Download SSWAHS Statutory Annual Report

05
06
SSWAHS Statutory
Annual Report
Contents
Section one – profile, purpose and goals
Chief executive year in review................................................................................................................. 5
Highlights................................................................................................................................................. 7
Health service profile............................................................................................................................... 11
Organisation chart ................................................................................................................................... 13
Purpose and goals................................................................................................................................... 14
Corporate governance statement ............................................................................................................ 15
Clinical governance statement ................................................................................................................ 17
Section two – performance summary
Performance indicators............................................................................................................................ 19
Selected activity levels ........................................................................................................................... 31
Section three – health services
Health service locations........................................................................................................................... 35
Area healthcare service planning ............................................................................................................ 40
Facilities .................................................................................................................................................. 41
Allied health services............................................................................................................................... 56
Drug health services................................................................................................................................ 57
Mental health services............................................................................................................................. 58
Nursing and midwifery services............................................................................................................... 60
Oral health services................................................................................................................................. 61
Population health..................................................................................................................................... 62
Quality clinical indicators ......................................................................................................................... 63
Section four – health support services
Asset management.................................................................................................................................. 68
Corporate services .................................................................................................................................. 69
Financial services .................................................................................................................................... 70
Information management and technology division .................................................................................. 71
Internal audit............................................................................................................................................ 72
Public affairs and marketing .................................................................................................................... 73
Section five – our people
Workforce profile ..................................................................................................................................... 75
Executive reports .................................................................................................................................... 76
Staff profile .............................................................................................................................................. 78
Equal employment opportunity ................................................................................................................ 79
Occupational health and safety ............................................................................................................... 83
Teaching and training initiatives .............................................................................................................. 85
Research ................................................................................................................................................. 87
Official overseas travel ............................................................................................................................ 93
Section six – our community
Area health advisory council.................................................................................................................... 111
Community participation .......................................................................................................................... 112
Fundraising and sponsorship .................................................................................................................. 113
Donations and bequests.......................................................................................................................... 115
Ethnic affairs priority program.................................................................................................................. 116
Non-government organisations................................................................................................................ 117
Volunteers ............................................................................................................................................... 122
Section seven – freedom of information (FOI) report
Freedom of information ........................................................................................................................... 124
Section eight – financial report
Financial overview ................................................................................................................................... 128
Independent audit report ......................................................................................................................... 130
Sydney South West Area Health Service Statutory Annual Report 05/06
1
Sydney South West Area Health Service
Head Office
Liverpool Hospital (Eastern Campus)
Elizabeth Street
Liverpool NSW 2170
Mailing Address
Locked Bag 7017
Liverpool BC 1871
Telephone: 61 2 9828 5700
Fax: 61 2 9828 5769
Email: [email protected]
Website: www.sswhealth.nsw.gov.au
Hours of operation: 8.30am – 5.00pm
Royal Prince Alfred Hospital
King George V Building Level 11
Missenden Road
Camperdown NSW 2050
Telephone: 61 2 9515 9600
Fax: 61 2 9515 9611
Sydney South West Area Health Service Statutory Annual Report 05/06
2
SSWAHS Locations
Sydney South West Area Health Service Statutory Annual Report 05/06
3
The Hon John Hatzistergos MP
NSW Minister for Health
Parliament House
Macquarie Street
Sydney NSW 2000
Dear Minister
I have pleasure in submitting the Sydney South West Area Health Service (SSWAHS) 2005/06
Annual Report.
The Report complies with the requirements for annual reporting under the Accounts and Audit
Determination for public health organisations and the 2005/06 Directions for Health Service Annual
Reporting.
Yours sincerely
Mike Wallace
Chief Executive
Sydney South West Area Health Service Statutory Annual Report 05/06
4
Chief Executive Year in Review
On 10 March 2006, I was appointed Chief
Executive of Sydney South West Area Health
Service (SSWAHS). My appointment followed
the inspiring tenure of Professor Diana
Horvath AO, who served as Chief Executive
of the Central Sydney Area Health Service,
and later SSWAHS, for 13 years.
Professor Horvath’s achievements were
numerous. They included development of the
internationally recognised clinical stream
system; the successful amalgamation of the
South Western and Central Sydney Area
Health Services; and the implementation of
rigorous business practices where financial
management was simplified, administration
streamlined, and IT modernised, allowing
healthcare providers to use the latest
technology to make their work more efficient
and more accurate.
Professor Horvath, who always placed safe
and effective patient care at the core of our
objectives, has since taken up the position of
Chief Executive of the Australian Commission
on Safety and Quality in Health Care. We all
wish her well in her new endeavour.
It has now been two years since the former
NSW Minister for Health, the Hon. Morris
Iemma, announced the reforms to the NSW
Health System which resulted in the
amalgamation of the Central and South
Western Sydney Area Health Services.
SSWAHS continues to work to affect all of
the required organisational changes
associated with the amalgamation.
Staff have worked diligently throughout the
year to establish single Area-wide clinical
stream structures, determined in line with the
amalgamation plan, in order to deliver the
best patient care.
SSWAHS has significantly benefited from the
merger of these streams, which allow sharing
of knowledge and a common approach to the
delivery of patient care. Other flow-on
benefits have included the centralisation of
administrative functions, resulting in financial
savings of $4.8 million. These savings have
been redirected to frontline clinical services.
All staff can be extremely proud of the
collective elimination of all long-wait patients,
ie. those patients waiting for elective surgery
for more than 12 months.
At the end of June 2005, there were 1384
long-wait patients on the waiting list. As part
of the State Government’s Predictable
Surgery Program, this was reduced to zero
by 30 June 2006, and can be directly
attributed to the commitment of our doctors
and nurses and the professionalism and
dedication of all our staff.
SSWAHS is the most populous of the eight
new area health services. The rapid growth
expected in southwest Sydney due to the
Bringelly land release will see our population
grow even further to approximately 1.5 million
by the year 2015. This growth, coupled with
an ageing population and other socioeconomic factors, will place an enormous
demand on the health services provided in
the southwest.
The welcome announcement by Premier
Morris Iemma of $390 million towards the first
phase of re-development of Liverpool
Hospital is a significant step towards meeting
the future health needs of the southwest.
The $32.5 million Mental Health Centre,
officially opened at Liverpool Hospital by
Premier Iemma in February, is a reflection of
the NSW Government’s commitment to
providing improved mental health services.
The two storey purpose-built structure
consolidates all adult mental health inpatient
and outpatient clinical services at the hospital
in a comfortable, modern environment.
Investment in the clinical services plan, South
Western Sydney Health Network – The Way
Forward 2004-2008 continued, reflecting the
Area’s dedication to enhancing the clinical
services provided to the people of the
southwest. More than $20 million was
dedicated to The Way Forward this year.
These funds provided additional clinical,
nursing and allied health positions as well as
new clinical equipment.
A number of major planning exercises were
conducted over 2005/06 to provide the
strategic direction for healthcare service
development over the next 5 to 10 years.
Development of the SSWAHS Health Care
Services Plan was one such exercise. This
plan outlines the full range of services provided
by SSWAHS, including demographic and
socioeconomic implications, and current and
future priorities for prevention, early
intervention and service delivery.
Sydney South West Area Health Service Statutory Annual Report 05/06
5
Chief Executive Year in Review
The plan also recognises the need for the
strengthening of services across SSWAHS
through the development of a network of
services. The plan enables SSWAHS to
position itself to provide high quality, cost
effective and accessible services to the large
and growing SSWAHS community.
The inaugural SSWAHS Corporate Strategic
Plan is the highest level plan for the
organisation and provides strategic direction
for all SSWAHS activities over the next five
years. It outlines the vision, values and
objectives of SSWAHS within the framework
of the recently released NSW Health
Integrated Corporate Strategic Planning
Framework and the Futures Planning project.
The level of clinical expertise in southwest
Sydney has been strengthened via the recent
collaboration between SSWAHS and the
University of Western Sydney. The University
is working diligently towards opening the
University of Western Sydney School of
Medicine, with the first intake of medical
students scheduled for March 2007. The aim
of the School is to train locally skilled doctors
for our facilities. The Area’s goal is to retain
locally skilled doctors with an understanding
of the local population in one of Sydney’s
major designated growth areas.
The Area-wide nursing service has had a
successful year with the recruitment and
retention of local, interstate and overseas
nurses. This has resulted in significant
reductions in vacancy rates and dependency
on agency nurses.
The three-year Clinical Redesign Program,
established in 2005, has undertaken a
number of quality improvement projects
designed to improve the patient journey
through the health system. The program has
successfully identified redesign initiatives for
care delivery systems, with the major goals of
improving access to services, more efficient
patient flows and improving the consumer’s
and carer’s experience.
Some of the projects undertaken include
improving patient flow through our
emergency departments, and improving
access to emergency mental health care with
a focus on Liverpool and Campbelltown
hospitals.
Results so far show that the projects have
had a positive impact on the Area’s
performance against the Key Performance
Indicators set by the NSW Health
Department.
The recently established Clinical Governance
Unit is now a highly visible and cohesive
team across SSWAHS. A number of
successful initiatives have already been
implemented, including the Incident
Information Management System. Promoting
transparency, the system has been highly
effective in formulating change and improving
quality of care.
I would like to take this opportunity to thank
the staff of SSWAHS for their hard work
throughout the year and look forward to
meeting the challenges of the coming year
with their continued support.
Mike Wallace
Chief Executive
6
Sydney South West Area Health Service Statutory Annual Report 05/06
Highlights
Long wait list at zero
World first transplant
Hospitals across the Area eliminated their
long wait surgical lists, ensuring that no
patient will wait more than 12 months for their
elective procedure.
Surgeons at RPA successfully conducted a
world-first type of triple transplant, replacing a
woman’s liver, kidney and pancreas to cure
her auto-immune disease.
This significant achievement was a result of
sustained effort by clinical and administrative
staff, new beds being opened, establishing
new systems and more theatre time
scheduled for surgeons.
RPA celebrated the 20 anniversary of liver
transplantation at the hospital and in NSW by
establishing a Transplant Institute to raise funds
for transplant research.
Emergency care without delay
th
State-of-the-art aged care facility
More patients were accepted into Emergency
Departments within 30 minutes of arrival by
ambulance, improving off-stretcher time
performance.
A state-of-the-art, $7.5 million Aged Care
Precinct was opened at Concord Repatriation
General Hospital, consolidating inpatient,
ambulatory care services and research in a
one-stop facility for ageing and rehabilitation
patients.
SSWAHS hospitals also cut access block, a
measure of the percentage of people
spending more than eight hours in care of ED
clinicians before being admitted to a ward.
Get fit for surgery clinic
The number of people presenting at EDs
continued to grow, with an additional 25,700
people attending over the year. Hospitals
also experienced an eight per cent growth in
the number of patients treated overall.
Beds opened
Another key achievement for SSWAHS was
an increase in the number of Sustainable
Access Program, mental health, Intensive
Care Unit (ICU) and Neonatal ICU beds
despite system-wide staff shortages.
Concord Repatriation General Hospital
launched the Get Fit for Surgery Clinic, an
exercise and education clinic for patients
scheduled for total hip or total knee
replacement surgery. The clinic improves
recovery and decreased the average length
of hospital stay by 30 per cent. It has also
reduced the incidence of complication of
pulmonary embolism, deep vein thrombosis
and pressure areas.
Reversal of type 2 diabetes
Sound financial management
A world first program has achieved
remarkable results in its first year of operation
at Concord Hospital’s Department of
Endocrinology and Metabolism. The
program’s combination of weight
management and exercise has reversed or
significantly reduced the severity of type 2
diabetes in obese patients, allowing the
amount of medication required to control
blood glucose, blood pressure and
cholesterol to be cut by half, with some
patients able to cease medication altogether.
Targets achieved included no creditors
waiting more than 45 days for payment.
Gene therapy breakthrough
The length of hospital stay was cut slightly
while at the same time the quality of care
measurably improved with a fall in the
already low percentage of people needing to
be readmitted to hospital within 28 days of
being discharged.
Canterbury’s maternity unit
Maternity Unit, a documentary filmed at
Canterbury Hospital following several families
of migrant background through pregnancy and
childbirth, was broadcast on SBS television.
As part of an international collaboration,
researchers at RPA established a world-first
method of delivering gene therapy
successfully and safely when a healthy gene
was successfully introduced directly into the
body of a person suffering from hemophilia,
with a sustained result.
7
Sydney South West Area Health Service Statutory Annual Report 05/06
Highlights
Aboriginal cardio project
The Aboriginal Cardiovascular Project was
launched at RPA Hospital to identify at-risk
Aboriginal patients, screening them for heart
disease, stroke, diabetes and kidney disease
when they present to the hospital for any reason.
This is the first ever program to provide
opportunistic screening to the Indigenous
population in a hospital setting and aims to
reduce the high numbers of Aboriginal people
dying from cardiovascular disease including
heart disease, kidney disease and diabetes.
Cancer lab breakthrough
Scientists at Concord Hospital’s cancer
research laboratory developed a way to
reduce the risk of life-threatening
chemotherapy toxicity and malnutrition for
cancer patients.
Using a test for a protein marker for
inflammation, C-Reactive Protein,
researchers identified patients with advanced
colorectal cancer who would be less able to
metabolise cancer medication increasing
their risk of toxicity.
This allowed doctors to treat the inflammation
and malnutrition in advance of chemotherapy,
giving more patients a longer and higher
quality of life.
Medical acupuncture clinic
Balmain Hospital opened a medical
acupuncture clinic run by doctors which
blends Eastern concepts of traditional
Chinese medicine and Western medical
evidence-based concepts of the complex
mechanisms involved in acupuncture.
Mobile ultrasound for sick babies
RPA was able to purchase a state-of-the-art
mobile ultrasound machine for the Newborn
Care unit, thanks to a generous donation of
$250,000 from Sargents Charitable
Foundation.
Recognising research achievements
Professor Bruce Armstrong, head of research
at the Sydney Cancer Centre was awarded
Cancer Researcher of the Year at the
inaugural Premiers Awards for Excellence in
Cancer Research.
Professor Armstrong pioneered research into
the link between sun exposure and skin
cancer as well as asbestos and lung cancer.
Associate Professor Peter Bye won the
prestigious RPA Foundation Medal for
Excellence in Research for his development
of Hypertonic Saline therapy, a cheap natural
therapy that improves lung function and
quality of life for people with cystic fibrosis.
Macarthur Strategy complete
The Macarthur Strategy, a $133.7 million
upgrade of community and hospital services
in Campbelltown and Camden has been
completed and includes a new $3.26 million
women and babies centre with refurbished
and relocated maternity services, a new 30bed medical ward and a new stroke unit.
Childhood Assessment Team
A new $400,000 multi-disciplinary assessment
and diagnostic unit for children in the
Macarthur region with moderate to severe
developmental disabilities was opened at
Campbelltown Hospital.
Liverpool re-development
A $390 million redevelopment for Liverpool
Hospital was announced, which is set to
double the size of this leading facility.
The redevelopment will provide an extended
and refurbished clinical services building as
well as extended cancer and pathology
services, a dedicated birthing centre, a sleep
disorders and respiratory failure service and
dedicated palliative care and rehabilitation
beds. Extra chemotherapy chairs, renal
dialysis chairs, operating rooms and
endovascular suites will also be provided.
Mental Health Centre
A $32.5 million Mental Health Centre was
opened at Liverpool Hospital, consolidating all
adult mental health inpatient and outpatient
clinical services in one two-storey purposebuilt structure, equipped with a lecture theatre
for psychiatric education and research.
Consumers, carers and staff had input over
the four-year planning process, resulting in a
comfortable, modern environment with
abundant natural light, privacy for patients and
improved facilities for visitors.
Sydney South West Area Health Service Statutory Annual Report 05/06
8
Highlights
CT Scanner
Campbelltown Hospital received a
sophisticated $1.29 million, 64 slice CT
scanner.
The 64 slice technology provides greater
comfort for patients by conducting a whole
body scan in 20 seconds, especially
important for trauma patients where every
second counts.
Women’s Health Services boost
Women’s health services in the Southern
Highlands received a boost with the opening
of new gynaecological, medical and
midwifery clinics at Bowral and District
Hospital.
The Medical and Midwifery Antenatal Clinics
offer the services of both an obstetrician and
a midwife, so women have more choice for
managing their antenatal care.
Liverpool ED expansion
Liverpool Hospital Emergency Department’s
$9.2 million redevelopment more than
doubled the unit’s size and vastly improved
its capacity.
As well as 72 treatment areas, the
emergency department is also equipped with
consultation and procedure rooms, a
dedicated eye/ear, nose and throat room,
plaster room and safe observation rooms.
Memorandum of Understanding
SSWAHS signed a three-year memorandum
of understanding with the seven Divisions of
General Practice operating within the Area in
order to develop a more integrated approach
to population health and health promotion and
to achieve the best possible use of resources
for the benefit of the community.
Quality improvement awards
SSWAHS took out four of the ten quality
awards at the Baxter 2005 NSW Health
Awards for improvements to the quality of
healthcare, a performance award for the
greatest reduction in surgical waiting lists and
a best performing hospital award for
Canterbury Hospital.
Quality Awards went to: Royal Prince Alfred
Hospital for Optimising Appropriate Clinical
Care of Low Trauma Fracture Patients,
Population Health (eastern zone) for
Infectious Disease Outbreaks: An Innovative
Approach to Evaluate and Improve Public
Health Interventions, Liverpool Hospital for
Rapid Screening of Hospital Mortality and
Fairfield Hospital’s Whitlam Joint
Replacement Centre for Restrictive Blood
Transfusion Practices Following Primary
Unilateral Total Knee Replacement.
Concord Repatriation General Hospital
received a silver award in the Community
Building Category of the NSW Premiers
Awards for the Kokoda Track Memorial
Walkway.
At the Australian Council on Healthcare
Standards awards Fairfield Hospital took out
first prize for Restrictive blood transfusion
practices following primary unilateral total
knee replacement and RPA was highly
commended for its osteoporosis first fracture
project – Optimising appropriate clinical care
to low trauma fracture patients in RPA
fracture clinics.
At the Australian Healthcare Association
Awards Karitane took out first prize for Women
as Mothers - Liverpool Family Care Cottage.
Bankstown Oncology refurbishment
NSW Minister for Health, John Hatzistergos
opened the newly refurbished Oncology Unit
at Bankstown Hospital which was improved
at a cost of $99,000.
The three-bed, six-chair unit provides
chemotherapy services to Bankstown residents
and takes referrals from across southwest
Sydney. The unit was fully renovated and now
has more space for patients and visitors as well
as two new private rooms.
Research gives patients a leg up
Innovative research comparing the benefits of
water and land-based exercise at Fairfield
Hospital’s Whitlam Joint Replacement Centre
will help determine the most effective and
painless way to get people back on their feet
after total knee replacement surgery.
Sydney South West Area Health Service Statutory Annual Report 05/06
9
Highlights
Award winning multicultural projects
New support for expectant dads
SSWAHS received eight of the 14 highly
commended awards announced at the
Statewide Multicultural Communication Awards.
Antenatal clinics at Bankstown, Fairfield
and Liverpool Hospitals are offering a new
program to support fathers before, during
and after the birth of their baby.
Highly commended awards went to:
• Bankstown Multicultural Health Service
for their Asthma Awareness project for
the Macedonian community
•
The Macarthur Diabetes Service for their
campaign to educate the local Arabic
community about living with diabetes
•
Fairfield Hospital’s Department of
Nutrition and Dietetics for two projects
which involved producing culturally
appropriate information on cholesterol
and tryglicerides and dietary fats in
Spanish
•
Fairfield Multicultural Health Service for
for their Asthma Awareness Program for
the Macedonian community
•
SSWAHS western zone Health
Promotion Service and Liverpool
Dietetics Department for The Health
Promoting Schools project and the Tootie
Fruity Veggie project
The Dads 4 Dads program, funded by a
$10,000 grant under the NSW Government’s
Families First program, is designed to make
pregnancy and childbirth more father-friendly
and is a collaboration between Karitane,
SSWAHS (Parenting Program, Perinatal and
Infant Mental Health Service, Arts for Health
Program), Mission Australia, and Uniting
Care, Burnside.
Camden Midwifery Group Practice
The Camden Midwifery Group Practice was
officially opened after extensive consultation
between an expert taskforce of senior
obstetricians and midwives and input from
the local community and local physicians.
The service offers low-risk pregnant women
continuity of care, with the same midwife
providing antenatal and postnatal care at
Camden and assisting with the birth at
Campbelltown.
Research delivers new hope
Health improvement
Key research from Liverpool Hospital’s
Schizophrenia Research Unit and the
University of New South Wales could lead
to the first early diagnostic tool for
schizophrenia and bipolar disorder.
SSWAHS and the Tharawal Aboriginal
Corporation signed a partnership agreement
designed to ensure the optimum provision of
health care services to Aboriginal people in
southwest Sydney.
Sydney South West Area Health Service Statutory Annual Report 05/06
10
Health Service Profile
On 27 July 2004, the Hon Morris Iemma,
Minister for Health, announced the restructure
of area health services across NSW, including
the formation of the new Sydney South West
Area Health Service (SSWAHS), amalgamating
the former Central Sydney and South Western
Sydney area health services. The
amalgamated SSWAHS came into being as a
legal entity from 1 January 2005.
SSWAHS covers a land area of 6,380 square
kilometres and has a current population of
approximately 1.33 million, representing 20
per cent of the NSW population.
SSWAHS is comprised of the following local
government areas (LGAs):
•
•
•
•
•
•
•
•
Bankstown
Fairfield
Liverpool
Campbelltown
Camden
Wollondilly
Wingecarribee
•
•
•
•
•
•
•
City of Sydney (part)
Leichhardt
Marrickville
Ashfield
Burwood
Strathfield
Canada Bay
Canterbury
With areas projected for both substantial new
land release for residential development and
medium density urban infill, SSWAHS will
continue to be one of the fastest growing
parts of the state. Its population is projected
to increase by up to 300,000 people by 2030,
a 22 per cent increase.
SSWAHS Population Growth to 2026
1,800,000
1,600,000
1,400,000
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0
2001
Population
of SSWAHS
2006
2011
2016
2021
2026
2001*
2006
2011
2016
2021
2026
1,283,132
1,349,973
1,430,105
1,517,077
1,598,844
1,673,921
*2001 eastern zone population – 486,182
2001 western zone population – 796,950
Sydney South West Area Health Service Statutory Annual Report 05/06
11
Health Service Profile
Population Projections by Age Group
450000
Population
400000
350000
0-14
300000
15-44
250000
200000
45-64
150000
65-74
100000
75+
50000
0
2001
0-14 years
15-44 years
45-64 years
65-74 years
75+ years
2006
2001
187,850
362,720
169,410
44,580
32,390
2011
Year
2006
186,560
368,770
196,680
48,180
39,610
Population Characteristics
SSWAHS is the most ethnically diverse health
area in Australia, with 39 per cent of the
population speaking a language other than
English at home. This is most notable in Fairfield
and Canterbury, where over 60 per cent of the
population do not speak English at home. A high
proportion of new migrants to Australia,
including refugees, choose to settle in southwest
Sydney. There are also considerable variations
between LGAs in the proportion of the
population identifying as Aboriginal (highest in
South Sydney and Campbelltown).
In addition to the influx of new migrants, the
Area’s population is growing by around 19,000
new births per annum. In some places, notably
Canterbury, Liverpool and Bankstown, birth
rates are between 2.09 and 2.16, considerably
above the state average of 1.79 and this trend is
projected to continue with young families
expected to comprise a large proportion of
residents in new residential developments.
LGAs with the highest proportion of younger
people (0-14 years) are Campbelltown, Camden
and Liverpool. Across the Area there are
266,000 children under the age of 15
representing 20 per cent of the population.
LGAs with the highest proportion of older people
(85 years and over) are Ashfield, Burwood and
Strathfield. Across the Area there are 180,000
people over the age of 65, representing 17 per
2016
2011
186,160
386,530
221,520
56,880
45,100
2016
190,250
406,290
238,670
71,750
52,040
cent of the population. There are large numbers
of elderly people in some LGAs, with more than
24,000 people over the age of 65 in Bankstown
and around 18,000 in both Fairfield and
Canterbury. Hospital data indicates that people
over the age of 65 years utilise 45 per cent of all
acute hospital bed days. The number of people
aged over 65 is projected to increase by 45 per
cent by 2016, when they will represent 13 per
cent of the population.
Southwest Sydney has some of the poorest
communities in the state, characterised by a
large number of recent migrants, significantly
higher levels of unemployment and a high
proportion of families dependent on welfare. The
Area has nine of the ten most disadvantaged
metropolitan Sydney postcodes.
The age standardised death rates for SSWAHS
residents are higher than the state average for
both males (721.8 per 100,000 vs 709) and
females (457 per 100,000 vs 443).
The major causes of death are circulatory
diseases, cancers, injury/poisoning and
respiratory diseases. These comprise about 80
per cent of all deaths in both SSWAHS and
NSW. The four major causes of death are
applicable to both males and females. Deaths
due to cancer, injury/poisoning and respiratory
diseases were higher among males. The
proportion of female deaths due to
injury/poisoning is about half that for males
(4 per cent vs. 8.5 per cent).
Sydney South West Area Health Service Statutory Annual Report 05/06
12
Organisation Chart
The organisational structure is separated into
tiers and incorporates the clinical governance
model as well as legislative and statutory
responsibilities for the SSWAHS.
The first tier within SSWAHS is the position of
Chief Executive. The Chief Executive is
accountable for the overall corporate
governance, performance and strategic
planning of the organisation.
Director Finance and
Corporate Services
General Managers:
• Balmain Hospital
• The Canterbury Hospital
• Concord Repatriation General Hosp
• Royal Prince Alfred Hospital
• Rozelle Hospital
• Sydney Dental Hospital
• Bankstown-Lidcombe Hospital
• Bowral and District Hospital
• Campbelltown/Camden Hospitals
• Fairfield Hospital
• Liverpool Hospital
• Queen Victoria Memorial Home
The positions within the second tier of
SSWAHS report to the Chief Executive.
These senior management positions are
responsible for the delivery of clinical,
strategic planning, workforce planning,
performance, corporate support, finance and
nursing services for the organisation.
Chief Executive
Manager Internal Audit
Director
Clinical Operations
The position of Chief Executive reports
directly to the Director-General of NSW
Health.
Chief
Finance
Officer
Chief
Information
Officer
Manager
Shared
Services
Director Strategic
Workforce Planning
and Development
Director Public Affairs &
Marketing
Director Population
Health, Planning and
Performance
Director
Education
Training &
Development
Manager
Human
Resources
General Manager Area Clinical
Services
Director Community Health Services
General Manager Oral Health
Services
Director Drug Health Services
Managers Clinical Business Units
Imaging and Pathology
Director Mental Health
Sydney South West Area Health Service Statutory Annual Report 05/06
Director
Nursing &
Midwifery
Director
Clinical
Governance
Director
Aboriginal Health
Manager
Clinical
Quality Unit
Manager
Nursing Policy
& Practice
Manager
Community
Participation
Manager
Professional
Practice Unit
Manager
Nursing
Educator
Executive
Officer
Nursing
Co-ordinator
Counter Disaster
Planning &
Management
Director
NSW Refugee
Health Service
Director
Health Services
Planning
Director Performance
Monitoring, Analysis
& Clinical Redesign
Director
Population Health
13
Purpose and Goals
SSWAHS has adopted NSW Health’s vision
of Healthy People – Now and in the Future.
This vision is underpinned by four goals and
seven strategic directions. The four goals are:
•
To keep people healthy
•
To deliver high quality health services
•
To provide the health care people need
•
To manage health services well
The seven strategic directions are:
1. Make prevention everybody’s business
2. Create better experiences for people
using the health system
3. Strengthen primary health and continuing
care in the community
4. Build regional and other partnerships for
health
5. Make smart choices about the costs and
benefits of health services and health
support services
6. Build a sustainable health workforce
7. Be ready for new risks and opportunities
For each of the seven strategic directions,
SSWAHS has developed local objectives as
part of the Corporate Plan 2006-2010. These
are summarised below.
Make prevention everybody’s
business
•
•
•
Encourage the adoption of healthy
lifestyles and the development of healthy
environments
Reduce health disadvantage
Improve awareness of prevention
activities and services
Create better experiences for
people using the health system
•
Utilise collaborative processes involving
consumer feedback and information from
health care reporting systems to
continuously improve the quality and safety
of health services
•
Improve service access, efficiency and
effectiveness
•
Provide integrated and networked care
across the whole of SSWAHS
Strengthen primary health and
continuing care in the community
•
Expand the range of services available in
the community and domiciliary setting
•
Increase the focus of activities on early
intervention
Build regional and other
partnerships for health
•
Actively participate in and develop
appropriate forums to build the capacity of
the region to respond to current and
anticipated health issues
•
Engage and involve stakeholders in the
development of SSWAHS policies, plans
and initiatives
Make smart choices about the costs
and benefits of health services and
health support services
•
Strengthen the financial sustainability of
SSWAHS
•
Provide the information necessary to
support decision making
Build a sustainable health
workforce
•
•
Ensure SSWAHS is the area health
service that people want to work in and in
which they can build a career
Ensure our workforce profile is matched
to the needs of our population in terms of
numbers and skills
Be ready for new risks and
opportunities
•
Build the capacity and reputation of
SSWAHS as a leader in health research
and education
•
Respond to changes in the operating
environment of SSWAHS in a timely manner
Sydney South West Area Health Service Statutory Annual Report 05/06
14
Corporate Governance Statement
The Chief Executive
The Chief Executive carries out all functions,
responsibilities and obligations in accordance with
the Health Services Act of 1997.
The Chief Executive is committed to better practices
as outlined in the Guide on Corporate Governance,
issued by NSW Health.
The Chief Executive has practices in place to ensure
the primary governing responsibilities of the Sydney
South West Area Health Service (SSWAHS) are
fulfilled with respect to:
•
•
•
•
•
•
•
•
setting strategic direction
ensuring compliance with statutory requirements
monitoring performance of the Area Health
Service
monitoring financial performance of the Area
Health Service
monitoring the quality of health services
industrial relations/workforce development
monitoring clinical, consumer and community
participation
ensuring ethical practice
system of internal controls. The Chief Executive
has mechanisms for monitoring the operations
and financial performance of SSWAHS.
The Chief Executive receives and considers all
reports of SSWAHS external and internal
auditors and, through the Audit and Corporate
Risk Management (CRM) Committee, ensures
that audit recommendations are implemented.
SSWAHS has a Risk Management Program and
Risk Register that includes both clinical and nonclinical risks.
Committee structure
SSWAHS has a committee structure in place to
enhance its corporate governance role. The
committees meet regularly, have defined terms
of reference and responsibilities, and are
evaluated against agreed performance
indicators.
Quality committees
This process includes setting a strategic direction for
both the organisation and for the health services it
provides.
The Chief Executive has systems and activities
in place for measuring and routinely reporting on
the safety and quality of care provided to the
community. These systems and activities reflect
the principles, performance and reporting
guidelines as detailed in the Framework for
Managing the Quality of Health Services in NSW
documentation. The key quality committees for
SSWAHS are the Clinical Quality Councils
(eastern and western zones).
Code of conduct
Audit and Risk Management Committee
Strategic direction
The Chief Executive has processes in place for the
effective planning and delivery of health services to
the communities and patients serviced by SSWAHS.
The Chief Executive and the Area Health Service has
adopted a Code of Conduct (the Code) to guide all
employees and contractors in carrying out their
duties and responsibilities. The Code covers such
matters as: responsibilities to the community,
compliance with laws and regulations, and ethical
responsibilities.
A statement about the Code is included in the annual
report.
Risk management
The Chief Executive is responsible for
supervising and monitoring risk management by
the Area Health Service, including the SSWAHS
The Chief Executive has established an Audit
and Rick Management Committee.
The Audit and Risk Management Committee is
chaired by an independent external expert, with
the following membership:
•
•
•
Chair: Independent external expert
Second external expert
Chief Executive
The following people attend each meeting:
• Manager Internal Audit
• Chief Financial Officer
• Independent Auditor
Sydney South West Area Health Service Statutory Annual Report 05/06
15
Corporate Governance Statement
The Audit and Risk Management Committee
meets five times per year. The objectives of the
Committee are to:
•
•
•
•
maintain an effective internal control
framework
review and ensure the reliability and integrity
of management and financial systems
review and ensure the effectiveness of the
internal and external audit functions
monitor the management of risks to the
health service, including responsibility for
reviewing and updating the Risk Register.
For clinical risks, authority to analyse risks,
implement preventative risk strategies and
control risks is delegated to the Clinical
Quality Councils (eastern and western
zones). For non-clinical risks, authority to
analyse non-clinical risks, implement
preventative risk strategies and control risks
is delegated to officers, as outlined in the
Risk Management Program.
Finance and Performance committee
The Chief Executive has established a Finance
and Performance Committee. This Committee is
chaired by the Chief Executive, with the
following membership:
•
•
•
•
•
Director Clinical Operations
Director Corporate Services
Chief Financial Officer
Director Population Health, Planning and
Performance
Director Nursing and Midwifery
The Finance and Performance Committee meet
12 times per year. The objectives of the Finance
and Performance Committee are to:
•
•
•
•
•
examine budget allocations
monitor overall financial performance in
accordance with budget targets
develop and maintain efficient, cost
effective finance functions and information
systems
ensure appropriate financial controls are in
place
manage funds effectively
The Chief Executive complies with the
provisions of the Accounts and Audit
Determination for Health Services issued by
NSW Health.
Performance appraisal
The Chief Executive has ensured that there are
processes in place to:
•
monitor progress of the matters and
achievement of targets contained within
the Performance Agreement between the
Chief Executive and the Director-General
of NSW Health.
•
regularly review the performance of the
SSWAHS through the Annual Governance
Review process.
This statement reflects the corporate
governance arrangement in place with the
Sydney South West Area Health Service
(SSWAHS).
Sydney South West Area Health Service Statutory Annual Report 05/06
16
Clinical Governance
Clinical Governance Directions
Statement
Since its implementation in 2004, the NSW
Patient Safety and Clinical Quality Program
has continued to provide a framework for
clinical governance through which health
service staff are required to deliver safe,
quality care. The Clinical Governance Unit
(CGU) plays a pivotal role in the
implementation of the program by providing
support, education and direction for
improving safety and quality of care.
Program reporting
SSWAHS Clinical Governance program
performance reports were lodged with NSW
Health in June 2005. Clinical Governance
performance measures, due by June 2006,
were implemented.
Clinical Governance Unit 2005/06
The CGU continues to take a leadership
role in the provision of quality of care and
services to our consumers.
The key objectives of the CGU team under
the stewardship of the Director, Dr Peter
Kennedy, during 2005/06 were:
•
Implementation of the Incident
Information Management System (IIMS),
•
Providing education around incident
management (eg Clinical Incident
Management Skills (CIMS) and Safety
Improvement Program- (SIP –RCA
methodology)
•
Quality improvement (Clinical Practice
Improvement - CPI)
•
Complaints management
•
Developing and reviewing area-wide
policy and clinical guidelines
•
Providing advice/support for facilities
undergoing Australian Council on Health
Standards Evaluation and Quality
Improvement Program (ACHS EQuIP)
Accreditation surveys. It is pleasing to
note that all facilities continue to meet
EQuIP Accreditation standards.
Incident Information Management
The Incident Information Management
System (IIMS) was implemented in SSWAHS
in early 2005 as an initiative under the NSW
Patient Safety and Clinical Quality Program.
The aim of the system is to support health
care professionals in identifying, tracking and
managing clinical, workforce and corporate
incident information.
All staff members are potential users of IIMS.
A comprehensive training and education
program has been developed using elearning modules, cd, dvd, video, orientation
programs for new recruits and workshops.
More than 1,500 managers are official users
of IIMS and nearly 1,500 incidents are
reported each month. During this first year of
implementation, the focus of IIMS was to
encourage notification within the system.
Whilst the analysis of serious incidents
remains a priority, these account for less than
one per cent of all incidents reported.
A half-day education program (Clinical
Incident Management Skills) was introduced
in late 2005 to assist in management of less
serious incidents. Eight workshops have
been run by CGU staff (assisted by other
clinical staff) with 334 participants. This has
been well received and will be a continuing
part of the CGU education program.
Number of incidents notified by quarter
Jan Mar
2005
Apr Jun
2005
Jul Sep
2005
Oct-Dec
05
Jan Mar
2006
Apr Jun
2006
2,446
4,783
5,633
5,181
5,300
5,667
Sydney South West Area Health Service Statutory Annual Report 05/06
17
Clinical Governance
Professional Practice Unit and
patient complaints
The Professional Practice Unit (PPU) is
responsible for overseeing the management
of serious complaints within the area health
service. The PPU manager is the designated
senior complaints officer who is available to
members of the public and staff as required
and is directly responsible for ensuring that
appropriate action is taken to resolve serious
patient complaints.
The PPU currently consists of a manager and
an Area patient complaints officer who have a
combination of clinical, legal and mediation
skills. The PPU meets monthly with Patient
Liaison Officers from across the Area to
develop a standard best practice approach to
complaint handling. The PPU also works
closely with the Human Resource and
Development unit to facilitate education
around professional practice, code of conduct
and complaint handling.
Patient complaints are notified on IIMS at
both facility and area level and each facility
has a designated officer to manage
complaints. After hours, the Executive on
call is notified of serious complaint issues.
An Area Patient Rights and Responsibilities
pamphlet and Patient Rights Charter have
been developed, are available in the major
language categories and are readily visible
to patients in each facility.
An education program designed for the
frontline handling of complaints has been
developed as a two-hour workshop and is
being progressed across SSWAHS.
Root cause analysis / patient
safety program
As part of the patient safety program, Root
Cause Analysis (RCA) is the method used for
investigation of serious incidents within
SSWAHS.
This process enables a review of an incident
to identify its contributing factors and to
recommend actions to prevent a similar
occurrence. SSWAHS undertook 86 Root
Cause Analyses into serious clinical incidents
and many improvements to patient care have
been implemented as a result.
Staff must be trained in the RCA process
before they can lead an RCA investigation.
Four RCA training courses were run during
2005/06 for 97 participants. This training
continues.
Sydney South West Area Health Service Statutory Annual Report 05/06
18
Performance Indicators
To keep people healthy
More people adopt healthy lifestyles
Indicator
Baseline
Target
Result
Chronic disease risk factors – % of sampled
population (16 yrs +) reporting (baseline year for
assessing long term trend 1998)
• Alcohol risk drinking behaviour
• Smoking daily or occasionally
• Overweight or obese
• Physical activity adequate
• Fruit (recommended daily intake)
• Vegetables (recommended daily intake)
36.2
27.5
39.8
47.9
43.5
4.5
28.4
22.9
49.1
53.2
46.1
6.8
27.0
19.3
44.7
50.4
48.8
6.6
State
Result





