YEAR BOOK 04-05 - South Australian Dental Service

SA Dental Service Flinders Street Adelaide SA 5000
year 2004/5
book
sa dental service

table of
contents
EXECUTIVE OFFICER’S REVIEW 2
STRATEGIC DIRECTIONS 3
VISION 4
VALUES 5
ORGANISATIONAL CHART 6
EXECUTIVE OFFICERS 7
POLICY AND PROGRAMS 8
ADELAIDE DENTAL HOSPITAL 9
STATEWIDE DENTAL SERVICES 10
HEALTH PROMOTION 11
CORPORATE SERVICES 12
REPORT IN THE IMPLEMENTATION OF THE SA DENTAL SERVICE
STRATEGIC PLAN 2004/05 13
OTHER MATTERS 21
Freedom of Information 21
Fraud 22
Overseas Travel 22
Account Payment Performance 22
Energy Efficiency 22
Asbestos Management Reporting 23
STATISTICS
Adelaide Dental Hospital Statistics 24
School Dental Service Statistics 26
Community Dental Service Statistics 28
Aboriginal Scheme Statistics 31
Human Resource Statistics 32
Occupational Health Safety and Welfare Statistics 34
FINANCIAL STATEMENTS 35
SA Dental Service Year Book 04/05 1

executive director’s
review
The 2004/05 financial year was the first year that
SA Dental Service was included as part of the
Central Northern Adelaide Health Service
(CNAHS). While still retaining responsibility for
public dental services across the State, the
Board of Directors of CNAHS adopted
governance responsibility for SA Dental Service
from 1 July 2004.
This yearbook replaces SA Dental Service Annual
Report as a vehicle for reporting, in some detail,
the status, activities, challenges and achievement
of public dental services during the financial year.
There have been a number of highlights of this
first year of operation in the new structure for
health services in South Australia. These include
The endorsement of Australia’s first National
Oral Health Plan by the Australian Health
Ministers’ Conference in August 2004. This
Plan is providing a valuable template for
developing strategies to improve oral health in
the State.
The commencement of the development of a
State Oral Health Plan within the framework of
the national plan.
New appointments to the key positions of
General Manager Statewide Dental Services
(Ruth Ambler) and General Manager Adelaide
Dental Hospital (Peter Clout), bringing new
skills to the SA Dental Service executive team.
The inclusion of the Executive Director SA
Dental Service in the Regional Management
Team of CNAHS as a direct report to the
Region’s Chief Executive, David Panter.
The implementation of a collaborative model
for operating the Dental Hospital with the
Dental School.
Further effective collaboration with the
Australian Dental Association leading to
enhanced services to people in residential
aged care facilities and supported residential
accommodation.
South Australia has made more progress in the
implementation of the National Oral Health Plan
than most jurisdictions including
A 30% increase in funding between 2001/02
and 2004/05
A 40% decrease in waiting times for eligible
adults between 2001/02 and 2004/05
Major increases in dental student intakes from
60 to approximately 100 dental students and
20 to 30 oral health therapy students
Targeted programs for at risk groups such as
the Supported Residential Facility Dental
Program and the pilot “Oral Health for Older
People” project.
Operating a statewide service within a regional
framework provided many challenges. However, it
is already clear that the structural change has
provided a major impetus for the greater
integration of oral health into general health
services.
Martin Dooland
Executive Director
SA Dental Service
2 SA Dental Service Year Book 04/05

strategic
directions
Central Northern Adelaide Health
Service Strategic Objectives
SA Dental Service
Strategic Goals
Client focused care
All public dental programs involve
community, staff, government and
stakeholders in their development, operation
and evaluation
Oral health inequalities are reduced and
children and eligible adults achieve better
oral health through expanded programs for
• indigenous Australians
• the elderly
• young adults
• young children.
Reorientation of Care
SA Dental Service clinical programs
• have a greater focus on health
promotion, prevention and early
intervention
• are available in a more clinically
appropriate time
• are cost-effective.
SA Dental Service is collaborating with the
tertiary education sector to support oral
health research and the education of the
dental workforce
The contribution of oral health to general
health and well being is more widely
recognised in the health sector and the wider
community
Quality and Safety
A vigorous program of continuous quality
improvement is in place and SA Dental
Service performance is reviewed against
quality indicators with results published on
a regular basis.
SA Dental Service facilities provide
effective and safe working environments
for staff and clients that meet community
and professional expectations for modern
health services.
SA Dental Service has the skilled staff it
needs to meet its service commitments.
Optimise resources
Contemporary business systems are in
place to underpin the efficient delivery of
dental services.
SA Dental Service Year Book 04/05 3

vision
Healthy Smile
— Healthy Life
mission
Good oral health is essential for
overall health and well being.
A healthy mouth has a positive
impact on physical, mental and
social well being, hence healthy
smile—healthy life.
Working with the community to enable South Australians to achieve
better oral health and well being through
health promotion
timely dental treatment with a focus on prevention and
early intervention
support for education and research.
4 SA Dental Service Year Book 04/05

values
SA Dental Service recognises that all people are
entitled to the same rights and services and we
are committed to the principles of social justice,
fairness, and equity in the delivery of all our
services. We value diversity and we work with
the community to enable South Australians to
achieve better oral health and well being.
We recognise that some groups have poorer
health than others and we work towards
improved health outcomes for disadvantaged
groups, providing access to services in a fair way,
recognising the rights and dignity of all individuals.
These principles are underpinned by our values.
Communication
We communicate openly and honestly
to build effective relationships.
• We encourage staff and consumer
involvement as participation helps
us improve (our business).
• We keep our communication simple,
sharing information that builds
consistent understanding.
• We are open and approachable,
we listen, learn from
each other and are able
to give and receive
feedback.
Communication
Honesty & Integrity
We are recognised for high ethical standards,
people can trust what we do and say.
• We accept responsibility and are
accountable for our own actions.
• We have the courage to admit mistakes
and the commitment to resolve issues.
• We build trust in relationships through
consistency in our behaviour.
Honesty
&
Integrity
Respect & Compassion
We treat everyone in ways that we
would like to be treated, showing
understanding and empathy, not judging.
• We accept that people are different,
and show everyone courtesy and
consideration.
• We value people as individuals,
acknowledging their needs.
• We acknowledge people have
a right to express their ideas
and that difference can be
a strength.
Respect &
Compassion
South Australian
Dental Service
Healthy Smile-Healthy Life
Teamwork
Teamwork
We work together in
partnership to achieve
common goals.
• We recognise and celebrate
achievements and reinforce
the positives.
• We work cooperatively, share ideas,
the focus is “we not me.”
• We support and motivate each other
to achieve team goals.
Creativity
& Innovation
Creativity & Innovation
to
We challenge existing ideas to constantly
improve the way we work.
• We are always learning, having the courage
to try new ways.
• We think outside the square, creatively
solving problems.
• We reward innovation and value ideas and
input from others.
Commitment
Excellence
Commitment
to Excellence
We strive for excellence in
all we do.
• We persevere, always working to
the best of our ability.
• We challenge mediocrity, evaluate
and improve our work practices
and behaviours.
• We use our initiative to learn as
individuals and as an organisation.
SA Dental Service Year Book 04/05 5

