Annual Report - South West Alliance of Rural Health

11th Annual Report 2007/08 

Our Vision 

To provide a comprehensive and 

integrated quality health care service 

catering for the needs of all within our 

community 

Our Mission 

Providing the highest standard of care 

for the health and well being of our 

rural community 

Our Values 

• Delivering services in a friendly and 

enthusiastic manner 

• Being responsive to patient and client 

needs 

• Ensuring that services are of a high 

quality through fostering continuous 

quality improvement and striving for 

best practice 

• Encouraging professional 

development of staff 

• Being accountable to the community 

Our Highlights 

for the Year 

• Results from 2007-2008 Victorian 

Patient Satisfaction Monitor - 

100% of patients very satisfied with 

the care they received. 

• Promoting Healthy Lifestyles for our 

community. 

Facilitated the award winning 

‘Sustainable Farm Families’ program 

with 21 local families participating. 

• Increased the number of participants 

in exercise/healthy lifestyle programs. 

• Successful submission for HACC 

Living at Home program. 

• New quarterly bulletin for HACC 

clients ‘HACC Happenings’. 

• 99% rating achieved in external 

cleaning audit. 

• Community support – Donations 

$68,321. 

Timboon & District Healthcare Service Annual Report 2007/08 1

Our Rural Health Service 

Our Performance 

Timboon and District Healthcare 

Service is an integrated health service 

under a multi purpose service model of 

health care, administered by both the 

Australian Department of Health and 

Ageing and the Victorian Department 

of Human Services. 

• We deliver acute care, accident 

and emergency, maternity services, 

residential aged care, community 

aged care, allied health, district 

nursing, health promotion, active life 

style programs and youth services 

throughout the Timboon and 

Cobden districts. 

• We work closely with regional and 

specialised health services to extend 

the scope of services available. 

• We are committed to continuously 

improving our Healthcare Service in 

terms of quality of care and scope 

of services to meet the needs of our 

local community. 

Our Hospital 

The facilities of Timboon and District 

Healthcare Service provide for 14 beds 

for acute care and residential aged care, 

4 day-stay chairs, operating theatre 

suite, radiology, emergency department 

and clinic rooms for allied health and 

primary care services. 

In accordance with our Service Plan 

10 beds have been allocated for acute 

care with 2 of these beds specifically 

designed for maternity services, and 4 

beds for residential aged care. Two of 

these beds are allocated for high care 

permanent residents and the remaining 

2 beds for respite care. 

The former Timboon Hospital, which 

was founded in 1955, was designated 

a multi purpose service in 1998, and 

at that time a major redevelopment 

of the facilities was undertaken. The 

redevelopment provided additional 

facilities for the expansion of allied 

health and primary care services. 

Responsibility for the provision of a full 

range of Home and Community Care 

Services within the catchment was 

added to the role of the organisation. 

This growth in primary and community 

services has enabled the organisation 

to fulfil its mission of meeting the needs 

of all within the community. 

Our Catchment 

We provide services mainly for the 

southern section of Corangamite Shire 

and adjoining areas of Moyne Shire, 

a rural area including the tourist icon 

of the Twelve Apostles and the Great 

Ocean Road. This catchment area 

has a population base of 8,000. The 

area provides employment through 

the dairying and other primary 

industries, tourism and commercial and 

community services. 

The graph details the townships and 

areas from which patients are drawn. 

80% of patients are drawn from 

localities in the southern section of 

Corangamite Shire, 5% from the 

northern section of Corangamite Shire, 

9% from adjoining Moyne Shire, 1% 

from Warrnambool, 1% from Colac/ 

Otway Shire and 4% from other 

localities across the state, reflecting 

the needs of a number of visitors and 

tourists to the area. 

Patients by locality of 

residence 2007-2008 

Timboon 45% 

Timboon 45% 

Scotts Creek 7% 

Scotts Creek 7% 

Cobden 6% 

Port Campbell 6% 

Princetown 4% 

Simpson 4% 

Peterborough 3% 

Cooriemungle 3% 

Terang 2% 

Cobden 6% 

Other 20 % 

Port Campbell 6% 

Princetown 4% 

Simpson 4% 

Peterborough 3% 

Cooriemungle 3% 

Terang 2% 

Other 

Moyne Shire 9% 

Corangamite North 5% 

Warrnambool 1% 

Colac Otway Shire 1% 

Other 4% 

Source: Victorian Admitted Episodes Dataset 

Acute Care 

Admitted Patients 2007/08 2006/07 2005/06 

Same Day Separations 283 317 297 

Multi Day Separations 422 526 608 

Total Separations 705 843 905 

Emergency 345 485 484 

Elective 271 216 325 

Other including Maternity 89 142 96 

Total Separations 705 843 905 

Total WIES 425.54 484.75 531.67 

Total Bed Days 2254 2297 2639 

Length of Stay (days) 3.2 2.66 2.84 

Length of Stay excluding Same Day Patients (days) 4.83 3.78 3.86 

Surgical and Diagnostic Procedures 210 225 225 

Births 40 66 74 

Child Birth Classes - Group Sessions 12 15 22 

Domiciliary Midwifery Visits 68 59 73 

Non Admitted Patients 2007/08 2006/07 2005/06 

Emergency Department Presentations 1,816 1,633 1,652 

Radiography Occasions of Service 300 471 667 

Allied Health Services 2007/08 2006/07 2005/06 

Occasions of Service Audiology* 18 28 32 

Continence Clinic (Timboon, Cobden) 60 35 141 

Diabetic Education (Timboon, Cobden) 164 187 180 

Counselling (Psychologist) 66 72 72 

Nutrition 80 85 113 

Occupational Therapy 74 77 32 

Physiotherapy 517 543 673 

Podiatry* (Timboon, Cobden) 667 619 466 

Speech Pathology 249 293 318 

Total Occasions of Service 1,895 1,939 2,027 

* Private sessions are also held at the Healthcare Service 

Home Care Services 

Timboon and Cobden districts 

Hours of Service 2007/08 2006/07 2005/06 

District Nursing 2,297 2,261 2,562 

Personal Care 887 683 861 

Domestic Assistance 5,579 5,137 5,059 

Respite (in home) 1,083 1,016 878 

Property Maintenance 2,017 1,861 1,820 

Adult Day Activity Centres 

Timboon 3,695 4,360 4,216 

Cobden 4,870 5,600 5,923 

Client Transport (number) 1,848 1,880 N/A 

Delivered Meals (number) 11,455 8,567 8,791 

2 Timboon & District Healthcare Service Annual Report 2007/08 Timboon & District Healthcare Service Annual Report 2007/08 3

President’s Report 

In accordance with the Financial 

Management Act 1994, I am pleased to 

present the Report of Operations for 

the Timboon and District Healthcare 

Service for the year ending 30 June 

2008. 

Richard McVilly 

President, Board of Management 

Timboon 

17 September 2008 

The Healthcare Service has during 

2007-2008 continued to provide a 

range of services and, particularly, in the 

health promotion area has achieved 

considerable success. Against the 

backdrop of the advanced notice of 

intended departure by Drs. Jeannie 

Brown and Michael Brownstein, there 

has been some degree of uncertainty 

in the recruitment of general 

practitioners. 

Medical Staff 

Dr. Jeannie Brown and Dr. Michael 

Brownstein continued to practice at 

Timboon until the end of December 

2007. During 2007 Dr. Ellie Ananiev 

had been recruited and following 

the departure of Drs. Brown and 

Brownstein Dr. Galia Millington 

joined the practice. However, the 

recruitment of these two doctors has 

not led to a permanent arrangement 

and at the end of this financial year 

both resigned. 

The Board of Management places on 

record our considerable appreciation 

for the twelve years of service 

provided to the hospital and to the 

community by Dr. Jeannie Brown and 

Dr. Michael Brownstein. We were 

indeed very fortunate to have such 

highly skilled, dedicated and caring 

general practitioners. 

In the interim locums and part-time 

general practitioners have been 

recruited to maintain the operation of 

the Timboon Clinic. We appreciate 

the services provided by these parttime 

and locum general practitioners 

- Dr. Naomi Harris, Dr. Campbell 

McKellar, Dr. Jojy Thomas, Dr. Bruce 

Rossiter and Dr. Kevin Shannon. 

In this difficult climate of Australiawide 

shortage of general practitioners, 

and particularly, the difficulty of 

recruitment to rural areas, the 

Board of Management sought the 

assistance of Health Financial Pty. Ltd. 

and has entered into a private/public 

arrangement for the management of 

the Timboon Clinic and associated 

recruitment of general practitioners. 

The Board of Management remains 

optimistic that general practitioners will 

be found. 

The Healthcare Service has well 

established partnerships with visiting 

medical specialists to enhance the 

medical services available at Timboon. 

Strategic Planning 

The strategic goals of the organisation 

set for 2005-2008 were: 

• to promote a rural model for health 

services based upon an integrated 

multi service approach 

• to continue to promote student 

training placements 

• to foster medical and nursing staff 

recruitment and retention 

• to provide additional facilities for 

community activities 

• to promote effective governance 

• to continue to develop a culture of 

continuous quality improvement 

• to promote safe practices and a safe 

environment. 

Staff are multi skilled and deliver a 

wide range of services, providing an 

integrated service model encompassing 

acute care, residential aged care, 

emergency services, allied health, 

primary care and health promotion. 

This Report together with the 

Quality of Care Report which is 

included within the Annual Report 

outline in detail our services and 

activities undertaken to meet our goals. 


Service was successful this year in 

attracting the innovative and award 

winning “Sustainable Farm Families” 

health promotion program to Timboon 

to meet the need of local farm families. 

Health promotion staff undertook 

specific training in order to deliver this 

program. 

As outlined above recruitment and 

retention of medical staff continues 

to be a goal and success in this area is 

essential for the ongoing maintenance 

of the organisation. 

As we move into the 2008-2009 year, 

the Board of Management has engaged 

consultants to seek out the views of 

the community and our associated 

health agencies to assist them to 

develop a new strategic plan and 

service plan for the next three years 

– a requirement to meet our funding 

obligations with the Department of 

Human Services and the Department 

of Health and Ageing. 

The Board of Management has also 

engaged consultants experienced in the 

field of retirement villages/independent 

living units to fully ascertain whether 

the Timboon community has the 

capacity to support into the future 

such an endeavour. The size and 

age profile of the community, socio/ 

economic factors, specific needs and 

community interest in such a venture 

are among the issues that will be taken 

into account. 

One goal established in the strategic 

plan and not yet achieved is the 

expansion of our facilities to provide 

for additional community and aged 

activities including the relocation of the 

adult day centre on-site. Issues relating 

to the rebuilding of the ambulance 

station has affected the planning 

but now that issue is resolved, it is 

expected that the project will proceed 

in the coming year. 

Ambulance 

The Board of Management has 

welcomed the announcement that the 

Timboon ambulance station will be 

re-built and expanded to incorporate a 

permanent ambulance officer. 

The Board in its strategic planning 

had decided to re-build rather than 

renovate the former community health 

building and this decision has created 

the necessary space and suitable site 

for the new ambulance station. 

The Healthcare Service looks forward 

to working in close cooperation with 

Ambulance Victoria and a permanent 

Timboon paramedic to enhance 

ambulance and emergency services. 

Acknowledgments 

Many people and organisations 

contribute to the success of Timboon 

and District Healthcare Service. Our 

staff has built up the fine reputation 

this Healthcare Service has as a 

caring and quality service. Patients 

have acknowledged this in this year’s 

Victorian Patient Satisfaction Monitor 

with 100% of patients responding that 

they were very satisfied with the care 

they received. 

The achievements of the Healthcare 

Service are also a testament to the 

strong support received from the 

community through ongoing generous 

financial support and the willingness of 

volunteers to assist with community 

programs. 

As Chairman of the Board I wish 

to thank the many people and 

organisation that have contributed to 

the provision of services throughout 

this year - 

• Board of Management members 

• Management and Staff 

• Visiting Medical Officers 

• Volunteers and Auxiliaries 

• Timboon Lions – Red Cross 

Transport 

• South West Healthcare 

• Lyndoch, Warrnambool 

• Brophy Youth and Family Services 

• Terang & Mortlake Health Service 

• Western District Health Service 

• Corangamite Shire 

• Barwon-South West Region, 

Department of Human Services 

• Our Community. 


Clinical Services 

Patient Satisfaction 

The Victorian Patient Satisfaction 

Monitor is a regular six monthly 

survey conducted by an independent 

company on behalf of the Department 

of Human Services, which is sent to 

patients after their discharge from 

hospital to reflect upon a wide range 

of aspects of their hospital stay. The 

results are fed back to each hospital, 

providing an important opportunity for 

quality improvement. 

The Service appreciates the time 

taken by patients in participating in the 

surveys and thus providing valuable 

feedback on our acute services 

covering all aspects of care. 

The questionnaire has three questions 

that are considered to measure the 

patient’s “overall hospital experience”. 

These are: 

• Thinking about all aspects of your 

hospital stay, how satisfied were you 

• How much do you think you were 

actually helped by your stay in 

hospital 

• Was the length of time you spent in 

hospital appropriate 

Overall Hospital Experience 

100% Very Satisfied during 2007-2008 

The survey includes over 100 questions 

covering issues relating to Access and 

Admission, General Patient Information, 

Treatment and Related Information, 

Complaints Management, Physical 

Environment and Discharge and 

Follow-up. 

The following table sets out the 

detailed results for each section of 

the surveys in 2007 and 2008. It is 

to be noted that in each category 

except Access and Admission in 2008 


Service achieved the upper score. 

Index Measure 

(20-100 Scale) 

TDHS 

2008 

Score 

Category M 

2008 

Score Range 

TDHS 

2007 

Score 

Category M 

2007 

Score Range 

Overall Care 88 77 – 88 89 81 - 89 

Access and Admission 87 76 – 94 86 77 - 86 

General Patient Information 89 80 – 89 92 83 - 92 

Treatment and Related 

Information 

85 75 – 85 88 77 - 88 

Complaints Management 88 77 – 88 92 80 - 92 

Physical Environment 89 77 – 89 89 80 - 89 

Discharge and 

Follow-up 

87 72 – 87 88 72 - 88 

Category M – Peer Group of seven multi purpose services. 