32.2
20.1
49.8
51.9
51.1
7.5
Prevention and early detection of health problems
Indicator
Baseline
Target
Result
State
Result
People aged 65 years and over immunised
against:
• Influenza (%)
• Pneumococcal disease (% in last 5 years)
76
44
80
60
73
51
75
52
X
People aged 65 years and over immunised against Pneumococcal disease
Major factors impacting performance
Performance in this indicator has improved from 44 per cent to 51 per cent, a result similar to the
state average. The target of 60 per cent was not achieved due to the pneumococcal vaccination
program being a new program (commencing in January 2005), still in the early stages of
implementation.
Actions being taken to meet target
Educational activities amongst GPs, who provide 90 per cent of pneumococcal vaccinations are
underway.
Sydney South West Area Health Service Statutory Annual Report 05/06
19
Performance Indicators
To keep people healthy
Prevention and early detection of health problems
Indicator
Hospital separation rates for fall injuries in
people of 65 years and over (age standardised
rate per 100,000 population)
•
Males
•
Females
Aboriginal children (0 – 6 year) screened for
otitis media (%)
Baseline
Target
Result
State
Result
1,976
2,797
1,936
2,741
1,974
2,765
2,003
2,853
27
70
10
X
50
Aboriginal children (0 – 6 year) screened for otitis media
Major factors impacting performance
Staff vacancies, including the position of area-wide Otisis Media Coordinator have contributed to
the screening rates falling below target.
More recent data indicates that a result of 31 per cent has been achieved in this indicator.
Actions being taken to meet target
The program is a key priority of the new Area manager for Aboriginal health and the Aboriginal
health service generally. A senior manager, the deputy director for Aboriginal health has been
assigned the task of liaising closely with the Centre for Aboriginal Health to identify the best
strategies to improve the program. Additional funds will be allocated for the program.
An action plan targeting all aspects of the program has been developed. This includes working
more closely with the Tharawal and Redfern Aboriginal Medical Services (AMS), the recruitment of
a full time coordinator to oversee the program across the Area and more involvement in screening
by mainstream community health staff.
Sydney South West Area Health Service Statutory Annual Report 05/06
20
Performance Indicators
To keep people healthy
A healthy start to life
Indicator
Baseline
Target
Result
State
Result
Antenatal visits – % of confinements where first
visit was before 20 weeks gestation
70.1
83.0


•
Aboriginal women
58.1
59.0
61.0
•
Non-Aboriginal women
80.0
80.0
88.0
Births with birth weight less than 2,500g (%)
•
Aboriginal babies
11.2
11.0
8.5

12.9
•
Non-Aboriginal babies
6.2
6.2
6.7
X
6.2
Births with birth weight less than 2,500g (%) Non–Aboriginal babies
Major factors impacting performance
This result is slightly higher than the state average and is mainly due to year-to-year statistical
variation.
Indicator
Baseline
State
Result
Target
Result
>80
100

>80
61
X
Families First postnatal universal health home
visit (UHHV)
•
Families offered a visit (%)
•
Families receiving a visit within 2 weeks of
the birth (%)
Not
reported
Not
reported
Families receiving a home visit within two weeks of the birth
Major factors impacting performance
All families are offered a home visit with SSWAHS. However, only 61 per cent receive a home visit
within the first two weeks of the birth.
1,529 families declined a universal health home visit, representing 8.5 per cent of the total families
using the above figures.
3,384 families were unable to receive a home visit for a number of reasons including: they chose a
clinic visit instead; they were unable to be contacted; the baby was still in hospital. This represents
19 per cent of the total families using the above figures.
In the western zone of SSWAHS, an interpreter was required for 644 families, requiring an
extension of the two-week time frame. This represents 3.5 per cent of the total families using the
above figures.
Actions being taken to meet target
We have refined our statistical collection to be able to collect more accurate data on non access
and are currently recruiting positions to the program.
Sydney South West Area Health Service Statutory Annual Report 05/06
21
Performance Indicators
To keep people healthy
A healthy start to life
Indicator
Baseline
Target
Result
Infants fully immunised at 12 to less than 15
months (%)
90
94
89
State
Result
X
90
Infants fully immunised at 12 to less than 15 months
Major factors impacting performance
Performance in this indicator declined slightly from 90 percent to 89 per cent, a result similar to the
state average.
Actions being taken to meet target
As General Practitioners provide the vast majority of childhood immunisations, the Public Health
Unit is working with local Divisions of General Practice to improve both the provision of vaccines
and the reporting of their administration.
Sydney South West Area Health Service Statutory Annual Report 05/06
22
Performance Indicators
To provide the healthcare people need
Emergency care without delay
Indicator
Off-Stretcher time - % of cases where transfer
of care of the patient to the emergency
department was >= 30 minutes of Ambulance
arrival.
Baseline
Target
Result
41
10
29
State
Result
X
24
Off-Stretcher time
Major factors impacting performance
There was an increase of 7,346 ambulance presentations to SSWAHS Emergency Departments in
2005/06 compared to the previous year.
Despite this we managed to significantly improve on last year’s result, meeting the benchmark for a
further 12 per cent of cases. An additional 14,446 ambulance patients were processed within the 30
minute off-stretcher benchmark in 2005/06 compared to the previous year.
This was achieved through a number of initiatives:
•
The development of a fast-track system at Bankstown ED
•
Mental health beds at Rozelle opened for longer stay acute Campbelltown and Liverpool
patients and additional mental health beds opened at Liverpool and Campbelltown
•
A capital works expansion of the Liverpool ED
•
Implementation and utilisation of Ambulance Arrivals Boards in EDs
Actions being taken to meet target
Psychiatric Emergency Care and additional mental health beds will be opened at Campbelltown
and capital works will be completed at RPA.
A fast-track system is being implemented in all EDs in the Area following a successful pilot at
Bankstown. The fast track service involves separating ED patients into different categories and
allocating dedicated staff to those less complex patients so they can be treated faster.
The 3-2-1 system is being implemented at Liverpool, Fairfield and RPA hospitals, with further rollouts of solutions identified during Patient Flow Clinical Redesign Projects commencing at Concord
and Bankstown hospitals. The 3-2-1 process breaks down a patient’s journey through the ED,
identifying measurable time points for each part of the journey.
Sydney South West Area Health Service Statutory Annual Report 05/06
23
Performance Indicators
To provide the healthcare people need
Emergency care without delay
Indicator
Baseline
Target
Result
State
Result
Emergency Department triage times – Cases
treated within benchmark (ACEM benchmark)
times as a % of all cases:
100
83


75
58
X
61
65
70
67
87
70
85
•
Triage 1 (within 2 minutes)
100
100
100
•
Triage 2 (within 10 minutes)
78
80
•
Triage 3 (within 30 minutes)
56
•
Triage 4 (within 60 minutes)
•
Triage 5 (within 120 minutes)
80
66

86
Emergency Department triage times - Triage 3
Major factors impacting performance
There has been a major growth in this triage category in the last 12 months. SSWAHS hospitals
processed an additional 8,075 Triage 3 patients within the 30 minute benchmark in 2005/06
compared to 2004/05.
Improved data entry into the Emergency Department Information System has reflected a more
accurate commencement of care time.
Increased use of protocols for nurse commencement of care in EDs has led to improvements on
2004/05.
Actions being taken to meet target
Nurse training is being undertaken to further improve nurse commencement of care at Concord,
Liverpool and Canterbury.
The number of clinical nurse consultants and clinical nurse practitioner positions in EDs is
increasing.
A fast-track system is being implemented in all EDs in the Area.
An eight-bed Emergency Medical Unit will be opened at RPA ED and 23-hour interventional
cardiology beds will also be introduced at RPA.
An after-hours nurse unit manager position will be taken up at Campbelltown ED and mental health
beds will be opened at Campbelltown.
Sydney South West Area Health Service Statutory Annual Report 05/06
24
Performance Indicators
To provide the healthcare people need
Emergency care without delay
Indicator
Baseline
Target
Result
Access Block: % of Emergency Department
patients not admitted to an inpatient bed within
8 hrs of commencement of active treatment.
38
24
32
State
Result
X
25
Access Block
Major factors impacting performance
Presentations to EDs increased by 25,717 (10 per cent), with a corresponding growth in admissions
to wards of 5,582 (8 per cent) across SSWAHS in 2005/06 compared to the previous year.
An increase in mental health presentations to EDs requiring admission at Campbelltown and
Liverpool has also impacted on this category.
Patient flow clinical redesign programs at RPA and Liverpool have delivered significant change in
culture and practice, directing clinician focus towards improving both quality of care and efficiency
of patient flow processes.
The Clinical Redesign Program is a collaborative process of reviewing clinical services and
practices, in the context of changing environments, and redesigning these systems to better
respond to the needs of the community. Clinical Redesign Programs have a strong focus on the
patient journey and experience and on building organisational capacity through the development of
skills and management of knowledge.
Actions being taken to meet target
The Area’s hospitals processed an additional 7,472 admitted patients to wards within the Access
Block benchmark in 2005/06 compared to the previous year.
Transitional care and community-based options will increasingly become available to facilitate
discharge from acute hospital beds.
Clinical Redesign Programs will be used at Bankstown and Concord to review and redesign patient
flow, with a focus on increasing effectiveness of discharge planning.
New 64-slice CTs were purchased and are now in operation at Liverpool, RPA, Concord and
Campbelltown.
The development of local information technology solutions will help to better manage data on
admitted patients in EDs and transfer of care to acute wards.
Liverpool and Fairfield hospitals and Concord and Canterbury hospitals will combine patient flow
services to facilitate transfer of patients between the two hospitals, ensuring patients receive
appropriate clinical care.
Successful solutions have been identified through RPA and Liverpool Clinical Redesign Programs,
which will be implemented at other hospitals.
Surge beds have been used to cope with peaks in bed demand. Psychiatric Emergency Care
Centres and other mental health beds are being opened at Campbelltown and 14 additional mental
health beds have opened at Liverpool.
Sydney South West Area Health Service Statutory Annual Report 05/06
25
Performance Indicators
To provide the healthcare people need
Shorter waiting times for booked non-emergency care
Indicator
Number of medical and surgical ready for care
patients waiting >12 months, NSW Categories
1, 2, 7 & 8, (Commonwealth Category 1)
Number of medical and surgical patients waiting
> 30 days, NSW Categories 1& 2
(Commonwealth Category 3) (Total on waiting
list was 1,866)
Overall Length of Stay, including same day
admissions (days)
Weekend discharges for overnight emergency
medical patients (%)
Beds and Equivalents
State
Result
Baseline
Target
Result
1,959
0
0

1,118
0
452
X
4.59
4.54
4.14

4.24
14
28
15
X
17
3,706
3,827
3,866

Number of medical and surgical patients ready for care patients
Major factors impacting performance
By working hard to create more theatre time throughout the Area, the number of patients in this
category has been reduced by more than 59 per cent.
Actions being taken to meet target
Strategies identified in a Surgical Demand Clinical Redesign Program to create greater efficiency
for elective surgery will be implemented. These include enhancement of the day only and extended
day only model of care, improving theatre scheduling, proactive management of surgical patient
flow and development of an integrated operating plan for surgery.
Area Directors of Surgery will conduct clinical reviews of specific cases, patients will be transferred
to surgeons with shorter lists and integrated planning strategies will be developed to manage and
coordinate surgery activity across SSWAHS.
Weekend discharges for overnight emergency medical patients
Major factors impacting performance
Many nursing homes are not able to accept new referrals or residents back from hospital on
weekends.
Community/home care from contract providers to support discharged patients cannot be booked
during weekends.
Actions being taken to meet target
An area-wide aged care Clinical Redesign Program will improve seamless transfer of care to
community providers.
Sydney South West Area Health Service Statutory Annual Report 05/06
26
Performance Indicators
To provide the healthcare people need
Fair access to health services
Indicator
Baseline
Target
Result
State
Result
Mental Health - % need met:
• Ambulatory
• Overnight acute
• Non-Acute
48
80
26
53
83
36
49
91
19
57
79
46

X
Mental Health Need Met – Non-Acute
Major factors impacting performance
45 non-acute beds for older persons at Rozelle Hospital were transferred to the Holy Spirit Nursing
Home, Croydon in 2005/06. This reduced the mental health Clinical Care and Prevention based
target from 119 non-acute inpatient beds to 94 beds of which SSWAHS has 74 in place.
Actions being taken to meet target
A further 20 beds currently await commissioning at Campbelltown Hospital’s Sub-Acute Mental
Health Inpatient Unit. Once commissioned, those beds will bring SSWAHS up to target.
Sydney South West Area Health Service Statutory Annual Report 05/06
27
Performance Indicators
To deliver high quality health services
Consumers satisfied with all aspects of service provided
Indicator
Baseline
Target
Result
Proportion (%) of sampled population rating
their healthcare as “excellent”, “very good” or
“good” for:
• Hospital inpatient
• Emergency Department
92
75
>92
>75
91
74
State
Result
X
X
92
81
Proportion of sampled population rating their healthcare as ‘excellent, ‘very good’ or ‘good’
Major factors impacting performance
Hospital Inpatients
Increased throughput and changes to facility infrastructure and redevelopment may have impacted
performance in this area.
Emergency Department
Performance in this indicator was close to state average for inpatients and slightly less than the
state average for Emergency Departments.
Actions being taken to meet target
Patient flow Clinical Redesign Programs were completed at RPA and Liverpool hospitals, focusing
on improved clinical management of emergency department patients, resulting in improved access
block.
Patient flow Clinical Redesign Programs are also underway at Bankstown and Concord hospitals.
High Quality Clinical Treatment
Indicator
The rate (ACHS data) of unplanned:
• Readmission within 28 days of separation
(same hospital) (%)
• Readmission to ICU within 72 hours (%)
• Return to the operating room during the
same admission (%)
Overnight adult readmissions (mental health) to
the same acute unit within 28 days of previous
discharge (%)
State
Result
Baseline
Target
Result
3.06-4.64
<3.06
1.7
1.04-2.09
<1.04
1.52
0.95-1.11
<0.95
0.82

0.6
5
<=10
5

11
Sydney South West Area Health Service Statutory Annual Report 05/06

3.3
1.55
28
Performance Indicators
To deliver high quality health services
Care in the right setting
Indicator
Potentially avoidable hospital admissions (age
adjusted rate per 100,000 population) for:
• Vaccine Preventable Conditions (including
measles, pertussis & influenza)
• Acute Conditions (including dental
conditions, ENT and kidney infections)
• Chronic Conditions (including angina,
diabetes complications and COPD)
• Aboriginal persons
• Non-Aboriginal persons
State
Result
Baseline
Target
Result
65.4
65.1
49.5

63
712
<712
692

815
1,119
1,007
1,073
2,508
1,886
<2,508
<1,886
2,893
1,809
1,178
X

5,033
2,030
Potentially avoidable hospital admissions for Aboriginal Persons
Major factors impacting performance
Performance in this indicator was significantly better than the state result. An improved reporting of
Aboriginality may have impacted on this indicator.
Actions being taken to meet target
We will conduct in-service training for Aboriginal Health Workers to identify and record clients.
Collaborative strategies with community controlled AMS partners will continue to collect information
on those clients who were directed for care therefore potentially avoiding hospital admission.
The Aboriginal Chronic Diseases program will be expanded and additional staff will be employed.
Sydney South West Area Health Service Statutory Annual Report 05/06
29
Performance Indicators
To manage health services well
Sound resources and financial management
State
Result
Indicator
Baseline
Target
Result
Net cost of service – General Fund (General)
variance against budget (%)
NA *
0
-0.01
45
45
45

nil
nil
nil

-1.8
0
-4.0

* 2005/06 will be the first full year since the new Area
Health Services were established
Total general creditors profile monthly average
(days)
Creditors > 45 days at end of year ($000)
Major & Minor Works: Variance against
approved total capital allocation (%)
Skilled, motivated staff working in innovative environments
Indicator
*Proportion of total staff that are:
• Medical
• Nursing
• Allied
• Dental
Total number of SSWAHS staff
*As at June 2006
Number of Staff
2,510
10,546
1,713
385
22,813
Strong corporate and clinical governance
Indicator
Corporate Governance Statement
Clinical Governance Statement
Result
Non-quantitative
Refer to Corporate Governance Statement on
page 15
Non-quantitative
Refer to Clinical Governance Statement on
page 17
Key
Indicator
Result
Action required
X
Monitoring required
Target met or exceeded

Sydney South West Area Health Service Statutory Annual Report 05/06
30
Selected Activity Levels
Selected data for the year ended June 2006 part 1
* Data provided by NSW Health
Hospital name
Separations Planned as % of same Total bed
% of total
day
days
separations separation
Average
length of
stay
(acute)
8.6
Daily average of
inpatients
Balmain Hospital
2,093
0.48%
18.82%
24,624
Bankstown
Hospital
Bowral Hospital
29,018
40.08%
36.01%
138,672
8,629
23.88%
45.36%
23,127
2.6
63.4
Braeside Hospital
2,875
0.38%
65.74%
23,392
1.0
64.1
Camden Hospital
6,751
69.87%
82.46%
25,315
2.1
69.4
Campbelltown
Hospital
Canterbury
Hospital
Concord Hospital
23,898
13.87%
14.32%
99,490
16,577
23.39%
27.19%
60,604
3.3
166.0
41,233
69.25%
60.83%
149,109
3.3
408.5
Fairfield Hospital
16,664
22.81%
26.14%
61,633
3.7
168.9
Karitane
Mothercraft
Society
Liverpool
Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Institute
Rheumatology /
Orthopaedics
Rozelle Hospital
578
0.00%
4.15%
2,009
3.5
5.5
65,038
50.41%
55.65%
240,357
59,753
46.12%
42.81%
251,978
4.2
690.4
2,195
85.51%
22.32%
10,012
4.6
27.4
3,085
0.00%
2.82%
60,391
13.2
165.5
Thomas Walker
271
0.00%
0.37%
2,562
7.5
7.0
Tresillian Care
Centre
SSWAHS Total
2,407
0.00%
1.41%
11,180
4.6
30.6
281,065
42.76%
43.40%
1,184,455
3.9
3,245.1
Sydney South West Area Health Service Statutory Annual Report 05/06
4.5
4.2
3.6
67.5
379.9
272.6
658.5
31
Selected Activity Levels
Selected data for the year ended June 2006 part 2
* Data provided by NSW Health
Hospital name
Occupancy Acute bed
rate
days
Balmain Hospital
Bankstown
Hospital
Bowral Hospital
12,087
Acute
Nonovernight bed admitted
days
patient
services
11,700
135,989
ED
attendances
17,016
100%
127,403
116,953
394,147
33,823
76%
21,854
17,940
102,248
16,390
2
1
20,953
Braeside Hospital
Camden Hospital
89%
13,021
7,461
102,995
10,833
Campbelltown
Hospital
Canterbury
Hospital
Community Health
– Central Sydney
AHS
Concord Hospital
96%
98,726
95,323
298,420
39,490
91%
53,470
48,975
190,981
27,027
Department of
Forensic Medicine
Fairfield Hospital
Karitane
Mothercraft Society
Liverpool Hospital
Queen Victoria
(Thirlmere)
Royal Prince Alfred
Hospital
Royal Prince Alfred
Institute
Rheumatology /
Orthopaedics
Rozelle Hospital
336,518
107%
135,060
110,052
301,490
25,525
44,423
82%
100%
61,562
57,207
274,242
2,009
1,985
31,756
231,434
195,243
628,397
26,345
51,794
9,839
98%
251,626
226,048
663,911
57%
10,012
9,522
18,672
35,534
35,453
11,953
Scarba House –
Central Sydney
Unit
Scarba House –
South West Sydney
AHS
Sydney Dental
Hospital
Thomas Walker
Tresillian Care
Centre
Sydney South West
AHS Expenditure
SSWAHS Total
Expenses – all
program ($000)
49,960
3,073
4,617
188,657
1,371
1,371
7,800
11,180
11,146
58,362
310,783
96%
1,066,351
946,380
4,142,227
298,203
1,723,000
* See notes on page 33.
Sydney South West Area Health Service Statutory Annual Report 05/06
32
Selected Activity Levels
Bed and bed equivalents and bed occupancy, June 2006
Beds in emergency departments, delivery suites, operating theatres and recovery rooms are
excluded
* Data provided by NSW Health
June bed
Hospital name count – all
beds
Balmain Hospital
78
General
hospital units
Community
residential
Other units
Bed
equivalents
78
Bankstown
Hospital
Bowral Hospital
407
407
85
85
Braeside Hospital
72
72
Camden Hospital
83
83
Campbelltown
Hospital
Canterbury
Hospital
Carrington
Centennial
Nursing Home
Concord Hospital
306
306
190
190
417
417
Fairfield Hospital
218
218
Karitane
Mothercraft
Centre
Liverpool
Hospital
Mental Health
Group Homes Campbelltown
Mental Health
Group Homes Liverpool
Queen Victoria
(Thirlmere)
Royal Prince
Alfred Hospital
Royal Prince
Alfred Institute of
Rheumatology /
Orthopaedics
Rozelle Hospital
16
16
674
674
Thomas Walker
Hospital
Tresillian Family
Care Centres
SSWAHS Total
Nursing home
units
94
94
12
12
40
40
100
100
724
724
54
54
16
219
8
17
211
17
39
39
3,846
3,363
194
8
280
53
* See notes on page 34.
Sydney South West Area Health Service Statutory Annual Report 05/06
33
Selected Activity Levels
Bed and bed equivalents and bed occupancy, June 2006
Notes:
The numbers of available beds presented reflect the average for June 2005 and are not
comparable with information from previous years as these were based on average available beds
for a full financial year. Since March 2005, the bed information previously obtained from the
Department of Health Reporting System (DOHRS) was replaced by a new beds collection, which
provided more detailed information on bed type and availability. Owing to the limited period that the
new bed collection has been in place, it is not possible to provide an average number of beds for
the year.
Beds in emergency departments, delivery suites, operating theatres and recovery wards are
excluded.
A bed equivalent is the estimated additional bed capacity arising from services provided to reduce a
patient’s period of stay in hospital or from initiatives that provide alternatives to an admission to
hospital. The number of bed equivalents is not comparable with those in the 2003/04 Annual
Report, as these were derived based on admissions reclassified to non-inpatients. Data on such
activity are no longer collected.
Sydney South West Area Health Service Statutory Annual Report 05/06
34
Health Service Locations
Public Hospitals
Balmain Hospital
29 Booth Street
Balmain NSW 2041
Ph: (02) 9395 2111
Fax: (02) 9395 2020
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Concord Repatriation General Hospital
Hospital Road
Concord NSW 2139
Ph: (02) 9767 5000
Fax: (02) 9767 6991
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Bankstown Hospital
Eldridge Road
Bankstown NSW 2200
Ph: (02) 9722 8000
Fax: (02) 9722 8570
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Fairfield Hospital
Corner Polding Street and Prairievale Road
Prairiewood NSW 2176
Ph: (02) 9616 8111
Fax: (02) 9616 8240
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Bowral and District Hospital
Corner Mona Road and Bowral Street
Bowral NSW 2576
Ph: (02) 4861 0200
Fax: (02) 4861 4511
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Liverpool Hospital
Corner Elizabeth and Goulburn Streets
Liverpool NSW 2170
Ph: (02) 9828 3000
Fax: (02) 9828 6318
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Camden Hospital
Menangle Road
Camden NSW 2570
Ph: (02) 4634 3000
Fax: (02) 4654 6240
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Royal Prince Alfred Hospital
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 6111
Fax: (02) 9515 5001
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Campbelltown Hospital
Therry Road
Campbelltown NSW 2560
Ph: (02) 4634 3000
Fax: (02) 4634 3880
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Rozelle Hospital
Corner Church and Glover Streets
Leichhardt NSW 2040
Ph: (02) 9556 9100
Fax: (02) 9818 5712
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Canterbury Hospital
Canterbury Road
Campsie NSW 2194
Ph: (02) 9787 0000
Fax: (02) 9787 0031
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Sydney Dental Hospital
2 Chalmers Street
Surry Hills NSW 2010
Ph: (02) 9293 3200
Fax: (02) 9293 3488
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Sydney South West Area Health Service Statutory Annual Report 05/06
35
Health Service Locations
Third Schedule Facilities
Tresillian Family Care Centres
Head Office
McKenzie Street
Belmore NSW 2192
Ph: (02) 9787 0800
Fax: (02) 9787 0880
Email: [email protected]
Web: www.tresillian.net
Carrington Centennial Care
90 Werombi Road
Camden NSW 2570
Ph: (02) 4659 0590
Fax: (02) 4655 1984
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Braeside Hospital
340 Prairievale Road
Prairiewood NSW 2176
Ph: (02) 9616 8600
Fax: (02) 9616 8605
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Karitane
Corner The Horsley Drive and Mitchell Street
Carramar NSW 2163
Ph: (02) 9794 1800
Fax: (02) 9794 1858
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Queen Victoria Memorial Home
615 Thirlmere Way
Picton NSW 2571
Ph: (02) 4683 6900
Fax: (02) 4683 6910
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Other Services
Department of Forensic Medicine
42-50 Parramatta Road
Glebe NSW 2037
Ph: (02) 8584 7800
Fax: (02) 9552 1613
Email: [email protected]
Web: www.forensic.org.au
Sydney South West Pathology Services
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 7960
Fax: (02) 9515 7058
Email: [email protected]
Web: www.sswhealth.nsw.gov.au
Community Facilities - eastern zone
Community Health Services
Camperdown Child,
Adolescent and Family Health Service
Level 5, King George V Building
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 9788
Fax: (02) 9515 9789
Croydon Health Centre
24 Liverpool Road
Croydon NSW 2132
Ph: (02) 9378 1100
Fax: (02) 9378 1111
Croydon Child, Adolescent and Family Health
Service
Croydon Health Centre
24 Liverpool Road
Croydon NSW 2132
Ph: (02) 9378 1100
Canterbury Child, Adolescent and Family
Health Service
Canterbury Community Health Centre
Corner Thorncraft Parade and Canterbury
Road
Campsie NSW 2194
Ph: (02) 9787 0600
Canterbury Community Nursing Service
Canterbury Community Health Centre
Canterbury Hospital
Canterbury Road
Campsie NSW 2194
Ph: (02) 9787 0599
Canterbury Multicultural Youth Health Service
Canterbury Community Health Centre
Corner Thorncraft Parade and Canterbury Road
Campsie NSW 2194
Ph: (02) 9787 0600
Sydney South West Area Health Service Statutory Annual Report 05/06
36
Health Service Locations
Youthblock Health and Resource Service
142 Carillon Avenue
Camperdown NSW 2050
Ph: (02) 9516 2233
Croydon Community Nursing Service
24 Liverpool Road
Croydon NSW 2132
Ph: (02) 9378 1100
Community HIV/AIDS Allied Health
Redfern Community Health Centre
1 Albert Street
Redfern NSW 2016
Ph: (02) 9395 0444
Eastern and Central Sexual Assault Service
L5, King George V Building
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 9040
Community Nursing Service
Redfern Community Health Centre
1 Albert Street
Redfern NSW 2016
Ph: (02) 9395 0444
Community Nursing Service
Marrickville Health Centre
155-157 Livingstone Road
Marrickville NSW 2204
Ph: (02) 9562 0500
Mental Health Service
Redfern Community Health Centre
1 Albert Street
Redfern NSW 2016
Ph: (02) 9395 0444
Marrickville Child, Adolescent and Family
Health Service
Marrickville Health Centre
155-157 Livingstone Road
Marrickville NSW 2204
Ph: (02) 9562 0500
Community Nutrition
Level 6, King George V Building
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 9729
Community Paediatric Occupational Therapy
Services
Camperdown Child, Adolescent and Family
Health Services
Level 5, KGV
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 9788
Community Paediatric Physiotherapy
Services
Croydon Health Centre
24 Liverpool Road
Croydon NSW 2132
Ph: (02) 9378 1100
Concord Community Nursing Service
Concord Hospital
Hospital Road
Concord NSW 2137
Ph: (02) 9767 6199
Migrant Health Team
Redfern Community Health Centre
1 Albert Street
Redfern NSW 2016
Ph: (02) 9395 0444
Multicultural HIV/AIDS and Hepatitis C
Service
Level 1, Building 12
Corner Grose Street and Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 5030
Redfern Community Health Centre
1 Albert Street
Redfern NSW 2016
Ph: (02) 9395 0444
The Sanctuary
6 Mary Street,
Newtown NSW 2040
Ph: (02) 9519 6142
Sydney South West Area Health Service Statutory Annual Report 05/06
37
Health Service Locations
Early Childhood Health Services
Eastern Sector Centres
Balmain
530A Darling Street
Rozelle NSW 2039
Ph: (02) 9810 1609
Croydon
24 Liverpool Road
Croydon NSW 2132
Ph: (02) 9378 1156
Camperdown
Level 5, KGV
Missenden Road
Camperdown NSW 2050
Ph: (02) 9515 9944
Drummoyne
64 College Street
Drummoyne NSW 2047
Ph: (02) 9181 2619
Dulwich Hill
12 Seaview Street
Dulwich Hill NSW 2203
Ph: (02) 9560 2747
Glebe/Ultimo
Corner Pyrmont Bridge Road and Glebe
Point Road
Glebe NSW 2037
Ph: (02) 9660 3451
Leichhardt
Piazza level, Italian Forum
23 Norton Street
Leichhardt NSW 2040
Ph: (02) 9560 5604
Five Dock
Corner Park Road and First Avenue
Five Dock NSW 2046
Ph: (02) 9713 6140
Homebush
A2 Fraser Street
Homebush NSW 2140
Ph: (02) 9746 7763
Summer Hill Community Centre
131 Smith Street
Summer Hill NSW 2130
Ph: (02) 9716 1853
Canterbury Sector Centres
Marrickville Health Centre
155-157 Livingstone Road
Marrickville NSW 2204
Ph: (02) 9562 0444
Belmore Senior Citizens Hall
Redman Parade
Belmore NSW 2192
Ph: (02) 9718 0157
Redfern
Corner Elizabeth and Redfern Streets
Redfern NSW 2016
Ph: (02) 9698 1613
Campsie
143 Beamish Street
Campsie NSW 2194
Ph: (02) 9718 3177
Western Sector Centres
Ashfield
260 Liverpool Road
Ashfield NSW 2131
Ph: (02) 9716 1853
Concord
57A Wellbank Street
Concord NSW 2137
Ph: (02) 9743 1654
Earlwood
Corner Homer and William Streets
Earlwood NSW 2206
Ph: (02) 9718 4847
Lakemba
35 Croydon Street
Lakemba NSW 2195
Ph: (02) 9759 2034
Roselands
L94, Level 1 Roselands Shopping Centre
Roselands NSW 2196
Ph: (02) 9750 7452
Sydney South West Area Health Service Statutory Annual Report 05/06
38
Health Service Locations
Community Facilities western zone
Fairfield LGA
Prairiewood Community Health Centre
Fairfield Hospital ground
Corner Polding Street and Prairie Vale Road
Prairiewood NSW 2176
Ph: (02) 9616 8169
Cabramatta Community Health Centre
7 Levuka Street
Cabramatta NSW 2166
Ph: (02) 8717 4000
Fairfield Community Health Centre
53-65 Mitchell Street
Carramar NSW 2163
Ph: (02) 9794 1700
Bankstown LGA
Bankstown Community Health Centre
36-38 Raymond Street
Bankstown NSW 2200
Ph: (02) 9780 2777
Primary Health Nursing
Level 2, 27 Greenfield Parade
Bankstown NSW 2200
Ph: (02) 9205 4221
Macarthur LGA
Ingleburn Community Health Centre
59A Cumberland Road
Ingleburn NSW 2565
Ph: (02) 9605 8900
Liverpool LGA
Moorebank Community Health Centre
29 Stockton Avenue
Moorebank NSW 2170
Ph: (02) 9602 6419
Hoxton Park Community Health Centre
596 Hoxton Park Road
Hoxton Park NSW 2171
Ph: (02) 9827 2222
Miller Health Centre
Mission Australia
88 Shropshire Street
Miller NSW 2168
Ph: (02) 9607 8429
Health Services Building
Corner Campbell and Goulburn Street
Liverpool NSW 2170
Ph: (02) 9828 4844
Narellan Community Health Centre
14 Queen Street
Narellan NSW 2567
Ph: (02) 4640 3500
Rosemeadow Community Health Centre
5 Thomas Rose Drive
Rosemeadow NSW 2560
Ph: (02) 4633 4100
Wollondilly Community Health Centre
5-9 Harper Close
Tahmoor NSW 2573
Ph: (02) 4683 6000
Traxside
Langdon Avenue
Campbelltown NSW 2560
Ph: (02) 4625 2525
Wingecarribee LGA
Bowral Community Health Centre
Bendooley Place
Bowral NSW 2576
Ph: (02) 4861 8000
Sydney South West Area Health Service Statutory Annual Report 05/06
39
Area Healthcare Service Planning
All Area Health Services are required to
develop an Area Healthcare Services Plan
(AHSP). SSWAHS has developed a draft
AHSP 2006-2016 which identifies the needs
and priorities for the delivery of health
services in the Area to 2016 and more
broadly to 2021. The first draft was
submitted to NSW Health on 1 November
for comment. The Plan is due for completion
in October 2006.
This was the first major service planning
exercise conducted for the newly formed
SSWAHS. Recognising that service plans
had been completed prior to the
amalgamation, (The Way Forward 20042008, for the former South Western Sydney
Area Health Service and the Central Sydney
Area Health Service Resource Transition
Program), it was agreed with NSW Health
that the planning horizon should be
extended to 2016, to enable formulation of a
strategic view of services which would also
inform the first Asset plan for SSWAHS.
The SSWAHS AHSP outlines the full range
of services provided, demographic and
socioeconomic implications, current and
future priorities for prevention, early
intervention and service delivery.
The plan recognises the need to develop a
network of services across the Area to
strengthen service delivery. This is
considered a high priority, as it enables the
Area to provide high quality, cost effective
and accessible services to the large and
growing SSWAHS community.
Underpinning the Plan was the development
of future service models to meet the needs
of a projected population to 2016. A total of
16 planning groups (involving over 300
people) met over a four month period to
consider the implications of the projected
population growth for the Area. Clinician led,
these groups included nurses, allied health
and community participants. The models
developed have provided additional depth
by identifying within each specialty and
service group their key service priorities and
other issues, such as technological
developments, which will impact on service
delivery over the coming decade.
Other major areas for which planning
processes have commenced in 2006 include
Liverpool Hospital Clinical Services; Obesity
Prevention and Management; Disability
Services; Maternity Services; and
Community Health Services.
The models of care and activity projections
in the final AHSP will also be utilised by
Workforce Planning and Development to
inform future staffing needs.
Sydney South West Area Health Service Statutory Annual Report 05/06
40
Overview of Major Facilities
Balmain Hospital
A/General Manager Ann Kelly
Category of facility and major
services provided
Balmain Hospital and its community based
services continued to provide an important
aged care and rehabilitation role in SSWAHS
eastern zone.
The General Practice Casualty provides
treatment for the health needs of residents in
the local area. The Strength Training
Rehabilitation Outreach Needs Geriatric
(STRONG) Clinic has treated over 2,000
patients between the ages of 30 to 100. Over
500 general practitioners refer patients to the
centre. Clients attending the clinic have
experienced improvements in strength,
balance and endurance.
The hospital also provides clinics in diabetes,
continence, homoeopathy and acupuncture.
These services continue to cater for patients
and clients from culturally and linguistically
diverse backgrounds.
Summary of activity
Balmain Hospital has a total of 78 beds with
an 88 per cent occupancy rate. Total bed
days numbered 24,624 and there were 1,774
admissions. Day only admissions numbered
391 and occasions of service 25,636. There
were 181.2 full time equivalent staff.
Major goals and outcomes
During October, the Australian Council on
Healthcare Standards conducted an
organisational wide EQUIP accreditation
survey at Balmain Hospital and Camperdown
General Geriatric and Rehab Medicine
Community. Accreditation was achieved with
positive Health Service outcomes.
An Acupuncture Clinic in conjunction with the
Masters of Medical Acupuncture commenced in
June and has been very successful in the first
month of operation. Attendances and outcomes
for this clinic will continue to be monitored.
Key issues and events
Refurbishment is taking place in Morts Dock
Ward. The STRONG Clinic will relocate to this
area and a 14 bed Transition Care Unit will open
in August 2006.
Future direction with the
Area network
Balmain Hospital and its community based
services will continue to provide care for elderly
patients and those requiring rehabilitation
services including culturally and linguistically
diverse patients and clients.
Sydney South West Area Health Service Statutory Annual Report 05/06
41
Overview of Major Facilities
Bankstown Hospital
General Manager Glenda Cleaver
Category of facility and major
services provided
•
Bankstown Hospital is a principal referral
hospital which provides acute services such
as emergency medicine, maternity, generalist
and specialist surgery, general and specialist
medicine, day surgery, outpatients and
neonatology as well as a range of specialist
outpatient services.
Key issues and events
Summary of activity
The hospital treated over 28,000 patients and
provided over 390,000 non-admitted patient
occasions of service during the year. There
were almost 34,000 attendances at the
Emergency Department and 1,893 babies
born.
Major goals and outcomes
•
The hospital achieved a four-year
accreditation in the Australian Council on
Healthcare Standards organisation-wide
survey in March 2006.
•
The Fast Track initiative was
implemented, shortening waiting times for
ED patients and initiatives were
introduced to reduce the number of
patients waiting more than 12 months for
surgery to zero. This target was achieved
in June 2006.
•
An additional 12 beds were opened as
part of the State Government’s
commitment to improving patient access
to services. Renal Dialysis relocations
created two additional chairs and The
Way Forward funding allowed an
additional ICU bed and staffing
enhancements in the unit.
•
An existing building is being refurbished
to accommodate the recently recruited
Professor of Medicine and his research
team in a new Research Centre.
•
Surgical service enhancements include
funding for additional colorectal surgery and
upper gastrointestinal endoscopy sessions.
Complex gastrointestinal and colorectal
surgical patients from Fairfield Hospital
are being transferred to Bankstown.
•
Consultations with staff, carers and
consumers commenced in order to
restructure the provision of Bankstown
Mental Health Services.
•
The Diabetes Centre held a 20 Year
Celebration on 10 February.
•
The Child and Family Health Nurse of the
Year title was awarded to Bankstown
nurse, Brenda Peffer.
•
The Arts for Health Program participated
in the Dads for Dads project, establishing
a dedicated exhibition space to display
art celebrating the role of fathers. The Art
of Ageing, another Arts for Health
Program involving 150 older people,
created writings, drawings and
photographs, which were shown in the
hospital’s Arts for Health galleries.
•
Bankstown Hospital has won the
opportunity to host the 2006 InterHospital Mini-Olympic Games.
Future direction within the
Area network
The Intensive Care Unit network
arrangements with Fairfield Hospital will
continue to be strengthened and plans to
expand upper gastrointestinal surgery within
the Hospital will be explored.
Bankstown Hospital will continue to build
services to meet the health needs of the local
population and to implement initiatives arising
from The Way Forward – the clinical services
plan for the former South Western Sydney
Health Network, prior to amalgamation.
Sydney South West Area Health Service Statutory Annual Report 05/06
42
Overview of Major Facilities
Bowral and District Hospital
General Manager Denis Thomas
Category of facility and major
services provided
Bowral and District Hospital continues to
provide a wide range of services, including
general medical, obstetrics and gynaecology,
paediatric, surgical, orthopaedics,
ophthalmology and emergency services.
•
Dr Peter Noonan was appointed as
Medical Director of the Emergency
Department.
•
Seven overseas nurses (one from
Indonesia and six from India), were
recruited. Two clinical nurse educator
positions were established, one for
medical surgical and one for critical care.
An Admissions Nurse and GP Liaison
Nurse have been established on the
general medical-surgical ward.
•
The General Manager and Director of
Clinical and Support Services positions
were filled with permanent appointments
(Mr Denis Thomas and Mr David Ryan
respectively). The annual Health Awards
event was again well attended, with the
Centenary Scholarship being awarded to
Ms Karyn Thomas, to assist in her pursuit
of a Bachelor of Nursing degree.
Summary of activity
•
Admissions to the hospital were 0.74 per
cent above target, up 1.88 per cent on the
previous year. Non-admitted patient services
were 0.07 per cent above target, 0.20per
cent above the previous year.
•
Long wait lists were reduced to zero, as
theatre activity increased to 2,601 cases, up
by 4.88 per cent on the previous year.
•
63 per cent of patients were admitted for
same day surgery, 5.33 per cent above
target.
•
There were 674 babies born, a decrease of
3.16 per cent on the previous year.
•
Admissions via the Emergency Department
were up 1.26 per cent.
Major goals and outcomes
The removal of asbestos across the site has
been completed. New pre-admission clinic
facilities have been established, and a
number of fire safety issues addressed.
Much attention has been given to preparation
for the EQuIP Accreditation Survey that will
take place in October 2006.
Key issues and events
•
•
Following the appointment of a full-time
Staff Specialist in Obstetrics and
Gynaecology, antenatal (including
midwife only) and gynaecology clinics
have been established in Bowral and
Tahmoor.
Paediatricians, Dr Richard Hart and Dr
Nils Hanson, increased their hours to fulltime and 0.7fte staff specialist
respectively, and moved into new
consulting rooms on site. The position of
VMO Geriatrician was created and is
currently being recruited.
Future direction within the
Area network
Plans have been developed for the
refurbishment of the Children’s Ward and
relocation of the Short Stay Unit. Work is
currently being finalised on the establishment
of a new Renal Dialysis Service.
Community participation remains a high
priority, with eight community members
providing valuable input into key committees
such as the Clinical Advisory and Sector
Executive Committees.
Both the Australian Council of Health Care
Standards EQUiP accreditation survey and
the Numerical Profile audit will be conducted
during October 2006.
The Falls Prevention working party activity
is continuing. A comprehensive falls risk
assessment sheet is being developed to
replace the current version and further
strategies are currently being fine-tuned.
Sydney South West Area Health Service Statutory Annual Report 05/06
43
Overview of Major Facilities
Camden and Campbelltown Hospitals and
Queen Victoria Memorial Home
General Manager Amanda Larkin
Category of hospital and major
services provided
Campbelltown Hospital, a major metropolitan
hospital with 306 beds, and Camden Hospital,
a district hospital with 83 beds, operate under
a common executive management structure
and have networked services.
Camden and Campbelltown hospitals provide
a diverse range of services including intensive
care, cardiology, maternity, gynaecology,
paediatrics, palliative care, respiratory and
stroke medicine, surgery and emergency
medicine and broad aged care services.
Camden and Campbelltown hospitals also
administer the Queen Victoria Memorial
Nursing Home which is licensed for 100 beds.
Summary of business activity
In the past year, 39,490 people presented to
the Campbelltown ED with 10,978 admissions
and 10,833 people presented to Camden ED.
The occupancy rate was 96 per cent at
Campbelltown and 89 per cent at Camden.
Non-admitted patient services extended to
298,420 people in Campbelltown and 102,995
in Camden. There were 2,418 babies born.
Total theatre procedures were 4,845 at
Campbelltown and 4,395 at Camden
Activity at Camden and Campbelltown
hospitals continued to grow with a 2.09 per
cent increase in admissions and 13 per cent
increase in emergency presentations.
Major goals and outcomes
2005/06 saw significant developments with the
completion of the Macarthur Strategy; the
opening of the stroke ward, cardiology and allied
health and paediatric outpatient areas. Other
capital works included the redevelopment of the
renal unit to accommodate four additional chairs,
a restructure of the ED reception area and
completion of the Mental Health Sub-Acute Unit.
Another achievement was the attainment of MA
ratings in all mandatory criteria for the ACHS
Periodic Survey. Further, a second linear
accelerator and planning CT were installed in
the Macarthur Cancer Therapy Centre.
The hospitals continued to work closely with
the Macarthur Community Council and there
was community representation on all hospital
Level 1 Committees.
There were 27 new beds opened at
Campbelltown Hospital, enhancing the hospital’s
ability to manage an increasing workload. An
important achievement was the commencement
of the Camden Midwifery Group Practice in
March, which provides women in the Camden
area with continuity of midwifery care throughout
their pregnancy, birth and post-natal period. The
service is booking between 25-30 patients per
month. Additionally, the medical ward at
Camden Hospital was transferred to the Aged
Care and Rehabilitation Service and formally
established as the Medical Transit Unit. The
Unit assists patients with their transfer home or
to other residential services and also provides
some rehabilitation.
Key issues and events
Additional ED specialists commenced working
between Liverpool and Campbelltown
hospitals, providing essential specialist cover
in the fast-growing Campbelltown ED. An
important development has been the planning
for the University of Western Sydney (UWS)
Medical School due to commence in March
2007. Significant work has been undertaken
with the engagement of clinical staff as tutors
and teachers and preparation of plans for a
Clinical School on the Campbelltown Hospital
site. Professor Brad Frankum has been
named the Inaugural Clinical Dean of the
School and Professor of Clinical Education.
Future direction within the
Area network
The further development of the UWS Medical
School and appointment of senior
professorial staff will be a major focus over
the next twelve months.
Other important future initiatives include the
implementation of the Campbelltown
Midwifery Group Practice, opening of the
Sub-Acute Mental Health Facility, and further
appointments of staff specialists. This will be
an exciting time for Campbelltown Hospital as
it moves towards teaching facility status.
Sydney South West Area Health Service Statutory Annual Report 05/06
44
Overview of Major Facilities
Canterbury Hospital
General Manager Gary Miller
Category of facility and major
services provided
Canterbury Hospital is a major metropolitan
general hospital. It serves a diverse
population of more than 135,000 people with
more than 57 per cent born overseas.
Services provided by the hospital include
general surgery and medicine, obstetrics and
gynaecology, paediatrics, aged care,
rehabilitation and palliative care.
The hospital continued to reduce the
waiting times for elective surgery with no
patients waiting more than 12 months for
their operation.
Key issues and events
•
Maternity Unit was filmed in the
hospital’s maternity unit where 80 per
cent of the mothers-to-be are born
outside Australia. The film showed how
hospital staff cater to the cultural
diversity of the community and will
screen on SBS Television.
•
The Annual Foundation Ball was held
in October at the Canterbury Hurlstone
Park RSL, raising $50,000 for operating
theatre equipment.
Summary of activity
Canterbury Hospital has a total of 190 beds
with a 91 per cent occupancy rate. Total bed
days numbered 60,604 with a daily average
of 166 inpatients. There were 27,027 ED
attendances and 190,981 non-admitted
patient occasions of service.
Major goals and outcomes
The hospital continued to implement
strategies to further reduce blockages in
the patient’s journey through the
Emergency Department, patient wards and
on to discharge with the opening of a
further eight beds in July. This has resulted
in a 20 per cent reduction in the number of
patients waiting more than eight hours for a
ward bed for the second year running.
Future direction within the
Area network
The hospital will continue to build on the
initiatives arising from the sustainable
access program by improving treatment
times for patients in the Emergency
Department.
Services in the ED were enhanced with the
commencement of a Nurse Practitioner to
assess and treat patients presenting with
less complex problems.
Sydney South West Area Health Service Statutory Annual Report 05/06
45
Overview of Major Facilities
Community Health
General Manager Associate Professor Peter Sainsbury
Category of facility and major
services provided
Community Health provides a range of
community-based prevention, early
intervention, assessment, treatment, health
maintenance, and continuing care services
to improve or maintain the health and wellbeing of individuals and communities. These
services are provided from 144 community
health centres throughout SSWAHS, and in
schools, homes and workplaces.
•
Formal reviews have begun the creation of
area-wide services for Sexual Health,
Sexual Assault, Child Protection, Women’s
Health, Multicultural Health and Youth
Health.
Primary/Community Health Nurses provide
acute nursing care and chronic disease
management to people in the local community.
Following the birth of a child, a home visit by
a nurse who provides parenting support and
an introduction to available health services is
offered to the family. 19,273 families were
offered this service and 16,886 received a
home visit.
Extensive consultation is presently being
undertaken to develop the final
organisational structure and the strategic
plan for 2007 to 2012.
•
The construction of Marrickville Health
Centre was completed and plans for
commissioning developed. An audit of all
Community Health owned buildings was
undertaken to assess safety, access,
storage, working conditions and building
works required.
Summary of activity
There are 795 full time equivalent staff
employed in Community Health providing a
range of services across SSWAHS. During
05/06 Community Health provided 649,091
individual occasions of service and 11,208
group occasions of service.
Major goals and outcomes
New nursing clinics providing wound
management, continence services and
postoperative care have been established at
Croydon and Campbelltown Health Centres.
Primary/Community Nurses in Macarthur are
participating in a statewide project to achieve
improved wound management outcomes.
Community Health HIV services completed a
project with older clients identifying their
future health service needs and the
importance of health promotion activities to
reduce their risk of heart disease.
Key issues and events
•
Future direction within the
Area network
A permanent Community Health
organisational structure will be established in
the coming year. Physical facilities will
continue to be upgraded as the
recommendations from the Community
Health building audit are implemented.
The Community Health strategic plan will be
completed and implementation begun.
Community Health planning will focus on
delivering services which:
• Respond to community need
• Are evidence based (or evaluated)
• Are delivered in accordance with
current best practice
• Demonstrate that clients are better off
• Deliver value for money
• Are delivered equitably across
SSWAHS
Community Health was established as an
area-wide facility in SSWAHS in March
and an interim organisational structure
has been established.
Sydney South West Area Health Service Statutory Annual Report 05/06
46
Overview of Major Facilities
Concord Repatriation General Hospital
General Manager Danny O’Connor
Category of facility and major
services provided
Concord Repatriation General Hospital
(CRGH) is a principal referral facility and a
teaching hospital of the University of Sydney.
It offers a comprehensive range of specialty
and sub-specialty inpatient and outpatient
services.
CRGH leads NSW response in Adult Burns
Trauma and the unit is acknowledged
internationally. Research at CRGH has a
primary theme of ageing, with excellence in
men’s health, bone disease and genetic
aspects of neuro-degenerative disorders. An
important feature of the research at CRGH is
the multidisciplinary nature of many of the
studies.
The international profile of the Burns Unit
continues to increase, with Concord clinicians
invited to provide assistance and education in
Vietnam and South Africa.
Key issues and events
•
The Aged Care and Rehabilitation
Precinct opened in December. This
precinct is a consolidation of research,
inpatient and ambulatory care facilities to
enhance the continuum of care for elderly
patients.
•
The new Cancer Pharmacology
Research Laboratories opened in March.
Their focus is on research to develop
more predictable and effective cancer
treatments while increasing quality of life
for cancer patients.
•
Newly improved mutation scanning
technology, called High Resolution Melt
Analysis, was introduced for the
identification of gene mutations which
cause nerve degeneration. This
technology, located in the Northcott
Neuroscience lab, is the first of its kind to
be used in a research laboratory.
•
An additional ICU bed and two HDU beds
were opened.
Summary of activity
CRGH has 417 beds with total bed days
numbering 149,109 and an average length of
stay of 3.3 days. During the year there were
41,233 separations, 25,525 ED attendances,
10,044 theatre operations and 301,490 nonadmitted patient occasions of service.
Major research focuses at CRGH include
ageing (with a focus on cardiovascular
disease, respiratory disease and the ageing
liver), men’s health, bone biology, burns
treatment, cancer pharmacology, liver
diseases and neurodegenerative disorders.
Research is multi-disciplinary and ranges from
direct patient care to laboratory-based molecular
and genetic determinants of disease. Research
activity in 2005/06 has increased by 20 per cent
over the previous year.
Major goals and outcomes
The number of patients waiting over 12
months for surgery was decreased from 179 in
June 2005 to zero in June 2006. No surgical
cases were cancelled during this period due to
the non-availability of a ward bed.
Future direction within the
Area network
Construction of the $6.9 million Asbestos
Diseases Research Centre was announced in
March 2006. This important new resource will
greatly enhance the quality and coordination
of care for asbestos-related diseases and
provide world-class facilities for research.
A five-year Operating Theatres Capital Works
Project to maximise utilisation and improve patient
flow was announced. Stage One will commence
in December 2006 with the construction of two
new digital operating theatres.
The Burns Operating Theatres were
commissioned in December. The
quarantining of these theatres reduces the
likelihood of infection amongst burns patients.
Sydney South West Area Health Service Statutory Annual Report 05/06
47
Overview of Major Facilities
Department of Forensic Medicine
General Manager Mark Patterson
Category of facility and major
services provided
The Department of Forensic Medicine
(DOFM) offers a high quality service based
on consumer needs. It provides forensic
medicine services to the NSW State Coroner
and Statewide support for forensic medicine
practitioners in all areas of autopsy-based
and clinical forensic medicine.
DOFM aims to provide a prompt and efficient
response to all who may require assistance
and is the premier forensic medicine
educational body for undergraduate and
postgraduate students in NSW. Its expertise
includes disaster investigations, in particular,
Disaster Victim Identification. DOFM
expertise also includes aviation medicine,
bereavement counselling, medical
investigation of crime scenes, pre-trial and
trial advice, provision of second opinions and
presentation at medico-legal seminars.
Summary of activity
With a full-time staff equivalent of 44, DOFM had
total admissions (bodies received) of 2034. 1514
post mortem examinations were carried out, 88
of which were high risk autopsies.
Major goals and outcomes
DOFM underwent National Association of
Testing Authority Accreditation assessment in
October 2005 (ISO 15189). The result was a
full three year accreditation.
Despite a well-documented worldwide
shortage of qualified, experienced Forensic
Pathologists, DOFM successfully recruited
two overseas trained Forensic Pathologists
under the NSW DoH Area of Need Program.
Dr Paul Morrow, from Vermont, USA
commenced in August and Dr Matthew Orde,
from Brighton UK commenced in October.
Consequently, outstanding post mortem
report numbers dropped substantially in the
second half of the reporting period.
The NSW Bone Bank began accessing bone
donations through DOFM following appropriate
approvals from all necessary parties. Strict
adherence to the provisions of the Human
Tissue Act is maintained, with next-of-kin
consent essential for any retrieval to take place.
Key issues and events
DOFM staff continued to provide expert
assistance to outside organisations. DOFM staff
were seconded to the Australian Federal Police
to undertake DVI procedures in Indonesia,
including Bali, Jakarta and Irian Jaya.
DOFM representatives continue to serve on
the Forensic Pathology Services Committee
of the NSW Department of Health.
DOFM’s body donation program has been
suspended due to lack of interest from
researchers to access donated bodies for
medical or scientific purposes.
Future direction within the
Area network
Department of Forensic Medicine staff will
continue to provide high-level advice to the NSW
Department of Health on the optimum structures
and arrangements for forensic pathology
services to support the NSW coronial system.
DOFM will develop recommendations and plans
for the realignment or redevelopment of current
services and will consider and advise on:
• Numbers and types of coronial
autopsies/investigations, referral patterns
across the state, demand management
and workload issues
• Resource, capital, infrastructure and
funding issues
• Short and longer term strategies to
address critical workforce shortages and
to address the appointment, training,
accreditation and remuneration of
specialist and non-specialist staff
• Needs and expectations of the coronial
justice system including quality of service
and standard turnaround times
• Needs and expectations of the
community, eg turnaround times until
release for burial, cultural and spiritual
considerations
• Availability of relevant clinical guidelines,
standards and policies and development
of standardised protocols, as appropriate.
Sydney South West Area Health Service Statutory Annual Report 05/06
48
Overview of Major Facilities
Fairfield Hospital
General Manager Mark Shepherd
Category of facility and major
services provided
Fairfield Hospital is a 218-bed major
