SSWAHS Statutory06 · 2007. 2. 21. · Locked Bag 7017 Liverpool BC 1871 Telephone: 61 2 9828 5700 Fax: 61 2 9828 5769 Email: [email protected] Website: Hours of operation:

0506SSWAHS Statutory

Annual Report

Sydney South West Area Health Service Statutory Annual Report 05/06

ContentsSection one – profile, purpose and goalsChief executive year in review.................................................................................................................5Highlights.................................................................................................................................................7Health service profile...............................................................................................................................11Organisation chart ...................................................................................................................................13Purpose and goals...................................................................................................................................14Corporate governance statement ............................................................................................................15Clinical governance statement ................................................................................................................17Section two – performance summaryPerformance indicators............................................................................................................................19Selected activity levels ...........................................................................................................................31Section three – health servicesHealth service locations...........................................................................................................................35Area healthcare service planning ............................................................................................................40Facilities ..................................................................................................................................................41Allied health services...............................................................................................................................56Drug health services................................................................................................................................57Mental health services.............................................................................................................................58Nursing and midwifery services...............................................................................................................60Oral health services.................................................................................................................................61Population health.....................................................................................................................................62Quality clinical indicators .........................................................................................................................63Section four – health support servicesAsset management..................................................................................................................................68Corporate services ..................................................................................................................................69Financial services ....................................................................................................................................70Information management and technology division ..................................................................................71Internal audit............................................................................................................................................72Public affairs and marketing ....................................................................................................................73Section five – our peopleWorkforce profile .....................................................................................................................................75Executive reports ....................................................................................................................................76Staff profile ..............................................................................................................................................78Equal employment opportunity ................................................................................................................79Occupational health and safety ...............................................................................................................83Teaching and training initiatives ..............................................................................................................85Research .................................................................................................................................................87Official overseas travel ............................................................................................................................93Section six – our communityArea health advisory council....................................................................................................................111Community participation ..........................................................................................................................112Fundraising and sponsorship ..................................................................................................................113Donations and bequests..........................................................................................................................115Ethnic affairs priority program..................................................................................................................116Non-government organisations................................................................................................................117Volunteers ...............................................................................................................................................122Section seven – freedom of information (FOI) reportFreedom of information ...........................................................................................................................124Section eight – financial reportFinancial overview ...................................................................................................................................128Independent audit report .........................................................................................................................130

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Sydney South West Area Health Service

Head Office

Liverpool Hospital (Eastern Campus)Elizabeth StreetLiverpool NSW 2170

Mailing Address

Locked Bag 7017Liverpool BC 1871Telephone: 61 2 9828 5700Fax: 61 2 9828 5769Email: [email protected]: www.sswhealth.nsw.gov.au

Hours of operation: 8.30am – 5.00pm

Royal Prince Alfred Hospital

King George V Building Level 11Missenden RoadCamperdown NSW 2050Telephone: 61 2 9515 9600Fax: 61 2 9515 9611

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SSWAHS Locations

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The Hon John Hatzistergos MPNSW Minister for HealthParliament HouseMacquarie StreetSydney NSW 2000

Dear Minister

I have pleasure in submitting the Sydney South West Area Health Service (SSWAHS) 2005/06Annual Report.

The Report complies with the requirements for annual reporting under the Accounts and AuditDetermination for public health organisations and the 2005/06 Directions for Health Service AnnualReporting.

Yours sincerely

Mike WallaceChief Executive

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Chief Executive Year in Review On 10 March 2006, I was appointed ChiefExecutive of Sydney South West Area HealthService (SSWAHS). My appointment followedthe inspiring tenure of Professor DianaHorvath AO, who served as Chief Executiveof the Central Sydney Area Health Service,and later SSWAHS, for 13 years.

Professor Horvath’s achievements werenumerous. They included development of theinternationally recognised clinical streamsystem; the successful amalgamation of theSouth Western and Central Sydney AreaHealth Services; and the implementation ofrigorous business practices where financialmanagement was simplified, administrationstreamlined, and IT modernised, allowinghealthcare providers to use the latesttechnology to make their work more efficientand more accurate.

Professor Horvath, who always placed safeand effective patient care at the core of ourobjectives, has since taken up the position ofChief Executive of the Australian Commissionon Safety and Quality in Health Care. We allwish her well in her new endeavour.

It has now been two years since the formerNSW Minister for Health, the Hon. MorrisIemma, announced the reforms to the NSWHealth System which resulted in theamalgamation of the Central and SouthWestern Sydney Area Health Services.SSWAHS continues to work to affect all ofthe required organisational changesassociated with the amalgamation.

Staff have worked diligently throughout theyear to establish single Area-wide clinicalstream structures, determined in line with theamalgamation plan, in order to deliver thebest patient care.

SSWAHS has significantly benefited from themerger of these streams, which allow sharingof knowledge and a common approach to thedelivery of patient care. Other flow-onbenefits have included the centralisation ofadministrative functions, resulting in financialsavings of $4.8 million. These savings havebeen redirected to frontline clinical services.

All staff can be extremely proud of thecollective elimination of all long-wait patients,ie. those patients waiting for elective surgeryfor more than 12 months.

At the end of June 2005, there were 1384long-wait patients on the waiting list. As partof the State Government’s PredictableSurgery Program, this was reduced to zeroby 30 June 2006, and can be directlyattributed to the commitment of our doctorsand nurses and the professionalism anddedication of all our staff.

SSWAHS is the most populous of the eightnew area health services. The rapid growthexpected in southwest Sydney due to theBringelly land release will see our populationgrow even further to approximately 1.5 millionby the year 2015. This growth, coupled withan ageing population and other socio-economic factors, will place an enormousdemand on the health services provided inthe southwest.

The welcome announcement by PremierMorris Iemma of $390 million towards the firstphase of re-development of LiverpoolHospital is a significant step towards meetingthe future health needs of the southwest.

The $32.5 million Mental Health Centre,officially opened at Liverpool Hospital byPremier Iemma in February, is a reflection ofthe NSW Government’s commitment toproviding improved mental health services.The two storey purpose-built structureconsolidates all adult mental health inpatientand outpatient clinical services at the hospitalin a comfortable, modern environment.

Investment in the clinical services plan, SouthWestern Sydney Health Network – The WayForward 2004-2008 continued, reflecting theArea’s dedication to enhancing the clinicalservices provided to the people of thesouthwest. More than $20 million wasdedicated to The Way Forward this year.These funds provided additional clinical,nursing and allied health positions as well asnew clinical equipment.

A number of major planning exercises wereconducted over 2005/06 to provide thestrategic direction for healthcare servicedevelopment over the next 5 to 10 years.Development of the SSWAHS Health CareServices Plan was one such exercise. Thisplan outlines the full range of services providedby SSWAHS, including demographic andsocioeconomic implications, and current andfuture priorities for prevention, earlyintervention and service delivery.

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Chief Executive Year in ReviewThe plan also recognises the need for thestrengthening of services across SSWAHSthrough the development of a network ofservices. The plan enables SSWAHS toposition itself to provide high quality, costeffective and accessible services to the largeand growing SSWAHS community.

The inaugural SSWAHS Corporate StrategicPlan is the highest level plan for theorganisation and provides strategic directionfor all SSWAHS activities over the next fiveyears. It outlines the vision, values andobjectives of SSWAHS within the frameworkof the recently released NSW HealthIntegrated Corporate Strategic PlanningFramework and the Futures Planning project.

The level of clinical expertise in southwestSydney has been strengthened via the recentcollaboration between SSWAHS and theUniversity of Western Sydney. The Universityis working diligently towards opening theUniversity of Western Sydney School ofMedicine, with the first intake of medicalstudents scheduled for March 2007. The aimof the School is to train locally skilled doctorsfor our facilities. The Area’s goal is to retainlocally skilled doctors with an understandingof the local population in one of Sydney’smajor designated growth areas.

The Area-wide nursing service has had asuccessful year with the recruitment andretention of local, interstate and overseasnurses. This has resulted in significantreductions in vacancy rates and dependencyon agency nurses.

The three-year Clinical Redesign Program,established in 2005, has undertaken anumber of quality improvement projectsdesigned to improve the patient journey

through the health system. The program hassuccessfully identified redesign initiatives forcare delivery systems, with the major goals ofimproving access to services, more efficientpatient flows and improving the consumer’sand carer’s experience.

Some of the projects undertaken includeimproving patient flow through ouremergency departments, and improvingaccess to emergency mental health care witha focus on Liverpool and Campbelltownhospitals.

Results so far show that the projects havehad a positive impact on the Area’sperformance against the Key PerformanceIndicators set by the NSW HealthDepartment.

The recently established Clinical GovernanceUnit is now a highly visible and cohesiveteam across SSWAHS. A number ofsuccessful initiatives have already beenimplemented, including the IncidentInformation Management System. Promotingtransparency, the system has been highlyeffective in formulating change and improvingquality of care.

I would like to take this opportunity to thankthe staff of SSWAHS for their hard workthroughout the year and look forward tomeeting the challenges of the coming yearwith their continued support.

Mike WallaceChief Executive

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Highlights Long wait list at zeroHospitals across the Area eliminated theirlong wait surgical lists, ensuring that nopatient will wait more than 12 months for theirelective procedure.

This significant achievement was a result ofsustained effort by clinical and administrativestaff, new beds being opened, establishingnew systems and more theatre timescheduled for surgeons.

Emergency care without delayMore patients were accepted into EmergencyDepartments within 30 minutes of arrival byambulance, improving off-stretcher timeperformance.

SSWAHS hospitals also cut access block, ameasure of the percentage of peoplespending more than eight hours in care of EDclinicians before being admitted to a ward.

The number of people presenting at EDscontinued to grow, with an additional 25,700people attending over the year. Hospitalsalso experienced an eight per cent growth inthe number of patients treated overall.

Beds openedAnother key achievement for SSWAHS wasan increase in the number of SustainableAccess Program, mental health, IntensiveCare Unit (ICU) and Neonatal ICU bedsdespite system-wide staff shortages.

The length of hospital stay was cut slightlywhile at the same time the quality of caremeasurably improved with a fall in thealready low percentage of people needing tobe readmitted to hospital within 28 days ofbeing discharged.

Sound financial managementTargets achieved included no creditorswaiting more than 45 days for payment.

Canterbury’s maternity unitMaternity Unit, a documentary filmed atCanterbury Hospital following several familiesof migrant background through pregnancy andchildbirth, was broadcast on SBS television.

World first transplantSurgeons at RPA successfully conducted aworld-first type of triple transplant, replacing awoman’s liver, kidney and pancreas to cureher auto-immune disease.

RPA celebrated the 20th anniversary of livertransplantation at the hospital and in NSW byestablishing a Transplant Institute to raise fundsfor transplant research.

State-of-the-art aged care facilityA state-of-the-art, $7.5 million Aged CarePrecinct was opened at Concord RepatriationGeneral Hospital, consolidating inpatient,ambulatory care services and research in aone-stop facility for ageing and rehabilitationpatients.

Get fit for surgery clinicConcord Repatriation General Hospitallaunched the Get Fit for Surgery Clinic, anexercise and education clinic for patientsscheduled for total hip or total kneereplacement surgery. The clinic improvesrecovery and decreased the average lengthof hospital stay by 30 per cent. It has alsoreduced the incidence of complication ofpulmonary embolism, deep vein thrombosisand pressure areas.

Reversal of type 2 diabetesA world first program has achievedremarkable results in its first year of operationat Concord Hospital’s Department ofEndocrinology and Metabolism. Theprogram’s combination of weightmanagement and exercise has reversed orsignificantly reduced the severity of type 2diabetes in obese patients, allowing theamount of medication required to controlblood glucose, blood pressure andcholesterol to be cut by half, with somepatients able to cease medication altogether.

Gene therapy breakthroughAs part of an international collaboration,researchers at RPA established a world-firstmethod of delivering gene therapysuccessfully and safely when a healthy genewas successfully introduced directly into thebody of a person suffering from hemophilia,with a sustained result.

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HighlightsAboriginal cardio projectThe Aboriginal Cardiovascular Project waslaunched at RPA Hospital to identify at-riskAboriginal patients, screening them for heartdisease, stroke, diabetes and kidney diseasewhen they present to the hospital for any reason.

This is the first ever program to provideopportunistic screening to the Indigenouspopulation in a hospital setting and aims toreduce the high numbers of Aboriginal peopledying from cardiovascular disease includingheart disease, kidney disease and diabetes.

Cancer lab breakthroughScientists at Concord Hospital’s cancerresearch laboratory developed a way toreduce the risk of life-threateningchemotherapy toxicity and malnutrition forcancer patients.

Using a test for a protein marker forinflammation, C-Reactive Protein,researchers identified patients with advancedcolorectal cancer who would be less able tometabolise cancer medication increasingtheir risk of toxicity.

This allowed doctors to treat the inflammationand malnutrition in advance of chemotherapy,giving more patients a longer and higherquality of life.

Medical acupuncture clinicBalmain Hospital opened a medicalacupuncture clinic run by doctors whichblends Eastern concepts of traditionalChinese medicine and Western medicalevidence-based concepts of the complexmechanisms involved in acupuncture.

Mobile ultrasound for sick babiesRPA was able to purchase a state-of-the-artmobile ultrasound machine for the NewbornCare unit, thanks to a generous donation of$250,000 from Sargents CharitableFoundation.

Recognising research achievementsProfessor Bruce Armstrong, head of researchat the Sydney Cancer Centre was awardedCancer Researcher of the Year at theinaugural Premiers Awards for Excellence inCancer Research.

Professor Armstrong pioneered research intothe link between sun exposure and skincancer as well as asbestos and lung cancer.

Associate Professor Peter Bye won theprestigious RPA Foundation Medal forExcellence in Research for his developmentof Hypertonic Saline therapy, a cheap naturaltherapy that improves lung function andquality of life for people with cystic fibrosis.

Macarthur Strategy completeThe Macarthur Strategy, a $133.7 millionupgrade of community and hospital servicesin Campbelltown and Camden has beencompleted and includes a new $3.26 millionwomen and babies centre with refurbishedand relocated maternity services, a new 30-bed medical ward and a new stroke unit.

Childhood Assessment TeamA new $400,000 multi-disciplinary assessmentand diagnostic unit for children in theMacarthur region with moderate to severedevelopmental disabilities was opened atCampbelltown Hospital.

Liverpool re-developmentA $390 million redevelopment for LiverpoolHospital was announced, which is set todouble the size of this leading facility.

The redevelopment will provide an extendedand refurbished clinical services building aswell as extended cancer and pathologyservices, a dedicated birthing centre, a sleepdisorders and respiratory failure service anddedicated palliative care and rehabilitationbeds. Extra chemotherapy chairs, renaldialysis chairs, operating rooms andendovascular suites will also be provided.

Mental Health CentreA $32.5 million Mental Health Centre wasopened at Liverpool Hospital, consolidating alladult mental health inpatient and outpatientclinical services in one two-storey purpose-built structure, equipped with a lecture theatrefor psychiatric education and research.Consumers, carers and staff had input overthe four-year planning process, resulting in acomfortable, modern environment withabundant natural light, privacy for patients andimproved facilities for visitors.

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HighlightsCT ScannerCampbelltown Hospital received asophisticated $1.29 million, 64 slice CTscanner.

The 64 slice technology provides greatercomfort for patients by conducting a wholebody scan in 20 seconds, especiallyimportant for trauma patients where everysecond counts.

Women’s Health Services boostWomen’s health services in the SouthernHighlands received a boost with the openingof new gynaecological, medical andmidwifery clinics at Bowral and DistrictHospital.

The Medical and Midwifery Antenatal Clinicsoffer the services of both an obstetrician anda midwife, so women have more choice formanaging their antenatal care.

Liverpool ED expansionLiverpool Hospital Emergency Department’s$9.2 million redevelopment more thandoubled the unit’s size and vastly improvedits capacity.

As well as 72 treatment areas, theemergency department is also equipped withconsultation and procedure rooms, adedicated eye/ear, nose and throat room,plaster room and safe observation rooms.

Memorandum of Understanding

SSWAHS signed a three-year memorandumof understanding with the seven Divisions ofGeneral Practice operating within the Area inorder to develop a more integrated approachto population health and health promotion andto achieve the best possible use of resourcesfor the benefit of the community.

Quality improvement awardsSSWAHS took out four of the ten qualityawards at the Baxter 2005 NSW HealthAwards for improvements to the quality ofhealthcare, a performance award for thegreatest reduction in surgical waiting lists anda best performing hospital award forCanterbury Hospital.

Quality Awards went to: Royal Prince AlfredHospital for Optimising Appropriate ClinicalCare of Low Trauma Fracture Patients,Population Health (eastern zone) forInfectious Disease Outbreaks: An InnovativeApproach to Evaluate and Improve PublicHealth Interventions, Liverpool Hospital forRapid Screening of Hospital Mortality andFairfield Hospital’s Whitlam JointReplacement Centre for Restrictive BloodTransfusion Practices Following PrimaryUnilateral Total Knee Replacement.

Concord Repatriation General Hospitalreceived a silver award in the CommunityBuilding Category of the NSW PremiersAwards for the Kokoda Track MemorialWalkway. At the Australian Council on HealthcareStandards awards Fairfield Hospital took outfirst prize for Restrictive blood transfusionpractices following primary unilateral totalknee replacement and RPA was highlycommended for its osteoporosis first fractureproject – Optimising appropriate clinical careto low trauma fracture patients in RPAfracture clinics. At the Australian Healthcare AssociationAwards Karitane took out first prize for Womenas Mothers - Liverpool Family Care Cottage.

Bankstown Oncology refurbishmentNSW Minister for Health, John Hatzistergosopened the newly refurbished Oncology Unitat Bankstown Hospital which was improvedat a cost of $99,000.

The three-bed, six-chair unit provideschemotherapy services to Bankstown residentsand takes referrals from across southwestSydney. The unit was fully renovated and nowhas more space for patients and visitors as wellas two new private rooms.

Research gives patients a leg upInnovative research comparing the benefits ofwater and land-based exercise at FairfieldHospital’s Whitlam Joint Replacement Centrewill help determine the most effective andpainless way to get people back on their feetafter total knee replacement surgery.

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HighlightsAward winning multicultural projectsSSWAHS received eight of the 14 highlycommended awards announced at theStatewide Multicultural Communication Awards.

Highly commended awards went to:• Bankstown Multicultural Health Service

for their Asthma Awareness project forthe Macedonian community

• The Macarthur Diabetes Service for theircampaign to educate the local Arabiccommunity about living with diabetes

• Fairfield Hospital’s Department ofNutrition and Dietetics for two projectswhich involved producing culturallyappropriate information on cholesteroland tryglicerides and dietary fats inSpanish

• Fairfield Multicultural Health Service forfor their Asthma Awareness Program forthe Macedonian community

• SSWAHS western zone HealthPromotion Service and LiverpoolDietetics Department for The HealthPromoting Schools project and the TootieFruity Veggie project

Research delivers new hopeKey research from Liverpool Hospital’sSchizophrenia Research Unit and theUniversity of New South Wales could leadto the first early diagnostic tool forschizophrenia and bipolar disorder.

New support for expectant dadsAntenatal clinics at Bankstown, Fairfieldand Liverpool Hospitals are offering a newprogram to support fathers before, duringand after the birth of their baby.

The Dads 4 Dads program, funded by a$10,000 grant under the NSW Government’sFamilies First program, is designed to makepregnancy and childbirth more father-friendlyand is a collaboration between Karitane,SSWAHS (Parenting Program, Perinatal andInfant Mental Health Service, Arts for HealthProgram), Mission Australia, and UnitingCare, Burnside.

Camden Midwifery Group PracticeThe Camden Midwifery Group Practice wasofficially opened after extensive consultationbetween an expert taskforce of seniorobstetricians and midwives and input fromthe local community and local physicians.

The service offers low-risk pregnant womencontinuity of care, with the same midwifeproviding antenatal and postnatal care atCamden and assisting with the birth atCampbelltown.

Health improvementSSWAHS and the Tharawal AboriginalCorporation signed a partnership agreementdesigned to ensure the optimum provision ofhealth care services to Aboriginal people insouthwest Sydney.

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Sydney South West Area Health Service Statutory Annual Report 05/06 11

Health Service Profile On 27 July 2004, the Hon Morris Iemma,Minister for Health, announced the restructureof area health services across NSW, includingthe formation of the new Sydney South WestArea Health Service (SSWAHS), amalgamatingthe former Central Sydney and South WesternSydney area health services. Theamalgamated SSWAHS came into being as alegal entity from 1 January 2005.

SSWAHS is comprised of the following localgovernment areas (LGAs):

• City of Sydney (part)• Leichhardt• Marrickville• Ashfield• Burwood• Strathfield• Canada Bay• Canterbury

• Bankstown• Fairfield• Liverpool• Campbelltown• Camden• Wollondilly• Wingecarribee

SSWAHS covers a land area of 6,380 squarekilometres and has a current population ofapproximately 1.33 million, representing 20per cent of the NSW population.

With areas projected for both substantial newland release for residential development andmedium density urban infill, SSWAHS willcontinue to be one of the fastest growingparts of the state. Its population is projectedto increase by up to 300,000 people by 2030,a 22 per cent increase.

*2001 eastern zone population – 486,182 2001 western zone population – 796,950

2001* 2006 2011 2016 2021 2026Populationof SSWAHS 1,283,132 1,349,973 1,430,105 1,517,077 1,598,844 1,673,921

SSWAHS Population Growth to 2026

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

2001 2006 2011 2016 2021 2026


Health Service Profile

Population CharacteristicsSSWAHS is the most ethnically diverse healtharea in Australia, with 39 per cent of thepopulation speaking a language other thanEnglish at home. This is most notable in Fairfieldand Canterbury, where over 60 per cent of thepopulation do not speak English at home. A highproportion of new migrants to Australia,including refugees, choose to settle in southwestSydney. There are also considerable variationsbetween LGAs in the proportion of thepopulation identifying as Aboriginal (highest inSouth Sydney and Campbelltown).

In addition to the influx of new migrants, theArea’s population is growing by around 19,000new births per annum. In some places, notablyCanterbury, Liverpool and Bankstown, birthrates are between 2.09 and 2.16, considerablyabove the state average of 1.79 and this trend isprojected to continue with young familiesexpected to comprise a large proportion ofresidents in new residential developments.

LGAs with the highest proportion of youngerpeople (0-14 years) are Campbelltown, Camdenand Liverpool. Across the Area there are266,000 children under the age of 15representing 20 per cent of the population.

LGAs with the highest proportion of older people(85 years and over) are Ashfield, Burwood andStrathfield. Across the Area there are 180,000people over the age of 65, representing 17 per

cent of the population. There are large numbersof elderly people in some LGAs, with more than24,000 people over the age of 65 in Bankstownand around 18,000 in both Fairfield andCanterbury. Hospital data indicates that peopleover the age of 65 years utilise 45 per cent of allacute hospital bed days. The number of peopleaged over 65 is projected to increase by 45 percent by 2016, when they will represent 13 percent of the population.

Southwest Sydney has some of the poorestcommunities in the state, characterised by alarge number of recent migrants, significantlyhigher levels of unemployment and a highproportion of families dependent on welfare. TheArea has nine of the ten most disadvantagedmetropolitan Sydney postcodes.

The age standardised death rates for SSWAHSresidents are higher than the state average forboth males (721.8 per 100,000 vs 709) andfemales (457 per 100,000 vs 443).

The major causes of death are circulatorydiseases, cancers, injury/poisoning andrespiratory diseases. These comprise about 80per cent of all deaths in both SSWAHS andNSW. The four major causes of death areapplicable to both males and females. Deathsdue to cancer, injury/poisoning and respiratorydiseases were higher among males. Theproportion of female deaths due toinjury/poisoning is about half that for males(4 per cent vs. 8.5 per cent).

2001 2006 2011 20160-14 years 187,850 186,560 186,160 190,25015-44 years 362,720 368,770 386,530 406,29045-64 years 169,410 196,680 221,520 238,67065-74 years 44,580 48,180 56,880 71,75075+ years 32,390 39,610 45,100 52,040

Population Projections by Age Group

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

2001 2006 2011 2016Year

Popu

latio

n

0-14

15-44

45-64

65-74

75+


Organisation Chart

The organisational structure is separated intotiers and incorporates the clinical governancemodel as well as legislative and statutoryresponsibilities for the SSWAHS.

The first tier within SSWAHS is the position ofChief Executive. The Chief Executive isaccountable for the overall corporategovernance, performance and strategicplanning of the organisation.

The position of Chief Executive reportsdirectly to the Director-General of NSWHealth.

The positions within the second tier ofSSWAHS report to the Chief Executive.These senior management positions areresponsible for the delivery of clinical,strategic planning, workforce planning,performance, corporate support, finance andnursing services for the organisation.

ManagerClinical

Quality Unit

ManagerProfessionalPractice Unit

General Managers:• Balmain Hospital• The Canterbury Hospital• Concord Repatriation General Hosp• Royal Prince Alfred Hospital• Rozelle Hospital• Sydney Dental Hospital• Bankstown-Lidcombe Hospital• Bowral and District Hospital• Campbelltown/Camden Hospitals• Fairfield Hospital• Liverpool Hospital• Queen Victoria Memorial Home

General Manager Area ClinicalServices

Director Community Health Services

General Manager Oral HealthServices

Managers Clinical Business UnitsImaging and Pathology

Director Mental Health

Director Drug Health Services

DirectorClinical

Governance

Director StrategicWorkforce Planningand Development

Chief Executive Director Public Affairs &Marketing

Manager Internal Audit

Director Clinical Operations

DirectorNursing &Midwifery

Director Finance andCorporate Services

Director PopulationHealth, Planning and

Performance

ManagerNursing Policy

& Practice

ManagerNursingEducatorExecutive

OfficerNursing

ChiefFinanceOfficer

ChiefInformation

Officer

ManagerShared

Services

DirectorEducationTraining &

Development

ManagerHuman

Resources

DirectorAboriginal Health

ManagerCommunityParticipation

DirectorPopulation Health

Co-ordinatorCounter Disaster

Planning &Management

DirectorNSW RefugeeHealth Service

DirectorHealth Services

Planning

Director PerformanceMonitoring, Analysis& Clinical Redesign


Purpose and GoalsSSWAHS has adopted NSW Health’s visionof Healthy People – Now and in the Future.This vision is underpinned by four goals andseven strategic directions. The four goals are:

• To keep people healthy• To deliver high quality health services• To provide the health care people need• To manage health services well

The seven strategic directions are:1. Make prevention everybody’s business2. Create better experiences for people

using the health system3. Strengthen primary health and continuing

care in the community4. Build regional and other partnerships for

health5. Make smart choices about the costs and

benefits of health services and healthsupport services

6. Build a sustainable health workforce7. Be ready for new risks and opportunities

For each of the seven strategic directions,SSWAHS has developed local objectives aspart of the Corporate Plan 2006-2010. Theseare summarised below.

Make prevention everybody’sbusiness• Encourage the adoption of healthy

lifestyles and the development of healthyenvironments

• Reduce health disadvantage• Improve awareness of prevention

activities and services

Create better experiences forpeople using the health system• Utilise collaborative processes involving

consumer feedback and information fromhealth care reporting systems tocontinuously improve the quality and safetyof health services

• Improve service access, efficiency andeffectiveness

• Provide integrated and networked careacross the whole of SSWAHS

Strengthen primary health andcontinuing care in the community• Expand the range of services available in

the community and domiciliary setting• Increase the focus of activities on early

intervention

Build regional and otherpartnerships for health• Actively participate in and develop

appropriate forums to build the capacity ofthe region to respond to current andanticipated health issues

• Engage and involve stakeholders in thedevelopment of SSWAHS policies, plansand initiatives

Make smart choices about the costsand benefits of health services andhealth support services• Strengthen the financial sustainability of

SSWAHS• Provide the information necessary to

support decision making

Build a sustainable healthworkforce• Ensure SSWAHS is the area health

service that people want to work in and inwhich they can build a career

• Ensure our workforce profile is matchedto the needs of our population in terms ofnumbers and skills

Be ready for new risks andopportunities• Build the capacity and reputation of

SSWAHS as a leader in health researchand education

• Respond to changes in the operatingenvironment of SSWAHS in a timely manner


Corporate Governance Statement The Chief ExecutiveThe Chief Executive carries out all functions,responsibilities and obligations in accordance withthe Health Services Act of 1997.

The Chief Executive is committed to better practicesas outlined in the Guide on Corporate Governance,issued by NSW Health.

The Chief Executive has practices in place to ensurethe primary governing responsibilities of the SydneySouth West Area Health Service (SSWAHS) arefulfilled with respect to:

• setting strategic direction• ensuring compliance with statutory requirements• monitoring performance of the Area Health

Service• monitoring financial performance of the Area

Health Service• monitoring the quality of health services• industrial relations/workforce development• monitoring clinical, consumer and community

participation• ensuring ethical practice

Strategic directionThe Chief Executive has processes in place for theeffective planning and delivery of health services tothe communities and patients serviced by SSWAHS.

This process includes setting a strategic direction forboth the organisation and for the health services itprovides.

Code of conductThe Chief Executive and the Area Health Service hasadopted a Code of Conduct (the Code) to guide allemployees and contractors in carrying out theirduties and responsibilities. The Code covers suchmatters as: responsibilities to the community,compliance with laws and regulations, and ethicalresponsibilities.

A statement about the Code is included in the annualreport.

Risk managementThe Chief Executive is responsible forsupervising and monitoring risk management bythe Area Health Service, including the SSWAHS

system of internal controls. The Chief Executivehas mechanisms for monitoring the operationsand financial performance of SSWAHS.

The Chief Executive receives and considers allreports of SSWAHS external and internalauditors and, through the Audit and CorporateRisk Management (CRM) Committee, ensuresthat audit recommendations are implemented.

SSWAHS has a Risk Management Program andRisk Register that includes both clinical and non-clinical risks.

Committee structureSSWAHS has a committee structure in place toenhance its corporate governance role. Thecommittees meet regularly, have defined termsof reference and responsibilities, and areevaluated against agreed performanceindicators.

Quality committees

The Chief Executive has systems and activitiesin place for measuring and routinely reporting onthe safety and quality of care provided to thecommunity. These systems and activities reflectthe principles, performance and reportingguidelines as detailed in the Framework forManaging the Quality of Health Services in NSWdocumentation. The key quality committees forSSWAHS are the Clinical Quality Councils(eastern and western zones).

Audit and Risk Management Committee

The Chief Executive has established an Auditand Rick Management Committee.

The Audit and Risk Management Committee ischaired by an independent external expert, withthe following membership:

• Chair: Independent external expert• Second external expert• Chief Executive

The following people attend each meeting:• Manager Internal Audit• Chief Financial Officer• Independent Auditor


Corporate Governance Statement The Audit and Risk Management Committeemeets five times per year. The objectives of theCommittee are to:

• maintain an effective internal controlframework

• review and ensure the reliability and integrityof management and financial systems

• review and ensure the effectiveness of theinternal and external audit functions

• monitor the management of risks to thehealth service, including responsibility forreviewing and updating the Risk Register.For clinical risks, authority to analyse risks,implement preventative risk strategies andcontrol risks is delegated to the ClinicalQuality Councils (eastern and westernzones). For non-clinical risks, authority toanalyse non-clinical risks, implementpreventative risk strategies and control risksis delegated to officers, as outlined in theRisk Management Program.

Finance and Performance committee

The Chief Executive has established a Financeand Performance Committee. This Committee ischaired by the Chief Executive, with thefollowing membership:

• Director Clinical Operations• Director Corporate Services• Chief Financial Officer• Director Population Health, Planning and

Performance• Director Nursing and Midwifery

The Finance and Performance Committee meet12 times per year. The objectives of the Financeand Performance Committee are to:

• examine budget allocations• monitor overall financial performance in

accordance with budget targets• develop and maintain efficient, cost

effective finance functions and informationsystems

• ensure appropriate financial controls are inplace

• manage funds effectively

The Chief Executive complies with theprovisions of the Accounts and AuditDetermination for Health Services issued byNSW Health.

Performance appraisal

The Chief Executive has ensured that there areprocesses in place to:

• monitor progress of the matters andachievement of targets contained withinthe Performance Agreement between theChief Executive and the Director-Generalof NSW Health.

• regularly review the performance of theSSWAHS through the Annual GovernanceReview process.

This statement reflects the corporategovernance arrangement in place with theSydney South West Area Health Service(SSWAHS).


Clinical Governance Clinical Governance DirectionsStatement

Since its implementation in 2004, the NSWPatient Safety and Clinical Quality Programhas continued to provide a framework forclinical governance through which healthservice staff are required to deliver safe,quality care. The Clinical Governance Unit(CGU) plays a pivotal role in theimplementation of the program by providingsupport, education and direction forimproving safety and quality of care.

Program reporting

SSWAHS Clinical Governance programperformance reports were lodged with NSWHealth in June 2005. Clinical Governanceperformance measures, due by June 2006,were implemented.

Clinical Governance Unit 2005/06

The CGU continues to take a leadershiprole in the provision of quality of care andservices to our consumers.

The key objectives of the CGU team underthe stewardship of the Director, Dr PeterKennedy, during 2005/06 were:

• Implementation of the IncidentInformation Management System (IIMS),

• Providing education around incidentmanagement (eg Clinical IncidentManagement Skills (CIMS) and SafetyImprovement Program- (SIP –RCAmethodology)

• Quality improvement (Clinical PracticeImprovement - CPI)

• Complaints management

• Developing and reviewing area-widepolicy and clinical guidelines

• Providing advice/support for facilitiesundergoing Australian Council on HealthStandards Evaluation and QualityImprovement Program (ACHS EQuIP)Accreditation surveys. It is pleasing tonote that all facilities continue to meetEQuIP Accreditation standards.

Incident Information Management

The Incident Information ManagementSystem (IIMS) was implemented in SSWAHSin early 2005 as an initiative under the NSWPatient Safety and Clinical Quality Program.The aim of the system is to support healthcare professionals in identifying, tracking andmanaging clinical, workforce and corporateincident information.

All staff members are potential users of IIMS.A comprehensive training and educationprogram has been developed using e-learning modules, cd, dvd, video, orientationprograms for new recruits and workshops.More than 1,500 managers are official usersof IIMS and nearly 1,500 incidents arereported each month. During this first year ofimplementation, the focus of IIMS was toencourage notification within the system.

Whilst the analysis of serious incidentsremains a priority, these account for less thanone per cent of all incidents reported.

A half-day education program (ClinicalIncident Management Skills) was introducedin late 2005 to assist in management of lessserious incidents. Eight workshops havebeen run by CGU staff (assisted by otherclinical staff) with 334 participants. This hasbeen well received and will be a continuingpart of the CGU education program.

Number of incidents notified by quarter

Jan -Mar2005

Apr -Jun

2005

Jul -Sep2005

Oct-Dec05

Jan -Mar2006

Apr -Jun

2006

2,446 4,783 5,633 5,181 5,300 5,667


Clinical GovernanceProfessional Practice Unit andpatient complaints

The Professional Practice Unit (PPU) isresponsible for overseeing the managementof serious complaints within the area healthservice. The PPU manager is the designatedsenior complaints officer who is available tomembers of the public and staff as requiredand is directly responsible for ensuring thatappropriate action is taken to resolve seriouspatient complaints.

