues affecting the traditional CT screening. immunisation journey. culturally and linguistically Prior to this project, patients, PHOTO: Protecting our Aboriginal Usable items were sent to diverse (CALD) patients. particularly if young, were kids, now and into the future. A purpose-built database Doctors Assisting in South- often told that stroke was Little Jirriga Councillor and mum assists to plan and keep Pacific Islands and other 1. IPOP: Coordinator of interpreters They included SMS follow-up, unlikely based on a non- Emma Councillor. a record for follow-up via charitable organisations. The Chamoun Bechara (left) with manager phone calls by interpreters for contrast CT and were letters, text messages and waste management budget of the Western Sydney Interpreter appointment confirmation, and discharged with no firm phoning parents or carers of reduced by $2500 in the Service Gordana Vasic. improved check-in including a diagnosis. Now all stroke overdue children. first month and thousands 2. Faster Screening for Stroke: designated interpreter waiting episodes are identified of items have been recycled Blacktown Hospital’s director of area, a dedicated phone line FASTER. The Australian Immunisation since November 2017. emergency medicine Associate for on-the-day enquiries and Register quarterly report Professor Reza Ali (left), Dr Dushan additional block bookings showed 95.1 per cent of Jayaweera and patient Bruce Eden. for interpreters. Aboriginal children were fully 3. Protecting Our Aboriginal Kids, immunised at age 1, and 98.5 Now and Into the Future: Mum Jessica For more information on the The project’s success was per cent at 4 years of age, Hey (left) and baby Noah Hey with winning projects visit the result of a partnership exceeding both the targets, immunisation nurse Hayley Carra. between patients, the Health and the immunisation rate for 4. Think Before You Bin It: Auburn Care Interpreter Service, non-Aboriginal children of the www.wslhd.health.nsw.gov.au/Quality- Hospital’s patient services assistant Westmead Hospital University same age. Barbara Chapman (left), project Patient-Safety/WSLHD-Quality-Awards- Clinics, and WSLHD’s participant Alex Roberts, and project in-Healthcare/2018-quality-awards Innovation and Redesign. lead, senior nurse manager Kristina Roberts.

50 51 INNOVATION & QUALITY 5 WSLHD YEAR IN REVIEW 2017-18

PATIENT SAFETY So far we have helped 31 men regain their Western Sydney Local Health Planning commenced on rolling out • Excellence in the Provision strength and confidence District is committed to eFluids at Auburn Hospital which of Mental Health Services, through our support continuously improving the will be the first hospital in NSW to for the Innovative Service and their will power. safety and quality of care go live with an electronic system Delivery Model. provided to our patients for fluid orders and drug infusions. It’s great to see patients and consumers. Community Eye Care (C-EYE-C) feeling happier and My Experience Matters was was launched in 2017 and partners healthier after the The quality of care affects not extended to include Blacktown and with local optometrists for patients only the patient, but their carer, Mount Druitt hospitals with 2541 with low-risk and stable glaucoma program. family and our staff. Our safety surveys collected across WSLHD and diabetic retinopathy. and quality strategy prioritises recording favourable rates in: Gerard Regan, Westmead patient safety, person-centred • Kindness and respect, In 2017, there were 699 C-EYE-C Hospital physiotherapist, care, reliability of care and quality 89 per cent assessments completed, with an The X-Men program. improvement. • Involvement in care, 78 per cent overall reduction in the need for • Likely to recommend, 88 per hospital-based appointments of Programs such as the My cent; and a 62 per cent. Experience Matters survey • Patient experience rating of of patients, their families and 86 per cent. In 2018, the C-EYE-C model carers help us identify areas for has continued through strong improvement. Patient feedback initiated several partnerships with local optometrists. 1 Doing these exercises improvements such as the Shhh has given me plenty of WSLHD continues to transition campaign to reduce noise at night The Agency for Clinical energy and has made to technological tools to assist and the ward orientation program. Innovation’s ophthalmology me feel better. in ensuring patient safety and Workshops were developed to network is finalising model-of- quality such as the electronic improve the capabilities of staff to care guidelines to support wider I looked forward to record for intensive care (eRIC) engage patients in their care. implementation throughout EDUCATION AND TRAINING CATEGORY WINNERS and electronic medication NSW Health. Increasing Dysphagia going to the sessions and management (eMEDs). WSLHD won three of the eight Awareness in Mental Health enjoyed the interaction NSW Health Awards in 2017. The The C-EYE-C evaluation results Westmead Hospital with other people and Electronic systems provide access accolades recognise innovation will be presented at the Global doing exercise. to patient information and clinical and excellence in the delivery of Symposium on Health Systems PATIENTS AS PARTNERS decision support in real time. health programs and services. Research in Liverpool, England IPOP – Interpreter Project RESEARCH AND INNOVATION Gianni Spiteri, Westmead Hospital WSLHD took out the following in October 2018. in Outpatient Clinics Pharmaceutical Supply Chain X-Men program patient. eRIC was successfully categories: Westmead Hospital and and Medicines Optimisation implemented at Blacktown • Delivering Integrated Care, WSLHD’s Mental Health Service Integrated & Community Health Westmead Hospital ICU improving accessibility to for Community Eye Care in has incorporated a multi-faceted information for all staff involved Western Sydney approach to reduce the use, and 6S Success! A Redevelopment in a patient’s care. The inclusion • Patient Safety First, for Not where safe eliminate the use of DELIVERING Lean Storeroom Initiative. of the eRIC electronic handover Another DVT in the ED; and the seclusion and restraint. INTEGRATED CARE Building Capability and of care provides a concise GREAT (Geriatric Rapid Collaboration to Ensure report for the receiving ward or Evaluation and Treatment) a Successful Transition service outlining observations, Service Westmead Hospital medications and comprehensive Westmead Hospital care plans, improving continuity of care for patients. PATIENT SAFETY FIRST KEEPING PEOPLE HEALTHY Fundus Photography in the ED: eRIC enables downloading of The X-Men – Exercise Classes Saving Lives, Eyes and Time 2 meticulous observations directly for Prostate Cancer Westmead Hospital from cardiac monitors, ventilators Westmead Hospital and dialysis machines, graphing Westmead results that are easily interpreted nurses A SAFE AND HEALTHY 1. The X-Men team: Physiotherapists to improve clinical decisions. Juliet COLLABORATIVE TEAMS WORKPLACE Gerard Regan (left), Chrissian Segaram, Akuoko (left) Protecting Our Aboriginal Kids, A State of Biopreparedness Josip Sulentic, clinical nurse specialist eMEDs enhances patient and Britt Now and into the Future Westmead Hospital and genitourinary cancers Meg Hughes, safety and modernises patient Richard. Integrated & Community Health Integrated & Community Health Dr Amy Hayden, and Associate Professor care by improving medication Sandra Turner. 2. Patient Gianni Spiteri management in the hospital. (left) with his physio Gerard Regan.

52 53 OUR PEOPLE 6 WSLHD YEAR IN REVIEW 2017-18

OUR STAFF I’ve come and gone from Westmead a Western Sydney’s unprecedented HealthRoster will replace three couple of times, but I’ve growth is reflected across our rostering systems by December always come back. It’s organisation as we redesign and 2018, reducing risks and costs the people. I walk the develop new facilities, models associated with legacy systems halls here and it feels of care, and new ways of doing and improve the allocation of business to meet the present and suitably skilled staff to cover like home, I see so many future demand for our services. anticipated demand for our people I know. People services. that I’ve trained with, At the core of our organisation people that I’ve known are our people. Teams of In April 2018 People and Culture since I was 18. dedicated clinicians, technical and completed the Working With support staff are committed to Children Check (WWCC) phase- Jo Tallon, Westmead Hospital empowering each of our facilities in program in partnership with clinical nurse consultant and community health settings to the NSW Office of the Children’s infection control. provide safe, world-class, patient- Guardian and the NSW Ministry of centred healthcare. Health to ensure staff who work in an identified role obtained a We employed 13,000 individuals current WWCC. in 2017-2018, totalling 10,161 full time equivalents (FTEs), in a More than 9500 employees hold diverse range of settings spanning a valid WWCC. hospitals to the community. We introduced mandatory The People and Culture team influenza inoculations for staff supports WSLHD in the working in high-risk areas and management of our people, coordinated more than 8000 providing workforce systems vaccinations. and solutions that make it easier for staff and clinicians to provide Two new senior Aboriginal excellence in patient care. leadership positions will enhance They include: our Aboriginal workforce as we • Human resources work to improve health outcomes • Recruitment in our local Aboriginal and Torres • Staff health assessment and Strait Islander community. vaccination • Rostering and payroll related processing • Policy and diversity 6 • Training and development • Child care services OUR STAFF 55 • Medical and dental workforce services; and OUR OUR BOARD 58 • Consumer and community engagement. PEOPLE OUR EXECUTIVE TEAM 62 We partnered with eHealth NSW PARTNERING FOR TOMORROW 66 to implement new statewide people management systems.

Recruitment and Onboarding Westmead’s (ROB) went live in November ICU mother 2017 with our recruitment team and daughter adopting a centralised model, team Marizon Villanueva (left) acting as system users and taking and Maridy on the majority of administration Morrison have for our hiring managers. worked together for 19 years.

PHOTO: Westmead nurses Robbie Cruceanu (left) Isabella Trethowan and patient Lidia Hall celebrate the Royal wedding of Prince Harry to Meghan Markle. 55 1069 267 395 ALLIED HEALTH ORAL HEALTH OTHER PROF & PARA PRACTITIONERS PROFESSIONALS 1 2 & SUPPORT WORKERS 9 & SUPPORT STAFF

1808 420 376 CORPORATE SERVICES HOTEL SERVICES SCIENTIFIC & TECHNICAL & HOSPITAL SUPPORT CLINICAL SUPPORT STAFF 3 10 11

57 50 MAINTENANCE OTHER STAFF & TRADES 4 5 12

TOTAL 1376 MEDICAL 10,161

6 13 14

1. Movember in the Westmead eye clinic. 2. Occupational therapists. 3. Cumberland Hospital mental health assessment team. 4. Westmead Hospital infection control staff celebrate Infection Prevention Week.5. Westmead’s happiest cleaner Ljubica Simic dances with Mimi Wellisch. 6. International Nurses Day Blacktown Hospital. 7. Christmas Day in Mount Druitt Hospital’s ED. 8. Melbourne Cup day in Westmead’s ED. 9. Westmead’s Centre for Oral Health opens wide for its new interns. 10. Research clinicians professors Golo Ahlenstiel (left), Mark McLean and Vicki Flood. 11. Hamming it up in the Westmead Institute for Medical Research. 12. staff Alison Brown, Julie Han, Arabella Norman and Vossco Ngyen celebrate National Radiographers 4343 and Radiation Therapist Week. 13. Westmead Hospital environmental services manager Raynelle Howat (left) and hospital assistant Pamela Stevens farewell Graham Dominick. 14. Blacktown Hospital team cheering on local Aussies in the 2018 Winter NURSING Olympic Games.