metropolitan acute general hospital offering a
wide range of services in medicine, surgery,
obstetrics, paediatrics and emergency
medicine and a range of community based
services. The Whitlam Joint Replacement
Centre is located at Fairfield Hospital and
provides elective orthopaedic services for the
Liverpool-Fairfield and Macarthur
communities.
Summary of activity
There were approximately 26,000
presentations in the Emergency Department,
an increase of 1 per cent from the previous
year. Waiting times for patients in the
department were significantly reduced as a
result of the introduction of several strategies.
Total bed days numbered 61,633 and the
occupancy rate was 82 per cent.
There has been a 10 per cent increase in the
number of births from last year.
Major goals and outcomes
Echocardiography commenced after
purchase of the machine, resulting in
enhanced diagnostics and improved
management for patients with heart disease.
The introduction of mobile cardiac monitoring
within the Medical Ward has resulted in
earlier detection and improved treatment for
patients with cardiac disease.
The introduction of improved pre-operative
surgical assessments has resulted in
enhanced management of surgical patients
with pre-existing medical conditions, reducing
the risks associated with undergoing
anaesthesia. As a consequence of a 14 per
cent increase in the number of surgical
cases, there were no patients waiting longer
than 12 months for surgery at the end of the
last financial year.
A newly purchased ultrasound machine and
increased staffing now allows pregnant
clients to have their routine ultrasound done
in-house.
In recognition for the substantial work
undertaken and the contribution to medical
teaching in joint replacement surgery, the
University of New South Wales has invited
Fairfield Hospital to become one of its
affiliated teaching hospitals. Joint
replacement surgery increased by 27 per
cent in the last financial year.
Key issues and events
Fairfield Hospital’s commitment to quality and
its endeavour to achieve excellence has been
recognised by the Australian Council for
Healthcare Standards (ACHS) by the
awarding of a four-year accreditation
following an organisation wide survey.
The following Fairfield Hospital projects won
quality award competitions: Restrictive Blood
Transfusion project won both the Baxter and
the ACHS Quality Award; the Nursing Home
Education Project and Recruitment of
Physiotherapists both won the Viewers
Choice category in the Baxter Awards.
Future direction within the
Area network
Major priorities for Fairfield Hospital over the
next 12 months are: the ongoing networking
and enhancement of orthopaedic and cardiac
services; introducing further efficiencies in the
Operating Theatre to enhance surgical
services and increase surgical throughput;
and establishing models of care for stroke
management and cardiology services.
Sydney South West Area Health Service Statutory Annual Report 05/06
49
Overview of Major Facilities
Karitane
Chairman Board of Directors Professor Bryanne Barnett
Executive Manager Mr Robert Mills
Category of facility and major
services provided
Karitane, an affiliated health organisation
staffed by child and family health professionals
is a Third Schedule hospital under the Health
Services Act. It operates from four sites: the
Carramar Administration Centre, which
incorporates Education and Research, the
Residential Unit and the Volunteer Program;
Jade House at Fairfield Heights, which houses
the perinatal mood and anxiety disorders unit;
and two Family Care Centres at Liverpool and
Randwick.
Karitane’s philosophy is to empower families
by enhancing parenting knowledge, skills and
confidence both antenatally and with children
up to five years of age, allowing clients to
make a successful adjustment to parenthood.
There is a strong focus on research activities.
Summary of activity
836 families received support through our
Family Care Centres and 495 families were
admitted to the Residential Family Care Unit.
The 24-hour Karitane Careline received
19,683 calls. Karitane Volunteer Programs
had 101 volunteers supporting 779 families
with home visiting, playgroups and maternity
hospital visits throughout the year. Jade
House recorded 3876 client contacts and 156
new referrals.
Major goals and outcomes
The Karitane Residential Family Care Unit
Outcomes Research Study has demonstrated
improved child and maternal mental health
outcomes for families attending the service.
The results of this study have been presented
at both national and international conferences.
Karitane has consulted and collaborated on
many projects throughout 2005/06 including
the Juvenile Justice Mother and Children’s
Project. Karitane has been actively involved in
the development of the NSW Health Child and
Family Health Nursing Practice Standards
Framework and is represented on the NSW
Health Children and Young People’s Health
Priority Taskforce.
Key issues and events
•
Karitane held its biannual conference in April
with the theme STEPS – Little steps, Big
progress focusing on the crucial early years of
a child’s life.
•
Karitane Liverpool Family Care Centre
won the Consumer Involvement category
of the 2005 AHA Baxter Healthcare
National Innovation Awards for the
Women as Mothers program.
•
A number of innovative programs to
provide outreach education services were
implemented including the Karitane
Evening Parenting Education seminars
and the Karitane Rural Professional
Education Service. Demand across NSW
has been high for the specialised training
workshops provided for professionals
supporting families with toddlers and
preschoolers with behaviour difficulties.
Future direction within the
Area network
Karitane’s capital redevelopment planning
program has been completed and building works
will commence in October 2006. The total cost
of the program is approximately $4,500,000 and
will mainly be funded from Karitane’s trust funds.
NSW Health has also provided a $1,000,000
grant towards the redevelopment.
New capital works on the Carramar site will
include an expanded education and research
facility with a conference venue and an
outreach service.
Jade House will be re-located from Fairfield
Heights to Carramar in a purpose-built mental
health facility consisting of a day-stay unit for
women with perinatal mood disorders and
postnatal depression. The building program is
due for completion in early 2007.
Karitane’s collaborative activities with other
organisations will continue, including
implementing specific services to support the
cultural diversity of our clients.
Filming has begun on a documentary series to
be broadcast on SBS. This will further promote
our education messages to a wider audience.
Sydney South West Area Health Service Statutory Annual Report 05/06
50
Overview of Major Facilities
Liverpool Hospital
General Manager Dr Teresa Anderson
Category of facility and major
services provided
Liverpool Hospital is the tertiary referral
hospital for southwestern Sydney and is
networked with other hospitals in the western
zone of SSWAHS. The hospital provides a
comprehensive range of high level clinical
services including medical, surgical,
emergency medicine, intensive care,
oncology, mental health, women’s health and
newborn care. It is a major trauma centre for
NSW. There is a strong commitment to
teaching and research across a wide range of
disciplines within the hospital.
Summary of activity
Hospital admissions increased by 12 per cent
to 64,927. There were 15,920 operations
performed and 3,042 babies born. The
number of privately referred non-inpatient
admitted occasions of service increased by
4.2 per cent to 135,149 and there were
628,397 non-admitted patient services. The
number of presentations to the Emergency
Department (ED) increased by 9.4 per cent to
51,794 attendances. This was accompanied
by an increase of 15.9 per cent in the number
of admissions to the hospital from the ED.
Major goals and outcomes
Liverpool Hospital participated in an
organisation-wide survey as part of the
Australian Council on Healthcare Standards
(ACHS) EQuIP Accreditation process in
February 2006. The excellent work being done
across the hospital was recognised with the
ACHS awarding a four year Accreditation.
Clinical services were significantly enhanced
with the commissioning of a new PET-CT
scanner and an additional ultrasound
machine. The opening of the Respiratory
Function Laboratory was an important
advance in the provision of specialist services
for patients with respiratory disease. To
maximise access to clinical services there
has been a strong focus on patient flow
across the continuum of care, with the
hospital participating in the NSW Health
Clinical Redesign Project for Patient Flow.
The Demand Management Unit was
established to work with staff to manage
patient discharge and hospital admissions.
An Extended Day Only Unit was opened in
March and is designed to improve patient
flow with elective short stay surgical patients
monitored in the Unit prior to discharge.
Key issues and events
Surgical waiting lists have undergone significant
review during the year. This, along with more
effective management of theatre lists, has resulted
in the number of patients waiting more than twelve
months for surgery being reduced to zero. There
has also been a significant decrease in the
number of patients on surgical waiting lists.
The $9.2 million ED refurbishment was
completed, more than doubling the unit’s size.
Patients moved into the new $32.5 million
Mental Health Centre early in 2006. The 50
bed unit provides significantly improved
mental health facilities. The hospital also
participated in the NSW Health clinical
redesign project for emergency mental health.
Patient safety and quality of clinical care was
strengthened with the appointment of the Director
of Clinical Governance. The Clinical Excellence
Commission conducted an independent review of
the incident management system in 2005. The
hospital was commended by the Commission for
its comprehensive incident management system
which is supported by senior managers and
clinicians and led by the general manager.
Future direction within the
Area network
The Stage 2 Redevelopment of Liverpool
Hospital will be a major focus over the next
five to ten years. Development of the Project
Definition Plan for submission to NSW Health
commenced and it is expected that building
work will start in 2006/07. Ongoing
development of the hospital is critical for it to
continue to meet the health needs of the
rapidly growing community.
Implementation of the Clinical Services Plan
South Western Sydney Health Network - The
Way Forward 2004-2008 will continue. To
improve access to health care for our
community there will be further development
of area-wide services. There will also be a
focus on strengthened networking between
hospitals across southwest Sydney to
enhance Liverpool Hospital’s capacity to
perform its tertiary level role.
Sydney South West Area Health Service Statutory Annual Report 05/06
51
Overview of Major Facilities
Royal Prince Alfred Hospital
Executive Director Di Gill
Category of facility and major
services provided
Royal Prince Alfred Hospital (RPA) is a principle
provider of specialist healthcare and one of the
leading medical teaching hospitals in Australia.
The wide range of services provided include the
National Liver Transplant Unit, renal dialysis and
transplant services, emergency, trauma and
intensive care services, medical imaging,
cardiology and cardiothoracic surgery, Women’s
and Children’s Health, the Institute of
Rheumatology and Orthopaedics, respiratory
medicine and cancer services including the
Melanoma Unit, Breast Cancer Institute and the
Sydney Cancer Centre.
Summary of activity
RPA has a total of 724 beds with a 98 per cent
occupancy rate. Total bed days numbered
251,978 with a daily average of 690.4 in
patients. RPA had 49,960 ED attendances,
15,691 ED admissions and 12,179 patients
were admitted to a ward from the ED.
Major goals and outcomes
RPA placed significant emphasis on
processes and systems to improve patient
flow throughout the hospital. Strategies
focused on eight main areas, including the
Emergency Department (ED) bed
management, admissions guidelines, ED
roles and staffing, ED communication and
technologies, pathology, demand
management, discharge planning and Key
Performance Indicator (KPI) reporting.
These initiatives led to significant
improvements across the majority of KPIs, in
a period with an 8.6 per cent increase in the
number of patients presenting to the ED.
New surgical transplantation techniques have
been used by Transplant Services. The first
application of insitu Split Liver Transplantation
techniques in Australia has resulted in more
patients surviving with excellent clinical
outcomes. There has also been a reduction in
waiting times for paediatric liver transplant
recipients despite falling deceased organ
donor rates. The introduction of laparoscopic
techniques for living kidney donor surgery has
been used to minimise the physical burden of
donation. It is expected that this will result in a
50 per cent increase in the number of living
kidney transplant procedures in 2006/07.
RPA successfully reached NSW Health target
of zero long wait patients by the end of June
2006. This was due to regular reviews of the
waiting list data, continued focus on ENT long
waits, fortnightly reviews of any overdue
cases by the operating theatre NUM and
Chair of the Operating Theatre Management
Committee, management of operating theatre
allocations, and use of the 23-hour and dayonly beds to maximise surgical throughput.
The capital works development program has
continued with Stage 2a construction of
Laboratory Services and Pharmacy commencing
in mid November 2005. Stage 2a is planned to be
completed in early 2007.
Key issues and events
Continual improvement of policy development
processes has been a key issue with a
number of initiatives implemented to improve
organisational compliance. These include
process mapping, an audit program of
important policies and development of a
system to improve distribution and evaluation.
RPA achieved its four year accreditation
status following an organisational wide ACHS
survey conducted in October 2005. Only one
SA rating was given across all criteria with
the rating of one criterion being increased to
an EA. The surveyors reported that “RPA
clearly demonstrated during the course of the
survey that evaluation of care and service
outcomes is positively and constructively
undertaken, and that a range of
improvements in all areas are evident.”
Future direction within the
Area network
Having completed the EQuIP survey in 2005,
the hospital is preparing for the Periodic
Review in 2007, aiming to achieve ongoing
accreditation. Plans are currently awaiting
finalisation of EQuIP version 4.
Preparations have commenced for the 125
year anniversary of RPA, with a number of
exciting events planned for the celebrations
in September 2007.
Sydney South West Area Health Service Statutory Annual Report 05/06
52
Overview of Major Facilities
Rozelle Hospital
A/General Manager Clair Edwards
Category of facility and major
services provided
Rozelle Hospital is the largest of the mental
health inpatient services in SSWAHS.
Services on campus include adult acute
units, an intensive psychiatric care unit, older
persons’ mental health, inpatient drug health,
and rehabilitation and recovery services. The
site accommodates a number of nongovernment organisations, special projects
and the mental health administration for the
eastern zone.
Summary of activity
Rozelle Hospital has a total of 219 beds.
Total bed days numbered 60,391 with a daily
average of 165.5 inpatients.
Major goals and outcomes
In recognition of the aging infrastructure of
buildings used by the inpatient services,
intensive focus on risk management has
seen significant work undertaken to complete
fire compartmentation and separation in
patient areas. Work continues to maintain
heritage buildings, the Chinese Gardens and
fountains on the grounds with assistance
from NSW Health and the Department of
Planning.
Key issues and events
A 12 bed acute unit was commissioned to
assist the reduction of access block in
emergency departments in the western zone.
The Intensive Psychiatric Care Unit increased
capacity from ten to twelve beds and
underwent minor renovations to improve
facilities for patients.
Two $10,000 scholarships were awarded to
senior clinical and research nursing staff to
improve models of care in mental health
service provision.
With continuing focus on quality and risk
management, Area Mental Health Services
continue to promote the access of online
policy and procedure through the
Intranet.
Future direction within the
Area network
Completion of the 174 bed Mental Health
Precinct at Concord Hospital is planned for
March 2008. This will see the transfer of
inpatient services from Rozelle Hospital to
the new purpose-built facility in mid 2008,
improving the environment in which staff
provide quality mental health care to people
within SSWAHS. The Area Mental Health
Service has developed a transition
management plan to assist the move to the
new precinct.
Sydney South West Area Health Service Statutory Annual Report 05/06
53
Overview of Major Facilities
Sydney Dental Hospital
General Manager Graeme Angus
Area Clinical Director Associate Professor Sameer Bhole
Category of facility and major
services provided
The Sydney Dental Hospital (SDH) provides a
general dental service to eligible patients within
SSWAHS and temporarily, to eligible patents
residing in the northern sector of SESAHS. As
one of two dental teaching hospitals in NSW,
SDH also provides specialist treatment to
people referred Statewide. Specialist services
provided include paediatrics, orthodontics,
periodontiocs, oral surgery, prosthodontic,
endodontics and implantology.
Through its Special Care Dental Unit, SDH
provides services to people who have health
conditions associated with poor oral health or
reduced access to dental services. These
patients include those with chronic mental
health conditions, drug dependencies, serious
medical conditions and the frail elderly. The
special care unit conducts a weekly outreach
service to nursing homes and holds several
seminars each year instructing carers in oral
hygiene methods.
Summary of activity
The SDH provided 41,364 occasions of
specialist service.
Major goals and outcomes
SDH and Oral Health Services have
commenced operating as an integrated
clinical stream. The new organisational
structure has separated the community oral
health clinics into three clusters and
maintains the SDH as a tertiary and teaching
facility dealing with referred specialist
treatment for residents of NSW.
Oral Health Services is one of the first
organisations to trial self-assessment for the draft
EQuIP version 4. An agreement is in place with
the Australian Council of Healthcare Standards
for Oral Health Services to complete a full selfassessment under version 4, and then be
surveyed under the new version in early 2007.
A review of sterilising services within the hospital
and community clinics was conducted and a risk
minimisation strategy implemented.
Key issues and events
•
The Oral Health Patient Information
System (ISOH) was successfully merged,
joining EZ and WZ databases. This will
enable greater access for patients to the
services across the Area.
•
Recruitment of dental officers continues
to be a major issue for SSWAHS. The
NSW Centre for Oral Health Strategy
undertook an overseas recruitment
campaign that has led to overseas
dentists applying for positions with SDH
and our community oral health clinics.
•
Oral Health Services obtained funding of
$480,000 from the Department of Health, for
purchase of 22 digital x-ray machines for use
in the SDH community oral health clinic and the
Oral Surgery department. In addition, three
dental chairs were purchased with funds from
this grant to replace existing chairs at the
Concord clinic.
•
Head of Peridontics, Dr Barbara Taylor,
published results of a study showing a
significant reduction in risk factors for
cardiovascular disease after treatment for
severe gum disease. This study, a
collaboration between Dr Taylor, Dr Geoff
Tofler from Royal North Shore Hospital and
Norwegian researchers, has generated a
high level of interest both locally and
overseas.
Future direction within the
Area network
The SDH will continue to develop its services
as a major centre for statewide specialist
referrals.
Relationships with the universities and
training organisations currently offering dental
degrees in NSW will continue to be
expanded, strengthening the hospital’s
leadership role in graduate and post-graduate
training. A culture of research and innovation
in all dental specialties will continue to be
nurtured.
Sydney South West Area Health Service Statutory Annual Report 05/06
54
Overview of Major Facilities
Tresilian Family Care Centres
General Manager David Hannaford
President of Council Bob Elmsie OAM
Category of facility and
major services provided
TheTresillian Family Care Centre at
Belmore is a Third Schedule Hospital
under the Health Services Act and is
one of four Tresillian centres offering a
range of services aimed at supporting
families with the challenges of early
parenting. Our professional team
provides parents with advice and
reassurance during what can often be a
very difficult time.
A large number of people utilising
Tresillian’s services are first time parents.
Their queries are often related to
breastfeeding, baby’s sleep and settling
patterns, coping with twins or dealing with
a difficult toddler. Many of the mothers
also have complex mental health issues
including post natal depression.
The Tresillian Parents Help Line operates
24 hours, seven days a week and for rural
callers the call is free.
Summary of activity
Tresillian’s three residential units at
Canterbury, Willoughby and Nepean
assisted 4,719 mothers and babies after
referral from their local health professional.
The three Day Stay units at
Wollstonecraft, Canterbury and Nepean
helped 5,144 mothers and babies.
Outreach teams at Wollstonecraft and
Canterbury visited 3,375 families in their
own homes. The Parents Help Line
provided advice to 52,585 parents.
Major goals and outcomes
• Dr Cathrine Fowler was appointed to the
position of Tresillian Chair in Child and Family
Health at the University of Technology,
Sydney (UTS) Centre for Midwifery and Family
Health – a joint appointment between UTS
and Tresillian Family Care Centres. Tresilian
Council has funded the Chair for five years.
• This appointment follows the launch of the
Graduate Certificate in Child and Family
Health Nursing in partnership with UTS,
which has brought the longstanding
Tresillian Nursing Education Program into a
university setting. The first cohort of
students began at UTS early in March,
2006.
Key issues and events
In February, ninemsn funded a six month
ground-breaking pilot program providing
online advice for new mums. The
partnership, Messenger Mums is the first
of its kind in Australia. New mums can
now contact a professionally trained
Tresillian Child and Family Health Nurse
for advice, 20 hours a week via ninemsn’s
leading instant messaging service, MSN
Messenger.
The service has proven enormously popular
with new parents, particularly those living in
regional areas and younger mums.
Future direction within the
Area network
The Tresillian Council and the Board of
Karitane are continuing to build on their
relationship as both services are now
located within SSWAHS. Discussions will
be centred on the possibility of sharing
resources in research, education, quality
improvement and Parents Help Line.
Sydney South West Area Health Service Statutory Annual Report 05/06
55
Allied Health Services
Clinical Director Dr Katherine Moore
Summary of activity, including
range of services provided
Allied Health professionals work in partnership
with clients and their families to optimise
physical and psychosocial function and develop
healthy life skills. Allied Health includes the
professions of physiotherapy, podiatry,
psychology, speech pathology, social work,
orthoptics, nutrition and dietetics, occupational
therapy and orthotics, as well as Library
Services and Health Care Interpreter Services.
These services improve quality-of-life for clients
following chronic or acute episodes of illness.
The Health Care Interpreter Services play a
vital role to ensure non-English speakers are
not disadvantaged. Clinician access to
comprehensive library services contributes to
the provision of evidence- based contemporary
health care.
Major goals and outcomes
A nutrition service was provided to the HIV clinic
at Bigge Park Centre, Liverpool. Dietetics staff
were involved in a new education service for
pregnant women at Fairfield Hospital maternity
unit and a new renal pre-dialysis clinic in
conjunction with a nurse and social worker in
Macarthur. Malnutrition screening was introduced
at Concord, RPA and Canterbury Hospitals for
early identification of patients at risk of
malnutrition.
A new intervention was introduced in
Lymphoedema treatment with a hand-held low
level laser. New multidisciplinary guidelines for
tracheostomy decannulation/ weaning at
Liverpool were developed.
An Interpreter Inpatient Program was
established at RPA addressing the need to
provide interpreters to wards at short notice.
At Bankstown Hospital, an inflammatory bowel
disease outpatient nutrition clinic was set up
and a new group program has been
established for young male haematology
patients to help them understand and cope with
their cancer.
Another new initiative at Bankstown is the
Living with Cancer program for Arabic patients
and their carers, supported by Oncology Social
Work and the Cancer Council.
Key issues and events
The Women and Children’s Health Social
Work Team, in conjunction with Newborn
Care staff and the Department of Community
Services, ran a successful program for foster
carers of babies with Neonatal Abstinence
Syndrome.
The podiatry team have produced evidencebased guidelines for Partial Nail Avulsion
procedures under local anaesthesia. This
procedure can now be performed at both
Canterbury and Concord Hospital podiatry
outpatient clinics.
A project reviewing patient satisfaction
following non-surgical intervention for diplopia
(double vision) highlighted the benefits of
orthoptic intervention such as Fresnel prisms,
occlusion or the use of a head posture. Post
intervention, 85 per cent of patients reported no
diplopia and a high level of satisfaction.
Future direction within the
Area network
Allied Health has continued to work towards
forming a single stream across both zones
beginning with the appointment of the
SSWAHS Director of Allied Health in March
2006.
The various Allied Health professions are now
working on individual quality plans to link into
the Allied Health Quality Plan, which was the
result of the July 2006 Allied Health Planning
Day. The future directions of Allied Health
include focusing on workforce recruitment and
retention, supporting students and new
graduates, increasing participation in research
and education as well as improving data
management and communication systems
across the area health service to ensure timely
and effective services for patients and their
carers.
Sydney South West Area Health Service Statutory Annual Report 05/06
56
Drug Health Services
Director Karen Becker
Summary of activity, including
the range of services provided
Key issues and events
Drug Health Services (DHS) operates across
23 sites including 9 hospitals and 17
community health facilities. Services include
the Opioid Treatment Program (methadone
and buprenorphine clinics); counselling;
specialist medical clinics; inpatient withdrawal
management (detoxification); inpatient
rehabilitation; outpatient withdrawal
management; court diversion programs,
Harm Minimisation (including Needle Syringe
Programs); hospital consultation and liaison
services; community outreach; tobacco
cessation clinics and a range of associated
projects that address key clinical issues such
as Aboriginal health and co-morbidity.
The Resource and Education Program for
Injecting Drug Users (REPIDU) introduced a
new service to provide low threshold
healthcare to meet the broader needs of
clients and provide referrals into Drug Health
and Mental Health services. In addition,
specialist medical clinics in viral hepatitis,
HIV, and sexual health are planned.
A range of initiatives to progress the
amalgamation of DHS to an area-wide
service resulted in increased coordination,
resource efficiencies and enhancements to
models of clinical care.
Access to and discharge from detoxification
and rehabilitation services has been
improved. Solid clinical partnerships continue
to be maintained with the Redfern Aboriginal
Medical Service to address the high level of
public drug activity in the area and DHS is
also working closely with the Redfern
Waterloo Authority to address issues of
public alcohol consumption.
Major goals and outcomes
To enhance drug health hospital consultation
and liaison services, existing DHS Clinical
Nurse Consultant positions have been
modified at Campbelltown and Bankstown
Hospitals and an extended hours service
established at Liverpool Hospital. Two new
full time Clinical Nurse Consultant positions
have also been established and recruited at
Liverpool Hospital ED.
The Magistrates Early Referral into
Treatment (MERIT) program began at
Fairfield Local Court. This court diversion
program operates from Burwood, Camden,
Campbelltown, Bankstown and Liverpool
Local Courts and also accepts referrals from
the Downing Centre in the centre of Sydney.
The State Wide Advisory Team is involving GPs
and community pharmacies in the treatment of
opioid dependent patients through a number of
consultations and training programs.
An Aboriginal Liaison Officer based at
Fairfield was appointed in February and an
Aboriginal Womens’ Support Group at RPA
Opioid Treatment Clinic commenced in June.
Implementation of the Redfern Waterloo
Human Services Plan continued with draft
protocols developed between DHS and
Mental Health Services to enhance care of
people with both substance use and mental
health issues.
Clinical services for the high risk population
of pregnant drug-using women include two
Clinical Nurse Consultants who coordinate
teams focusing on early intervention.
The Area Health Service offers four
dedicated tobacco cessation clinics. Half-day
clinics operate at three sites: RPA respiratory
outpatients, RPA DHS and Croydon Health
Centre. Nicotine replacement therapy is also
available to SSWAHS staff.
Future direction within the
Area network
DHS will continue to work closely with Mental
Health Services and NSW Health to identify
and manage issues relating to co-morbidity in
treatment. The commitment to developing
Aboriginal DHS and increasing both access
and retention of Aboriginal People in
treatment will be maintained. The MERIT
scheme will continue to be expanded to all
local courts in SSWAHS.
Sydney South West Area Health Service Statutory Annual Report 05/06
57
Mental Health Services
Clinical Director Dr Victor Storm
Summary of activity, including
the range of services provided
The Area Mental Health Service provides
clinical inpatient and community-based
services across the age range including
perinatal, child and adolescent, early
intervention, acute assessment and treatment,
rehabilitation, community support,
consultation/liaison, dietary disorders, and oldage psychiatry. It also conducts extensive
education, training and research activities.
Major goals and outcomes
2005/06 has seen the completion of major
projects for Area Mental Health. The new 50bed Liverpool Hospital Mental Health Centre
was opened by the Premier and Minister for
Health in February, consolidating all adult
mental health inpatient and outpatient clinical
services in one two-storey purpose-built
building on the Liverpool Hospital campus. It
provides a base for the Liverpool community
mental health services and accommodation for
research, teaching and administrative services.
A collaborative project between Area Mental
Health and Catholic Health Care has enabled
elderly patients with long-term needs to be cared
for in purpose-built accommodation in Catholic
Health Care’s Holy Spirit facility at Croydon.
The site of the former veteran’s ramp wards at
Concord Hospital was cleared to enable
construction of the new mental health facility to
begin. The new mental health precinct is due for
completion in March 2008 and services at Rozelle
Hospital will relocate to the new facility.
Construction of the new 20-bed sub acute
mental health facility at Campbelltown has been
completed. It is now in commissioning phase
and staff are actively being recruited to allow
opening of the service in October 2006.
Key issues and events
Across the Area, partnerships promoted by the
Housing and Accommodation Support Initiative
between Mental Health, Department of
Housing and non-government organisations
have assisted a number of people to
successfully integrate into community living or
to maintain their accommodation.
Bankstown Mental Health Service published
Guidelines for the Management and Treatment
of Borderline Personality Disorder. Dialectical
Behaviour Therapy programs have been
expanded as a result.
Bankstown and Liverpool Mental Health
Services have successfully undertaken the
EQuIP Organisation Wide Survey in 2006,
achieving a four-year accreditation by the
Australian Council on Healthcare Standards.
A specialist First Onset Psychosis Service was
established in the inner west areas of
Marrickville, Redfern and Camperdown as a
means of improving outcomes for young
people experiencing mental health problems.
The Marrickville Acute Care Mental Health
Team was awarded the Local Area
Commander’s Certificate of Appreciation by
Commander Vicky Arena and Commissioner
Ken Maroney.
Future direction within the
Area network
Planning is well advanced for the move of
clinical services from Rozelle Hospital to a new
mental health campus at Concord Repatriation
General Hospital in 2008. The recently
released document NSW: A new direction for
Mental Health, provides optimism for the
expansion of community services and other
specialist programs over the coming years.
Sydney South West Area Health Service Statutory Annual Report 05/06
58
Mental Health Services
Mental Health Services Performance Indicators
Client Related Provider Time*
SSWAHS
Actual hours
Expected hours
Ambulatory Full time
Equivalent Base
0.0
486617.0
415.5
%
Currently not
reportable
* This information is currently not captured. A future redesign of our database will address this issue.
SSWAHS
NSW
Recorded Outcome Measures as % of Expected
Actual
Expected
15201
32902
108259
170669
Separations
- own area
Inpatient Self Sufficiency
Total
Separations
separations - other areas
own residents
206
3337
1150
17598
%Own
resident
separations
94%
93%
%
46
63
%Own resident
separations
from other areas
6%
7%
SSWAHS
NSW
3131
16448
SSWAHS
NSW
Emergency Department Access Block for Mental Health Problems
% Jun 2005
% Jun 2006
54%
45%
31%
29%
Notes:
1. Actuals quoted for Provider Time and Outcome Collection Occasions were extracted from the
State Health Information Exchange as at 15 September 2006. These figures are currently
indicating reporting compliance rather than service provision.
2. Outcome collection occasions include only inpatient and ambulatory settings.
Sydney South West Area Health Service Statutory Annual Report 05/06
59
Nursing and Midwifery Services
Director Kerry Russell
Program led by Clinical Nurse Consultants has
been developed and implemented.
Summary of activity, including the
range of services provided
Following a visit by the Danish Council of Deans
in April, SSWAHS formed a partnership with the
University of Tasmania and The Schools of
Nursing in Denmark to provide clinical
placements for final year Danish nursing
students. Clinical Nurse Consultants supervising
the students have been recognised by the
University of Tasmania with a clinical academic
title.
Nursing and Midwifery Services are responsible
for the standard of nursing care across the area
health service. This includes recruitment and
retention of staff, education, clinical practice and
research for a workforce of some 10,800 nurses.
Major goals and outcomes
Workforce continues to be a major issue for
nursing services and a number of strategies are
in place to reduce vacancies and reliance on
agency staff.
Recruitment of nursing staff has improved with a
significant reduction in the number of vacancies.
Recruitment of overseas nurses through the
NSW Health recruitment campaigns has been a
positive workforce strategy. 153 registered
nurses have started at SSWAHS facilities
through this strategy since 2005. An additional
88 nurses from overseas have been
independently recruited to SSWAHS through the
Sydney Nurses internet site.
SSWAHS is committed to the employment of 28
Nurse Practitioner positions. To date we have
14 Nurse Practitioners who are authorised by
the NSW Nurses and Midwives Board and 10
Nurse Practitioners in transitional appointments
across a range of specialties.
Key issues and events
A mentoring program has been established for
Nursing Unit Managers and Nurse Managers, to
further develop their skills. 15 participants are
currently enrolled in the first course.
Five nurses completed the Clinical Leadership
Program, which focused on self-development
closely linked with patient/client development
and quality improvement.
The Nurses and Midwives Record of
Achievement, a competency based assessment
manual, has been developed and will be
marketed widely across the health system.
SSWAHS has established a nursing conjoint
appointment with the University of Tasmania and
Juliet Sondermeyer has been appointed to the
position.
Through funding provided by State-Wide
Services, a partnership was formed with the
Greater West Area Health Service for the
provision of nurses to relieve in rural and remote
areas. 10 nurses from SSWAHS have been
seconded to locum nursing positions in the
GWAHS.
SSWAHS has entered into a new agreement to
provide clinical placements for students of Notre
Dame University. These students complete
placements at Liverpool, Campbelltown, Camden
and Bowral Hospitals.
The Nursing Clinical Practice Advisory
Committee was established to develop and
review policies/guidelines utilising evidence
based practice.
Future direction within the
Area network
A clinical indicator database will be developed to
measure outcomes of nursing care.
Staff development strategies, particularly in
leadership and management, will continue to be
developed and implemented.
Opportunities for further partnerships with
international organisations to provide future
recruitment opportunities will be pursued.
An International Clinical Undergraduate Nursing
Sydney South West Area Health Service Statutory Annual Report 05/06
60
Oral Health Services
Area Clinical Director Associate Professor Sameer Bhole
General Manager Mr Graeme Angus
Sydney South West Oral Health Services
incorporating Sydney Dental Hospital
(SDH) provides general dental services for
eligible people residing in SSWAHS. SDH
is also a major referral centre for tertiary
oral health management.
The community oral health clinics provide
general dental services to both eligible
adults and children at their clinics. The
School Assessment Program provides an
assessment and treatment service to
children.
Summary of activity, including
the range of services provided
Oral Health Services has a full-time
equivalent staff of 465.5. It provided 179,461
occasions of service to its adult population
and 54,909 occasions of service to child
clients. 41,364 occasions of specialist
service were also provided, as well as
13,339 occasions of service relating to
dentures
Major goals and outcomes
Integration of the Information System for
Oral Health database was completed in
June 2006, ahead of schedule.
Standardisation of appointment schedules
for all Community Oral Health Service
clinicians is underway, so that all clinicians
have the opportunity to carry out a more
varied case-mix. This has also allowed the
service to amalgamate waiting lists, and to
offer patients a course of general care at any
clinic in the Sydney south west area.
Key issues and events
The appointment of the Associate Director
Clinical Operations for the Community
Oral Health Service, along with the three
service managers for the eastern, central
and south west clusters, has clarified and
stabilised the clinical and corporate
functions of the recently merged service.
A comprehensive recruitment campaign, in
partnership with the Centre for Oral Health
Strategy, is aimed at filling all clinical
vacancies within the first half of the next
financial year.
The Community Oral Health Clinic within
Concord Hospital has installed two new
dental chairs with a third planned to help
meet the needs of patients in this area.
The acquisition of 22 digital radiography
units for the Community Oral Health Clinic
at SDH has seen the hospital become the
biggest provider of digital radiography in
Australia. Digital radiography will
dramatically improve clinical efficiency and
accelerate favourable patient outcomes.
Future direction within the
Area network
Planning to establish Oral Health Services
in purpose-built polyclinics across the Area
will continue.
The Special Needs Dentistry unit will
expand to include allocated appointments
within the community oral health clinics.
Activity Levels
Key Indicators
Staff EFT
Occasions of service, adults
Occasions of service, children
Occasions of service, specialist
Occasions of service, dentures
2002/03
CS
343
134,599
29,570
46,173
20,364
2002/03