Patient Services 

During this financial year there were 

705 inpatients treated, a decrease of 

138 patients compared to the previous 

year. This decrease in patients can be 

attributed to the loss of permanent 

general practitioners in Timboon, 

reducing from four to two over 2007- 

2008. Of the 705 inpatients admitted, 

approximately half were admitted 

through the emergency department. 

The number of bed days remained 

similar to the previous year, totalling 

2254 bed days compared to 2297 

in the previous year. Although less 

patients were treated length of stay 

increased due largely to an increased 

number of palliative care patients. 

A wide range of medical conditions 

continues to be treated. The graph 

below demonstrates that all ages 

within the community are catered for, 

with the age group of patients treated 

ranging from neonatal to over 75+. 

Diagnostic and Surgical Procedures 

Included in the 705 patients treated 

were 210 diagnostic and surgical 

procedure cases, the majority of these 

cases being day-stay. This number 

of cases is similar to the 225 cases 

in the previous year. These services 

are provided on a regular basis by 

visiting surgeons and physicians from 

Warrnambool and Colac. 

Emergency Services 

Emergency attendances for 2007-2008 

reached a high of 1,816 – an increase 

of 183 attendances over the previous 

year, and one of the highest on record. 

The summer months from December 

to March show a marked increase in 

the number of attendances reflecting 

the number of visitors to the coastal 

area during this period. 

Electronic Medical Records 


Service is one of the leaders within the 

South West Alliance of Rural Health 

(information technology alliance) in 

the introduction of electronic medical 

records. Clinical information now 

being recorded electronically includes 

emergency admissions, clinical notes 

and observations, pathology results 

and medical discharge summaries. 

Advantages of the electronic record 

are that it improves the clarity of 

the record, reduces paperwork and 

enhances access to patient information 

by health professionals. The long 

term aim is that medical practitioners 

throughout the south west will be 

able to access records when clients 

are transferred between referring 

hospitals, assisting patient care. This 

is particularly important for patients 

of Timboon and District Healthcare 

Service where patients may from time 

to time be referred to the regional 

hospitals of South West Healthcare and 

Barwon Health. 

Food Services 

Staff takes pride in ensuring meals are 

appetising, nutritious and meet patients’ 

dietary requirements 

The 2008 Victorian Patient Satisfaction 

Monitor recorded: 

% Patients’ 

Satisfied 

Temperature of 

hot meals 

100 

Quality of food 100 

Quantity of food 100 

All meal preparation, cooking and 

cleaning follows our Food Safety Plan 

prepared in accordance with the Food 

Act safety and handling standards. 

This requires the documentation of 

all food service activities including 

the temperature of food served and 

stored and cleaning routines. These 

audits include the kitchen and adult 

day activity centres. All audits received 

100% compliance. 

All staff has completed Food Safety 

Level 2 in Health and further 

undertook Certificate III in Hospitality 

(Operations) during the year. The 

Supervisor completed Certificate IV in 

Food Safety Practices in the Workplace. 

Food services include both inpatients 

and community clients receiving ‘meals 

on wheels’. 

Maternity 

– a continuum of care 

During 2007-2008 a total of 40 babies 

were delivered at Timboon and District 

Healthcare Service. This is a decrease 

from previous years and reflects 

staffing changes in the latter half of the 

year, moving from an obstetric/general 

practitioner model to a midwifery led 

model of care. 

For the past two years Timboon 

and District Healthcare Service 

midwives have been involved with 

the Corangamite Managed Clinical 

Network, which has as one of its 

aims – to ensure the continued 


availability of midwifery services against 

a background of a diminishing rural 

general practitioner workforce. 

The Corangamite Managed Clinical 

Network, which involved the 

Department of Human Services, 

the regional hospital of South West 

Healthcare and neighbouring hospitals 

together with Timboon and District 

Healthcare Service, developed a 

range of activities to up-skill general 

practitioners and midwives. Midwives 

were up-skilled to expand their role to 

provide full care to “low risk” women. 

With the departure of obstetric/ 

general practitioners in Timboon a 

primary maternity care service has 

been developed. This care is provided 

by midwives working in association 

with obstetricians who visit Timboon 

regularly. 

Midwives are now providing ante 

natal care clinics in association with 

obstetricians. These clinics involve 

diagnosing pregnancy, monitoring well 

being of women and baby and follow 

up with pathology tests and scan 

reports. 

Since the establishment of the Timboon 

Maternity Team in February 17 births 

have taken place at the hospital. 

Domiciliary Care 

Midwives provide domiciliary visits for 

all new mothers throughout the district 

– whether the birth has taken place 

at Timboon and District Healthcare 

Service or at another health care 

agency. 

Childbirth Classes 

Prior to birth, parents attend evening 

child birth classes. These are open to 

all expectant parents within the district 

regardless of where they choose to 

have their child. 

New Parents Groups 

Under the auspice of the Maternal and 

Child Nurse new parents throughout 

the district are offered a series of 8 

classes on a range of topics relevant 

to new parents. Staff of Timboon and 

District Healthcare Service provide the 

educational sessions. 

Early Childhood Program 

– ‘Bookworms’ 

‘Bookworms’ is a program focusing 

on socialisation, attachment and early 

literacy for parents and young children 

in Timboon and district. Parents gain 

skills and confidence which enables 

them to create positive family patterns 

during their children’s crucial early 

years, and give their children healthy 

early experiences with language and 

communication. 

The ‘Bookworms’ program runs 

monthly at Timboon and District 

Healthcare Service and at the Port 

Campbell Playgroup. Each month 

approximately 16 adults and 30 

children attend either of the programs. 

The 40 new mothers who birthed 

at Timboon and District Healthcare 

Service received a ‘Bookworm’ package 

which provides every child with age 

appropriate books at birth that will 

encourage parent-child attachment and 

foster literacy skills. 

Parenting 

Parenting programs have continued 

during 2007-2008. Parents have 

participated in ‘Little Tackers’ general 

information sessions and a ‘Positive 

Parenting Program’. 

Areas covered in 

‘Little Tackers’ include 

speech and language 

development, first 

aid, and sleep. The 

Triple P parenting 

program focuses upon 

behaviour management 

that will prevent parent 

and family life stressors. 

Residential and Respite 

Services 

Four beds are utilised for residential 

and respite services. Permanent 

residents admitted are nursing home 

or high level care clients. Respite 

clients are admitted for varying 

periods of respite according to their 

needs. Prior to admission all respite 

clients have been assessed by the Aged 

Care Assessment Service. Bookings 

for respite are coordinated through 

the regional Carer Respite Centre at 

Warrnambool. This service is also able 

to offer some financial assistance in 

meeting respite accommodation fees, 

depending upon a family and client’s 

financial circumstances. 

High Level Care 2008 2007 2006 

Places 2 2 2 

Separations 1 0 1 


Respite Care 

(High & Low 

Level Care) 

Places 2 2 1 

Separations 15 21 17 


Well Women’s Service 

The aim of the service is to offer 

within our catchment a service that 

offers women options as to where 

they can obtain pap tests, advice and 

education regarding breast health, 

contraception, menopausal issues or 

other related health issues and provide 

referrals to other health professionals 

as appropriate. Clinics are run 

regularly at Timboon and Cobden 

and contracted to Terang & Mortlake 

Health Service. Results of pap tests 

are sent to local general practitioners, 

if required by the client. Women with 

abnormalities are referred on to a 

gynecologist for further investigation. 

In this financial year 885 

women accessed the Well 

Women’s Service with 

equal numbers of women 

being under and over 50 

years of age. 

Increase in Screenings 

One of the outcomes 

for the introduction 

of this service was to 

increase screenings, as 

data in 1999 obtained 

from Cytology Victoria 

showed a low incidence 

of screenings for this 

catchment area. Since 

the introduction of the 

Number of Women 

700 

600 

500 

400 

300 

200 

100 

0 

service in 2001 the number of women 

screened has been slowly increasing. 

Through regular advertising in the local 

paper and the Healthcare Service’s 

newsletter ‘HEY’ women are more 

aware and informed regarding their 

own health. A re-call service is in place 

to ensure that all women eligible for 

screening are reminded – a service that 

is well received by the women. 

The graph below illustrates by areas 

within the service area the increase in 

screening from 1999 to 2007. 

Timboon 

Comparison of Women Screened in each Township 

Cobden/ 

Simpson 

Port Campbell/ 

Peterborough 

Mortlake Terang Noorat 

1999 

2007 


Promoting Health 

Corporate Governance 

Sustainable Farm Families 

The ‘Sustainable Farm Families’ Program 

is an award winning initiative of 

Western District Health Service based 

in Hamilton and this year Timboon staff 

undertook the training to deliver the 

program to 21 local farm families. 

The ‘Sustainable Farm Families’ program 

is delivered over a two year period 

and aims to develop the knowledge of 

farmers regarding their own health and 

well-being and farm safety issues, with 

a focus on what practical steps can 

be taken to improve the lives of farm 

families and the improvement this can 

deliver to their farm business. 

The program covers a range of health 

topics including cardiovascular disease, 

cancer, diabetes, women’s and men’s 

health, stress depression, farm safety, 

nutrition and exercise. 

Participants found the course 

provides significant and relevant 

information, with all participants 

leaving with increased motivation to 

tackle health, well-being and safety 

issues for their farm business. One 

session involved a tour at the local 

supermarket examining a range of 

products, with health professionals on 

hand to explain the contents of each 

product in context to their nutritional 

requirements. Understanding what 

to look for and how to make better 

decisions for yourself and the family 

had been a highlight for many 

participants. 

Having blood tests done on day one 

of the workshop for issues such as 

diabetes and cholesterol are checks 

that many farmers just don’t “get 

around to”. 

A participant commented “we book 

our tractors and balers in for regular 

maintenance but never see our own 

health as a priority so put off getting 

ourselves checked over, until something 

drastic gets us to the doctor”. 

Evaluation at the end of the program 

indicated that 85% of the farmers’ 

felt more empowered by their own 

health. Some also found that they 

were able to make better decisions 

because they had a new perspective 

of how important their health and 

families were in their lives. All of the 

participants will return to complete 

another two day workshop in 2009, 

allowing them to track their health 

indicators over time. 

Food for Thought Program 

“Left us with a good healthy mental 

approach to eating and lifestyle”. 

The ‘Food for Thought’ program 

follows a health coaching model and 

focuses on nutrition, healthy lifestyles 

and reducing tobacco and alcohol 

consumption. The program provides 

seven group sessions followed by a 

quarterly newsletter over the next 

twelve months. During the past 

twelve months 20 women have 

participated in two ‘Food for Thought’ 

programs and they are currently in 

phase 2 of the follow-up program. 

Community Health at Cobden 

Priority health issues being addressed 

are cancer, chronic illness, cardiovascular 

disease, diabetes and mental health. 

Cancer support and education have 

been identified by the community as 

a priority. To meet this need a Cancer 

Support Group under the direction 

of the community health nurse has 

commenced in Cobden. 

During 2007-2008 the community 

health nurse has undertaken: 

• 285 cancer support visits 

• 116 sunspot screenings at 

Cobden, Simpson and Timboon 

with referrals as appropriate to 

general practitioners for biopsy - 3 

melanomas and 27 carcinomas were 

confirmed. 

• two ‘Secret Girls Business’ programs 

with 10 families attending each 

• health screenings at local industries 

• ‘Positive Parenting Programs’ at 

Cobden and Timboon 

• new mothers group education in 

association with the maternal and 

child health nurse 

• school and community health 

education programs 

• facilitation of Diabetes Support 

Group and Grief, Loss and Suicide 

Support Group. 

Additional health promotion programs 

are outlined in the Quality of Care 

Report section of this Annual Report. 

Organisational Chart 

Board of 

Management 

Chief 

Executive 

Officer 

Visiting 

Medical Officers 

Director of Nursing 

Clinical and Residential Aged Care 

Clinical Services 

Operating Theatre 

Pharmacy 

Infection Control 

Quality Improvement 

Residential and Respite Services 

Hotel Services 

Occupational Health & Safety 

Community Services Manager 

Primary and Community Services 

Allied Health Professionals 

Community Clinical Nurse Educators 

Community Health Nurse – Cobden 

Community Health Nurse – Timboon 

Health Promotion and Education 

Youth Worker 

District Nursing 

Home & Community Care Coordinator 

Adult Day Centres 

Corporate Services 

Finance 

Human Resources 

Administration 

Health Information 

Maintenance 

Board Sub-Committees 

Board Executive 

Finance and Audit 

Credentials & Medical 

Appointments Advisory 

Staff Committees 

Community Services 

Nursing Services 

Occupational Health & Safety 


Responsible Ministers 

Australian Government 

The Honourable Nicola Roxon, MP, Minister for Health and Ageing 

The Honourable Justine Elliot, MP, Minister for Ageing 

Victorian Government 

The Honourable Daniel Andrews, MLA, Minister for Health 

Board of Management 

Richard McVilly PhC, MPS 

President 

Pharmacist (Retired) 

First appointed: 12.03.1998 

Current term of appointment: 01.03.2007 

- 30.06.2009 

Member of Finance and Audit Committee 

and Medical Appointments Advisory 

Committee 

Margaret Bull RN 

Registered Nurse South West Healthcare 

First appointed 01.11.2006 

Current term of appointment: 01.11.2006 - 

30.06.2009 

Catherine Marr DPT 

Self employed, former Corangamite Shire 

councillor 



31.10.2008 

Re-appointed: 01.07.2008 - 30.06.2011 


Tom Walsh BVetSc, MACVSc, DipAgEc, 

GradCertAcc 

Vice-President 

Partner in Timboon Veterinary Group 



31.10.2008 

Re-appointed: 01.11.2008 - 30.06.2011 

Josh McKenzie BE(Chem), BSc 

Chemical Engineer 



- 30.06.2008 

Re-appointed: 01.07.08 - 30.06.2011 


Monica Ryan BVetSc 

Veterinarian 



- 30.06.2009 

Michael Broomhall BEd, GradDipEd, DPT 

Treasurer 

Primary teacher 



30.06.2009 

Chairperson of Finance and Audit 

Committee and member Medical 

Appointments Advisory Committee 

Margaret McKenzie TSTC 

Member of local tourist and economic 

development groups 



31.10.2008 

Re-appointed: 01.11.2008 - 30.06.2010 

Member of Medical Appointments 

Advisory Committee 

Ray Smith 

Former dairy farmer and self employed 


Current term of appointment 01.11.2005 - 

31.10.2008 

Re-appointed: 01.11.2008 - 30.06.2010 

Member of Finance and Audit committee 

Board of Management 


Service is governed by a nine member 

Board of Management, appointed by 

the Governor-in-Council upon the 

recommendation of the Minister for 

Health. Board members are appointed 

for periods up to three years and serve 

in a voluntary capacity. 

