GROWING WITH OUR COMMUNITY Southern NSW Local Health District 2018-19 Year in Review CONTENTS 04 10 30 ABOUT SNSWLHD HEALTHCARE SPECIALTY FACILITIES SERVICES Our Community Goulburn Base Hospital Mental Health, Our Health & Health Service Drug & Alcohol Our Services Crookwell Health Community Health Service Map Aboriginal Health Yass Health Service A Word from the Chair Population Health & Chief Executive South East Regional Hospital Pambula District Hospital Eurobodalla Health Service Queanbeyan Health Service Cooma Health Service Jindabyne HealthOne FRONT COVER: Goulburn Base Hospital Multi-Purpose Services medical student Patrick Feeney listens to the chest of little Edward Butler from Marulan. 2 38 44 56 60 INNOVATION OUR PEOPLE OUR PARTNERS, APPENDICES & QUALITY OUR SUPPORTERS Our Staff Appendix A Digital Health Community Our Organisation Our Board Consultation Our 2019 Quality Committees Appendix B Awards Executive Our Partners Leadership Team Volunteers and Donors Appendix C Location Directory Appendix D Abbreviations and Glossary 3 1SECTION ABOUT SNSWLHD Southern NSW Local Health District (SNSWLHD) is responsible for delivering public healthcare throughout regional south-east NSW. In 2018-19, we attended to more than And it incorporates the traditional VISION 117,000 presentations in our emergency lands of four large Aboriginal nations Helping departments, more than 51,500 inpatient of the Gundugurra, Ngunnawal, people lead admissions, performed nearly 15,000 Ngarigo and Yuin peoples. healthy lives. surgeries and delivered more than 1500 babies. The LHD is characterised by strong tourism and agriculture industries MISSION SNSWLHD is one of 15 local health districts and a large renewable energy sector. Delivering (LHDs) in the NSW health system. healthcare that matters. Our network of hospitals and community Our Community services provides for the residents and tourists that populate 44,534 square SNSWLHD’s population of about VALUES kilometres of the State’s vast picturesque 207,0001 balloons according to Our CORE south east and tablelands. the season. values are: - Collaboration We employ 2856 individuals across more An influx of more than 4.2 million - Openness than 20 sites making it one of the region’s tourists each year are attracted to - Respect; and largest employers with the majority of staff the region’s snowfields and pristine - Empowerment. local to the communities they serve. coastal areas. One of Australia’s most geographically Visitors account for between 13- diverse natural environments, SNSWLHD 17 per cent of all our emergency comprises seven local government areas department presentations each year. (LGAs) spanning tablelands to the ACT, the Snowy Mountains, and the far south The average age of our residents of coast to the Victorian border. 44 years is older than that for NSW at 38 years with coastal areas having It encompasses the Upper Lachlan, a high proportion of elderly people Goulburn Mulwaree, Yass Valley, while the peri-urban fringe around Queanbeyan-Palerang, Eurobodalla, the ACT is rapidly growing, including Bega Valley and Snowy Monaro LGAs. families with young children. Clinical nurse consultant Emily Bunt (left), consumer advocate Robert Butch Young and nurse unit manager Kerry Fitzsimmons at the Chisholm Ross Centre in Goulburn. 5 About SNSWLHD SNSWLHD 2018-19 Year in Review As older people are making up an An estimated 64 per cent increase in the increasing share of the local population, amount of new cancer cases between 2018-19 new patterns are emerging marked by a 2011 and 2031 is forecast for SNSWLHD. AT A GLANCE greater number of seniors than children and youths, and a steady increase in Rates of mental health illness, the ratio of older people to those of hospitalisation for mental distress and working ages. self-harm are higher in SNSWLHD than the rest of the State with younger The forecasted impact on the health residents aged 15-24 having high rates workforce and demand for healthcare of admissions for self-harm. 117,242 services will be significant as people ED presentations aged over 75 years use five times as Smoking rates overall in SNSWLHD many health services as those aged less. have dropped during the past decade from 26 to 18 per cent in 2018. Of our 86642-strong Aboriginal community, 45 per cent live on the south coast. Our Services More than 26,2403 residents were born SNSWLHD has 14 public inpatient overseas, 11,000 speaking a language facilities comprising 11 hospitals and 51,689 other than English at home with the three multi-purpose services (MPS) Admissions highest proportion living in Queanbeyan. that together operate as a network. Our local population is predicted to Our multi-purpose services combine increase to 250,1504 by 2036 with an a range of health and aged care. Each increase of 43,335 or 67 per cent of MPS is tailored to meet the community’s those aged 65 years and older. unique clinical needs into the future. Hospitals with higher level services 14,824 Our Health are strategically connected to smaller Surgeries facilities providing emergency and There is a strong link between income basic care. and health and wellbeing. SNSWLHD partners with ACT Health People living in more disadvantaged and major Sydney hospitals to communities are at greater risk of accommodate local patients who unhealthy lifestyle behaviours such as require high-level specialist care. smoking, poor diet, lack of exercise, and risky alcohol intake which lead 1. 