organisational
structure
CNAHS Board
of
Directors
Chief
Executive
Executive
Director
General
Manager
Adelaide Dental
General Manager
Statewide
Dental Services
Director
Corporate
Services
Director
Policy &
Programs
Director
Health
Promotion
Specialist
Services
Teaching
Clinics
Special
Needs
Services
School
Dental
Service
Community
Dental
Service
Finance
Human
Resources
Procurement
Asset
Services
Evaluation
& Research
Service
Planning
Private
Practice
Schemes
Health
Promotion
Communication
Organisational
Culture
Information
Technology
Client
Relations
Infection
Control
Quality
Corporate
Administration
Workforce
Development
6 SA Dental Service Year Book 04/05

executive
officers
Executive Director
General Manager Statewide Dental Services
Director Policy & Programs
General Manager Adelaide Dental Hospital
Director Corporate Services
Director Health Promotion
Dr Martin Dooland
Ms Ruth Ambler
Dr David Burrow
Mr Peter Clout
Mr Mike Sullivan
Ms Christine Morris
SA Dental Service Year Book 04/05 7

policy &
programs
The Policy and Programs Division was established
in December 2002 to provide a specific focus on
program development which had until that time
been a part of the operational divisions.
As the structure and resourcing of the division
further develops, SA Dental Service will be in a
position to build on their existing strategic
planning and quality programs.
The specific focus of the Division is reflected in
the organisational structure of the Division and
the operational framework includes responsibility
for the areas listed below.
Evaluation and Research Unit
Responsibility for policy development that
underpins performance management and
program development through
Program analysis and reporting
Management information systems
development
Evaluation and research projects
Research involving SA Dental Service clients
and staff in collaboration with the Dental
School, University of Adelaide.
Programs Unit
Responsibility for policy and program
development relating to
The management of private practice schemes
including, Emergency Dental Scheme, General
Dental Scheme, Aboriginal Dental Scheme,
Pensioner Dental Scheme, Capitation, Prison
Dental Scheme
Purchasing of dental services including
development of output funding models for
internal service provision and schedules for
services provided through private practitioners
Clinical quality issues relating to the provision
of internal and external oral health services.
Service Planning Unit
division
Service Planning Unit
Responsibility for policy and program
development relating to
Service planning and the identification of
population groups and oral health needs
Strategic capital works planning including
infrastructure requirements, funding and
opportunities
Service delivery projects such as the age care
project
Planning projects
Planning advice for the Department of Human
Services.
Quality
Responsibility for performance monitoring and
program development relating to
Service Excellence Framework encompassing
quality, safety and accountability of all areas of
service in order to strengthen consumer voice,
foster best practice, evidence based practice
and enhancing innovation, in areas of risk
management, workforce developments and
competence and strengthening accreditation
Support and development of SA Dental
Service clinical quality assurance programs and
measures including the development of clinical
indicators and reporting frameworks.
Client Relations Unit
Responsibility for, and policy and program
development relating to
Client information
Complaints management and resolution
Staff training relating to consumer issues
Government and Department of Human
Services information requirements relating to
SA Dental Service policies, complaints and
performance.
8 SA Dental Service Year Book 04/05

the
adelaide
dental hospital
The Adelaide Dental Hospital (ADH) is the only
dental teaching hospital in South Australia and
provides specialist as well as general dental
services for eligible patients.
In its role as a dental teaching hospital the ADH
provides facilities and staff to support the training
of undergraduate and postgraduate students of
the Dental School of the University of Adelaide. It
is also involved in the vocational training of
students of the TAFE School of Paradental
Studies; these include dental technicians, dental
hygienists and dental assistants.
Specialist services in the Hospital are provided by
a combination of staff and visiting specialists,
academic staff of the Dental School and
significantly by postgraduate students in specialty
training programs.
The range of specialty services provided include
Oral and Maxillofacial Surgery
Orthodontics
Endodontics
Periodontics
Fixed and Removable Prosthodontics
Special Needs Dentistry.
There are also specific project clinics to address
the problems of tooth wear, sleep disorders and
temporo-mandibular joint disorders.
General dental services in the ADH are provided
by undergraduate dental students and students in
the Bachelor of Oral Health Program. In addition
to managing the operation of the Hospital, and
providing patient care, staff of the Dental Hospital
are involved in the clinical supervision and training
of undergraduate and postgraduate students.
Academic staff of the Dental School provide
patient care as honorary appointees to the
Hospital, or indirectly by the supervision of
students in clinical programs.
division
Because of its historic relationship with the Royal
Adelaide Hospital (RAH), the ADH provides dental
services to in-patients of the RAH and operates
an after hours on-call service through the RAH
Accident and Emergency Department. All patients
requiring general anaesthesia for dental or oral
and maxillofacial surgery procedures are admitted
and treated in theatres of the RAH. Dental
technicians attached to the Oral and Maxillofacial
Surgery Unit provide maxillofacial prostheses on
referral from metropolitan hospitals.
In addition to providing specialist support to
dentists in SA Dental Service Community and
School Dental Services, the ADH also accepts a
limited number of referrals from the private
sector. These patients are accepted in
circumstances where the resources of the
Hospital are better able to accommodate the
needs of particularly complex or difficult cases.
SA Dental Service Year Book 04/05 9

statewide
dental services division
The Statewide Dental Services provides dental
services to eligible children and adults through
two Divisions, the School Dental Service and the
Community Dental Service.
School Dental Service
The School Dental Service offers a
comprehensive dental care program to all
students up until their 18th birthday. This care is
free of charge to all pre-school and primary school
students and high school students with a school
card, or who are dependents of a Centrelink
cardholder. Other high school students are
required to pay a small annual payment.
Care is provided by teams of Dentists and Dental
Therapists who work from a network of more
than 75 clinics scattered throughout the state.
Most of these clinics are currently located within
Primary Schools, but several mobile dental clinics
visit the more remote areas of the state. Private
dentists provide school dental services, under a
capitation agreement, to approximately 5000
children who reside in areas remote from a
school dental clinic. No payments apply for these
services.
Children are examined on a regular basis
according to their individual needs and receive a
full range of preventive and treatment based
services. These services are provided mainly by
Dental Therapists who work under the control of
a Dentist. They are supported by Dental
Assistants.
Community Dental Service
The Community Dental Service provides
emergency and routine dental services to adults
who are the holders of a Centrelink card. Urgent
needs are normally attended to promptly, while
routine care is provided after recourse to a
waiting list. Average waiting periods are currently
about 3 years and greatly reduced during the year
as a result of a range of strategies employed,
which allowed dentists to spend more of their
time providing routine care.
Care is provided by dentists who operate from a
network of more than 40 clinics scattered
throughout the state and is supplemented by
private dentists through a range of schemes such
as the Emergency Dental Scheme, General
Dental Scheme, Pensioner Denture Scheme,
Prison Dental Scheme and the Aboriginal Dental
Scheme. Copayments apply for most services but
some preventive items are provided at no cost.
Two Domiciliary Dental teams operate in the
Adelaide metropolitan area and provide services
to residents in Nursing Homes.
10 SA Dental Service Year Book 04/05