The activities of the Healthcare Service 

are directed by a tripartite Agreement 

incorporating a Service Plan, which is 

negotiated between the Australian and 

State governments and the Healthcare 

Service on a three yearly basis. The 


Service is accountable through the 

Board of Management to both the 

State Minister for Health and the 

Australian Government Minister for 

Health and Ageing and the Minister for 

Ageing. 

The Board of Management is 

responsible for the governance and 

strategic direction of the service 

and is committed to ensuring that 

the services meet local needs in 

accordance with the vision, mission and 

objectives of the organisation. 

In addressing its governance role the 

Board of Management strives to: 

• Meet community expectations by 

achieving quality health service 

delivery 

• Ensure there are corporate and 

clinical standards for accountability 

and leadership within the Healthcare 

Service 

• Address the management and 

identification of risks and hazards 

by implementing a comprehensive 

clinical and non-clinical risk 

management system 

• Ensure staff and facilities are assessed, 

reviewed and credentialled. 

Committees 

Board Executive Committee 

The Board Executive Committee 

includes the Office Bearers of the 

Board of Management. The Committee 

is empowered with the authority 

of the Board to act on its behalf on 

matters arising between meetings, but 

all decisions relating to policy must be 

referred to the next full meeting of the 

Board of Management. 

Finance and Audit Committee 

The Finance and Audit Committee 

assists the Board of Management in 

fulfilling its financial and compliance 

oversight responsibilities. 

The Committee monitors and oversees 

the financial performance and financial 

reporting process, the scope of work, 

performance and independence of 

both internal and external auditors, 

the operation and implementation of 

the financial and organisational risk 

management framework. 

Medical Appointments Advisory/ 

Credentials Committee 

The Committee advises the Board of 

Management on matters of a medical 

nature relating to the appointment 

of medical staff. Its role is to assess 

the suitability of applicants requesting 

appointment to the Healthcare 

Service as visiting medical practitioners 

and make recommendations to the 

Board of Management. It delineates 

the privileges associated with such 

appointments ensuring they are 

suitable to the role and function of 


Service. The Committee is also 

empowered to take disciplinary action 

if necessary. All medical appointments 

are reviewed on a three yearly basis. 

Quality and Safety 

The Board of Management directly 

takes responsibility for quality and 

safety throughout the organisation. 

It receives regular reports from 

the Occupational Health and 

Safety Committee and from 

senior management on the quality 

improvement plan and other internal 

staff committees monitoring clinical 

care issues. 

Executive Staff 

The Board of Management delegates 

the operational activities of Timboon 

and District Healthcare Service to 

the Chief Executive Officer, Director 

of Nursing, Community Services 

Manager and staff in accordance with 

the Instrument of Delegation and the 

Health Services Act 1988. 

Chief Executive Officer 

Elaine Collins BA, MHA, GradDipAcctg, 

CHE 

The Officer is directly responsible to 

the Board of Management for the 

overall management and financial 

accountability. 


Anne McMeel BN, RN, RM 

The Officer is responsible for the 

management and quality of care of 

clinical and residential services provided 

by the nursing and hotel services 

workforce. 

Director of Community Services 

Amanda Nash RN, RM 

The Officer is responsible for the 

management, development and quality 

of care of primary care services and 

health promotion and education. 


Human Resources 

Workforce 

Labour Category 

JUNE 

Current 

Month FTE 

JUNE 

YTD FTE 

JUNE 

Current Month 

Head Count 

Nursing 21.38 20.95 34 

Administration and Clerical 2.97 3.27 5 

Medical Support 1.88 1.82 2 

Hotel and Allied Services 7.58 7.93 11 

Nursing comprises all Division 1 and 

2 nurses including community health 

nurses, district nurses, planned activity 

group coordinator and home and 

community care assessment officer. 

Medical Support comprises health 

professionals providing health 

promotion, community services and 

exercise therapy. 

Hotel/Allied comprises food and 

domestic services and maintenance 

staff. 

Administrative and Clerical 

comprises chief executive officer and 

administrative and clerical staff. 

The above table does not include 

allied health professionals who are 

contracted from other health agencies, 

visiting medical officers who are 

engaged on a fee for service basis 

and home and community care 

workers who are contracted from the 

Corangamite Shire. These contracted 

staff contributes significantly to the 

range of services provided by Timboon 

and District Healthcare Service. 

Long Service 

At the Annual Meeting of the 

Healthcare Service held on 13th 

November 2007, the Board of 

Management expressed its appreciation 

for the service of the following staff 

who reached the following milestones 

of service: 

40 Years 

Barbara Fraser 

25 Years 

Jan Burkhalter 

20 Years 

Sandra Mugavin 

Maureen Turner 

15 Years 

Sheryl O’Connor 

10 Years 

Heather Power 

Tricia Klemm 

Alan Rhode 


Service is very fortunate to have 

the dedicated service of staff, the 

majority of whom have been with the 

organisation for many years. 

Merit and Equity Principles 

Timboon and District Healthcare is 

committed to providing a workplace 

environment that fosters fair and equal 

work opportunities in accordance 

with Equal Opportunity legislation and 

the values, employment principles and 

code of conduct as laid down by the 

State Services Authority. Processes 

and systems are in place to apply the 

public sector values and employment 

principles set out below. These values 

and principles govern the manner in 

which the organisation operates. 

Public Sector Values 

• Responsiveness - providing best 

standards of service and advice 

• Integrity - earning and sustaining 

public trust 

• Impartiality - acting objectively 

• Accountability - accepting responsibility 

for decisions and actions 

• Respect - treating others fairly and 

objectively 

• Leadership - actively implementing, 

promoting and supporting the 

values. 

Public Sector Employment Principles 

• Merit - employment decisions are 

based on merit 

• Fair and Reasonable - public sector 

employees are treated fairly and 

reasonably 

• Equal Employment Opportunity - 

equal employment opportunity is 

provided 

• Avenue of Redress - there is a reasonable 

avenue of redress against 

unfair or unreasonable treatment 

Occupational Health and 

Safety 

The Occupational Health & Safety 

Committee forms a key part of the 

management system framework for 

managing the organisation’s health and 

safety obligations to provide a safe 

environment. This staff committee 

reports to the Board of Management. 

The Committee’s role extends 

beyond employee safety to include 

responsibility for ensuring a safe 

environment for patients, visitors and 

staff and has incorporated infection 

control into its charter. 

The role of the committee is 

supported by safe practice guidelines 

and compliance requirements of the 

Occupational Health and Safety Act 

2004. 

The Occupational Health and Safety 

Committee meets regularly to discuss 

a wide range of topics concerning staff, 

patients, volunteers, allied health and 

community clients, contractors and 

visitors. 

Safety issues are reviewed through: 

• Analysis of incident reports and 

recommendations as required. Staff 

is required to report any incident 

which is a deviation from protocol 

or procedures or may lead to an 

adverse outcome relating to patient 

or staff safety. 

• Regular safety audits are carried out 

to help highlight actual or potential 

safety issues and departmental staff 

participates in these audits with the 

Occupational Health and Safety 

Committee representative. 

Maintenance of safety through education 

Staff education and training in correct 

procedures is one of the keys to 

maintaining a safe environment. This 

year education has focussed upon: 

• Orientation of new staff to the 

work area and relevant policies and 

procedures to enable safe work 

practices. 

• Compulsory training sessions 

reviewing emergency procedures 

including fire, and evacuation, 

manual handling, infection control 

and occupational health and safety 

policies. 

• The introduction of an OH&S 

Information Board in the staff room, 

highlighting on a monthly basis 

response codes and actions to each 

emergency situation. 

• A regular OH&S/Infection Bulletin 

issued to each staff member with 

their pay slip raising awareness of safe 

work practices covering topics such 

as care when dealing with ‘sharps’, 

hand hygiene practices, care with 

manual handling and what to do if 

injured at work. 

• Maintenance of ‘No Lift’ compliance 

procedures for nursing staff in acute 

and community settings and manual 

handling compliance for non-clinical 

staff. 

There were no lost workdays due to 

workplace injury in the 2007/08 year. 

Environment 


Service understands its obligations 

under government legislation to reduce 

energy use wherever practicable and its 

obligations to reduce waste, use water 

wisely and to consider the impact of 

our actions on the environment. 

• Energy usage is monitored and 

reported on a quarterly basis to the 

Department of Human Services. 

• Heating to the hospital is by way of a 

reticulated water heating system. 

• All waste is appropriately segregated 

and where appropriate re-cycled. 

In future facilities development of 

energy and water saving measures will 

be addressed. 


Our Staff 

Positions held at Timboon & District 

Healthcare Service as at 30 June 2008 

Clinical Care And Residential 

Services 


Anne McMeel BN, RN, RM 

Night Supervisors 

Karen Kennedy RN 

Tricia Klemm RN, RM (OH&S 

Coordinator) 

Margaret Tesselaar RN, RM 

After Hours Supervisors 

Mary Guy RN, RM 

Heather Power RN, RM (Infection 

Control Coordinator) 

Pam Robb RN, RM (Baby Friendly 

Coordinator) 

Maureen Turner RN, RM 

Division 1 Registered Nurses 

Kristie Couch, RN 

Lynda McKenzie, RN 

Nikaiya McVilly, RN 

Lynn Marr RN 

Joanne Poustie RN 

Ingrid Rial, RN 

Michelle Selten RN 

Division 2 Registered Nurses 

Kathy Brown 

Mary Duynhoven 

Julie Giblett 

Julie Harkin 

Jodie Skilbeck 

Vickie Stevens 

Michele Webber 

Helen Wiggins 

Fiona Younis 

Community Services 

Community Services Manager 

Amanda Nash RN, RM 

Community Health Nurses 

Cobden 

Lyn Russell GradDipNursg 

(Community Health), RN, RM 

Timboon 

Amanda Nash RN RM 

Health Promotion Officer 

Melanie Green BHSci (Speech 

Pathology) 

Allied Health/Community Health 

Officer 

Tracey Heeps BEd (PhysEd) 

District Nurses 

Lynda Avery, RN BAppSci 

Julia Gale BN, RN (on leave) 

Marie Jones 

Corry Kerr 

Sherryl Mueller, RN 

Bernadette O’Brien BN, RN 

Enid O’Connor 

Leanne Unwin 

Adult Day Activities Coordinator 

Sandra Mugavin 

Adult Day Activities Assistant 

Joanna Harris 

Assessment Officer/Care Manager 

Fiona Hanel 

Youth Services 

(in association with Brophy Youth and 

Family Services) 

Corporate Services 


Elaine Collins BA, MHA, GradDipAcctg, 

CHE 

Administration and Finance 

Kristie Coverdale BComm 

Barbara Fraser 

Sheryl O’Connor 

Kristen Williams 

Hotel Services Supervisor 

Monica Easterbrook 

Chef 

Lorraine Wilson 

Food & Domestic Assistants 

Jan Burkhalter 

Vera Convey 

Katrina Currell 

Paula Gay 

Lesley Henriksen 

Gaye McVilly 

Linda Pender 

Doreen Poustie 

Wendy Wagstaff 

Maintenance Officer 

Alan Rhode 

Visiting Clinical And Allied 

Health Staff 

Audiologists 

Ms. C. Scott BSc, MClinAud, MAudSA 

(CCP) 

Ms. S. Tai BASc, MClinAud, MaudSA 

Mental Health Social Worker 

Mr.Lee Town BSW, MAASW 

Pharmacists 

Ms. Danielle D’Onofrio BSc(Hons), 

B.Pharm, MPS 

Mr. George D’Onofrio Bsc, B.Pharm, 

M.Pharm, MPS 

Staff contracted from South West 

Healthcare 

Biomedical Engineer 

Continence Nurse 

Dietician 

Occupational Therapist 

Physiotherapist 

Speech Pathologist 

Staff contracted from Terang & 

Mortlake Health Service 

Ms. Michelle Symons, RN, Diabetes 

Educator 

Staff contracted from Western District 

Health Service 

Health Information Manager 

Visiting service from Lyndoch, 

Warrnambool 

Podiatrist 

Visiting Medical Officers 

General Practitioners 

Dr. N. Harris MBBS 

Dr. C. McKellar MBBS 

Dr. B. Rossiter MBBS FACRRM 

Dr. K. Shannon MBBS, FACRRM 

Dr. J. Thomas MBBS 

Relieving General Practitioners 

Dr. A.L. Brown MBBS, DRANZCOG, 

FRACGP, 

Dr. T. Fitzpatrick MBBS, FRACGP, 

DRANZCOG, GradDip Family 

Medicine 

Dr. S. J. Menzies MBBS, MMed, FRACGP, 

DRANZCOG (Advanced) 

Dr. R. Stewart MBBS, DRANZCOG, 

FACRRM 

Anaesthetists 

Dr. K. Cronin,MBBS, FANZCA 

Dr. M. Duane MBBS, FANZCA 

Dr. G. Kilminster MBBS, FANZCA 

Dr. K. Prest MBBS, FANZCA 

Obstetricians & Gynaecologists 

Dr. C. J. Beaton MBBS, FRANZCOG, 

FRCOG, MRCGP 

Dr. E. M. Uren MBBS, FRANZCOG 

Dr. J. D. Friebe MBBS, FRANZCOG 

Physicians 

Dr. C. Charnley, MBBS, FRACP 

Relieving Physicians 

Dr. B. Morphett, MBBS, FRACP 

Dr. S. Nagarajah, MBBS, FRACP 

Surgeons 

Mr. B. Mooney MB ChB, BAO (Hons), 

BSc (Anat.) (Hons), MCh, FRCSI, 

FACRRM, FRACS 

Dr. D. Robert Doctor of Medicine 

(Univ Paris), FRCS (Edin) 

Relieving 

Dr. C. Sutherland MBBS, FRACS 

Visiting Private Services 

Audiologists 

Ms. C. Scott BSc, MClinAud, MAudSA 

(CCP) 

Ms. S. Tai BASc, MClinAud, MaudSA 

Chiropractor 

Mr.R. McIlveen BAppSc(Chiropractic) 

Podiatrist 

Ms.R. Simpson BAppSc(Pod) 

Radiographer 

Mr.G. Osborne AssocDipAppSci, MIR 


Our Community 

The Timboon and District Healthcare 

Service is very appreciative of the 

support of our local community, who 

regularly contribute in many ways to 

our Service. 

