CHAPTER VI NSW HEALTH ORGANISATIONS NSW HEALTH Annual Report 2016–17 Health Organisations 175 NSW MINISTRY OF HEALTH 73 Miller Street • Vaccination coverage for all children at one year Locked Mail Bag 961 of age improved from 93% to 93.6% North Sydney NSW 2059 • 83% of schools joined the Live Life Well @ School Telephone: 9391 9000 scheme promoting physical activity and healthy Facsimile: 9391 9101 eating Website: www.health.nsw.gov.au • About 1200 people from 50 teams participated in Business hours: 9am-5pm, Monday to Friday the NSW Aboriginal Knockout Health Challenge, held Selected achievements for 2016-17 for the first time in a custodial setting in partnership with Corrective Services NSW and the NSW Rugby • Progress continued on the biggest transformation League to reduce chronic disease in Aboriginal and investment of regional infrastructure in NSW communities Ambulance history, the $122 million Regional • 39 Aboriginal Dental Assistants graduated in 2016, Ambulance Infrastructure Reconfiguration Program, under a $1 million four-year program to provide 96 which was building or upgrading 22 stations across traineeships the State • NSW Health developed its focus on self-managed • $1.47 billion spent on capital works in 2016-17 learning by launching the statewide e-learning • Health Infrastructure’s Asset Refurbishment and management system My Health Learning, including Replacement Program provided more than $80 more than 100 new modules and courses on topics million to more than 500 projects, delivering critical including refugee health, identifying homelessness, repairs and maintenance building a safe workplace culture and clinical care of • 91.7 per cent of patients were transferred from people who may be suicidal. Five modules received ambulance to emergency department within the national and international awards celebrating target of 30 minutes, exceeding the target of excellence in contemporary education design 90 per cent • Stage two of the Electronic Medical Record project • Public dental services expanded, with 360,000 was live at 147 NSW hospitals by the end of the year people receiving care • NSW Health achieved an Aboriginal workforce • The inaugural NSW Ambulance Staff Wellbeing and participation rate of 2.5% Resilience Summit resulted in a $30 million • The Last Days of Life Toolkit was published to government investment in the protection of support clinicians caring for dying patients in health paramedics and staff facilities • The Housing for Health program delivered • More than 500 more people with severe mental maintenance services at 497 houses in 13 Aboriginal illness were being supported to live in the community communities through the statewide Community Living Supports • $48.6 million was allocated to support 15 program independent research institutes under the Medical • $21 million was allocated to support an evidence- Research Support Program based approach to medical cannabis, including • More than 2200 people used mental health support research into cannabis medicines for people with services provided at the three LikeMind sites at cancer, epilepsy and multiple sclerosis Penrith, Seven Hills and Orange • Community consultations were held across NSW to • A record 47,282 full-time equivalent nurses and inform the development of the new State plan for midwives were working in NSW Health hospitals and palliative care health services as at June 2017. At the same time, • $3.74 million was allocated for 17 NSW Health there were over 11,705 full-time equivalent doctors Early-Mid Career Fellowships to support and retain employed within the NSW health system, experienced NSW researchers representing about 10 per cent of the total health • The first round of NSW Health PhD Scholarships workforce program supported 26 applicants • 198 Enrolled Nurse scholarships were awarded, with • $9.2 million was invested in six innovative medical about one third of scholarships offered in rural areas device technologies in skin regeneration, cancer • 70 nursing and midwifery students were enrolled in treatment and hearing diagnostics the Aboriginal Cadetship program during the year, • 58 (of 380) long stay psychiatric patients were and 133 have completed the program transitioned to the community • The Productive Mental Health Ward program was • More than 200 NSW Health Pathology collection implemented by 24 mental health inpatient units, centres open in public hospitals and community pursuing productivity and efficiency savings to health centres allow frontline nursing staff to provide more direct care for patients • 194 sites were connected to the Health Wide Area Network 176 NSW HEALTH Annual Report 2016–17 Health Organisations STATUTORY HEALTH CORPORATIONS We recognised the importance of our staff and NSW AGENCY FOR CLINICAL INNOVATION demonstrated this commitment through the Level 4, 67 Albert Avenue Professional Development Framework, and Chatswood NSW 2067 by investing in technology to improve mobility PO Box 699 and flexibility. Chatswood NSW 2057 Telephone: 9464 4666 Jean-Frédéric Levesque, Acting Chief Executive Facsimile: 9464 4728 Dr Levesque has been the Acting Chief Executive since Website: www.aci.health.nsw.gov.au June 2017. He had been chief executive at the Bureau Business hours: 8am-5pm, Monday to Friday of Health Information from March 2013. Before coming to Australia, Dr Levesque held senior positions Year in review responsible for publicly reporting information about the The NSW Agency for Clinical Innovation worked Canadian health system. He has a Doctorate in Public throughout the year with clinicians, consumers and Health, a Master’s in Community Health and a medical managers to design and implement innovation projects degree from the University of Montreal, Canada. across the health system. Within the reporting period, Dr Nigel Lyons held the Key activities included establishing the NSW Diabetes position until October 2016. Professor Donald MacLellan Taskforce, expanding the NSW pilot of the American was appointed in an acting capacity from October until College of Surgeons National Surgical Quality his retirement in June 2017. Improvement Program (ACS NSQIP), and implementing the Intensive Care Service Model for the safe and efficient delivery of care to critically ill patients in smaller rural and metropolitan intensive care units. 79% of NSW Trauma App users said it contributed to positive We worked to improve patient and carer satisfaction patient outcomes with key health services and built strong engagement with communities through a number of programs. These included the One Deadly Step Aboriginal chronic disease screening program, the Music and Memory program, the Living Well in Multipurpose Service Key achievements for 2016-17 Collaborative, and developing The Essentials, a • Established the NSW Diabetes Taskforce to develop resource to support local health districts delivering a system-wide response to improve the care of health services for people with intellectual disability. people with diabetes. This was a partnership between the Agency’s Chronic Care and Endocrine We continued to build digital services and enable networks. e-health strategies through developing the NSW Trauma App, which provided lifesaving information • Developed The Essentials, a resource and website for trauma clinicians during emergencies. We also designed to guide local health districts to deliver embedded telehealth as a mechanism to deliver health services for people with intellectual disability. health care by connecting clinicians to patients and The Essentials provided useful information, tools, caregivers for assessment, intervention, consultation interviews, videos, references and external links. and/or supervision. • Launched the Navigating the Health Care Our commitment to providing a truly integrated health Neighbourhood website, exploring the patient- system was strengthened the development of the centred medical home model and expanding on the Navigating the Healthcare Neighbourhood website, role of the health care neighbourhood in supporting which explored the patient-centred medical home the model. An online community of interest started in model, and through the Patient Reported Measures June 2017. program proof of concept, which was implemented in • Supported local teams to implement the Intensive 81 health services across NSW. Care Service Model, a framework for the safe and efficient delivery of care to critically ill patients in A key focus in 2016-17 was to become more agile and smaller rural and metropolitan intensive care units. responsive to the needs of stakeholders. We strengthened partnerships with local health districts, including Quality • Completed the Trauma Patient Outcome Evaluation Improvement Partnerships with 13 local health districts Qualitative Report, which focused on resourcing the to support quality improvement in stroke care, and NSW Trauma Services, including paediatric services. joined with 19 facilities to investigate clinical variation • Implemented the Patient Reported Measures in acute care for people with chronic obstructive program proof of concept in 81 health services across pulmonary disease and/or chronic heart failure. NSW. This resulted in 974 completed Patient Reported Outcome Measures and 652 completed Patient Reported Experience Measures. NSW HEALTH Annual Report 2016–17 Health Organisations 177 • Designed the Living Well in Multipurpose Service We continued to manage the NSW Patient Survey Collaborative to support staff to provide care for Program