health
promotion division
The Health Promotion Division is focussed on the
provision of strategic advice and quality support
on health promotion to SA Dental Service staff,
our clients and consumers and the wider
community. The division has a strategic approach
to ensure that health promotion is integrated into
SA Dental Service programs and projects, and to
raise awareness of the importance of oral health
in overall health and well being.
The Division works in partnership with our staff
and other agencies to promote health, prevent
oral diseases and provide oral health information.
We support oral health as an integral part of
general health through the development of
healthy public policy and organisational practices.
We assist our staff to develop local health
promotion initiatives through skill development
and the provision of oral health resources.
The Health Promotion Division also has a
leadership role in SA Dental Service strategic
initiatives through shaping the performance
culture of the organisation and managing the
communication and consultation strategy. The
Division facilitates the development of quality
resources and client information with the support
of the Communication Committee.
Health Promotion Division has responsibility for
promoting an organisational commitment to
policies and practices that incorporate
contemporary health promotion principles
supporting staff to develop and implement
health promotion into their operational plans
promoting oral health as an integral part of
general health by supporting the development
of healthy public policy and organisational
practices
developing quality health information and
resources that support staff to increase
awareness and to promote oral health in the
community
developing strategic partnerships that increase
oral health knowledge and practices
managing the internal and external
communication strategy to ensure consistency
of message and branding
coordinating corporate change through the
development of processes, leadership qualities
and values that underpin staff behaviour.
SA Dental Service Year Book 04/05 11

corporate
services division
The Corporate Services Division was established
in 1999 to bring together management of the
non-clinical services, essentially those associated
with financial, physical and human resources
required to support the organisation’s clinical/core
business activities.
In fulfilling its role, the Division seeks to work in
partnership with its key stakeholders to contribute
to the successful delivery of client services and
oral health outcomes. This often involves the
establishment of cross-organisational project
teams that incorporate the skills and knowledge
essential to the successful achievement of the
project goals.
With the rapid expansion of technology across the
organisation, the Information Technology
Branch has an ever-increasing role in supporting
the IT infrastructure that is required to support
the clinical and administrative operations.
The SA Dental Service expends in excessive of
$3 million per annum on equipment and
consumables. The Strategic Procurement Unit
works in partnership with the operating Divisions
to achieve value for money in the purchasing of
goods and equipment and ensures their timely
delivery to the location at which they are required.
The Unit also has a key role to play in the
archiving of client records.
The Division consists of 8 Functional Units
The Corporate Administration Branch provides
a comprehensive range of general and specialist
support services encompassing insurance;
contract development and administration; risk
management; records management;
communications infrastructure and management;
and executive support services.
The Asset Services Branch works with the
operating divisions to maintain and improve clinics
and clinical equipment. Its role also incorporates
other asset related services such as security.
Sound financial management is an essential
ingredient in the successful management of the
organisation. The Finance Branch has
responsibility for core activities that include
budgeting, financial reporting, payroll and
accounts receivable and payable.
In the latter part of the 2002/2003 Financial Year a
new Training and Development Group was
established. The core role of the Group is to
develop an integrated training and development
plan for the organisation and to foster the growth
and development of SA Dental Service workforce.
Infection control is an important issue within the
dental industry. The Occupational Health Nurse
and Infection Control Practitioner provides an
infection control internal audit program to
maintain the quality of infection control practices
across the organisation. The Infection Control
Practitioner role also includes the development of
infection control policy and provision of day to day
advice on infection control issues to both staff
and clinicians.
The Human Resources Branch provides strategic
leadership towards the organisation's goal of
being an employer of choice. In undertaking that
challenge, the Branch provides a wide range of
services encompassing recruitment and retention
strategies, the management of key human
resource related projects, the administration staff
records, the provision of high-quality advice on all
aspects of human resource management and
strategic management of injury management and
prevention across the organisation.
12 SA Dental Service Year Book 04/05

eport in the implementation of the
sa dental service
strategic plan 2004/05
1 2
Strategic Outcome 1
A vigorous program of continuous
quality improvement is in place and SA
Dental Service performance against
quality indicators is published on a
regular basis.
Strategic Outcome 2
SA Dental Service facilities provide
effective and safe working environments
for staff and clients that meet
community and professional
expectations for modern health services.
Quality Assurance
SA Dental Service had adopted the Service
Excellence Framework (SEF) for its quality
assurance program in line with the direction of
the Department of Health. In 2004/05 all of the
“Essential Minimum elements of SEF were met
and work commenced on the “Foundation”
elements. External review of the Foundation
elements was deferred as the Central Northern
Adelaide Health Service decided to move to
accreditation by a single accrediting authority.
Indicators of clinical quality
To complement the broader quality assurance
framework, SA Dental Service Quality Assurance
Committee adopted a series of clinical indices of
quality as reported in the 2003/04 SA Dental
Service Annual Report. For the first time it has
been possible to report on performance of these
indices. Examples of these indices are:
Sealant retreatment

Occupational Health and Safety audits and the
adoption of the IDEAS system for recording and
reporting staff incidents.
While the number of Occupational Health and
Safety Claims (21) in 2004/05 was about the
same as for 2003/04 (22) a very small number of
costly incidents led to an increase in the days of
costly work lost. It is anticipated that the number
3
of claims will fall in 2005/06 to 2002/03 levels.
Strategic Outcome 3
As a result of improved workforce
development programs, SA Dental
Service has the skilled staff it needs to
meet its service commitments.
The national dental workforce shortage is well
documented and strategies to begin to overcome
the problem were outlined in the National Oral
Health Plan adopted by the Australian Health
Ministers’ Conference in August 2004.
SA Dental Service has adopted a workforce plan
that is fully aligned to the CNAHS plan.
Improving career paths
The classification of dental therapists was
reviewed during the year. This review
demonstrated real increases in the work value of
the dental therapist role within SA Dental Service
as School Dental Care moved to style of care
based on risk assessment of each child’s needs.
It is expected that these increases will be
reflected in classifications and remuneration in
the 2005/06 financial year.
the private dental sector. South Australia has
participated in the AHMAC national review,
however as yet there is no outcome from this
process.
The introduction of performance development
Performance development programs are
progressively being rolled out across SA Dental
Service for all staff. This process aligned position
descriptions and personal annual work plans with
the SA Dental Service Mission, Vision, Values,
Goals and annual operational plans. By the end of
the 2004/05 462 staff and 72 managers had
undergone training and annual work plans had
been put in place for 100 staff.
Improving workforce development
Ongoing education is central to the provision of
effective and high quality dental services. It is
also a key plank of SA Dental Service strategy to
attract and retain staff. During the year a full time
Manager Workforce Development was appointed
and a well structured calendar of education
programs was put in place. These programs range
from clinical to management topics.
The proportion of staff that felt they have access
to adequate continuing education programs
increased once again from 53% in 2003/04 to
56% in 2004/05 continuing the trend of previous
years.
Staff loss rates
We have continued to sustain a 6% loss rate for
staff in 2004/05 which is pleasing in an environment
of increased shortages of dental providers.
During the year the role of “clinical leader” was
implemented in the Statewide Dental Service
Division. This role allows for general (ie nonspecialist)
dentists to achieve a higher
classification and remuneration without moving
into management roles.
The National Oral Health Plan recommended the
remuneration and conditions of public dental staff
be reviewed to ensure they are competitive with
14 SA Dental Service Year Book 04/05