Support for our Service is provided 

through regular donations by 

individuals, the Annual Appeal, 

fundraising by the Timboon Cruisers, 


Service Auxiliary, community groups 

and voluntary service, particularly to 

assist the activities and services which 

operate for the frail aged and disabled 

members of the community. 

This support plays a large part in the 

success of the organisation. Regular 

donations help to maintain the high 

standard of our medical equipment and 

facilities. 

Major Support 2007/08 

Annual Appeal $23,165 

Ritchies Benefit Card $24,265 

Timboon Cruisers $ 8,500 

Timboon & District 

Healthcare Service Auxiliary $ 7,000 

BHP Billiton $ 8,050 

Annual Appeal 

Support for the annual appeal was 

once again very generous – with a total 

of $23,165 being raised. 

Ritchies Supermarket - 

Community Benefit Card 

$24,265 was received this year, arising 

from community members nominating 


Service to be the beneficiary of the 

1% of purchases donated by Ritchies 

Supermarket to charity. 

Timboon Cruisers - Murray to 

Moyne Cycle Relay 

A small group of keen Timboon cyclists 

and their support crew enjoy this well 

known annual fund raising cycle relay 

event, in which many supporters of 

hospitals across the state compete, 

riding over a weekend from the Murray 

river to Port Fairy. Much hard work 

goes into seeking sponsorships and 

general fund raising for the event 

including wood raffles and a fund 

raising trip to Melbourne. Our local 

team – the Timboon Cruisers – are 

a dedicated group. Sponsorship 

from Popes Bus Lines, Timboon 

Motors, Timboon Post Office, Waves 

Restaurant and the community 

continues each year. This year $8,500 

has been raised and will purchase a 

new ECG monitor for the hospital. 

Timboon and District 

Healthcare Auxiliary 

This small group of dedicated ladies 

has once again had a very busy and 

successful year fund raising for the 

Healthcare Service, resulting in a 

donation of $7,000. Auxiliary members 

would like to thank a number of loyal 

helpers. Their activities throughout 

the year included catering for various 

functions, the Christmas and Easter 

special raffles and jointly organising 

the local Monster Plant sale with the 

Cancer Council of Victoria – Timboon 

Unit. These funds will purchase a BIS 

awareness monitor for the operating 

theatre. 

Members of the Auxiliary were 

deeply saddened during the year by 

the death of former member, Mrs. 

Doris Felmingham. Mrs. Felmingham 

had been a strong contributor to the 

Auxiliary and continued to provide 

ongoing support behind the scenes. 

Cancer Council of Victoria - 

Timboon Unit 

The local Monster Plant sale has 

become an annual event in Timboon 

assisted by local gardeners potting 

up plants throughout the year, and 

then being well supported by the 

community. Timboon Unit run a 

number of events throughout the 

year contributing to the valuable work 

of the Cancer Council of Victoria. 

However, funds raised from the 

Monster Plant sale are donated to the 

Healthcare Service to assist palliative 

care. Together with the Auxiliary this 

event raised $3,635. 

BHP Billiton 

The Healthcare Service acknowledges 

the financial support of a total of 

$8,050 for sponsorship of both the 

very successful Women’s and Men’s and 

partners Health nights. These events 

provided a wide audience to promote 

health issues affecting men and women 

of all age groups and were very well 

received. 

Scotts Creek Indoor Bias 

Bowling Club 

A regional tournament organised by 

the Scotts Creek Indoor Bias Bowling 

Club each year raises funds for the 


Service. Much work goes into the 

organisation of the tournament and 

the Healthcare Service very much 

appreciates this year’s donation of 

$1600, which will asssist with the 

purchase of a patient lifting machine. 

Timboon P-12 School 

A group of five students from Year 12 

took the initiative to participate in the 

Cancer Council of Victoria’s Shave for a 

Cure and with the financial support of 

school friends and family raised $602. 

The district nurses, whose role includes 

providing palliative care in the home, 

have used these funds to purchase 

specific items to assist their palliative 

care role. 

Donations in lieu of flowers 

Several families throughout the year 

encouraged families and friends to 

donate to the hospital in lieu of flowers. 

Their support is appreciated. 

Equipment and Facilities 

Upgrade 

The maintenance of facilities and 

equipment requires continual upgrade 

and replacement. Listed below is 

major equipment purchased with 

donations and capital grants from the 

Department of Human Services. A 

major upgrade of the operating theatre 

facilities took place to meet current 

standards. 

Medical Equipment 

Scope video processor $17,500 

Gastroscope $6,450 

Lo-lo bed $4,915 

Reclining adjustable wheelchair $3,500 

Drug fridge $3,085 

Pulse oximeter $1,250 

Non-Medical Equipment 

Freeezer $3,700 

Hobart Mixer - Kitchen $2,800 

Lawn mower $1,236 

Facilities Upgrade 

Theatre 

- Air flow, air conditioning $65,000 

All other donations will go towards the 

further development of community 

facilities for adult day activity programs, 

maternal and child health, child care 

and exercise programs. 


Volunteers 


Service gratefully acknowledges the 

support of a large group of men and 

women who regularly give their time to 

assist our community care programs: 

• Meals on Wheels 

• Community Transport 

• Red Cross Transport 

• Adult Day Activities 

• Visually Impaired Group 

These programs rely upon volunteers 

to give freely of their time to support 

members of our community and play a 

valuable role in assisting the elderly to 

remain in their homes. For the elderly 

in this rural community, social isolation 

is an issue, due to the lack of transport. 

Red Cross Transport 

The Timboon Lions together with 

local Red Cross volunteers greatly 

assist with transport of clients for 

medical appointments in Warrnambool, 

Geelong and at times transport to 

Melbourne. 

Timboon Ambulance Service 

Although not a part of the hospital 

organisation, we acknowledge the 

important role played by the local 

community ambulance officers in 

supporting the hospital. This small 

group give freely of their recreational 

time to provide an essential service to 

the community. 

Life Governors 

An award of Life Governorship is 

made by the Board of Management to 

recognise valuable voluntary service to 

the organisation over a considerable 

period of time. 

Mrs. H. Bullen 

Mrs. M. Coe 

Mrs. J. Duro 

Mr. A. Felmingham 

Mrs. E. Finnigan 

Miss B. Fraser 

Mrs. H. Herrin 

Dr. D. Jackson 

Mrs. N. Joiner 

Mr. H. Kruse Snr 

Mrs. P. Lawson 

Miss R. McMeel 

Mrs. D. Merrett 

Mrs. B. Newey 

Mrs. E. Padbury 

Mrs. K. Robbins 

Mrs. V. Sharp 

Mrs. D. Taylor 

Mrs. F. Thompson 

Mr. J.A. Vogels MP 

Ms. J. Burkhalter 

Mrs. P. Couch 

Mrs. D. Fairweather 

Mrs. E. Finch 

Mr. N. Finnigan 

Mrs. L. Giblett 

Mrs. J. Hortin 

Mr. L. Joiner 

Mr. K. Jepson 

Mrs. G. Kruse 

Mrs. Y. Lawson 

Mrs. L. Meek 

Mrs. H. Morris 

Mrs. B. O’Brien 

Mrs. S. Phillips 

Mrs. E. Rundle 

Mrs. G. E. Symons 

Mrs. J. Toller-Bond 

Mr. D. Trigg 

Vale 

Mrs .Eva Hardwick 

Mrs. Eva Hardwick was an office 

bearer, holding at various times 

the posts of President, Assistant 

Secretary and Treasurer, of the former 

Cooriemungle Hospital Auxiliary. Her 

Life Governorship, awarded in 1975, 

was in recognition of over ten years of 

fundraising for the Timboon Hospital. 

Mr. Stewart A. Lindsay, JP, FHA 

Manager/Secretary Timboon Hospital 

1955-1972 

Mr. Stewart Lindsay, who died this 

year at the age of 101, is not only 

commemorated in the history of 

Warrnambool Base Hospital, now 

South West Healthcare, as an 

outstanding manager for over 20 

years but he holds a significant place 

in the history of Timboon Hospital, 

serving jointly with his role as manager 

at Warrnambool Base Hospital, as 

the Manager/Secretary of Timboon 

Hospital from its inception in 1955 to 

1972. During this period he oversaw 

the building of the initial 10 bed 

hospital and its extension to a 20 bed 

hospital. The hospital and its services 

developed rapidly in this period as the 

Heytesbury settlement and Timboon 

district farm communities expanded. 


Quality of Care Report 

Quality revolves around a central 

commitment by staff to continually 

improve quality outcomes for our 

community. 

This report outlines various initiatives 

undertaken by staff during the current 

year in service delivery and the 

structures and systems that are in place 

to assist us meet our quality and safety 

goals. 

We welcome feedback from patients 

and community members on how we 

may further improve our services in 

order to assist and contribute to the 

community’s health and well being. 

Informing the community 

The Quality of Care Report will again 

be distributed with the Healthcare 

Service’s Annual Report and launched 

at its annual meeting. It will be made 

available to the community through 

our mail distribution to supporters and 

key stakeholders of the Healthcare 

Service. Copies will also be on display 

and available at reception throughout 

the year. 

In association with the Healthcare 

Service’s Annual Appeal a bulletin 

outlining key activities and features 

from the Quality of Care report 

is distributed to each household 

throughout the catchment. 

An electronic copy will be placed on 

the Service’s website 

www.timboonhealthcare.com.au 

The format of the report has been 

based upon the Quality of Care 

reporting guidelines, input from clinical 

staff and feedback from community 

members, following a survey seeking 

comments and input. Staff and 

community members considered that 

the report conveyed key aspects of 

quality and safety and no changes were 

requested. Given the small size of our 

Healthcare Service it was considered 

appropriate that the Quality of Care 

Report be incorporated within 

the Annual Report, providing a 

consolidated report to promote the 

activities of the Service. 

Consumer, Carer 

and Community 

Participation 

The Consumer 

Participation Indicator 

(CPI) is designed 

to help answer the 

question, “How can a 

public health service 

assess and report on its 

performance in involving 

patients, carers, and the 

community in the areas 

of health care delivery, 

planning, development 

and improving quality 

and safety” 

100 

The CPI is calculated using three 

questions from the Victorian Patient 

Satisfaction Monitor. These items are: 

• the opportunity to ask questions 

about your condition or treatment 

95 

90 

85 

80 

75 

70 

Timboon & District 

Healthcare Service 

Hospital Category 

M Mean 

State-wide Mean 

• the way staff involved you in 

decisions about your care 

• the willingness of hospital staff to 

listen to your health concerns. 

Trend data for 2005 to 2008 show 

that at each six monthly interval of 

reporting over this period Timboon 

and District Healthcare Service 

exceeded the average for our peer 

group of seven multi purpose services 

across the state and far exceeded the 

state average for all hospitals as shown 

in the table and graph below. 

Consumer Participation Indicator 

Wave 9 

91 

84 

81 

Wave 10 

89 

84 

80 

Timboon & District Healthcare Service 

Hospital Category M Mean 

State-wide Mean 

Wave 11 

90 

84 

80 

Wave 12 

To complement the work of the 

Victorian Patient Satisfaction Monitor 


Service conducts a number of specific 

surveys seeking the views of clients 

on service delivery relating to meals 

on wheels, home care services, district 

86 

84 

80 

Wave 13 

91 

85 

79 

Wave 14 

85 

81 

80 

nursing and planned activity groups. 

Regular evaluation of health promotion 

activities seeks the views of participants 

on the value of each program and how 

improvements can be made. 

Complaints Management 

Patients’ perceptions of their ability 

to make a complaint are monitored 

through the Victorian Patient 

Satisfaction Monitor. The table below 

highlights the 2007-2008 Victorian 

Patient Satisfaction Monitor complaints 

management index for Timboon 

and District Healthcare Service for 

the surveys in 2007 and 2008 and 

comparison with peer multi purpose 

services. 

Few complaints are received by 


Service and no written complaints 

relating to patient care were received 

during this financial year. 

Index Measure 

(20-100 Scale) 

TDHS 

2008 Score 

Category M 

2008 

Score Range 

Caring for Carers 

Our role is not confined to patients/ 

clients but extends to ensuring that 

families including carers are cared for 

during a patient’s hospital stay and that 

suitable arrangements are made upon 

discharge for the patient and carer. 

District nurses and our home and 

community care assessment officer play 

an important role in extending care 

into the community setting. 

Services for carers have been 

highlighted through network meetings 

for carers and the publication of a 

quarterly ‘HACC Happenings’ bulletin 

mailed to all HACC service recipients. 

Our Healthcare Service provides: 

• Adult Day Activity Centres (Planned 

Activity Groups) at Timboon and 

Cobden, with one day specifically 

focusing on Respite for Carers. 

• Transport for the frail aged to attend 

various Centre activities. 

TDHS 

2007 Score 

Category M 

2007 

Score Range 

Complaints 

Management 88 77-88 92 80-92 

Index 

Category M – Peer group of seven Multi 

Purpose Services 

• Respite care in the client’s home. 

• Residential respite care linked to 

the central booking agency in the 

south west – Carer Respite Centre, 

Warrnambool. 