The PPU currently consists of a manager andan Area patient complaints officer who have acombination of clinical, legal and mediationskills. The PPU meets monthly with PatientLiaison Officers from across the Area todevelop a standard best practice approach tocomplaint handling. The PPU also worksclosely with the Human Resource andDevelopment unit to facilitate educationaround professional practice, code of conductand complaint handling.

Patient complaints are notified on IIMS atboth facility and area level and each facilityhas a designated officer to managecomplaints. After hours, the Executive oncall is notified of serious complaint issues.

An Area Patient Rights and Responsibilitiespamphlet and Patient Rights Charter havebeen developed, are available in the majorlanguage categories and are readily visibleto patients in each facility.

An education program designed for thefrontline handling of complaints has beendeveloped as a two-hour workshop and isbeing progressed across SSWAHS.

Root cause analysis / patientsafety program

As part of the patient safety program, RootCause Analysis (RCA) is the method used forinvestigation of serious incidents withinSSWAHS.

This process enables a review of an incidentto identify its contributing factors and torecommend actions to prevent a similaroccurrence. SSWAHS undertook 86 RootCause Analyses into serious clinical incidentsand many improvements to patient care havebeen implemented as a result.

Staff must be trained in the RCA processbefore they can lead an RCA investigation.Four RCA training courses were run during2005/06 for 97 participants. This trainingcontinues.


Performance IndicatorsTo keep people healthyMore people adopt healthy lifestyles

Indicator Baseline Target Result StateResult

Chronic disease risk factors – % of sampledpopulation (16 yrs +) reporting (baseline year forassessing long term trend 1998)• Alcohol risk drinking behaviour 36.2 28.4 27.0 32.2• Smoking daily or occasionally 27.5 22.9 19.3 20.1• Overweight or obese 39.8 49.1 44.7 49.8• Physical activity adequate 47.9 53.2 50.4 51.9• Fruit (recommended daily intake) 43.5 46.1 48.8 51.1• Vegetables (recommended daily intake) 4.5 6.8 6.6 7.5

Prevention and early detection of health problems


People aged 65 years and over immunisedagainst:• Influenza (%) 76 80 73 75• Pneumococcal disease (% in last 5 years) 44 60 51 X 52

People aged 65 years and over immunised against Pneumococcal disease

Major factors impacting performance

Performance in this indicator has improved from 44 per cent to 51 per cent, a result similar to thestate average. The target of 60 per cent was not achieved due to the pneumococcal vaccinationprogram being a new program (commencing in January 2005), still in the early stages ofimplementation.

Actions being taken to meet target

Educational activities amongst GPs, who provide 90 per cent of pneumococcal vaccinations areunderway.


Performance IndicatorsTo keep people healthyPrevention and early detection of health problems


Hospital separation rates for fall injuries inpeople of 65 years and over (age standardisedrate per 100,000 population)• Males 1,976 1,936 1,974 2,003• Females 2,797 2,741 2,765 2,853Aboriginal children (0 – 6 year) screened forotitis media (%) 27 70 10 X 50

Aboriginal children (0 – 6 year) screened for otitis media

Major factors impacting performanceStaff vacancies, including the position of area-wide Otisis Media Coordinator have contributed tothe screening rates falling below target. More recent data indicates that a result of 31 per cent has been achieved in this indicator. Actions being taken to meet target The program is a key priority of the new Area manager for Aboriginal health and the Aboriginalhealth service generally. A senior manager, the deputy director for Aboriginal health has beenassigned the task of liaising closely with the Centre for Aboriginal Health to identify the beststrategies to improve the program. Additional funds will be allocated for the program. An action plan targeting all aspects of the program has been developed. This includes workingmore closely with the Tharawal and Redfern Aboriginal Medical Services (AMS), the recruitment ofa full time coordinator to oversee the program across the Area and more involvement in screeningby mainstream community health staff.�


Performance IndicatorsTo keep people healthyA healthy start to life


Antenatal visits – % of confinements where firstvisit was before 20 weeks gestation• Aboriginal women 58.1 59.0 61.0 70.1

• Non-Aboriginal women 80.0 80.0 83.0 88.0

Births with birth weight less than 2,500g (%)

• Aboriginal babies 11.2 11.0 8.5 12.9

• Non-Aboriginal babies 6.2 6.2 6.7 X 6.2

Births with birth weight less than 2,500g (%) Non–Aboriginal babies

Major factors impacting performanceThis result is slightly higher than the state average and is mainly due to year-to-year statisticalvariation.


Families First postnatal universal health homevisit (UHHV)

• Families offered a visit (%) Notreported >80 100

• Families receiving a visit within 2 weeks ofthe birth (%)

Notreported >80 61 X

Families receiving a home visit within two weeks of the birth

Major factors impacting performanceAll families are offered a home visit with SSWAHS. However, only 61 per cent receive a home visitwithin the first two weeks of the birth.

1,529 families declined a universal health home visit, representing 8.5 per cent of the total familiesusing the above figures.

3,384 families were unable to receive a home visit for a number of reasons including: they chose aclinic visit instead; they were unable to be contacted; the baby was still in hospital. This represents19 per cent of the total families using the above figures.

In the western zone of SSWAHS, an interpreter was required for 644 families, requiring anextension of the two-week time frame. This represents 3.5 per cent of the total families using theabove figures.

Actions being taken to meet targetWe have refined our statistical collection to be able to collect more accurate data on non accessand are currently recruiting positions to the program.


Performance IndicatorsTo keep people healthyA healthy start to life


Infants fully immunised at 12 to less than 15months (%) 90 94 89 X 90

Infants fully immunised at 12 to less than 15 months

Major factors impacting performancePerformance in this indicator declined slightly from 90 percent to 89 per cent, a result similar to thestate average.

Actions being taken to meet targetAs General Practitioners provide the vast majority of childhood immunisations, the Public HealthUnit is working with local Divisions of General Practice to improve both the provision of vaccinesand the reporting of their administration.


Performance IndicatorsTo provide the healthcare people needEmergency care without delay


Off-Stretcher time - % of cases where transferof care of the patient to the emergencydepartment was >= 30 minutes of Ambulancearrival.

41 10 29 X 24

Off-Stretcher time

Major factors impacting performanceThere was an increase of 7,346 ambulance presentations to SSWAHS Emergency Departments in2005/06 compared to the previous year.

Despite this we managed to significantly improve on last year’s result, meeting the benchmark for afurther 12 per cent of cases. An additional 14,446 ambulance patients were processed within the 30minute off-stretcher benchmark in 2005/06 compared to the previous year.

This was achieved through a number of initiatives:

• The development of a fast-track system at Bankstown ED

• Mental health beds at Rozelle opened for longer stay acute Campbelltown and Liverpoolpatients and additional mental health beds opened at Liverpool and Campbelltown

• A capital works expansion of the Liverpool ED

• Implementation and utilisation of Ambulance Arrivals Boards in EDs

Actions being taken to meet targetPsychiatric Emergency Care and additional mental health beds will be opened at Campbelltownand capital works will be completed at RPA.

A fast-track system is being implemented in all EDs in the Area following a successful pilot atBankstown. The fast track service involves separating ED patients into different categories andallocating dedicated staff to those less complex patients so they can be treated faster.

The 3-2-1 system is being implemented at Liverpool, Fairfield and RPA hospitals, with further roll-outs of solutions identified during Patient Flow Clinical Redesign Projects commencing at Concordand Bankstown hospitals. The 3-2-1 process breaks down a patient’s journey through the ED,identifying measurable time points for each part of the journey.




Emergency Department triage times – Casestreated within benchmark (ACEM benchmark)times as a % of all cases:• Triage 1 (within 2 minutes) 100 100 100 100

• Triage 2 (within 10 minutes) 78 80 83 80

• Triage 3 (within 30 minutes) 56 75 58 X 61



Emergency Department triage times - Triage 3

Major factors impacting performanceThere has been a major growth in this triage category in the last 12 months. SSWAHS hospitalsprocessed an additional 8,075 Triage 3 patients within the 30 minute benchmark in 2005/06compared to 2004/05.

Improved data entry into the Emergency Department Information System has reflected a moreaccurate commencement of care time.

Increased use of protocols for nurse commencement of care in EDs has led to improvements on2004/05.

Actions being taken to meet targetNurse training is being undertaken to further improve nurse commencement of care at Concord,Liverpool and Canterbury.

The number of clinical nurse consultants and clinical nurse practitioner positions in EDs isincreasing.

A fast-track system is being implemented in all EDs in the Area.

An eight-bed Emergency Medical Unit will be opened at RPA ED and 23-hour interventionalcardiology beds will also be introduced at RPA.

An after-hours nurse unit manager position will be taken up at Campbelltown ED and mental healthbeds will be opened at Campbelltown.




Access Block: % of Emergency Departmentpatients not admitted to an inpatient bed within8 hrs of commencement of active treatment.

38 24 32 X 25

Access Block

Major factors impacting performancePresentations to EDs increased by 25,717 (10 per cent), with a corresponding growth in admissionsto wards of 5,582 (8 per cent) across SSWAHS in 2005/06 compared to the previous year.

An increase in mental health presentations to EDs requiring admission at Campbelltown andLiverpool has also impacted on this category.

Patient flow clinical redesign programs at RPA and Liverpool have delivered significant change inculture and practice, directing clinician focus towards improving both quality of care and efficiencyof patient flow processes.

The Clinical Redesign Program is a collaborative process of reviewing clinical services andpractices, in the context of changing environments, and redesigning these systems to betterrespond to the needs of the community. Clinical Redesign Programs have a strong focus on thepatient journey and experience and on building organisational capacity through the development ofskills and management of knowledge.

Actions being taken to meet targetThe Area’s hospitals processed an additional 7,472 admitted patients to wards within the AccessBlock benchmark in 2005/06 compared to the previous year.

Transitional care and community-based options will increasingly become available to facilitatedischarge from acute hospital beds.

Clinical Redesign Programs will be used at Bankstown and Concord to review and redesign patientflow, with a focus on increasing effectiveness of discharge planning.

New 64-slice CTs were purchased and are now in operation at Liverpool, RPA, Concord andCampbelltown.

The development of local information technology solutions will help to better manage data onadmitted patients in EDs and transfer of care to acute wards.

Liverpool and Fairfield hospitals and Concord and Canterbury hospitals will combine patient flowservices to facilitate transfer of patients between the two hospitals, ensuring patients receiveappropriate clinical care.

Successful solutions have been identified through RPA and Liverpool Clinical Redesign Programs,which will be implemented at other hospitals.

Surge beds have been used to cope with peaks in bed demand. Psychiatric Emergency CareCentres and other mental health beds are being opened at Campbelltown and 14 additional mentalhealth beds have opened at Liverpool.


Performance IndicatorsTo provide the healthcare people needShorter waiting times for booked non-emergency care


Number of medical and surgical ready for carepatients waiting >12 months, NSW Categories1, 2, 7 & 8, (Commonwealth Category 1)

1,959 0 0

Number of medical and surgical patients waiting> 30 days, NSW Categories 1& 2(Commonwealth Category 3) (Total on waitinglist was 1,866)

1,118 0 452 X

Overall Length of Stay, including same dayadmissions (days) 4.59 4.54 4.14 4.24

Weekend discharges for overnight emergencymedical patients (%) 14 28 15 X 17

Beds and Equivalents 3,706 3,827 3,866

Number of medical and surgical patients ready for care patients

Major factors impacting performance

By working hard to create more theatre time throughout the Area, the number of patients in thiscategory has been reduced by more than 59 per cent.

Actions being taken to meet targetStrategies identified in a Surgical Demand Clinical Redesign Program to create greater efficiencyfor elective surgery will be implemented. These include enhancement of the day only and extendedday only model of care, improving theatre scheduling, proactive management of surgical patientflow and development of an integrated operating plan for surgery.

Area Directors of Surgery will conduct clinical reviews of specific cases, patients will be transferredto surgeons with shorter lists and integrated planning strategies will be developed to manage andcoordinate surgery activity across SSWAHS.

Weekend discharges for overnight emergency medical patients

Major factors impacting performanceMany nursing homes are not able to accept new referrals or residents back from hospital onweekends.

Community/home care from contract providers to support discharged patients cannot be bookedduring weekends.

Actions being taken to meet targetAn area-wide aged care Clinical Redesign Program will improve seamless transfer of care tocommunity providers.


Performance IndicatorsTo provide the healthcare people needFair access to health services


Mental Health - % need met:• Ambulatory 48 53 49 57• Overnight acute 80 83 91 79• Non-Acute 26 36 19 X 46

Mental Health Need Met – Non-Acute

Major factors impacting performance45 non-acute beds for older persons at Rozelle Hospital were transferred to the Holy Spirit NursingHome, Croydon in 2005/06. This reduced the mental health Clinical Care and Prevention basedtarget from 119 non-acute inpatient beds to 94 beds of which SSWAHS has 74 in place.

Actions being taken to meet targetA further 20 beds currently await commissioning at Campbelltown Hospital’s Sub-Acute MentalHealth Inpatient Unit. Once commissioned, those beds will bring SSWAHS up to target.


Performance IndicatorsTo deliver high quality health servicesConsumers satisfied with all aspects of service provided


Proportion (%) of sampled population ratingtheir healthcare as “excellent”, “very good” or“good” for:• Hospital inpatient 92 >92 91 X 92• Emergency Department 75 >75 74 X 81

Proportion of sampled population rating their healthcare as ‘excellent, ‘very good’ or ‘good’

Major factors impacting performanceHospital InpatientsIncreased throughput and changes to facility infrastructure and redevelopment may have impactedperformance in this area.

Emergency DepartmentPerformance in this indicator was close to state average for inpatients and slightly less than thestate average for Emergency Departments.

Actions being taken to meet targetPatient flow Clinical Redesign Programs were completed at RPA and Liverpool hospitals, focusingon improved clinical management of emergency department patients, resulting in improved accessblock.

Patient flow Clinical Redesign Programs are also underway at Bankstown and Concord hospitals.

High Quality Clinical Treatment


The rate (ACHS data) of unplanned:• Readmission within 28 days of separation

(same hospital) (%) 3.06-4.64 <3.06 1.7 3.3

• Readmission to ICU within 72 hours (%) 1.04-2.09 <1.04 1.52 1.55• Return to the operating room during the

same admission (%) 0.95-1.11 <0.95 0.82 0.6

Overnight adult readmissions (mental health) tothe same acute unit within 28 days of previousdischarge (%)

5 <=10 5 11


Performance IndicatorsTo deliver high quality health servicesCare in the right setting


Potentially avoidable hospital admissions (ageadjusted rate per 100,000 population) for:• Vaccine Preventable Conditions (including

measles, pertussis & influenza) 65.4 65.1 49.5 63

• Acute Conditions (including dentalconditions, ENT and kidney infections) 712 <712 692 815

• Chronic Conditions (including angina,diabetes complications and COPD) 1,119 1,007 1,073 1,178

• Aboriginal persons 2,508 <2,508 2,893 X 5,033• Non-Aboriginal persons 1,886 <1,886 1,809 2,030

Potentially avoidable hospital admissions for Aboriginal Persons

Major factors impacting performancePerformance in this indicator was significantly better than the state result. An improved reporting ofAboriginality may have impacted on this indicator.

Actions being taken to meet targetWe will conduct in-service training for Aboriginal Health Workers to identify and record clients.

Collaborative strategies with community controlled AMS partners will continue to collect informationon those clients who were directed for care therefore potentially avoiding hospital admission.

The Aboriginal Chronic Diseases program will be expanded and additional staff will be employed.


Performance IndicatorsTo manage health services wellSound resources and financial management


Net cost of service – General Fund (General)variance against budget (%)* 2005/06 will be the first full year since the new AreaHealth Services were established

NA * 0 -0.01

Total general creditors profile monthly average(days) 45 45 45

Creditors > 45 days at end of year ($000) nil nil nil Major & Minor Works: Variance againstapproved total capital allocation (%) -1.8 0 -4.0

Skilled, motivated staff working in innovative environments

Indicator Number of Staff*Proportion of total staff that are:• Medical 2,510• Nursing 10,546• Allied 1,713• Dental 385Total number of SSWAHS staff 22,813

*As at June 2006

Strong corporate and clinical governance

Indicator Result

Corporate Governance StatementNon-quantitativeRefer to Corporate Governance Statement onpage 15

Clinical Governance StatementNon-quantitativeRefer to Clinical Governance Statement onpage 17

Key

Indicator Result

Action required X

Monitoring required

Target met or exceeded


Selected Activity Levels Selected data for the year ended June 2006 part 1

* Data provided by NSW Health

Hospital name Separations Planned as% of totalseparations

% of samedayseparation

Total beddays

Averagelength ofstay(acute)

Daily average ofinpatients

Balmain Hospital 2,093 0.48% 18.82% 24,624 8.6 67.5BankstownHospital

29,018 40.08% 36.01% 138,672 4.5 379.9

Bowral Hospital 8,629 23.88% 45.36% 23,127 2.6 63.4Braeside Hospital 2,875 0.38% 65.74% 23,392 1.0 64.1Camden Hospital 6,751 69.87% 82.46% 25,315 2.1 69.4CampbelltownHospital

23,898 13.87% 14.32% 99,490 4.2 272.6

CanterburyHospital

16,577 23.39% 27.19% 60,604 3.3 166.0

Concord Hospital 41,233 69.25% 60.83% 149,109 3.3 408.5Fairfield Hospital 16,664 22.81% 26.14% 61,633 3.7 168.9KaritaneMothercraftSociety

578 0.00% 4.15% 2,009 3.5 5.5

LiverpoolHospital

65,038 50.41% 55.65% 240,357 3.6 658.5

Royal PrinceAlfred Hospital

59,753 46.12% 42.81% 251,978 4.2 690.4

Royal PrinceAlfred InstituteRheumatology /Orthopaedics

2,195 85.51% 22.32% 10,012 4.6 27.4

Rozelle Hospital 3,085 0.00% 2.82% 60,391 13.2 165.5Thomas Walker 271 0.00% 0.37% 2,562 7.5 7.0Tresillian CareCentre

2,407 0.00% 1.41% 11,180 4.6 30.6

SSWAHS Total 281,065 42.76% 43.40% 1,184,455 3.9 3,245.1


Selected Activity Levels Selected data for the year ended June 2006 part 2


Hospital name Occupancyrate

Acute beddays

Acuteovernight beddays

Non-admittedpatientservices

EDattendances

Expenses – allprogram ($000)

Balmain Hospital 12,087 11,700 135,989 17,016BankstownHospital

100% 127,403 116,953 394,147 33,823

Bowral Hospital 76% 21,854 17,940 102,248 16,390Braeside Hospital 2 1 20,953Camden Hospital 89% 13,021 7,461 102,995 10,833CampbelltownHospital

96% 98,726 95,323 298,420 39,490

CanterburyHospital

91% 53,470 48,975 190,981 27,027

Community Health– Central SydneyAHS

336,518

Concord Hospital 107% 135,060 110,052 301,490 25,525Department ofForensic Medicine

44,423

Fairfield Hospital 82% 61,562 57,207 274,242 26,345KaritaneMothercraft Society

2,009 1,985 31,756

Liverpool Hospital 100% 231,434 195,243 628,397 51,794Queen Victoria(Thirlmere)

9,839

Royal Prince AlfredHospital

98% 251,626 226,048 663,911 49,960

Royal Prince AlfredInstituteRheumatology /Orthopaedics

57% 10,012 9,522 18,672

Rozelle Hospital 35,534 35,453 11,953Scarba House –Central SydneyUnit

3,073

Scarba House –South West SydneyAHS

4,617

Sydney DentalHospital

188,657

Thomas Walker 1,371 1,371 7,800Tresillian CareCentre

11,180 11,146 58,362

Sydney South WestAHS Expenditure

310,783

SSWAHS Total 96% 1,066,351 946,380 4,142,227 298,203 1,723,000

* See notes on page 33.


Selected Activity LevelsBed and bed equivalents and bed occupancy, June 2006Beds in emergency departments, delivery suites, operating theatres and recovery rooms areexcluded


Hospital nameJune bedcount – allbeds

Generalhospital units

Nursing homeunits

Communityresidential Other units Bed

equivalents

Balmain Hospital 78 78BankstownHospital

407 407

Bowral Hospital 85 85Braeside Hospital 72 72Camden Hospital 83 83CampbelltownHospital

306 306

CanterburyHospital

190 190

CarringtonCentennialNursing Home

94 94

Concord Hospital 417 417Fairfield Hospital 218 218KaritaneMothercraftCentre

16 16

LiverpoolHospital

674 674

Mental HealthGroup Homes -Campbelltown

12 12

Mental HealthGroup Homes -Liverpool

40 40

Queen Victoria(Thirlmere)

100 100


724 724 16

Royal PrinceAlfred Institute ofRheumatology /Orthopaedics

54 54

Rozelle Hospital 219 8 211Thomas WalkerHospital

17 17

Tresillian FamilyCare Centres

39 39

SSWAHS Total 3,846 3,363 194 8 280 53* See notes on page 34.


Selected Activity LevelsBed and bed equivalents and bed occupancy, June 2006Notes:

The numbers of available beds presented reflect the average for June 2005 and are notcomparable with information from previous years as these were based on average available bedsfor a full financial year. Since March 2005, the bed information previously obtained from theDepartment of Health Reporting System (DOHRS) was replaced by a new beds collection, whichprovided more detailed information on bed type and availability. Owing to the limited period that thenew bed collection has been in place, it is not possible to provide an average number of beds forthe year.

Beds in emergency departments, delivery suites, operating theatres and recovery wards areexcluded.

A bed equivalent is the estimated additional bed capacity arising from services provided to reduce apatient’s period of stay in hospital or from initiatives that provide alternatives to an admission tohospital. The number of bed equivalents is not comparable with those in the 2003/04 AnnualReport, as these were derived based on admissions reclassified to non-inpatients. Data on suchactivity are no longer collected.


Health Service LocationsPublic Hospitals

Balmain Hospital29 Booth StreetBalmain NSW 2041Ph: (02) 9395 2111Fax: (02) 9395 2020Email: [email protected]: www.sswhealth.nsw.gov.au

Bankstown HospitalEldridge RoadBankstown NSW 2200Ph: (02) 9722 8000Fax: (02) 9722 8570Email: [email protected]: www.sswhealth.nsw.gov.au

Bowral and District HospitalCorner Mona Road and Bowral StreetBowral NSW 2576Ph: (02) 4861 0200Fax: (02) 4861 4511Email: [email protected] Web: www.sswhealth.nsw.gov.au

Camden HospitalMenangle RoadCamden NSW 2570Ph: (02) 4634 3000Fax: (02) 4654 6240Email: [email protected]: www.sswhealth.nsw.gov.au

Campbelltown HospitalTherry RoadCampbelltown NSW 2560Ph: (02) 4634 3000Fax: (02) 4634 3880Email: [email protected]: www.sswhealth.nsw.gov.au

Canterbury HospitalCanterbury RoadCampsie NSW 2194Ph: (02) 9787 0000Fax: (02) 9787 0031Email: [email protected]: www.sswhealth.nsw.gov.au

Concord Repatriation General HospitalHospital RoadConcord NSW 2139Ph: (02) 9767 5000Fax: (02) 9767 6991Email: [email protected]: www.sswhealth.nsw.gov.au

Fairfield HospitalCorner Polding Street and Prairievale RoadPrairiewood NSW 2176Ph: (02) 9616 8111Fax: (02) 9616 8240Email: [email protected]: www.sswhealth.nsw.gov.au

Liverpool HospitalCorner Elizabeth and Goulburn StreetsLiverpool NSW 2170Ph: (02) 9828 3000Fax: (02) 9828 6318Email: [email protected]: www.sswhealth.nsw.gov.au

Royal Prince Alfred HospitalMissenden RoadCamperdown NSW 2050Ph: (02) 9515 6111Fax: (02) 9515 5001Email: [email protected]: www.sswhealth.nsw.gov.au

Rozelle HospitalCorner Church and Glover StreetsLeichhardt NSW 2040Ph: (02) 9556 9100Fax: (02) 9818 5712Email: [email protected]: www.sswhealth.nsw.gov.au

Sydney Dental Hospital2 Chalmers StreetSurry Hills NSW 2010Ph: (02) 9293 3200Fax: (02) 9293 3488Email: [email protected]: www.sswhealth.nsw.gov.au


Health Service LocationsThird Schedule Facilities

Tresillian Family Care CentresHead OfficeMcKenzie StreetBelmore NSW 2192Ph: (02) 9787 0800Fax: (02) 9787 0880Email: [email protected]: www.tresillian.net

Carrington Centennial Care90 Werombi RoadCamden NSW 2570Ph: (02) 4659 0590Fax: (02) 4655 1984Email: [email protected]: www.sswhealth.nsw.gov.au

Braeside Hospital340 Prairievale RoadPrairiewood NSW 2176Ph: (02) 9616 8600Fax: (02) 9616 8605Email: [email protected]: www.sswhealth.nsw.gov.au

KaritaneCorner The Horsley Drive and Mitchell StreetCarramar NSW 2163Ph: (02) 9794 1800Fax: (02) 9794 1858Email: [email protected]: www.sswhealth.nsw.gov.au

Queen Victoria Memorial Home615 Thirlmere WayPicton NSW 2571Ph: (02) 4683 6900Fax: (02) 4683 6910Email: [email protected]: www.sswhealth.nsw.gov.au

Other Services

Department of Forensic Medicine42-50 Parramatta RoadGlebe NSW 2037Ph: (02) 8584 7800Fax: (02) 9552 1613Email: [email protected]: www.forensic.org.au

Sydney South West Pathology ServicesMissenden RoadCamperdown NSW 2050Ph: (02) 9515 7960Fax: (02) 9515 7058Email: [email protected]: www.sswhealth.nsw.gov.au

Community Facilities - eastern zone

Community Health Services

Camperdown Child,Adolescent and Family Health ServiceLevel 5, King George V BuildingMissenden RoadCamperdown NSW 2050Ph: (02) 9515 9788Fax: (02) 9515 9789

Croydon Health Centre24 Liverpool RoadCroydon NSW 2132Ph: (02) 9378 1100Fax: (02) 9378 1111

Croydon Child, Adolescent and Family HealthServiceCroydon Health Centre24 Liverpool RoadCroydon NSW 2132Ph: (02) 9378 1100

Canterbury Child, Adolescent and FamilyHealth ServiceCanterbury Community Health CentreCorner Thorncraft Parade and CanterburyRoadCampsie NSW 2194Ph: (02) 9787 0600

Canterbury Community Nursing ServiceCanterbury Community Health CentreCanterbury HospitalCanterbury RoadCampsie NSW 2194Ph: (02) 9787 0599

Canterbury Multicultural Youth Health ServiceCanterbury Community Health CentreCorner Thorncraft Parade and Canterbury RoadCampsie NSW 2194Ph: (02) 9787 0600


Health Service LocationsYouthblock Health and Resource Service142 Carillon AvenueCamperdown NSW 2050Ph: (02) 9516 2233

Community HIV/AIDS Allied HealthRedfern Community Health Centre1 Albert StreetRedfern NSW 2016Ph: (02) 9395 0444

Community Nursing ServiceRedfern Community Health Centre1 Albert StreetRedfern NSW 2016Ph: (02) 9395 0444

Mental Health ServiceRedfern Community Health Centre1 Albert StreetRedfern NSW 2016Ph: (02) 9395 0444

Community NutritionLevel 6, King George V BuildingMissenden RoadCamperdown NSW 2050Ph: (02) 9515 9729

Community Paediatric Occupational TherapyServicesCamperdown Child, Adolescent and FamilyHealth ServicesLevel 5, KGVMissenden RoadCamperdown NSW 2050Ph: (02) 9515 9788

Community Paediatric PhysiotherapyServicesCroydon Health Centre24 Liverpool RoadCroydon NSW 2132Ph: (02) 9378 1100

Concord Community Nursing ServiceConcord HospitalHospital RoadConcord NSW 2137Ph: (02) 9767 6199

Croydon Community Nursing Service24 Liverpool RoadCroydon NSW 2132Ph: (02) 9378 1100

Eastern and Central Sexual Assault ServiceL5, King George V BuildingMissenden RoadCamperdown NSW 2050Ph: (02) 9515 9040

Community Nursing ServiceMarrickville Health Centre155-157 Livingstone RoadMarrickville NSW 2204Ph: (02) 9562 0500

Marrickville Child, Adolescent and FamilyHealth ServiceMarrickville Health Centre155-157 Livingstone RoadMarrickville NSW 2204Ph: (02) 9562 0500

Migrant Health TeamRedfern Community Health Centre1 Albert StreetRedfern NSW 2016Ph: (02) 9395 0444

Multicultural HIV/AIDS and Hepatitis CServiceLevel 1, Building 12Corner Grose Street and Missenden RoadCamperdown NSW 2050Ph: (02) 9515 5030

Redfern Community Health Centre1 Albert StreetRedfern NSW 2016Ph: (02) 9395 0444

The Sanctuary6 Mary Street,Newtown NSW 2040Ph: (02) 9519 6142


Health Service LocationsEarly Childhood Health Services

Eastern Sector Centres

Balmain530A Darling StreetRozelle NSW 2039Ph: (02) 9810 1609

CamperdownLevel 5, KGVMissenden RoadCamperdown NSW 2050Ph: (02) 9515 9944

Dulwich Hill12 Seaview StreetDulwich Hill NSW 2203Ph: (02) 9560 2747

Glebe/UltimoCorner Pyrmont Bridge Road and GlebePoint RoadGlebe NSW 2037Ph: (02) 9660 3451

LeichhardtPiazza level, Italian Forum23 Norton StreetLeichhardt NSW 2040Ph: (02) 9560 5604

Marrickville Health Centre155-157 Livingstone RoadMarrickville NSW 2204Ph: (02) 9562 0444

RedfernCorner Elizabeth and Redfern StreetsRedfern NSW 2016Ph: (02) 9698 1613

Western Sector Centres

Ashfield260 Liverpool RoadAshfield NSW 2131Ph: (02) 9716 1853

Concord57A Wellbank StreetConcord NSW 2137Ph: (02) 9743 1654

Croydon24 Liverpool RoadCroydon NSW 2132Ph: (02) 9378 1156

Drummoyne64 College StreetDrummoyne NSW 2047Ph: (02) 9181 2619

Five DockCorner Park Road and First AvenueFive Dock NSW 2046Ph: (02) 9713 6140

HomebushA2 Fraser StreetHomebush NSW 2140Ph: (02) 9746 7763

Summer Hill Community Centre131 Smith StreetSummer Hill NSW 2130Ph: (02) 9716 1853

Canterbury Sector Centres

Belmore Senior Citizens HallRedman ParadeBelmore NSW 2192Ph: (02) 9718 0157

Campsie143 Beamish StreetCampsie NSW 2194Ph: (02) 9718 3177

EarlwoodCorner Homer and William StreetsEarlwood NSW 2206Ph: (02) 9718 4847

Lakemba35 Croydon StreetLakemba NSW 2195Ph: (02) 9759 2034

RoselandsL94, Level 1 Roselands Shopping CentreRoselands NSW 2196Ph: (02) 9750 7452


Health Service LocationsCommunity Facilities -western zone

Fairfield LGA

Prairiewood Community Health CentreFairfield Hospital groundCorner Polding Street and Prairie Vale RoadPrairiewood NSW 2176Ph: (02) 9616 8169

Cabramatta Community Health Centre7 Levuka StreetCabramatta NSW 2166Ph: (02) 8717 4000

Fairfield Community Health Centre53-65 Mitchell StreetCarramar NSW 2163Ph: (02) 9794 1700

Liverpool LGA

Moorebank Community Health Centre29 Stockton AvenueMoorebank NSW 2170Ph: (02) 9602 6419

Hoxton Park Community Health Centre596 Hoxton Park RoadHoxton Park NSW 2171Ph: (02) 9827 2222

Miller Health CentreMission Australia88 Shropshire StreetMiller NSW 2168Ph: (02) 9607 8429

Health Services BuildingCorner Campbell and Goulburn StreetLiverpool NSW 2170Ph: (02) 9828 4844

Bankstown LGA

Bankstown Community Health Centre36-38 Raymond StreetBankstown NSW 2200Ph: (02) 9780 2777

Primary Health NursingLevel 2, 27 Greenfield ParadeBankstown NSW 2200Ph: (02) 9205 4221

Macarthur LGA

Ingleburn Community Health Centre59A Cumberland RoadIngleburn NSW 2565Ph: (02) 9605 8900

Narellan Community Health Centre14 Queen StreetNarellan NSW 2567Ph: (02) 4640 3500

Rosemeadow Community Health Centre5 Thomas Rose DriveRosemeadow NSW 2560Ph: (02) 4633 4100

Wollondilly Community Health Centre5-9 Harper CloseTahmoor NSW 2573Ph: (02) 4683 6000

TraxsideLangdon AvenueCampbelltown NSW 2560Ph: (02) 4625 2525

Wingecarribee LGA

Bowral Community Health CentreBendooley PlaceBowral NSW 2576Ph: (02) 4861 8000


Area Healthcare Service Planning All Area Health Services are required todevelop an Area Healthcare Services Plan(AHSP). SSWAHS has developed a draftAHSP 2006-2016 which identifies the needsand priorities for the delivery of healthservices in the Area to 2016 and morebroadly to 2021. The first draft wassubmitted to NSW Health on 1 Novemberfor comment. The Plan is due for completionin October 2006.

This was the first major service planningexercise conducted for the newly formedSSWAHS. Recognising that service planshad been completed prior to theamalgamation, (The Way Forward 2004-2008, for the former South Western SydneyArea Health Service and the Central SydneyArea Health Service Resource TransitionProgram), it was agreed with NSW Healththat the planning horizon should beextended to 2016, to enable formulation of astrategic view of services which would alsoinform the first Asset plan for SSWAHS.

The SSWAHS AHSP outlines the full rangeof services provided, demographic andsocioeconomic implications, current andfuture priorities for prevention, earlyintervention and service delivery.

The plan recognises the need to develop anetwork of services across the Area tostrengthen service delivery. This isconsidered a high priority, as it enables theArea to provide high quality, cost effectiveand accessible services to the large andgrowing SSWAHS community.

Underpinning the Plan was the developmentof future service models to meet the needsof a projected population to 2016. A total of16 planning groups (involving over 300people) met over a four month period toconsider the implications of the projectedpopulation growth for the Area. Clinician led,these groups included nurses, allied healthand community participants. The modelsdeveloped have provided additional depthby identifying within each specialty andservice group their key service priorities andother issues, such as technologicaldevelopments, which will impact on servicedelivery over the coming decade.

Other major areas for which planningprocesses have commenced in 2006 includeLiverpool Hospital Clinical Services; ObesityPrevention and Management; DisabilityServices; Maternity Services; andCommunity Health Services.

The models of care and activity projectionsin the final AHSP will also be utilised byWorkforce Planning and Development toinform future staffing needs.


Overview of Major FacilitiesBalmain HospitalA/General Manager Ann Kelly

Category of facility and majorservices providedBalmain Hospital and its community basedservices continued to provide an importantaged care and rehabilitation role in SSWAHSeastern zone.

