13-government-services-2013-chapter9

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There are fixed and rotary wing (helicopter) ambulance services in all jurisdictions. In most jurisdictions these services are provided by the ambulance service organisations through various contractual arrangements. In WA, SA, Queensland and the NT, all or most of the funding of air ambulance services is external to the ambulance service organisations. Box 9.13 Relationships of primary ambulance response and management organisations to government NSW Ambulance Service of NSW — a division of the Ministry of Health reporting to the Minister for Health. Vic Ambulance Victoria — a separate statutory body reporting to the Minister for Health. Qld Queensland Ambulance Service — a division of the Department of Community Safety, reporting to the Director-General, who reports to the Minister for Police and Community Safety. WA St John Ambulance — an incorporated not-for-profit organisation under contract to the WA Government. SA SA Ambulance Service — an incorporated entity under the SA Health Care Act. Tas Ambulance Tasmania — a statutory service of the Department of Health and Human Services. ACT ACT Ambulance Service — one of four operational services that comprise the ACT Emergency Services Agency, Justice and Community Safety Directorate (the other operational services are the ACT Fire and Rescue, ACT Rural Fire Service and ACT State Emergency Service). The Department reports to the ACT Minister for Police and Emergency Services. NT St John Ambulance — an incorporated not-for-profit organisation under contract to the NT Government. Source: State and Territory governments (unpublished). Revenue Total revenue of ambulance service organisations covered in this chapter was approximately $2.4 billion in 2011-12 (table 9.3). Nationally, revenue increased each year from 2007-08 to 2011-12 (in real terms), with an average annual growth rate of 4.9 per cent. Ambulance service organisations are funded by a variety of sources, with non-government sources making a significant contribution. The primary sources of revenue across all jurisdictions in 2011-12 were grants from State and Territory governments, transport fees (from public hospitals, private citizens and insurance) and other revenue (subscriptions, donations and miscellaneous revenue) (table 9A.30). 9.38 REPORT ON GOVERNMENT SERVICES 2013
Table 9.3 Revenue of ambulance service organisations (2011-12 dollars) ($ million) a, b NSW Vic Qld WA SA c Tas ACT NT Aust 2007-08 621.0 534.9 468.4 135.9 157.5 38.0 24.4 22.6 2 002.6 2008-09 671.0 556.1 501.3 131.4 193.9 47.1 25.2 24.0 2 149.9 2009-10 703.4 583.0 529.2 146.1 194.3 54.9 25.0 20.3 2 256.3 2010-11 686.6 586.1 551.7 176.2 200.6 55.1 28.5 22.4 2 307.2 2011-12 715.3 609.6 572.1 209.3 207.3 56.0 35.8 23.5 2 428.9 a Data are adjusted to 2011-12 dollars using the gross domestic product (GDP) price deflator (2011-12 = 100) (table AA.51). Recent volatility in the GDP deflator series affects annual movements of real expenditure. See the Statistical appendix (section A.5) for details. Due to differences in definitions and counting rules, data reported may differ from data in agency annual reports and other sources. b Totals may not sum due to rounding. c SA: For the 2012 Report 2010-11 ambulance financial and workforce data were not available due to reporting system issues. This was rectified for the 2013 Report. Source: State and Territory governments (unpublished); table 9A.30. Demand for ambulance services Incidents For ambulance services an incident is an event that results in one or more responses by an ambulance service. Ambulance service organisations prioritise incidents as: • emergency — immediate response under lights and sirens required • urgent — undelayed response required without lights and sirens • non-emergency — non-urgent response required • casualty room attendance. Nationally, ambulance service organisations attended 3.2 million incidents in 2011-12 (table 9A.31). Most of these were emergency incidents (44.0 per cent). Ambulance service organisations also attended a large number of urgent incidents (23.3 per cent) and non-emergency incidents (32.5 per cent). Ambulance incidents, responses and patients per 1000 people The numbers of incidents, responses and patients are interrelated. Multiple responses/vehicles may be sent to a single incident, and there can be more than one patient per incident. There can also be responses to incidents that do not have people requiring treatment and/or transport. Nationally, there were 172 responses per 1000 people and 136 patients per 1000 people, in 2011-12 (figure 9.18). FIRE AND AMBULANCE SERVICES 9.39