• HACC Assessment Officer who 

is available for advice and able to 

coordinate access to additional 

services to assist carers and clients. 

• Services for parents of young 

disabled children. 

Meeting Cultural Needs 

Cultural Diversity Plan 

The cultural diversity plan has been 

designed to take account of the needs 

of patients and clients from culturally 

and linguistically diverse and indigenous 

backgrounds. 

The 2006 census for country of birth 

for our catchment area comprising 

Corangamite South Statistical Local 

Area, with a population base of 7414, 

shows: 

Australia 93%, New Zealand 2%, 

United Kingdom 2% and the remaining 

3% of overseas born being drawn 

mainly from Western Europe. Census 

data also reveals indigenous Australians 

to be less than 1% of the population. 

Achievements in meeting the goals 

of the Cultural Diversity Plan include 

the training of staff in how to access 


Quality and Safety in Practice 

the telephone interpreting service, 

in particular, paying attention to the 

needs of tourists/visitors attending the 

emergency department, provision of 

standard international signs and multi 

language pamphlets. Food services 

staff are able to plan menus to meet 

individual client needs and cultural 

preferences. During the year the home 

and community care assessment officer 

attended a training workshop on 

assessment processes and awareness 

for clients of culturally diverse 

backgrounds. Staff in our planned 

activity groups highlight national events 

and provide reminiscence days specific 

to individual clients. 

Our aim is to listen to and respond to 

the needs of each individual. 

Accreditation 


Service participates in the EQuIP 

program operated by The Australian 

Council on Healthcare Standards 

(ACHS) and received the full term 

four year accreditation at our last 

organisation wide survey in 2004, and 

this was re-endorsed at the periodic 

review survey in December 2006 

as part of the EQuIP program four 

year accreditation cycle. The periodic 

review re-assessed compliance with 

the 19 mandatory standards and 

re-confirmed that activities and 

procedures are continuing to ensure 

continuous quality improvement. All 

mandatory criteria were met. 

The organisation is now preparing 

for the next organisation wide survey 

scheduled for February 2009, with an 

emphasis upon reviewing policies and 

procedures against evidence based 

practice and that rigorous evaluation is 

applied to quality activities. 

The aim of the ACHS accreditation 

program is to increase the quality 

and safety of care through providing 

an organisation- wide framework for 

minimising risk, evaluating performance 

and implementing improvements. 

Clinical Governance 


Service demonstrates its commitment 

to continuously improving standards 

of care through its system of 

clinical governance. The Board of 

Management, executive nursing staff, 

staff committees, together with all staff 

members directly involved with client 

care, contribute towards good clinical 

governance. 

Some of the key components of clinical 

governance at Timboon and District 

Healthcare Service include: 

• clinical audits 

• review of policies and procedures 

• on-going education related to clinical 

standards 

• employment of staff with relevant 

qualifications/experience 

• incident reporting 

• complaints handling 

• risk management strategies. 

Risk management 

Risk management is an important 

component of any quality system. 

It is the process that looks at the 

major risks facing an organisation 

and as part of clinical governance 

the Board of Management and staff 

implement policies and procedures to 

minimise these risks and the possible 

consequences which may occur. At 


Service the Board of Management 

oversees the risk management process 

and receives reports on quality actions 

taken to minimise risk. 

The risk management program is linked 

to the quality improvement program. 

Key preventable clinical risks to patients 

when they enter any health service 

have been identified as infection 

control, falls, pressure ulcers and 

medication errors and our activities 

and outcomes to prevent these risks 

follow. 

Infection Control 

Theatre Sterilisation Audits 

Prevention of infection for diagnostic 

and surgical procedures is of the 

highest importance in maintaining a 

safe environment for patients, staff and 

visitors. 

AS/NZS 4187:2003 is the Australian 

and New Zealand standard for cleaning, 

disinfecting and sterilizing reusable 

medical and surgical instruments 

and equipment, and maintenance of 

associated environments in health care 

facilities. Ensuring that health services 

are adhering to the requirements of 

this standard independent audits are 

undertaken by Department of Human 

Services’ appointed infection control 

nurses utilising a standard audit tool 

enabling benchmarking and comparison 

between health facilities in meeting the 

requirements of the standard. 

This year 44 facilities including 

Timboon & District Healthcare Service 

participated in the audit. 

Purchasing, validation, monitoring 

and maintenance of sterilizers and 

associated equipment 

Overall average score for 

44 participating hospitals 



Quality Management 

Overall average score for 

44 participating hospitals 



94% 

95% 

97% 

98% 

Data collected during audits is used to 

improve procedures and adopt best 

practice. 

Staff responsible for cleaning, 

disinfecting and sterilizing surgical or 

medical equipment receive ongoing 

training in these processes and this 

year procedures have been reviewed in 

association with a neighbouring hospital 

to provide a uniform approach to the 

handling of shared equipment. 

Hand Hygiene – Preventing the spread 

of disease 

Research has demonstrated the 

importance of hand hygiene – the 

practice of regularly cleaning hands 

between patients to reduce the risk of 

transmitting bacteria and disease. In 

fact hand washing is considered the 

single most effective measure to stop 

the spread of infections in health care 

settings. 

To increase the culture of more 

frequent hand washing by health 

professionals across the hospital 


system, the Victorian Quality Council 

commenced a hand hygiene monitoring 

program in 2006 to encourage 

greater compliance. Timboon and 

District Healthcare Service has 

adopted the Victorian Quality Council 

recommended use of antiseptic hand 

gel as an alternative to soap and water 

washing and dispensing units have been 

installed in each patient room and 

other areas of the Healthcare Service. 

Also a program of encouraging 

patient’s visitors to also use the hand 

gel as advocated by the Victorian 

Quality Council has been promoted as 

a further measure to reduce the risk of 

patient infection. 

To further encourage hand hygiene the 

Department of Human Services has 

introduced a new program in 2008 

– known as the ‘5 Moments of Hand 

Hygiene’ – to serve as a reminder to 

staff of the most opportune times 

during patient care to cleanse hands. 

This is to protect both the patient 

and staff member from cross infection. 

Patients in hospital are often at their 

most vulnerable as at times of illness 

the immunity or ability of our bodies to 

fight infections can be reduced. 

Hand Hygiene Compliance 

A Victorian Hand Hygiene Centre 

compliance auditing system has been 

introduced measuring hand compliance 

washing, by moment, glove compliance 

and produce usage. 


Service has embraced this new 

concept of ‘5 Moments of Hand 

Hygiene’. 

The Victorian Hand Hygiene Centre 

has set an acceptable quality standard 

of 55% compliance. In the most 

recent survey undertaken in June 

2008 by the regional infection control 

consultants, Timboon and District 

Healthcare Service achieved 79% 

compliance, considerably higher than 

the Victorian Hand Hygiene Centre 

acceptable quality standard and above 

comparable facilities in our region. 

Hotel Services Maintain High Cleaning 

Standards 

Hotel services staff play an important 

role in infection control through high 

compliance with cleaning standards and 

take pride in presenting a clean and 

attractive environment for patients and 

visitors. Regular internal audits coupled 

with an annual external audit are 

undertaken. This year staff achieved an 

overall score of 99.14%, with the four 

very high risk areas (operating theatre 

rooms) scoring 100% and the seven 

high and moderate risk areas scoring 

99%. 

As indicated in the graph below over 

the past five years, the overall score 

has ranged between 97% – 99%, which 

well exceeds the benchmark standard 

of 85%. 

100% 

95% 

90% 

85% 

80% 

75% 

70% 

Required Standard is 55% 

100% 

80% 

60% 

40% 

20% 

0% 

2008 

Required Standard is 85% 

2004 2005 2006 2007 2008 

Preventing Infection – Flu Vaccination 

Compliance 


Service continues to be a leader in 

influenza vaccination rates of health 

care staff by achieving one of the 

highest participation rates in the 

state. In 2006 Timboon and District 

Healthcare Service topped the 

state with a compliance rate of 84% 

compared with the stage average 

of 34%, and in 2007 we achieved a 

compliance rate of 91%. This year our 

compliance rate fell slightly to 85%. 

The National Health and Welfare 

Council and the Department of 

Human Services encourage all hospital 

staff to be immunised, not only to 

protect staff but also to protect the 

health of vulnerable patients and 

aged care residents, as the flu spreads 

easily from person to person through 

coughing or sneezing, particularly in 

closed and confined areas such as 

hospitals. 

Protecting community members 

Community health staff undertakes 

a high profile campaign each year 

advocating members over 65 to take 

advantage of the free flu shots, and 

visit senior citizen and adult day activity 

groups providing immunisation. A 

similar program is provided for local 

school teachers. 

Protecting against other diseases 

Several other vaccinations are 

recommended for health care workers, 

including whooping cough, measles, and 

hepatitis B. This hospital has a program 

in place to ensure staff are vaccinated 

against these diseases. 

Monitoring infection rates 


Service participates in the VICNISS 

hospital acquired infection surveillance 

program, but there has been minimal 

data to report. 

All the above activities have 

contributed to Timboon and District 

Healthcare Service having an extremely 

low infection rate. 

Medication Management 

Correct administration of medications 

is a vital part of each patient’s 

treatment and care, and monitoring 

of administration of medication is 

undertaken to ensure compliance 

with medical instructions and standard 

best practice protocols for the welfare 

of patients. All Division 1 nurses are 

qualified to administer medications and 

the majority of the Healthcare Service’s 

Division 2 nurses have undertaken 

the medication administration course, 

which enables them also to administer 

medications. 

Staff education covers: 

• Understanding of pharmacology 

and medication procedures 

including legislative and regulatory 

requirements 

• Operational practices to ensure 

quality and safe use of medications 

• Application of risk management 

principles to medication 

administration aligned to evidence 

based practice. 


Service uses the recommended 

National Standard Medication Chart 

to provide a uniform approach to the 

recording of medications. 

Although staff are highly trained 

and are regularly assessed for 

their competency in medication 

management errors or deviation from 

protocols can occur on occasion. All 

incidents relating to non-compliance 

with medication administration 

protocols including documentation or 

error in dosage administration must be 

reported utilising the incident reporting 

system. 

There was one medication error in 

this financial year. This related to an 

incorrect dosage being given, which 

resulted from a breakdown in the 

checking protocol. 

Year 

No. of Medication Errors 

2008 1 

2007 2 

2006 1 

Falls Monitoring and 

Prevention 

Preventing patient falls is a key focus 

in maintaining a safe environment for 

patients and preventing injury during 

their stay. Nursing staff undergo 

regular training in falls prevention and 

the use of aids to assist patients. 

Key to the prevention of patient falls 

is staff awareness of issues that may 

lead to falls and actions that may assist 

prevention. 

There are many contributory factors 

which increase risk of falls in hospital 

including medical treatment, weakened 

physical condition due to illness, effect 

of medications and unfamiliarity with 

surrounds. 

Strategies that have been implemented 

include: 

• Use of a risk screening tool on 

admission, which takes into account 

a patient or resident’s physical 

disabilities, the possible impact 

of medications and the hospital 

environment. 

• Ongoing education of staff and 

patients on falls prevention strategies. 

• Advice and encouragement to 

patients to seek assistance before 

getting out of bed especially if there 

is an increased risk of falling. 

• Use of walking aids such as frames 

and sticks. 

• Ensure that there is adequate lighting 

available before a patient accesses 

ensuite facilities at night. 

• Reporting, documentation and 

analysis of all falls through the 

incident reporting system. 

Previous analysis of falls has highlighted 

that the majority of falls have arisen 

due to patients not seeking assistance 

when accessing the ensuite facilities. 

The audit also revealed that the 

majority of falls were in the 70+ age 

group. 

Of the 11 falls this year, 3 falls resulted 

in slight skin tears and no injuries 

resulted from the other falls. For 

2007-2008 there were 3,350 bed days. 

This gives a ratio of 1 fall to 304 bed 

days or a ratio of 0.49% per patient 

bed day. This ratio is much less than 

that experienced by other publicly 

funded organisations. 


During this year there has been 

increased emphasis upon reminding 

patients to seek assistance, and 

reminder notices have been placed in 

each patient’s room. 

Falls over the past three years have 

shown a decrease, with a significant 

38% reduction in falls this financial year. 

Year 

No. of 

Patient Falls/ 

Slips 

Ratio of Patient 

Falls/Slips to 

Bed Days 

2008 11 0.49% 

2007 18 0.78% 

2006 21 0.79% 

Residential Aged Care 

No patient falls have related to our 

2 high care clients or respite clients. 

There was, however, 1 fall/slip relating 

to a client at a day centre activity. 

Falls Prevention in the Community 

Actions taken to promote falls 

prevention, with particular emphasis 

amongst clients in the 70+ category, 

include: 

• Individual ‘no falls’ assessments for 

members of the senior citizens 

groups and adult day centre clients. 

• Home ‘no falls’ assessments 

undertaken by district nurses and 

the home and community care 

assessment officer. 

• Advice from the occupational 

therapist on the use of aids in the 

home to prevent falls/slips. 

• Referrals to a podiatrist to assist 

optimal foot health. 

• Referral to and promotion of 10 

week body balance program. 

• Referral to and promotion of 

rehabilitation exercise program, 

strength training and tai chi programs. 

Pressure Wound Monitoring 

and Prevention 

A pressure wound is defined as ‘any 

lesion caused by unrelieved pressure, 

resulting in damage to the skin and 

underlying tissue’. 

Pressure wounds or ulcers are 

acknowledged as a significant health 

problem in health care settings and can 

adversely affect the quality of life and 

morbidity of patients and unnecessarily 

increase length of stay. Patients over 60 

years of age are most at risk. 

Every endeavour through ongoing 

staff education and establishment of 

best practice policies and procedures 

are in place for the prevention and 

management of pressure ulcers 

including: 

• Assessment of ‘at risk’ patients 

utilising the Norton scale risk 

assessment tool 

• Regular routine skin check 

monitoring 

• Use of pressure relieving mattresses 

• Use of specialised seating/cushions/ 

adjustable beds to relieve pressure 

• Ongoing training of staff utilising the 

Victorian Quality Council on-line 

pressure ulcer prevention training 

modules 

• Attendance at regional wound 

management study days and 

workshops 

• Maintaining skin integrity during 

theatre procedures through the 

introduction of pressure reducing 

devices such as gel pads. 