The General Practice Casualty providestreatment for the health needs of residents inthe local area. The Strength TrainingRehabilitation Outreach Needs Geriatric(STRONG) Clinic has treated over 2,000patients between the ages of 30 to 100. Over500 general practitioners refer patients to thecentre. Clients attending the clinic haveexperienced improvements in strength,balance and endurance.

The hospital also provides clinics in diabetes,continence, homoeopathy and acupuncture.These services continue to cater for patientsand clients from culturally and linguisticallydiverse backgrounds.

Summary of activityBalmain Hospital has a total of 78 beds withan 88 per cent occupancy rate. Total beddays numbered 24,624 and there were 1,774admissions. Day only admissions numbered391 and occasions of service 25,636. Therewere 181.2 full time equivalent staff.

Major goals and outcomesDuring October, the Australian Council onHealthcare Standards conducted anorganisational wide EQUIP accreditationsurvey at Balmain Hospital and CamperdownGeneral Geriatric and Rehab MedicineCommunity. Accreditation was achieved withpositive Health Service outcomes.

An Acupuncture Clinic in conjunction with theMasters of Medical Acupuncture commenced inJune and has been very successful in the firstmonth of operation. Attendances and outcomesfor this clinic will continue to be monitored.

Key issues and eventsRefurbishment is taking place in Morts DockWard. The STRONG Clinic will relocate to thisarea and a 14 bed Transition Care Unit will openin August 2006.

Future direction with theArea networkBalmain Hospital and its community basedservices will continue to provide care for elderlypatients and those requiring rehabilitationservices including culturally and linguisticallydiverse patients and clients.


Overview of Major FacilitiesBankstown HospitalGeneral Manager Glenda Cleaver

Category of facility and majorservices providedBankstown Hospital is a principal referralhospital which provides acute services suchas emergency medicine, maternity, generalistand specialist surgery, general and specialistmedicine, day surgery, outpatients andneonatology as well as a range of specialistoutpatient services.

Summary of activityThe hospital treated over 28,000 patients andprovided over 390,000 non-admitted patientoccasions of service during the year. Therewere almost 34,000 attendances at theEmergency Department and 1,893 babiesborn.

Major goals and outcomes• The hospital achieved a four-year

accreditation in the Australian Council onHealthcare Standards organisation-widesurvey in March 2006.

• The Fast Track initiative wasimplemented, shortening waiting times forED patients and initiatives wereintroduced to reduce the number ofpatients waiting more than 12 months forsurgery to zero. This target was achievedin June 2006.

• An additional 12 beds were opened aspart of the State Government’scommitment to improving patient accessto services. Renal Dialysis relocationscreated two additional chairs and TheWay Forward funding allowed anadditional ICU bed and staffingenhancements in the unit.

• An existing building is being refurbishedto accommodate the recently recruitedProfessor of Medicine and his researchteam in a new Research Centre.

• Surgical service enhancements includefunding for additional colorectal surgery andupper gastrointestinal endoscopy sessions.

• Complex gastrointestinal and colorectalsurgical patients from Fairfield Hospitalare being transferred to Bankstown.

Key issues and events• Consultations with staff, carers and

consumers commenced in order torestructure the provision of BankstownMental Health Services.

• The Diabetes Centre held a 20 YearCelebration on 10 February.

• The Child and Family Health Nurse of theYear title was awarded to Bankstownnurse, Brenda Peffer.

• The Arts for Health Program participatedin the Dads for Dads project, establishinga dedicated exhibition space to displayart celebrating the role of fathers. The Artof Ageing, another Arts for HealthProgram involving 150 older people,created writings, drawings andphotographs, which were shown in thehospital’s Arts for Health galleries.

• Bankstown Hospital has won theopportunity to host the 2006 Inter-Hospital Mini-Olympic Games.

Future direction within theArea networkThe Intensive Care Unit networkarrangements with Fairfield Hospital willcontinue to be strengthened and plans toexpand upper gastrointestinal surgery withinthe Hospital will be explored.

Bankstown Hospital will continue to buildservices to meet the health needs of the localpopulation and to implement initiatives arisingfrom The Way Forward – the clinical servicesplan for the former South Western SydneyHealth Network, prior to amalgamation.


Overview of Major FacilitiesBowral and District HospitalGeneral Manager Denis Thomas

Category of facility and majorservices providedBowral and District Hospital continues toprovide a wide range of services, includinggeneral medical, obstetrics and gynaecology,paediatric, surgical, orthopaedics,ophthalmology and emergency services.

Summary of activity• Admissions to the hospital were 0.74 per

cent above target, up 1.88 per cent on theprevious year. Non-admitted patient serviceswere 0.07 per cent above target, 0.20percent above the previous year.

• Long wait lists were reduced to zero, astheatre activity increased to 2,601 cases, upby 4.88 per cent on the previous year.

• 63 per cent of patients were admitted forsame day surgery, 5.33 per cent abovetarget.

• There were 674 babies born, a decrease of3.16 per cent on the previous year.

• Admissions via the Emergency Departmentwere up 1.26 per cent.

Major goals and outcomesThe removal of asbestos across the site hasbeen completed. New pre-admission clinicfacilities have been established, and anumber of fire safety issues addressed.Much attention has been given to preparationfor the EQuIP Accreditation Survey that willtake place in October 2006.

Key issues and events• Following the appointment of a full-time

Staff Specialist in Obstetrics andGynaecology, antenatal (includingmidwife only) and gynaecology clinicshave been established in Bowral andTahmoor.

• Paediatricians, Dr Richard Hart and DrNils Hanson, increased their hours to full-time and 0.7fte staff specialistrespectively, and moved into newconsulting rooms on site. The position ofVMO Geriatrician was created and iscurrently being recruited.

• Dr Peter Noonan was appointed asMedical Director of the EmergencyDepartment.

• Seven overseas nurses (one fromIndonesia and six from India), wererecruited. Two clinical nurse educatorpositions were established, one formedical surgical and one for critical care.An Admissions Nurse and GP LiaisonNurse have been established on thegeneral medical-surgical ward.

• The General Manager and Director ofClinical and Support Services positionswere filled with permanent appointments(Mr Denis Thomas and Mr David Ryanrespectively). The annual Health Awardsevent was again well attended, with theCentenary Scholarship being awarded toMs Karyn Thomas, to assist in her pursuitof a Bachelor of Nursing degree.

Future direction within theArea networkPlans have been developed for therefurbishment of the Children’s Ward andrelocation of the Short Stay Unit. Work iscurrently being finalised on the establishmentof a new Renal Dialysis Service.

Community participation remains a highpriority, with eight community membersproviding valuable input into key committeessuch as the Clinical Advisory and SectorExecutive Committees.

Both the Australian Council of Health CareStandards EQUiP accreditation survey andthe Numerical Profile audit will be conductedduring October 2006.

The Falls Prevention working party activityis continuing. A comprehensive falls riskassessment sheet is being developed toreplace the current version and furtherstrategies are currently being fine-tuned.


Overview of Major FacilitiesCamden and Campbelltown Hospitals andQueen Victoria Memorial HomeGeneral Manager Amanda Larkin

Category of hospital and majorservices providedCampbelltown Hospital, a major metropolitanhospital with 306 beds, and Camden Hospital,a district hospital with 83 beds, operate undera common executive management structureand have networked services.

Camden and Campbelltown hospitals providea diverse range of services including intensivecare, cardiology, maternity, gynaecology,paediatrics, palliative care, respiratory andstroke medicine, surgery and emergencymedicine and broad aged care services.

Camden and Campbelltown hospitals alsoadminister the Queen Victoria MemorialNursing Home which is licensed for 100 beds.

Summary of business activityIn the past year, 39,490 people presented tothe Campbelltown ED with 10,978 admissionsand 10,833 people presented to Camden ED.The occupancy rate was 96 per cent atCampbelltown and 89 per cent at Camden.Non-admitted patient services extended to298,420 people in Campbelltown and 102,995in Camden. There were 2,418 babies born.Total theatre procedures were 4,845 atCampbelltown and 4,395 at Camden

Activity at Camden and Campbelltownhospitals continued to grow with a 2.09 percent increase in admissions and 13 per centincrease in emergency presentations.

Major goals and outcomes2005/06 saw significant developments with thecompletion of the Macarthur Strategy; theopening of the stroke ward, cardiology and alliedhealth and paediatric outpatient areas. Othercapital works included the redevelopment of therenal unit to accommodate four additional chairs,a restructure of the ED reception area andcompletion of the Mental Health Sub-Acute Unit.

Another achievement was the attainment of MAratings in all mandatory criteria for the ACHSPeriodic Survey. Further, a second linearaccelerator and planning CT were installed inthe Macarthur Cancer Therapy Centre.

The hospitals continued to work closely withthe Macarthur Community Council and therewas community representation on all hospitalLevel 1 Committees.

There were 27 new beds opened atCampbelltown Hospital, enhancing the hospital’sability to manage an increasing workload. Animportant achievement was the commencementof the Camden Midwifery Group Practice inMarch, which provides women in the Camdenarea with continuity of midwifery care throughouttheir pregnancy, birth and post-natal period. Theservice is booking between 25-30 patients permonth. Additionally, the medical ward atCamden Hospital was transferred to the AgedCare and Rehabilitation Service and formallyestablished as the Medical Transit Unit. TheUnit assists patients with their transfer home orto other residential services and also providessome rehabilitation.

Key issues and eventsAdditional ED specialists commenced workingbetween Liverpool and Campbelltownhospitals, providing essential specialist coverin the fast-growing Campbelltown ED. Animportant development has been the planningfor the University of Western Sydney (UWS)Medical School due to commence in March2007. Significant work has been undertakenwith the engagement of clinical staff as tutorsand teachers and preparation of plans for aClinical School on the Campbelltown Hospitalsite. Professor Brad Frankum has beennamed the Inaugural Clinical Dean of theSchool and Professor of Clinical Education.

Future direction within theArea networkThe further development of the UWS MedicalSchool and appointment of seniorprofessorial staff will be a major focus overthe next twelve months.

Other important future initiatives include theimplementation of the CampbelltownMidwifery Group Practice, opening of theSub-Acute Mental Health Facility, and furtherappointments of staff specialists. This will bean exciting time for Campbelltown Hospital asit moves towards teaching facility status.


Overview of Major FacilitiesCanterbury HospitalGeneral Manager Gary Miller

Category of facility and majorservices providedCanterbury Hospital is a major metropolitangeneral hospital. It serves a diversepopulation of more than 135,000 people withmore than 57 per cent born overseas.

Services provided by the hospital includegeneral surgery and medicine, obstetrics andgynaecology, paediatrics, aged care,rehabilitation and palliative care.

Summary of activityCanterbury Hospital has a total of 190 bedswith a 91 per cent occupancy rate. Total beddays numbered 60,604 with a daily averageof 166 inpatients. There were 27,027 EDattendances and 190,981 non-admittedpatient occasions of service.

Major goals and outcomesThe hospital continued to implementstrategies to further reduce blockages inthe patient’s journey through theEmergency Department, patient wards andon to discharge with the opening of afurther eight beds in July. This has resultedin a 20 per cent reduction in the number ofpatients waiting more than eight hours for award bed for the second year running.

Services in the ED were enhanced with thecommencement of a Nurse Practitioner toassess and treat patients presenting withless complex problems.

The hospital continued to reduce thewaiting times for elective surgery with nopatients waiting more than 12 months fortheir operation.

Key issues and events

• Maternity Unit was filmed in thehospital’s maternity unit where 80 percent of the mothers-to-be are bornoutside Australia. The film showed howhospital staff cater to the culturaldiversity of the community and willscreen on SBS Television.

• The Annual Foundation Ball was heldin October at the Canterbury HurlstonePark RSL, raising $50,000 for operatingtheatre equipment.

Future direction within theArea networkThe hospital will continue to build on theinitiatives arising from the sustainableaccess program by improving treatmenttimes for patients in the EmergencyDepartment.


Overview of Major FacilitiesCommunity HealthGeneral Manager Associate Professor Peter Sainsbury

Category of facility and majorservices providedCommunity Health provides a range ofcommunity-based prevention, earlyintervention, assessment, treatment, healthmaintenance, and continuing care servicesto improve or maintain the health and well-being of individuals and communities. Theseservices are provided from 144 communityhealth centres throughout SSWAHS, and inschools, homes and workplaces.

Primary/Community Health Nurses provideacute nursing care and chronic diseasemanagement to people in the local community.

Following the birth of a child, a home visit bya nurse who provides parenting support andan introduction to available health services isoffered to the family. 19,273 families wereoffered this service and 16,886 received ahome visit.

Summary of activityThere are 795 full time equivalent staffemployed in Community Health providing arange of services across SSWAHS. During05/06 Community Health provided 649,091individual occasions of service and 11,208group occasions of service.

Major goals and outcomesNew nursing clinics providing woundmanagement, continence services andpostoperative care have been established atCroydon and Campbelltown Health Centres.Primary/Community Nurses in Macarthur areparticipating in a statewide project to achieveimproved wound management outcomes.

Community Health HIV services completed aproject with older clients identifying theirfuture health service needs and theimportance of health promotion activities toreduce their risk of heart disease.

Key issues and events• Community Health was established as an

area-wide facility in SSWAHS in Marchand an interim organisational structurehas been established.

• Extensive consultation is presently beingundertaken to develop the finalorganisational structure and the strategicplan for 2007 to 2012.

Formal reviews have begun the creation ofarea-wide services for Sexual Health,Sexual Assault, Child Protection, Women’sHealth, Multicultural Health and YouthHealth.

• The construction of Marrickville HealthCentre was completed and plans forcommissioning developed. An audit of allCommunity Health owned buildings wasundertaken to assess safety, access,storage, working conditions and buildingworks required.

Future direction within theArea networkA permanent Community Healthorganisational structure will be established inthe coming year. Physical facilities willcontinue to be upgraded as therecommendations from the CommunityHealth building audit are implemented.

The Community Health strategic plan will becompleted and implementation begun.

Community Health planning will focus ondelivering services which:

• Respond to community need• Are evidence based (or evaluated)• Are delivered in accordance with

current best practice• Demonstrate that clients are better off• Deliver value for money• Are delivered equitably across

SSWAHS


Overview of Major FacilitiesConcord Repatriation General HospitalGeneral Manager Danny O’Connor

Category of facility and majorservices providedConcord Repatriation General Hospital(CRGH) is a principal referral facility and ateaching hospital of the University of Sydney.It offers a comprehensive range of specialtyand sub-specialty inpatient and outpatientservices.

CRGH leads NSW response in Adult BurnsTrauma and the unit is acknowledgedinternationally. Research at CRGH has aprimary theme of ageing, with excellence inmen’s health, bone disease and geneticaspects of neuro-degenerative disorders. Animportant feature of the research at CRGH isthe multidisciplinary nature of many of thestudies.

Summary of activityCRGH has 417 beds with total bed daysnumbering 149,109 and an average length ofstay of 3.3 days. During the year there were41,233 separations, 25,525 ED attendances,10,044 theatre operations and 301,490 non-admitted patient occasions of service.

Major research focuses at CRGH includeageing (with a focus on cardiovasculardisease, respiratory disease and the ageingliver), men’s health, bone biology, burnstreatment, cancer pharmacology, liverdiseases and neurodegenerative disorders.

Research is multi-disciplinary and ranges fromdirect patient care to laboratory-based molecularand genetic determinants of disease. Researchactivity in 2005/06 has increased by 20 per centover the previous year.

Major goals and outcomesThe number of patients waiting over 12months for surgery was decreased from 179 inJune 2005 to zero in June 2006. No surgicalcases were cancelled during this period due tothe non-availability of a ward bed.

The Burns Operating Theatres werecommissioned in December. Thequarantining of these theatres reduces thelikelihood of infection amongst burns patients.

The international profile of the Burns Unitcontinues to increase, with Concord cliniciansinvited to provide assistance and education inVietnam and South Africa.

Key issues and events• The Aged Care and Rehabilitation

Precinct opened in December. Thisprecinct is a consolidation of research,inpatient and ambulatory care facilities toenhance the continuum of care for elderlypatients.

• The new Cancer PharmacologyResearch Laboratories opened in March.Their focus is on research to developmore predictable and effective cancertreatments while increasing quality of lifefor cancer patients.

• Newly improved mutation scanningtechnology, called High Resolution MeltAnalysis, was introduced for theidentification of gene mutations whichcause nerve degeneration. Thistechnology, located in the NorthcottNeuroscience lab, is the first of its kind tobe used in a research laboratory.

• An additional ICU bed and two HDU bedswere opened.

Future direction within theArea networkConstruction of the $6.9 million AsbestosDiseases Research Centre was announced inMarch 2006. This important new resource willgreatly enhance the quality and coordinationof care for asbestos-related diseases andprovide world-class facilities for research.

A five-year Operating Theatres Capital WorksProject to maximise utilisation and improve patientflow was announced. Stage One will commencein December 2006 with the construction of twonew digital operating theatres.


Overview of Major FacilitiesDepartment of Forensic MedicineGeneral Manager Mark Patterson

Category of facility and majorservices providedThe Department of Forensic Medicine(DOFM) offers a high quality service basedon consumer needs. It provides forensicmedicine services to the NSW State Coronerand Statewide support for forensic medicinepractitioners in all areas of autopsy-basedand clinical forensic medicine.

DOFM aims to provide a prompt and efficientresponse to all who may require assistanceand is the premier forensic medicineeducational body for undergraduate andpostgraduate students in NSW. Its expertiseincludes disaster investigations, in particular,Disaster Victim Identification. DOFMexpertise also includes aviation medicine,bereavement counselling, medicalinvestigation of crime scenes, pre-trial andtrial advice, provision of second opinions andpresentation at medico-legal seminars.

Summary of activityWith a full-time staff equivalent of 44, DOFM hadtotal admissions (bodies received) of 2034. 1514post mortem examinations were carried out, 88of which were high risk autopsies.

Major goals and outcomesDOFM underwent National Association ofTesting Authority Accreditation assessment inOctober 2005 (ISO 15189). The result was afull three year accreditation.

Despite a well-documented worldwideshortage of qualified, experienced ForensicPathologists, DOFM successfully recruitedtwo overseas trained Forensic Pathologistsunder the NSW DoH Area of Need Program.

Dr Paul Morrow, from Vermont, USAcommenced in August and Dr Matthew Orde,from Brighton UK commenced in October.Consequently, outstanding post mortemreport numbers dropped substantially in thesecond half of the reporting period.

The NSW Bone Bank began accessing bonedonations through DOFM following appropriateapprovals from all necessary parties. Strictadherence to the provisions of the Human

Tissue Act is maintained, with next-of-kinconsent essential for any retrieval to take place.

Key issues and eventsDOFM staff continued to provide expertassistance to outside organisations. DOFM staffwere seconded to the Australian Federal Policeto undertake DVI procedures in Indonesia,including Bali, Jakarta and Irian Jaya.

DOFM representatives continue to serve onthe Forensic Pathology Services Committeeof the NSW Department of Health.

DOFM’s body donation program has beensuspended due to lack of interest fromresearchers to access donated bodies formedical or scientific purposes.

Future direction within theArea networkDepartment of Forensic Medicine staff willcontinue to provide high-level advice to the NSWDepartment of Health on the optimum structuresand arrangements for forensic pathologyservices to support the NSW coronial system.DOFM will develop recommendations and plansfor the realignment or redevelopment of currentservices and will consider and advise on:• Numbers and types of coronial

autopsies/investigations, referral patternsacross the state, demand managementand workload issues

• Resource, capital, infrastructure andfunding issues

• Short and longer term strategies toaddress critical workforce shortages andto address the appointment, training,accreditation and remuneration ofspecialist and non-specialist staff

• Needs and expectations of the coronialjustice system including quality of serviceand standard turnaround times

• Needs and expectations of thecommunity, eg turnaround times untilrelease for burial, cultural and spiritualconsiderations

• Availability of relevant clinical guidelines,standards and policies and developmentof standardised protocols, as appropriate.


Overview of Major FacilitiesFairfield HospitalGeneral Manager Mark Shepherd

Category of facility and majorservices providedFairfield Hospital is a 218-bed majormetropolitan acute general hospital offering awide range of services in medicine, surgery,obstetrics, paediatrics and emergencymedicine and a range of community basedservices. The Whitlam Joint ReplacementCentre is located at Fairfield Hospital andprovides elective orthopaedic services for theLiverpool-Fairfield and Macarthurcommunities.

Summary of activityThere were approximately 26,000presentations in the Emergency Department,an increase of 1 per cent from the previousyear. Waiting times for patients in thedepartment were significantly reduced as aresult of the introduction of several strategies.

Total bed days numbered 61,633 and theoccupancy rate was 82 per cent.

There has been a 10 per cent increase in thenumber of births from last year.

Major goals and outcomesEchocardiography commenced afterpurchase of the machine, resulting inenhanced diagnostics and improvedmanagement for patients with heart disease.The introduction of mobile cardiac monitoringwithin the Medical Ward has resulted inearlier detection and improved treatment forpatients with cardiac disease.

The introduction of improved pre-operativesurgical assessments has resulted inenhanced management of surgical patientswith pre-existing medical conditions, reducingthe risks associated with undergoinganaesthesia. As a consequence of a 14 percent increase in the number of surgicalcases, there were no patients waiting longerthan 12 months for surgery at the end of thelast financial year.

A newly purchased ultrasound machine andincreased staffing now allows pregnantclients to have their routine ultrasound donein-house.

In recognition for the substantial workundertaken and the contribution to medicalteaching in joint replacement surgery, theUniversity of New South Wales has invitedFairfield Hospital to become one of itsaffiliated teaching hospitals. Jointreplacement surgery increased by 27 percent in the last financial year.

Key issues and eventsFairfield Hospital’s commitment to quality andits endeavour to achieve excellence has beenrecognised by the Australian Council forHealthcare Standards (ACHS) by theawarding of a four-year accreditationfollowing an organisation wide survey.

The following Fairfield Hospital projects wonquality award competitions: Restrictive BloodTransfusion project won both the Baxter andthe ACHS Quality Award; the Nursing HomeEducation Project and Recruitment ofPhysiotherapists both won the ViewersChoice category in the Baxter Awards.

Future direction within theArea networkMajor priorities for Fairfield Hospital over thenext 12 months are: the ongoing networkingand enhancement of orthopaedic and cardiacservices; introducing further efficiencies in theOperating Theatre to enhance surgicalservices and increase surgical throughput;and establishing models of care for strokemanagement and cardiology services.


Overview of Major FacilitiesKaritaneChairman Board of Directors Professor Bryanne BarnettExecutive Manager Mr Robert Mills

Category of facility and majorservices providedKaritane, an affiliated health organisationstaffed by child and family health professionalsis a Third Schedule hospital under the HealthServices Act. It operates from four sites: theCarramar Administration Centre, whichincorporates Education and Research, theResidential Unit and the Volunteer Program;Jade House at Fairfield Heights, which housesthe perinatal mood and anxiety disorders unit;and two Family Care Centres at Liverpool andRandwick.

Karitane’s philosophy is to empower familiesby enhancing parenting knowledge, skills andconfidence both antenatally and with childrenup to five years of age, allowing clients tomake a successful adjustment to parenthood.There is a strong focus on research activities.

Summary of activity836 families received support through ourFamily Care Centres and 495 families wereadmitted to the Residential Family Care Unit.The 24-hour Karitane Careline received19,683 calls. Karitane Volunteer Programshad 101 volunteers supporting 779 familieswith home visiting, playgroups and maternityhospital visits throughout the year. JadeHouse recorded 3876 client contacts and 156new referrals.

Major goals and outcomesThe Karitane Residential Family Care UnitOutcomes Research Study has demonstratedimproved child and maternal mental healthoutcomes for families attending the service.The results of this study have been presentedat both national and international conferences.

Karitane has consulted and collaborated onmany projects throughout 2005/06 includingthe Juvenile Justice Mother and Children’sProject. Karitane has been actively involved inthe development of the NSW Health Child andFamily Health Nursing Practice StandardsFramework and is represented on the NSWHealth Children and Young People’s HealthPriority Taskforce.

Key issues and events• Karitane held its biannual conference in April

with the theme STEPS – Little steps, Bigprogress focusing on the crucial early years ofa child’s life.

• Karitane Liverpool Family Care Centrewon the Consumer Involvement categoryof the 2005 AHA Baxter HealthcareNational Innovation Awards for theWomen as Mothers program.

• A number of innovative programs toprovide outreach education services wereimplemented including the KaritaneEvening Parenting Education seminarsand the Karitane Rural ProfessionalEducation Service. Demand across NSWhas been high for the specialised trainingworkshops provided for professionalssupporting families with toddlers andpreschoolers with behaviour difficulties.

Future direction within theArea networkKaritane’s capital redevelopment planningprogram has been completed and building workswill commence in October 2006. The total costof the program is approximately $4,500,000 andwill mainly be funded from Karitane’s trust funds.NSW Health has also provided a $1,000,000grant towards the redevelopment.

New capital works on the Carramar site willinclude an expanded education and researchfacility with a conference venue and anoutreach service.

Jade House will be re-located from FairfieldHeights to Carramar in a purpose-built mentalhealth facility consisting of a day-stay unit forwomen with perinatal mood disorders andpostnatal depression. The building program isdue for completion in early 2007.

Karitane’s collaborative activities with otherorganisations will continue, includingimplementing specific services to support thecultural diversity of our clients.

Filming has begun on a documentary series tobe broadcast on SBS. This will further promoteour education messages to a wider audience.


Overview of Major FacilitiesLiverpool HospitalGeneral Manager Dr Teresa Anderson

Category of facility and majorservices providedLiverpool Hospital is the tertiary referralhospital for southwestern Sydney and isnetworked with other hospitals in the westernzone of SSWAHS. The hospital provides acomprehensive range of high level clinicalservices including medical, surgical,emergency medicine, intensive care,oncology, mental health, women’s health andnewborn care. It is a major trauma centre forNSW. There is a strong commitment toteaching and research across a wide range ofdisciplines within the hospital.

Summary of activityHospital admissions increased by 12 per centto 64,927. There were 15,920 operationsperformed and 3,042 babies born. Thenumber of privately referred non-inpatientadmitted occasions of service increased by4.2 per cent to 135,149 and there were628,397 non-admitted patient services. Thenumber of presentations to the EmergencyDepartment (ED) increased by 9.4 per cent to51,794 attendances. This was accompaniedby an increase of 15.9 per cent in the numberof admissions to the hospital from the ED.

Major goals and outcomesLiverpool Hospital participated in anorganisation-wide survey as part of theAustralian Council on Healthcare Standards(ACHS) EQuIP Accreditation process inFebruary 2006. The excellent work being doneacross the hospital was recognised with theACHS awarding a four year Accreditation.

Clinical services were significantly enhancedwith the commissioning of a new PET-CTscanner and an additional ultrasoundmachine. The opening of the RespiratoryFunction Laboratory was an importantadvance in the provision of specialist servicesfor patients with respiratory disease. Tomaximise access to clinical services therehas been a strong focus on patient flowacross the continuum of care, with thehospital participating in the NSW HealthClinical Redesign Project for Patient Flow.The Demand Management Unit wasestablished to work with staff to managepatient discharge and hospital admissions.An Extended Day Only Unit was opened in

March and is designed to improve patientflow with elective short stay surgical patientsmonitored in the Unit prior to discharge.

Key issues and eventsSurgical waiting lists have undergone significantreview during the year. This, along with moreeffective management of theatre lists, has resultedin the number of patients waiting more than twelvemonths for surgery being reduced to zero. Therehas also been a significant decrease in thenumber of patients on surgical waiting lists.

The $9.2 million ED refurbishment wascompleted, more than doubling the unit’s size.Patients moved into the new $32.5 millionMental Health Centre early in 2006. The 50bed unit provides significantly improvedmental health facilities. The hospital alsoparticipated in the NSW Health clinicalredesign project for emergency mental health.

Patient safety and quality of clinical care wasstrengthened with the appointment of the Directorof Clinical Governance. The Clinical ExcellenceCommission conducted an independent review ofthe incident management system in 2005. Thehospital was commended by the Commission forits comprehensive incident management systemwhich is supported by senior managers andclinicians and led by the general manager.

Future direction within theArea networkThe Stage 2 Redevelopment of LiverpoolHospital will be a major focus over the nextfive to ten years. Development of the ProjectDefinition Plan for submission to NSW Healthcommenced and it is expected that buildingwork will start in 2006/07. Ongoingdevelopment of the hospital is critical for it tocontinue to meet the health needs of therapidly growing community.

Implementation of the Clinical Services PlanSouth Western Sydney Health Network - TheWay Forward 2004-2008 will continue. Toimprove access to health care for ourcommunity there will be further developmentof area-wide services. There will also be afocus on strengthened networking betweenhospitals across southwest Sydney toenhance Liverpool Hospital’s capacity toperform its tertiary level role.


Overview of Major FacilitiesRoyal Prince Alfred HospitalExecutive Director Di Gill

Category of facility and majorservices providedRoyal Prince Alfred Hospital (RPA) is a principleprovider of specialist healthcare and one of theleading medical teaching hospitals in Australia.

The wide range of services provided include theNational Liver Transplant Unit, renal dialysis andtransplant services, emergency, trauma andintensive care services, medical imaging,cardiology and cardiothoracic surgery, Women’sand Children’s Health, the Institute ofRheumatology and Orthopaedics, respiratorymedicine and cancer services including theMelanoma Unit, Breast Cancer Institute and theSydney Cancer Centre.

Summary of activityRPA has a total of 724 beds with a 98 per centoccupancy rate. Total bed days numbered251,978 with a daily average of 690.4 inpatients. RPA had 49,960 ED attendances,15,691 ED admissions and 12,179 patientswere admitted to a ward from the ED.

Major goals and outcomesRPA placed significant emphasis onprocesses and systems to improve patientflow throughout the hospital. Strategiesfocused on eight main areas, including theEmergency Department (ED) bedmanagement, admissions guidelines, EDroles and staffing, ED communication andtechnologies, pathology, demandmanagement, discharge planning and KeyPerformance Indicator (KPI) reporting.

These initiatives led to significantimprovements across the majority of KPIs, ina period with an 8.6 per cent increase in thenumber of patients presenting to the ED.

New surgical transplantation techniques havebeen used by Transplant Services. The firstapplication of insitu Split Liver Transplantationtechniques in Australia has resulted in morepatients surviving with excellent clinicaloutcomes. There has also been a reduction inwaiting times for paediatric liver transplantrecipients despite falling deceased organdonor rates. The introduction of laparoscopictechniques for living kidney donor surgery hasbeen used to minimise the physical burden of

donation. It is expected that this will result in a50 per cent increase in the number of livingkidney transplant procedures in 2006/07.

RPA successfully reached NSW Health targetof zero long wait patients by the end of June2006. This was due to regular reviews of thewaiting list data, continued focus on ENT longwaits, fortnightly reviews of any overduecases by the operating theatre NUM andChair of the Operating Theatre ManagementCommittee, management of operating theatreallocations, and use of the 23-hour and day-only beds to maximise surgical throughput.

The capital works development program hascontinued with Stage 2a construction ofLaboratory Services and Pharmacy commencingin mid November 2005. Stage 2a is planned to becompleted in early 2007.

Key issues and eventsContinual improvement of policy developmentprocesses has been a key issue with anumber of initiatives implemented to improveorganisational compliance. These includeprocess mapping, an audit program ofimportant policies and development of asystem to improve distribution and evaluation.

RPA achieved its four year accreditationstatus following an organisational wide ACHSsurvey conducted in October 2005. Only oneSA rating was given across all criteria withthe rating of one criterion being increased toan EA. The surveyors reported that “RPAclearly demonstrated during the course of thesurvey that evaluation of care and serviceoutcomes is positively and constructivelyundertaken, and that a range ofimprovements in all areas are evident.”

Future direction within theArea networkHaving completed the EQuIP survey in 2005,the hospital is preparing for the PeriodicReview in 2007, aiming to achieve ongoingaccreditation. Plans are currently awaitingfinalisation of EQuIP version 4.

Preparations have commenced for the 125year anniversary of RPA, with a number ofexciting events planned for the celebrationsin September 2007.


Overview of Major FacilitiesRozelle HospitalA/General Manager Clair Edwards

Category of facility and majorservices providedRozelle Hospital is the largest of the mentalhealth inpatient services in SSWAHS.Services on campus include adult acuteunits, an intensive psychiatric care unit, olderpersons’ mental health, inpatient drug health,and rehabilitation and recovery services. Thesite accommodates a number of non-government organisations, special projectsand the mental health administration for theeastern zone.

Summary of activityRozelle Hospital has a total of 219 beds.Total bed days numbered 60,391 with a dailyaverage of 165.5 inpatients.

Major goals and outcomesIn recognition of the aging infrastructure ofbuildings used by the inpatient services,intensive focus on risk management hasseen significant work undertaken to completefire compartmentation and separation inpatient areas. Work continues to maintainheritage buildings, the Chinese Gardens andfountains on the grounds with assistancefrom NSW Health and the Department ofPlanning.

Key issues and eventsA 12 bed acute unit was commissioned toassist the reduction of access block inemergency departments in the western zone.The Intensive Psychiatric Care Unit increasedcapacity from ten to twelve beds andunderwent minor renovations to improvefacilities for patients.

Two $10,000 scholarships were awarded tosenior clinical and research nursing staff toimprove models of care in mental healthservice provision.

With continuing focus on quality and riskmanagement, Area Mental Health Servicescontinue to promote the access of onlinepolicy and procedure through theIntranet.

Future direction within theArea networkCompletion of the 174 bed Mental HealthPrecinct at Concord Hospital is planned forMarch 2008. This will see the transfer ofinpatient services from Rozelle Hospital tothe new purpose-built facility in mid 2008,improving the environment in which staffprovide quality mental health care to peoplewithin SSWAHS. The Area Mental HealthService has developed a transitionmanagement plan to assist the move to thenew precinct.


Overview of Major FacilitiesSydney Dental HospitalGeneral Manager Graeme AngusArea Clinical Director Associate Professor Sameer Bhole

Category of facility and majorservices providedThe Sydney Dental Hospital (SDH) provides ageneral dental service to eligible patients withinSSWAHS and temporarily, to eligible patentsresiding in the northern sector of SESAHS. Asone of two dental teaching hospitals in NSW,SDH also provides specialist treatment topeople referred Statewide. Specialist servicesprovided include paediatrics, orthodontics,periodontiocs, oral surgery, prosthodontic,endodontics and implantology.

Through its Special Care Dental Unit, SDHprovides services to people who have healthconditions associated with poor oral health orreduced access to dental services. Thesepatients include those with chronic mentalhealth conditions, drug dependencies, seriousmedical conditions and the frail elderly. Thespecial care unit conducts a weekly outreachservice to nursing homes and holds severalseminars each year instructing carers in oralhygiene methods.

Summary of activityThe SDH provided 41,364 occasions ofspecialist service.

Major goals and outcomesSDH and Oral Health Services havecommenced operating as an integratedclinical stream. The new organisationalstructure has separated the community oralhealth clinics into three clusters andmaintains the SDH as a tertiary and teachingfacility dealing with referred specialisttreatment for residents of NSW.