4Strategic Outcome 4
SA Dental Service clinical programs
• have a greater focus on health
promotion, prevention and early
intervention
• are available in a more clinically
appropriate time and
• are cost effective
Refocussing dental care away from
responding to emergencies
For the past 3 years SA Dental Service has
operated a series of demand management
strategies to assist in redirecting resources away
from responding to requests for relief of pain to
the provision of full courses of general dental care
for people on waiting lists. The impact on demand
for “emergency” treatment is apparent from the
graph below.
Together with additional funds from the State
Government, these demand management
strategies have allowed more people to be
removed from the waiting lists. Waiting lists
reduced from a peak of 35 months in October
2004 to 29 months in June 2005.
Specialist waiting lists at the Dental Hospital
Waiting times for specialist oral surgery have
been relatively constant during 2004/05 at around
12 months. However, waiting times for specialist
orthodontic treatment have increased from
around 20 months to 31 months. The month wait
reported for June 2004 was an understatement
as it took no account of the delay in receiving a
specialist consultation to be added to the list.
New procedures have corrected this distortion.
However, it is clear that demand for specialist
orthodontic treatment exceeds supply and a
process of greater prioritisation of need has been
implemented.
The “Oral Health for Older People Projects”
In the 2003/04 Annual Report of SA Dental
Service, the development of two complementary
projects was reported under the banner of “Oral
Health for Older People”. The two-year pilot
program has been operating in the inner
southern suburbs of Adelaide and has involved
over 1500 people aged 75 years or more who
are living at home.
SA Community Dental Service
Std Time (Hours of Emergency Service)
55,000
50,000
45,000
49,217
47,833
Std Time (Hours of Emergency Service)
40,000
35,000
38,486
37,612
36,182
30,000
25,000
20,000
00/01 01/02 02/03 03/04 04/05
SA Dental Service Year Book 04/05 15

As part of a general health assessment coordinated
by their own general medical
practitioner, each older person underwent a
simple oral health assessment to gauge whether
they were experiencing oral pain or dental
problems. Follow-up dental care through a public
dental clinic was then offered to people who
were holders of a Pensioner Concession Card.
The program was developed and managed
collaboratively by SA Dental Service, the
Australian Dental Association (SA), the
Southern Division of General Practice and the
aged care sector. Evaluation was conducted by
Professor Gary Slade of the University of
Adelaide’s Australian Research Centre for
Population Oral Health.
After participating in the program, older people
reported increased comfort and pleasure in eating
and far less dental pain. Even more encouraging
was that they also reported significant
improvements in their ability to go about their
normal day to day activities both at home and in
the community.
A complementary part of the “Oral Health for
Older People” project funded the treatment of
older people in residential aged care facilities by
participating private dentists including the
provision of portable dental equipment
Improving children’s oral health
After 30 years of improving oral health, over the
past 5-7 years dental decay among children has
increased by about 40%. While this deterioration
is part of a national trend, SA Dental Service is
developing a strategic approach to the problem.
Oral Health Plan by CNAHS over the coming
months.
The Health Promotion Division
is working with the Child Youth and Women’s
Health Service to ensure that oral health
messages are part of their “Every Chance for
Every Child” home visiting programs.
has begun training Child & Youth Health
nurses to include an oral health screening in
their health check for young children.
is working with DECS to support the
introduction of healthy eating guidelines and
participating in training in the implementation
of these guidelines across the State.
The School Dental Service has already increased
its use of preventive fissure sealants by 37%
since 2001. Application of fluoride solutions in
School Dental Clinics has increased by 93% over
the same period.
Meeting the needs of people in supported
residential facilities
The Supported Residential Accommodation dental
program, funded by the Department of Families
and Communities, commenced operation in the
2004/05 financial year. Residents of 39 of the 40
SRF’s across the State were offered screening
with 600 of the 751 residents screened being
referred for dental treatment and oral hygiene
instruction either through a public dental clinic or
participating private dental practitioner. All
consenting residents will have their treatment
completed by September 2005.
SA Dental Service is collaborating with the Child
Youth & Women’s Health Service, The University
of Adelaide and a range of other stakeholders
from the health and education sectors to develop
comprehensive strategies to halt the
deterioration. Strategies developed by this
process will inform the development of the State
16 SA Dental Service Year Book 04/05

5Strategic Outcome 5
All public dental programs involve the
community, staff, government and
other stakeholders in their
development, operation and evaluation.
The Community Advisory Panel
SA Dental Service Community Advisory Panel
has again been active during 2004/05. The Panel
has a wide range of community representation,
including school and parent groups, older
people, country and Aboriginal and Torres Strait
Islander people.
The Panel has provided management with
valuable advice on the development of policies,
procedures, programs and proposals. The Panel
has also played an important role in raising the
profile of oral health with their stakeholder groups
and with Government.
Engaging stakeholders
SA Dental Service operates as a statewide
service within the framework of CNAHS. In order
to provide a vehicle for consultation and
engagement on oral health policy and programs,
the CNAHS Oral Health Advisory Committee was
established in 2004/05. This group meets
regularly and included representation from all
elements of the dental and dental education
sectors as well as nominees of the other health
6
regions in South Australia. This group will take the
lead role in the development of the State Oral
Health Pan in 2005/06.
A Steering group with wide representation from
the Aged Care, medical, research and dental
sectors is overseeing the development, operation
and evaluation of the “Oral Health for Older
People Projects and a similar group was
established for the “Supported Residential
Accommodation” dental project.
SA Dental Service also has taken a leading role in
the Australian Government tender for the
development of an oral health assessment tool
for use by medical practitioners in Residential
Aged Care facilities. A fully representative
steering group including Divisions of General
Practitioners, the Australian Dental Association,
The University of Adelaide and the Aged Care
sector will be overseeing this process.
Engaging staff in decision making
A sense of involvement in local and organisational
decision making is an important part of effective
performance, particularly in an organisation with a
high proportion of professionally qualified staff.
The efforts of the previous year were continued
in 2004/05 with a range of new strategies
including clinical forums and the introduction of
online survey techniques. In addition, the process
for the development and adoption of all policies
now includes a formal process of appropriate staff
consultation. Similarly, staff consultation is a key
issue for all proposals considered by the
Executive Management Team.
The proportion of staff that feel they have real
input into decision making at an organisational
level has increased marginally from 40% in
2003/04 to 42% in 2004/05 continuing the trend
of previous years.
Strategic Outcome 6
SA Dental Service is collaborating
with the tertiary education sector to
support oral health research and the
education of the dental workforce.
Memorandum of Understanding with the
Dental School
In the 2003/04 financial year SA Dental Service
signed a memorandum of understanding with The
University of Adelaide to outline the framework
for cooperation on the education of dentists, oral
health therapists and dental specialists. During
this last year, the Joint Operating Committee
commenced, providing a structure for regular
meetings between the Dean of the School of
SA Dental Service Year Book 04/05 17