Page 1 and 2: 9 Fire and ambulance services CONTE
Page 3 and 4: Roles and responsibilities Fire ser
Page 5 and 6: and human resources relate to fire
Page 7 and 8: The Report’s statistical appendix
Page 9 and 10: Box 9.2 Fire incidents ‘Fire inci
Page 11 and 12: Figure 9.3 Accidental residential s
Page 13 and 14: Figure 9.5 Fire service organisatio
Page 15 and 16: Figure 9.7 Reported road crash resc
Page 17 and 18: Fire/non-fire incidents — False a
Page 19 and 20: The most recent cross-sectional, na
Page 21 and 22: • the dispersion of the populatio
Page 23 and 24: Figure 9.10 Response times to struc
Page 25 and 26: Both government of funding fire ser
Page 27 and 28: Box 9.8 Fire death rate ‘Fire dea
Page 29 and 30: years from 1982-91 the average deat
Page 31 and 32: Box 9.10 Annual fire injury rate
Page 33 and 34: The proportion of fires, from all i
Page 35 and 36: Median dollar loss per structure fi
Page 37: 9.4 Profile of emergency services f
Page 41 and 42: Nationally, in 2011-12, 84.6 per ce
Page 43 and 44: • ambulance operatives (including
Page 45 and 46: Figure 9.20 Ambulance events perfor
Page 47 and 48: Figure 9.21 Number of paid, mixed a
Page 49 and 50: Figure 9.22 Number of full time equ
Page 51 and 52: Although definitions of response ti
Page 53 and 54: State-wide response times ‘State-
Page 55 and 56: Effectiveness — appropriateness A
Page 57 and 58: Continuity of care ‘Continuity of
Page 59 and 60: Figure 9.26 Ambulance staff attriti
Page 61 and 62: Figure 9.27 Ambulance service organ
Page 63 and 64: Cardiac arrest survived event rate
Page 65 and 66: Box 9.30 Continued have improved ov
Page 67 and 68: Cardiac arrest survival to hospital
Page 69 and 70: 9.7 Future directions in performanc
Page 71 and 72: “ New South Wales Government comm
Page 73 and 74: “ Queensland Government comments
Page 75 and 76: “ South Australian Government com
Page 77 and 78: “ Australian Capital Territory Go
Page 79 and 80: 9.9 Definitions of key terms Alarm
Page 81 and 82: Fire safety measure • Operational
Page 83 and 84: 9.10 List of attachment tables Atta
Page 85 and 86: 9.11 References ABS (Australian Bur
Page 87 and 88: 9A Fire and ambulance services —
Page 89 and 90:
Attachment contents CONTENTS Table
Page 91 and 92:
TABLE 9A.1 Table 9A.1 Delivery and
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Table 9A.2 2009-10 NSW (c) Vic (c)
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Table 9A.2 NSW (c) Vic (c) TABLE 9A
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TABLE 9A.3 Table 9A.3 Fire service
Page 99 and 100:
TABLE 9A.3 Table 9A.3 Fire service
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Table 9A.4 Fire death rate (a), (b)
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Table 9A.4 Fire death rate (a), (b)
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Table 9A.5 Fire deaths (a), (b), (c
Page 107 and 108:
TABLE 9A.6 Table 9A.6 Landscape fir
Page 109 and 110:
Table 9A.7 Fire injuries (a), (b),
Page 111 and 112:
Table 9A.8 All ignition types NSW (
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Table 9A.9 All ignition types NSW (
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Table 9A.11 NSW (d) Property loss f
Page 117 and 118:
Table 9A.12 2011-12 Fires Structure
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Table 9A.12 Other emergencies and i
Page 121 and 122:
Table 9A.12 TABLE 9A.12 Reported fi
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Table 9A.12 2004-05 Fires Structure
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Table 9A.12 (a) Other emergencies a
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Table 9A.13 NSW Vic Incidents per 1
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Table 9A.15 NSW (d) Number of lands
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Table 9A.16 2011-12 Structure fires
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Table 9A.16 Next highest ingnition
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Table 9A.17 TABLE 9A.17 NSW Vic Qld
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Table 9A.19 Total extrications TABL
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TABLE 9A.20 Table 9A.20 Prevention
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TABLE 9A.21 Table 9A.21 Selected fi
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TABLE 9A.21 Table 9A.21 Selected fi
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Table 9A.22 (f) (g) (h) (i) TABLE 9
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Table 9A.23 (e) Jurisdiction notes:
Page 149 and 150:
Table 9A.24 NSW Vic (a) TABLE 9A.24
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Table 9A.25 Response times NSW Vic