• Availability of a specialist continence 

nurse to assist with specific 

continence issues. 

No acute inpatient has acquired a 

pressure ulcer during their hospital 

stay over the past three years. Several 

patients have presented on admission 

with a pressure ulcer, and have received 

appropriate wound management care. 


For the past two years Timboon 

and District Healthcare Service has 

participated in the Public Sector 

Residential Aged Care Services 

(PSRACS) quality indicators, which 

includes prevalence of pressure ulcers. 

During the year the two high care 

residents, who were quite immobile, 

developed Stage 1 pressure ulcers. It is 

important to note that not all pressure 

problems can be avoided especially 

if patients are critically ill, poorly 

nourished and perhaps at the end of 

their life. 

Wound Management 

If a pressure ulcer develops staff 

examine the cause and reflect on how 

to prevent further problems occurring. 

Care of and dressings for the ulcer 

would be detailed in the patient/client’s 

history and progress charted. 

Palliative Care in the Home 

Palliative care patients cared for in their 

homes have available, on loan, a recliner 

chair, soft overlay mattresses and aids 

to help support them in their beds 

or in a supportive soft chair. District 

nursing staff has been well-trained in 

wound management and prevention. 

Incident Reporting 

Incident reporting is the key tool used 

by the Healthcare Service to monitor 

adverse events or near misses. An 

adverse event is defined as “an incident 

in which unintended harm resulted 

to a person receiving health care” 

and a near miss as “an incident that 

did not cause harm”. No adverse 

event or near miss occurred during 

the year. Staff is encouraged and 

required to report any incident that 

may cause injury or non-compliance 

with protocols. There were a total 

of 12 incidents relating to patients as 

reported in the sections above. 

The Healthcare Service has a ‘no blame’ 

approach to clinical incidents in order 

to identify what contributed to the 

incident and to investigate how the 

health care systems and processes can 

be improved to reduce the likelihood 

of such an incident happening again. 

Credentialing and Certification 

of Staff 

Visiting Medical Officers 

Credentialing refers to the formal 

process undertaken by an appointed 

sub-committee of the Board of 

Management comprising Board 

members, executive staff , together 

with appropriate independent 

medical practitioners to review a 

medical practitioner’s application for 

appointment to the Healthcare Service 

to undertake various procedures as 

specified in the initial application or 

subsequent application for renewal 

of appointment. Initial appointments 

may be for one year and subsequent 

appointments are usually made on 

a three yearly basis. National and 

Department of Human Services’ 

guidelines have been established to 

guide Boards of Management in these 

procedures. 

The process involves ensuring that 

medical staff are registered with the 

Medical Board of Victoria and that 

their qualifications are appropriate for 

the needs of Timboon and District 

Healthcare Service. Other factors 

to be taken into account in the 

credentialing process is for the Board 

of Management to ensure, particularly 

in the case of surgical procedures, that 

such procedures are appropriate to 

the role of the Healthcare Service and 

that the Healthcare Service has the 

necessary resources both in terms of 

physical facilities, financial viability and 

nursing and other allied health staff 

trained to complement and support 

the procedures being undertaken. It 

is also expected that medical staff 

provide evidence and demonstrate 

a commitment to on-going medical 

education. 

At Timboon and District Healthcare 

Service the above procedures 

are undertaken by the Medical 

Appointments Advisory Committee. 

As many visiting medical staff also 

hold appointments with South West 

Healthcare, or other regional hospitals, 

advice is also sought from these 

hospitals’ credentialing committees. 

During the year visiting anaesthetists 

sought appointments and a number 

of other visiting specialists were recredentialed 

and re-appointed for a 

further three year period. 

Nursing Staff and Allied Health 

Professionals 

All nursing and allied health 

professional staff are required to 

provide evidence of their qualifications 

and maintain registration with their 

relevant professional bodies. Proof of 

continued registration with appropriate 

authorities is required annually. In 

addition, mandatory competency 

checks and professional development 

activities are a requirement for 

continued employment. 

Nursing staff undertaking specialised 

services/tasks are required to undergo 

re-accreditation with the Nurses Board 

of Victoria. Nurse immunisers are 

re-accredited on a three yearly basis as 

also is our Women’s Health Nurse Pap 

Test Provider, who this year completed 

re-accreditation. 

On-going staff education is an essential 

element of maintaining quality and 

safety. 

Continuing Professional Development 

Participation in continuing professional 

education is an indicator of staff 

commitment to continuous quality 

improvement. All staff throughout 

the organisation are encouraged to 

attend professional development 

and skills upgrade programs through 

attendance at seminars, workshops and 

conferences, as well as attendance at 

compulsory in-house training courses 

covering essential regular training in 

cardiac pulmonary resuscitation and 

infection control. With a small group 

of staff providing a wide range of 

services, staff requires multiple skills. 


Service is a member of the South 

West Healthcare Continuing Education 

Consortium. This consortium provides 

a range of courses recommended by 

the Directors of Nursing from the five 

participating hospitals. In addition to 

attendance at these courses staff access 

workshops and seminars appropriate 

to their needs through Barwon Health 


Continuum Of Care 

Education Centre, South West TAFE, 

Australian College of Nursing and 

similar training bodes in order to obtain 

a broad range of training to meet 

individual and organisational needs. 

Limited Adverse Occurrence 

Screening (LAOS) 

What is LAOS 

Limited Adverse Occurrence Screening 

is a system to identify critical incidents 

that may occur in hospital. Health 

Information Managers review each 

medical record according to a set 

of criteria and forward a record 

for review by a panel of general 

practitioners. Timboon and District 

Healthcare Service is one of ten small 

hospitals participating in the Otway 

Division of General Practice program. 

Medical records are reviewed by 

general practitioners to investigate 

whether treatment could have been 

handled differently to improve the 

medical outcome. The medical records 

are managed in a secure way to ensure 

the privacy and confidentiality of all 

patients’ records. 

practitioners issued with the results 

of the review of the records and 

recommended actions to improve 

quality. 

The Otway Division of General 

Practice records that adverse events 

across the ten participating hospitals 

are infrequent and usually not severe. 

A Case Study Journey from 

Acute Care to Community 

Services 

Mrs. Firth is an 84 year old woman 

living on her own in Timboon. She 

experienced a bad fall and was taken 

by ambulance to Timboon and District 

Healthcare Service and admitted. Mrs. 

Firth suffered a deep skin tear on her 

ankle and was generally stiff and sore. 

She was very shaken by the event 

and was a little frightened of returning 

home alone. While still an inpatient the 

acute nursing staff referred Mrs. Firth 

to Timboon and District Healthcare 

Service district nursing service, 

home and community care (HACC) 

coordinator and various allied health 

professionals. 

The district nurses cared for Mrs. Firth’s 

wound and helped with personal 

care until her ankle healed and then 

the HACC assessment and care 

coordinator arranged for a personal 

care worker. 

At this point Mrs. Firth was able to 

access many varied services offered 

by Timboon and District Healthcare 

HACC assessment and care 

coordinator. This process addressed 

social and emotional needs as well 

as the obvious physical and home 

maintenance needs, following a home 

visit by the assessment officer. 

Mrs. Firth was explained the 

importance of accessing (and 

accepting) the services available for her 

to use. Mrs. Firth also acknowledges 

the importance to her health of getting 

out in the community and mixing with 

old and new friends. Mrs. Firth is 

now settled into her new lifestyle, no 

longer so lonely, and feeling healthier 

and more energetic. On her visits 

to the Healthcare Service Mrs. Firth 

smiles and says she is thankful that a fall 

could open her eyes to all the services 

available to her and others in Timboon! 

The Purpose of the Program 

The purpose of the program is to 

provide a mechanism for peer review 

of general practice and to provide 

a forum for education for local 

general practitioners, with all general 


Primary Care and Home and 

Community Care Services available 

from Timboon and District Healthcare 

Service 

Mrs Firth’s fall at home 

Ambulance transport 

Acute Care at Timboon and 

District Healthcare 

Health Promotion 

Physiotherapy 

Correct walking stick 

Gentle Exercise Class 

Podiatry 

Referral to Optometrist 

Occupational Therapy 

Diabetes Educator 

Dietician 

Services available specifically 

for older adults 

Allied Health Services 

Physiotherapist, Dietician, Podiatrist, 

Exercise Instructor, Audiologist, 

Occupational Therapist – advice on 

aids in the home. 

Nursing Services 

Continence Nurse, Diabetes Educator, 

District Nurses – home visits. 

Domestic Assistance 

General home cleaning, assistance with 

shopping. 

Domestic Assistance 

Personal Care 

Home Maintenance 

Fitting of aids around the house – rails, 

lawn mowing, handyperson services. 

Personal Care 

Showering and dressing, incontinence 

support, grooming and hair care. 

Activity Groups 

Planned activity groups (adult day 

centre) at Timboon and Cobden. 

Meals on Wheels 

Hot meals cooked at hospital and 

delivered to clients’ homes by volunteer 

drivers. 


HACC Services 

Safety Link 

Planned Activity Group 

(Adult Day Centre) 

Community Transport 

Multi Purpose Taxi Card 

Meals on Wheels 


Transport 

Community driver to transport clients 

to medical appointments, local services 

– planned activity groups, exercise 

classes 

Personal Alarm Victoria (PAV) 

Alarm pendant activated to summon 

assistance – eg neighbour, relative 


Service staff assists with application. 

Exercise Classes 

Gentle exercise, strength training, tai 

chi, better balance 

As an integrated health service, health 

promotion plays an integral part in 

our quality of care activities. Health 

promotion is achieved in partnership 

with the community, through individuals 

and groups participating in various 

educational and active programs with 

a emphasis upon each individual taking 

control through an understanding of 

the key factors affecting their health 

and well being. 

Promoting Exercise 

The health benefits of physical 

activity are well established. Physical 

activity helps to prevent and manage 

many chronic diseases, injury from 

falls, mental health conditions and 

musculoskeletal health generally. 

For good health, the evidence based 

National Physical Activity Guidelines 

for Australians recommend a minimum 

of 30 minutes of moderate intensity 

physical activity undertaken “on most, 

preferably all days”. The evidence 

shows that the relationship between 

levels of physical activity and health are 

curvilinear, that is, the more you do, the 

greater the impact on your health, until 

you reach extreme levels of physical 

activity. The greatest health benefit is 

derived from moving from no or little 

activity to undertaking some form of 

activity. 

The Timboon and District Healthcare 

Service exercise program aims to 

provide a comprehensive program 

offering options to a wide audience 

of older adults with different levels of 

mobility and health. 

Up to 49 men and women make 

a commitment to attend exercise 

sessions each week at our facility. They 

choose from the following activities: 

• Tai Chi 

• Gentle Exercise 

• Strength Training 

• Better Balance 

• Active Expectations (antenatal) 

• Bounce Back with Babes (post natal) 

Health Outcomes 

The exercise program was evaluated 

using the Health Education Impact 

Questionnaire (HEIQ) - an Australian 

developed impact evaluation which 

is able to profile the intended 

outcomes of health education and 

self management programs. A change 

of greater than 33% is considered 

substantial. 

• Bounce Back with Babes showed a 

40% change in health, positive and 

active engagement in life and social 

and integration support. 

• Group Strength Training indicated 

a 50% change in positive and active 

engagement in life, constructive 

attitude shift and skill technique 

and acquisition as well as social 

integration and support. 

• Tai Chi had a 36% change in skill 

technique and acquisition. 

Focusing on the Health Needs 

of Men and Women 

Women’s Health Night 

One hundred and twenty four women 

attended the annual women’s health 

night. The evening featured Sherry 

Strong, a nutritional strategist and 

organisational health and well being 

consultant. 

The guest speaker drew upon her 

25 years experience in nutrition and 

human health and provided information 

on how to get rid of unwanted weight 

and attain vibrant health and well 

being without dieting, drugs, surgery or 

spending your life at the gym. Emphasis 

was placed upon knowing what 

ingredients and additives go into the 

food we are eating. 

Results from the evaluation of the 

evening of which 109 out of the 124 

women present completed revealed 

90% satisfaction: 

“Congratulations on choosing Sherry 

Strong – both entertaining and 

informative” 

Men’s Health Night 

Men were encouraged to bring their 

partners as results from the previous 

men’s health night had indicated that 

men would like their partners present 

as women often influence their 

partner’s and family’s health. 

The guest speaker, Dr. Geoff Broomhall, 

was recommended by Andrology 

Australia. Dr. Broomhall highlighted 

diabetes and cardiovascular disease and 

made reference to prostate and mental 

health issues. 

86% of participants stated that the 

evening met their expectations and 

rated the evening as excellent 

Ongoing issues for men at the evening 

– stress, heart disease and coping with 

change. 

Message from the evening: “Be more 

concerned about my own health” 


Cruising Corangamite 

Challenge 

Focusing on both physical and mental 

health the Cruising Corangamite 

program aims to promote 

friendships, social interaction and 

improve overall health with an 

emphasis upon regular exercise. 

Participants of varying fitness levels 

were encouraged to join in and each 

was issued with a journal and map 

of Corangamite – and 

physical 

activity 

equated 

to varying 

distances, 

with the 

aim to walk 

the Shire of 

Corangamite. 

Nutrition 

information 

was provided 

within the 

journal including 

healthy eating 

tips for each 

food group. 

The challenge was 

conducted over 

a 10 week period 

with 13 teams 

participating. 

A similar 

program has been 

incorporated into 

the local Timboon 

P-12 school with two challenges having 

been conducted. The target group 

was Grade 5 & 6 students. Over 350 

students have been involved in the 

program since it was launched in 2006. 

Students also participated in a followup 

evaluation testing their knowledge 

on healthy foods and healthy eating. 

Students showed an increased 

awareness of appropriate healthy 

foods, recommended water 

intake, recommended sleep and 

recommended physical activity. The 

students’ breakfasts have become 

healthier and less students skipped 

breakfast in the post evaluation. 