Dentistry and the Executive Director of SA Dental
Service to plan and coordinate this process. This
Joint Operating Committee is providing a valuable
vehicle for resolving many issues that have made
the parallel operations of the Dental School and
the Dental Hospital difficult in the past.
Supporting the increased numbers of dental
students
With the major increase in dental student
numbers in 2005, the Dental Hospital no longer
has the space to hold all of the functions it has
housed in the past. In order to create more space
for students, arrangements were made for SA
Dental Service Corporate Office to leave the
Dental Hospital for nearby rented accommodation
at a cost of approximately $1 million.
In addition to the clinical experience gained at the
Dental Hospital, undergraduate dental students
continued to be posted to community dental
clinics in Adelaide and selected country centres.
These placements have been highly successful
providing much needed dental treatment and
providing students with experience of dental
services in a smaller clinic setting.
Research
The relationship with the AIHW Dental Statistics
and Research Unit and the Australian Research
Centre for Population Oral Health continued to be
strong in 2004/05. SA Dental Service funds a
professorial position and, flowing from this
funding, a “State of the State” report on oral
health in South Australia was published in 2005.
SA Dental Service also funded a suite of research
projects of relevance to public dental services and
the South Australian component of the National
Adult Oral Health Survey was completed this
year. SA Dental Service provided administrative
support for this major undertaking and provided
dentists to complete the examinations.
7Strategic Outcome 7
The importance of oral health to
health and well being is more widely
recognised in the health sector and
the wider community.
Oral Health is a key component of general health
and wellbeing. However, the wider health system
not infrequently omits consideration of oral health
when planning its services.
During the year, SA Dental Service continued to
engage with the wider health system whenever
possible. For example, a key element of the Health
Reform Agenda is the development of a Chronic
Disease Management Strategy. By ensuring the
people with selected chronic conditions, such as
diabetes, receive the support and timely services
they need, it is expected that they will remain
healthier, needing more expensive hospital services
less frequently. SA Dental Service has worked
actively in the development of these plans to ensure
that oral health interventions will be available to
people with these chronic conditions when the
8
programs are in place.
Goal 8
Oral health inequalities are reduced and
children of eligible adults achieve
better oral health through expanded
programs for
• indigenous Australians
• the elderly
• young adults
• young children.
Indigenous Australians
SA Dental Service released a dental therapist to
work with Muna Paeindi Aboriginal Health Service
in a liaison role in the northern Adelaide suburbs.
As a result, there has been a significant increase in
the use of the major public dental clinic in Salisbury
by Aboriginal and Torres Strait Islander people in
the area.
18 SA Dental Service Year Book 04/05

The elderly
A pilot has been operating in the inner southern
suburbs of Adelaide and has involved over 1500
people aged 75 years or more who are living in the
community.
“Passport to Dental Health”. Under this program,
young people completing their last course of dental
care with the School Dental Service are issued
with a “post card” that entitles them to a free
dental check-up with a participating private dentist.
As part of a general health assessment coordinated
by their own general medical practitioner,
each older person underwent a simple oral health
assessment to gauge whether they were
experiencing oral pain or dental problems. Followup
dental care through a public dental clinic was
then offered to people who were holders of a
Pensioner Concession Card.
The program was developed and managed
collaboratively by the SA Dental Service, the
Australian Dental Association (SA), the
Southern Division of General Practice and the
aged care sector. Evaluation was conducted by
Professor Gary Slade of the University of
Adelaide’s Australian Research Centre for
Population Oral Health.
After participating in the program, older people
reported far less dental pain and increased comfort
and pleasure in eating. Even more encouraging
was that they also reported significant
improvements in their ability to go about their
normal day to day activities both at home and in
the community.
A complementary part of the “Oral Health for
Older People” project funded the treatment of
older people in residential aged care facilities by
participating private dentists including the provision
of portable dental equipment
Young adults
Research has shown that young adults frequently
do not seek dental care for some time after
ceasing to be eligible for the School Dental Service
18 year years of age. During 2004/05, SA Dental
Service collaborated with the Australian Dental
Association (SA Branch) to re-introduce the
Young children
During 2004/05, SA Dental Service began working
with the Child, Youth & Women’s Health Service to
incorporate oral health messages in material
provided to young families as part of their universal
and targeted home visiting programs.
Approximately 18,000 brochures ‘Give your child’s
teeth a healthy start’ were included in the ‘Blue
Book’ distributed to all new babies.
9
Strategic Outcome 9
Contemporary business systems are in
place to underpin the efficient delivery
of dental services
The 2004/05 financial year saw the development
and implementation of a number of significant
business systems improvements within
SA Dental Service.
Improving the statewide electronic patient
record
SA Dental Service Patient Management System,
Exact, was upgraded to the new data base
platform Microsoft SQL during the year. This was
a major breakthrough which significantly enhanced
reporting efficiency and data manipulation
capabilities.
Upgrading ICT infrastructure
To meet the increased challenge posed by
computer viruses, Microsoft Server 2003 was
introduced as a major upgrade to the security of
SA Dental Service IT network and assets. This
initiative has enabled SA Dental Service to
integrate into the Department of Health Active
Domain and to provide a range of improved
management tools for our servers.
SA Dental Service Year Book 04/05 19

A further enhancement to our IT security capability
was realised through the implementation of
Microsoft SUS. This software enables increased
efficiency in the maintenance of security patching
by providing remote upgrades to computers in
clinics across the State using automated services.
During the year communication to a number of
clinics was also enhanced through the installation
of broadband technology. These links provide
faster and more secure email and Internet access
at those clinics.
In June 2004 in the Masterpiece accounting
system went live. During the 2004/2005 financial
year the system produced significant
improvements in the processing of payments
including providing direct deposits and a growing
number of payment advices via fax and email.
The collection of patient payments
The implementation of improvements to patient
copayment processes was continued during the
2004/2005 financial year. These enhancements
include a combination of more rigorous local
business systems together with improved
management reporting.
• Human Resource Information System
SA Dental Service human resource processes,
in particular those transactions associated with
the CHRIS system, were reengineered to
streamline personnel and payroll procedures.
These improvements included the provision of
recreation leave information entitlements on
pay slips on a fortnightly basis.
Library services
The opportunity for our staff to access
contemporary professional information through
journals, books and other literature was
significantly enhanced through the development of
a partnership arrangement with the Department of
Health library to provide and foster the provision of
these services for our staff. This arrangement
provides a first class service at no direct cost to
the organisation.
Further improvements were also made in area of
management reporting. These included
• Procurement
Some significant systems improvements were
achieved within a procurement function in SA
Dental Service. The layout of the store was
redesigned to provide more effective use of
available space. A new inventory catalogue was
distributed to all clinics.
• Risk Management
During 2004/05 a draft Risk Management
Register was developed. This has taken SA
Dental Service into a new era of business
development and will provide the basis of the
identification, assessment and treatment of
risks associated with the provision of public
dental services across the state.
20 SA Dental Service Year Book 04/05

other matters
Freedom of Information
Information Statement
The Freedom of Information Act 1991 gives
members of the public a legally enforceable right
to access information held by the South Australian
Government, subject to certain restrictions.
Functions of SA Dental Service affecting
the public
The work of SA Dental Service directly impacts on
the public by providing public dental services to
eligible South Australians who hold current
CentreLink Pensioner Concession Cards or Health
Care Cards.
Public participation
The public can contribute to policy development
within SA Dental Service in a number of ways. SA
Dental Service uses external expertise and policy
advice through statutory and non-statutory advisory
committees such as Consumer Advisory Panel,
which are comprised of both government and nongovernment
representatives. SA Dental Service
consults with major consumer groups, circulates
discussion papers, calls for submissions on
particular topics, and convenes public meetings in
metropolitan and country areas. It also fosters a
culture of inclusion of communities and service
providers in decision making, planning, development
and evaluation of services. These processes
ultimately facilitate the community accessing
Applications for Access
services provided and making informed decisions
about human service options available to them.
Types of documents held by SA Dental Service
SA Dental Service holds various oral health
publications in addition to administrative and client
files. These include books, reports, reviews,
service publications, pamphlets, codes of practice,
surveys, guidelines, policies, programs, strategic
directions and evaluations.
The Health Promotion Division has a range of free
leaflets and information sheets available
(Telephone 8222 9016).
Arrangements and Procedures for seeking
access to records and policies
Applications for access to documents and policies,
or amendments of SA Dental Service records
should be addressed to:
FOI Liaison Officer
SA Dental Service
PO Box 864
Adelaide SA 5001
Telephone: 8222 9084
Applications for access should be made between
9.00am to 5pm.
Outcomes of Access Applications
Number of applications
Personal Other Total
Number of applications
Personal Other Total
New applications
for the year
51 0 51
Applications brought
forward from the 0 0 0
previous year
Total to be processed 51 0 51
Completed 48 0 48
Transferred 0 0 0
Withdrawn 2 0 2
Total processed 50 0 50
Unfinished 1 0 1
Granted in full 48 0 48
Granted in part 0 0 0
Refused 0 0 0
Deferred 0 0 0
Total 48 0 48
SA Dental Service Year Book 04/05 21