7 8 Contracted full time equivalent (FTE) information as at June 30 2018 by Treasury Code. SOURCE: SMR Workforce Reporting.

56 57 OUR BOARD*

The members of the WSLHD RICHARD ALCOCK AO Board are appointed by the NSW BCom, LLB (UNSW) Minister for Health for a term of up to five years. CHAIR Richard Alcock is the chair There are 10 board committees of the WSLHD Board, and that oversee specific areas of was previously the deputy the business including providing chairman and chairman of advice on the organisation’s the Finance and Performance strategy, approving key Committee of the Sydney investments, ensuring major risks Children’s Hospitals Network. are identified and managed, and assisting the WSLHD Board in Richard is the vice chairman, achieving its goals and objectives. Bank of America Merrill Lynch, They are: Global Banking Markets, and was • Health Care Quality previously the managing director • Finance Performance and Asset and co-head of Transport, • Audit and Risk Management Infrastructure, Power & Utilities at • Medical and Dental Merrill Lynch Markets (Australia) Appointments Advisory Pty Limited from 2007. • Research Development • Education and Training Formerly a corporate lawyer • Governance for 25 years with Allens Arthur • WSLHD Nominations Robinson, he worked in Sydney, • Aboriginal Health Collaborative; Singapore and Jakarta, was and the made a senior partner, head of • WSLHD & SCHN Redevelopment Governance, and chairman of the Joint Committee Ethics Committee.

PROFESSOR JEREMY BACK ROW: CHAPMAN AC MB, BChir, MD, FRACP, FRCP Professor Mark McLean (left), Professor Diana O’Halloran, Bruce Turner, Narelle DEPUTY CHAIR Bell, Professor Christopher Liddle, Jeremy is the clinical director of the Elizabeth Crouch, Dr Andrew Pesce, Division of Medicine and Cancer at Professor Don Nutbeam. Westmead Hospital and director of the Western Renal Service. FRONT ROW: Jane Spring (left), Professor Michael Recognised nationally and Edye, chair Richard Alcock, deputy chair internationally in transplantation Professor Jeremy Chapman, Adjunct he chairs the Australian Bone Professor Kathy Baker, Andrew Bernard. Marrow Donor Registry and Cord *As at June 30 2018 Blood Bank Network; is past- president of The Transplantation Society; expert advisor to the World Health Organisation in Human Cell Tissue and Organ Transplantation; secretary general and past president of the World Marrow Donor Association, and the inaugural co-chair of the Declaration of Istanbul.

Jeremy has more than 400 peer-reviewed publications and is editor-in-chief of the Transplantation and Transplantation Direct. a member of the Centre for Health of Environment and Heritage. for the NSW Auditor-General and Andrew has been a resident of JANE SPRING PROFESSOR MICHAEL EDYE Record Linkage Community She has vast experience in the NSW Department of Finance western Sydney since 1977. His BEc (Hons), LLB, MPA, FAICD, MBBS (Syd), FRACS, FACS Advisory Committee, and the corporate governance and Services and Innovation. career includes general manager FCIS, FGIA former legal member of the NSW enterprise risk management, at Fairfield, and Bankstown- Michael is the director, Division Medical Council. construction and infrastructure He retired as chief internal Lidcombe hospitals, general Jane is an executive director with of Surgery and Anaesthetics and recently retired as deputy auditor of the Australian Taxation manager of Clinical Services at the the NSW Department of Industry. at Blacktown and Mount Druitt She is chair of the Nominations chancellor of Macquarie University. Office and previously held senior former Sydney South West Area hospitals. Committee and a member of the executive roles at StateRail and Health Service, and director of A solicitor with extensive corporate Governance Committee, both sub- Elizabeth is a fellow of the Integral Energy with responsibilities operations at the Prince of Wales governance experience, she has A pioneer in laparoscopic surgery, committees of the WSLHD Board. Australian Institute of Company including corporate governance, and Sydney hospitals. had a range of roles working for Michael was recruited to The Mount Directors, a member of Women compliance, risk management, NSW Government. Sinai Hospital in New York in 1993 She has worked as a lawyer in the on Boards, and a mentor and probity, and auditing. Andrew’s experience as a non- where he practiced for 20 years private, public and community facilitator for the Orijen Group. executive director has included Her involvement on diverse establishing the new discipline. sectors including as senior the boards of the Service for the boards including the University member of the Commonwealth PROFESSOR Treatment and Rehabilitation of of Sydney senate, Venues NSW, For a decade he worked as a Administrative Appeals Tribunal. DR ANDREW PESCE DONALD NUTBEAM Torture and Trauma Survivors and Wheelchair Sports Australia national advocate to the American MBBS, FRANZCOG PhD, FFPH (UK) (STARTTS), Bankstown City Aged has equipped Jane with a strong Medical Association and US Narelle teaches and consults in Care, Neuroscience Research understanding of the strategies Medicare in the areas of surgical legal reasoning and writing and Andrew is a leading obstetrician Don is a professor of public health Australia (NeuRA), Prince of Wales required for effective performance coding and reimbursement. hearing skills. and gynaecologist at Westmead at the University of Sydney, and a Hospital Foundation, and the in complex organisations. Hospital. senior advisor at the Sax Institute. Health Roundtable Limited. In 2013 he returned to Australia as Personal experience as a chair of surgery at the Blacktown PROFESSOR As federal president of the Don’s career has spanned paraplegic for more than 20 years Clinical School of Western Sydney Invitees CHRISTOPHER LIDDLE Australian Medical Association in senior positions in universities, has given Jane an appreciation of University. The following members of the WSLHD BSc (Med), MBBS, PhD, FRACP 2009 he vigorously advocated government, health services and the care provided to her by health executive team participated in agenda for public hospitals and clinician an independent health research professionals and made her a items relating to their area of expertise: WESTMEAD HOSPITAL engagement during the national institute. strong advocate for patients and PROFESSOR DIANA MEDICAL STAFF COUNCIL health reforms. Danny O’Connor, chief executive the public hospital system. O’HALLORAN AO REPRESENTATIVE Don has worked as an advisor on Adjunct Associate Professor Joanne MBBS, MPHEd, FRACGP, FAICD Chris is an academic hepatologist Locally, he chaired the Westmead public health issues for the World Edwards, executive director Nursing & and clinical pharmacologist Medical Staff Council from 2008-9. Health Organisation for more than Midwifery, and Clinical Governance (July PROFESSOR MARK MCLEAN Di is a general practitioner with at Westmead Hospital and 30 years, and as consultant for the 2017-May 2018); and as acting general BMed, PhD, FRACP longstanding involvement in the Western Clinical School, His long association with World Bank. manager Westmead and Auburn hospitals primary healthcare reform and the University of Sydney. Westmead Hospital began as an (June 2018) BLACKTOWN AND MOUNT development of new integrated intern in 1984, eventually training Adjunct Associate Professor Robynne DRUITT HOSPITALS (BMDH) models of care. MEDICAL STAFF COUNCIL He heads Westmead Hospital’s in obstetrics and gynaecology. ADJUNCT PROFESSOR Cooke, executive director Operations Department of Clinical KATHY BAKER AM (January-June 2018) REPRESENTATIVE Di chairs WentWest Ltd, the Pharmacology and Toxicology He was clinical director of M EdA, BHA, RN, CC, CT, Dip NE, Mark is divisional director, Western Sydney Primary Health Andrew Newton, general manager and is chair of the Westmead Women’s and Children’s Health MAICD, ACN (DLF), Honorary Fellow ambulatory medicine at BMDH, and Network (WSPHN), which works in Westmead and Auburn hospitals (July- Hospital Medical Staff Council from 2007 to 2011. UTS, Wharton Fellow chairs the hospital’s research and partnership with WSLHD to improve November 2017) and the WSLHD Drug and education committees. cross-system integration. Sue-Anne Redmond, acting general Therapeutics Committee. Andrew is currently the consultant A registered nurse, Kathy is manager Westmead and Auburn hospitals heading the Breech Clinic at an adjunct professor with the A practicing endocrinologist at A conjoint professor with Western (December 2017-June 2018) Chris’s research in the functional Westmead Hospital. University of Technology, Sydney, BMDH and Westmead Hospital Sydney University’s department of genomics of liver diseases has led the University of Sydney, and Luke Sloane, acting executive director since 1996, his previous roles general practice, Di is the chair of to many high impact publications Western Sydney University. Nursing & Midwifery, and Clinical include director of physician the NSW & ACT PHN Council and Governance (June 2018) as well as several patent BRUCE TURNER AM training at Westmead Hospital, and co-chair of the Agency for Clinical families, two of which have been FFin, FPNA, FIML, PFIIA, CGAP, She is a non-executive director Leena Singh, acting executive director foundation professor of medicine Innovation’s General Practice successfully commercialised. CRMA, CISA, CFE, MAICD, JP on the board of Bolton Clarke and Finance (July-December 2017) at Blacktown Clinical School, Advisory Group. She is a past chair of a member of their Audit & Risk Western Sydney University. the NSW General Practice Ministerial Tina Stoian, executive director Finance As a lifelong resident of greater Management Committee. Advisory Council and past board (December 2017-June 2018) ELIZABETH CROUCH western Sydney, Bruce’s Mark’s research interests span member of the Royal Australian BEc (MQ), FAICD background spans commercial, Kathy is the nurse advisor at the Professor Chris Liddle, chair Westmead clinical and basic science aspects College of General Practitioners. merchant and central banking, Australian Commission on Safety Hospital Medical Staff Council of diabetes and hormone action. Elizabeth Crouch chairs the board and public administration. and Quality in Health Care and an Professor Mark McLean, chair Blacktown of SGS Economics and Planning, advisor to Evercare Health Limited, and Mount Druitt hospitals Medical Staff He is past-president of the NARELLE BELL is a board member of NSW Health He sits on the board of Wentworth Hong Kong. Council (March-June 2018) Endocrine Society of Australia. BA LLB Infrastructure and the NSW Healthcare Limited (WHL). He Institute of Sport. She is a trustee is chairman of the audit and risk An active clinical teacher, Mark is a Narelle is Australia’s Aircraft Noise Acknowledgement of the Museum of Applied Arts committees (ARC) for the Western ANDREW BERNARD member of the national examining Ombudsman. She is also the legal We recognise the commitment, dedication and Sciences and chairs audit and Sydney Parklands Trust, WHL BSc (Syd), MPH (Syd), Grad Cert panel for the Royal Australasian member on WSLHD’s Human and stewardship of outgoing board risk committees for the City of and Penrith City Council, and an BA (Exec) (Monash Mt Eliza), member Bruce Turner who served from College of Physicians. Research Ethics Committee, Sydney, RailCorp and the Office independent member of the ARCs AFCHSM, MAICD January 2015 to June 30 2018