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Table 9A.25 WA: SA: Tas: NT: NSW Vi
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Table 9A.26 Response times NSW Vic
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Table 9A.26 Qld: WA: SA: Tas: NT: N
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Table 9A.27 2009-10 Labour costs -
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Table 9A.27 2005-06 Labour costs -
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Table 9A.27 (a) (b) (c) (d) (e) (f)
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Table 9A.28 2011-12 NSW Vic (c) TAB
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Table 9A.29 2011-12 NSW (d) Vic (d)
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Table 9A.29 (c) (d) NSW (d) Vic (d)
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Table 9A.30 2011-12 Revenue sources
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Table 9A.30 TABLE 9A.30 Major sourc
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Table 9A.30 2006-07 Revenue sources
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Table 9A.31 2011-12 Incidents Emerg
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Table 9A.31 Emergency responses Urg
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Table 9A.31 (a) (b) (c) TABLE 9A.31
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Table 9A.32 TABLE 9A.32 Emergency d
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Table 9A.32 TABLE 9A.32 Emergency d
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TABLE 9A.33 Table 9A.33 Ambulance s
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Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Table 9A.34 TABLE 9A.34 Ambulance s
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TABLE 9A.35 Table 9A.35 Ambulance a
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TABLE 9A.35 Table 9A.35 Ambulance a
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TABLE 9A.36 Table 9A.36 Ambulance r
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TABLE 9A.36 Table 9A.36 Ambulance r
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TABLE 9A.37 Table 9A.37 Aero medica
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TABLE 9A.37 Table 9A.37 Aero medica
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TABLE 9A.38 Table 9A.38 Cardiac Arr
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TABLE 9A.38 Table 9A.38 Cardiac Arr
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TABLE 9A.39 Table 9A.39 Satisfactio
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TABLE 9A.39 Table 9A.39 Satisfactio
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TABLE 9A.40 Table 9A.40 Ambulance c
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Page 221 and 222:
Page 223 and 224:
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Table 9A.42 2011-12 TABLE 9A.42 NSW
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Table 9A.43 2011-12 TABLE 9A.43 NSW
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CONTEXT AND OTHER INFORMATION All j
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TABLE 9A.45 Table 9A.45 Treatment o
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Data quality information — Fire a
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Relevance High or increasing number
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Reported road crash rescue incident
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to estimate road rescue data. Each
Page 241 and 242:
Table 2 Calculation of road crash r
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Table 3 Calculation of road crash r
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excluded. Structure fire A structur
Page 247 and 248:
Interpretability Copies of the comp
Page 249 and 250:
Table 2 Data collection and storage
Page 251 and 252:
Table 4 Extrapolation and estimatio
Page 253 and 254:
Annual fire death rate Data quality
Page 255 and 256:
finalised approximately 13 months a
Page 257 and 258:
term bushfire is more recognisable
Page 259 and 260:
Confinement to room/object of origi
Page 261 and 262:
• extrapolation and estimation (t
Page 263 and 264:
Table 3 Extrapolation and estimatio
Page 265 and 266:
production and currency of AIRS dat
Page 267 and 268:
Value of asset loss appendix: Juris
Page 269 and 270:
Table 3 Assessing dollar loss for e
Page 271 and 272:
Ambulance services Response Locatio
Page 273 and 274:
Workforce by Age Group Data quality
Page 275 and 276:
Level of patient satisfaction Data
Page 277:
Interpretability The CAA Patient Sa
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