Fraud
No instances of fraud were reported.
Contractual Arrangements
SA Dental Service has not entered into any
contractual arrangements where the total value of
the contract exceeds $4million.
Accounts Payment Performance
Employees Overseas Travel
Number Reasons Total
of Destination/s for Cost to
Employees Travel Agency
1 Japan Present at $1,686
International
Conference
Number and value of accounts for 2004/2005
Number of Percentage of Value in $A of Percentage of
Particulars Accounts Paid Accounts Paid Accounts Paid Accounts Paid
(by number)
(by value)
Paid by the due date 43,580 96% $18,536,524.75 89%
Paid late but paid
within 30 days 1,421 3% $1,780,515.45 9%
or less from due date
Paid late and paid
more than 30 days 648 1% $408,667.15 2%
from due date
Energy Efficiency
During the financial year SA Dental Service
continued to develop a sustainable approach to
achieve reductions in energy use across the
organisation.
Energy Efficiency Action Plan
Base Year
2000/2001
8930 $4,000,739 2750
2003/2004 8797 $358,830 2710
2004/2005 9533 $382,342 3141
Target
(for year being 8305 2558
reported)
Target
(for 2010)
Target
(for 2014)
Energy Expenditure GHG
Use (GJ) ($) Emissions
7590 $340,628 2338
6698 2063
Additional energy usage is associated with the
new Hollywood Plaza Poly Clinic as this was a new
account. Evanston clinic upgraded to a 4 chair
clinic resulting in an increased floor area of 150
square meters and so incurred additional costs due
to a greater level of air conditioning.
Supplementary air conditioning has been added to
some clinics as the air conditioning was not
adequate to achieve comfort levels as originally
designed. There is a program to place more air
conditioners in country clinic this year.
Since 2000/01 year computers have been rolled
out in greater numbers through out country areas
resulting in greater heat load for the SACON and
DEMAC buildings. This is difficult to quantify as
there is little or no base line data from the 2000/01
financial year.
After hours clinics introduced at the ADH to
address student training requirements resulted in
the need to run air conditioning at the Adelaide
Dental Hospital for more hours.
22 SA Dental Service Year Book 04/05

Asbestos Management Reporting
Category Site Asbestos Risk No. of Risk Reduction Program Quantification
Status Level Sites Activities Conducted During of Activities
2004/05 (Commentary)
No. of
Sites
Included
ACMs
removed
(by item/
by area)
No Data Unknown 0
1 Unstable, accessible Severe 0
Unstable, damaged
or decayed
2 Unstable, Major 0
inaccessible
Unstable, partly
accessible
3 Stable, accessible Moderate 0
Stable, accessible
initial signs of decay
4 Stable, inaccessible Minor 74 Belair, Parafield, Salisbury, 5 4
Stable,
Madison Park and Salisbury
partly accessible
North DEMAC construction
Dental Clinics have been
closed and asbestos removed
by DAIS contractors in 2004/5.
Asbestos removed from
Mt Barker SDS as part of
upgrade of clinic
5 Asbestos free No Risk 3 Mt Barker DEMAC 1 1
construction Dental Clinic was
upgraded in the 2004 with all
asbestos being removed as
part of the upgrade project.
SA Dental Service Year Book 04/05 23

statistics
adelaide dental hospital
1. Treatment Statistics
2001/2002 2002/2003 2003/2004 2004/2005
Patients 19,345 23,406 20,964 20,085
Attendances 60,949 73,406 70,455 66,575
Diagnostic / Preventive
Examinations 12,498 17,881 15,023 12,664
Consultations 14,369 23,433 13,983 12,300
Radiographs 23,969 29,135 26,897 26,294
Periodontal treatment/
dental health education 6,714 8,235 9,292 9,561
Conservative Dentistry
Temporary restorations 475 653 828 1,007
Plastic restorations
(amalgam, GIC & resin) 11,225 15,049 13,426 11,653
Complex restorations 344 560 728 804
Root canal treatment 705 815 778 819
Prosthetic Dentistry
Full dentures 797 546 629 625
Part dentures 637 718 847 728
Denture relines / re-bases 277 289 255 211
Denture repairs 1,347 1,490 912 789
Denture adjustments 840 940 1,310 1,262
Oral Surgery
Simple extractions 8,778 11,425 11,040 10,069
Surgical extractions 3,281 4,875 3,170 3,300
Orthodontics
Removable appliances 612 432 401 920
Fixed appliances (Arches) 1,565 1,353 1,168 881
24 SA Dental Service Year Book 04/05

adelaide dental hospital statistics (cont)
2. Waiting Lists
Number of people on waiting lists
93/94 94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04
Orthodontics 1,622 1,807 1,887 1,883 2,007 1,779 1,699 1,594 1,782 2,481 2,791
Oral Surgery 1,135 1,527 1,897 2,253 1,496 1,353 855 779 885 1,092 1,141
Adelaide Dental Hospital Specialist Waiting Lists
Number of Persons Waiting at 30th June
3,000
2,500
2,000
1,500
1,000
500
Orthodontics
Oral Surgery
0
94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04
04/05
SA Dental Service Year Book 04/05 25

statistics
school dental service
1. Children Under Care (Consents)
In 2004/05, the School Dental Service cared for 192,033 children; 154,941 pre-school and primary school children
and 37,092 secondary school students. The number of patients under care is 8,181 more than 2003/04 total.
The number of children under care by the School Dental Service since 1972 is shown below:
SDS Number of Children Enrolled
250,000
200,000
Pre & Primary
Secondary & Tertiary
Total Number of Children
150,000
100,000
50,000
0
* Note: lower secondary school participation since 1995, associated with secondary school subscription of $35 per annum.
2. Dental Caries Experience
A patient’s DMF(T) index is the total number of decayed, missing or filled permanent teeth and is a measure
of decay experience. The mean DMF(T) for 12 year old children is presented below for years since 1977.
The oral health of 12 year old SDS patients is represented by a mean DMFTscore of 0.88 in 2004.
SA School Dental Service DMFT - 12 year olds
5.00
4.50
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
1972
1974
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002/03
2003/04
26 SA Dental Service Year Book 04/05