206,815 residents – ABS Population by age to chronic diseases such as diabetes, and sex, regions of Australia, 2017 2. ABS Estimates of Aboriginal and Torres Strait heart attack, stroke and obesity. 1507 Islander Australians, 2016 Births 3. PHIDU Social Atlas of Australia, 2018 The majority of LGAs in SNSWLHD are 4. NSW Department of Planning and categorised as socially disadvantaged Environment, NSW state and LGA household with the exception of the Yass Valley projections, 2019 Source: NSW Health and Queanbeyan-Palerang regions. Information Exchange and EDWARD NAP DataMart. Overweight and obesity in adults remain a challenge with 74 per cent of males and 52 per cent of females reporting a high body mass index in 2017. Diabetes affects 12 per cent of adults. As the population ages, the number of people diagnosed with cancer has increased. Prostate and breast cancers are the most common, while lung cancer causes more deaths. 6 About SNSWLHD SNSWLHD 2018-19 Year in Review Sydney Kanangra-Boyd National Park Upper Lachlan Shire 1 Crookwell Wollongong 2 Goulburn M31 Goulburn 3 Yass Mulwaree Nowra Council A25 A1 Yass Valley Council Upper Lachlan Shire B52 Brindabella 1. Crookwell Health Service National Park Canberra 4 Queanbeyan Goulburn Mulwaree Council AUSTRALIAN Queanbeyan– 5 Braidwood CAPTIAL Palerang 2. Goulburn Base Hospital Clyde Mountain TERRITORY Regional Council 2. Bourke Street Health Service 2. Kenmore Hospital 2. Chisholm Ross Centre Batemans Bay 6 Yass Valley Council NEW SOUTH 3. Yass Health Service WALES Moruya 7 B23 Queanbeyan–Palerang Regional Council Eurobodalla 4. Queanbeyan Health Service B72 Shire 5. Braidwood Multi-Purpose Service Narooma 8 Kosciuszko 9 Cooma National Eurobodalla Shire Park 10 Jindabyne 6. Batemans Bay District Hospital A1 7. Moruya District Hospital 8. Narooma Community Health Snowy Monaro Brown Mountain Snowy Monaro Regional Council Regional Council 9. Cooma Health Service 13 Bega 10. Jindabyne HealthOne B23 Bega Valley 11. Bombala Multi-Purpose Service Shire 12. Delegate Multi-Purpose Service 11 Bombala 14 Pambula Bega Valley Shire 13. South East Regional Hospital 12 Delegate 15 Eden 14. Pambula District Hospital 15. Eden Community Health Centre VICTORIA Southern NSW Local Health District acknowledges the Aboriginal peoples who N 0 15 30 60km are the traditional custodians of the land and pays respects to Elders past and present. 7 About SNSWLHD SNSWLHD 2018-19 Year in Review A WORD FROM THE CHAIR & CHIEF EXECUTIVE The Southern NSW Local Health These are very pleasing results in their District Year in Review reflects own right as well as providing a platform on our achievements and outlines for further initiatives. For example, operational goals for the year ahead. opportunities for improvement including communication around our future At the outset, our performance direction and improving management depends on our people. To become practices were identified. and remain a high performing >63% organisation, we must excel The State Government and the NSW PEOPLE at innovation, with high levels Minister for Health and Medical COMPLETED THE of employee engagement and Research Brad Hazzard have been to PEOPLE demonstrated fairness for our staff the fore in addressing the needs of and the communities we serve. rural and regional NSW with extensive MATTER investment in infrastructure. EMPLOYEE We are committed to improving the capability of our workforce SURVEY through the skills, qualifications and At the outset, aspirations of our people. Our future plans are intended to ensure the our performance continued provision of high quality, depends on our people. cost-effective and responsive services. To become and remain The 2018-19 period has signalled a greater focus on the engagement a high performing of our staff. This will help to attract organisation, we must 90% and retain the people we need to OF EMPLOYEES provide the highest levels of services excel at innovation, with FEEL THAT THEIR and support to the community. This WORK GROUP includes a people-first culture which high levels of