Overall the program has become a 

very useful tool in promoting physical 

activity and nutrition within the school 

environment. 

‘HEY’ 

Health Education for You 

Health education and information aims 

to improve people’s understanding 

about the causes of health and illness, 

the services and support available 

to maintain or improve health, and 

encourage personal responsibility for 

actions affecting their health. 

The Healthcare Service has been 

producing a monthly health promotion 

newsletter since 2002. The 

information provided by the newsletter 

aims to improve health and wellbeing 

of our local community. 

The newsletter provides information 

that is quality assured, reliable, up to 

date, easy to understand and locally 

relevant. The information in HEY 

includes healthy living tips, information 

on health conditions, healthy and 

nutritious recipes and services and 

programs currently available in the local 

area. Many of the health articles are 

obtained from the recognised website 

– the Better Health Channel. 

The range of topics covered in the last 

12 months included: 

• Exercises 

• Osteoporosis 

• Breastfeeding 

• Breast Awareness 

• Sunsmart 

• Mental Health 

• Water Safety 

• Sustainable Farm Families 

• Youth Services 

• Men’s Health 

• Heart Health 

Asthma Friendly Schools 

Program 

During the year an asthma friendly 

schools training program was run at 

Timboon P-12 school and Simpson 

Primary School for all teaching 

staff. The Asthma Friendly Schools 

program is funded by the Australian 

Government through the Department 

of Health and Ageing. It is a national 

program that has established practices 

and processes to enhance school’s 

understanding of asthma issues and 

to provide a framework for the 

management of asthma. 

Fifty one teachers from both schools 

were instructed on the recognition of 

asthma symptoms and the use of the 

Asthma Emergency Kit. 


Legislative Compliance 

in our Activities 

The activities of the Timboon and 

District Healthcare Service are 

performed under the direction 

of a range of Parliamentary Acts, 

Regulations and Standards set by 

government and other regulatory 

bodies to ensure that our activities 

guarantee a high standard of care and 

safety for patients, staff and visitors and 

that business activities are conducted 

with integrity. 

The following statements provide 

annual information and disclosures 

required under specific legislation and 

regulations. 

Building Act 1993 


Service complies with the building and 

maintenance provisions of the Building 

Act 1993 in accordance with the 

Minister for Finance Guideline Building 

Act 1993/Standards for Publicly Owned 

Buildings/November, 1994. 

National Competition Policy 

The Healthcare Service has 

implemented competitive neutral 

pricing principles for all contracts 

for services provided to the private 

sector, to ensure a level playing field in 

accordance with National Competition 

Policy including the requirements of 

the Government policy statement, 

Competitive Neutrality Policy Victoria, 

and subsequent reforms. 

Consultancies 

The Healthcare Service did not utilise 

the services of consultants during this 

financial year. 

Freedom of Information Act 

- Application and Operation 

The Victorian Freedom of Information 

Act 1982 provides the right for 

members of the public to obtain 

information held by the Timboon 

and District Healthcare Service, and 

consumers are entitled to access 

their medical record through the 

Freedom of Information process. Nine 

Freedom of Information requests were 

processed this financial year. All related 

to medical record information. 

Applications are to be directed to the 

nominated Freedom of Information 

Officer, Ms. E. M. Collins. A fee and 

charges for associated costs may apply 

in accordance with the Act. 

Publications 

• Annual Report and Quality of Care 

Report 

• Newsletter 

• HEY ‘Health Education for You’ 

monthly newsletter 

• Brochures and booklets on services 

These publications are available upon 

request at reception. 

Victorian Industry 

Participation Policy 

There are no disclosures in relation to 

contracts commenced or completed 

under the Victorian Industry 

Participation Act 2003 for 2007/08. 

Whistleblowers Protection Act 

- Application and Operation 

The purpose of the Whisleblowers 

Protection Act 2001 is to provide an 

environment in which to encourage 

reporting of any improper conduct by 

the Service or its employees. Timboon 

and District Healthcare Service has 

policies and procedures in place to 

enable compliance with the Act, and 

provide a safe environment in which 

disclosures can be made, people 

are protected from reprisal and the 

investigation process is clear and 

provides a fair outcome. The privacy of 

all individuals involved in a disclosure is 

assured of protection at all times. 

The Service is committed to the 

principles of the Act and at no time will 

improper conduct by the Service or 

any of its employees be condoned. 

A copy of the policy is available upon 

request. Web sites of interest for 

complaint procedures regarding this 

Act are: http://www.ombudsman.vic. 

gov.au and http://www.health.vic.gov. 

au/hsc 

Disclosures 

Since the introduction of the Act in 

2002 there have been no disclosures 

received and no notification of 

disclosures to the Ombudsman or any 

other external agency. 

Disclosures in writing will be received 

by Ms E.M. Collins, Chief Executive 

Officer or the Ombudsman, Level 22, 

459 Collins Street, Melbourne Victoria 

3000 Telephone 1800 806 314. 

Additional Information 

The following information, where 

it relates to Timboon and District 

Healthcare Service and is relevant to 

the financial year 2007-08 is available 

upon request by relevant Ministers, 

members of Parliament and the public: 

(a) A statement of pecuniary interest 

has been completed. 

(b) Details of shares held by senior 

officers as nominee or held 

beneficially. 

(c) Details of publications produced by 

the department about the activities 

of the entity and where they can 

be obtained. 

(d) Details of changes in prices, fees, 

charges, rates and levies charged 

by the entity. 

(e) Details of any major external 

reviews carried out on the entity. 

(f) Details of major research 

and development activities 

undertaken by the entity that are 

not otherwise covered either in 

the Report of Operations or in 

a document that contains the 

financial report and Report of 

Operations. 

(g) Details of overseas visits 

undertaken including a summary 

of the objectives and outcomes of 

each visit. 

(h) Details of major promotional, 

public relations and marketing 

activities undertaken by the entity 

to develop community awareness 

of the entity and its services. 

(i) Details of assessments and 

measures undertaken to improve 

the occupational health and safety 

of employees. 

(j) General statement on industrial 

relations within the entity and 

details of time lost through 

industrial accidents and disputes, 

which is not otherwise detailed in 

the Report of Operations. 

(k) A list of major committees 

sponsored by the entity, the 

purposes of each committee and 

the extent to which the purposes 

have been achieved. 


Financial Overview 

The financial results are outlined in the 

Operating Statement, Balance Sheet 

and Notes to the Financial Statements 

for the year ended 30th June 2008. 

These comprehensive statements 

are outlined in a separate document 

forming part of the Annual Report. 

The statements have been prepared in 

accordance with the Standing Direction 

4.2 of the Financial Management Act 

1994, applicable Financial Reporting 

Directions, Australian Accounting 

Standards and other mandatory 

professional reporting requirements. 

The Healthcare Service completed 

the year with a total entity surplus of 

$1,138,216. 

The result includes the government 

funded sector, hospital and community 

initiatives and capital funds. Through 

support from hospital and community 

initiatives including interest on reserves 

$416,016 was received and interest 

earned on the operating account 

amounted to an additional $72,824. 

Also the decline in the number of 

patients treated this year resulted in 

less than expected medical expenses, 

thus contributing to the operating 

surplus. 

Financial Comparison 

A comparison of the Healthcare 

Service’s operating performance over a 

five-year period is as follows: 

2008 

$’000 

2007 

$’000 

2006 

$’000 

2005 

$’000 

2004 

$’000 

Total Revenue 5,353 4,884 4,680 4,753 4,219 

Total Expenses 4,215 3,878 3,789 3,945 3,776 

Operating Surplus 1,138 1,005 882 808 443 

Retained Surplus 1,138 1,005 882 808 443 

Total Assets 14,001 12,761 11,286 10,515 9,639 

Total Liabilities 1,171 1,146 1,091 1,202 1,135 

Net Assets 12,830 11,614 10,195 9,313 8,504 

Total Equity 12,830 11,614 10,195 9,313 8,504 

Risk Management 

In addition to the accounts being 

audited by the Victorian Auditor- 

General’s Office, internal audits are 

conducted by an external consultant 

to ensure correct procedures and 

practices are in place, not only in the 

financial area but throughout the 

organisation. 

This internal audit process forms 

a part of the organisation’s risk 

management strategy. This year internal 

audit reviewed compliance with the 

Financial Management Act 1994 and 

Ministerial Directions. A number of 

recommendations were made to 

improve the Instrument of Delegation. 

The audit found that the financial risk 

management control environment is 

sound. 

Compliance with Australian/ 

New Zealand Risk 

Management Standard 

I, Elaine Collins, certify that the 


Service has risk management processes 

in place consistent with the Australian/ 

New Zealand Risk Management 

Standard and an internal control 

system in place that enables the 

executives to understand, manage and 

satisfactorily control risk exposures. 

The Finance/Audit Committee verifies 

this assurance and that the risk profile 

of the Timboon and District Healthcare 

Service has been critically reviewed 

within the last 12 months. 

Elaine Collins 


Timboon 

17 September 2008 

Revenue Indicators 

Average Collection Days 

2008 2007 

Private 35 41 

TAC 43 0 

VWA 47 105 

Residential 

Aged Care 

34 41 

Fees Policy 

The Service charges inpatient, primary 

health and Home and Community 

Care (HACC) fees in accordance with 

the Victorian Government Department 

of Human Services fee directives and 

Aged Care fees in accordance with 

fee directives of the Australian Government 

Department of Health and 

Ageing. 

Debtors Outstanding as at 

30 June 2008 

Under 

30 days 

31-60 

days 

61-90 

days 

Revenue by Source 

Over 

90 days 

Total 

30/06/08 

Total 

30/06/07 

Private 3,436 2,047 268 0 5751 33,643 

TAC 0 0 0 0 0 0 

VWA 0 0 0 0 0 4,428 

Residential 

3,159 382 0 0 3,542 4,406 

Aged Care 

TAC Transport Accident Commission 

VWA Victorian WorkCover Authority 

3% 

5% 

9% 

8% 

75% 

Expenses by Source 

8% 

13% 

72% 

Other 8% Depreciation 7% 

Donations 3% Other Expenses 13% 

Fees 5% Supplies & Consumables 8% 

Dept of Health & Ageing 9% Employee & Contracted Staff 72% 

Dept of Human Services 75% 

7% 


Disclosure Index 

The Annual Report of Timboon and District Healthcare Service is prepared in accordance with all relevant Victorian 

legislation. This index has been prepared to facilitate identification of the organisation’s compliance with statutory disclosure 

requirements in accordance with Ministerial Directions. 

Legislation Requirement Page Reference 

Ministerial Directions 

Report of Operations – FRD Guidance 

Charter and purpose 

FRD 22B Maintenance of establishment and the relevant Ministers 2,12 

FRD 22B Objectives, functions, powers and duties 13 

FRD 22B Nature and range of services provided 44 

Management and structure 

FRD 22B Organisational structure 11 

Financial and other information 

SD 4.2(j) Accountable officer, signed off report of operations 4 

SD 4.5.5 Risk Management Compliance 38 

FRD 22B Operational and budgetary objectives and performance against objectives 3 

FRD 22B Statement of merit and equity 14 

FRD 22B Workforce Data Disclosures 14 

FRD 22B Occupational health and safety 15 

FRD 22B Summary of the financial results for the year 38 

FRD 22B Significant changes in financial position during the year 38 

FRD 22B Major changes or factors affecting performance 4 

FRD 22B Subsequent events N/A 

FRD 22B Application and operation of Freedom of Information Act 1982 36 

FRD 22B Compliance with building and maintenance provisions of Building Act 1993 36 

FRD 25 Victorian Industry Participation Policy disclosures 36 

FRD 22B Statement on National Competition Policy 36 

FRD 22B Application and operation of the Whistleblowers Protection Act 2001 37 

FRD 22B Details of consultancies over $100,000 36 

FRD 22B Details of consultancies under $100,000 36 

FRD 22B Statement of availability of other information 37 

FRD 10 Disclosure index 40 

FRD 11 Disclosure of ex-gratia payments N/A 

FRD 21A Responsible person and executive officer disclosures FS 34 

Financial Statements – FRD Guidance 

Legislation Requirement Financial Page Reference 

Financial statements required under Part 7 of the FMA 

SD 4.2 (b) Operating Statement 5 

SD 4.2 (b) Balance Sheet 6 

SD 4.2 (b) Statement of Changes in Equity 7 

SD 4.2 (b) Cash Flow Statement 8 

SD 4.2 (c) Accountable officer’s declaration 2 

SD 4.2 (c) Compliance with Australian accounting standards and other authoritative pronouncements 9 

SD 4.2 (c) Compliance with Ministerial Directions 9 

SD 4.2 (d) Rounding of amounts 9 

Legislation 

Freedom of Information Act 1982 

Whistleblowers Protection Act 2001 

Victorian Industry Protection Act 2003 

Building Act 1993 

Financial Management Act 1994 

Audit Act 1994 

FRD – Financial Reporting Directions issued by the Department of Treasury and Finance 