SWS
N/A
119,288
53,061
1,310
15,275
2003/04
CS
327
126,211
27,267
42,811
19,926
Sydney South West Area Health Service Statutory Annual Report 05/06
2003/04
SWS
124.20
105,220
37,061
1,026
6,488
2004/05
SSWAHS
465
202,749
62,743
41,972
13,496
2005/06
SSWAHS
465.5
179,461
54,909
41,364
13,339
61
Population Health
Director Associate Professor Peter Sainsbury
Summary of activity, including
range of services provided
Key issues and events
Population Health, created as an area-wide
service in 2005/06, delivers evidence-based
programs to improve the health of the
population, reduce health inequalities and
address gaps in services.
The Public Health Unit won a NSW Health
Baxter Award for producing the operational
guidelines, Infectious disease outbreaks: an
innovative approach to evaluate and
improve public health interventions, for the
planning and implementation of future
interventions across NSW.
Population Health incorporates the Health
Promotion Unit, the Public Health Unit, the
Research, Evidence Management and
Surveillance Service (REMS), the HIV/AIDS
and Related Programs Coordination Unit
and the Centre for Health Equity Training,
Research and Evaluation (CHETRE).
The Public Heath Unit also took a lead in
developing, with the Counter Disaster Unit,
the draft SSWAHS plan for responding to
pandemic influenza.
Major goals and outcomes
The Public Health Unit continued the schoolbased immunisation program and provided
26,000 vaccinations to children in 168
schools in SSWAHS.
Population Health has been an active
partner in the Greater Western Sydney
Health Impact Assessment Project,
examining the health impacts of urban
development proposals in greater western
Sydney.
The Health Promotion Unit began a nurse
home-visiting program, Healthy Beginnings,
aimed at reducing childhood obesity from
birth by improving first-time mothers’
approaches to healthy feeding and active
play for children.
The Ma’feesh cigara men gheir khosara
(There is no cigarette without loss) project is
reducing the prevalence of smoking among
the Arabic speaking community. A tracking
survey was completed and radio, billboard
and bus advertisements developed.
The development and implementation of
evidence-based practice training, monthly
Population Health Research and Evidence
Meetings, and capacity building for Health
Impact Assessment have contributed to the
development of the Population Health
workforce.
Café 2163, part of the Health Promotion
Unit’s Running on Empty food security
project, received funding for a coordinator
from the Cabravale Diggers Community
Development Support Program. The
Villawood café is run by a group of
volunteers from the Villawood Food Action
Group who offer hot nutritious meals free of
charge to disadvantaged people, many of
whom have a mental illness.
Future direction within the
Area network
Priorities during 2006/07 will include the
further development of strategies to improve
the health of children, reduce overweight and
obesity, tobacco consumption and the
transmission of sexually transmitted infections,
and working with other organisations to
develop healthy urban environments.
Sydney South West Area Health Service Statutory Annual Report 05/06
62
Quality Clinical Indicators
Clinical indicators (CIs) are rate-based figures which can show where we are performing particularly
well and can serve as a model for others. When we are performing at a suboptimal rate, compared
to national or past data, it can act as an alert for further investigation or review of clinical practice to
improve the quality of care provided to our patients. The former Central Sydney Area Health
Service (eastern zone SSWAHS) has published in its annual report since 2002/03 a selection of CIs
that have either a state or national comparison. We have continued the reporting this year and have
included some western zone indicators where they collect the same indicator.
Adult renal transplantation
Numerator: Number of patients/grafts surviving at one year.
Denominator: Number of renal transplant patients/grafts.
*SWRS: State Wide Renal Services
Over the past eight years the Statewide Renal Services (SWRS) transplant unit, based at Royal
Prince Alfred Hospital, has had excellent outcomes compared to data for Australia and New
Zealand (derived from the ANZDATA Registry). The SWRS results are considered a benchmark
at one year follow-up. This is particularly pleasing considering the high proportion of patients who
are high risk either immunologically for rejection or medically because of co-morbidities.
% survival at one year
Year
1998
1999
2000
2001
2002
2003
2004
2005
SWRS* (CSAHS)
patients
98% (n=59)
100% (n=51)
92% (n=52)
97% (n=62)
98% (n=61)
100% (n=66)
97% (n=70)
98% (n=64)
Australian/NZ
patients
95%
95%
97%
96%
98%
98%
96%
Not available
SWRS (CSAHS)
grafts
96% (n=59)
98% (n=51)
91% (n=52)
96% (n=62)
95% (n=61)
98% (n=66)
96% (n=70)
98% (n=64)
Australian/NZ
grafts
91%
90%
94%
93%
95%
92%
90%
Not available
Adult liver transplantation survival rates
Both patient survival and graft survival are measured as a patient can have more than one liver graft.
Numerator: Number of patients/grafts surviving at one year.
Denominator: Number of liver transplant patients/grafts.
*ANZLTR: Australian and New Zealand Liver Transplant Registry
% survival at one year
Year
RPAH patients
1999
2000
2001
2002
2003
2004/2005
2005/2006
89% (n=28)
90% (n=39
82% (n=27)
100% (n=43)
97% (n=38)
88% (n=50)
97% (n=33)
ANZLTR*
patients
93% (n=117)
92% (n=151)
86% (n=125)
96% (n=151)
94% (n=143)
NA
NA
Sydney South West Area Health Service Statutory Annual Report 05/06
RPAH grafts
ANZLTR* grafts
87% (n=31)
83% (n=42)
79% (n=28)
96% (n=47)
93% (n=41)
87% (n=52)
89% (n=36)
90% (n=124)
90% (n=157)
80% (n=135)
94% (n=157)
92% (n=150)
NA
NA
63
Quality Clinical Indicators
Obstetrics
Numerator: Number of deliveries/interventions for year.
Denominator: Number of babies delivered for year.
Hospitals
Canterbury
Royal Prince Alfred
Camden
Fairfield
Liverpool
Campbelltown
Bankstown
Bowral
SSWAHS rate
NSW statewide
rate*
Normal
delivery
59.9
62.3
89.5
78.7
69.2
68.7
70.7
64.3
68.1
Forceps
vaginal
0.9
2.7
2.8
0.4
1.1
0.3
1.8
4.1
1.7
2004**
Vacuum
extraction
8.1
8.2
1.5
6.4
6.1
5.7
7.6
14.5
7.7
Vaginal
breech
0.2
0.6
0.2
0.2
0.8
0.5
0.3
0.3
0.5
Elective
caesarean
10.4
14.4
1.3
9.3
11.9
13.5
11.6
9.3
12.4
Emergency
caesarean
10.4
11.8
4.6
4.9
10.9
11.3
8.0
7.5
9.7
62.1
3.3
7.0
0.4
15.3
11.8
*Published in the NSW Public Health Bulletin
**2005 data not available at publication
Hospitals
Canterbury
Royal Prince
Alfred
Fairfield
Liverpool
Campbelltown
Camden
Bankstown
Bowral
NSW statewide
rate*
Normal
delivery
71.1%
Forceps
vaginal
1.6%
2003
Vacuum
extraction
6.3%
Vaginal
breech
0.1%
Elective
caesarean
10.4%
Emergency
caesarean
10.4%
61.9%
2.0%
7.7%
0.5%
14.2%
13.4%
76.2%
(n=1378)
71.6%
(n=2220)
69.5
(n=1404)
85.0%
(n=453)
73.8%
(n=1339)
61.5%
(n=402)
62.8%
(n=53424)
1.3%
(n=24)
0.7%
(n=21)
0.2
(n=5)
5.1%
(n=27)
1.9%
(n=35)
4.7%
(n=31)
3.4%
(n=2875)
6.4%
(n=115)
6.1%
(n=190)
6.6
(n=133)
0.4%
(n=2)
5.8%
(n=106)
14.1%
(n=92)
6.8%
(n=5788)
0.6%
(n=10)
0.8%
(n=24)
0.2
(n=5)
0.2%
(n=1)
0.9%
(n=16)
0.3%
(n=2)
0.4%
(n=371)
9.2%
(n=167)
11.3%
(n=349)
13.1
(n=265)
1.3%
(n=7)
10.6%
(n=193)
11.5%
(n=75)
15.1%
(n=12820)
6.4%
(n=115)
9,5%
(n=296)
10.3
(n=209)
8.1%
(n=43)
6.9%
(n=126)
8.0%
(n=52)
11.5%
(n=9744)
100%
(n=1809)
100%
(n=3100)
100%
(n=2021)
100%
(n=533)
100%
(n=1815)
100%
(n=645)
100%
(n=85032)
*Published in the NSW Public Health Bulletin
Sydney South West Area Health Service Statutory Annual Report 05/06
64
Quality Clinical Indicators
Obstetrics
Hospitals
Canterbury
Royal Prince
Alfred
Fairfield
Liverpool
Campbelltown
Bankstown
Bowral
NSW
statewide
rate*
Normal
delivery
70.6%
(n=1017)
62.3%
(n=2198)
77.8%
(n=1422)
74.0%
(n=2194)
74.5%
(n=1943)
75.9%
(n=1335)
63.1%
(n=386)
Forceps
vaginal
2.3%
(n=33)
1.8%
(n=63)
1.0%
(n=18)
1.1%
(n=33)
0.7%
(n=18)
1.3%
(n=22)
3.6%
(n=22)
64.2%
(n=54271)
3.6%
(n=3034)
2002
Vacuum
Vaginal
extraction
breech
8.3%
0.1%
(n=119)
(n=1)
9.2%
0.7%
(n=325)
(n=24)
7.9%
0.3%
(n=145)
(n=6)
6.7%
0.9%
(n=198)
(n=26)
5.1%
0.5%
(n=134)
(n=13)
7.6%
0.6%
(n=133)
(n=11)
14.7%
1.0%
(n=90)
(n=6)
Elective
caesarean
10.1%
(n=145)
13.3%
(n=468)
8.0%
(n=146)
9.2%
(n=273)
10.6%
(n=276)
8.6%
(n=151)
9.6%
(n=59)
Emergency
caesarean
8.7%
(n=125)
12.8%
(n=452)
4.9%
(n=90)
8.1%
(n=241)
8.6%
(n=223)
6.1%
(n=108)
8.0%
(n=49)
100%
(n=1440)
100%
(n=3530)
100%
(n=1827)
100%
(n=2965)
100%
(n=2607)
100%
(n=1760)
100%
(n=612)
0.4%
(n=353)
13.9%
(n=11720)
11.0%
(n=9335)
100%
(n=84587)
2001
Vacuum
Vaginal
extraction
breech
7.1%
0.2%
(n=107)
(n=3)
6.7%
0.5%
(n=237)
(n=17)
5.2%
0.4%
(n=95)
(n=8)
6.9%
1.0%
(n=207)
(n=30)
5.3%
0.3%
(n=137)
(n=8)
5.2%
0.6%
(n=93)
(n=11)
11.5%
0.6%
(n=80)
(n=4)
Elective
caesarean
6.6%
(n=100)
13.9%
(n=489)
9.8%
(n=181)
8.7%
(n=259)
9.9%
(n=256)
9.5%
(n=170)
9.2%
(n=64)
Emergency
caesarean
8.7%
(n=132)
11.2%
(n=393)
5.5%
(n=101)
9.0%
(n=269)
8.1%
(n=210)
8.3%
(n=148)
7.2%
(n=50)
100%
(n=1514)
100%
(n=3520)
100%
(n=1843)
100%
(n=2980)
100%
(n=2588)
100%
(n=1791)
100%
(n=695)
13.0%
(n=10986)
10.5%
(n=8894)
100%
(n=84379)
6.9%
(n=5855)
Total
*Published in the NSW Public Health Bulletin
Hospitals
Canterbury
Royal Prince
Alfred
Fairfield
Liverpool
Campbelltown
Bankstown
Bowral
NSW
statewide
rate*
Normal
delivery
75.3%
(n=1140)
65.8%
(n=2315)
77.8%
(n =1434)
72.3%
(n=2156)
75.5%
(n=1954)
74.9%
(n=1342)
64.7%
(n=450)
Forceps
vaginal
2.1%
(n=32)
2.0%
(n=69)
1.3%
(n=24)
2.0%
(n=59)
0.9%
(n=23)
1.5%
(n=27)
6.8%
(n=47)
65.4%
(n=55206)
4.0%
(n=3398)
6.5%
(n=5499)
0.5%
(n=383)
Total
*Published in the NSW Public Health Bulletin Supplement Vol 13, No S-4, Dec 2002 - NSW Mothers & Babies 2001
Sydney South West Area Health Service Statutory Annual Report 05/06
65
Quality Clinical Indicators
Neonatal Intensive Care Unit
In the RPA Neonatal Intensive Care Unit (NICU), the survival rate of babies is monitored and
compared to the rates for other NICUs from the New South Wales Health Neonatal Intensive Care
Unit Study (NICUS). In the more recent of the two time periods reported, we have more premature
babies surviving.
Numerator: Number of babies born at a particular gestational age, surviving to hospital discharge.
Denominator: Number of babies born at a particular gestational age.
2005/2006 data not available at publication
2002 – 2004: Percentage survival of premature babies born at different gestational ages
24/25 weeks
26/27 weeks
28/29 weeks
30/31 weeks
RPA
43.4
83.8
96.3
99.4
NICUS
57.5
84.3
92.3
97.1
2000 – 2001: Percentage survival of premature babies born at different gestational ages
24/25 weeks
26/27 weeks
28/29 weeks
30/31 weeks
RPA
58.8
87
97.8
99.2
NICUS
55.4
86
92.4
97
1995 – 1999: Percentage survival of premature babies born at different gestational ages
24/25 weeks
26/27 weeks
28/29 weeks
30/31 weeks
RPA
62.3
79.3
91.3
98.2
NICUS
60.6
81.1
92.6
97.1
Day of Surgery Admission Rates
Day of surgery admission (DOSA) rates measure how many patients are admitted on the day of their
surgery compared to all patients admitted to surgery. A high DOSA rate has the following advantages
for patients:
•
•
•
•
it avoids unnecessary accommodation at hospital before an operation;
it means more effective bed utilisation where hospitals can treat more patients and
consequently there are shorter waiting times;
the use of preadmission clinics better prepares patients for surgery;
a decreased time in hospital means less risk of infection.
Our DOSA rate has been steadily increasing over time and it is now above the state target of 80 per
cent and above the state average of 87.4 per cent.
1997/98
18.1%
47.1%
NSW Health
statewide rate
Not available
1998/99
34.1%
77.7%
Not available
1999/00
50.9%
77.2%
Not available
2000/01
74.4%
81.0%
80%
77.7%
2001/02
81.3%
85.0%
80%
83.3%
2002/03
85.0%
89.7%
80%
83.9%
2003/04
89.2%
90.0%
80%
87.4%
2004/05
89.6%
91.1%
80%
2005/06
90.0%
91.1%
Year
Eastern zone Western zone
SSWAHS
90.5%
Sydney South West Area Health Service Statutory Annual Report 05/06
NSW Health target
80%
66
Quality Clinical Indicators
Laboratory Services - availability of urgent haemoglobin results after
hours
It is important that laboratory test results are made available to hospital staff as soon as possible so
that decisions can be made about patient care. After hours, we are able to supply urgent
haemoglobin results to staff within 60 minutes in 95.8 per cent of cases, which is more efficient than
the national aggregate of 93.3 per cent.
Numerator: Number of urgent haemoglobin validated report results with a turn-around-time of less
than 60 minutes, after hours.
Denominator: Number of requests for urgent haemoglobin results received by the lab after hours.
*ACHS: Australian Council on Healthcare Standards
Rate
Royal Prince
Alfred Hospital
Sydney West
Area Pathology
Services
Concord
Hospital
ACHS* national
aggregation rate
JanJune
2003
98.5%
JulyDec
2003
JanJune
2004
JulyDec
2004
JanJune
2005
JulyDec
2005
95.7%
98.3%
97.4%
96.8%
98.4%
99.1%
95.7%
98.9%
JanJune
2006
96.5%
98.1%
89.0%
95.8%
90.8%
93.4%
96.0%
57.4%
89.9%
89.6%
Not
available
Speech pathology - improvements in voice quality following
speech pathology
Numerator: Total number of voice patients who rated an actual improvement in voice quality
following speech pathology intervention.
Denominator: Total number of voice patients completing treatment and voice outcome scales.
n=30 (13 Royal Prince Alfred Hospital, 12 Concord Hospital, 5 Canterbury Hospital).
Sydney Voice
Interest Group
benchmark
80%
2001-2002
2002-2003
2003-2004
2004-2005
2005-2006
83.3%
87.5%
88%
88%
93%
Sydney South West Area Health Service Statutory Annual Report 05/06
67
Asset Management Services
Capital Works Program
Royal Prince Alfred Hospital
Stage 2a of the RPA redevelopment
commenced on 1 November and construction
is well advanced. This stage will complete the
Level 3 ‘hot floor’ of the clinical services
building and provide the final link to the
surgical suite. The construction of the new
peri-operative, endoscopy and bronchoscopy
suite will provide patients with seamless entry
into the hospital, improving both service
delivery and efficiency.
Completion of the Stage 2a laboratories will
enhance the working environment, facilitating
collaboration between services and improving
work flows.
Stage 2b of the program will commence by
mid 2007, heralding the final phase of
construction on the campus. The renovation
of the Victoria Pavilion will complete the
refurbishment of Laboratory Services and
provide a new outpatient pharmacy on Level
5, giving access to outpatient pharmacy
services on the Eastern Campus.
Concord Repatriation
General Hospital
Work commenced on the new mental health
precinct at Concord in 2005 with the
demolition of existing infrastructure on site.
Construction of the new facility is expected to
commence in July 2006. This 174 bed project
will facilitate the relocation of mental health
services from the Rozelle Hospital Site. The
new complex will provide inpatient services
as well as extended care and rehabilitation
services within a modern purpose-built
environment.
Marrickville Community
Health Centre
Construction of the new centre was
completed in April 2006 with all services
relocated in June 2006. The purpose-built
facility provides a one-stop shop for
community based services including early
childhood, adolescent and family, community
nursing and post-acute care services, migrant
health, mental health and mental health
rehabilitation (living skills), podiatry and
sexual health services. The centre will form
the hub for community health services for
residents of the Marrickville area.
Camden and Campbelltown
Hospitals
This year saw the completion of the $133.7
million Macarthur Strategy. This project,
spanning several years, involved demolition,
reconstruction and refurbishment of facilities
at Camden and Campbelltown Hospitals. The
final phase of the project was completed in
late 2005 at Campbelltown Hospital, with the
commissioning of the newly refurbished
Maternity Unit, Intensive Care Unit and staff
office accommodation. This project has
improved the amenity for both staff and
patients, enabling provision of high level
clinical care within a modern setting.
The new Campbelltown Mental Health Unit
was completed in January 2006. The $3.2
million building will house 20 sub-acute
patients once commissioning is complete.
The unit will further enhance the delivery of
quality care to mental health patients within
the Macarthur district.
Liverpool Hospital
The new Mental Health facility at Liverpool
Hospital was commissioned in January 2006.
This $24.8 million project provides 50 beds
for acute, non-acute and high dependency
patients in a modern, purpose-built
environment. The facility also provides office
accommodation for the area mental health
directorate and university affiliates.
Liverpool Stage 2
Service and facility planning for the next
stage of redevelopment on the Liverpool
Hospital campus commenced in January
2006. The Clinical Services Plan and
Services Procurement Plan were completed
in February and May 2006 respectively. In
June 2006 the Premier and Minister for
Health announced the $390 million next
phase of works to commence in early 2007
including a new clinical services building,
integrated refurbishments and major site
infrastructure upgrades. The new building will
accommodate additional inpatient, critical
care, ambulatory care, procedures and
diagnostic services and includes extensions
to the education facilities of the hospital. The
project is targeted for statutory approval and
tender in late 2006.
Sydney South West Area Health Service Statutory Annual Report 05/06
68
Corporate Services
Summary of business activity
Non-clinical support services across SSWAHS
are managed by Corporate Services. This is a
diverse portfolio including risk management,
occupational health and safety (OHS) and
rehabilitation, procurement and tendering,
contract management, overseeing complex
investigations and administrative and legal
services.
Major goals and outcomes
Amalgamation
Amalgamations of supply services, human
resources, payroll, information systems division,
capital works, pathology, transport and fleet
management have been finalised.
Implementation of amalgamation plans for
finance, food services, engineering services and
OHS services have substantially progressed.
Recommendations for future service provision
within SSWAHS were cognisant of the plans
developed under the NSW Health Shared
Corporate Services Program. The amalgamation
of SSWAHS services has been possible through
co-operation and consultation between
management, staff and unions. Savings from the
restructuring of corporate services have been
returned to fund clinical services.
In addition to these changes, SSWAHS has
actively participated in committees and working
parties implementing the NSW Health shared
corporate services program.
Financial management has been simplified with
the creation of one general ledger which
replaces a number of different systems,
facilitating good corporate governance. In
addition, material management has been
reviewed and rationalised and the supply
warehouse at Wetherill Park relocated to
Concord Hospital. A risk analysis has been
completed and a risk register developed for the
whole Area Health Service for the ongoing
management of risk. With respect to workers
compensation, a surplus was achieved to both
premium renewal and hindsight results.
An area-wide approach to purchasing and
tendering has resulted in more competitive
prices being achieved for the benefit of clinical
services.
Key issues and events
Waste management
SSWAHS facilities continued to develop and
implement strategies in line with the
Government’s Waste Reduction and Purchasing
Policy (WRAPP). Facilities monitor performance
through the collection of indicators for clinical
work, sharps waste, general waste, recycling
and OHS incidents related to waste
management.
Energy management
As part of its ongoing commitment to improve
energy management, SSWAHS conducted an
audit of water consumption at all major sites and
joined Sydney Water in their
Every Drop Counts business program. Areas
where significant savings could be made were
identified and a subsidy from Sydney Water to
undertake improvements was received. The
savings at Concord Hospital were sufficiently
large for the facility to receive a water
conservation award from Sydney Water.
Parallel with the water saving program,
SSWAHS completed a trial modification to the
electrical supply for a main cooling tower at
RPA. Results from the trial indicate a reduction
of 70 per cent in electricity usage was achieved.
In the coming financial year, a feasibility study
will be undertaken to assess the potential
savings across the Area Health Service.
Future direction
SSWAHS will continue to improve the efficiency
and effectiveness of corporate services in
consultation with staff and unions.
Existing energy and waste management plans
will continue to be implemented.
Existing policies and procedures will continue to
be reviewed in order to develop a set of simple,
area-wide guidelines for staff.
Fleet Management
SSWAHS will instigate a wide range of initiatives
designed to reduce the size and operating costs
of the motor vehicle fleet and introduce a
rigorous governance model to ensure
compliance with both NSW Health and Area
Health Service policies.
The development of area-wide policies and
procedures has progressed, leading to improved
management for the benefit of both individual
staff and their managers.
Sydney South West Area Health Service Statutory Annual Report 05/06
69
Financial Services
Summary of business activity
Key issues and events
The Finance Department operates to
ensure the Area’s financial resources and
assets are managed efficiently and
effectively through appropriate planning,
coordination and monitoring. The
development and maintenance of
consistent, area-wide financial and
accounting policies and procedures is vital
to ensure and enhance quality control in
financials and operations.
All budget and financial performance
reports are now distributed to internal
stakeholders in electronic format. There
have also been major efficiency and
effectiveness improvements in the
preparation of financial performance
reports for external stakeholders. The
consolidated SSWAHS Annual Financial
Report for the period ending 30 June
2006, and the monthly report to NSW
Health, were prepared from the
consolidated Oracle financial reports, thus
eliminating the previous year’s duplicated
efforts when the financials were in two
separate data bases (the former Central
Sydney and the former South Western
Sydney Area Health Services).
Major goals and outcomes
The implementation of the Oracle Financials
Version 11i from version 10.7 was
successfully rolled out across SSWAHS in
September 2005. This immediately allowed
SSWAHS to operate on a single Oracle
Financials System with an integrated
general ledger and a single uniform chart of
accounts. The Oracle Financials system 11i
has been used as the major budgeting and
financial reporting tool.
Uniform financial and budget performance
management reports are provided across
the Area – for facilities, clinical groups and
cost centres. This ensures consistency and
efficiency in the interpretation of financial
data. The Accounts Payable Function was
also centralised in September and the V
Money system (a payment system for
Visiting Medical Officers) data-base was
integrated at the same time.
Future direction
The Financial Services Department
continues to place a high priority on the
provision of quality budget and financial
management information systems for all
stakeholders.
Over the next year, the Finance Division
will continue to work closely with clinical
groups across SSWAHS to implement
various necessary changes as cost
centres are being reviewed and
consolidated by the facilities and clinical
services.
Sydney South West Area Health Service Statutory Annual Report 05/06
70
Information Management & Technology Division
Summary of business activity
•
The Information Management and
Technology Division (IM&TD) provide
information management and technology
support to SSWAHS clinical, corporate
and support services.
Undertook a pilot project involving
sending discharge referrals to GPs via
secure encrypted emails
•
A Community Nursing Registration,
Intake and Referral solution developed
in the EMR and implemented at
Canterbury Community Health Centre
Major goals and outcomes
The Electronic Medical Record (EMR)
system continues to be enhanced and
extended across the Area, allowing
delivery of results reporting and the
implementation of electronic ordering in
the western zone.
The PathNet Laboratory Information
Management System has also been
integrated into the EMR and implemented
area-wide.
Key issues and events
A major project to retire the former
SWAHS Patient Administration System
was commenced and the western zone
Oracle Financial and Materials
Management System was replaced with
the Area-wide Oracle 11i system.
IM&TD continued to work with various
facilities and clinical departments to
enhance the scope of information
available through the Intranet.
Other EMR projects included:
•
The integrated EMR maternity solution
implemented at Canterbury Hospital
•
Replacement of the Drug Health
system with an integrated EMR
solution
•
An integrated EMR renal dialysis
solution implemented at Concord,
RPAH and Dame Eadith Walker
•
The rollout of electronic discharge
referrals continued with
implementations at Canterbury and
Campbelltown hospitals
•
A project to incorporate a Medical
Oncology solution in the integrated
EMR commenced
•
Research database replacement
project for the Sydney Cancer Centre
commenced
•
A Data mart solution for ad-hoc
reporting was developed and piloted
with Gastroenterology and Liver
Services as part of their second stage
EMR project
•
A project to replace the existing
standalone Emergency Department
information system with an integrated
EMR solution (FirstNet) was started
•
A medications management project
commenced
Future direction
The Information Management and
Technology Strategy emphasises the need
to move forward with projects, which
support the patient care process. Over the
next five years, SSWAHS will continue to
establish a single integrated patientcentred enterprise-wide clinical information
system known as the Electronic Medical
Record.
During the next 12 months, additional
EMR functionality will continue to be
piloted and enhanced area-wide. New
technology solutions will be designed and
implemented to increase the availability of
the EMR system.
Other major projects in 2006/07 include:
the retirement of the western zone Patient
Administration System (facility by facility);
ongoing rollout of electronic orders to the
western zone; replacement of western
zone obstetrics system; and
implementation of FirstNet; Medication
Management, continued rollout and
development of community health EMR
solutions and various EMR and research
projects.
In addition to these clinically orientated
projects, various other integration,
amalgamation, rationalisation, and
infrastructure projects will also be
progressed for corporate and support
services.
Sydney South West Area Health Service Statutory Annual Report 05/06
71
Internal Audit Department
Summary of business activity
Internal auditing is an independent, objective,
assurance and consulting activity designed to
add value and improve the operations of
SSWAHS by bringing a systematic, disciplined
approach to risk management, control and
governance processes.
Development of the consolidated audit plan
allowed identification of auditable areas of
sufficient risk which had not previously been
subjected to an audit review. A number of
these systems and activities were audited in
2005/06.
Major goals and outcomes
Future direction
The Internal Audit Department provides an
independent review of hospital systems,
operations, activities, policies and procedures
and where warranted, recommends cost
effective controls and solutions.
This process is expected to continue until all
financial and related operations of major risk
within SSWAHS have been subjected to an
audit. Thereafter, it is expected that all major
systems, as identified in the consolidated audit
plan, will be reviewed once every two years.
Key issues and events
The audit units at Royal Prince Alfred and
Liverpool Hospitals have been successfully
merged and a consolidated audit plan has
been put in place for the entire Area.
Sydney South West Area Health Service Statutory Annual Report 05/06
72
Public Affairs and Marketing
Summary of business activity
The Public Affairs and Marketing department
promotes the corporate identity of SSWAHS,
its hospitals and healthcare facilities. It is the
first point of contact for the media. Our goal
is to communicate both internally and
externally, the work being carried out at our
facilities for the benefit of patients and the
wider community.
• The official opening of the Cancer
Pharmaceutical Research Laboratory at
Concord Hospital by the Hon Frank Sartor,
Minister Assisting the Minister for Health
(Cancer). Scientists at the laboratory
announced they had made a breakthrough
in reducing the risk of life-threatening
chemotherapy toxicity and malnutrition
Our expertise includes internal and external
communication strategies, media advocacy,
specialised promotion campaigns, corporate
publications and event management.
• Completion of demolition of the former ramp
wards for veterans at Concord, allowing
work to begin on the $58 million mental
health precinct. Mental Health services at
Rozelle hospital are expected to relocate
here in the latter half of 2008
Major goals and outcomes
• Important Aboriginal health initiatives were
publicised in the local and indigenous media
including the Aboriginal Cardiovascular
project at RPA – the first program to provide
opportunistic screening for the indigenous
community in a hospital setting
Public Affairs and Marketing became a fully
amalgamated service in September 2005,
providing an area-wide service under the
leadership of a single director co-ordinating
all media, communications and events
across the two zones of SSWAHS.
An electronic newsletter was produced to
inform staff about the new area, the new
management structure and new-area wide
positions as they were filled. A quarterly
area-wide printed newsletter for distribution
to all staff was also produced.
The community was kept informed of new
clinical initiatives and services, additional
funding, and progress on the capital works being
undertaken at our hospitals and health services.
Key issues and events
Many stories from facilities across SSWAHS
were featured in national, metropolitan and
local media, including:
• The new $7.5 aged care precinct at
Concord Hospital, officially opened by the
NSW Health Minister John Hatzistergos
• The $32.5 million Mental Health Centre at
Liverpool Hospital , officially opened by
the Premier of NSW Morris Iemma
• The announcement by the Premier of the
$390 million first stage of the $500 million
redevelopment of Liverpool Hospital
• The NSW Health Minister was signatory to
a renewed partnership between SSWAHS
and the Tharawal Aboriginal Corporation
(TAC) at a ceremony at TAC’s
headquarters in Airds.
• The Premier’s tour of the newly
completed $9.1 million Liverpool
Emergency and Trauma Services
• The purchase of a $1.29 million 64 CT
scanner for Campbelltown hospital was
announced by the NSW Health Minister at
the opening of the annual Macarthur Fun
Fest. The purchase will greatly enhance
the service available to local patients and
reduce the need for transfers
• The Health Minister and local member for
Campbelltown opened a $400,000
paediatric assessment unit at
Campbelltown Hospital for children with
mild to moderate physical and intellectual
developmental delays, enabling local
families to access this service with
providers who have a strong knowledge of
local services
• The RPA series on Channel 9 entered its
th
12 year buoyed by some of its most
successful TV ratings ever –surpassing all
other programs in its timeslot.
Sydney South West Area Health Service Statutory Annual Report 05/06
73
Public Affairs and Marketing
• A range of research developments received
widespread coverage in local and
metropolitan media including a world first
study to reverse type 2 diabetes through
weight management and supervised
exercise; the development at RPA of a
cheap natural therapy – hypertonic saline for cystic fibrosis sufferers; an early
diagnostic tool for schizophrenia and
bipolar disorder at Liverpool Hospital ; and
a successful world-first triple transplant to
cure a young woman’s auto-immune
disease was announced at RPA to coincide
th
with the 20 anniversary of Liver
Transplant at the hospital.
• Filming was completed on a documentary
about the maternity unit at Canterbury
hospital highlighting the diverse ethnic mix
of both patients and staff, the film is due to
be broadcast on SBS in August 2006
• A documentary about intensive care
services was filmed at Liverpool Hospital
and shown at the Sydney Film Festival. It
will broadcast on SBS later in 2006
• The promotion of health issues such as
smoking cessation, sexual health, hand
washing and healthy lifestyle including
Walk to School and Cycling promotion.
Future direction
The Public Affairs and Marketing unit will
continue to keep the community informed about
the activity of the area health services and major
health initiatives.
In the new financial year, Public Affairs and
Marketing will promote the opening of the
Marrickville Community Health Centre and the
redevelopment of Liverpool Hospital.
A major focus of the department’s proactive
media strategy will be health promotion initiatives
across the Area, assisting the public to maintain
optimum health through adoption of a healthy
lifestyle and awareness of contributing factors to
illnesses such as heart disease and diabetes.
Public affairs will also support workforce
development and recruitment strategies through
promoting positive messages about the health
service, as well as specifically targeting areas
where there are shortages of trained staff.
The department will also focus on strong and
informative internal communications for staff.
Sydney South West Area Health Service Statutory Annual Report 05/06
74
Workforce Profile
Summary of business activity
The main workforce activities during 2005/06
have been workforce management,
workforce development and workforce
planning. The key strategic activities have
been ongoing development of the Area’s
strategic workforce plan and implementation
of priority workforce initiatives. In 2005/06
these initiatives have been the establishment
of our Centre for Education and Workforce
Development, streamlining the staff
orientation processes, implementing our
Aboriginal workforce development program,
continued development of vocational medical
training networks and progress with refining a
range of workforce management activities.
Centre for Education and
Workforce Development
The Centre for Education and Workforce
Development was established in 2005/06 to
provide our in-house workforce development
programs. The Centre’s role is to ensure a
comprehensive workforce education and
development framework to provide targeted
opportunities for staff at all levels to develop
and enhance their skills. The Centre is a
registered training organisation and the
majority of programs offered lead to nationally
recognised qualifications. More than 1,200
SSWAHS staff enrolled in the Centre’s
programs on 2005/06.
Aboriginal Workforce Development
Program
This program is based around individual needs
analysis and the establishment of personalised
development plans. It is being progressively
established throughout the Area.
New staff orientation program
A new staff orientation program commenced
in January, providing a comprehensive range
of information to new staff over a three-day
period at the beginning of their employment.
Vocational medical training networks
Vocational medical training in NSW is moving
towards a more networked basis. In 2005/06
networks for basic physician and basic
surgery training operated and a psychiatry
training network was established. These
networks provide the opportunity for a broad
range of clinical training experiences to be
gained throughout our hospitals.
Workforce management
Workforce management activities have
focused on continued amalgamation and
streamlining of services and processes.
Workforce profile
A monthly workforce profile has been
established to ensure regular reporting on our
workforce by key characteristics (age, sex),
by health occupation and by facility. The
profile provides a regular flow of information
to our managers. Further work is being
undertaken to expand the profile. Work is
also planned to develop of a range of
workforce performance indicators.
Future directions
The workforce strategic plan will be finalised
next year and will outline our priority
initiatives and workforce direction for the next
five to ten years. A draft plan has already
been used in consultation throughout the
Area on contextual issues, ideas, possible
strategies and priorities.
In 2006/07 there will be a focus on:
• recruitment processes
• career promotion
• executive and middle management
development
• Aboriginal and Torres Strait Islander
workforce development
• workforce information, surveys and
performance indicators
• future nursing, allied health and
medical requirements
• on-going skills development for
human resource and Centre for
Education and Workforce
Development staff.
Sydney South West Area Health Service Statutory Annual Report 05/06
75
Executive Reports
Mike Wallace,
Chief executive
Key responsibilities: The chief executive is
accountable for the overall corporate
governance, performance and strategic
planning of the organisation. The position of
chief executive reports directly to the DirectorGeneral of NSW Health. All second tier
positions report to the chief executive.
Significant achievements in reporting year:
see chief executive report on page 5.
Paul Gavel,
Director of strategic workforce
planning and development
Key responsibilities: Oversees the Area’s
workforce development, workforce planning
and strategic workforce management
processes.
Dr Greg Stewart,
Director of population health,
planning and performance
Key responsibilities: The Director of
Population Health, Planning and Performance
is responsible for developing the strategic
directions of the Area, through Healthcare
Services, Population Health and Corporate
Planning; and for measuring and improving
performance across the Area, specifically
through the Clinical Services Redesign
Program. The position manages Aboriginal
Health Services and Population Health
Services which include health, protection,
health promotion and health surveillance and
intelligence. The position is also responsible
for counter disaster management and
planning, and the Area’s consumer
participation agenda.
Significant achievements in reporting year:
•
The Population Health, Planning and
Performance management structure was
finalised and senior managers recruited
to all leadership positions in the
directorate
•
The SSWAHS Corporate Strategic Plan
was developed
•
The SSWAHS Healthcare Services Plan
was developed
•
The Liverpool Hospital Clinical Services
Plan was developed
•
Performance Monitoring, Analysing and
Clinical Redesign Unit (PMACRU) was
established and oversaw development
and implementation of the three initial
Clinical Redesign Work Orders
•
The Area Flu Pandemic Plan and the
Area HealthPlan (disaster preparedness
and response Plan) were developed
•
A whole-of-Area Consumer Participation
Framework was developed and the Area
Consumer/Community Council (CCC)
expanded to include representatives from
the eastern zone and specific population
groups.
Significant achievements in reporting year:
•
•
•
•
•
Establishment of the Centre for
Education and Workforce Development
Streamlining of the staff orientation
processes
Implementation of our Aboriginal
workforce development program
Continued development of vocational
medical training networks
Development of the draft workforce
strategic plan
Dr Peter Kennedy,
Director of clinical governance
Key responsibilities: The director of clinical
governance is responsible for the strategic
and operational management of the Clinical
Quality Unit and the Professional Practice
Unit as well as the development and
implementation of uniform quality policies
across the area health service.
Significant achievements in reporting year:
See clinical quality report on page 17.
Sydney South West Area Health Service Statutory Annual Report 05/06
76
Executive Reports
Jan Whalan,
Director of corporate services
Dr Victor Storm
Area Clinical Director Mental Health
Key responsibilities: The director of
corporate services manages a diverse
portfolio which includes finance and budget,
information technology, shared corporate
services and area health service corporate
services such as engineering, fleet, legal, risk
management and procurement.
Key responsibilities: Key Responsibilities
include: the development of a Clinical Services
Plan for child, adolescent, adult and older
persons’ mental health; to develop, manage and
monitor the budget for the delivery of child,
adolescent, general and older adult mental
health services; implementation of the Mental
Health Clinical Care and Prevention Model (MHCCP) as a tool to assess the needs for and
utilisation of a comprehensive integrated mental
health care and prevention service; to develop,
implement and manage effective clinical
governance arrangements that focus on quality,
clinical audit, risk and evidence based practice.
Significant achievements in reporting year:
See corporate services report on page 69.
Kerry Russell,
Director of nursing services and
midwifery
Key responsibilities: The director of nursing
services and midwifery is responsible for the
administration and management of nursing
services across SSWAHS. This includes the
development and implementation of nursing
policy and practice, professional development
and recruitment and retention issues.
Significant achievements in reporting year:
See nursing and midwifery services report on
page 60.
Candy Cheng,
Chief finance officer
Key responsibilities: The chief finance officer
is responsible for the management of the area
health service’s financial resources through
the development and implementation of
financial management systems for budget
control and performance measurement. The
chief finance officer also provides prompt and
appropriate advice to the chief executive and
senior executive on budget and finance
matters.
Significant achievements in reporting year:
See financial services report on page 70.
Significant achievements in reporting year:
• An area-wide organisational structure has
been developed
• The appointment of Mental Health Service
executive
• The development of a draft Area Mental
Health Service Plan
• The expansion of community and inpatient
services in Western Zone;
• Major recruitment activity for expanded services
has been undertaken and is ongoing.
Marion Downey
Acting Director Public Affairs and
Marketing (since September 2006)
Key responsibilities: The Director of Public
Affairs and Marketing is responsible for all media
and communication activities across the area
health service. These activities include managing
relationships with the media and acting as a first
point of contact for media; informing the
community of health initiatives and services
through the media and through organising events
and visits to our services and facilities; keeping the
community informed through production of
newsletters and brochures about our services;
producing the SSWAHS Annual Report and
communicating to staff internally; as well as
managing events and VIP visits.
The position of director of Public Affairs and
Marketing has dual reporting to the chief
executive and the director of corporate services.
Significant achievements in reporting year:
See public affairs and marketing report page 73.
Sydney South West Area Health Service Statutory Annual Report 05/06
77
Staff Profile
Number of full time equivalent staff employed by SSWAHS as at 30 June 2006
* Data provided by NSW Health
Sydney South West Area Health Service
Medical
Nursing
Allied Health
Other Prof. & Para professionals
Oral Health Practitioners & Therapists
Corporate Services
Scientific & technical clinical support staff
Hotel Services
Maintenance & Trades
Hospital support workers
Other
Total
Medical, nursing, allied health, other health
professionals & oral health practitioners as a
proportion of all staff
June 03
June 04
June 05
June 06
1,459
1,584
1,544
1,638
6,187
6,367
6,573
6,968
1,388
1,398
1,403
1,475
843
773
632
628
289
281
274
272
644
755
679
600
1,083
1,111
1,240
1,258
1,698
1,639
1,606
1,597
252
239
224
208
2,194
2,118
2,158
2,151
70
82
78
90
16,107
16,348
16,411
16,885
63
64
64
65
Notes:
1. FTE calculated as the average for the month of June, paid productive and paid unproductive
hours.
2. As at March 2006, the employment entity of NSW Health Service staff transferred from the
respective Health Service to the State of NSW (the Crown). Third Schedule Facilities have not
transferred to the Crown and as such are not reported in the Annual Report as employees.
3. Includes salaried (FTEs) staff employed with Health Services and the NSW Department of Health.
All non-salaried staff such as contracted Visiting Medical Officers are excluded.
4. In 2006, the collation of data has been improved by including an additional four staff categories to
provide greater clarity between staff functions. Previous years’ data has been re-cast to reflect these
changes, which has resulted in variations from figures reported in previous Annual Reports. The
previous category ‘Hospital Employees’ has been replaced with ‘Other Professionals and Paraprofessionals, which includes health education officers, interpreters etc and ‘Scientific and technical
support workers’ e.g. hospital scientists and cardiac technicians.
Award codes assigned to allied health have been reviewed and only the following professions have
been included in the category; audiologist, pharmacist, social worker, dietitian, physiotherapist,
occupational therapist, medical radiation scientist, clinical psychologist, psychologist, orthoptist,
speech pathologist, orthotist/prosthetist, medical radiation therapist, nuclear medical technologist,
radiographer and podiatrist to more accurately reflect this workforce. A category for Oral Health
Practitioners and Therapists has been included as well as one for Hospital support workers, which
includes ward clerks and IT support officers etc. Uniformed Ambulance officers have been revised to
reflect ambulance on road staff and ambulance support staff.
Sydney South West Area Health Service Statutory Annual Report 05/06
78
Equal Employment Opportunity
Equal Employment Opportunity (EEO) concerns
ensuring the workplace is free from all forms of
harassment and discrimination and programs of
affirmative action are provided for employees
who are traditionally disadvantaged in the
workplace: Aboriginal and Torres Strait Islander
people, women, people whose language first
spoken as a child was not English, and people
with a disability requiring an adjustment.
SSWAHS believes equity is a fundamental right
of every employee, and by applying equal
employment opportunity principles to every
aspect of work life the Area is supporting good
management practice and observing the
legislation governing these principles, the AntiDiscrimination Act, 1977.
The Area continues to promote the principles
and practices of EEO in its application of
conditions of employment, relationships in the
workplace, performance evaluation and the
opportunity for training and career development.
Achievement of last year’s EEO
planned outcomes for SWSAHS
Development of the SSWAHS Aboriginal and
Torres Strait Islander Strategy is proceeding
with a focus on recruiting increasing numbers
of Aboriginal and Torres Strait Islander staff
and retaining them in the organisation.
Workforce development issues and areas of
attention have been identified and actions put
in place to address issues and establish
personal development plans.
Eight positions were allocated in the trainee
enrolled nurse program to Aboriginal and
Torres Strait Islander people.
A review of the Governing Body of
Management Manual, including Human
Resource policies, is proceeding to ensure
policy reflects the changes bought about by
amalgamation of the Central Sydney and
South West Sydney Area Health Services.
EEO Planned Outcomes for
2005/06
SSWAHS continues to work with our
Aboriginal and Torres Strait Islander staff to
conduct skill needs analysis and to map their
needs against Aboriginal health high priority
areas, as well as ensuring links are
maintained and strengthened with Aboriginal
employment programs – the aim being to
enhance the skills of existing staff and to
increase the numbers of Aboriginal and
Torres Strait employed within the Area.
An important goal remains to increase
Aboriginal and Torres Strait Islander
representation in the registered nurse and
midwife fields and to continue to allocate
placements in the trainee enrolled nurse
program.
SSWAHS continues to review the Governing
Body of Management Manual, including the
Human Resource policies, through a
consultation process to ensure all policy
reflects changes brought about by
amalgamation. Updated policies will be
distributed to facility managers and placed on
the SSWAHS intranet site.
Statistics 2005/06
The statistical information for the following tables
(salary levels and employment type) was
obtained from a report generated by the
Premier’s Department from the Workforce
Profile data, for the period 1 July 2005 to 30
June 2006. The salary levels are those used for
the EEO statistical data 2005/06 period. These
figures are adjusted annually by ODEOPE to
reflect industry-wide wage increases granted to
various groups of employees.
Sydney South West Area Health Service Statutory Annual Report 05/06
79
Equal Employment Opportunity
SSWAHS percentage of total staff (head count) by salary level – 2005/06
Total staff
(number)
EEO
respondents
Men
Women
Aboriginal
people &
Torres Strait
Islanders
People from
racial, ethnic,
ethno-religious
minority
groups
People whose
language first
spoken as a
child was not
English
People with a
disability
People with a
disability
requiring
work-related
adjustment
Estimate
range
<$32,606
$32,606
to
$42,824
$42,825
to
$47,876
$47,877
to
$60,583
$60,584
to
$78,344
$78,345
to
$97,932
>$97,932
>$97,932
(non SES)
(SES)
272
5,935
1,762
5,115
3,596
1,397
840
(187)
69%
(43)
16%
(229)
84%
(4,159)
70%
(1,576)
27%
(4,359)
73%
(1,299)
74%
(376)
21%
(1,386)
79%
(3,634)
71%
(864)
17%
(4,251)
83%
(2,449)
68%
(866)
24%
(2,730)
76%
(908)
65%
(606)
43%
(791)
57%
(555)
66%
(555)
66%
(285)
34%
0
(10)
5.3%
(102)
2.5%
(13)
1.0%
(43)
1.2%
(15)
0.6%
(2)
0.2%
(1)
0.2%
0
(186)
1.4%
1.3% to
1.5%
(36)
19%
(766)
18%
(263)
20%
(958)
26%
(543)
22%
(262)
29%
(156)
28%
0
(2,984)
23%
22.3%
to
23.1%
(70)
37%
(1,644)
40%
(461)
35%
(1,250)
34%
(698)
29%
(263)
29%
(128)
23%
0
(4,514)
34%
33.7%
to
34.6%
(1)
1%
(118)
3%
(27)
2%
(112)
3%
(78)
3%
(27)
3%
(12)
2%
0
(375)
3%
2.7% to
3.0%
0
(30)
0.7%
(7)
0.5%
(29)
0.8%
(15)
0.6%
(4)
0.4%
(2)
0.4%
0
(87)
0.7%
0.6% to
0.7%
Sydney South West Area Health Service Statutory Annual Report 05/06
Total
(95%
confidence
level)
18,917
0
0
(13,831)
70%
(4,886)
26%
(14,031)
74%
80
Equal Employment Opportunity
SSWAHS percentage of total staff (head count) by employment type – 2005/06
Total Staff
Respondents
Men
Women
Aboriginal
people &
Torres Strait
Islanders
People from
racial, ethnic,
ethnoreligious
minority
groups
People whose
language first
spoken as a
child was not
English
People with a
disability
People with a
disability
requiring
work-related
adjustment
Fulltime
11,310
Parttime
4,761
Fulltime
2,210
Parttime
389
Contract
Contract
Retained
Staff
0
Casual
Total
14
Training
Positions
236
0
3,837
22,757
(8,409)
72%
(3,483)
70%
(1,524)
60%
(235)
56%
0
(3)
100%
(181)
71%
0
(1,417)
30%
(75)
19%
(341)
81
0
(9)
43%
(7)
57%
(55)
21%
(163)
79%
0
(958)
26%
(2,832)
74%
(20)
0.5%
(3)
0.9
0
0
(7)
6%
0
(29)
1.1%
(15,252
)
63%
(6,053)
26%
(17,069
)
74%
(249)
1.3%
(3,405)
29%
(8,105)
71%
(553)
11%
(4,367)
89%
(988)
43%
(1,254)
57%
(146)
1.6%
(44)
1.0%
(1,871)
23%
(671)
19%
(464)
32%
(52)
28%
0
(1)
7%
(27)
19%
0
(299)
21%
(3,385)
22%
(2,889)
36%
(947)
27%
(583)
42%
(56)
27%
0
(1)
7%
(73)
36%
0
(479)
36%
(5,028)
35%
(274)
3%
(68)
0.7%
(104)
3%
(21)
0.6%
(25)
2%
(2)
0.2%
(5)
4%
(4)
2.8
0
0
0
0
0
0
1%
0
(26)
2%
(3)
0.1%
(434)
3%
(98)
0.6%
(SES)
0
(non SES)
Sydney South West Area Health Service Statutory Annual Report 05/06
0
0
81
Equal Employment Opportunity
Trends in the Representation of EEO Groups
% of total staff
EEO Group
Benchmark
or Target
Women
Aboriginal people and
Torres Strait Islanders
People whose first
language was not
English
People with a disability
People with a disability
requiring work-related
adjustment
2003
2004
2005
2006
50%
74%
74%
2%
1.6%
1.4%
20%
33%
34%
12%
3%
3%
7%
0.7%
0.7%
2005
2006
Trends in the Distribution of EEO Groups
% of total staff
EEO Group
Benchmark
or Target
Women
100
90
90
100
75
75
100
92
92
100
100
102
100
95
97
Aboriginal people and
Torres Strait Islanders
People whose first
language was not
English
People with a disability
People with a disability
requiring work-related
adjustment
2003
2004
Notes:
1. Staff numbers are as at 30 June 2006
2. Excludes casual staff
3. A Distribution Index of 100 indicates that the centre of the distribution of the EEO group across
salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO group
tends to be more concentrated at lower salary levels than in is the case for other staff. The more
pronounced this tendency is, the lower the index will be. In some cases the index may be more than
100, indicating that the EEO group is less concentrated at lower salary levels. The Distribution
Index is automatically calculated by the software provided by ODEOPE.
4. The Distribution Index is not calculated where EEO group or non-EEO group numbers are less than 20.
Sydney South West Area Health Service Statutory Annual Report 05/06
82
Occupational Health and Safety
Workers compensation
performance
SSWAHS has a continuing commitment to
occupational health and safety (OHS). OHS
policies and programs identify, assess and
prevent work related injuries and illnesses.
Specific risk management strategies have
been implemented to minimise the risks
from identified hazards. Manual handling
and security issues remain a high priority.
SSWAHS continues to support effective workers
compensation management and workplacebased rehabilitation. Injured employees are
offered specific programs of suitable duties to
assist their return to work. There is ongoing
review of claims and discussions with legal
advisors and the fund manager to monitor costs
and ensure any issues are quickly and
economically resolved.
OHS committees at each facility encourage
consultation and participation in OHS
activities. OHS training is provided for OHS
committee members and managers to assist
them to meet their OHS responsibilities. OHS
training for all employees includes manual
handling, minimisation of aggression,
infection control, fire safety and other specific
training as required to work safely.
Workers compensation performance is
measured by comparing claim rates and
costs with NSW Health rates and costs.
Figures are shown for the last five financial
years at 31 March 2006. This is the most
recently available data from the NSW
Treasury Managed Fund (TMF) as verified by
the actuary for the TMF.
SSWAHS continues to review OHS policies and
programs to establish area-wide integration (as
part of the amalgamation process.)
SSWAHS
SSWAHS Claims
2001/02
2002/03
2003/04
2004/05
2005/06
1443
1578
1590
1496
1023
SSWAHS Claim rate/100
equivalent full-time
9.4
10.1
10.0
9.0
6.1
NSW Health claim rate/100
equivalent full-time
8.6
9.1
9.1
8.5
5.9
$952
$890
$902
$602
$270
$1,080
$922
$800
$636
$317
SSWAHS Claim cost/equivalent
full-time ($)
NSW Health claim cost/
equivalent full-time ($)
*Data from NSW Treasury Managed Fund as at 31 March 2006
Claims are recorded in the financial year in
which they occurred. Data for the 2005/06
year is not yet complete.
This must be taken into account when
comparing claim costs over time.
There was an increase in claims across NSW
Health in 2002/03 following changes to NSW
Workers Compensation legislation
commencing January 2002.
Claim rates for SSWAHS are slightly above
the NSW Health average for the fund years
2001/02 to 2005/06 but costs are less than
NSW Health average for all these fund years
except the 2003/04 fund year.
Claim costs increase as claims develop over
time so that claims made in 2000/01 have
accrued more cost than claims made in more
recent years.
There is variation in performance between
SSWAHS facilities.
Sydney South West Area Health Service Statutory Annual Report 05/06
83
Occupational Health and Safety
Claim Rate/100 FTE
Balmain
2001/02
2002/03
2003/04
2004/05
2005/06
8.6
8.9
13.9
13.1
6.8
Bankstown HS
11.0
15.9
15.2
13.8
9.3
Wingecarribee HS
14.1
7.6
9.5
14.4
8.2
Braeside
12.1
15.0
12.0
9.7
5.5
Camden HS
19.6
20.5
13.9
12.8
6.9
Campbelltown HS
12.3
13.9
8.8
8.6
4.3
5.8
5.8
6.6
7.5
6.2
Concord
10.8
9.7
9.9
9.4
5.9
Fairfield HS
13.6
12.6
10.2
8.9
10.9
Canterbury
Liverpool HS
9.8
9.0
10.6
8.9
5.8
13.4
12.6
6.7
8.6
7.2
Population Health
5.0
8.6
8.2
8.0
4.3
Royal Prince Alfred
7.5
9.4
7.7
7.2
4.9
Rozelle
10.2
11.6
12.6
11.2
7.1
Sydney Dental Hospital
Queen Victoria
12.5
11.7
9.0
7.9
4.3
SSWAHS Average
9.4
10.1
10.0
9.0
6.1
NSW Health Average
8.6
9.1
9.1
8.5
5.9
*Data from NSW Treasury Managed Fund as at 31 March 2006
Claim Cost/FTE
Balmain
2001/02
2002/03
2003/04
2004/05
2005/06
$101
$375
$1,678
$585
$197
Bankstown HS
$1,146
$1,292
$918
$594
$149
Wingecarribee HS
$1,071
$542
$420
$572
$197
$890
$491
$114
$406
$170
Camden HS
$1,366
$1,285
$25
$51
$75
Campbelltown HS
$2,843
$1,364
$2,684
$1,015
$202
Canterbury
$2,486
$1,958
$1,011
$733
$204
$948
$764
$950
$722
$334
Fairfield HS
$1,066
$893
$1,508
$543
$350
Liverpool HS
$1,008
$588
$1,148
$561
$382
$73
$736
$663
$333
$48
$1,196
$480
$127
$448
$128
Royal Prince Alfred
$955
$558
$611
$449
$261
Rozelle
$759
$1,069
$724
$830
$236
Sydney Dental Hospital
$869
$1,270
$654
$690
$163
SSWAHS Average
$952
$890
$902
$602
$270
$1,080
$922
$800
$636
$317
Braeside
Concord
Queen Victoria
Population Health
NSW Health Average
*Data from NSW Treasury Managed Fund as at 31 March 2006
Manual handling injuries remain the most frequent type of claim within the health industry. Specific
strategies to reduce these injuries include risk assessments, development of safe work practices in
consultation with staff, manual handling training, the provision of lifting equipment and consideration
of manual handling requirements as part of the design and procurement process.
SSWAHS was not prosecuted for any breach of Occupational Health and Safety legislation during
2005/06.
Sydney South West Area Health Service Statutory Annual Report 05/06
84
Teaching and Training Initiatives
SSWAHS is one of the leading providers of
health education and training in Australia.
Our training and development initiatives are a
key aspect of our investment in our workforce
and the programs and courses that are
offered are aimed at building skills and
enhancing individual, and organisational,
ability and performance. Our training extends
across all health occupations, both clinical
and non-clinical. Clinical training covers both
university placements and postgraduate
vocational training.
Centre for Education and
Workforce Development
The Centre for Education and Workforce
Development was established in 2005/06 to
provide in-house workforce development
programs. The Centre currently operates five
streams:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Nursing and Midwifery Education Service
International Placements and Training
Aboriginal Workforce Development
Leadership and Management
Workforce Development Service
The Centre is a registered training
organization and the majority of programs
offered lead to nationally recognised
qualifications. More than 1,200 staff enrolled
in courses in 05/06. Achievements include:
• Establishment of an Area-wide program
to support international student
placements co-opting and training CNCs
as clinical facilitators
• Special initiative with nursing schools in
Denmark
• Clinical Supervision Program for
community nurses, new graduates and
midwives
• Area-wide implementation of existing
worker traineeships - more than 200
trainees in pharmacy, dental services,
allied health, operating theatres and
cleaning services
Introduction of a mentoring program for
Nurse Managers and Nurse Unit
Managers
Coaching for Performance program
Implementation of our Aboriginal
Workforce Development program,
including 12 cadetships (nursing and
midwifery)
VET in Schools (Assistant In Nursing
program) expanded to include Bankstown
24, Campbelltown 15, Fairfield 15,
Bowral 6
Performance management training for
our medical managers
Development of new e-learning programs
including maths for medication and
hazardous substances
Redesign of our staff orientation program
Introduction of our manager orientation
program
Development of the Centre’s website.
The Area-wide model of service delivery has
enabled a better utilisation of teaching
resources, consistency in content and quality,
improved access to a larger range of
education and training services for
management and staff and greater
responsibilities and flexibility to address
emerging needs.
Allied Health
Allied Health students are accepted from
universities in Sydney for fieldwork placement
throughout SSWAHS. Graduate training
placements are provided for several
disciplines. Allied Health in-service programs
also operate, providing and opportunity for
specialised clinical education.
Sydney South West Area Health Service Statutory Annual Report 05/06
85
Teaching and Training Initiatives
Undergraduate medical
education
Our network of undergraduate and graduate
medical education has links to the
Universities of Sydney and New South Wales
and our hospitals at RPA, Concord,
Bankstown and Liverpool. Planning has
begun for commencement of a new medical
school at the University of Western Sydney
and integration of this new school into our
network of hospitals in Sydney’s southwest.
Junior Medical Officers
The intern year of vocational medical training
is focused around primary allocation centres
at RPA, Liverpool, Concord and Bankstown
hospitals.
Vocational medical training is moving towards
a networked basis. In 2005/06 networks for
basic physician and basic surgery training
commenced operation and a psychiatry
training network was established. These
networks provide the opportunity for a broad
range of clinical training experiences to be
gained throughout our hospitals.
Nursing and Midwifery
education and professional
development
SSWAHS is a registered higher education
institution under the NSW Higher Education
Act 2001 and delivers the accredited
Graduate Certificate in Specialty Nursing. In
2005, 43 nurses graduated with the award
specialising in anaesthetics/recovery,
emergency, family and child health, perioperative and renal nursing. 80 per cent of
these graduates are still employed within our
hospitals. Currently 57 students are enrolled
in specialities across the Area.
SSWAHS is also a recognised provider of
clinical education for trainee enrolled nurses
and undergraduate bachelor of nursing and
midwifery programs. In 2005/06, SSWAHS
accommodated 7,311 undergraduate nursing
students, who spent a total of 519,038 hours
in the clinical areas, and we provided
389,362 clinical hours of support. 536 new
graduate nurses with and 36 student
midwives were employed in our hospitals.
Our trainee enrolled nurse numbers
increased to 212 across the Area. All were
retained on completion of their programs.
SSWAHS is also committed to continuing
professional development for nurses and
midwives. Over 200 Area-wide clinical
enhancement and professional development
programs are offered through the year.
SSWAHS has also recognised the
importance of clinical supervision and has
started a program to train facilitators to
provide supervision for our community
nurses, new graduates and midwifes.
Sydney South West Area Health Service Statutory Annual Report 05/06
86
Research
Following is a brief list of some of the research being undertaken at SSWAHS.
A more detailed listing can be found at www.sswhealth.nsw.gov.au
Project
Weight training in
diabetes
A randomised,
controlled clinical
trial of the
effectiveness of
Chinese herbal
medicine in the
treatment of
vascular dementia
Characteristics of
the First 1000
Clients Attending
an Anxiety Clinic in
South West Sydney
Improving
Adherence with Hip
Protectors
Facility /
Researchers
Balmain
Hospital
M Singh
N Singh
K Wiley
Bankstown
Hospital
D Chang
D Chan
A Bensoussan
J Liu
Bankstown
Hospital
Wagner
Silove
Joukhador
Manicavasagar
Marnane
K Toskas
Bankstown
Anxiety Clinic
& School of
Psychiatry
UNSW
Bankstown
Hospital
Collaborative
project
between
University of
Sydney and
Bankstown
Aged Care
I Cameron
S Kurrle
S Quine
P Sambrook L
March
D Chan
Funding
Diabetes
Australia
$50,000
University of
Western
Sydney
$25,000
Nil
$265350
National
Health and
Medical
Research
Council
(NHMRC)
Duration
1 year
To demonstrate the effectiveness of weight
training alone in diabetes.
2 years
Randomised, double blind and controlled phase
IV drug clinical trial. Testing the efficacy of a
compound of Chinese herbal medicine on
treating vascular dementia. 70 subjects with a
diagnosis of vascular dementia were
randomised to the intervention and the control
groups. All subjects have been being followed
up at regular intervals for outcomes.
2001-2005
Comparison of anxiety clients with Australian
epidemiological study.
3 years
Cohort study to improve the adherence of hip
protector in elderly people.
5 years
This study generates Australian evidence of
effective interventions to reduce the impact of
social and environmental factors predisposing
infants and children to ill health and reducing
their life potential. It is the first Australian
randomised trial to determine the impact of a
comprehensive sustained home visiting
program, (antenatally to two years), in a
population group living in an area of known
disadvantage. As such, this trial is a best
practice demonstration model for professional
home visiting in Australia, with significant
implications for the development of early
childhood policy and strategy nationally.
Total funding
$1,085,000
Randomised Trial
of Early Childhood
Sustained Home
Visiting in a
Disadvantaged
Community
Community
Health
E Harris
C McMahon
S Matthey
G Vipani
T Anderson
V Schmied
L Kemp
DOCS
$330,000
NSW Health
$80,000
Description
SSWAHS
$225,000
Australian
Research
Council
$450,000
Sydney South West Area Health Service Statutory Annual Report 05/06
87
Research
Project
Fenofibrate
Intervention
and Event
Lowering in
Diabetes
(FIELD) Study
Assessment of
Risk Factors in
Coronary
Bypass Grafts
Study
Cognitive
decline in
normal aging
and preclinical
Alzheimer's
disease: A
community
based study
The effect of
Modafinil on
hypersomnolence and
cognitive
impairment in
patients with
Myotonic
Dystrophy
Case-control
studies of
completed and
attempted
suicide in
young
people in NSW
Facility /
Researchers
Concord
Hospital
L Kritharides
Concord
Hospital
G Lau
L Kritharides
L Ridley
S Freedman
D Brieger
P Bannon
Concord
Hospital
G Hunt
R White
Concord
Hospital
A Corbett
S Seah
T Lye
M Ingleton
Department of
Forensic
Medicine
R Taylor
M Dudley
A Page
J Duflou
J Mowll
Viewing the
body after a
sudden and
unexpected
death; the
experience
and effects on
grief and
trauma
outcomes
Department of
Forensic
Medicine
J Mowll
Trans-Tasman
Response
Against Death
in the Young
(TRAGADY)
Department of
Forensic
Medicine
J Skinner
C Semsarian
J Duflou
N Langlois et
al.
Funding
Duration
Description
NHMRC
$115,000
6 years
An international study to determine whether
treatment with cholesterol-lowering medication
(fenofibrate) prevents deaths from heart
disease or non-fatal heart attacks in people
with type 2 diabetes.
National
Heart
Foundation
$60,000
4 years
To investigate causes of failure of artery grafts
using CT scans and to investigate new ways of
monitoring grafts after cardiac surgery.
Rebecca L
Cooper
$6,600
3 years
To identify patterns of cognitive decline in
three community-based groups, and to
examine the relationship between APOE
genotype and cognitive functioning.
Nil –
in-house
1 year
To examine the effect of modafinil in
controlling excessive day-time sleepiness and
apathy in patients with myotonic dystrophy.
4 years
This project involves case-control studies of
suicide and attempted suicide in young people
in urban and rural NSW, investigating
antecedents and risk factors. The project has
been funded by NHMRC for four years from
2004.
NHMRC
$802,000
In-house
In-house
6 years
Ongoing
The study explores whether seeing a relative's
body after they die makes a difference to grief
and trauma reactions over time. Many people
are able to make a choice about whether or
not to view their relative's body. This study
aims to look at both the subjective experience
and effects of viewing for bereaved persons
after a sudden and unexpected death.
Investigation of sudden death in children and
young adults can reveal inherited cardiac
disease in more than 40 per cent of cases.
For each of these, an average of 9-10 family
members can be identified, and effective
therapies delivered to prevent their sudden
death. Detailed death investigation may assist
in arriving at more reliable diagnoses, being
better able to counsel and screen family
members and furthering genetic research into
the aetiology of sudden death in the young.
Sydney South West Area Health Service Statutory Annual Report 05/06
88
Research
Project
Evaluation of a
youth
development
unit and
prospective
study of drug
and alcohol
use in three
remote
Aboriginal
communities
Modes of
transmission,
natural history
and
determinants
of viral
clearance in
acute hepatitis
C infection
Revision of the
drink-less
package and
study of its
value in
training
medical
practitioners in
brief
intervention
Hydrotherapy
versus land
based
rehabilitation in
total knee
replacements
Evaluation of
client
outcomes
following
admission to
the Karitane
Residential
Unit
Jade House
Clinical
Service
Review
Facility /
Researchers
Drug Health
Services
K Conigrave,
A Clough
K Lee
Funding
Alcohol,
Education
and
Rehabilitation
Foundation
Duration
4 years
A longitudinal study of substance misuse
within three remote Aboriginal communities
The project design has been developed over
the past 18 months in collaboration with
Menzies University. Data collection will
formally commence in 2004, and will involve
evaluation of the effectiveness of a youth
development unit.
4 years
This is a cohort study of inmates not infected
with hepatitis C aiming to further understand
the mode of virus transmission and the critical
factors involved with spontaneous viral
clearance.
$181,094
Drug Health
Services
A Lloyd,
P Haber,
W Rawlinson,
R Ffrench,
K Dolan,
M Levy,
J Kaldor
NHMRC
Funded to
principal
investigator
$800,000
Description
This project is funded by the Roads and Traffic
Authority (RTA) to evaluate, and update the
Drink-less kit as a tool to facilitate brief medical
intervention for excessive alcohol
consumption. Data is to be collected on the
value of Drink-less as a tool in training GPs in
brief intervention techniques.
Drug Health
Services
K Conigrave,
E Proude,
P Haber,
J Saunders
Roads and
Traffic
Authority
$290,469
4 years
Fairfield
Hospital
Physiotherapy
department
SSWAHS
$25,000
2 years
Comparison of outcomes between land based
rehabilitation and water based rehabilitation in
patients undergoing a total knee replacement.
1 year
This study evaluated mental health and
parenting outcomes associated with
admissions at the Karitane Residential Unit.
Results showed that the intervention is
effective in facilitating positive change for
clients.
1 year
In this study, a retrospective review of Jade
House data has been undertaken with the
aims of providing a description of the clients
who access Jade House, the clinical services
provided and the outcomes associated with
the interventions provided at Jade House.
1 year
This project evaluates the use of intravenous
Flagyl, its indications (versus oral Flagyl) and
the cost savings through earlier use of the oral
formulation.
Karitane
D Nemeth
J Phillips
Karitane
M Stuchbery
B Barnett
J Phillips
Use of
intravenous
Flagyl
Liverpool
Hospital
L Lee
C Ling
J Rowland
Odessey
Liverpool
Hospital
Dr Hovey
Internal
funding
Internal
funding
Nil funding
$24,000
Ongoing
Evaluation of two doses of SR31747A (75 mg
and 125 mg) in non-metastatic androgenindependent prostate cancer. Randomised,
double-blind, placebo controlled Phase II
study.
Sydney South West Area Health Service Statutory Annual Report 05/06
89
Research
Project
Sustainable
Access for the
Elderly (SAFE)
project
Facility /
Researchers
Liverpool
Hospital
D Basic
D Conforti
C Macarthur
C Shanley
D Chan
A Lubiana
J Masso
D Le Couteur
J Cullen
Funding
Commonwealth
Department
of Health
$1,000,000
Duration
2.5 years
Description
This project will evaluate and develop
programs that enable safe, equitable and costeffective transit of elderly persons through the
health system. The project includes the
development and evaluation of an electronic
discharge summary and end-of-life care plans
for hospital inpatients and nursing home
residents. Other programs that will be
evaluated include the Community Transitional
Care Packages program and the Aged Care
Services in the Emergency Department
(ASET) program. The long-term outcomes of
patients treated by geriatricians at Liverpool
Hospital will also be studied.
Phase II Study of First-Line, Single Agent
Carboplatin Followed Sequentially by
Gemcitabine and Paclitaxel in Patients with
Advanced Ovarian Cancer: An Australian and
New Zealand Gynaecological Group Study.
Advanced
Ovarian (S231)
Liverpool
Hospital
Dr Goldrick
$1,650
Ongoing
Germ Cell
Registry
Liverpool
Hospital
Dr Moylan
Trial not
funded
Ongoing
Prognostic Factors for Survival and Patterns
of Care for Germ Cell Tumours in Australia
and New Zealand.
Brain
Natruiretic
Peptide (BNP)
Levels and Left
Ventricular
Diastolic
Function in
Patients
Treated with
Doxorubicin
Liverpool
Hospital
C Allman
D Leung
P Nguyen-Do
Health
Research
Foundation
Sydney
South West
$6,800
4 years
Study measures the diastolic left ventricular
function of patients receiving Doxorubicin.
Serial ultrasound and BNP levels are
recorded.
Ongoing
This study aims to investigate gender
differences in physiological markers of injury
severity and their impact on outcome over 6
months in people who have sustained a
Traumatic Brain Injury. It is anticipated that
information obtained from this study will help
to plan better treatment according to the
patient’s gender.
Complete
Survey of staff and consumers regarding
attitudes, views and knowledge about
research and factors affecting participation.
Ongoing
Determining whether carers and consumers
have similar ideas on how much care is
needed / provided prior to and during an
acute inpatient admission.
Gender
Differences in
Traumatic
Brain Injury
Staff and
consumer
perceptions of
research and
quality projects
in mental
health settings
Patient and
Carer
Perceptions of
Need and
Caregiver
Burden:
Working in
Partnership to
Facilitate
CommunityBased
Interventions
Liverpool
Hospital
M Parr
Rozelle
Hospital
M Cleary
G Hunt
G Walter
Motor
Accidents
Authority
$2,160
Nil
Nursing and
Midwifery
innovations
scholarship
Rozelle
Hospital
M Cleary
G Hunt
G Walter
McGeorge
Bequest
University
of Sydney
$20,000
Sydney South West Area Health Service Statutory Annual Report 05/06
90
Research
Project
Psychosocial
interventions
for people with
both severe
mental illness
and substance
misuse
Centre for
Clinical
Research
Excellence in
Respiratory
and Sleep
Medicine
Preliminary
study of
association
between
nutritional
indicies,
psychosocial
factors,
cytokines and
survival in
advanced
cancer patients
Basic
mechanism of
spontaneous
tolerance of
liver allografts
in a rat model
Centre of
Clinical
Research
Excellence
Program: To
improve
outcomes in
chronic liver
disease
Public Health
(Australia)
Fellowship:
Reducing the
unintended
adverse
outcomes of
epidural
analgesia for
children
Sidney Sax
Fellowship:
Antiplatelet
agents to
prevent preeclampsia - an
individual
patient data
review
Facility /
Researchers
Rozelle
Hospital
M Cleary
G Hunt
G Walter
RPA Hospital
R Grunstein
RPA Hospital
P Glare
RPA Hospital
A Bishop
G McCaughan
A Sharland
J Rasko
C Wang
RPA Hospital
G Farrell
G McCaughan
RPA Hospital
S Torvaldsen
RPA Hospital
L Askie
Funding
Duration
Description
Ongoing
Cochrane Systematic Review - To evaluate
the effects of psychosocial interventions for
substance misuse within the psychiatric care
of people who have problems of both
substance misuse and serious mental
illness.
5 years
The focus of this research is respiratory and
sleep disorders and the application of its
findings to clinical practice.
1 year
This project aims to assess the feasibility of
measuring nutritional indices, psychosocial
factors and cytokine levels in patients with
advanced cancer.
NHMRC
$245,750
3 years
This project aims to improve the outcome of
liver transplantation by studying an animal
model where a transplanted liver is not
rejected.
NHMRC
$200,000
5 years
This project will investigate treatments for
chronic liver diseases such as hepatitis B
and C.
NHMRC
$127,000
4 years
This project aims to reduce the unintended
adverse effects of epidural analgesia for
childbirth.
4 years
This project aims to determine whether low
dose aspirin, when given to at risk women in
early pregnancy, will prevent or reduce the
severity of pre-eclampsia without adverse
effects.
McGeorge
Bequest
University of
Sydney
$10,000
NHMRC
$800,000
NHMRC
$24,820
NHMRC
$127,000
Sydney South West Area Health Service Statutory Annual Report 05/06
91
Research
Project
Scholarship:
Mechanisms of
coronary
restenosis in
diabetes
Sequencing of
transmissible
Pseudomonas
aeruginosa
from patients
with cystic
fibrosis
Facility /
Researchers
RPA Hospital
K Kathir
RPA Hospital
C Harbour
B Rose
J Manos
J Arthur
P Bye
Lipohypertrophy: It exists
but does it
matter?
RPA Hospital
J Overland
Equipment:
Cell and
Molecular
Therapy
Laboratory
outfitting
RPA Hospital
J Rasko
Study to
predict home
death
RPA Hospital
P Glare
Prediction of
Oral Appliance
Treatment
Outcome in
Obstructive
Sleep Apnoea
Periodontal
disease,
inflammation
and
cardiovascular
risk
Mothering at
a Distance
Sydney
Dental
Hospital
P Cristulli
A Darendeliler
H Gotsopoulos
Sydney
Dental
Hospital
B Taylor
G Tofler
Tresillian
C Fowler
K Heggie
C McMahon
N Kowalenko
A Cashin
C Rossiter
J Cassin
Funding
NHMRC
$14,623
Cystic Fibrosis
Australia
$86,570
Eli Lilly
$19,012
Cancer
Institute NSW
$110,000
Palliative Care
Australia
$49,000
NHMRC
$298,809
NHMRC
$140,500
Greater
Western
Sydney:
National
Community
Crime
Prevention
Program
$44,7421
Duration
Description
2 years
This project will examine the effect of
probucol on coronary artery blockage in
people with diabetes.
3 year
The project aims to develop a strain-specific
markers for rapid detection of transmissible
strains.
1 year
The project aims to investigate the intra
variability of blood glucose profiles in people
with type 1 diabetes following subcutaneous
injection of insulin into an area affected by
lipohypertrophy versus an area with no
evidence of lipohypertrophy.
1 year
This project aims to provide research
infrastructure that is vital to ensuring cancer
research capacity and quality continues to
expand in NSW.
3 years
This project aims to identify the factors
which predict for a home death so that
interventions can be developed to help
patients who want to die at home to do so.
3 years
Project aims to directly compare the health
benefits achievable with the use of oral
appliances.
3 years
3 years
Sydney South West Area Health Service Statutory Annual Report 05/06
A prospective randomised controlled
clinical trial of conventional periodontal
treatment to test whether conventional
treatment of periodontal disease will result
in reduced systemic levels of inflammatory
and prothrombotic factors.
The project in partnership with NSW
Department of Corrective Services will
establish a self sustaining education
and support program to: assist with
case management and addressing the
needs of mothers who are in prison;
enhance their ability to provide
appropriate and sensitive parenting;
and reduce the emotional and social
impact of separation due to
incarceration on their children 0-5
years.
92
Official Overseas Travel
Facility
Name and Unit
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Dr Ishrat Ali,
Bankstown Mental Health
S Atlas,
Radiology
F Bonar,
Surgery
F Bonar,
Surgery
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
M Brennan,
Radiology
C Bui,
Nuclear Medicine
Bankstown
Hospital
Marily Cintra,
Arts for Health Program
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
H Dixon,
Nuclear Medicine
H Dixon,
Nuclear Medicine
H Dixon,
Nuclear Medicine
B Elison,
Nuclear Medicine
Bankstown
Hospital
J Flack,
Endocrinology
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
J Flack,
Endocrinology
A Frankel,
Respiratory
D Freiberg,
Respiratory
D Greenberg,
Radiology
D Greenberg,
Radiology
Dr Honor Pennington
Bankstown Mental Health
S Ieraci,
Accident and Emergency
Place Visited
Purpose of Travel
Source of
Funds
Edinburgh
Royal College of Psychiatrists
TESL
Chicago
Texas, America
Nice
London
Radiology Society North America
2005
28th Annual San Antonio Breast
Cancer Symposium
European Breast Cancer
Conference
Trust Funds
General Funds
General Funds
Gynaecological US Course
Trust Funds
ASUM Asia Link “Excellence in
US”
Trust Funds
Bangkok
AOSPR 2005
Trust Funds
Manila
8 AMS Meeting
Manila
Prague
Copenhagen
Birmingham,
UK
Wellington
Montreal and
Toronto,
Canada
University of
Washington
Chicago
London
Chicago
Athens
th
ASEAN Radiology Congress
2006
rd
ECTS 33 Euro Symposium on
Calcified Tissues
Nordic Mammography Screening
Symposium VI
UK Radiology
Meeting in the Middle –
Abdominal Imaging
To participate in the Creative
Places Conference and present
work developed for SSWAHS Arts
for Health Programs at the
University of Montreal
Visit Professor Satoshi
Minoshima
Radiology Society North America
2005
Visit St Thomas PET Centre
Radiology Society North America
2005
41st Annual Meeting of the
European Association for
Diabetes
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Self funded
Trust Funds
Trust Funds
Trust Funds
Trust Funds
General Funds
Bangkok,
Thailand
6th IDF WPR Congress
General Funds
Johannesburg
SA Thoracic Society & Critical
Care
General Funds
Los Angeles,
America
American Thoracic Society
General Funds
nd
Singapore
Bahamas
Nauru
New Zealand
32 Annual Refresher –
International Skeletal Society
Diagnostic Imaging Update at
Atlantis
Project funded to set up Mental
Health Service in Nauru
ACEM Winter symposium 2005
Sydney South West Area Health Service Statutory Annual Report 05/06
Trust Funds
Trust Funds
Self funded via
Annual Leave
General Funds
93
Official Overseas Travel
Facility
Name and Unit
Bankstown
Hospital
Bankstown
Hospital
P Kelleher,
Cardiology
P Kelleher,
Cardiology
Bankstown
Hospital
Lara Keogh
Clinical Psychologist
Bankstown Anxiety
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
F Kirsten,
Oncology
F Kirsten,
Oncology
F Kirsten,
Oncology
F Kirsten,
Oncology
Bankstown
Hospital
Place Visited
Purpose of Travel
Florida
9 ASM – Heart Failure Society
th
Source of
Funds
Trust Funds
th
Baltimore, US
Anaheim, LA,
USA
17 ASM – American Society of
Echography
Trust Funds
Conference
Registration
paid from
Special trust
fund (Anxiety
Conference
Account)
th
Barcelona
London
10 Annual Symposium on Breast
Disease
th
11 World Conference on Lung
Cancer
Trust Funds
Trust Funds
London
Breast Cancer in Young Women
Trust Funds
Atlanta
American Society of Clinical
Oncology
Trust Funds
Ilka Kolodziej
Physiotherapy
Aspen,
Colorado
Paper presentation at the Annual
Performing Arts Medicine
Symposium
Self funded plus
funding from the
University of
Sydney
Bankstown
Hospital
G Matthias,
Obstetrics and
Gynaecology
Vancouver,
Canada
American Society of Reproductive
Medicine
General Funds
Bankstown
Hospital
M Obaid,
Endocrinology
Athens
41st Annual Meeting of the
European Association for
Diabetes
General Funds
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
M Obaid,
Endocrinology
B Ong,
Ambulatory Care
F O’Rourke,
Aged Care
Washington
66th Scientific Sessions
General Funds
Chicago
The American Geriatric Society
General Funds
London
Advanced Medicine Conference
General Funds
Bankstown
Hospital
David Rouen
Psychologist
Anaheim, LA,
USA
Conference
Registration
paid from
Special trust
fund (Anxiety
Conference
Account)
Bankstown
Hospital
Dr Stuart Saker
Bankstown Mental Health
Duke University
ECT Fellowship
TESL
Bankstown
Hospital
Dr Stuart Saker
Bankstown Mental Health
Prague
Bankstown
Hospital
Dr Stuart Saker
Bankstown Mental Health
Madrid
Bankstown
Hospital
Bankstown
Hospital
Dr Stuart Saker,
Bankstown Mental Health
G Schembri,
Nuclear Medicine
International Society for the Study
of Personality Disorders
Conference
International Society for the
Psychological Treatment of
Schizophrenia Conference
TESL
TESL
Hobart
AMMA conference
General Funds
Istanbul
European Society of Nuclear
Medicine
Trust Funds
Sydney South West Area Health Service Statutory Annual Report 05/06
94
Official Overseas Travel
Facility
Bankstown
Hospital
Name and Unit
Karl Schurr
Physiotherapy
Bankstown
Hospital
Quing Shen
Aged Care
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
B Smith,
Accident and Emergency
B Smith,
Accident and Emergency
B Smith,
Accident and Emergency
B Smith,
Accident and Emergency
Place Visited
Purpose of Travel
Source of
Funds
UK and
Denmark
Teaching – a number of 2-day
workshops were provided on
upper limb management and
lower limb management for
patients with neurological
conditions e.g. CVA
Self funded
International Stroke Conference,
Feb 2006. Poster presentation
Travel
Scholarship
from Liverpool
Clinical School,
UNSW
Australian College of Emergency
Medicine - Winter 2005
General Funds
Washington
ACEP Scientific Assembly
General Funds
Los Angeles,
America
Resuscitation 2006
General Funds
Hawaii
Emergency & Acute Care
General Funds
USA
Sponsorship –
Health
Education and
Management
Innovations
(HEMI)
Registration
paid from
special trust
fund (income
form Anxiety
Conference)
Bankstown
Hospital
Fleur Trezise
CNC Surgery/Wound
Management
Prague, Czech
Republic
Attendance at the 16 European
Wound Management Conference
Bankstown
Hospital
Dr Renate Wagner
Clinical Psychologist
Community Health
Anaheim LA,
USA
Conference
Can Tho,
Vietnam
Conference and presentation of
workshop
University of
NSW
Hong Kong
Combined Science Meeting Anaesthesiology 2005
General Funds
Canadian Anaesthetics Society
General Funds
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Bankstown
Hospital
Campbelltown
Hospital
Campbelltown
Hospital
Canterbury
Hospital
Canterbury
Hospital
Dr Renate Wagner
Clinical Psychologist
Community Health
K Wong,
Anaesthetics
K Wong,
Anaesthetics
F Mackenzie
Clinical Psychologist,
Bankstown Mental Health
Teresa Pudo
NUM
Christine Fuller
NUM
Nicole Cusak
Macarthur Cancer
Therapy
Angela Petridis
Infant Child & Adolescent
Mental Health Service
Jennifer Warrilow NUM,
Postnatal Unit
Catherine McDonnell
Catherine. CNC
Toronto,
Canada
1. Prague,
Czech
Republic. 2.
Madrid Spain
Miami Beach,
Florida, USA
Miami Beach,
Florida, USA
Vancouver,
Canada
Anahiem, USA
Christchurch,
NZ
Kuala Lumpar,
Malaysia
th
1. 7th Euuropean Congress of the
International Society for Study of
Personality. 2. 15th ISPS
International Congress
9th Annual Magnet Conference
9th Annual Magnet Conference
31st Annual Meeting of the
Amercian Association of Medical
Dosimetrists
Evolution of Psycholotherapy
Conference
Attend WHA/CHA Conference
Facilitating palliative care nurses
workshop
Sydney South West Area Health Service Statutory Annual Report 05/06
Bankstown
Mental Health
SP&T
Bankstown
Sports Club
Bankstown
Sports Club
Berry and
Partners SP&T
N/A
Women’s &
Children’s Trust
Hospic
Malaysia
95
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
Concord
Hospital
D Le Couteur
Geriatric
Norway
University of Tromso - Seminar
Trust Funds
th
Concord
Hospital
D Milliss
ICU
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
D Milliss
ICU
E Veitch
Respiratory
G Aggarwal
Palliative Care
H Lowe
Cardiology
Concord
Hospital
H Creasey
Geriatric
Concord
Hospital
Concord
Hospital
Concord
Hospital
I Norton
Gastroenterology
J Estell
Haematology
J Hollinshead
Upper GI
Concord
Hospital
G Thanakrishnan
ICU
Amsterdam
Concord
Hospital
L Ridley
Radiology
Chicago
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
L Emmett
Nuclear Medicine
L Wong
Radiology
L Morgan
Respiratory
M Gallagher
Renal
M Peters
Respiratory
Concord
Hospital
M Magee
Nuclear Medicine
Seattle
Concord
Hospital
P Maitz
Burns
Austria
Concord
Hospital
P Maitz
Burns
Beirut and
Hanoi
Concord
Hospital
P Maitz
Burns
Lisbon, Cape
Town and New
York
Concord
Hospital
P Wickramasuriya
Respiratory
Montreal
Cape Town
Hanoi
Copenhagen
Kuala Lumpur
New York
Athens and
Stockholm
Montreal
Kuai
Mexico City
Paris
Paris and
Rome
Copenhagen
Wellington
Brussels and
Paris
12 Biennial Congress of the
South African Burn Society, World
Congress of the European Club
for Paediatric Burns
National Institute for Burns
Exchange Program
European Respiratory Society
th
15 Annual Congress
Pain and Symptom Management
2 and Workshop
th
38 Annual New York Annual
Cardiovascular Symposium
European Association for the
th
Study of Diabetes, 12 Congress
on International Psychogeriatric
Association – Age and Dignity
2005 World Congress of
Gastroenterology
Pan Pacific Lymphoma
American College of Surgeons
Clinical Congress
th
18 Annual Congress on
European Society of Intensive
Care Medicine
Radiological Society of North
st
America 91 Scientific Assembly
and Annual Meeting
Cardiac Imaging Society of
France
High Tech Imaging and
Muscularskeletal MRI
European Respiratory Society
2005
Australia and New Zealand
Society of Nephrology
AWARE Asthma Meeting,
INSTEP Clinical Trials
th
10 Annual Scientific Session of
the American Society of Nuclear
Cardiology
Visiting State Burns in Vienna
and Salzburg, Society for Burns
Congress DAV 2006
State of the Art Burns Treatment
Instructional Course, Visit
National Burns Institute in Hanoi
th
11 EBU Congress 2005, South
African Burn Society Biennial
Congress, New York State Burns
Unit visit
Chest 2005
Sydney South West Area Health Service Statutory Annual Report 05/06
General Funds
General Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
General Funds
General Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
96
Official Overseas Travel
Facility
Name and Unit
Place Visited
Concord
Hospital
R Mansberg
Nuclear Medicine
Cyprus and
Istanbul
Concord
Hospital
R Walls
Immunology
Jaipur and
Athens
Concord
Hospital
S Riminton
Immunology
Queenstown
Concord
Hospital
A Robertson
Radiology
Colorado
Concord
Hospital
A Corbett
Neurology
Istanbul
Concord
Hospital
Concord
Hospital
A Corbett
Neurology
A Bianchi
Haematology
Concord
Hospital
A Panis
Anaesthetics
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
B Shenstone
Rheumatology
D Brieger
Cardiology
D Le Couteur
Geriatric
D Le Couteur
Geriatric
D Le Couteur
Geriatric
D Milliss
ICU
F Davidson
Anaesthetics
F Booth
Ophthalmology
G Aggarwal
Palliative Care
G Aggarwal
Palliative Care
Concord
Hospital
H Van der Wall
Nuclear Medicine
San Diego and
London
Concord
Hospital
H Lowe
Cardiology
Manchester
Concord
Hospital
H Creasey
Geriatric
Newcastle,
Geneva, Paris,
Goteburg and
Chicago
San Diego
Amsterdam
London and
Slovenia
Amsterdam
Atlanta
Touson
Washington
and Baltimore
Christchurch
Hanoi
Papua New
Guinea
Papua New
Guinea
Kuala Lumpur
Venice
Purpose of Travel
International Conference on
Radiopharmaceutical Therapy
2005, European Association of
Nuclear Medicine
Indian College Annual
Convention on Asthma and
Allergy, European Asthma
Congress
ASCIA Scientific Meeting
Vail 2006 – MRI in Clinical
Practice, Snowmass 2006 – New
Advances in MR and CT
World Federation of Neurology
th
11 International Congress on
Neuromuscular Diseases
th
58 Annual Meeting – American
Academy of Neurology
International Society for
Laboratory Haematology 2006
World Anaesthesia Seminar, Joint
GAT/SCATA seminars,
Consciousness in Anaesthesia,
th
7 European Trauma Congress
European League Against
Rheumatism
American College of Cardiology
Meeting
Aging and the Hepatic Sinusoid
University of Arizona
National Institute on Aging,
National Institute on Health
University of Otago –
Christchurch Hospital
Lecture Tour – National Institute
of Burns
PNG Eye Care Project
Palliative Care Workshop,
Hospice Malaysia
th
4 Research Forum – European
Association for Palliative Care
Society of Nuclear Medicine
Annual Meeting
International Society for Heart
th
Research – 26 European
Section Meeting
th
British Geriatric Society, 9
International Alzheimer Therapy,
ISPEN, Stroke Rehabilitation
2006, American Geriatric Society
Endoscopic Ultrasound 2006
Sydney South West Area Health Service Statutory Annual Report 05/06
Source of
Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
General Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
General Funds
General Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Trust Funds
97
Official Overseas Travel
Facility
Name and Unit
Concord
Hospital
Concord
Hospital
Concord
Hospital
I Norton
Gastroenterology
I Norton
Gastroenterology
J Estell
Haematology
Concord
Hospital
J Smith
Anaesthetics
Concord
Hospital
Concord
Hospital
Concord
Hospital
J Quoyle
Anaesthetics
J Trotman
Haematology
T Biswas
Anaesthetics
Place Visited
Purpose of Travel
Source of
Funds
Amsterdam
Digestive Diseases Week
Trust Funds
th
Los Angeles
Amsterdam
Venice and
Madrid
Toronto
Amsterdam
Madrid and
London
11 Congress of European
Haematology Association
International Society for
Laboratory Haematology 2006
European Association of
Cardiothoracic Anaesthesiologists
2006, Euroanaesthesia 2006
Canadian Anaesthesiologists
Annual Meeting
European Haematology
Association Congress
Euroanaesthesia 2006
Trust Funds
Trust Funds
General Funds
General Funds
Trust Funds
General Funds
th
Concord
Hospital
G Thanakrishnan
ICU
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
L Kritharides
Cardiology
L Laks
Respiratory
L Reiter
MADU
L Morgan
Respiratory
Concord
Hospital
Concord
Hospital
Concord
Hospital
Brussels
Rome
19 Annual Congress – European
Society of Intensive Care
Medicine
International Symposium on
Atherosclerosis
General Funds
Trust Funds
Salt Lake City
Sleep 2006
Trust Funds
Amsterdam
European League Against
Rheumatism 2006
General Funds
Singapore
Pleura Meeting in Singapore
Trust Funds
M Sanger
Executive
London and
Prague
M Peters Respiratory
Rome and
Basel
Site Lecture Whipps Cross –
guest speaker on Olympic
th
preparation, 11 European Forum
on Quality Improvement on
Health Care
GLCC Executive Meeting,
COMPASS Clinical Trials Meeting
M Peters Respiratory
Singapore
Pleura Meeting in Singapore
General Funds
Trust Funds
Trust Funds
th
Vancouver and
Seattle
14 Scientific Meeting and
Exhibition for Magnetic
Resonance in Medicine,
University of British Columbia visit
Trust Funds
Toronto
World Congress on Osteoporosis
Trust Funds
San Diego and
Toronto
Vancouver Children’s Hospital
Site Visit,
Society for Education in
Anaesthesia, RACS Anniversary
th
Meeting, IARS 80 Clinical and
Scientific Congress
International Symposium –
Radioactive Isotomes in Clinical
Medicine and Research
th
6 Annual Federation of Clinical
Immunology Meeting, European
Academy of Allergology and
Clinical Immunology
Concord
Hospital
M Ngu
Gastroenterology
Concord
Hospital
Concord
Hospital
M Hooper
Endocrinology
M Magee
Nuclear Medicine
Concord
Hospital
P McKinnon
Anaesthetics
London and
Dan Francisco
Concord
Hospital
R Mansberg
Nuclear Medicine
Austria and
Budapest
Concord
Hospital
R Walls
Immunology
San Francisco
and Vienna
Sydney South West Area Health Service Statutory Annual Report 05/06
Trust Funds
General Funds
Trust Funds
Trust Funds
98
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
Trust Funds
Trust Funds
Concord
Hospital
R Bradbury
Microbiology
Lisbon,
Switzerland
and Paris
International Society for Infectious
Diseases, Congress for the
International Society for Human
and Animal Mycology,
International Symposium on
Infections in the Immuno Host
Concord
Hospital
S Reddel
Neurology
Oxford
Trials
Concord
Hospital
S Gaden
Radiology
Colorado
Concord
Hospital
T Gottlieb
Infectious Diseases
Wellington
Concord
Hospital
T Karplus
Vascular Med
Milan and
Lisbon
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
V Naganathan
Geriatric
V Naganathan
Geriatric
A Bannon
Microbiology
C Weatherall
Microbiology
C Mak
Surgical Superintendent
K Ip
DPU
S Bass
Nuclear Medicine
A Crittenden
Audiology
B Casey
Psychology
F Li
Physiotherapy
K Swaraj
Nuclear Medicine
L Seccombe
Respiratory
Concord
Hospital
P Rogers
Respiratory
Concord
Hospital
Concord
Hospital
P Kirkpatrick
Immunology
S Taggart
Burns
Rhonda Anderson Site
Manager, Nutrition and
Dietetics
Concord
Hospital
Chicago
Vail 2006 – MRI in Clinical
th
Practice, 6 Annual Snowmass –
New Advances in MR and CT,
th
12 Annual Snowmass 2006 –
Clinical Ultrasound
The Australasian Society for
Infectious Diseases Annual
Scientific Meeting
th
16 International Workshop on
nd
Vascular Anomalies, 22 World
Congress on the International
Union of Angiology
American Geriatric Society
Annual Scientific Meeting
Trust Funds
Trust Funds
Trust Funds
Trust Funds
Kuala Lumpur
Asia Pacific Geriatric Conference
Trust Funds
Wellington
ASID Conference
Trust Funds
Wellington
ASID Conference
Trust Funds
Hong Kong
Breast Seminar Series 2006
General Funds
Amsterdam
International Diagnostic Course
Trust Funds
Davos
8 International Tinnitus Seminar
Trust Funds
Paris
International Neuropsychological
Society
Trust Funds
Dublin
5 Asia Pacific Burns Conference
Trust Funds
Shanghai
ASNC 2005
Trust Funds
Seattle
Copenhagen
Copenhagen
th
th
European Respiratory Society
Annual Conference
European Respiratory Society
Annual Conference
Annual Scientific Meeting of the
Australian Society of Clinical
Immunology
Trust Funds
Trust Funds
Trust Funds
Queenstown
ANABA
Trust Funds
New Zealand
ASID Conference
Trust Funds
1. Manchester,
England. 2.
Dublin Ireland
1. Obesity and Health Conference
2. Prevention, Wellness and
Nuitition Intervention Conference
Self Funded
Sydney South West Area Health Service Statutory Annual Report 05/06
99
Official Overseas Travel
Purpose of Travel
Source of
Funds
Facility
Name and Unit
Place Visited
Concord
Hospital
Rhonda Anderson Site
Manager, Nutrition and
Dietetics
1. Manchester,
England. 2.
Dublin Ireland
Concord
Hospital
Chantal Gebbes
CNC Clinical Trials ,
Medical Oncology
Barcelona,
Spain
Concord
Hospital
Sue Monaro
CNC Vascular Services
Singapore
Attend the Stem Cells and Tissue
Engineering in wound Healing
and Burn Injuries
Costs met by
the National
Institute of
Burns (Hanoi)
National
Institute of
Burns (Hanoi)
1. 2nd national Conference on
Obesity and Health. 2.
Prevention, Wellness and
Nutrition Intervention Across the
Lifespan Conference
Attend the MK – 0683 PN 014
Advanced Mesothelioma Study
Investigator Meeting
Self Funded
Sponsored by
Merck Sharpe
& Dohme
Singapore
Wound Society
conference
convenors
Concord
Hospital
Frank Li
Physiotherapist, Burns
Unit
Hanoi, Vietnam
Invited by President of the Burns
Service and Vice-President of
Burns Service/ Medical Director of
the National Institute of Burns in
Vietnam & Director of ICU of the
National Institute of Burns, to
provide expert consultancy in
burns care
Concord
Hospital
Dorothy Roberts,
Dorothy, RN CNS Burns,
RGH
Vietnam
Exchange Programme for the
National Institute of Burns (Hanoi)
Concord
Hospital
A Bianchi
Haematology
Istanbul
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
Concord
Hospital
A Lee
Gastroenterology
A Lee
Gastroenterology
A Panis
Anaesthetics
B Dennien
Radiology
C Chan
Anatomical Pathology
Concord
Hospital
C George
Renal
Singapore,
Kuala Lumpur,
Brunei
World Congress of Nephrology,
Acute Renal Failure Symposium
General Funds
Concord
Hospital
D Brieger
Cardiology
Stockholm
European Society of Cardiology
Trust Funds
International Conference on Grief
and Bereavement in
Contemporary Society
Supported by
Postgraduate
Affairs
committee of
UNSW
San Francisco
Seoul
Istanbul
Queenstown
Beijing
Department of
Forensic
Medicine
Jane Mowll
Counseling
Department of
Forensic
Medicine
Jane Mowll
Counseling
Hong Kong
Karitane
Robert Mills
Karitane
Washington
DC, USA
Liverpool
Hospital
Valerie Poxon
Project manager, Cancer
Services
Arlington, USA
London UK
World Congress of the
International Society of
Haematology
American Association for the
Study of Liver Diseases
Asia Pacific Digestive Week
International Congress on
Coronary Artery Disease
The Interventional Radiology
Society of Australia 2005
The Fourth Asia-Pacific IAP
Congress 2005
International Work Group in
Death, Dying and Bereavement
Meeting
Attend the Zero to Three National
Training Institute Conference
National Cancer Registrars
Association IMPAC Users
Conference
Sydney South West Area Health Service Statutory Annual Report 05/06
Trust Funds
Trust Funds
Trust Funds
General Funds
Trust Funds
Trust Funds
General Funds
Karitane
General Fund
Cancer Institute
of NSW and
Personal
Expense
100
Official Overseas Travel
Facility
Name and Unit
Place Visited
Liverpool
Hospital
Anita Caldwell Trauma
CNC
Madrid, Spain;
Porto, Portugal
Liverpool
Hospital
Satya Rajapakse
Principle Hospital
Scientist
Seoul, South
Korea
Liverpool
Hospital
Robert Brooks
Senior Research Officer,
Psychiatry Research and
Training Unit
Washington
DC and New
York, USA
Liverpool
Hospital
Paul Barton
Research Director,
CORE
Manila,
Philipines
Liverpool
Hospital
Richard Thode Regional
Course Coordinator,
CORE
Manila,
Philipines
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Gaurav Tandon GMCT
Programme Manager,
Brain Injury Unit
Ruth Orchison
Clinical Psychologist,
Geriatrics and
Rehabilitation
Canada
Purpose of Travel
Definitive surgical trauma course
and perioperative Nursing
Trauma Course
World Congress on Medical
Physics and Biomedical
Engineering
1. Harvard Programme for
Refugee Trauma. 2. Cooperative
Study into Anger/Violence in
Psych Patients, 3. Advanced
Course in Mplus
3rd Project Coordinators Meeting
of the Distance Learning Project
RAS/6/033 in the Applied
Sciences of Oncology
3rd Project Coordinators Meeting
of the Distance Learning Project
RAS/6/033 in the Applied
Sciences of Oncology
International Conference of the
International Society for Quality
Health Care
Source of
Funds
Grupo de
Trauma Porto
Berry and
Partners SP&T
Sponsored
UNSW and
Harvard
Programme for
Refugee
Trauma
Sponsored by
IAEA
Sponsored by
IAEA
General Fund
USA
(California)
Evolution of Psycholotherapy
Conference
N/A
Joanna Janniste
USA Portland
Conference
General Funds
Nancy Rushford
Colombo Sri
Lanka
WFOT Capacity building
workshop
Not funded
Lisboa Portugal
8th Biennial Estro Meeting
Berry &
Partners Trust
Fund
Germany
1st AAPM Symposium on
Advances in Imaging and
Radiation Therapy
CPD Funding
Lisboa Portugal
8th Biennial Estro Meeting
Berry &
Partners Trust
Fund
Megan Tattersall
Cancer Therapy Centre Radiation Therapy
Vinod Nelson
Cancer Therapy Centre Medical Physicist
Satya Rajapakse Cancer Therapy Centre Medical Physics
Liverpool
Hospital
Gwi-Ae Cho
Cancer Therapy Centre Medical Physics
Denver - USA
Liverpool
Hospital
Matthew Fuller
Cancer Therapy Centre Radiation Therapy
Denver - USA
Liverpool
Hospital
James Latimer
Cancer Therapy Centre Radiation Therapy
Paris
47th Annual Astro Meeting,
Denver Colorado and American
Society of therapeutic Radiology
and Oncology
47th Annual Astro Meeting,
Denver Colorado and American
Society of therapeutic Radiology
and Oncology
European Cancer Conference
Sydney South West Area Health Service Statutory Annual Report 05/06
Berry &
Partners Trust
Fund
Berry &
Partners Trust
Fund
Berry &
Partners Trust
Fund
101
Official Overseas Travel
Facility
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Name and Unit
Virendra Patel
Cancer Therapy Centre Medical Physics
Joanne Veneran
Cancer Therapy Centre Radiation Therapy
Isabella Franji
Cancer Therapy Centre Radiation Therapy
Matthew Fuller
Cancer Therapy Centre Radiation Therapy
Debra Vincent
Cancer Therapy Centre Radiation Therapy
Jim Yakobi
Cancer Therapy Centre Radiation Therapy
Ray Asghari
Cancer Therapy Centre Medical Oncology
Virendra Patel
Cancer Therapy Centre Medical Physics
Jason Arts
Cancer Therapy Centre Medical Physics
Ming Kong
Cancer Therapy Centre Medical Physicist
Gwi-Ae Cho
Cancer Therapy Centre Medical Physics
Place Visited
Purpose of travel
Source of
Funds
India
27th Annual Conference of Assoc
Radiation Oncologists
Berry & Partners
Trust Fund
New Zealand
NZIMRT & Air Conference
Berry & Partners
Trust Fund
New Zealand
NZIMRT & Air Conference
Berry & Partners
Trust Fund
New Zealand
NZIMRT & Air Conference
Berry & Partners
Trust Fund
New Zealand
NZIMRT & Air Conference
Berry & Partners
Trust Fund
Milan - Italy
Advances in Radiation Therapy
Berry & Partners
Trust Fund
San Francisco
2006 ASCO Gastrointestinal
Cancer Symposium
Medical
Oncology Trust
St Louis
CMS XiO Training Course for
Medical Physicists
CPD Funding
St Louis
CMS XiO Training Course for
Medical Physicists
CPD Funding
Lisboa Portugal
8th Biennial Estro Meeting
CPD Funding
Palmerston
North - New
Zealand
Physicist Workspace Pilot
Application Training
Siemens Ltd
Medical
Solutions
Funded by
F7Trauma
clinical trial
sponsor
Liverpool
Hospital
ICU Research
Sharon Micallef
Budapest,
Hungary
Investigator's Meeting for
F7Trauma (CONTROL) clinical
trial to commence 2006
Liverpool
Hospital
Fairfield Mental Health
Joe Chuong
Can Tho Vietnam
Presentation of a paper at
Vietnamese- Australian Mental
Health Conference and site visit
Liverpool
Hospital
P Lehmann
Queenstown,
NewZealand
Immunopathology Conference
Liverpool
Hospital
Merran Findlay
Dietetics
Rome, Italy
Cachexia Conference
Liverpool
Hospital
Liverpool
Hospital
Shakun Kishore
Radiology
Marily Cintra
Arts for Health Program
Chicago
Radiology conference(RSNA 05)
Canada
Creative Places Conference
Self funded
Liverpool
Hospital
Nancy Santiano
Simpson Centre
Philipines
Liverpool
Hospital
Lisa Connolly
Cardiology
Mexico
3rd Congress of the World
Federation of Critical Care
Nurses
International Investigator Meeting
for SHINE
Advanced
Resuscitation
Course
Sponsored by
Sanosi Aventis
Sydney South West Area Health Service Statutory Annual Report 05/06
General Fund
Staff Specialist
Trust Fund
CTC Trust and
Staff own
expense
Radiology
education fund
102
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of travel
Liverpool
Hospital
Virendra Patel
Cancer Therapy Centre
Medical Physics
USA
CMS XiO Training Course for
Medical Physicists
Liverpool
Hospital
Anita Jones
Neurophysiology
Auckland, New
Zealand
Liverpool
Hospital
Catherine Bridge
Neurophysiology
Auckland, New
Zealand
Liverpool
Hospital
Rowena Baldacchino
Neurophysiology
Auckland, New
Zealand
Liverpool
Hospital
Liverpool
Hospital
Liverpool
Hospital
Katherine Caldwell
Cancer Therapy Centre
Annie Lau
Cancer therapy Centre
Andrew Smith
Orthopaedics
Population
Health
Leon Heron
Public Health Unit
Western Zone
Paris, France
To attend 12 International
Symposium on Viral Hepatitis
and Liver Disease
JONES, Lynn. TPN CNC
Manila,
Philippines
FRANC Asia 2006
PRYOR, Marie
Cardiology
New York USA
Royal Prince
Alfred
Hospital
GORRELL, Mark.
Principle Scientific
Officer
1. Paris France.
2. Warrington
USA. 3.
Washington,
USA
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
FRIG, Elizabeth.
Dietician, Nutrition &
Dietetics Dept
San Francisco,
USA
MERRY, Judith. RN,
Medical Oncology
San Diego,
California, USA
Royal Prince
Alfred
Hospital
YANG, Shihong.
Research Assistant,
Haematology Dept
Frankfurt,
Germany
Royal Prince
Alfred
Hospital
BROOKS, Belinda.
Nurse Practitioner,
Endocrinology Dept
Vienna, Austria
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Vienna, Austria
Vienna, Austria
Wellington,
New Zealand
Association of
Neurophysiological
Technologists of Australia
Conference
Association of
Neurophysiological
Technologists of Australia
Conference
Association of
Neurophysiological
Technologists of Australia
Conference
The ESTRO teaching course on
Brachytherapy
Brachytherapy on
Gynaecological Malignancies
Management of Orthopaedics
Multi-Trauma Patient
th
Sanofi Aventis Stradivarius
Clinical Trial Investigator
Meeting
1. Seminar at Institut de
recherches. 2. ASLD Basic
Research Single Topic
Conference. 3. American
Diabetes Association 66th
Scientific Sessions
Attend the L-000899055
Protocols – Clinical Trials
Investigator meeting.
Attend Bayer/RPA International
Sorafenib meeting for Study
439006
To work with collaborators at the
Institute, Georg-Speyer-Haus in
the development of antimyeloma T-cell and NK-cell
immunotherapy research
Second International
Investigators Meeting
Sydney South West Area Health Service Statutory Annual Report 05/06
Source of
Funds
Sponsored by
Australasian
College of
Physical
Scientists and
Engineers in
Medicine
Neurological
Research Trust
Fund
Neurological
Research Trust
Fund
Neurological
Research Trust
Fund
Berry and
Partners
Berry and
Partners
General Fund
(Orthopaedics)
General funds
and partially
sponsored by
GSK
Pharmatel
Fresenius Kabi
Sanofi Aventis
Flights
Sponsored by
Takeda
Pharmaceuticals.
(Gastro RPA
SP&T 81368)
Sponsored by
Merck Sharp &
Dohme
Bayer
HealthCare
Pharmaceuticals
International
Myeloma
foundation &
Cancer Institute
of NSW grants
Sponsored by
Astrazeneca &
Takeda
103
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
Royal Prince
Alfred
Hospital
CLINGAN, Tazmin.
Podiatrist, Diabetes
Centre
Chaoyang,
Beijing, China
Attend the 2005 Beijing
International Diabetes Foot and
Related diseases Forum
Endocrinology
Department
Trust Fund
Royal Prince
Alfred
Hospital
FULTON, Roger.
Principal Hospital
Scientist, PET & Nuclear
medicine
San Juan,
Puerto Rico,
USA
Attend the IEEE Nuclear Science
Symposium and Medical Imaging
Conference
PET & Nuclear
Medicine
Department
Trust Fund
Royal Prince
Alfred
Hospital
HURRELL, Elizabeth.
Social Worker, Fertility
Unit
Christchurch,
NZ
Attend the Fertility Society of
Australia 2005 Scientific Meeting
Fertility Unit
Trust Fund
Royal Prince
Alfred
Hospital
KIERNICKI, Jane. CNS,
Fertility Unit
Christchurch,
NZ
Attend the Fertility Society of
Australia 2005 Scientific Meeting
Fertility Unit
Trust Fund
Royal Prince
Alfred
Hospital
LUO, Connie. CNS,
Diabetes Centre
Chaoyang,
Beijing, China
Attend the 2005 Beijing
International Diabetes Foot and
Related diseases Forum
Endocrinology
Department
Trust Fund
Royal Prince
Alfred
Hospital
PARK, Ki Joon.
Radiation Therapist,
Radiation Oncology
Department
Lisbon,
Portugal
Attend the 8 Biennial ESTRO
Meeting on Physics and
Radiation Technology for Clinical
Radiotherapy
Radiation
Oncology Trust
Fund
Royal Prince
Alfred
Hospital
RANDALL, Katrina.
Registrar, Immunology
Department
Queenstown,
NZ
Attend the Annual Scientific
Meeting of the Australasian
Society of Clinical Immunology
Immunology
Department
Trust Fund
Royal Prince
Alfred
Hospital
YU, Gary, Registrar,
Immunology Department
Queenstown,
NZ
Attend the Annual Scientific
Meeting of the Australasian
Society of Clinical Immunology
Immunology
Department
Trust Fund
Royal Prince
Alfred
Hospital
AW, Swee Tin. Senior
Hospital Scientist,
Neurology Dept
Washington
DC, USA
Attend & present a paper at
th
Society for Neurosciences 35
Annual Meeting
Neurology
Department
Trust fund
Royal Prince
Alfred
Hospital
GORRELL, Mark.
Principal Hospital
Scientist,
Gastroenterology Dept
Quebec city,
Canada
Attend the International
Proteolysis Society Conference
Gastroenterology
Department
Trust Fund
Royal Prince
Alfred
Hospital
ZHANG, Xiao –Mei.
Research Assist,
Radiation Oncology Dept
Paris, France
Attend the ECCO!3 - European
Cancer conference
Radiation
Oncology Trust
Fund
Royal Prince
Alfred
Hospital
BRADSHAW, Andrew,
Research Assist,
Neurology Dept
Washington
DC, USA
Attend the Society for
Neurosciences Annual meeting
Neurology
Department
Trust fund
Royal Prince
Alfred
Hospital
BROWN, Ross. Principal
Hospital Scientist,
Haematology Dept
Atlanta, USA
Attend the American Society of
Haematology Conference
Haematology
Department
Trust fund
Royal Prince
Alfred
Hospital
YOZGHATLIAN,
Veronica Research
Assist, Respiratory
Medicine Dept
Baltimore, USA
Attend the North American
Cystic Fibrosis Conference
Respiratory
Medicine Trust
Fund
th
Sydney South West Area Health Service Statutory Annual Report 05/06
104
Official Overseas Travel
Facility
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Royal Prince
Alfred
Hospital
Name and Unit
Place
Visited
Purpose of travel
Source of Funds
GAULD, Amanda. RN,
Diabetes Centre
Vienna,
Austria
Second International Investigators
Meeting
Sponsored by
Astrazeneca &
Takeda
READ, Jane. Dietician,
Nutrition and Dietetics
Italy (Rome)
Cachexia Conference
Sponsor Cancer
Institute, Private
RAJBHANDARI, Dorrilyn
ICS Research
Coordinator
Singapore
SAINT 1 and SAINT 2
Clinical Trial
Sponsor ‘Astra
Zeneca’
RYAN, Joan. CNC
Palliative Care
Kuala
Lumpur,
Malaysia
Facilitating palliative care nurses
workshop and providing clinical
supervision for Hospic Malaysia
Hospic Malaysia
MANII, Paris.
Pharmacist, Institute of
Haematology
Honolulu,
Hawaii, USA
BMT Tandem Meetings
Conference
Amgen Australia
MURRAY, Bronwyn.
CNS, Medical Oncology
San Antonio,
USA
San Antonio Breast Cancer
Symposium
Sponsors: Eli
Lilly, Astra
Zeneca, Roche,
Novartis
Rome, Italy
FAST Mid-Study Investigator
Meeting
NovoNordisk
Hong Kong
International Workgroup in Death,
Dying and Bereavement
DOFM General
Fund
Wellington,
New Zealand
10th Australasian Conference on
Child Abuse and Neglect 2006
General Fund,
Allied Health
Social Work
Copenhagen
Denmark
Attend the European Respiratory
Society
Respiratory
Function Dept
Trust Fund
RAJBHANDARI,
Dorrilyn, ICS
Coordinator
MOWLL, Jane. Senior
Forensic Counsellor,
Dept of Forensic
Medicine
HILL, Susan. Training
and Education Officer,
Child Protection
ROGERS, Peter. Senior
Hospital Scientist,
Respiratory Function
Department
AMBROSE, Leigh.
Radiation Therapist,
Radiation Oncology
GUNASENA, Dudley.
Radiation Therapist
Radiation Oncology
Auckland, NZ
Auckland, NZ
KO, Rebecca Radiation
Therapist
Auckland, NZ
LIN, Robert . Senior
Radiation Therapist,
Radiation Oncology
Auckland, NZ
Royal Prince
Alfred
Hospital
LAMB, Sharon.
Dietician, Nutrition and
Dietetics
Royal Prince
Alfred
Hospital
PAGE, Joanne.
Radiation Therapist,
Radiation Oncology
Maastricht,
Holland
Auckland, NZ
Attend the Fusion 2005 Joint
NZIMRT – Air Scientific
Conference
Attend the Fusion 2005 Joint
NZIMRT – Air Scientific
Conference
Attend the Fusion 2005 Joint
NZIMRT – Air Scientific
Conference
Attend the Fusion 2005 Joint
NZIMRT – Air Scientific
Conference
Aspen Advanced Course in
Clinical Nutrition
Attend the Fusion 2005 Joint
NZIMRT – Air Scientific
Conference
Sydney South West Area Health Service Statutory Annual Report 05/06
Radiation
Oncology Trust
Fund
Radiation
Oncology Trust
Fund
Radiation
Oncology Trust
Fund
Radiation
Oncology Trust
Fund
Nutrition and
Dietetics
Education Trust
Fund, additional
costs sponsored:
University Hosp
Maastrcht
Radiation
Oncology Trust
Fund
105
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
Royal Prince
Alfred Hospital
EBERL, Stefan. Principal
Hospital Scientist, PET
and Nuclear Medicine
San Diego,
USA
2006 Society of Nuclear Medicine
Annual Meeting
PET and
Nuclear
Medicine SP&T
Royal Prince
Alfred Hospital
LEE, Anna. Hospital
Scientist, Biochemistry
Christchurch,
New Zealand
RCPA ACB Chemical Pathology
Course
Biochemistry
RPA SP&T
Royal Prince
Alfred Hospital
MCGILL (GRAVES),
Margaret. CNC Diabetes
Centre
Washington,
USA
American Diabetes Association
Scientific Meeting
Endocrinology
Departmental
Trust Fund
Royal Prince
Alfred Hospital
VERSCHUER, Jordan.
Hospital Scientist, PET
and Nuclear Med
San Diego,
USA
2006 Society of Nuclear Medicine
Annual Meeting
PET and
Nuclear
Medicine SP&T
Royal Prince
Alfred Hospital
WILLIAMS, Paul.
Principal Hospital
Scientist
Washington
DC, USA
American Diabetes Association
Scientific Sessions
Endocrinology
RPA SP&T, CC
79037
Royal Prince
Alfred Hospital
KEAN, Mary. CNS
Diabetes Centre
Washington
DC, USA
American Diabetes Association
Scientific Sessions
Endocrinology
RPA SP&T, CC
79037
Royal Prince
Alfred Hospital
WONG, Susan. Senior
Hospital Scientist,
Endocrinology
Chicago, USA
American Society for Clinical
Chemistry
Endocrinology
RPA SP&T, CC
79037
Royal Prince
Alfred Hospital
KEED, Alison. Registrar
Wellington,
New Zealand
Australasian Society for Infectious
Diseases Annual Scientific
Meeting
RPA
Microbiology
SP&T (79030)
Royal Prince
Alfred Hospital
AW, Swee Tin. Senior
Hospital Scientist
1.Noordwijk,
The
Netherlands
2.Uppsala,
Sweden
1. 7th Symposium on the Role of
Vestibula Organs in Space
Exploration. 2. 24th Barany
Society Meeting
Neurology RPA
SP&T (79019)
Royal Prince
Alfred Hospital
FOLEY, Dolores. Clinical
Fellow, Sydney Cancer
Centre
Bangor, Wales
4th International Mindfulness
Conference
Cancer Institute
Research
Funding SP&T
21643
Royal Prince
Alfred Hospital
MALEHAN, Kerri.
Hospital Scientist,
Respiratory Medicine
Salt Lake City,
USA
Sleep 2006 Conference
Costs Met
Personally
GORRELL, Mark.
Principle Scientific Officer
1. Paris
France. 2.
Warrington
USA. 3.
Washington,
USA
1. Seminar at Institut de
recherches. 2. ASLD Basic
Research Single Topic
Conference. 3. American
Diabetes Association 66th
Scientific Sessions
Madrid, Spain
Euroanaesthesia 2006
Copenhagen,
Denmark
29th European Cystic Fibrosis
Conference
Fusion 2005 Joint NZIMRT – Air
Scientific Conference
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
DUKE, David. Registrar
Intensive care
DENTICE, Ruth.
Physiotherapist
PEREZ, Gino
Radiation Oncology
Auckland, NZ
Sydney South West Area Health Service Statutory Annual Report 05/06
Gastro RPA
SP&T 81368.
(Flights
Sponsored by
Takeda
Pharmaceuticals)
Costs Met
Personally
Costs Met
Personally
Radiation
Oncology Trust
106
Official Overseas Travel
Facility
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Name and Unit
Place Visited
POINTING, Judy. CNC,
Clinical Immunology
Queenstown,
NZ
RAJBHANDARI, Dorrilyn,
HSM, Intensive Care
Services
Buenos Aires,
Argentina
WU, Huiling. Senior
Hospital Scientist, Renal
Medicine
WYBURN, Kate. PhD
Research Officer, Renal
Medicine
BOOTH, Jeremy. Senior
Hospital Scientist,
Radiation Oncology
YOZGHATLIAN,
Veronica. Research
Assist, Respiratory
Medicine Dept
Purpose of Travel
Attend the Australasian Society of
Clinical Immunology & allergy
Annual Scientific Meeting
th
Attend 9 Congress of the World
Federation of Societies of
Intensive and Critical Care
Medicine
Seattle, USA
Attend the American Transplant
Congress
Seattle, USA
Attend the American Transplant
Congress
Paris, France
Attend the European Cancer
Conference, ESTRO
Baltimore, USA
Attend the North American Cystic
Fibrosis Conference
PARKER, Carol. CNE,
Allergy Unit
Queenstown,
NZ
Annual Scientific Meeting of the
Australasian Society of Clinical
Immunology and Allergy
BRANNAN, John.
Research Medical Officer,
Dept of Respiratory
Medicine (Non-employee)
Copenhagen,
Denmark
2005 European Respiratory
Society Conference (Presenting
paper)
MANII, Paris. Pharmacist,
Institute of Haematology
Honolulu,
Hawaii, USA
BMT Tandem Meetings
Conference
MURALI, Rajmahan.
Postgraduate Fellow,
Anatomical Pathology
Atlanta, USA
United States and Canadian
Academy of Pathology Annual
Meeting 2006
MURRAY, Bronwyn. CNS,
Medical Oncology
San Antonio,
USA
San Antonio Breast Cancer
Symposium
LAMB, Sharon. Dietician,
Nutrition and Dietetics
Maastricht,
Holland
Aspen Advanced Course in
Clinical Nutrition
DEADY, Luke, Radiology
Registrar
HEALY, Matthew,
Radiology Registrar
SMITH, Angela, NUM
Level 3, 5 East
San Diego,
California USA
San Diego,
California USA
Los Angeles,
USA
26th Residents Radiology Review
Course
26th Residents Radiology Review
Course
International Lactation Consultant
Association Board Meeting
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Sydney South West Area Health Service Statutory Annual Report 05/06
Source of
Funds
Clinical
Immunology
Trust Fund
Intensive Care
Services Trust
Fund
Renal
Transplant
Trust Fund
Renal
Transplant
Trust Fund
Radiation
oncology Trust
Fund
Respiratory
Medicine Trust
Fund
RPA Allergy
Nurse Educator
Trust Fund
National Health
and Medical
Council Trust
Fund
(Amgen
Australia $2000
to be
reimbursed)
($1222.41 Inst
of Haem)
Anatomical
Pathology
SP&T Fund CC
79083
(Sponsors: See
above) SP&T:
Sydney Cancer
Centre Nursing
and Allied
Health Ed Fund
Nutrition and
Dietetics Trust
Fund and
University
Hospital
Maastricht
N/A
107
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
RPA
MASON, Susan. CNC,
Gastro and Liver Services
Vienna, Austria
41st Annual meeting of the
European Association for the
Study of the Liver
Self Funded
Royal Prince
Alfred
Royal Prince
Alfred
KOKKINAKOS, Maria.
Manager Food Services
LEE, Anna. Hospital
Scientist, Biochemistry
Birmingham,
UK
Christchurch,
New Zealand
Royal Prince
Alfred Hospital
LUO, Connie. CNS,
Diabetes Centre
Chaoyang,
Beijing, China
Royal Prince
Alfred Hospital
PARK, Ki Joon. Radiation
Therapist, Radiation
Oncology Department
Lisboa, Spain
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
Royal Prince
Alfred Hospital
AW, Swee Tin. Senior
Hospital Scientist,
Neurology Dept
KING-ADAMS, Melinda.
RN, Cardiovascular
Diagnostic and
Intervention Centre
Mark Gorrell
Principal Hospital
Scientist,
Gastroenterology Dept
Washington
DC, USA
1. HCA Conference. 2. Site Visits
RCPA ACB Chemical Pathology
Course
Attend the 2005 Beijing
International Diabetes Foot and
Related diseases Forum
Attend the 8th Biennial ESTRO
Meeting on Physics and Radiation
Technology for Clinical
Radiotherapy
Attend & present a paper at
Society for Neurosciences 35th
Annual Meeting
Paris, France
Paris Course Revascularization
2006
Quebec city,
Canada
Attend the International
Proteolysis Society Conference
RPAH FARM
SP&T
Biochemistry
RPAH SP&T
Endocrinology
Department
Trust Fund
Radiation
Oncology Trust
Fund
Neurology
Department
Trust fund
Cardiology
Level GW Trust
Fund (79076)
Gastroenterolo
gy Department
Trust Fund
Rozelle
Hospital
Research
General
Account
Rozelle Hospital
Michelle Cleary
CNC
Bangkok,
Thailand
5th International Mental Health
Conference
Sydney Dental
Hospital
Helen Carey
Periodontics
Baltimore USA
International American &
Canadian Assoc for Dental
Research
General Funds
Sydney Dental
Hospital
Sydney Dental
Hospital
Sydney Dental
Hospital
Sydney Dental
Hospital
Kim Horneman
Performance & Evaluation
Barbara Taylor
Periodontics
Eugene Chan
Orthodontics
Dental Research Conference
General Funds
IAD (ANZ) Annual Dinner
General Funds
Sydney Dental
Hospital
Sydney Dental
Hospital
Sydney Dental
Hospital
Sydney Dental
Hospital
Queenstown,
NZ
Queenstown,
NZ
Paris France
Peter Duckmanton
Endodontics
Dublin Ireland
Eugene Chan
Orthodontics
Phuket,
Thailand
Russell Lain
Oral Surgery
Barbara Taylor
Periodontics
Wendy Yu
Periodontics
Seattle USA
Madrid, Spain
Madrid, Spain
Federation of Orthodontists 6th
Int'l Orthodontic Congress
12th Biennial Congress European
Society & Endodontology
Conference
8th Int'l Conference on Biological
Mechanism of tooth Eruption,
Resorption and Movement
American Academy of Forensic
Sciences 58th meeting
Europerio 5 Madrid Conference
Europerio 5 Madrid Conference
Sydney South West Area Health Service Statutory Annual Report 05/06
General Funds
General Funds
General Funds
General Funds
General Funds
General Funds
& Sydney
University
108
Official Overseas Travel
Facility
Name and Unit
Place Visited
Purpose of Travel
Source of
Funds
Sydney Dental
Hospital
Natalie Leow
Periodontics
Madrid, Spain
Europerio 5 Madrid Conference
General Funds
& Sydney
University
Acrete, Sicily,
Italy
CIMTEC and MDIC 2006
General Funds
Amsterdam/Jap
an/India
EAPD, Tako Centre, ISSPD
General Funds
Sydney Dental
Hospital
Sydney Dental
Hospital
Warwick Harty
Prosthodontics/Forensic
dentistry
Soni Stephens
Paediatric
Barbara Taylor
Periodontics
Sydney Dental
Hospital
Barbara Taylor
Dental Specialist
1. Hong Kong,
China. 2.
Madrid, Spain.
Sydney Dental
Hospital
Kim Hornerman
Manager, Performance &
Evaluation
Queenstown,
NZ
Sydney Dental
Hospital
Barbara Taylor
Dental Staff Specialist
Chicago, USA
& Montreal,
Canada
Sydney Dental
Hospital
Barbara Taylor
Dental Staff Specialist
USA and
Canada
Jim Fisher
Maxillofacial Dentistry
Maui Hawaii
Sydney Dental
Hospital
Sydney Dental
Hospital
Chicago, USA
2nd Int'l Conf on Evidence Based
Dentistry
1. Visit University of Hong Kong.
2. Visit University of Oslo Madrid
and attend EUROPERIO 5
Conference
Attend the International
Association for Dental Research
conference
nd
2 International Conference on
Evidence Based Dentistry; and
present a lecture in Montreal
2nd International Conference on
Evidence Based Dentistry.
Presenting Lectures at McGill
University Montreal.
Maxillofacial Prosthodontist
SSWAHS
Joo Hong Park
Magdeburg,
Germany
2nd International Conference on
Dipeptidyl Aminopeptidases
SSWAHS
Joo Hong Park
Magdeburg,
Germany
2nd International Conference on
Dipeptidyl Aminopeptidases
SSWAHS
Stephen Matthey
Research Director,
ICAMHS
Paris, France
SSWAHS
Jorge Aroche
Executive Director,
STARTTS
1. Buenos
Aires,
Argentina. 2.
Lima, Peru.
SSWAHS
SSWAHS
SSWAHS
SSWAHS
Dang-Khoa Nguyen
Senior HEO/Community
Projects Coordinator,
Area Drug Health
Katherine Moore
Director Community and
Allied Health, SSWAHS
Stephen Matthey
Director, ICAMHS
Michelle Haling
CNC ICAMHS
Can Tho,
Vietnam
Athens, Greece
Paris, France
Paris, France
10th World Congress of the World
Association for Infant Mental
Health
1. IV World Congress on
Traumatic Stress and a meeting.
2. ISHHR Seminar and Secretariat
Meetings
Can Tho and Australian Mental
Health Symposium, site visits
Drug and Alcohol Services
5th International Conference on
Health Economics, Management
and Policy
10th World Congress, World
Assoc for Infant Mental Health
10th World Congress of the World
Association for Infant Mental
Health and the Insightfulness
Assessment
Sydney South West Area Health Service Statutory Annual Report 05/06
General Funds
Peridontics
General Fund
SDH General
Fund
SDH General
Fund
General Funds
General Funds
Gastro
Research Trust
Fund and
University of
Sydney
Gastroenterolo
gy Research
Trust Fund
Research Unit
ICAMHS
Partially
sponsored by
FOS
General Funds:
Drug Health
Allied Health
General Fund
Research Unit
ICAMHS
Area Mental
Health General
Fund
109
Official Overseas Travel
Facility
Name and Unit
SSWAHS
Ursula Hopper
Service Manager,
ICAMHS
SSWAHS
SSWAHS
SSWAHS
Duane Keys
Nurse Educator, Area
Nursing/ Midwifery
Service
Matthew Thompson
Hospital Scientist,
SWAPS
Anthony Schembri
Area Clinical Director
Allied Health
SSWAHS
Josephine Elfick
Registrar, SWAPS
SSWAHS
Cathy Crowe
Area Stroke CNC
SSWAHS
Jorge Aroche
Executive Director,
STARTTS
SSWAHS
SSWAHS
SSWAHS
SSWAHS
SSWAHS
Murray Killingsworth
Senior Hosp Scientist,
SWAPS
Joanna Jaaniste
Drama Therapist,
Liverpool/Fairfield Mental
Health Team
Catherine Doggett Area
Director, Social Work
Chris Rissell
Health Manager, Health
Promotion, DPH
Maria Kokkinakos
A/Director, Food Services
Nutrition
Place Visited
Purpose of Travel
Source of
Funds
Paris, France
10th World Congress of the World
Association for Infant Mental
Health and the Insightfulness
Assessment
Area Mental
Health General
Fund
Edmonton,
Canada
2006 WRCASN Nurse Education
Conference
Self funded
Amsterdam,
Holland
ISLH Amsterdam - Technological
Innovations in Laboritory
Haematology
Self Funded
Munich,
Germany
International Federation of Social
Work Conference
Wellington, NZ
Australian Society for Infectious
Diseases Inc, Annual Scientific
Meeting
Capetown,
South Africa
1. Buenos
Aires,
Argentina. 2.
Lima, Peru.
Joint World Congress on Stroke
Allied Health
SP&T and self
funded
A/Prof Gosbell,
Dr Chan, Dr
Kociuba, Dr
Maley SP&T
Neurology
SP&T
1. IV World Congress on
Traumatic Stress and a meeting.
2. ISHHR Seminar and Secretariat
Meetings
STARTTS
SP&T
Sapporo, Japan
16th International Microscopy
Congress
Prof D.J.
Davies SP&T
Portland, USA
US National Association for
Drama Therapy Annual
Conference
General Fund
Oxford, UK &
Belfast, Ireland
Attend invitations to Oxford and
Belfast Universities, the
Commission for Social Care
Inspection and the Social Care
Institute
Self funded
Bangkok,
Thailand
Attend 6 Global Conference on
Health Promotion
Washington
DC, USA
SSWAHS
Gokulan Pavendranathan
Wellington, NZ
SSWAHS
Sanjay Swaminathan
Immunology, RGHC
Queenstown,
NZ
th
Undertake a USA Food Services
study tour and attend the Dietary
Managers Annual Conference
Attend the Australian and NZ
Society of Nephrology Conference
Grand Rounds, ASCIA Annual
Scientific Meeting
Sydney South West Area Health Service Statutory Annual Report 05/06
Health
Promotion Unit
Trust fund
SP&TF
Renal Medicine
Trust Fund
Dept of
Immunology
Special
Purpose and
Trust Fund
110
Area Health Advisory Council
Designed to give health consumers and local
communities – as well as clinicians including
doctors, nurses and allied health
professionals – a stronger voice in health
decision making, Area Health Advisory
Councils have been established for each of
the eight new area health services under the
Health Services Amendment Bill 2004.
The SSWAHS Area Health Advisory Council
(AHAC) is chaired by Professor Jeremy
Wilson and commenced meeting in
December 2005 with members from across
the Area. During the first six months of their
tenure, the Council has provided the Chief
Executive with advice on a range of strategic
planning projects including the development
of the Area Heathcare Services Plan and
Corporate Strategic Plan.
Meetings have been held across the Area as
part of a program of site visits that will
continue on a regular basis. The Council also
held four Futures Planning forums in
Campbelltown, Canterbury, Concord, and
Liverpool to provide an opportunity for local
communities to contribute to the future
priorities for NSW Health and SSWAHS.
The Council is also participating in a research
project being conducted by the University of
New South Wales in partnership with the
Australian Council on Healthcare Standards
and industry partners into community and
consumer input into health services,
contributing to the evidence base for
community participation.
The AHAC plays an important role working in
partnership with existing advisory bodies,
including the Consumer and Community
Council, to represent all health stakeholders
and will shortly conclude the development of a
work-plan to provide a structure for the
Council’s input into the strategic direction of
the Area Health Service. This work-plan, along
with the Council’s charter and minutes of
meetings, are available on the SSWAHS
website.
Committee Members
Professor Jeremy Wilson
Chair, Executive Clinical Director, SSWAHS
Ms Dell Cotter
Community Representative, Ambarvale
Harry Collins OAM
Community Representative, Panania
Dr Amanda Walker
Clinician, Campbelltown and Camden
Dr Roger Garsia
Clinician, Camperdown
Dr John Meadth
GP Representative, Concord
Professor Don Nutbeam
University of Sydney
Associate Professor Mark Sheridan
Clinician, Liverpool
Darryl Wright
Tharawal Aboriginal Corporation, Airds
Mrs Adriana Navarro
Community Representative, Liverpool
Ms Sue McClelland
Community Representative, Bankstown
Sr Alison Bush AO
Clinician, Camperdown
Mrs Sandra Gav
Community Representative, Ashfield
Sydney South West Area Health Service Statutory Annual Report 05/06
111
Community Participation
Local Health Participation Groups
The Area Community Participation Unit
administers and supports the health service
in developing a culture supportive of
community and consumer participation.
This means that all levels of health service
staff, including senior executive staff, are
included in both formal and informal
community participation training, so that
they understand what it is and how it can
support better health care.
The Unit also plays a significant role in
providing resources to the Area Health
Advisory Council, especially for those
community representatives who are members.
The Unit directly supports the peak community
participation structure in SSWAHS known as
the Consumer and Community Council. The
Council comprises representatives from the
eight local community participation networks,
representatives of specific population groups,
and members of the Area Health Advisory
Council. One of the key roles of the Consumer
and Community Council is to be the strategic
link between the local community
representative networks, the Area Executive
team and the Area Health Advisory Council.
Over the past year, there has been a number
of community participation staffing changes
both at the facility and Area level. In addition,
new facilities without established networks
have needed to develop internal and external
partners to help raise the profile of health
participation by the community.
One key project has been the review of the
Community Participation Framework that will
now encompass the Area. The delivery of
orientation and training to ensure staff and
community representatives are clear about
their respective roles and responsibilities has
also been a major focus.
Up and coming projects will be the continuous
rollout of community participation training
across the health service; developing a
communication strategy and reviewing the
Unit’s business plan; redesigning and updating
the webpage; and working with the Consumer
and Community Council on its professional
development and profile.
Patient feedback
Community participation aims to engage
consumers, carers and the community in the
planning and management of their health
services.
There are formal structures in place at
SSWAHS to facilitate community
participation. All facilities have a Patient
Liaison Officer. This position is highly
promoted at each facility to ensure patients
and carers know who to approach with
suggestions, complaints and compliments.
Complaint statistics are collected and
regularly reported to the Clinical Quality
Council and NSW Health for inclusion in the
Statewide database.
Facilities also use surveys and suggestion
boxes for patient feedback. This allows
information to be exchanged freely and helps
to maintain a constructive relationship
between staff and patients.
Ongoing consumer forums featuring key
speakers are held regularly in order to
improve dialogue between SSWAHS and the
community we serve. Consumer
representatives are included in many
committees throughout the service.
Sydney South West Area Health Service Statutory Annual Report 05/06
112
Fundraising and Sponsorship
Balmain Hospital
Balmain Hospital and the Strong Clinic
received donations and bequests for
specific purposes totalling $226,605.The
Hospital Auxiliary donated $23,000 for the
purchase of Medical / Exercise Equipment
throughout the year.
Bankstown Hospital
Bankstown Health Service received
generous donations to the total of
$342,023 for the year. A large contribution
of over $140,000 was made by Bankstown
District Sports Club.
The Child and Family Heath Day was
sponsored by the Liverpool Catholic Club,
Bayer and Rotary. Community
Development Support Expenditure
sponsored the Health and Arts Research
Centre’s project Art of Ageing.
Bowral and District Hospital
The Health Service was again generously
supported by the community, which provided
the sum of $165,311. Through various
activities Bowral and District Hospital raised
$2,468 during the course of the financial
year. The Centenary Scholarship Fund
provided scholarships to the value of $750
per year for four students engaged in health
related course of study.
Camden and Campbelltown
The Community of Macarthur continue to
provide wonderful support to the hospital.
A fund raising event at Camden –
generously supported by Camden Bowling
Club members – set a new world record in
the Guinness Book of Records for
‘continuous lawn bowling’ at 100hrs 40
mins and raised $12,902 for the Auxiliary.
Community Health
Can Assist (Wingecarribee) provide
approximately $16,000 annually to
enable contracting of after hours nursing
services for terminally ill clients of the
Primary Health Nursing team.
Two sets of video kits on gentle exercise
(valued at $900.00) donated from Liverpool
Seniors Network to Aged Day Care services
in Liverpool. Liverpool Seniors Network
donated $1000 for craft items to Lurnea and
Hoxton Park Aged Day Care.
Concord Repatriation General
Hospital
Concord Hospital continues to enjoy
strong support from its local community,
receiving a total of $315,043.07 from
donations and fundraising activities, of
which $33,389.91 was a single bequest.
Fairfield Hospital
A total of $68,174.72 was donated to the
Whitlam Joint Replacement Centre.
General Hospital Donations totalled
$290,292.67 of which:
• Cabra-Vale Diggers Club donated
$170,000 to purchase an echo machine
• Smithfield RSL donated $30,000 to
purchase laparoscopic equipment for
operating theatres
• The Lions Club donated $16,000
• The Auxiliary purchased walking frames
and walkers to the value of $1,031and
provided funds for five oximeters
Karitane
The Rotary Club of Liverpool Greenway
provided a new Toyota Corolla, a laptop
computer, new sofas and a mobile phone
for the Karitane Family Care Cottage at
Liverpool (at a total cost of $25,000).
The Liverpool Catholic Club, Bayer Health
Care Australia and the Rotary Club of
Liverpool West Inc. made donations
towards the SSWAHS western zone
Inaugural Child and Family Health Nurses
Awards held at the Liverpool Catholic Club
and supported by Karitane.
St Johns Park Bowling Club sponsored the
celebration of Karitane Volunteer
Programs - five year of participation in the
NSW Government Families First Volunteer
Home Visiting program by donating the
venue and the fantastic food.
Aspen Pharmacare donated a gift voucher to the
14 volunteers who had worked with KVP for 5
years or more in recognition of the achievement.
Karitane also thanks the following companies for
their sponsorship of information brochures for
both parents and health professionals:
• Havenhall Priority Limit (Pigeon)
• Bayer Health Care Australia
• Golden Circle
• Aromababy
Sydney South West Area Health Service Statutory Annual Report 05/06
113
Fundraising and Sponsorship
Liverpool Hospital
Tresillian
The major fundraising event at Liverpool
Hospital was a dinner for the Brain Injury Unit
which raised funds of $93,820 after
expenses. The Cancer Therapy Centre held
th
a 10 Anniversary Dinner which raised
$33,497. Fundraising efforts throughout the
hospital and child care centre raised a total of
$148,569.
The Gidget Foundation, a group of
fundraisers dedicated to raising money to
promote awareness of post-natal depression,
generously donated $51,900 to Tresillian.
Royal Prince Alfred Hospital RPA Foundation
The RPA Foundation holds an annual appeal
to fund a research project at the hospital. The
award of the RPA Foundation Medal goes to
the most outstanding individual research
project and includes an amount of $50,000 to
fund the chosen research.
Tresillian is extremely grateful to our major
sponsor, Johnson & Johnson, who continue
to provide in excess of $50,000 per year in
sponsorship funds, as well as to Emap, who
have generously sponsored the printing and
production of Tresillian’s corporate brochure
and to Kimberly-Clark who continue to
sponsor the printing and production of the
newsletter, The Tresillian Crier.
The RPA Foundation processed a total of
$879,048.65, including general donations to
RPA.
Separate funds of $4,100 were received by
Nursing for International Nurses Day and
were expended to pay for prizes and
expenses for nurses on the day.
Sydney South West Area Health Service Statutory Annual Report 05/06
114
Donations and Bequests
Thank you to the following individuals and organisations for providing $5,000 or more in support
during 2005/06.
Mr Allan Cook
AMGEN Australia Pty Ltd
Balmain Hospital Auxiliary
Bankstown District Sports Club Ltd
Bankstown Hospital Auxiliary
Bankstown Trotting Recreational Club
Barclay Mowlem
Belmore Returned Services and Leagues Club
Bowral Hospital Auxiliary
Community Club Ltd
Browneast Fundraising
Bulldogs Leagues Club Ltd
Busby Auxiliary
Cabra-Vale Ex-Active Servicemen’s Club Ltd
Camden Hospital Auxiliary
Campsie RSL Sub-Branch Club Ltd
Campbelltown Catholic Club
Campbelltown Hospital Auxiliary
Canada Bay Club
Cancer Patients Assistance Scheme (CPAS)
Canterbury Hospital Pink Ladies
Canterbury Hurlstone Park RSL Ltd
Canley Heights RSL Sporting Club
Canongate Partner Pty Ltd
Castle Hill RSL sub-branch
Celebration Royal Arch Chapter No 81
City Bankstown R&SL Community Club Ltd
Colonial Club Auxiliary
Crafts Unlimited
Emap - Bounty & Bounty
Estate of Alex Taylor
Estate of Frances Jean Lofts
Estate of Nance A De Cairos
Estate of Nancy May O'Brien
Free Serbian Orthodox Church St George
Mrs Freda Jane Gamble
The Gidget Foundation
G O’Neil
Health Services Union
Inner Wheel Club of Norwest
Johnson and Johnson
Kids of Macarthur Health Foundation
Kimberley-Clark
Ladies Auxiliary Balmain Hospital
Lions Clubs NSW
The Lions Club of Yagoona
Liverpool Hospital Auxiliary
Macarthur Advertiser
Macquarie Bank Foundation
Moorebank Chipping Norton Auxiliary
Moorebank Sports Club
Nestlè Food Service
Mrs Olga Holt
NineMSN
NSW Nurse's Association
Orlando Wyndham Pernod Ricard
Mr. Paul Stephen Freame
Patricia Henson
Paul Wakeling Wheels for Life
The Philip Bushell Foundation
Punchbowl Ex-Services Community Club Ltd
Relay for Life
Rock for Recovery benefit for Youth Mental Health
Rotary Club of Burwood
Rotary Club of Liverpool Greenway
Smithfield Sydney Baseball Lions Club
Springett Family Foundation
Leo McCarthy Memorial Smithfield RSL Sub-Branch
Sydney South West Area Health Service Statutory Annual Report 05/06
115
Ethnic Affairs Priority Statement
SSWAHS acknowledges and supports the
cultural diversity of its population and
adheres to the NSW Government Principles
of Multiculturalism by providing special
services and programs to culturally diverse
communities.
In 2005/06 a number of projects were
undertaken with the aim of improving the
health of culturally diverse population groups.
Eight Mandarin speaking couples attended a
six week antenatal class for first time parents
at Burwood. Participants were recruited by
advertising at antenatal clinics at RPA
Women and Babies, and Canterbury
Hospital. Burwood RSL Club provided some
funds for the class through the Clubs NSW
Community Development Support
Expenditure Scheme.
Designed and funded by SSWAHS, the first
phase of the Tobacco Control campaign for
Arabic-speakers commenced in April and
encouraged smokers to consider the loss to
their family should they die or become sick
through smoking. Since 1996, SSWAHS has
invested in initiatives designed to reduce
tobacco related-harm in the Arabic-speaking
population. A promising trend is that 67.1 per
cent of Arabic-speakers now report living in a
smoke-free home, compared to only 47.2 per
cent in 1997/98. However, at 35.4 per cent
the prevalence of smoking in Arabic-speaking
males remains high.
The second phase of the tobacco control
campaign for Arabic-speakers Ma’feesh cigara
men gheir khosara (There is no cigarette
without loss) was launched at Bankstown
Community Health Centre on 26 July.
The campaign encourages Arabic-speaking
males to attempt to stop smoking and to speak
with their pharmacist in order to access
nicotine replacement therapies and receive
support and advice during their quit attempt.
The landmark Descriptive study on Kava
use among Tongan Men in Macarthur
undertaken by the Macarthur Multicultural
Health Service explores the
interrelationship of health and culture. Kava
is a non-narcotic, non-alcoholic beverage
traditionally drunk by men from the Pacific
communities. There is conflicting evidence
about its potential health benefits and
adverse effects. The study aims to describe
how kava is used among Tongan men in
Macarthur and will be used to formulate
health promotion initiatives to directly
benefit the community and health workers
who are not aware of kava as a potential
health issue. Information will address
issues such as social isolation and mental
health, drink driving, drug and alcohol and
will be presented in a culturally appropriate
and sensitive manner.
Making a New Mould is a Fairfield project
funded by the National Breast Cancer Centre
through the Polo Ralph Lauren Pink Pony
campaign. The support group continues to
meet every fortnight and is facilitated by
Assyrian Health Worker Marlin Babakhan,
The Better Life for Muslim Women group is a
Liverpool project which meets at The Michael
Wenden Leisure centre, Miller on a weekly
basis for physical and health education
activities. Liverpool Hospital Physiotherapy
Department refers most of the participants.
Sydney South West Area Health Service Statutory Annual Report 05/06
116
Volunteers
Balmain Hospital
Balmain Hospital is supported by three pink
ladies who assist elderly patients. The
Hospital Auxiliary donated $23,000 for the
purchase of medical and exercise equipment
throughout the year.
Auxiliary office bearers
President:
Secretary:
Treasurer:
Jean McLaren
Joyce Duncan
Maisie Hardy
Bankstown Hospital
Bankstown has 140 Volunteers working
within the hospital and community health
services. The Hospital Auxiliary raised in
excess of $83,000 during 2005/06. Volunteer
th
Connie Zammit, completed her 30 year of
service this year.
Chaplains from the Pastoral Care
Department provide spiritual support to
patients and their relatives on request, as
well as conducting a weekly service.
Auxiliary office bearers
President:
Treasurer:
Helen Williamson
Harvey Worth
Bowral and District Hospital
Bowral and District Hospital has Pastoral
Care volunteers, Blue Ladies who assist by
looking after the flowers on the wards, and
Volunteers to welcome and assist visitors.
Bowral Auxiliary office bearers
President:
Judith Green
Secretary:
Wendy Pedley
Treasurer:
Joan Liebmann
Moss Vale Auxiliary office bearers
President:
Sandra D’Adam
Secretary:
Jenny Sheerman
Treasurer:
Rikky Winley
Burrawang/Wildes Meadow Auxiliary office
bearers
President:
Jenny Gair
Secretary:
Audrey Jackson
Treasurer:
Anne Ford
Camden and Campbelltown
Hospitals
Camden and Campbelltown volunteers are a
special group of people providing services for
patients, families and staff. Both the Camden
and Campbelltown Hospital Auxiliaries work
tirelessly, performing different activities and
raising funds through stalls and raffles, social
functions and running the baby boutique.
Campbelltown Hospital Auxiliary office bearers
President:
Barry Kemister
Secretary:
Judy Kemister
Treasurer:
Gail Smith
Camden Hospital Auxiliary office bearers
President:
Robyn Jance
Secretary:
Helen Evans
Treasurer:
Bill Richards
Canterbury Hospital
Volunteers continue to play an important role
in the hospital by providing a variety of
services such as meet and greet, pastoral
care, general patient visiting and the weekly
Pink Ladies stall held in the hospital foyer.
Concord Repatriation General
Hospital
Volunteers are involved in a number of
activities including fundraising, and operating
a gift shop, cafe and museum.
A number of special events were held by our
volunteer auxiliary including sausage sizzles
for the annual RTA cyclathon, school
excursions to the Kokoda Track Memorial
and a golf day held at Strathfield Golf club.
Our chaplains have been actively involved in
a number of commemorative services for the
veteran community, a role unique to Concord
Hospital.
Auxiliary office bearers
Coordinator/Public Officer: Ruth Ellis
Treasurer:
Christine Gruntar
Assistant Treasurer:
Iris Roberts and
Barbara Wayne
Secretary:
Christian Maitere
Sydney South West Area Health Service Statutory Annual Report 05/06
122
Volunteers
Fairfield Hospital
The hospital’s Chaplaincy and Pastoral Carers
reflect the area’s cultural diversity with Roman
Catholic, Salvation Army, Anglican, Assyrian,
Croatian, Islamic and Buddhist faiths represented.
The Fairfield Hospital Volunteer service has 57
members. This year, the Auxiliary purchased
walking frames and walkers to the value of
$1,031 and provided funds for five oximeters.
Auxiliary office bearers
President:
Secretary:
Treasurer:
Mrs Christine Storey
Mrs Margaret Mason
Mr William Mason
Karitane
The Karitane Volunteer Home Visiting
Program had 101 Volunteers supporting
families in their homes this year. Randwick
Family Care Cottage has a team of 12 and
Liverpool Family Care Cottage a team of 10
dedicated volunteers.
Liverpool Hospital
Liverpool Hospital has four volunteer
auxiliarys – Busby, Colonial Club, Liverpool
Hospital and Moorebank/Chipping Norton –
engaged in dedicated work including
fundraising to purchase equipment.
The Quiet Dreaming Place courtyard was
opened for patients and staff seeking
solitude. An initiative of the Aboriginal
community, the courtyard was completed as
part of the Arts for Health program with a
grant from the Australia Council for the Arts.
South Western Sydney Institute of TAFE
students and the Gandangarra Land Council
were also involved in the project.
Liverpool Hospital Volunteers
President:
Elaine Gregory
Vice-President:
Kenneth Wynne
Secretary:
Valma Spruce
Treasurer:
Alester Eyre-Thompson
Other groups of dedicated volunteers include
Miller ‘The Hub’ Volunteers, Palliative Care,
Mental Health and Arts for Health Program
volunteers.
Busby Auxiliary office bearers
President:
Nola Dean
Vice President:
Margaret Sullivan
Secretary:
Elaine Young
Treasurer:
George Dean
The Busby Auxiliary has 11 members and has
purchased $76,000 worth of equipment for ICU,
G2Ee, G2W and Neurology. The Auxiliary was
awarded the Francis Gavel Trophy for monies
raised at the United Hospitals Auxiliaries Inc
nd
72 State Conference.
Colonial Club Auxiliary office bearers
President:
Christine Frame
Secretary:
Shirley Yates
Treasurer:
David Nolan
With 25 members, the Colonial Club Auxiliary
has continued its fundraising activities and is
about to purchase operating theatre
equipment worth $15,000.
Liverpool Hospital Auxiliary office bearers
President :
Marie Hunt
Secretary:
Robyn Jance
Treasurer:
Pat Goggins
The Liverpool Hospital Auxiliary has 21
members. Sadly the long serving auxiliary
patron, Eadie Fitzpatrick passed away during
the year.
Moorebank/Chipping Norton Auxiliary officer
bearers
President :
Elizabeth Winner
Secretary:
Pat Hughes
Treasurer:
Patsy Colarco
The Moorebank / Chipping Norton Auxiliary
has 10 members and operates the Gumnut
Baby Shop and stalls in the foyer. The
Auxiliary purchased $18,000 worth of
operating theatre equipment.
Chaplaincy services
The Reverend Ross Kennedy retired from the
position of Anglican Chaplain at the hospital in
February after 20 years. The Reverend Mark
Jenkins is the new Anglican Chaplain.
Royal Prince Alfred Hospital
RPA Volunteer Services has over 80
volunteers. A piano and dining room suite has
been supplied to the Geriatric Ward through
their efforts. At the end of June 2006,
volunteers at RPA had donated over 600
hours per month to the hospital.
Chaplaincy Services
A generous grant from the Vincent Fairfax
Family Foundation has allowed the
appointment of a Pastoral Care Worker
specifically for the Intensive Care Unit.
Sydney South West Area Health Service Statutory Annual Report 05/06
123
Freedom of Information
Access to personal and/or non-personal
documents can be obtained by lodging an FOI
application. This is achieved by either
completing an FOI application form or a
request in writing, and lodged with the Area
FOI Co-ordinator of SSWAHS. The
processing fee for a personal FOI application
is $30.00 (GST free). Should the applicant be
able to show hardship, a 50 percent reduction
is made.
For access to medical records, the applicant
should write or telephone the Medical Record
Department of the appropriate SSWAHS
facility. A processing fee of $33.00 (GST
included) is required. However, should the
applicant be able to show hardship, a 50
percent reduction is given. If the applicant
requires copies of their medical records a fee
of $0.27 (GST included) per page is charged
after the first eighty pages.
For all non-personal applications, the Area
Health Service can charge a processing fee
of $30.00 per hour as well as the initial
$30.00 application fee. The processing fee
includes costs for searching/locating the
information, decision-making, consultation
and any photocopying.
The Summary of Affairs is updated and
forwarded to the Government Printing Office for
inclusion in the Government Gazette every six
months. The Area FOI Co-ordinator listed in the
Summary of Affairs is available for enquiries
regarding FOI applications, access to medical
records and/or amendment of records.
Freedom of Information Statistics
The following tables represent the Freedom of Information applications received in relation to
financial year 2005/06.
FOI Requests
A1 New (including transferred in)
A2 Brought Forward from previous year
A3 Total to be processed
Personal
2004/05 2005/06
97
142
6
0
Other
2004/05
27
7
2005/06
16
0
Total
2004/05
124
13
2005/06
158
0
103
142
34
16
137
158
A4 Completed
A5 Transferred out
A6 Withdrawn
96
0
2
139
0
3
27
0
0
12
0
2
123
0
2
151
0
5
A7 Total Processed
98
142
27
14
125
156
5
0
7
2
12
2
Personal
2004/05 2005/06
81
125
11
3
4
11
0
0
Other
2004/05
22
5
0
0
2005/06
5
1
6
0
139
27
12
Personal
2004/05 2005/06
Other
2004/05
2005/06
0
0
0
Personal
2004/05 2005/06
Other
2004/05
2005/06
3
2
A8 Unfinished (carried forward)
Results of FOI Requests
B1
B2
B3
B4
Granted in Full
Granted in part
Refused
Deferred
B5 Completed
Ministerial certificates issued
C1 Ministerial certificates issued
Formal consultations
D1 Number of requests requiring formal consultation(s)
Sydney South West Area Health Service Statutory Annual Report 05/06
96
0
27
0
124
Freedom of Information
Amendment of personal records
E1 Result of amendment - agreed
E2 Result of amendment - refused
E3 Totals
Notation of personal records
F3 Number of requests for notation
Basis of Disallowing or Restricting Access
G1
G2
G3
G4
G5
G6
G7
G8
Section 19 (application incomplete, wrongly directed)
Section 22 (deposit not paid)
Section 25 (1)(a1) (diversion of resources)
Section 25 (1)(a) (exempt)
Section 25 (1)(b), (b1), (c), (d) (otherwise available)
Section 28 (1)(b) (documents not held)
Section 24 (2) (deemed refused, over 21 days)
Section 31 (4) (released to medical practitioner)
G9 Totals
Costs and fees of requests processed
Personal
2004/05 2005/06
0
0
0
0
Other
2004/05
0
0
2005/06
0
0
0
0
0
Personal
2004/05 2005/06
Other
2004/05
2005/06
0
0
0
Personal
2004/05 2005/06
0
0
0
0
1
0
12
3
0
0
2
11
0
0
0
0
Other
2004/05
0
0
0
5
0
0
0
0
2005/06
0
0
4
1
1
1
0
0
5
7
0
0
15
Fees Received
H1 All completed requests
Type of Discount Allowed on Fees Charged
I1 Public Interest
I2 Financial Hardship - Pensioner/Child
I3 Financial Hardship - Non Profit Organisation
I4 Totals
I5 Significant correction of personal records
Days to process
J1 0 - 21
J2 22 – 35 (consultation period/out of time determinations)
J3 Over 35 (extended consultation/out of time determinations)
Totals
Hours to Process
K1
K2
K3
K4
0 – 10
11 – 20
21 – 40
Over 40
K5 Totals
Sydney South West Area Health Service Statutory Annual Report 05/06
14
Fees Estimated
$1,770.00
Personal
2004/05 2005/06
0
0
27
19
0
0
$13,022.50
Other
2004/05
0
3
0
2005/06
0
2
0
27
19
3
2
0
0
0
0
Personal
2004/05 2005/06
79
136
13
3
4
0
Other
2004/05
11
2
14
2005/06
5
4
3
139
27
12
Personal
2004/05 2005/06
89
139
5
0
2
0
0
0
Other
2004/05
18
3
5
1
2005/06
12
0
0
0
27
12
96
96
139
125
Freedom of Information
2004/05
Reviews and appeals
2005/06
L1 Number of internal reviews finalised
L2 Number of Ombudsman reviews
L3 Number of District Court/ADT appeals finalised
Details of internal review results
– bases of internal review
grounds on which internal
review requested
Access refused
Deferred release
Exempt matter
Unreasonable estimate of charges
Charges unreasonably incurred
Amendment
Totals
2
1
1
Personal
Upheld
2004/
2005/
05
06
0
0
0
0
0
0
0
0
0
0
0
0
0
During the 2005/06 financial year, the Area
Health Service received 158 new requests for
information under the Freedom of Information
Act 1989, compared to 137 for the 2004/05
financial year, an overall increase of eight per
cent. This increase is due to solicitors, the
media and members of parliament utilising
FOI more widely to obtain information held by
the Area Health Service.
There were no applications carried over from
the 2004/05 reporting period. Of the 158
requests received, 130 were granted in full, 4
granted in part, 17 refused, 5 withdrawn and
2 carried forward. 142 of the applications
received were requests for personal or
relative’s medical records with 16 requests
being of a non-personal nature.
Two applications required consultation with
11 parties outside of the Area Health Service.
0
Varied
2004/
2005/
05
06
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
Other
Upheld
2004/
2005/
05
06
1
0
0
0
0
1
0
0
0
0
0
0
2
1
Varied
2004/
2005/
05
06
0
0
0
0
1
0
0
0
0
0
0
0
1
0
There have been no requests for
amendments to personal records, notations
to personal records or Ministerial Certificates
issued and there were no Ombudsman
appeals.
The cost of processing FOI requests during
2005/06 was estimated at $13,022.50 while
only $1,770.00 was received to offset the
operating cost of providing such information.
There were three requests determined outside
of the time limits prescribed by the Act.
Privacy and personal information
During the year, there were no internal reviews
conducted under the Privacy and Personal
Information Protection Act 1998 and the Health
Records and Information Privacy Act.
One application for an internal review was
received within the reporting period by the
third party concerned and, following
finalisation of the internal review, the case
was referred by the third party to the
Administrative Decision Tribunal. The
decision is still to be finalised.
Sydney South West Area Health Service Statutory Annual Report 05/06
126
Financial
Information
Financial Overview
Sydney South West Area Health Service Statutory Annual Report 05/06
127
The audited financial statements presented for the Sydney South West Area Health Service
recognise the amalgamation of the former Central Sydney Area Health Service and the former
South Western Sydney Area Health Services, which had effect from 1 January 2005.
Audited financial statements appear in the Annual Report covering the twelve months ended 30
June 2006. However, as the amalgamation was only effected from 1 January 2005 the previous
year comparisons shown in the audited statements are restricted to a period of six months only.
For the period 1 July 2005 to 30 June 2006 the Net Cost of Services budget was $1.728 billion,
against which the audited actuals of $1.723 billion represents a variation of 5 million or 0. 28%.
The reported favourable result is mainly contributed from the Special Purposes and Trust Fund
which were not available for general expenditure.
In achieving the above result, the Sydney South West Area Health Service is satisfied that it has
operated within the level of government cash payments and restricted operating costs to the budget
available. It has also ensured that no general creditors exist at the end of the year in excess of
levels agreed with the NSW Department of Health and, further, has effected all loan repayments
within the time frames agreed.
Although the audited financial statements show only comparative data for the six months ended 30
June 2005 (consistent with the establishment date of the Area Health Service) information is
available for the twelve months ended 30 June 2005, and is shown below with comparison with the
2005/06 result.
Employee Related Expenses
Visiting Medical Officers
Other Operating Expenses
Depreciation & Amortisation
Grants & Subsidies
Finance Costs
Payments to Affiliated Health Organisations
Total Expenses excluding losses
2005/06
Actuals
$000
1,296,709
73,951
626,635
78,896
26,637
740
26,309
2,129,877
2005/06
Budget
$000
1,297,470
75,444
633,848
79,205
27,173
716
25,987
2,139,843
2004/05
Actuals
$000
1,211,750
67,623
578,646
78,607
17,001
0
23,738
1,977,365
347,689
12,322
40,486
11,535
412,032
(835)
337,998
9,482
40,822
23,530
411,832
0
339,135
11,437
39,605
15,388
405,565
9,852
(4,382)
0
(4,520)
1,723,062
1,728,011
1,566,468
Sale of Goods & Services
Investment Income
Grants & Contributions
Other Revenue
Total Retained Revenue
Gain/(Loss) on Disposal
Other Gains/(Losses)
Net Cost of Services
The variations in the two years reported stem from budget adjustments and other movements
(details refers to note 39).
The Area Health Service reporting of programs is consistent with the ten programs of health care
delivery utilised across NSW Health and satisfies the methodology for apportionment advised by
the NSW Department of Health.
No full year comparisons are available in the audited statements, although the table under has
been prepared comparing the combined results of the Sydney South West Area Health Service and
its former Area components for the full two year period 1 July 2004 to 30 June 2006.
Sydney South West Area Health Service Statutory Annual Report 05/06
128
2005/06
2004/05
Program
Exp
Primary &
Community
Aboriginal Health
Outpatient Services
Emergency Care
Services
Overnight Acute
Same Day Acute
Mental Health
Services
Rehab & Extended
Care
Population Health
Teaching &
Research
Total
Rev
NCOS
Exp
Rev
$000
154,504
$000
12,432
$000
142,072
$000
145,163
$000
12,065
NCOS
$000
133,098
1,836
271,926
132,216
180
9,425
15,546
1,656
262,501
116,670
1,657
251,578
118,960
204
9,408
15,289
1,453
242,170
103,671
990,959
145,905
151,979
252,500
22,783
19,553
738,459
123,122
132,426
925,794
127,519
149,313
263,762
22,345
19,237
662,032
105,174
130,076
146,324
36,925
109,399
135,219
36,134
99,085
30,870
103,358
3,872
33,599
26,998
69,759
28,703
97,979
4,199
32,774
24,504
65,205
2,129,877
406,815
1,723,062
1,981,885
415,417
1,566,468
As a result of the establishment of the new Area Health Services on 1 January 2005, it was
necessary for each Area Health Service to prepare its 2004/05 financial statements utilising the
Australian Equivalents to International Financial Reporting Standards (AEIFRS). Each Area Health
Service is therefore twelve months in advance of the majority of Government agencies.
Significant additional funding was directed by the Government to a range of health priorities as part
of the 2005/06 State budget. In particular, increased funding has been directed towards:
•
•
•
•
•
•
•
improving access to hospital services, including measures designed to reduce access block in
hospitals
reducing the number of elective/surgical patients, ready for care, especially those who have
waited longer than 12 months for treatment.
Further increasing the level of emergency care, community based, acute and sub acute
mental health services available across the State.
Increasing service capacity across a range of state-wide and selected speciality services.
These include neonatal, paediatric and adult intensive care; severe burn services; genetics;
and interventional neuroradiology.
Ongoing funding of prior year initiatives.
Clinical Redesign Program
Burns Services
The Sydney South West Area Health Service received its 2006/07 allocation on 30 June 2006. The
allocation is earmarked by the provision of additional funding to address:
•
•
•
•
the provision of an additional beds
106 places for the Transitional Aged Care Program
Mental Health Enhancement funding for Liverpool
Continuation of the Clinical Services Plan funding.
The Minister for Health has announced the following new capital works:
Liverpool Hospital Redevelopment Stage 2, Campbelltown Psychiatric Emergency Care Centre
and Liverpool Psychiatric Emergency Care Centre.
In addition, the 2006/07 capital program also provides for the continuation of 2005/06 projects.
Sydney South West Area Health Service Statutory Annual Report 05/06
129
Index
Activity levels…………………………………31
Allied health services………………………..56
Area health advisory council………………111
Area healthcare service planning…………..40
Asset management………………………….68
Balmain Hospital……………………………..41
Bankstown Hospital………………………….42
Bowral Hospital………………………………43
Camden Hospital…………………………….44
Campbelltown Hospital……………………...44
Canterbury Hospital………………………….45
Chief executive year in review…………….....5
Clinical governance statement……………..17
Community health……………………...........46
Concord Hospital…………………………….47
Contents………………………………………..1
Community participation…………………...112
Corporate governance statement………….15
Corporate services…………………………..69
Department of Forensic Medicine………….48
Donations and bequests…………………..115
Drug health services…………………………57
Ethnic affairs priority program…………….116
Equal employment opportunity……………..79
Executive reports ……………………………76
Facilities………………………………………41
Fairfield Hospital……………………………..49
Financial overview………………………….127
Financial services……………………………70
Financial statements… ……………………130
Freedom of information……………………124
Fundraising and sponsorship……………..113
Health service locations… …. ……………..35
Health service profile………………………..11
Highlights………………………………………7
Independent Audit Report………..………..130
Information management division.…………71
Internal audit………………………………….72
Karitane……………………………………….50
Liverpool Hospital……………………………51
Local health participation groups…………112
Map of SSWAHS locations…………………..3
Mental health services………………………58
Non-government organisations…………...117
Nursing and midwifery services…………….60
Occupational health and safety…………….83
Official overseas travel…….………………..93
Oral health…….……………………………...61
Organisation chart…………………………...13
Patient feedback……………………………112
Performance indicators……………………...19
Population health…………………………….62
Public affairs and marketing………………..73
Purpose and goals…………………………..14
Quality clinical indicators……………………63
Research……………………………………...87
Royal Prince Alfred Hospital………………..52
Rozelle Hospital……………………………...53
Staff profile……………………………………78
Sydney Dental Hospital……………………..54
Teaching and training initiatives……………85
Tresillian Family Care Centres……………..55
Volunteers…………………………………..122
Workforce profile……………………………..75
Sydney South West Area Health Service Statutory Annual Report 05/06
6
Total number of copies printed 550
Total cost $6,817.50 excluding GST
The SSWAHS 2005/06 Annual Report is available on our website www.sswhealth.nsw.gov.au or
by phoning (02) 9828 5700 or (02) 9515 9600.
We welcome your feedback. You can contact us by email at [email protected]
through our website at www.sswhealth.nsw.gov.au or by phoning us on (02) 9828 5700 or 9515
9600.
A publication of SSWAHS, produced by Public Affairs and Marketing.
Sydney South West Area Health Service Statutory Annual Report 05/06