school dental service statistics (cont)
3. Annual Services per 100 children under Care (Consents)
2001/2002 2002/2003 2003/2004 2004/2005
Freq Per 100 Freq Per 100 Freq Per 100 Freq Per 100
Consents Consents Consents Consents
Examinations 128,151 67.7 130,690 66.7 123,912 67.4 115,772 60.3
Radiograph 36,209 19.1 37,153 19.6 38,749 21.1 43,677 22.7
Prophylaxis 12,003 6.3 13,258 6.9 13,218 7.2 13,628 7.1
Topical Fluoride 8,211 4.3 8,995 4.7 12,486 6.8 16,285 8.5
Filling (primary 69,557 36.8 75,879 39.2 75,995 41.3 73,484 38.3
+ permanent
Pulpotomy 4,570 2.4 4,557 2.4 4,350 2.4 4,390 2.3
(Primary)
Root Canal 305 0.2 308 0.1 308 0.2 317 0.2
Treatment
Extractions
Simple 18,095 9.6 18,510 9.5 16,511 9.0 17,020 8.9
(primary + perm)
Temporary 6,976 3.7 5,082 2.7 4,634 2.5 6,905 3.6
Dressing
Orthodontics
-active appliance 848 0.4 777 0.4 805 0.4 857 0.4
-referral 4,786 2.5 5,006 2.6 4,961 2.7 4,603 2.4
Mouthguard 1,961 1.0 1,727 0.9 1830 1.0 1,600 0.8
Fissure Sealant 41,209 21.8 41,887 22.1 48,919 26.6 56,502 29.4
Dental Health
Education
Child-individual* 32,998 17.4 39,435 20.3 41,676 22.7 43,529 22.7
-small group* 407 0.2 491 0.2 673 0.4 1,394 0.7
-classroom** 524 0.3 112 0.1 176 0.1 136 0.1
Parent
-individual* 82,157 43.4 86,706 45.9 86,183 46.9 81,588 42.5
-group** 178 0.1 197 0.1 256 0.1 512 0.3
* Estimated 5 minute time unit
** Estimated 15 minute time unit
# Note: Change in recording system between 2000 & 2001/02, now recorded within the EXACT dental system.
SA Dental Service Year Book 04/05 27

statistics
community dental service
1. Treatment Statistics
(Community Dental Clinics & Private Sector Schemes)
Number of services provided 2004/2005
CDS Contracted Total
Privately 2004/2005
Freq Per 100 Freq Per 100 Freq Per 100
Patients Patients Patients
No. of patients 50,137 26,791 76,928
Patient attendances 101,036 41,493 142,529
Examinations 50,636 101.0 16,092 60.1 66,728 86.7
Radiographs 33,945 67.7 18,288 68.3 52,233 67.9
Periodontal treatment / 16,929 33.8 9,259 34.6 26,188 34.0
dental health education
Temporary restorations 1,924 3.8 304 1.1 2,228 2.9
Plastic restorations 45,422 90.6 26,065 97.3 71,487 92.9
(amalgam, GIC & resin)
Complex restorations 14 0.0 4 0.0 18 0.0
Root canal treatments 652 1.3 301 1.1 953 1.2
Denture units 1,750 3.5 3,984 14.9 5,734 7.5
Denture relines / rebases 567 1.1 776 2.9 1,343 13.8
Denture repairs 763 1.5 9,880 36.9 10,643 18
Denture adjustments 2,625 5.2 1 0.0 2,626 3.4
Simple extractions 21,752 43.4 8,465 31.6 30,217 39.3
Surgical extractions 233 0.5 698 2.6 931 1.2
28 SA Dental Service Year Book 04/05

community dental service statistics (cont)
2. Treatment Statistics
(Community Dental Clinics & Private Sector Schemes combined)
Number of services provided most recent four years
2001/2002 2002/2003 2003/2004 2004/2005
Freq Per 100 Freq Per 100 Freq Per 100 Freq Per 100
Patients Patients Patients Patients
No. of patients 81,781 81,329 74,794 76,928
Patient attendances 145,251 178 165,547 204 149,823 200 142,529
Examinations 73,642 90 71,757 88 60,942 81 66,728 86.7
Radiographs 42,277 52 51,381 63 41,240 55 52,233 67.9
Periodontal treatment / 16,550 20 24,791 30 20,542 27 26,188 34.0
dental health education
Temporary restorations 2,759 3 1,688 2 1,635 2 2,228 2.9
Plastic restorations 63,240 77 76,672 94 59,909 80 71,487 92.9
(amalgam, GIC & resin)
Complex restorations 8 0 19 0 7 0 18 0.0
Root canal treatments 1,038 1 1,226 2 1,050 1 953 1.2
Denture units 8,993 11 8,664 11 10,093 13 5,734 7.5
Denture relines / rebases 1,937 2 2,251 3 1,452 2 1,343 1.7
Denture repairs 14,461 18 14,744 18 13,485 18 10,643 13.8
Denture adjustments 3,368 4 2,254 3 3,144 4 2,626 3.4
Simple extractions 32,113 39 26,236 32 28,049 38 30,217 39.3
Surgical extractions 665 1 615 1 720 1 931 1.2
SA Dental Service Year Book 04/05 29

community dental service statistics (cont)
3. Waiting Lists at Community Dental Service Clinics - Adult Dental Services
94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04 04/05
Prosthetic 10,244 10,523 11,381 9,753 10,245 9,615 7,898 8,892 7,611 6,331 6,177
Waiting Lists
Conservative 41,433 43,330 69,096 80,239 88,124 98,044 80,292 82,131 58,417 63,876 58,121
Waiting Lists
CDS State Total Waiting Lists Conservative and Prosthetic
Numbers of Persons Names on Waiting Lists
100,000
90,000
80,000
70,000
Prosthetic Waiting List
Conservative Waiting List
60,000
50,000
40,000
30,000
20,000
10,000
0
94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04 04/05
4. State Average Waiting Time (months) at Community Dental Service Clinics
94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04 04/05
Prosthetic 21.3 22.8 27.7 31.0 38.6 40.8 36.7 44.4 37.9 34.0 34.2
Waiting Lists
Conservative 10.0 10.2 7.0 24.6 34.3 44.4 42.2 48.9 31.6 34.8 28.7
Waiting Lists
30 SA Dental Service Year Book 04/05

statistics
aboriginal dental scheme
Treatment Provided 1999/2000 – 2004/2005
1999/2000 2000/2001 2001/2002 2002/2003 2003/2004 2004/2005
Practices 30 37 26 30 27 41
Participating
Claims submitted 803 1,015 835 641 892 559
Examinations 706 871 262 180 701 615
Dental Prevention 537 223 114 111 117 53
Restorations 430 686 565 454 425 252
Endodontics 9 29 9 6 4 1
Radiographs 537 449 413 305 330 358
Extractions 444 619 388 535 483 502
Surgical Extractions / 76 59 123 47 58 29
Oral Surgery
Relief of pain / 122 115 44 8 0 16
Temporary Filling
Dentures Units 61 72 57 80 63 49
Repairs /Maintenance 23 20 32 24 27 21
to Dentures
Adjustments 6 11 10 5 0 0
or Relines
SA Dental Service Year Book 04/05 31

statistics
human resources
Employee Numbers, Gender and Status
Persons 794
FTE’s 584.2
Gender % Persons %FTE
Female 81.11 78.83
Male 18.89 21.17
* (FTE’s shown to one decimal)
Number of persons separated
from agency during the 88
04 / 05 Financial Year
Number of persons recruited
to the agency during the 89
04 / 05 Financial Year
Number of persons on leave
43
without pay at 30 June 2005
Number of Employees by Salary Bracket
Salary Bracket Male Female Total
$0 - $38599 26 360 386
$38600 - $49999 22 187 209
$50000 - $65999 24 46 70
$66000 - $85999 51 39 90
$86000 + 27 12 39
Total 150 644 794
Status of Employees in Current Position
FTE’s Ongoing Short-Term Contract Long-Term Contract Casual Total
Male 103.27 13.23 3 4.16 123.66
Female 395.48 47.92 1 16.15 460.55
Total 498.75 61.15 4 20.31 584.21
PERSONS Ongoing Short-Term Contract Long-Term Contract Casual Total
Male 115 19 3 13 150
Female 521 67 1 55 644
Total 636 86 4 68 794
EXECUTIVES
Number of Executives by Status in Current Position, Gender and Classification
Classification Ongoing Contract Tenured Contract Untenured Total
Male Female Male Female Male Female Male Female
EXECOA 0 0 0 0 1 1 1 1
EXECOB 0 0 0 0 1 0 1 0
Total 0 0 0 0 2 1 2 1
32 SA Dental Service Year Book 04/05