SD – Standing Directions of the Financial Management Act 1994 


Our Donors 

Ackerley Mr & Mrs K N 

Adams Mr P 

Allan Ms F 

Anderson Mr & Mrs B D 

Anderson Mr J 

Anderson Mr M J 

Andrew Mr N J 

Arundell Ms J 

Arundell Mr M 

Askew Mr L 

Austin Mrs A 

Bacon Mr KF & Mrs M A 

Baker Mr G & Mrs N 

Baker Mr & Mrs P J 

Baldwin Mrs B 

Bamford Mr S J 

Barr Mrs G 

Bassett Ms M 

Bateman Mr & Mrs A 

Baxter the late Mr H F 

Beamon Mr & Mrs D 

Begely Mr & Mrs J M 

Bekker Mr G & Mrs A 

Bell Mrs C J 

Bell Ms K 

Bellis Mr & Mrs I 

Benson Ms B 

Bentley Mr M & Mrs K 

Bentley Mrs V D 

Berry Mr & Mrs K 

Bettens Mr & Mrs H D 

BHP Billiton 

Blain Mr A J 

Blain Mrs H F 

Blain Mrs S M 

Blunt Ms J 

Boehm Mrs B 

Bond Mr C & Mrs V 

Boxshall Mr N & Mrs L 

Brittain Mr J 

Brittain Mr K R & Mrs M C 

Bryant Mr J 

Bryant Mrs N R 

Buckland Mr M 

Bufton Mr R B & Mrs R M 

Bullen Mr J & Mrs H 

Burkhalter Ms J 

Burkhalter Mrs R 

Buxton Mr P 

Campbell Mrs L 

Campbell Mr P R 

Cancer Council Victoria 

– Timboon Unit 

Capizzi Mr & Mrs F 

Casey Mr J 

Cashmore Mr & Mrs D B 

Cashmore Mr P & Mrs E 

Chisholm Mr S 

Clarke Mr F & Mrs M 

Clarke Mr & Mrs J J 

Clements Mr L S & Mrs M A 

Clough Mr B 

Clover Mr G & Mrs J 

Clover Mr M & Mrs M 

Coles Mr & Mrs R G 

Coles Mr W 

Collins Ms E 

Collins Mrs H 

Cook Mr G & Mrs L 

Coombe Mr J 

Copeland Ms G 

Couch Mr P L & Mrs R M 

Couch Mr T & Mrs J 

Couch Mr & Mrs T 

Couch Mr & Mrs L H 

Cowley Mrs M 

Cunnington Mr R W & Mrs J J 

Cunnington Mr & Mrs S 

Currell Mr D & Mrs H 

Currell Mrs N I 

Daff Mrs L E 

Dalton Mr J A 

Delaney Mr E J & Mrs D 

Delaney Mr J F & Mrs G M 

Delaney Mrs T 

Delforce Mr C 

Dendle Mr D & Mrs C 

Dendle Mr & Mrs L W 

Dickinson Mrs N 

Dickmann Mrs T 

Drake Mr R F 

Duffield Mr D & Mrs I 

Duncombe Ms D I 

Dunkley Mrs S F 

Duro Mr & Mrs C A 

Duro Mrs M 

Duynhoven Mrs J A 

Duynhoven Mrs M 

Dwyer Mr & Mrs J 

Dwyett Mr W 

Easterbrook Mr & Mrs R 

Easterbrook Mrs I 

Eden-Jones Mr S 

Edge Mr & Mrs R 

Fagan Mr & Mrs G 

Fagan Ms M 

Farrar Mr L W 

Felmingham Mr A A & 

the late Mrs D M 

Ferguson Mr & Mrs G D 

Ferrari Mr G & Mrs S 

Finch Mr P & Mrs K 

Finlayson Mr & Mrs W A 

Fitzpatrick Mrs S L 

Flanagan Mrs C 

Fleming Mr M 

Footman Mr R A 

Ford Mr R J 

Foster Mr D & Mrs E 

Francome Mrs Y E 

Fraser Miss B A 

Fratantaro Mr & Mrs A 

Fulton Mr & Mrs A R 

Gale Mr D & Mrs J 

Gale Mr M & Mrs R 

Gardner Mr & Mrs C 

Garner Mr & Mrs V 

Gaut Mrs S 

Gay Mr C & Mrs M 

Gay Mr E A & Mrs W 

Giblett Mr & Mrs B 

Giblett Mrs L 

Giblin MrJ & Mrs M 

Gillespie Mr H M & Mrs T 

Gillin Mr & Mrs P 

Gillingham Mr R 

Gilson Mr & Mrs N K 

Gledhill Mr & Mrs K 

Glerum Mrs D 

Gordon Ms M 

Graham, Mr J 

Greig Mr K G & Mrs J 

Gristede Mr PR & Mrs MA 

Groves Mrs J 

Gunn Mr L 

Guy Mr W & Mrs N 

Hallyburton Mrs I J & 

the late Mr I 

Hallyburton Mr & Mrs N 

Hampson Mr G 

Hanel Mrs S 

Hanson Mrs D E 

Hardingham Mr N & Mrs B 

Harkin Mr M 

Harkin Mr & Mrs P F 

Harkness Mr C B & Mrs D 

Harris Mr I & Mrs A-M 

Haugh M N W & Mrs P 

Hay Mr P 

Heatly Mr C L 

Heatly Mr I K 

Hellessey Mr D & Mrs S 

Hibburt Mr C 

Hibburt Mr D W 

Hill Mrs J 

Hintum Mr T F & Mrs D 

Horan Mr M 

Hortin Mr M D& Mrs J 

Hose Ms B 

Hose Mr M 

Hose Mr T 

Hose Mr W R 

Hovenden Mr & Mrs J K 

Howitt Mr W G 

Huffading Mr C & Mrs B 

Hughes Mr F 

Hunt Mr M J & Mrs J M 

Irvine Mr J R 

Irvine Mrs K D 

Irwin Mr R 

Jeffs Mr & Mrs B D 

Jepson Mr K & Mrs M 

Johnstone Mr D 

Joiner Mr & Mrs L H 

Joiner Mr M A & Mrs C M 

Jones Mrs B 

Jones Ms D 

Kee Mr & Mrs C G & W 

Keegan Mr J R 

Kerekes Mr J 

Kermond Mr C & Mrs C 

Kerr Mr & Mrs A G 

Klemm Ms T 

Konings Mr M 

Kordupel Mr W P & Mrs E 

Kors Mr G & Mrs J 

Kruse Mr H & Mrs G 

Krybolder Mr & Mrs T 

Lawson Mrs Y M 

Leske Mrs M 

Lindquist Mrs F J 

Lindsay Mr R M & Mrs J 

Lions Club of Timboon 

Lloyd Mr K A & Mrs M R 

Loch Ard Motor Inn 

Loveday Mr J & Mrs J 

Lowe Mrs O 

Macka’s Farm 

Magilton Mr W J & 

the late Mrs P 

Malden Mrs E 

Marr Mr & Mrs A W 

Marr Mr & Mrs D A 

Marr Mr R W & Mrs C A 

Martin Mr D 

Maskell Mr S & Mrs W 

Mathieson Mrs B 

McCallum Mrs U D 

McConnell Mr T J 

McDonald Mr & Mrs M A 

McDowell Mrs A 

McKenzie Mrs C H 

McKenzie Ms D 

McKenzie Mr D& Mrs L 

McKenzie Mr J D & Mrs J 

McKenzie Mr L & Mrs B A 

McKenzie Mrs N F 

McKenzie Mrs T 

McKinnon Mr K P 

McKinnon Mr N F 

McLennan Mrs W 

McMeel Ms A M 

McMeel Mr E M & Mrs J M 

McMeel Miss R 

Merrett Mr D & Mrs S 

Merrett Mr R D & Mrs D M 

Mitchell Mr R M & Mrs N 

Monk Mr H & Mrs G 

Moore Mr & Mrs A J 

Moore Mr C O 

Moore Mrs W 

Moorfield Mr & Mrs C D 

Morey Mr R G & Mrs T A 

Morgan Mr B 

Morgan Mr & Mrs P G 

Murrell Mrs D 

Neal Miss A 

Neal Mr G A & Mrs H 

Neal Mrs T 

Nelson Mr T 

Nesseler Mr & Mrs K 

Newey Mr P C 

Newton Mr B J & Mrs L 

Norton Ms C 

Norton Mr & Mrs W M 

Nowell Mr S J 

O’Keeffe Mr M A 

O’Keeffe Mr P W 

Oldfield Mr J M & Mrs C 

Owen Mr P 

Page Mr N 

Parfett Mr R & Mrs B 

Parfett Ms S 

Park Mrs I A 

Patterson Mr L 

Patullock Mr & Mrs C 

Patullock Mr & Mrs L G 

Philip Mrs S 

Pike Mrs O J 

Pike Mr R B & Mrs J 

Pitman Mr G J & Mrs L 

Plozza Mr M J 

Plozza Mr S F & Mrs S J 

Pouw Mr & Mrs C E 

Powell Mr & Mrs R W 

Price Mrs M A 

Price Mr R & Mrs L 

Pride Mr A & Mrs N 

Princetown Friendship Group 

Quota International of Cobden 

Rantall Mr & Mrs N G 

Reinen Mrs R & the late Mr A 

Renyard Mr J C & Mrs H J 

Retallack Mr J & Mrs M 

Rhode Mr & Mrs M 

Rhode Mr R 

Rippon Mr A & Mrs L 

Ritchies Stores Pty Ltd 

Robb Mr T S & Mrs T M 

Roberts Mr & Mrs A H 

Roberts Mr & Mrs J 

Roberts Mrs J E 

Robertson Mrs J 

Rogers Mr & Mrs C W 

Rudolph Miss A P 

Rudolph Mr G W 

Rundle Mr L M & Mrs E 

Rundle Mr G J 

Rundle Mrs R 

Rundle Mr T & Ross Ms A 

Russell Mr A D & Mrs B L 

Ryan Mr J F & Mrs M J 

Said Mr P 

Saunders Mr M & Mrs L 

Scholte Mr J H 

Schulz Mr H 

Scott Mrs A 

Scott Mrs M 

Scotts Creek Indoor Bias 

Bowling Club 

Searle Mr G & Mrs F 

Serong Mr & Mrs K 

Sharp Mr & Mrs M R 

Simpson CWA 

Simpson Mr E R & Mrs Y 

Sinclair Mr & Mrs B 

Slater Mr & Mrs R W 

Smethurst Mr B R & Mrs L 

Smith Mr R & Mrs J 

Spokes Mr M G & Mrs J 

Stafford Ms L 

Stanbury Mr E T & Mrs P P 

Stansfield Mr G 

Stapley Mr P R & Mrs M 

Steen Mrs P 

Stephens Ms A 

Stephens Ms L 

Stephenson Mr S I 

Stevens Mr R W 

Stevens Mrs S F 

Stinchcombe Ms L 

Stinchcombe Mr R E & Mrs B 

Sturzaker Mrs M 

Sullivan Mr G E & Mrs D H 

Symons Mr & Mrs G E 

Tarasiuk Mr S 

Taylor Mr & Mrs C R 

Thomas Mr C 

Thompson Mr A & Mrs F 

Thompson Mr G & Mrs A 

Thompson Mr W & Mrs E 

Thomson Mr I 

Thornton Mrs P 

Thow Mr S & Mrs J 

Timboon & District Healthcare 

Service Auxiliary 

Timboon Cruisers 

Timboon Motor Cycles 

Timboon Motors 

Timboon P12 School 

Timboon Pharmacy 

Timboon Plumbing & Pumps 

Timboon Uniting Church 

Fellowship 

Toller-Bond Ms M 

Total Dairy Service 

Townsend Mr G N & Mrs M 

Treble Mrs K E 

Tregea Mr A & 

Copeland Ms G 

Tregea Mrs N 

Trigg Mrs B 

Trigg Mr & Mrs D J 

Trotter Mrs K & the late Mr C 

Trotter Mr S G & Mrs G J 

Uebergang Mr G O & Mrs P 

Uebergang Mr M 

Umbers Mr L E 

Vallance Ms A 

Van Donk Mrs P 

Van Duynhoven Mr J A & Mrs 

A M 

Van Leerdam Dr J & Mr K 

Van Nieuwkerk Mr & Mrs J 

Van Nieuwkerk Mrs M 

Veenstra Mr H & Mrs K 

Vickers Mr D & Kelly Ms E 

Vickers Mr R W & Mrs H E 

Vogels Mr A J 

Vogels Mr & Mrs F M 

Vogels Mr J A 

Vogels Mr J G 

Vogels Mr N 

Walker Mr & Mrs M J 

Wallace Mr B R & Ms L 

Wallace Mr D L & Mrs S 

Wallace Mr & Mrs R J 

Walsh Mr & Mrs T A 

Ward Mr & Mrs B E 

Warrnambool Home 

Improvements 

& Plumbing Pty Ltd 

Warrnambool Motorcycle 

Owners Club 

Webster Mr J L 

Welton Mr & Mrs D N 

Westacott Mr T 

Wetmore Mr D & Mrs M 

White Mr I 

White Mr & Mrs R P 

White Mr R J & Mrs V 

Whitehead Mr J R & Mrs L 

Whiting Mr A R & Mrs L J 

Wiggins Mr & Mrs G T 

Williams Mr O & Mrs N 

Williams Mr & Mrs O M 

Wills Mrs G V 

Wills Mrs N J 

Wilson Mr J C & Mrs S 

Wines Mr W 

Winkler Mr R W & Mrs B 

Wisbey Mr & Mrs J 

Wood Mr W A & Mrs H J 

Worrall Mrs E C 

Worrall Mrs N 

Wouters Mr F C & Mrs B A 

Wright Mr M 

Wurlod Mr & Mrs W J 

Yeaman Mrs B A 

Younis Mr P J & Mrs S 


Our Services - What We Deliver 

Acute Care 

Emergency Services 

General Medicine 

General Surgery 

Obstetrics and Gynaecology 

Palliative Care 

Diagnostic Services 

Pathology 

Radiology 

Home Nursing 


Maternity Outreach 

Palliative Care 

Post Acute Care 


High Care 

Respite Care 

Allied Health 

Audiology 

Chiropractic 

Continence 

Diabetes Education 

Dietetics 

Mental Health Social Work/Counselling 

Occupational Therapy 

Physiotherapy 

Podiatry 

Speech Pathology 

Naringal 

South Ecklin 

Cobden 

Health Promotion and Education 

Childbirth Classes 

Body Balance Classes 

Bounce Back with Babes 

Community & School Health Education and Promotion 

Health Screenings 

Strength Training 

Tai Chi 

Women’s Health 

Home and Community Care (Aged and 

Disability Support) 

Assessment and Care Management 

Community Transport 

Delivered Meals 

Home Care 


Personal Care 

Respite Care 

Support Groups 

Adult Day Activity Groups 

Arthritis Self Help Group 

Grief, Loss and Suicide Support 

Visually Impaired Group 

Youth Service 

Counselling 

Youth Activities 

Nullawarre 

Curdie Vale 

Scotts Creek 

Timboon 

Simpson 

VICT ORIA 

Peterborough 

Port Campbell 

Princetown 

44 Timboon & District Healthcare Service Annual Report 2007/08

Annual Report - South West Alliance of Rural Health

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