Oral Health Services is one of the firstorganisations to trial self-assessment for the draftEQuIP version 4. An agreement is in place withthe Australian Council of Healthcare Standardsfor Oral Health Services to complete a full self-assessment under version 4, and then besurveyed under the new version in early 2007.

A review of sterilising services within the hospitaland community clinics was conducted and a riskminimisation strategy implemented.

Key issues and events• The Oral Health Patient Information

System (ISOH) was successfully merged,joining EZ and WZ databases. This willenable greater access for patients to theservices across the Area.

• Recruitment of dental officers continuesto be a major issue for SSWAHS. TheNSW Centre for Oral Health Strategyundertook an overseas recruitmentcampaign that has led to overseasdentists applying for positions with SDHand our community oral health clinics.

• Oral Health Services obtained funding of$480,000 from the Department of Health, forpurchase of 22 digital x-ray machines for usein the SDH community oral health clinic and theOral Surgery department. In addition, threedental chairs were purchased with funds fromthis grant to replace existing chairs at theConcord clinic.

• Head of Peridontics, Dr Barbara Taylor,published results of a study showing asignificant reduction in risk factors forcardiovascular disease after treatment forsevere gum disease. This study, acollaboration between Dr Taylor, Dr GeoffTofler from Royal North Shore Hospital andNorwegian researchers, has generated ahigh level of interest both locally andoverseas.

Future direction within theArea networkThe SDH will continue to develop its servicesas a major centre for statewide specialistreferrals.

Relationships with the universities andtraining organisations currently offering dentaldegrees in NSW will continue to beexpanded, strengthening the hospital’sleadership role in graduate and post-graduatetraining. A culture of research and innovationin all dental specialties will continue to benurtured.


Overview of Major FacilitiesTresilian Family Care CentresGeneral Manager David HannafordPresident of Council Bob Elmsie OAM

Category of facility andmajor services providedTheTresillian Family Care Centre atBelmore is a Third Schedule Hospitalunder the Health Services Act and isone of four Tresillian centres offering arange of services aimed at supportingfamilies with the challenges of earlyparenting. Our professional teamprovides parents with advice andreassurance during what can often be avery difficult time.

A large number of people utilisingTresillian’s services are first time parents.Their queries are often related tobreastfeeding, baby’s sleep and settlingpatterns, coping with twins or dealing witha difficult toddler. Many of the mothersalso have complex mental health issuesincluding post natal depression.

The Tresillian Parents Help Line operates24 hours, seven days a week and for ruralcallers the call is free.

Summary of activityTresillian’s three residential units atCanterbury, Willoughby and Nepeanassisted 4,719 mothers and babies afterreferral from their local health professional.

The three Day Stay units atWollstonecraft, Canterbury and Nepeanhelped 5,144 mothers and babies.

Outreach teams at Wollstonecraft andCanterbury visited 3,375 families in theirown homes. The Parents Help Lineprovided advice to 52,585 parents.

Major goals and outcomes• Dr Cathrine Fowler was appointed to the

position of Tresillian Chair in Child and FamilyHealth at the University of Technology,Sydney (UTS) Centre for Midwifery and FamilyHealth – a joint appointment between UTSand Tresillian Family Care Centres. TresilianCouncil has funded the Chair for five years.

• This appointment follows the launch of theGraduate Certificate in Child and FamilyHealth Nursing in partnership with UTS,which has brought the longstandingTresillian Nursing Education Program into auniversity setting. The first cohort ofstudents began at UTS early in March,2006.

Key issues and eventsIn February, ninemsn funded a six monthground-breaking pilot program providingonline advice for new mums. Thepartnership, Messenger Mums is the firstof its kind in Australia. New mums cannow contact a professionally trainedTresillian Child and Family Health Nursefor advice, 20 hours a week via ninemsn’sleading instant messaging service, MSNMessenger.

The service has proven enormously popularwith new parents, particularly those living inregional areas and younger mums.

Future direction within theArea networkThe Tresillian Council and the Board ofKaritane are continuing to build on theirrelationship as both services are nowlocated within SSWAHS. Discussions willbe centred on the possibility of sharingresources in research, education, qualityimprovement and Parents Help Line.


Allied Health ServicesClinical Director Dr Katherine Moore

Summary of activity, includingrange of services providedAllied Health professionals work in partnershipwith clients and their families to optimisephysical and psychosocial function and develophealthy life skills. Allied Health includes theprofessions of physiotherapy, podiatry,psychology, speech pathology, social work,orthoptics, nutrition and dietetics, occupationaltherapy and orthotics, as well as LibraryServices and Health Care Interpreter Services.

These services improve quality-of-life for clientsfollowing chronic or acute episodes of illness.The Health Care Interpreter Services play avital role to ensure non-English speakers arenot disadvantaged. Clinician access tocomprehensive library services contributes tothe provision of evidencebased contemporaryhealth care.

Major goals and outcomesA nutrition service was provided to the HIV clinicat Bigge Park Centre, Liverpool. Dietetics staffwere involved in a new education service forpregnant women at Fairfield Hospital maternityunit and a new renal pre-dialysis clinic inconjunction with a nurse and social worker inMacarthur. Malnutrition screening was introducedat Concord, RPA and Canterbury Hospitals forearly identification of patients at risk ofmalnutrition.

A new intervention was introduced inLymphoedema treatment with a hand-held lowlevel laser. New multidisciplinary guidelines fortracheostomy decannulation/ weaning atLiverpool were developed.

An Interpreter Inpatient Program wasestablished at RPA addressing the need toprovide interpreters to wards at short notice.

At Bankstown Hospital, an inflammatory boweldisease outpatient nutrition clinic was set upand a new group program has beenestablished for young male haematologypatients to help them understand and cope withtheir cancer.

Another new initiative at Bankstown is theLiving with Cancer program for Arabic patientsand their carers, supported by Oncology SocialWork and the Cancer Council.

Key issues and eventsThe Women and Children’s Health SocialWork Team, in conjunction with NewbornCare staff and the Department of CommunityServices, ran a successful program for fostercarers of babies with Neonatal AbstinenceSyndrome.

The podiatry team have produced evidence-based guidelines for Partial Nail Avulsionprocedures under local anaesthesia. Thisprocedure can now be performed at bothCanterbury and Concord Hospital podiatryoutpatient clinics.

A project reviewing patient satisfactionfollowing non-surgical intervention for diplopia(double vision) highlighted the benefits oforthoptic intervention such as Fresnel prisms,occlusion or the use of a head posture. Postintervention, 85 per cent of patients reported nodiplopia and a high level of satisfaction.

Future direction within theArea networkAllied Health has continued to work towardsforming a single stream across both zonesbeginning with the appointment of theSSWAHS Director of Allied Health in March2006.

The various Allied Health professions are nowworking on individual quality plans to link intothe Allied Health Quality Plan, which was theresult of the July 2006 Allied Health PlanningDay. The future directions of Allied Healthinclude focusing on workforce recruitment andretention, supporting students and newgraduates, increasing participation in researchand education as well as improving datamanagement and communication systemsacross the area health service to ensure timelyand effective services for patients and theircarers.


Drug Health Services Director Karen Becker

Summary of activity, includingthe range of services providedDrug Health Services (DHS) operates across23 sites including 9 hospitals and 17community health facilities. Services includethe Opioid Treatment Program (methadoneand buprenorphine clinics); counselling;specialist medical clinics; inpatient withdrawalmanagement (detoxification); inpatientrehabilitation; outpatient withdrawalmanagement; court diversion programs,Harm Minimisation (including Needle SyringePrograms); hospital consultation and liaisonservices; community outreach; tobaccocessation clinics and a range of associatedprojects that address key clinical issues suchas Aboriginal health and co-morbidity.

A range of initiatives to progress theamalgamation of DHS to an area-wideservice resulted in increased coordination,resource efficiencies and enhancements tomodels of clinical care.

Major goals and outcomesTo enhance drug health hospital consultationand liaison services, existing DHS ClinicalNurse Consultant positions have beenmodified at Campbelltown and BankstownHospitals and an extended hours serviceestablished at Liverpool Hospital. Two newfull time Clinical Nurse Consultant positionshave also been established and recruited atLiverpool Hospital ED.

The Magistrates Early Referral intoTreatment (MERIT) program began atFairfield Local Court. This court diversionprogram operates from Burwood, Camden,Campbelltown, Bankstown and LiverpoolLocal Courts and also accepts referrals fromthe Downing Centre in the centre of Sydney.

The State Wide Advisory Team is involving GPsand community pharmacies in the treatment ofopioid dependent patients through a number ofconsultations and training programs.

An Aboriginal Liaison Officer based atFairfield was appointed in February and anAboriginal Womens’ Support Group at RPAOpioid Treatment Clinic commenced in June.

Key issues and eventsThe Resource and Education Program forInjecting Drug Users (REPIDU) introduced anew service to provide low thresholdhealthcare to meet the broader needs ofclients and provide referrals into Drug Healthand Mental Health services. In addition,specialist medical clinics in viral hepatitis,HIV, and sexual health are planned.

Implementation of the Redfern WaterlooHuman Services Plan continued with draftprotocols developed between DHS andMental Health Services to enhance care ofpeople with both substance use and mentalhealth issues.

Access to and discharge from detoxificationand rehabilitation services has beenimproved. Solid clinical partnerships continueto be maintained with the Redfern AboriginalMedical Service to address the high level ofpublic drug activity in the area and DHS isalso working closely with the RedfernWaterloo Authority to address issues ofpublic alcohol consumption.

Clinical services for the high risk populationof pregnant drug-using women include twoClinical Nurse Consultants who coordinateteams focusing on early intervention.

The Area Health Service offers fourdedicated tobacco cessation clinics. Half-dayclinics operate at three sites: RPA respiratoryoutpatients, RPA DHS and Croydon HealthCentre. Nicotine replacement therapy is alsoavailable to SSWAHS staff.

Future direction within theArea networkDHS will continue to work closely with MentalHealth Services and NSW Health to identifyand manage issues relating to co-morbidity intreatment. The commitment to developingAboriginal DHS and increasing both accessand retention of Aboriginal People intreatment will be maintained. The MERITscheme will continue to be expanded to alllocal courts in SSWAHS.


Mental Health ServicesClinical Director Dr Victor Storm

Summary of activity, includingthe range of services providedThe Area Mental Health Service providesclinical inpatient and community-basedservices across the age range includingperinatal, child and adolescent, earlyintervention, acute assessment and treatment,rehabilitation, community support,consultation/liaison, dietary disorders, and old-age psychiatry. It also conducts extensiveeducation, training and research activities.

Major goals and outcomes2005/06 has seen the completion of majorprojects for Area Mental Health. The new 50-bed Liverpool Hospital Mental Health Centrewas opened by the Premier and Minister forHealth in February, consolidating all adultmental health inpatient and outpatient clinicalservices in one two-storey purpose-builtbuilding on the Liverpool Hospital campus. Itprovides a base for the Liverpool communitymental health services and accommodation forresearch, teaching and administrative services.

A collaborative project between Area MentalHealth and Catholic Health Care has enabledelderly patients with long-term needs to be caredfor in purpose-built accommodation in CatholicHealth Care’s Holy Spirit facility at Croydon.

The site of the former veteran’s ramp wards atConcord Hospital was cleared to enableconstruction of the new mental health facility tobegin. The new mental health precinct is due forcompletion in March 2008 and services at RozelleHospital will relocate to the new facility.

Construction of the new 20-bed sub acutemental health facility at Campbelltown has beencompleted. It is now in commissioning phaseand staff are actively being recruited to allowopening of the service in October 2006.

Key issues and eventsAcross the Area, partnerships promoted by theHousing and Accommodation Support Initiativebetween Mental Health, Department ofHousing and non-government organisationshave assisted a number of people tosuccessfully integrate into community living orto maintain their accommodation.

Bankstown Mental Health Service publishedGuidelines for the Management and Treatmentof Borderline Personality Disorder. DialecticalBehaviour Therapy programs have beenexpanded as a result.

Bankstown and Liverpool Mental HealthServices have successfully undertaken theEQuIP Organisation Wide Survey in 2006,achieving a four-year accreditation by theAustralian Council on Healthcare Standards.

A specialist First Onset Psychosis Service wasestablished in the inner west areas ofMarrickville, Redfern and Camperdown as ameans of improving outcomes for youngpeople experiencing mental health problems.

The Marrickville Acute Care Mental HealthTeam was awarded the Local AreaCommander’s Certificate of Appreciation byCommander Vicky Arena and CommissionerKen Maroney.

Future direction within theArea networkPlanning is well advanced for the move ofclinical services from Rozelle Hospital to a newmental health campus at Concord RepatriationGeneral Hospital in 2008. The recentlyreleased document NSW: A new direction forMental Health, provides optimism for theexpansion of community services and otherspecialist programs over the coming years.


Mental Health ServicesMental Health Services Performance Indicators

Client Related Provider Time*

Actual hours Expected hours Ambulatory Full timeEquivalent Base %

SSWAHS 0.0 486617.0 415.5 Currently not

reportable* This information is currently not captured. A future redesign of our database will address this issue.

Recorded Outcome Measures as % of ExpectedActual Expected %

SSWAHS 15201 32902 46NSW 108259 170669 63

Inpatient Self Sufficiency

Separations- own area

Separations- other areas

Totalseparations -own residents

%Ownresident

separations

%Own residentseparations

from other areasSSWAHS 3131 206 3337 94% 6%NSW 16448 1150 17598 93% 7%

Emergency Department Access Block for Mental Health Problems% Jun 2005 % Jun 2006

SSWAHS 54% 45%NSW 31% 29%

Notes:

1. Actuals quoted for Provider Time and Outcome Collection Occasions were extracted from theState Health Information Exchange as at 15 September 2006. These figures are currentlyindicating reporting compliance rather than service provision.

2. Outcome collection occasions include only inpatient and ambulatory settings.


Nursing and Midwifery ServicesDirector Kerry Russell

Summary of activity, including therange of services providedNursing and Midwifery Services are responsiblefor the standard of nursing care across the areahealth service. This includes recruitment andretention of staff, education, clinical practice andresearch for a workforce of some 10,800 nurses.

Major goals and outcomesWorkforce continues to be a major issue fornursing services and a number of strategies arein place to reduce vacancies and reliance onagency staff.

Recruitment of nursing staff has improved with asignificant reduction in the number of vacancies.Recruitment of overseas nurses through theNSW Health recruitment campaigns has been apositive workforce strategy. 153 registerednurses have started at SSWAHS facilitiesthrough this strategy since 2005. An additional88 nurses from overseas have beenindependently recruited to SSWAHS through theSydney Nurses internet site.

SSWAHS is committed to the employment of 28Nurse Practitioner positions. To date we have14 Nurse Practitioners who are authorised bythe NSW Nurses and Midwives Board and 10Nurse Practitioners in transitional appointmentsacross a range of specialties.

Key issues and eventsA mentoring program has been established forNursing Unit Managers and Nurse Managers, tofurther develop their skills. 15 participants arecurrently enrolled in the first course.

Five nurses completed the Clinical LeadershipProgram, which focused on self-developmentclosely linked with patient/client developmentand quality improvement.

The Nurses and Midwives Record ofAchievement, a competency based assessmentmanual, has been developed and will bemarketed widely across the health system.

An International Clinical Undergraduate Nursing

Program led by Clinical Nurse Consultants hasbeen developed and implemented.

Following a visit by the Danish Council of Deansin April, SSWAHS formed a partnership with theUniversity of Tasmania and The Schools ofNursing in Denmark to provide clinicalplacements for final year Danish nursingstudents. Clinical Nurse Consultants supervisingthe students have been recognised by theUniversity of Tasmania with a clinical academictitle.

SSWAHS has established a nursing conjointappointment with the University of Tasmania andJuliet Sondermeyer has been appointed to theposition.

Through funding provided by State-WideServices, a partnership was formed with theGreater West Area Health Service for theprovision of nurses to relieve in rural and remoteareas. 10 nurses from SSWAHS have beenseconded to locum nursing positions in theGWAHS.

SSWAHS has entered into a new agreement toprovide clinical placements for students of NotreDame University. These students completeplacements at Liverpool, Campbelltown, Camdenand Bowral Hospitals.

The Nursing Clinical Practice AdvisoryCommittee was established to develop andreview policies/guidelines utilising evidencebased practice.

Future direction within theArea networkA clinical indicator database will be developed tomeasure outcomes of nursing care.

Staff development strategies, particularly inleadership and management, will continue to bedeveloped and implemented.

Opportunities for further partnerships withinternational organisations to provide futurerecruitment opportunities will be pursued.


Oral Health ServicesArea Clinical Director Associate Professor Sameer BholeGeneral Manager Mr Graeme Angus

Sydney South West Oral Health Servicesincorporating Sydney Dental Hospital(SDH) provides general dental services foreligible people residing in SSWAHS. SDHis also a major referral centre for tertiaryoral health management.

The community oral health clinics providegeneral dental services to both eligibleadults and children at their clinics. TheSchool Assessment Program provides anassessment and treatment service tochildren.

Summary of activity, includingthe range of services providedOral Health Services has a full-timeequivalent staff of 465.5. It provided 179,461occasions of service to its adult populationand 54,909 occasions of service to childclients. 41,364 occasions of specialistservice were also provided, as well as13,339 occasions of service relating todentures

Major goals and outcomesIntegration of the Information System forOral Health database was completed inJune 2006, ahead of schedule.

Standardisation of appointment schedulesfor all Community Oral Health Serviceclinicians is underway, so that all clinicianshave the opportunity to carry out a morevaried case-mix. This has also allowed theservice to amalgamate waiting lists, and tooffer patients a course of general care at anyclinic in the Sydney south west area.

Activity Levels

Key issues and eventsThe appointment of the Associate DirectorClinical Operations for the CommunityOral Health Service, along with the threeservice managers for the eastern, centraland south west clusters, has clarified andstabilised the clinical and corporatefunctions of the recently merged service.

A comprehensive recruitment campaign, inpartnership with the Centre for Oral HealthStrategy, is aimed at filling all clinicalvacancies within the first half of the nextfinancial year.

The Community Oral Health Clinic withinConcord Hospital has installed two newdental chairs with a third planned to helpmeet the needs of patients in this area.

The acquisition of 22 digital radiographyunits for the Community Oral Health Clinicat SDH has seen the hospital become thebiggest provider of digital radiography inAustralia. Digital radiography willdramatically improve clinical efficiency andaccelerate favourable patient outcomes.

Future direction within theArea networkPlanning to establish Oral Health Servicesin purpose-built polyclinics across the Areawill continue.

The Special Needs Dentistry unit willexpand to include allocated appointmentswithin the community oral health clinics.

Key Indicators 2002/03 2002/03 2003/04 2003/04 2004/05 2005/06CS SWS CS SWS SSWAHS SSWAHS

Staff EFT 343 N/A 327 124.20 465 465.5Occasions of service, adults 134,599 119,288 126,211 105,220 202,749 179,461Occasions of service, children 29,570 53,061 27,267 37,061 62,743 54,909Occasions of service, specialist 46,173 1,310 42,811 1,026 41,972 41,364Occasions of service, dentures 20,364 15,275 19,926 6,488 13,496 13,339


Population HealthDirector Associate Professor Peter Sainsbury

Summary of activity, includingrange of services providedPopulation Health, created as an area-wideservice in 2005/06, delivers evidence-basedprograms to improve the health of thepopulation, reduce health inequalities andaddress gaps in services.

Population Health incorporates the HealthPromotion Unit, the Public Health Unit, theResearch, Evidence Management andSurveillance Service (REMS), the HIV/AIDSand Related Programs Coordination Unitand the Centre for Health Equity Training,Research and Evaluation (CHETRE).

Major goals and outcomesThe Public Health Unit continued the school-based immunisation program and provided26,000 vaccinations to children in 168schools in SSWAHS.

Population Health has been an activepartner in the Greater Western SydneyHealth Impact Assessment Project,examining the health impacts of urbandevelopment proposals in greater westernSydney.

The Health Promotion Unit began a nursehome-visiting program, Healthy Beginnings,aimed at reducing childhood obesity frombirth by improving first-time mothers’approaches to healthy feeding and activeplay for children.

The Ma’feesh cigara men gheir khosara(There is no cigarette without loss) project isreducing the prevalence of smoking amongthe Arabic speaking community. A trackingsurvey was completed and radio, billboardand bus advertisements developed.

Key issues and eventsThe Public Health Unit won a NSW HealthBaxter Award for producing the operationalguidelines, Infectious disease outbreaks: aninnovative approach to evaluate andimprove public health interventions, for theplanning and implementation of futureinterventions across NSW.

The Public Heath Unit also took a lead indeveloping, with the Counter Disaster Unit,the draft SSWAHS plan for responding topandemic influenza.

The development and implementation ofevidence-based practice training, monthlyPopulation Health Research and EvidenceMeetings, and capacity building for HealthImpact Assessment have contributed to thedevelopment of the Population Healthworkforce.

Café 2163, part of the Health PromotionUnit’s Running on Empty food securityproject, received funding for a coordinatorfrom the Cabravale Diggers CommunityDevelopment Support Program. TheVillawood café is run by a group ofvolunteers from the Villawood Food ActionGroup who offer hot nutritious meals free ofcharge to disadvantaged people, many ofwhom have a mental illness.

Future direction within theArea networkPriorities during 2006/07 will include thefurther development of strategies to improvethe health of children, reduce overweight andobesity, tobacco consumption and thetransmission of sexually transmitted infections,and working with other organisations todevelop healthy urban environments.


Quality Clinical Indicators Clinical indicators (CIs) are rate-based figures which can show where we are performing particularlywell and can serve as a model for others. When we are performing at a suboptimal rate, comparedto national or past data, it can act as an alert for further investigation or review of clinical practice toimprove the quality of care provided to our patients. The former Central Sydney Area HealthService (eastern zone SSWAHS) has published in its annual report since 2002/03 a selection of CIsthat have either a state or national comparison. We have continued the reporting this year and haveincluded some western zone indicators where they collect the same indicator.

Adult renal transplantation

Numerator: Number of patients/grafts surviving at one year.Denominator: Number of renal transplant patients/grafts.*SWRS: State Wide Renal Services

Over the past eight years the Statewide Renal Services (SWRS) transplant unit, based at RoyalPrince Alfred Hospital, has had excellent outcomes compared to data for Australia and NewZealand (derived from the ANZDATA Registry). The SWRS results are considered a benchmarkat one year follow-up. This is particularly pleasing considering the high proportion of patients whoare high risk either immunologically for rejection or medically because of co-morbidities.

% survival at one yearYear

SWRS* (CSAHS)patients

Australian/NZpatients

SWRS (CSAHS)grafts

Australian/NZgrafts

1998 98% (n=59) 95% 96% (n=59) 91%1999 100% (n=51) 95% 98% (n=51) 90%2000 92% (n=52) 97% 91% (n=52) 94%2001 97% (n=62) 96% 96% (n=62) 93%2002 98% (n=61) 98% 95% (n=61) 95%2003 100% (n=66) 98% 98% (n=66) 92%2004 97% (n=70) 96% 96% (n=70) 90%2005 98% (n=64) Not available 98% (n=64) Not available

Adult liver transplantation survival rates

Both patient survival and graft survival are measured as a patient can have more than one liver graft.

Numerator: Number of patients/grafts surviving at one year.Denominator: Number of liver transplant patients/grafts.*ANZLTR: Australian and New Zealand Liver Transplant Registry

% survival at one yearYear

RPAH patients ANZLTR*patients RPAH grafts ANZLTR* grafts

1999 89% (n=28) 93% (n=117) 87% (n=31) 90% (n=124)2000 90% (n=39 92% (n=151) 83% (n=42) 90% (n=157)2001 82% (n=27) 86% (n=125) 79% (n=28) 80% (n=135)2002 100% (n=43) 96% (n=151) 96% (n=47) 94% (n=157)2003 97% (n=38) 94% (n=143) 93% (n=41) 92% (n=150)

2004/2005 88% (n=50) NA 87% (n=52) NA2005/2006 97% (n=33) NA 89% (n=36) NA


Quality Clinical IndicatorsObstetrics

Numerator: Number of deliveries/interventions for year.Denominator: Number of babies delivered for year.

2004**

Hospitals Normaldelivery

Forcepsvaginal

Vacuumextraction

Vaginalbreech

Electivecaesarean

Emergencycaesarean

Canterbury 59.9 0.9 8.1 0.2 10.4 10.4Royal Prince Alfred 62.3 2.7 8.2 0.6 14.4 11.8

Camden 89.5 2.8 1.5 0.2 1.3 4.6Fairfield 78.7 0.4 6.4 0.2 9.3 4.9Liverpool 69.2 1.1 6.1 0.8 11.9 10.9

Campbelltown 68.7 0.3 5.7 0.5 13.5 11.3Bankstown 70.7 1.8 7.6 0.3 11.6 8.0

Bowral 64.3 4.1 14.5 0.3 9.3 7.5SSWAHS rate 68.1 1.7 7.7 0.5 12.4 9.7

NSW statewiderate* 62.1 3.3 7.0 0.4 15.3 11.8

*Published in the NSW Public Health Bulletin**2005 data not available at publication

2003


Forcepsvaginal

Vacuumextraction

Vaginalbreech

Electivecaesarean

Emergencycaesarean

Canterbury 71.1% 1.6% 6.3% 0.1% 10.4% 10.4%Royal Prince

Alfred 61.9% 2.0% 7.7% 0.5% 14.2% 13.4%

Fairfield 76.2%(n=1378)

1.3%(n=24)

6.4%(n=115)

0.6%(n=10)

9.2%(n=167)

6.4%(n=115)

100%(n=1809)

Liverpool 71.6%(n=2220)

0.7%(n=21)

6.1%(n=190)

0.8%(n=24)

11.3%(n=349)

9,5%(n=296)

100%(n=3100)

Campbelltown 69.5(n=1404)

0.2(n=5)

6.6(n=133)

0.2(n=5)

13.1(n=265)

10.3(n=209)

100%(n=2021)

Camden 85.0%(n=453)

5.1%(n=27)

0.4%(n=2)

0.2%(n=1)

1.3%(n=7)

8.1%(n=43)

100%(n=533)

Bankstown 73.8%(n=1339)

1.9%(n=35)

5.8%(n=106)

0.9%(n=16)

10.6%(n=193)

6.9%(n=126)

100%(n=1815)

Bowral 61.5%(n=402)

4.7%(n=31)

14.1%(n=92)

0.3%(n=2)

11.5%(n=75)

8.0%(n=52)

100%(n=645)

NSW statewiderate*

62.8%(n=53424)

3.4%(n=2875)

6.8%(n=5788)

0.4%(n=371)

15.1%(n=12820)

11.5%(n=9744)

100%(n=85032)

*Published in the NSW Public Health Bulletin


Quality Clinical IndicatorsObstetrics

2002


Forcepsvaginal

Vacuumextraction

Vaginalbreech

Electivecaesarean

Emergencycaesarean Total

Canterbury 70.6%(n=1017)

2.3%(n=33)

8.3%(n=119)

0.1%(n=1)

10.1%(n=145)

8.7%(n=125)

100%(n=1440)

Royal PrinceAlfred

62.3%(n=2198)

1.8%(n=63)

9.2%(n=325)

0.7%(n=24)

13.3%(n=468)

12.8%(n=452)

100%(n=3530)

Fairfield 77.8%(n=1422)

1.0%(n=18)

7.9%(n=145)

0.3%(n=6)

8.0%(n=146)

4.9%(n=90)

100%(n=1827)


1.1%(n=33)

6.7%(n=198)

0.9%(n=26)

9.2%(n=273)

8.1%(n=241)

100%(n=2965)

Campbelltown 74.5%(n=1943)

0.7%(n=18)

5.1%(n=134)

0.5%(n=13)

10.6%(n=276)

8.6%(n=223)

100%(n=2607)


1.3%(n=22)

7.6%(n=133)

0.6%(n=11)

8.6%(n=151)

6.1%(n=108)

100%(n=1760)

Bowral 63.1%(n=386)

3.6%(n=22)

14.7%(n=90)

1.0%(n=6)

9.6%(n=59)

8.0%(n=49)

100%(n=612)

NSWstatewide

rate*64.2%

(n=54271)3.6%

(n=3034)6.9%

(n=5855)0.4%

(n=353)13.9%

(n=11720)11.0%

(n=9335)100%

(n=84587)

*Published in the NSW Public Health Bulletin

2001


Forcepsvaginal

Vacuumextraction

Vaginalbreech

Electivecaesarean

Emergencycaesarean Total

Canterbury 75.3%(n=1140)

2.1%(n=32)

7.1%(n=107)

0.2%(n=3)

6.6%(n=100)

8.7%(n=132)

100%(n=1514)

Royal PrinceAlfred

65.8%(n=2315)

2.0%(n=69)

6.7%(n=237)

0.5%(n=17)

13.9%(n=489)

11.2%(n=393)

100%(n=3520)

Fairfield 77.8%(n =1434)

1.3%(n=24)

5.2%(n=95)

0.4%(n=8)

9.8%(n=181)

5.5%(n=101)

100%(n=1843)


2.0%(n=59)

6.9%(n=207)

1.0%(n=30)

8.7%(n=259)

9.0%(n=269)

100%(n=2980)

Campbelltown 75.5%(n=1954)

0.9%(n=23)

5.3%(n=137)

0.3%(n=8)

9.9%(n=256)

8.1%(n=210)

100%(n=2588)


1.5%(n=27)

5.2%(n=93)

0.6%(n=11)

9.5%(n=170)

8.3%(n=148)

100%(n=1791)

Bowral 64.7%(n=450)

6.8%(n=47)

11.5%(n=80)

0.6%(n=4)

9.2%(n=64)

7.2%(n=50)

100%(n=695)

NSWstatewide

rate*

65.4%(n=55206)

4.0%(n=3398)

6.5%(n=5499)

0.5%(n=383)

13.0%(n=10986)

10.5%(n=8894)

100%(n=84379)

*Published in the NSW Public Health Bulletin Supplement Vol 13, No S-4, Dec 2002 - NSW Mothers & Babies 2001


Quality Clinical IndicatorsNeonatal Intensive Care Unit

In the RPA Neonatal Intensive Care Unit (NICU), the survival rate of babies is monitored andcompared to the rates for other NICUs from the New South Wales Health Neonatal Intensive CareUnit Study (NICUS). In the more recent of the two time periods reported, we have more prematurebabies surviving.

Numerator: Number of babies born at a particular gestational age, surviving to hospital discharge.Denominator: Number of babies born at a particular gestational age.2005/2006 data not available at publication

2002 – 2004: Percentage survival of premature babies born at different gestational ages24/25 weeks 26/27 weeks 28/29 weeks 30/31 weeks

RPA 43.4 83.8 96.3 99.4NICUS 57.5 84.3 92.3 97.1


RPA 58.8 87 97.8 99.2NICUS 55.4 86 92.4 97


RPA 62.3 79.3 91.3 98.2NICUS 60.6 81.1 92.6 97.1

Day of Surgery Admission Rates

Day of surgery admission (DOSA) rates measure how many patients are admitted on the day of theirsurgery compared to all patients admitted to surgery. A high DOSA rate has the following advantagesfor patients:

• it avoids unnecessary accommodation at hospital before an operation;• it means more effective bed utilisation where hospitals can treat more patients and

consequently there are shorter waiting times;• the use of preadmission clinics better prepares patients for surgery;• a decreased time in hospital means less risk of infection.

Our DOSA rate has been steadily increasing over time and it is now above the state target of 80 percent and above the state average of 87.4 per cent.

Year Eastern zone Western zone SSWAHS NSW Health target NSW Healthstatewide rate

1997/98 18.1% 47.1% Not available1998/99 34.1% 77.7% Not available1999/00 50.9% 77.2% Not available2000/01 74.4% 81.0% 80% 77.7%2001/02 81.3% 85.0% 80% 83.3%2002/03 85.0% 89.7% 80% 83.9%2003/04 89.2% 90.0% 80% 87.4%2004/05 89.6% 91.1% 80%2005/06 90.0% 91.1% 90.5% 80%


Quality Clinical Indicators

Laboratory Services - availability of urgent haemoglobin results afterhours

It is important that laboratory test results are made available to hospital staff as soon as possible sothat decisions can be made about patient care. After hours, we are able to supply urgenthaemoglobin results to staff within 60 minutes in 95.8 per cent of cases, which is more efficient thanthe national aggregate of 93.3 per cent.

Numerator: Number of urgent haemoglobin validated report results with a turn-around-time of lessthan 60 minutes, after hours.Denominator: Number of requests for urgent haemoglobin results received by the lab after hours.*ACHS: Australian Council on Healthcare Standards

RateJan-June2003

July-Dec2003

Jan-June2004

July-Dec2004

Jan-June2005

July-Dec2005

Jan-June2006

Royal PrinceAlfred Hospital 95.7% 98.3% 97.4% 96.8% 96.5%

Sydney WestArea Pathology

Services98.5% 98.4% 99.1% 95.7% 98.9% 98.1% 89.0%

ConcordHospital 95.8%

ACHS* nationalaggregation rate 90.8% 93.4% 96.0% 57.4% 89.9% 89.6% Not

available

Speech pathology - improvements in voice quality followingspeech pathology

Numerator: Total number of voice patients who rated an actual improvement in voice qualityfollowing speech pathology intervention.Denominator: Total number of voice patients completing treatment and voice outcome scales.n=30 (13 Royal Prince Alfred Hospital, 12 Concord Hospital, 5 Canterbury Hospital).

Sydney VoiceInterest Group

benchmark2001-2002 2002-2003 2003-2004 2004-2005 2005-2006

80% 83.3% 87.5% 88% 88% 93%


Asset Management ServicesCapital Works Program

Royal Prince Alfred HospitalStage 2a of the RPA redevelopmentcommenced on 1 November and constructionis well advanced. This stage will complete theLevel 3 ‘hot floor’ of the clinical servicesbuilding and provide the final link to thesurgical suite. The construction of the newperi-operative, endoscopy and bronchoscopysuite will provide patients with seamless entryinto the hospital, improving both servicedelivery and efficiency.

Completion of the Stage 2a laboratories willenhance the working environment, facilitatingcollaboration between services and improvingwork flows.

Stage 2b of the program will commence bymid 2007, heralding the final phase ofconstruction on the campus. The renovationof the Victoria Pavilion will complete therefurbishment of Laboratory Services andprovide a new outpatient pharmacy on Level5, giving access to outpatient pharmacyservices on the Eastern Campus.

Concord RepatriationGeneral HospitalWork commenced on the new mental healthprecinct at Concord in 2005 with thedemolition of existing infrastructure on site.Construction of the new facility is expected tocommence in July 2006. This 174 bed projectwill facilitate the relocation of mental healthservices from the Rozelle Hospital Site. Thenew complex will provide inpatient servicesas well as extended care and rehabilitationservices within a modern purpose-builtenvironment.

Marrickville CommunityHealth CentreConstruction of the new centre wascompleted in April 2006 with all servicesrelocated in June 2006. The purpose-builtfacility provides a one-stop shop forcommunity based services including earlychildhood, adolescent and family, communitynursing and post-acute care services, migranthealth, mental health and mental healthrehabilitation (living skills), podiatry andsexual health services. The centre will formthe hub for community health services forresidents of the Marrickville area.