human resources statistics (cont)
Average Days Leave Taken Per Full Time
Equivalent Employee
Leave Type 2004-2005
Sick Leave Taken 8.19
Family Carer’s Leave Taken 0.68
Special Leave with Pay 10.94
CULTURAL AND LINGUISTIC DIVERSITY
INDIGENOUS EMPLOYEES
Number of Employees of Aboriginal and/or
Torres Strait Islander
Male Female Total % of Target*
Agency
0 0 0 0 2.0%
* Target from South Australia’s Strategic Plan
Male Female Total % of Agency SA Community*
Number of Employees
born overseas
31 89 120 15.11 20.30%
Number of employees
who speak language(s) 3 5 8 1.01 15.50%
other than English at home
Total 34 94 128 16.12 35.80%
DISABILITY
Number of Employees with Ongoing
Disabilities Requiring Workplace Adaptation
*This information was collected since 2004
Number of Employees using Voluntary
Flexible Working Arrangements by Gender
Male
Female Total % of Agency
Male
Female Total
Total 0 0 0 0
Purchased Leave 0 0 0
Flexitime 33 36 69
Compressed Weeks 2 9 11
Part-time Job Share 0 0 0
Working from Home 1 1 2
TRAINING AND DEVELOPMENT
Documented Individual Performance Development Plan
Salary Bracket % with a plan negotiated % with plan older % no
within the past 12 months than 12 months plan
$0 - $38599 0.26 0 99.74
$38600 - $49999 0.96 0 99.04
$50000 - $65999 1.43 0 98.57
$66000 - $85999 2.22 0 97.78
$86000 + 0 0 100
Total 4.87 0
SA Dental Service Year Book 04/05 33

statistics
occupational health safety & injury management
July 2004– June 2005
2004/2005
1 OHS legislative requirements
Number of notifiable occurrences pursuant to 0
OHS&W Regulations Division 6.6
Number of notifiable injuries pursuant to OHS&W 0
Regulations Division 6.6
Number of notices served pursuant to OHS&W Act 0
s 35, s39 and s40
2 Injury Management legislative requirements
Total number of employees who participated in 25
the rehabilitation program
Total number of employees rehabilitated and 1
reassigned to alternative duties
Total number of employees rehabilitated back to 14
their original work
3 WorkCover Action Limits
Number of open claims as at 30 June 14
Percentage of workers compensation expenditure
over gross annual remuneration 2%
4 Number of Claims
Number of new workers compensation claims 24
in the financial year
Number of fatalities, lost time injuries, medical
treatment only
Fatalities (F) 0
Medical Treatment Only (MTO) 12
Lost Time Injuries (LTI) 12
Total number of whole working days lost for all claims 452
5 Cost of workers compensation
Cost of all new claims for financial year $93,376.58
Cost of all claims excluding lump sum payments $215,790.13
Amount paid for lump sum payments
(S42 $31,000.00
S43 $29,189.66
S44) 0
Total amount recovered from external sources (s54) 0
Budget allocation for workers compensation $209,020.00
6 Trends
Injury frequency rate for new lost-time 12.33
injury/disease for each million hours worked
Most frequent cause (mechanism) of injury
Body Stressing
Most expensive cause (mechanism) of injury
Body Stressing
7 Meeting the organisation’s strategic targets
34 SA Dental Service Year Book 04/05

financial
statements
Cash reporting results
As at: Jun-05
ACMth FCMth CM Var AYtD FYtD YTD Var Forecast Budget
Revenue
Patient Revenue -174,012 -227,670 -53,658 -2,412,296 -2,636,570 -224,274 -2,636,570 -2,734,260
Other Revenue -478,035 -318,530 159,505 -1,795,152 -1,564,250 230,902 -1,564,250 -961,110
Revenue Total -652,047 -546,200 105,847 -4,207,448 -4,200,820 6,628 -4,200,820 -3,695,370
Employee Related Expenses
Salaries & Wages 3,240,256 3,426,420 186,164 28,844,343 29,418,010 573,667 29,418,010 26,911,850
Superannuation 343,844 337,890 -5,954 2,984,989 2,976,630 -8,359 2,976,630 2,633,040
Termination 7,289 19,660 12,371 147,216 129,450 -17,766 129,450 82,920
Worker Compensation 56,169 10,040 -46,129 288,358 209,020 -79,338 209,020 152,610
Other Employee Expenses 220,799 3,220 -217,579 306,026 48,020 -258,006 48,020 0
Employee Related Expenses
Total 3,868,359 3,797,230 -71,129 32,570,933 32,781,130 210,197 32,781,130 29,780,420
Goods & Services
Dental Supplies 191,661 179,130 -12,531 2,771,627 2,560,140 -211,487 2,560,140 2,665,830
Domestic 53,463 58,190 4,727 734,807 747,270 12,463 747,270 659,780
Energy Costs 26,696 39,000 12,304 418,684 431,050 12,366 431,050 394,140
Equipment 851,137 672,970 -178,167 1,245,676 997,650 -248,026 997,650 629,450
Minor Works 353,098 108,170 -244,928 583,162 897,510 314,348 897,510 0
Maintenance 93,112 120,170 27,058 754,012 735,040 -18,972 735,040 706,940
Admin - Communications 18,726 20,180 1,454 261,150 314,840 53,690 314,840 231,310
Admin - Motor Vehicles 23,514 22,830 -684 277,614 269,850 -7,764 269,850 215,720
Admin - Travel 54,598 45,585 -9,013 478,671 489,620 10,949 489,620 318,730
Admin- Computing 93,316 71,220 -22,096 474,897 607,200 132,303 607,200 555,140
Other Admin Expenses 531,365 304,700 -226,665 2,950,671 2,698,730 -251,941 2,698,730 3,098,790
Dental Schemes 964,969 1,242,550 277,581 7,876,272 7,872,390 -3,882 7,872,390 5,183,120
Inventory 97,650 58,010 -39,640 -59,323 -70,000 -10,677 -70,000 -170,000
Goods & Services Total 3,353,305 2,942,705 -410,600 18,767,920 18,551,290 -216,630 18,551,290 14,488,950
GRAND TOTAL 6,569,616 6,193,735 -375,881 47,131,405 47,131,600 195 47,131,600 40,574,000
Division ACMth FCMth CM Var AYtD FYtD YTD Var Forecast Budget
ADH 962,402 979,310 16,908 9,138,365 9,162,000 23,635 9,162,000 8,493,000
CS 1,173,635 726,370 -447,265 5,278,804 5,628,600 349,796 5,628,600 5,086,000
HP 49,046 22,580 -26,466 236,661 222,000 -14,661 222,000 220,000
PP 685,323 484,265 -201,058 4,906,609 5,015,000 108,391 5,015,000 5,170,000
SWDS 3,699,209 3,981,210 282,001 27,570,966 27,104,000 -466,966 27,104,000 21,605,000
GRAND TOTAL 6,569,616 6,193,735 -375,881 47,131,405 47,131,600 195 47,131,600 40,574,000
SA Dental Service Year Book 04/05 35

36 SA Dental Service Year Book 04/05