Download LAQON891 (a) Budget for Palliative Care in Western Australia:

LAQON891
(a)
Budget for Palliative Care in Western Australia:
Total
Year
Budget
Hospital
Home
Hospice
Aged Care
(i) 2008-2009
$24,771,423 $2,656,914 $12,940,174 $6,649,767 See Note Below
(ii) 2009-2010 $29,025,964 $3,091,623 $13,388,149 $7,395,912 See Note Below
(iii) 2010-2011 $33,970,934 $3,565,399 $14,770,018 $8,803,827 See Note Below
(iv) 2011-2012 $36,062,861 $3,843,383 $15,317,237 $9,560,895 See Note Below
(v) 2012-2013 $40,983,896 $4,226,620 $17,902,403 $9,386,540 See Note Below
Notes
 Data Source: Data has been provided and approved by all Area Health
Services and by contractors of purchased services.
 An accurate estimate of the total budget for palliative care is difficult to
extract from WA Health cost centres as palliative care costs are often
integrated with other service costs.
 There are limitations to the WACHS data for 2008-2009 as it was partly
sourced from HCARe rather than the current system. WACHS June 2013
contracted activity for the South West region is yet to be invoiced.
 Palliative care is not always provided as a discrete hospital, hospice home care
service. For example, regional palliative care teams and metropolitan
ambulatory teams provide services across multiple settings which can include
aged care, hospitals, hospice, home, Aboriginal Medical Services and
correctional services.
 Data systems in place across the WACHS regions, other than the data system
in the South West, do not allow a breakdown of contracted palliative care
services by hospital, aged care, home, or hospice setting.
 Additional costs including training, Palliative Care Network programs and
state-wide leadership coordination cannot be specified to any hospital,
hospice, home or aged care setting.
 Aged care facilities are funded by the Commonwealth Government to provide
care and support to eligible persons. WA Health does not have separate
budget information available on services that provide palliative care
consultation and advisory services into residential aged care facilities as a
component of their service provision.
(b)
Full Time Equivalent (FTE) staff providing palliative care services in WA
Health:
Jun-09 Jun-10 Jun-11 Jun-12 May-13
Budget Holder
Non Area Health Service
5.8
9.1
8.6
8.0
7.3
Child and Adolescent Health
Service
0.4
0.4
2.9
1.7
1.9
North Metro Health Service
46.8
48.1
46.7
46.7
54.3
South Metro Health Service
21.2
24.2
26.6
26.6
26.3
WA Country Health Service
18.8
24.6
39.2
34.9
29.9
TOTAL
93
106.4
124
117.9
119.7
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FTE data specific to palliative care cannot be determined due to the
integrated way in which services are delivered. Services provided under
some of these cost centres include staff involved in non-palliative care
duties and/or other related services including components of cancer care,
aged care, rehabilitation, corporate, project, program, support and
administration.
Comparison between health services is not appropriate due to differences
in service configurations that are in place.
In particular, palliative care services provided at North Metropolitan
Health Service are integrated with many other services that have
significant staffing components that are not funded from the same budget.
Integrated service models prevent FTE information from being reported by
care settings: hospital (including department), hospice, home or aged care
setting.
Non-Area Health Services provide state-wide project and program support
for palliative care services.
Totals may not add due to rounding.
Notes:
 Data Source: HR Data Warehouse.
 Data extracted on 02/07/2013.
 Data represents snapshots for the month of June of each of the financial
years 2008/09, 2009/10, 2010/11, 2011/12, with the exception of 2012/13
where the latest available snapshot at this time is May.
 Data reflects current WA Health structure.
 FTE data was extracted using cost centres providing palliative care
services in WA Health facilities. This does not include services WA
Health contracts out or those that are funded federally including hospice,
home and aged care settings. There are some instances where home care
services are provided by WA Health directly (i.e. not contracted out) and
these are included in the FTE figures.
 FTE data includes staff directly employed by WA Health and agency staff
processed through WA Health’s corporate Human Resource Information
Systems.
 Excludes Visiting Medical Practitioners/Locums, and Fly-in Fly-out.
 FTE
o FTE figures provided are based on Actual (Paid) month to date FTE.
o FTE is calculated as the monthly average FTE and is the average hours
worked during a period of time divided by the Award Full Time Hours
for the same period. Hours include ordinary time; overtime; all leave
categories; public holidays, Time Off in Lieu and Workers
Compensation.
o FTE employed within contracted services is not available.
 WA Health purchases palliative care services from Non-Government
Organisations (NGOs). The number of staff employed by NGOs does not
form part of the purchasing arrangements and input data related to staffing
numbers is not collected. NGOs are responsible for ensuring that they
have adequate staff to meet demand. An accurate response cannot be
2
provided nor can it be specified whether they were employed in a hospital
(including department), hospice, home or aged care setting.
3