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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.

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