Download COMPENDIUM TO Southern NSW Local Health District Health Care

COMPENDIUM TO
Southern NSW Local Health District
Health Care Services Plan
2013-2018
The Southern NSW Local Health District Health Care Services
Plan is a strategic planning document that identifies the
priorities and key directions for the Local Health District for the
next five years.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
A
Healthy
Community
Page 1 of 43
Compendium
To
Southern NSW Local Health District
Health Care Services Plan 2013-2018
Contents
Policy Environment ................................................................................................................................................. 3
Projected Population for SNSW LHD (2006 -2036) ................................................................................................. 8
Projected population change 2006-2026 for SNSW LHD by age group .................................................................. 9
SNSW LHD Bed Numbers by Bed Unit Type as at June 2012 ................................................................................ 11
SNSW LHD Staffing ............................................................................................................................................... 13
Acute Inpatient Projections for SNSW LHD facilities base case scenario - aIM 2012 ........................................... 14
Projections for SNSW LHD Hospitals top five SRG Projections- aIM 2012............................................................ 14
Projections by age groups – aIM 2012 ................................................................................................................. 16
Projections – Medical/Surgical – aIM 2012 .......................................................................................................... 16
Projections for sub-acute –SiAM 2012 ................................................................................................................. 17
Projections – SNSW LHD residents treated in non SNSW LHD facilities – aIM 2012 ............................................ 18
Flow to ACT Public Hospitals-Acute Inpatient Activity - Flowinfo v 11.2 ............................................................. 19
Supply of Hospital Inpatient Services in SNSW LHD – Flowinfo Vs 11.2 ............................................................... 19
Supply Inpatient Hospital Services SNSW LHD Hospitals- SRGs ........................................................................... 20
Demand for Inpatient services – SNSW LHD residents – Flowinfo v 11.2 ............................................................ 21
ACT Private Hospital activity for SNSW LHD residents ......................................................................................... 23
SNSW LHD Activity 2010/11 ................................................................................................................................. 25
Emergency Attendances ....................................................................................................................................... 26
Cancer Incidence and Mortality: Projections 2011 to 2021 ................................................................................. 26
Cancer Services SNSW LHD – February 2013........................................................................................................ 27
Renal Services SNSW LHD February 2013............................................................................................................. 28
Community Health Services .................................................................................................................................. 29
SNSW LHD Aboriginal Health – February 2013 ..................................................................................................... 31
SNSW LHD Population Health – February 2013 ................................................................................................... 32
Oral health services SNSW LHD - March 2013 ...................................................................................................... 33
Role Delineation - SNSW LHD .............................................................................................................................. 36
Hospital Peer Group Definitions ........................................................................................................................... 37
Southern NSW Medicare Local Services as at May 2013...................................................................................... 39
Glossary ................................................................................................................................................................ 39
Organisational Responsibilities ............................................................................................................................ 42
.......................................................................................................................................................................... 42
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 2 of 43
Policy Environment
SNSW LHD Strategic Plan
Southern NSW LHD was formed in January 2011 and has adopted the following vision,
mission and strategic goals.
Vision:
A healthy community
Mission:
To create a sustainable, patient-centric, efficient and effective health service
Values
CORE (Collaboration, Openness, Respect, Empowerment)
Strategic goals:
• We put patients first
• We are accountable for health outcomes in Southern NSW
• We insist on fairness, respect and transparency in everything we do
• We will establish and promote well governed coordinated services
• We encourage excellence in the acquisition and sharing of knowledge
The HCSP aligns with major National and State agreements and policies, notably:
National Healthcare Agreement 2011
The seven objectives of the National Healthcare Agreement are:
• Prevention: Australians are born and remain healthy
• Primary and Community Health: Australians receive appropriate high quality and
affordable primary and community health services
• Hospital and Related Care: Australians receive appropriate high quality and
affordable hospital and hospital-related care
• Aged Care: Older Australians receive appropriate high quality and affordable health
and aged care services
• Patient Experience: Australians have positive health and aged care experiences
which take account of individual circumstances and care needs
• Social Inclusion and Indigenous Health: Australia’s health system promotes social
inclusion and reduces disadvantage, especially for Indigenous Australians
• Sustainability: Australians have a sustainable health system
NSW 2021: A Plan to Make NSW Number One September 2011- Goals 11 and 12 relate
to the Health system:
• Keep people healthy and out of Hospital
o Reduce smoking rates, overweight and obesity rates and risk drinking
o Close the gap in Aboriginal infant mortality
• Improve outcomes in Mental health
o Reduce Mental Health readmissions
o Increase rate of community follow up
o Increase number of people with mental illness diverted from court to treatment
• Reduce potentially preventable hospitalisations by 1% and by 2.5% for Aboriginal
people
• Provide world class clinical services with timely access and effective infrastructure
• Reduce Hospital waiting time
o Planned surgical patients admitted within clinically appropriate time
o Meet national benchmarks from time of Emergency Department (ED) triage to
commencement of clinical treatment
• Improve transfer of patient from Emergency Department to Wards
• Reduce unplanned readmissions
• Decrease Healthcare associated bloodstream infections
• Ensure all publicly provided health services meet national patient safety and quality
standards
• Increase patient satisfaction.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
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National Rural Framework for Rural and Remote Health
While primarily a tool for government, the Framework may also be useful to communities,
local health service providers and community groups to help identify and develop new and
innovative ways to address specific needs or unique characteristics of their local area or
region.
The Framework outlines strategies to help realise the goals:
• Improved access to appropriate and comprehensive health care for people living in
rural and remote Australia.
• Effective, appropriate and sustainable health care in rural and remote settings.
• Rural and remote Australia has an appropriate, skilled and well-supported health
workforce
• Collaborative health service planning and policy development in rural and remote
Australia.
• Strong leadership, governance, transparency and accountability for rural and remote
health services.
Draft National Primary Health Care Strategic Framework
The Commonwealth and States have agreed a national vision for primary health care:
• A strong, responsive and sustainable primary health care system that improves
health care for all Australians, especially those who currently experience inequitable
health outcomes, by keeping people healthy, preventing illness and reducing their
need for hospital services.
Commonwealth and state governments must work together to ensure the ongoing
improvement and sustainability of the primary health care system with the goal of ensuring
effective, safe services for consumers aimed at providing care in the most appropriate and
efficient setting, and improving health outcomes. The following strategic outcomes are
considered to have the greatest potential to make a difference:
• Build a consumer-focused integrated primary health care system;
• Improve access and reduce inequity;
• Increase the focus on prevention, screening and early intervention; and
• Improve quality, safety, performance and accountability.
Health Professionals Workforce Plan 2012-2022
The Plan rests on a three-part strategic framework:
• Stabilising the foundations
o Multi-faceted and multi-owned solutions
o Integrated and comprehensive workforce planning
• Building blocks
o Provide effective working arrangements
o Develop a collaborative health system
o Support local decision making
o Develop effective health professional managers and leaders
• Right people, right skills, right place
o Recognise the value of generalist and specialist skills
o Grow and support a skilled workforce
o Effective use of our health care workforce
NSW Aboriginal Health Plan 2013-2023
Acknowledges the significant health disparities between Aboriginal and non-Aboriginal
people in NSW and reflects the NSW Government’s commitment to closing this gap.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
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NSW Health Policy and Implementation Plan for Healthy Culturally Diverse
Communities 2012-2016
A strategic statewide policy for improving the health of NSW residents from backgrounds
which are culturally, religiously and linguistically diverse.
Policy Environment for key Streams of Care and Programs
Critical Care
• Integrated Governance Framework for SNSW LHD
• National Safety and Quality Health Service Standards
• National Health Reform Agreement and National Partnership Agreement
Surgical Services
• The Australian College Of Operating Room Nurse’s (ACORN) Standards
• Rural Surgery Futures 2011-2021 – NSW Ministry of Health (2011)
• High Volume, Short Stay Surgical Model Toolkit – NSW Ministry of Health (2011)
• Emergency Surgery Guidelines – NSW Ministry of Health (GL 2009_009)
• Pre-Procedure Preparation Toolkit - NSW Ministry of Health (GL 2007_018)
• AS/NZS 4187:2003: Cleaning, disinfecting and sterilizing reusable medical and
surgical instruments and equipment, and maintenance of associated environments
in healthcare facilities
• The Orthogeriatric Model of Care – NSW Agency for Clinical Innovation 2010
• Infection Control Policy – NSW Ministry of Health (2007_036)
• Infection Control in Endoscopy – Gastroenterological Nurses College of Australia
(2010)
Medical Services
• The Southern NSW LHD Medical Services Plan (2011)
• The Australian Health Ministers Advisory Council ‘Delirium Care Pathways’ (2006)
• The Delirium Model of Care WA (2008)
• NSW Dementia Services Framework 2010-2015
Palliative Care
• Standards for Providing Quality Palliative Care for all Australians
• National Palliative Care Strategy 2010
• Palliative Care Strategic Framework 2010-2013
• Palliative Care Role Delineation Framework
• Palliative Care Development Planning Framework
Maternity
• Australian Government. National Maternity Services Plan (2010)
• NHMRC. National Guidance on Collaborative Care (2010)
• Australian Government. Improving Maternity Services – The report of the review
(2009)
• AHMAC. Primary Maternity Services in Australia – A Framework for Implementation
(2008)
• NRHA. National Consensus Framework for Rural Maternity Services (2008)
• ACSQHC. National Safety and Quality Health Service Standards 2012
• ACHS Obstetric Clinical Indicators User Manual 2011
• NSW MoH Maternity – Towards Normal Birth in NSW PD 2010_045
• NSW MoH Breastfeeding in NSW: Promotion, Protection and Support PD2011_042
• NSW MoH Maternity – Clinical Risk Management Program PD 2009_003
• NSW MoH Maternity - National Midwifery Guidelines for Consultation and Referral
2nd Edition 2010_022
• NSW MoH Midwifery Continuity of Carer Model Tool-kit October 2012
• NSW MoH Framework for Maternity Services (2000)
• Birthrate Plus – retrospective staffing acuity tool
Compendium – SNSW LHD Health Care Services Plan 2013-2018
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Mental Health
• National Partnership Agreement on Hospital and Health Reform
• NSW Mental Health Commission
• Fourth National Mental Health Plan: an agenda for collaborative government action
in mental health 2009-2014.
• Ten-Year Roadmap for National Mental Health Reform (in draft)
• National Recovery-Oriented Mental Health Practice Framework (in draft)
• National Standards for Mental Health Services 2010 (under revision)
• National Health Workforce Innovation and Reform Strategic Framework for Action
2011-2015
• Framework for the NSW Mental Health Consumer Workforce (in draft)
• NSW Service Plan for Specialist Mental Health Services for Older People
(SMHSOP) 2005-2015.
• NSW Child and Adolescent Mental Health Services (CAMHS) Competency
Framework
Drug and Alcohol
• National Drug Strategy 2010-2015: A Framework for Action on Alcohol, Tobacco
and other Drugs.
• NSW Ministry of Health Drug and Alcohol Plan 2012-2017
• NSW Opioid Treatment Program Strategic Plan 2011-2016
• NSW Drug and Alcohol Health Promotion Plan 2012-2017
• NSW Drug and Alcohol Psychosocial Interventions Professional Practice Guidelines
• Aboriginal Drug and Alcohol Prevention and Treatment Plan 2012-2017
• Consumer Engagement in NSW Drug and Alcohol Treatment
• NSW Clinical Guidelines for the Care of Persons with Comorbid Mental Illness and
Substance Use Disorders in Acute Care Settings.
Rehabilitation
• The NSW Health Rehabilitation Redesign Project 2010, reviewed existing adult
rehabilitation services in NSW to inform a consistent model of care for application
across metropolitan, regional and rural areas of NSW:NSW Rehabilitation Model of
Care www.aci.health.nsw.gov.au
• ACI Rehabilitation Network Musculoskeletal Model of Care
• Ortho-geriatric Model of Care
• Osteo-arthritis Model of Care
• Osteoporosis Re-fracture Model of Care
• National Stroke Audit / Rehabilitation Services Report 2012
Cancer Care
• NSW Cancer Plan 2011-2015
• Cancer Incidence and Mortality Projections 2011-2021 (NSW Cancer Institute pub)
• Reporting for Better Cancer Outcomes Funding Agreement (Cancer Institute and
SNSW LHD)
Renal Services
• NSW Renal Dialysis Service Plan to 2011 (current plan)
• Review of the implementation of the NSW Renal Dialysis Service Plan to 2011
• ACT Health Renal Health Services Plan 2010-2015
• Kidney Health Australia – A Model for Home Dialysis Australia- 2012
• Agency for Clinical Innovation Renal Network - NSW Dialysis Capacity Audit 2010
• CARI guidelines – (Caring for Australians with renal impairment)
• NSW Health Kidney health check policy PD2010_023 – (currently under review)
Population Health
• NSW Health Population Health Priorities for NSW 2017 – 2017
• NSW 2021: A plan to make NSW number one
• Aboriginal Health Plan for NSW
Compendium – SNSW LHD Health Care Services Plan 2013-2018
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NSW Tobacco Strategy 2012–2017
Prevention of Falls and Harm from Falls among Older People: 2011–2015
The NSW Government Plan for Preventing Overweight and Obesity in Children,
Young People and their Families 2009–2011
• The NSW HIV/AIDS Strategy: Overview and Action Plan
• The NSW Hepatitis C Strategy
• The NSW Sexually Transmissible Infections Strategy
• Population Health Surveillance Strategy NSW 2011 to 2020
• Promoting the generation and effective use of population health research in NSW: A
Strategy for NSW Health 2011–2015
• NSW Immunisation Strategy
• Notification of Infectious Diseases under the NSW
• NSW Health Influenza Pandemic Plan
Primary and community based services
• National Partnership Agreement on Hospital and Health Reform (2010)
• Draft National Primary Health Care Strategic Framework (2012)
• NSW Health Integrated Primary and Community Health Policy 2007-2012
Women’s Health, Child Youth and Family
• NSW Women’s Health Plan (Ministry of Health)
• Women in NSW (Office for Women)
• National Women’s Health Policy
• Future Governance Arrangements for Children and Young People’s Health Services
in NSW
• NSW Youth Health Policy PD 2010_073
• Safe Start Guidelines
• Statewide Eyesight Preschooler Screening Policy (StEPS) PD 2012_001
• Statewide Infant Screening Hearing Policy (SWIS-H) GL2010_002
Aged Care
The Commonwealth and State aged care reform agenda as outlined in:
• ‘Living Longer. Living Better’- Aged Care reform Platform (Commonwealth)
• Australian Government Response to the Productivity Commission's Caring for Older
Australians Report and the Aged Care Reform Package
• NSW Ageing Strategy
Chronic Care
• Ministry of Health/SNSWLHD Service Agreement 2012-2013
• Ministry of Health letter (28/2/12 TRIM H11/69645) re 2011/12-2014/15 Funding of
the Connecting Care and 48Hr Follow Up Programs and Enrolment Targets
• Report on NSW Chronic Disease Conference 2011
• Chronic Disease Consumer Issues Paper, Health Consumers NSW, Sept 2012
• Revised Strategic Direction for the SNSWLHD Chronic Disease Management
Program- July 2012
• SNSWLHD Connecting Care Program Framework, 2010
Oral Health Services
• Oral Health 2020: A Strategic Framework for Dental Health in NSW
• PD 2009_074: Oral Health – Eligibility of Persons for Public oral Health Care in NSW
• PD2008_065: Oral Health Fee for Service Scheme (OHFFSS)
• PD2008_056: Priority Oral Health Program and List Management Protocols
• PD2008_020 Early Childhood Oral Health (ECOH) Program: The Role of Public Oral
Health Services
• PD2001_071: Oral Health Specialist Referral Protocols
•
•
•
Compendium – SNSW LHD Health Care Services Plan 2013-2018
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Violence Prevention and Care
• NSW Children and Young Persons (Care and Protection) Act 1998
• Keep Them Safe A Shared Approach to Child Wellbeing 2009-2014
• NSW Interagency Guidelines
• NSW Health Frontline Policy and Procedures for the Protection and Wellbeing of
Children and Young People
• JIRT Policy & Procedures,
• CPCS Service Standards and Policy document (to be finalised 2013),
• Sexual Assault Policy and Procedures Manual,
• Model Pathway for the Comprehensive Health and Developmental Assessments for
all Children and Young People entering Out of Home Care” 2010-2011.