Camden and CampbelltownHospitalsThis year saw the completion of the $133.7million Macarthur Strategy. This project,spanning several years, involved demolition,reconstruction and refurbishment of facilitiesat Camden and Campbelltown Hospitals. Thefinal phase of the project was completed inlate 2005 at Campbelltown Hospital, with thecommissioning of the newly refurbishedMaternity Unit, Intensive Care Unit and staffoffice accommodation. This project hasimproved the amenity for both staff andpatients, enabling provision of high levelclinical care within a modern setting.

The new Campbelltown Mental Health Unitwas completed in January 2006. The $3.2million building will house 20 sub-acutepatients once commissioning is complete.The unit will further enhance the delivery ofquality care to mental health patients withinthe Macarthur district.

Liverpool HospitalThe new Mental Health facility at LiverpoolHospital was commissioned in January 2006.This $24.8 million project provides 50 bedsfor acute, non-acute and high dependencypatients in a modern, purpose-builtenvironment. The facility also provides officeaccommodation for the area mental healthdirectorate and university affiliates.

Liverpool Stage 2Service and facility planning for the nextstage of redevelopment on the LiverpoolHospital campus commenced in January2006. The Clinical Services Plan andServices Procurement Plan were completedin February and May 2006 respectively. InJune 2006 the Premier and Minister forHealth announced the $390 million nextphase of works to commence in early 2007including a new clinical services building,integrated refurbishments and major siteinfrastructure upgrades. The new building willaccommodate additional inpatient, criticalcare, ambulatory care, procedures anddiagnostic services and includes extensionsto the education facilities of the hospital. Theproject is targeted for statutory approval andtender in late 2006.


Corporate ServicesSummary of business activityNon-clinical support services across SSWAHSare managed by Corporate Services. This is adiverse portfolio including risk management,occupational health and safety (OHS) andrehabilitation, procurement and tendering,contract management, overseeing complexinvestigations and administrative and legalservices.

Major goals and outcomesAmalgamationAmalgamations of supply services, humanresources, payroll, information systems division,capital works, pathology, transport and fleetmanagement have been finalised.Implementation of amalgamation plans forfinance, food services, engineering services andOHS services have substantially progressed.Recommendations for future service provisionwithin SSWAHS were cognisant of the plansdeveloped under the NSW Health SharedCorporate Services Program. The amalgamationof SSWAHS services has been possible throughco-operation and consultation betweenmanagement, staff and unions. Savings from therestructuring of corporate services have beenreturned to fund clinical services.

In addition to these changes, SSWAHS hasactively participated in committees and workingparties implementing the NSW Health sharedcorporate services program.

Financial management has been simplified withthe creation of one general ledger whichreplaces a number of different systems,facilitating good corporate governance. Inaddition, material management has beenreviewed and rationalised and the supplywarehouse at Wetherill Park relocated toConcord Hospital. A risk analysis has beencompleted and a risk register developed for thewhole Area Health Service for the ongoingmanagement of risk. With respect to workerscompensation, a surplus was achieved to bothpremium renewal and hindsight results.

An area-wide approach to purchasing andtendering has resulted in more competitiveprices being achieved for the benefit of clinicalservices.

The development of area-wide policies andprocedures has progressed, leading to improvedmanagement for the benefit of both individualstaff and their managers.

Key issues and eventsWaste managementSSWAHS facilities continued to develop andimplement strategies in line with theGovernment’s Waste Reduction and PurchasingPolicy (WRAPP). Facilities monitor performancethrough the collection of indicators for clinicalwork, sharps waste, general waste, recyclingand OHS incidents related to wastemanagement.

Energy managementAs part of its ongoing commitment to improveenergy management, SSWAHS conducted anaudit of water consumption at all major sites andjoined Sydney Water in theirEvery Drop Counts business program. Areaswhere significant savings could be made wereidentified and a subsidy from Sydney Water toundertake improvements was received. Thesavings at Concord Hospital were sufficientlylarge for the facility to receive a waterconservation award from Sydney Water.

Parallel with the water saving program,SSWAHS completed a trial modification to theelectrical supply for a main cooling tower atRPA. Results from the trial indicate a reductionof 70 per cent in electricity usage was achieved.In the coming financial year, a feasibility studywill be undertaken to assess the potentialsavings across the Area Health Service.

Future directionSSWAHS will continue to improve the efficiencyand effectiveness of corporate services inconsultation with staff and unions.

Existing energy and waste management planswill continue to be implemented.

Existing policies and procedures will continue tobe reviewed in order to develop a set of simple,area-wide guidelines for staff.

Fleet ManagementSSWAHS will instigate a wide range of initiativesdesigned to reduce the size and operating costsof the motor vehicle fleet and introduce arigorous governance model to ensurecompliance with both NSW Health and AreaHealth Service policies.


Financial ServicesSummary of business activityThe Finance Department operates toensure the Area’s financial resources andassets are managed efficiently andeffectively through appropriate planning,coordination and monitoring. Thedevelopment and maintenance ofconsistent, area-wide financial andaccounting policies and procedures is vitalto ensure and enhance quality control infinancials and operations.

Major goals and outcomesThe implementation of the Oracle FinancialsVersion 11i from version 10.7 wassuccessfully rolled out across SSWAHS inSeptember 2005. This immediately allowedSSWAHS to operate on a single OracleFinancials System with an integratedgeneral ledger and a single uniform chart ofaccounts. The Oracle Financials system 11ihas been used as the major budgeting andfinancial reporting tool.

Uniform financial and budget performancemanagement reports are provided acrossthe Area – for facilities, clinical groups andcost centres. This ensures consistency andefficiency in the interpretation of financialdata. The Accounts Payable Function wasalso centralised in September and the VMoney system (a payment system forVisiting Medical Officers) data-base wasintegrated at the same time.

Key issues and eventsAll budget and financial performancereports are now distributed to internalstakeholders in electronic format. Therehave also been major efficiency andeffectiveness improvements in thepreparation of financial performancereports for external stakeholders. Theconsolidated SSWAHS Annual FinancialReport for the period ending 30 June2006, and the monthly report to NSWHealth, were prepared from theconsolidated Oracle financial reports, thuseliminating the previous year’s duplicatedefforts when the financials were in twoseparate data bases (the former CentralSydney and the former South WesternSydney Area Health Services).

Future directionThe Financial Services Departmentcontinues to place a high priority on theprovision of quality budget and financialmanagement information systems for allstakeholders.

Over the next year, the Finance Divisionwill continue to work closely with clinicalgroups across SSWAHS to implementvarious necessary changes as costcentres are being reviewed andconsolidated by the facilities and clinicalservices.


Information Management & Technology Division Summary of business activityThe Information Management andTechnology Division (IM&TD) provideinformation management and technologysupport to SSWAHS clinical, corporateand support services.

Major goals and outcomesThe Electronic Medical Record (EMR)system continues to be enhanced andextended across the Area, allowingdelivery of results reporting and theimplementation of electronic ordering inthe western zone.

The PathNet Laboratory InformationManagement System has also beenintegrated into the EMR and implementedarea-wide.

Other EMR projects included:

• The integrated EMR maternity solutionimplemented at Canterbury Hospital

• Replacement of the Drug Healthsystem with an integrated EMRsolution

• An integrated EMR renal dialysissolution implemented at Concord,RPAH and Dame Eadith Walker

• The rollout of electronic dischargereferrals continued withimplementations at Canterbury andCampbelltown hospitals

• A project to incorporate a MedicalOncology solution in the integratedEMR commenced

• Research database replacementproject for the Sydney Cancer Centrecommenced

• A Data mart solution for ad-hocreporting was developed and pilotedwith Gastroenterology and LiverServices as part of their second stageEMR project

• A project to replace the existingstandalone Emergency Departmentinformation system with an integratedEMR solution (FirstNet) was started

• A medications management projectcommenced

• Undertook a pilot project involvingsending discharge referrals to GPs viasecure encrypted emails

• A Community Nursing Registration,Intake and Referral solution developedin the EMR and implemented atCanterbury Community Health Centre

Key issues and eventsA major project to retire the formerSWAHS Patient Administration Systemwas commenced and the western zoneOracle Financial and MaterialsManagement System was replaced withthe Area-wide Oracle 11i system.

IM&TD continued to work with variousfacilities and clinical departments toenhance the scope of informationavailable through the Intranet.

Future directionThe Information Management andTechnology Strategy emphasises the needto move forward with projects, whichsupport the patient care process. Over thenext five years, SSWAHS will continue toestablish a single integrated patient-centred enterprise-wide clinical informationsystem known as the Electronic MedicalRecord.

During the next 12 months, additionalEMR functionality will continue to bepiloted and enhanced area-wide. Newtechnology solutions will be designed andimplemented to increase the availability ofthe EMR system.

Other major projects in 2006/07 include:the retirement of the western zone PatientAdministration System (facility by facility);ongoing rollout of electronic orders to thewestern zone; replacement of westernzone obstetrics system; andimplementation of FirstNet; MedicationManagement, continued rollout anddevelopment of community health EMRsolutions and various EMR and researchprojects.

In addition to these clinically orientatedprojects, various other integration,amalgamation, rationalisation, andinfrastructure projects will also beprogressed for corporate and supportservices.


Internal Audit DepartmentSummary of business activityInternal auditing is an independent, objective,assurance and consulting activity designed toadd value and improve the operations ofSSWAHS by bringing a systematic, disciplinedapproach to risk management, control andgovernance processes.

Major goals and outcomesThe Internal Audit Department provides anindependent review of hospital systems,operations, activities, policies and proceduresand where warranted, recommends costeffective controls and solutions.

Key issues and eventsThe audit units at Royal Prince Alfred andLiverpool Hospitals have been successfullymerged and a consolidated audit plan hasbeen put in place for the entire Area.

Development of the consolidated audit planallowed identification of auditable areas ofsufficient risk which had not previously beensubjected to an audit review. A number ofthese systems and activities were audited in2005/06.

Future directionThis process is expected to continue until allfinancial and related operations of major riskwithin SSWAHS have been subjected to anaudit. Thereafter, it is expected that all majorsystems, as identified in the consolidated auditplan, will be reviewed once every two years.


Public Affairs and Marketing Summary of business activityThe Public Affairs and Marketing departmentpromotes the corporate identity of SSWAHS,its hospitals and healthcare facilities. It is thefirst point of contact for the media. Our goalis to communicate both internally andexternally, the work being carried out at ourfacilities for the benefit of patients and thewider community.

Our expertise includes internal and externalcommunication strategies, media advocacy,specialised promotion campaigns, corporatepublications and event management.

Major goals and outcomesPublic Affairs and Marketing became a fullyamalgamated service in September 2005,providing an area-wide service under theleadership of a single director co-ordinatingall media, communications and eventsacross the two zones of SSWAHS.

An electronic newsletter was produced toinform staff about the new area, the newmanagement structure and new-area widepositions as they were filled. A quarterlyarea-wide printed newsletter for distributionto all staff was also produced.

The community was kept informed of newclinical initiatives and services, additionalfunding, and progress on the capital works beingundertaken at our hospitals and health services.

Key issues and eventsMany stories from facilities across SSWAHSwere featured in national, metropolitan andlocal media, including:

• The new $7.5 aged care precinct atConcord Hospital, officially opened by theNSW Health Minister John Hatzistergos

• The $32.5 million Mental Health Centre atLiverpool Hospital , officially opened bythe Premier of NSW Morris Iemma

• The announcement by the Premier of the$390 million first stage of the $500 millionredevelopment of Liverpool Hospital

• The official opening of the CancerPharmaceutical Research Laboratory atConcord Hospital by the Hon Frank Sartor,Minister Assisting the Minister for Health(Cancer). Scientists at the laboratoryannounced they had made a breakthroughin reducing the risk of life-threateningchemotherapy toxicity and malnutrition

• Completion of demolition of the former rampwards for veterans at Concord, allowingwork to begin on the $58 million mentalhealth precinct. Mental Health services atRozelle hospital are expected to relocatehere in the latter half of 2008

• Important Aboriginal health initiatives werepublicised in the local and indigenous mediaincluding the Aboriginal Cardiovascularproject at RPA – the first program to provideopportunistic screening for the indigenouscommunity in a hospital setting

• The NSW Health Minister was signatory toa renewed partnership between SSWAHSand the Tharawal Aboriginal Corporation(TAC) at a ceremony at TAC’sheadquarters in Airds.

• The Premier’s tour of the newlycompleted $9.1 million LiverpoolEmergency and Trauma Services

• The purchase of a $1.29 million 64 CTscanner for Campbelltown hospital wasannounced by the NSW Health Minister atthe opening of the annual Macarthur FunFest. The purchase will greatly enhancethe service available to local patients andreduce the need for transfers

• The Health Minister and local member forCampbelltown opened a $400,000paediatric assessment unit atCampbelltown Hospital for children withmild to moderate physical and intellectualdevelopmental delays, enabling localfamilies to access this service withproviders who have a strong knowledge oflocal services

• The RPA series on Channel 9 entered its12th year buoyed by some of its mostsuccessful TV ratings ever –surpassing allother programs in its timeslot.

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Public Affairs and Marketing• A range of research developments received

widespread coverage in local andmetropolitan media including a world firststudy to reverse type 2 diabetes throughweight management and supervisedexercise; the development at RPA of acheap natural therapy – hypertonic saline -for cystic fibrosis sufferers; an earlydiagnostic tool for schizophrenia andbipolar disorder at Liverpool Hospital ; anda successful world-first triple transplant tocure a young woman’s auto-immunedisease was announced at RPA to coincidewith the 20th anniversary of LiverTransplant at the hospital.

• Filming was completed on a documentaryabout the maternity unit at Canterburyhospital highlighting the diverse ethnic mixof both patients and staff, the film is due tobe broadcast on SBS in August 2006

• A documentary about intensive careservices was filmed at Liverpool Hospitaland shown at the Sydney Film Festival. Itwill broadcast on SBS later in 2006

• The promotion of health issues such assmoking cessation, sexual health, handwashing and healthy lifestyle includingWalk to School and Cycling promotion.

Future directionThe Public Affairs and Marketing unit willcontinue to keep the community informed aboutthe activity of the area health services and majorhealth initiatives.

In the new financial year, Public Affairs andMarketing will promote the opening of theMarrickville Community Health Centre and theredevelopment of Liverpool Hospital.

A major focus of the department’s proactivemedia strategy will be health promotion initiativesacross the Area, assisting the public to maintainoptimum health through adoption of a healthylifestyle and awareness of contributing factors toillnesses such as heart disease and diabetes.

Public affairs will also support workforcedevelopment and recruitment strategies throughpromoting positive messages about the healthservice, as well as specifically targeting areaswhere there are shortages of trained staff.

The department will also focus on strong andinformative internal communications for staff.

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Workforce Profile Summary of business activityThe main workforce activities during 2005/06have been workforce management,workforce development and workforceplanning. The key strategic activities havebeen ongoing development of the Area’sstrategic workforce plan and implementationof priority workforce initiatives. In 2005/06these initiatives have been the establishmentof our Centre for Education and WorkforceDevelopment, streamlining the stafforientation processes, implementing ourAboriginal workforce development program,continued development of vocational medicaltraining networks and progress with refining arange of workforce management activities.

Centre for Education andWorkforce DevelopmentThe Centre for Education and WorkforceDevelopment was established in 2005/06 toprovide our in-house workforce developmentprograms. The Centre’s role is to ensure acomprehensive workforce education anddevelopment framework to provide targetedopportunities for staff at all levels to developand enhance their skills. The Centre is aregistered training organisation and themajority of programs offered lead to nationallyrecognised qualifications. More than 1,200SSWAHS staff enrolled in the Centre’sprograms on 2005/06.

Aboriginal Workforce DevelopmentProgramThis program is based around individual needsanalysis and the establishment of personaliseddevelopment plans. It is being progressivelyestablished throughout the Area.

New staff orientation programA new staff orientation program commencedin January, providing a comprehensive rangeof information to new staff over a three-dayperiod at the beginning of their employment.

Vocational medical training networksVocational medical training in NSW is movingtowards a more networked basis. In 2005/06networks for basic physician and basicsurgery training operated and a psychiatrytraining network was established. Thesenetworks provide the opportunity for a broadrange of clinical training experiences to begained throughout our hospitals.

Workforce managementWorkforce management activities havefocused on continued amalgamation andstreamlining of services and processes.

Workforce profileA monthly workforce profile has beenestablished to ensure regular reporting on ourworkforce by key characteristics (age, sex),by health occupation and by facility. Theprofile provides a regular flow of informationto our managers. Further work is beingundertaken to expand the profile. Work isalso planned to develop of a range ofworkforce performance indicators.

Future directionsThe workforce strategic plan will be finalisednext year and will outline our priorityinitiatives and workforce direction for the nextfive to ten years. A draft plan has alreadybeen used in consultation throughout theArea on contextual issues, ideas, possiblestrategies and priorities.

In 2006/07 there will be a focus on:• recruitment processes• career promotion• executive and middle management

development• Aboriginal and Torres Strait Islander

workforce development• workforce information, surveys and

performance indicators• future nursing, allied health and

medical requirements• on-going skills development for

human resource and Centre forEducation and WorkforceDevelopment staff.


Executive ReportsMike Wallace,Chief executive

Key responsibilities: The chief executive isaccountable for the overall corporategovernance, performance and strategicplanning of the organisation. The position ofchief executive reports directly to the Director-General of NSW Health. All second tierpositions report to the chief executive.

Significant achievements in reporting year:see chief executive report on page 5.

Paul Gavel,Director of strategic workforceplanning and development

Key responsibilities: Oversees the Area’sworkforce development, workforce planningand strategic workforce managementprocesses.

Significant achievements in reporting year:

• Establishment of the Centre forEducation and Workforce Development

• Streamlining of the staff orientationprocesses

• Implementation of our Aboriginalworkforce development program

• Continued development of vocationalmedical training networks

• Development of the draft workforcestrategic plan

Dr Peter Kennedy,Director of clinical governance

Key responsibilities: The director of clinicalgovernance is responsible for the strategicand operational management of the ClinicalQuality Unit and the Professional PracticeUnit as well as the development andimplementation of uniform quality policiesacross the area health service.

Significant achievements in reporting year:See clinical quality report on page 17.

Dr Greg Stewart,Director of population health,planning and performance

Key responsibilities: The Director ofPopulation Health, Planning and Performanceis responsible for developing the strategicdirections of the Area, through HealthcareServices, Population Health and CorporatePlanning; and for measuring and improvingperformance across the Area, specificallythrough the Clinical Services RedesignProgram. The position manages AboriginalHealth Services and Population HealthServices which include health, protection,health promotion and health surveillance andintelligence. The position is also responsiblefor counter disaster management andplanning, and the Area’s consumerparticipation agenda.

Significant achievements in reporting year:

• The Population Health, Planning andPerformance management structure wasfinalised and senior managers recruitedto all leadership positions in thedirectorate

• The SSWAHS Corporate Strategic Planwas developed

• The SSWAHS Healthcare Services Planwas developed

• The Liverpool Hospital Clinical ServicesPlan was developed

• Performance Monitoring, Analysing andClinical Redesign Unit (PMACRU) wasestablished and oversaw developmentand implementation of the three initialClinical Redesign Work Orders

• The Area Flu Pandemic Plan and theArea HealthPlan (disaster preparednessand response Plan) were developed

• A whole-of-Area Consumer ParticipationFramework was developed and the AreaConsumer/Community Council (CCC)expanded to include representatives fromthe eastern zone and specific populationgroups.


Executive ReportsJan Whalan,Director of corporate services

Key responsibilities: The director ofcorporate services manages a diverseportfolio which includes finance and budget,information technology, shared corporateservices and area health service corporateservices such as engineering, fleet, legal, riskmanagement and procurement.

Significant achievements in reporting year:See corporate services report on page 69.

Kerry Russell,Director of nursing services andmidwifery

Key responsibilities: The director of nursingservices and midwifery is responsible for theadministration and management of nursingservices across SSWAHS. This includes thedevelopment and implementation of nursingpolicy and practice, professional developmentand recruitment and retention issues.

Significant achievements in reporting year:See nursing and midwifery services report onpage 60.

Candy Cheng,Chief finance officer

Key responsibilities: The chief finance officeris responsible for the management of the areahealth service’s financial resources throughthe development and implementation offinancial management systems for budgetcontrol and performance measurement. Thechief finance officer also provides prompt andappropriate advice to the chief executive andsenior executive on budget and financematters.

Significant achievements in reporting year:See financial services report on page 70.

Dr Victor StormArea Clinical Director Mental Health

Key responsibilities: Key Responsibilitiesinclude: the development of a Clinical ServicesPlan for child, adolescent, adult and olderpersons’ mental health; to develop, manage andmonitor the budget for the delivery of child,adolescent, general and older adult mentalhealth services; implementation of the MentalHealth Clinical Care and Prevention Model (MH-CCP) as a tool to assess the needs for andutilisation of a comprehensive integrated mentalhealth care and prevention service; to develop,implement and manage effective clinicalgovernance arrangements that focus on quality,clinical audit, risk and evidence based practice.

Significant achievements in reporting year:• An area-wide organisational structure has

been developed• The appointment of Mental Health Service

executive• The development of a draft Area Mental

Health Service Plan• The expansion of community and inpatient

services in Western Zone;• Major recruitment activity for expanded services

has been undertaken and is ongoing.

Marion DowneyActing Director Public Affairs andMarketing (since September 2006)

Key responsibilities: The Director of PublicAffairs and Marketing is responsible for all mediaand communication activities across the areahealth service. These activities include managingrelationships with the media and acting as a firstpoint of contact for media; informing thecommunity of health initiatives and servicesthrough the media and through organising eventsand visits to our services and facilities; keeping thecommunity informed through production ofnewsletters and brochures about our services;producing the SSWAHS Annual Report andcommunicating to staff internally; as well asmanaging events and VIP visits.

The position of director of Public Affairs andMarketing has dual reporting to the chiefexecutive and the director of corporate services.

Significant achievements in reporting year:See public affairs and marketing report page 73.


Staff ProfileNumber of full time equivalent staff employed by SSWAHS as at 30 June 2006* Data provided by NSW Health

Sydney South West Area Health Service June 03 June 04 June 05 June 06

Medical 1,459 1,584 1,544 1,638

Nursing 6,187 6,367 6,573 6,968

Allied Health 1,388 1,398 1,403 1,475

Other Prof. & Para professionals 843 773 632 628

Oral Health Practitioners & Therapists 289 281 274 272

Corporate Services 644 755 679 600

Scientific & technical clinical support staff 1,083 1,111 1,240 1,258

Hotel Services 1,698 1,639 1,606 1,597

Maintenance & Trades 252 239 224 208

Hospital support workers 2,194 2,118 2,158 2,151

Other 70 82 78 90

Total 16,107 16,348 16,411 16,885Medical, nursing, allied health, other healthprofessionals & oral health practitioners as aproportion of all staff 63 64 64 65

Notes:

1. FTE calculated as the average for the month of June, paid productive and paid unproductivehours.

2. As at March 2006, the employment entity of NSW Health Service staff transferred from therespective Health Service to the State of NSW (the Crown). Third Schedule Facilities have nottransferred to the Crown and as such are not reported in the Annual Report as employees.

3. Includes salaried (FTEs) staff employed with Health Services and the NSW Department of Health.All non-salaried staff such as contracted Visiting Medical Officers are excluded.

4. In 2006, the collation of data has been improved by including an additional four staff categories toprovide greater clarity between staff functions. Previous years’ data has been re-cast to reflect thesechanges, which has resulted in variations from figures reported in previous Annual Reports. Theprevious category ‘Hospital Employees’ has been replaced with ‘Other Professionals and Para-professionals, which includes health education officers, interpreters etc and ‘Scientific and technicalsupport workers’ e.g. hospital scientists and cardiac technicians.

Award codes assigned to allied health have been reviewed and only the following professions havebeen included in the category; audiologist, pharmacist, social worker, dietitian, physiotherapist,occupational therapist, medical radiation scientist, clinical psychologist, psychologist, orthoptist,speech pathologist, orthotist/prosthetist, medical radiation therapist, nuclear medical technologist,radiographer and podiatrist to more accurately reflect this workforce. A category for Oral HealthPractitioners and Therapists has been included as well as one for Hospital support workers, whichincludes ward clerks and IT support officers etc. Uniformed Ambulance officers have been revised toreflect ambulance on road staff and ambulance support staff.


Equal Employment OpportunityEqual Employment Opportunity (EEO) concernsensuring the workplace is free from all forms ofharassment and discrimination and programs ofaffirmative action are provided for employeeswho are traditionally disadvantaged in theworkplace: Aboriginal and Torres Strait Islanderpeople, women, people whose language firstspoken as a child was not English, and peoplewith a disability requiring an adjustment.

SSWAHS believes equity is a fundamental rightof every employee, and by applying equalemployment opportunity principles to everyaspect of work life the Area is supporting goodmanagement practice and observing thelegislation governing these principles, the Anti-Discrimination Act, 1977.

The Area continues to promote the principlesand practices of EEO in its application ofconditions of employment, relationships in theworkplace, performance evaluation and theopportunity for training and career development.

Achievement of last year’s EEOplanned outcomes for SWSAHSDevelopment of the SSWAHS Aboriginal andTorres Strait Islander Strategy is proceedingwith a focus on recruiting increasing numbersof Aboriginal and Torres Strait Islander staffand retaining them in the organisation.Workforce development issues and areas ofattention have been identified and actions putin place to address issues and establishpersonal development plans.

Eight positions were allocated in the traineeenrolled nurse program to Aboriginal andTorres Strait Islander people.

A review of the Governing Body ofManagement Manual, including HumanResource policies, is proceeding to ensurepolicy reflects the changes bought about byamalgamation of the Central Sydney andSouth West Sydney Area Health Services.

EEO Planned Outcomes for2005/06SSWAHS continues to work with ourAboriginal and Torres Strait Islander staff toconduct skill needs analysis and to map theirneeds against Aboriginal health high priorityareas, as well as ensuring links aremaintained and strengthened with Aboriginalemployment programs – the aim being toenhance the skills of existing staff and toincrease the numbers of Aboriginal andTorres Strait employed within the Area.

An important goal remains to increaseAboriginal and Torres Strait Islanderrepresentation in the registered nurse andmidwife fields and to continue to allocateplacements in the trainee enrolled nurseprogram.

SSWAHS continues to review the GoverningBody of Management Manual, including theHuman Resource policies, through aconsultation process to ensure all policyreflects changes brought about byamalgamation. Updated policies will bedistributed to facility managers and placed onthe SSWAHS intranet site.

Statistics 2005/06The statistical information for the following tables(salary levels and employment type) wasobtained from a report generated by thePremier’s Department from the WorkforceProfile data, for the period 1 July 2005 to 30June 2006. The salary levels are those used forthe EEO statistical data 2005/06 period. Thesefigures are adjusted annually by ODEOPE toreflect industry-wide wage increases granted tovarious groups of employees.


Equal Employment OpportunitySSWAHS percentage of total staff (head count) by salary level – 2005/06

<$32,606$32,606

to$42,824

$42,825to

$47,876

$47,877to

$60,583

$60,584to

$78,344

$78,345to

$97,932

>$97,932(non SES)

>$97,932(SES)

Total

Estimaterange(95%

confidencelevel)

Total staff(number)

272 5,935 1,762 5,115 3,596 1,397 840 18,917

EEOrespondents

(187)69%

(4,159)70%

(1,299)74%

(3,634)71%

(2,449)68%

(908)65%

(555)66%

0 (13,831)70%

Men (43)16%

(1,576)27%

(376)21%

(864)17%

(866)24%

(606)43%

(555)66%

0 (4,886)26%

Women (229)84%

(4,359)73%

(1,386)79%

(4,251)83%

(2,730)76%

(791)57%

(285)34%

0 (14,031)74%

Aboriginalpeople &Torres StraitIslanders

(10)5.3%

(102)2.5%

(13)1.0%

(43)1.2%

(15)0.6%

(2)0.2%

(1)0.2%

0 (186)1.4%

1.3% to1.5%

People fromracial, ethnic,ethno-religiousminoritygroups

(36)19%

(766)18%

(263)20%

(958)26%

(543)22%

(262)29%

(156)28%

0 (2,984)23%

22.3%to

23.1%

People whoselanguage firstspoken as achild was notEnglish

(70)37%

(1,644)40%

(461)35%

(1,250)34%

(698)29%

(263)29%

(128)23%

0 (4,514)34%

33.7%to

34.6%

People with adisability

(1)1%

(118)3%

(27)2%

(112)3%

(78)3%

(27)3%

(12)2%

0 (375)3%

2.7% to3.0%

People with adisabilityrequiringwork-relatedadjustment

0 (30)0.7%

(7)0.5%

(29)0.8%

(15)0.6%

(4)0.4%

(2)0.4%

0 (87)0.7%

0.6% to0.7%


Equal Employment OpportunitySSWAHS percentage of total staff (head count) by employment type – 2005/06

Full-time

Part-time

Full-time

Part-time

Contract(SES)

Contract(non SES)

TrainingPositions

RetainedStaff

Casual Total

Total Staff11,310 4,761 2,210 389 0 14 236 0 3,837 22,757

Respondents (8,409)72%

(3,483)70%

(1,524)60%

(235)56%

0 (3)100%

(181)71%

0 (1,417)30%

(15,252)

63%Men (3,405)

29%(553)11%

(988)43%

(75)19%

0 (9)43%

(55)21%

0 (958)26%

(6,053)26%

Women (8,105)71%

(4,367)89%

(1,254)57%

(341)81

0 (7)57%

(163)79%

0 (2,832)74%

(17,069)

74%Aboriginalpeople &Torres StraitIslanders

(146)1.6%

(44)1.0%

(20)0.5%

(3)0.9

0 0 (7)6%

0 (29)1.1%

(249)1.3%

People fromracial, ethnic,ethno-religiousminoritygroups

(1,871)23%

(671)19%

(464)32%

(52)28%

0 (1)7%

(27)19%

0 (299)21%

(3,385)22%

People whoselanguage firstspoken as achild was notEnglish

(2,889)36%

(947)27%

(583)42%

(56)27%

0 (1)7%

(73)36%

0 (479)36%

(5,028)35%

People with adisability

(274)3%

(104)3%

(25)2%

(5)4%

0 0 01%

0 (26)2%

(434)3%

People with adisabilityrequiringwork-relatedadjustment

(68)0.7%

(21)0.6%

(2)0.2%

(4)2.8

0 0 0 0 (3)0.1%

(98)0.6%


Equal Employment OpportunityTrends in the Representation of EEO Groups

% of total staff

EEO Group Benchmarkor Target 2003 2004 2005 2006

Women 50% 74% 74%

Aboriginal people andTorres Strait Islanders 2% 1.6% 1.4%

People whose firstlanguage was not

English20% 33% 34%

People with a disability 12% 3% 3%People with a disabilityrequiring work-related

adjustment7% 0.7% 0.7%

Trends in the Distribution of EEO Groups% of total staff

EEO Group Benchmarkor Target 2003 2004 2005 2006

Women 100 90 90

Aboriginal people andTorres Strait Islanders 100 75 75

People whose firstlanguage was not

English100 92 92

People with a disability 100 100 102People with a disabilityrequiring work-related

adjustment100 95 97

Notes:1. Staff numbers are as at 30 June 20062. Excludes casual staff3. A Distribution Index of 100 indicates that the centre of the distribution of the EEO group across

salary levels is equivalent to that of other staff. Values less than 100 mean that the EEO grouptends to be more concentrated at lower salary levels than in is the case for other staff. The morepronounced this tendency is, the lower the index will be. In some cases the index may be more than100, indicating that the EEO group is less concentrated at lower salary levels. The DistributionIndex is automatically calculated by the software provided by ODEOPE.

4. The Distribution Index is not calculated where EEO group or non-EEO group numbers are less than 20.


Occupational Health and Safety

SSWAHS has a continuing commitment tooccupational health and safety (OHS). OHSpolicies and programs identify, assess andprevent work related injuries and illnesses.Specific risk management strategies havebeen implemented to minimise the risksfrom identified hazards. Manual handlingand security issues remain a high priority.

OHS committees at each facility encourageconsultation and participation in OHSactivities. OHS training is provided for OHScommittee members and managers to assistthem to meet their OHS responsibilities. OHStraining for all employees includes manualhandling, minimisation of aggression,infection control, fire safety and other specifictraining as required to work safely.

SSWAHS continues to review OHS policies andprograms to establish area-wide integration (aspart of the amalgamation process.)

Workers compensationperformanceSSWAHS continues to support effective workerscompensation management and workplace-based rehabilitation. Injured employees areoffered specific programs of suitable duties toassist their return to work. There is ongoingreview of claims and discussions with legaladvisors and the fund manager to monitor costsand ensure any issues are quickly andeconomically resolved.

Workers compensation performance ismeasured by comparing claim rates andcosts with NSW Health rates and costs.Figures are shown for the last five financialyears at 31 March 2006. This is the mostrecently available data from the NSWTreasury Managed Fund (TMF) as verified bythe actuary for the TMF.

SSWAHS 2001/02 2002/03 2003/04 2004/05 2005/06

SSWAHS Claims 1443 1578 1590 1496 1023

SSWAHS Claim rate/100equivalent full-time 9.4 10.1 10.0 9.0 6.1

NSW Health claim rate/100equivalent full-time 8.6 9.1 9.1 8.5 5.9

SSWAHS Claim cost/equivalentfull-time ($) $952 $890 $902 $602 $270

NSW Health claim cost/equivalent full-time ($) $1,080 $922 $800 $636 $317

*Data from NSW Treasury Managed Fund as at 31 March 2006

Claims are recorded in the financial year inwhich they occurred. Data for the 2005/06year is not yet complete.

There was an increase in claims across NSWHealth in 2002/03 following changes to NSWWorkers Compensation legislationcommencing January 2002.

Claim costs increase as claims develop overtime so that claims made in 2000/01 haveaccrued more cost than claims made in morerecent years.

This must be taken into account whencomparing claim costs over time.

Claim rates for SSWAHS are slightly abovethe NSW Health average for the fund years2001/02 to 2005/06 but costs are less thanNSW Health average for all these fund yearsexcept the 2003/04 fund year.

There is variation in performance betweenSSWAHS facilities.


