2015–2016 Annual Report

ANNUAL REPORT 2015–2016 Wide Bay Hospital & Health Service Report objective This annual report fulfils Wide Bay Hospital and Health Service’s reporting requirements to the community and to the Minister for Health. It summarises the health service’s results, performance, outlook and financial position for 2015/16. The annual report outlines the health service’s performance against key objectives identified in the Wide Bay Hospital and Health Service’s strategic planning, and against the Queensland Government’s objectives for the community and frontline services. Licence and attribution Public availability statement This annual report can be viewed on Wide Bay Hospital and Health Service website at: http://www.health.qld.gov.au/widebay/documents/ This annual report is licensed by the Wide Bay annual-report-16.pdf Hospital and Health Service under a Creative Commons Hard copies of the annual report can also be obtained Attribution (CC BY) 3.0 Australian licence. by phoning the office of the Wide Bay Hospital and Health Service Chief Executive on (07) 4150 2020. CC BY Licence Summary Statement You are free to copy, communicate and adapt Interpreter service statement this annual report provided attribution is given to Wide Bay Hospital and Health Service. The Queensland Government is committed to providing accessible services to To view a copy of this licence visit: Queenslanders from all culturally and http://creativecommons.org/licenses/by/3.0/au/deed.en linguistically diverse backgrounds. Attribution If you have difficulty in understanding this annual Content from this annual report should be attributed as: report, you can contact the Wide Bay Hospital and Wide Bay Hospital and Health Service Health Service on (07) 4150 2124 or 4122 8607 to assist in arranging an interpreter to communicate the report to annual report 2015/16 you. If you have an enquiry regarding this annual report please contact Wide Bay Hospital and © State of Queensland (Wide Bay Hospital and Health Health Service on (07) 4150 2020 Service) 2016. ISSN 2202-7629 2 Wide Bay Hospital and Health Service Annual Report 2014-2015 2 Wide Bay Hospital and Health Service Annual Report 2015-2016 Wide Bay Hospital and Health Service Contents Qld Government community objectives 4 Work-life balance 30 Workforce development 31 Letter of Compliance 5 Awards and recognition 31 Year in review 6 Education, skills and training 32 Snapshot of 2015/16 8 Key achievements of 2015/16 9 Our governance 35 Board roles and responsibilities 35 Financial summary 10 Authority of the Board 35 2015/16 in review 10 Public Sector Ethics Act 1994 35 2016/17: an outlook 10 Machinery of government 36 WBHHS in numbers 10 Membership of the Board 36 Risk profile 12 Remuneration 36 Challenges and opportunities 13 Board meetings and committees 36 Our organisation 14 Board committee memberships 37 Our vision 14 External audits 37 Our purpose 14 Internal audits 37 Our role and function 14 Executive Management Team 38 Key demographics 15 Safety and Quality 38 Our services 15 Risk management 39 Our partners 15 Information systems and record keeping 39 Wide Bay Hospital and Health Service area 16 Open data 40 Organisation structure 17 Our Board 18 Our performance 41 Strategic objectives and performance indicators 41 Board members 18 Service Delivery Performance Statement 2015/16 45 Our executive team 23 Our people 28 Appendix Our workforce at a glance 29 MOHRI 29 Financial statements 1 Separations 29 Attachments 35 Staff profile 29 Attachment 1: Annual report compliance checklist 35 Women in the workforce 30 Attachment 2: Glossary of terms 37 An equal opportunities employer 30 Attachment 3: List of acronyms 41 Wide Bay Hospital and Health Service Annual Report 2015-2016 3 Queensland Government community objectives 4 Wide Bay Hospital and Health Service Annual Report 2015-2016 Letter of Compliance Wide Bay Hospital and Health Service Annual Report 2015-2016 5 1. Year in review Wide Bay Hospital and Health Service Year in review THE 2015/16 year has been a strong period of consolidation, of patients are off an ambulance stretcher within1 the clinically high performance, improving our quality frameworks and recommended 30 minutes. growing locally-provided services to enable more of our patients to receive the best possible care in their own The growth in Outpatient Telehealth – which saves patients backyard. significant travel time and reduces our Patient Travel Subsidy Scheme (PTSS) costs – has also been a great achievement At the heart of our achievements and milestones has been the of the past year. In 2015/16 we have seen a year-on-year consistent and robust vision we set out in our Strategic Plan increase of 66%, from 2,250 appointments in 2014/15 to 2014–2017, which also aligns closely with the Department 3,745 in 2015/16. of Health’s Strategic Objectives and the Queensland Government’s Objectives for the Community. Our five The downside of our overperformance of activity was that strategic pledges are: WBHHS finished the 2015/16 year with a $14.1 million deficit, which represents 2.6% of our total budget. However, both the ● Delivering sustainable, patient-centred, quality health new service agreement and a Financial Improvement Plan services focusing on reducing agency staff, overtime and non-labour costs will ensure we can meet demand within approved ● Engaging with our communities and partners funding while not compromising quality outcomes or waiting ● Developing and empowering our workforce time performance. ● Encouraging innovation and excellence One of the things of which we’re most proud is that access to services locally is at an all-time high. We have worked ● Delivering value of money hard to provide new and expanded services through local partnerships with the private sector. This has led to more Once again we have continued our strong growth in activity, than 2,000 ophthalmology procedures being carried out in the performing at more than 4% above the activity level we were past year, 125 Ear, Nose and Throat procedures, and more contracted by Queensland Health to provide. This rested than 1,300 new cancer patients across the Wide Bay having largely on the solid increase in emergency department radiation therapy they would otherwise have had to travel to presentations, but importantly we were able to maintain Brisbane to receive. our elective surgery and improve our Specialist Outpatients waiting lists at the same time. As a result of this high In fact, overall, the expansion and development of our cancer performance across the board, Queensland Health has care service has been one of the great success stories of the recognised the greater demands being placed on our service past year. In 2015/16, across the Wide Bay we saw more than and we have negotiated for increased resourcing for the 3,400 new cancer patients in total, and we recruited three 2016/17 year. new staff medical oncologists to expand our team of highly qualified local specialists to four. This has given patients It’s a great tribute to the professionalism of our staff that, access not only to the best possible care in their own region, despite this high activity, our performance in key areas but also a much greater continuity of care. July 2015 also saw has been very strong. We have achieved all of our elective the release of our ambitious Cancer Care Strategic Plan, of surgery targets in categories 1, 2 and 3, while our longest wait which a key plank is the “rapid referral” system, guaranteeing for non-urgent surgery is six months – half the Queensland consultations, diagnosis and treatment within set timeframes. benchmark. In Outpatients, we are exceeding the benchmarks in categories 2 and 3 and are only just falling short in We continue to upgrade current facilities and build new ones, Category 1, but again this has been in the face of a significant both to meet current demand and to anticipate the needs of rise in patient activity. We continue to be one of the best the future. The opening of our oral health and cancer care performers in the state on our emergency targets, while 92% centres in Bundaberg and Hervey Bay, costing almost $36 6 Wide Bay Hospital and Health Service Annual Report 2015-2016 Wide Bay Hospital & Health Service million in combined federal and state funding, was a landmark its kind and showed our above-standard performance on occasion for our HHS and our patients. measures such as rates of mortality, falls, infection and medication error. There were areas needing improvement Other significant projects in 2015/16 include: too, but in all cases there has been progress made since the relevant reporting period finished. • Maryborough Hospital – Ward 2 and 3 refurbishments, re- opening of pathology unit, proceeding to the design stage Two other great safety achievements have been our of a mechanical and electrical upgrade workplace health and safety program, PRAISE (Positive Responsive Actions in Safety Excellence), and our Water • Bundaberg Hospital – Kitchen upgrades including new 1 cold room and freezer Quality Risk Management Plan. PRAISE was launched in August 2015 in an effort to reduce our work-related injuries • Helipad upgrades – significant safety improvements at and encourage our employees to take ownership of safety Bundaberg, Biggenden and Monto outcomes. In less than a year since its launch, almost 700 people have completed training workshops and days lost to • Rural facility upgrades – including Gin Gin Hospital work-related injury have more than halved. extension, redesign and refurbishment of Gayndah Hospital emergency department, security upgrade at Our water quality plan has been the result of excellent Eidsvold Multipurpose Health Service (MPHS), security collaboration between our Public Health and Building, upgrade and refurbishment of Monto Hospital nurses’ Engineering and Maintenance teams, and sets out a station comprehensive regime of water quality testing across the HHS.

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