Portland District Health Annual Report 2006 - South West Alliance of ...
Portland District Health Annual Report 2006 - South West Alliance of ...
Portland District Health Annual Report 2006 - South West Alliance of ...
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PORTLAND DISTRICT HEALTH<br />
ANNUAL REPORT<br />
2005 / <strong>2006</strong>
Mission, Vision and Values<br />
Mission<br />
To provide safe and cost effective primary, acute and aged<br />
care services to residents <strong>of</strong> the <strong>Portland</strong> district.<br />
Vision<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> will deliver excellence in health<br />
services through continually challenging ourselves to do<br />
better and creatively meeting the needs <strong>of</strong> its community<br />
by listening, living and working together.<br />
Values<br />
Key Achievements<br />
• Additional funding and commencement <strong>of</strong> the major<br />
project for the construction <strong>of</strong> new aged care facility and<br />
day procedure unit<br />
• Grant <strong>of</strong> $600,000 to support the recruitment <strong>of</strong> locum<br />
medical staff .<br />
• Recruitment <strong>of</strong> general practitioners<br />
• Establishment <strong>of</strong> the PDH medical centre<br />
• Consolidation <strong>of</strong> acute wards<br />
• Designation as pilot site for virtual services project<br />
• Redevelopment <strong>of</strong> the pharmacy and dialysis services<br />
• Restructuring <strong>of</strong> the executive.<br />
Teamwork - Through open dialogue, cooperation and<br />
courage we achieve our common goals.<br />
Respect - We are valued and treated as equals and play an<br />
important role in providing holistic care.<br />
We respect the rights and wishes <strong>of</strong> individuals<br />
and treat all matters with utmost confidentiality.<br />
Accountability - We are accountable for our actions.<br />
<strong>Health</strong> & Safety - Being responsible for the physical<br />
well-being <strong>of</strong> patients, residents, clients, staff and visitors,<br />
we provide and promote a safe and healthy environment<br />
Family - We acknowledge the value and importance <strong>of</strong><br />
family and loved ones in our lives and in the lives <strong>of</strong> our<br />
patients, residents, clients and visitors.<br />
Personal Growth - We encourage all individuals to<br />
achieve their maximum potential.<br />
Quality - We achieve best practice by ongoing education<br />
and continued quality improvement.<br />
Key statistics<br />
Inpatients Treated 4,882<br />
Births 101<br />
Operations 1847<br />
Deficit before Depreciation<br />
& Capital Revenue ($22,000)<br />
Staffing (EFT) 249.8<br />
A&E Presentations 7,236<br />
X ray Examinations 14,293
Index<br />
Board <strong>of</strong> Management – Pr<strong>of</strong>ile 4<br />
Comparative Statistics 31<br />
Donors - List <strong>of</strong> 36<br />
Divisional <strong>Report</strong>s<br />
Community <strong>Health</strong> & Corporate Services 16<br />
Finance and Adminiatration 28<br />
Medical Services 14<br />
Nursing Services 7<br />
Financial Statements<br />
Auditor General’s <strong>Report</strong> 67<br />
Balance Sheet 40<br />
Certification 38<br />
Notes to Accounts 42<br />
Operating Statement 39<br />
Statement <strong>of</strong> Cash Flows 41<br />
<strong>Health</strong> Service Agreement <strong>Report</strong> 32<br />
Mission, Vision & Values Statements<br />
Inside Front<br />
Officers and Office Bearers 33<br />
Organisational Chart 2<br />
Other <strong>Report</strong>s 30<br />
President & Chief Executive Officer’s <strong>Report</strong> 5<br />
Services provided by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> 3<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is a body corporate, listed in the <strong>Health</strong> Services Act 1988, and operates under the<br />
provisions <strong>of</strong> this act.<br />
The Minister responsible for the administration <strong>of</strong> the <strong>Health</strong> Services Act is the Minister for <strong>Health</strong>, The<br />
Hon. Bronwyn Pike MLA.<br />
The functions <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> are:<br />
a) To oversee and manage the hospital.<br />
b) To ensure that the services provided by the hospital comply with the requirements <strong>of</strong> the <strong>Health</strong> Services<br />
Act and the objects <strong>of</strong> the hospital.<br />
The Board consists <strong>of</strong> up to 12 members appointed by the Governor in Council. Each member <strong>of</strong> the Board<br />
holds <strong>of</strong>fice for a term not exceeding three (3) years and is eligible for re-appointment.<br />
The registered <strong>of</strong>fice <strong>of</strong> the <strong>Portland</strong> & <strong>District</strong> Hospital is Bentinck Street, <strong>Portland</strong> 3305.<br />
Telephone 03 55210333<br />
Presentation and Distribution <strong>of</strong> this <strong>Report</strong><br />
This report is released to the public at the <strong>Annual</strong> General Meeting and is also available as follows:<br />
Web Site: www.pdh.net.au<br />
Distribution mailing list<br />
From <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Administration<br />
Your Feedback is welcomed and may be made on the form enclosed
DIRECTOR OF NURSING<br />
• Nursing Policy<br />
• Inpatient Services<br />
• Outpatient Services (inc. A&E)<br />
• Operating Suite/Day Surgery<br />
• Infection Control<br />
• NR Education<br />
• CSSD<br />
• Aged Care and <strong>District</strong> Nursing<br />
• Alcohol and Drug<br />
Assistant Director <strong>of</strong> Nursing<br />
• Quality Co-ordinator<br />
• Complaint/Pt. Advocate/Incident <strong>Report</strong>ing<br />
• Rehabilitation (Return to Work)<br />
• Clinical HR Specialists<br />
• Data Management (Decision Support)<br />
• Chaplaincy Services<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
ORGANISATIONAL STRUCTURE<br />
BOARD<br />
Credentialing<br />
Medical Appointments<br />
Quality<br />
Finance & Audit<br />
CEO<br />
Executive Management Team<br />
Executive<br />
Assistant<br />
DIRECTOR OF MEDICAL<br />
SERVICES<br />
DIRECTOR CORPORATE<br />
SERVICES AND<br />
COMMUNITY HEALTH<br />
• Medical Policy<br />
• VMO’s<br />
• Medical Imaging<br />
• Pathology<br />
• Pharmacy<br />
• PDH Medical Centre<br />
• PDH Specialist Centre<br />
• FOI<br />
• Dental<br />
• Physiotherapy<br />
Patient Services<br />
Booking Office<br />
Admissions<br />
Patient Accounts<br />
• <strong>Health</strong> Information Management<br />
Medical Records<br />
• Community <strong>Health</strong> Care<br />
• <strong>Health</strong> Promotion<br />
• Counselling<br />
• OT/Speech<br />
• Social Work<br />
• Maternal and Child <strong>Health</strong><br />
• Community <strong>Health</strong> (Ops)<br />
• Building and Engineering Services<br />
• Environmental<br />
Catering/Cleaning<br />
Security<br />
Waste Management<br />
• Human Resources<br />
OH&S<br />
Staff Training & Development<br />
• Special Projects<br />
• Fundraising<br />
• Planning and Development<br />
• Seaview House<br />
• Executive Officer (Board)<br />
<strong>Annual</strong> <strong>Report</strong><br />
• Koori Liaison Officer<br />
DIRECTOR OF FINANCE<br />
• Financial Services<br />
Management Accounting<br />
Finance Accounting<br />
• Performance Management<br />
Service and Decision & Support<br />
• Information Technology<br />
IMS<br />
Communications<br />
• Payroll<br />
• Supply<br />
{<br />
2
Services provided by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is a Public Hospital with 69 approved acute beds, 30 nursing home beds and a 58 place<br />
Supported Residential Service. Through its primary and community care division, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> also <strong>of</strong>fers<br />
a diverse range <strong>of</strong> community health services. A listing <strong>of</strong> services provided by the organisation is set out below.<br />
Medical:<br />
Accident & Emergency<br />
Anaesthetics<br />
Chemotherapy<br />
Dermatology<br />
Diagnostic Imaging<br />
- CT Scanning<br />
- Doppler Ultrasound<br />
Endocrinology<br />
Endoscopy<br />
ENT Surgery<br />
General Surgery<br />
General Medicine<br />
Geriatric Medicine<br />
High Dependency Unit<br />
Obstetrics & Gynaecology<br />
Ophthalmology<br />
Oral Surgery<br />
Orthodontics<br />
Orthopaedics<br />
Paediatrics<br />
Pain Management<br />
Pathology (Contract Service)<br />
Physician<br />
Psychiatry<br />
Rehabilitation<br />
Renal Dialysis<br />
Urology<br />
Medical Ancillary:<br />
Aboriginal Liaison<br />
Audiology<br />
Dental Clinic<br />
Dietitics<br />
<strong>Health</strong> Information<br />
Occupational Therapy<br />
Orthotics<br />
Pharmacy<br />
Physiotherapy<br />
Podiatry<br />
Sexual Assault Counselling<br />
Social Work<br />
Speech Pathology<br />
Nursing:<br />
Asthma Education<br />
Breast Cancer Counselling<br />
Breast Care Nursing<br />
Cancer Support<br />
Cardiac Rehabilitation<br />
Continence Advice<br />
Diabetec Education<br />
Discharge Planning<br />
<strong>District</strong> Nursing Service<br />
Domiciliary Midwifery Care<br />
Drug & Alcohol Withdrawal<br />
Education Centre<br />
Hospital in the Home<br />
Immunisation Service<br />
Infection Control<br />
Nursing Continued:<br />
Lactation Counselling<br />
Living with Cancer<br />
Lymphoedema Service<br />
Maternity Enhancement Service<br />
Nursing Home<br />
Home Oxygen<br />
Palliative Care<br />
Pharmacy Support<br />
Post Acute Care<br />
Rehabilitation<br />
Respite Care<br />
Sterile Supply<br />
Stomal Therapy<br />
Postgraduate Nurse Training<br />
Other:<br />
Antenatal Classes<br />
Engineering<br />
Environmental Services<br />
Equipment Borrowing Service<br />
Food Services Department<br />
General Administration Clerical, Accounting<br />
& Payroll<br />
Hospital Library<br />
Safety & Security<br />
Supply<br />
Personal Laundry Service for<br />
inpatients / residents<br />
Prescribed Waste Removal<br />
Primary Care Partnerships<br />
Primary & Community <strong>Health</strong><br />
Services to Other Agencies:<br />
Accounting Services<br />
- Heywood Rural <strong>Health</strong><br />
Fuel Card<br />
- <strong>West</strong>ern Dist. Employment Access<br />
Immunisation service<br />
Infection Control Advice<br />
Occupational Therapy and<br />
Speech Pathology<br />
- Special Development School<br />
- Dartmoor Bush Nursing Service<br />
Payroll<br />
- Lewis Court Hostel<br />
Speech Pathology<br />
- Kindergartens and Schools<br />
Supply<br />
- Various<br />
Sterile Supply<br />
- Various<br />
Services From And<br />
With Other Agencies:<br />
Breastscreen Victoria<br />
- Breastscreening<br />
Glenelg Shire Council<br />
- Maternal & Child <strong>Health</strong> Care<br />
- Meals on Wheels<br />
<strong>South</strong> <strong>West</strong> Aged Care<br />
- Aged Care Assessment<br />
<strong>South</strong> <strong>West</strong> <strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong><br />
- Information Technology<br />
<strong>South</strong> <strong>West</strong> <strong>Health</strong> Care<br />
- Audiology<br />
- Bio Medical Engineering<br />
<strong>West</strong>ern <strong>District</strong> <strong>Health</strong> Service<br />
- Linen<br />
• Student Placements<br />
Work Experience Placements<br />
- Secondary School Students<br />
Adelaide University<br />
- Diagnostic Imaging<br />
Aquinas College CU<br />
- Bachelor <strong>of</strong> Nursing - Clinical<br />
Charles Sturt University<br />
- Podiatry -Clinical<br />
Deakin University<br />
- Bachelor <strong>of</strong> Nursing - Clinical<br />
- Grad Dip Students (Theatre<br />
& Midwifery)<br />
LaTrobe University<br />
- <strong>Health</strong> Information<br />
- Occupational Therapy<br />
- Speech Pathology<br />
- Physiotherapy<br />
- Podiatry - Clinical<br />
Flinders University SA<br />
- Bachelor <strong>of</strong> Nursing-Clinical<br />
Melbourne University<br />
- Occupational Therapy<br />
- Speech Pathology<br />
- Physiotherapy<br />
RMIT<br />
- Bachelor <strong>of</strong> Nursing - Clinical<br />
University <strong>of</strong> Ballarat<br />
- Midwifery Nursing<br />
- Bachelor <strong>of</strong> Nursing-Clinical<br />
Victoria University <strong>of</strong> Technology<br />
- Bachelor <strong>of</strong> Nursing-Clinical<br />
3
Board <strong>of</strong> Management<br />
Vincent Gannon<br />
President<br />
Business Management<br />
Appointed November 2002<br />
Marianne Kuljis,<br />
Snr Vice President<br />
M. Psychology - (Clin & <strong>Health</strong>),<br />
B Sc., (Hons Psychology)<br />
Grad Dip Ed.,<br />
HR Manager<br />
Appointed November, 2004<br />
Resigned June <strong>2006</strong><br />
James Harpley<br />
Jnr Vice President<br />
B Metallurgy<br />
Senior Process Engineer<br />
Appointed November 2003<br />
William Collett<br />
Treasurer<br />
PhC.MPS.FACPP,<br />
Retired. Pharmacist<br />
Appointed November 2005<br />
Greg Andrews<br />
Dip. Public <strong>Health</strong><br />
Appointed November 2002<br />
Bruce du Vergier<br />
CEO<br />
Appointed November 2005<br />
Merlyn Menzel<br />
Div 1 Nurse., Assoc Dip<br />
Welfare Studies<br />
Office Manager<br />
Appointed November 2002<br />
4
<strong>Report</strong> from the President and Chief Executive Officer<br />
FOREWORD<br />
We both wish to welcome you to the Third <strong>Annual</strong><br />
<strong>Report</strong> <strong>of</strong> the <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Service<br />
(PDH).<br />
The pace <strong>of</strong> change and our commitment to the<br />
future <strong>of</strong> PDH have brought significant challenges<br />
to all parts <strong>of</strong> the organization, and time has passed<br />
incredibly quickly.<br />
The level <strong>of</strong> challenge shows no sign <strong>of</strong> abating in the<br />
foreseeable future – and nor should it as long as we<br />
are serious in our collective commitment to make<br />
substantial improvement in healthcare delivery which<br />
then becomes embedded as the norm.<br />
Put simply, there are two sources for this challenge:<br />
national and local. The major national challenge is the<br />
need to train more doctors, nurses and allied health<br />
staff. The dearth <strong>of</strong> doctors has had a significant impact<br />
on PDH’s ability to sustain an ‘on call’ medical service<br />
to support the Accident and Emergency Department.<br />
It has also impacted on the community’s access to<br />
general practitioner (GP) services resulting in delays<br />
<strong>of</strong> up to three weeks for an appointment to see a GP.<br />
The local challenges are in the main, a direct flow<br />
on from the national, and for the Board, this means<br />
ensuring the sustainability <strong>of</strong> the core business <strong>of</strong> PDH<br />
as a health facility capable <strong>of</strong> delivering moderately<br />
complex acute services including obstetrics, aged care<br />
and community health services. The key challenge<br />
for the Board and the community is its ability to<br />
work together in making <strong>Portland</strong> a more attractive<br />
place for GPs and specialist medical staff to come and<br />
work.<br />
It has <strong>of</strong>ten been quite uncomfortable when the Board<br />
and staff are confronted by energetic local campaigns<br />
based on apprehension about possibilities for various<br />
health care issues and which call our competence and<br />
good faith (managerial, clinical and financial) into<br />
question.<br />
Contributions to debate are always welcome and<br />
encouraged, but, having considered all possible<br />
angles within a due process framework, we have a<br />
responsibility to make any decisions necessary to<br />
move forward. <strong>Health</strong>care has never stood still, and is<br />
unlikely to do so in the future.<br />
As stated previously this has been a challenging year<br />
but it was also a year that saw many successes. We<br />
are extremely pleased to confirm that PDH met all its<br />
statutory financial and corporate obligations for the<br />
year.<br />
Our achievements span the length and breadth <strong>of</strong><br />
the health service that are detailed in the body <strong>of</strong> this<br />
<strong>Annual</strong> <strong>Report</strong>. A small sample <strong>of</strong> our successes<br />
includes:<br />
• A Grant <strong>of</strong> $600,000 to support the recruitment<br />
<strong>of</strong> locum doctors to fill the gaps in the ‘on call’<br />
roster; develop recruitment packages for GPs and<br />
upgrade the triaging skills <strong>of</strong> our Accident &<br />
Emergency (A&E) staff<br />
• Allocation by the Department <strong>of</strong> Human Services<br />
<strong>of</strong> an additional $1M for the redevelopment<br />
<strong>of</strong> Seymour Cundy Wing (residential aged care<br />
facility) and a new 8 bed day surgery unit.<br />
• Recruitment <strong>of</strong> four general practitioners.<br />
Unfortunately one doctor returned overseas for<br />
family reasons and the other doctor required a<br />
level <strong>of</strong> clinical supervision that could not be<br />
provided by PDH.<br />
• Employment <strong>of</strong> a specialist emergency physician<br />
for two days a week in the A&E Department.<br />
This has taken the pressure <strong>of</strong>f the GPs having to<br />
leave their practices during the day to attend the<br />
A&E Department.<br />
• Established the PDH Medical Centre. This<br />
initiative was implemented as a means <strong>of</strong> providing<br />
additional GP services as well as ensuring a<br />
consistent and sustainable ‘on call’ service for<br />
the community. The State Government allocated<br />
$77,000 as part <strong>of</strong> a $4.8 million country<br />
hospitals initiative. This model has proved very<br />
successful in New Zealand and in rural Victoria<br />
and NSW. The challenge is to recruit another<br />
four GPs.<br />
5
• Consolidation <strong>of</strong> North and <strong>South</strong> wards into<br />
North Ward. <strong>South</strong> Ward still remains with all<br />
its beds and can be opened at any time should<br />
the need arise. As part <strong>of</strong> the consolidation, the<br />
renal dialysis unit was moved down into the<br />
A&E Department. This allowed us to upgrade<br />
the facilities with the latest technology.<br />
• PDH has been designated as a pilot site for<br />
the Virtual Services Project (VISP). This was<br />
launched by the Premier in July 2005. The<br />
Virtual Services project involves:<br />
Giving remote communities such as Nelson and<br />
Dartmoor 24 hour access to a video unit, located<br />
in a community facility, permanently connected<br />
to the main reception <strong>of</strong> the nearest hospital, via<br />
video, to receive initial assessment and advice on<br />
further treatment. In small rural hospitals such<br />
as <strong>Portland</strong> where there might not be a specialist,<br />
VISP allows connection with a larger hospital to<br />
gain advice regarding complex specialist issues.<br />
Another key advantage will be the provision <strong>of</strong><br />
services to families <strong>of</strong> the hearing impaired who<br />
will be able to access educational programs and<br />
critical early language intervention services.<br />
• Redevelopment <strong>of</strong> the hospital pharmacy and the<br />
appointment <strong>of</strong> a staff pharmacist. On behalf <strong>of</strong><br />
us all we would like to welcome Ann Fairman to<br />
the position. Our thanks to Glen Bennet-Hullin<br />
who over the last three years has maintained the<br />
pharmacy service.<br />
• Developing and maintaining relationships with<br />
staff, volunteers, service users and carers, the<br />
public and the media. It is only through good<br />
relations and open communication that we can<br />
gain confidence as an organization and ensure the<br />
community and our partners have confidence in<br />
us.<br />
• Engaging staff and the community in considering<br />
what we do, and ensuring our services are effective,<br />
client/patient centred and <strong>of</strong>fering best value.<br />
• Ensuring that clients/patients are always at the<br />
centre <strong>of</strong> what we do and that the delivery <strong>of</strong> safe<br />
efficient, effective care is the central ethos <strong>of</strong> all<br />
our services.<br />
PDH will face many challenges during the coming<br />
year but the real challenge facing the organization, is<br />
to engage our staff and the community in addressing<br />
and overcoming them.<br />
Our vision for PDH is not necessarily that we become<br />
the best rural health service in Victoria but rather that<br />
we are recognized as the most progressive.<br />
Acknowledgement<br />
We are most appreciative <strong>of</strong> the efforts <strong>of</strong> our Board<br />
Members, the State Government, Department <strong>of</strong><br />
Human Services, and in particular DHS Geelong. We<br />
acknowledge their significant efforts and support. The<br />
progress PDH is making, particularly with regard to<br />
our financial recovery is a testament to the continued<br />
dedication and hard work <strong>of</strong> the staff – frequently<br />
in the face <strong>of</strong> extremely challenging circumstances.<br />
Likewise PDH relies heavily on the continued support<br />
<strong>of</strong> our volunteers. They are a tireless, hard working<br />
group for whom nothing seems a trouble. We are sure<br />
that we speak for both the patients and the staff when<br />
we say thank you for their valuable contributions to<br />
PDH.<br />
The future<br />
The main priorities and expectations for <strong>2006</strong>/2007<br />
include:<br />
• Ensuring the organization continues its financial<br />
recovery.<br />
• Increasing inpatient activity and by implication<br />
our income<br />
• Working with the community/key stakeholders<br />
in attracting GPs and specialist medical staff to<br />
<strong>Portland</strong>.<br />
VIN GANNON<br />
MARIE SHEA<br />
6
NURSING DIVISION<br />
Key Points<br />
• Introduction <strong>of</strong> Nursing Clinical Support<br />
position in July<br />
• Three new graduate nurses commenced in<br />
January.<br />
• The commencement <strong>of</strong> the building projects<br />
– Day Procedure Unit & Nursing Home<br />
• Reviews –Theatre & Acute Services<br />
• Implementation <strong>of</strong> the Riskman incident<br />
reporting system<br />
• Two local students completed Certificate 3<br />
in Aged Care through Seymour Cundy Wing<br />
(SCW) & Sea View House<br />
• Appointment <strong>of</strong> Activities Program Manager<br />
within SCW<br />
• Participation in DHS Quality Indicators Project<br />
for Residential Aged Care<br />
• Jennifer Ward completed Stomal Therapy training<br />
at Mayfield<br />
• Emily Wombwell completed Graduate Diploma<br />
<strong>of</strong> Perioperative Nursing<br />
• The celebration <strong>of</strong> International Nurses Day<br />
through the provision <strong>of</strong> a staff dinner embracing<br />
international cuisine to recognise the many<br />
different cultures within PDH<br />
• Koori Enhancement project. Christina Cooktown<br />
has commenced to survey and implement<br />
initiatives that will enhance the capacity <strong>of</strong> the<br />
aboriginal communities to identify and manage<br />
the harms and impact <strong>of</strong> substance use and<br />
misuse in their communities.<br />
• Dialysis Unit upgraded and moved to a new unit<br />
within the Accident & Emergency Department.<br />
• Edward Zimbudzi & Kylie Mirtschin completed<br />
studies in Dialysis.<br />
• Drink / Drug Drive education and assessment<br />
programs<br />
• Nurse Unit Manager Linzi Donlan awarded $5000<br />
HESTA Pr<strong>of</strong>essional Development scholarship to<br />
complete Nurse Practitioner qualification.<br />
• <strong>District</strong> Nursing Services implementing a<br />
Bereavement Support Program<br />
• Implementation <strong>of</strong> the National Medication<br />
Chart<br />
Acute Inpatient Care<br />
In the past year the role <strong>of</strong> Nurse Unit Manager has<br />
been shared by Bryan Bowman and Erin Barker.<br />
Following an identified reduction in acute inpatients<br />
the North and <strong>South</strong> wards were merged to become<br />
the Acute unit allowing provision for excellent care <strong>of</strong><br />
33 patients at a time. When inpatient activity exceeds<br />
the 33 beds, further beds are made available in <strong>South</strong><br />
Ward.<br />
The emphasis in rural health needs to be on multiskilling<br />
to meet the challenge <strong>of</strong> providing medical,<br />
surgical, aged and obstetric services within one<br />
clinical department. The increase in aged patients<br />
requiring care in Victorian hospitals has become<br />
evident in <strong>Portland</strong>. The nursing staff has responded<br />
to this demand through the development <strong>of</strong> education<br />
workshops relating to aged care health issues.<br />
The acute services participated in a wide ranging review<br />
<strong>of</strong> practices to identify opportunities for improvement<br />
and a working party is making excellent progress in<br />
following up issues identified for attention.<br />
7
The continuation <strong>of</strong> the Sub Acute Rehabilitation<br />
program has seen many patients benefit from this<br />
individualised health care program. Under the<br />
expert guidance <strong>of</strong> Sue Morrissey, Penny Wallis<br />
and many allied health staff we have continued this<br />
multidisciplinary model <strong>of</strong> care within <strong>Portland</strong><br />
hospital in collaboration with other health agencies in<br />
<strong>South</strong>ern Grampians /Glenelg region.<br />
Maternity Services<br />
The model <strong>of</strong> midwifery service delivery introduced in<br />
February 2004 aims to provide increased continuity to<br />
women and families by providing a ‘named’ midwife<br />
to each woman to co-ordinate and provide most <strong>of</strong><br />
the care. In addition to increasing continuity for<br />
women the model aims to attract and retain midwifery<br />
staff and to encourage the development <strong>of</strong> increased<br />
midwifery skills to help ensure the continuity <strong>of</strong><br />
maternity services at PDH.<br />
The maternity service operates within and from the<br />
Acute Ward. Leigh Pettingill as the Caseload Manager,<br />
with a staff <strong>of</strong> five caseload midwives work flexible<br />
hours supported by ward midwives and Division 2<br />
registered nurses (maternity) working collaboratively<br />
with local general practitioner obstetricians.<br />
The goal <strong>of</strong> the service is to provide quality care<br />
and support to mothers and their families during<br />
pregnancy, childbirth and the early post natal period.<br />
In addition, we work in collaboration with visiting<br />
specialist obstetricians to provide backup and follow<br />
on care for women <strong>of</strong> higher risk who plan to give<br />
birth at other health facilities.<br />
Services provided include antenatal assessment, care<br />
and support according to agreed admission and<br />
transfer criteria, outpatient fetal monitoring, antenatal<br />
education, postnatal assessment, teaching and support<br />
to women and families in Acute Ward and at home at<br />
Introduction <strong>of</strong> the new model for midwifery service<br />
delivery has not been without difficulty and currently<br />
our birth numbers are reduced. However women<br />
have provided positive feedback and midwives have<br />
been attracted. Our statistics now include postnatal<br />
inpatient care and domiciliary care for women giving<br />
birth elsewhere and we are hopeful that birth numbers<br />
will increase with increasing community confidence<br />
in our service. We eagerly await publishing <strong>of</strong> the<br />
Department <strong>of</strong> Human Services report on the<br />
outcomes <strong>of</strong> the introduction <strong>of</strong> our service model.<br />
domiciliary visits until referral to Maternal and Child<br />
<strong>Health</strong> by day 10.<br />
The support <strong>of</strong> a Lactation Consultant is available in<br />
the hospital and through domiciliary visits in liaison<br />
with Maternal and Child <strong>Health</strong> Nurses.<br />
In addition pregnancy and breastfeeding education is<br />
provided to Year 10 students at <strong>Portland</strong> and Heywood<br />
Secondary Colleges through the provision <strong>of</strong> “Core<br />
<strong>of</strong> Life” sessions in liaison with <strong>Health</strong> Education<br />
teachers.<br />
8
In July 2005 we said goodbye to Jan Berry, who<br />
retired after many years <strong>of</strong> service to the <strong>Portland</strong><br />
community. Jan has seen many <strong>Portland</strong> babies into<br />
the world; we wish her well in retirement and thank<br />
her for her years <strong>of</strong> service.<br />
Dialysis<br />
The Dialysis unit under the wonderful attention <strong>of</strong> Ann<br />
Mewha, Edward Zimbudzi & Kylie Mirtschin have<br />
provided care and support for 8 patients attending the<br />
unit on a regular basis. The unit is available 3 days per<br />
week and also allows for a patient holiday program.<br />
The Dialysis Unit has been upgraded and relocated<br />
to a lower floor room allowing ease <strong>of</strong> access for the<br />
clients and families.<br />
The Dialysis Unit has continued to receive support<br />
from Ray Steenveld at Royal Melbourne Hospital /<br />
North <strong>West</strong> Dialysis service, with training new staff<br />
and competency assessments. All <strong>of</strong> the nursing<br />
staff have attended workshops/seminars to maintain<br />
knowledge and skill levels, further to this Ann Mewha<br />
will attend the RSA conference later in the year.<br />
Post Acute Care / Discharge Planning<br />
The Post Acute Care program has enjoyed another<br />
busy year. 381 clients accessed services through the<br />
program. This regional program enables clients with<br />
complex discharge needs to be discharged safely from<br />
the hospital back into the <strong>Portland</strong> community.<br />
This program is well recognised as a quality service<br />
improving the transition for consumers from public<br />
hospitals to their home setting.<br />
Discharge Planning has grown considerably this year.<br />
They have assessed 436 clients during the year as<br />
knowledge levels and staff abilities have developed.<br />
Family support continues to play a huge role in<br />
the community with 161 clients returning home<br />
with family assistance. The team who delivers this<br />
supportive process is Donna Eichler, Una Cancian,<br />
Joan Cannon and Donna Kilgour The development<br />
<strong>of</strong> a discharge-planning manual and resource folder<br />
will enable timely and appropriate referral process to<br />
occur. Discharge planning has had a positive impact on<br />
the co-ordination and planning for discharge, making<br />
a seamless transition from hospital to community.<br />
Infection Control<br />
Ros Jones has completed a second year in the role <strong>of</strong><br />
Infection Control Coordinator. Ros is responsible<br />
for overseeing cleaning and sterilisation standards,<br />
administering staff immunisations and meeting<br />
the special needs <strong>of</strong> acute and aged care patients. A<br />
great advantage is the combination <strong>of</strong> this role with<br />
environmental services, as most infection control<br />
begins with the cleanliness <strong>of</strong> the facility.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has participated in the<br />
Department <strong>of</strong> Human Services trial for monitoring<br />
hospital acquired infections and we have received<br />
positive feedback on our participation and results.<br />
The wonderful clerical support provided by Janice<br />
Anderson assists the excellent development and<br />
maintenance <strong>of</strong> reports and records required by this<br />
department.<br />
Operating Theatre<br />
The operating theatre nursing team has continued to<br />
demonstrate a range <strong>of</strong> specialised skills, which are<br />
enhanced by specific education in surgical nursing<br />
and through maintaining statewide networks with<br />
operating room nurses.<br />
Emily Wombwell successfully completed the Graduate<br />
Diploma in Perioperative Nursing during the year.<br />
Two more nursing staff are currently undertaking this<br />
study. A diverse range <strong>of</strong> surgical procedures have been<br />
carried out by local and visiting surgeons, supported<br />
by local anaesthetists Dr Smolilo and Dr Martin. A<br />
number <strong>of</strong> new equipment items have been trialled<br />
and subsequently purchased to improve the quality<br />
and safety <strong>of</strong> surgical procedures and ensure parity<br />
with theatres in other regional and metropolitan<br />
areas.<br />
Of the surgical patients, more than 1000 were<br />
admitted through the Day Procedure Unit in the past<br />
12 months. More than 80% <strong>of</strong> surgical procedures at<br />
PDH are completed as day stay patients.<br />
The Central Sterilising Services Department (CSSD)<br />
has implemented many changes to ensure compliance<br />
with Australian Sterilising Standards. Validation<br />
for CSSD according to Standards ASNZ 4187 was<br />
successfully obtained and will be undertaken on an<br />
annual basis.<br />
In excess <strong>of</strong> 76,000 surgical items have been processed<br />
through the CSSD department in the past year.<br />
Accident and Emergency Department<br />
The Accident & Emergency Department continues to<br />
provide high quality care to the <strong>Portland</strong> community.<br />
Linzi Donlan leads a team <strong>of</strong> skilled nursing staff to<br />
meet the demands <strong>of</strong> the community. The Accident<br />
& Emergency Department provides first line medical<br />
assistance to the community despite the constraints<br />
<strong>of</strong> limited medical services. Over 8,000 patients<br />
were seen in the past year, a decrease <strong>of</strong> 10% on the<br />
9
previous year. Disaster protocols have been enhanced<br />
following staff attendance at Chemical, Biological<br />
Radiological (CBR) strategic planning programs and<br />
the further development <strong>of</strong> the organisation wide<br />
Code Blue and Code Brown response. Chemotherapy<br />
service provision is supported in the Accident &<br />
Emergency Department by Sue Jensen and Lindy<br />
Bremner, enabling <strong>Portland</strong> residents to receive their<br />
life sustaining treatment locally.<br />
Four <strong>of</strong> the Accident & Emergency nursing staff have<br />
undertaken education to enable their participation<br />
in the PDH Medical Centre Pap Smear clinics. Two<br />
<strong>of</strong> the nursing staff are in the process <strong>of</strong> completing<br />
education to achieve ‘Nurse Practitioner’ status.<br />
In the coming year, education will be focused on<br />
Advanced Trauma Training for Emergency staff<br />
through the College <strong>of</strong> Emergency Nurses Australia<br />
(CENA).<br />
The Accident & Emergency Department has been<br />
able to enhance a relative’s room through generous<br />
donations from Glenelg Warehouse, Mitre 10, IGA,<br />
Safeway and What’s Inn.<br />
Pre admission Clinic<br />
A visit to the Pre-admission clinic with Jenny Craig<br />
and Erica Clarke will ensure that each patient has<br />
a smooth and uneventful process when an elective<br />
surgical procedure is required. Risk analysis is<br />
undertaken, pre-operative tests and postoperative<br />
supports are arranged.<br />
Pr<strong>of</strong>essional Development and Nursing Education<br />
The nurse education team led by Thea Brown,<br />
continues to organise, conduct and manage the nursing<br />
education calendar and staff support programs. This<br />
team either provide or resource, a wide range <strong>of</strong><br />
internal and external educational programs.<br />
The commitment <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> to<br />
developing staff and maintaining competency is<br />
manifested by the participation <strong>of</strong> staff in on going<br />
education.<br />
It is mandatory that staff attend an annual education<br />
day which encompasses sessions on ALS/BLS,<br />
Medication Management, Infection Control, Fire &<br />
Safety and Back Injury Prevention.<br />
Three new graduate nurses commenced in January<br />
<strong>2006</strong>, to replace the seven nurses from 2005 who<br />
completed their program. All <strong>of</strong> the 2005 graduates<br />
have continued their employment within various<br />
departments <strong>of</strong> PDH.<br />
Regular in-service programs have been available<br />
to ensure staff receive the latest information on<br />
equipment and nursing techniques.<br />
Collaborative relationships have continued with<br />
Deakin University and RMIT with utilisation<br />
<strong>of</strong> nursing staff as Clinical Educators at Deakin<br />
University and Clinical Facilitators for the many<br />
students who attend PDH.<br />
The Back Injury Prevention program at <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> has continued to advance under the<br />
expert direction and management <strong>of</strong> Miffy Maddox,<br />
Caroline Berry and Jenny Smith. The education, advice<br />
and assistance provided by this team has enabled the<br />
staff to feel confident in the manual handling aspects<br />
<strong>of</strong> care provision.<br />
Many education programs have been held in<br />
conjunction with Hamilton, Heywood and Casterton<br />
health agencies to maximise resources and access to<br />
pr<strong>of</strong>essional presentations.<br />
Training and education has now moved into a new<br />
era with programs being <strong>of</strong>fered with simulators or on<br />
line, via video and teleconferencing.<br />
Aged Residential Care<br />
Julie Burke, Unit Manager and her passionate team <strong>of</strong><br />
specialist aged care staff continue to provide excellent<br />
care to the residents <strong>of</strong> Seymour Cundy Wing and<br />
their families. A visit from the Aged Care Standards<br />
Agency during the year was positive, assisting the<br />
ongoing compliance with the Aged Care Accreditation<br />
10
Standards as we work toward a complete accreditation<br />
review in August <strong>2006</strong>. The aim <strong>of</strong> residential care is<br />
to provide a model <strong>of</strong> care that closely resembles that<br />
<strong>of</strong> a home environment, empowering residents with<br />
autonomy <strong>of</strong> choice in their daily lives and activities.<br />
Resident lifestyle is recognised as paramount to<br />
improving quality <strong>of</strong> life. Activity support hours<br />
continue to reflect this need, through the provision<br />
<strong>of</strong> activities and social entertainment 7 days per week.<br />
An increase in the need for nursing staff to understand<br />
and embrace aged care has seen the continuation <strong>of</strong><br />
nursing graduates undertaking a rotation through<br />
Seymour Cundy Wing. This process has enabled<br />
new nursing graduates to achieve skills, experience,<br />
appreciation and respect for the specialist care required<br />
in aged care.<br />
Danielle Stuchbery has continued to provide excellent<br />
reception/clerical support to all in Seymour Cundy<br />
Wing and as she looks forward to maternity leave she<br />
is preparing Irene Grant as her replacement during<br />
this time.<br />
Glenelg <strong>South</strong>ern Grampians Drug Treatment<br />
Service (Quamby House)<br />
The Quamby House team, dynamically led by<br />
Bev McIlroy, continues to provide services to the<br />
Glenelg and <strong>South</strong>ern Grampians Shires within<br />
the requirements <strong>of</strong> funding by DHS Victoria and<br />
the forensic system. The services provided include<br />
withdrawal, counselling, supported accommodation<br />
and forensic programs. In addition we have increased<br />
our community commitments in both <strong>of</strong> these shires<br />
to community awareness programs, education support<br />
and support to the industry sectors.<br />
Ten Years On for Quamby House:<br />
4413 clients have been through our service since<br />
July 1995. Most clients self referred or were referred<br />
by other health care contacts including their GP.<br />
The most common drugs that clients requested<br />
help with addressing were alcohol (25%), Cannabis<br />
(16%), Prescribed Opiates (6%), Analgesics (6%),<br />
Benzodiazepines (3.5%) and Methadone (5%), other<br />
drugs making up the other 38.5%. Added to these<br />
figures is a significant degree <strong>of</strong> poly drug use that<br />
complicates the management and treatment <strong>of</strong> these<br />
clients. Tobacco is indicated in 24% <strong>of</strong> episodes as<br />
part <strong>of</strong> drug using pr<strong>of</strong>ile.<br />
We have experienced an increase in carers and family<br />
members presenting for support this year.<br />
The biggest change with clients has been in the age<br />
<strong>of</strong> those presenting. The over 25 age group makes up<br />
78% <strong>of</strong> the client group compared to 64% in 2000-<br />
2001. The under 25 year olds are represented as 22%<br />
<strong>of</strong> the total, thus discounting the commonly held<br />
perception that substance use harms and impacts are<br />
the domain <strong>of</strong> the young. Aboriginal clients accessing<br />
drug treatment services has increased this year by<br />
51%.<br />
Preparation for accreditation continues under the<br />
direction <strong>of</strong> Carole Pietschmann as part <strong>of</strong> project<br />
funding to enhance the capacity <strong>of</strong> the service<br />
system.<br />
Training continues to be a major component <strong>of</strong><br />
maintaining currency in our field. We have added two<br />
staff to our pr<strong>of</strong>ile who have completed Work Place<br />
Training and Assessment certificates. This enables us<br />
to build sustainable workforce development within<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> and surrounds.<br />
Staff movements have seen Debbie Cobby on maternity<br />
leave. We also had the valuable services <strong>of</strong> Angie<br />
Hamilton-Ryan for a short period. Angie enthused us<br />
with the possibilities <strong>of</strong> providing variations to our<br />
practice at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. Unfortunately<br />
due to family commitments her employment was<br />
only short lived.<br />
The 2005-<strong>2006</strong> year has seen the strengthening <strong>of</strong><br />
community and sector partnerships, this in turn has<br />
increased the outcomes <strong>of</strong> collaborative practice. We<br />
enjoy partnerships with Dual Diagnosis and Acquired<br />
Brain Injury projects; the forensic and housing services;<br />
Koori Diversion sub regional project; Barwon <strong>South</strong><br />
<strong>West</strong> Youth <strong>Alliance</strong>; Barwon <strong>South</strong> <strong>West</strong> Regional<br />
AOD Coalition and the <strong>Portland</strong> Coordinating <strong>Health</strong><br />
and Welfare group. The networks that are created<br />
through these partnerships provides pr<strong>of</strong>essional<br />
support in our rural settings.<br />
Two new initiatives were undertaken through Quamby<br />
House this year.<br />
11
1) Drink / Drug Drive Education and Assessment<br />
Programs.<br />
Kym Cook and Susan Johnston have developed an<br />
accredited program that is delivered in <strong>Portland</strong> on a<br />
regular monthly basis. This was a direct result <strong>of</strong> a gap<br />
in community service being identified by Quamby<br />
staff and clients.<br />
2) Koori Enhancement Project.<br />
Christine Cooktown has been employed to work<br />
with the Aboriginal communities and <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> Drug and Alcohol to survey and<br />
implement initiatives that will enhance the capacity<br />
<strong>of</strong> the communities to identify and manage the harms<br />
and impact <strong>of</strong> substance use and misuse in their<br />
communities.<br />
Performance this year within Quamby House has<br />
achieved 100% <strong>of</strong> the targets set for each service<br />
type. Clients <strong>of</strong> our services, completing episodes and<br />
risks to inpatient care and recovery. Complementary<br />
initiatives have seen sustainability built into practice,<br />
to ensure that the potential for harms associated<br />
with substance use are identified and managed at the<br />
earliest possible stage.<br />
We continue to be thankful for the generosity <strong>of</strong><br />
WRAD (<strong>West</strong>ern Region Alcohol and Drug Service)<br />
and Dr David Richards, Specialist Drug and Alcohol<br />
Medical Practitioner, for their support to the<br />
Pharmacotherapy Support program.<br />
The outlook for <strong>2006</strong> – 2007 will see the continuation<br />
<strong>of</strong> the projects that will ensure quality outcomes for<br />
our client group and service system. We anticipate<br />
developing carer’s group opportunities, and a positive<br />
lifestyle type program to provide effective relapse<br />
prevention and post withdrawal linkages that will<br />
build resilience and connectedness for our client<br />
group.<br />
achieving significant outcomes, have increased from<br />
410 to 525 this year to date.<br />
Project work that has been funded by the Alcohol<br />
Education Research Foundation for the second year<br />
is progressing as planned. The outcome <strong>of</strong> initiatives<br />
implemented by Carole Pietschmann and <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> staff has resulted in an increase in<br />
referrals from within the acute setting, to reduce the<br />
<strong>District</strong> Nursing<br />
Hazel Antony continues to lead the <strong>District</strong> Nursing<br />
Services. This friendly team <strong>of</strong> nurses provide clinical<br />
support to clients within the <strong>Portland</strong> community<br />
enabling people to remain within their home or<br />
alternatively to be discharged from hospital and<br />
receive care from competent nursing staff.<br />
12
Nursing staff are skilled in working autonomously<br />
whilst maintaining vital health links with local<br />
medical services.<br />
The <strong>District</strong> Nursing Service also provides local<br />
palliative care support. This service <strong>of</strong>fers health care<br />
and emotional supports to patients living with a life<br />
threatening illness. A Bereavement Support Program<br />
has been developed through the <strong>District</strong> Nursing<br />
Service. Four staff have completed Advanced Care<br />
Planning education to enable them to consult with<br />
the community and clients in the development <strong>of</strong><br />
terminal care plans. The <strong>District</strong> Nursing Service also<br />
coordinates the <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> volunteer<br />
program. This service has been enhanced by Annette<br />
Hinchcliffe and has seen excellent growth in the<br />
number <strong>of</strong> volunteers. Currently our volunteers<br />
assist with patient transfers, palliative care, aged care<br />
activities and in the acute units. The volunteers are<br />
a dedicated and enthusiastic group <strong>of</strong> people sharing<br />
their time, skills and life experiences with staff and<br />
patients. The service will continue to boost the<br />
volunteer program. Volunteers within the health<br />
service are enthusiastic about extending the volunteer<br />
service to further assist staff and patients. I am sure<br />
all staff and patients appreciate the supreme effort <strong>of</strong><br />
volunteers freely given to them.<br />
Nursing Administration<br />
The nursing administration team continues to manage<br />
daily staffing issues, patient care management,<br />
complaints and project development. The<br />
implementation <strong>of</strong> the Riskman Incident <strong>Report</strong>ing<br />
System has enabled the trending <strong>of</strong> information<br />
provided through this approach.<br />
The nursing division is ably supported by an<br />
expert team <strong>of</strong> clerical staff in their documentation<br />
development, record and data base management.<br />
Outlook<br />
To finalise the Caseload Midwifery Model<br />
Evaluation<br />
To further advance the rehabilitation unit within the<br />
acute and community services.<br />
To adequately prepare and implement the<br />
redevelopment <strong>of</strong> the Day Procedure Unit and the<br />
Aged Care Facility<br />
To continue to develop an innovative nursing education<br />
environment to ensure adequate recruitment and<br />
retention opportunities.<br />
To foster a culture <strong>of</strong> involvement by all nursing staff<br />
in Continuous Quality Improvement<br />
KATHRYN EYRE<br />
DIRECTOR OF NURSING<br />
Staff Numbers in Equivalent Full Time<br />
In equivalent full time terms the following staff were employed :<br />
Category <strong>of</strong> Staff 01/02 02/03 03/04 04/05 05/06<br />
Nursing 120.43 123.29 134.34 132.50 129.85<br />
Administration & Clerical 19.26 22.50 21.79 20.74 20.28<br />
Medical & Allied <strong>Health</strong> 25.84 24.36 26.79 40.57 45.20<br />
Other Support Services 40.02 40.16 44.91 41.84 40.95<br />
Supported Residential Service 7.60 13.40 13.67 13.67<br />
Total 205.55 217.91 241.23 249.32 249.95<br />
13
Medical Services Division<br />
Key Points<br />
• Clinical Case Reviews: As the need arises, these<br />
are conducted in order to improve quality <strong>of</strong> care.<br />
Outcomes from these have improved systems<br />
related to quality <strong>of</strong> clinical care.<br />
• Credentialing and Scope <strong>of</strong> Practice: A statewide<br />
document has been released for Credentialing <strong>of</strong><br />
Medical Practitioners. This will ensure uniformity<br />
in the approach and consistency across Victoria.<br />
PDH has adopted this document and reviewed<br />
the Terms <strong>of</strong> Reference for both the Credentialing<br />
Committee and the Medical Appointments<br />
Committee.<br />
• Maternity Services: 2005 – <strong>2006</strong> has been the<br />
year in which comprehensive maternity care has<br />
been expanded. At the PDH Specialist Clinic, all<br />
women presenting for an antenatal consultation<br />
now see both the Midwife and the Obstetrician<br />
independently. This has ensured that women are<br />
more informed on their choices and has increased<br />
the support to all pregnant women attending the<br />
clinic. Patient numbers have grown over the past<br />
year.<br />
Performance<br />
The biggest problem PDH has faced in the 2005/<strong>2006</strong><br />
year was the continuation <strong>of</strong> medical services after<br />
hours. The following solutions have been considered<br />
but funding and workforce shortage seem to be the<br />
major deterrents in achieving any solution.<br />
• 24 Hour Medical Clinic<br />
• Rotating Emergency Specialist through the A&E<br />
department<br />
• Resident staff employed by PDH<br />
• Registrars, interns and junior doctors rotating<br />
through the A&E department as part <strong>of</strong> their<br />
training.<br />
• Locum cover over weekends.<br />
Medical recruitment remains a high priority <strong>of</strong><br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. However the national need<br />
for GPs have made this a challenging experience,<br />
not only for <strong>Portland</strong> but also for rural Victoria in<br />
general.<br />
Outlook<br />
Our ultimate aim is maintenance and provision <strong>of</strong> a<br />
full range <strong>of</strong> appropriate quality medical and allied<br />
services to the community.<br />
Recruitment will continue to ensure continuation<br />
<strong>of</strong> services. As we have an ageing specialist medical<br />
workforce, succession planning will include<br />
recruitment <strong>of</strong> specialist medical staff to <strong>Portland</strong>. We<br />
are in the process <strong>of</strong> recruiting a full time specialist<br />
anaesthetist and full time specialist surgeon.<br />
DR. MEINDERT VAN DER VEER<br />
DIRECTOR OF MEDICAL SERVICES<br />
PHYSIOTHERAPY<br />
This past year in the physiotherapy department has<br />
seen the departure <strong>of</strong> Olivia Mottram after working<br />
here for nearly 2 years and the arrival <strong>of</strong> a new physio<br />
James Bassett from University <strong>of</strong> SA. Also our long<br />
serving receptionist Lauren Hockley has been on<br />
maternity leave and Danielle Garner has helped run<br />
the department in her absence.<br />
Even though the hospital has had a reduction in<br />
inpatient throughput the physiotherapy department<br />
has provided 6795 in-patient occasions <strong>of</strong> service<br />
compared to 4900 in the previous year. Our outpatient<br />
numbers however have dropped approximately<br />
1000 but overall there has been an increase in our<br />
activity levels.<br />
The physiotherapy department continues to service<br />
the hospital inpatient, rehabilitation unit, cardiac<br />
rehabilitation and Seymour Cundy Wing. Also<br />
within the community we attend <strong>Portland</strong> Special<br />
Development School working with their children<br />
and assist Lewis Court when required. Lastly the<br />
department runs hydrotherapy classes twice a week<br />
ably run by James and Melanie.<br />
DAVID WALKER<br />
CHIEF PHYSIOTHERAPIST<br />
RADIOLOGY<br />
Key Points<br />
• The Radiology Department was the recipient <strong>of</strong><br />
an Australian Achievers “Highly Recommended”<br />
Award for Excellence in Customer Service 2005<br />
• The department has had steady client &<br />
examination numbers for the last year.<br />
• The use <strong>of</strong> locum radiographers has kept<br />
radiography staffing to adequate numbers<br />
14
• We hope to secure the services <strong>of</strong> a new full-time<br />
radiographer in the very near future.<br />
• Computed Radiography is to be introduced<br />
in the very near future. This will encompass<br />
general radiography and further down the track,<br />
Breastscreen and Diagnostic Mammography.<br />
• Staff will continue to upgrade/update their<br />
knowledge in accordance with their pr<strong>of</strong>essional<br />
body guidelines and PDH requirements.<br />
Thank you to all staff for your efforts during this<br />
past year.<br />
ROBIN PARRY<br />
CHIEF RADIOGRAPHER<br />
Performance<br />
• Patient throughput and examination numbers<br />
have remained relatively steady.<br />
• Radiologists continue to visit three days per week<br />
and <strong>of</strong>fer out-<strong>of</strong>-hours radiology reporting on<br />
CT and Ultrasound examinations<br />
• The department <strong>of</strong>fers continued excellent<br />
customer service with an average <strong>of</strong> 21 hour results<br />
turnaround time for general examinations.<br />
Outlook<br />
• The department is actively working towards<br />
maintaining accreditation status.<br />
PATHOLOGY SERVICES<br />
St John <strong>of</strong> God Pathology is now Australia’s fourth<br />
largest pathology practice and the largest provider not<br />
listed on the Australian Stock Exchange.<br />
Our laboratory at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> plays an<br />
integral part in our commitment to providing quality<br />
diagnostic services to regional communities.<br />
The coming twelve months will see an update across<br />
the practice <strong>of</strong> analysers and a shift towards a standard<br />
platform for biochemistry ensuring continuity <strong>of</strong> care<br />
for patients no matter where they attend one <strong>of</strong> our<br />
centres. This is particularly important for patients<br />
that are referred to larger hospitals for specialist<br />
treatment.<br />
Improvements over the past year also include, better<br />
HDL turnaround times as a result <strong>of</strong> a method change<br />
and installation <strong>of</strong> a new Coagu-Chek instrument for<br />
testing INRs for children and elderly patients.<br />
JANE MAYBERY<br />
LABORATORY MANAGER<br />
Staff by Gender and Employment Status<br />
Male Male Female Female<br />
Category <strong>of</strong> Staff Numbers Numbers Numbers<br />
05/06 2004-2005 05/06 2004-2005<br />
Full-Time 20 24 72 71<br />
Part Time 11 11 200 214<br />
Casual 1 1 46 24<br />
32 36 318 309<br />
15
COMMUNITY HEALTH &<br />
CORPORATE SERVICES<br />
The past 12 months has seen a significant restructuring<br />
within <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> including the creation<br />
<strong>of</strong> a new division <strong>of</strong> Community <strong>Health</strong> & Corporate<br />
Services.<br />
Services within this division now include community<br />
nursing, counselling services, health promotion,<br />
allied health, maternal and child health, catering,<br />
environmental services, engineering, Sea View House<br />
supported residential service, special projects and<br />
safety.<br />
Staff within these departments are to be commended<br />
for the manner in which they have adapted to the<br />
changes.<br />
Community <strong>Health</strong> and Primary Care services are<br />
seen as the area <strong>of</strong> growth for the future and <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> is looking to address areas <strong>of</strong> service<br />
shortcoming. As a spin <strong>of</strong>f to the restructuring and<br />
internal funding re-organisation new positions have<br />
been created for the following<br />
- <strong>Health</strong> promotion worker<br />
- Second speech pathologist<br />
- Second podiatrist.<br />
A Community rehabilitation program has been<br />
commenced being an extension <strong>of</strong> the <strong>South</strong>ern<br />
Grampians/Glenelg rehabilitation program that has<br />
been under pilot over the last two years. Even at this<br />
early stage it is clear that this will be <strong>of</strong> huge benefit<br />
to our community.<br />
Other innovative programs and developments<br />
undertaken during the year include the Towards<br />
a <strong>Health</strong>y Heart Program which is being run in<br />
conjunction with local industries and targets the<br />
health <strong>of</strong> the middle aged male, and the development<br />
<strong>of</strong> a Family Violence Assessment & Referral Package.<br />
As with all other areas <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> a<br />
considerable amount <strong>of</strong> effort has been expended on<br />
preparing for the forthcoming accreditation survey,<br />
which will take place in August <strong>2006</strong>. All departments<br />
have made excellent progress and are well positioned<br />
for survey.<br />
During the year <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> was<br />
extremely fortunate to have the services <strong>of</strong> Dr Cathy<br />
Balding to review the quality plan for the organisation.<br />
Along with all other sections <strong>of</strong> <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> our division has reviewed its quality activities<br />
to align with the major goal <strong>of</strong> eliminating harm to<br />
our patients, residents and clients arising from adverse<br />
events associated with:<br />
• Falls<br />
• Medication<br />
• Communication<br />
• Aggression<br />
• Nutrition<br />
• Infection<br />
Another exciting development for the organisation<br />
has been the commencement <strong>of</strong> construction works<br />
for the new residential aged care facility and day<br />
procedure unit.<br />
This project has an end cost <strong>of</strong> $8,865,000, following<br />
the allocation <strong>of</strong> an additional $1M by the Department<br />
<strong>of</strong> Human Services. This increase in funding was<br />
largely necessitated by higher than anticipated tender<br />
prices encountered as a result <strong>of</strong> the current building<br />
boom in the state. The additional funding will also<br />
enable us to provide an elevated link-way between the<br />
operating theatres and the new day procedure unit,<br />
which would have been omitted, had the additional<br />
funding not been forthcoming. Thanks must go<br />
to the staff <strong>of</strong> Capital Management Branch <strong>of</strong> the<br />
Department <strong>of</strong> Human Services for their unwavering<br />
support for this project.<br />
Recent months has seen a flurry <strong>of</strong> construction<br />
activity in a number <strong>of</strong> areas <strong>of</strong> the hospital associated<br />
with this project. In August we will be required to<br />
remove the <strong>Health</strong> Services Building so that the area<br />
may be freed up for the construction <strong>of</strong> the balance<br />
16
<strong>of</strong> the residential aged care facility. This will be a<br />
significant event as this building originally ‘came’ to<br />
the hospital in 1980 as a temporary casualty building<br />
during the initial construction <strong>of</strong> the smelter and has<br />
already had one move and change <strong>of</strong> function (1990)<br />
as part <strong>of</strong> the major redevelopment underway at that<br />
time.<br />
The removal <strong>of</strong> the <strong>Health</strong> Services Building will see<br />
the current occupants relocated to the Henry Maling<br />
House Building which is currently being refurbished.<br />
Our environmental staff continue to excel with<br />
excellent results in the most recent cleaning audits.<br />
Our catering staff provide a level <strong>of</strong> service that is the<br />
envy <strong>of</strong> others and we plan to show case our work on<br />
dietary and nutrition in the forthcoming aged care<br />
survey. Our engineering department also continues<br />
to function at the highest level with the achievement<br />
<strong>of</strong> Form 10 certification for our essential building<br />
maintenance.<br />
During the year there were several staff movements and<br />
I would like to thank these staff for their contribution<br />
to <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
I would also like to pay tribute to my department heads<br />
and seniors for their outstanding effort this past year.<br />
Also to the staff in the various departments thank you<br />
for your continuing dedication and excellent results.<br />
Set out on the following pages are the reports from<br />
individual services within the division.<br />
HEALTH PROMOTION UNIT<br />
Key Points<br />
· <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is committed to<br />
working with the community and other key<br />
stakeholders to develop and implement health<br />
promotion strategies aimed at preventing illness<br />
and promoting health.<br />
· <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> aims to assist individuals<br />
in taking control <strong>of</strong> their health and wellbeing by<br />
providing health promotion programs that are<br />
relevant and empirically based for the Glenelg<br />
Shire Region.<br />
· All <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s health promotion<br />
programs encompass the organisation’s philosophy<br />
<strong>of</strong> health and its mission, vision and values.<br />
With a changed focus from one <strong>of</strong>f programs to<br />
evaluated longer term interventions, the <strong>Health</strong><br />
Promotion Unit in 2005/<strong>2006</strong> has been extremely<br />
busy.<br />
The emergence <strong>of</strong> the Towards a <strong>Health</strong>y Heart<br />
project into a research pilot has meant that the last 12<br />
months have been both challenging and rewarding.<br />
The program has seen the screening <strong>of</strong> more than 90<br />
men, aged between the ages <strong>of</strong> 30 and 60 screened for<br />
the risk factors for heart disease, delivery <strong>of</strong> a 10 week<br />
education and physical activity program, monitoring,<br />
repeat screenings and booster education sessions. The<br />
results to date have been very promising with overall<br />
reductions in the risk <strong>of</strong> heart disease to participants.<br />
I would like to take this opportunity to thank<br />
Margaret Hay <strong>of</strong> Monash University and the pilot<br />
organisations <strong>of</strong> <strong>Portland</strong> Aluminum, Graincorp, the<br />
Port <strong>of</strong> <strong>Portland</strong>, Incitec Pivot and the Glenelg Shire<br />
Council.<br />
PHIL HYNES<br />
DIRECTOR OF COMMUNITY HEALTH AND<br />
CORPORATE SERVICES<br />
Photographer: Ebony Garner;<br />
photo courtesy <strong>of</strong> the <strong>Portland</strong> Observer<br />
17
In late 2005, the <strong>Health</strong> Promotion Unit received<br />
funding to implement a Go for Your Life Community<br />
Walking Program, which has seen the development<br />
<strong>of</strong> graded walking maps for two walking tracks in<br />
<strong>Portland</strong>. Approximately 120 community members<br />
attended the launch <strong>of</strong> the Glenelg Walking strategy<br />
in Rural <strong>Health</strong> Week with the Glenelg Shire Council<br />
working with <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> to improve the<br />
walking track around the Fawthrop Lagoon.<br />
We have been fortunate to have a Master’s student<br />
from Monash University on placement within the<br />
<strong>Health</strong> Promotion Unit. Melanie Gledhill spent 6<br />
months investigating the possibility <strong>of</strong> a walking<br />
school bus program for <strong>Portland</strong>. The outcome <strong>of</strong> her<br />
research has seen the development <strong>of</strong> a program plan<br />
and funding submission which will be submitted and<br />
hopefully implemented in 2007.<br />
Mid <strong>2006</strong> saw the commencement <strong>of</strong> a new Quit<br />
Smoking Pilot. Implemented in conjunction with<br />
Drug and Alcohol, Quit Victoria and Pfizer the<br />
<strong>Health</strong> Promotion Unit commenced a Smoking<br />
Support Pilot aimed at providing education and<br />
nicotine replacement therapy to <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> Staff and their families. The pilot currently<br />
has 140 participants with the result so far indicating<br />
cessation rates <strong>of</strong> around 40%. The remaining 60%<br />
have significantly cut down the number <strong>of</strong> cigarettes<br />
consumed daily.<br />
In <strong>2006</strong>, the <strong>Health</strong> Promotion Unit experienced<br />
some staffing changes. In early <strong>2006</strong>, Rachael Ryan<br />
and Pauline McGee joined the <strong>Health</strong> Promotion<br />
team while Lynda Smith left for 12 months maternity<br />
leave.<br />
Outlook<br />
More than 3600 hours were spent on providing health<br />
promotion programs to the <strong>Portland</strong> and <strong>District</strong><br />
Community.<br />
In <strong>2006</strong>/2007 the health promotion unit has identified<br />
several key objectives:<br />
· To work with the Otway Division <strong>of</strong> General<br />
Practitioners and local Visiting Medical Officers<br />
to implement an active script program into the<br />
<strong>Portland</strong> community<br />
· To work with <strong>South</strong> <strong>West</strong> Sports Assembly and<br />
Kyeema on a health promotion framework for<br />
disability settings<br />
· To complete and publicise the Towards a <strong>Health</strong>y<br />
Heart model for cardiovascular disease risk<br />
reduction in men aged 30 to 60<br />
· To develop a community consultation strategy to<br />
support the health promotion planning process<br />
· To complete the <strong>2006</strong>/2009 <strong>Health</strong> Promotion<br />
Management Plan for <strong>Portland</strong> in conjunction<br />
with Department <strong>of</strong> Human Services, the<br />
Glenelg Shire Council, local organisations, key<br />
stakeholders and the community<br />
· To continue to develop a quality improvement<br />
program for health promotion and health<br />
programs that is <strong>of</strong> the highest quality (spanning<br />
planning through to program evaluation) and<br />
benchmarking with other health promotion<br />
units<br />
I would like to take this opportunity to thank all the<br />
individuals and organisations that have supported<br />
the <strong>Health</strong> Promotion Unit in their activities in<br />
2005/<strong>2006</strong>. Without such generous support, the<br />
activities we developed and implemented would not<br />
have been possible.<br />
I look forward to working with the community, local<br />
organisations, the Visiting Medical Officers, GPs and<br />
health pr<strong>of</strong>essionals in the next year to continue to<br />
address the needs <strong>of</strong> the <strong>Portland</strong> community.<br />
JACKI CARMODY<br />
PRIMARY CARE PROGRAMS MANAGER<br />
18
Women’s <strong>Health</strong><br />
There have been many achievements and focus areas<br />
for Women’s <strong>Health</strong> over the past twelve months.<br />
Service Planning / Community Consultation<br />
· Meetings held with service providers and/or focus<br />
groups from local communities included <strong>Portland</strong><br />
Aluminium, Glenelg Shire Council, <strong>Portland</strong><br />
Women’s Services Club, Dhauwurd-Wurrung<br />
Elderly Citizens Association Ltd (DWEC),<br />
Winda Mara, Dr. Margaret Garde, Dartmoor,<br />
Merino, Digby, Penshurst, Coleraine, Hamilton,<br />
Balmoral, Casterton and <strong>Portland</strong>. Currently we<br />
are working with agencies to develop women’s<br />
health programs in the local communities.<br />
Women’s <strong>Health</strong> Resource Worker <strong>Health</strong><br />
Promotion Plan for <strong>South</strong>ern Grampians & Glenelg<br />
· The plan has been developed together with<br />
the Women’s <strong>Health</strong> Resource Workers for<br />
Warrnambool, Hamilton & Moyne, in<br />
consultation with local service providers and<br />
community women. The plan involves proposed<br />
strategies targeting family violence, sexual and<br />
reproductive health, body image, and bone<br />
health.<br />
Community <strong>Health</strong> Network for <strong>South</strong>ern<br />
Grampians and Glenelg<br />
· In response to a need expressed by some<br />
community health nurses within the region, I<br />
am currently working to establish a Community<br />
<strong>Health</strong> Network for <strong>South</strong>ern Grampians and<br />
Glenelg Region. The aim <strong>of</strong> the network is to<br />
provide a forum for rural and remote community<br />
health nurses/workers to liaise with their peers,<br />
exchange information and ideas. The network<br />
also provides much appreciated support for<br />
Community <strong>Health</strong> Nurses who are <strong>of</strong>ten sole<br />
workers, working in isolation.<br />
Women’s <strong>Health</strong> Forum<br />
· A small working group with representatives from<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>, Glenelg Outreach,<br />
Winda Mara, Dartmoor Bush Nursing Centre<br />
and Casterton has come together to plan a<br />
Women’s <strong>Health</strong> Forum. Planning is in the very<br />
early stages.<br />
Indigenous <strong>Health</strong><br />
· Initial meetings with representatives from Winda<br />
Mara and DWEC to discuss women’s health<br />
needs have been positive. I am currently working<br />
with both agencies to develop programs relevant<br />
to their needs. Group bookings to Breast Screen<br />
are currently being organised.<br />
Sexual <strong>Health</strong><br />
· 2005/<strong>2006</strong> has seen the completion <strong>of</strong> the KISSE<br />
program. More that 1500 students have received<br />
sexual health and reproduction education<br />
with extended support provided to schools<br />
and teachers to assist them in continuing this<br />
work. The extension to this program has been<br />
the Whole School Sexuality Program, which<br />
focuses on providing pr<strong>of</strong>essional development<br />
and community building strategies to support<br />
schools to provide sexual health and reproductive<br />
education as part <strong>of</strong> the curriculum. In<br />
conjunction with the Youth Worker, the Whole<br />
School Sexuality Program will continue into<br />
<strong>2006</strong>/2007.<br />
Community Engagement<br />
· In 2005/<strong>2006</strong>, continued support was provided to<br />
groups and organisations to assist them to secure<br />
funds for programs and interventions aimed at<br />
benefiting women. Whole-woman continues to<br />
support initiatives for women, and the Women’s<br />
<strong>Health</strong> Resource Worker continues to be pivotal<br />
in this process.<br />
Outlook<br />
• Consolidate ongoing, good working relationships<br />
with agencies and community groups within<br />
the <strong>South</strong>ern Grampians & Glenelg Region in<br />
the development/provision <strong>of</strong> women’s health<br />
education and promotion, which is relevant and in<br />
response to the needs <strong>of</strong> the local communities.<br />
• Identify service gaps and work toward meeting<br />
the need.<br />
• Continue to work with the local indigenous<br />
communities to identify women’s health needs<br />
and provide relevant programs in response to the<br />
expressed need.<br />
• Establish a <strong>South</strong>ern Grampians & Glenelg<br />
Community <strong>Health</strong> Network that meets the<br />
needs <strong>of</strong> rural and remote community health<br />
workers.<br />
PAULINE McGEE<br />
WOMEN’S HEALTH RESOURCE WORKER<br />
19
COUNSELLING & SUPPORT<br />
Key Points<br />
• The team has continued to provide counselling<br />
and support to the community as well as provide<br />
a social work service to the acute sector <strong>of</strong> the<br />
hospital.<br />
• Carolyn Malseed has developed and implemented<br />
the “Well for Life” Program, to improve the<br />
physical health and nutritional well being within<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> planned activity groups.<br />
Carolyn secured funding to allow community<br />
transport drivers to complete Level 1 First Aid<br />
Training.<br />
Our Telelink and Telecare programs, which<br />
Carolyn oversees, continue to provide a vital<br />
service to isolated and frail/ aged clients who live<br />
at home. <strong>Portland</strong> and Narrawong Old Timers<br />
groups are moving from strength to strength.<br />
• Carol Guidera is providing parenting and<br />
relationship counselling one to one or group<br />
sessions. Carol also delivers community education<br />
sessions in Advanced Care Planning to service<br />
clubs and interested community members. She<br />
<strong>of</strong>fers a carers group to the community. Also<br />
has recently initiated a Parenting Workshop<br />
for community members in conjunction with<br />
Maternal Child <strong>Health</strong> Nurse Jenny Trenorden.<br />
• Gerry Leonard (Mental <strong>Health</strong> Worker) has been<br />
delivering Mental <strong>Health</strong> First Aid Training to<br />
community groups. Gerry has been involved<br />
in the Koori Faces program run by Dhauwurd-<br />
Wurrung Elderly Citizens (DWEC). Gerry<br />
supports the Men on the Move program. This<br />
group <strong>of</strong> community members meet and make<br />
furniture to sell, proceeds go to charity.<br />
• The team provided assistance to, Diabetes,<br />
Cardiac Rehabilitation, and Towards a <strong>Health</strong>y<br />
Heart.<br />
• The team has also been involved with Advanced<br />
Care Planning for the community.<br />
• Critical Incident Stress Management has been<br />
provided to external organisations.<br />
• Strengthened linkages with cross border services<br />
have occurred, to enhance service delivery.<br />
• The team was able to provide emergency<br />
relief “Food Vouchers” to the community in<br />
conjunction with Salvation Army.<br />
• Sam Sharp (Youth Worker) is facilitating a<br />
‘whole school sexual health promotion program’<br />
within the <strong>Portland</strong>/Heywood schools cluster.<br />
The program provides support and pr<strong>of</strong>essional<br />
development to primary and secondary schools.<br />
• Sam continues to provide counselling to<br />
young people who are homeless or at risk <strong>of</strong><br />
homelessness.<br />
• Anja Cr<strong>of</strong>t has continued to provide counselling<br />
and support to the acute sector however, she<br />
leaves us for 12 months maternity leave and will<br />
be replaced by Gerry Leonard.<br />
• Lynne Roberts joins the Counselling and Support<br />
Team two days a week. Lynne is a Social Worker<br />
who also works for the Primary Mental <strong>Health</strong><br />
Team. Lynne will be undertaking individual<br />
counselling and group work.<br />
• Merrilyn Risk is Team Leader for the Counselling<br />
and Support Team, responsibilities include,<br />
supervision <strong>of</strong> Social Work students, undertaking<br />
counselling, advocacy, case management,<br />
community development activities, management<br />
duties, and recently assisted with the launch <strong>of</strong> the<br />
Family Violence Assessment & Referral Package<br />
which assists generalist counsellors to identify<br />
clients’ immediate needs and referral pathways.<br />
Performance<br />
Development <strong>of</strong> team policies and protocols.<br />
Establishment <strong>of</strong> processes to deal with case<br />
management, clinical supervision, client allocation<br />
and referrals.<br />
The Department <strong>of</strong> Human Services has provided<br />
training in Disaster Recovery and Trauma Management<br />
to enhance community responses to trauma.<br />
The “In-Home Child Care” Program, coordinated<br />
by Annette Hinchcliffe, has provided support for<br />
community members. This program provides quality<br />
childcare in the home <strong>of</strong> the children.<br />
Outlook<br />
Provide community with a greater awareness <strong>of</strong> the<br />
Counselling & Support Team.<br />
Develop stronger partnerships with other service<br />
providers.<br />
Increase programs and services from the Counselling<br />
& Support Team.<br />
MERRILYN RISK<br />
COUNSELLING & SUPPORT TEAM<br />
MANAGER<br />
20
DIETETICS DEPARTMENT<br />
Key Points<br />
• The past year was an extremely busy year for<br />
the dietetics department, which has an effective<br />
fulltime staffing (EFT) <strong>of</strong> 2.6.<br />
• Inpatient, outpatient and home visit services<br />
continued, whilst we also participated in the<br />
orthopaedic and rehabilitation programs. Services<br />
to the dialysis unit were also initiated in 2005.<br />
• The dietetics department continued nutrition<br />
support services to the Royal Children’s Hospital<br />
Outreach Clinic for children with Type 1<br />
Diabetes.<br />
• Regular visiting services to Lewis Court Home<br />
for the Aged and <strong>Portland</strong> Special Development<br />
School continued.<br />
• Outreach Services to Dartmoor Bush Nursing<br />
Centre continued on an as-required basis.<br />
• Nutritional risk screening <strong>of</strong> residents <strong>of</strong> Seymour<br />
Cundy Wing was repeated in December 2005<br />
and showed significant improvement in the<br />
nutritional health <strong>of</strong> residents over the twelvemonth<br />
period.<br />
• The Dietetics Department supervised our first<br />
ever Community Nutrition Dietetic Student<br />
placement. In July 2005 two fourth year students<br />
from Monash University completed an eightweek<br />
placement, undertaking a nutritional needs<br />
assessment <strong>of</strong> school aged children. We also<br />
had two third year students for a rural health<br />
placement for three weeks in October 2005.<br />
• During 2005-<strong>2006</strong> dietitians attended<br />
pr<strong>of</strong>essional development sessions, further<br />
enhancing clinical, community and public health<br />
nutrition skills.<br />
• The Cardiac Rehabilitation Program continued<br />
with events such as supermarket tours now being<br />
included as a regular component <strong>of</strong><br />
the program.<br />
• Dietitians, Jacqui Panter and Vinotha<br />
Vijayapalan put considerable effort<br />
into the implementation <strong>of</strong> the<br />
“Towards a <strong>Health</strong>y Heart” program.<br />
• A fun and educational <strong>Health</strong><br />
Promotion activity was held at<br />
the <strong>Portland</strong> Kidzstuff Festival in<br />
January <strong>2006</strong>, with around 100<br />
children participating by making their own fruit<br />
smoothies.<br />
• Many other community nutrition talks and<br />
health promotion displays were provided to local<br />
businesses and community organisations during<br />
the year.<br />
• Jacqui Panter left us on twelve months leave <strong>of</strong><br />
absence in March <strong>2006</strong>, and Kimberly Chin<br />
filled the Community Dietitian role. Vinotha<br />
Vijayapalan resigned in March <strong>2006</strong>, and Victoria<br />
Bell filled the clinical dietetics role.<br />
Performance<br />
2005-<strong>2006</strong> has been a challenging year for the<br />
Dietetics Department. Demand for outpatient<br />
appointments increased by 33% during 2005-<strong>2006</strong>,<br />
with resultant increases in the outpatient waiting<br />
list times, whilst demand for health promotion and<br />
community services also continued to grow. To assist<br />
the management <strong>of</strong> this, group education sessions<br />
were introduced to provide more timely advice and<br />
education to outpatients. Considerable effort has been<br />
made by the Dietetics Department to increase our<br />
quality activities and improve our overall department<br />
performance.<br />
Outlook<br />
<strong>2006</strong>-2007 is shaping up to be a most challenging<br />
year for the dietetics department. Improvement in<br />
best practice care and department management will be<br />
ongoing. We will strengthen our ties with universities<br />
through provision <strong>of</strong> dietetics student training.<br />
We will alter the methods in which we manage our<br />
outpatient clinics to attempt to provide timely service<br />
and reduce outpatient waiting times. We will also<br />
continue to foster optimal nutritional health for the<br />
entire community crossing the span from primary to<br />
tertiary health care.<br />
FIONA STORER<br />
SENIOR DIETITIAN<br />
21
OCCUPATIONAL THERAPY<br />
Key Points<br />
Occupational Therapy is focused on promoting health<br />
and well being through occupation. Occupation is<br />
not solely associated with work, and can be defined as<br />
activities that people want and need to do on a daily<br />
basis. This incorporates work, leisure, self care and<br />
rest. The primary goal <strong>of</strong> occupational therapy is to<br />
enable people to participate in activities <strong>of</strong> everyday<br />
life<br />
• Senior Occupational Therapist Jill Swinton retired<br />
from <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> in November<br />
2005.<br />
• Jacki Barnett continues to work on a full time<br />
basis, providing Occupational Therapy services<br />
to acute, community, rehabilitation and aged<br />
care clients.<br />
• Paediatric Occupational Therapist Briony Trace is<br />
on 12 months maternity leave and Sue Adamson<br />
is currently working with Paediatric clients, their<br />
families and teachers.<br />
• Jenny Sutton commenced in May <strong>2006</strong> as a<br />
Community Allied <strong>Health</strong> Assistant. Jenny is<br />
working with Physiotherapy, Speech Pathology,<br />
Dietetics, Podiatry and Occupational Therapy on<br />
a full time basis.<br />
• Catherine McInnes completed her employment<br />
as the <strong>South</strong>ern Grampians Rehabilitation<br />
Occupational Therapist in April <strong>2006</strong>. Megan<br />
Williams has been employed by <strong>South</strong>ern<br />
Grampians to replace Catherine, commencing in<br />
June <strong>2006</strong>.<br />
• Joan Cannon continues to provide services and<br />
support to both acute and community clients.<br />
Performance<br />
Jacki Barnett attended a Neurological Rehabilitation<br />
course conducted by La Trobe University during<br />
2005. This course examined current research findings<br />
on stroke rehabilitation, including assessment,<br />
intervention and monitoring.<br />
Joan Cannon attended a workshop/presentation on<br />
Depression in Chronic Illness, at the <strong>West</strong>ern <strong>District</strong><br />
<strong>Health</strong> Service in Hamilton. Joan also recently<br />
attended a conference at <strong>South</strong>west <strong>Health</strong>care<br />
in Warrnambool, which examined acute care and<br />
Innovations in Stroke.<br />
Jenny Sutton will complete her Mayfield Allied <strong>Health</strong><br />
Assistant Certificate this year.<br />
22<br />
The Occupational Therapy Department introduced a<br />
new agreement system for the loan/hire <strong>of</strong> equipment.<br />
Joan has maintained the Occupational Therapy<br />
equipment service, which provides equipment items<br />
to both acute and community clients<br />
Outlook<br />
The Occupational Therapy Department will continue<br />
to provide services to the following:<br />
• The Early Intervention Program<br />
• Local Primary Schools<br />
• Cardiac Rehabilitation Program<br />
• Aged Care facilities: including Seymour Cundy<br />
Wing<br />
• Sea View House and Lewis Court.<br />
In addition, the Occupational Therapy team will<br />
continue to work closely with the Glenelg Shire<br />
Council and Community Options.<br />
The department will also provided clinical placement<br />
for nursing students enabling students to gain insight<br />
into the role <strong>of</strong> Occupational Therapy, in both the<br />
acute and community sector.<br />
The occupational therapy team would like to thank<br />
doctors, management and staff for their continued<br />
support.<br />
JACKI BARNETT<br />
OCCUPATIONAL THERAPIST<br />
PODIATRY<br />
Key Points<br />
• The move from Otway Street to the <strong>Health</strong> Services<br />
Centre just prior to the start <strong>of</strong> this financial year<br />
has been rewarding, challenging and a huge step<br />
pr<strong>of</strong>essionally, as I feel Podiatry now has a greater<br />
pr<strong>of</strong>ile within the organisation.<br />
• Supervision <strong>of</strong> third year students on placement<br />
from La Trobe University provided a boost to the<br />
service delivery levels toward the end <strong>of</strong> 2005.<br />
• Increased podiatry funding late in the 04/05<br />
financial year to help address extended waiting<br />
times for appointments has been beneficial<br />
in some areas, allowing for more flexibility in<br />
client follow up, the down side though has been<br />
an increase to the waiting list in proportion to<br />
increased hours.
• My attendance at the 21st biannual Australasian<br />
Podiatry Conference in August 2005 emphasised<br />
the importance <strong>of</strong> this networking and learning<br />
experience to our small pr<strong>of</strong>ession in which<br />
changes are rapid and substantial.<br />
• Since moving I have enjoyed the support <strong>of</strong> a<br />
wide range <strong>of</strong> individuals and departments within<br />
our organisation and am pleased to say that this<br />
has helped many <strong>of</strong> my clients, and also been <strong>of</strong><br />
benefit to others within the organisation as they<br />
happily use me as a resource.<br />
• I have taken on various other tasks within the<br />
organisation such as assisting in work undertaken<br />
towards the development <strong>of</strong> the <strong>Health</strong> Services<br />
Plan, completed the Occupational <strong>Health</strong> and<br />
Safety Training course (becoming the <strong>Health</strong><br />
Services Centre Representative), participated<br />
in the inspiring workshop conducted by Cathy<br />
Balding – Quality Masterclass, and in conjunction<br />
with the other designated Allied <strong>Health</strong> Senior<br />
staff contributed towards the management <strong>of</strong> the<br />
Allied <strong>Health</strong> Team, with the support <strong>of</strong> our new<br />
Director, Phil Hynes.<br />
• The announcement <strong>of</strong> funding to allow for<br />
the appointment <strong>of</strong> a second podiatrist has<br />
been an added highlight in this busy year, and<br />
I look forward to reporting on our successful<br />
recruitment, appointment and implementation<br />
<strong>of</strong> the new and improved podiatry services next<br />
year.<br />
• My long service leave will mean some interruption<br />
to services due to a lack <strong>of</strong> podiatrists available<br />
to provide locum relief however, it is anticipated<br />
that some minimal coverage will be available to<br />
our highest risk clients through public services<br />
in Warrnambool. Suffice to say a great deal<br />
<strong>of</strong> work has gone into planning around this<br />
to try to minimise the negative impact on the<br />
community.<br />
Performance<br />
2005/<strong>2006</strong> has seen client numbers swell, increased<br />
by approximately 150 since June 2005, this has<br />
resulted in little improvement in the waiting times for<br />
review clients and as such we are now in the process<br />
<strong>of</strong> reviewing all clients, and assessing their needs using<br />
a standardised tool that allows for more objective risk<br />
level designation. As such our focus is increasingly on<br />
those members <strong>of</strong> the community considered to be at<br />
higher risk <strong>of</strong> foot complications due to medical and<br />
podiatric conditions.<br />
An intensive effort has been directed towards our list<br />
<strong>of</strong> clients waiting for initial consultation. Prior to<br />
my commencement <strong>of</strong> long service leave this list was<br />
returned to nil waiting time.<br />
Outlook<br />
To continue to assess our clientele to ensure those<br />
clients with the greatest need are receiving adequate<br />
service.<br />
To improve my skills in areas <strong>of</strong> interest in turn<br />
enhancing quality service delivery to clients <strong>of</strong> <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> and the community as a whole.<br />
Commencement <strong>of</strong> a new era in public podiatry for<br />
<strong>Portland</strong>, with greater scope to provide for community<br />
needs.<br />
To settle into another ‘new’ home – Henry Maling<br />
House - upon completion <strong>of</strong> renovations, bringing<br />
us, it is hoped one step closer to the eventuality <strong>of</strong> all<br />
Primary Care staff as a team together on one site.<br />
DONNA SHEPHERD<br />
PODIATRIST<br />
PRIMARY CARE NURSING<br />
Primary care nursing incorporates<br />
• Community <strong>Health</strong> Nursing<br />
• Diabetes Education<br />
• Family Planning<br />
• Asthma & Respiratory Education<br />
• Continence Nursing<br />
• Breast Care & BreastScreen Nursing<br />
• Maternal & Child <strong>Health</strong> (Glenelg Shire<br />
Contract)<br />
Groups <strong>of</strong>fered include Fawthrop Walking Group,<br />
Diabetes, Epilepsy, Parkinson’s and Breast Cancer<br />
Support Groups, Water Exercise and Laughter<br />
Therapy.<br />
Programs <strong>of</strong>fered include Cardiac Rehabilitation (8<br />
weeks & ongoing exercise component), Diabetes<br />
Education (6 weeks), Towards a <strong>Health</strong>y Heart,<br />
3RPC (sessions weekly) Asthma Friendly schools, and<br />
Emergency Asthma Training.<br />
Performance<br />
2005-<strong>2006</strong><br />
Our Primary Care Nurses possess a broad range <strong>of</strong><br />
knowledge, skills and experience, particularly in the<br />
important areas <strong>of</strong> diabetes, asthma and respiratory<br />
management and education, cardiovascular health,<br />
23
continence, pap screening and breast care. Our nurses<br />
are committed to maintaining high standards <strong>of</strong><br />
service, evidenced this year by:<br />
We look forward to another busy and successful year<br />
and many positive client outcomes.<br />
ROSEMARY COLE<br />
SENIOR COMMUNITY HEALTH NURSE.<br />
SPEECH PATHOLOGY<br />
Key Points<br />
• Continued busy workload<br />
• Resignation <strong>of</strong> Speech Pathologist, Jenni-Lee<br />
Rees.<br />
• Commencement <strong>of</strong> Ada Rodriguez.<br />
• Approval to appoint second Speech Pathologist.<br />
• Continued high numbers <strong>of</strong> clients being<br />
serviced<br />
• Increased GP referrals<br />
• Strong attendances at established Cardiac<br />
Rehabilitation and Water Exercise sessions<br />
• Providing Spirometry the “Gold Standard” for<br />
Lung Function Testing<br />
• Conducting Successful “Towards A <strong>Health</strong>y<br />
Heart” Programs<br />
• Promoting a variety <strong>of</strong> “do-able” physical activity<br />
options<br />
• Continuing to run a wide range <strong>of</strong> programs<br />
and groups that are <strong>of</strong> obvious individual and<br />
community benefit<br />
• Promoting and conducting screenings for skin<br />
cancer, blood pressure and diabetes.<br />
Outlook<br />
We aim to continue to provide quality services and<br />
programs, which meet individual and community<br />
needs and organisational priorities. We strive to<br />
deliver best practice, health-promoting options<br />
for clients and a flexible service that can adjust to<br />
provide new or different services when required e.g.<br />
QUIT counselling, Laughter Therapy and the Indoor<br />
Walking Program.<br />
Performance<br />
Jenni-Lee Rees, who resigned in March <strong>2006</strong>, provided<br />
exceptional service to our health facility and to the<br />
community, contributing greatly to the primary care<br />
team, taking on a senior role. We wish her well with<br />
her move to Rockhampton <strong>Health</strong> Service to further<br />
her career.<br />
We welcome Ada Rodriguez as her replacement<br />
and look forward to the coming year and the<br />
commencement <strong>of</strong> our second practitioner, Suzanne<br />
Guerin who will commence in July <strong>2006</strong>.<br />
ENVIRONMENTAL SERVICES<br />
The Environmental Services Department has<br />
continued to provide a high quality service to <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> throughout the year. The department<br />
remained well within budget despite the increase in<br />
services required by the department. I am extremely<br />
proud <strong>of</strong> the high standard <strong>of</strong> service provided by<br />
each member <strong>of</strong> the environmental services team and<br />
24
their commitment to our patients, community and<br />
organisation.<br />
Key Points.<br />
• Purchase <strong>of</strong> equipment.<br />
- Duplex carpet cleaner.<br />
- Linen trolleys with safety lifters insitu.<br />
- Several vacuum cleaners to cater for<br />
expanding duties and to ensure equipment is<br />
safe and up to date.<br />
• Implementation <strong>of</strong> linen bag slings to linen skips<br />
to prevent overfilling <strong>of</strong> skips, which assisted in<br />
achieving two goals for OH&S.<br />
• 13 staff members completed Certificate 3<br />
in <strong>Health</strong> Support Services in cleaning, all<br />
graduating with flying colours.<br />
• Five laundry staff continue with their Certificate<br />
3 studies in Laundry Operations, and are due to<br />
complete the course in November <strong>2006</strong>.<br />
Staff movements have included the resignation <strong>of</strong><br />
four staff members; our porter, moved into theatre<br />
as theatre technician; reorganisation <strong>of</strong> staffing for<br />
the opening <strong>of</strong> the Day Procedure Unit (DPU); the<br />
allocation <strong>of</strong> staff to support Sea View House with<br />
cleaning activities and the implementation <strong>of</strong> the<br />
micr<strong>of</strong>ibre cleaning system.<br />
The tasks <strong>of</strong> internal auditing continues along with<br />
the compilation <strong>of</strong> high quality collated data, which<br />
is vital for comparison.<br />
Positive Work Practices<br />
The portering and laundry roles are now undertaken<br />
by the majority <strong>of</strong> environmental services staff on a<br />
rostered basis. This reduces the episodes <strong>of</strong> repetitive<br />
work practices and ensures multiskilling throughout<br />
the department, which is vital for the efficient and<br />
effective operation <strong>of</strong> the department. This required<br />
updating position descriptions to better reflect the<br />
tasks undertaken by staff.<br />
Performance<br />
Internal cleaning audits continue to demonstrate our<br />
commitment to maintaining a clean, safe and pleasant<br />
environment by the consistently high scores achieved<br />
<strong>of</strong> 90% and above.<br />
Outstanding results were achieved following the<br />
compulsory external audit by scoring 98%.<br />
Our ongoing evaluation <strong>of</strong> processes and practices<br />
has seen numerous changes and tasks completed<br />
throughout the year.<br />
Outlook<br />
We look forward to a challenging year with the many<br />
changes that have occurred over the past 12 months<br />
and the redevelopment for the next 12 months.<br />
The goal for this department will be to maintain<br />
the current high standard, whilst working towards<br />
ongoing quality improvements and bench marking.<br />
I would like to thank the Environmental Services<br />
team for their support, their tolerance <strong>of</strong> change,<br />
the dedication to the role they perform and their<br />
willingness to undertake education and training. It<br />
is those qualities that make us the dynamic team we<br />
are.<br />
ROS JONES<br />
ENVIRONMENTAL SERVICES MANAGER.<br />
ENGINEERING<br />
Performance<br />
The Engineering Services Department has had<br />
another productive year completing a substantial<br />
works and equipment list, maintaining essential<br />
services compliance (new Form 10) and undertaking<br />
plant and equipment upgrades.<br />
Ward Consolidation<br />
Alterations and renovations in North Ward were<br />
undertaken throughout the year, to enable the two<br />
wards to be consolidated. These renovations also<br />
provided more efficient utilisation <strong>of</strong> space, allowing<br />
for a nurse education facility in the North Ward and a<br />
new larger Nurse Unit Manager’s <strong>of</strong>fice to be created.<br />
This re-shuffle included relocating Dialysis to the<br />
Accident & Emergency Department and relocating<br />
Post Acute Care from the <strong>Health</strong> Services Centre to<br />
<strong>South</strong> Ward.<br />
Plant Upgrades<br />
The past year has seen a continued effort towards<br />
ongoing plant upgrades. Much <strong>of</strong> the plant has been<br />
upgraded in recent years on an ongoing basis and a<br />
concerted effort in <strong>2006</strong>/2007 will realise completion<br />
<strong>of</strong> this task for sometime.<br />
Essential Services<br />
Checks and repairs continue regularly at specified<br />
intervals and quarterly inspections by Stokes<br />
Consulting take place to ensure ongoing Form 10<br />
essential services compliance. Again, as in the past I<br />
thank and commend the engineering services staff for<br />
their dedication and pr<strong>of</strong>essional manner in which<br />
they conduct and record these mandatory tasks.<br />
25
<strong>Health</strong> with a high standard <strong>of</strong> work, enthusiasm<br />
and made a significant contribution. Peter and his<br />
family have relocated, we wish them well in their<br />
endeavours.<br />
We welcome Alex Trahar, our new electrician. Alex<br />
tackles his work with enthusiasm, performing at a very<br />
a high standard and enjoys a technical challenge.<br />
There have been numerous other tasks completed<br />
throughout the year. It has been a very busy year<br />
I would like to thank the Engineering Services staff<br />
for their input, support and the manner in which they<br />
perform their tasks and I also thank the Information<br />
Technology Department for their assistance.<br />
Energy Reduction<br />
Earlier this year I represented <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
at the Premier’s Energy Sustainability Awards. We were<br />
nominated for our achievements in energy reduction.<br />
Although we were unsuccessful in securing an award,<br />
we felt honoured to be part <strong>of</strong> this event. On a per<br />
bed, per square metre basis, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
achieved better results than any other Department <strong>of</strong><br />
Human Services health care facility in Victoria.<br />
Dental Suite & Pharmacy<br />
In last year’s report I mentioned we were involved<br />
in the planning <strong>of</strong> these two projects, working with<br />
the architects. This culminated in <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> managing both projects in house. These works<br />
were completed utilising both engineering services<br />
staff and local sub contractors. I would like to thank<br />
the engineering services staff and our local “subbies”<br />
for an excellent outcome.<br />
Contract Management<br />
Our clerical support, continues to do an excellent<br />
job in maintaining our contract management records<br />
and has implemented a system to meet our record<br />
requirements in relation to red card registrations,<br />
insurances and inductions.<br />
Heating Contingency<br />
We have completed the installation <strong>of</strong> a back up<br />
heating system. In the event <strong>of</strong> geothermal failure, we<br />
can now heat the hospital with this gas-fired system. A<br />
little fine-tuning is still required and will be completed<br />
in the near future. The system performs well.<br />
New Staff Member<br />
During the year Peter Reynolds (electrician) tendered<br />
his resignation. Peter provided <strong>Portland</strong> <strong>District</strong><br />
Outlook<br />
We look forward to a challenging year with the major<br />
project, works and equipment list and continuing to<br />
maintain our current service levels.<br />
STEVE JONES<br />
ENGINEERING SERVICES MANAGER<br />
SEA VIEW HOUSE<br />
Key Points<br />
• Department <strong>of</strong> Human Services – Desk Top<br />
Audit<br />
• Community Visitors Program<br />
• OH&S –5 Day Training by 2 staff members<br />
• First Aid Certificates – all staff<br />
Sea View House had 4 inspection visits this year<br />
achieving excellent results in all.<br />
Long Serving Staff member<br />
We said farewell to Lyn Barnett after 20 years<br />
working at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. Lyn has served<br />
us exceptionally well in the area <strong>of</strong> administration.<br />
Residents and staff will miss her kindness,<br />
consideration and hard work.<br />
We wish Lyn all the best in her new role.<br />
Residents Committee<br />
Mr. Maurice Sykes, President <strong>of</strong> the Residents<br />
Committee, along with Mrs. Wilma Young (Treasurer)<br />
and Mr. Kevin O’Connor (Vice President), have been<br />
very active in organising their meetings and finding<br />
out what the residents want.<br />
Activities within Sea View House<br />
Our residents are encouraged to maintain social and<br />
physical activities, both indoor and outdoor and<br />
include: Scenic Drives, Croquet, Bingo, Indoor Bowls,<br />
26
Darts, Cooking, Movies, Aerobics, Craft sessions,<br />
Shopping, Hookey, Singing, Laughter Group and 10<br />
pin bowling.<br />
The activities are seen as being very beneficial to the<br />
resident’s health; helping mind, body and soul.<br />
Our outings are many and varied and are very popular.<br />
They include such things as lunch at our local hotels,<br />
and tours, such as to the smelter.<br />
Other less physical activities include movie day, where<br />
old time favourites are shown.<br />
The knitting group is another popular social activity<br />
where the ladies like to sit down with a hot drink and<br />
reminisce. This activity is for charity with the items<br />
the ladies knit being sent to Mongolia, Northern<br />
Europe or Russia to lend a helping hand to the less<br />
fortunate.<br />
WENDY SCULLEY - MANAGER SEA VIEW HOUSE<br />
&<br />
SHANNON CHURCHWARD - ACTIVITIES ASSISTANT.<br />
VOLUNTEERS<br />
Key Points<br />
• Volunteers are involved in many areas within<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. These areas include<br />
Telecare, Telelink, Community Transport, Old<br />
Timers Groups, Meals on Wheels, Sea View<br />
House, Seymour Cundy, Primary & Community<br />
Care, Diabetic Services, Palliative Care and<br />
support within the acute sector.<br />
• There are approximately 150 volunteers who<br />
freely give their time on a regular basis. This<br />
equates to approximately 175 hours a week <strong>of</strong><br />
service through the various activities coordinated<br />
by 7 staff.<br />
• Sixty volunteers attended a morning tea during<br />
National Volunteers Week and <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> took this opportunity to say thank you<br />
to all volunteers for the value they add to the<br />
organisation.<br />
Volunteers Colin Brown, Mary Gall and Meg Hayden were presented<br />
with a certificate in recognition for their years <strong>of</strong> volunteer service to<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
Performance<br />
2005/<strong>2006</strong> has seen opportunities to enhance<br />
volunteer programs for the benefit <strong>of</strong> all involved.<br />
Volunteers have been involved in training sessions<br />
within the organisation, including Occupational<br />
<strong>Health</strong> and Safety and confidentiality. Some volunteers<br />
also attended a regional Palliative Care workshop in<br />
Geelong.<br />
Statewide recognition was given to Heather Burton,<br />
a long serving (21 years) volunteer with <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>. This award was given during Rural<br />
<strong>Health</strong> Week in recognition <strong>of</strong> services to rural<br />
communities.<br />
Outlook<br />
• To raise the pr<strong>of</strong>ile <strong>of</strong> volunteers within <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>.<br />
• To increase the training <strong>of</strong> all volunteers to ensure<br />
skilled volunteers support <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong>, thus enabling the organisation to benefit<br />
from these skills.<br />
• To enhance volunteer programs in that volunteers<br />
are supported and given opportunities for the<br />
benefit <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>, staff, patients<br />
and residents.<br />
• To recognise 50 years <strong>of</strong> Meals on Wheels<br />
delivery, <strong>Portland</strong> being the first rural Meals on<br />
Wheels service in Victoria.<br />
ANNETTE HINCHCLIFFE<br />
VOLUNTEER COORDINATOR<br />
27
Finance & Administration<br />
Key Points<br />
• Financial Result for 2005/<strong>2006</strong>: <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> has again endured a very challenging<br />
year. The financial impact has however been<br />
very satisfying with an end <strong>of</strong> year result <strong>of</strong><br />
$41,000 deficit prior to depreciation and capital<br />
revenue. This result weighted against activity<br />
levels achieved, GP shortages and the need to<br />
restructure our acute wards has proven to be one<br />
<strong>of</strong> our better years financially. It needs to be clearly<br />
stated that this could not have occurred without<br />
the full support <strong>of</strong> DHS and the efforts <strong>of</strong> all<br />
staff who have contributed in ensuring that our<br />
Financial Recovery Plan, endorsed by the Board<br />
<strong>of</strong> Management in July 2005 was successful.<br />
• Casemix: This is the term used to define <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>’s funding model. It relies on<br />
activity and the organisation meeting throughput<br />
targets, something that has become more difficult<br />
to achieve over the past few years. Essentially, if you<br />
do not meet targets for admissions, you forfeit a<br />
portion <strong>of</strong> grants paid to the organisation through<br />
the year. Our weighted target for admissions for<br />
the year was 3016, we managed to achieve 2662,<br />
a deficit <strong>of</strong> 354. This has been a trend for some<br />
years and under any other circumstance, the<br />
organisation would usually receive a reduction in<br />
targets rolling into the new year. Our arguments<br />
have been supported by DHS and although we<br />
have not met targets, DHS have again rolled<br />
over our targets with no reduction, ensuring no<br />
budget decreases for <strong>2006</strong>/2007. As stated above,<br />
this is a great result.<br />
• Financial Recovery Plan: In July 2005, after<br />
considering the results <strong>of</strong> previous years in both<br />
performance against target and budget, the<br />
Board <strong>of</strong> Management endorsed a proposal to<br />
implement a strategy defined as our Financial<br />
Recovery Plan. This was the tool that enabled<br />
the Board to closely monitor the changes and<br />
restructures implemented by management and<br />
evaluate the results regularly. An ambitous target<br />
<strong>of</strong> $771,000 was set <strong>of</strong> which involved both<br />
expenditure reduction and revenue improvement<br />
strategies. The success <strong>of</strong> this was totally reliant<br />
on staff taking ownership <strong>of</strong> this task and they<br />
are now credited with the huge success we have<br />
achieved through this process. This will continue<br />
in the new year and staff will continue to be a<br />
part <strong>of</strong> this process.<br />
Performance<br />
Although the performance <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
has been mentioned previously, it has only been<br />
mentioned in quantifiable terms. Performance needs<br />
to also be described in qualitative terms. The question<br />
we ask ourselves in Finance and Administration<br />
is “How have we made <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> a<br />
better organisation” A tough question sometimes to<br />
answer, however, we as a major support department<br />
can say clearly that the work we have done in ensuring<br />
compliance with statutory regulations, internal and<br />
external audit, timely and accurate reporting and<br />
more importantly <strong>of</strong>fering support to the Board <strong>of</strong><br />
Management, all departments and divisional heads to<br />
allow them to base their decision making on accurate<br />
information has been achieved. The outcome is a<br />
more effective and efficient organisation, something<br />
that sometimes is forgotten when describing our<br />
surplus or deficit. We have enhanced budget tools<br />
for the staff to utilise. Power Budget has been in<br />
use for one full year now and the results have been<br />
remarkable. I do not think the results <strong>of</strong> the Financial<br />
Recovery Plan would have been as successful if not<br />
for the access to accurate information and the way<br />
staff have taken on board this change in data analysis.<br />
Again, I am confident that our department has made<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> a better organisation.<br />
Outlook<br />
With what has been mentioned above, Finance and<br />
Administration are confident that <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> will continue to move forward. Our aim is to<br />
report that targets and budgets have been met. Many<br />
strategies are in place to achieve this. Things within<br />
our control are managed well and this is vindicated<br />
by our results. Parts <strong>of</strong> the organisation which are<br />
predominately outside our control are areas our<br />
strategies are targeting and if successful, and we believe<br />
they will be, our organisation and community can<br />
look forward to a much revamped <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> in the future<br />
WAYNE ARMISTEAD<br />
DIRECTOR OF FINANCE<br />
28
INFORMATION,<br />
COMMUNICATIONS AND<br />
TECHNOLOGY DEPARTMENT<br />
Key Points<br />
• There is no doubt that the Information,<br />
Communications and Technology (ICT) sector<br />
is driving the <strong>Health</strong> Industry, and in <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>’s case, it is certainly no different.<br />
This year the key point clearly is, that more<br />
than ever, there is an understanding from staff<br />
at all levels that ICT plays an integral part in<br />
any decision relating to the operations <strong>of</strong> our<br />
organisation. Led by our CEO Marie Shea<br />
there has been a firm commitment by other<br />
departments to bring <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
up to a benchmark standard utilizing ICT to the<br />
benefit <strong>of</strong> the organisation. This commitment<br />
will ensure <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> will continue<br />
to be a leader in the roll out <strong>of</strong> technology to rural<br />
hospitals in the future.<br />
• Data Security and Integrity: <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> has established an improved disaster<br />
recovery facility, which allows the securing <strong>of</strong><br />
data in a more efficient manner. This need was<br />
driven by the rapid increase in the amount <strong>of</strong><br />
data generated, predominately by the increased<br />
reliance <strong>of</strong> ICT services within the organisation.<br />
Decreased backup time together with increased<br />
recovery access has shown a demonstrated 80%<br />
improvement in service delivery. This method is<br />
now being assessed within other organisations.<br />
• We are involved at SWARH (<strong>South</strong> <strong>West</strong><br />
<strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong>) committee level in the<br />
development <strong>of</strong> new services and we have been,<br />
and continue to be the foremost pilot site for<br />
a number <strong>of</strong> world first projects including IP<br />
Telephony development, VISP (Virtual Services<br />
Project, delivering health related services to<br />
remote areas), BEST (Bedside Entertainment<br />
Systems and Services for acute and aged care). We<br />
are the first rural hospital in the State <strong>of</strong> Victoria<br />
to roll out biometrics for time and attendance<br />
systems, and potentially other futuristic needs.<br />
We are now assisting other hospitals in the<br />
establishment <strong>of</strong> these services.<br />
• Other salient points in ICT at <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> include services such as Public access to<br />
the CEO through our PDH Internet, Wireless<br />
strategy in health service delivery, ‘in house’<br />
publishing for allied health and other services,<br />
private and public Video Conferencing services,<br />
Internet access for aged care, remote access to<br />
various computer controlled services including<br />
remote cardiac monitoring. I can assure you that<br />
your hospital is as up to date as any major rural<br />
hospital <strong>of</strong> its size in Australia, and we are leading<br />
the field in Australia with many innovative<br />
projects being designed and implemented by the<br />
CIO group.<br />
Performance<br />
• Our IT Department consists <strong>of</strong> two dedicated<br />
and committed staff members ably supported by<br />
other staff within the hospital. As an inaugural<br />
member <strong>of</strong> SWARH, an organisation that drives<br />
ICT throughout <strong>South</strong> <strong>West</strong> Victoria, <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> is well placed strategically, to<br />
both develop and move with new innovation. In<br />
terms <strong>of</strong> performance, ICT has made <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> a better, safer and more up<br />
to date organisation than any other strategic<br />
change implemented over the past 3-5 years, a<br />
performance, which is now recognized. System<br />
downtime was less that 0.01% for the year, which<br />
included scheduled outages.<br />
Outlook<br />
• Where do we go from here A question that<br />
ICT and <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> can answer<br />
with confidence. I believe there is no limit to<br />
future improvement because I have already seen a<br />
number <strong>of</strong> newly developed products. For example<br />
PDH recently attended a pre-release, working<br />
demonstration <strong>of</strong> a product that brings together<br />
all current services into one controlling system<br />
that will vastly increase service delivery and safety,<br />
whilst vastly decreasing the time to do it. Services<br />
including biomedical monitoring, engineering<br />
services, security, staff and patient safety systems,<br />
wireless identification systems, nurse call and calls<br />
for assistance, infection control, supply systems,<br />
aged care services, payroll, and communication<br />
systems will be bundled together to allow virtual<br />
instant information delivery and recording from<br />
a central source.<br />
With the ongoing commitment from management<br />
to ensure we continue to move with technology,<br />
and using the newly established <strong>of</strong>fices, training<br />
facility and ICT engineering workshop, PDH can<br />
look forward to working as a team to continue<br />
the proactive and innovative service development<br />
and delivery <strong>of</strong> ICT. Thanks go to our leading IT<br />
technician Nik Kedzia, and to Jacki, Keith and<br />
Vicki for their capable assistance shown to both<br />
this department and to SWARH over the past<br />
year.<br />
KEVIN TAIT<br />
ICT SYSTEMS MANAGER<br />
29
Other <strong>Report</strong>s<br />
Building Condition <strong>Report</strong><br />
In accordance with legislative requirements building<br />
condition inspection reports are undertaken on a<br />
regular basis. Recommendations arising from these<br />
reports have been incorporated in to the ongoing<br />
works and equipment program and site and services<br />
planning.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has also obtained the<br />
necessary Form 10 certification in connection with<br />
the Essential Services Legislation.<br />
National Competition Policy<br />
The organisation complies with the requirements <strong>of</strong> the<br />
National Competition Policy and State Competitive<br />
Neutrality Policy as revised.<br />
Consultants<br />
During the year <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> utilised the<br />
services <strong>of</strong> 6 consultants, at a cost <strong>of</strong> $29,674.<br />
Fees & Charges<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> charges fees in accordance<br />
with the Department <strong>of</strong> Human Service’s directives.<br />
Industrial Relations and Occupational <strong>Health</strong> &<br />
Safety<br />
During 2005/06 7,068 hours were lost as result <strong>of</strong><br />
Workcare claims or 4.01 EFT. This compares with<br />
6,859 hours and 3.80 EFT lost in 04/05.<br />
No hours were lost as a result <strong>of</strong> industrial action<br />
during the last financial year.<br />
Pecuniary Interest<br />
Members <strong>of</strong> the Board <strong>of</strong> Management are required<br />
to notify the President <strong>of</strong> the Board <strong>of</strong> any pecuniary<br />
interests, which might give rise to a conflict <strong>of</strong> interest,<br />
in accordance with hospital policy. Refer also to Note<br />
25 <strong>of</strong> the Financial Statements.<br />
• Waste Control Policy Manuals<br />
• Board and Operational Policy & Procedure<br />
• Safety Requirements for Contractors,<br />
• Equal Employment Opportunity Policy<br />
• Quality Assurance Policy<br />
• Safety and Infection Control Manuals<br />
• Information Booklets for staff, department heads<br />
and patients.<br />
Whistleblowers Protection Act 2001<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has policies and procedures<br />
in place to enable total compliance with the Act and<br />
which provides a safe environment in which disclosures<br />
can be made, people are protected from reprisal and<br />
the investigation process is clear and provides a fair<br />
outcome. The privacy <strong>of</strong> all individuals involved in a<br />
disclosure is assured <strong>of</strong> protection at all times. <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> is committed to the principles <strong>of</strong> the<br />
Act and at no time will improper conduct by <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> or any <strong>of</strong> its employees be condoned.<br />
A copy <strong>of</strong> the policy is available upon request. Web<br />
sites <strong>of</strong> interest for complaint procedures are:<br />
http://www.ombudsman.vic.gov.au<br />
http://www.health.vic.gov.au/hsc<br />
Since the introduction <strong>of</strong> the Act in 2002 there have<br />
been no disclosures and no notification <strong>of</strong> disclosures<br />
to the Ombudsman or any other external agency.<br />
Disclosures will be received by the Assistant Director<br />
<strong>of</strong> Nursing, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s designated<br />
Complaints Officer or to the:<br />
Ombudsman, Level 22, 459 Collins Street Melbourne,<br />
Victoria 3000.<br />
Telephone 1800 806 314<br />
Publications<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has published various<br />
documents, which are available from the hospital and<br />
include:<br />
• By Laws and Standing Orders<br />
• Board Member Information Folios<br />
• Mission, Vision and Values Statement<br />
• Freedom <strong>of</strong> Information Policy<br />
• Strategic Plan<br />
• Palliative Care Policy<br />
• Hospital Wide Policy Manual<br />
30
Comparative Statistics for the Past Five Years<br />
Service / Indicator Sub Item 01/02 02/03 03/04 04/05 05/06<br />
Number <strong>of</strong> Inpatients -Hospital 5,359 5,420 5,191 4,978 4,882<br />
-Nursing Home 71 62 74 76 83<br />
Number <strong>of</strong> Inpatient Days -Hospital 17,234 17,488 15,294 13,761 13,015<br />
-Nursing Home 10,748 10,803 10,800 10,516 10,429<br />
Daily Average -Hospital 47.2 47.9 41.9 37.7 35.6<br />
-Nursing Home 29.4 29.6 29.5 28.8 28.6<br />
Average Stay (Days) -Hospital 3.2 3.2 2.9 2.8 2.7<br />
-Nursing Home 151.4 174.2 145.9 138.4 125.7<br />
Number <strong>of</strong> Beds Available -Hospital 69 69 69 69 67<br />
-Nursing Home 30 30 30 30 30<br />
Accident & Emergency 11,427 9,489 12,192 9,635 7,236<br />
Births 171 189 142 133 101<br />
Dental Clinic Treatments 740 12 285 312 734<br />
<strong>District</strong> Nurse Visits 12,516 12,900 10,536 10,752 10,125<br />
Hospital In The Home 12 26 27 17 58<br />
Mammography Screening 961 823 1,019 863 970<br />
Meals On Wheels Delivered 22,721 17,989 18,249 15,896 14,538<br />
Meals Served (Total) 141,261 162,289 164,638 152,897 137,499<br />
Operations Performed 2,210 2,178 2,354 2,143 1,847<br />
Physiotherapy Treatments Inpatients 7,096 7,250 6,895 6,158 6,795<br />
Ultrasound Attendances 2,945 2,804 2,709 3,154 2,881<br />
X-Ray Inpatients 1,401 1,441 1,303 1,217 1,120<br />
X-Ray Outpatients 12,245 12,241 12,179 12,602 12,547<br />
X-Ray Examinations 14,670 14,668 14,249 14,632 14,293<br />
STAFFING<br />
Number <strong>of</strong> Staff Employed) 294 314 348 351 350<br />
Number <strong>of</strong> Staff Employed (EFT) 205.55 219.91 241.23 249.10 249.80<br />
Time Lost Through Workcare Claims (EFT) 4.02 4.80 4.20 3.80 4.01<br />
Time Lost Through Industrial Disputes (Hrs) 0.00 0.00 160.00 0.00 0.00<br />
Sick Leave As % <strong>of</strong> Basic Salaries 3.4% 4.2% 4.2% 4.3% 4.4%<br />
COSTS<br />
Cost Per Inpatient Day: -Hospital $735 $791 $1,033 $1,212 $1,357<br />
-Nursing Home $118 $143 $171 $201 $207<br />
Cost Per Inpatient Treated -Hospital $3,181 $3,086 $3,098 $3,284 $3,616<br />
-Nursing Home $22,586 $26,211 $25,054 $27,842 $26,036<br />
PRIMARY & COMMUNITY CARE (Contact Hours)<br />
Community Nursing 5682 5801 6095<br />
Counselling / Social Work 2578 2536 2952<br />
Dietetics 910 906 883<br />
Family Planning Counselling 5 8 15<br />
Family Planning <strong>Health</strong> Promotion 15 19 14<br />
Family Planning Nursing 113 93 83<br />
<strong>Health</strong> Promotion 2870 3415 3550<br />
IHSHY Youth Worker Counselling 538 1104 945<br />
IHSHY Youth Worker <strong>Health</strong> Promotion 605 199 545<br />
Occupational Therapy 1093 852 1312<br />
Physiotherapy 642 932 849<br />
Speech Pathology 1358 1109 990<br />
Womens <strong>Health</strong> 1352 1464 1334<br />
HACC ( Contact Hours)<br />
Dietetics 288 566 541<br />
Podiatry 431 599 385<br />
Volunteer Coordination 2789 2126 3936<br />
Planned Activity Groups 3961 4362 1724<br />
ACUTE & AGED CARE ( Contact Hours)<br />
Dietetics 1299 1218 1230<br />
Community Nursing 825 333 241<br />
Counselling / Social Work 538 342 474<br />
Occupational Therapy 816 1170 865<br />
Speech Pathology 396 305 284<br />
31
<strong>Health</strong> Service Agreement <strong>Report</strong><br />
As part <strong>of</strong> the 2005/<strong>2006</strong> <strong>Health</strong> Service Agreement with the Department <strong>of</strong> Human service, activity and efficiency<br />
targets were set. Set out in this report is a summary <strong>of</strong> the activity levels.<br />
ITEM / INDICATOR 04/05 05/06<br />
1. Discharged Patients (separations)<br />
Acute Same Day 2523 2589<br />
Overnight Stay 2434 2128<br />
Nursing Home Type 2 8<br />
Total Separations 4959 4725<br />
2 Admitted Patient Bed Days<br />
Acute 13875 12856<br />
Nursing Home Type 10 112<br />
Total Admitted Patient Days 13885 12968<br />
3 Total Acute Patient Weighted Inlier Equivalent Separations 2942.63 2659.98<br />
4 Average Inlier Equivalent DRG Weight 0.59 0.56<br />
5 Average Length <strong>of</strong> Stay <strong>of</strong> Admitted Patients<br />
Acute Excluding Same Day (Days) 4.66 4.85<br />
All Acute Admitted Patients (Days) 2.79 2.79<br />
Nursing Home Type (Days) 5 14<br />
Average Length <strong>of</strong> Stay <strong>of</strong> Admitted Patients (Days) 2.80 2.74<br />
6 Occupancy - Admitted Patient<br />
7 Non-Admitted Patient Occasions <strong>of</strong> Services<br />
Accident and Emergency 9,635 7,236<br />
Other Non-Admitted Patient Services 39,898 49,748<br />
Total Occasions <strong>of</strong> Service 49,533 56,984<br />
8 Efficiency<br />
Admitted Patient Costs ($000s)<br />
Acute $15,259 $15,970<br />
Other $1,285 $1,695<br />
Total Admitted Patient Costs ($000’s) $16,544 $17,665<br />
Non-Admitted Patient Costs ($000s)<br />
Accident and Emergency $968 $1,028<br />
Other $6,285 $7,408<br />
Total Non-Admitted Patient Cost $7,253 $8,436<br />
Total Acute Hospital Costs $23,797 $22,206<br />
Total Residential & Other Costs $2,116 $3,895<br />
Total Entity Costs ($000’s) $25,913 $26,101<br />
Cost per Admitted Patient $3,336 $3,616<br />
Cost per DRG Weighted Admitted Patient $5,625 $6,639<br />
Cost per Bed Day $1,191 $1,357<br />
Cost per Occasion <strong>of</strong> Service $126 $118<br />
9 Residential Services - Patient Costs<br />
Nursing Home - Patient Costs $27,842 $26,036<br />
Total Patients (Numbers) 76 83<br />
10 Residential Services - Bed Days<br />
Nursing Home 10516 10429<br />
11 Quality Assurance - Accreditation Status 2 yrs to August <strong>2006</strong><br />
32
Officers and Office Bearers<br />
Board Members<br />
President:<br />
Senior Vice President:<br />
Junior Vice President:<br />
Treasurer:<br />
Members:<br />
Auditors:<br />
Internal Auditors:<br />
Bankers:<br />
Executive Staff<br />
Chief Executive Officer<br />
Director <strong>of</strong> Medical Services:<br />
Director <strong>of</strong> Nursing:<br />
Director <strong>of</strong> Primary Care:<br />
Deputy Chief Executive Officer:<br />
Assistant Director <strong>of</strong> Nursing<br />
Finance Manager:<br />
Senior Staff<br />
After Hours Nursing Coordinators:<br />
Engineering Services Manager:<br />
Food Services Manager:<br />
Director <strong>of</strong> Pharmacy:<br />
Chief Physiotherapist:<br />
Chief Imaging Technologist:<br />
Drug & Alcohol Unit Manager:<br />
<strong>Health</strong> Information Manager:<br />
Mr V Gannon<br />
Ms M Kuljis<br />
Mr J Harpley<br />
Mr W Collett<br />
Mr G Andrews, Mr B du Vergier, Mrs M Menzel<br />
Auditor General Victoria, Agent – C<strong>of</strong>fey, Hunt<br />
WHK Day Neilson<br />
ANZ Banking Group<br />
Mrs M Shea, RN,BA (Hons) FRCNA,AFCHSE, JP<br />
Dr M van der Veer, M.B., Ch.B., F.R.A.C.G.P. M.R.A.C.G.P.,<br />
A.F.A.C.H.S.E.<br />
Mrs K Eyre, RN DIV1, BN, M.<strong>Health</strong> Mgt. AFCHSE, MRCNA<br />
Mr S Ireland, Elec. Eng. Cert., BHA, M Bus., AFCHSE, CHE<br />
(Resigned. 12/05)<br />
Mr P S Hynes, Dip. H.A., Adv Dip <strong>of</strong> Bus (HR)<br />
Mrs M Patterson, RN DIV1., RM., B.N., Cert. Critical Care<br />
Mr W Armistead, B. Com., C.P.A., M.Bus.<br />
Mrs H Anderson, RN DIV1., RM<br />
Ms E Barker, RN DIV1.,RM,BN,Cert. Lymphodoema.<br />
Mrs E McCarthy, RN DIV 1, RM, BN<br />
Mrs J <strong>West</strong>lake, RN DIV1.<br />
Mr B Bowman, RN DIV1, R.M.<br />
Mrs R Flower, RN DIV1 RM,BN, IBCLC<br />
Mrs A Stephenson, RN DIV1. (Relieving)<br />
Mr S Jones, I.H.E.A., A.F.C.H.S.E.<br />
Mr S Henderson<br />
Ms Ann Fairman B.Sc. Pharmacy<br />
Mr D Walker, B.App.Sc. Physio., Grad.Dip. Manip.Ther.<br />
Mrs R Parry, ARMIT, Dip.App. Sci. (Med. Rad),CCPM.<br />
Mrs B McIlroy, RN DIV1., R.M.<br />
Ms T Young, B.HIM.<br />
Infection Control Officer / Environmental Mrs R Jones RN Div 1, Cert I.C. Accredited Cert. <strong>of</strong><br />
Services Supervisor<br />
Immunisation, Accredited HIV& Hep C counsellor<br />
I.T.Manager<br />
Laboratory Manager:<br />
(St. John <strong>of</strong> God Pathology)<br />
Nurse Educator:<br />
Student Nurse facilitator<br />
Nursing Unit Managers:<br />
Mr K Tait<br />
Mr C van Diemen, B.App.Sc. (resigned)<br />
Ms Jane Maybery, B.App.Sc.<br />
Mrs A Brown, RN DIV1, RM, BN.MRCNA<br />
Mrs S Ireland, RN Div 1, M Hsc (Nursing), MRCNA<br />
Mrs H Antony, RN DIV1, (<strong>District</strong> Nursing)<br />
Mrs J Burke, RN DIV1, BN (Nursing Home)<br />
Mrs H Wormington, RN DIV1. (Acute Ward)<br />
Mrs J Sealey, RN DIV1. (Theatre) (resigned)<br />
Mrs J Roberts, RN DIV1. (Acting Theatre)<br />
33
Pay Officer:<br />
Ms L Donlan, RN Div 1,Grad Dip A&E, Grad Dip Teach<br />
& Assess’t Emergency Nurse Practitioner (UK) (Accident<br />
& Emergency)<br />
Mrs P A Cain<br />
Primary Care Seniors<br />
Counselling & Support<br />
Community Nursing<br />
Ms M Risk, RN Div 1, BSW.<br />
Mrs R Cole, RN Div 1,RM,BN, Grad Cert (Diab. Ed.), MCH,<br />
FCNA.<br />
Primary Care Programs Manager Ms J Carmody, BBEHAVSC, BBUS(HONS) Post Grad Dip Psych<br />
Assoc MAPS<br />
Allied <strong>Health</strong> Ms J Swinton, RN DIV1, B. Sc. (OT) (Resigned. 11/05)<br />
Business Senior &<br />
Volunteers Co-ordinator<br />
Ms Annette Hinchcliffe<br />
Medical Staff<br />
Visiting Medical Officers:<br />
Anaesthetists:<br />
Specialist Surgeon:<br />
Emergency Physician<br />
Visiting Surgeons:<br />
Specialist Physician:<br />
Visiting Physicians:<br />
Dr M Bashour, M.D. (resigned)<br />
Dr B Bassili, MB. ChB B.Sc. AMC (locum)<br />
Mr J Das, M.B., B.S., F.R.C.S., F.I.C.S<br />
Dr S Hindley, B. Sc., MB., B Ch. (resigned)<br />
Dr M Martin, MB.BS.<br />
Dr M van der Veer, MB. ChB., F.R.A.C.G.P., PG.DIP.GP.,<br />
M.R.A.C.G.P. AF.A.C.H.S.E.<br />
Dr W Smolilo, MB. ChB., F.R.A.C.G.P.<br />
Dr C Okeleke, M.B.B.S AMC<br />
Dr D Singh, MB.BS., F.R.A.C.G.P.<br />
Dr F Rehman, MD (resigned)<br />
Dr J Risk, M.B.B.S. (locum)<br />
Dr W Rieger, B Pharm., B.Sc. (Hons) M.B. Ch.B. (resigned)<br />
Dr P Goodman, MB.BS., D.A., R.C.O.G., F.R.A.C.G.P<br />
Dr M Martin, MB.BS, F.A.C.R.R.M.<br />
Dr W Smolilo, MB., ChB., F.R.A.C.G.P<br />
Dr J Stapleton, MB., F.A.N.Z.A.<br />
Dr A Fielke, MB.BS. D.A.<br />
Mr J Das, M.B.BS., F.R.C.S., F.I.C.S.<br />
Dr S Tsipouras, M.B.B.S., F.A.C.E.M.<br />
Mr S Clifforth, MB.BS., F.R.A.C.S.<br />
Mr D Bird, MB.BS., F.R.A.C.S.<br />
Mr P Tung, MB.BS., F.R.A.C.S.<br />
Dr D Taylor, MB.,ChB., F.R.C.P., F.R.A.C.P.<br />
Dr M Page, M.B.B.S., F.R.A.C.P.<br />
Dr C Charnley, M.B.B.S. F.R.A.C.P.<br />
Dr A Bowman, F.R.A.C.P.<br />
Dr N Abbott, F.R.A.C.P.<br />
34
Visiting Obstetrician & Gynaecologist:<br />
Visiting E.N.T. Specialists:<br />
Visiting Ophthalmologist:<br />
Visiting Paediatrician:<br />
Visiting Pathologists:<br />
Visiting Radiologists:<br />
Orthopaedic Surgeon:<br />
Visiting Urologist:<br />
Visiting Psychiatrists:<br />
Visiting Psychologist:<br />
Visiting Oral Surgeon:<br />
Visiting Alcohol & Drug Physician:<br />
Visiting Orthodontist:<br />
Visiting Dermatologist:<br />
Dental Officer:<br />
Visiting Dental Officers<br />
Dr C Beaton, MB. ChB., F.R.A.N.Z.C.O.G., M.R.C.GP.,<br />
F.R.C.O.G.<br />
Dr K Braniff, MB.BS., F.R.A.N.Z.C.O.G.<br />
Dr E Uren, MB.BS., F.R.A.N.Z.C.O.G.<br />
Ms M Cass, MB.BS., F.R.A.C.S.<br />
Mr. L Ryan, F.R.A.C.S., D.L.O.<br />
Dr V Lee, F.R.A.C.O., F.R.A.C.S.<br />
Dr G Pallas, B.Med., F.R.A.C.P. (Paed)<br />
Dr N Thies, MB.BS., D.CH., F.R.A.C.P. (Paed)<br />
Dr C M Pilbeam, B.Med.Sc., MB.BS., Ph.D., F.R.C.P.A.,<br />
M.I.A.C.<br />
Dr N Houghton, MB.BS., (Lond), M.R.C.S.,L.R.C.P., F.R.A.C.R.,<br />
Dr J M Rogan, MB.BCh., B.A.O., D.M.R.D.,F.R.A.C.R., (Lond),<br />
F.R.A.C.R.<br />
Dr J Nagorcka, MB.BS., F.R.A.C.R.<br />
Dr N Walters, F.R.A.C.R.<br />
Mr P Keirce, MB.BS., F.R.A.C.S, (Ortho)., F.A.,Orth.A.<br />
Mr R Grills, M.B. B.S., F.R.A.C.S. (resigned)<br />
Mr P Kearns, M.B.B.S., F.R.A.C.S.<br />
Dr M Duke, MB.BS., M.R.C.Psych., F.R.A.N.Z.C.P<br />
Mr J Clark<br />
Mr B Robinson, B.D.Sc. (Adel), B.Sc.Dent. (Hons), M.D.S.<br />
Dr D Richards, M.B.B.S, A.P.S.A.D.<br />
Mr C Stanley, M.D.s., B.SC.(Hons)<br />
Dr S Chandra, M.B.B.S. (Melb), F.A.C.D. (Melb).<br />
Dr L Cox, B.D. Sc.<br />
Dr M Stubbs., B.D. Sc.<br />
Dr K Stock, B.D.Sc.,<br />
Dr M Thow, B.D.Sc.<br />
35
We pay tribute to those individuals who previously have been recognised for their support <strong>of</strong> the <strong>Portland</strong><br />
<strong>District</strong> Hospital and <strong>Portland</strong> & <strong>District</strong> Community <strong>Health</strong> Centre.<br />
As at 30th June <strong>2006</strong><br />
Life Members <strong>of</strong> the former <strong>Portland</strong> & <strong>District</strong> Community <strong>Health</strong> Centre Inc.<br />
Association for the Blind<br />
<strong>Portland</strong> Neighbourhood House<br />
Mr Jack Finck<br />
Mrs Gwen Finck<br />
Mr Jeff Knuckey<br />
Mr W (Bill) Collett<br />
Mrs Shirley Elliott<br />
Mr Jeff Baulch<br />
Mrs Marilyn Baulch<br />
Mr David Harris<br />
Mrs Anne Lanyon<br />
Life Governors <strong>of</strong> the former <strong>Portland</strong> & <strong>District</strong> Hospital<br />
Aitken, Mrs. M.E.<br />
Ough, Mr. A.K.<br />
Apex Club <strong>of</strong> <strong>Portland</strong> Panozzo, Mrs. S.<br />
Baxter, Percy (Trust) Pettit, Mr. P.<br />
Brownlaw, Miss E.J. Plantinga, Mrs. M.<br />
Chipperfield, Mr. B.<br />
<strong>Portland</strong> Aluminium<br />
Edwards, Mrs. Brenda<br />
<strong>Portland</strong> Pr<strong>of</strong>essional Women’s Service Club<br />
Edwards, Mrs. Betty Poon, Mr. S.<br />
Elford, Mrs. P.<br />
Pritchard, Mrs. S.I.<br />
Farrands, Miss S.M.<br />
Rotary Club <strong>of</strong> <strong>Portland</strong><br />
Fyfe, Mrs. S.<br />
Saunders, Mr. E.A.<br />
Godfrey-Smith, Mrs. P.<br />
Sharrock, Mrs. M.M.<br />
Jennings, Mrs. M.L.<br />
Smith, Helen Macpherson (Trust)<br />
Kermond, Mrs. J Smith, Mrs. R.<br />
Lighbody, Miss E. Stewart, Miss J.<br />
Lions Club <strong>of</strong> <strong>Portland</strong><br />
Wigan, Mr. J.C.<br />
McDiven, Mrs. B. Wilmot, Mrs. P.<br />
Maling, Mr. W.G.C. Wombwell, Miss J.<br />
Mitchell, Mrs. P.<br />
Das, Mr J. 1994<br />
Distinguished Service Award <strong>of</strong> the former <strong>Portland</strong> & <strong>District</strong> Hospital<br />
Donors & Fund Raising<br />
Donations Various under $50 $100.15<br />
M Malseed $50.00<br />
K Phillips $50.00<br />
K Brierly $100.00<br />
M & S Wiese $200.00<br />
Lutheran Ladies $300.00<br />
Monivae College $500.00<br />
Estate <strong>of</strong> late Owen Haby $1,000.00<br />
In Memory <strong>of</strong> late Jessie McDonald $1,145.00<br />
Lions Club <strong>of</strong> <strong>Portland</strong> $3,500.00<br />
Murray to Moyne $17,641.98<br />
Fete $18,919.65<br />
Alcoa Australia $1,235.02<br />
Estate <strong>of</strong> late Janet Stanford $3,000.00<br />
36
PORTLAND DISTRICT HEALTH<br />
FINANCIAL STATEMENTS<br />
FOR THE YEAR ENDED<br />
30th JUNE, <strong>2006</strong><br />
37
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Accountable Officer’s, Chief Finance & Accounting Officer’s and Member <strong>of</strong> Responsible Body’s Declaration<br />
We certify that the attached financial statements for <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> have been prepared in accordance with Part 4.2 <strong>of</strong> the Standing<br />
Directions <strong>of</strong> the Minister for Finance under the Financial Management Act 1994, applicable Financial <strong>Report</strong>ing Directions, Australian Accounting<br />
Standards and other mandatory pr<strong>of</strong>essional reporting requirements.<br />
We further state that, in our opinion, the information set out in the operating statement, balance sheet, statement <strong>of</strong> recognised income and expense,<br />
cash flow statement and notes to and forming part <strong>of</strong> the financial statements, presents fairly the financial transactions during the year ended 30 June<br />
<strong>2006</strong> and financial position <strong>of</strong> the Hospital as at 30 June <strong>2006</strong>.<br />
We are not aware <strong>of</strong> any circumstance which would render any particulars included in the financial statements to be misleading or inaccurate.<br />
................................................................................................Chairperson<br />
Mr Vincent Gannon<br />
................................................................................................Chief Executive Officer<br />
Mrs Marie Shea<br />
................................................................................................Chief Finance & Accounting Officer<br />
Mr. Wayne Armistead<br />
21st<br />
August<br />
Dated the ................................................................................<strong>of</strong> ........................................................................................................<strong>2006</strong><br />
<strong>Portland</strong>, Victoria<br />
38
Financials<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Operating Statement for the Year Ended 30 June <strong>2006</strong><br />
2005-06 2004-05<br />
Note $’000 $’000<br />
Revenue From Operating Activities [2] 21,549 21,097<br />
Revenue From Non-operating Activities [2] 2,940 2,914<br />
Employee Benefits [2b] (16,478) (15,501)<br />
Fee for Service Medical Officers [2b] (2,514) (2,568)<br />
Agency Costs - Nursing [2b] - (120)<br />
Supplies and Consumables [2b] (2,394) (2,641)<br />
Other Expenses From Continuing Operations [2b] (2,980) (3,018)<br />
Finance Costs [4] (110) (195)<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures accounted [7] (35) (31)<br />
for using Equity Model<br />
Net Result from Continuing Operations before Capital & Specific Items (22) (63)<br />
Capital Purpose Income [2] 141 387<br />
Depreciation and Amortisation [3] (1,590) (1,786)<br />
Assets Provided Free <strong>of</strong> Charge [2] 6 -<br />
Net Result for the Year (1,465) (1,462)<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Statement <strong>of</strong> Recognised Income and Expenses for the Year Ended 30 June <strong>2006</strong><br />
2005-06 2004-05<br />
$’000 $’000<br />
Net Result for the Year (1,465) (1,462)<br />
Total Recognised Income and Expense for the Year (1,465) (1,462)<br />
This Statement should be read in conjunction with the accompanying notes.<br />
39
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Balance Sheet As At 30 June <strong>2006</strong><br />
<strong>2006</strong> 2005<br />
Note $’000 $’000<br />
Assets<br />
Current Assets<br />
Cash and Cash Equivalents [5] 933 -<br />
Receivables [8] 941 579<br />
Inventories [10] 219 222<br />
Prepayments - 11<br />
Other Current Assets [9] 217 216<br />
Total Current Assets 2,310 1,028<br />
Non Current Assets<br />
Receivables [8] 434 842<br />
Property, Plant and Equipment [17] 28,749 28,948<br />
Investment in Joint Venture [7] 225 113<br />
Total Non Current Assets 29,408 29,903<br />
Total Assets 31,718 30,931<br />
Liabilities<br />
Current Liabilities<br />
Payables [11] 1,363 1,196<br />
Interest Bearing Liabilities [12] 171 381<br />
Provisions [13] 2,340 2,453<br />
Other Liabilities [14] 218 315<br />
Total Current Liabilities 4,092 4,345<br />
Non Current Liabilities<br />
Interest Bearing Liabilities [12] 1,619 1,793<br />
Provisions [13] 1,928 1,541<br />
Total Non Current Liabilities 3,547 3,334<br />
Total Liabilities 7,639 7,679<br />
Net Assets 24,079 23,252<br />
Equity<br />
Contributed Capital [16] 27,860 25,568<br />
Accumulated Surpluses/(Deficit) [16] (3,781) (2,316)<br />
Total Equity 24,079 23,252<br />
This Statement should be read in conjunction with the accompanying notes.<br />
40
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Cash Flow Statement for the Year Ended 30 June <strong>2006</strong><br />
Cash Flows from Operating Activities<br />
Note<br />
2005-<strong>2006</strong> 2004-2005<br />
$’000 $’000<br />
Receipts<br />
Operating Grants from Government 19,268 18,450<br />
Patient & Residents Fees Received 5,141 4,367<br />
Other 20 335<br />
Employee Benefits Paid (16,204) (15,322)<br />
Fees For Service Medical Officers (1,785) (1,874)<br />
Payments for Supplies and Consumables (4,780) (4,874)<br />
GST Paid to ATO (1,382) (1,178)<br />
Cash Generated from Operations 278 (96)<br />
Capital Grants - Government 93 312<br />
Capital Donations 30 34<br />
Interest 18 8<br />
Net Cash Inflow/(Outflow) From Operating Activities [19] 419 258<br />
Cash Flows from Investing Activities<br />
Purchase <strong>of</strong> Properties, Plant and Equipment (1,413) (957)<br />
Proceeds from Sale <strong>of</strong> Properties, Plant and Equipment 19 53<br />
Net Cash Inflow/(Outflow) from Investing Activities (1,394) (904)<br />
Cash Flows from Financing Activities<br />
Repayment <strong>of</strong> Borrowings (178) (346)<br />
Contributed Capital from Government 2,292 500<br />
Net Cash Inflow/(Outflow) from financing Activities 2,114 154<br />
Net Increase/(Decrease) in Cash Held 1,139 (492)<br />
Cash and Cash Equivalents at Beginning <strong>of</strong> Period (206) 286<br />
Cash and Cash Equivalents at End <strong>of</strong> Period [5] 933 (206)<br />
This Statement should be read in conjunction with the accompanying notes.<br />
41
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 1: Statement <strong>of</strong> Significant Accounting Policies<br />
The general purpose financial report has been prepared on an accrual basis in accordance with the Financial Management Act 1994, Accounting<br />
Standards issued by the Australian Accounting Standards Board, and Urgent Issues Group Interpretations. Accounting standards include Australian<br />
equivalents to International Financial <strong>Report</strong>ing Standards (A-IFRS).<br />
The financial statements were authorised for issue by Wayne Armistead on 19/7/06.<br />
Basis <strong>of</strong> preparation<br />
The financial report is prepared in accordance with the historical cost convention, except for certain assets and liabilities which, as noted are at<br />
valuation. Cost is based on the fair values <strong>of</strong> the consideration given in exchange for assets.<br />
In the application <strong>of</strong> A-IFRS management is required to make judgements, estimates and assumptions about carrying values <strong>of</strong> assets and liabilities<br />
that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and various other factors<br />
that are believed to be reasonable under the circumstance, the results <strong>of</strong> which form the basis <strong>of</strong> making the judgements. Actual results may differ<br />
from these estimates<br />
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which<br />
the estimate is revised if the revision affects only that period, or in the period <strong>of</strong> the revision and future periods if the revision affects both current<br />
and future periods.<br />
Judgements made by management in the application <strong>of</strong> A-IFRS that have significant effects on the financial statements and estimates with a<br />
significant risk <strong>of</strong> material adjustments in the next year are disclosed throughout the notes in the financial statements.<br />
Accounting policies are selected and applied in a manner which ensures that the resulting financial information satisfies the concepts <strong>of</strong> relevance and<br />
reliability, thereby ensuring that the substance <strong>of</strong> the underlying transactions or other events is reported.<br />
The <strong>Health</strong> Service changed its accounting policies on 1 July 2004 to comply with A-IFRS. The transition to A-IFRS is accounted for in accordance<br />
with Accounting Standard AASB 1 First-time Adoption <strong>of</strong> Australian Equivalents to International Financial <strong>Report</strong>ing Standards, with 1 July 2004<br />
as the date <strong>of</strong> transition. An explanation <strong>of</strong> how the transition from superseded policies to A-IFRS has affected the <strong>Health</strong> Service’s financial position,<br />
financial performance and cash flows is discussed in note 27.<br />
The <strong>Health</strong> Service has elected to apply Accounting Standard AASB 2005-04 Amendments to Accounting Standards (June 2005), even though the<br />
Standard is not required to be adopted until annual reporting periods beginning on or after 1 January <strong>2006</strong>.<br />
The accounting policies set out below have been applied in preparing the financial statements for the year ended 30 June <strong>2006</strong>, the comparative<br />
information presented in these financial statements for the year ended 30 June 2005, and in the preparation <strong>of</strong> the opening A-IFRS balance sheet at<br />
1 July 2004, the <strong>Health</strong> Service’s date <strong>of</strong> transition, except for the accounting policies in respect <strong>of</strong> financial instruments. The <strong>Health</strong> Service has not<br />
restated comparative information for financial instruments, including derivatives, as permitted under the first-time adoption transitional provisions.<br />
The accounting policies for financial instruments applicable to the comparative information and the impact <strong>of</strong> the changes in these accounting<br />
policies is discussed further in note 1(aa).<br />
(a)<br />
<strong>Report</strong>ing Entity<br />
The financial statements include all the controlled activities <strong>of</strong> the <strong>Health</strong> Service. The <strong>Health</strong> Service is a not-for pr<strong>of</strong>it entity and therefore<br />
applies the additional Aus paragraphs applicable to “not-for-pr<strong>of</strong>it” entities under the Australian equivalents to IFRS.<br />
(b)<br />
Rounding Off<br />
All amounts shown in the financial statements are expressed to the nearest $1,000.<br />
(c)<br />
Cash and Cash Equivalents<br />
Cash and cash equivalents comprise cash on hand and in banks and investments in money market instruments, net <strong>of</strong> outstanding bank<br />
overdrafts. Bank overdrafts are shown within borrowings in current liabilities in the Balance Sheet.<br />
42
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
(d)<br />
Receivables<br />
Trade debtors are carried at nominal amounts due and are due for settlement within 30 days from the date <strong>of</strong> recognition. Collectability <strong>of</strong><br />
debts is reviewed on an ongoing basis, and debts which are known to be uncollectible are written <strong>of</strong>f. A provision for doubtful debts is raised<br />
where doubt as to the collection exists.<br />
(e)<br />
Inventories<br />
Inventories include goods held either for sale or for distribution at no or nominal cost in the ordinary course <strong>of</strong> business operations. It excludes<br />
depreciable assets. Inventories held for distribution are measured at the lower <strong>of</strong> cost and current replacement cost. All other inventories are<br />
measured at the lower <strong>of</strong> cost and net realisable value.<br />
(f)<br />
Other Financial Assets<br />
Other Financial Assets are recognised and derecognised on trade date where purchase or sale <strong>of</strong> an investment is under a contract whose<br />
terms require delivery <strong>of</strong> the investment within the time frame established by the market concerned, and are initially measured at fair value,<br />
net <strong>of</strong> transaction costs. Other financial assets are classified between current and non-current assets based on the <strong>Health</strong> Service Board <strong>of</strong><br />
Management’s intention at balance date with respect to the timing <strong>of</strong> disposal <strong>of</strong> each asset.<br />
The <strong>Health</strong> Service classifies its other investments in the following categories: financial assets at fair value through pr<strong>of</strong>it or loss, loans and<br />
receivables, held-to-maturity investments, and available-for-sale financial assets. The classification depends on the purpose for which the<br />
investments where acquired. Management determines the classification <strong>of</strong> its investments at initial recognition.<br />
Investments held for trading purposes are classified as current assets and are stated at fair value, with any resultant gain or loss recognised in<br />
pr<strong>of</strong>it or loss. Where the <strong>Health</strong> Service has the positive intent and ability to hold investments to maturity, they are stated at amortised cost<br />
less impairment loss.<br />
Other investments held by the <strong>Health</strong> Service are classified as being available for sale and are stated at fair value. Gains and losses arising from<br />
changes in fair value are recognised directly in equity, until the investment is disposed <strong>of</strong> or is determined to be impaired, at which time to the<br />
extent appropriate, the cumulative gain or loss previously recognised in equity is included in pr<strong>of</strong>it or loss for the period.<br />
Interest revenue is recognised on a time proportionate basis that takes into account the effective yield on the financial assets.<br />
(g)<br />
Non Current Physical Assets<br />
Land and buildings are measured at the amounts for which assets could be exchanged between knowledgeable willing parties in an arm’s length<br />
transaction. Plant, equipment and vehicles are measured at cost.<br />
(h)<br />
Revaluations <strong>of</strong> Non-Current Assets<br />
Assets other than those that are carried at cost are revalued with sufficient regularity to ensure that the carrying amount <strong>of</strong> each asset does not<br />
differ materially from its fair value. The revaluation process normally occurs every three to four years for assets with useful lives <strong>of</strong> less than 30<br />
years or six to eight years for assets with useful lives <strong>of</strong> 30 or greater years.<br />
Revaluation increments or decrements arise from differences between an asset’s depreciated cost or deemed cost and fair value.<br />
Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an increment reverses a revaluation<br />
decrement in respect <strong>of</strong> that class <strong>of</strong> asset previously recognised as an expense in net result, the increment is recognised immediately as revenue<br />
in the net result.<br />
Revaluation decrements are recognised immediately as expense in the net result, except that, to the extent, that a credit balance exists in the<br />
asset revaluation reserve in respect <strong>of</strong> the same class <strong>of</strong> assets, they are debited directly to the asset revaluation reserve.<br />
Revaluation increases and revaluation decreases relating to individual assets within a class <strong>of</strong> property, plant and equipment are <strong>of</strong>fset against<br />
one another within that class but are not <strong>of</strong>fset in respect <strong>of</strong> assets in different classes. Revaluation reserves are not transferred to accumulated<br />
funds on derecognition <strong>of</strong> the relevant asset.<br />
43
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
(i)<br />
Depreciation<br />
Assets with a cost in excess <strong>of</strong> $1,000 are capitalised and depreciation has been provided on depreciable assets so as to allocate their cost (or<br />
valuation) over their estimated useful lives using the straight-line method. Estimates <strong>of</strong> the remaining useful lives for all assets are reviewed at<br />
least annually. This depreciation charge is not funded by the Department <strong>of</strong> Human Services.<br />
The following table indicates the expected useful lives <strong>of</strong> non current assets on which the depreciation charges are based.<br />
<strong>2006</strong> 2005<br />
Buildings Up to 50 years Up to 50 years<br />
Plant and Equipment Up to 10 years Up to 10 years<br />
Medical Equipment Up to 10 years Up to 10 years<br />
Computer Equipment Up to 5 years Up to 5 years<br />
Motor Vehicles Up to 5 years Up to 5 years<br />
Leased Assets Up to 5 years Up to 5 years<br />
Other Equipment Up to 10 years Up to 10 years<br />
(j)<br />
Impairment <strong>of</strong> Assets<br />
Intangible assets with indefinite useful lives are tested annually as to whether their carrying value exceeds their recoverable amount. All other<br />
assets are assessed annually for indications <strong>of</strong> impairment, except for:<br />
- inventories;<br />
- assets arising from construction contracts;<br />
- financial instrument assets;<br />
If there is an indication <strong>of</strong> impairment, the assets concerned are tested as to whether their carrying value exceeds their recoverable amount.<br />
Where an asset’s carrying value exceeds its recoverable amount, the difference is written <strong>of</strong>f by a charge to the operating statement except to the<br />
extent that the write down can be debited to an asset revaluation reserve amount applicable to that class <strong>of</strong> asset.<br />
The recoverable amount for most assets is measured at the higher <strong>of</strong> depreciated replacement cost and fair value less costs to sell. Recoverable<br />
amount for assets held primarily to generate net cash inflows is measured at the higher <strong>of</strong> the present value <strong>of</strong> future expected cash flows<br />
expected to be obtained from the asset and fair value less costs to sell. It is deemed that, in the event <strong>of</strong> the loss <strong>of</strong> an asset, the future economic<br />
benefits arising from the use <strong>of</strong> the asset will be replaced unless a specific decision to the contrary has been made.<br />
(k)<br />
Payables<br />
These amounts represent liabilities for goods and services provided prior to the end <strong>of</strong> the financial year and whic are unpaid. The normal<br />
credit terms are usually Net 30 days.<br />
(l)<br />
Provisions<br />
Provisions are recognised when the <strong>Health</strong> Service has a present obligation, the future sacrifice <strong>of</strong> economic benefits is probable, and the<br />
amount <strong>of</strong> the provision can be measured reliably.<br />
The amount recognised as a provision is the best estimate <strong>of</strong> the consideration required to settle the present obligation at reporting date, taking<br />
into account the risks and uncertainties surrounding the obligation. Where a provision is measured using the cashflows estimated to settle the<br />
present obligation, its carrying amount is the present value <strong>of</strong> those cashflows.<br />
(m) Resources Provided and Received Free <strong>of</strong> Charge or for Nominal Consideration<br />
Resources provided and received free <strong>of</strong> charge or for nominal consideration are recognised at their fair value. Contributions in the form <strong>of</strong><br />
services are only recognised when a fair value can be reliably determined and the services would have been purchased if not donated.<br />
(n)<br />
Interest Bearing Liabilities<br />
Interest bearing liabilities in the Balance Sheet are recognised at fair value upon initial recognition. Subsequent to initial recognition, all<br />
financial liabilities are recognised at amortised cost using the effective interest method.<br />
44
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
(o)<br />
Functional and Presentation Currency<br />
The presentation currency <strong>of</strong> the <strong>Health</strong> Service is the Australian dollar, which has also been identified as the functional currency <strong>of</strong> the <strong>Health</strong><br />
Service.<br />
(p)<br />
Goods and Services Tax<br />
Revenues, expenses and assets are recognised net <strong>of</strong> GST, except for receivables and payables which are stated with the amount <strong>of</strong> GST included<br />
and except, where the amount <strong>of</strong> GST incurred is not recoverable, in which case GST is recognised as part <strong>of</strong> the cost <strong>of</strong> acquisition <strong>of</strong> an asset<br />
or part <strong>of</strong> an item <strong>of</strong> expense or revenue. GST receivable from and payable to the Australian Taxation Office (ATO) is included in the Balance<br />
Sheet. The GST component <strong>of</strong> a receipt or payment is recognised on a gross basis in the Cash Flow Statement in accordance with AASB 107<br />
Cash flow statements.<br />
(q)<br />
Employee Benefits<br />
Provision is made for benefits accruing to employees in respect <strong>of</strong> wages and salaries, annual leave, long service leave, and sick leave when it is<br />
probable that settlement will be required and they are capable <strong>of</strong> being measured reliably.<br />
Measurement <strong>of</strong> short-term and long-term employee benefits<br />
Short-term employee benefits are those benefits that are expected to be settled within 12 months, and are measured at their nominal values<br />
using the remuneration rate expected to apply at the time <strong>of</strong> settlement. They include wages and salaries, sick leave, annual leave, long service<br />
leave and accrued days <strong>of</strong>f that are expected to be settled within 12 months.<br />
Long-term employee benefits are those benefits that are not expected to be settled within 12 months, and are measured at the present value <strong>of</strong><br />
the estimated future cash outflows to be made by the <strong>Health</strong> Service in respect <strong>of</strong> services provided by employees up to reporting date. They<br />
include long service leave and annual leave not expected to be settled within 12 months.<br />
The present value <strong>of</strong> long-term employee benefits is calculated in accordance with AASB 119 Employee Benefits. Long-term employee benefits<br />
are measured as the present value <strong>of</strong> expected future payments to be made in respect <strong>of</strong> services provided by employees up to the reporting date.<br />
Consideration is given to expected future wage and salary levels, experience <strong>of</strong> employee departures and periods <strong>of</strong> service. Expected future<br />
payments are discounted using interest rates on national Government guaranteed securities with terms to maturity that match, as closely as<br />
possible, the estimated future cash outflows.<br />
Classification <strong>of</strong> employee benefits as current and non-current liabilities<br />
Employee benefit provisions are reported as current liabilities where the <strong>Health</strong> Service does not have an unconditional right to defer settlement<br />
for at least 12 months. Consequently, the current portion <strong>of</strong> the employee benefit provision can include both short-term benefits, that are<br />
measured at nominal values, and long term benefits, that are measured at present values.<br />
Employee benefit provisions that are reported as non-current liabilities also include long-term benefits such as non vested long service leave<br />
(ie where the employee does not have a present entitlement to the benefit) that do not qualify for recognition as a current liability, and are<br />
measured at present values.<br />
Superannuation<br />
Defined contribution plans<br />
Contributions to defined contribution superannuation plans are expenses when incurred.<br />
Defined benefit plans<br />
The amount charged to the Operating Statement in respect <strong>of</strong> defined benefit plan superannuation represents the contributions made by<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> to the superannuation plan in respect to the current services <strong>of</strong> current <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> staff. Superannuation<br />
contributions are made to the plans based on the relevant rules <strong>of</strong> each plan. <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> does not recognise any defined benefit<br />
liability in respect <strong>of</strong> the superannuation plan because <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has no legal or constructive obligation to pay future benefits<br />
relating to its employees; its only obligation is to pay superannuation contributions as they fall due. The Department <strong>of</strong> Treasury and Finance<br />
administers and discloses the State’s defined benefit liabilities in its financial report.<br />
45
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Termination Benefits<br />
Liabilities for termination benefits are recognised when a detailed plan for the termination has been developed and a valid expectation has been<br />
raised with those employees affected that the terminations will be carried out. The liabilities for termination benefits are recognised in other<br />
creditors unless the amount or timing <strong>of</strong> the payments is uncertain, in which case they are recognised as a provision.<br />
On-Costs<br />
Employee benefit on-costs are recognised and included in employee benefit liabilities and costs when the employee benefits to which they<br />
relate are recognised as liabilities.<br />
(r)<br />
Finance Costs<br />
Finance costs are recognised as expenses in the period in which they are incurred.<br />
Finance costs include:<br />
- interest on bank overdrafts and short term and long term borrowings:<br />
- amortisation <strong>of</strong> discounts or premiums relating to borrowings:<br />
- amortisation <strong>of</strong> ancillary costs incurred in connection with the arrangement <strong>of</strong> borrowings:<br />
- finance charges in respect to finance leases recognised in accordance with AASB 117 Leases.<br />
The capitalisation rate used to determine the amount <strong>of</strong> borrowing costs to be capitalised is the weighted average interest rate applicable to the<br />
<strong>Health</strong> Services outstanding borrowing during the year.<br />
(s)<br />
Residential Aged Care Service<br />
The Seymour Cundy Wing Nursing Home is an integral part <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> and shares its resources. An apportionment <strong>of</strong> land<br />
and buildings has been made based on floor space. The results <strong>of</strong> the two operations have been segregated based on actual revenue earned and<br />
expenditure incurred by each operation.<br />
(t)<br />
Intersegment Transactions<br />
Transactions between segments with <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> have been eliminated to reflect the extent <strong>of</strong> the <strong>Health</strong> Service’s operations as<br />
a group.<br />
(u)<br />
Leased Property and Equipment<br />
A distinction is made between finance leases which effectively transfer from the lessor to the lessee substantially all the risks and benefits<br />
incidental to ownership <strong>of</strong> leased non-current assets, and operating leases under which the lessor effectively retains all risks and benefits.<br />
Assets held under a finance lease are recognised as non current assets at their fair value or, if lower, at the present value <strong>of</strong> the minimum lease<br />
payments, each determined at the inception <strong>of</strong> the lease. The minimum lease payments are discounted at the interest rate implicit in the lease.<br />
A corresponding liability is established and each lease payment is allocated between the principal component and the interest expense.<br />
Finance leased assets are amortised on a straight line basis over the estimated useful life <strong>of</strong> the asset. Operating lease payments are representative<br />
<strong>of</strong> the pattern <strong>of</strong> benefits derived from the leased assets and accordingly are expensed in the periods in which they are incurred.<br />
(v)<br />
Revenue Recognition<br />
Revenue is recognised in accordance with AASB 118 Revenue. Income is recognised as revenue to the extent it is earned. Unearned income at<br />
reporting date is reported as income received in advance.<br />
Amounts disclosed as revenue are, where applicable, net <strong>of</strong> returns, allowances and duties and taxes.<br />
Government Grants<br />
Grants are recognised as revenue when the <strong>Health</strong> Service gains control <strong>of</strong> the underlying asset. Where grants are reciprocal, revenue is<br />
recognised as performance occurs under the grant. Non-reciprocal grants are recognised as revenue when the grant is received or receivable.<br />
Conditional grants may be reciprocal or non-reciprocal depending on the terms <strong>of</strong> the grant.<br />
46
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Indirect Contributions<br />
- Insurance is recognised as revenue following advise from the Department <strong>of</strong> Human Services.<br />
- Long Service Leave - Revenue is recognised upon finalisation <strong>of</strong> movements in LSL liability in line with the arrangements set out in the Acute<br />
<strong>Health</strong> Division Hospital Circular 16/2004.<br />
Patient Fees<br />
Patient fees are recognised as revenue at balance date.<br />
Private Practice Fees<br />
Private Practice fees are recognised as revenue at the time invoices are raised.<br />
Donations and Other Bequests<br />
Donations and bequests are recognised as revenue when the cash is received. If donations are for a special purpose they may be appropriated<br />
to a reserve, such as specific restricted purpose reserve.<br />
(w) Fund Accounting<br />
The <strong>Health</strong> Service operates on a fund accounting basis and maintains two funds: Operating and Capital funds. The <strong>Health</strong> Service Capital<br />
Fund includes unspent capital donations and receipts from fundraising activities conducted solely in respect <strong>of</strong> this fund.<br />
(x)<br />
Services Supported by <strong>Health</strong> Services Agreement and Services Supported by Hospital and Community Initiatives.<br />
The activities classified as Services Supported by <strong>Health</strong> Services Agreement (HSA) are substantially funded by the Department <strong>of</strong> Human<br />
Services and includes RACS, while Services Supported by Hospital and Community Initiatives (Non HSA) are funded by the <strong>Health</strong> Services<br />
own activities or local initiatives.<br />
(y)<br />
Comparative Information<br />
Where necessary the previous year’s figures have been reclassified to facilitate comparisons.<br />
(z)<br />
Contributed Capital<br />
Consistent with UIG Interpretation 1038 Contributions by Owners Made to Wholly-Owned Public Sector Entities and FRD 2 Contributed<br />
Capital, apportions for additions to the net asset base have been designated as contributed capital. Other transfers that are in the nature <strong>of</strong><br />
contributions or distributions, have also been designated as contributed capital.<br />
(aa) Financial Instruments - Adoption <strong>of</strong> AASB 132 and AASB 139<br />
The <strong>Health</strong> Service has elected not to restate comparative information for financial instruments within the scope <strong>of</strong> AASB 132 Financial<br />
Instruments: Presentation and Disclosure and AASB 139 Financial Instruments: Recognition and Measurement, as permitted on the first<br />
- time adoption <strong>of</strong> A - IFRS.<br />
The accounting policies applied to accounting for financial instruments in the current financial year are detailed in notes 1(c), 1 (f) and 1 (k).<br />
The following accounting policies were applied to accounting for financial instruments in the comparative financial year:<br />
(ab) <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has applied the going concern basis, in the preparation <strong>of</strong> this financial report. The going concern basis continues to<br />
be appropriate with the expected renewal <strong>of</strong> the <strong>Health</strong> Service’s bank overdraft and a letter <strong>of</strong> comfort provided by the Department <strong>of</strong> Human<br />
Services to continue to support the operations <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has been received.<br />
47
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
(ac) Net result From Continuing Operations Before Capital and Specific Items<br />
A-IFRS allows the inclusion <strong>of</strong> additional subtotals on the face <strong>of</strong> the operating statement when such presentation is relevant to an understanding<br />
<strong>of</strong> an entity’s financial performance. This financial report includes an additional subtotal entitled “Net result from Continuing Operations<br />
Before Capital and Specific Items”.<br />
Capital and Specific items, which are excluded from this sub-total, comprise:<br />
Capital purpose income, which comprises all tied grants, donations and bequests received for the purpose<strong>of</strong> acquiring non-current assets,<br />
such as capital works, plant and equipment. Consequently the recognition<strong>of</strong> revenue as capital income is based on the intention <strong>of</strong> the<br />
provider <strong>of</strong> the revenue at the time the revenue is provided.<br />
Specific income/expense, comprises the following items, where material:<br />
- Diagnostic Imaging<br />
- Sea View House<br />
- Meals on Wheels<br />
- Dental Clinic<br />
- Palliative Care<br />
- Catering<br />
- Fundraising and Community Support<br />
Depreciation and Amortisation, as described in note 3<br />
Assets provided free <strong>of</strong> charge, as described in note 2e<br />
Expenditure using capital purpose income, which comprises expenditure using capital purpose income which falls below the asset capitalisation<br />
threshold and therefore does not result in recognition <strong>of</strong> an asset in the balance sheet. The asset capitalisation threshold is set at $2,000.00<br />
(2005 $2,000.00)<br />
48
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 2: Revenue<br />
HSA Non HSA Total Total<br />
2005-06 2005-06 2005-06 2004-05<br />
Revenue from Operating Activities $’000 $’000 $’000 $’000<br />
Government Grants:<br />
- Department <strong>of</strong> Human Services 17,745 - 17,745 16,533<br />
- Dental <strong>Health</strong> Services Victoria 354 - 354 283<br />
- State Government - Other 322 - 322 745<br />
- Commonwealth Government 316 - 316 455<br />
- Residential Aged Care Subsidy<br />
Indirect Contributions by Department <strong>of</strong> Human Services 488 20 508 434<br />
Patient & Resident Fees (refer note 2c) 1,983 33 2,016 2,124<br />
Other Revenue from Operating Activities 288 288 523<br />
Sub-Total Revenue from Operating Activities 21,208 341 21,549 21,097<br />
Revenue from Non-Operating Activities<br />
Diagnostic Imaging - 1,095 1,095 1,128<br />
Supported Residential service - 1,690 1,690 1,621<br />
Meals on Wheels - 155 155 165<br />
Sub-Total Revenue from Non-Operating Activities - 2,940 2,940 2,914<br />
Revenue from Capital Purpose Income<br />
State Government Capital Grants<br />
- Targeted Capital Works and Equipment 93 - 93 312<br />
Commonwealth Government Capital Grants - - - 30<br />
Assets Received Free <strong>of</strong> Charge (refer note 2e) - 6 6 -<br />
Donations & Bequests - 30 30 34<br />
Capital Interest - 18 18 11<br />
Sub-Total Revenue from Capital Purpose Income 93 54 147 387<br />
Total Revenue from Continuing Operations 21,301 3,335 24,636 24,398<br />
Indirect Contributions by Human Services<br />
Department <strong>of</strong> Human Services makes certain payments on behalf <strong>of</strong> the organisation. These amounts have been brought to account in determining the operating result for the year by recording them as revenue<br />
and expenses<br />
Note 2a: Analysis <strong>of</strong> Revenue by Source<br />
Acute Aged Primary Other Total Total<br />
Revenue from Services Supported by <strong>Health</strong> Care Care <strong>Health</strong> 2005-06 2004-05<br />
Services Agreement $’000 $’000 $’000 $’000 $’000 $’000<br />
Government Grants<br />
- Department <strong>of</strong> Human Services 16,198 - 1,459 410 18,067 17,456<br />
- Dental <strong>Health</strong> Services Victoria - - - 354 354 283<br />
- Commonwealth Government - 398 - - 398 381<br />
Indirect Contributions by Human Services<br />
- Insurance 443 41 18 6 508 434<br />
- Long Service Leave 46 - - - 46 214<br />
Patient & Resident Fees (refer note 2c) 297 1,634 54 31 2,016 2,124<br />
Interest - - - 18 18 2<br />
Pharmacy Services - - - 14 14 -<br />
Other - - - - 146 146 244<br />
Sub-Total Revenue from Services Supported by <strong>Health</strong> 16,984 2,073 1,531 979 21,567 21,138<br />
Services Agreement<br />
Revenue from Services Supported by Hospital and Community Initiatives<br />
Private Practice and Other Patient Activities<br />
Business Units<br />
- Diagnostic Imaging - - - 1,095 1,095 1,128<br />
- Supported Residential service - - - 1,690 1,690 1,621<br />
- Meals on Wheels - - - 155 155 165<br />
Other Activities<br />
Capital Purpose Income - - - 93 93 312<br />
Assets Received Free <strong>of</strong> Charge - - - 6 6 -<br />
Donations and Bequests - - - 30 30 34<br />
Sub-Total Revenue from Services Supported by Hospital - - - 3,069 3,069 3,260<br />
and Community Initiatives<br />
Total Revenue from Operations 16,984 2,073 1,531 4,048 24,636 24,398<br />
49
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 2b: Analysis <strong>of</strong> Expenses by Source<br />
Acute Aged Primary Other<br />
Care Care <strong>Health</strong> 2005-06 2004-05<br />
$’000 $’000 $’000 $’000 $’00 $’000<br />
Services Supported by <strong>Health</strong> Services Agreement<br />
Employee Benefits<br />
Salaries and Wages 10,023 1,446 1,397 152 13,018 12,260<br />
WorkCover 154 43 35 11 243 254<br />
Long Service Leave 76 15 10 8 109 130<br />
Superannuation (refer note 22) 1,070 125 120 33 1,348 1,241<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers 1,659 - - 41 1,700 1,782<br />
Agency Costs - Nursing - - - - - 120<br />
Supplies and Consumables<br />
Drug Supplies 405 19 - - 424 442<br />
Medical, Surgical Supplies and Prosthesis 1,024 33 38 28 1,123 1,366<br />
Food Supplies 223 55 10 - 288 278<br />
Other Expenses<br />
Domestic Services & Supplies 241 41 2 - 284 284<br />
Fuel, Light, Power & Water 178 19 29 29 255 211<br />
Insurance Costs funded by DHS 443 41 14 10 508 434<br />
Motor Vehicle Expenses 105 - - - 105 96<br />
Repairs and Maintenance 449 51 24 - 524 644<br />
Maintenance Contracts 178 - - - 178 161<br />
Patient Transport 124 - - - 124 102<br />
Lease Expenses 6 - - - 6 85<br />
Other administrative expenses 327 48 38 325 738 740<br />
Sub Total Expenses from Services Supported by 16,685 1,936 1,717 637 20,975 20,630<br />
<strong>Health</strong> Services Agreement<br />
Services Supported by Hospital and Community Initiatives<br />
Employee Benefits<br />
Salaries and Wages - - - 1,560 1,560 1,443<br />
WorkCover - - - 32 32 30<br />
Long Service Leave - - - 19 19 18<br />
Superannuation (refer note 22) - - - 149 149 125<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers - - - 814 814 786<br />
Supplies and Consumables<br />
Medical and Surgical Supplies - - - 365 365 365<br />
Food Supplies - - - 194 194 190<br />
Other Expenses<br />
Domestic Services - - - 15 15 9<br />
Repairs and Maintenance - - - 92 92 85<br />
Administrative Expenses - - - 137 137 154<br />
Sub-Total Services supported by Hospital - - - 3,377 3,377 3,205<br />
Hospital and Community Initiatives<br />
Depreciation and Amortisation (refer note 3) 956 225 96 313 1,590 1,786<br />
Impairment <strong>of</strong> Non-Current Assets<br />
Audit Fees<br />
Auditor General’s (refer note 23 ) - - - 11 11 10<br />
Finance Costs (refer note 4) 14 - - 96 110 195<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures - - - 35 35 31<br />
for using Equity Model (refer Note 7)<br />
Net Gain/(Loss) on Disposal <strong>of</strong> Non-Current Assets (refer note 2d) - - - 3 3 3<br />
Total Expenses from Continuing Operations 17,655 2,161 1,813 4,472 26,101 25,860<br />
50
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 2c: Patient and Resident Fees<br />
Total<br />
Total<br />
Patient and Resident Fees Raised: 2005-06 2004-05<br />
Recurrent $’000 $’000<br />
Acute<br />
- Inpatients 297 403<br />
- Outpatient 54 33<br />
Residential Aged Care<br />
- Residential Accommodation Payments 1,634 1,665<br />
- Other 31 23<br />
Total 2,016 2,124<br />
Note 2d: Net Gain /(Loss) on Disposal <strong>of</strong> Non Current Assets<br />
2005-06 2004-05<br />
$’000 $’000<br />
Proceeds from Disposals <strong>of</strong> Non-Current Assets<br />
- Motor Vehicles 19 53<br />
Total Proceeds from Disposal <strong>of</strong> Non-Current Assets 19 53<br />
Less: Written Down Value <strong>of</strong> Non-Current Assets Sold<br />
- Motor Vehicles (22) (56)<br />
Total Written Down Value <strong>of</strong> Non-Current Assets Sold (22) (56)<br />
Net gain/(Loss) on disposal <strong>of</strong> Non-Current Assets (3) (3)<br />
Note 2e: Assets Received Free <strong>of</strong> Charge or For Nominal Consideration<br />
by Hospital and Community Initiatives<br />
During the reporting period, the fair value <strong>of</strong> assets recieved 2005-06 2004-05<br />
free <strong>of</strong> charge, was as follows: $’000 $’000<br />
Medical Equipment 6 -<br />
Total 6 -<br />
Note 2f: Analysis <strong>of</strong> Expenses by Internal and Restricted Specific Purpose Funds for Services Supported by Hospital and Community Initiatives<br />
2005-06 2004-05<br />
$’000 $’000<br />
Private Practice and Other Patient Activities<br />
Diagnostic Imaging 1,095 1,169<br />
Sea View House 1,570 1,528<br />
Meals on Wheels 124 126<br />
Dental Clinic 335 269<br />
Palliative Care 52 42<br />
Catering 41 39<br />
Other Activities:<br />
Fundraising and Community Support 21 18<br />
Total 3,238 3,191<br />
51
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 3: Depreciation and Amortisation<br />
2005-06 2004-05<br />
$’000 $’000<br />
Depreciation:<br />
Buildings 574 573<br />
Plant & Equipment 447 423<br />
Medical Equipment 186 181<br />
Computer Equipment 228 381<br />
Motor Vehicles 87 93<br />
Other Equipment 68 74<br />
Total Depreciation Expenses 1,590 1,725<br />
Amortisation:<br />
Leased Assets<br />
Plant and Equipment - 56<br />
Other Equipment - 3<br />
Computers - 2<br />
Total Amortisation Expenses - 61<br />
Total Depreciation and Amortisation 1,590 1,786<br />
Allocation <strong>of</strong> Depreciation /Amortisation<br />
Services Supported by <strong>Health</strong> Services Agreement 1,428 1,428<br />
Services Supported by Hospital and Community 162 358<br />
Initiatives<br />
Total Depreciation and Amortisation 1,590 1,786<br />
Note 4: Finance Costs<br />
2005-06 2004-05<br />
$’000 $’000<br />
Finance Charges on Finance Leases - 41<br />
Interest on Borrowings - Short Term 110 154<br />
Total Finance Costs 110 195<br />
Note 5: Cash and Cash Equivalents<br />
For the purposes <strong>of</strong> the Cash Flow Statement, cash assets includes cash on hand and in banks, and short term deposits which are readily convertible<br />
to cash on hand, and are subject to an insignificant risk <strong>of</strong> change in value, net <strong>of</strong> outstanding bank overdrafts.<br />
2005-06 2004-05<br />
$’000 $’000<br />
Cash at Bank 933 -<br />
Bank Overdraft (refer Note 12) - (206)<br />
Total 933 (206)<br />
Represented by:<br />
Cash for <strong>Health</strong> Service Operations (as per Cash Flow Statement)<br />
- Cash at Bank 933 -<br />
- Bank Overdraft - (206)<br />
Total 933 (206)<br />
52
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 6: Financial Instruments<br />
(a) Interest Rate Risk Exposure<br />
The Hospital’s exposure to interest rate risk and effective weighted average interest rate by maturity periods is set out in the following timetable. For<br />
interest rates applicable to each class <strong>of</strong> asset or liability refer to individual notes to the financial statements. Exposure arises predominantly from<br />
assets and liabilities bearing variable interest rates.<br />
Weighted<br />
Interest Rate Exposure as at 30/6/<strong>2006</strong> Average Interest Floating 1 Year Greater than<br />
Rates Interest Rate or Less 1 Year 2005-06 2004-05<br />
% $’000 $’000 $’000 $’000 $’000<br />
Financial Assets<br />
Cash Assets 2.5% 933 - - 933 -<br />
Receivables 2.4% 941 - 434 1,375 1,421<br />
Other Assets 2.4% 217 - - 217 216<br />
Total Financial Assets 2,091 - 434 2,525 1,637<br />
Financial Liabilities<br />
Payables 3.4% 1,363 - - 1,363 1,196<br />
Borrowings:<br />
- Overdraft 3.9% - - - - 206<br />
- Lease 8.9% - - - - 4<br />
- Treasury Corporation Victoria - Current 5.7% 171 - - 171 171<br />
- Treasury Corporation Victoria - Non-Current 5.7% 1,619 - - 1,619 1,793<br />
Total Financial Liabilities 3,153 - - 3,153 3,370<br />
Net Financial Assets and Liabilities (1,062) - 434 (628) (1,733)<br />
(b) Credit Risk Exposure<br />
Credit risk represents the loss that would be recognised if counterparties fail to meet their obligations under the respective contracts at maturity. The<br />
credit risk on financial assets <strong>of</strong> the entity have been recognised on the statement <strong>of</strong> financial position, as the carrying amount, net any provisions<br />
for doubtful debts.<br />
(c) Net Fair Value <strong>of</strong> Financial Assets and Liabilities<br />
The carrying amount <strong>of</strong> financial assets and liabilities contained within these financial statements is representative <strong>of</strong> the net fair value <strong>of</strong> each<br />
financial asset or liability.<br />
2005-06 2004-05<br />
Net Fair Value Book Net Book Net<br />
Value Fair Value Fair<br />
Value<br />
Value<br />
$’000 $’000 $’000 $’000<br />
Financial Assets<br />
Cash at Bank 933 933 - -<br />
Trade Debtors 1,375 1,375 1,421 1,421<br />
Other Assets 217 217 216 216<br />
Total Financial Assets 2,525 2,525 1,637 1,637<br />
Financial Liabilitie<br />
Payables 1,363 1,363 1,196 1,196<br />
Borrowing:<br />
- Overdraft - - 206 206<br />
- Finance Lease - - 4 4<br />
- Treasury Corporation Victoria - Current 171 171 171 171<br />
- Treasury Corporation Victoria - Non-Current 1,619 1,524 1,793 1,686<br />
Total Financial Liabilities 3,153 3,058 3,370 3,263<br />
*Net fair values are capital amounts<br />
(Net fair values <strong>of</strong> financial instruments are determined on the following basis:<br />
1. Cash, deposit investments, cash equivalents and non-interest bearing financial assets and liabilities (trade debtors, other receivables, trade<br />
creditors and advances) are valued at cost which approximates net fair value.<br />
2. Interest Bearing Liabilities amounts are based on the present value <strong>of</strong> expected future cash flows, discounted at current market interest rates,<br />
quoted for trade (Treasury Corporation <strong>of</strong> Victoria)<br />
53
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 7: Investments Accounted for Using the Equity Method<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Investment in Jointly Controlled Entities 225 113<br />
Total 225 113<br />
Principal Country <strong>of</strong> Ownership Interest Published Fair Value<br />
Activity Incorporation <strong>2006</strong> 2,005 <strong>2006</strong> 2005<br />
% % $’000 $’00<br />
<strong>South</strong> <strong>West</strong> <strong>Alliance</strong> <strong>of</strong> Rural Hospitals (SWARH) Information Australia 10.65 10.65 225 113<br />
Technology<br />
The voting power <strong>of</strong> all partners in the Joint Venture are the same.<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Share <strong>of</strong> Jointly Controlled Entities loss 35 31<br />
Total 35 31<br />
JOINT VENTURE<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has a joint venture interest in the <strong>South</strong> <strong>West</strong>ern <strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong> (SWARH) whose principal activity is the<br />
implementing and processing <strong>of</strong> an information technology system and an associated telecommunication service suitable for use by each member<br />
hospital<br />
Our share <strong>of</strong> assets, liabilities and operating result is:<br />
2,006 2,005<br />
$’000 $’000<br />
Current Assets 68 125<br />
Non-Current Assets 240 46<br />
Share <strong>of</strong> Total Assets 308 171<br />
Current Liabilities 83 58<br />
Share <strong>of</strong> Total Liabilities 83 58<br />
Net Share <strong>of</strong> Joint Venture Assets 225 113<br />
Share <strong>of</strong> Current Year Pr<strong>of</strong>it/(Loss) (35) (31)<br />
Capital Commitments 59 33<br />
54
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 8: Receivables<br />
<strong>2006</strong> 2005<br />
Current $’000 $’000<br />
Patient Fees 215 199<br />
Trade Debtors 225 323<br />
Accrued Revenue - DHS 385 -<br />
Accrued Revenue - Other - 70<br />
GST Receivable 128 -<br />
Total 953 592<br />
Less Provision for Doubtful Debts (12) (13)<br />
Total Current Receivables 941 579<br />
Non Current<br />
DHS Debtor (LSL) 434 842<br />
Total Non Current Receivables 434 842<br />
Total Receivables 1,375 1,421<br />
Note 9: Other Financial Assets<br />
2,006 2,005<br />
$’000 $’000<br />
Money Held in Trust 19 16<br />
Refundable Entrance Fees 109 80<br />
SRS Ingoing Debtors 89 120<br />
Total Other Assets 217 216<br />
Note 10: Inventory<br />
2,006 2,005<br />
$’000 $’000<br />
Pharmaceuticals - at cost 56 44<br />
Catering Supplies - at cost 16 24<br />
House Keeping Supplies - at cost 15 15<br />
Medical and Surgical Supplies - at cost 102 104<br />
Administration Stores - at cost 30 35<br />
Total Inventory 219 222<br />
55
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 11: Payables<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Trade Creditors 707 982<br />
Accrued Expenses 415 75<br />
GST Payable 241 139<br />
Total Payables 1,363 1,196<br />
Note 12: Interest Bearing Liabilities<br />
2,006 2,005<br />
Current $’000 $’000<br />
Australian Dollar Borrowings:<br />
Bank Overdraft - 206<br />
- Finance Lease Liabilities (refer Note 15) - 4<br />
- Loan - Treasury Corporation Victoria 171 171<br />
Total Australian Dollar Borrowings 171 381<br />
Non-Current<br />
Australian Dollar Borrowings:<br />
- Loan - Treasury Corporation Victoria 1,619 1,793<br />
Total Australian Dollar Borrowings 1,619 1,793<br />
Total Interest Bearing Liabilities 1,790 2,174<br />
Current<br />
- Secured Long term fixed interest loan with Treasury Corporation Victoria 171 171<br />
Non-Current<br />
- Secured Long term fixed interest loan with Treasury Corporation Victoria 1,619 1,793<br />
The approved Bank Overdraft Limit is $800,000<br />
Finance Costs <strong>of</strong> the <strong>Health</strong> Service incurred during the year are accounted for as follows:<br />
Amount <strong>of</strong> finance costs recognised as expense 110 195<br />
Note 13: Employee Benefits<br />
2,006 2,005<br />
$’000 $’000<br />
Current<br />
Long Service Leave<br />
- short-term benefits at nominal value 258 268<br />
- long-term benefits at present value 83 358<br />
<strong>Annual</strong> Leave<br />
- short-term benefits at nominal value 1,156 1,092<br />
- long-term benefits at present value 326 264<br />
Accrued Wages and Salaries 467 432<br />
Accrued Days Off 50 39<br />
Total Current Employee Benefits 2,340 2,453<br />
Non-Current<br />
Long Service Leave 1,928 1,541<br />
Total Non-Current Employee Benefits 1,928 1,541<br />
Movement in Long Service Leave<br />
Balance 1 July 2,167 1,934<br />
Provision made during the year 230 361<br />
Settlement made during the year (128) (128)<br />
Balance 30 June 2,269 2,167<br />
The following assumptions were adopted in measuring present value:<br />
2,006 2,005<br />
Weighted Average Increase in employee costs 2.7% 2.6%<br />
Weighted average Discount Rates 2.3% 2.4%<br />
Weighted Average Settlement period 12.8 13<br />
56
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 14: Other Liabilities<br />
Total<br />
Total<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Provision for Fee Sharing 39 39<br />
Monies Held in Trust - Sea View House 109 200<br />
- Seymour Cundy Wing 19 16<br />
Other - PCP 51 60<br />
Total 218 315<br />
Note 15: Commitments<br />
As at 30th June <strong>2006</strong>, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> had commitments totalling $8,662,000 which includes the contribution made to <strong>South</strong> <strong>West</strong><br />
<strong>Alliance</strong> <strong>of</strong> Rural Hospitals <strong>of</strong> which <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is committed for a further 5 years.<br />
Not Later than Later than<br />
one year one year and<br />
not later than Total Total<br />
ten years <strong>2006</strong> 2005<br />
Capital Commitments $’000 $’000 $’000 $’000<br />
Residential Aged Care Facility and DPU 6,730 - 6,730 -<br />
Other - SWARH 59 - 59 33<br />
Sub-Total 6,789 - 6,789 33<br />
Lease Commitments<br />
Operating Lease 55 28 83 121<br />
Finance Lease - - - 4<br />
Loan 171 1,619 1,790 1,964<br />
Sub-Total 226 1,647 1,873 2,089<br />
Total 7,015 1,647 8,662 2,122<br />
Note 16: Equity<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Accumulated Surpluses/(Deficit)<br />
Balance at Beginning <strong>of</strong> Year (2,316) (854)<br />
Net result for the Year (1,465) (1,462)<br />
Accumulated Surplus/(Deficit) at the end <strong>of</strong> the financial year (3,781) (2,316)<br />
Contributed Capital<br />
Balance at the beginning <strong>of</strong> the reporting period 25,568 25,068<br />
Capital Contributed From the Victorian Government 2,292 500<br />
Balance at the end <strong>of</strong> the reporting period 27,860 25,568<br />
Equity<br />
Balance at beginning <strong>of</strong> reporting period 23,252 24,214<br />
Total Changes in Equity Recognised in the Statement <strong>of</strong> Financial (1,465) (1,462)<br />
Performance<br />
Capital Contributed From the Victorian Government 2,292 500<br />
Total Equity at <strong>Report</strong>ing Date 24,079 23,252<br />
57
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 17: Property, Plant and Equipment<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
At Valuation<br />
Crown Land (at 2003 Valuation) 2,900 2,900<br />
Total Land 2,900 2,900<br />
Buildings<br />
Buildings under Construction 1,207<br />
Buildings at Cost 393 507<br />
Less Accumulated Depreciation & Impairment 2 115<br />
Buildings (at 2003 Valuation) 22,900 22,900<br />
Less Accumulated Depreciation & Impairment 1,718 1,145<br />
Total Buildings 22,780 22,147<br />
Plant and Equipment at Cost<br />
Plant & Equipment 6,523 6,323<br />
Less Accumulated Depreciation and Impairment 4,454 3,918<br />
Total Plant and Equipment 2,069 2,405<br />
Medical Equipment at Cost<br />
Medical Equipment 2,371 2,328<br />
Less Accumulated Depreciation and Impairment 1,905 1,718<br />
Total Medical Equipment 466 610<br />
Computers and Communication at Cost<br />
Computers and Communication 1,617 1,814<br />
Less Accumulated Depreciation and Impairment 1,532 1,487<br />
Total Computers and Communication 85 327<br />
Other Equipment at Cost<br />
Other Equipment 609 592<br />
Less Accumulated Depreciation 414 346<br />
Total Other Equipment 195 246<br />
Motor Vehicles at Cost<br />
Motor Vehicles 572 575<br />
Less Accumulated Depreciation and Impairment 318 262<br />
254 313<br />
Total Property, Plant & Equipment 28,749 28,948<br />
Reconciliation <strong>of</strong> the carrying amounts <strong>of</strong> each class <strong>of</strong> land, buildings, plant & equipment at the beginning and end <strong>of</strong> the current and previous financial<br />
year are set out below:<br />
Crown Buildings Plant & Medical Computer Other Motor Total<br />
Land Equipment Equipment Equipment Equipment Vehicles<br />
$’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Balance at 1 July 2004 2,900 22,715 2,640 508 474 246 376 29,859<br />
Additions - 170 137 282 225 77 87 978<br />
Disposals - - - - - - (57) (57)<br />
Adjustment on restatement <strong>of</strong> SWARH - (158) 112 - - - - (46)<br />
Depreciation Expense - (580) (484) (180) (372) (77) (93) (1,786)<br />
Balance at 1 July 2005 2,900 22,147 2,405 610 327 246 313 28,948<br />
Additions - 1,207 254 42 87 17 44 1,651<br />
Disposals - - (143) - - - (16) (159)<br />
Adjustment on restatement <strong>of</strong> SWARH - - - - (101) - - (101)<br />
Depreciation Expense - (574) (447) (186) (228) (68) (87) (1,590)<br />
Balance at 30 June <strong>2006</strong> 2,900 22,780 2,069 466 85 195 254 28,749<br />
58
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 18: Leased Assets<br />
Total<br />
Total<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Cost<br />
Finance Leased Assets<br />
- Plant & Equipment 6 6<br />
less Accumulated Amortisation (6) (2)<br />
Total Written Down Value - 4<br />
Reconciliation <strong>of</strong> the carrying amounts <strong>of</strong> Leased Assets at the beginning and end <strong>of</strong> the current and previous financial year are set out below<br />
Leased Assets Leased Assets<br />
$’000 $’000<br />
Carrying amount at start <strong>of</strong> year 4 194<br />
Additions - -<br />
Expires - (188)<br />
Amortisation Expense (4) (2)<br />
Carrying amount at end <strong>of</strong> year - 4<br />
Note 19: Reconciliation <strong>of</strong> Net Result for the Year to Net Cash Inflow/(Outflow) from Operating Activities<br />
<strong>2006</strong> 2005<br />
$’000 $’000<br />
Net Result for the Year (1,465) (1,462)<br />
Depreciation 1,590 1,786<br />
Long Service Leave Expense 267 342<br />
Long Service Leave Paid (221) (128)<br />
Net Loss on Sale <strong>of</strong> Plant & Equipment 3 3<br />
Changes in Operating Assets and Liabilities:<br />
Increase/(Decrease) in Payables 167 (20)<br />
Increase/(Decrease) in Borrowings - (97)<br />
Increase/(Decrease) in Employee Benefits 228 347<br />
Increase/(Decrease) in Other Current Liabilities (97) (307)<br />
(Increase)/Decrease in Prepayments 11 25<br />
(Increase)/Decrease in Stores 3 20<br />
(Increase)/Decrease in Receivables 46 (506)<br />
(Increase)/Decrease in Other Current Assets (113) 255<br />
Net Cash Flows From Operating Activities 419 258<br />
59
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 20: Lease Liabilities<br />
Aggregate Lease Expenditure contracted for at Balance Date. <strong>2006</strong> 2005<br />
Operating Lease $’000 $’000<br />
Not later than one year 55 8<br />
Later than 1 but not later than five years 28 6<br />
Total 83 14<br />
Finance Lease<br />
Commitment in relation to finance<br />
leases are payable as follows:<br />
Not later than one year - 4<br />
Later than 1 but not later than five years - -<br />
Total - 4<br />
Minimum Lease Payments - 4<br />
Less Future Finance Charges - -<br />
Total - 4<br />
Representing Lease Liabilities<br />
Current - 4<br />
Non-Current - -<br />
Total - 4<br />
Note 21: Contingent Liabilities/Assets<br />
As at balance date the Board <strong>of</strong> Management is unaware <strong>of</strong> the existence <strong>of</strong> any contingent liabilities/assets that may have a material effect on the<br />
Operating Statement as a result <strong>of</strong> any future event which may or may not happen.<br />
Note 22: Superannuation<br />
Superannuation contributions for the reporting period are included as part <strong>of</strong> employee benefits and on costs in the Operating Statement <strong>of</strong> the<br />
Hospital.<br />
The name and details <strong>of</strong> the major employee superannuation fund and contributions made by the Hospital are as follows:<br />
Contribution for the year <strong>2006</strong> 2005<br />
$000 $000<br />
<strong>Health</strong> Super Fund 1,497 1,366<br />
Total 1,497 1,366<br />
The bases for contributions are determined by the various schemes.<br />
The unfunded superannuation liability in respect to members <strong>of</strong> State Superannuation Schemes and <strong>Health</strong> Super Scheme is not recognised in the<br />
Balance Sheet. <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s total unfunded superannuation liability in relation to these funds has been assumed by and is reflected in<br />
the financial statements <strong>of</strong> the Department <strong>of</strong> Treasury and Finance.<br />
The above amounts were measured as at 30 June <strong>of</strong> each year, or in the case <strong>of</strong> employer contributions they relate to the years ended 30 June.<br />
All employees <strong>of</strong> the agency are entitled to benefits on retirement, disability or death from the Government Employees Super Fund. This fund<br />
provides defined lump sum benefits based on years <strong>of</strong> service and annual average salary.<br />
In accordance with the Directions <strong>of</strong> the Minister for Finance under the Financial Management Act 1994, contributed income sector bodies are<br />
required to make certain disclosures regarding superannuation. Accordingly the following items are disclosed;<br />
(i) Name <strong>of</strong> the Fund - <strong>Health</strong> Super Fund<br />
(ii) Total contributions made by the Hospital to the schemes during 2005-06 were $1,496,987<br />
(iii) As at balance date there were no outstanding contributions in respect <strong>of</strong> the 2005-06 financial year;<br />
(iv) Contributions are paid in accordance with the Hospitals Superannuation Act 1988 and the State Superannuation Act 1988;<br />
(v) There were no loans made from the Hospitals Superannuation Fund to the Hospital.<br />
60
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 23: Remuneration <strong>of</strong> Auditors<br />
Total<br />
Total<br />
2005-<strong>2006</strong> 2004-2005<br />
$’000 $’000<br />
Audit fees paid to the Victorian Auditor-General’s Office for audit <strong>of</strong> the Hospitals financial report<br />
Paid as at 30 June <strong>2006</strong> 2 4<br />
Payable as at 30 June <strong>2006</strong> 9 6<br />
Note 24: Segment <strong>Report</strong>ing<br />
Hospital Hospital RACS RACS Primary Care Primary Care Other Other Total Total<br />
<strong>2006</strong> 2005 <strong>2006</strong> 2005 <strong>2006</strong> 2005 <strong>2006</strong> 2005 <strong>2006</strong> 2005<br />
$’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Revenue<br />
External Segment Revenue 17,041 16,642 2,068 2,080 1,582 1,464 3,964 4,265 24,655 24,451<br />
Total Revenue 17,041 16,642 2,068 2,080 1,582 1,464 3,964 4,265 24,655 24,451<br />
Result<br />
Segment Result (1,032) (989) (242) (212) (100) (55) 36 18 1,338) (1,238)<br />
Net Result from ordinary Activities (1,032) (989) (242) (212) (100) (55) 36 18 (1,338) (1,238)<br />
Interest Expense (2) (41) - (4) - (1) (108) (149) (110) (195)<br />
Interest Income 18 - - - - - - 2 18 2<br />
Share <strong>of</strong> Net Result <strong>of</strong> Joint Ventures (29) (26) (3) (3) (1) (1) (2) (1) (35) (31)<br />
using the Equity Model<br />
Net Result for Year (1,045) (1,056) (245) (219) (101) (57) (74) (130) (1,465) (1,462)<br />
Other Information<br />
Segment Assets 30,566 30,240 585 468 169 134 398 89 31,718 30,931<br />
Total Assets 30,566 30,240 585 468 169 134 398 89 31,718 30,931<br />
Segment Liabilities 7,305 7,436 195 185 51 46 88 12 7,639 7,679<br />
Total Liabilities 7,305 7,436 195 185 51 46 88 12 7,639 7,679<br />
Investments in associates and joint 207 96 12 12 4 4 2 1 225 113<br />
venture partnerships<br />
Acquisition <strong>of</strong> property, plant and 1,372 805 45 29 58 28 76 95 1,551 957<br />
equipment and intangible assets<br />
Depreciation and amortisation 956 1,045 225 245 96 101 313 395 1,590 1,786<br />
expense<br />
The major product/services from which the above segments derive revenue are:<br />
Business Segments<br />
Hospital<br />
Nursing Home<br />
Primary <strong>Health</strong><br />
Supported Residential Service<br />
PDH Medical Centre<br />
Services<br />
Acute <strong>Health</strong><br />
Aged Care<br />
Primary Care<br />
Supported Residential Service<br />
Medical Clinic<br />
Geographical Segment<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> operates predominantly in the <strong>South</strong> <strong>West</strong> <strong>of</strong> Victoria. All revenue, net surplus from ordinary activities and segment assets<br />
relate to operations in <strong>Portland</strong>, Victoria.<br />
61
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 25: Valuation <strong>of</strong> Land & Buildings<br />
<strong>Portland</strong> & <strong>District</strong> Hospital contracted the services <strong>of</strong> Alison McLeod AAPI from Land Link Property Group to revalue the land and buildings<br />
owned by <strong>Portland</strong> & <strong>District</strong> Hospital. Valuations were completed on 30/6/03 and totalled $2,900,000 for Land (previously $1,000,000 - 1999)<br />
and $22,900,000 for buildings (previously $19,000,000 - 1999). It has been confirmed by Alison McLeod that as at 30/6/06, there is no material<br />
change to these values.<br />
Note 26: Responsible Person Related Disclosures<br />
(a) Responsible Persons<br />
The names <strong>of</strong> persons who were Responsible Persons at any time during the financial year for the purposes <strong>of</strong> the Financial Management Act 1994<br />
are:<br />
Mr. Vincent Gannon Mrs Merlyn Menzel Mr Greg Andrews<br />
Mr. Andrew Wilson Mr. James Harpley Ms Marianne Kuljis<br />
Mr. Bruce Du Vergier Mr. William Bassett Mrs Carmen Ward<br />
Mrs Marie Shea<br />
Responsible Ministers<br />
The Hon. Bronwyn Pyke<br />
(b) Remuneration <strong>of</strong> Responsible Persons<br />
The number <strong>of</strong> Responsible Officers whose total remuneration exceeded $110,000 are shown below in their relevant income Bands:<br />
<strong>2006</strong> 2005<br />
No.<br />
No.<br />
$160,000-$169,999 - 1<br />
$150,000-$159,999 1 -<br />
(c) Amount Attributable to other transactions with Responsible persons:<br />
Total<br />
Total<br />
Responsible Person Transaction <strong>2006</strong> 2005<br />
$’000 $’000<br />
Mr. Christopher J. Conway Physiotherapy Services - 2<br />
(d) Executive Officer Remuneration<br />
The number <strong>of</strong> Executive Officers whose total remuneration exceeded $110,000 are shown below in their relevant income bands.<br />
<strong>2006</strong> 2005<br />
No.<br />
No.<br />
$220,000-$229,999 1 -<br />
$110,000-$119,999 3 2<br />
$100,000-$109,999 - 1<br />
Note 27: Impacts <strong>of</strong> adopting AASB equivalents to IASB standards<br />
Following the adoption <strong>of</strong> Australian equivalents to International Financial <strong>Report</strong>ing Standards (A-IFRS), <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has reported for<br />
the first time in compliance with A-IFRS for the financial year ended 30 June <strong>2006</strong>.<br />
Under A-IFRS, there are requirements that apply specifically to not-for-pr<strong>of</strong>it entities that are not consistent with IFRS requirements. The <strong>Health</strong><br />
Service is established to achieve the objectives <strong>of</strong> government in providing services free <strong>of</strong> charge or at prices significantly below their cost <strong>of</strong><br />
production for the collective consumption <strong>of</strong> the community, which is comparable with generating pr<strong>of</strong>it as a principle objective. Consequently,<br />
where appropriate, the <strong>Health</strong> Service applies those paragraphs in Accounting Standards applicable to not-for-pr<strong>of</strong>it entities.<br />
The <strong>Health</strong> Service changed its accounting policies, other than its accounting policies for financial instruments, on 1 July<br />
2004 to comply with A-IFRS. The <strong>Health</strong> Service changed its accounting policies for financial instruments on 1 July 2005. The transition to A-IFRS<br />
is accounted for in accordance with Accounting Standard AASB 1 First-time Adoption <strong>of</strong> Australian Equivalents to International Financial <strong>Report</strong>ing<br />
Standards, with 1 July 2004 as the date <strong>of</strong> transition. An explanation <strong>of</strong> how the transition from superseded policies to A-IFRS has effected the<br />
<strong>Health</strong> Service’s financial position, financial performance and cash flows is set out in the following tables and the notes that accompany the tables.<br />
The finanial report has been prepared in accordance with A-IFRS. The difference between Australian GAAP and A-IFRS has been identified as not<br />
having a material impact on the hospitals financial position and financial performance.<br />
62
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Effect <strong>of</strong> A-IFRS on the Balance Sheet as at 1 July 2004<br />
Consolidated<br />
Effect <strong>of</strong><br />
June Transition to A-IFRS<br />
2004 A-IFRS 2004<br />
$’000 $’000 $’000<br />
Assets<br />
Current Assets<br />
Cash and Cash Equivalents 286 - 286<br />
Receivables 326 - 326<br />
Inventories 242 - 242<br />
Prepayments 42 - 42<br />
Other Current Assets 471 - 471<br />
Total Current Assets 1,367 - 1,367<br />
Non Current Assets<br />
Receivables 628 - 628<br />
Property, Plant and Equipment 29,859 - 29,859<br />
Total Non Current Assets 30,487 - 30,487<br />
Total Assets 31,854 - 31,854<br />
Liabilities<br />
Current Liabilities<br />
Payables 1,254 - 1,254<br />
Provisions 2,256 - 2,256<br />
Interest Bearing Liabilities 293 - 293<br />
Other Liabilities 551 - 551<br />
Total Current Liabilities 4,354 - 4,354<br />
Non Current Liabilities<br />
Provisions 1,408 - 1,408<br />
Interest Bearing Liabilities 1,878 - 1,878<br />
Total Non Current Liabilities 3,286 - 3,286<br />
Total Liabilities 7,640 - 7,640<br />
Net Assets 24,214 - 24,214<br />
Equity<br />
Contributed Capital 25,068 - 25,068<br />
Accumulated Surpluses/(Deficit) (854) - (854)<br />
Total Equity 24,214 - 24,214<br />
63
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Effect <strong>of</strong> A-IFRS on the Operating Statement for the Financial Year ended 30 June 2005<br />
Consolidated<br />
Effect <strong>of</strong><br />
Transition to A-IFRS<br />
2004-05 A-IFRS 2004-05<br />
$’000 $’000 $’000<br />
Revenue From Operating Activities 21,097 - 21,097<br />
Revenue From Non-operating Activities 2,914 - 2,914<br />
Employee Benefits (15,501) - (15,501)<br />
Fee for Service Medical Officers (2,568) - (2,568)<br />
Supplies and Consumables (120) - (120)<br />
Other Expenses From Continuing Operations (2,641) - (2,641)<br />
Finance Costs (3,018) - (3,018)<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures accounted (195) - (195)<br />
for using Equity Model (31) (31)<br />
Net Result from Continuing Operations before Capital & Specific Items (63) - (63)<br />
Capital Purpose Income 387 - 387<br />
Depreciation and Amortisation (1,786) - (1,786)<br />
Net Result for the Year (1,462) - (1,462)<br />
64
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Effect <strong>of</strong> A-IFRS on the Balance Sheet as at 30 June 2005<br />
Consolidated<br />
Effect <strong>of</strong><br />
June Transition to A-IFRS<br />
2005 A-IFRS 2005<br />
$’000 $’000 $’000<br />
Assets<br />
Current Assets<br />
Cash and Cash Equivalents<br />
Receivables 579 - 579<br />
Inventories 222 - 222<br />
Prepayments 11 - 11<br />
Other Current Assets 216 - 216<br />
Total Current Assets 1,028 - 1,028<br />
Non Current Assets<br />
Receivables 842 - 842<br />
Property, Plant and Equipment 28,948 - 28,948<br />
Investments Accounted for using the Equity Method 113 - 113<br />
Total Non Current Assets 29,903 - 29,903<br />
Total Assets 30,931 - 30,931<br />
Liabilities<br />
Current Liabilities<br />
Payables 1,196 - 1,196<br />
Provisions 2,453 - 2,453<br />
Interest Bearing Liabilities 381 - 381<br />
Other Liabilities 315 - 315<br />
Total Current Liabilities 4,345 - 4,345<br />
Non Current Liabilities<br />
Provisions 1,541 - 1,541<br />
Interest Bearing Liabilities 1,793 - 1,793<br />
Total Non Current Liabilities 3,334 - 3,334<br />
Total Liabilities 7,679 - 7,679<br />
Net Assets 23,252 - 23,252<br />
Equity<br />
Contributed Capital 25,568 - 25,568<br />
Accumulated Surpluses/(Deficit) (2,316) - (2,316)<br />
Total Equity 23,252 - 23,252<br />
65
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and Forming Part <strong>of</strong> the Financial Statements for the Year Ended 30 June <strong>2006</strong><br />
Note 27: Impacts <strong>of</strong> adopting AASB equivalents to IASB standards (Continued)<br />
There are no material differences between the Cash Flow Statement presented under A-IFRS and the statement <strong>of</strong> cash flows presented under the<br />
superseded policies.<br />
The financial report has been prepared in accordance with A-IFRS. The difference between Australian GAAP and A-IFRS has been identified as not<br />
having a material impact on the hospitals financial position and financial performance.<br />
66
Photographer: Renee Sheehan;<br />
photo courtesy <strong>of</strong> the <strong>Portland</strong> Observer<br />
Wedding Anniversaries<br />
Congratulations to Sea View House residents Colin and Ivy McKenzie,<br />
(second row middle) who recently celebrated 58 years <strong>of</strong> marriage and<br />
to Maurie and Margaret Sykes (bottom right) who also achieved a<br />
significant milestone - their 55th wedding anniversary.<br />
Acknowledgements - Photographs<br />
We wish to acknowledge the <strong>Portland</strong> Observer and photographer<br />
Ebony Garner for permission to use four <strong>of</strong> the photographs on the front<br />
cover <strong>of</strong> this annual report.<br />
· Top middle: Fawthrop Walking Map<br />
· Second row middle: Narrawong Old Timers Out and About<br />
· Bottom middle: New mum, Renee Sheehan & family<br />
· Bottom right: <strong>Health</strong>y Eating,<br />
along with the photograph which appears on page 18<br />
- Go for your life.