Occupational Health and Safety Claim Rate/100 FTE 2001/02 2002/03 2003/04 2004/05 2005/06Balmain 8.6 8.9 13.9 13.1 6.8Bankstown HS 11.0 15.9 15.2 13.8 9.3Wingecarribee HS 14.1 7.6 9.5 14.4 8.2Braeside 12.1 15.0 12.0 9.7 5.5Camden HS 19.6 20.5 13.9 12.8 6.9Campbelltown HS 12.3 13.9 8.8 8.6 4.3Canterbury 5.8 5.8 6.6 7.5 6.2Concord 10.8 9.7 9.9 9.4 5.9Fairfield HS 13.6 12.6 10.2 8.9 10.9Liverpool HS 9.8 9.0 10.6 8.9 5.8Queen Victoria 13.4 12.6 6.7 8.6 7.2Population Health 5.0 8.6 8.2 8.0 4.3Royal Prince Alfred 7.5 9.4 7.7 7.2 4.9Rozelle 10.2 11.6 12.6 11.2 7.1Sydney Dental Hospital 12.5 11.7 9.0 7.9 4.3SSWAHS Average 9.4 10.1 10.0 9.0 6.1NSW Health Average 8.6 9.1 9.1 8.5 5.9*Data from NSW Treasury Managed Fund as at 31 March 2006

Claim Cost/FTE 2001/02 2002/03 2003/04 2004/05 2005/06Balmain $101 $375 $1,678 $585 $197Bankstown HS $1,146 $1,292 $918 $594 $149Wingecarribee HS $1,071 $542 $420 $572 $197Braeside $890 $491 $114 $406 $170Camden HS $1,366 $1,285 $25 $51 $75Campbelltown HS $2,843 $1,364 $2,684 $1,015 $202Canterbury $2,486 $1,958 $1,011 $733 $204Concord $948 $764 $950 $722 $334Fairfield HS $1,066 $893 $1,508 $543 $350Liverpool HS $1,008 $588 $1,148 $561 $382Queen Victoria $73 $736 $663 $333 $48Population Health $1,196 $480 $127 $448 $128Royal Prince Alfred $955 $558 $611 $449 $261Rozelle $759 $1,069 $724 $830 $236Sydney Dental Hospital $869 $1,270 $654 $690 $163SSWAHS Average $952 $890 $902 $602 $270NSW Health Average $1,080 $922 $800 $636 $317*Data from NSW Treasury Managed Fund as at 31 March 2006

Manual handling injuries remain the most frequent type of claim within the health industry. Specificstrategies to reduce these injuries include risk assessments, development of safe work practices inconsultation with staff, manual handling training, the provision of lifting equipment and considerationof manual handling requirements as part of the design and procurement process.

SSWAHS was not prosecuted for any breach of Occupational Health and Safety legislation during2005/06.


Teaching and Training Initiatives SSWAHS is one of the leading providers ofhealth education and training in Australia.Our training and development initiatives are akey aspect of our investment in our workforceand the programs and courses that areoffered are aimed at building skills andenhancing individual, and organisational,ability and performance. Our training extendsacross all health occupations, both clinicaland non-clinical. Clinical training covers bothuniversity placements and postgraduatevocational training.

Centre for Education andWorkforce DevelopmentThe Centre for Education and WorkforceDevelopment was established in 2005/06 toprovide in-house workforce developmentprograms. The Centre currently operates fivestreams:

• Nursing and Midwifery Education Service• International Placements and Training• Aboriginal Workforce Development• Leadership and Management• Workforce Development Service

The Centre is a registered trainingorganization and the majority of programsoffered lead to nationally recognisedqualifications. More than 1,200 staff enrolledin courses in 05/06. Achievements include:• Establishment of an Area-wide program

to support international studentplacements co-opting and training CNCsas clinical facilitators

• Special initiative with nursing schools inDenmark

• Clinical Supervision Program forcommunity nurses, new graduates andmidwives

• Area-wide implementation of existingworker traineeships - more than 200trainees in pharmacy, dental services,allied health, operating theatres andcleaning services

• Introduction of a mentoring program forNurse Managers and Nurse UnitManagers

• Coaching for Performance program• Implementation of our Aboriginal

Workforce Development program,including 12 cadetships (nursing andmidwifery)

• VET in Schools (Assistant In Nursingprogram) expanded to include Bankstown24, Campbelltown 15, Fairfield 15,Bowral 6

• Performance management training forour medical managers

• Development of new e-learning programsincluding maths for medication andhazardous substances

• Redesign of our staff orientation program• Introduction of our manager orientation

program• Development of the Centre’s website.

The Area-wide model of service delivery hasenabled a better utilisation of teachingresources, consistency in content and quality,improved access to a larger range ofeducation and training services formanagement and staff and greaterresponsibilities and flexibility to addressemerging needs.

Allied HealthAllied Health students are accepted fromuniversities in Sydney for fieldwork placementthroughout SSWAHS. Graduate trainingplacements are provided for severaldisciplines. Allied Health in-service programsalso operate, providing and opportunity forspecialised clinical education.


Teaching and Training Initiatives Undergraduate medicaleducationOur network of undergraduate and graduatemedical education has links to theUniversities of Sydney and New South Walesand our hospitals at RPA, Concord,Bankstown and Liverpool. Planning hasbegun for commencement of a new medicalschool at the University of Western Sydneyand integration of this new school into ournetwork of hospitals in Sydney’s southwest.

Junior Medical OfficersThe intern year of vocational medical trainingis focused around primary allocation centresat RPA, Liverpool, Concord and Bankstownhospitals.

Vocational medical training is moving towardsa networked basis. In 2005/06 networks forbasic physician and basic surgery trainingcommenced operation and a psychiatrytraining network was established. Thesenetworks provide the opportunity for a broadrange of clinical training experiences to begained throughout our hospitals.

Nursing and Midwiferyeducation and professionaldevelopmentSSWAHS is a registered higher educationinstitution under the NSW Higher EducationAct 2001 and delivers the accredited

Graduate Certificate in Specialty Nursing. In2005, 43 nurses graduated with the awardspecialising in anaesthetics/recovery,emergency, family and child health, peri-operative and renal nursing. 80 per cent ofthese graduates are still employed within ourhospitals. Currently 57 students are enrolledin specialities across the Area.

SSWAHS is also a recognised provider ofclinical education for trainee enrolled nursesand undergraduate bachelor of nursing andmidwifery programs. In 2005/06, SSWAHSaccommodated 7,311 undergraduate nursingstudents, who spent a total of 519,038 hoursin the clinical areas, and we provided389,362 clinical hours of support. 536 newgraduate nurses with and 36 studentmidwives were employed in our hospitals.Our trainee enrolled nurse numbersincreased to 212 across the Area. All wereretained on completion of their programs.

SSWAHS is also committed to continuingprofessional development for nurses andmidwives. Over 200 Area-wide clinicalenhancement and professional developmentprograms are offered through the year.

SSWAHS has also recognised theimportance of clinical supervision and hasstarted a program to train facilitators toprovide supervision for our communitynurses, new graduates and midwifes.


ResearchFollowing is a brief list of some of the research being undertaken at SSWAHS.

A more detailed listing can be found at www.sswhealth.nsw.gov.au

Project Facility /Researchers Funding Duration Description

Weight training indiabetes

BalmainHospitalM SinghN SinghK Wiley

DiabetesAustralia$50,000

1 year To demonstrate the effectiveness of weighttraining alone in diabetes.

A randomised,controlled clinicaltrial of theeffectiveness ofChinese herbalmedicine in thetreatment ofvascular dementia

BankstownHospitalD ChangD ChanA BensoussanJ Liu

University ofWesternSydney$25,000

2 years

Randomised, double blind and controlled phaseIV drug clinical trial. Testing the efficacy of acompound of Chinese herbal medicine ontreating vascular dementia. 70 subjects with adiagnosis of vascular dementia wererandomised to the intervention and the controlgroups. All subjects have been being followedup at regular intervals for outcomes.

Characteristics ofthe First 1000Clients Attendingan Anxiety Clinic inSouth West Sydney

BankstownHospitalWagnerSiloveJoukhadorManicavasagarMarnaneK ToskasBankstownAnxiety Clinic& School ofPsychiatryUNSW

Nil 2001-2005 Comparison of anxiety clients with Australianepidemiological study.

ImprovingAdherence with HipProtectors

BankstownHospitalCollaborativeprojectbetweenUniversity ofSydney andBankstownAged CareI CameronS KurrleS QuineP Sambrook LMarchD Chan

$265350NationalHealth andMedicalResearchCouncil(NHMRC)

3 years Cohort study to improve the adherence of hipprotector in elderly people.

Randomised Trialof Early ChildhoodSustained HomeVisiting in aDisadvantagedCommunity

CommunityHealthE HarrisC McMahonS MattheyG VipaniT AndersonV SchmiedL Kemp

Total funding$1,085,000

DOCS$330,000

NSW Health$80,000

SSWAHS$225,000

AustralianResearchCouncil$450,000

5 years

This study generates Australian evidence ofeffective interventions to reduce the impact ofsocial and environmental factors predisposinginfants and children to ill health and reducingtheir life potential. It is the first Australianrandomised trial to determine the impact of acomprehensive sustained home visitingprogram, (antenatally to two years), in apopulation group living in an area of knowndisadvantage. As such, this trial is a bestpractice demonstration model for professionalhome visiting in Australia, with significantimplications for the development of earlychildhood policy and strategy nationally.


ResearchProject Facility /

Researchers Funding Duration Description

FenofibrateInterventionand EventLowering inDiabetes(FIELD) Study

ConcordHospitalL Kritharides

NHMRC$115,000 6 years

An international study to determine whethertreatment with cholesterol-lowering medication(fenofibrate) prevents deaths from heartdisease or non-fatal heart attacks in peoplewith type 2 diabetes.

Assessment ofRisk Factors inCoronaryBypass GraftsStudy

ConcordHospitalG LauL KritharidesL RidleyS FreedmanD BriegerP Bannon

NationalHeartFoundation$60,000

4 yearsTo investigate causes of failure of artery graftsusing CT scans and to investigate new ways ofmonitoring grafts after cardiac surgery.

Cognitivedecline innormal agingand preclinicalAlzheimer'sdisease: Acommunitybased study

ConcordHospitalG HuntR White

Rebecca LCooper$6,600

3 years

To identify patterns of cognitive decline inthree community-based groups, and toexamine the relationship between APOEgenotype and cognitive functioning.

The effect ofModafinil onhypersomnole-nce andcognitiveimpairment inpatients withMyotonicDystrophy

ConcordHospitalA CorbettS SeahT LyeM Ingleton

Nil –in-house 1 year

To examine the effect of modafinil incontrolling excessive day-time sleepiness andapathy in patients with myotonic dystrophy.

Case-controlstudies ofcompleted andattemptedsuicide inyoungpeople in NSW

Department ofForensicMedicineR TaylorM DudleyA PageJ DuflouJ Mowll


This project involves case-control studies ofsuicide and attempted suicide in young peoplein urban and rural NSW, investigatingantecedents and risk factors. The project hasbeen funded by NHMRC for four years from2004.

Viewing thebody after asudden andunexpecteddeath; theexperienceand effects ongrief andtraumaoutcomes

Department ofForensicMedicineJ Mowll

In-house 6 years

The study explores whether seeing a relative'sbody after they die makes a difference to griefand trauma reactions over time. Many peopleare able to make a choice about whether ornot to view their relative's body. This studyaims to look at both the subjective experienceand effects of viewing for bereaved personsafter a sudden and unexpected death.

Trans-TasmanResponseAgainst Deathin the Young(TRAGADY)

Department ofForensicMedicineJ SkinnerC SemsarianJ DuflouN Langlois etal.

In-house Ongoing

Investigation of sudden death in children andyoung adults can reveal inherited cardiacdisease in more than 40 per cent of cases.For each of these, an average of 9-10 familymembers can be identified, and effectivetherapies delivered to prevent their suddendeath. Detailed death investigation may assistin arriving at more reliable diagnoses, beingbetter able to counsel and screen familymembers and furthering genetic research intothe aetiology of sudden death in the young.




Evaluation of ayouthdevelopmentunit andprospectivestudy of drugand alcoholuse in threeremoteAboriginalcommunities

Drug HealthServicesK Conigrave,A CloughK Lee

Alcohol,EducationandRehabilitationFoundation$181,094

4 years

A longitudinal study of substance misusewithin three remote Aboriginal communitiesThe project design has been developed overthe past 18 months in collaboration withMenzies University. Data collection willformally commence in 2004, and will involveevaluation of the effectiveness of a youthdevelopment unit.

Modes oftransmission,natural historyanddeterminantsof viralclearance inacute hepatitisC infection

Drug HealthServicesA Lloyd,P Haber,W Rawlinson,R Ffrench,K Dolan,M Levy,J Kaldor

NHMRCFunded toprincipalinvestigator$800,000

4 years

This is a cohort study of inmates not infectedwith hepatitis C aiming to further understandthe mode of virus transmission and the criticalfactors involved with spontaneous viralclearance.

Revision of thedrink-lesspackage andstudy of itsvalue intrainingmedicalpractitioners inbriefintervention

Drug HealthServicesK Conigrave,E Proude,P Haber,J Saunders

Roads andTrafficAuthority$290,469

4 years

This project is funded by the Roads and TrafficAuthority (RTA) to evaluate, and update theDrink-less kit as a tool to facilitate brief medicalintervention for excessive alcoholconsumption. Data is to be collected on thevalue of Drink-less as a tool in training GPs inbrief intervention techniques.

Hydrotherapyversus landbasedrehabilitation intotal kneereplacements

FairfieldHospitalPhysiotherapydepartment

SSWAHS$25,000 2 years

Comparison of outcomes between land basedrehabilitation and water based rehabilitation inpatients undergoing a total knee replacement.

Evaluation ofclientoutcomesfollowingadmission tothe KaritaneResidentialUnit

KaritaneD NemethJ Phillips

Internalfunding 1 year

This study evaluated mental health andparenting outcomes associated withadmissions at the Karitane Residential Unit.Results showed that the intervention iseffective in facilitating positive change forclients.

Jade HouseClinicalServiceReview

KaritaneM StuchberyB BarnettJ Phillips

Internalfunding 1 year

In this study, a retrospective review of JadeHouse data has been undertaken with theaims of providing a description of the clientswho access Jade House, the clinical servicesprovided and the outcomes associated withthe interventions provided at Jade House.

Use ofintravenousFlagyl

LiverpoolHospitalL LeeC LingJ Rowland

Nil funding 1 year

This project evaluates the use of intravenousFlagyl, its indications (versus oral Flagyl) andthe cost savings through earlier use of the oralformulation.

OdesseyLiverpoolHospitalDr Hovey

$24,000 Ongoing

Evaluation of two doses of SR31747A (75 mgand 125 mg) in non-metastatic androgen-independent prostate cancer. Randomised,double-blind, placebo controlled Phase IIstudy.




SustainableAccess for theElderly (SAFE)project

LiverpoolHospitalD BasicD ConfortiC MacarthurC ShanleyD ChanA LubianaJ MassoD Le CouteurJ Cullen

Common-wealthDepartmentof Health$1,000,000

2.5 years

This project will evaluate and developprograms that enable safe, equitable and cost-effective transit of elderly persons through thehealth system. The project includes thedevelopment and evaluation of an electronicdischarge summary and end-of-life care plansfor hospital inpatients and nursing homeresidents. Other programs that will beevaluated include the Community TransitionalCare Packages program and the Aged CareServices in the Emergency Department(ASET) program. The long-term outcomes ofpatients treated by geriatricians at LiverpoolHospital will also be studied.

AdvancedOvarian (S231)

LiverpoolHospitalDr Goldrick

$1,650 Ongoing

Phase II Study of First-Line, Single AgentCarboplatin Followed Sequentially byGemcitabine and Paclitaxel in Patients withAdvanced Ovarian Cancer: An Australian andNew Zealand Gynaecological Group Study.

Germ CellRegistry

LiverpoolHospitalDr Moylan

Trial notfunded Ongoing

Prognostic Factors for Survival and Patternsof Care for Germ Cell Tumours in Australiaand New Zealand.

BrainNatruireticPeptide (BNP)Levels and LeftVentricularDiastolicFunction inPatientsTreated withDoxorubicin

LiverpoolHospitalC AllmanD LeungP Nguyen-Do

HealthResearchFoundationSydneySouth West$6,800

4 years

Study measures the diastolic left ventricularfunction of patients receiving Doxorubicin.Serial ultrasound and BNP levels arerecorded.

GenderDifferences inTraumaticBrain Injury

LiverpoolHospitalM Parr

MotorAccidentsAuthority$2,160

Ongoing

This study aims to investigate genderdifferences in physiological markers of injuryseverity and their impact on outcome over 6months in people who have sustained aTraumatic Brain Injury. It is anticipated thatinformation obtained from this study will helpto plan better treatment according to thepatient’s gender.

Staff andconsumerperceptions ofresearch andquality projectsin mentalhealth settings

RozelleHospitalM ClearyG HuntG Walter

Nil CompleteSurvey of staff and consumers regardingattitudes, views and knowledge aboutresearch and factors affecting participation.

Patient andCarerPerceptions ofNeed andCaregiverBurden:Working inPartnership toFacilitateCommunity-BasedInterventions


Nursing andMidwiferyinnovationsscholarship

McGeorgeBequest

Universityof Sydney

$20,000

Ongoing

Determining whether carers and consumershave similar ideas on how much care isneeded / provided prior to and during anacute inpatient admission.




Psychosocialinterventionsfor people withboth severemental illnessand substancemisuse


McGeorgeBequestUniversity ofSydney

$10,000

Ongoing

Cochrane Systematic Review - To evaluatethe effects of psychosocial interventions forsubstance misuse within the psychiatric careof people who have problems of bothsubstance misuse and serious mentalillness.

Centre forClinicalResearchExcellence inRespiratoryand SleepMedicine

RPA HospitalR Grunstein


The focus of this research is respiratory andsleep disorders and the application of itsfindings to clinical practice.

Preliminarystudy ofassociationbetweennutritionalindicies,psychosocialfactors,cytokines andsurvival inadvancedcancer patients

RPA HospitalP Glare

NHMRC$24,820 1 year

This project aims to assess the feasibility ofmeasuring nutritional indices, psychosocialfactors and cytokine levels in patients withadvanced cancer.

Basicmechanism ofspontaneoustolerance ofliver allograftsin a rat model

RPA HospitalA BishopG McCaughanA SharlandJ RaskoC Wang


This project aims to improve the outcome ofliver transplantation by studying an animalmodel where a transplanted liver is notrejected.

Centre ofClinicalResearchExcellenceProgram: Toimproveoutcomes inchronic liverdisease

RPA HospitalG FarrellG McCaughan


This project will investigate treatments forchronic liver diseases such as hepatitis Band C.

Public Health(Australia)Fellowship:Reducing theunintendedadverseoutcomes ofepiduralanalgesia forchildren

RPA HospitalS Torvaldsen


This project aims to reduce the unintendedadverse effects of epidural analgesia forchildbirth.

Sidney SaxFellowship:Antiplateletagents toprevent pre-eclampsia - anindividualpatient datareview

RPA HospitalL Askie


This project aims to determine whether lowdose aspirin, when given to at risk women inearly pregnancy, will prevent or reduce theseverity of pre-eclampsia without adverseeffects.




Scholarship:Mechanisms ofcoronaryrestenosis indiabetes

RPA HospitalK Kathir


This project will examine the effect ofprobucol on coronary artery blockage inpeople with diabetes.

Sequencing oftransmissiblePseudomonasaeruginosafrom patientswith cysticfibrosis

RPA HospitalC HarbourB RoseJ ManosJ ArthurP Bye

Cystic FibrosisAustralia$86,570 3 year

The project aims to develop a strain-specificmarkers for rapid detection of transmissiblestrains.

Lipohypertro-phy: It existsbut does itmatter?

RPA HospitalJ Overland

Eli Lilly$19,012 1 year

The project aims to investigate the intravariability of blood glucose profiles in peoplewith type 1 diabetes following subcutaneousinjection of insulin into an area affected bylipohypertrophy versus an area with noevidence of lipohypertrophy.

Equipment:Cell andMolecularTherapyLaboratoryoutfitting

RPA HospitalJ Rasko

CancerInstitute NSW$110,000 1 year

This project aims to provide researchinfrastructure that is vital to ensuring cancerresearch capacity and quality continues toexpand in NSW.

Study topredict homedeath

RPA HospitalP Glare

Palliative CareAustralia$49,000

3 years

This project aims to identify the factorswhich predict for a home death so thatinterventions can be developed to helppatients who want to die at home to do so.

Prediction ofOral ApplianceTreatmentOutcome inObstructiveSleep Apnoea

SydneyDentalHospitalP CristulliA DarendelilerH Gotsopoulos


Project aims to directly compare the healthbenefits achievable with the use of oralappliances.

Periodontaldisease,inflammationandcardiovascularrisk

SydneyDentalHospitalB TaylorG Tofler


A prospective randomised controlledclinical trial of conventional periodontaltreatment to test whether conventionaltreatment of periodontal disease will resultin reduced systemic levels of inflammatoryand prothrombotic factors.

Mothering ata Distance

TresillianC FowlerK HeggieC McMahonN KowalenkoA CashinC RossiterJ Cassin

GreaterWesternSydney:NationalCommunityCrimePreventionProgram$44,7421

3 years

The project in partnership with NSWDepartment of Corrective Services willestablish a self sustaining educationand support program to: assist withcase management and addressing theneeds of mothers who are in prison;enhance their ability to provideappropriate and sensitive parenting;and reduce the emotional and socialimpact of separation due toincarceration on their children 0-5years.


Official Overseas Travel Facility Name and Unit Place Visited Purpose of Travel Source of

FundsBankstownHospital

Dr Ishrat Ali,Bankstown Mental Health Edinburgh Royal College of Psychiatrists TESL

BankstownHospital

S Atlas,Radiology Chicago Radiology Society North America

2005 Trust Funds

BankstownHospital

F Bonar,Surgery Texas, America 28th Annual San Antonio Breast

Cancer Symposium General Funds

BankstownHospital

F Bonar,Surgery Nice European Breast Cancer

Conference General Funds

BankstownHospital

M Brennan,Radiology London Gynaecological US Course Trust Funds

BankstownHospital

M Brennan,Radiology

ASUM Asia Link “Excellence inUS” Trust Funds

BankstownHospital

M Brennan,Radiology Bangkok AOSPR 2005 Trust Funds

BankstownHospital

M Brennan,Radiology Manila 8th AMS Meeting Trust Funds

BankstownHospital

M Brennan,Radiology Manila ASEAN Radiology Congress

2006 Trust Funds

BankstownHospital

M Brennan,Radiology Prague ECTS 33rd Euro Symposium on

Calcified Tissues Trust Funds

BankstownHospital

M Brennan,Radiology Copenhagen Nordic Mammography Screening

Symposium VI Trust Funds

BankstownHospital

M Brennan,Radiology

Birmingham,UK UK Radiology Trust Funds

BankstownHospital

C Bui,Nuclear Medicine Wellington Meeting in the Middle –

Abdominal Imaging Trust Funds

BankstownHospital

Marily Cintra,Arts for Health Program

Montreal andToronto,Canada

To participate in the CreativePlaces Conference and presentwork developed for SSWAHS Artsfor Health Programs at theUniversity of Montreal

Self funded

BankstownHospital

H Dixon,Nuclear Medicine

University ofWashington

Visit Professor SatoshiMinoshima Trust Funds

BankstownHospital

H Dixon,Nuclear Medicine Chicago Radiology Society North America

2005 Trust Funds

BankstownHospital

H Dixon,Nuclear Medicine London Visit St Thomas PET Centre Trust Funds

BankstownHospital

B Elison,Nuclear Medicine Chicago Radiology Society North America

2005 Trust Funds

BankstownHospital

J Flack,Endocrinology Athens

41st Annual Meeting of theEuropean Association forDiabetes

General Funds

BankstownHospital

J Flack,Endocrinology

Bangkok,Thailand 6th IDF WPR Congress General Funds

BankstownHospital

A Frankel,Respiratory Johannesburg SA Thoracic Society & Critical

Care General Funds

BankstownHospital

D Freiberg,Respiratory

Los Angeles,America American Thoracic Society General Funds

BankstownHospital

D Greenberg,Radiology Singapore 32nd Annual Refresher –

International Skeletal Society Trust Funds

BankstownHospital

D Greenberg,Radiology Bahamas Diagnostic Imaging Update at

Atlantis Trust Funds

BankstownHospital

Dr Honor PenningtonBankstown Mental Health Nauru Project funded to set up Mental

Health Service in NauruSelf funded viaAnnual Leave

BankstownHospital

S Ieraci,Accident and Emergency New Zealand ACEM Winter symposium 2005 General Funds


Official Overseas TravelFacility Name and Unit Place Visited Purpose of Travel Source of

FundsBankstownHospital

P Kelleher,Cardiology Florida 9th ASM – Heart Failure Society Trust Funds

BankstownHospital

P Kelleher,Cardiology Baltimore, US 17th ASM – American Society of

Echography Trust Funds

BankstownHospital

Lara KeoghClinical PsychologistBankstown Anxiety

Anaheim, LA,USA Conference

Registrationpaid fromSpecial trustfund (AnxietyConferenceAccount)

BankstownHospital

F Kirsten,Oncology Barcelona 10th Annual Symposium on Breast

Disease Trust Funds

BankstownHospital

F Kirsten,Oncology London 11th World Conference on Lung

Cancer Trust Funds

BankstownHospital

F Kirsten,Oncology London Breast Cancer in Young Women Trust Funds

BankstownHospital

F Kirsten,Oncology Atlanta American Society of Clinical

Oncology Trust Funds

BankstownHospital

Ilka KolodziejPhysiotherapy

Aspen,Colorado

Paper presentation at the AnnualPerforming Arts MedicineSymposium

Self funded plusfunding from theUniversity ofSydney

BankstownHospital

G Matthias,Obstetrics andGynaecology

Vancouver,Canada

American Society of ReproductiveMedicine General Funds

BankstownHospital

M Obaid,Endocrinology Athens

41st Annual Meeting of theEuropean Association forDiabetes

General Funds

BankstownHospital

M Obaid,Endocrinology Washington 66th Scientific Sessions General Funds

BankstownHospital

B Ong,Ambulatory Care Chicago The American Geriatric Society General Funds

BankstownHospital

F O’Rourke,Aged Care London Advanced Medicine Conference General Funds

BankstownHospital

David RouenPsychologist

Anaheim, LA,USA Conference

Registrationpaid fromSpecial trustfund (AnxietyConferenceAccount)

BankstownHospital

Dr Stuart SakerBankstown Mental Health Duke University ECT Fellowship TESL

BankstownHospital

Dr Stuart SakerBankstown Mental Health Prague

International Society for the Studyof Personality DisordersConference

TESL

BankstownHospital

Dr Stuart SakerBankstown Mental Health Madrid

International Society for thePsychological Treatment ofSchizophrenia Conference

TESL

BankstownHospital

Dr Stuart Saker,Bankstown Mental Health Hobart AMMA conference General Funds

BankstownHospital

G Schembri,Nuclear Medicine Istanbul European Society of Nuclear

Medicine Trust Funds



Funds

BankstownHospital

Karl SchurrPhysiotherapy

UK andDenmark

Teaching – a number of 2-dayworkshops were provided onupper limb management andlower limb management forpatients with neurologicalconditions e.g. CVA

Self funded

BankstownHospital

Quing ShenAged Care USA International Stroke Conference,

Feb 2006. Poster presentation

TravelScholarshipfrom LiverpoolClinical School,UNSW

BankstownHospital

B Smith,Accident and Emergency

Australian College of EmergencyMedicine - Winter 2005 General Funds

BankstownHospital

B Smith,Accident and Emergency Washington ACEP Scientific Assembly General Funds

BankstownHospital

B Smith,Accident and Emergency

Los Angeles,America Resuscitation 2006 General Funds

BankstownHospital

B Smith,Accident and Emergency Hawaii Emergency & Acute Care General Funds

BankstownHospital

Fleur TreziseCNC Surgery/WoundManagement

Prague, CzechRepublic

Attendance at the 16th EuropeanWound Management Conference

Sponsorship –HealthEducation andManagementInnovations(HEMI)

BankstownHospital

Dr Renate WagnerClinical PsychologistCommunity Health

Anaheim LA,USA Conference

Registrationpaid fromspecial trustfund (incomeform AnxietyConference)

BankstownHospital

Dr Renate WagnerClinical PsychologistCommunity Health

Can Tho,Vietnam

Conference and presentation ofworkshop

University ofNSW

BankstownHospital

K Wong,Anaesthetics Hong Kong Combined Science Meeting -

Anaesthesiology 2005 General Funds

BankstownHospital

K Wong,Anaesthetics

Toronto,Canada Canadian Anaesthetics Society General Funds

BankstownHospital

F MackenzieClinical Psychologist,Bankstown Mental Health

1. Prague,CzechRepublic. 2.Madrid Spain

1. 7th Euuropean Congress of theInternational Society for Study ofPersonality. 2. 15th ISPSInternational Congress

BankstownMental HealthSP&T

BankstownHospital

Teresa PudoNUM

Miami Beach,Florida, USA 9th Annual Magnet Conference

BankstownSports Club

BankstownHospital

Christine FullerNUM

Miami Beach,Florida, USA 9th Annual Magnet Conference

BankstownSports Club

CampbelltownHospital

Nicole CusakMacarthur CancerTherapy

Vancouver,Canada

31st Annual Meeting of theAmercian Association of MedicalDosimetrists

Berry andPartners SP&T

CampbelltownHospital

Angela PetridisInfant Child & AdolescentMental Health Service Anahiem, USA

Evolution of PsycholotherapyConference N/A

CanterburyHospital

Jennifer Warrilow NUM,Postnatal Unit

Christchurch,NZ Attend WHA/CHA Conference

Women’s &Children’s Trust

CanterburyHospital

Catherine McDonnellCatherine. CNC

Kuala Lumpar,Malaysia

Facilitating palliative care nursesworkshop

HospicMalaysia



FundsConcordHospital

D Le CouteurGeriatric Norway University of Tromso - Seminar Trust Funds

ConcordHospital

D MillissICU Cape Town

12th Biennial Congress of theSouth African Burn Society, WorldCongress of the European Clubfor Paediatric Burns

General Funds

ConcordHospital

D MillissICU Hanoi National Institute for Burns

Exchange Program General Funds

ConcordHospital

E VeitchRespiratory Copenhagen European Respiratory Society

15th Annual Congress Trust Funds

ConcordHospital

G AggarwalPalliative Care Kuala Lumpur Pain and Symptom Management

2 and Workshop Trust Funds

ConcordHospital

H LoweCardiology New York 38th Annual New York Annual

Cardiovascular Symposium Trust Funds

ConcordHospital

H CreaseyGeriatric

Athens andStockholm

European Association for theStudy of Diabetes, 12th Congresson International PsychogeriatricAssociation – Age and Dignity

Trust Funds

ConcordHospital

I NortonGastroenterology Montreal 2005 World Congress of

Gastroenterology Trust Funds

ConcordHospital

J EstellHaematology Kuai Pan Pacific Lymphoma Trust Funds

ConcordHospital

J HollinsheadUpper GI Mexico City American College of Surgeons

Clinical Congress General Funds

ConcordHospital

G ThanakrishnanICU Amsterdam

18th Annual Congress onEuropean Society of IntensiveCare Medicine

General Funds

ConcordHospital

L RidleyRadiology Chicago

Radiological Society of NorthAmerica 91st Scientific Assemblyand Annual Meeting

Trust Funds

ConcordHospital

L EmmettNuclear Medicine Paris Cardiac Imaging Society of

France Trust Funds

ConcordHospital

L WongRadiology

Paris andRome

High Tech Imaging andMuscularskeletal MRI Trust Funds

ConcordHospital

L MorganRespiratory Copenhagen European Respiratory Society

2005 Trust Funds

ConcordHospital

M GallagherRenal Wellington Australia and New Zealand

Society of Nephrology Trust Funds

ConcordHospital

M PetersRespiratory

Brussels andParis

AWARE Asthma Meeting,INSTEP Clinical Trials Trust Funds

ConcordHospital

M MageeNuclear Medicine Seattle

10th Annual Scientific Session ofthe American Society of NuclearCardiology

Trust Funds

ConcordHospital

P MaitzBurns Austria

Visiting State Burns in Viennaand Salzburg, Society for BurnsCongress DAV 2006

Trust Funds

ConcordHospital

P MaitzBurns

Beirut andHanoi

State of the Art Burns TreatmentInstructional Course, VisitNational Burns Institute in Hanoi

Trust Funds

ConcordHospital

P MaitzBurns

Lisbon, CapeTown and NewYork

11th EBU Congress 2005, SouthAfrican Burn Society BiennialCongress, New York State BurnsUnit visit

Trust Funds

ConcordHospital

P WickramasuriyaRespiratory Montreal Chest 2005 Trust Funds



Funds

ConcordHospital

R MansbergNuclear Medicine

Cyprus andIstanbul

International Conference onRadiopharmaceutical Therapy2005, European Association ofNuclear Medicine

Trust Funds

ConcordHospital

R WallsImmunology

Jaipur andAthens

Indian College AnnualConvention on Asthma andAllergy, European AsthmaCongress

Trust Funds

ConcordHospital

S RimintonImmunology Queenstown ASCIA Scientific Meeting Trust Funds

ConcordHospital

A RobertsonRadiology Colorado

Vail 2006 – MRI in ClinicalPractice, Snowmass 2006 – NewAdvances in MR and CT

Trust Funds

ConcordHospital

A CorbettNeurology Istanbul

World Federation of Neurology11th International Congress onNeuromuscular Diseases

Trust Funds

ConcordHospital

A CorbettNeurology San Diego 58th Annual Meeting – American

Academy of Neurology Trust Funds

ConcordHospital

A BianchiHaematology Amsterdam International Society for

Laboratory Haematology 2006 Trust Funds

ConcordHospital

A PanisAnaesthetics

London andSlovenia

World Anaesthesia Seminar, JointGAT/SCATA seminars,Consciousness in Anaesthesia,7th European Trauma Congress

General Funds

ConcordHospital

B ShenstoneRheumatology Amsterdam European League Against

Rheumatism Trust Funds

ConcordHospital

D BriegerCardiology Atlanta American College of Cardiology

Meeting Trust Funds

ConcordHospital

D Le CouteurGeriatric Touson Aging and the Hepatic Sinusoid

University of Arizona Trust Funds

ConcordHospital

D Le CouteurGeriatric

Washingtonand Baltimore

National Institute on Aging,National Institute on Health Trust Funds

ConcordHospital

D Le CouteurGeriatric Christchurch University of Otago –

Christchurch Hospital Trust Funds

ConcordHospital

D MillissICU Hanoi Lecture Tour – National Institute

of Burns General Funds

ConcordHospital

F DavidsonAnaesthetics

Papua NewGuinea PNG Eye Care Project General Funds

ConcordHospital

F BoothOphthalmology

Papua NewGuinea

Palliative Care Workshop,Hospice Malaysia Trust Funds

ConcordHospital

G AggarwalPalliative Care Kuala Lumpur 4th Research Forum – European

Association for Palliative Care Trust Funds

ConcordHospital

G AggarwalPalliative Care Venice Society of Nuclear Medicine

Annual Meeting Trust Funds

ConcordHospital

H Van der WallNuclear Medicine

San Diego andLondon

International Society for HeartResearch – 26th EuropeanSection Meeting

Trust Funds

ConcordHospital

H LoweCardiology Manchester

British Geriatric Society, 9th

International Alzheimer Therapy,ISPEN, Stroke Rehabilitation2006, American Geriatric Society