60 *As at June 30 2018 *As at June 30 2018 61 OUR EXECUTIVE TEAM*

The members of the WSLHD DANNY O’CONNOR executive, individually and as BSOCSTD (Hons) MSW (Social Policy) a committee, support the chief executive to lead, direct, coordinate CHIEF EXECUTIVE and control the operations and Danny was appointed chief performance of WSLHD. Their role executive of the Western Sydney as strategic leaders is to formulate Local Health District in January 2011. and execute business strategies to produce desired results critical to the He believes the primary purpose of organisation. The WSLHD executive healthcare is to improve people’s is headed by the chief executive and lives. And central to success is a comprises 11 individuals. strong partnership with consumers in continually improving services. Likewise, a robust collaboration BACK ROW (STANDING): is required between science and Doug Catchpole (left), Adjunct Associate practice to ensure the continuous Professor Joanne Edwards, Danielle evolution of best practice in clinical Levis, Barry Mitrevski, Barry Mather, care and population health programs. Victoria Nesire, Mat Nott. Danny is an invitee on the WSLHD FRONT ROW (SITTING): Board and serves on the boards of Adjunct Associate Professor Robynne the Westmead Institute for Medical Cooke (left), Danny O’Connor, Associate Research, and the Westmead Professor Beth Kotze, Brett Thompson. Medical Research Foundation. *As at August 2018

BARRY MITREVSKI1 B Comm (Econ), Dip Acc, MBA, CPA

ACTING EXECUTIVE DIRECTOR FINANCE Appointed in July 2018, Barry brings strong governance and rigour to WSLHD’s financial, strategy and operational management. He has more than 35 years’ Sunshine Coast Hospital and Brett has more than 30 years’ He is a former journalist who VICTORIA NESIRE experience in finance oversight Health Service where he was experience in health service entered corporate communications DipArts RCAE, GradDip Ed including 30 years with NSW responsible for IT strategy, delivery, strategic and operational with Queensland Health. Health. IT operations, clinical leadership across clinical and EXECUTIVE DIRECTOR information services and IT corporate services, capital Mat has a specific interest in the INTEGRATED & COMMUNITY I have experienced up Understanding the needs of the projects including technology development and implementation. growth and application of social HEALTH business is the basis of his strategic design and implementation media within government. close the people who Victoria was appointed as and operational approach. at the new Sunshine Coast He is committed to supporting care for others. And director for Integrated Care to University Hospital. staff to achieve their potential He is admitted as a lawyer in the through this I have oversee the implementation of Barry is driven to ensure WSLHD and deliver the best possible Supreme Court of NSW. the Western Sydney Integrated observed enormous is financially sustainable to deliver healthcare. Care Demonstrator, one of three generosity of spirit. the best available healthcare to ADJUNCT ASSOCIATE demonstrators under the NSW Acknowledgments the people of western Sydney. It also made me aware PROFESSOR JOANNE In September 2018 WSLHD chief 3 5 Integrated Care Strategy. of the great diversity EDWARDS DANIELLE LEVIS executive Danny O’Connor retired after RN MN Grad Cert (Operating RN, Masters (Critical Care), Gard of people’s personal In mid-2016 she became nearly 38 years of public service to the ADJUNCT ASSOCIATE Theatres) Cert (Business Administration) people of NSW. executive director Integrated lives and circumstances PROFESSOR ROBYNNE & Community Health. He served as WSLHD chief executive we reach. COOKE EXECUTIVE DIRECTOR NURSING ACTING GENERAL MANAGER for seven years from 2011 overseeing RN, BN, Grad Dip Gerontology, & MIDWIFERY AND CLINICAL BLACKTOWN AND MOUNT She has more than 25 years’ visionary transformation in models of With complete sincerity MHSM, GAICD GOVERNANCE DRUITT HOSPITALS experience working in the NSW care and infrastructure to address the Joanne is accountable for the Danielle assumed the role of I say that every success public health system and has held current and future healthcare needs of EXECUTIVE DIRECTOR development, monitoring and acting senior operational manager our community. I have been associated senior management and executive OPERATIONS reporting of professional activities accountable for the management with is because of the positions with NSW Health and at Graeme Loy, executive director System Robynne commenced with to optimise health outcomes and performance of Blacktown and three local health districts. Management in the Ministry of Health, teams I have worked WSLHD in January 2018 and is provided by nurses and midwives Mount Druitt hospitals in July 2018. assumed the position of acting chief with. I extend my accountable for the operations in WSLHD. executive, WSLHD. of the LHD. She is also responsible for the sincere gratitude to DOUG CATCHPOLE6 Additionally, Joanne is responsible expansion of Blacktown and Over the past 12 years Graeme has held everyone who has BCom CA several executive roles, including chief Previously the general manager for WSLHD Clinical Governance, Mount Druitt hospitals, working worked with me. executive of Northern Sydney Local of Liverpool Hospital, she has a the Research & Education Network closely with staff, stakeholders DIRECTOR CORPORATE Health District. His knowledge of clinical distinguished 20-year record of and is the Health Services and the community. Danny O’Connor, GOVERNANCE and corporate services includes a strong service in corporate and clinical Functional Area Coordinator chief executive WSLHD Doug commenced as the director focus on system performance through healthcare. (HSFAC) for emergency Danielle’s extensive clinical and Corporate Governance in July healthy relationships. management for the LHD. operational experience in health 2017, having previously served as WSLHD executive director Corporate Her experience has equipped her provides a focus on quality, safety the deputy director Finance. Governance Belle Mangan retired after with an extensive understanding Joanne’s extensive clinical and and compassion. 43 years’ in NSW healthcare. of healthcare challenges. operational experience delivers His portfolio responsibilities a strong focus on systems that include overseeing policy and She has a deep commitment to promote patient safety and ASSOCIATE PROFESSOR legislative compliance systems, innovation. Under her stewardship, practice improvement. BETH KOTZE risk management and corporate the robotic surgery program was MBBS, FRANZCP, FRACMA, Cert Child legal services. implemented and the Australian Psych, MMed (psychotherapy), MHA Pacific Minimal Invasive and BRETT THOMPSON4 (UNSW) He is also responsible for the Robotic Surgery Training Centre BSc (Nutrition), Grad Dip management of People & Culture developed at Liverpool Hospital. (Dietetics), MBA EXECUTIVE DIRECTOR MENTAL services across the local health HEALTH SERVICES district. GENERAL MANAGER Appointed in April 2016, Beth is BARRY MATHER2 WESTMEAD AND AUBURN accountable for the management 1. Acting director Finance July - December 2017 Leena Singh; executive director Prior to joining the LHD, Doug Finance December 2017 - July 2018 Tina Stoian HOSPITALS and performance of mental spent 10 years as a senior finance CHIEF DIGITAL HEALTH OFFICER Brett assumed the role of senior health services spanning child, 2. Chief information officer July 2017 - June 2018 Sabrina Walsh; acting chief leader in a large multinational media Joining WSLHD in August 2018, operational manager accountable adolescent to adults across a information officer May - August 2018 Les Forrest organisation where he successfully Barry is responsible for the for the management and diverse range of settings from the steered several change programs. 3. Acting executive director Nursing & Midwifery, and Clinical Governance June - digital health strategy, planning, performance of Westmead and community to inpatient. August 2018 Luke Sloane solution delivery and assurance Auburn hospitals in August 2018. of technology reliability across Beth is a psychiatrist and medical 4. General manager Westmead and Auburn hospitals July - November 2017 Andrew MAT NOTT Newton; acting general manager Westmead and Auburn hospitals November 2017 - WSLHD. He is co-leading a billion- administrator who has worked BA Comm (Journalism), Dip Law LPAB June 2018 Sue-Anne Redmond and from June - August 2018 Joanne Edwards dollar capital works program in a variety of public and private Barry is passionate about the role to rebuild Westmead Hospital settings spanning 25 years 5. General manager Blacktown and Mount Druitt hospitals July - November 2017 DIRECTOR CORPORATE technology plays in enabling safe, working with staff, precinct including senior leadership and Sue-Anne Redmond; acting general manager November 2017 - July 2018 Jude COMMUNICATIONS efficient and effective healthcare. partners and the community management positions. She is Constable and from July - August 2018 Danielle Levis Mat oversees WSLHD’s internal to ensure the redevelopment passionately committed to the and external communications, 6. Acting executive director People and Culture July - September 2017 Helen Emmerson His experience includes chief transforms the delivery of delivery of quality and modern branding and marketing, media Executive director Strategic Business Development & Commercial Services July 2017 - information officer at the healthcare in western Sydney. mental healthcare. relations, and digital platforms. June 2018 Leena Singh

64 *As at August 2018 *As at August 2018 65 OUR PEOPLE 6 WSLHD YEAR IN REVIEW 2017-18

2017-18 Donald Ferrick’s stay at Westmead Hospital is snapshot enriched by two things: his beautiful wife of 62 years and one of Australia’s most iconic drinks, Milo. FACEBOOK 1 2 WESTERN SYDNEY HEALTH @humansofthehospital Westmead patient Donald and wife Jill Ferrick. 100,000 MONTHLY REACH

PARTNERING FOR TOMORROW TWITTER @WESTSYDHEALTH

Understanding the needs of community representatives to media, our website and our daily Eleven per cent of Facebook 30,000 our diverse community is partner with staff and patients electronic newsletter, The Pulse. followers and 21 per cent of the TWEET VIEWS PER MONTH paramount in meeting the to improve our understanding @humansofthehospital healthcare challenges of today of the needs of culturally and WSLHD’s social media is an Instagram audience are aged 18- and planning for the future. linguistically diverse patients. important tool that allows us to 24. We are working to increase engage with our stakeholders and this demographic on our social Our community can find We encourage the community We developed the WSLHD Youth staff in real time. media channels. out how they can make a to partner with us to assist in Council to better recognise the difference to the provision of INSTAGRAM providing the best available care. requirements of young people Our average weekly reach on Our Corporate Communications healthcare in Sydney’s west at aged 18-25 who transition all our social media platforms team works with the WSLHD @HUMANSOFTHEHOSPITAL Formal and informal channels from The Children’s Hospital at at June 30 2018 was more than Youth Council to identify young www.wslhd.health.nsw.gov.au/ foster a two-way dialogue that Westmead to Westmead Hospital. 100,000 people and continues to people’s social media and news Consumer-Engagement 1000 updates our stakeholders on increase. consumption habits. ACCOUNTS REACHED current and future initiatives The Youth Council strengthens MONTHLY and invites feedback and the voice of adolescent and Social media enables us to: Data from Facebook users who To access our digital newsletter go to participation. young adults in western • Build a trusted bond with the have disclosed their location www.thepulse.org.au Sydney and contributes to the community show that while the majority of Our Community and Consumer development of youth-focused • Inform the public on important our audience lives in Australia, Partnership program enables us health services. health issues and alerts we have overseas followers to understand the health needs • Provide immediate responses from India, the United Kingdom, LINKEDIN of the people of western Sydney. The WSLHD Consumer Council and information in the case of US and the Philippines. 1. Celebrating Youth Week Eunice meets monthly with up to 40 emergency incidents Toriola (left), Jocelyne Noonan, WESTERN SYDNEY LOCAL We purposefully select, consumer and community • Promote our initiatives, and The Pulse digital news site is the Nina Livingstone, Emma Sov, Emma HEALTH DISTRICT mentor, and train consumer representatives of all ages and the diversity of the roles of first of its kind in Australia devoted Rafraf, Joanne Pogorelsky, Fatimah Al Gharbawi, Jessica Dry and Jessica Lam. representatives to partner backgrounds attending. our staff to a local health service district. with our staff to build patient- • Highlight research success and 178 2. University of Sydney students FOLLOWERS centred healthcare for our Consumer representatives clinical achievements It is a fully responsive platform focused on developing innovative region and beyond. participated in 41 committees • Publicise our events and that transports 20-30 news and solutions to digital wayfinding at across the LHD and gave projects, and feature stories a week to people’s Westmead Hospital. There are more than 170 significant input into the design • Foster positive staff morale. mobile devices and computers. language groups used in our of our capital redevelopment local health district, and half of programs and new models of Our Facebook audience is The Pulse provides WSLHD with YOUTUBE western Sydney residents speak care ensuring we are meeting primarily women who comprise an unfiltered voice and builds WESTERN SYDNEY HEALTH a language other than English the needs of our residents. 80 per cent of followers with community awareness. at home. 30 per cent aged 25-34, and We use a mix of platforms to 19 per cent aged 35-44. This In May 2017, there was a peak 166 To reflect our population, we communicate with our community is similarly reflected in our of 13,000 unique visitors, and SUBSCRIBERS recruited a team of multi-lingual including traditional and social Instagram audience. 25,000 page views in a week.

66 *As at June 30 2018 67 APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

Director of Nursing & Midwifery Danielle Levis

OUR ORGANISATION* Deputy Director of Nursing & Midwifery Rola Tawbe

Divisional Medical Director Surgery and Anaesthetics AUBURN HOSPITAL Head of General Medicine Professor Michael Edye Senior Management Dr Jonathan Marks Acting general manager Westmead Divisional Medical Director Acute Medicine and Auburn hospitals Head of General Surgery Dr Michael Datyner Adjunct Associate Professor Dr Lynne Mann Joanne Edwards Divisional Medical Director Ambulatory Head of Obstetrics & Gynaecology Medicine Director Operations Dr Archana Bakal Professor Mark McLean Debbie Sharpe Head of Emergency Divisional Medical Director Women’s Director Nursing & Midwifery Dr Romesh Singam and Children’s Health Kate Murphy Associate Professor Harry Merkur Head of Plastic Surgery Deputy Director Medical Services Dr Paul Curtin Divisional Nurse Manager Women’s Dr Mary Boyd Turner and Children’s Health Head of Cardiology Helen Konowec Nurse Operations Manager Dr Gopal Sivagangabalan Hillary Nowlan Divisional Nurse Manager Acute Medicine Chief Medical Radiation Scientist Cheryl Trudinger Acting Director Human Resources Damien Fielden Business Partners Divisional Nurse Manager Ambulatory Kim Daniel Head of Pharmacy Medicine Wai-Jen Lee Leanne Watson Director Finance Analytics and Performance Westmead and Nurse Unit Manager Medical Ward Divisional Nurse Manager Surgery Auburn hospitals Dianne Ford & Anaesthetics Damien Van Rosmalen Cesare Aguilar Acting Nurse Manager Perioperative Director Corporate Services Service Divisional Director Business Analytics and Director Allied Health Mia Shui Performance Mathivanan Sakthivel Luke Elias Midwifery Unit Manager Auburn Executive Council Natalie Wearne Manager Finance Performance and Analytics Acting general manager Westmead Dileeni Chanmugam and Auburn hospitals Hospitalist/Career Medical Officer Adjunct Associate Professor Dr Antonio Llado Acting Manager Human Resources Business Joanne Edwards Partners Hospitalist/Career Medical Officer Gaye Wright Director Nursing & Midwifery Dr Edward David Kate Murphy Acting Quality and Accreditation Hospitalist/Career Medical Officer Operations Manager Deputy Director Medical Services Dr Vikas Kesarwani Katie Conciatore Dr Mary Boyd Turner Manager Community Health Manager Blacktown and Mount Druitt Director Operations Eva Litherland hospitals Expansion Project Debbie Sharpe Robyn Campbell Patient Safety & Clinical Quality Officer Nurse Operations Manager Ruth McCrudden Blacktown and Mount Druitt hospitals 7 Hillary Nowlan Clinical Council OUR ORGANISATION 69 School of Medicine University of Notre Acting General Manager Acting Director Human Resources Dame, Australia Blacktown and Mount Druitt hospitals APPENDICES OUR ​ PARTNERS​ 74 Business Partners Associate Professor Hadia Mukhtar Jude Constable Kim Daniel Governance Officer Executive Director Mental Health LOCATION DIRECTORY 75 Director, Corporate Services Joyce Murphy Associate Professor Beth Kotze Mathivanan Sakthivel ABBREVIATIONS & GLOSSARY 78 Consumer Representative Acting Director of Medical Services Allied Health Representative (vacant) Dr Brett Gardiner James Chen BLACKTOWN AND MOUNT Deputy Director of Medical Services Business Manager DRUITT HOSPITALS Dr Elizabeth West Nicole Tsering Senior Management Acting General Manager Director of Nursing & Midwifery Chair Medical Staff Council Blacktown and Mount Druitt hospitals Danielle Levis Professor Geoff Brooke-Cowden Jude Constable Deputy Director of Nursing & Midwifery Head of Anaesthetics Acting Director of Medical Services Rola Tawbe Dr Alpha Tung Dr Brett Gardiner Divisional Medical Director Surgery Head of Paediatrics Deputy Director of Medical Services and Anaesthetics Dr Mithran Coomarasamy Dr Elizabeth West Professor Michael Edye