• Clinical Practice guidelines for the Health Assessment for Children and Young
People in Out of Home Care,
• Policy and Procedures for Identifying and Responding to Domestic Violence
Aboriginal Health
• NSW Centre for Aboriginal Health, Maternity, Children’s and Young People’s Health
Branch MOH,
• Workforce Learning and Development Strategy for NSW Health,
• Aboriginal Workforce Strategic Framework 2011-2015,
• NSW Aboriginal Health Impact Statements and Guidelines, State-wide Infant
Screening Hearing Policy (SWIS0-H) GL2010_002,
• Children Young People and Family Health and Well-being Unit,
• Safe Start Guidelines,
• NSW Aboriginal Health Strategic Plan.
Projected Population for SNSW LHD (2006 -2036)
LGA
Bega Valley (A)
Bombala (A)
2006
2011
2016
2021
2026
2031
2036
Difference
20062036
32,477
34,875
37,292
39,628
41,840
43,888
45,707
13,230
2,625
2,521
2,425
2,328
2,226
2,119
2,005
-620
Cooma-Monaro (A)
10,174
10,276
10,374
10,463
10,540
10,602
10,635
461
Eurobodalla (A)
36,585
40,000
43,425
46,736
49,874
52,780
55,346
18,761
Goulburn Mulwaree (A) Goulburn
21,030
20,726
20,455
20,156
19,812
19,410
18,926
-2,104
Goulburn Mulwaree (A) Bal
6,208
6,785
7,377
7,965
8,537
9,088
9,608
3,400
Palerang (A) - Pt A
9,567
10,823
12,149
13,526
14,936
16,364
17,779
8,212
Palerang (A) - Pt B
Queanbeyan (C)
3,357
3,512
3,676
3,844
4,013
4,178
4,335
978
38,092
42,521
47,239
52,095
56,963
61,758
66,334
28,242
3,869
Snowy River (A)
7,583
8,248
8,927
9,595
10,244
10,867
11,452
Upper Lachlan Shire (A)
7,349
7,346
7,333
7,312
7,280
7,240
7,183
-166
13,762
15,018
16,322
17,639
18,946
20,217
21,408
7,646
188,809
202,648
216,995
231,286
245,211
258,512
270,718
81,909
Yass Valley (A)
Source: NSW Health Population Projections Series 1.2009.Numbers will differ to those of Dept of Planning due to an alternate
fertility rate used in health
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 8 of 43
Projected population change 2006-2026 for SNSW LHD by age group
Age group (years)
2006
2011
2016
2021
2026
Number
Percent (%)
0-14
37,481
38,088
39,870
42,144
43,823
15-69
131,695
141,478
149,202
154,528
159,849
28,154
21
70-84
16,729
19,138
23,027
28,908
34,519
17,790
106
85+
Total
6,342
17
2,904
3,944
4,897
5,706
7,021
4,117
142
188,809
202,648
216,995
231,286
245,211
56,402
30
Key points from the 2012 Social Health Atlas data for SNSW LHD
(http://www.publichealth.gov.au/)
Indicator
Total fertility rate (2005-2007)
Education
Full time participation in secondary school
education at age 16
(% of 16 year olds, 2011)
Participation in vocational education and training
(rate per 100 population, 2009)
LHD
na
NSW
1.80
79.2
80.1
na
7.6
*rates for 7 of the 10 LGAs are significantly higher
than NSW average
School leaver participation in higher education
(% of 17 year olds, 2011)
Early childhood development
Children developmentally vulnerable on 2 or more
domains
(% of assessed 5 year olds in their first year of
school, AEDI, 2009)
*includes physical health & wellbeing
Families (2011)
Single parent families
(% of families with children aged less than 15 years)
Housing & transport (2011)
Centrelink rent assistance (2009)
(% of total dwellings)
14.0
11.3
23.2
14.6
Government housing
(% of total dwellings)
3.1
Mortgage stress
(households in the bottom 40% of income
distribution, spending more than 30% of income on
mortgage repayments)
(% of mortgaged dwellings)
9.6
Rental stress
(households in the bottom 40% of income
distribution, spending more than 30% of income on
25.9
Compendium – SNSW LHD Health Care Services Plan 2013-2018
26.6
10.3
21.2
16.3
4.4
11.1
26.3
Selected LGAs
Lowest: Snowy River
Highest: Upper Lachlan
Lowest
•
•
Highest
•
•
Lowest
•
•
Highest*
•
•
Lowest
•
•
Highest
•
•
Bombala
Snowy River
68.9
74.2
Yass Valley
Bega Valley
82.9
81.6
Palerang
Queanbeyan
6.6
7.0
Bombala
Eurobodalla
18.4
13.7
Goulburn Mulwaree
Bega Valley
Bombala
Upper Lachlan
More vulnerable
•
Bega Valley
•
Queanbeyan
Less vulnerable
•
Snowy River
•
Upper Lachlan
Higher %
•
•
•
Lower %
•
Higher %
•
•
•
Lower %
•
Higher %
•
•
Lower %
•
Higher %
•
•
•
Lower %
•
1.67
2.71
9.2
9.9
26.6
24.7
14.0
13.3
4.3
6.8
Eurobodalla
Goulburn Mulwaree
Bega Valley
31.8
28.3
26.9
Yass Valley
13.7
Eurobodalla
Goulburn Mulwaree
Bega Valley
21.7
17.4
17.2
Palerang
8.7
Goulburn Mulwaree
Queanbeyan
5.3
4.8
Palerang
0.2
Eurobodalla
Bega Valley
Goulburn Mulwaree
16.2
14.2
12.7
4.4
Queanbeyan
Higher %
•
Eurobodalla
37.6
32.6
Page 9 of 43
Indicator
rent)
(% of rented dwellings)
Dwellings with no motor vehicle
Income support (June 2009)
Age pensioners (% of 65+ years old)
LHD
5.8
NSW
10.4
Selected LGAs
•
Bega Valley
•
Cooma-Monaro
Lower %
•
Bombala
Higher %
•
Goulburn Mulwaree
•
Cooma-Monaro
Lower %
•
Palerang
Higher %
Eurobodalla
Goulburn Mulwaree
Bega Valley
Eurobodalla
Bombala
Bega Valley
Eurobodalla
Bega Valley
Goulburn Mulwaree
Eurobodalla
Bega Valley
Eurobodalla
Bega Valley
Goulburn Mulwaree
Eurobodalla
Snowy River
Bega Valley
Goulburn Mulwaree
Eurobodalla
Bega Valley
Goulburn Mulwaree
Eurobodalla
Bega Valley
Goulburn Mulwaree
30.5
10.2
8.6
7.5
1.6
69.2
70.1
Disability support pensioners
(% of 16- 64 years old)
6.2
5.0
Female sole parent pensioners
(% of 15- 54 years old)
5.9
5.3
Unemployment benefit
(% of 16-64 years old)
• Long term (% 16-64 years old)
4.3
4.3
2.9
2.9
6.1
5.4
9.0
10.0
19.6
21.7
22.9
20.1
Bombala
Upper Lachlan
Goulburn Mulwaree Eurobodalla
Broadband connections
(% of private dwellings)
Labour force (June 2009)
Unemployment
(% of labour force)
66.0
69.9
Bombala
Upper Lachlan
35.3
29.5
28.0
26.3
55.1
59.8
4.9
5.7
Labour force participation
(% of 15+ years old)
Unpaid child care
Own child/ren
65.4
63.1
Eurobodalla
Bega Valley
Goulburn Mulwaree
Eurobodalla
Bega Valley
9.6
6.8
6.3
53.4
60.4
18.9
19.6
Other child/ren
Community strength
Volunteering (15+ years old, 2011)
7.1
7.1
Yass Valley
Palerang
Queanbeyan
Yass Valley
23.2
22.6
21.7
8.4
22.3
16.9
Smoking during pregnancy
(2006-08)
Smoking during pregnancy
(2006-08)
Disability (2011)
Providing unpaid assistance to persons with a
disability
(% of total population)
People with a profound or severe disability
(% of total population)
*53% aged 65+ years
MBS Services (2009/10)
GP services (rate per 100 population)
* All LGAs significantly less than NSW average
25.1
13.0
Bombala
Upper Lachlan
Queanbeyan
Goulburn Mulwaree
Eurobodalla
Cooma-Monaro
33.4
28.9
32.7
28.1
27.0
26.3
12.1
11.4
Bombala
Upper Lachlan
14.5
13.5
5.1*
4.9
Eurobodalla
Bombala
na
578
Lowest rate
•
Upper Lachlan
Highest rate
•
Goulburn Mulwaree
• Young people (% 15-24 years old)
Low income, welfare dependent families with
children
(% of total families)
Children in low income, welfare dependent families
(% children under 16 years)
Internet access (2011)
No internet connection
(% of private dwellings)
6.9
6.1
Private health insurance
Compendium – SNSW LHD Health Care Services Plan 2013-2018
74.7
73.6
72.0
10.3
9.4
7.8
9.7
7.8
7.3
8.1
5.9
5.8
4.2
3.4
11.5
8.2
7.8
7.6
12.0
11.0
10.8
33.4
26.2
23.8
Page 10 of 43
386
470
Indicator
% of total population with PHI (2001)
LHD
40.6
Predicted rate of PHI per 100 population aged 15+
years old (2007-08)
NSW
48.2
na
Aged Care (June 2010)
Residential aged care
Selected LGAs
Lower %
•
Snowy River
•
Eurobodalla
Higher %
•
Bombala
•
Palerang
Lower rate
•
Bega Valley
•
Eurobodalla
Higher rate
•
Palerang
•
Yass Valley
48.0
93.7
87.6
Lower
•
•
Higher
•
•
Total places (low- and high-level care) per 1,000
population aged 70+ years
30.0
34.8
56.0
49.8
35.6
36.9
63.0
56.0
Snowy River
Palerang
22.8
28.6
Bombala
Yass Valley
190.1
118.7
National Bowel Cancer Screening Program (NBCSP, 2010)
• LHD 39.1%, NSW 34.9% of those invited to participate
Self-assessed health (synthetic predictions, 15+ years, 2007-08)
• Fair or poor – LHD range from 11.9% in Snowy River to 17.4% in Eurobodalla
• Very good or excellent – LHD range from 65.6% in Eurobodalla to 72.1% in Yass Valley
Median age at death (2003-2007) - LHD range (years):
• Males:
71.5 (Palerang)
to 78.0 (Eurobodalla)
• Females:
80.0 (Palerang & Queanbeyan) to 85.0 (Bombala)
• Persons:
75.0 (Palerang)
to 80.0 (Bombala & Eurobodalla)
MBS Services (2009/10)
• 45 Year Old Health Checks – high rates in Goulburn, lower in Cooma-Monaro, Yass Valley,
Eurobodalla
• Annual health assessments by GPs, 75+ yrs, low in Yass Valley, Upper Lachlan, Goulburn,
Eurobodalla
• Practice nurse services – low in Bombala, Goulburn, Upper Lachlan
• Better Access Program – preparation of mental health care plan
HACC (Home & community care, 2010/11)
• Instances of allied health care, care counselling, case management, domestic assistance,
personal care, respite care, transport etc
• Clients: living alone, with carer, Indigenous, non-English speaking
21
0
26
28
41
215
26
4
6
2
215
26
4
4
2
0
20
2
0
20
2
4
0
Compendium – SNSW LHD Health Care Services Plan 2013-2018
4
Total Southern
4
T Basis unit
Queanbeyan
30
Mental Hlth (Kenmore)
Delegate
5
Eastern Sector Total
Cooma
7
Moruya
Braidwood
10
Bateman's bay
Bombala
25
Pambula
Yass
18
20
2
Bega
Bourke St HS
Bed Unit type
01 General - Mixed
04 Psych Acute
15 General ICU
16 Neonate Special
Care Nursery
33 Coronary Care
34 High Dependency
Crookwell
Network and Facility
G'burn C Hlth
Goulburn
SNSW LHD Bed Numbers by Bed Unit Type as at June 2012
Southern NSW LHD officially reports on 724 beds. A summary is provided below. Please
note that the Goulburn Community Health (Mental Health) are no longer admitted to and
Pambula Hospital no longer provides Maternity services.
4
4
Page 11 of 43
Total Southern
T Basis unit
0
Mental Hlth (Kenmore)
Bateman's bay
4
Eastern Sector Total
Pambula
7
22
18
Moruya
Bega
Queanbeyan
Delegate
Cooma
Braidwood
Bombala
Yass
Bourke St HS
Crookwell
G'burn C Hlth
Goulburn
Network and Facility
Care
43 Paediatric
46 Medical
47 Surgical
48 Medical Oncology
49 Obstetric
60 Bassinets for
Newborns on Wards
62 CAMHSNET
Supported Paediatric
63 CAMHSNET
Supported Psychiatric
69 Stroke
Total 'Overnight
Acute'
02 Rehabilitation
03 Palliative Care
Total 'Overnight Sub
acute'
39 Same Day Renal
Dialysis
75 Same Day Other
04 Psych Acute
73 Same Day Mental
Health
81 Same Day
Surgical
Total 'Same Day'
53 Brain Injury
Transitional Living
09 CADE
25 HITH
46 Medical
(Designated NHTP)
Total State Funded
'Other' beds
55 Community
Residential Care
Units (Mental Health)
less than 24 hrs
05 Psychiatric Rehab
(ECU)
20 Psychiatric Ext
Care (PGU)
Total State Funded
'Other' Institution
Type C beds
14 Residential Aged
Care - High (Nursing
Home)
23 Residential Aged
Care - Low (Hostel)
51 Respite - High
Federal Govt Block
Funded
52 Respite - Low
Federal Govt Block
Funded
10
7
7
5
7
18
46
40
0
36
10
7
7
5
7
36
36
1
1
0
0
0
0
7
24
22
0
1
102
0
18
25
10
7
5
44
4
39
69
30
32
1
59
444
1
1
0
444
1
1
0
0
0
0
0
0
1
0
2
0
2
12
3
7
30
30
0
0
2
2
1
0
0
0
0
0
1
8
0
2
10
20
0
0
0
0
0
0
4
4
0
6
18
5
8
0
4
4
5
12
34
66
6
0
16
14
16
4
4
0
0
18
16
41
0
10
0
8
0
3
0
0
4
126
18
46
40
0
36
0
5
0
48
0
4
0
57
4
81
0
30
0
37
6
77
3
16
14
0
30
542
3
3
19
19
34
66
33
545
19
0
22
0
0
32
0
0
19
0
0
0
0
0
0
0
0
0
0
0
0
19
54
0
19
126
19
18
41
10
8
5
48
4
57
81
30
37
77
561
54
3
618
10
10
8
28
28
15
0
15
15
1
1
2
2
1
1
1
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 12 of 43
Goulburn
G'burn C Hlth
Crookwell
Bourke St HS
Yass
Bombala
Braidwood
Cooma
Delegate
Queanbeyan
Bega
Pambula
Bateman's bay
Moruya
Eastern Sector Total
Mental Hlth (Kenmore)
T Basis unit
Total Southern
0
126
0
19
0
18
0
41
0
10
10
18
27
32
0
48
9
13
0
57
0
81
0
30
0
37
0
77
46
607
0
54
0
3
46
664
Network and Facility
77 Jointly AG-State
Funded Intermittent
Transitional Care (in
Hospital)
78 Jointly AG-State
Funded Intermittent
Transitional Care (in
Community)
0
5
5
Same Day
Nonadmitted patient
Oncology
Total 'Same Day'
17 Emergency Dept Level 3+
58 Emergency Dept Level 1 & 2
66 Delivery
67 Operating theatres
67 Recovery
76 Transit Lounge
Total 'Other' beds
10
0
0
5
10
0
10
0
0
0
0
0
5
10
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
30
4
30
0
0
30
0
0
0
9
9
39
11
12
16
0
87
2
0
3
2
3
11
2
16
10
9
7
8
39
11
12
16
0
87
19
0
2
10
3
2
3
11
2
21
20
9
7
8
117
0
0
117
145
19
20
51
13
20
35
59
15
78
101
39
44
85
724
54
3
724
2
3
2
3
3
3
3
14
5
2
1
3
2
8
3
2
3
2
4
5
1
1
2
5
1
1
4
2
2
0
SNSW LHD Staffing
FTE
% of total
Allied Health
203
11
Corporate and Hospital Support Workers
327
18
Hotel Services
74
4
Maintenance and Trade
29
2
Medical
62
3
Nurses
1026
56
Oral Health Practitioners and Support Workers
25
1
Other Professional and Para Professional and Support Staff
68
4
30
2
Scientific and Technical Clinical Staff Support
1844
Source: Workforce - Oct 12 SNSWLHD Pivot table analysis
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 13 of 43
Acute Inpatient Projections for SNSW LHD facilities base case scenario - aIM 2012
Acute Inpatient Projections for SNSWLHD Facilities Base Case scenario- aIM 2012
ED_only_label
Other
SRG_name
(All)
Less Chemo, renal dialysis, unqual neonates, psychiatric acute
HITH_flag
Other
Year
Data
2011
2017
2022
hosp_group_name
Seps
beddays
beds
Seps
beddays
beds
Seps
beddays
Batemans Bay
4,020
8,890
32
4,862
13,682
50
5,584
15,591
Bega
4,834
14,060
48
5,639
19,544
67
6,266
21,822
Bombala
178
1,074
4
224
1,204
4
248
1,316
Braidwood
126
448
2
177
926
3
225
1,180
Cooma
2,726
7,318
27
2,934
9,283
34
3,171
10,055
Crookwell
716
3,019
11
727
3,023
11
781
3,242
Goulburn
6,411
21,067
72
6,619
21,970
75
7,079
23,389
Moruya
3,870
10,981
40
4,701
16,477
60
5,243
18,402
Pambula
1,504
5,537
20
1,685
6,828
25
1,893
7,750
Queanbeyan
2,920
9,480
35
3,481
10,354
38
4,092
12,388
Yass
455
1,335
5
549
2,161
8
645
2,560
Grand Total
27,760
83,209
296
31,599
105,451
376
35,228
beds
57
75
5
4
37
12
80
67
28
45
9
117,694
420
Projections for SNSW LHD Hospitals top five SRG Projections- aIM 2012
Projections for SNWLHD hospitals top five SRGs - aIM 2012
Less Chemo, renal dialysis, unqual
neonates, psychiatric acute
ED_only_label
HITH_flag
Other
Other
Data
SRG_name
16 Diagnostic GI
Endoscopy
15 Gastroenterology
11 Cardiology
49 Orthopaedics
24 Respiratory Medicine
27 Non Subspecialty
Medicine
24 Respiratory Medicine
49 Orthopaedics
11 Cardiology
15 Gastroenterology
Separations
beddays
Year
2011
2017
2022
3,193
2,592
2,457
2,213
2,288
3,579
3,098
2,889
2,606
2,486
3,984
3,586
3,284
2,873
2,801
9,082
11,052
8,390
8,501
5,784
27,760
13,494
13,255
12,411
10,268
7,750
31,599
15,609
14,993
13,954
11,541
8,814
35,228
83,209
105,451
117,694
Total Separations
Total beddays
Data
Seps
SRG_name
11 Cardiology
11 Cardiology Total
15 Gastroenterology
ESRG_name
111 Chest Pain
112 Unstable Angina
113 Heart Failure and Shock
114 Non-Major Arrhythmia and Conduction Disorders
115 AMI W/O Invasive Cardiac Inves Proc
116 Syncope and Collapse
119 Other Cardiology
151 Oesophagitis, Gastroent and Misc Digestive System Disorders
152 Gastroscopy
153 ERCP
159 Other Gastroenterology
15 Gastroenterology Total
16 Diagnostic GI
Endoscopy
161 Other Colonoscopy
162 Other Gastroscopy
16 Diagnostic GI Endoscopy Total
24 Respiratory Medicine
241 Bronchitis and Asthma
Compendium – SNSW LHD Health Care Services Plan 2013-2018
2011
612
208
418
461
232
183
343
2,457
507
893
9
1,183
2,592
2017
748
152
500
580
241
275
394
2,889
550
1,030
15
1,503
3,098
2022
850
168
569
656
265
337
438
3,284
603
1,248
18
1,718
3,586
2,372
821
3,193
233
2,646
934
3,579
238
2,973
1,011
3,984
254
Page 14 of 43
242 Chronic Obstructive Airways Disease
243 Respiratory Infections/Inflammations
244 Bronchoscopy
249 Other Respiratory Medicine
bedday
24 Respiratory Medicine Total
27 Non Subspecialty
Medicine
271 Kidney and Urinary Tract Infections
272 Cellulitis
275 Injuries - Non-surgical
276 Dementia and Delirium
277 Septicaemia
278 Surgical Follow Up
279 Other Non Subspecialty Medicine
27 Non Subspecialty Medicine Total
49 Orthopaedics
491 Injuries to Limbs - Medical
492 Wrist and Hand Procedures incl Carpal Tunnel
494 Knee Procedures
495 Other Orthopaedics - Surgical
496 Hip Replacement/Revision
497 Knee Replacement/Revision
499 Other Orthopaedics - Non-surgical
49 Orthopaedics Total
11 Cardiology
111 Chest Pain
112 Unstable Angina
113 Heart Failure and Shock
114 Non-Major Arrhythmia and Conduction Disorders
115 AMI W/O Invasive Cardiac Inves Proc
116 Syncope and Collapse
119 Other Cardiology
11 Cardiology Total
15 Gastroenterology
151 Oesophagitis, Gastroent and Misc Digestive System Disorders
152 Gastroscopy
153 ERCP
159 Other Gastroenterology
15 Gastroenterology Total
16 Diagnostic GI
Endoscopy
161 Other Colonoscopy
162 Other Gastroscopy
16 Diagnostic GI Endoscopy Total
24 Respiratory Medicine
241 Bronchitis and Asthma
242 Chronic Obstructive Airways Disease
243 Respiratory Infections/Inflammations
244 Bronchoscopy
249 Other Respiratory Medicine
24 Respiratory Medicine Total
27 Non Subspecialty
Medicine
271 Kidney and Urinary Tract Infections
272 Cellulitis
275 Injuries - Non-surgical
276 Dementia and Delirium
277 Septicaemia
278 Surgical Follow Up
279 Other Non Subspecialty Medicine
27 Non Subspecialty Medicine Total
49 Orthopaedics
491 Injuries to Limbs - Medical
492 Wrist and Hand Procedures incl Carpal Tunnel
494 Knee Procedures
495 Other Orthopaedics - Surgical
496 Hip Replacement/Revision
497 Knee Replacement/Revision
499 Other Orthopaedics - Non-surgical
49 Orthopaedics Total
Compendium – SNSW LHD Health Care Services Plan 2013-2018
563
779
52
661
2,288
666
819
46
717
2,486
760
915
50
823
2,801
378
300
91
155
154
185
566
1,829
517
295
163
563
187
213
275
2,213
1,103
589
2,629
1,673
795
494
1,218
8,501
1,350
1,244
64
3,126
5,784
446
426
106
188
200
231
720
2,318
641
317
208
670
207
246
318
2,606
1,308
445
3,398
1,900
976
909
1,332
10,268
1,588
1,581
125
4,456
7,750
534
474
139
225
232
264
817
2,686
701
351
223
732
232
282
352
2,873
1,442
475
3,830
2,145
1,064
1,113
1,472
11,541
1,786
1,880
149
4,998
8,814
2,610
1,078
3,688
525
3,448
3,937
131
3,011
11,052
2,958
1,247
4,205
626
4,300
4,987
113
3,228
13,255
3,311
1,342
4,653
675
4,865
5,586
124
3,742
14,993
1,564
1,344
454
974
920
1,600
2,226
9,082
1,742
341
188
2,051
1,218
1,170
1,680
8,390
2,236
2,329
831
1,724
1,414
2,023
2,937
13,494
3,330
343
232
2,536
1,639
1,499
2,832
12,411
2,684
2,640
1,102
2,001
1,657
2,248
3,277
15,609
3,778
379
250
2,859
1,803
1,673
3,212
13,954
Page 15 of 43
Projections by age groups – aIM 2012
Projections for age groups being treated.
ED_only_label
Other
HITH_flag
Other
ESRG_name
(All)
Data
Separations
beddays
age_group_label
00-15 years
16-44 years
45-69 years
70-84 years
85+ years
00-15 years
16-44 years
45-69 years
70-84 years
85+ years
Total Separations
Less Chemo, renal dialysis, unqual neonates, psychiatric acute
Year
2011
2017
2022
1,597
1,671
1,715
6,749
6,646
6,744
9,819
10,924
11,509
7,276
9,172
11,500
2,319
3,185
3,759
3,186
3,175
3,240
15,085
14,296
14,299
24,876
28,280
29,097
27,784
39,411
47,748
12,278
20,288
23,309
27,760
31,599
35,228
Total beddays
83,209
105,451
117,694
Projections – Medical/Surgical – aIM 2012
Projections - Medical Surgical breakup- aIM2012
ED_only_label
Other
HITH_flag
Other
ESRG_name
(All)
Data
Separations
Medical/Surgical/Procedural
1 Surgical
1 Surgical Total
2 Medical
2 Medical Total
3 Procedural
beddays
3 Procedural Total
1 Surgical
1 Surgical Total
2 Medical
2 Medical Total
3 Procedural
3 Procedural Total
Total Separations
Less Chemo, renal dialysis, unqual neonates, psychiatric
acute
Year
Dayonly_label
2011
2017
2022
Dayonly
3,115
3,522
3,982
Overnight
3,152
3,527
3,817
6,267
7,048
7,799
Dayonly
2,362
2,867
3,238
Overnight
14,716
16,782
18,623
17,078
19,648
21,861
Dayonly
4,035
4,460
5,079
Overnight
380
443
489
4,415
4,902
5,568
Dayonly
3,115
3,522
3,982
Overnight
12,472
14,257
15,484
15,587
17,778
19,466
Dayonly
2,362
2,867
3,238
Overnight
59,311
78,274
87,612
61,673
81,140
90,850
Dayonly
4,035
4,460
5,079
Overnight
1,914
2,073
2,299
5,949
6,532
7,378
27,760
31,599
35,228
Total beddays
Compendium – SNSW LHD Health Care Services Plan 2013-2018
83,209
105,451
117,694
Page 16 of 43
Projections for sub-acute –SiAM 2012
Sub-Acute projection - SiAM 2012
lga_group_name
Southern NSW LHD
2011
SRG_name
84 Rehabilitation
84 Rehabilitation Total
85 Psychogeriatric Care
85 Psychogeriatric Care
Total
86 Palliative Care
86 Palliative Care Total
87 Maintenance
hosp_group_name
N201 Batemans Bay
N202 Bega
N205 Braidwood
N206 Cooma
N207 Crookwell
N209 Goulburn
N211 Moruya
N214 Pambula
N215 Queanbeyan
N216 Goulburn BSHS
N217 Yass
Z1 Other NSW Public
Z2 Other NSW/ACT
Private
Z4 Interstate Public
2017
2022
active_episodes
274
278
3
21
17
26
144
112
31
225
2
60
beds
6
6
0
1
1
0
3
3
2
10
0
6
active_episodes
366
277
4
74
11
94
204
137
40
291
8
86
beds
10
9
0
2
1
2
9
5
2
14
0
4
active_episodes
487
364
5
101
12
123
257
183
52
332
10
110
beds
12
11
0
3
1
3
10
6
3
15
1
4
838
656
2,687
2
13
19
70
0
1,905
955
4,452
2
0
0
0
0
0
1
0
1
22
33
114
0
0
0
0
0
0
0
0
0
2,661
1,221
5,919
3
0
0
0
0
0
1
0
1
0
28
39
135
0
0
0
0
0
0
0
0
0
0
1
0
5
5
0
0
5
6
0
0
3
62
17
9
8
26
12
50
22
36
18
65
17
5
0
1
0
0
0
1
0
1
0
1
1
4
0
0
15
80
22
9
11
22
6
22
28
46
18
47
19
5
1
3
1
0
0
1
0
1
1
2
1
2
1
0
18
94
26
11
14
25
7
24
33
55
23
51
22
6
1
3
1
0
1
1
0
1
1
2
1
2
1
0
6
85
438
5
30
1
8
14
65
37
31
0
2
13
0
1
0
1
0
3
1
1
5
105
447
7
34
1
9
17
68
39
36
0
4
16
0
2
0
1
1
3
2
2
8
122
520
8
39
1
10
19
69
40
40
0
4
18
0
2
0
1
1
3
2
2
N202 Bega
N203 Bombala
N205 Braidwood
N206 Cooma
N207 Crookwell
N209 Goulburn
N214 Pambula
N215 Queanbeyan
N216 Goulburn BSHS
Z1 Other NSW Public
Z2 Other NSW/ACT
Private
Z4 Interstate Public
N201 Batemans Bay
N202 Bega
N203 Bombala
N205 Braidwood
N206 Cooma
N207 Crookwell
N209 Goulburn
N211 Moruya
N214 Pambula
N215 Queanbeyan
N216 Goulburn BSHS
N217 Yass
Z1 Other NSW Public
Z2 Other NSW/ACT
Private
Z4 Interstate Public
N201 Batemans Bay
N202 Bega
N203 Bombala
N205 Braidwood
N206 Cooma
N207 Crookwell
N209 Goulburn
N214 Pambula
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 17 of 43
N215 Queanbeyan
N216 Goulburn BSHS
N217 Yass
Z1 Other NSW Public
Z2 Other NSW/ACT
Private
Z4 Interstate Public
87 Maintenance Total
Grand Total
57
105
33
5
1
9
1
0
62
111
36
5
4
7
2
0
69
115
40
6
4
7
2
0
48
375
814
3,942
0
11
29
111
47
359
832
5,746
3
20
48
179
50
389
896
7,352
3
20
48
203
Projections – SNSW LHD residents treated in non SNSW LHD facilities – aIM 2012
Projections - to non SNSWLHD facilities - aIM2012
SRG_name
(All)
ED_only_label
Other
HITH_flag
Other
lga_group_name
10550 Bega Valley (A)
10550 Bega Valley (A) Total
12059 Cooma-Monaro +
Bombala + Snowy River
hosp_group_name
Z1 Other NSW
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
Z1 Other NSW
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
12059 Cooma-Monaro + Bombala + Snowy River
Total
Z1 Other NSW
12750 Eurobodalla (A)
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
12750 Eurobodalla (A) Total
13319 Goulburn Mulwaree
Z1 Other NSW
(A) + Upper Lachlan
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
13319 Goulburn Mulwaree (A) + Upper Lachlan
Total
16479 Palerang +
Z1 Other NSW
Queanbeyan
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
16479 Palerang + Queanbeyan Total
Z1 Other NSW
18710 Yass Valley (A)
Public
Z2 Other NSW
Private (excl DPCs)
Z3 Other NSW Day
Procedure Centres
Z4 Interstate Public
18710 Yass Valley (A) Total
Grand Total
less chemo, unqual neonates, renal dialysis, acute psychiatry
2011
Seps
Beddays
beds
2017
Seps
Beddays
beds
2022
Seps
Beddays
beds
346
1,782
6
402
1,838
6
440
2,024
7
2,165
3,506
11
2,647
4,394
14
3,060
5,030
16
95
1,219
3,825
95
5,183
10,566
0
17
34
136
1,418
4,602
136
5,880
12,248
0
19
40
180
1,584
5,264
180
6,522
13,756
1
21
44
228
1,027
3
226
990
3
243
1,042
3
825
2,002
6
984
2,293
7
1,094
2,503
8
90
1,124
90
4,079
0
13
117
1,265
117
4,539
0
15
146
1,378
146
4,872
0
16
2,267
7,198
23
2,592
7,939
26
2,861
8,562
28
670
3,018
10
819
3,479
11
922
3,855
13
1,368
3,948
13
1,783
4,658
15
2,061
5,281
17
321
1,575
3,934
321
6,590
13,877
1
21
45
320
1,916
4,838
320
7,669
16,125
1
25
52
417
2,170
5,570
417
8,572
18,125
1
28
59
890
3,311
11
828
3,194
10
860
3,286
11
1,661
4,076
13
1,703
3,942
13
1,818
4,152
13
193
1,104
193
4,025
1
13
218
1,180
218
4,062
1
13
246
1,244
246
4,211
1
14
3,848
11,605
38
3,929
11,416
37
4,168
11,896
39
376
1,503
5
397
1,601
5
461
1,835
6
2,750
6,063
20
3,242
7,139
23
3,823
8,295
27
113
4,722
7,961
113
14,286
21,965
0
46
71
138
5,719
9,496
137
17,824
26,701
0
57
86
202
6,699
11,184
202
20,768
31,100
1
67
100
189
1,012
3
198
818
3
229
931
3
977
2,012
6
1,223
2,997
10
1,418
3,419
11
46
1,508
2,720
46
4,718
7,788
0
15
25
58
1,777
3,255
58
5,780
9,653
0
19
31
82
2,005
3,734
82
6,462
10,895
0
21
35
24,555
72,999
236
28,713
84,082
272
32,782
94,334
305
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 18 of 43
Flow to ACT Public Hospitals-Acute Inpatient Activity - Flowinfo v 11.2
Year 2009/10
Seps
Beddays
10928
38008
495 Other Orthopaedics - Surgical
597
2144
121 Invasive Cardiac Inves Proc
485
772
722 Vaginal Delivery
379
945
219 Other Neurology
342
769
159 Other Gastroenterology
338
942
539 Other Vascular Surgery Procedures
278
1296
529 Other Urological Procedures
265
1093
122 Percutaneous Coronary Angioplasty
259
618
279 Other Non Subspecialty Medicine
233
645
Enhanced Service Related Groups Total
492 Wrist and Hand Procedures incl Carpal Tunnel
231
281
Source: Flowinfo V 11.2 – Please note that 2009/10 ACT data is the latest available. Excludes chemo, unqualified neonates,
renal dialysis,
Supply of Hospital Inpatient Services in SNSW LHD – Flowinfo Vs 11.2
Supply of Inpatient Hospital Services in SNSW LHD Hospitals
2008/09
Row Labels
seps
2009/10
beddays
2010/11
seps
beddays
seps
2010/11
beddays
beddays
%
seps %
Goulburn
7252
27035
7576
26997
7759
29151
20.4
21.5
Bega
5896
20014
6284
18835
6409
19810
16.9
14.6
Batemans Bay
4716
12334
5176
12058
5498
12959
14.5
9.6
Moruya
5154
15906
4852
14857
5038
14211
13.3
10.5
Queanbeyan
4048
10387
4007
11085
4502
12147
11.9
9
6.3
Cooma
3027
9733
2960
9301
3151
8575
8.3
Pambula
2440
8158
2488
7348
2550
8189
6.7
6
Crookwell
701
4007
906
4171
999
4488
2.6
3.3
Yass
651
2402
739
2402
810
2340
2.1
1.7
Goulburn Bourke St Health
Service
470
12650
444
11004
445
11547
1.2
8.5
Kenmore
333
10656
333
11432
333
9824
0.9
7.3
Braidwood
218
1013
278
868
236
963
0.6
0.7
Bombala
Grand Total
218
1219
268
1564
229
1278
0.6
0.9
35124
135514
36311
131922
37959
135482
100
100
Source: Flowinfo vs 11.2less unqual neonates, renal dialysis & chemo
Supply of Inpatient ACUTE Hospital Services in SNSW LHD Hospitals
SRG Service Related Group
V40
Hospital
Goulburn
Bega
Moruya
Queanbeyan
Batemans Bay
Cooma
Pambula
Crookwell
Yass
Bombala
Braidwood
(Multiple
Items)
2008/09
Seps
6427
5681
4824
3883
4411
2837
2215
610
557
209
197
2009/10
beddays
19739
17890
13692
9431
9904
8298
6342
2244
1617
1142
705
Seps
6638
6016
4588
3840
4800
2826
2317
800
671
245
254
Compendium – SNSW LHD Health Care Services Plan 2013-2018
2010/11
beddays
19989
17094
13428
9776
9961
8211
6343
2843
1913
1244
740
Seps
6854
5830
4708
4267
4955
3003
2277
898
734
211
207
beddays
21820
15510
12367
10829
9825
7595
6310
3202
1622
1107
529
av
seps
6640
5842
4707
3997
4722
2889
2270
769
654
222
219
%
20.2
17.7
14.3
12.1
14.3
8.8
6.9
2.3
2.0
0.7
0.7
Page 19 of 43
av
beddays
20516
16831
13162
10012
9897
8035
6332
2763
1717
1164
658
%
22.5
18.5
14.4
11.0
10.9
8.8
6.9
3.0
1.9
1.3
0.7
SRG Service Related Group
V40
(Multiple
Items)
2008/09
2009/10
Hospital
Seps
beddays
Seps
beddays
Goulburn Bourke St Health
Service
3
53
2
30
Grand Total
31854
91057
32997
91572
Source: Flowinfo vs 11.2less unqual neonates, renal dialysis & chemo
2010/11
Seps
3
33947
beddays
20
90736
av
seps
%
3
32933
0.0
Supply Inpatient Hospital Services SNSW LHD Hospitals- SRGs
LGA - ASGC 200707(used with
LHD)
LHD of Hospital
(All)
SNSWLHD
2008/09
seps
3308
2782
3016
2698
2431
2621
2299
2027
1496
1503
735
1206
680
757
657
731
635
607
567
less unqual neonates, renal dialysis & chemo
2009/10
Row Labels
beddays
seps
11 Cardiology
9639
3349
15 Gastroenterology
6199
3088
16 Diagnostic GI Endoscopy
3537
2965
54 Non Subspecialty Surgery
6524
2691
24 Respiratory Medicine
11752
2546
49 Orthopaedics
8327
2832
27 Non Subspecialty Medicine
10528
2336
72 Obstetrics
5684
2004
82 Psychiatry - Acute
9217
1586
21 Neurology
4988
1510
84 Rehabilitation
10212
699
71 Gynaecology
1995
1229
52 Urology
1483
658
50 Ophthalmology
835
796
44 Upper GIT Surgery
1869
810
81 Drug and Alcohol
1996
789
43 Colorectal Surgery
2324
698
46 Neurosurgery
2142
626
48 ENT & Head and Neck
964
620
51 Plastic and Reconstructive
Surgery
581
912
593
18 Immunology and Infections
385
690
357
19 Oncology
349
1857
476
87 Maintenance
422
8705
371
86 Palliative Care
238
2573
273
22 Renal Medicine
278
790
300
17 Haematology
292
936
322
83 Psychiatry - Non Acute
269
8721
235
14 Endocrinology
250
1233
282
53 Vascular Surgery
199
1138
204
26 Pain Management
274
435
234
25 Rheumatology
157
669
162
41 Breast Surgery
143
281
139
13 Dermatology
102
286
109
73 Qualified Neonate
187
732
138
85 Psychogeriatric Care
107
5014
150
47 Dentistry
91
91
101
99 Unallocated
25
97
22
62 Extensive Burns
12
85
9
12 Interventional Cardiology
2
26
1
63 Tracheostomy
1
1
42 Cardiothoracic Surgery
4
27
1
Grand Total
35124
135514
36311
Source: Flowinfo vs 11.2 less chemo, unqualified neonates, renal dialysis,
Compendium – SNSW LHD Health Care Services Plan 2013-2018
beddays
8773
6624
3427
6377
10731
10047
10510
5569
8918
4417
8004
2091
1460
853
2483
1932
2490
1972
1023
1153
518
2268
5937
2966
1091
921
7807
1347
1126
436
673
296
235
444
6718
101
142
26
5
11
131922
2010/11
seps
3449
3429
3194
2833
2805
2693
2293
2077
1706
1471
1201
1182
795
777
727
725
711
687
625
beddays
9561
6627
3689
6102
11816
9070
9954
5595
10175
3972
11282
1869
1593
849
2147
1809
2247
2010
1077
587
441
427
373
335
326
278
271
254
226
211
187
151
131
129
126
85
20
9
5
5
2
37959
935
721
2248
5434
3437
961
910
9361
1243
1175
346
632
359
292
627
5057
86
73
59
29
44
9
135482
Page 20 of 43
av
beddays
34
91122
%
0.0
ACUTE inpatient Supply – SNSW LHD Hospitals - SRGs
SNSWLHD Hospital s
2008/09
2009/10
SRG
Seps
beddays
Seps
11 Cardiology
3308
9639
3349
15 Gastroenterology
2782
6199
3088
16 Diagnostic GI Endoscopy
3016
3537
2965
54 Non Subspecialty Surgery
2698
6524
2691
24 Respiratory Medicine
2431
11752
2546
49 Orthopaedics
2621
8327
2832
27 Non Subspecialty Medicine
2299
10528
2336
72 Obstetrics
2027
5684
2004
21 Neurology
1503
4988
1510
71 Gynaecology
1206
1995
1229
52 Urology
680
1483
658
50 Ophthalmology
757
835
796
44 Upper GIT Surgery
657
1869
810
81 Drug and Alcohol
731
1996
789
43 Colorectal Surgery
635
2324
698
46 Neurosurgery
607
2142
626
48 ENT & Head and Neck
567
964
620
51 Plastic and Reconstructive Surgery
581
912
593
18 Immunology and Infections
385
690
357
19 Oncology
349
1857
476
22 Renal Medicine
278
790
300
17 Haematology
292
936
322
14 Endocrinology
250
1233
282
53 Vascular Surgery
199
1138
204
26 Pain Management
274
435
234
25 Rheumatology
157
669
162
41 Breast Surgery
143
281
139
13 Dermatology
102
286
109
73 Qualified Neonate
187
732
138
47 Dentistry
91
91
101
99 Unallocated
22
82
22
62 Extensive Burns
12
85
9
12 Interventional Cardiology
2
26
1
63 Tracheostomy
1
1
42 Cardiothoracic Surgery
4
27
1
Grand Total
31854
91057
32997
Source: Flowinfo vs 11.2 less chemo, unqualified neonates, renal dialysis,
beddays
8773
6624
3427
6377
10731
10047
10510
5569
4417
2091
1460
853
2483
1932
2490
1972
1023
1153
518
2268
1091
921
1347
1126
436
673
296
235
444
101
142
26
5
11
91572
2010/11
Seps
3449
3429
3194
2833
2805
2693
2293
2077
1471
1182
795
777
727
725
711
687
625
587
441
427
326
278
254
226
211
187
151
131
129
85
20
9
5
5
2
33947
beddays
9561
6627
3689
6102
11816
9070
9954
5595
3972
1869
1593
849
2147
1809
2247
2010
1077
935
721
2248
961
910
1243
1175
346
632
359
292
627
86
73
59
29
44
9
90736
Demand for Inpatient services – SNSW LHD residents – Flowinfo v 11.2
Demand for ACUTE Inpatient services – SNSW LHD Residents
2008/09
LHD of Hospital
STH CATC
A.C.T.
Other Private
Sydney
Children'
South Eastern
Sy
Sydney
St. Vincent's Ne
South Western
Sy
Illawarra Shoalh
2010/1
1
2009/10
Seps
28988
10764
9351
bedday
s
85599
37031
20590
Seps
29985
10928
9992
bedday
s
86115
38008
21245
Seps
30941
10928
9747
bedday
s
85399
38008
21608
Av
seps
29971
10873
9697
%
55.1
20.0
17.8
Av
beddays
85704
37682
21148
%
54.3
23.9
13.4
428
1691
402
1582
439
2407
423
0.8
1893
1.2
334
378
137
1756
1984
733
338
394
134
1762
2589
1007
378
335
205
1953
1950
1052
350
369
159
0.6
0.7
0.3
1824
2174
931
1.2
1.4
0.6
364
341
990
902
436
289
1154
827
451
336
1038
921
417
322
0.8
0.6
1061
883
0.7
0.6
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 21 of 43
2008/09
LHD of Hospital
Private Day
Proc
Victoria
Northern
Sydney
Western
Sydney
Nepean Blue
Moun
Murrumbidgee
Queensland
Hunter New
Engla
Western
North. Territory
South Australia
Mid North
Coast
Central Coast
Tasmania
Northern
West. Australia
Network with
Vic
Far West
bedday
s
Seps
2010/1
1
2009/10
bedday
s
Seps
bedday
s
Seps
Av
seps
Av
beddays
%
%
654
189
654
497
707
211
707
788
858
211
858
788
740
204
1.4
0.4
740
691
0.5
0.4
115
398
120
562
137
716
124
0.2
559
0.4
169
670
169
797
214
709
184
0.3
725
0.5
51
217
116
207
554
485
46
180
85
186
394
251
90
178
85
576
389
251
62
192
95
0.1
0.4
0.2
323
446
329
0.2
0.3
0.2
32
56
9
23
73
92
20
62
41
60
34
26
194
152
92
71
38
63
34
26
137
128
92
71
37
60
26
25
0.1
0.1
0.0
0.0
135
124
68
68
0.1
0.1
0.0
0.0
18
17
12
24
18
57
72
26
76
52
20
23
13
22
3
46
56
56
72
30
33
20
13
21
3
70
68
56
53
30
24
20
13
22
8
0.0
0.0
0.0
0.0
0.0
58
65
46
67
37
0.0
0.0
0.0
0.0
0.0
12
3
77
10
13
4
54
12
9
1
29
8
11
3
53
10
Grand Total
52820
155358
54675
158809
55794
Source: Flowinfo vs 11.2 less chemo, unqualified neonates, renal dialysis,
159365
54430
0.0
0.0
100.
0
0.0
0.0
100.
0
157844
Demand for Inpatient Hospital services – SNSW LHD residents – Flowinfo v 11.2
SRG Service Related Group
V40
(Multiple
Items)
less unqual neonates, renal dialysis &
chemo
Row Labels
2008/09
2009/10
2010/11
average
%
SNSWLHD
31970
32987
34580
33179
55.3
A.C.T.
11886
12112
12112
12037
20.1
Other Private
10198
10902
10972
10691
17.8
Private Day Proc
654
707
858
740
1.2
South Western Sy
381
455
470
435
0.7
Sydney Children'
436
414
453
434
0.7
South Eastern Sy
342
354
397
364
0.6
Illawarra Shoalh
359
309
356
341
0.6
Sydney
384
398
342
375
0.6
Western Sydney
183
178
225
195
0.3
Victoria
198
221
221
213
0.4
St. Vincent's Ne
152
146
220
173
0.3
Murrumbidgee
238
217
197
217
0.4
Northern Sydney
140
140
156
145
0.2
56
53
103
71
0.1
122
88
88
99
0.2
Western
60
69
67
65
0.1
Hunter New Engla
36
44
39
40
0.1
North. Territory
11
37
37
28
0.0
Mid North Coast
18
20
34
24
0.0
South Australia
24
28
28
27
0.0
Central Coast
17
26
22
22
0.0
Northern
24
26
22
24
0.0
Nepean Blue Moun
Queensland
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 22 of 43
SRG Service Related Group
V40
(Multiple
Items)
less unqual neonates, renal dialysis &
chemo
Row Labels
2008/09
2009/10
2010/11
average
%
Network with Vic
34
16
13
21
0.0
Tasmania
12
13
13
13
0.0
West. Australia
19
6
6
10
0.0
Justice Health
1
2
2
2
0.0
Far West
3
4
1
3
0.0
0
0.0
59988
100.0
Forensic Mental
1
Grand Total
57958
59973
62034
ACT Private Hospital activity for SNSW LHD residents
Request Number:
Prepared by:
Date:
Data Source:
Description:
Notes:
2009-10
Jul07 SLA
description
BEGA VALLEY (A)
BOMBALA (A)
COOMA-MONARO
(A)
EUROBODALLA (A)
GOULBURN
MULWAREE (A) GOULBU
GOULBURN
MULWAREE (A)
BAL
GREATER
QUEANBEYAN (C)
SR3525
Julie Searle
April 2013
ACT Admitted Patient Care Data Collection
ACT Private Hospital activity in Southern NSW LHD
by SLA and SRG
Combined data for all Private Hospitals in ACT is provided
Data does not include private free-standing day facilities
2010-11
Jul07 SLA
description
BEGA VALLEY (A)
BOMBALA (A)
COOMA-MONARO
(A)
No.
440
68
%
6.7
1.0
369
5.6
645
9.8
323
4.9
45
.7
803
12.2
GREATER
QUEANBEYAN (C)
EUROBODALLA (A)
GOULBURN
MULWAREE (A) GOULBU
GOULBURN
MULWAREE (A)
BAL
PALERANG (A) PT A
808
12.3
PALERANG (A) - PT
A
PALERANG (A) PT B
141
2.1
PALERANG (A) - PT
B
1447
219
22.0
3.3
172
2.6
QUEANBEYAN (C)
SNOWY RIVER (A)
UPPER LACHLAN
SHIRE (A)
YASS VALLEY (A)
Total
1105
6585
2009-10
SRG description
Orthopaedics
Urology
Chemotherapy and
Radiotherapy
ENT
GIT Endodoscopy
Non-acute
QUEANBEYAN (C)
SNOWY RIVER (A)
UPPER LACHLAN
SHIRE (A)
No.
485
69
%
7.2
1.0
264
3.9
616
9.1
306
4.5
74
1.1
843
12.5
900
2011-12
Jul07 SLA
description
BEGA VALLEY (A)
BOMBALA (A)
COOMA-MONARO
(A)
No.
453
77
%
7.1
1.2
232
3.6
561
8.7
293
4.6
60
.9
GREATER
QUEANBEYAN (C)
891
13.9
13.3
PALERANG (A) - PT
A
820
12.8
143
2.1
PALERANG (A) - PT
B
112
1.7
1507
231
22.3
3.4
1520
162
23.7
2.5
196
2.9
QUEANBEYAN (C)
SNOWY RIVER (A)
UPPER LACHLAN
SHIRE (A)
173
2.7
1060
6414
16.5
100.0
No.
844
725
%
13.2
11.3
429
6.7
415
6.5
374
5.8
344
5.4
EUROBODALLA (A)
GOULBURN
MULWAREE (A) GOULBU
GOULBURN
MULWAREE (A) BAL
16.8
100.0
YASS VALLEY (A)
Total
1116
6750
16.5
100.0
YASS VALLEY (A)
Total
No.
1187
475
%
18.0
7.2
No.
1162
551
%
17.2
8.2
447
6.8
2010-11
SRG description
Orthopaedics
Non-acute
Urology
460
6.8
2011-12
SRG description
Orthopaedics
Non-acute
Urology
441
6.7
428
6.3
335
5.1
427
6.3
335
5.1
385
5.7
GIT Endodoscopy
Chemotherapy and
Radiotherapy
ENT
Compendium – SNSW LHD Health Care Services Plan 2013-2018
ENT
GIT Endodoscopy
Chemotherapy and
Radiotherapy
Page 23 of 43
Gynaecology
Interventional
Cardiology
301
4.6
296
4.5
292
4.4
278
4.2
257
224
3.9
3.4
203
3.1
187
158
156
137
122
116
104
86
71
2.8
2.4
2.4
2.1
1.9
1.8
1.6
1.3
1.1
65
1.0
44
.7
44
.7
44
.7
41
.6
Obstetrics
Plastic and
Reconstructive
Surgery
Babies
General Surgery
Dentistry
Ophthamology
Breast Surgery
General Medicine
Haematology
Upper GIT Surgery
Vascular Surgery
Neurosurgery
Psychiatry
Medical Oncology
Colorectal Surgery
Endocrinology
Gastroenterology
Head and Neck
Surgery
Cardiology
Cardiothoracic
Surgery
Interventional
Cardiology
Gynaecology
Plastic and
Reconstructive
Surgery
317
4.7
311
4.6
293
4.3
264
3.9
233
220
3.5
3.3
194
2.9
27
.4
Renal Medicine
Respiratory
Medicine
27
.4
27
.4
Dermatology
Drug & Alcohol
21
.3
14
.2
Neurology
Rheumatology
Tracheostomy
Burns
Ungroupable
Total
11
8
2
1
1
6585
.2
.1
.0
.0
.0
100.0
Ophthamology
Vascular Surgery
General Medicine
Upper GIT Surgery
Neurosurgery
Haematology
Colorectal Surgery
Breast Surgery
Psychiatry
Medical Oncology
187
164
155
124
115
113
106
91
69
2.8
2.4
2.3
1.8
1.7
1.7
1.6
1.3
1.0
63
.9
Gastroenterology
Head and Neck
Surgery
61
.9
51
.8
Cardiology
39
.6
Renal Medicine
36
.5
Cardiothoracic
Surgery
.5
Endocrinology
Neurology
29
.4
23
.3
Dermatology
Respiratory
Medicine
18
.3
18
.3
4
3
1
1
.1
.0
.0
.0
6750
100.0
Total
Compendium – SNSW LHD Health Care Services Plan 2013-2018
5.2
323
5.0
239
3.7
237
3.7
General Surgery
Babies
Plastic and
Reconstructive
Surgery
205
204
3.2
3.2
185
2.9
Ophthamology
General Medicine
Vascular Surgery
Psychiatry
Upper GIT Surgery
Haematology
Neurosurgery
Colorectal Surgery
Breast Surgery
Cardiothoracic
Surgery
166
153
145
137
123
117
112
104
92
2.6
2.4
2.3
2.1
1.9
1.8
1.7
1.6
1.4
55
.9
54
.8
51
.8
46
.7
45
.7
27
.4
Renal Medicine
Respiratory Medicine
27
.4
27
.4
Endocrinology
Rheumatology
25
.4
23
.4
Dermatology
Drug & Alcohol
Ungroupable
18
9
2
.3
.1
.0
6414
100.0
Obstetrics
34
Drug & Alcohol
Rheumatology
Tracheostomy
Ungroupable
332
Interventional
Cardiology
Dentistry
Obstetrics
Babies
Dentistry
General Surgery
Gynaecology
Cardiology
Gastroenterology
Medical Oncology
Head and Neck
Surgery
Neurology
Total
Page 24 of 43
SNSW LHD Activity 2010/11
SNSWLHD 2010/11
Age Group
Service Category
1 - Acute Care
2 - Rehabilitation Care
same days seps
overnight seps
cost w eighted seps
(Cost Weight B)
bed days
ALOS
Planned Unplanned Planned Unplanned Planned Unplanned Planned Unplanned Planned Unplanned
2775
542
3693
308
3680
0
2
0
0
4
0
556
297
3029
0.0
5
0.0
11
0.0
3.6
3 - Palliative Care
Paediatrics
(<15)
4 - Maintenance Care
5 - New born Care
20
4341
6 - Other Admitted Patient Care
7 - GEM
8 - Psycho-geriatric
Total
1 - Acute Care
2775
542
3699
308
3680
556
317
7386
0.0
8.7
14181
15923
28405
4630
32677
14341
11793
38123
0.3
1.9
2 - Rehabilitation Care
0
0
187
37
0
0
698
8600
3.7
232.4
3 - Palliative Care
0
1
41
8
0
0
171
446
4.2
49.6
4 - Maintenance Care
4
180
0
270
576
1.5
1095
365
0
9
0
1768
5397
Adult (15-64) 5 - New born Care
6 - Other Admitted Patient Care
7 - GEM
44
8 - Psycho-geriatric
Total
1 - Acute Care
2 - Rehabilitation Care
Older Adult
(>65)
14185
15924
28822
4675
32677
14341
15795
53551
0.4
6396
10801
26411
3672
37316
12362
12260
42193
0.4
2.6
2.9
1
4
848
158
0
0
1731
9580
2.0
59.1
3 - Palliative Care
2
0
255
13
10
0
171
2568
0.7
197.5
4 - Maintenance Care
8
0
1142
36
12
0
136
4997
0.1
138.8
5 - New born Care
6 - Other Admitted Patient Care
0
0
16
92
0
0
9164
5112
572.8
55.6
7 - GEM
0
0
155
3
0
0
19
1271
0.1
423.7
904
3059
226.0
6407
10805
28831
3974
37339
12362
24385
68780
0.7
4.7
23352
27266
58509
8610
73673
27260
24350
83345
0.3
2.3
8 - Psycho-geriatric
Total
1 - Acute Care
0
4
0
2 - Rehabilitation Care
1
4
1037
195
0
0
2429
18185
2.3
91.4
3 - Palliative Care
2
1
296
21
10
0
342
3014
1.1
137.0
12
0
1326
36
12
0
406
5584
0.3
155.1
0
0
0
0
0
0
20
4341
4 - Maintenance Care
Total
0.0
5 - New born Care
6 - Other Admitted Patient Care
0
0
16
92
0
0
10259
5477
641.2
59.5
7 - GEM
0
0
164
3
0
0
19
1315
0.1
438.3
8 - Psycho-geriatric
Total
0
0
4
0
0
0
2672
8456
668.0
23367
27271
61352
8957
73695
27260
40497
129717
0.5
Source: PAU October 2012
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 25 of 43
3.6
Emergency Attendances
With the majority of our hospitals reporting manually on ED presentation and only one
Hospital (Goulburn Base) with more than 2 years of data collected via EDIS (Emergency
Department Information system) or FirstNet it is difficult to analyse the data with any
accuracy. Yellow cells: EDIS or FirstNet data
All other cells: ED NAPOOS excluding Phone Triage and Diagnostics plus ED admissions
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
Bateman's Bay District Hospital
11421
13983
15071
17657
16911
16589
15702
16914
Bega District Hospital
10584
11271
12805
11465
12274
12761
13020
11621
2692
2081
1939
1904
2144
2235
2397
1909
1365
1426
1232
947
1509
1502
1460
1399
Bombala Health Service
Braidwood Multi-Purpose
Service
Cooma Health Service
8512
9284
9766
11228
11029
11625
13026
11558
Crookwell Health Service
1645
2224
2993
3181
3150
3698
3849
3468
723
645
389
530
443
419
410
397
Delegate Multi-Purpose Service
Goulburn Base Hospital
15835
20126
17490
18116
17607
18141
18261
18785
Moruya District Hospital
9786
12581
12844
11877
10975
11338
9497
10961
Pambula District Hospital
7776
7913
7538
7637
8061
8415
8318
5210
14864
16532
17100
16974
16264
17331
19311
16659
3915
4218
4767
5049
4888
5014
4864
3915
Queanbeyan Health Service
Yass Health Service
ED Attendances SNSW LHD
25000
20000
15000
10000
2007/08
2008/09
5000
0
2009/10
2010/11
2011/12
Cancer Incidence and Mortality: Projections 2011 to 2021
The Cancer Institute NSW predicts that the incidence of cancer will increase overall in NSW
by 44% between 2007 and 2021: Southern NSW LHD is predicted to have a 70% increase in
cancer diagnoses by 2021 mainly due to the increase in the number of patients aged 65 or
older.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 26 of 43
Local Government Area
Bega Valley
Bombala
Cooma-Monaro
Eurobodalla
Goulburn Mulwaree
Palerang
Queanbeyan
Snowy River
Upper Lachlan
Yass Valley
5 yr totals
2006
220
13
52
270
152
65
133
30
51
41
1027
2011
2016
266
18
64
331
178
70
184
35
60
75
1281
317
19
71
390
199
84
226
44
66
90
1506
2021
370
19
78
452
220
100
275
53
71
107
1745
Grand Total
953
56
213
1172
598
254
685
132
197
273
Source: Cancer incidence and mortality: projections 2011 to 2021. Cancer Institute NSW, Sydney: May 2011.
Cancer Services SNSW LHD – February 2013
Cooma:
• Operates Tues - Thurs
• 3 chairs +1 bed,
• Allocated RN FTE = 1.2; No administrative support
• Chemotherapy treatments average 20 per month
• Part-time support services provided by- Cancer Care Coordinator (0.2FTE), Breast
Care Nurse (0.6FTE) and Oncology Social Worker
(0.5FTE (also covers
Queanbeyan and Cooma))
Bega:
• Mon-Fri service – complex chemotherapy given Tues to Thurs; supportive care and
less complex chemotherapy treatments given Fridays
• 6 chairs + 1 bed
• South East Regional Hospital in the Bega Valley will have a 10 chairs and 2 beds
• Allocated RN FTE = 2.24 including 1 CNC (supplemented with additional 0.53 FTE
from Community Health); Administrative support FTE = 1
• Chemotherapy treatments average 90 per month
• Part-time support services provided by- Cancer Care Coordinator (0.5FTE), Breast
Care Nurse (0.4FTE) and Oncology Social Worker (0.6FTE)
Goulburn (Bourke St Oncology):
• Operates Wed – Fri
• 5 chairs + 1 bed
• Allocated RN FTE = 1.7; Allocated administrative support FTE = 1; actual 0.75 due to
special contract
• Chemotherapy treatments average 70 per month
• Part-time support services provided by- Cancer Care Coordinator (0.6FTE (also
covers Queanbeyan and Yass)), Breast Care Nurse (0.4FTE) and Oncology Social
Worker (0.5FTE (also covers Queanbeyan and Cooma))
Moruya:
• Mon-Fri service – complex chemotherapy given Tues to Thurs; supportive care and
less complex chemotherapy treatments given Mon and Fri
• 6 chairs +1 bed
• Chemotherapy treatments average 95 per month
• Part-time support services provided by- Cancer Care Coordinator (0.5FTE), Breast
Care Nurse (0.6FTE) and Oncology Social Worker (0.6FTE)
• Currently at or close to capacity for treatments
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 27 of 43
All oncology units operate as privately referred outpatient clinics. Medical oncologists and
haematologists visit Moruya, Goulburn and Bega at least monthly.
Radiation Oncologists visit Bega and Goulburn monthly to 6 weekly.
Gaps
• Moruya has been without a visiting radiation oncologist since late 2011 with all patients
having to travel to Canberra for follow up.
• Cooma which has no cancer specialist visits.
• Limited visits by medical oncologists and haematologists to Bega and Moruya mean that
waiting lists can be long and patients are discharged earlier than indicated by best
practice to the care of their GPs.
• Limited capacity for further chemotherapy treatments without increased appropriately
trained registered nurses.
Renal Services SNSW LHD February 2013
Goulburn :
8 chair satellite haemodialysis unit managed by Goulburn Hospital
• Current funding including staffing FTE is for 16 permanent patients
• Open Mon – Sat one shift per day
• Currently 13 permanent patients
Bega:
3 chair satellite haemodialysis unit managed by Bega Hospital
• Current funding including staffing FTE is for 12 permanent patients ( no room for
expansion)
• Open Mon – Sat two shifts per day
• Currently 11 permanent patients
• South East Regional Hospital in the Bega Valley will have a 6 chair satellite
haemodialysis unit when the new hospital is built
Moruya:
7 chair satellite haemodialysis unit managed by Moruya Hospital
• Current funding including staffing FTE is for 20 permanent patients
• Open Mon/Wed/Fri two shifts per day and Tues/Thurs/Sat one shift per day
• Currently 20 permanent patients
Queanbeyan:
12 chair satellite haemodialysis unit managed by Queanbeyan Hospital
• Current funding including staffing FTE is for 24 permanent patients
• Open Mon – Sat one shift per day
• Currently 21 permanent patients
Cooma: Currently a self-care haemodialysis unit (2 chairs) managed by Canberra Hospital
Renal Services– no staffing – run on a different model of care to satellite haemodialysis units
• Plans currently underway for a 4 chair satellite haemodialysis unit ( as per an
election commitment) – this will be in addition to the self-care unit
All peritoneal dialysis and home haemodialysis initial patient training and all vascular access
creation for haemodialysis and access creation for peritoneal dialysis occurs at the Canberra
tertiary hospital – if there are any issues with the access the patient is referred back to the
tertiary hospital for review
• Renal Clinical Nurse Educators at each unit (currently being recruited) – provide
renal education in the renal units
• Renal Outreach Clinical Nurse Specialist – based at Moruya – covers Bega Valley/
Eurobodalla and Goulburn responsible for the provision of high level patient centred
evidence-based clinical care. Provides
o Comprehensive nursing assessments and expert consultation and
educational support to patients with referred chronic kidney disease and to
patients requiring haemodialysis and peritoneal dialysis in the SNSW LHD
community.
o Consultation and educational support is provided to family members/carers
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 28 of 43
Coordination of renal clinics in Goulburn and Moruya in conjunction with
visiting Canberra Nephrologists and Registrars – clinics to be increased at
these sites and clinics to be established in Bega
o Pre –dialysis home visits/ home assessments
o Home dialysis home visits
o Pre dialysis patient education forums - Moruya
Allied
Health
support
-At
some
of
the
SNSWLHD
renal
sites
(Goulburn/Moruya/Queanbeyan), there are funded Renal Dietician and Renal Social
worker positions that provide consultations/assessments to pre dialysis patients and
dialysis patients (both satellite patients and home patients)
The Renal CNC works in close collaboration with the DoNM SNSWLHD, and the
Nurse Unit Managers of the SNSWLHD Haemodialysis Units. The Renal CNC
provides education, clinical leadership and consultation to renal services across
SNSWLHD and consults with the SNSWLHD facilities in relation to early detection
and management of chronic kidney disease.
Private Renal Physician: admitting rights to all SNSWLHD renal units – provides
private clinic consultations at Bega/ Moruya/Canberra
o
•
•
•
Community Health Services
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 29 of 43
Bega
Bombala
Delegate
Braidwood
Cooma
Crookwell
Eurobodalla
Goulburn
Queanbeyan
Yass
Aboriginal Health Education
Officer
Yes
No
No
No
No
yes
Yes
No
Yes
Aunty Jean’s
Yes
No
No
No
No
yes
Yes
Yes
No
Aboriginal Health 48 Hour
Follow Up
Yes
No
No
No
No
yes
Yes
Yes
No
Building Strong Foundations
Aboriginal Maternal Infant
Health Service
No
No
No
No
No
yes
Yes
Yes
No
No
No
No
No
No
yes
No
No
Aboriginal Health OM Clinic
No
No
No
No
No
No
No
No
Priority Population: Breast
Cancer and Cervical Screening
Yes
Yes
Ye s
No
Yes
No
Yes
No
No
No
No
No
no
No
No
No
No
No
No
No
No
no
No
No
No
Priority Populations Multicultural Health
No
No
No
No
No
no
No
Yes
No
Priority Population: Refugee
health
No
No
No
No
No
no
No
No
No
Yes
yes
Yes
Yes
Service
Comments
Priority Population: Aboriginal
Health
Priority Populations: Carers
Support
Priority Population: Disabilty
Services
Yes
Outreach from
large to small site
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Servi ce
Improvement
Di re ctora
Servi
ce te
Improvement
Di re ctora te
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Outreach from
large to small site
ACAT
AARC
CAPAC
TRAC
ASET
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
No
No
Yes
Yes
No
No
No
No
No
Yes
yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
No
No
No
No
Dementia Services
No
Yes
Yes
Yes
No
Yes
No
Yes
No
Falls
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Geriatric medicine
HACC (Allied Health)
HACC (Day Care)
HACC (Nursing)
Rehabilitation
Palliative Care
Renal Outreach
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Yes
No
Yes
Yes
Yes
Yes
No
Yes
No
Yes
Yes
No
Yes
Yes
Yes
No
No
No
no
Yes
Yes
No
Yes
Yes
Yes
Yes
No
No
No
Yes
Yes
Yes
No
Yes
No
No
Yes
Yes
Yes
No
No
Yes
No
No
No
Yes
No
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Child Infant Tertiary Service
Child and Family Nurses
Immunisation
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
yes
Safe Start
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Youth Health
no
No
No
No
No
No
No
No
StEPS
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
SWISH
Yes
Yes
Yes
Yes
No
No
Yes
Yes
Yes
Outrea ch from l a rge
to sma l l s ite
Outrea ch from l a rge
to sma l l s ite
Child Protection Counselling
Services
Yes
No
No
Yes
No
Yes
Yes
Yes
Yes
Outreach from
large to small site
Sexual Assault Service
Yes
No
No
Yes
No
Yes
Yes
Yes
Yes
Sexual Assautl After hours
Yes
No
No
No
No
Yes
Yes
No
Yes
Out of Home Care Assessment
and Co-ordination
Yes
Yes
Yes
Yes
Yes
yes
Yes
Yes
Yes
Yes
No
Yes
No
Yes
No
Yes
No
yes
no
Yes
No
Yes
No
Yes
No
No
No
No
No
no
No
No
No
No
No
No
No
Yes
Yes
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Priority Population: Needle
Syringe Program
Prioirty Population: Sexual
Health
Priority Population: Women's
Health
Yes
Yes
Yes
Yes
Yes
Aged Care and Rehabilitation
Health Services
No
No
No
Yes
Yes
No
No
Outreach from
large to small site
LHD wide CNC
service and
program oversight
Program only no
FTE
Program only no
FTE
Chronic Care
Connecting Care and other
Chronic Care Services
Womens Health,Child Youth
and Family
Service provided by
speciallist team
Program only no
FTE
Violence Prevention and Care
JIRT
Yes
Victims of Crime
no
Domestic and Family Violence
Services
no
Oral Health
Oral Health promotion
yes
Public Dental Services
yes
Community Nursing
General
yes
Diabetes
yes
Continence
yes
Allied Health Services General
Compendium
–
SNSW
LHD
Audiometry
yes
Dietetics
yes
Occupational Therapy
yes
Podiatry
yes
Physiotherapy
yes
HealthNoCare Services
Plan
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
2013-2018
No
Yes
Yes
Yes
Yes
No
No
No
Yes
Page
30 of 43No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Outreach from
large to small site
Other sites referred
to ACT
LHD wide service no
FTE
LHD wide service - 1
FTE
SNSW LHD Aboriginal Health – February 2013
AHEO/AHLO = Aboriginal Health Education Officer/Aboriginal Hospital Liaison Officer
Area positions:
To date we have 1 FTE Team Leader (HSM2) based in Goulburn. 1FTE Aboriginal Health
Manager (HSM4) based in Moruya.
Aboriginal Health Education Officer/Aboriginal Hospital Liaison Officer positions undertake
multiple duties including Health Education addressing prevention and promotion of healthy
lifestyles. Undertake hospital consultations for inpatients to ensure that all their needs are
being met and to give support as needed to patient and family. Post discharge follow up is
also undertaken by staff as needed. Other programs that they facilitate are the Otitis Media
screening and referrals for school aged children from their schools. Drug and Alcohol
education, Smoking Cessation, Renal support and education, Policy and Procedures input,
Sexual Health, Mental Health and Health Promotion.
• Yass:
1x .4 FTE Currently on Maternity Leave as AHEO/AHLO
• Queanbeyan: 2 x FTE AHEO/AHLO
• Goulburn:
1 x FTE Currently vacant and in recruiting process.
• Batemans Bay: 1 x FTE AHEO/AHLO
• Moruya:
1 x FTE AHEO/AHLO vacant successful applicant to commence
2/4/13
• Bega:
1 x FTE AHEO/AHLO
• Eden:
1 x FTE AHEO/AHLO
Program Staff:
AMIHS (KMAP)
KMAP is an outreach program that supports Aboriginal women to receive antenatal and
postnatal services to improve Aboriginal Perinatal outcomes.
To improve health service delivery to Aboriginal women with complicated pregnancies, at
risk pregnancy and teenage mothers. To strengthen community based initiatives to improve
the maternal and infant outcomes for all Aboriginal women.
• Queanbeyan: .4 FTE vacant currently recruiting
• Moruya:
.6 FTE AHEO .6 Midwife
• Bega:
Managed by Katungul AMS funded by SNSWLHD .6 FTE
Building Strong Foundations (BSF)
BSF staff will provide culturally appropriate child and family primary health services to
Aboriginal children from birth to school age and their families including prevention, health
education and promotion, community development or well-being issues affecting the child or
parents/ capacity to provide a safe, nurturing and stimulating environment for the child.
Batemans Bay: 1 x FTE AHEO
1 x CFHN
MSOAP ICD (Aunty Jeans)
This program is Medical Specialist Outreach Access Program for Indigenous Chronic
Disease, the aim of this program is to support educate and provide primary health services
support for clients that have a chronic disease as an outreach service. This program is
facilitated from community settings with strong partnerships with Non-government service
providers. The program provides exercise, dietary education and food preparation to
address diabetes and heart disease, diabetic education, social work support for carers and
clients and those identifying mental health issues. The program provides clinics in Mogo,
Bodalla, Narooma and Batemans Bay from Moruya.
1 x .6 FTE AHEO, 1 x .6 Diabetic Educator, 1 x .6 FTE Admin support, 1 x .3 FTE Social
work, 1 x .3 FTE Dietician, 1 x .2 FTE Footcare Nurse. All positions are recruited to
except Footcare Nurse that is vacant.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 31 of 43
SNSW LHD Population Health – February 2013
Health Promotion
Health promotion priority programs are implemented by health promotion staff located at
SNSWLD sites. There are 7.5 FTE plus 0.5 FTE Epidemiologist. Key relationships include
SNSW Medicare Local; extensive involvement with preschool and school settings;
communities and volunteers through the Falls Prevention Program; and acute setting
working parties. Contracted services deliver the Go4Fun program.
Priorities in health promotion and programs are as follows:
Healthy Weight programs are focused within the early childhood and primary school settings,
with the exception of Go4Fun, which is a community program which targets children aged 7
to 13 years.
• Munch & Move early childhood program
• Live Life Well @ School, Crunch & Sip and Fresh Tastes @ School primary school
programs
• Go 4 Fun
Falls Prevention Programs are focused within the community, acute and subacute settings
offering Low to high risk programs for people >65 years .
• Population Health Programs: Physical Activity Leader Network, Tai Chi, Stepping
on
• Community health setting: Case finding and hospital avoidance, targeted
interventions- Quickscreen, post-fall care
• Subacute setting: Case finding and hospital avoidance, targeted interventions, Postfall care
• Acute setting : Falls risk screen, assessment, targeted interventions, post-fall care
Tobacco programs are focused within the community and acute setting. Priority strategies
for aboriginal communities, groups with high smoking prevalence and reducing second hand
smoke.
• Population health programs: supporting brief intervention – Quit for new life
program. reducing second hand smoke through early childhood and primary school
settings
• Acute settings: development /review of appropriate local policy documents.
Performance measures or Key Performance Indicators for current priorities
• Live life well @school KPI of 58% (n=55) primary schools engaged by 2013
• Munch & Move KPI of 88% (n= 78), preschools engaged by 2013
• Deliver 7 Go4Fun programs , with 56 participants during 2013
• Increase participation rates for Tai Chi classes by 10% during 2013
• Reduce to zero SAC 1 (deaths) incidents due to falls in snswlhd acute / subacute
facilities for people aged 65 years+ due to falls
• Reduce by 20% incidents due to falls in SNSWLHD acute /subacute facilities for
people aged 65 years +
• 100% of Munch & Move and Live Life Well @ School settings receive information on
health risks to children of second hand smoke during 2103
• Deliver 20 Stepping On programs between 2012-13
Gaps / emerging issues
• Actions to support Aboriginal Tobacco Control program – cessation services
• Recruitment actions to ensure participation in the Go4Fun program
Public Health
The operation of the public health unit transgresses socioeconomic circumstance and
reduces inequalities by providing services across the region which underpin a minimum
basic service or care for the population regardless of their geographic location, ethnicity or
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 32 of 43
socioeconomic situation. In the context of this health care services plan, public health
operations include;
Environmental health
Reduce health risks by monitoring and enforcing public health legislation, including the;
• Monitoring of the drinking water program ensuring communities have access to
drinking water which meets the Australian Drinking Water Guidelines,
• Oversight of regulated systems including cooling tower maintenance to reduce the
risk of Legionalla contamination and subsequent risk to the public,
• Oversight of public swimming pools and spa’s to ensure operational maintenance
meets requirements,
• Ensure premises which perform skin penetration procedures, do so within required
regulations,
• Tobacco compliance monitoring to ensure premises comply with tobacco control
regulations for both smoking areas and sales and advertising of tobacco products.
Immunisation
• Education of immunisation providers,
• Coordination of the adolescent immunisation program at schools,
• Oversight of provision of vaccine and immunoglobulin to babies at risk of contracting
hepatitis B,
• Oversight of the appropriate storage of vaccines to ensure maximum potency of
vaccines is maintained.
Infectious disease control
• Provide surveillance for new and existing infectious diseases,
• Responding to infectious disease occurrences, including provision of control
interventions such as antibiotic, antiviral, vaccination and immunoglobulin where
appropriate,
• Contact tracing and screening, and the provision and observed taking of medication
for patients and contacts with Mycobacterium tuberculosis.
HIV and Related programs
• Program coordination of free public sexual health clinics,
• Provision of free injecting equipment and sharps disposal facilities for intravenous
drug users.
Oral health services SNSW LHD - March 2013
CLINIC/SERVICES
ORAL HEALTH SERVICES
MANAGEMENT &
ADMINISTRATION
ORAL HEALTH INTAKE
SERVICES (OHIS)
CLINICAL DIRECTOR
ORAL HEALTH INFORMATION
SYSTEMS
MANAGEMENT/ADMIN
Manager, Oral Health Clinical
Network for SNSW &
Murrumbidgee LHD
STAFFING LEVELS
OPERATIONAL
INFO
1 FTE Manager, Oral
Health Clinical Network
1FTE Administration
Support Officer.
Five days a week
Managed by Oral Health
Services Manager,
Coordinated by OHIS
Coordinator covering SNSW &
Murrumbidgee
Clinical Director covering SNSW
& Murrumbidgee
5 FTE
Five days a week
Managed by Oral Health
Services Manager.
1 FTE
Five days a week
Oral Health Program
Coordinator : Health Information
Compendium – SNSW LHD Health Care Services Plan 2013-2018
1 FTE
Five days a week
SERVICES
Management & Administration
of Oral Health Services across
SNSW & Murrumbidgee
LHD’s.
Oral Health Fee for Service
Scheme in partnership with
local private practices.
Intake Service for patients
requesting access to dental
care across Murrumbidgee
and Southern NSW LHD’s.
Clinical oversight of all
Murrumbidgee and Southern
NSW LHD’s clinical services.
Coordinate and support clinical
services, training and
development for oral health IT
systems Murrumbidgee and
Southern NSW LHD’s. Provide
Page 33 of 43
ORAL HEALTH
PROMOTION/DEVELOPMENT
COOMA
GOULBURN
MORUYA
PAMBULA
Systems, covering SNSW &
Murrumbidgee
Managed by Oral Health
Services Manager.
1 FTE
Five days a week
Oral Health Program
Coordinator : Health
Development, covering SNSW &
Murrumbidgee
CLINICAL SERVICES DATA SUBMITTED VIA LOCAL SITES
Managed by Community Health
Five days a week
Services
1 Chair Clinic
2 day Part Time Dental
Officer
2 days Part Time
Dental/Oral Health
Therapist
Managed by Community Health
Five days a week
Services
3 chair clinic
Currently:
1 FTE Dental Officer
1 Part Time Dental Officer
.8 FTE Dental Therapist
2.2 FTE Dental Assistants
Managed by Community Health
Five days a week
Services
4 chair clinic
Currently:
FTE G 3
FTE G 2 Dental Officer (1)
FTE: 1 Dental/Oral Health
Therapist (DT/OHT)
FTE: 3
Currently
FTE G2 DO
FTE .71 DT
FTE: 1 OHT Level 1
FTE: 1
2 x .8
Receptionist 16hrs a week.
Managed by Community Health
Five days a week
Services
2 chair clinic
1 FTE Dental Therapist
1 FTE Dental Officer
(vacant)
BEGA REDEVELOPMENT
clinical services to Albury 2
days a week.
Coordinate and support oral
health promotion, development
projects across Murrumbidgee
and Southern NSW LHD’s.
Provide clinical services 1 day
week to Yass.
Clinical services:
Adult Oral Health Services
Children Oral Health Services
Clinical Services:
Adult Oral Health Services
Children Oral Health Services
Clinical Services:
Adult Oral Health Services
Children Oral Health Services
Clinical Services:
Adult Oral Health Services
Children Oral Health Services
Adult services provided by
locum Dentists internally or
Justice Health.
Plans in progress for Bega: 4
chair clinic.
QUEANBEYAN
Managed by Queanbeyan
Hospital & Community Health
Services
Five days a week
4 chair clinic
YASS
Managed by Yass Hospital &
Community Health Services
Three days a week
1 chair clinic
1 day Dental Therapist
1 Vacant 2 day Dental
Officer position.
Clinical Services:
Adult Oral Health Services
Children Oral Health Services
Specialist Services:
Oral Surgery
Paediatric (from Sydney
Dental Hospital)
Clinical Services:
Adult Oral Health Services
Children Oral Health Service
Adult Services: locum service
provided by dentists
intermittently.
Oral Health Services for SNSW:
•
Management and Administration Services are provided from Batemans Bay Hospital.
•
The Oral Health Intake Service is located in Goulburn and provides ‘Intake Services’ across Murrumbidgee and Southern
NSW LHD’s.
•
Clinical services are provided for the above sites and managed by relevant Hospital and Primary Community Health Services.
•
Adult Oral Health Services majority of treatment provided by Dental Officers.
•
Children Oral Health Services (0 to 17 year olds) are provided mainly by Dental Therapists and Oral Health Services.
•
Clinical services are supported by the Oral Health Fee for Service Scheme which enables eligible patients to access timely
dental care via participating private practice providers in their local areas.
•
Oral Surgery and Paediatric Dental Specialist Services are provided for SNSW eligible patients via Queanbeyan Hospital:
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 34 of 43
Oral Surgery: twice a month
Paediatric Dental Specialist: quarterly (or when Sydney Dental Hospital are able to provide extra sessions).
National Partnership Agreement Funding: to reduce waiting times to access dental care in the public oral health services.
Risks:
•
•
Any decrease in staffing levels at the dental clinics may affect the ability to reach targets. Targets will be continually monitored
and any remedial action such as issuing additional denture vouchers will be taken.
Any decrease in private providers under the oral health fee for service scheme will impact on the number of choices for patient.
This is not expected to pose any problem as the winding up of the Medicare Chronic Disease Oral Health Program has
enabled the service to sign up additional providers.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 35 of 43
Batemans Bay Hospital
Bega Hospital
Bombala MPS
Bourke Street Health Service
Braidwood MPS
Cooma Hospital
Crookwell Hospital
Delegate MPS
Goulburn Hospital
Moruya Hospital
Pambula Hospital
Queanbeyan Hospital
Yass Hospital
District
Group 1
MultiPurpose
Services
Sub-Acute
MultiPurpose
Services
District
Group 2
Community
Non-Acute
MultiPurpose
Services
District
Group 1
District
Group 2
Community
Acute With
Surgery
District
Group 2
Community
Acute
Without
Surgery
Pathology
Pharmacy
Diagnostic Imaging
Nuclear Medicine
Anaesthetics
ICU
CCU
Operating Suite
Emergency
General Medicine
Cardiology
Dermatology
Endocrinology
Gastroenterology
Haematology
Immunology
Infectious Diseases
Neurology
Oncology - Medical
Oncology Radiation
Renal
Respiratory
Rheumatology
General Surgery
Burns
Cardiothoracic
Surgery
Day Surgery
Ear,Nose & Throat
Gynaecology
Neurosurgery
Ophthalmology
Orthopaedics
Plastic Surgery
Urology
Vascular Surgery
Maternity
Neonatology
Paediatric Medicine
Paediatric Surgery
Family & Child
Health
District
Group 2
Role Delineation - SNSW LHD
3
4
3
3
2
2
1
3
2
3
3
3
3
2
2
3
3
2
3
4
4
4
3
4
4
3
5
3
3
3
3
3
3
3
3
3
3
3
1
2
1
3
1
0
1
0
2
2
2
2
2
2
2
2
2
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
1
3
1
0
1
0
2
2
2
2
2
2
2
2
2
2
2
3
3
4
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
1
2
1
3
1
0
1
0
2
2
2
2
2
2
2
2
2
2
2
1
2
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
4
4
3
4
4
4
5
4
4
4
4
3
4
3
3
3
3
3
4
4
3
3
2
2
1
4
3
3
3
3
3
2
3
3
3
3
3
3
3
3
3
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
2
3
4
3
3
3
3
3
2
3
3
3
3
3
1
2
2
3
1
0
1
0
2
2
2
2
2
2
2
2
2
2
2
0
2
3
3
3
2
4
3
3
3
4
3
0
2
2
2
1
0
0
0
0
0
0
0
0
2
2
2
1
0
0
3
3
3
3
2
0
2
2
2
1
0
0
0
0
0
0
0
4
4
4
3
4
3
4
3
3
3
3
2
0
2
2
2
2
2
0
3
3
3
3
2
0
2
2
2
1
0
1
3
1
2
1
1
2
1
2
1
1
1
2
1
1
4
3
4
3
1
4
3
4
3
3
3
3
3
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
3
0
3
0
0
3
1
1
1
3
2
2
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
4
4
4
3
3
4
3
3
3
4
3
3
3
1
3
1
3
1
0
1
1
1
1
3
2
2
1
1
3
1
2
1
1
2
1
1
1
1
1
2
1
1
3
1
3
1
0
2
1
1
1
3
2
1
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
3
3
2
0
2
3
2
1
4
3
2
3
2
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 36 of 43
Adolescents
Adult Mental health
IP
Adult Mental Health
CC
ChildAdol Mental
Health IP
ChildAdol Mental
Health CC
Older Adult Mental
Health IP
Older Adult Mental
Health CC
Child Protection
Services
Drug & Alcohol
Services
Geriatrics
Health Promotion
HIV/AIDS
Palliative Care
Rehabilitation
Sexual Assault
Services
Aboriginal Health
Community Health General
Community Nursing
Oral Health
Multicultural Health
Sexual Health
Services
Women's Health
Genetics
2
3
1
0
1
2
1
1
3
2
2
2
2
1
3
1
0
1
1
1
0
4
1
1
1
1
3
3
1
0
1
3
1
1
3
3
3
3
3
1
2
0
0
0
1
0
0
3
1
1
1
0
3
3
1
0
1
3
1
1
3
3
3
3
3
1
2
1
1
1
1
1
0
2
1
1
1
1
3
3
1
0
1
2
1
1
3
3
3
3
3
1
3
1
0
1
3
1
1
3
3
1
3
1
3
2
4
2
3
3
3
4
2
3
3
4
2
2
2
2
2
0
0
0
0
0
0
0
2
2
2
2
2
0
3
3
4
2
2
3
2
2
3
2
2
0
0
0
2
0
0
0
3
3
2
3
3
3
3
3
2
2
3
3
3
2
4
2
3
3
3
3
4
2
2
3
2
2
2
2
2
0
4
5
4
5
1
1
0
0
1
1
3
1
1
1
1
1
4
3
4
5
4
5
3
3
1
3
4
5
1
1
4
5
1
2
2
2
0
1
0
0
0
0
2
2
0
1
4
4
2
1
2
2
0
1
1
2
0
1
4
5
2
1
4
5
2
1
4
5
2
2
4
5
3
1
2
2
2
1
2
3
1
2
3
1
1
2
1
0
0
0
1
2
1
1
3
1
1
2
1
1
2
1
2
3
3
2
3
1
2
3
1
2
3
1
1
2
1
Hospital Peer Group Definitions
Code
Value
A1a
Principal Referral Group A
Acute hospitals, treating 25,000 or more acute casemix weighted
separations per annum, with an average cost weight greater than 1 and
having more than 1 specialty service.
A1b
Principal Referral Group B
Acute hospitals, treating 25,000 or more acute casemix weighted
separations per annum, with an average cost weight greater than 1 and 1
or fewer specialty services.
A2
Paediatric Specialist
Establishments where the primary role is to provide specialist acute care
services for children.
A3
Ungrouped Acute
Establishments whose primary role is the provision of acute services of a
specialised nature for which there is insufficient peers to form additional
peer groups. Limited comparisons can be made with other hospitals in
either A1 or A2.
B1
Major Metropolitan
Acute hospitals, treating 10,000 or more acute casemix weighted
separations per annum, but having less than 25,000 acute casemix
weighted separations or an average casemix weight of less than 1.
Major Non-Metropolitan
Acute hospitals treating 10,000 or more acute casemix weighted
separations per annum that are located in rural areas providing acute
specialist and referral services for a catchment population from a large
geographical area.
B2
Description
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 37 of 43
Code
Value
C1
District Group 1
Acute hospitals, treating 5,000 or more, but less than 10,000 acute
casemix weighted separations per annum.
C2
District Group 2
Acute hospitals, treating 2,000 or more, but less than 5,000 acute casemix
weighted separations per annum, plus acute hospitals treating less than
2,000 acute casemix weighted separations per annum but with more than
2,000 separations per annum.
D1a
Community Acute with Surgery
Acute hospitals, treating less than 2,000 acute casemix weighted
separations per annum, and less than 2,000 acute separations per annum,
with less than 40% non-acute and outlier bed days of total bed days and
greater than 2% of their acute weighted separations being surgical.
D1b
Community Acute without
Surgery
Acute hospitals, treating less than 2,000 acute casemix weighted
separations per annum, and less than 2,000 acute separations per annum,
with less than 40% non-acute and outlier bed days of total bed days, and
less than 2% of their acute weighted separations being surgical.
D2
Community Non-Acute
Non-acute hospitals, treating less than 2,000 acute casemix weighted
separations per annum, and less than 2,000 acute separations per annum,
with more than 40% non-acute and outlier bed days of total bed days.
Psychiatric
Establishments devoted primarily to the treatment and care of inpatients
with psychiatric, mental or behavioural disorders. Centres of non-acute
treatment of drug dependence, developmental and intellectual disability
are not included here. This group also excludes institutions mainly
providing living quarters or day care.
Nursing Homes
Establishments which provide long-term care involving regular base
nursing care to chronically ill, frail, disabled or convalescent persons or
senile inpatients. They must be approved by the Commonwealth
Department of Health and Family Services and / or licensed by the State,
or controlled by government departments.
F3
Multi-Purpose Services
Multi-Purpose Services (MPSs) which provide integrated acute health,
nursing home, hostel, community health and aged care services under
one organisational structure, as agreed between the Commonwealth and
State Governments. MPSs provide a range of services which are
negotiated with the community, the service providers and the relevant
Departments.
F4
Sub Acute
Establishments that primarily provide sub-acute services, but are not
specialist palliative care or specialist rehabilitation establishments.
F5
Palliative Care
Establishments with a specific function of providing palliative care to
terminally ill patients.
F6
Rehabilitation
Establishments with a primary role in providing services to persons with an
impairment, disability or handicap where the primary goal is improvement
in functional status.
F7
Mothercraft
Establishments where the primary role is to help mothers acquire
mothercraft skills in an inpatient setting.
F1
F2
Description
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 38 of 43
Code
F8
Value
Description
Ungrouped Non-Acute
Establishments whose primary role is the provision of non-acute services,
but for which there are insufficient peers to form an addition peer group.
Limited comparisons can be made within this peer group and with other
non-acute facilities.
http://internal4.health.nsw.gov.au/hird/view_domain_values.cfm?ItemID=1246
Southern NSW Medicare Local Services as at May 2013
Table 1.
Hub/location
Bega Valley
Eurobodalla
Queanbeyan
Goulburn
Yass
Cooma/Monaro
Regional Roles
•
•
SNSWML CLINICAL SERVICES, CARE COORDINATION SERVICES & NETWORK SERVICES 2013-14
Service
Employees(headcount) Contractors
Aboriginal health team
Mental health practitioner
Youth health worker
Regional primary care coordinator
Mental health practitioner
Aboriginal health team
Foot care nurse
Speech pathologist
Dietitian
Regional primary care coordinator
Aboriginal health team
Mental health practitioner
Regional primary care coordinator
Mental health practitioner
Aboriginal health team
Regional primary care coordinator
Mental health practitioner
Aboriginal health team
Foot care nurse
Youth health worker
Mental health practitioner
Health promotion
Regional primary care coordinator
Education
Workforce
After Hours
eHealth / Telehealth
Afterhours Aged Care
Youth health
Health promotion
Population Health Planning
7
3
1
2
10
1
1
2
1
3
0
1
2
3
1
1
1
1
1
1
1
1
1
1
1
5
1
1
2
1
2
4
1
4
4
2
1
2
*SNSWML’s Regional Primary Care Coordinators are located in each hub to work with GPs, allied health and other primary
care providers to connect and integrate primary health services.
This table reflects those workers involved in direct service provision and does not include management or administrative
positions.
Glossary
ABF
Access
ACHS
ACI
ACSQHC
ACT
Meaning
Activity Based Funding is a method of allocating funds – based on the activity or outputs of an
organisation or service.
The capacity or potential to obtain a quality service. Access incorporates notions of
geographical access, cultural access, service appropriateness, affordability and so on.
Australian Council on Healthcare Standards
Agency of Clinical Innovation
Australian Commission on Safety and Quality in Health Care
Australian Capital Territory
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 39 of 43
Activity
Meaning
Refers to work done by health services measured as hospital inpatient separations and
outpatient occasions of service
AHMAC
AIDS
aIM 2012
Australian Health Ministers' Advisory Council
Acquired immunodeficiency syndrome
Acute Inpatient Modelling Tool- allows health planners to analyse historical trends and
projected trends for acute inpatient activity for NSW hospitals, both public and private
Ambulatory Care
Non-inpatient care provided in settings such as outpatients departments, community care and
the home
AusDiab
Beddays
The Australian Diabetes, Obesity and Lifestyle study
The number of days from admission to discharge for a particular episode of care for a patient
BIU
BMI
CAMHS
CARI
CEC
Chronic Diseases
Brain Injury Unit
Body Mass Index
Child and Adolescent Mental Health Services
Caring for Australians with Renal Impairments
Clinical Excellence Commission
are illnesses that are prolonged in duration, do not often resolve spontaneously, and are rarely
cured completely.
CKD
CNC
COAG
Connecting Care Program
D&A
D/O
Demand
ECG
Chronic Kidney Disease
Clinical Nurse Consultant
Council of Australian Government
NSW Health Severe Chronic Disease Management Program - Connecting Care
Drug and Alcohol
Day Only
Refers to the requirement for health services from the community
ED
EDIS
EMR
ESKD
ESRG
FirstNet
Flowinfo
Emergency Department
Emergency Department Information System
Electronic Medical Record
End Stage Kidney Disease
Enhanced Service Related Groups
Emergency Information System (Cerner FirstNet)
Ministry of Health tool that assists planners with analyses of admitted patients' data
FTE
GP
HCSP
Full Time Equivalent is equivalent to one employee working full-time.
General Practitioner
Health Care Services Plan- Is the overarching document identifying the key strategic clinical
service directions for a defined period.
HDU
HETI
HITH
High Dependency Unit
Health Education & Training Institute
Hospital in the Home is the provision of acute care to public hospital patients in the comfort of
the person's own home or other suitable environment.
HIV
ICU
Inflows
Human Immunodeficiency Virus
Intensive Care Unit
Services delivered to inpatients that reside in a District other than the one in which the service
is provided
Inpatient
IRSD
LGA
LHD
A patient admitted to a hospital or health service facility
Index of Relative Socio-economic Disadvantage
Local Government Area
Local Health District- There are 18 Local Health Districts (LHD) across NSW. The LHDs are
responsible of strengthening local decision make and community involvement in health service
delivery. They have their own budgets, management and accountabilities for their local areas
MH
MHECS
MLA
Mental Health
Mental Health Emergency Care Service
Member of Legislative Assembly
An electrocardiogram (ECG) is a medical test that detects cardiac (heart) abnormalities by
measuring the electrical activity generated by the heart as it contracts.
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 40 of 43
MoH
MOU
MPS
Meaning
Ministry of Health
Memorandum of Understanding
Multipurpose Service- A facility which provide integrated acute health, nursing home, hostel,
community and aged care services under one organisation structure, as agreed between the
Commonwealth and the State Governments.
MS
NEAT
Multiple Sclerosis
National Emergency Access Targets- public hospitals will ensure that patients presenting to
an emergency department are within four hours either: admitted to hospital;referred for followup treatment; or treated and discharged.
NEST
National Elective Surgery Target (NEST) - progressively increase the number of elective
surgeries performed so that 100% of patients receive their elective surgery within the clinically
recommended time by 2016
NHMRC
NRHA
Outflows
National Health and Medical Research Council
National Rural Health Alliance
Services delivered to residents of a District/Network in a facility that is administered by a
District other than that of the patient
PPH
Redesigning Care
potentially preventable hospitalisations
Redesigning Care focuses on improving the patient journey. These journeys could include
anything from hospital admission to discharge, to the experience of seeking and then receiving
support from a community health site.
Role Delineation
Redesigning Care uses Lean Thinking principles as the basis for improving the patient
journey. Lean Thinking is about designing processes that focus on value adding steps in the
best sequence and removing unnecessary steps. In health care this ensures the patient
journey is designed to be as smooth and safe as possible.
Is a process that determines the support services, staff profile, minimum safety standards and
other requirements to ensure that clinical services are provided safely and appropriately. The
roles range from 1(the lowest) to 6(highest level and most comprehensive service)
RMS
Separations
Roads and Maritime Services
A formal separation is a discharge, transfer to another hospital or death of a patient
SERH
SiAM
South East Regional Hospital
Sub-acute Inpatient Modelling tool- enable health planners to review subacute inpatient
projections
SMHSOP
SNSW LHD
SRG
Specialist Mental Health Services for Older People
Southern NSW Local Health District
Service Related Groups-classification is a method of grouping hospital inpatient records into
categories corresponding to clinical divisions of hospital activity
Supply
T Basis
Transitional Care
Refers to the health services that the LHD provides
Transitional Behavioural Assessment & Intervention Service
Triage
The Transition Care Program provides goal oriented, time limited and therapy focused care to
help older people at the conclusion of a hospital stay.
A method of ranking sick or injured people according to the severity of their sickness or injury
VMO
WHO
Visiting Medical Officer
World Health Organisation
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 41 of 43
Organisational Responsibilities
SNSWLHD
As at May 2013
Board
Responsible for:
Chief Executive
Director
Clinical
Governance
Director
Finance
Director
Medical
Services
Director
Service
Improvement
Director
Community
Health
Director
MHDA
• Public Affairs
• Corporate Record
Management
Director
Executive
Services Unit
SNSWLHD
Director Audit
and Governance
Director
Nursing &
Midwifery
General
Manager
Eurobodalla
General
Manager
Goulburn
General
Manager
Manager
People and
Culture
Bega Valley
Responsible
for:
Responsible
for:
Responsibl
e for:
Responsible
for:
Responsible
for:
Responsibl
e for:
Responsible
for:
Responsible
for:
Responsible
for:
Responsible
for:
Responsible
for:
• Accreditation
• Patient
Safety &
Quality
Program
• Enterprise
Wide Risk
Management
• Policy
System
• Professional
Practice
• Research
governance
• Consumer
Liaison &
MedicoLegal
• Finance
• Information
Management
• Corporate
Services
• Contract
management
• Asset
Management
• Waste
management
• Medical
Workforce
• Pharmacy
• Radiology
• Pathology
• Critical
Care
•
• Activity
reporting &
analysis
• Health
Information
Management
• Patient Flow
and Wait
lists
• Clinical
Service
Redesign
• Clinical
Service
Planning
• Population
Health
• Aboriginal
Health
• Violence
Prevention
and Care
• Women’s
Health,
Child,
Youth &
Family
• Aged Care
Programs
• Chronic
Care
• Oral Health
• Palliative
Care
• Allied
Health
• Community
Health
strategy
• Mental
Health
Services
• Drug and
Alcohol
Services
• CNC’s –
various
clinical
streams
•• Nursing
Nursing
Workforce
• Nursing
Policy
Policy
• Nursing
Education
• Nursing
Projects
• Smaller sites
& Community
Health
Services –
–
Services
Qbyn,
Braidwood,
Crookwell,
Yass,
Cooma,
Bombala &
Delegate
• Breastscreen
• Moruya
Hospital
and
Community
Health
• Batemans
Bay
Hospital
and
Community
Health
• Narooma
Community
Health
• Goulburn
Hospital
and
Community
Health
• Bourke St
Health
Service
• Bega
Hospital
and
Community
Health
• Pambula
Hospital
and
Community
Health
• Eden
Community
Health
• Workforce
Planning
• HR
Operations
• Workforce
Health,
Safety &
Wellbeing
• Workforce
relations
Compendium – SNSW LHD Health Care Services Plan 2013-2018
Page 43 of 43