Trust Funds

ConcordHospital

H CreaseyGeriatric

Newcastle,Geneva, Paris,Goteburg andChicago

Endoscopic Ultrasound 2006 Trust Funds



FundsConcordHospital

I NortonGastroenterology Amsterdam Digestive Diseases Week Trust Funds

ConcordHospital

I NortonGastroenterology Los Angeles 11th Congress of European

Haematology Association Trust Funds

ConcordHospital

J EstellHaematology Amsterdam International Society for

Laboratory Haematology 2006 Trust Funds

ConcordHospital

J SmithAnaesthetics

Venice andMadrid

European Association ofCardiothoracic Anaesthesiologists2006, Euroanaesthesia 2006

General Funds

ConcordHospital

J QuoyleAnaesthetics Toronto Canadian Anaesthesiologists

Annual Meeting General Funds

ConcordHospital

J TrotmanHaematology Amsterdam European Haematology

Association Congress Trust Funds

ConcordHospital

T BiswasAnaesthetics

Madrid andLondon Euroanaesthesia 2006 General Funds

ConcordHospital

G ThanakrishnanICU Brussels

19th Annual Congress – EuropeanSociety of Intensive CareMedicine

General Funds

ConcordHospital

L KritharidesCardiology Rome International Symposium on

Atherosclerosis Trust Funds

ConcordHospital

L LaksRespiratory Salt Lake City Sleep 2006 Trust Funds

ConcordHospital

L ReiterMADU Amsterdam European League Against

Rheumatism 2006 General Funds

ConcordHospital

L MorganRespiratory Singapore Pleura Meeting in Singapore Trust Funds

ConcordHospital

M SangerExecutive

London andPrague

Site Lecture Whipps Cross –guest speaker on Olympicpreparation, 11th European Forumon Quality Improvement onHealth Care

General Funds

ConcordHospital M Peters Respiratory Rome and

BaselGLCC Executive Meeting,COMPASS Clinical Trials Meeting Trust Funds

ConcordHospital M Peters Respiratory Singapore Pleura Meeting in Singapore Trust Funds

ConcordHospital

M NguGastroenterology

Vancouver andSeattle

14th Scientific Meeting andExhibition for MagneticResonance in Medicine,University of British Columbia visit

Trust Funds

ConcordHospital

M HooperEndocrinology Toronto World Congress on Osteoporosis Trust Funds

ConcordHospital

M MageeNuclear Medicine

San Diego andToronto

Vancouver Children’s HospitalSite Visit, Trust Funds

ConcordHospital

P McKinnonAnaesthetics

London andDan Francisco

Society for Education inAnaesthesia, RACS AnniversaryMeeting, IARS 80th Clinical andScientific Congress

General Funds

ConcordHospital

R MansbergNuclear Medicine

Austria andBudapest

International Symposium –Radioactive Isotomes in ClinicalMedicine and Research

Trust Funds

ConcordHospital

R WallsImmunology

San Franciscoand Vienna

6th Annual Federation of ClinicalImmunology Meeting, EuropeanAcademy of Allergology andClinical Immunology

Trust Funds



Funds

ConcordHospital

R BradburyMicrobiology

Lisbon,Switzerlandand Paris

International Society for InfectiousDiseases, Congress for theInternational Society for Humanand Animal Mycology,International Symposium onInfections in the Immuno Host

Trust Funds

ConcordHospital

S ReddelNeurology Oxford Trials Trust Funds

ConcordHospital

S GadenRadiology Colorado

Vail 2006 – MRI in ClinicalPractice, 6th Annual Snowmass –New Advances in MR and CT,12th Annual Snowmass 2006 –Clinical Ultrasound

Trust Funds

ConcordHospital

T GottliebInfectious Diseases Wellington

The Australasian Society forInfectious Diseases AnnualScientific Meeting

Trust Funds

ConcordHospital

T KarplusVascular Med

Milan andLisbon

16th International Workshop onVascular Anomalies, 22nd WorldCongress on the InternationalUnion of Angiology

Trust Funds

ConcordHospital

V NaganathanGeriatric Chicago American Geriatric Society

Annual Scientific Meeting Trust Funds

ConcordHospital

V NaganathanGeriatric Kuala Lumpur Asia Pacific Geriatric Conference Trust Funds

ConcordHospital

A BannonMicrobiology Wellington ASID Conference Trust Funds

ConcordHospital

C WeatherallMicrobiology Wellington ASID Conference Trust Funds

ConcordHospital

C MakSurgical Superintendent Hong Kong Breast Seminar Series 2006 General Funds

ConcordHospital

K IpDPU Amsterdam International Diagnostic Course Trust Funds

ConcordHospital

S BassNuclear Medicine Davos 8th International Tinnitus Seminar Trust Funds

ConcordHospital

A CrittendenAudiology Paris International Neuropsychological

Society Trust Funds

ConcordHospital

B CaseyPsychology Dublin 5th Asia Pacific Burns Conference Trust Funds

ConcordHospital

F LiPhysiotherapy Shanghai ASNC 2005 Trust Funds

ConcordHospital

K SwarajNuclear Medicine Seattle European Respiratory Society

Annual Conference Trust Funds

ConcordHospital

L SeccombeRespiratory Copenhagen European Respiratory Society

Annual Conference Trust Funds

ConcordHospital

P RogersRespiratory Copenhagen

Annual Scientific Meeting of theAustralian Society of ClinicalImmunology

Trust Funds

ConcordHospital

P KirkpatrickImmunology Queenstown ANABA Trust Funds

ConcordHospital

S TaggartBurns New Zealand ASID Conference Trust Funds

ConcordHospital

Rhonda Anderson SiteManager, Nutrition andDietetics

1. Manchester,England. 2.Dublin Ireland

1. Obesity and Health Conference2. Prevention, Wellness andNuitition Intervention Conference

Self Funded



Funds

ConcordHospital

Rhonda Anderson SiteManager, Nutrition andDietetics

1. Manchester,England. 2.Dublin Ireland

1. 2nd national Conference onObesity and Health. 2.Prevention, Wellness andNutrition Intervention Across theLifespan Conference

Self Funded

ConcordHospital

Chantal GebbesCNC Clinical Trials ,Medical Oncology

Barcelona,Spain

Attend the MK – 0683 PN 014Advanced Mesothelioma StudyInvestigator Meeting

Sponsored byMerck Sharpe& Dohme

ConcordHospital

Sue MonaroCNC Vascular Services Singapore

Attend the Stem Cells and TissueEngineering in wound Healingand Burn Injuries

SingaporeWound Societyconferenceconvenors

ConcordHospital

Frank LiPhysiotherapist, BurnsUnit

Hanoi, Vietnam

Invited by President of the BurnsService and Vice-President ofBurns Service/ Medical Director ofthe National Institute of Burns inVietnam & Director of ICU of theNational Institute of Burns, toprovide expert consultancy inburns care

Costs met bythe NationalInstitute ofBurns (Hanoi)

ConcordHospital

Dorothy Roberts,Dorothy, RN CNS Burns,RGH

Vietnam Exchange Programme for theNational Institute of Burns (Hanoi)

NationalInstitute ofBurns (Hanoi)

ConcordHospital

A BianchiHaematology Istanbul

World Congress of theInternational Society ofHaematology

Trust Funds

ConcordHospital

A LeeGastroenterology San Francisco American Association for the

Study of Liver Diseases Trust Funds

ConcordHospital

A LeeGastroenterology Seoul Asia Pacific Digestive Week Trust Funds

ConcordHospital

A PanisAnaesthetics Istanbul International Congress on

Coronary Artery Disease General Funds

ConcordHospital

B DennienRadiology Queenstown The Interventional Radiology

Society of Australia 2005 Trust Funds

ConcordHospital

C ChanAnatomical Pathology Beijing The Fourth Asia-Pacific IAP

Congress 2005 Trust Funds

ConcordHospital

C GeorgeRenal

Singapore,Kuala Lumpur,Brunei

World Congress of Nephrology,Acute Renal Failure Symposium General Funds

ConcordHospital

D BriegerCardiology Stockholm European Society of Cardiology Trust Funds

Department ofForensicMedicine

Jane MowllCounseling

London UK International Conference on Griefand Bereavement inContemporary Society

Supported byPostgraduateAffairscommittee ofUNSW

Department ofForensicMedicine

Jane MowllCounseling Hong Kong

International Work Group inDeath, Dying and BereavementMeeting

General Funds

Karitane Robert MillsKaritane

WashingtonDC, USA

Attend the Zero to Three NationalTraining Institute Conference

KaritaneGeneral Fund

LiverpoolHospital

Valerie PoxonProject manager, CancerServices

Arlington, USANational Cancer RegistrarsAssociation IMPAC UsersConference

Cancer Instituteof NSW andPersonalExpense



Funds

LiverpoolHospital

Anita Caldwell TraumaCNC

Madrid, Spain;Porto, Portugal

Definitive surgical trauma courseand perioperative NursingTrauma Course

Grupo deTrauma Porto

LiverpoolHospital

Satya RajapaksePrinciple HospitalScientist

Seoul, SouthKorea

World Congress on MedicalPhysics and BiomedicalEngineering

Berry andPartners SP&T

LiverpoolHospital

Robert BrooksSenior Research Officer,Psychiatry Research andTraining Unit

WashingtonDC and NewYork, USA

1. Harvard Programme forRefugee Trauma. 2. CooperativeStudy into Anger/Violence inPsych Patients, 3. AdvancedCourse in Mplus

SponsoredUNSW andHarvardProgramme forRefugeeTrauma

LiverpoolHospital

Paul BartonResearch Director,CORE

Manila,Philipines

3rd Project Coordinators Meetingof the Distance Learning ProjectRAS/6/033 in the AppliedSciences of Oncology

Sponsored byIAEA

LiverpoolHospital

Richard Thode RegionalCourse Coordinator,CORE

Manila,Philipines

3rd Project Coordinators Meetingof the Distance Learning ProjectRAS/6/033 in the AppliedSciences of Oncology

Sponsored byIAEA

LiverpoolHospital

Gaurav Tandon GMCTProgramme Manager,Brain Injury Unit

CanadaInternational Conference of theInternational Society for QualityHealth Care

General Fund

LiverpoolHospital

Ruth OrchisonClinical Psychologist,Geriatrics andRehabilitation

USA(California)

Evolution of PsycholotherapyConference N/A

LiverpoolHospital Joanna Janniste USA Portland Conference General Funds

LiverpoolHospital Nancy Rushford Colombo Sri

LankaWFOT Capacity buildingworkshop Not funded

LiverpoolHospital

Megan TattersallCancer Therapy Centre -Radiation Therapy

Lisboa -Portugal 8th Biennial Estro Meeting

Berry &Partners TrustFund

LiverpoolHospital

Vinod NelsonCancer Therapy Centre -Medical Physicist

Germany1st AAPM Symposium onAdvances in Imaging andRadiation Therapy

CPD Funding

LiverpoolHospital

Satya Rajapakse -Cancer Therapy Centre -Medical Physics

Lisboa -Portugal 8th Biennial Estro Meeting


LiverpoolHospital

Gwi-Ae ChoCancer Therapy Centre -Medical Physics

Denver - USA

47th Annual Astro Meeting,Denver Colorado and AmericanSociety of therapeutic Radiologyand Oncology


LiverpoolHospital

Matthew FullerCancer Therapy Centre -Radiation Therapy

Denver - USA

47th Annual Astro Meeting,Denver Colorado and AmericanSociety of therapeutic Radiologyand Oncology


LiverpoolHospital

James LatimerCancer Therapy Centre -Radiation Therapy

Paris European Cancer ConferenceBerry &Partners TrustFund


Official Overseas TravelFacility Name and Unit Place Visited Purpose of travel Source of

Funds

LiverpoolHospital

Virendra PatelCancer Therapy Centre -Medical Physics

India 27th Annual Conference of AssocRadiation Oncologists

Berry & PartnersTrust Fund

LiverpoolHospital

Joanne VeneranCancer Therapy Centre -Radiation Therapy

New Zealand NZIMRT & Air Conference Berry & PartnersTrust Fund

LiverpoolHospital

Isabella FranjiCancer Therapy Centre -Radiation Therapy


LiverpoolHospital

Matthew FullerCancer Therapy Centre -Radiation Therapy


LiverpoolHospital

Debra VincentCancer Therapy Centre -Radiation Therapy


LiverpoolHospital

Jim YakobiCancer Therapy Centre -Radiation Therapy

Milan - Italy Advances in Radiation Therapy Berry & PartnersTrust Fund

LiverpoolHospital

Ray AsghariCancer Therapy Centre -Medical Oncology

San Francisco 2006 ASCO GastrointestinalCancer Symposium

MedicalOncology Trust

LiverpoolHospital

Virendra PatelCancer Therapy Centre -Medical Physics

St Louis CMS XiO Training Course forMedical Physicists CPD Funding

LiverpoolHospital

Jason ArtsCancer Therapy Centre -Medical Physics

St Louis CMS XiO Training Course forMedical Physicists CPD Funding

LiverpoolHospital

Ming KongCancer Therapy Centre -Medical Physicist

Lisboa -Portugal 8th Biennial Estro Meeting CPD Funding

LiverpoolHospital

Gwi-Ae ChoCancer Therapy Centre -Medical Physics

PalmerstonNorth - NewZealand

Physicist Workspace PilotApplication Training

Siemens LtdMedicalSolutions

LiverpoolHospital

ICU ResearchSharon Micallef

Budapest,Hungary

Investigator's Meeting forF7Trauma (CONTROL) clinicaltrial to commence 2006

Funded byF7Traumaclinical trialsponsor

LiverpoolHospital

Fairfield Mental HealthJoe Chuong

Can Tho -Vietnam

Presentation of a paper atVietnamese- Australian MentalHealth Conference and site visit

General Fund

LiverpoolHospital P Lehmann Queenstown,

NewZealand Immunopathology Conference Staff SpecialistTrust Fund

LiverpoolHospital

Merran FindlayDietetics Rome, Italy Cachexia Conference

CTC Trust andStaff ownexpense

LiverpoolHospital

Shakun KishoreRadiology Chicago Radiology conference(RSNA 05) Radiology

education fundLiverpoolHospital

Marily CintraArts for Health Program Canada Creative Places Conference Self funded

LiverpoolHospital

Nancy SantianoSimpson Centre Philipines

3rd Congress of the WorldFederation of Critical CareNurses

AdvancedResuscitationCourse

LiverpoolHospital

Lisa ConnollyCardiology Mexico International Investigator Meeting

for SHINESponsored bySanosi Aventis


Official Overseas TravelFacility Name and Unit Place Visited Purpose of travel Source of

Funds

LiverpoolHospital

Virendra PatelCancer Therapy CentreMedical Physics

USA CMS XiO Training Course forMedical Physicists

Sponsored byAustralasianCollege ofPhysicalScientists andEngineers inMedicine

LiverpoolHospital

Anita JonesNeurophysiology

Auckland, NewZealand

Association ofNeurophysiologicalTechnologists of AustraliaConference

NeurologicalResearch TrustFund

LiverpoolHospital

Catherine BridgeNeurophysiology




LiverpoolHospital

Rowena BaldacchinoNeurophysiology




LiverpoolHospital

Katherine CaldwellCancer Therapy Centre Vienna, Austria The ESTRO teaching course on

BrachytherapyBerry andPartners

LiverpoolHospital

Annie LauCancer therapy Centre Vienna, Austria Brachytherapy on

Gynaecological MalignanciesBerry andPartners

LiverpoolHospital

Andrew SmithOrthopaedics

Wellington,New Zealand

Management of OrthopaedicsMulti-Trauma Patient

General Fund(Orthopaedics)

PopulationHealth

Leon HeronPublic Health UnitWestern Zone

Paris, FranceTo attend 12th InternationalSymposium on Viral Hepatitisand Liver Disease

General fundsand partiallysponsored byGSK

Royal PrinceAlfredHospital

JONES, Lynn. TPN CNC Manila,Philippines FRANC Asia 2006 Pharmatel

Fresenius Kabi


PRYOR, MarieCardiology New York USA

Sanofi Aventis StradivariusClinical Trial InvestigatorMeeting

Sanofi Aventis


GORRELL, Mark.Principle ScientificOfficer

1. Paris France.2. WarringtonUSA. 3.Washington,USA

1. Seminar at Institut derecherches. 2. ASLD BasicResearch Single TopicConference. 3. AmericanDiabetes Association 66thScientific Sessions

FlightsSponsored byTakedaPharmaceuticals.(Gastro RPASP&T 81368)


FRIG, Elizabeth.Dietician, Nutrition &Dietetics Dept

San Francisco,USA

Attend the L-000899055Protocols – Clinical TrialsInvestigator meeting.

Sponsored byMerck Sharp &Dohme


MERRY, Judith. RN,Medical Oncology

San Diego,California, USA

Attend Bayer/RPA InternationalSorafenib meeting for Study439006

BayerHealthCarePharmaceuticals


YANG, Shihong.Research Assistant,Haematology Dept

Frankfurt,Germany

To work with collaborators at theInstitute, Georg-Speyer-Haus inthe development of anti-myeloma T-cell and NK-cellimmunotherapy research

InternationalMyelomafoundation &Cancer Instituteof NSW grants


BROOKS, Belinda.Nurse Practitioner,Endocrinology Dept

Vienna, Austria Second InternationalInvestigators Meeting

Sponsored byAstrazeneca &Takeda


Official Overseas Travel

Facility Name and Unit Place Visited Purpose of Travel Source ofFunds


CLINGAN, Tazmin.Podiatrist, DiabetesCentre

Chaoyang,Beijing, China

Attend the 2005 BeijingInternational Diabetes Foot andRelated diseases Forum

EndocrinologyDepartmentTrust Fund


FULTON, Roger.Principal HospitalScientist, PET & Nuclearmedicine

San Juan,Puerto Rico,USA

Attend the IEEE Nuclear ScienceSymposium and Medical ImagingConference

PET & NuclearMedicineDepartmentTrust Fund


HURRELL, Elizabeth.Social Worker, FertilityUnit

Christchurch,NZ

Attend the Fertility Society ofAustralia 2005 Scientific Meeting

Fertility UnitTrust Fund


KIERNICKI, Jane. CNS,Fertility Unit

Christchurch,NZ

Attend the Fertility Society ofAustralia 2005 Scientific Meeting

Fertility UnitTrust Fund


LUO, Connie. CNS,Diabetes Centre





PARK, Ki Joon.Radiation Therapist,Radiation OncologyDepartment

Lisbon,Portugal

Attend the 8th Biennial ESTROMeeting on Physics andRadiation Technology for ClinicalRadiotherapy

RadiationOncology TrustFund


RANDALL, Katrina.Registrar, ImmunologyDepartment

Queenstown,NZ

Attend the Annual ScientificMeeting of the AustralasianSociety of Clinical Immunology

ImmunologyDepartmentTrust Fund


YU, Gary, Registrar,Immunology Department

Queenstown,NZ

Attend the Annual ScientificMeeting of the AustralasianSociety of Clinical Immunology

ImmunologyDepartmentTrust Fund


AW, Swee Tin. SeniorHospital Scientist,Neurology Dept

WashingtonDC, USA

Attend & present a paper atSociety for Neurosciences 35th

Annual Meeting

NeurologyDepartmentTrust fund


GORRELL, Mark.Principal HospitalScientist,Gastroenterology Dept

Quebec city,Canada

Attend the InternationalProteolysis Society Conference

GastroenterologyDepartmentTrust Fund


ZHANG, Xiao –Mei.Research Assist,Radiation Oncology Dept

Paris, France Attend the ECCO!3 - EuropeanCancer conference



BRADSHAW, Andrew,Research Assist,Neurology Dept

WashingtonDC, USA

Attend the Society forNeurosciences Annual meeting



BROWN, Ross. PrincipalHospital Scientist,Haematology Dept

Atlanta, USA Attend the American Society ofHaematology Conference

HaematologyDepartmentTrust fund


YOZGHATLIAN,Veronica ResearchAssist, RespiratoryMedicine Dept

Baltimore, USA Attend the North AmericanCystic Fibrosis Conference

RespiratoryMedicine TrustFund


Official Overseas TravelFacility Name and Unit Place

Visited Purpose of travel Source of Funds


GAULD, Amanda. RN,Diabetes Centre

Vienna,Austria

Second International InvestigatorsMeeting

Sponsored byAstrazeneca &Takeda


READ, Jane. Dietician,Nutrition and Dietetics Italy (Rome) Cachexia Conference Sponsor Cancer

Institute, Private


RAJBHANDARI, DorrilynICS ResearchCoordinator

Singapore SAINT 1 and SAINT 2Clinical TrialSponsor ‘AstraZeneca’


RYAN, Joan. CNCPalliative Care

KualaLumpur,Malaysia

Facilitating palliative care nursesworkshop and providing clinicalsupervision for Hospic Malaysia

Hospic Malaysia


MANII, Paris.Pharmacist, Institute ofHaematology

Honolulu,Hawaii, USA

BMT Tandem MeetingsConference Amgen Australia


MURRAY, Bronwyn.CNS, Medical Oncology

San Antonio,USA

San Antonio Breast CancerSymposium

Sponsors: EliLilly, AstraZeneca, Roche,Novartis


RAJBHANDARI,Dorrilyn, ICSCoordinator

Rome, Italy FAST Mid-Study InvestigatorMeeting NovoNordisk


MOWLL, Jane. SeniorForensic Counsellor,Dept of ForensicMedicine

Hong Kong International Workgroup in Death,Dying and Bereavement

DOFM GeneralFund


HILL, Susan. Trainingand Education Officer,Child Protection

Wellington,New Zealand

10th Australasian Conference onChild Abuse and Neglect 2006

General Fund,Allied HealthSocial Work


ROGERS, Peter. SeniorHospital Scientist,Respiratory FunctionDepartment

CopenhagenDenmark

Attend the European RespiratorySociety

RespiratoryFunction DeptTrust Fund


AMBROSE, Leigh.Radiation Therapist,Radiation Oncology

Auckland, NZAttend the Fusion 2005 JointNZIMRT – Air ScientificConference



GUNASENA, Dudley.Radiation TherapistRadiation Oncology




KO, Rebecca RadiationTherapist Auckland, NZ

Attend the Fusion 2005 JointNZIMRT – Air ScientificConference



LIN, Robert . SeniorRadiation Therapist,Radiation Oncology




LAMB, Sharon.Dietician, Nutrition andDietetics

Maastricht,Holland

Aspen Advanced Course inClinical Nutrition

Nutrition andDieteticsEducation TrustFund, additionalcosts sponsored:University HospMaastrcht


PAGE, Joanne.Radiation Therapist,Radiation Oncology





Funds


EBERL, Stefan. PrincipalHospital Scientist, PETand Nuclear Medicine

San Diego,USA

2006 Society of Nuclear MedicineAnnual Meeting

PET andNuclearMedicine SP&T


LEE, Anna. HospitalScientist, Biochemistry

Christchurch,New Zealand

RCPA ACB Chemical PathologyCourse

BiochemistryRPA SP&T


MCGILL (GRAVES),Margaret. CNC DiabetesCentre

Washington,USA

American Diabetes AssociationScientific Meeting

EndocrinologyDepartmentalTrust Fund


VERSCHUER, Jordan.Hospital Scientist, PETand Nuclear Med

San Diego,USA

2006 Society of Nuclear MedicineAnnual Meeting

PET andNuclearMedicine SP&T


WILLIAMS, Paul.Principal HospitalScientist

WashingtonDC, USA

American Diabetes AssociationScientific Sessions

EndocrinologyRPA SP&T, CC79037


KEAN, Mary. CNSDiabetes Centre

WashingtonDC, USA

American Diabetes AssociationScientific Sessions



WONG, Susan. SeniorHospital Scientist,Endocrinology

Chicago, USA American Society for ClinicalChemistry


Royal PrinceAlfred Hospital KEED, Alison. Registrar Wellington,

New Zealand

Australasian Society for InfectiousDiseases Annual ScientificMeeting

RPAMicrobiologySP&T (79030)


AW, Swee Tin. SeniorHospital Scientist

1.Noordwijk,TheNetherlands2.Uppsala,Sweden

1. 7th Symposium on the Role ofVestibula Organs in SpaceExploration. 2. 24th BaranySociety Meeting

Neurology RPASP&T (79019)


FOLEY, Dolores. ClinicalFellow, Sydney CancerCentre

Bangor, Wales 4th International MindfulnessConference

Cancer InstituteResearchFunding SP&T21643


MALEHAN, Kerri.Hospital Scientist,Respiratory Medicine

Salt Lake City,USA Sleep 2006 Conference Costs Met

Personally


GORRELL, Mark.Principle Scientific Officer

1. ParisFrance. 2.WarringtonUSA. 3.Washington,USA

1. Seminar at Institut derecherches. 2. ASLD BasicResearch Single TopicConference. 3. AmericanDiabetes Association 66thScientific Sessions

Gastro RPASP&T 81368.(FlightsSponsored byTakedaPharmaceuticals)


DUKE, David. RegistrarIntensive care Madrid, Spain Euroanaesthesia 2006 Costs Met

PersonallyRoyal PrinceAlfred Hospital

DENTICE, Ruth.Physiotherapist

Copenhagen,Denmark

29th European Cystic FibrosisConference

Costs MetPersonally


PEREZ, GinoRadiation Oncology Auckland, NZ Fusion 2005 Joint NZIMRT – Air

Scientific ConferenceRadiationOncology Trust



FundsRoyal PrinceAlfred Hospital POINTING, Judy. CNC,

Clinical ImmunologyQueenstown,NZ

Attend the Australasian Society ofClinical Immunology & allergyAnnual Scientific Meeting

ClinicalImmunologyTrust Fund

Royal PrinceAlfred Hospital RAJBHANDARI, Dorrilyn,

HSM, Intensive CareServices

Buenos Aires,Argentina

Attend 9th Congress of the WorldFederation of Societies ofIntensive and Critical CareMedicine

Intensive CareServices TrustFund


WU, Huiling. SeniorHospital Scientist, RenalMedicine

Seattle, USA Attend the American TransplantCongress

RenalTransplantTrust Fund


WYBURN, Kate. PhDResearch Officer, RenalMedicine

Seattle, USA Attend the American TransplantCongress

RenalTransplantTrust Fund


BOOTH, Jeremy. SeniorHospital Scientist,Radiation Oncology

Paris, France Attend the European CancerConference, ESTRO

Radiationoncology TrustFund


YOZGHATLIAN,Veronica. ResearchAssist, RespiratoryMedicine Dept

Baltimore, USA Attend the North American CysticFibrosis Conference

RespiratoryMedicine TrustFund

Royal PrinceAlfred Hospital PARKER, Carol. CNE,

Allergy UnitQueenstown,NZ

Annual Scientific Meeting of theAustralasian Society of ClinicalImmunology and Allergy

RPA AllergyNurse EducatorTrust Fund


BRANNAN, John.Research Medical Officer,Dept of RespiratoryMedicine (Non-employee)

Copenhagen,Denmark

2005 European RespiratorySociety Conference (Presentingpaper)

National Healthand MedicalCouncil TrustFund


MANII, Paris. Pharmacist,Institute of Haematology

Honolulu,Hawaii, USA

BMT Tandem MeetingsConference

(AmgenAustralia $2000to bereimbursed)($1222.41 Instof Haem)

Royal PrinceAlfred Hospital MURALI, Rajmahan.

Postgraduate Fellow,Anatomical Pathology

Atlanta, USAUnited States and CanadianAcademy of Pathology AnnualMeeting 2006

AnatomicalPathologySP&T Fund CC79083


MURRAY, Bronwyn. CNS,Medical Oncology

San Antonio,USA

San Antonio Breast CancerSymposium

(Sponsors: Seeabove) SP&T:Sydney CancerCentre Nursingand AlliedHealth Ed Fund


LAMB, Sharon. Dietician,Nutrition and Dietetics

Maastricht,Holland

Aspen Advanced Course inClinical Nutrition

Nutrition andDietetics TrustFund andUniversityHospitalMaastricht


DEADY, Luke, RadiologyRegistrar

San Diego,California USA

26th Residents Radiology ReviewCourse


HEALY, Matthew,Radiology Registrar

San Diego,California USA

26th Residents Radiology ReviewCourse


SMITH, Angela, NUMLevel 3, 5 East

Los Angeles,USA

International Lactation ConsultantAssociation Board Meeting N/A



Funds

RPA MASON, Susan. CNC,Gastro and Liver Services Vienna, Austria

41st Annual meeting of theEuropean Association for theStudy of the Liver

Self Funded

Royal PrinceAlfred

KOKKINAKOS, Maria.Manager Food Services

Birmingham,UK 1. HCA Conference. 2. Site Visits RPAH FARM

SP&TRoyal PrinceAlfred

LEE, Anna. HospitalScientist, Biochemistry

Christchurch,New Zealand

RCPA ACB Chemical PathologyCourse

BiochemistryRPAH SP&T


LUO, Connie. CNS,Diabetes Centre





PARK, Ki Joon. RadiationTherapist, RadiationOncology Department

Lisboa, Spain

Attend the 8th Biennial ESTROMeeting on Physics and RadiationTechnology for ClinicalRadiotherapy



AW, Swee Tin. SeniorHospital Scientist,Neurology Dept

WashingtonDC, USA

Attend & present a paper atSociety for Neurosciences 35thAnnual Meeting



KING-ADAMS, Melinda.RN, CardiovascularDiagnostic andIntervention Centre

Paris, France Paris Course Revascularization2006

CardiologyLevel GW TrustFund (79076)


Mark GorrellPrincipal HospitalScientist,Gastroenterology Dept

Quebec city,Canada

Attend the InternationalProteolysis Society Conference

Gastroenterology DepartmentTrust Fund

Rozelle Hospital Michelle ClearyCNC

Bangkok,Thailand

5th International Mental HealthConference

RozelleHospitalResearchGeneralAccount


Helen CareyPeriodontics Baltimore USA

International American &Canadian Assoc for DentalResearch

General Funds


Kim HornemanPerformance & Evaluation

Queenstown,NZ Dental Research Conference General Funds


Barbara TaylorPeriodontics

Queenstown,NZ IAD (ANZ) Annual Dinner General Funds


Eugene ChanOrthodontics Paris France Federation of Orthodontists 6th

Int'l Orthodontic Congress General Funds

Sydney DentalHospital Peter Duckmanton

Endodontics Dublin Ireland12th Biennial Congress EuropeanSociety & EndodontologyConference

General Funds

Sydney DentalHospital Eugene Chan

OrthodonticsPhuket,Thailand

8th Int'l Conference on BiologicalMechanism of tooth Eruption,Resorption and Movement

General Funds


Russell LainOral Surgery Seattle USA American Academy of Forensic

Sciences 58th meeting General Funds


Barbara TaylorPeriodontics Madrid, Spain Europerio 5 Madrid Conference General Funds

Sydney DentalHospital Wendy Yu

Periodontics Madrid, Spain Europerio 5 Madrid Conference

General Funds& SydneyUniversity



Funds


Natalie LeowPeriodontics Madrid, Spain Europerio 5 Madrid Conference

General Funds& SydneyUniversity


Warwick HartyProsthodontics/Forensicdentistry

Acrete, Sicily,Italy CIMTEC and MDIC 2006 General Funds


Soni StephensPaediatric

Amsterdam/Japan/India EAPD, Tako Centre, ISSPD General Funds


Barbara TaylorPeriodontics Chicago, USA 2nd Int'l Conf on Evidence Based

Dentistry General Funds


Barbara TaylorDental Specialist

1. Hong Kong,China. 2.Madrid, Spain.

1. Visit University of Hong Kong.2. Visit University of Oslo Madridand attend EUROPERIO 5Conference

PeridonticsGeneral Fund


Kim HornermanManager, Performance &Evaluation

Queenstown,NZ

Attend the InternationalAssociation for Dental Researchconference

SDH GeneralFund


Barbara TaylorDental Staff Specialist

Chicago, USA& Montreal,Canada

2nd International Conference onEvidence Based Dentistry; andpresent a lecture in Montreal

SDH GeneralFund


Barbara TaylorDental Staff Specialist

USA andCanada

2nd International Conference onEvidence Based Dentistry.Presenting Lectures at McGillUniversity Montreal.

General Funds

Sydney DentalHospital Jim Fisher

Maxillofacial Dentistry Maui Hawaii Maxillofacial Prosthodontist General Funds

SSWAHS Joo Hong Park Magdeburg,Germany

2nd International Conference onDipeptidyl Aminopeptidases

GastroResearch TrustFund andUniversity ofSydney

SSWAHS Joo Hong Park Magdeburg,Germany

2nd International Conference onDipeptidyl Aminopeptidases

Gastroenterology ResearchTrust Fund

SSWAHSStephen MattheyResearch Director,ICAMHS

Paris, France10th World Congress of the WorldAssociation for Infant MentalHealth

Research UnitICAMHS

SSWAHSJorge ArocheExecutive Director,STARTTS

1. BuenosAires,Argentina. 2.Lima, Peru.

1. IV World Congress onTraumatic Stress and a meeting.2. ISHHR Seminar and SecretariatMeetings

Partiallysponsored byFOS

SSWAHS

Dang-Khoa NguyenSenior HEO/CommunityProjects Coordinator,Area Drug Health

Can Tho,Vietnam

Can Tho and Australian MentalHealth Symposium, site visitsDrug and Alcohol Services

General Funds:Drug Health

SSWAHSKatherine MooreDirector Community andAllied Health, SSWAHS

Athens, Greece5th International Conference onHealth Economics, Managementand Policy

Allied HealthGeneral Fund

SSWAHS Stephen MattheyDirector, ICAMHS Paris, France 10th World Congress, World

Assoc for Infant Mental HealthResearch UnitICAMHS

SSWAHS Michelle HalingCNC ICAMHS Paris, France

10th World Congress of the WorldAssociation for Infant MentalHealth and the InsightfulnessAssessment

Area MentalHealth GeneralFund



Funds

SSWAHSUrsula HopperService Manager,ICAMHS

Paris, France

10th World Congress of the WorldAssociation for Infant MentalHealth and the InsightfulnessAssessment

Area MentalHealth GeneralFund

SSWAHS

Duane KeysNurse Educator, AreaNursing/ MidwiferyService

Edmonton,Canada

2006 WRCASN Nurse EducationConference Self funded

SSWAHSMatthew ThompsonHospital Scientist,SWAPS

Amsterdam,Holland

ISLH Amsterdam - TechnologicalInnovations in LaboritoryHaematology

Self Funded

SSWAHSAnthony SchembriArea Clinical DirectorAllied Health

Munich,Germany

International Federation of SocialWork Conference

Allied HealthSP&T and selffunded

SSWAHS Josephine ElfickRegistrar, SWAPS Wellington, NZ

Australian Society for InfectiousDiseases Inc, Annual ScientificMeeting

A/Prof Gosbell,Dr Chan, DrKociuba, DrMaley SP&T

SSWAHS Cathy CroweArea Stroke CNC

Capetown,South Africa Joint World Congress on Stroke Neurology

SP&T

SSWAHSJorge ArocheExecutive Director,STARTTS

1. BuenosAires,Argentina. 2.Lima, Peru.

1. IV World Congress onTraumatic Stress and a meeting.2. ISHHR Seminar and SecretariatMeetings

STARTTSSP&T

SSWAHSMurray KillingsworthSenior Hosp Scientist,SWAPS

Sapporo, Japan 16th International MicroscopyCongress

Prof D.J.Davies SP&T

SSWAHS

Joanna JaanisteDrama Therapist,Liverpool/Fairfield MentalHealth Team

Portland, USAUS National Association forDrama Therapy AnnualConference

General Fund

SSWAHS Catherine Doggett AreaDirector, Social Work

Oxford, UK &Belfast, Ireland

Attend invitations to Oxford andBelfast Universities, theCommission for Social CareInspection and the Social CareInstitute

Self funded

SSWAHSChris RissellHealth Manager, HealthPromotion, DPH

Bangkok,Thailand

Attend 6th Global Conference onHealth Promotion

HealthPromotion UnitTrust fund

SSWAHSMaria KokkinakosA/Director, Food ServicesNutrition

WashingtonDC, USA

Undertake a USA Food Servicesstudy tour and attend the DietaryManagers Annual Conference

SP&TF

SSWAHS Gokulan Pavendranathan Wellington, NZ Attend the Australian and NZSociety of Nephrology Conference

Renal MedicineTrust Fund

SSWAHS Sanjay SwaminathanImmunology, RGHC

Queenstown,NZ

Grand Rounds, ASCIA AnnualScientific Meeting

Dept ofImmunologySpecialPurpose andTrust Fund


Area Health Advisory Council Designed to give health consumers and localcommunities – as well as clinicians includingdoctors, nurses and allied healthprofessionals – a stronger voice in healthdecision making, Area Health AdvisoryCouncils have been established for each ofthe eight new area health services under theHealth Services Amendment Bill 2004.