68PHOTO: Transplant pioneer Professor Henry Pleass was recognised by the Royal Australasian College of Surgeons with a merit award. *As at June 30 2018 69 Divisional Medical Director Acute Medicine Director Nursing & Midwifery Director Oral Health Director Health Services Planning Finance Manager Westmead Manager Research Office Dr Michael Datyner Kate Hackett Dr Josephine Kenny and Development and Auburn hospitals Kellie Hansen Maureen Fitzpatrick Damien Van Rosmalen Divisional Medical Director Ambulatory Clinical Director Surgery and Chair Westmead Medical Staff Council Manager Research Governance Medicine Anaesthetics Professor Christopher Liddle Nursing Staff Representative Finance Manager Blacktown Lani Attwood Professor Mark McLean Associate Professor Gary Morgan Karen Hazell Raine and Mount Druitt hospitals representative Dileeni Chanmugam Director Animal Care Department Divisional Medical Director Women’s Operations Director Surgery Richard Allen, professor of transplantation Allied Health Staff Representative Executive Officer Animal Ethics and Children’s Health and Anaesthetics surgery, University of Sydney Antoni Yesudoss Finance Manager Mental Health Services Committee Associate Professor Harry Merkur Jenelle Matic Shan Chan Dr Ross Matthews Head of Department Upper Gastrointestinal Carer Representatives Divisional Nurse Manager Women’s Clinical Director Critical Care and Medicine Dr Arthur Richardson Cathy Kearny Finance Manager District Management Manager Library Westmead and Children’s Health Dr Peter Landau Patricia Andersen Accounting Linda Mulheron Helen Konowec Staff Specialist Emergency Department Kaushaliya Kumar Acting Operations Director Critical Dr Amith Shetty Consumer Network Representative Director Epidemiology and Health Divisional Director Business Analytics Care and Medicine Suzanne Rix WSLHD NURSING & MIDWIFERY Analytics and Performance Peter Rophail Clinical Nurse Consultant Emergency AND CLINICAL GOVERNANCE Dr Helen Achat Luke Elias Department Medical and University of Sydney Senior Management Clinical Director Medicine and Margaret Murphy Representative Acting Executive Director Nursing & Senior Research and Evaluation Officers Manager Financial Performance Cancer Services Professor Anthony Harris Midwifery and Clinical Governance Dr Veth Guevarra & Analytics Professor Jeremy Chapman Department Head Social Work Westmead Luke Sloane Joanne Stubbs Dileeni Chanmugam and Auburn hospitals WSLHD DRUG HEALTH SERVICES Dr Lieu Trinh Acting Operations Director Medicine Theodora Bikou Senior Management Acting Nurse Manager Workforce Director Intensive Care and Cancer Services Acting Director Drug Health Yervette Jones Informatics & Data Management Officer Professor Graham Reece Emma Clarke WSLHD MENTAL HEALTH Dr Thao Lam Leendert Moerkerken SERVICES Counter Disaster Unit Head of Department Cardiology Clinical Director Women’s and Senior Management Senior Nurse Manager Drug Health Disaster Manager Senior Health Service Analyst/ Dr David Burgess, Newborn Health Executive Director Mental Health Glenn Hughes Caren Friend Biostatistician Dr Terry McGee Associate Professor Beth Kotzé Dr Hassan Assareh Head of Department Anaesthesia INTEGRATED & COMMUNITY Clinical Governance Associate Professor Helen Currow Operations Director Women’s Executive Manager Mental Health HEALTH Acting Director Clinical Governance WSLHD INFORMATION and Newborn Health Clare Lorenzen Senior Management Natalie Fester Lloyd TECHNOLOGY SERVICES Head of Department Neurology Donna Garland Executive Director Senior Management Dr Nigel Wolfe Director of Nursing Victoria Nesire Quality & Accreditation Manager Acting Chief Information Officer, and Director Oral Health WSLHD Charles MacMillan (vacant) Chief Technology Officer Head of Department Paediatrics Dr Josephine Kenny Director Centre for Population Health Les Forrest Dr Peter Hong Acting Director Clinical Services Associate Professor Stephen Corbett Manager Patient Safety and Operations Director General Dr Pradeep Jarabandahalli Clinical Quality Chief Medical Information Officer Head of Department Aged Care Manager’s Unit Director Western Sydney Diabetes Heather Doolan Associate Professor Naren Gunja and Rehabilitation Luke Felicetti Director Perinatal, Child and Youth Professor Glen Maberly Dr Stephanie Polley Dr Ashwini Padhi Manager Patient and Carer Experience Digital Health Program Manager Director of Corporate Services Director Clinical Operations Wendy Cain Sal Austin Senior Medical Advisor Acting Director Allied Health Director Community Mental Health Adam Cruickshank Professor Peter Zelas Mathivanan Sakthivel Carolyn Fozzard Clinical Quality Programs Manager Digital Health Program Director Director Integration, Partnerships Catriona Middleton Rennie Simon Hester Medical Administration Trainee Westmead Clinical Board Manager Financial Performance and and Enablers Dr Daryl-Anne Elias Acting General Manager Westmead Analytics Linda Soars Clinical Governance Officer Director of Clinical Systems and Auburn hospitals Shan Chan Sally Henderson Jian Liu Divisional Nurse Manager Acute Medicine Adjunct Associate Professor Acting Director Nursing Cheryl Trudinger Joanne Edwards Human Resources and Workforce Jennifer Fitzsimons WSLHD RESEARCH & EDUCATION Director of Innovation and Architecture Manager Business Partner NETWORK Raymond Tong Divisional Nurse Manager Ambulatory Executive Director Mental Health Kristin Adair Acting Director Corporate Operations Senior Management Medicine Associate Professor Jasmine Glennan Director Research and Education Network Director Portfolio and Project Leanne Watson Beth Kotze Service Development & Executive Emeritus Professor Stephen Leeder Management Support Manager Finance Business Partner Chris Keller Divisional Nurse Manager Surgery Chief Medical Advisor Alex Bird Austin Hang Director Education and Anaesthetics Dr Roslyn Crampton (vacant) Business Support Group Manager Cesare Aguilar Mental Health Clinical Council Acting Human Resources Business Partner John Luk Director Nursing & Midwifery Executive Director Mental Health David Attard Director Operations Clinical Academic Gastroenterology Kate Hackett Associate Professor Beth Kotzé Helene Abouyanni WSLHD PEOPLE AND CULTURE and Hepatology WSLHD FINANCE Senior Management Professor Golo Ahlenstiel Acting Operations Director Critical Executive Manager Mental Health Senior Management Manager Medical Education Director Care and Medicine Clare Lorenzen Executive Director Finance Tanya Jolly Doug Catchpole Head of Department Occupational Peter Rophail Tina Stoian Therapy Director of Nursing Manager Nursing & Midwifery, Director Workforce Julianne Gibbons Clinical Director Surgery and Charles MacMillan Deputy Director Finance and Allied Health Education Julie Welch Anaesthetics Elizabeth Andersen Tanya Critchlow Head of Department Infectious Diseases Associate Professor Gary Morgan Acting Director Clinical Services Director Workforce Effectiveness Dr Scott Chapman Dr Pradeep Jarabandahalli Director Supply Chain Manager Finance Susan Scott Clinical Director Critical Care and Medicine Christopher Howard Dalia Younan WESTMEAD HOSPITAL Dr Peter Landau Director Perinatal, Child and Youth Director Human Resources Business Senior Management Dr Ashwini Padhi Director Health Informatics Unit Manager Research Development Partners Acting General Manager Westmead Clinical Director Medicine and Cancer Natasha Smith Mark Smith Kim Daniel and Auburn hospitals Services Director Community Mental Health Adjunct Associate Professor Joanne Professor Jeremy Chapman Carolyn Fozzard Director Clinical and Business Performance Manager Clinical Trials Director Learning and Development Edwards Vijay Nair Sharon Lee Maria Saupin Clinical Director Women’s and Manager Financial Performance Chief Medical Advisor Newborn Health and Analytics Financial Controller Manager IP & Commercialisation Director Medical and Dental Workforce Dr Roslyn Crampton Dr Terry McGee Shan Chan Grahame Weeks David Markwell Dr Yogendra Narayan

70 *As at June 30 2018 *As at June 30 2018 71 Community and Consumer Engagement WSLHD CONSUMER COUNCIL INDIVIDUALS AND TEAMS the Harvard Plaque to complete the 2017 NSW Family & Community Melanie Wong, Smriti Mathema Manager AND CONSUMER CELEBRATED Global Clinical Scholars Program at Services Simply the Best Customer Shrestha, Dr Leesa Giang Dr Coralie Wales REPRESENTATIVES Australia Day Honours 2018 Harvard University. The prestigious Service Awards Aimee Downs Di O’Halloran, AO, WSLHD Board Harvard Plaque is awarded to the top Making a Safe Home (MaSH) Program, Keeping People Healthy WSLHD REDEVELOPMENT Ajay Vashney member, for distinguished service to three students worldwide a joint collaboration between WSLHD The X-Men – Exercise Classes Senior Management Alison Austin medicine in the field of general practice and FACS, Customer Service Team for Prostate Cancer Executive Director Strategic Business Alison Coles through policy development, health Linda Bell, manager of surgical skills Excellence Award Development and Commercial Services Amal Etri system reform and the establishment of training program, awarded Training Westmead Hospital: Gerard Regan, Leena Singh Amanul Karim new models of service and care Manager of the Year by the NSW AMA 2017 Australian Crime and Violence Dragana Ceprnja, Damien Dubois, Amparo Landman Prevention Awards Meg Hughes, Dr Amy Hayden Katherine Project Director Capital Works Angela Yiu Professor Paul Mitchell, AO, head Dr Sujitha Thavapalachandran, Westmead The NSW Health Education Centre Maka, Chrissan Segaram, Josip Sulentic, Jonathan Darwen Anne Stanfield of ophthalmology at Westmead Hospital’s clinical fellow, the 2018 Ralph Against Violence’s Aboriginal Dr Sandra Turner Bev Jordan Hospital, for distinguished service to Reader Basic Science Prize for her Qualification Pathway, Silver Award Business Manager Capital Works Bob Hunter ophthalmology as a clinician, particularly research into new ways of repairing in the community-led category Collaborative Teams Ellie Kallianis Brenda Bartlett in the management of age-related damaged hearts with growth factors Protecting Our Aboriginal Kids, Now and Caroline Raunjack macular degeneration, through research 2018 Golden Scalpel Games, awarded by Into the Future Director Asset Maintenance Cathy Kerr into public health and ophthalmic Dr Pierre Qian, Westmead Hospital’s the NSW Health Education and Training Robert Moffat Claudia Reed epidemiology, and as an educator cardiologist, the 2018 Ralph Reader Institute to WSLHD Integrated & Community Health: Joanne Dayla Karezi Clinical Prize for his work on a medical Cheatham, Salwa Gabriel, Julie McLean, Westmead Redevelopment Director Edward (Ted) Hartley Professor , AO, the device that targets renal nerve WSLHD 2018 QUALITY AWARD Christine Newman, Caroline Scott, Strategy and Development – Westmead Eliseus Feng founding director of endocrinology connections to reduce blood pressure WINNERS Hayley Carra, Valerie Hunter, Sunita Lata, Stefan Perkovic Erron Palmer and diabetes at Westmead Hospital, Board Chair Award for Innovation Leendert Moerkerken, Jo Fuller, Kylie Evert Van Oeveren for distinguished service to medicine, Lilly Dolenec, BMDH Project and Excellence Hughes, Narelle Holden, Yvonne Toa, Westmead Redevelopment Director Fiona Niell particularly to the discipline of pathology, communications manager, 2017 IPOP – Interpreter Project in Outpatient Jamie Matthews Strategy and Development – Cumberland Francisco Valencia through leadership roles, to medical NSW Health Infrastructure Project Clinics Moureen Wong Gary Armstrong education, and as a contributor to Communications and Engagement Award Education and Training Gordana Knezevic international public health projects Westmead Hospital and Integrated & Increasing Dysphagia Awareness in Associate Director Strategic Business Graham Brown Community Health: Debbie Sharpe, Mental Health Development and Commercial Services Heather Johnson Dr Helen Mary Somerville, AO, Westmead 2018 Westmead International Nurses Clementia Yap, Julianne Harvey, Anna Thornton Ian Hofman Hospital, for distinguished service to Day Awards Gordana Vasic, Ting Ting Chen, Westmead Hospital: Katrina Moore, Jafar Sabdi medicine, particularly developmental Reesa Lim, Excellence in Clinical Practice, Terri Bell, Susan Jones Alison Battin, Bronwen Craig, Laura Director Clinical Strategy and James Butler paediatrics, as a clinician, and through Enrolled Nurse or Assistant in Nursing Foley, Grace Hardie, Clare Lorenzen Redevelopment Jane Mab advocacy roles for the care and Chief Executive Award Deanne Turner Janette Welsby treatment of people with intellectual Urmila Shrestha, Excellence in Clinical FASTER Screening for Stroke Research and Innovation Jenny Williams disabilities Practice, Transition to Practice Nurse Pharmaceutical Supply Chain and Director Redevelopment Redesign Jessie Gavin or Midwife Blacktown and Mount Druitt hospitals: Medicines Organisation and Transformation Judith Lababedi Queen’s Birthday Honours 2018 Dr Andrew Owen Jones, Dr James Nol, Dr Carla Edwards Julie Milsom Lorraine Koller, OAM, Westmead Hospital Susan Lane, Excellence in Clinical Basim Alqutawneh, Dr Patrick Wong, Dr WSLHD-wide, led by Westmead Hospital: Juliette Wiggins deputy director of pharmacy, for services Practice, Registered Nurse or Midwife Brett Gardiner David Ng, Christopher Howard, Wendy Director Service Redesign Redevelopment June Heinrich to pharmacy Marfleet, David Jogia, Amy Murray, Amanda Green Kaitlyn Hockey Tegan Dawson, Excellence in Clinical WentWest Partnership Award Lorraine Koller, Nay Myo, Mark Zahra, Kanchana Balakumar Jane Griffith, OAM, Westmead Hospital Teaching Protecting Our Aboriginal Kids, Now and Helga Gelo, Paul Spindler, Christopher Director Furniture, Fitting and Equipment Karen Walsh neurology clinical nurse consultant, Into the Future Liddle, Ann Gouffe, Alkeshkumar Patel, Ashley Fuller Kathryn Van Oeveren for services to nursing Monique Bartlett, Excellence in Rommel Navitidad, Irena D’Elia, Dr Roslyn Kathy Collins Outstanding Clinical Leadership Integrated & Community Health: Joanne Crampton, Akram Behdasht, Anne Chok, Director Communications & Engagement Ken Freeman Consumer Marj Freeman, OAM, for Cheatham, Salwa Gabriel, Julie McLean, Deirdre D’Souza, Paulo Higa, Wai-Jen Emma Spillett Kittu Randhawa her contribution to the Blacktown Lucia Labib, Excellence in Clinical Christine Newman, Caroline Scott, Lee, Otto Chan Laurence Hibbert community, including her involvement Practice, Outstanding Leadership Hayley Carra, Valerie Hunter, Sunita Program Director Digital Hospitals Lisa Keast-Jones in the codesign of Blacktown Hospital Lata, Leendert Moerkerken, Jo Fuller, 6S Success! A Redevelopment Lean Richard Conway, Excellence in Clinical Simon Hester Lorraine Shaw Kylie Hughes, Narelle Holden, Yvonne Storeroom Initiative. Building Capability Practice, Nurse or Midwife of the Year Madhusmitha Raghavan Consumer Ken Freeman, OAM, for Toa, Jamie Matthews and Collaboration to Ensure a Successful BLACKTOWN & MOUNT DRUITT Mae Rafraf his contribution to the Blacktown Transition Stomal therapy, Excellence in Clinical HOSPITALS EXPANSION PROJECT Maria Dahm community, including his involvement NewsLocal People’s Choice Award Practice, Nursing Team of the Year Manager Stage 2 Expansion Marj Freeman in the codesign of Blacktown Hospital Think Before You Bin It Westmead Hospital: Emma Clarke, Carla Robyn Campbell Maryam Zahid Edwards, Hayley Manyu, Michelle Lincoln, Michael Watts City of Parramatta Council Awards, Auburn Hospital: Kristina Roberts, Natalie Tasker, Bradley Keam, Suzanne 2018 Integrated & Community Health Project Operations Manager Mike Font and NSW Volunteering Awards Barbara Chapman, Roshni Kumar, Helen Armstrong International Nurses Day Awards Matthew Tadorian Mike Kane Caroline Raunjak, WSLHD consumer Sala, Roseanne Smith, Sanjay Sharma, Natasha Maunsell, Nurse of the Year Monique Pockran representative, Australia Day Parramatta Rosalind Jindra, Alex Youssef, Sangita Patient Safety First Workforce Development Manager Natasha Caldwell Citizen of the Year, Parramatta Woman Tuli, Mamdoh Tobbieh, John Holder, Fundus Photography in the ED: Saving Nina Livingstone, People’s Choice Award Julia Shaw Nav Johal of the Year, NSW Volunteer of the Irena Tuo, Pamela Thirunamam, Dianne Lives, Eyes and Time Ford, Daryl Rose, Fatima Smajovic Nitin Chitre Year Award Premalosani James, Excellence in Clinical Fixtures, Furniture & Equipment Manager Westmead Hospital: Dr Hamish Dunn, Peta Fraser Leadership Award Jenny Saunders Philip Lee Wilson Giles, WSLHD consumer Patients as Partners Jason Montgomery, Associate Professor IPOP – Interpreter Project Andrew White, Dr Matt Vukosevic, Julia Rachel Taurfer representative, Parramatta Young Rowena Urweiss, Innovation Award Fixtures, Furniture & Equipment Admin Ron Robertson Citizen of the Year in Outpatient Clinics Costello, Megan Greig, Alison Pryke, Support Officer Russel Ashley Megan Allen, New Graduate of the Year Dr Kai Zong Teo, Lakni Weerasinghe Nirajan Tamrakar Sean Vicary Karen Walsh, WSLHD consumer Westmead Hospital and Integrated Shivani Vasisith representative, NSW Volunteer of TEAM ACCOLADES & Community Health: Debbie Sharpe, A Safe and Healthy Workplace Project Officer Stephanie Lee the Year Award NSW Health Excellence in the Provision Clementia Yap, Julianne Harvey, A State of Biopreparedness David Glastonbury Sue Ramsay of Mental Health Gordana Vasic, Ting Ting Chen, Tiffany Watts PROFESSIONAL ACCOLADES WSLHD Mental Health Services for its Terri Bell, Susan Jones Westmead Hospital and Integrated & Project Officer Tim Attinger Dr Khushboo Baheti, WSLHD psychiatry innovative service delivery model, Community Health: Kavita Varshney, Nathan Ferguson Tony Myatt registrar, the Australian Medical Mental Health Acute Assessment Team, Delivering Integrated Care Margaret Murphy, Angela Berry, Kath Tricia Crispe Association’s 2017 Doctors a collaboration with the Ambulance GREAT (Geriatric Rapid Evaluation Dempsey, Patricia Ferguson, Caren Project Support Officer Viji Dhayanathan in Training Award Service of NSW to provide the most and Treatment) Service Friend, Shopna Bag, Penelope Clark Kristy-Ann Cuthbert Wilson Giles appropriate care for mental health Willy Bagatcholon Dr Eric Hau, staff specialist and patients and minimise inappropriate Westmead Hospital: Dr Poorani Zulfa Lalee researcher in radiation oncology, emergency department presentations Muruganantham, Amy Lazzaro,

72 *As at June 30 2018 *As at June 30 2018 73 APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

• Silver Chain Group • Ted Noffs • University of Wollongong • South Western Sydney Institute • The Australian Commission on Safety • UrbanGrowth NSW Development TAFE NSW and Quality in Health Care Corporation OUR ​ PARTNERS​ • South Western Sydney Local Health • The Australian Council on Healthcare • Walking Volunteers District Standards • WASH House • Southern Cross Care • The City of Parramatta Council • Wesley Mission • Spiritual Revaluation Centre • The Children’s Hospital at Westmead, • Western Sydney Institute TAFE NSW WSLHD is committed to working in • Clinical Excellence Commission • National Centre for Immunisation • Sri Om Care part of the Sydney Children’s Hospitals • Western Sydney Primary Health partnership with community members, • Community Migrant Resource Centre Research and Surveillance (NCIRS) • St Joseph’s Auburn, part of St Network Network (WentWest Ltd) consumers and key organisations in • Connect Hearing • National Council of Social Service Vincent’s Health Australia • The Food Coach • Western Sydney Region of Councils decisions about planning, delivering and • Continence Foundation (NCOSS) • St Vincent de Paul • The George Institute for Global Health WSROC evaluating healthcare leading to better • Cook Islands Council • National Disability Insurance Agency • St Vincent de Paul Society, Parramatta • The Hills Shire Council • Western Sydney University quality, safety and patient outcomes. • Cox Architects (NDIA) Central Council • The Hive (United Way) • Western Sydney Woodworkers, Our capital redevelopment teams • CSIRO • National Health and Medical Research • STARTTS • The Practice Lalor Park work closely with construction bodies, • Cumberland Council Council • Stephanie Alexander Kitchen Garden • The Schizophrenia Fellowship NSW Inc • Westmead Alliance industry and the local community to • Cumberland Women’s Health Centre • National Heart Foundation Foundation • The Shed • Westmead Institute for Medical enhance collaboration in creating truly • Definitions Health Club • National Institute of Complementary • Sydney Business Chamber • The Sydney Children’s Hospitals Research (WIMR) innovative, contemporary facilities. • Dementia Australia Medicine (NICM) Health Research • Sydney Health Partners Network • Westmead Medical Research • Diabesity Institute • Sydney Living Museums • The University of Sydney Foundation We were proud to be associated with • Diabetes NSW & ACT • Nazarian Optometrist • Sydney Local Health District • Their Futures Matter, NSW • Westmead Private Hospital many organisations during 2017-18 • Dooleys Lidcombe Catholic Club • Neami National • Sydney Markets Government • Westmead Precinct Education Hub including: • Donnelly Construction • Nepean Blue Mountains Local Health • Sydney Physios & Allied Health • Transport for NSW • Westmead Research Hub • A W Edwards • Dr Sundar’s Medical Practice District Services • UnitingCare • Woolworths • Aboriginal Catholic Care Toongabbie • Nepean Therapy Dogs • SydWest Multicultural Services • University of Notre Dame Australia • YMCA • Aboriginal Men’s Shed Emerton • Eating Disorder and Obesity Clinic • Nurses and • TAFE NSW • University of NSW • Youth Action • Active Living NSW • eHealth NSW Midwives’ Association • Tamil Women’s Group, Mount Druitt • University of Technology Sydney • Youth Rezolutions • Afghani Women’s Group, Blacktown • Ellawell • Ngroo Education Inc • African Women’s Group, Blacktown • Epilepsy Action Australia • Northern Sydney Local Health District • After Care • Evolve Housing • NSW Department of Education • Agency for Clinical Innovation • Fair Trading NSW • NSW Department of Family and • Alzheimer’s Australia • Family Planning NSW Community Services • Ambulance Service of NSW • First Friday Poets Group, Blacktown • NSW Department of Industry • ANSTO • Food Authority • NSW Department of Planning and • Arabic Speaking Group, Mount Druitt • Foodbank Environment • Arthritis Foundation NSW • Get Kids Cooking • NSW Department of Premier and • Auburn Diversity Services • GHD Cabinet • Australian Cook Islands Community • Glenwood Indian Women’s Group • NSW Department of Sport and Council • Glycaemic Index Foundation Recreation LOCATION DIRECTORY* • Australian Dental Association • Good Foundation • NSW Environment Protection • Australian Digital Health Agency • Greater Sydney Commission Authority • Australian Federal Police • Greater Western Aboriginal Health • NSW Government Architect • Australian Health Practitioner Service (Wellington Aboriginal • NSW Health Pathology Blacktown Community Regulation Agency Corporation Health Service) • NSW Industrial Relations Commission PUBLIC HOSPITALS AGED DAY SERVICES Hevington House Dementia Health Centre • Australian Huntington’s Disease • Harman Foundation • NSW Juvenile Justice Auburn Hospital Auburn Aged Day Service Day Service Cnr Blacktown Rd & Marcel Association • Harvest Hub • NSW Kids and Families 18 Hargrave Rd, Auburn Cnr Water St & Hargrave Rd, 19 Hevington Rd, Cres, Blacktown NSW 2148 • Australian Salaried Medical Officers • Hawkesbury Harvest • NSW Mental Health Commission NSW 2144 Auburn NSW 2144 Auburn NSW 2144 Ph: (02) 9881 8700 Federation • Health and Arts Research Centre Inc • NSW Ministry of Health Ph: (02) 8759 3000 Ph: (02) 8759 3899 Ph: (02) 8759 3899 Fax: (02) 9671 6360 • Babbayn Aboriginal Corporation • Health Care Complaints Commission • NSW Office of the Children’s Guardian Fax: (02) 8759 3123 Fax: (02) 9749 1825 • Baxter • Health Consumers NSW • NSW Office of Sport Rosewood Cottage Aged • Bipolar Australia • Health Education and Training • NSW Police Force Blacktown Hospital Balcombe Heights Aged Day Day Service Blacktown Opioid Treatment • Blacktown Arts Centre Institute (HETI) • NSW Office of Preventive Health Blacktown Rd, Blacktown Services 22 Fullager Rd, Unit (Drug Health) Cnr Blacktown Rd & Marcel • Blacktown City Council • Health Infrastructure • NSW Refugee Health Service NSW 2148 Building 17, Balcombe Heights Wentworthville NSW 2145 Cres, Unit 7/1 Blacktown • Blacktown Historical Society • Health Services Union • NSW Volunteering Ph: (02) 9881 8000 Estate, 92 Seven Hills Rd, Ph: (02) 9633 5496 NSW 2148 • Blacktown Medical Practitioners • HealthShare NSW • Nuba Mountains Community Women’s Fax: (02) 9881 8020 Baulkham Hills NSW 2153 Fax: (02) 9633 5428 Ph: (02) 8670 0200 Association • Healthy Older People’s Association Group Ph: (02) 8852 6300 Fax: (02) 9622 6265 • Blacktown Podiatry • Hearing Australia • Nutrition Australia Mount Druitt Hospital Fax: (02) 9686 2138 Tallowood Dementia Day • Blacktown Women’s and Girl’s Health • Heart Foundation NSW • Office of Health and Medical Research 75 Railway St, Mount Druitt Service Mount Druitt Hospital Centre • Homicide Victims Support Group (OHMR) NSW 2770 Carinya Aged and Ethnic Day Centre for Addiction 67 Railway St, Mount Druitt • Brain and Mind Centre • Jacobs (architects) • Optimum Health Solutions Ph: (02) 9881 1555 Service Medicine Cumberland NSW 2770 Building 83 Cumberland • Brain Injury Association • Jamie’s Ministry of Food • OzHarvest Fax: (02) 9881 1538 8 River Rd, Ermington Ph: (02) 9881 1524 Hospital east campus • BreastScreen NSW • Jobs for NSW • PACER Network NSW 2115 Fax: (02) 9881 1925 5 Fleet St, North Parramatta • Bridgeview Medical Practice • Justice Health and Forensic Mental • Parramatta Heritage Centre Cumberland Hospital (Mental Ph: (02) 9684 2179 NSW 2151 • Brighter Futures Health Network • Parramatta Light Rail Health Services) Fax: (02) 9638 0621 Ph: (02) 8860 2560 • Bureau of Health Information • Kids Research • Parramatta Mission 1-11 Hainsworth St, Westmead COMMUNITY DRUG Fax: (02) 9840 3869 • Burnside • Kildare Road Medical Centre • Parramatta Park Trust and WS NSW 2145 Copperfield Cottage Aged HEALTH SERVICES • Campbelltown Hospital • Legal Aid NSW Parklands Ph: (02) 9840 3000 Day Service Centralised Intake Ph: (02) 8860 2565 • Cancer Council Australia • Lifeline Western Sydney • PCYC Fax: (02) 9840 3700 Mount Druitt Hospital Centre for Addiction Fax: (02) 9840 3869 • Cancer Institute NSW • Live Life Get Active • Pharmaceutical Society of Australia Railway St, Mount Druitt Medicine Mount Druitt 15 Cleeve Cl, Mount Druitt • Carers NSW • Macquarie University • Pharmacy Guild of Australia Westmead Hospital NSW 2770 NSW 2770 • Catholic Education • Marist 180 • Playgroup NSW Cnr Hawkesbury & Darcy Rds, Ph: (02) 9881 1636 Auburn Community Drug Ph: (02) 8887 5800 • Celestino Pty Limited • Marrin Weejali Aboriginal Corporation • Powerhouse Museum Westmead NSW 2145 Fax: (02) 9881 1773 Health Counselling Auburn Community Health Fax: (02) 8887 5822 • Centre for Oral Health Strategy NSW • Mount Druitt Ethnic Communities • PricewaterhouseCoopers Ph: (02) 8890 5555 Centre, Norval St & Hevington • Chester and Jakes Pharmacy Agency (MECA) • Ray Kelly Fitness Crestwood Aged Day Service Rd, Auburn NSW 2144 • Charles Perkins Centre • Mount Druitt Medical Centre • Reclink Western Sydney Sexual Embark building, Blacktown Doonside Community Drug Ph: (02) 8759 4000 • Child Health Network • Multiple Sclerosis Australia • Richmond PRA Health Centre Hospital Health Counselling Fax: (02) 8759 4154 30 Birdwood Ave, Doonside • Children’s Medical Research Institute • Multiplex Construction • Richmond Road Family Practice Jeffrey House Blacktown Rd, Blacktown NSW 2767 • City of Parramatta Council Aboriginal • Muru Mittigar Aboriginal Cultural and • Riverstone Neighbourhood Centre 162 Marsden St, Parramatta NSW 2148 Ph: (02) 8670 3300 and Torres Strait Islander Advisory Education Centre • Settlement Services International (SSI) NSW 2150 Ph: (02) 9881 8954 Blacktown Community Drug Fax: (02) 8670 3381 Council • National Australia Bank (NAB) • SHARE Ph: 9843 3124 Fax: (02) 9881 8899 Health Counselling

74 *As at June 30 2018 75 Fleet Street Clinic Mount Druitt Community Ermington Early Riverstone Early Blacktown Early Access Redbank House Multicultural Health 4A Fleet St, Health Centre Childhood Centre Childhood Centre Team (BEAT) Dragonfly Drive, Cumberland Hospital east campus, North Parramatta NSW 2151 Cnr Burran & Kelly Cl, 65 Spurway St, Elizabeth St, Headspace Mount Druitt, Westmead Hospital campus 5 Fleet St, Bld 57, Ph: (02) 9840 3888 Mount Druitt NSW 2770 Ermington NSW 2115 Riverstone NSW 2765 Shop 12, Daniel Thomas Plaza, Westmead NSW 2145 North Parramatta NSW 2151 Fax: (02) 9840 3936 Ph: (02) 9881 1200 Ph: (02) 9682 3133 Ph: (02) 8670 3300 6-10 Mount St, Ph: (02) 8890 6577 Ph: (02) 9840 4156; Fax: (02) 9671 6360 Mount Druitt NSW 2770 Fax: (02) 9891 5690 (02) 9840 3877 Merrylands Community Glendenning Early Riverstone Neighbourhood Ph: (02) 8887 5600 Fax: (02) 9840 4100 Drug Health Counselling Parramatta Community Childhood Centre Centre Statewide Outreach 14 Memorial Ave, Health Centre Armitage Drive, Park St, Riverstone NSW 2765 Community Case Perinatal Service New Street Services Merrylands NSW 2160 Jeffrey House, 162 Marsden St, Glendenning NSW 2761 Ph: (02) 8670 3300 Management Team – Redbank House – Cumberland Hospital east campus, Ph: (02) 9682 3133 Parramatta NSW 2150 Ph: (02) 9881 1200 LikeMind Seven Hills Westmead Hospital campus 5 Fleet St, Fax: (02) 9897 3313 Ph: (02) 9843 3222 Ropes Crossing Community 4/197 Prospect Highway, Dragonfly Drive, North Parramatta NSW 2151 Fax: (02) 9671 6360 Greystanes Early Resource Hub Seven Hills NSW 2147 Westmead NSW 2145 Ph: (02) 9840 4088 Parramatta Community Childhood Centre Cnr Pulley Dve & Hollows Pde, Ph: (02) 8806 3800 Ph: (02) 8821 4457 Fax: (02) 9840 4090 Drug Health Counselling The Hills Community 732 Merrylands Rd, Ropes Crossing NSW 2760 Fax: (02) 8806 3887 Fax: (02) 8821 4443 Jeffrey House, Health Centre Greystanes NSW 2145 Ph: (02) 9881 1200 NSW Education Program on 162 Marsden St, 183 Excelsior Ave, Ph: (02) 9682 3133 Community Rehabilitation Therapy 4 Kids – Children’s Female Genital Mutilation (FGM) Parramatta NSW 2150 Castle Hill NSW 2154 Rouse Hill Public School Services Mental Health Team Cumberland Hospital east campus, Ph: (02) 9843 3222 Ph: (02) 8853 4500 Guildford Early Annangrove Rd, 40 Jamieson St, Auburn Community 5 Fleet St, Bld 55b, Fax: (02) 9891 2825 Fax: (02) 8853 4565 Childhood Centre Rouse Hill NSW 2155 Granville NSW 2142 Health Centre, North Parramatta NSW 2151 Cnr Stimpson & O’Neill Sts, Ph: (02) 8853 4500 Ph: (02) 8868 4401 Norval St & Hevington Rd, Ph: (02) 9840 3877 The Hills Community Western Area Adolescent Guildford NSW 2161 Fax: (02) 9897 1246 Auburn NSW 2144 Fax: (02) 9840 3004 Drug Health Counselling Team (WAAT) Ph: (02) 9682 3133 Seven Hills Early Ph: (02) 8759 4000 183 Excelsior Ave, Mount Druitt Community Childhood Centre Dundas Community Mental Fax: (02) 8759 4154 Westmead Breast Cancer Castle Hill NSW 2154 Health Centre Hassall Grove Public School Boomerang Pl, Health Team Institute (BCI) Ph: (02) 8853 4500 Cnr Burran & Kelly Cl, Buckwell Drive, Seven Hills NSW 2147 21 Sturt St, ORAL HEALTH SERVICES Level 1, Westmead Hospital Fax: (02) 8853 4565 Mount Druitt NSW 2770 Hassall Grove NSW 2761 Ph: 8670 3300 Telopea NSW 2117 Blacktown Dental Clinic Cnr Hawkesbury & Darcy Rds, Ph: (02) 9881 1230 Ph: (02) 9881 1200 Ph: (02) 9638 6511 Blacktown Hospital, Westmead NSW 2145 COMMUNITY HEALTH Fax: (02) 9625 9110 The Ponds Early Childhood Fax: (02) 9684 2058 Marcel Cres, Ph: (02) 9845 6728 SERVICES Kellyville Public School Centre Blacktown NSW 2148 Fax: (02) 9845 7246 Auburn Community Westmead Sexual Windsor Rd, Kellyville NSW 2155 45 Riverbank Drive, Getting on Track in Time Ph: (02) 9881 8275 Health Centre Assault Service Ph: (02) 8853 4500 The Ponds NSW 2769 (GOT IT!) Fax: (02) 9881 8981 Westmead BCI Treatment & Norval St & Hevington Rd, Westmead Hospital, Grevillea Ph: (02) 8670 3300 Headspace Mount Druitt Assessment Clinics Auburn NSW 2144 Cottage, Westmead NSW 2145 Lalor Park Early Shop 12, Daniel Thomas Plaza, Mount Druitt Dental Clinic Ph: (02) 9845 8888 Ph: (02) 8759 4000 Ph: (02) 8890 7940 Childhood Centre Wentworthville Early 6-10 Mount St, Mount Druitt Hospital, Fax (02) 9845 8334 Fax: (02) 8759 4154 Fax: (02) 8890 8328 Parkside Dve, Childhood Centre Mount Druitt NSW 2770 Railway St, Lalor Park NSW 2147 Friend Park, Ph: (02) 8887 5600 Mount Druitt NSW 2770 Westmead BCI Administration Blacktown Community EARLY CHILDHOOD Ph: (02) 8670 3300 3 McKern St, Fax: (02) 8887 5610 Ph: (02) 9881 1715 Ph: (02) 9845 6728 Health Centre HEALTH CLINICS Wentworthville NSW 2145 Fax: (02) 9881 1527 Fax: (02) 9845 7246 Cnr Blacktown Rd & Marcel Auburn Early Childhood Lidcombe Early Ph: (02) 9682 3133 Hills Mental Health Team Cres, Blacktown NSW 2148 Centre Childhood Centre The Hills Community Health Westmead Centre for BreastScreen NSW Sydney Ph: (02) 9881 8700 Norval St, Auburn NSW 2144 3 Bridge St, Lidcombe NSW 2141 Winston Hills Public School Centre, 183 Excelsior Ave, Oral Health West clinics in WSLHD Fax: (02) 9671 6360 Ph: (02) 8759 4000 Ph: (02) 8759 4000 Hillcrest Ave, Castle Hill NSW 2154 Darcy Rd, Auburn Winston Hills NSW 2153 Ph: (02) 8853 4500 Westmead NSW 2145 BCI Sunflower Clinic Blacktown/Mount Druitt Baulkham Hills Early Marayong Early Ph: (02) 9682 3133 Fax: (02) 8853 4564 Ph: (02) 8890 6766 Auburn Hospital Outpatients Sexual Assault Service Childhood Centre Childhood Centre Fax: (02) 9893 8671 Hargrave Rd, Cnr Blacktown Rd & Marcel Old Northern Rd, Cnr Railway Rd and Quakers Yenu Allowah Aboriginal Merrylands Community Auburn NSW 2144 Cres, Blacktown NSW 2148 Baulkham Hills NSW 2153 Rd, Marayong NSW 2148 Child and Family Centre Extended Hours and OTHER SERVICES Ph: 13 20 50 Ph: (02) 9881 8700 Ph: (02) 8853 4500 Ph: (02) 8670 3300 1 Luxford Road, SMHSOP Aboriginal Health Unit Fax: (02) 9671 6360 Mount Druitt NSW 2770 (Specialist Mental Health Mount Druitt Hospital Blacktown Blacktown Early Minchinbury Public School Ph: (02) 8670 3300 Services for Older People) Entrance via Luxford Rd, BCI Sunflower Clinic Child Protection Childhood Centre McFarlane Dve, Merrylands Community Health Mount Druitt NSW 2770 Myer Level 2 Lingerie Department, Counselling Service 40 Kildare Rd, Minchinbury NSW 2770 COMMUNITY MENTAL Centre, 14 Memorial Ave, Ph: (02) 9881 1670 Westpoint Shopping Centre Cnr Blacktown Rd & Marcel Blacktown NSW 2148 Ph: (02) 9881 1200 HEALTH SERVICES Merrylands NSW 2160 Fax: (02) 9881 1544 Blacktown NSW 2148 Cres, Blacktown NSW 2148 Ph: (02) 8670 3300 Assertive Community Ph: (02) 9682 3133 Ph: 13 20 50 Ph: (02) 9881 8787 Ngallu Wal Aboriginal Treatment Team Fax: (02) 9682 9854 Centre for Population Health Fax: (02) 9881 8789 Blacktown Women’s and Child and Family Centre 63 Railway St, Cumberland Hospital east Castle Hill Girls Health Centre 259 Kildare Road, Mount Druitt NSW 2770 Parramatta City Mental campus BCI Sunflower Clinic Doonside Community 6 Prince Street, Blacktown Doonside NSW 2767 Ph: (02) 9981 8888 Health Team 5 Fleet St, Myer Level 3 Lingerie Department, Health Centre NSW 2148 Ph: (02) 8670 3300 Fax: (02) 9881 8899 Jeffrey House, 162 Marsden St, North Parramatta NSW 2151 Castle Towers, 30 Birdwood Ave, Ph: (02) 8670 3300 Parramatta NSW 2150 Ph: (02) 9840 3603 Castle Hill NSW 2154 Doonside NSW 2767 Old Toongabbie Early Auburn Community Ph: (02) 9843 3237 Fax: (02) 9840 3608 Ph: 13 20 50 Ph: (02) 8670 3300 Castle Hill Early Childhood Centre Mental Health Team Fax: (02) 9843 3266 Fax: (02) 9831 8683 Childhood Centre Emma Crescent, Auburn Community Education Centre Against Parramatta Castle Grand Centre Old Toongabbie NSW 2146 Health Centre Prevention Early Violence (ECAV) BCI Sunflower Clinic High Street Youth 9 Castle St, Ph: (02) 9682 3133 Norval St & Hevington Rd, Intervention Recovery Cumberland Hospital east Myer Level 2 Lingerie Department, Health Service Castle Hill NSW 2154 Auburn NSW 2144 Services (PEIRS) campus, 5 Fleet St, Westfield Shoppingtown, 65 High St, Ph: (02) 8853 4500 Parramatta North Public Ph: (02) 8759 4000 Headspace Parramatta North Parramatta NSW 2151 Parramatta NSW 2150 Harris Park NSW 2150 School Fax: (02) 8759 4006 2 Wentworth St, Ph: (02) 9840 3735 Ph: 13 20 50 Ph: (02) 8860 2500 Dundas Early Childhood Albert St, North Parramatta Parramatta NSW 2150 Fax: (02) 9840 3754 Fax: (02) 9687 2731 Centre NSW 2151 Blacktown City Community Ph: 1300 737 616 Mount Druitt 21 Sturt St, Telopea NSW 2117 Ph: (02) 9682 3133 Mental Health Services Fax: (02) 9635 9134 Health Care Interpreter BCI Sunflower Clinic, Merrylands Community Ph: (02) 9682 3133 Embark Building, Service Mount Druitt Hospital, Health Centre Quakers Hill East Public Blacktown Hospital PEIRS Recovery Cumberland Hospital east 75 Railway St, 14 Memorial Ave, Epping Early Childhood School Blacktown Rd, 2a Fennell St, campus, 5 Fleet St, Mount Druitt NSW 2770 Merrylands NSW 2160 Centre Chase Dve, Blacktown NSW 2148 Parramatta NSW 2150 North Parramatta NSW 2151 Ph: 13 20 50 Ph: (02) 9682 3133 39 Bridge St, Epping NSW 2121 Acacia Gardens NSW 2763 Ph: (02) 9881 8888 Ph: (02) 9840 3549 Ph: (02) 9912 3800 Fax: (02) 9897 3313 Ph: (02) 9682 3133 Ph: (02) 8670 3300 Fax: (02) 9881 8899 Fax: (02) 9840 3554 Fax: (02) 9840 3789 *As at June 30 2018

76 *As at June 30 2018 *As at June 30 2018 77 APPENDICES 7 WSLHD YEAR IN REVIEW 2017-18

ABBREVIATIONS & GLOSSARY

ABF Activity based funding is eMR Electronic medical record NWAU National weighted activity unit. a way of funding hospitals NWAU is a measure of health whereby they get paid for the EN Enrolled nurse service activity expressed as number and mix of patients a common unit, against which they treat. If a hospital treats the national efficient price eRIC Electronic record more patients, it receives (NEP) is paid. It provides a in intensive care more funding. Because some way of comparing and valuing patients are more complicated each public hospital service to treat than others, ABF also ETP Emergency treatment (whether it is an admission, takes this performance emergency department in to account presentation or outpatient FACS NSW Department of Family episode), by weighting it for its ABW Activity-based working is a & Community Services clinical complexity transformational business strategy that provides people FTE/s Full time equivalents PCYMHS Perinatal, Child and Youth with a choice of settings for a Mental Health Services variety of workplace activities GREAT Geriatric rapid evaluation and treatment service PLR Parramatta Light Rail ACI Agency for Clinical Innovation HealthPathways PwC PricewaterhouseCoopers AMA Australian Medical Association An online health information portal for GPs to use in Q-Flow A patient check-in system A/Prof Associate professor patient consultations. It to reduce queues supports better linkages between GPs and specialist ARC Audit and risk committee Quaternary service services An extension of tertiary care, ASB Acute services building even more specialised and ICH Integrated & Community Health highly unusual BCI Westmead Breast Cancer ICT Information and Institute RACFs Residential aged care facilities communication technology

BMDH Blacktown and Mount Druitt Tertiary service ICU/s Intensive care unit/s hospitals Highly specialised healthcare, often for inpatients and on IPOP Interpreter project in referral from a primary or BMDH Project outpatient clinics secondary health professional. Blacktown and Mount Druitt It includes complex medical or Hospitals Expansion Project ITS Information Technology surgical procedures Services CALD Culturally and linguistically TOC Transfer of care diverse JSCC Joint specialist case conferences WECC Westmead Education and CASB Clinical acute service building Conference Centre LHD Local health district CBD Central business district WHL Wentworth Healthcare Limited LGA Local government area C-EYE-C Community Eye Care WSD Western Sydney Diabetes Managed print services CHW The Children’s Hospital Visibility and control of WSLHD Western Sydney Local Health at Westmead printing, which helps save District money and boost productivity, CPR Cardio pulmonary resuscitation and improves environmental WSPHN Western Sydney Primary Health sustainability and document Network CT Computerised tomography security (WentWest Ltd)

CTG Cardiotocography MRI Magnetic resonance imaging WSU Western Sydney University

EDs Emergency department/s NMC Non-mydriatic camera WWCC Working With Children Check eFluids Electronic fluid management feature of eMEDs eMEDs Electronic medications management

78 WESTERN SYDNEY LOCAL HEALTH DISTRICT

PO Box 574 Wentworthville NSW 2145

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