The SSWAHS Area Health Advisory Council(AHAC) is chaired by Professor JeremyWilson and commenced meeting inDecember 2005 with members from acrossthe Area. During the first six months of theirtenure, the Council has provided the ChiefExecutive with advice on a range of strategicplanning projects including the developmentof the Area Heathcare Services Plan andCorporate Strategic Plan.

Meetings have been held across the Area aspart of a program of site visits that willcontinue on a regular basis. The Council alsoheld four Futures Planning forums inCampbelltown, Canterbury, Concord, and

Liverpool to provide an opportunity for localcommunities to contribute to the futurepriorities for NSW Health and SSWAHS.

The Council is also participating in a researchproject being conducted by the University ofNew South Wales in partnership with theAustralian Council on Healthcare Standardsand industry partners into community andconsumer input into health services,contributing to the evidence base forcommunity participation.

The AHAC plays an important role working inpartnership with existing advisory bodies,including the Consumer and CommunityCouncil, to represent all health stakeholdersand will shortly conclude the development of awork-plan to provide a structure for theCouncil’s input into the strategic direction ofthe Area Health Service. This work-plan, alongwith the Council’s charter and minutes ofmeetings, are available on the SSWAHSwebsite.

Committee MembersProfessor Jeremy WilsonChair, Executive Clinical Director, SSWAHS

Harry Collins OAMCommunity Representative, Panania

Dr Roger GarsiaClinician, Camperdown

Dr John MeadthGP Representative, Concord

Professor Don NutbeamUniversity of Sydney

Associate Professor Mark SheridanClinician, Liverpool

Darryl WrightTharawal Aboriginal Corporation, Airds

Ms Dell CotterCommunity Representative, Ambarvale

Dr Amanda WalkerClinician, Campbelltown and Camden

Mrs Adriana NavarroCommunity Representative, Liverpool

Ms Sue McClellandCommunity Representative, Bankstown

Sr Alison Bush AOClinician, Camperdown

Mrs Sandra GavCommunity Representative, Ashfield


Community Participation Local Health Participation GroupsThe Area Community Participation Unitadministers and supports the health servicein developing a culture supportive ofcommunity and consumer participation.

This means that all levels of health servicestaff, including senior executive staff, areincluded in both formal and informalcommunity participation training, so thatthey understand what it is and how it cansupport better health care.

The Unit also plays a significant role inproviding resources to the Area HealthAdvisory Council, especially for thosecommunity representatives who are members.

The Unit directly supports the peak communityparticipation structure in SSWAHS known asthe Consumer and Community Council. TheCouncil comprises representatives from theeight local community participation networks,representatives of specific population groups,and members of the Area Health AdvisoryCouncil. One of the key roles of the Consumerand Community Council is to be the strategiclink between the local communityrepresentative networks, the Area Executiveteam and the Area Health Advisory Council.

Over the past year, there has been a numberof community participation staffing changesboth at the facility and Area level. In addition,new facilities without established networkshave needed to develop internal and externalpartners to help raise the profile of healthparticipation by the community.

One key project has been the review of theCommunity Participation Framework that willnow encompass the Area. The delivery oforientation and training to ensure staff andcommunity representatives are clear abouttheir respective roles and responsibilities hasalso been a major focus.

Up and coming projects will be the continuousrollout of community participation trainingacross the health service; developing acommunication strategy and reviewing theUnit’s business plan; redesigning and updatingthe webpage; and working with the Consumerand Community Council on its professionaldevelopment and profile.

Patient feedbackCommunity participation aims to engageconsumers, carers and the community in theplanning and management of their healthservices.

There are formal structures in place atSSWAHS to facilitate communityparticipation. All facilities have a PatientLiaison Officer. This position is highlypromoted at each facility to ensure patientsand carers know who to approach withsuggestions, complaints and compliments.Complaint statistics are collected andregularly reported to the Clinical QualityCouncil and NSW Health for inclusion in theStatewide database.

Facilities also use surveys and suggestionboxes for patient feedback. This allowsinformation to be exchanged freely and helpsto maintain a constructive relationshipbetween staff and patients.

Ongoing consumer forums featuring keyspeakers are held regularly in order toimprove dialogue between SSWAHS and thecommunity we serve. Consumerrepresentatives are included in manycommittees throughout the service.


Fundraising and SponsorshipBalmain HospitalBalmain Hospital and the Strong Clinicreceived donations and bequests forspecific purposes totalling $226,605.TheHospital Auxiliary donated $23,000 for thepurchase of Medical / Exercise Equipmentthroughout the year.

Bankstown HospitalBankstown Health Service receivedgenerous donations to the total of$342,023 for the year. A large contributionof over $140,000 was made by BankstownDistrict Sports Club.

The Child and Family Heath Day wassponsored by the Liverpool Catholic Club,Bayer and Rotary. CommunityDevelopment Support Expendituresponsored the Health and Arts ResearchCentre’s project Art of Ageing.

Bowral and District HospitalThe Health Service was again generouslysupported by the community, which providedthe sum of $165,311. Through variousactivities Bowral and District Hospital raised$2,468 during the course of the financialyear. The Centenary Scholarship Fundprovided scholarships to the value of $750per year for four students engaged in healthrelated course of study.

Camden and CampbelltownThe Community of Macarthur continue toprovide wonderful support to the hospital.A fund raising event at Camden –generously supported by Camden BowlingClub members – set a new world record inthe Guinness Book of Records for‘continuous lawn bowling’ at 100hrs 40mins and raised $12,902 for the Auxiliary.

Community HealthCan Assist (Wingecarribee) provideapproximately $16,000 annually toenable contracting of after hours nursingservices for terminally ill clients of thePrimary Health Nursing team.

Two sets of video kits on gentle exercise(valued at $900.00) donated from LiverpoolSeniors Network to Aged Day Care servicesin Liverpool. Liverpool Seniors Networkdonated $1000 for craft items to Lurnea andHoxton Park Aged Day Care.

Concord Repatriation GeneralHospitalConcord Hospital continues to enjoystrong support from its local community,receiving a total of $315,043.07 fromdonations and fundraising activities, ofwhich $33,389.91 was a single bequest.

Fairfield HospitalA total of $68,174.72 was donated to theWhitlam Joint Replacement Centre.General Hospital Donations totalled$290,292.67 of which:• Cabra-Vale Diggers Club donated

$170,000 to purchase an echo machine• Smithfield RSL donated $30,000 to

purchase laparoscopic equipment foroperating theatres

• The Lions Club donated $16,000

• The Auxiliary purchased walking framesand walkers to the value of $1,031andprovided funds for five oximeters

KaritaneThe Rotary Club of Liverpool Greenwayprovided a new Toyota Corolla, a laptopcomputer, new sofas and a mobile phonefor the Karitane Family Care Cottage atLiverpool (at a total cost of $25,000).

The Liverpool Catholic Club, Bayer HealthCare Australia and the Rotary Club ofLiverpool West Inc. made donationstowards the SSWAHS western zoneInaugural Child and Family Health NursesAwards held at the Liverpool Catholic Cluband supported by Karitane.

St Johns Park Bowling Club sponsored thecelebration of Karitane VolunteerPrograms - five year of participation in theNSW Government Families First VolunteerHome Visiting program by donating thevenue and the fantastic food.

Aspen Pharmacare donated a gift voucher to the14 volunteers who had worked with KVP for 5years or more in recognition of the achievement.

Karitane also thanks the following companies fortheir sponsorship of information brochures forboth parents and health professionals:• Havenhall Priority Limit (Pigeon)• Bayer Health Care Australia• Golden Circle• Aromababy


Fundraising and SponsorshipLiverpool HospitalThe major fundraising event at LiverpoolHospital was a dinner for the Brain Injury Unitwhich raised funds of $93,820 afterexpenses. The Cancer Therapy Centre helda 10th Anniversary Dinner which raised$33,497. Fundraising efforts throughout thehospital and child care centre raised a total of$148,569.

Royal Prince Alfred Hospital -RPA FoundationThe RPA Foundation holds an annual appealto fund a research project at the hospital. Theaward of the RPA Foundation Medal goes tothe most outstanding individual researchproject and includes an amount of $50,000 tofund the chosen research.

The RPA Foundation processed a total of$879,048.65, including general donations toRPA.

Separate funds of $4,100 were received byNursing for International Nurses Day andwere expended to pay for prizes andexpenses for nurses on the day.

TresillianThe Gidget Foundation, a group offundraisers dedicated to raising money topromote awareness of post-natal depression,generously donated $51,900 to Tresillian.

Tresillian is extremely grateful to our majorsponsor, Johnson & Johnson, who continueto provide in excess of $50,000 per year insponsorship funds, as well as to Emap, whohave generously sponsored the printing andproduction of Tresillian’s corporate brochureand to Kimberly-Clark who continue tosponsor the printing and production of thenewsletter, The Tresillian Crier.


Donations and BequestsThank you to the following individuals and organisations for providing $5,000 or more in supportduring 2005/06.

Mr Allan CookAMGEN Australia Pty LtdBalmain Hospital AuxiliaryBankstown District Sports Club LtdBankstown Hospital AuxiliaryBankstown Trotting Recreational ClubBarclay MowlemBelmore Returned Services and Leagues ClubBowral Hospital AuxiliaryCommunity Club LtdBrowneast FundraisingBulldogs Leagues Club LtdBusby AuxiliaryCabra-Vale Ex-Active Servicemen’s Club LtdCamden Hospital AuxiliaryCampsie RSL Sub-Branch Club LtdCampbelltown Catholic ClubCampbelltown Hospital AuxiliaryCanada Bay ClubCancer Patients Assistance Scheme (CPAS) Canterbury Hospital Pink LadiesCanterbury Hurlstone Park RSL LtdCanley Heights RSL Sporting ClubCanongate Partner Pty LtdCastle Hill RSL sub-branchCelebration Royal Arch Chapter No 81City Bankstown R&SL Community Club LtdColonial Club AuxiliaryCrafts UnlimitedEmap - Bounty & BountyEstate of Alex TaylorEstate of Frances Jean LoftsEstate of Nance A De CairosEstate of Nancy May O'BrienFree Serbian Orthodox Church St George

Mrs Freda Jane GambleThe Gidget FoundationG O’Neil Health Services UnionInner Wheel Club of NorwestJohnson and JohnsonKids of Macarthur Health FoundationKimberley-ClarkLadies Auxiliary Balmain HospitalLions Clubs NSWThe Lions Club of YagoonaLiverpool Hospital AuxiliaryMacarthur AdvertiserMacquarie Bank FoundationMoorebank Chipping Norton AuxiliaryMoorebank Sports ClubNestlè Food ServiceMrs Olga Holt NineMSNNSW Nurse's Association Orlando Wyndham Pernod RicardMr. Paul Stephen FreamePatricia HensonPaul Wakeling Wheels for LifeThe Philip Bushell FoundationPunchbowl Ex-Services Community Club LtdRelay for LifeRock for Recovery benefit for Youth Mental HealthRotary Club of BurwoodRotary Club of Liverpool GreenwaySmithfield Sydney Baseball Lions ClubSpringett Family FoundationLeo McCarthy Memorial Smithfield RSL Sub-Branch


Ethnic Affairs Priority Statement SSWAHS acknowledges and supports thecultural diversity of its population andadheres to the NSW Government Principlesof Multiculturalism by providing specialservices and programs to culturally diversecommunities.

In 2005/06 a number of projects wereundertaken with the aim of improving thehealth of culturally diverse population groups.

Eight Mandarin speaking couples attended asix week antenatal class for first time parentsat Burwood. Participants were recruited byadvertising at antenatal clinics at RPAWomen and Babies, and CanterburyHospital. Burwood RSL Club provided somefunds for the class through the Clubs NSWCommunity Development SupportExpenditure Scheme.

Designed and funded by SSWAHS, the firstphase of the Tobacco Control campaign forArabic-speakers commenced in April andencouraged smokers to consider the loss totheir family should they die or become sickthrough smoking. Since 1996, SSWAHS hasinvested in initiatives designed to reducetobacco related-harm in the Arabic-speakingpopulation. A promising trend is that 67.1 percent of Arabic-speakers now report living in asmoke-free home, compared to only 47.2 percent in 1997/98. However, at 35.4 per centthe prevalence of smoking in Arabic-speakingmales remains high.

The second phase of the tobacco controlcampaign for Arabic-speakers Ma’feesh cigaramen gheir khosara (There is no cigarettewithout loss) was launched at BankstownCommunity Health Centre on 26 July.

The campaign encourages Arabic-speakingmales to attempt to stop smoking and to speakwith their pharmacist in order to accessnicotine replacement therapies and receivesupport and advice during their quit attempt.

The landmark Descriptive study on Kavause among Tongan Men in Macarthurundertaken by the Macarthur MulticulturalHealth Service explores theinterrelationship of health and culture. Kavais a non-narcotic, non-alcoholic beveragetraditionally drunk by men from the Pacificcommunities. There is conflicting evidenceabout its potential health benefits andadverse effects. The study aims to describehow kava is used among Tongan men inMacarthur and will be used to formulatehealth promotion initiatives to directlybenefit the community and health workerswho are not aware of kava as a potentialhealth issue. Information will addressissues such as social isolation and mentalhealth, drink driving, drug and alcohol andwill be presented in a culturally appropriateand sensitive manner.

Making a New Mould is a Fairfield projectfunded by the National Breast Cancer Centrethrough the Polo Ralph Lauren Pink Ponycampaign. The support group continues tomeet every fortnight and is facilitated byAssyrian Health Worker Marlin Babakhan,

The Better Life for Muslim Women group is aLiverpool project which meets at The MichaelWenden Leisure centre, Miller on a weeklybasis for physical and health educationactivities. Liverpool Hospital PhysiotherapyDepartment refers most of the participants.


Volunteers Balmain HospitalBalmain Hospital is supported by three pinkladies who assist elderly patients. TheHospital Auxiliary donated $23,000 for thepurchase of medical and exercise equipmentthroughout the year.

Auxiliary office bearers

President: Jean McLarenSecretary: Joyce DuncanTreasurer: Maisie Hardy

Bankstown HospitalBankstown has 140 Volunteers workingwithin the hospital and community healthservices. The Hospital Auxiliary raised inexcess of $83,000 during 2005/06. VolunteerConnie Zammit, completed her 30th year ofservice this year.

Chaplains from the Pastoral CareDepartment provide spiritual support topatients and their relatives on request, aswell as conducting a weekly service.

Auxiliary office bearersPresident: Helen WilliamsonTreasurer: Harvey Worth

Bowral and District HospitalBowral and District Hospital has PastoralCare volunteers, Blue Ladies who assist bylooking after the flowers on the wards, andVolunteers to welcome and assist visitors.

Bowral Auxiliary office bearersPresident: Judith GreenSecretary: Wendy PedleyTreasurer: Joan Liebmann

Moss Vale Auxiliary office bearersPresident: Sandra D’AdamSecretary: Jenny SheermanTreasurer: Rikky Winley

Burrawang/Wildes Meadow Auxiliary officebearersPresident: Jenny GairSecretary: Audrey JacksonTreasurer: Anne Ford

Camden and CampbelltownHospitalsCamden and Campbelltown volunteers are aspecial group of people providing services forpatients, families and staff. Both the Camdenand Campbelltown Hospital Auxiliaries worktirelessly, performing different activities andraising funds through stalls and raffles, socialfunctions and running the baby boutique.

Campbelltown Hospital Auxiliary office bearersPresident: Barry KemisterSecretary: Judy KemisterTreasurer: Gail Smith

Camden Hospital Auxiliary office bearersPresident: Robyn JanceSecretary: Helen EvansTreasurer: Bill Richards

Canterbury HospitalVolunteers continue to play an important rolein the hospital by providing a variety ofservices such as meet and greet, pastoralcare, general patient visiting and the weeklyPink Ladies stall held in the hospital foyer.

Concord Repatriation GeneralHospitalVolunteers are involved in a number ofactivities including fundraising, and operatinga gift shop, cafe and museum.

A number of special events were held by ourvolunteer auxiliary including sausage sizzlesfor the annual RTA cyclathon, schoolexcursions to the Kokoda Track Memorialand a golf day held at Strathfield Golf club.

Our chaplains have been actively involved ina number of commemorative services for theveteran community, a role unique to ConcordHospital.

Auxiliary office bearersCoordinator/Public Officer: Ruth EllisTreasurer: Christine GruntarAssistant Treasurer: Iris Roberts and

Barbara WayneSecretary: Christian Maitere


VolunteersFairfield HospitalThe hospital’s Chaplaincy and Pastoral Carersreflect the area’s cultural diversity with RomanCatholic, Salvation Army, Anglican, Assyrian,Croatian, Islamic and Buddhist faiths represented.

The Fairfield Hospital Volunteer service has 57members. This year, the Auxiliary purchasedwalking frames and walkers to the value of$1,031 and provided funds for five oximeters.

Auxiliary office bearersPresident: Mrs Christine StoreySecretary: Mrs Margaret MasonTreasurer: Mr William Mason

KaritaneThe Karitane Volunteer Home VisitingProgram had 101 Volunteers supportingfamilies in their homes this year. RandwickFamily Care Cottage has a team of 12 andLiverpool Family Care Cottage a team of 10dedicated volunteers.

Liverpool HospitalLiverpool Hospital has four volunteerauxiliarys – Busby, Colonial Club, LiverpoolHospital and Moorebank/Chipping Norton –engaged in dedicated work includingfundraising to purchase equipment.

The Quiet Dreaming Place courtyard wasopened for patients and staff seekingsolitude. An initiative of the Aboriginalcommunity, the courtyard was completed aspart of the Arts for Health program with agrant from the Australia Council for the Arts.South Western Sydney Institute of TAFEstudents and the Gandangarra Land Councilwere also involved in the project.

Liverpool Hospital VolunteersPresident: Elaine GregoryVice-President: Kenneth WynneSecretary: Valma SpruceTreasurer: Alester Eyre-Thompson

Other groups of dedicated volunteers includeMiller ‘The Hub’ Volunteers, Palliative Care,Mental Health and Arts for Health Programvolunteers.

Busby Auxiliary office bearersPresident: Nola DeanVice President: Margaret SullivanSecretary: Elaine YoungTreasurer: George Dean

The Busby Auxiliary has 11 members and haspurchased $76,000 worth of equipment for ICU,G2Ee, G2W and Neurology. The Auxiliary wasawarded the Francis Gavel Trophy for moniesraised at the United Hospitals Auxiliaries Inc72nd State Conference.

Colonial Club Auxiliary office bearersPresident: Christine FrameSecretary: Shirley YatesTreasurer: David Nolan

With 25 members, the Colonial Club Auxiliaryhas continued its fundraising activities and isabout to purchase operating theatreequipment worth $15,000.

Liverpool Hospital Auxiliary office bearersPresident : Marie HuntSecretary: Robyn JanceTreasurer: Pat Goggins

The Liverpool Hospital Auxiliary has 21members. Sadly the long serving auxiliarypatron, Eadie Fitzpatrick passed away duringthe year.

Moorebank/Chipping Norton Auxiliary officerbearersPresident : Elizabeth WinnerSecretary: Pat HughesTreasurer: Patsy Colarco

The Moorebank / Chipping Norton Auxiliaryhas 10 members and operates the GumnutBaby Shop and stalls in the foyer. TheAuxiliary purchased $18,000 worth ofoperating theatre equipment.

Chaplaincy servicesThe Reverend Ross Kennedy retired from theposition of Anglican Chaplain at the hospital inFebruary after 20 years. The Reverend MarkJenkins is the new Anglican Chaplain.

Royal Prince Alfred HospitalRPA Volunteer Services has over 80volunteers. A piano and dining room suite hasbeen supplied to the Geriatric Ward throughtheir efforts. At the end of June 2006,volunteers at RPA had donated over 600hours per month to the hospital.

Chaplaincy ServicesA generous grant from the Vincent FairfaxFamily Foundation has allowed theappointment of a Pastoral Care Workerspecifically for the Intensive Care Unit.


Freedom of Information Access to personal and/or non-personaldocuments can be obtained by lodging an FOIapplication. This is achieved by eithercompleting an FOI application form or arequest in writing, and lodged with the AreaFOI Co-ordinator of SSWAHS. Theprocessing fee for a personal FOI applicationis $30.00 (GST free). Should the applicant beable to show hardship, a 50 percent reductionis made.

For all non-personal applications, the AreaHealth Service can charge a processing feeof $30.00 per hour as well as the initial$30.00 application fee. The processing feeincludes costs for searching/locating theinformation, decision-making, consultationand any photocopying.

For access to medical records, the applicantshould write or telephone the Medical RecordDepartment of the appropriate SSWAHSfacility. A processing fee of $33.00 (GSTincluded) is required. However, should theapplicant be able to show hardship, a 50percent reduction is given. If the applicantrequires copies of their medical records a feeof $0.27 (GST included) per page is chargedafter the first eighty pages.

The Summary of Affairs is updated andforwarded to the Government Printing Office forinclusion in the Government Gazette every sixmonths. The Area FOI Co-ordinator listed in theSummary of Affairs is available for enquiriesregarding FOI applications, access to medicalrecords and/or amendment of records.

Freedom of Information StatisticsThe following tables represent the Freedom of Information applications received in relation tofinancial year 2005/06.

Personal Other TotalFOI Requests 2004/05 2005/06 2004/05 2005/06 2004/05 2005/06A1 New (including transferred in)A2 Brought Forward from previous year

976

1420

277

160

12413

1580

A3 Total to be processed 103 142 34 16 137 158A4 CompletedA5 Transferred outA6 Withdrawn

9602

13903

2700

1202

12302

15105

A7 Total Processed 98 142 27 14 125 156

A8 Unfinished (carried forward) 5 0 7 2 12 2

Personal OtherResults of FOI Requests 2004/05 2005/06 2004/05 2005/06B1 Granted in FullB2 Granted in partB3 RefusedB4 Deferred

811140

1253

110

22500

5160

B5 Completed 96 139 27 12

Personal OtherMinisterial certificates issued

2004/05 2005/06 2004/05 2005/06C1 Ministerial certificates issued 0 0 0 0

Personal OtherFormal consultations

2004/05 2005/06 2004/05 2005/06D1 Number of requests requiring formal consultation(s) 27 0 3 2


Freedom of InformationPersonal OtherAmendment of personal records2004/05 2005/06 2004/05 2005/06

E1 Result of amendment - agreedE2 Result of amendment - refused

00

00

00

00

E3 Totals 0 0 0 0

Personal OtherNotation of personal records

2004/05 2005/06 2004/05 2005/06F3 Number of requests for notation 0 0 0 0

Personal OtherBasis of Disallowing or Restricting Access 2004/05 2005/06 2004/05 2005/06G1 Section 19 (application incomplete, wrongly directed)G2 Section 22 (deposit not paid)G3 Section 25 (1)(a1) (diversion of resources)G4 Section 25 (1)(a) (exempt)G5 Section 25 (1)(b), (b1), (c), (d) (otherwise available)G6 Section 28 (1)(b) (documents not held)G7 Section 24 (2) (deemed refused, over 21 days)G8 Section 31 (4) (released to medical practitioner)

001

120200

00030

1100

00050000

00411100

G9 Totals 15 14 5 7

Costs and fees of requests processed Fees Received Fees Estimated

H1 All completed requests $1,770.00 $13,022.50

Personal OtherType of Discount Allowed on Fees Charged2004/05 2005/06 2004/05 2005/06

I1 Public InterestI2 Financial Hardship - Pensioner/ChildI3 Financial Hardship - Non Profit Organisation

0270

0190

030

020

I4 Totals 27 19 3 2

I5 Significant correction of personal records 0 0 0 0

Personal OtherDays to process 2004/05 2005/06 2004/05 2005/06J1 0 - 21J2 22 – 35 (consultation period/out of time determinations)J3 Over 35 (extended consultation/out of time determinations)

79134

13630

112

14

543

Totals 96 139 27 12

Personal OtherHours to Process 2004/05 2005/06 2004/05 2005/06K1 0 – 10K2 11 – 20K3 21 – 40K4 Over 40

89520

139000

18351

12000

K5 Totals 96 139 27 12


Freedom of Information

Personal OtherUpheld Varied Upheld Varied

Details of internal review results– bases of internal reviewgrounds on which internalreview requested

2004/05

2005/06

2004/05

2005/06

2004/05

2005/06

2004/05

2005/06

Access refusedDeferred releaseExempt matterUnreasonable estimate of chargesCharges unreasonably incurredAmendment

000000

000000

000000

000000

100000

001000

001000

000000

Totals 0 0 0 0 2 1 1 0

During the 2005/06 financial year, the AreaHealth Service received 158 new requests forinformation under the Freedom of InformationAct 1989, compared to 137 for the 2004/05financial year, an overall increase of eight percent. This increase is due to solicitors, themedia and members of parliament utilisingFOI more widely to obtain information held bythe Area Health Service.

There were no applications carried over fromthe 2004/05 reporting period. Of the 158requests received, 130 were granted in full, 4granted in part, 17 refused, 5 withdrawn and2 carried forward. 142 of the applicationsreceived were requests for personal orrelative’s medical records with 16 requestsbeing of a non-personal nature.

Two applications required consultation with11 parties outside of the Area Health Service.

One application for an internal review wasreceived within the reporting period by thethird party concerned and, followingfinalisation of the internal review, the casewas referred by the third party to theAdministrative Decision Tribunal. Thedecision is still to be finalised.

There have been no requests foramendments to personal records, notationsto personal records or Ministerial Certificatesissued and there were no Ombudsmanappeals.

The cost of processing FOI requests during2005/06 was estimated at $13,022.50 whileonly $1,770.00 was received to offset theoperating cost of providing such information.

There were three requests determined outsideof the time limits prescribed by the Act.

Privacy and personal informationDuring the year, there were no internal reviewsconducted under the Privacy and PersonalInformation Protection Act 1998 and the HealthRecords and Information Privacy Act.

Reviews and appeals 2004/05 2005/06

L1 Number of internal reviews finalisedL2 Number of Ombudsman reviewsL3 Number of District Court/ADT appeals finalised

211

100


Financial Information

Financial Overview


The audited financial statements presented for the Sydney South West Area Health Servicerecognise the amalgamation of the former Central Sydney Area Health Service and the formerSouth Western Sydney Area Health Services, which had effect from 1 January 2005.

Audited financial statements appear in the Annual Report covering the twelve months ended 30June 2006. However, as the amalgamation was only effected from 1 January 2005 the previousyear comparisons shown in the audited statements are restricted to a period of six months only.

For the period 1 July 2005 to 30 June 2006 the Net Cost of Services budget was $1.728 billion,against which the audited actuals of $1.723 billion represents a variation of 5 million or 0. 28%.

The reported favourable result is mainly contributed from the Special Purposes and Trust Fundwhich were not available for general expenditure.

In achieving the above result, the Sydney South West Area Health Service is satisfied that it hasoperated within the level of government cash payments and restricted operating costs to the budgetavailable. It has also ensured that no general creditors exist at the end of the year in excess oflevels agreed with the NSW Department of Health and, further, has effected all loan repaymentswithin the time frames agreed.

Although the audited financial statements show only comparative data for the six months ended 30June 2005 (consistent with the establishment date of the Area Health Service) information isavailable for the twelve months ended 30 June 2005, and is shown below with comparison with the2005/06 result.

2005/06Actuals

$000

2005/06Budget

$000

2004/05Actuals

$000Employee Related Expenses 1,296,709 1,297,470 1,211,750Visiting Medical Officers 73,951 75,444 67,623Other Operating Expenses 626,635 633,848 578,646Depreciation & Amortisation 78,896 79,205 78,607Grants & Subsidies 26,637 27,173 17,001Finance Costs 740 716 0Payments to Affiliated Health Organisations 26,309 25,987 23,738Total Expenses excluding losses 2,129,877 2,139,843 1,977,365

Sale of Goods & Services 347,689 337,998 339,135Investment Income 12,322 9,482 11,437Grants & Contributions 40,486 40,822 39,605Other Revenue 11,535 23,530 15,388Total Retained Revenue 412,032 411,832 405,565Gain/(Loss) on Disposal (835) 0 9,852

Other Gains/(Losses) (4,382) 0 (4,520)

Net Cost of Services 1,723,062 1,728,011 1,566,468

The variations in the two years reported stem from budget adjustments and other movements(details refers to note 39).

The Area Health Service reporting of programs is consistent with the ten programs of health caredelivery utilised across NSW Health and satisfies the methodology for apportionment advised bythe NSW Department of Health.

No full year comparisons are available in the audited statements, although the table under hasbeen prepared comparing the combined results of the Sydney South West Area Health Service andits former Area components for the full two year period 1 July 2004 to 30 June 2006.


Program2005/06 2004/05

Exp Rev NCOS Exp RevNCOS

$000 $000 $000 $000 $000 $000Primary &Community

154,504 12,432 142,072 145,163 12,065 133,098

Aboriginal Health 1,836 180 1,656 1,657 204 1,453Outpatient Services 271,926 9,425 262,501 251,578 9,408 242,170Emergency CareServices

132,216 15,546 116,670 118,960 15,289 103,671

Overnight Acute 990,959 252,500 738,459 925,794 263,762 662,032Same Day Acute 145,905 22,783 123,122 127,519 22,345 105,174Mental HealthServices

151,979 19,553 132,426 149,313 19,237 130,076

Rehab & ExtendedCare

146,324 36,925 109,399 135,219 36,134 99,085

Population Health 30,870 3,872 26,998 28,703 4,199 24,504Teaching &Research

103,358 33,599 69,759 97,979 32,774 65,205

Total 2,129,877 406,815 1,723,062 1,981,885 415,417 1,566,468

As a result of the establishment of the new Area Health Services on 1 January 2005, it wasnecessary for each Area Health Service to prepare its 2004/05 financial statements utilising theAustralian Equivalents to International Financial Reporting Standards (AEIFRS). Each Area HealthService is therefore twelve months in advance of the majority of Government agencies.

Significant additional funding was directed by the Government to a range of health priorities as partof the 2005/06 State budget. In particular, increased funding has been directed towards:

• improving access to hospital services, including measures designed to reduce access block inhospitals

• reducing the number of elective/surgical patients, ready for care, especially those who havewaited longer than 12 months for treatment.

• Further increasing the level of emergency care, community based, acute and sub acutemental health services available across the State.

• Increasing service capacity across a range of state-wide and selected speciality services.These include neonatal, paediatric and adult intensive care; severe burn services; genetics;and interventional neuroradiology.

• Ongoing funding of prior year initiatives.• Clinical Redesign Program• Burns Services

The Sydney South West Area Health Service received its 2006/07 allocation on 30 June 2006. Theallocation is earmarked by the provision of additional funding to address:

• the provision of an additional beds• 106 places for the Transitional Aged Care Program• Mental Health Enhancement funding for Liverpool• Continuation of the Clinical Services Plan funding.

The Minister for Health has announced the following new capital works:Liverpool Hospital Redevelopment Stage 2, Campbelltown Psychiatric Emergency Care Centreand Liverpool Psychiatric Emergency Care Centre.

In addition, the 2006/07 capital program also provides for the continuation of 2005/06 projects.


Index Activity levels…………………………………31Allied health services………………………..56Area health advisory council………………111Area healthcare service planning…………..40Asset management………………………….68Balmain Hospital……………………………..41Bankstown Hospital………………………….42Bowral Hospital………………………………43Camden Hospital…………………………….44Campbelltown Hospital……………………...44Canterbury Hospital………………………….45Chief executive year in review…………….....5Clinical governance statement……………..17Community health……………………...........46Concord Hospital…………………………….47Contents………………………………………..1Community participation…………………...112Corporate governance statement………….15Corporate services…………………………..69Department of Forensic Medicine………….48Donations and bequests…………………..115Drug health services…………………………57Ethnic affairs priority program…………….116Equal employment opportunity……………..79Executive reports ……………………………76Facilities………………………………………41Fairfield Hospital……………………………..49Financial overview………………………….127Financial services……………………………70Financial statements… ……………………130Freedom of information……………………124Fundraising and sponsorship……………..113

Health service locations… …. ……………..35Health service profile………………………..11Highlights………………………………………7Independent Audit Report………..………..130Information management division.…………71Internal audit………………………………….72Karitane……………………………………….50Liverpool Hospital……………………………51Local health participation groups…………112Map of SSWAHS locations…………………..3Mental health services………………………58Non-government organisations…………...117Nursing and midwifery services…………….60Occupational health and safety…………….83Official overseas travel…….………………..93Oral health…….……………………………...61Organisation chart…………………………...13Patient feedback……………………………112Performance indicators……………………...19Population health…………………………….62Public affairs and marketing………………..73Purpose and goals…………………………..14Quality clinical indicators……………………63Research……………………………………...87Royal Prince Alfred Hospital………………..52Rozelle Hospital……………………………...53Staff profile……………………………………78Sydney Dental Hospital……………………..54Teaching and training initiatives……………85Tresillian Family Care Centres……………..55Volunteers…………………………………..122Workforce profile……………………………..75


Total number of copies printed 550

Total cost $6,817.50 excluding GST

The SSWAHS 2005/06 Annual Report is available on our website www.sswhealth.nsw.gov.au orby phoning (02) 9828 5700 or (02) 9515 9600.

We welcome your feedback. You can contact us by email at [email protected] our website at www.sswhealth.nsw.gov.au or by phoning us on (02) 9828 5700 or 95159600.

A publication of SSWAHS, produced by Public Affairs and Marketing.

6

Documents

SSWAHS Statutory06 · 2007. 2. 21. · Locked Bag 7017 Liverpool BC 1871 Telephone: 61 2 9828 5700 Fax: 61 2 9828 5769 Email: [email protected] Website: Hours of operation: