Portland District Health Annual Report 2007 - South West Alliance of ...
Portland District Health Annual Report 2007 - South West Alliance of ...
Portland District Health Annual Report 2007 - South West Alliance of ...
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<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
President’s <strong>Report</strong><br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> looks<br />
forward to the challenges and<br />
opportunities our health service<br />
faces in the coming year.<br />
On behalf <strong>of</strong> the Board <strong>of</strong> Management, I am pleased to present the<br />
2006/07 <strong>Annual</strong> <strong>Report</strong> <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. This certainly has<br />
been an eventful year. The Board has faced numerous challenges<br />
and to their credit I believe they have worked tirelessly to provide a<br />
sustainable health service that meets the needs <strong>of</strong> the <strong>Portland</strong> and<br />
district community.<br />
To achieve this, the Board has focused on the financial position <strong>of</strong><br />
the health service. Although <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> had been on the<br />
Department <strong>of</strong> Human Services’ Close Watch financial program, our<br />
financial position was deteriorating. So the Board commenced an<br />
internal review to determine why this was occurring, which alternatively<br />
led to a complete review <strong>of</strong> all operational services.<br />
In May, the Senior Vice President, Mr. Jim Harpley and I met with<br />
Victorian <strong>Health</strong> Minister, The Honourable Bronwyn Pike, MP to<br />
outline the Board’s proposed actions over the next six months. These<br />
actions included a review <strong>of</strong> our medical workforce issues and our<br />
declining patient numbers. Following our presentation, Minister Pike<br />
provided additional assistance to the Board with the appointment<br />
<strong>of</strong> two ministerial delegates to the Board, Dr. Heather Wellington, a<br />
medico/legal advisor and Mr. Michael Rhook as a financial consultant.<br />
The Board subsequently appointed Aspex Consulting to prepare a<br />
five-year clinical services plan to address our medical workforce and<br />
referral process and also appointed Mr. John O’Neill as the interim Chief<br />
Executive Officer to co-ordinate these reviews.<br />
Our road to recovery is far from over but we can now see the finishing<br />
line. Providing we can stay focused and true to our vision, we will ensure<br />
that <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is one <strong>of</strong> the best regional health services<br />
in Victoria.<br />
All <strong>of</strong> this could not be possible without the tremendous support <strong>of</strong> the<br />
<strong>Portland</strong> district community who have demonstrated their commitment<br />
and desire to ensure <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> remains as an independent,<br />
primary and acute care health service which services the needs <strong>of</strong> our<br />
community.<br />
The community commitment has been demonstrated in numerous<br />
ways throughout the year and whether this is by the thousands <strong>of</strong><br />
hours committed by our volunteer workforce or by the generosity <strong>of</strong> the<br />
<strong>Portland</strong> community through bequests from the estate <strong>of</strong> the late Glenys<br />
Simmons, the Dipalo family and Ge<strong>of</strong>f Handbury (<strong>West</strong>neath Nominees).<br />
Our sincere gratitude is extended to all local business houses, local<br />
media, tradespeople and others who assisted in the construction <strong>of</strong><br />
the new 30-bed aged care facility, which will be <strong>of</strong>ficially opened later<br />
this year.<br />
To strive to become one <strong>of</strong> the best regional<br />
health services in Victoria is only possible<br />
if we have an outstanding workforce that<br />
can provide the appropriate level <strong>of</strong> service.<br />
After seeing the level <strong>of</strong> pr<strong>of</strong>essionalism<br />
displayed by our staff over the past 12 months,<br />
I am confident that we have the talent and<br />
commitment to achieve this goal.<br />
Last but certainly not least I would also<br />
like to take this opportunity to record my<br />
sincere appreciation to Dr. Michael Martin,<br />
Chair Visiting Medical Officers Group for<br />
working closely with the Board to break down<br />
the previous obstacles that had hindered<br />
relationships between the medical workforce<br />
and <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
I sincerely thank all members <strong>of</strong> the Board<br />
<strong>of</strong> Management who, as volunteers, serve<br />
as community representatives on the<br />
necessary committees required to ensure an<br />
effective public health service is provided.<br />
GREG ANDREWS<br />
President<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Chief Executive’s <strong>Report</strong><br />
Our <strong>Health</strong> Service<br />
Beyond <strong>2007</strong><br />
As the newly appointed interim Chief<br />
Executive Officer <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
I can only report from July <strong>2007</strong>. I can<br />
categorically state that we are facing many<br />
challenges, but without doubt, should we<br />
overcome these challenges, our health<br />
service has a solid and exciting future.<br />
Change <strong>of</strong>ten creates uncertainty, but<br />
always opportunities. It forces us to grow<br />
and develop. It challenges us.<br />
The key changes include:<br />
• Appointment <strong>of</strong> two delegates to the<br />
Board by Victorian <strong>Health</strong> Minister<br />
The Hon. Bronwyn Pike MP;<br />
• Engagement <strong>of</strong> consultants Aspex<br />
Consulting to prepare a five-year clinical<br />
services plan and model <strong>of</strong> care;<br />
• Engagement <strong>of</strong> Adjunct Associate<br />
Pr<strong>of</strong>essor Leanne Rowe to review<br />
clinical governance;<br />
• Engagement <strong>of</strong> Ms. Christine<br />
Cunningham to review PDH’s primary<br />
care service delivery model;<br />
• Negotiation <strong>of</strong> a partnership with<br />
<strong>West</strong>ern <strong>District</strong> <strong>Health</strong> Service to<br />
co-operate in the regional delivery <strong>of</strong><br />
corporate services, providing the<br />
hospital with improved management<br />
resources; and<br />
THE FUTURE<br />
At the time <strong>of</strong> writing this report, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> and the community<br />
are awaiting a report from the consulting group Aspex Consulting on a five-year<br />
clinical services strategy and model <strong>of</strong> care including the region’s emerging aged<br />
care needs.<br />
This report is <strong>of</strong> particular relevance as patient care services are currently underutilised<br />
with a steady drift towards the larger referral hospitals at Warrnambool,<br />
Hamilton and Geelong. Based on the changing needs <strong>of</strong> our communities, we<br />
are also looking for new ways <strong>of</strong> delivering health services and focusing more<br />
on supporting people to stay well and live healthier lifestyles. This change will<br />
not happen overnight, but at a time when more individuals are focusing on how<br />
they can make changes to live a more healthy life, our health service should be a<br />
leader in this direction and support our community to make those changes.<br />
The Department <strong>of</strong> Human Services has provided approximately $5.2m <strong>of</strong><br />
“top-up” funding to support <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> over recent years. Clearly this<br />
is not sustainable in the long run. Consequently, the Aspex Consulting report also<br />
becomes pivotal to the future direction and funding <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
Pr<strong>of</strong>essor Leanne Rowe has been engaged to assist PDH to develop a clinical<br />
governance framework. This framework will strengthen our accountability for<br />
continuous improvement in the quality <strong>of</strong> service delivery and safeguard high<br />
standards <strong>of</strong> care by creating an environment in which excellence in clinical care<br />
will flourish, to ensure high quality care from all involved in the patients journey<br />
and to ensure patients are the main focus and priority.<br />
• The appointment <strong>of</strong> Deloittes to review<br />
internal control systems.<br />
Change <strong>of</strong>ten creates uncertainty,<br />
but always opportunities. It forces us<br />
to grow and develop.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
The hospital and health service has made<br />
considerable progress in many areas and is<br />
now laying a solid foundation.<br />
PATIENT CARE FACILITIES<br />
The internal refurbishment program at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has<br />
led to improved patient care facilities. This year, a new 8-bed Day<br />
Procedure Unit was commissioned on 17 July with the first patients<br />
seen in late July. Arrangements are being made to <strong>of</strong>ficially open<br />
the new Day Procedure Unit in October and PDH is indebted to the<br />
Dipalo family who generously donated over $300,000 towards the<br />
new unit.<br />
A new Residential Aged Care facility, Harbourside Lodge will be<br />
commissioned closer to Christmas. At the time <strong>of</strong> writing this report,<br />
arrangements are being put in place to reach contract completion,<br />
with essential services certification and practical completion<br />
certificates.<br />
In addition, there has been a significant injection and upgrade <strong>of</strong><br />
patient care equipment particularly in our operating theatres. PDH<br />
is again indebted to Ge<strong>of</strong>f Handbury (<strong>West</strong>neath Nominees) who<br />
very generously donated $200,000 towards the purchase <strong>of</strong> this<br />
equipment.<br />
FINANCIAL MANAGEMENT<br />
The year in review brought with it a number <strong>of</strong> disappointments<br />
and concerns; none more so than PDH’s financial performance<br />
- recording its third consecutive operating loss. This year, financial<br />
statements will record a net result from continuing operations before<br />
capital and specific items <strong>of</strong> $0.985K and a net result for the year<br />
<strong>of</strong> $0.509K. The Board and the Department <strong>of</strong> Human Services<br />
recognise that the deteriorating result is not sustainable and must be<br />
addressed. The Board has determined a course <strong>of</strong> action to reduce<br />
operating costs and increase patient activity.<br />
A little over 70% <strong>of</strong> costs within a healthcare facility lie in staff costs<br />
and as such, PDH will need to restructure work practices and review<br />
its staffing pr<strong>of</strong>iles. This process began when the Board endorsed a<br />
new organisational senior executive structure commensurate with the<br />
role and function <strong>of</strong> a local community hospital. At the time <strong>of</strong> writing<br />
this report, a recruitment agency has been engaged to recruit to<br />
these new positions.<br />
EXECUTIVE STAFF DEVELOPMENTS<br />
There were a number <strong>of</strong> pivotal senior executive changes during the<br />
year. Marie Shea, Chief Executive Officer tendered her resignation<br />
in July. Dr Meindert van der Veer took up a new post as Medical<br />
Director at <strong>West</strong>ern <strong>District</strong> <strong>Health</strong> Service.<br />
SUMMARY<br />
The year ahead will be difficult and demanding. Notwithstanding<br />
this, the hospital and health service has made considerable progress<br />
in many areas and is now laying a solid foundation to address the<br />
deteriorating financial position and tackle declining patient numbers<br />
and strengthen clinical governance.<br />
Opportunities and challenges will arise from various reviews,<br />
enabling PDH to secure its future fiscally and strengthen its clinical<br />
governance framework. These reviews, when underpinned by<br />
sound business principles, workforce management and general cost<br />
constraints, coupled with increased scope and range <strong>of</strong> services, will<br />
enable PDH to look confidently to the future.<br />
JOHN C O’NEILL<br />
Chief Executive<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Corporate Governance<br />
The Board <strong>of</strong> Management <strong>of</strong> <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> is appointed on the<br />
recommendation <strong>of</strong> the Victorian <strong>Health</strong><br />
Minister, The Hon. Bronwyn Pike MP.<br />
The Board <strong>of</strong> Management is governed<br />
by principles contained within the <strong>Health</strong><br />
Services Act 1998 (as amended).<br />
The Board provides<br />
governance <strong>of</strong> the <strong>Health</strong><br />
Service and is responsible<br />
for the quality <strong>of</strong> healthcare<br />
services provided by<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
It is also responsible for<br />
the financial performance<br />
and involvement in the<br />
community.<br />
The Board consists <strong>of</strong> up to 12 members appointed by the Governor in Council.<br />
Each member <strong>of</strong> the Board holds <strong>of</strong>fice for a term not exceeding three (3) years<br />
and is eligible for re-appointment.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s Board <strong>of</strong> Management meets monthly throughout<br />
the year.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> by-laws enable the Board to delegate various<br />
responsibilities. These by-laws are supported by executive delegations and<br />
operational responsibility which enables executives and staff to perform their<br />
duties through specific delegated authority.<br />
The registered <strong>of</strong>fice <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is Bentinck Street,<br />
<strong>Portland</strong>, 3305.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> would like to acknowledge The Hon. Daniel Andrews<br />
MP as the Victorian Government’s recently sworn in <strong>Health</strong> Minister.<br />
4 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Board Committees<br />
AUDIT COMMITTEE<br />
The Audit Committee is responsible for monitoring and advising<br />
the Board on matters relating to financial accountability and<br />
internal controls including the effectiveness <strong>of</strong> management<br />
information systems, in accordance with relevant laws and<br />
regulations.<br />
The Committee meets quarterly.<br />
MEDICAL APPOINTMENTS/ADVISORY COMMITTEE<br />
The Medical Appointments/Advisory Committee is responsible<br />
for the appointment <strong>of</strong> appropriately credentialed medical staff<br />
to <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>, within their defined scope <strong>of</strong> clinical<br />
practice. These appointments are made in accordance with<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> by-laws.<br />
REMUNERATION COMMITTEE<br />
The primary focus <strong>of</strong> the Remuneration<br />
Committee is to provide advice and<br />
assurance to the Board relating to the<br />
effectiveness, integrity and adherence to the<br />
Government Sector Executive Remuneration<br />
Panel (GSERP) guidelines for senior<br />
executive remuneration.<br />
PROJECT CONTROL GROUP/PLANNING<br />
AND DEVELOPMENT<br />
The Project Control Group monitors the progress <strong>of</strong> major<br />
projects with particular emphasis on the program, scope, cost,<br />
expenditure and fulfilment <strong>of</strong> the approved project brief and<br />
user needs.<br />
QUALITY COMMITTEE<br />
The Quality Committee maintains a high<br />
level overview <strong>of</strong> the performance <strong>of</strong> safety<br />
and quality systems and ensures any risks<br />
and/or deficiencies are addressed.<br />
The Committee reports to the Board.<br />
CONSULTATIVE COMMITTEE<br />
The Consultative Committee is a forum for<br />
the resolution <strong>of</strong> issues relating to medical<br />
administrative matters. The function <strong>of</strong> the<br />
committee is advisory and not executive.<br />
It considers matters relating to the medical<br />
administration <strong>of</strong> the hospital and considers<br />
differences arising between the Board and<br />
its <strong>of</strong>ficers and the medical staff, tendering<br />
appropriate advice, recommendations or<br />
reports to the Board and VMO Group on all<br />
matters considered.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Board Pr<strong>of</strong>iles<br />
MR. GREG ANDREWS<br />
PRESIDENT<br />
Diploma Public <strong>Health</strong><br />
Greg is currently serving<br />
his second term as a Board<br />
member and was elected<br />
President in 2006. He represents<br />
the Board on the Remuneration,<br />
Medical Appointments and<br />
Consultative Committees. Mr.<br />
Andrews is the Environmental<br />
<strong>Health</strong> Officer at the Glenelg<br />
Shire Council.<br />
MS. TANYA SIMMONDS<br />
TREASURER<br />
(resigned April <strong>2007</strong>)<br />
Tanya was appointed to the<br />
Board <strong>of</strong> Management in<br />
November 2006. During this<br />
time she served as Treasurer.<br />
We extend our congratulations<br />
to Tanya following the recent<br />
birth <strong>of</strong> daughter Alice.<br />
MR. JIM HARPLEY<br />
SENIOR VICE PRESIDENT<br />
B. Metallurgy<br />
MR. MIKE NOSKE<br />
TREASURER<br />
B.Eng (Mech) Honours<br />
Jim is serving his second term<br />
as a Board member. He was<br />
elected Senior Vice President in<br />
2006. He represents the Board<br />
on the Project Control Group,<br />
Remuneration and Consultative<br />
Committees. Mr. Harpley is a<br />
Senior Process Engineer at<br />
<strong>Portland</strong> Aluminium.<br />
Mike is serving his first term as<br />
a Board member. He represents<br />
the Board on the Remuneration<br />
and Quality Committees.<br />
Mr. Noske is Keppel Prince’s<br />
Project Manager for the Waubra<br />
Windfarm project. He is also<br />
the Director/Manager <strong>of</strong> Emelen<br />
Pty. Ltd. (<strong>Portland</strong> Print Services<br />
and the Star Cinema).<br />
MR. VIN GANNON<br />
JUNIOR VICE PRESIDENT<br />
Vin is serving his third term<br />
as a Board member. He<br />
represents the Board on the<br />
Medical Appointments and<br />
Consultative Committees. Mr.<br />
Gannon is the Chief Executive<br />
Officer <strong>of</strong> the Victorian Abalone<br />
Divers Association, Director<br />
on the Prime Safe Board and<br />
is a qualified graduate <strong>of</strong> the<br />
Institute <strong>of</strong> Company Directors.<br />
MR. BILL COLLETT<br />
BOARD MEMBER<br />
PHC, MPS, FACPP<br />
Bill was appointed to the<br />
Board <strong>of</strong> Management in 2005.<br />
He currently serves as Deputy<br />
Treasurer. Mr. Collett represents<br />
the Board on the Audit and<br />
Consultative Committees.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
MRS. MERLYN MENZEL<br />
BOARD MEMBER<br />
Division 1 Nurse, Associate<br />
Diploma Welfare Studies<br />
Merle has been a member<br />
<strong>of</strong> the Board since 2002.<br />
She represents the Board<br />
on the Quality and Medical<br />
Appointments Committees.<br />
Mrs. Menzel is the Office<br />
Manager <strong>of</strong> R. and M. Menzel<br />
Electrical Contractors and a<br />
Bail Justice.<br />
OUR MISSION<br />
To provide safe<br />
and cost effective<br />
primary, acute and<br />
aged care services<br />
to residents <strong>of</strong> the<br />
<strong>Portland</strong> district.<br />
MR. BRUCE DU<br />
VERGIER<br />
BOARD MEMBER<br />
Bruce was appointed to the<br />
Board in November 2005.<br />
He is the Chief Executive<br />
Officer <strong>of</strong> Community<br />
Connections (Vic) Ltd. since<br />
beginning in 1991 and is the<br />
Chairperson <strong>of</strong> the <strong>South</strong>ern<br />
Grampians and Glenelg<br />
Primary Care Partnership.<br />
MR. BRIAN SPARROW<br />
BOARD MEMBER<br />
Brian is serving his first term<br />
as a Board member. He<br />
represents the Board on the<br />
Quality Committee. Mr. Sparrow<br />
is a qualified chef and has<br />
previously run his own catering<br />
business. He has served in the<br />
Australian Defence Force for<br />
12 years.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Executive Management<br />
Team<br />
CHIEF EXECUTIVE OFFICER<br />
MRS. MARIE SHEA<br />
RN, BA (Hons), FRCNA, AFCHSE, JP<br />
(Appointed July 2005, resigned August <strong>2007</strong>)<br />
The Chief Executive is responsible for the executive leadership<br />
and overall management <strong>of</strong> the organisation ensuring that the<br />
decisions <strong>of</strong> the Board are implemented.<br />
Mr. O’Neill was appointed as Interim Chief Executive in July <strong>2007</strong>.<br />
DIRECTOR OF CORPORATE SERVICES<br />
AND COMMUNITY HEALTH<br />
MR. PHIL HYNES<br />
Diploma <strong>Health</strong> Administration, Advanced Diploma <strong>of</strong> Business (HR)<br />
(Appointed March 1982)<br />
The Director <strong>of</strong> Corporate Services and Community <strong>Health</strong> is<br />
responsible for all corporate service and allied health staff including<br />
community nursing, counselling, drug and alcohol services, health<br />
promotion, allied health, dental, physiotherapy, maternal and<br />
child health, catering, environmental, engineering, safety, human<br />
resources, fundraising, executive <strong>of</strong>ficer (Board), special projects<br />
and supported residential service – Sea View House.<br />
DIRECTOR OF NURSING<br />
MRS. KATHRYN EYRE<br />
RN Division 1, BN, M <strong>Health</strong> Management,<br />
Certificate <strong>of</strong> Finance, AFCHSE, MRCNA<br />
(Appointed February 2003)<br />
The Director <strong>of</strong> Nursing is responsible for<br />
inpatient services, outpatient services<br />
(including Accident and Emergency),<br />
operating suite, infection control, nurse<br />
education, aged care, volunteers and<br />
district nursing. She is also responsible<br />
for the development, provision and<br />
compliance <strong>of</strong> nursing policy.<br />
With the assistance <strong>of</strong> the Assistant<br />
Director <strong>of</strong> Nursing, Mrs Maureen<br />
Patterson, she is also responsible for<br />
quality co-ordination, mandatory reporting<br />
including incidents, complaints and<br />
patient advocacy issues, reporting<br />
<strong>of</strong> quality <strong>of</strong> care to the community,<br />
rehabilitation (return to work), clinical<br />
HR specialists, data management and<br />
chaplaincy services.<br />
DIRECTOR OF MEDICAL SERVICES<br />
DR. MEINDERT VAN DER VEER<br />
MB,CHB, FRACGP, MRACGP, AFACHSE<br />
(Appointed November 2004, resigned July <strong>2007</strong>)<br />
The Director <strong>of</strong> Medical Services is responsible for the<br />
development and provision <strong>of</strong> medical services including Visiting<br />
and Career Medical Officers, medical imaging, pathology,<br />
pharmacy, patient services, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Specialist<br />
Centre and health information management and Freedom <strong>of</strong><br />
Information. He is also responsible for medical policy.<br />
DIRECTOR OF FINANCE<br />
MR. WAYNE ARMISTEAD<br />
BComm, CPA, Master <strong>of</strong> Business<br />
(Appointed June 1987)<br />
The Director <strong>of</strong> Finance is responsible<br />
for the management <strong>of</strong> the Finance<br />
Department including financial reporting,<br />
analysis, budgeting and budgeting controls/<br />
recovery in line with identified targets and<br />
strategies.<br />
The role provides management and<br />
leadership for information technology,<br />
payroll and supply.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Organisational Structure<br />
BOARD<br />
CHIEF EXECUTIVE OFFICER<br />
Executive Assistant<br />
Director<br />
<strong>of</strong><br />
Nursing<br />
Director<br />
<strong>of</strong><br />
Finance<br />
Director<br />
<strong>of</strong><br />
Medical Services<br />
Director <strong>of</strong> Corporate<br />
Services and<br />
Community <strong>Health</strong><br />
ADON/<br />
Quality<br />
Executive<br />
Assistant<br />
Financial Services<br />
VMOs<br />
<strong>Health</strong> Promotion<br />
Midwifery<br />
Acute<br />
Rehabilitation<br />
Dialysis<br />
Operating Suite<br />
A&E<br />
Residential<br />
Aged Care<br />
Information Technology<br />
Payroll<br />
Supply<br />
WorkCover<br />
CMOs<br />
Pathology<br />
Pharmacy<br />
Medical Imaging<br />
<strong>Health</strong> Information<br />
Community <strong>Health</strong><br />
Sea View House<br />
Maternal & Child <strong>Health</strong><br />
Physiotherapy<br />
Dental<br />
Podiatry<br />
Building/Engineering<br />
Occupational Therapy<br />
After Hours<br />
Co-ordination<br />
Speech Therapy<br />
Education<br />
Food Services<br />
<strong>District</strong> Nursing<br />
Dietetics<br />
Infection Control<br />
Board Executive<br />
Discharge<br />
Planning/PAC<br />
Social Work<br />
Drug & Alcohol<br />
Environmental Services<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Services provided by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is a Public Hospital with 69<br />
approved acute beds, 30 nursing home beds and a 58 place<br />
Supported Residential Service. Through its primary and<br />
community care division, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> also <strong>of</strong>fers<br />
a diverse range <strong>of</strong> community health services. A listing <strong>of</strong><br />
services provided by the organisation is set out below.<br />
MEDICAL:<br />
Accident & Emergency<br />
Anaesthetics<br />
Chemotherapy<br />
Dermatology<br />
Diagnostic Imaging<br />
- CT Scanning<br />
- Doppler Ultrasound<br />
Endocrinology<br />
Endoscopy<br />
ENT Surgery<br />
General Surgery<br />
General Medicine<br />
Geriatric Medicine<br />
High Dependency Unit<br />
Obstetrics & Gynaecology<br />
Ophthalmology<br />
Oral Surgery<br />
Orthodontics<br />
Orthopaedics<br />
Paediatrics<br />
Pain Management<br />
Pathology (Contract Service)<br />
Physician<br />
Psychiatry<br />
Rehabilitation<br />
Renal Dialysis<br />
Urology<br />
MEDICAL ANCILLARY:<br />
Aboriginal Liaison<br />
Audiology<br />
Dental Clinic<br />
Dietetics<br />
<strong>Health</strong> Information<br />
Occupational Therapy<br />
Orthotics<br />
Pharmacy<br />
Physiotherapy<br />
Podiatry<br />
Sexual Assault Counselling<br />
Social Work<br />
Speech Pathology<br />
NURSING:<br />
Antenatal Education<br />
Asthma Education<br />
Breast Care Nursing<br />
Cancer Support<br />
Cardiac Rehabilitation<br />
Continence Advice<br />
Diabetes Education<br />
Discharge Planning<br />
<strong>District</strong> Nursing Service<br />
Domiciliary Midwifery Care<br />
Drug & Alcohol Withdrawal<br />
Education Centre<br />
Hospital in the Home<br />
Immunisation Service<br />
Infection Control<br />
Lactation Counselling<br />
Living with Cancer<br />
Lymphoedema Service<br />
Maternity Enhancement Service<br />
Nursing Home<br />
Home Oxygen<br />
Palliative Care<br />
Pharmacy Support<br />
Post Acute Care<br />
Rehabilitation<br />
Respite Care<br />
Sterile Supply<br />
Stomal Therapy<br />
Postgraduate Nurse Training<br />
OTHER:<br />
Engineering<br />
Environmental Services<br />
Equipment Borrowing Service<br />
Food Services Department<br />
General Administration Clerical,<br />
Accounting & Payroll<br />
Hospital Library<br />
Safety & Security<br />
Supply<br />
Personal Laundry Service for<br />
in patients/residents<br />
Prescribed Waste Removal<br />
Primary Care Partnerships<br />
Primary & Community <strong>Health</strong><br />
SERVICES FROM AND<br />
WITH OTHER AGENCIES:<br />
BreastScreen Victoria<br />
- Breast screening<br />
Glenelg Shire Council<br />
- Maternal & Child <strong>Health</strong> Care<br />
- Meals on Wheels<br />
<strong>South</strong> <strong>West</strong> Aged Care<br />
- Aged Care Assessment<br />
<strong>South</strong> <strong>West</strong> <strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong><br />
- Information Technology<br />
<strong>South</strong> <strong>West</strong> <strong>Health</strong> Care<br />
- Audiology<br />
- Bio Medical Engineering<br />
<strong>West</strong>ern <strong>District</strong> <strong>Health</strong> Service<br />
- Linen<br />
SERVICES TO OTHER<br />
AGENCIES:<br />
Accounting Services<br />
- Heywood Rural <strong>Health</strong><br />
Fuel Card<br />
- <strong>West</strong>ern Dist. Employment Access<br />
Immunisation Service<br />
Infection Control Advice<br />
Occupational Therapy &<br />
Speech Pathology<br />
- Special Development School<br />
- Dartmoor Bush Nursing Service<br />
Payroll<br />
- Lewis Court Hostel<br />
Speech Pathology<br />
- Kindergartens & Schools<br />
Supply<br />
- Various<br />
Sterile Supply<br />
- Various<br />
Counselling<br />
- Heywood Rural <strong>Health</strong><br />
STUDENT PLACEMENTS<br />
Work Experience Placements<br />
- Secondary School Students<br />
(Victorian)<br />
Clinical Placements<br />
University <strong>of</strong> <strong>South</strong> Australia<br />
<strong>Health</strong> science disciplines<br />
Deakin University<br />
Bachelor <strong>of</strong> Nursing<br />
Bachelor <strong>of</strong> Midwifery<br />
LaTrobe University<br />
All health science disciplines<br />
RMIT University<br />
<strong>Health</strong> science disciplines<br />
Flinders University<br />
Bachelor <strong>of</strong> Nursing<br />
Bachelor <strong>of</strong> Midwifery<br />
Australian Catholic University (ACU)<br />
Bachelor <strong>of</strong> Nursing<br />
Bachelor <strong>of</strong> Midwifery<br />
Victoria University<br />
<strong>Health</strong> science disciplines<br />
Monash University<br />
<strong>Health</strong> science disciplines<br />
Barwon <strong>Health</strong><br />
<strong>South</strong> <strong>West</strong> Institute <strong>of</strong> TAFE<br />
<strong>Health</strong> science disciplines<br />
TAFE SA<br />
University <strong>of</strong> Ballarat TAFE Division<br />
<strong>Health</strong> science disciplines<br />
Charles Sturt University (NSW)<br />
<strong>Health</strong> science disciplines<br />
10 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Service Activity<br />
Activity / Indicator<br />
Number <strong>of</strong> inpatients – Hospital<br />
Number <strong>of</strong> inpatients – Nursing Home<br />
Number <strong>of</strong> inpatient days – Hospital<br />
Number <strong>of</strong> inpatient days – Nursing Home<br />
Daily Average (days – Hospital)<br />
Daily Average (days – Nursing Home)<br />
Average stay (days – Hospital)<br />
Average stay (days – Nursing Home)<br />
Number <strong>of</strong> beds available – Hospital<br />
Number <strong>of</strong> beds available – Nursing Home<br />
Accident and Emergency<br />
Births<br />
Dental clinic treatments<br />
<strong>District</strong> Nurse visits<br />
Hospital in the Home<br />
Mammography screening<br />
Meals on Wheels delivered<br />
Meals served (total)<br />
Operations performed<br />
Physiotherapy treatments – inpatients<br />
Ultrasound attendances<br />
X-Ray – Inpatients<br />
X-Ray – Outpatients<br />
X-Ray – Examinations<br />
Staffing<br />
Number <strong>of</strong> Staff Employed<br />
Number <strong>of</strong> Staff Employed (EFT)<br />
Time Lost through WorkCare Claims (EFT)<br />
Time Lost through Industrial Disputes (hours)<br />
Sick Leave as % <strong>of</strong> Basic Salaries<br />
Costs<br />
Costs per Inpatient Day – Hospital<br />
Costs per Inpatient Day – Nursing Home<br />
Cost per Inpatient Treated – Hospital<br />
Cost per Inpatient Treated – Nursing Home<br />
Primary Care Statistics<br />
Community Nursing<br />
Counselling/Social Work<br />
Dietetics<br />
Family Planning – Direct Care<br />
Family Planning – <strong>Health</strong> Promotion<br />
<strong>Health</strong> Promotion<br />
IHSHY Youth Worker – Direct Care<br />
IHSHY Youth Worker – <strong>Health</strong> Promotion<br />
Occupational Therapy<br />
Physiotherapy<br />
Speech Pathology<br />
Women’s <strong>Health</strong><br />
HACC (Contact Hours)<br />
Dietetics<br />
Podiatry<br />
Volunteer Co-ordinator<br />
Planned Activity Groups<br />
Community <strong>Health</strong> (Contact Hours)<br />
Dietetics<br />
Community Nursing<br />
Counselling/Social Work<br />
Occupational Therapy<br />
Speech Pathology<br />
2002/03<br />
5420<br />
62<br />
17488<br />
10803<br />
47.9<br />
29.6<br />
3.2<br />
174.2<br />
69<br />
30<br />
9489<br />
189<br />
12<br />
12900<br />
26<br />
823<br />
17989<br />
162289<br />
2178<br />
7250<br />
2804<br />
1411<br />
12241<br />
14668<br />
314<br />
219.91<br />
4.8<br />
0.00<br />
4.2%<br />
791<br />
143<br />
3086<br />
26211<br />
2003/04<br />
5191<br />
74<br />
15294<br />
10800<br />
41.9<br />
29.5<br />
2.9<br />
145.9<br />
69<br />
30<br />
12192<br />
142<br />
285<br />
10536<br />
27<br />
1019<br />
18249<br />
164638<br />
2354<br />
6895<br />
2709<br />
1303<br />
12179<br />
14249<br />
348<br />
241.23<br />
4.2<br />
160.0<br />
4.2%<br />
1033<br />
171<br />
3098<br />
25054<br />
5682<br />
2578<br />
910<br />
5<br />
15<br />
28770<br />
538<br />
605<br />
1093<br />
642<br />
1358<br />
1352<br />
288<br />
431<br />
2789<br />
3961<br />
1299<br />
825<br />
538<br />
816<br />
396<br />
2004/05<br />
4978<br />
76<br />
13761<br />
10516<br />
37.7<br />
28.8<br />
2.8<br />
138.4<br />
69<br />
30<br />
9635<br />
133<br />
312<br />
10752<br />
17<br />
863<br />
15896<br />
152897<br />
2143<br />
6158<br />
3154<br />
1217<br />
12602<br />
14632<br />
351<br />
249.1<br />
2.1<br />
0.0<br />
4.3%<br />
1212<br />
201<br />
3616<br />
26036<br />
5801<br />
2536<br />
906<br />
8<br />
19<br />
3415<br />
1104<br />
199<br />
852<br />
932<br />
1109<br />
1464<br />
566<br />
599<br />
2126<br />
4362<br />
1218<br />
333<br />
342<br />
1170<br />
305<br />
2005/06<br />
4882<br />
83<br />
13015<br />
10429<br />
35.6<br />
28.6<br />
2.7<br />
125.7<br />
67<br />
30<br />
7236<br />
101<br />
734<br />
10125<br />
58<br />
970<br />
14538<br />
183172<br />
1847<br />
6795<br />
2881<br />
1120<br />
12547<br />
14293<br />
350<br />
249.8<br />
4.01<br />
0.0<br />
4.4%<br />
1357<br />
207<br />
3616<br />
26036<br />
6095<br />
2952<br />
883<br />
15<br />
14<br />
3550<br />
945<br />
545<br />
1312<br />
849<br />
990<br />
1334<br />
541<br />
385<br />
3936<br />
1724<br />
1230<br />
241<br />
474<br />
865<br />
284<br />
2006/07<br />
4518<br />
55<br />
12730<br />
10795<br />
34.8<br />
29.6<br />
2.8<br />
196.27<br />
33<br />
30<br />
7188<br />
151<br />
761<br />
9217<br />
11<br />
825<br />
13573<br />
184457<br />
1557<br />
6037<br />
2431<br />
1075<br />
11835<br />
14186<br />
361<br />
257.69<br />
4.3<br />
0.00<br />
4.1%<br />
1489<br />
212<br />
4149<br />
41563<br />
6400<br />
2740<br />
1033<br />
83<br />
46<br />
3621<br />
825<br />
214<br />
1508<br />
1000<br />
804<br />
1571<br />
541<br />
385<br />
3936<br />
1724<br />
1230<br />
241<br />
474<br />
865<br />
284<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 11
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Comparative Financial Analysis<br />
Description<br />
2005/06<br />
$000’s<br />
2006/07<br />
$000’s<br />
Total Expenses<br />
Total Revenue<br />
Operating Surplus/(Deficit)<br />
26101<br />
24636<br />
(1465)<br />
26999<br />
26490<br />
(509)<br />
Retained Surplus as at 1 July 2006<br />
Net Result for the Year<br />
Transfer to Reserves<br />
Accumulated Surplus to 30 June <strong>2007</strong><br />
(2316)<br />
(1465)<br />
(3781)<br />
(3781)<br />
(509)<br />
(1725)<br />
(6015)<br />
Total Assets<br />
Total Liabilities<br />
Net Asset<br />
Asset Revaluation<br />
Restricted Specific Purpose Reserve<br />
Contributed Capital<br />
Capital Contributed from the Victorian Government<br />
Retained Earnings<br />
Total Equity<br />
31718<br />
7639<br />
24079<br />
27860<br />
(3781)<br />
24079<br />
46326<br />
9254<br />
37072<br />
7867<br />
1725<br />
27860<br />
5635<br />
(6015)<br />
37072<br />
The information requirements listed<br />
in the directions <strong>of</strong> the Minister for<br />
Finance part 9.1.3 (iv) have been<br />
prepared and are available to the<br />
Minister, Members <strong>of</strong> Parliament and<br />
the public on request.<br />
* As a result <strong>of</strong> the amalgamation<br />
between the <strong>Portland</strong> and <strong>District</strong><br />
Hospital and <strong>Portland</strong> and <strong>District</strong><br />
Community <strong>Health</strong> Centre on the<br />
1 July 2003, there is no comparative<br />
data for periods prior to this date.<br />
12 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
2006/07 Year in Review<br />
Throughout the year, <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> has been a part <strong>of</strong> various significant<br />
achievements and milestones. As we reflect<br />
on the 2006/07 year, we take this opportunity<br />
to highlight some <strong>of</strong> these achievements.<br />
After months <strong>of</strong> planning, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> hosted both<br />
Aged Care and ACHS surveyors in 2006. Experienced surveyors<br />
spent their time evaluating the facility and determining the quality<br />
<strong>of</strong> care provided by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> is extremely pleased to announce its accreditation success<br />
in both surveys.<br />
DAY PROCEDURE UNIT<br />
With over 50% <strong>of</strong> surgeries completed as day stay procedures at<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>, the new purpose-built Day Procedure Unit<br />
is due for completion in July <strong>2007</strong>. The 8-bed unit is complete with<br />
modern monitoring equipment ensuring safe and effective patient<br />
care and because <strong>of</strong> its proximity to the operating theatres, provides<br />
increased efficiencies with patient throughput.<br />
RACS CONSTRUCTION<br />
In 2005 the Victorian State Government announced funding for<br />
the construction <strong>of</strong> a new residential aged care facility for <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>. Located on the hospital campus, residents and<br />
their families, will enjoy “hotel-style” accommodation comprising<br />
single and double rooms complete with individual ensuites, family<br />
living areas, dining areas, activity areas, <strong>of</strong>fices and a warm and<br />
welcoming reception area. The facility, recently named Harbourside<br />
Lodge, is nearing completion and along with the staff, residents and<br />
their families, we eagerly await the opening <strong>of</strong> this modern<br />
and spacious facility.<br />
VIRTUAL VISITING<br />
Virtual Visiting is an IT-based communication<br />
tool introduced to improve the quality <strong>of</strong> life<br />
for aged care residents through increased<br />
contact with family and friends. <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> was included in the pilot<br />
project conducted by <strong>West</strong>ern <strong>District</strong> <strong>Health</strong><br />
Service which saw participation between<br />
Kolor Lodge Penshurst and family members<br />
living in <strong>Portland</strong>, earlier this year.<br />
STAFF ACCOLADES<br />
Staff throughout the organisation participated<br />
in Australia’s Biggest Morning Tea raising<br />
money for the Cancer Council Victoria<br />
<strong>Portland</strong> Unit. Staff raised a total <strong>of</strong><br />
$144.25. $4,200 was raised from <strong>Portland</strong><br />
and surrounding areas and will be used for<br />
continuing cancer research.<br />
Nursing Division<br />
Congratulations to Jan Whyte who<br />
successfully completed her Graduate<br />
Diploma in Peri-operative studies. <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> farewelled Jan in December<br />
2006 when she relocated to Queensland to<br />
be closer to her family.<br />
At the 2006 <strong>Annual</strong> General Meeting,<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> awarded Joanne<br />
Brewster and Brenda McCulloch jointly with<br />
the Bert Wilmot Scholarship Award. The<br />
scholarship is available annually to all staff<br />
undertaking further study in support <strong>of</strong> their<br />
role/pr<strong>of</strong>ession at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 13
Joanne and Brenda, both Registered Division 1<br />
nurses, successfully undertook further studies<br />
in Critical Care Cardiac and ECG Interpretation<br />
through Deakin University (Warrnambool<br />
Campus). The completion <strong>of</strong> this further study<br />
complements and enhances their existing<br />
nursing skills and knowledge. Congratulations<br />
to you both!<br />
Debra Tozer has become an instructor for the<br />
internationally recognised Intermediate Trauma<br />
Life Support Course. Debra is required to travel<br />
around Australia and New Zealand providing an<br />
educational role.<br />
Linzi Donlan, Nurse Unit Manager Accident and<br />
Emergency has almost completed her Masters<br />
in Advanced Nursing Practice. Linzi intends to<br />
seek endorsement as a Nurse Practitioner in<br />
Emergency Care at the start <strong>of</strong> 2008.<br />
Congratulations also to Ros Jones, Infection<br />
Control Practitioner/Environmental Services<br />
Manager who has recently completed her<br />
Masters in Advanced Practice <strong>of</strong> Infection<br />
Control and Prevention.<br />
Medical Services<br />
For the third consecutive year, we congratulate<br />
the Medical Imaging staff on achieving a<br />
“Highly Recommended” status in the Australian<br />
Achievers Awards. With a score <strong>of</strong> 93.43%<br />
for customer satisfaction, the department is<br />
committed to ensuring their customers are<br />
always given their very best care.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> welcomed Dr. Adebayo<br />
Jolayemi, Specialist Anaesthetist from <strong>South</strong><br />
Africa and Mr. Rotimi Afolabi, Specialist General<br />
Surgeon from Fiji. Both doctors were welcome<br />
additions to the medical service and theatre<br />
teams. At the time <strong>of</strong> publishing this report,<br />
Mr. Afolabi ceased working with <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong>. We wish him well for the future.<br />
CORPORATE SERVICES AND COMMUNITY HEALTH<br />
<strong>Health</strong>y Heart Award Nomination<br />
Towards a <strong>Health</strong>y Heart is a structured primary prevention program developed<br />
by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> to address the risk factors for heart disease in men,<br />
with the aim <strong>of</strong> reducing the total risk factors for heart disease within the high-risk<br />
age group <strong>of</strong> 30-60 years.<br />
The program consists <strong>of</strong>:<br />
• four risk factor assessments pre, post, six months and 12 months,<br />
• 12 weeks <strong>of</strong> group education,<br />
• weekly physical activity sessions at local sporting facilities and fitness<br />
centres, and individualised health coaching (where necessary) to promote<br />
behaviour change.<br />
In May <strong>2007</strong>, the <strong>Health</strong> Promotion Unit at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> was the<br />
recipient <strong>of</strong> a Primary <strong>Health</strong> Care Award for Excellence and Innovation in <strong>Health</strong><br />
Promotion for this popular and very successful program. The program’s success<br />
would not have been possible without the support from <strong>Portland</strong> YMCA, <strong>Portland</strong><br />
Physiotherapy Centre, St. John <strong>of</strong> God Pathology and <strong>of</strong> course the five workplaces<br />
– <strong>Portland</strong> Aluminium, Graincorp, Incitec Pivot, Port <strong>of</strong> <strong>Portland</strong> and the Glenelg<br />
Shire Council.<br />
50th Anniversary <strong>of</strong> Meals <strong>of</strong> Wheels<br />
In October 2006, <strong>Portland</strong> Meals on Wheels celebrated their 50th anniversary.<br />
More than 100 people gathered at the <strong>Portland</strong> Civic Hall to celebrate the service<br />
which operates six days a week and is supported by more than 120 volunteers.<br />
Meals on Wheels are delivered both locally and outside <strong>of</strong> <strong>Portland</strong> throughout the<br />
Glenelg Shire. Mrs. Escalante, Meals on Wheels Co-ordinator said that this service<br />
not only provides meals to a broad range <strong>of</strong> people but also provides much needed<br />
company and communication.<br />
Apprenticeships and Training<br />
In November 2006 Emma Shultze commenced as apprentice chef and nine<br />
staff completed their Certificate III in Hospitality (Operations) through the University<br />
<strong>of</strong> Ballarat.<br />
14 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
Simple, effective and<br />
inexpensive measures<br />
can be undertaken to<br />
boost energy reduction.<br />
Engineering Services<br />
“PORTLAND DISTRICT HEALTH CARING FOR<br />
THE HEALTH OF OUR ENVIRONMENT”<br />
Simple, effective and inexpensive measures can be<br />
undertaken to boost energy reduction. Some <strong>of</strong> the results<br />
achieved by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> include:-<br />
• Reduction in gas consumption by 36.31% - achieved through the<br />
replacement <strong>of</strong> dated, conventional gas water heaters with power<br />
flue models consuming 25% less fuel. Heating provided by<br />
geothermal hydronic panels. Heating was previously supplied<br />
from gas burners. Hydronic panels heated by “Raypak” gas<br />
boiler originally commissioned to supply constant heat and call<br />
for cooling whilst still supplying heat. This was corrected to a<br />
normal opposing cycle on/cycle <strong>of</strong>f setup resulting in significant<br />
gas savings.<br />
• Reduction in electricity consumption by 6000 kWh per month.<br />
• Reduction in water usage <strong>of</strong> 1074 Kl between same period -<br />
November to February.<br />
• Reduction <strong>of</strong> water charges with the introduction <strong>of</strong> worm farms.<br />
The savings <strong>of</strong> trade waste saw water charges drop from<br />
category 3 to category 2 – a saving <strong>of</strong> $4,000 per annum.<br />
• Reduction <strong>of</strong> geothermal use through double-glazing.<br />
• Vehicle petrol usage - Trials concluded that premium<br />
unleaded fuel was on average 5% more expensive to<br />
purchase however the benefit was an increase in kilometres<br />
per litre <strong>of</strong> an average 12%. Apart from a saving <strong>of</strong> $3,569<br />
per annum, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> fleet vehicles release<br />
fewer greenhouse emissions.<br />
Small projects can produce significant<br />
and effective savings.<br />
RETIREMENTS<br />
During the year, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
farewelled the following staff through<br />
retirement:-<br />
MR. PAUL KIERCE,<br />
Orthopaedic Surgeon, retired from <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> after 17 years.<br />
DR. DAVID TAYLOR,<br />
Specialist Physician, retired from private<br />
practice and is now working as consultant<br />
physician and providing ongoing supervision<br />
<strong>of</strong> CMOs at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
MRS. DENISE ORME,<br />
Registered Nurse Division 1, 10 years<br />
MRS. ELEANOR McCARTHY,<br />
After Hours Nursing Co-ordinator, 11 years<br />
at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
MRS. ILONA EICHLER,<br />
Registered Nurse Division 1 – Seymour<br />
Cundy Wing, 28 years<br />
MRS. CAROL SOLLY,<br />
Environmental Services, 26 years<br />
MRS. CAROLE PIETSCHMANN,<br />
Registered Nurse Division 1, 30 years<br />
FAREWELLS<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has continued<br />
to identify other cost saving options<br />
including the introduction <strong>of</strong> the Ozone<br />
Laundry Support System.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> farewelled<br />
a number <strong>of</strong> staff. We would like to<br />
thank these former staff members<br />
for their loyal and dedicated service<br />
and wish them every success for<br />
the future.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 15
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Staff Pr<strong>of</strong>iles<br />
JENNY SUTTON<br />
Allied <strong>Health</strong> Assistant<br />
16 months service at<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
KAREN MADDEN<br />
Dental Therapist<br />
10 months at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Jenny is responsible<br />
for assisting clients<br />
within the Community<br />
Rehabilitation Program.<br />
Assistance in the form<br />
<strong>of</strong> client interventions vary under the direction <strong>of</strong> Allied<br />
<strong>Health</strong> disciplines including physiotherapy, occupational<br />
therapy, speech therapy, dietetics and podiatry.<br />
Jenny is committed to delivering quality care and<br />
assistance to the rehabilitation clients within the<br />
community under the guidelines <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
Karen is a Dental Therapist with many<br />
years <strong>of</strong> experience. Like Dentists,<br />
she is required to be registered to<br />
practice with the Dental Practice<br />
Board <strong>of</strong> Victoria. A Dental Therapist<br />
is able to provide examinations and<br />
treatments for people aged between 0-18 years and 18-25 year olds<br />
once they have had an initial examination with a Dentist. A Dental<br />
Therapist provides treatment such as fillings, extraction <strong>of</strong> baby teeth,<br />
x-rays and cleaning <strong>of</strong> teeth and other work as set out by the Dental<br />
Board. A registered Dental Therapist may work in a private dental<br />
practice, public hospital or community health setting.<br />
Karen is looking forward to having a fully staffed dental clinic<br />
providing a full range <strong>of</strong> dental services to all ages throughout the<br />
community. Along with all our dental staff, Karen is aware that dental<br />
treatment can <strong>of</strong>ten be a time <strong>of</strong> anxiety. The dental team aims to<br />
ensure that each treatment is as relaxed as possible.<br />
JACKI BARNETT<br />
Occupational Therapist<br />
2 years at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Jacki Barnett commenced in her position as a new Graduate. Her role includes overseeing the management <strong>of</strong><br />
the Occupational Therapy department as well as providing clinical services in Acute, Community, Community<br />
Rehabilitation Program, Aged Care and Cardiac Rehabilitation Program. Some <strong>of</strong> her responsibilities include<br />
home modification recommendations, equipment prescriptions, wheelchair/scooter/home access, splinting for<br />
hands, activity <strong>of</strong> daily living (ADL), relaxation (stress management) and intervention strategies.<br />
Jacki is also responsible for the supervision <strong>of</strong> students including work experience, student health pr<strong>of</strong>essionals and graduate nurses.<br />
Jacki’s work also involves liaising and co-ordinating with agencies outside <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> including Community Options, Glenelg<br />
Shire Council, aged care facilities, Archicentre, Department <strong>of</strong> Human Services and other occupational therapy departments within the region.<br />
Jacki is instrumental in ensuring that her client’s occupational needs are met through the process <strong>of</strong> accessibility, program planning,<br />
monitoring and evaluation and established client goals.<br />
16 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
ALEX TRAHAR<br />
Electrician<br />
18 months at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
SUE HONEYBUN<br />
Personal Care Attendant<br />
2 years at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Alex is employed as an Electrician<br />
within the Engineering Services<br />
division <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
His role is to maintain and improve<br />
plant and equipment and provide<br />
general electrical maintenance<br />
throughout the facility and its campus locations. Alex’s tasks include<br />
maintenance <strong>of</strong> lights and power outlets, test and tag equipment,<br />
maintain and check emergency equipment and repair or arrange the<br />
repair <strong>of</strong> electrical equipment including specialised equipment when<br />
necessary. He is responsible for sourcing correct equipment within<br />
identified budgets. This includes the identification <strong>of</strong> appropriate<br />
suppliers.<br />
Sue is a Personal Care Attendant<br />
at Sea View House. In 2004, after<br />
working for two years as a nurse,<br />
Sue, her husband and their four<br />
children left Zimbabwe, abandoning<br />
property and savings, for a brighter<br />
future in Australia. Sue completed her nursing training in Zimbabwe.<br />
Sue enjoys working with the elderly residents at Sea View House<br />
and has been made to feel very welcome not only in this position,<br />
but also to <strong>Portland</strong>. She enjoys working in a friendly, relaxed and<br />
welcoming environment.<br />
Alex is part <strong>of</strong> a small and responsive team providing skilled trade<br />
services to <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. He is focused on improving<br />
cost savings through the reduction <strong>of</strong> energy. He is committed to<br />
providing a quality service at all times.<br />
STAFF SERVICE AWARDS<br />
10 YEARS<br />
20 YEARS<br />
25 YEARS<br />
30 YEARS<br />
Shirley Trinnick<br />
Bernadette Fitzgerald<br />
Gillian Guy<br />
Dianne Jackson<br />
Alison Mason<br />
Jacinta Watson<br />
Julienne Stone<br />
Loren Drought<br />
15 YEARS<br />
Cathy Radford<br />
Jenny Matthews<br />
Pat Cain<br />
Joan Cannon<br />
Wendy Duncan<br />
Alison Brian<br />
Ivor Graney<br />
Lorraine Hiscock<br />
Margaret Wills<br />
Miffy Maddox<br />
Jennifer Moore<br />
Judith Noske<br />
Marlene Duffy<br />
Shiralee Radley<br />
Helen Anderson<br />
Beverley Baker<br />
Diane Duckmanton<br />
Charlotte Murphy<br />
Janine McIvor<br />
Jennifer Smith<br />
Christine Black<br />
Janine Duckmanton<br />
Leanne Stuchbery<br />
35 YEARS<br />
Hazel Antony<br />
40 YEARS<br />
Marlene Duffy<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 17
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Nursing<br />
37 BEDS AVAILABLE<br />
7,188 A&E PRESENTATIONS<br />
151 BIRTHS<br />
(30% rise from 2005/06)<br />
9,217 DISTRICT NURSING<br />
VISITS<br />
11 HOSPITAL IN<br />
THE HOME<br />
70,000 SURGICAL ITEMS<br />
PROCESSED<br />
THROUGH CSSD<br />
ACUTE INPATIENT CARE<br />
Over the past year, acute service delivery has seen an increase in births,<br />
palliative and chronic health conditions with a reduction in surgical cases noted.<br />
In January 2006 five<br />
new graduate nurses<br />
commenced employment<br />
at <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong>. These nurses<br />
work within a planned<br />
rotation program<br />
through various nursing<br />
departments as they<br />
consolidate their training.<br />
The emphasis in rural health has been on multi-skilling to meet the challenges<br />
<strong>of</strong> providing medical, surgical, rehabilitation, paediatric, palliative, aged and<br />
obstetric services within one clinical department. The increase in aged patients<br />
requiring care in Victorian acute hospitals has become evident, particularly<br />
in <strong>Portland</strong>. The nursing staff has responded to this demand through the<br />
development <strong>of</strong> educational workshops relating to aged care health issues.<br />
The nursing team has focused on preventative health care in the form <strong>of</strong><br />
pressure injury, risk screening and falls prevention systems to ensure best<br />
patient outcomes.<br />
MATERNITY SERVICES<br />
Over the past 12 months, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has seen a 30% increase in<br />
women choosing to birth here.<br />
In addition to increasing continuity for women, the Maternity Model <strong>of</strong> Care<br />
aims to attract and retain midwifery staff and to encourage the development <strong>of</strong><br />
increased midwifery skills to help ensure the continuity <strong>of</strong> maternity services<br />
at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. The maternity service operates within and from the<br />
Acute Ward.<br />
18 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> provides 33 acute inpatient beds, 30 residential aged<br />
care beds (high-care), two operating theatres with provision for an additional<br />
theatre and an 8-bed purpose-built day procedure unit. The division also<br />
incorporates Central Sterilising Supply Department, Pre-admission Clinic,<br />
Infection Control, <strong>District</strong> Nursing, Accident and Emergency, Dialysis, Post<br />
Acute Care/Discharge Planning, After Hours Nursing Co-ordination, Pr<strong>of</strong>essional<br />
Development/Education Unit and Quality Co-ordination.<br />
Births at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> increased by<br />
30% from 101 in 2005/06 to 151 in 2006/07.<br />
The goal <strong>of</strong> the service is to provide quality care and support to<br />
mothers and their families during pregnancy, childbirth and the early<br />
post natal period. We work in collaboration with visiting specialist<br />
obstetricians to provide backup and follow-on care for women <strong>of</strong><br />
higher risk who plan to give birth at other health facilities.<br />
DIALYSIS<br />
The Unit is available three days per week. The Dialysis Unit receives<br />
support from Ray Steenveld at Royal Melbourne Hospital/North <strong>West</strong><br />
Dialysis service through the training <strong>of</strong> new staff and competency<br />
assessments. A certificate in Renal Dialysis by distance education<br />
is a basic requirement <strong>of</strong> all dialysis staff and supports best practice<br />
at all times.<br />
POST ACUTE CARE (PAC)/DISCHARGE PLANNING<br />
The Post Acute Care program has enjoyed another busy year. As part<br />
<strong>of</strong> the Wannon PAC program, 336 clients accessed services through<br />
the program. This regional program enables clients with complex<br />
discharge needs to be discharged safely from the hospital back into<br />
the <strong>Portland</strong> community.<br />
Discharge Planning continues to be a busy role at <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong>. Discharge Planning has taken part in a statewide<br />
push by Aged Care Assessment Services (ACAS) to standardise<br />
processes for referrals to their service. We have also been<br />
developing discharge planning program folders and information<br />
to nursing home type patients to ensure timely and correct<br />
information. (This has been especially important due to high level<br />
and respite bed closures in the <strong>Portland</strong> area.)<br />
A reduced number <strong>of</strong> residential aged care beds in <strong>Portland</strong><br />
has seen an increase in aged care patients awaiting long term<br />
placement within the Acute Unit.<br />
294 clients were assessed for discharge to home during<br />
the year, a reduction on past years. Discharge Planning time<br />
is generally consumed with managing more complex patient<br />
discharge planning needs.<br />
Division 1 nurses Lesa Rees and Sharon<br />
Olsen completed studies in Dialysis.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 19
OPERATING SUITE<br />
The Operating Suite has undergone a<br />
significant facelift. The patient reception<br />
area has been redeveloped into a two<br />
bay area to improve patient flow. We are<br />
looking forward to the opening <strong>of</strong> our newly<br />
renovated endoscopy procedure room.<br />
The Department <strong>of</strong> Human Services<br />
funded the purchase <strong>of</strong> an anaesthetic<br />
machine to equip the new endoscopy<br />
procedure room. The Post Anaesthetic<br />
Care Unit was reorganised and new<br />
monitors purchased and installed.<br />
The new Day Procedure Unit will<br />
accommodate eight patients and is nearing<br />
completion (anticipated opening June <strong>2007</strong>).<br />
More than 50% <strong>of</strong> surgical procedures at<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> are completed as<br />
day stay procedures. This unit will increase<br />
efficiency in patient throughput and provide<br />
modern monitoring equipment to ensure<br />
safe, high quality patient care. The purchase<br />
<strong>of</strong> new equipment has enabled the complete<br />
fit-out <strong>of</strong> the new unit. Two new operating<br />
tables were bought with funding generously<br />
donated by Mr. Ge<strong>of</strong>f Handbury. These<br />
tables are electronically operated and have<br />
resolved occupational health and safety<br />
issues within the department.<br />
The Pre-admission Clinic ensures a smooth<br />
and uneventful process when an elective<br />
surgical procedure is required. Risk analysis<br />
is undertaken; pre-operative tests and postoperative<br />
support services are arranged<br />
through the clinic.<br />
The Central Sterilising Services Department (CSSD) has implemented<br />
many changes to ensure compliance with Australian Sterilising Standards.<br />
Validation for CSSD according to Standards ASNZ 4187 was successfully<br />
obtained and will be undertaken on an annual basis. In excess <strong>of</strong> 70,000<br />
surgical items have been processed through the CSSD department in the<br />
past year.<br />
<strong>2007</strong>/08 will be a year <strong>of</strong> consolidation <strong>of</strong> new practices and procedures<br />
and further developing quality service provision to our community.<br />
ACCIDENT AND EMERGENCY DEPARTMENT<br />
The Accident and Emergency Department at <strong>Portland</strong> continues to <strong>of</strong>fer<br />
a 24-hour service to the community.<br />
The Accident and Emergency Department attendances for 2006-<strong>2007</strong> are<br />
similar to the previous years, with 7,188 patients attending for emergency<br />
care and 1,775 attending for procedural work. We have seen a small rise in<br />
the more serious presentations with Category 2 and 3 patients increasing.<br />
The Accident and Emergency Department provides additional services,<br />
including 24-hour harm-minimisation program (needle exchange) and the<br />
use <strong>of</strong> facilities to support local GPs who perform minor procedures within<br />
the department.<br />
All Accident and Emergency staff have been educated in advanced wound<br />
management including suturing <strong>of</strong> minor wounds. Staff are currently being<br />
trained on casting procedures. All staff have completed Advanced Life<br />
Support education and are working towards their certification.<br />
The emergency nurses work closely with the new Career Medical Officers.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> participated in the<br />
Department <strong>of</strong> Human Services Quality<br />
Indicators Project for Residential Aged Care.<br />
20 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
We continue to provide student placements for regional universities,<br />
enabling our future clinicians the ability to develop their skills locally.<br />
PROFESSIONAL DEVELOPMENT AND NURSING EDUCATION<br />
Three 2006 graduates have successfully completed their year and<br />
have found ongoing employment. We welcomed five graduate<br />
nurses who commenced their graduate year in January <strong>2007</strong> and<br />
are proving to be an asset to our hospital.<br />
One nurse successfully completed the re-entry program and attained<br />
her registration.<br />
Compulsory training day has been reviewed and updated to meet<br />
the needs <strong>of</strong> EQuIP 4 mandatory education. We have been exploring<br />
opportunities to advance to the next level <strong>of</strong> education through the<br />
use <strong>of</strong> online education and competencies programs. We hope<br />
these competencies will be further developed within the <strong>South</strong> <strong>West</strong><br />
<strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong> (SWARH) network over the coming months.<br />
We continue to provide student placements for regional universities,<br />
enabling our future clinicians the ability to develop their skills locally.<br />
The Careers Expo provides information to potential clinicians at the<br />
local schools regarding the health industry.<br />
Over the past year, there has been exciting changes to the Division<br />
2 scope <strong>of</strong> practice. This has seen the development <strong>of</strong> advanced<br />
education programs in Medication Management and Accident and<br />
Emergency care. These advanced skills undertaken by a large group<br />
<strong>of</strong> the <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Division 2 nurses will benefit both the<br />
health service and the <strong>Portland</strong> community.<br />
A Continuing Pr<strong>of</strong>essional Development (CPD) program at <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> is being developed. The CPD program will give staff<br />
a record <strong>of</strong> their continuing pr<strong>of</strong>essional development and allow<br />
management to monitor their performance.<br />
AGED RESIDENTIAL CARE<br />
The excellent team <strong>of</strong> specialist aged care staff provide wonderful<br />
care to the residents <strong>of</strong> the Seymour Cundy Wing and support<br />
to their families. During the Accreditation process, special<br />
mention was made <strong>of</strong> the nutrition program in place as a result<br />
<strong>of</strong> a collaborative approach from the dietetics, food services and<br />
nursing team.<br />
Over the past two years the residents <strong>of</strong> the Seymour Cundy<br />
Wing have watched with interest the building <strong>of</strong> the new residential<br />
care facility - Harbourside Lodge. It is anticipated that<br />
the current residents will move into their newly completed facility<br />
in late October <strong>2007</strong>.<br />
In the past 12 months, the nursing home staff have participated<br />
in the implementation <strong>of</strong> the new care plan program ‘Lee Total<br />
Care’. This program enables the development <strong>of</strong> individual care<br />
plans through an electronic system.<br />
Resident lifestyle is recognised as paramount to improving quality<br />
<strong>of</strong> life. Activity support hours continue to reflect this need, through<br />
the provision <strong>of</strong> activities and social entertainment seven days<br />
per week.<br />
DISTRICT NURSING<br />
This friendly team <strong>of</strong> nurses provide clinical support to clients<br />
within the <strong>Portland</strong> community enabling people to remain within<br />
their home or alternatively to be discharged from hospital and<br />
receive care from competent nursing staff.<br />
The <strong>District</strong> Nursing Service also provides local palliative care<br />
support. This service <strong>of</strong>fers health care and emotional support<br />
to patients living with a life threatening illness. A Bereavement<br />
Support Program has been developed through the <strong>District</strong> Nursing<br />
Service. Four staff have completed Advanced Care Planning<br />
education to enable them to consult with the community and<br />
clients in the development <strong>of</strong> terminal care plans.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 21
AFTER HOURS NURSING CO-ORDINATORS<br />
As the senior person on duty they are responsible for providing leadership<br />
and direction to patient care and facility management after hours. A large<br />
portion <strong>of</strong> their role is supporting staff and assisting all units to provide<br />
safe patient care. Staff replacement after hours can be time consuming,<br />
however this team <strong>of</strong> creative nurses manage to rearrange or ensure<br />
appropriately skilled staffing is available for the provision <strong>of</strong> safe and<br />
appropriate care.<br />
Throughout the<br />
year we saw the<br />
continuation <strong>of</strong><br />
various building<br />
projects including a<br />
purpose-built 8-bed<br />
day procedure unit<br />
and Harbourside<br />
Lodge, a 30-bed<br />
high-care residential<br />
aged care facility.<br />
The After Hours Co-ordinators also have various management portfolios.<br />
NURSING ADMINISTRATION<br />
The nursing administration team provides daily management <strong>of</strong> staff and<br />
human resource-related matters, rostering and leave management, patient<br />
care management, complaints, quality and project development, reporting,<br />
documentation development and maintenance, record and database<br />
management, contract development and maintenance, work experience<br />
and student facilitation (pre and post-graduate). Maureen Patterson,<br />
Assistant Director <strong>of</strong> Nursing and myself are ably supported by Brigietta<br />
Herbertson, Executive Assistant.<br />
KATHYRN EYRE<br />
Director <strong>of</strong> Nursing<br />
22 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
thanks all our hard-working<br />
staff for their contribution<br />
throughout the year.<br />
STAFF BY GENDER AND EMPLOYMENT<br />
Male<br />
Numbers<br />
Category <strong>of</strong> Staff<br />
2005/06<br />
Full-time<br />
20<br />
Part-time<br />
11<br />
Female<br />
Numbers<br />
2005/06<br />
72<br />
200<br />
Male<br />
Numbers<br />
2006/07<br />
22<br />
13<br />
Female<br />
Numbers<br />
2006/07<br />
69<br />
233<br />
Casual<br />
1<br />
45<br />
4<br />
59<br />
TOTALS<br />
32<br />
317<br />
39<br />
361<br />
STAFF NUMBERS IN EQUIVALENT FULL-TIME<br />
Category <strong>of</strong> Staff<br />
2002/03<br />
2003/04<br />
2004/05<br />
2005/06<br />
2006/07<br />
Nursing<br />
123.29<br />
134.34<br />
132.50<br />
129.85<br />
123.9<br />
Administration and Clerical<br />
22.5<br />
21.79<br />
20.74<br />
20.28<br />
20.66<br />
Medical and Allied <strong>Health</strong><br />
24.36<br />
26.79<br />
40.57<br />
45.20<br />
50.10<br />
Other Support Services<br />
49.76<br />
58.31<br />
55.51<br />
40.95<br />
48.95<br />
Supported Residential Services<br />
7.6<br />
13.40<br />
13.67<br />
13.67<br />
14.08<br />
TOTAL<br />
227.51<br />
254.63<br />
262.99<br />
249.95<br />
257.69<br />
Staff from across the organisation celebrated International Nurses Day<br />
with a staff dinner embracing international cuisine recognising the many<br />
different cultures within <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 23
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Medical Services<br />
4,518 INPATIENT ADMISSIONS<br />
NIL<br />
ELECTIVE SURGERY<br />
WAIT LIST<br />
1,557 SURGERIES<br />
PERFORMED<br />
615 SURGICAL HOURS<br />
1,775 PROCEDURES<br />
THROUGH A&E<br />
6,037 PHYSIOTHERAPY<br />
TREATMENTS<br />
14,186 X-RAY EXAMINATIONS<br />
13,000 X-RAY ATTENDANCES<br />
39 FOI REQUESTS<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> provides<br />
a range <strong>of</strong> appropriately qualified<br />
medical and allied services to the<br />
community including hospital-based<br />
Career Medical Officers (CMOs),<br />
Specialist Anaesthetist and Specialist<br />
Surgeon; Visiting Medical Officers<br />
(VMOs) including specialist services<br />
in surgery, physicians, obstetrics and<br />
gynaecology, paediatrics, dental,<br />
psychology, ear, nose and throat,<br />
urology, psychiatry and dermatology.<br />
The health service also provides<br />
hospital-based pharmacy, medical<br />
imaging and pathology services<br />
(St. John <strong>of</strong> God Pathology).<br />
During 2006/07, after a series <strong>of</strong> reports and recommendations, <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> undertook the well publicised and difficult national and<br />
international recruitment process for hospital and community-based medical<br />
staff. With a widely reported shortage <strong>of</strong> skilled medical practitioners,<br />
particularly those willing to work rurally, the Department <strong>of</strong> Human Services<br />
provided vital funding assistance to enable this recruitment process and<br />
provide for the retention <strong>of</strong> medical services within the <strong>Portland</strong> community.<br />
Following the commencement <strong>of</strong> Tristar which supported the complete<br />
cover <strong>of</strong> Accident and Emergency Department, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
announced the recruitment <strong>of</strong> two Career Medical Officers (hospital-based)<br />
– Dr. Annerie Hattingh and Dr. Carina Joubert both from <strong>South</strong> Africa.<br />
Dr. Adebayo Jolayemi, Specialist Anaesthetist, also from <strong>South</strong> Africa and<br />
Mr. Rotimi Afolabi, Specialist General Surgeon, from Fiji joined the health<br />
service soon after.<br />
Endoscopy sessions at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> also commenced with<br />
Drs. Charnley, Nagarajah and Morphett from the Warrnambool Physicians<br />
Group visiting weekly.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> farewelled Dr. Wladek Smolilo, GP/Anaesthetist and<br />
GP Obstetrician following his return to Bega, New <strong>South</strong> Wales.<br />
24 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
Mr. Paul Kierce, Orthopaedic Surgeon, announced his retirement<br />
along with Dr. David Taylor, Specialist Physician. Dr. Taylor, who<br />
retired from private practice, continues to provide consultant<br />
physician services to <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. We would like to<br />
acknowledge his ongoing support and commitment including<br />
the provision <strong>of</strong> on-going training, supervision and support <strong>of</strong><br />
our Career Medical Officers.<br />
Dr. Meindert van der Veer has continued to direct the Medical<br />
Services division. The Medical Services division has participated in<br />
a number <strong>of</strong> clinical case reviews. These reviews are conducted as<br />
the need arises. They are instrumental to the provision <strong>of</strong> ongoing<br />
quality patient care. Outcomes identified from clinical case reviews<br />
assist in the improvement <strong>of</strong> systems which support the overall<br />
provision <strong>of</strong> quality patient care.<br />
PHARMACY<br />
National Medication Chart<br />
June 2006 saw the introduction <strong>of</strong> the National Medication Chart (for<br />
prescribing <strong>of</strong> medications by the doctor), in-line with other hospitals<br />
throughout Australia.<br />
Subsequent to the arrival <strong>of</strong> the new chart, pharmacists at <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> reviewed all in-patient medication charts to reduce the<br />
possibility <strong>of</strong> medication errors.<br />
Improved Discharge Medication Charts and Counselling to Patients<br />
Patients’ home medications, own medication lists, GP lists and<br />
community pharmacy sources may be accessed to compile an<br />
accurate medication discharge history, which can be utilised by the<br />
patient, patient’s GP (in order to update their records) and for visits to<br />
a specialist by the patient. A copy <strong>of</strong> the Discharge Medication Chart<br />
is given to the patient, the patient’s general practitioner and retained<br />
in the patient’s medical record at <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
Outcomes identified from clinical<br />
case reviews assist in the<br />
improvement <strong>of</strong> systems which<br />
support the overall provision <strong>of</strong><br />
good quality patient care.<br />
Improved Supply <strong>of</strong> Medications<br />
A continuous supply <strong>of</strong> medication is ensured by weekly checking <strong>of</strong><br />
patients’ bedside medication drawers and dispensing further supplies<br />
if necessary.<br />
Established stock levels (Imprest) for Drugs <strong>of</strong> Addiction and<br />
automatic top up to Acute, Theatre and Accident and Emergency<br />
Departments has also commenced. Forms for the placement <strong>of</strong><br />
critical, low use, high cost medications including immunoglobulins<br />
have been produced along with improved records, storage and<br />
accountability <strong>of</strong> vaccines. There is also an increased vigilance<br />
and monitoring <strong>of</strong> medication expiry dates. <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> records drugs held on site in the Register <strong>of</strong> Lifesaving and<br />
Emergency Drug Register (Victoria and south-east <strong>South</strong> Australia).<br />
As a result <strong>of</strong> staff changes, the functions <strong>of</strong> the department were<br />
reviewed and streamlined.<br />
A pharmacist, prior to discharge, gives verbal advice (counselling) on<br />
these home medications to patients, family and/or carers.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 25
MEDICAL IMAGING<br />
In <strong>2007</strong> the Medical Imaging department<br />
welcomed graduate Jo Robertson who<br />
will work within the department until<br />
2008. The Medical Imaging team also<br />
welcomed Trevor Walmsley and Louis<br />
Adriaanse, both Radiographers working<br />
with the existing team in part-time positions.<br />
The department has purchased a new<br />
suite <strong>of</strong> general/casualty radiography<br />
equipment which is expected to be<br />
installed late in <strong>2007</strong>. This equipment<br />
includes a high-low x-ray table to<br />
facilitate easier patient transfer, automatic<br />
exposure and a high powered generator.<br />
A computed radiography system will<br />
also be introduced and this will enhance<br />
the new radiography equipment, with<br />
images being digitally transmitted to<br />
the Radiologist for reporting, together<br />
with digital image storage. The addition<br />
<strong>of</strong> a CD burner will mean that in most<br />
instances, patients will be given a CD <strong>of</strong><br />
their images, rather than films. Radiology<br />
reports are now issued electronically in<br />
the majority <strong>of</strong> cases.<br />
The department has purchased a new<br />
suite <strong>of</strong> general/casualty radiography<br />
equipment which is expected to be<br />
installed late in <strong>2007</strong>.<br />
PERFORMANCE<br />
During the year 13,000 patients attended, and 14,200 examinations were<br />
conducted by the Medical Imaging team.<br />
BreastScreen targets were met once again, with 825 women undergoing<br />
screening mammography within the catchment area.<br />
OUTLOOK<br />
With the introduction <strong>of</strong> computed radiography and digital image storage, the<br />
department will have taken the first steps towards a filmless system.<br />
A computed radiography<br />
system will also be introduced<br />
and this will enhance the new<br />
radiography equipment.<br />
26 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Community <strong>Health</strong><br />
and Corporate Services<br />
5,534 HACC DIRECT<br />
CONTACT HOURS<br />
2,740 COUNSELLING AND<br />
SUPPORT CONTACT<br />
HOURS<br />
825 YOUTH WORKER<br />
DIRECT CONTACTS<br />
184,457 MEALS SERVED<br />
13,573 MEALS ON WHEELS<br />
DELIVERED<br />
98.12 EFT<br />
761 DENTAL TREATMENTS<br />
<strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> aims to work<br />
with individuals,<br />
community groups,<br />
schools and<br />
workplaces to<br />
enhance individual<br />
health and wellbeing<br />
by providing health<br />
promotion programs<br />
to our community.<br />
COMMUNITY HEALTH<br />
Community <strong>Health</strong> and Primary Care services are seen as an area <strong>of</strong> future growth for<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. These services include community nursing, counselling, dental<br />
clinic, drug and alcohol, health promotion, maternal and child health, podiatry, speech<br />
pathology, occupational therapy, dietetics, physiotherapy and diabetes education.<br />
Moving beyond the traditional treatment <strong>of</strong> illness and injury and with an emphasis<br />
on health promotion, efforts are centred primarily on the social, physical, economic<br />
and political factors that affect health, and include such activities as the promotion <strong>of</strong><br />
physical fitness, healthy living and good nutrition.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> aims to work with individuals, community groups, schools<br />
and workplaces to enhance individual health and wellbeing by providing health<br />
promotion programs to our community.<br />
Over the past 12 months, services within the division have been integrated and various<br />
initiatives implemented to facilitate improved service delivery.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> employed a second speech pathologist to assist with the large<br />
workload and waiting list in Speech Pathology. A full-time Occupational Therapist,<br />
based in <strong>Portland</strong> was also recruited during the year.<br />
The demands <strong>of</strong> chronic illness management such as diabetes has seen the<br />
implementation <strong>of</strong> a project to enhance self-management by diabetic clients.<br />
Public dentistry continued to be an area where <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has struggled<br />
to secure staff, resulting in longer than usual waiting lists. An innovative solution to the<br />
dental recruiting issue saw the employment <strong>of</strong> four visiting dentists to provide services<br />
on a rotational basis. The Dental Clinic has also secured the services <strong>of</strong> dental<br />
therapist Karen Madden, who is credentialed to provide a range <strong>of</strong> services to children<br />
and young adults.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 27
GLENELG SOUTHERN GRAMPIANS<br />
DRUG TREATMENT SERVICE<br />
Service delivery across the Glenelg<br />
and <strong>South</strong>ern Grampians Shires has<br />
become more diverse as a result <strong>of</strong><br />
the successful integrated partnerships<br />
with the acute, allied, and primary care<br />
services within <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>,<br />
and with the wider health and welfare<br />
services in Glenelg and <strong>South</strong>ern<br />
Grampians Shires.<br />
With the exception <strong>of</strong> the Diversion<br />
Programs (brokered by the Criminal<br />
Justice Service), we have met all<br />
targets set by the funding agencies.<br />
We are pleased to participate in<br />
effective partnerships, in particular our<br />
indigenous community partners and<br />
likewise with the <strong>Portland</strong> and Hamilton<br />
branch <strong>of</strong> <strong>South</strong> <strong>West</strong> Psychiatric<br />
Services. These partnerships have<br />
enhanced the outcomes for our<br />
respective clients.<br />
Our particular focus for the coming<br />
year will be increased consumer input<br />
into improving and consolidating our<br />
service delivery.<br />
COUNSELLING AND SUPPORT<br />
The Counselling and Support Team <strong>of</strong>fers counselling and group work to the<br />
community including the inception <strong>of</strong> the Alzheimer’s Carer Support Group.<br />
Other activities include facilitation <strong>of</strong> “Vulnerable Babies and Children Project”<br />
in conjunction with Child First and Primary Care Partnerships. Advanced Care<br />
Planning is a priority for <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. In collaboration with the<br />
YMCA, development <strong>of</strong> the “Start from Scratch” program encourages physical<br />
activity for older women.<br />
Our IHSHY worker provides counselling to young people who are homeless<br />
or at risk <strong>of</strong> homelessness. The program provides support and pr<strong>of</strong>essional<br />
development to primary and secondary schools.<br />
Counselling and support services are provided to Heywood Rural <strong>Health</strong> and to<br />
the Acute and Drug and Alcohol services. The team continues to support the<br />
Needle and Syringe program at Otway Street.<br />
In the coming year we will look to promote a greater awareness <strong>of</strong> our<br />
Counselling and Support Team, including an increase in programs and services.<br />
In the coming year we will look<br />
to promote a greater awareness<br />
<strong>of</strong> our Counselling and Support<br />
Team, including an increase in<br />
programs and services.<br />
28 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
The Occupational Therapy department<br />
moved to a new location and provided<br />
improved treatment facilities and services.<br />
PHYSIOTHERAPY DEPARTMENT<br />
Highlights <strong>of</strong> the past year have included the hospital<br />
rehabilitation program with an extension into community<br />
partnering with the YMCA to help improve patient outcomes<br />
after they leave our programs.<br />
OCCUPATIONAL THERAPY DEPARTMENT<br />
The Occupational Therapy department moved to a new location<br />
and provided improved treatment facilities and services.<br />
Quality improvement activities included the development <strong>of</strong><br />
a Personal Activities <strong>of</strong> Daily Living (PADL) assessment and<br />
summary form, improved systems for the ordering and supply <strong>of</strong><br />
custom-made bannister rails for community clients, introduction<br />
<strong>of</strong> a paediatric information flyer and in conjunction with Speech<br />
Pathology, recommencement <strong>of</strong> the SPOT program which is<br />
aimed at developing a child’s speech and communication,<br />
gross motor skills, fine motor and social skills.<br />
The Occupational Therapy Department will continue to monitor,<br />
develop and evaluate services provided to the acute and<br />
community sector including the community rehabilitation program<br />
which is proving to be a successful concept.<br />
The outpatients department has moved from 14 Otway Street<br />
to 143 Percy Street, which is an improved facility and closer to<br />
the hospital.<br />
DIETETICS DEPARTMENT<br />
Throughout the year inpatient, rehabilitation, dialysis and home<br />
visit services continued and the department provided nutrition<br />
support services to the Royal Children’s Hospital Outreach<br />
Clinic for children with Type 1 Diabetes.<br />
Outpatient demand rose sharply again in 2006-<strong>2007</strong>,<br />
necessitating changes to the outpatient triaging system. As<br />
a result, group programs for Diabetes Education, Cholesterol<br />
Management and Weight Management were set up to address<br />
clients’ needs in a timelier manner.<br />
The Malnutrition Screening Tool (MST) was introduced as a<br />
screening tool for all acute admissions.<br />
Best Practice Guidelines were introduced for management <strong>of</strong><br />
renal, oncology, Type 2 Diabetes, weight management and<br />
dysphagia clients.<br />
As demand for services<br />
is forecast to rise, we will<br />
work towards greater time<br />
efficiencies where possible.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 29
We will continue to <strong>of</strong>fer<br />
a high quality podiatry<br />
service to the community<br />
<strong>of</strong> <strong>Portland</strong> and <strong>District</strong>,<br />
particularly those in the<br />
highest risk categories.<br />
PODIATRY<br />
Key Points<br />
The relocation <strong>of</strong> the service as a result <strong>of</strong><br />
the residential aged care construction, has<br />
enabled the podiatry department to have an<br />
additional clinic.<br />
New waiting list admission and processing<br />
procedures have seen an increase in<br />
efficiency <strong>of</strong> the department, allowing timely<br />
assessment and review <strong>of</strong> clients.<br />
Identified areas <strong>of</strong> need within our region are<br />
predominately to do with children, low risk (but<br />
requiring care), acute and aged care.<br />
We will continue to <strong>of</strong>fer a high quality<br />
podiatry service to the community <strong>of</strong> <strong>Portland</strong><br />
and <strong>District</strong>, particularly those in the highest<br />
risk categories.<br />
SOCIAL MONITORING AND SUPPORT<br />
Social Monitoring and Support services include Telecare, Telelink, Community<br />
Transport, <strong>Portland</strong> and Narradarra Old Timers Groups and Library Bus<br />
undertaken with support from volunteers within the community.<br />
In the coming year the service will aim to increase the number <strong>of</strong> Telecare<br />
clients and be involved with bringing together all <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
volunteer co-ordinators, volunteer information and recognition <strong>of</strong> volunteers.<br />
MATERNAL AND CHILD HEALTH<br />
In April, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> was successful in securing renewal <strong>of</strong> the<br />
contract for the provision <strong>of</strong> Maternal and Child <strong>Health</strong> services for the Glenelg<br />
Shire Council. Extra effort will be given to meeting the needs <strong>of</strong> clients with the<br />
enhanced home visiting target group.<br />
PRIMARY CARE NURSING<br />
This department has introduced several new services aimed at providing<br />
improved quality <strong>of</strong> life. These services include home-based sleep studies,<br />
bladder scanning equipment, enhanced breast care nursing for those with<br />
breast cancer and Active Script.<br />
The community health nurses have been actively involved with the award<br />
winning “Towards a <strong>Health</strong>y Heart” program.<br />
We will continue to <strong>of</strong>fer a high<br />
quality podiatry service to the<br />
community <strong>of</strong> <strong>Portland</strong> and<br />
<strong>District</strong>, particularly those in the<br />
highest risk categories.<br />
30 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
Women’s <strong>Health</strong><br />
The role <strong>of</strong> the Women’s <strong>Health</strong> Resource Worker is to work with<br />
women and the community to improve the health <strong>of</strong> women. Over<br />
the past 12 months, emphasis has been placed on working with the<br />
local indigenous communities through Winda Mara Corporation and<br />
Dhauwurd-Wurrung Elderly Citizens centre. <strong>Health</strong> education has<br />
been a major focus for the role in 2006/<strong>2007</strong>.<br />
HEALTH PROMOTION UNIT<br />
The emphasis <strong>of</strong> health promotion is to provide sustainable models,<br />
interventions and resources to promote health and wellbeing<br />
throughout the Glenelg Shire.<br />
During the year, the unit completed the 2006/2009 <strong>Health</strong> Promotion<br />
Management Plan for <strong>Portland</strong> in conjunction with DHS, the<br />
Glenelg Shire Council, local organisations, key stakeholders and the<br />
community.<br />
Three main priority health areas were identified:<br />
• chronic illness<br />
• mental health and wellbeing<br />
• physical activity and nutrition<br />
The focus for this plan was identified as schools, workplaces and the<br />
community with emphasis placed on the development and delivery<br />
sustainable models.<br />
Other programs have included:-<br />
Smiles4Miles - a new program “Smiles4Miles” children’s health<br />
promotion initiative was established in conjunction with Dental <strong>Health</strong><br />
Victoria. This has involved six kindergartens.<br />
Disability <strong>Health</strong> Promotion Framework<br />
This pilot program has involved working with the disability agencies<br />
to develop and implement a health promotion plan and up skilling<br />
staff around health promotion. Being a first for health promotion and<br />
disability, the pilot program was presented at the ‘Participate in <strong>Health</strong><br />
Conference’ in February this year.<br />
Mental <strong>Health</strong> First Aid Training Program<br />
With the increasing need for mental health promotion, the <strong>South</strong>ern<br />
Grampians and Glenelg Primary Care Partnership engaged <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> and Aspire to co-facilitate the Mental <strong>Health</strong> First Aid<br />
course across the two shires.<br />
BreastScreen Community Education<br />
The focus has been on providing community support and promotion<br />
around increasing awareness <strong>of</strong>, access to, and uptake <strong>of</strong> free breast<br />
screening for women aged 50-69.<br />
<strong>Portland</strong> <strong>Health</strong>y Schools Network<br />
The <strong>Portland</strong> <strong>Health</strong>y Schools Network aims to enable and empower<br />
the <strong>Portland</strong> and district school community to promote healthy eating<br />
and physical activity in primary school aged children.<br />
The current focus <strong>of</strong> the Network is the co-ordination and promotion<br />
<strong>of</strong> the Kids - ‘Go for your Life’ program in local primary schools.<br />
‘The Well’<br />
‘The Well’ is a quarterly newsletter aimed at keeping teachers,<br />
parents and carers up to date about two children’s health projects -<br />
Kids - ‘Go for your Life’ and Smiles4Miles. “The Well” has received<br />
sponsorship from <strong>Portland</strong> Aluminium and Safeway, allowing<br />
distribution throughout the <strong>Portland</strong> <strong>District</strong>.<br />
Towards a <strong>Health</strong>y Heart<br />
This program centres on the longer term risk <strong>of</strong> cardiovascular<br />
disease in men. The results have shown that the program not only<br />
reduces cholesterol, blood pressure, weight and waist measurements<br />
but also promotes healthy eating and physical activity uptake.<br />
In May <strong>of</strong> this year, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> celebrated success by<br />
taking out the prestigious ‘Primary <strong>Health</strong>care Network Award for<br />
Innovation and Excellence in <strong>Health</strong> Promotion’ for the ‘Towards a<br />
<strong>Health</strong>y Heart’ program.<br />
Workplace Wellbeing Program<br />
The Workplace Wellbeing Program is a new health promotion<br />
initiative that aims to combine mental health initiatives across<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> under one succinct program. The Workplace<br />
Wellbeing Program is currently in its early developmental stage, with<br />
piloting to occur early in 2008.<br />
The unit has identified several key objectives including healthy<br />
heart model for cardiovascular disease risk reduction in men aged<br />
30 to 60; the development <strong>of</strong> a community consultation strategy,<br />
completion <strong>of</strong> an evaluation plan for the 2006/2009 <strong>Health</strong> Promotion<br />
Management Plan and the continued development <strong>of</strong> a quality<br />
improvement program for health promotion and health programs.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 31
We will continue to improve staff<br />
knowledge through regular in-services.<br />
SUPPORTED RESIDENTIAL SERVICE<br />
Sea View House<br />
Located within the hospital grounds, Sea<br />
View House provides supported residential<br />
accommodation for up to 58 residents.<br />
This facility <strong>of</strong>fers an excellent service to<br />
its residents. It is well served by an active<br />
and interested residents’ committee and<br />
committed hospital staff.<br />
CORPORATE SERVICES<br />
Corporate services including catering,<br />
engineering, environmental services and<br />
safety departments, support the patient,<br />
resident and client services and activities<br />
delivered by <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>.<br />
FOOD SERVICES<br />
The department provides nutritious, freshlycooked<br />
meals to the needs <strong>of</strong> our clientele.<br />
We will continue to improve staff knowledge<br />
through regular in-services and all staff<br />
attending the Compulsory Training Day.<br />
We will also continue the ongoing financial<br />
review <strong>of</strong> the department to absorb the 33%<br />
increase in the cost <strong>of</strong> food due to drought,<br />
fires and floods.<br />
The Food Services Department receives<br />
many favourable comments from our<br />
inpatients and residents <strong>of</strong> Sea View House<br />
and Seymour Cundy Wing.<br />
ENGINEERING<br />
Checks and repairs continue regularly at specified intervals and quarterly<br />
inspections by Stokes Consulting (Registered Building Surveyors) take place to<br />
ensure ongoing Form 10 Essential Services compliance. This is a mandatory<br />
requirement.<br />
Energy Reduction<br />
Last year we were nominated for achievements in energy reduction. Although<br />
we did not receive an award, the Department <strong>of</strong> Human Services, in recognition,<br />
awarded a grant <strong>of</strong> $28,000 to install an Ozone Laundry System. This system<br />
has reduced energy use and provided other gains in the Laundry.<br />
Major Project<br />
The construction <strong>of</strong> the new aged care facility - Harbourside Lodge is nearing<br />
completion with an expected August <strong>2007</strong> handover date. This new facility will<br />
be home to the 30 residents who currently reside in Seymour Cundy Wing with<br />
an anticipated occupancy occurring in October <strong>2007</strong>. One <strong>of</strong> the earliest tasks<br />
encountered with the major project was site preparation and site clearing which<br />
required the relocation <strong>of</strong> the <strong>Health</strong> Services Centre building.<br />
INFECTION CONTROL/ENVIRONMENTAL SERVICES<br />
The Infection Control/Environmental Services Department provides a high<br />
quality service, maintaining excellent standards and working effectively within<br />
budget constraints despite the increase in services required <strong>of</strong> the department.<br />
Hand Hygiene<br />
Avagard, an alcohol hand rub was successfully introduced throughout the<br />
facility. This was a Victorian Quality Council initiative for the prevention and<br />
transmission <strong>of</strong> hospital-acquired infections and brings <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
in line with best practice.<br />
Environmental Services maintained impressively clean facilities which are <strong>of</strong>ten<br />
remarked upon by our visitors.<br />
FUTURE<br />
All areas <strong>of</strong> the division are reviewing costs and productivity to ensure that<br />
services are matched appropriately with consumer requirements. I would like<br />
to express my thanks to all staff within the division for their efforts, in particular,<br />
my thanks to all department heads.<br />
PHIL HYNES<br />
Director <strong>of</strong> Community <strong>Health</strong> and Corporate Services<br />
32 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Finance Department<br />
PERFORMANCE – BALANCED SCORECARD<br />
Activity continued to reduce during the year in comparison<br />
with the previous year. The number <strong>of</strong> inpatients treated<br />
reduced by 364 in comparison with last year but this reduction<br />
is in excess <strong>of</strong> 900 if you compare throughput in 2002/2003.<br />
WIES were also down in comparison with prior years. This<br />
year we achieved a total <strong>of</strong> 2442 WIES, which was 775 lower<br />
than our adjusted target and 217 lower than last years actual.<br />
This paints a picture we are attempting to reverse. Our hospital<br />
service is under-utilised and with reduced activity in a funding<br />
system relying on activity increases, we need support from<br />
stakeholders to change the way we are currently operating to<br />
achieve favourable results.<br />
Currently we are budgeting for a $1m deficit, which is<br />
predominately due to the implementation <strong>of</strong> new structures<br />
and strategies. However, if activity levels remain consistent<br />
with the past four years, we will possibly have a deficit in<br />
the order <strong>of</strong> $2m plus.<br />
The outcome <strong>of</strong> a clinical services review currently underway<br />
will hopefully pave the way for our future. To date, due to low<br />
activity levels in our core business and with high fixed costs,<br />
over the years we have successfully argued for cash top up<br />
assistance, equity injections and recall exemptions. This has<br />
enabled <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> to develop services outside our<br />
core business such as primary health and aged care services.<br />
A realignment <strong>of</strong> service provision will occur after the clinical<br />
services review has been completed and this may lead to a<br />
significant service delivery change.<br />
It is exciting to announce a bequest<br />
<strong>of</strong> $1,725,000. This bequest has<br />
special conditions specifying its use.<br />
The Board <strong>of</strong> Management will<br />
ensure the wishes <strong>of</strong> the executors<br />
are met in line with the Estate <strong>of</strong><br />
the Late Glenys Simmons.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 33
ICT SYSTEMS DEPARTMENT<br />
The provision <strong>of</strong> support for key initiatives such as improved wireless<br />
systems, introduction <strong>of</strong> encrypted emails for security and remote<br />
webmail access have continued to ensure reliable ICT operations.<br />
Ongoing development <strong>of</strong> a number <strong>of</strong> projects that will culminate in a<br />
better service to the public, such as the Slit Lamp installation which<br />
allows the operator to examine an eye injury at <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong>, then connect with the Eye and Ear Hospital.<br />
The installation <strong>of</strong> a Network Core Upgrade has allowed an increase<br />
in the number <strong>of</strong> emergency telephone units available, and has<br />
allowed the installation <strong>of</strong> a high speed connection to the new aged<br />
care facility.<br />
Further development <strong>of</strong> a trial installation <strong>of</strong> the BEST system has<br />
been undertaken, and this system will deliver core medical services,<br />
patient call assistance, telephony and entertainment to the patient<br />
bedside.<br />
OUTLOOK<br />
We are attempting to align our workforce more closely to workloads<br />
as well as attempting to generate more activity. This is a fine balance<br />
in which we have been unsuccessful to date. Full concentration on<br />
reducing our workforce to align to workload is now underway.<br />
The new financial year is set to be a difficult one with forecasts<br />
mentioned previously tracking towards $2m if identified initiatives<br />
do not work. We are hopeful that this will not be the case, and look<br />
forward to activity levels increasing by at least 20% this year. To<br />
achieve this, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> needs all stakeholders on side.<br />
WAYNE ARMISTEAD<br />
Director <strong>of</strong> Finance<br />
The management <strong>of</strong> security <strong>of</strong> our network has been integral to<br />
the avoidance <strong>of</strong> downtime as a result <strong>of</strong> computer virus and Trojan<br />
attacks. It is also pleasing to see other hospital staff members taking<br />
a more active role in developing their own computer skills, to assist<br />
themselves, and others in their respective area, to gain advantages<br />
through ICT.<br />
34 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
2006/07 Quality Program<br />
KEY ACHIEVEMENTS OVER THE YEAR HAVE BEEN:-<br />
Medications<br />
Implementation <strong>of</strong> the National Medication Chart with the aim <strong>of</strong><br />
reducing documentation errors associated with medication management.<br />
There has been a 50.8% reduction in medication incidents from the<br />
previous 12 months with no adverse outcomes occurring from the<br />
incidents.<br />
Falls<br />
A Falls Risk Assessment form was developed and implemented from<br />
which a plan <strong>of</strong> care is then derived. Sea View House formalised a Falls<br />
Risk Assessment program to proactively manage residents at risk.<br />
Wound Care<br />
The Wound Committee facilitated a successful trial <strong>of</strong> Mepilex dressings<br />
resulting in improved outcomes for patients and reduced frequency for<br />
dressing changes.<br />
Pressure Ulcer Prevention<br />
92% <strong>of</strong> acute staff and 100% <strong>of</strong> aged care staff have completed the<br />
Victorian Quality Council online learning package and competency<br />
on recognition <strong>of</strong> the stages <strong>of</strong> pressure ulcer development and the<br />
appropriate treatment to minimise further development. Literature has<br />
been developed for patient education.<br />
Blood and Blood Products<br />
The procedure and chart for blood transfusion was reviewed with a<br />
specific form for consent and management <strong>of</strong> blood product infusions<br />
introduced. Patient education material has been sourced and is being<br />
used to explain the risks and use <strong>of</strong> blood products.<br />
Nutrition<br />
A multidisciplinary group developed a nutritional screening tool for<br />
acute patients to identify and appropriately refer those at risk, resulting<br />
in timelier referral for assessment and education. The Dietetics<br />
department developed a triage and referral pathway to manage the<br />
increased demand for service. This has resulted in an increase in group<br />
work to provide access for more clients.<br />
Risk Management Program<br />
A standardised risk-rating matrix was applied to all risk management<br />
plans to ensure a consistent approach. The Victorian Quality Council<br />
education module “Introduction to Safety and Quality Principles” has<br />
been incorporated into the compulsory education program.<br />
<strong>Report</strong>ing <strong>of</strong> Incidents and Near Misses<br />
Electronic incident report lodgement has resulted in the Quality Manager<br />
and Department Managers being aware <strong>of</strong> incidents on the day they<br />
occur and follow-up action initiated.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s Quality Plan is<br />
endorsed by the Board <strong>of</strong> Management and<br />
supported by the current committee structure.<br />
Each department has undertaken activities<br />
aligned with the organisational plan and<br />
identified priority department issues.<br />
Effectiveness<br />
Time to analgesia in the Emergency<br />
Department (NICS evidence practice gap)<br />
was audited revealing availability <strong>of</strong> medical<br />
staff as crucial to reducing delays in analgesic<br />
administration.<br />
Appropriateness<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> implemented the 10<br />
Steps to Safer <strong>Health</strong> Care – the leaflet is now<br />
given to all <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> admissions<br />
and is in the bedside Patient Information Folder.<br />
A program in place to assist staff and<br />
consumers to reduce or cease smoking was<br />
delivered in partnership with QUIT – results will<br />
be presented at end <strong>of</strong> the program in <strong>2007</strong>.<br />
Referrals arising from this initiative have been<br />
excellent both for staff and patients. Antenatal<br />
women are provided with information on risks<br />
and support to reduce or cease smoking.<br />
A referral pathway for Asthma was developed<br />
to assist with appropriate management. This<br />
pathway will be evaluated against identified<br />
outcomes.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has achieved nine<br />
<strong>of</strong> the steps to recognition under the “Baby<br />
Friendly” certification process and is well under<br />
way with completing the tenth and final step.<br />
Access<br />
The Podiatry department introduced risk rating<br />
for clients which resulted in all clients requiring<br />
care being seen within three months however<br />
it identified there is no room for growth in the<br />
service due to lack <strong>of</strong> practitioner availability.<br />
Accreditation<br />
A Self-Assessment <strong>Report</strong> will be submitted to<br />
the ACHS in October <strong>2007</strong>.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 35
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
2006/07 Quality <strong>Report</strong><br />
Following on from last year, <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> will produce it’s Quality <strong>of</strong> Care<br />
<strong>Report</strong> as an insert in the local print media<br />
- <strong>Portland</strong> Observer, to provide maximum<br />
distribution to the <strong>Portland</strong> community.<br />
In 2006 both the Aged Care Accreditation<br />
and organisation wide survey occurred.<br />
In September 2006 a two-day Aged Care<br />
Facility site audit reported compliance in all<br />
44 standards, resulting in the awarding <strong>of</strong><br />
three years accreditation for our aged care<br />
facility to 2009.<br />
In August 2006 an organisation wide survey,<br />
conducted over four days, resulted in<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> achieving four years<br />
accreditation status to 2010.<br />
The results achieved<br />
in meeting the required<br />
standards for both<br />
accreditation surveys<br />
are a credit to all the<br />
staff. Well done!<br />
EXTENSIVE ACHIEVEMENT WAS AWARDED IN THREE CRITERIA:<br />
Standard 2.1.4<br />
Standard 4.2.2<br />
Standard 5.1.2<br />
Systems for delegation <strong>of</strong> authority.<br />
Clinical classification providing health information to<br />
support internal and external service requirements.<br />
Buildings, plant, equipment, utilities, consumables<br />
and supplies are managed and operated to support<br />
safe practice and environment.<br />
OUTSTANDING ACHIEVEMENT WAS AWARDED IN TWO CRITERIA:<br />
Standard 4.3.1<br />
Standard 4.3.2<br />
Organisation uses an integrated approach to plan<br />
and appropriately use Information Technology.<br />
Risks to Information Technology systems are<br />
managed to minimise disruption.<br />
Moderate Achievement was met in all other criteria.<br />
All previous recommendations were satisfactorily addressed and closed.<br />
From January <strong>2007</strong> we moved from EQuIP3 to EQuIP4 standards for<br />
assessment.<br />
These results achieved in both accreditation surveys are a credit to all the staff<br />
that have worked hard to achieve the required standards. Well done to all.<br />
MAUREEN PATTERSON<br />
ADON/Quality Co-ordinator<br />
36 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Legislative Compliance and Statutory <strong>Report</strong>ing<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has<br />
a number <strong>of</strong> supporting<br />
policies and procedures in<br />
place to enable compliance.<br />
FREEDOM OF INFORMATION<br />
Applications for the provision <strong>of</strong> information<br />
accompanied with the appropriate fee can<br />
be made in accordance with the Freedom <strong>of</strong><br />
Information Act 1982. The request should<br />
contain the name and address <strong>of</strong> the patient,<br />
date <strong>of</strong> birth and if known, the Unit Record<br />
(UR) number.<br />
Freedom <strong>of</strong> Information requests made under<br />
the Act should be directed to:-<br />
Freedom <strong>of</strong> Information Officer<br />
Ms. Toni Young<br />
<strong>Health</strong> Information Manager<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Bentinck Street<br />
PORTLAND VIC 3305<br />
FREEDOM OF INFORMATION<br />
APPLICATIONS 2006/07<br />
Total Requests 39<br />
Fully Granted 37<br />
Granted in Part 0<br />
Documents not in Existence 2<br />
NATIONAL COMPETITION POLICY<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> complies with the<br />
requirements <strong>of</strong> the National Competition<br />
Policy and State Competitive Neutrality<br />
Policy as revised.<br />
WHISTLEBLOWERS PROTECTION ACT 2001<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has a number <strong>of</strong> supporting policies and procedures in<br />
place to enable compliance with the Act which provides a safe environment in<br />
which disclosure can be made.<br />
Since the introduction <strong>of</strong> the Act in 2002 there has not been any disclosures or<br />
notification <strong>of</strong> disclosures to the Ombudsman or any other external agency.<br />
Whistleblowers Protection Act Disclosures Officer<br />
Mrs. Maureen Patterson<br />
Assistant Director <strong>of</strong> Nursing/Quality Co-ordinator<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Bentinck Street<br />
PORTLAND VIC 3305<br />
CONSULTANCIES DISCLOSURE<br />
Throughout 2006/07, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> engaged eight consultancies at a<br />
cost <strong>of</strong> $123,987.<br />
PECUNIARY INTEREST<br />
Members <strong>of</strong> the Board <strong>of</strong> Management are required to notify the President <strong>of</strong> the<br />
Board <strong>of</strong> any pecuniary interests which might give rise to a conflict <strong>of</strong> interest<br />
in accordance with hospital policy. Reference is also made to Note 26 <strong>of</strong> the<br />
Financial Statement contained within this annual report.<br />
FEES AND CHARGES<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> charges fees in accordance with Department <strong>of</strong> Human<br />
Services directives.<br />
BUILDING AND MAINTENANCE COMPLIANCE<br />
In accordance with legislative requirements, building condition reports are<br />
undertaken on a regular basis. Recommendations arising from these reports<br />
have been incorporated into the ongoing works and equipment program and site<br />
and services planning.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has obtained the necessary Form 10 certification in<br />
connection with the Essential Services Legislation.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 37
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
<strong>Health</strong> Service<br />
Agreement <strong>Report</strong><br />
As part <strong>of</strong> the 2006/<strong>2007</strong> <strong>Health</strong> Service Agreement<br />
with the Department <strong>of</strong> Human Service, activity and<br />
efficiency targets were set.<br />
Set out in this report is a summary <strong>of</strong> the activity levels.<br />
ITEM<br />
INDICATOR<br />
2005/06<br />
2006/07<br />
1.<br />
Discharged Patients (separations)<br />
Acute Same Day<br />
Overnight Stay<br />
Nursing Home Type<br />
Total Separations<br />
2756<br />
2128<br />
8<br />
4882<br />
2589<br />
1917<br />
12<br />
4518<br />
2.<br />
Admitted Patient Bed Days<br />
Acute<br />
Nursing Home Type<br />
12856<br />
112<br />
12730<br />
195<br />
Total Admitted Patient Days<br />
12968<br />
12925<br />
3.<br />
Total Acute Patient Weighted Inlier Equivalent Separations<br />
2659.98<br />
2442.09<br />
4.<br />
Average Inlier Equivalent DRG Weight<br />
0.56<br />
0.55<br />
5.<br />
Average Length <strong>of</strong> Stay <strong>of</strong> Admitted Patients<br />
Acute Excluding Same Day (Days)<br />
All Acute Admitted Patients (Days)<br />
Nursing Home Type (Days)<br />
Average Length <strong>of</strong> Stay <strong>of</strong> Admitted Patients (Days)<br />
3.9<br />
2.63<br />
14<br />
2.65<br />
4.17<br />
2.82<br />
16.25<br />
2.86<br />
6.<br />
Occupancy – Admitted Patients<br />
12.94<br />
12.37<br />
7.<br />
Non-Admitted Patient Occasions <strong>of</strong> Service<br />
Accident and Emergency<br />
Other Non-Admitted Patient Services<br />
Total Occasions <strong>of</strong> Service<br />
7,236<br />
49,748<br />
56,984<br />
7,188<br />
49,301<br />
56,489<br />
8.<br />
Efficiency<br />
Admitted Patient Costs ($000’s)<br />
Acute<br />
Other<br />
Total Admitted Patient Costs<br />
15,970<br />
1,695<br />
17,665<br />
17,002<br />
1,725<br />
18,727<br />
Non-Admitted Patient Costs ($000’s)<br />
Accident and Emergency<br />
Other<br />
Total Non-Admitted Patient Cost<br />
1,028<br />
7,408<br />
8,436<br />
1,092<br />
7,598<br />
8,690<br />
Total Acute Hospital Costs<br />
Total Residential and Other Costs<br />
22,206<br />
3,895<br />
22,625<br />
4,105<br />
Total Entity Costs ($000’s)<br />
26,101<br />
26,730<br />
9.<br />
10.<br />
11.<br />
Cost per Admitted Patient<br />
Cost per DRG Weighted Admitted Patient<br />
Cost per Bed Day<br />
Cost per Occasion <strong>of</strong> Service<br />
Residential Services – Patient Costs<br />
Nursing Home – Patient Costs<br />
Total Patients (Numbers)<br />
Residential Services – Bed Days<br />
Nursing Home<br />
Quality Assurance – Accreditation Status<br />
3,616<br />
6,639<br />
1,357<br />
118<br />
26,036<br />
83<br />
10429<br />
4,149<br />
7,684<br />
1,489<br />
129<br />
41,563<br />
55<br />
10795<br />
4 years to August 2010<br />
38 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Medical Officers<br />
MEDICAL STAFF<br />
Visiting Medical Officers:<br />
Dr. W Rieger, MB ChB<br />
Dr. J Cantley, MBBS<br />
Dr. D Singh, MBBS, MAFP, FRACGP<br />
Dr. B Bassili, MB ChB, BSc AMC<br />
Mr. J Das, MB, BS, FRCS, FICS<br />
Dr. M Martin, MBBS<br />
Dr. M van der Veer, MB, ChB,<br />
FRACGP, MRACGP, AFACHSE<br />
(resigned)<br />
Dr. W Smolilo, MB ChB, FRACGP<br />
(resigned)<br />
Dr. D Singh, MBBS, FRACGP<br />
Dr. J Risk, MBBS<br />
Dr. A Hattingh, MB ChB<br />
Dr. R Stewart, LRCP, MRCS, RACGP<br />
Dr. S Rana, MBBS<br />
Dr. P Mazani, MBBS<br />
Dr. M Idris, MBBS<br />
Dr. M Boules, MBBS (resigned)<br />
Dr. F Irshad, MBBS<br />
Dr. H Joubert, MB ChB<br />
Dr. F Irshad, MBBS<br />
Dr. M Hawu (contract ended)<br />
Dr. K N Chong, B Med (Tapei) (resigned)<br />
Dr. C J Okeleke, MBBS (Nig), AMC (resigned)<br />
Anaesthetists:<br />
Dr. P Goodman, MBBS, DA, RCOG, FRACGP<br />
Dr. M Martin, MBBS, FACRRM<br />
Dr. Wladek Smolilo, MB ChB, FRACGP<br />
(resigned)<br />
Dr. J Stapleton, MB, FANZA<br />
Dr. A Fielke, MBBS, DA<br />
Specialist Anaesthetist:<br />
Dr. A Jolayemi, MB ChB, Sc (Med), FCA (SA),<br />
FMCA (Nig)<br />
Mr. K Cronin, MBBS, FFARACS, FANZCA<br />
Dr. J Muir, MB ChB, DA, FRCA<br />
Specialist Surgeon:<br />
Mr. J Das, MBBS, FRCS, FICS<br />
Visiting Surgeons:<br />
Mr. S Clifforth, MBBS, FRACS<br />
Mr. D Bird, MBBS, FRACS<br />
Mr. P Tung, MBBS, FRACS<br />
Specialist Physician:<br />
Dr. D Taylor, MB ChB, FRCP, FRACP<br />
Dr. B Morphett, MBBS<br />
Visiting Physicians:<br />
Dr. M Page, MBBS, FRACP<br />
Dr. C Charnley, MBBS, FRACP<br />
Dr. A Bowman, FRACP<br />
Dr. N Abbott, FRACP<br />
Dr. S Nagarajah, MBBS, FRACP<br />
Visiting Obstetrician & Gynaecologist:<br />
Dr. C Beaton, MB ChB, FRANZCOG, MRCGP,<br />
FRCOG<br />
Dr. K Braniff, MBBS, FRANZCOG<br />
Dr. E Uren, MBBS, FRANZCOG<br />
Dr. F Ng, MBBS<br />
Visiting E.N.T. Specialists:<br />
Ms. M Cass, MBBS, FRACS<br />
Mr. L Ryan, FRACS, DLO<br />
Visiting Ophthalmologist:<br />
Dr. V Lee, FRACO, FRACS<br />
Visiting Paediatrician:<br />
Dr. G Pallas, BMed, FRACP (Paed)<br />
Dr. N Thies, MBBS, DCH, FRACP (Paed)<br />
Visiting Pathologists:<br />
Dr. G Davey<br />
Visiting Radiologists:<br />
Dr. N Houghton, MBBS, (Lond) MRCS, LRCP,<br />
FRACR,<br />
Dr. J M Rogan, MB BCh, BAO, DMRD,<br />
FRACR, (Lond), FRACR<br />
Dr. J Nagorcka, MBBS, FRACR<br />
Dr. N Walters, FRACR<br />
Visiting Orthopaedic Surgeon:<br />
Mr. P Kierce, MBBS, FRACS, (Ortho), FA,<br />
Orth A (retired from <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>)<br />
Mr. A Sundarum<br />
Visiting Urologist:<br />
Mr. R Grills, MBBS, FRACS (April 06)<br />
Mr. P Kearns, MBBS, FRACS<br />
Visiting Psychiatrists:<br />
Dr. M Duke, MBBS, MRC Psych, FRANZCP<br />
Visiting Psychologist:<br />
Mr. J Clark<br />
Visiting Oral Surgeon:<br />
Mr. B Robinson, BDSc (Adel), BSc Dent<br />
(Hons), MDS<br />
Visiting Alcohol & Drug Physician:<br />
Dr. D Richards, MBBS, APSAD<br />
Visiting Orthodontist:<br />
Mr. C Stanley, MDs, BSc (Hons)<br />
Visiting Dermatologist:<br />
Dr. S Chandra, MBBS (Melb), FACD (Melb)<br />
Dental Hygenist:<br />
K Madden<br />
Visiting Dental Officers:<br />
Dr. M Stubbs<br />
Dr. K Stock, BDSc,<br />
Dr. M Thow, BDSc<br />
Dr. S McGuire, BDSc, LDS<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 39
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Life Members, Life Governors, Awards,<br />
Donations, Tributes and Thanks as at 30 June <strong>2007</strong><br />
LIFE MEMBERS OF THE FORMER PORTLAND<br />
AND DISTRICT COMMUNITY HEALTH CENTRE INC.<br />
Association for the Blind<br />
Mrs. Shirley Elliott<br />
<strong>Portland</strong> Neighbourhood House<br />
Mr. Jeff Baulch<br />
Mr. Jack Finck<br />
Mrs. Marilyn Baulch<br />
Mr. Jeff Knuckey<br />
Mr. David Harris<br />
Mr. W. (Bill) Collett<br />
Mrs. Anne Lanyon<br />
LIFE GOVERNORS OF THE<br />
FORMER PORTLAND AND<br />
DISTRICT HOSPITAL<br />
Aitken, Mrs. M. E.<br />
Apex Club <strong>of</strong> <strong>Portland</strong><br />
Baxter, Percy (Trust)<br />
Brownlaw, Miss E. J.<br />
Chipperfield, Mr. B.<br />
Edwards, Mrs. Brenda<br />
Elford, Mrs. P.<br />
Farrands, Miss S. M.<br />
Fyfe, Mrs. S.<br />
Godfrey-Smith, Mrs. P.<br />
Jennings, Mrs. M. L.<br />
Kermond, Mrs. J.<br />
Lightbody, Miss E.<br />
Lions Club <strong>of</strong> <strong>Portland</strong><br />
McDiven, Mrs. B.<br />
Maling, Mrs. W. G. C.<br />
Mitchell, Mrs. P.<br />
Ough, Mr. A. K.<br />
Panozzo, Mrs. S.<br />
Pettit, Mr. P.<br />
Plantinga, Mrs. M.<br />
<strong>Portland</strong> Aluminium<br />
<strong>Portland</strong> Pr<strong>of</strong>essional Women’s<br />
Service Club<br />
Poon, Mr. S.<br />
Pritchard, Mrs. S. I.<br />
Rotary Club <strong>of</strong> <strong>Portland</strong><br />
Saunders, Mr. E. A.<br />
Sharrock, Mrs. M. M.<br />
Smith, Helen Macpherson (Trust)<br />
Smith, Mrs. R.<br />
Stewart, Miss J.<br />
Wigan, Mr. J. C.<br />
Wilmot, Mrs. P.<br />
DISTINGUISHED SERVICE AWARD<br />
OF THE FORMER PORTLAND AND<br />
DISTRICT HOSPITAL<br />
1994 Mr. Jesse Das<br />
DONATIONS, BEQUESTS<br />
AND FUND RAISING<br />
During 2006/07, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
received 24 donations and bequests totalling<br />
$2,314,434<br />
Murray to Moyne<br />
Estate <strong>of</strong> the Late Gertrude Brown<br />
Rotary Club <strong>of</strong> <strong>Portland</strong><br />
In Memory <strong>of</strong> the Late Gaylene Penwarden<br />
United Way Glenelg<br />
MA & SM Wiese<br />
<strong>Portland</strong> Lutheran Ladies Guild<br />
<strong>Portland</strong> Aluminium - MTM Team<br />
Lions Club <strong>of</strong> <strong>Portland</strong><br />
Kristie <strong>West</strong>on<br />
<strong>West</strong>neath Nominees<br />
Isobel Byass<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Catering Staff<br />
K and H Phillips<br />
Fete<br />
Estate <strong>of</strong> Glenys Simmons<br />
<strong>West</strong>vic WorkForce<br />
Estate <strong>of</strong> Thelma Dipalo<br />
<strong>Portland</strong> Aluminium<br />
United Way – D&A Project Grant<br />
<strong>South</strong> <strong>West</strong> Bottle Club<br />
Leonard Parker<br />
P&O Ports<br />
Mrs. Coral Lucas<br />
During the year <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> was<br />
the beneficiary <strong>of</strong> two extraordinarily generous<br />
acts <strong>of</strong> kindness.<br />
Mr. Ge<strong>of</strong>f Handbury (<strong>West</strong>neath Nominees)<br />
visited the hospital and agreed to assist with<br />
the provision <strong>of</strong> new operating tables for the<br />
operating theatres.<br />
These tables possessed some <strong>of</strong> the latest<br />
technology and as a consequence are also<br />
very expensive. Mr. Handbury’s donation <strong>of</strong><br />
$200,000 made the purchase possible and<br />
we sincerely thank him for this donation.<br />
In June <strong>2007</strong>, the Board learned <strong>of</strong> another<br />
generous act, this time a bequest left to the<br />
hospital by the late Glenys Simmons. The<br />
bequest, which is a substantial amount, is to<br />
be used for equipment purposes rather than<br />
operational activities.<br />
SPECIAL THANKS<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> would like to thank<br />
<strong>Portland</strong> Football Netball Club and the<br />
Narrawong General Store for their kind<br />
support throughout the year.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> sincerely thanks<br />
each and every donor and sponsor for their<br />
support. We also acknowledge the numerous<br />
donations made to specific fundraising<br />
projects, individual departments and wards<br />
throughout the year.<br />
40 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
FINANCIAL<br />
STATEMENTS<br />
for the year ended 30 June <strong>2007</strong><br />
Operating Statement 42<br />
Balance Sheet 43<br />
Statement Changes in Equity 44<br />
Cash Flow Statement 45<br />
Notes 46<br />
Certification 70<br />
Independent Audit <strong>Report</strong> 71
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Operating Statement for the year ended 30 June <strong>2007</strong><br />
2006-07 2005-06<br />
Note $’000 $’000<br />
Revenue From Operating Activities [2] 21,552 21,549<br />
Revenue From Non-operating Activities [2] 2,966 2,940<br />
Employee Benefits [2b] (18,286) (16,478)<br />
Non Salary Labour Costs [2b] (2,265) (2,514)<br />
Supplies and Consumables [2b] (1,951) (2,394)<br />
Other Expenses From Continuing Operations [2b] (2,919) (2,980)<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures accounted [7] (82) (35)<br />
for using Equity Model<br />
Net Result from Continuing Operations before Capital & Specific Items (985) 88<br />
Capital Purpose Income [2] 1,972 141<br />
Depreciation [3] (1,369) (1,590)<br />
Assets Provided Free <strong>of</strong> Charge [2] - 6<br />
Finance Costs [4] (127) (110)<br />
Net Result for the Year (509) (1,465)<br />
This statement should be read in conjunction with the accompanying notes.<br />
42 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Balance Sheet as at 30 June <strong>2007</strong><br />
<strong>2007</strong> 2006<br />
Note $’000 $’000<br />
Assets<br />
Current Assets<br />
Cash and Cash Equivalents [5] 2,597 933<br />
Receivables [8] 682 941<br />
Inventories [10] 236 219<br />
Other Current Assets [9] 203 217<br />
Total Current Assets 3,718 2,310<br />
Non Current Assets<br />
Receivables [8] 269 434<br />
Property, Plant and Equipment [17] 42,197 28,749<br />
Investment in Joint Venture [7] 142 225<br />
Total Non Current Assets 42,608 29,408<br />
Total Assets 46,326 31,718<br />
Liabilities<br />
Current Liabilities<br />
Payables [11] 2,964 1,363<br />
Interest Bearing Liabilities [12] 171 171<br />
Provisions [13] 2,628 2,340<br />
Other Liabilities [14] 138 218<br />
Total Current Liabilities 5,901 4,092<br />
Non Current Liabilities<br />
Interest Bearing Liabilities [12] 1,436 1,619<br />
Provisions [13] 1,917 1,928<br />
Total Non Current Liabilities 3,353 3,547<br />
Total Liabilities 9,254 7,639<br />
Net Assets 37,072 24,079<br />
Equity<br />
Contributed Capital [16] 33,495 27,860<br />
Accumulated Surpluses/(Deficit) [16] (6,015) (3,781)<br />
Asset Revaluation Reserve [16] 7,867 -<br />
Restricted Specific Purpose Reserve [16] 1,725 -<br />
Total Equity 37,072 24,079<br />
This statement should be read in conjunction with the accompanying notes.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 43
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Statement <strong>of</strong> Changes in Equity for the year ended 30 June <strong>2007</strong><br />
<strong>2007</strong> 2006<br />
Note $’000 $’000<br />
Total Equity at Beginning <strong>of</strong> Financial Year 24,079 23,252<br />
Gain/(loss) on Asset Revaluation [16] 7,867 -<br />
Net Result for the Year [16] (509) (1,465)<br />
7,358 (1,465)<br />
Transactions with the State in its Capacity as Owner<br />
Capital Contribution [16] 5,635 2,292<br />
Closing Balance 37,072 24,079<br />
This statement should be read in conjunction with the accompanying notes.<br />
44 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Cash Flow Statement for the year ended 30 June <strong>2007</strong><br />
Note<br />
2006-<strong>2007</strong> 2005-2006<br />
$’000 $’000<br />
Cash Flows from Operating Activities<br />
Receipts<br />
Operating Grants from Government 19,564 19,268<br />
Patient & Residents Fees Received 5,177 5,141<br />
Other 544 20<br />
Employee Benefits Paid (18,009) (16,204)<br />
Fees For Service Medical Officers (1,685) (1,785)<br />
Payments for Supplies and Consumables (4,580) (4,780)<br />
GST Paid to ATO - (1,382)<br />
Cash Generated from Operations 1,011 278<br />
Capital Grants - Government 42 93<br />
Capital Donations 1,805 30<br />
Interest 13 18<br />
Net Cash Inflow/(Outflow) From Operating Activities [19] 2,871 419<br />
Cash Flows from Investing Activities<br />
Purchase <strong>of</strong> Properties, Plant and Equipment (6,687) (1,413)<br />
Proceeds from Sale <strong>of</strong> Properties, Plant and Equipment 23 19<br />
Net Cash Inflow/(Outflow) from Investing Activities (6,664) (1,394)<br />
Cash Flows from Financing Activities<br />
Repayment <strong>of</strong> Borrowings (178) (178)<br />
Contributed Capital from Government 5,635 2,292<br />
Net Cash Inflow/(Outflow) from financing Activities 5,457 2,114<br />
Net Increase/(Decrease) in Cash Held 1,664 1,139<br />
Cash and Cash Equivalents at Beginning <strong>of</strong> Period 933 (206)<br />
Cash and Cash Equivalents at End <strong>of</strong> Period [5] 2,597 933<br />
This statement should be read in conjunction with the accompanying notes.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 45
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES<br />
The general purpose financial report has been prepared on an accrual basis in accordance with the Financial Management Act 1994, Accounting<br />
Standards issued by the Australian Accounting Standards Board, and Urgent Issues Group Interpretations. Accounting standards include Australian<br />
equivalents to International Financial <strong>Report</strong>ing Standards (A-IFRS).<br />
The financial statements were authorised for issue by Wayne Armistead, Chief Finance and Accounting Officer on 19/7/07.<br />
Basis <strong>of</strong> preparation<br />
The financial report is prepared in accordance with the historical cost convention, except for the revaluation <strong>of</strong> certain non-current assets and financial<br />
instruments, as noted. Cost is based on the fair values <strong>of</strong> the consideration given in exchange for assets.<br />
In the application <strong>of</strong> A-IFRS management is required to make judgements, estimates and assumptions about carrying values <strong>of</strong> assets and liabilities that<br />
are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and various other factors that<br />
are believed to be reasonable under the circumstance, the results <strong>of</strong> which form the basis <strong>of</strong> making the judgements. Actual results may differ from these<br />
estimates<br />
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the<br />
estimate is revised if the revision affects only that period, or in the period <strong>of</strong> the revision and future periods if the revision affects both current and future<br />
periods.<br />
Accounting policies are selected and applied in a manner which ensures that the resulting financial information satisfies the concepts <strong>of</strong> relevance and<br />
reliability, thereby ensuring that the substance <strong>of</strong> the underlying transactions or other events is reported.<br />
The accounting policies set out below have been applied in preparing the financial statements for the year ended 30 June <strong>2007</strong>, and the comparative<br />
information presented in these financial statements for the year ended 30 June 2006.<br />
(a)<br />
<strong>Report</strong>ing Entity<br />
The financial statements include all the controlled activities <strong>of</strong> the <strong>Health</strong> Service. The <strong>Health</strong> Service is a not-for pr<strong>of</strong>it entity and therefore applies<br />
the additional Aus paragraphs applicable to “not-for-pr<strong>of</strong>it” entities under the Australian equivalents to IFRS.<br />
(b)<br />
Rounding Off<br />
All amounts shown in the financial statements are expressed to the nearest $1,000.<br />
(c)<br />
Cash and Cash Equivalents<br />
Cash and cash equivalents comprise cash on hand and in banks and investments in money market instruments, net <strong>of</strong> outstanding bank overdrafts.<br />
Bank overdrafts are shown within borrowings in current liabilities in the Balance Sheet.<br />
(d)<br />
Receivables<br />
Trade debtors are carried at nominal amounts due and are due for settlement within 30 days from the date <strong>of</strong> recognition. Collectability <strong>of</strong> debts is<br />
reviewed on an ongoing basis, and debts which are known to be uncollectible are written <strong>of</strong>f. A provision for doubtful debts is raised where doubt as<br />
to the collection exists. Bad debts are written <strong>of</strong>f when identified.<br />
(e)<br />
Inventories<br />
Inventories include goods and other property held either for sale or for distribution at no or nominal cost in the ordinary course <strong>of</strong> business<br />
operations. It includes land held for sale and excludes depreciable assets.<br />
Inventories held for distribution are measured at the lower <strong>of</strong> cost and current replacement cost. All other inventories are measured at the lower <strong>of</strong><br />
cost and net realisable value.<br />
Costs for all inventory is measured on the basis <strong>of</strong> weighted average cost.<br />
46 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(g)<br />
Property, Plant & Equipment<br />
Freehold and Crown Land is measured at fair value with regard to the property’s highest and best use after due consideration is made for any<br />
legal or constructive restrictions imposed on the land, public announcements or commitments made in relation to the intended use <strong>of</strong> the land.<br />
Theoretical opportunities that may be available in relation to the assets are not taken into account until it is virtually certain that any restrictions<br />
will no longer apply.<br />
Buildings are measured at fair value less accumulated depreciation and impairment.<br />
Plant, Equipment and Vehicles are measured at cost less accumulated depreciation and impairment.<br />
(h)<br />
Revaluations <strong>of</strong> Non-Current Assets<br />
Financial <strong>Report</strong>ing Directions (FRD) 103B Non-Current Physical Assets, prescribes that non-current physical assets measured at fair value are<br />
revalued with sufficient regularity to ensure that the carrying amount <strong>of</strong> each asset does not differ materially from its fair value. This revaluation<br />
process normally occurs every five years as directed by timelines in FRD103B which sets the next revaluation for the <strong>Health</strong>, Welfare and<br />
Community Purpose Group to occur on June 2009, or earlier should there be an indication that fair values are materially different from the carrying<br />
value. Revaluation increments and decrements arise from differences between an assets carrying value and fair value.<br />
Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an increment reverses a revaluation<br />
decrement in respect <strong>of</strong> that class <strong>of</strong> asset previously recognised as an expense in net result, the increment is recognised as revenue in the<br />
net result.<br />
Revaluation decrements are recognised immediately as expenses in the net result, except that, to the extent that a credit balance exists in the asset<br />
revaluation reserve in respect <strong>of</strong> the same class <strong>of</strong> assets, they are debited directly to the asset revaluation reserve.<br />
Revaluation increases and revaluation decreases relating to individual assets within an asset class are <strong>of</strong>fset against one another within that class<br />
but are not <strong>of</strong>fset in respect <strong>of</strong> assets in different classes. Revaluation reserves are to be transferred to accumulated funds on derecognition <strong>of</strong> the<br />
relevant asset.<br />
(i)<br />
Depreciation<br />
Assets with a cost in excess <strong>of</strong> $1,000 (2005-06 and 2006-07) are capitalised and depreciation has been provided on depreciable assets so as<br />
to allocate their cost (or valuation) over their estimated useful lives using the straight-line method. Estimates <strong>of</strong> the remaining useful lives for all<br />
assets are reviewed at least annually. This depreciation charge is not funded by the Department <strong>of</strong> Human Services.<br />
The following table indicates the expected useful lives <strong>of</strong> non current assets on which the depreciation charges are based.<br />
<strong>2007</strong> 2006<br />
Buildings 30 to 40 years 30 to 40 years<br />
Plant and Equipment 8 to 10 years 8 to 10 years<br />
Medical Equipment 4 to 5 years 4 to 5 years<br />
Computer Equipment 3 to 5 years 3 to 5 years<br />
Furniture & Fittings 3 to 5 years 3 to 5 years<br />
Motor Vehicles 2 to 3 years 2 to 3 years<br />
Leased Assets 2 to 4 years 2 to 4 years<br />
Other Equipment 3 to 5 years 3 to 5 years<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 47
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(j)<br />
Impairment <strong>of</strong> Assets<br />
Intangible assets with indefinite useful lives are tested annually as to whether their carrying value exceeds their recoverable amount.<br />
All other assets are assessed annually for indications <strong>of</strong> impairment, except for:<br />
- inventories;<br />
- assets arising from construction contracts;<br />
- financial instrument assets;<br />
If there is an indication <strong>of</strong> impairment, the assets concerned are tested as to whether their carrying value exceeds their recoverable amount.<br />
Where an asset’s carrying value exceeds its recoverable amount, the difference is written <strong>of</strong>f by a charge to the operating statement except to<br />
the extent that the write down can be debited to an asset revaluation reserve amount applicable to that class <strong>of</strong> asset.<br />
The recoverable amount for most assets is measured at the higher <strong>of</strong> depreciated replacement cost and fair value less costs to sell. Recoverable<br />
amount for assets held primarily to generate net cash inflows is measured at the higher <strong>of</strong> the present value <strong>of</strong> future expected cash flows expected<br />
to be obtained from the asset and fair value less costs to sell. It is deemed that, in the event <strong>of</strong> the loss <strong>of</strong> an asset, the future economic benefits<br />
arising from the use <strong>of</strong> the asset will be replaced unless a specific decision to the contrary has been made.<br />
(k)<br />
Payables<br />
These amounts represent liabilities for goods and services provided prior to the end <strong>of</strong> the financial year and which are unpaid.<br />
The normal credit terms are usually Net 30 days.<br />
(l)<br />
Provisions<br />
Provisions are recognised when the <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Service has a present obligation, the future sacrifice <strong>of</strong> economic benefits is probable,<br />
and the amount <strong>of</strong> the provision can be measured reliably.<br />
The amount recognised as a provision is the best estimate <strong>of</strong> the consideration required to settle the present obligation at reporting date, taking<br />
into account the risks and uncertainties surrounding the obligation. Where a provision is measured using the cashflows estimated to settle the<br />
present obligation, its carrying amount is the present value <strong>of</strong> those cashflows.<br />
(m)<br />
Resources Provided and Received Free <strong>of</strong> Charge or for Nominal Consideration<br />
Resources provided and received free <strong>of</strong> charge or for nominal consideration are recognised at their fair value. Contributions in the form <strong>of</strong> services<br />
are only recognised when a fair value can be reliably determined and the services would have been purchased if not donated.<br />
(n)<br />
Interest Bearing Liabilities<br />
Interest bearing liabilities in the Balance Sheet are recognised at fair value upon initial recognition. Subsequent to initial recognition, all financial<br />
liabilities are recognised at amortised cost using the effective interest method.<br />
(o)<br />
Functional and Presentation Currency<br />
The presentation currency <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> Service is the Australian dollar, which has also been identified as the functional currency <strong>of</strong><br />
the <strong>Health</strong> Service.<br />
(p)<br />
Goods and Services Tax<br />
Income, expenses and assets are recognised net <strong>of</strong> the amount <strong>of</strong> associated GST, unless the GST incurred is not recoverable from the taxation<br />
authority. In this case it is recognised as part 6 <strong>of</strong> the cost <strong>of</strong> acquisition <strong>of</strong> the asset or as part <strong>of</strong> the expense.<br />
Receivables and payables are stated inclusive <strong>of</strong> the amount <strong>of</strong> GST receivable or payable. The net amount <strong>of</strong> GST recoverable from, or payable to,<br />
the taxation authority is included with other receivables or payables in the balance sheet.<br />
Cash flows are presented on a gross basis. The GST components <strong>of</strong> cash flows arising from investing or financing activities which are recoverable<br />
from, or payable to the taxation authority, are presented as operating cash flow.<br />
48 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(q)<br />
Employee Benefits<br />
Wages and Salaries, <strong>Annual</strong> Leave, Sick Leave and Accrued Days Off<br />
Liabilities for wages and salaries, including non-monetary benefits, annual leave, accumulating sick leave and accrued days <strong>of</strong>f expected to<br />
be settled within twelve months <strong>of</strong> the reporting date are recognised in the provision for employee benefits in respect <strong>of</strong> employees services up to<br />
the reporting date, classified as current liabilities and measured at nominal values. Those liabilities that the health service does not expect to settle<br />
within 12 months are recognised in the provision for employee benefits as current liabilities, measured at present value <strong>of</strong> the amounts expected to<br />
be paid when the liabilities are settled using the remuneration rate expected to apply at the time <strong>of</strong> settlement.<br />
Long Service Leave<br />
Current Liability - Unconditional LSL (representing 10 or more years <strong>of</strong> continuous service) is disclosed as a current liability regardless <strong>of</strong> whether<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> does not expect to settle the liability within 12 months as it does not have the unconditional right to defer the settlement<br />
<strong>of</strong> the entitlement should an employee take leave.<br />
The components <strong>of</strong> the current LSL liability are measured at:<br />
present value - component that <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> does not expect to settle within 12 months; and<br />
nominal value - component that <strong>Portland</strong> district <strong>Health</strong> expects to settle within 12 months.<br />
Non-Current Liability - conditional LSL (representing less than 10 years <strong>of</strong> continuous service) is disclosed as a non-current liability.<br />
There is an unconditional right to defer the settlement <strong>of</strong> the entitlement until 10 years <strong>of</strong> service has been completed by an employee.<br />
Conditional LSL is required to be measured at present value.<br />
Consideration is given to expected future wage and salary levels, experience <strong>of</strong> employee departures and periods <strong>of</strong> service.<br />
Expected future payments are discounted using interest rates <strong>of</strong> national Government guaranteed securities in Australia,<br />
Superannuation<br />
Defined contribution plans<br />
Contributions to defined contribution superannuation plans are expenses when incurred.<br />
Defined benefit plans<br />
The amount charged to the Operating Statement in respect <strong>of</strong> Defined benefit superannuation plan represents the contributions made by <strong>Portland</strong><br />
<strong>District</strong> <strong>Health</strong> to the superannuation plan in respect to the current services <strong>of</strong> current <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> staff. Superannuation contributions<br />
are made to the plans based on the relevant rules <strong>of</strong> each plan.<br />
Employees <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> are entitled to receive superannuation benefits and <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> contributes to both the defined<br />
benefit and defined contribution plan. The defined benefit plan provide benefits based on years <strong>of</strong> service and final average salary.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> made contributions to the following major superannuation funds:<br />
Defined Benefit Plans:<br />
Defined contribution Plans:<br />
<strong>Health</strong> Super<br />
<strong>Health</strong> Super<br />
Hesta Super Fund<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> does not recognise any defined benefit liability in respect <strong>of</strong> the superannuation plans because <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has<br />
no legal or constructive obligation to pay future benefits relating to its employees; its only obligation is to pay superannuation contributions as<br />
they fall due. The Department <strong>of</strong> Treasury and Finance administers and discloses the States defined benefit liabilities in its financial report.<br />
Termination Benefits<br />
Liabilities for termination benefits are recognised when a detailed plan for the termination has been developed and a valid expectation has been<br />
raised with those employees affected that the terminations will be carried out. The liabilities for termination benefits are recognised in other creditors<br />
unless the amount or timing <strong>of</strong> the payments in uncertain, in which case they are recognised as a provision.<br />
On-Costs<br />
Employee benefit on-costs are recognised and included in employee benefit liabilities and costs when the employee benefits to which they relate<br />
are recognised as liabilities.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 49
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(r)<br />
Finance Costs<br />
Finance costs are recognised as expenses in the period in which they are incurred.<br />
Finance costs include:<br />
- interest on bank overdrafts and short term and long term borrowings:<br />
- amortisation <strong>of</strong> discounts or premiums relating to borrowings:<br />
- amortisation <strong>of</strong> ancillary costs incurred in connection with the arrangement <strong>of</strong> borrowings:<br />
- finance charges in respect to finance leases recognised in accordance with AASB 117 Leases.<br />
(s)<br />
Residential Aged Care Service<br />
The Seymour Cundy Wing Nursing Home is an integral part <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> and shares its resources. An apportionment <strong>of</strong> land and<br />
buildings has been made based on floor space. The results <strong>of</strong> the two operations have been segregated based on actual revenue earned and<br />
expenditure incurred by each operation.<br />
(t)<br />
Joint Ventures<br />
Interests in jointly controlled operations and jointly controlled assets are accounted for by recognising in <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s financial<br />
statements, its share <strong>of</strong> assets, liabilities and any revenue and expenses <strong>of</strong> such joint ventures <strong>of</strong> the joint venture are set out in Note 7.<br />
(u)<br />
Intersegment Transactions<br />
Transactions between segments with <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> have been eliminated to reflect the extent <strong>of</strong> the <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s operations<br />
as a group.<br />
(v)<br />
Leases<br />
Leases <strong>of</strong> property, plant and equipment are classified as finance leases whenever the terms <strong>of</strong> the lease transfer substantially all the risks and<br />
rewards <strong>of</strong> ownership to the lessee. All other leases are classified as operating leases.<br />
Assets held under finance leases are recognised as non-current assets at their fair value or, if lower, at the present value <strong>of</strong> the minimum lease<br />
payments, each determined at the inception <strong>of</strong> the lease. The minimum lease payments are discounted at the interest rate implicit in the lease.<br />
A corresponding liability is established and each lease payment is allocated between the principal component and the interest expense.<br />
Finance leased assets are amortised on a straight line basis over the shorter <strong>of</strong> the estimated useful life <strong>of</strong> the asset or the term <strong>of</strong> the lease.<br />
Contingent rental associated with finance leases are recognised as an expense in the period in which they are incurred.<br />
Operating lease payments, including any contingent rentals, are recognised as an expense in the operating statement on a straight line basis<br />
over the lease term, except where another systematic basis is more representative <strong>of</strong> the time pattern <strong>of</strong> the benefits derived from the use <strong>of</strong> the<br />
leased asset.<br />
(w)<br />
Revenue Recognition<br />
Revenue is recognised in accordance with AASB 118 Revenue. Income is recognised as revenue to the extent it is earned.<br />
Unearned income at reporting date is reported as income received in advance.<br />
Amounts disclosed as revenue are, where applicable, net <strong>of</strong> returns, allowances and duties and taxes.<br />
Government Grants<br />
Grants are recognised as income when <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> gains control <strong>of</strong> the underlying assets in accordance with AASB 1004 Contributions.<br />
Where grants are reciprocal, revenue is recognised as performance occurs under the grant. Non-reciprocal grants are recognised as income when<br />
the grant is received or receivable. Conditional grants may be reciprocal or non-reciprocal depending on the terms <strong>of</strong> the grant.<br />
50 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
Indirect Contributions<br />
- Insurance is recognised as revenue following advise from the Department <strong>of</strong> Human Services.<br />
- Long Service Leave - Revenue is recognised upon finalisation <strong>of</strong> movements in LSL liability in line with the arrangements<br />
set out in the Acute <strong>Health</strong> Division Hospital Circular 16/2004.<br />
Patient Fees<br />
Patient fees are recognised as revenue at the time invoices are raised.<br />
Private Practice Fees<br />
Private Practice fees are recognised as revenue at the time invoices are raised.<br />
Donations and Other Bequests<br />
Donations and bequests are recognised as revenue when the cash is received. If donations are for a special purpose they may be appropriated<br />
to a reserve, such as specific restricted purpose reserve.<br />
(x)<br />
Fund Accounting<br />
The <strong>Health</strong> Service operates on a fund accounting basis and maintains three funds: Operating, Capital and Specific Purpose funds.<br />
The <strong>Health</strong> Service Capital Fund includes unspent capital donations and receipts from fundraising activities conducted solely in respect <strong>of</strong> this<br />
fund and the Specific Purpose fund is made up <strong>of</strong> funds over which the <strong>Health</strong> Service has possesion but no discretion to amend or vary the<br />
restrictions underlying the use <strong>of</strong> the fund.<br />
(y)<br />
Services Supported by <strong>Health</strong> Services Agreement and Services Supported by Hospital and Community Initiatives.<br />
The activities classified as Services Supported by <strong>Health</strong> Services Agreement (HSA) are substantially funded by the Department <strong>of</strong> Human<br />
Services and includes RACS, while Services Supported by Hospital and Community Initiatives (Non HSA) are funded by the <strong>Health</strong> Services<br />
own activities or local initiatives.<br />
(z)<br />
Comparative Information<br />
There have been no changes to previous years figures other than detailed below:<br />
Revenues and Expenses by category in Notes 2a and 2b have been reclassified to accord with the governments requirements for reporting under<br />
the Australian <strong>Health</strong> Care Agreement with the Commonwealth government. This reclassification is to reflect the new category groups as detailed<br />
in Note1(ae) as follows:<br />
2005-06<br />
Acute<br />
$’000<br />
Admitted<br />
Patients<br />
$’000<br />
Reclassified to:<br />
EDS<br />
$000<br />
Ambulatory<br />
$’000<br />
Revenue - HAS<br />
Hospital & Community Initiatives 16,984 16,984 - -<br />
Expenses - HAS<br />
Hospital & Community Initiatives 16,685 16,685 - -<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 51
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(aa) Contributed Capital<br />
Consistent with UIG Interpretation 1038 Contributions by Owners Made to Wholly-Owned Public Sector Entities and FRD 2 Contributed Capital,<br />
apportions for additions to the net asset base have been designated as contributed capital. Other transfers that are in the nature <strong>of</strong> contributions<br />
or distributions, have also been designated as contributed capital.<br />
(ab) Asset Revaluation Reserve<br />
The asset revaluation reserve is used to record increments and decrements on the revaluation <strong>of</strong> non-current assets.<br />
(ac)<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has applied the going concern basis, in the preparation <strong>of</strong> this financial report. The going concern basis continues to be<br />
appropriate with the expected renewal <strong>of</strong> the <strong>Health</strong> Service’s bank overdraft and a letter <strong>of</strong> comfort provided by the Department <strong>of</strong> Human Services<br />
to continue to support the operations <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has been received.<br />
(ad) Net result Before Capital and Specific Items<br />
The subtotal entitled ‘Net Result Before Capital and specific Items’ is included in the Operating Statement to enhance the understanding <strong>of</strong> the<br />
financial performance <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>. This subtotal reports the result excluding items such as capital grants, assets received or provided<br />
free <strong>of</strong> charge, depreciation, and items <strong>of</strong> unusual nature and amount such as specific revenues and expenses. The exclusion <strong>of</strong> these items are<br />
made to enhance matching <strong>of</strong> income and expenses so as to facilitate the comparability and consistency <strong>of</strong> results between years and Victorian<br />
Public <strong>Health</strong> Services. The net result before Capital and Specific Items is used by the management <strong>of</strong> <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>, the Department <strong>of</strong><br />
Human Services and the Victorian Government to measure the ongoing result <strong>of</strong> <strong>Health</strong> Services in operating hospital services.<br />
Capital and Specific items, which are excluded from this sub-total, comprise:<br />
Capital purpose income, which comprises all tied grants, donations and bequests received for the purpose <strong>of</strong> acquiring non-current assets, such<br />
as capital works, plant and equipment or intangible assets. It also includes donations <strong>of</strong> plant and equipment (refer Note 1 (m)). Consequently the<br />
recognition <strong>of</strong> revenue as capital purpose income is based on the intention <strong>of</strong> the provider <strong>of</strong> the revenue at the time the revenue is provided.<br />
Specific income/expense, comprises the following items, where material:<br />
- Diagnostic Imaging<br />
- Sea View House<br />
- Meals on Wheels<br />
- Dental Clinic<br />
- Palliative Care<br />
- Catering<br />
- Fundraising and Community Support<br />
Depreciation and Amortisation, as described in Note 3<br />
Assets provided free <strong>of</strong> charge, as described in Note 2e<br />
Expenditure using capital purpose income, which comprises expenditure which either falls below the asset capitalisation threshold (Note 1 (g),<br />
or doesn’t meet asset recognition criteria and therefore does not result in the recognition <strong>of</strong> an asset in the balance sheet, where funding for that<br />
expenditure is from capital purpose income.<br />
(ae) Category Groups<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has used the following category groups for reporting purposes for the current and previous financial years.<br />
Admitted Patient Services (Admitted Patients) comprises all recurrent health revenue/expenditure on admitted patient services, where services are<br />
delivered in public hospitals, or free standing day hospital facilities, or palliative care facilities, or rehabilitation facilities, or alcohol and drug treatment<br />
units or hospital specialising in dental services, hearing and ophthalmic aids.<br />
Outpatient Services (Outpatients) comprises all recurrent health revenue/expenditure on public hospital type outpatient services, where services<br />
are delivered in public hospital outpatient clinics, or free standing day hospital facilities, or alcohol and drug treatment units, or outpatient clinics<br />
specialising in ophthalmic aids or palliative care.<br />
Emergency Department Services (EDS) comprises all recurrent health revenue/expenditure on emergency department services that are available<br />
free <strong>of</strong> charge to public patients.<br />
52 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
Aged Care comprises revenue/expenditure from Home and Community Care (HACC) programs, allied health, Aged Care Assessment and<br />
support services.<br />
Primary <strong>Health</strong> comprises revenue/expenditure for Community <strong>Health</strong> Services including health promotion and counselling, physiotherapy,<br />
speech therapy, podiatry and occupational therapy.<br />
Residential Aged Care including Mental <strong>Health</strong> (RAC incl. Mental <strong>Health</strong>) referred to in the past as psychogeriatric residential services, comprises<br />
those Commonwealth-licensed residential aged care services in receipt <strong>of</strong> supplementary funding from DHS under the mental health program.<br />
It excludes all other residential services funded under the mental health program, such as mental health funded community care units (CCUs)<br />
and secure extended care units (SECs)<br />
Other Services excluded from Australian <strong>Health</strong> Care Agreement (AHCA) (Other) comprises revenue/expenditure for services not separately<br />
classified above, including: Public health services including Laboratory testing, Blood Borne Viruses, Sexually Transmitted Infections clinical<br />
services, Kooris Liaison Officers, immunisation and screening services, Drugs services including drug withdrawal, counselling and the needle<br />
and syringe program, Dental <strong>Health</strong> services including general and specialist dental care, school dental services and clinical education, Disability<br />
services including aids and equipment and flexible support packages to people with a disability, Community Care programs including sexual<br />
assault support, early parenting services, parenting assessment and skills development, and various support services. <strong>Health</strong> and Community<br />
Initiatives also falls in this category group.<br />
(af)<br />
New Accounting Standards and Interpretations<br />
Certain new accounting standards and interpretations have been published that are not mandatory for 30 June <strong>2007</strong> reporting period.<br />
As at 30 June <strong>2007</strong>, the following standards and interpretations had been issued but were not mandatory for financial years ending 30 June <strong>2007</strong>.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has not and does not intend to adopt these standards early.<br />
Standard/ Interpretation<br />
Summary<br />
Applicable for<br />
<strong>Report</strong>ing periods<br />
beginning on or<br />
ending on<br />
Impact on <strong>Health</strong> Services<br />
<strong>Annual</strong> Statements<br />
AASB7<br />
Financial Instruments:<br />
Disclosures<br />
New standard replacing disclosure<br />
requirements <strong>of</strong> AASB132<br />
Beginning<br />
1 Jan <strong>2007</strong><br />
AASB7 is a disclosure standard<br />
so will have no direct impact<br />
on the amounts included<br />
in <strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s<br />
financial statements. However<br />
the amendments will result<br />
in changes to the financial<br />
instrument disclosures included<br />
in the annual report.<br />
AASB 2005-10 Amendments<br />
to Aust. Accounting Standards<br />
(AASB’s 132, 101, 114, 117,<br />
133, 139, 1, 4, 1023 & 1038)<br />
Amendments arising from the release<br />
in Aug 05 <strong>of</strong> AASB7 Financial Instruments:<br />
Disclosures.<br />
Beginning<br />
1 Jan <strong>2007</strong><br />
Amendments may result<br />
in changes to the financial<br />
statements.<br />
AASB101 Presentation <strong>of</strong><br />
Financial Statements (revised)<br />
Removes Australian specific requirements<br />
from AASB 101, including the Aust<br />
illustrative formats <strong>of</strong> the income statement,<br />
balance sheet, and the statement <strong>of</strong><br />
changes in equity which <strong>Health</strong> Services<br />
were previously ‘encouraged’ to adopt<br />
in their financial statements.<br />
Beginning<br />
1 Jan <strong>2007</strong><br />
Amendments may result<br />
in changes to the financial<br />
statements.<br />
AASB <strong>2007</strong>-1 Amendments<br />
to Australian Accounting<br />
Standards arising from AASB<br />
Interpretation 22 (AASB 2)<br />
Additional paragraphs added underneath<br />
transitional payments.<br />
1 Mar <strong>2007</strong><br />
Amendments may result<br />
in changes to financial<br />
statements.<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 53
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 2: REVENUE HSA Non HSA Total<br />
2006-07 2006-07 2006-07<br />
Revenue from Operating Activities $’000 $’000 $’000<br />
Government Grants:<br />
- Department <strong>of</strong> Human Services 17,547 - 17,547<br />
- Dental <strong>Health</strong> Services Victoria 465 - 465<br />
- State Government - Other 298 - 298<br />
- Commonwealth Government 418 - 418<br />
- Residential Aged Care Subsidy<br />
Indirect Contributions by Department <strong>of</strong> Human Services 576 20 596<br />
Patient & Resident Fees (refer note 2c) 2,029 35 2,064<br />
Other Revenue from Operating Activities - 164 164<br />
Sub-Total Revenue from Operating Activities 21,333 219 21,552<br />
Revenue from Non-Operating Activities<br />
Diagnostic Imaging - 1,129 1,129<br />
Supported Residential service - 1,725 1,725<br />
Meals on Wheels - 112 112<br />
Sub-Total Revenue from Non-Operating Activities - 2,966 2,966<br />
Revenue from Capital Purpose Income<br />
State Government Capital Grants<br />
- Targeted Capital Works and Equipment 42 - 42<br />
Commonwealth Government Capital Grants - - -<br />
Assets Received Free <strong>of</strong> Charge (refer note 2e) - - -<br />
Donations & Bequests - 1,917 1,917<br />
Capital Interest - 13 13<br />
Sub-Total Revenue from Capital Purpose Income 42 1,930 1,972<br />
Total Revenue 21,375 5,115 26,490<br />
Indirect Contributions by Human Services<br />
Department <strong>of</strong> Human Services makes certain payments on behalf <strong>of</strong> the organisation. These amounts have been brought to account in determining<br />
the operating result for the year by recording them as revenue and expenses<br />
NOTE 2A: ANALYSIS OF REVENUE BY SOURCE Admitted Aged Primary Other Total<br />
Patients Care <strong>Health</strong><br />
<strong>2007</strong> <strong>2007</strong> <strong>2007</strong> <strong>2007</strong> <strong>2007</strong><br />
Revenue from Services Supported by <strong>Health</strong> Services Agreement $’000 $’000 $’000 $’000 $’000<br />
Government Grants<br />
- Department <strong>of</strong> Human Services 15,928 140 1,525 252 17,845<br />
- Dental <strong>Health</strong> Services Victoria - - - 465 465<br />
- Commonwealth Government - 418 - - 418<br />
Indirect Contributions by Human Services<br />
- Insurance 498 62 25 17 602<br />
- Long Service Leave 51 - - - 51<br />
Patient & Resident Fees (refer note 2c) 285 1,686 58 35 2,064<br />
Interest - - - 43 43<br />
Pharmacy Services - - - 18 18<br />
Other - - - 23 23<br />
Sub-Total Revenue from Services Supported by <strong>Health</strong><br />
Services Agreement 16,762 2,306 1,608 853 21,529<br />
Revenue from Services Supported by Hospital and Community Initiatives<br />
Private Practice and Other Patient Activities<br />
Business Units<br />
- Diagnostic Imaging - - - 1,129 1,129<br />
- Supported Residential service - - - 1,725 1,725<br />
- Meals on Wheels - - - 112 112<br />
Other Activities -<br />
Capital Purpose Income - - - 55 55<br />
Assets Received Free <strong>of</strong> Charge - - - - -<br />
Donations and Bequests - - - 1,917 1,917<br />
Net Gain/(Loss) on Disposal <strong>of</strong> Non-Current Assets (refer note 2d) - - - 23 23<br />
Sub-Total Revenue from Services Supported by Hospital<br />
and Community Initiatives - - - 4,961 4,883<br />
Total Revenue from Operations 16,762 2,306 1,608 5,814 26,490<br />
54 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 2: REVENUE (continued) HSA Non HSA Total<br />
2005-06 2005-06 2005-06<br />
Revenue from Operating Activities $’000 $’000 $’000<br />
Government Grants:<br />
- Department <strong>of</strong> Human Services 17,745 - 17,745<br />
- Dental <strong>Health</strong> Services Victoria 354 - 354<br />
- State Government - Other 322 - 322<br />
- Commonwealth Government 316 - 316<br />
- Residential Aged Care Subsidy<br />
Indirect Contributions by Department <strong>of</strong> Human Services 488 20 508<br />
Patient & Resident Fees (refer note 2c) 1,983 33 2,016<br />
Other Revenue from Operating Activities - 288 288<br />
Sub-Total Revenue from Operating Activities 21,208 341 21,549<br />
Revenue from Non-Operating Activities<br />
Diagnostic Imaging - 1,095 1,095<br />
Supported Residential service - 1,690 1,690<br />
Meals on Wheels - 155 155<br />
Sub-Total Revenue from Non-Operating Activities - 2,940 2,940<br />
Revenue from Capital Purpose Income<br />
State Government Capital Grants<br />
- Targeted Capital Works and Equipment 93 - 93<br />
Commonwealth Government Capital Grants - - -<br />
Assets Received Free <strong>of</strong> Charge (refer note 2e) - 6 6<br />
Donations & Bequests - 30 30<br />
Capital Interest - 18 18<br />
Sub-Total Revenue from Capital Purpose Income 93 54 147<br />
Total Revenue 21,301 3,335 24,636<br />
Indirect Contributions by Human Services<br />
Department <strong>of</strong> Human Services makes certain payments on behalf <strong>of</strong> the organisation. These amounts have been brought to account<br />
in determining the operating result for the year by recording them as revenue and expenses<br />
NOTE 2A: ANALYSIS OF REVENUE BY SOURCE (continued) Admitted Aged Primary Other Total<br />
Patients Care <strong>Health</strong><br />
Revenue from Services Supported by <strong>Health</strong> 2006 2006 2006 2006 2006<br />
Services Agreement $’000 $’000 $’000 $’000 $’000<br />
Government Grants<br />
- Department <strong>of</strong> Human Services 16,198 - 1,459 410 18,067<br />
- Dental <strong>Health</strong> Services Victoria - - - 354 354<br />
- Commonwealth Government - 398 - - 398<br />
Indirect Contributions by Human Services<br />
- Insurance 443 41 18 6 508<br />
- Long Service Leave 46 - - - 46<br />
Patient & Resident Fees (refer note 2c) 297 1,634 54 31 2,016<br />
Interest - - - 18 18<br />
Pharmacy Services - - - 14 14<br />
Other - - - 146 146<br />
Sub-Total Revenue from Services Supported by <strong>Health</strong><br />
Services Agreement 16,984 2,073 1,531 979 21,567<br />
Revenue from Services Supported by Hospital and Community Initiatives<br />
Private Practice and Other Patient Activities<br />
Business Units<br />
- Diagnostic Imaging - - - 1,095 1,095<br />
- Supported Residential service - - - 1,690 1,690<br />
- Meals on Wheels - - - 155 155<br />
Other Activities<br />
Capital Purpose Income - - - 93 93<br />
Assets Received Free <strong>of</strong> Charge - - - 6 6<br />
Donations and Bequests - - - 30 30<br />
Sub-Total Revenue from Services Supported by Hospital<br />
and Community Initiatives - - - 3,069 3,069<br />
Total Revenue from Operations 16,984 2,073 1,531 4,048 24,636<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 55
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 2B: ANALYSIS OF EXPENSES BY SOURCE<br />
Admitted Aged Primary Other<br />
Patients Care <strong>Health</strong><br />
<strong>2007</strong> <strong>2007</strong> <strong>2007</strong> <strong>2007</strong> 2006-07<br />
Services Supported by <strong>Health</strong> Services Agreement $’000 $’000 $’000 $’000 $’000<br />
Employee Benefits<br />
Salaries and Wages 10,668 1,692 1,389 787 14,536<br />
WorkCover 150 61 42 14 267<br />
Long Service Leave 124 42 21 19 206<br />
Superannuation (refer Note 22) 1,059 135 115 48 1,357<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers 1,358 - - 58 1,416<br />
Supplies and Consumables<br />
Drug Supplies 401 16 - - 417<br />
Medical, Surgical Supplies and Prosthesis 697 24 21 14 756<br />
Food Supplies 236 61 12 5 314<br />
Other Expenses<br />
Domestic Services & Supplies 261 45 3 - 309<br />
Fuel, Light, Power & Water 192 25 34 35 286<br />
Insurance Costs funded by DHS 498 62 25 11 596<br />
Motor Vehicle Expenses 98 - - - 98<br />
Repairs and Maintenance 445 58 29 - 532<br />
Maintenance Contracts 185 - - - 185<br />
Patient Transport 131 - - - 131<br />
Lease Expenses 7 - - - 7<br />
Other administrative expenses 231 65 48 163 507<br />
Sub Total Expenses from Services Supported by<br />
<strong>Health</strong> Services Agreement 16,741 2,286 1,739 1,154 21,920<br />
Services Supported by Hospital and Community Initiatives<br />
Employee Benefits<br />
Salaries and Wages - - - 1,713 1,713<br />
WorkCover - - - 35 35<br />
Long Service Leave - - - 7 7<br />
Superannuation (refer Note 22) - - - 165 165<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers - - - 849 849<br />
Supplies and Consumables<br />
Medical and Surgical Supplies - - - 266 266<br />
Food Supplies - - - 198 198<br />
Other Expenses<br />
Domestic Services - - - 21 21<br />
Repairs and Maintenance - - - 105 105<br />
Administrative Expenses - - - 131 131<br />
Sub-Total Services supported by Hospital<br />
and Community Initiatives - - - 3,490 3,490<br />
Depreciation and Amortisation (refer Note 3) 835 218 92 224 1,369<br />
Impairment <strong>of</strong> Non-Current Assets<br />
Audit Fees<br />
Auditor General’s (refer Note 23 ) - - - 11 11<br />
Finance Costs (refer Note 4) 18 - - 109 127<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures - - - 82 82<br />
for using Equity Model (refer Note 7)<br />
Net Gain/(Loss) on Disposal <strong>of</strong> Non-Current Assets (refer note 2d) - - - - -<br />
Total Expenses 17,594 2,504 1,831 5,070 26,999<br />
56 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 2B: ANALYSIS OF EXPENSES BY SOURCE (continued)<br />
Admitted Aged Primary Other<br />
Patients Care <strong>Health</strong><br />
2006 2006 2006 2006 2005-06<br />
Services Supported by <strong>Health</strong> Services Agreement $’000 $’000 $’000 $’000 $’000<br />
Employee Benefits<br />
Salaries and Wages 9,981 1,406 1,395 134 12,916<br />
WorkCover 154 43 35 11 243<br />
Long Service Leave 118 55 12 26 211<br />
Superannuation (refer Note 22) 1,070 125 120 33 1,348<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers 1,659 - - 41 1,700<br />
Supplies and Consumables<br />
Drug Supplies 405 19 - - 424<br />
Medical, Surgical Supplies and Prosthesis 1,024 33 38 28 1,123<br />
Food Supplies 223 55 10 - 288<br />
Other Expenses<br />
Domestic Services & Supplies 241 41 2 - 284<br />
Fuel, Light, Power & Water 178 19 29 29 255<br />
Insurance Costs funded by DHS 443 41 14 10 508<br />
Motor Vehicle Expenses 105 - - - 105<br />
Repairs and Maintenance 449 51 24 - 524<br />
Maintenance Contracts 178 - - - 178<br />
Patient Transport 124 - - - 124<br />
Lease Expenses 6 - - - 6<br />
Other administrative expenses 327 48 38 325 738<br />
Sub Total Expenses from Services Supported by<br />
<strong>Health</strong> Services Agreement 16,685 1,936 1,717 637 20,975<br />
Services Supported by Hospital and Community Initiatives<br />
Employee Benefits<br />
Salaries and Wages - - - 1,560 1,560<br />
WorkCover - - - 32 32<br />
Long Service Leave - - - 19 19<br />
Superannuation (refer Note 22) - - - 149 149<br />
Non Salary Labour costs<br />
Fees for Visiting Medical Officers - - - 814 814<br />
Supplies and Consumables<br />
Medical and Surgical Supplies - - - 365 365<br />
Food Supplies - - - 194 194<br />
Other Expenses<br />
Domestic Services - - - 15 15<br />
Repairs and Maintenance - - - 92 92<br />
Administrative Expenses - - - 137 137<br />
Sub-Total Services supported by Hospital<br />
and Community Initiatives - - - 3,377 3,377<br />
Depreciation and Amortisation (refer Note 3) 956 225 96 313 1,590<br />
Impairment <strong>of</strong> Non-Current Assets<br />
Audit Fees<br />
Auditor General’s (refer Note 23 ) - - - 11 11<br />
Finance Costs (refer Note 4) 14 - - 96 110<br />
Share <strong>of</strong> Net Result <strong>of</strong> Associates & Joint Ventures - - - 35 35<br />
for using Equity Model (refer Note 7)<br />
Net Gain/(Loss) on Disposal <strong>of</strong> Non-Current Assets (refer Note 2d) - - - 3 3<br />
Total Expenses 17,655 2,161 1,813 4,472 26,101<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 57
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 2C: PATIENT AND RESIDENT FEES<br />
Total<br />
Total<br />
Patient and Resident Fees Raised: 2006-07 2005-06<br />
Recurrent $’000 $’000<br />
Acute<br />
- Inpatients 285 297<br />
- Outpatient 58 54<br />
Residential Aged Care<br />
- Residential Accommodation Payments 1,686 1,634<br />
- Other 35 31<br />
Total 2,064 2,016<br />
NOTE 2D: NET GAIN /(LOSS) ON DISPOSAL OF NON CURRENT ASSETS<br />
2006-07 2005-06<br />
$’000 $’000<br />
Proceeds from Disposals <strong>of</strong> Non-Current Assets<br />
- Motor Vehicles 33 19<br />
Less: Written Down Value <strong>of</strong> Non-Current Assets Sold<br />
- Motor Vehicles (10) (22)<br />
Net gain/(Loss) on disposal <strong>of</strong> Non-Current Assets 23 (3)<br />
NOTE 2E: ASSETS RECEIVED FREE OF CHARGE OR FOR NOMINAL CONSIDERATION<br />
BY HOSPITAL AND COMMUNITY INITIATIVES<br />
During the reporting period, the fair value <strong>of</strong> assets received 2006-07 2005-06<br />
free <strong>of</strong> charge, was as follows: $’000 $’000<br />
Medical Equipment - 6<br />
Total - 6<br />
NOTE 2F: ANALYSIS OF EXPENSES BY INTERNAL AND RESTRICTED SPECIFIC PURPOSE FUNDS<br />
FOR SERVICES SUPPORTED BY HOSPITAL AND COMMUNITY INITIATIVES<br />
2006-07 2005-06<br />
$’000 $’000<br />
Private Practice and Other Patient Activities<br />
Diagnostic Imaging 1,129 1,095<br />
Sea View House 1,725 1,570<br />
Meals on Wheels 112 124<br />
Dental Clinic 365 335<br />
Palliative Care 54 52<br />
Catering 38 41<br />
Other Activities:<br />
Fundraising and Community Support 25 21<br />
Total 3,448 3,238<br />
58 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 3: DEPRECIATION AND AMORTISATION<br />
2006-07 2005-06<br />
$’000 $’000<br />
Depreciation:<br />
Buildings 575 574<br />
Plant & Equipment 419 447<br />
Medical Equipment 171 186<br />
Computer Equipment 49 228<br />
Motor Vehicles 93 87<br />
Other Equipment 62 68<br />
Total Depreciation Expenses 1,369 1,590<br />
NOTE 4: FINANCE COSTS 2006-07 2005-06<br />
$’000 $’000<br />
Interest on Borrowings - Short Term 127 110<br />
Total Finance Costs 127 110<br />
NOTE 5: CASH AND CASH EQUIVALENTS<br />
For the purposes <strong>of</strong> the Cash Flow Statement, cash assets includes cash on hand and in banks,<br />
and short term deposits which are readily convertible to cash on hand, and are subject to an<br />
insignificant risk <strong>of</strong> change in value, net <strong>of</strong> outstanding bank overdrafts.<br />
2006-07 2005-06<br />
$’000 $’000<br />
Cash at Bank 121 933<br />
Bank Overdraft (230) -<br />
Short Term Money Market 2,706 -<br />
Total 2,597 933<br />
Represented by:<br />
Cash for <strong>Health</strong> Service Operations (as per Cash Flow Statement)<br />
- Cash at Bank 121 933<br />
- Bank Overdraft (230) -<br />
- Short Term Money Market 2,706 -<br />
Total 2,597 933<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 59
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 6: FINANCIAL INSTRUMENTS<br />
(a) Interest Rate Risk Exposure<br />
The Hospital’s exposure to interest rate risk and effective weighted average interest rate by maturity periods is set out in the following timetable.<br />
For interest rates applicable to each class <strong>of</strong> asset or liability refer to individual notes to the financial statements. Exposure arises predominantly<br />
from assets and liabilities bearing variable interest rates.<br />
Weighted Fixed Interest Rate Non<br />
Interest Rate Exposure as at 30/6/<strong>2007</strong> Average Interest Floating 1 Year Over Over Over Over Over Interest<br />
Rates Interest or Less 1 to 2 2 to 3 3 to 4 4 to 5 5 Bearing 2006-07<br />
Rate years years years years years<br />
% $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Financial Assets<br />
Cash Assets 2.5% 2,597 - - - - - - 2,597<br />
Receivables - - - - - - - 951 951<br />
Other Assets 2.4% 203 - - - - - - 203<br />
Total Financial Assets 2,800 - - - - - - 951 3,751<br />
Financial Liabilities<br />
Payables - - - - - - - 2,724 2,724<br />
Borrowings:<br />
- Treasury Corporation Victoria 3.8% - 171 171 171 171 171 752 1,607<br />
Total Financial Liabilities - 171 171 171 171 171 752 2,724 4,331<br />
Net Financial Assets and Liabilities 2,800 (171) (171) (171) (171) (171) (752) (1,773) (580)<br />
Weighted Fixed Interest Rate Non<br />
Interest Rate Exposure as at 30/6/2006 Average Interest Floating 1 Year Over Over Over Over Over Interest<br />
Rates Interest or Less 1 to 2 2 to 3 3 to 4 4 to 5 5 Bearing 2005-06<br />
Rate years years years years years<br />
% $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Financial Assets<br />
Cash Assets 2.5% 933 - - - - - - - 933<br />
Receivables - - - - - - - 1,375 1,375<br />
Other Assets 2.4% 217 - - - - - - - 217<br />
Total Financial Assets 1,150 - - - - - - 1,375 2,525<br />
Financial Liabilities<br />
Payables - - - - - - - 1,363 1,363<br />
Borrowings:<br />
- Treasury Corporation Victoria 3.8% - 171 171 171 171 171 935 1,790<br />
Total Financial Liabilities - 171 171 171 171 171 935 1,363 3,153<br />
Net Financial Assets and Liabilities 1,150 (171) (171) (171) (171) (171) (935) 12 (628)<br />
(b) Credit Risk Exposure<br />
Credit risk represents the loss that would be recognised if counterparties fail to meet their obligations under the respective contracts at maturity. The credit risk on financial<br />
assets <strong>of</strong> the entity have been recognised on the statement <strong>of</strong> financial position, as the carrying amount, net any provisions for doubtful debts.<br />
60 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
(c) Net Fair Value <strong>of</strong> Financial Assets and Liabilities<br />
The carrying amount <strong>of</strong> financial assets and liabilities contained within these financial statements is representative <strong>of</strong> the net fair value <strong>of</strong> each financial asset or liability.<br />
2006-07 2005-06<br />
Net Fair Value Book Net Fair Book Net Fair<br />
Value Value Value Value<br />
$’000 $’000 $’000 $’000<br />
Financial Assets<br />
Cash at Bank 2,597 2,597 933 933<br />
Trade Debtors 951 951 1,375 1,375<br />
Other Assets 203 203 217 217<br />
Total Financial Assets 3,751 3,751 2,525 2,525<br />
Financial Liabilities<br />
Payables 2,724 2,724 1,363 1,363<br />
Borrowing:<br />
- Treasury Corporation Victoria - Current 171 171 171 171<br />
- Treasury Corporation Victoria - Non-Current 1,436 1,436 1,619 1,619<br />
Total Financial Liabilities 4,331 4,331 3,153 3,153<br />
*Net fair values are capital amounts<br />
Net fair values <strong>of</strong> financial instruments are determined on the following basis:<br />
1. Cash, deposit investments, cash equivalents and non-interest bearing financial assets and liabilities (trade debtors, other receivables, trade creditors<br />
and advances) are valued at cost which approximates net fair value.<br />
2. Interest Bearing Liabilities amounts are based on the present value <strong>of</strong> expected future cash flows, discounted at current market interest rates,<br />
quoted for trade (Treasury Corporation <strong>of</strong> Victoria)<br />
NOTE 7: INVESTMENTS ACCOUNTED FOR USING THE EQUITY METHOD<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Investment in Jointly Controlled Entities 142 225<br />
Total 142 225<br />
Principal Country <strong>of</strong> Ownership Interest Published Fair Value<br />
Activity Incorporation<br />
<strong>2007</strong> 2006 <strong>2007</strong> 2006<br />
% % $’000 $’000<br />
<strong>South</strong> <strong>West</strong> <strong>Alliance</strong> <strong>of</strong> Rural Hospitals (SWARH) Information Australia 10.65 10.65 142 225<br />
Technology<br />
The voting power <strong>of</strong> all partners in the Joint Venture are the same.<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Share <strong>of</strong> Jointly Controlled Entities loss 82 35<br />
Total 82 35<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 61
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 7: INVESTMENTS ACCOUNTED FOR USING THE EQUITY METHOD (continued)<br />
JOINT VENTURE<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> has a joint venture interest <strong>of</strong> 10.65% in the <strong>South</strong> <strong>West</strong>ern <strong>Alliance</strong> <strong>of</strong> Rural <strong>Health</strong> (SWARH) whose principal activity is the<br />
implementing and processing <strong>of</strong> an information technology system and an associated telecommunication service suitable for use by each member agency.<br />
Our share <strong>of</strong> assets, liabilities and operating result is: <strong>2007</strong> 2006<br />
$’000 $’000<br />
Current Assets 84 68<br />
Non-Current Assets 280 240<br />
Share <strong>of</strong> Total Assets 364 308<br />
Current Liabilities 222 83<br />
Share <strong>of</strong> Total Liabilities 222 83<br />
Net Share <strong>of</strong> Joint Venture Assets 142 225<br />
Share <strong>of</strong> Current Year Pr<strong>of</strong>it/(Loss) (82) (35)<br />
Capital Commitments 19 59<br />
Operating Lease Commitments 15<br />
Operating Contracts Commitments 253<br />
NOTE 8: RECEIVABLES<br />
<strong>2007</strong> 2006<br />
Current $’000 $’000<br />
Patient Fees 265 215<br />
Trade Debtors 228 225<br />
Accrued Revenue - DHS - 385<br />
GST Receivable 198 128<br />
Total 691 953<br />
Less Provision for Doubtful Debts (9) (12)<br />
Total Current Receivables 682 941<br />
Non Current<br />
DHS Debtor (LSL) 269 434<br />
Total Non Current 269 434<br />
Total Receivables 951 1,375<br />
NOTE 9: OTHER FINANCIAL ASSETS<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Money Held in Trust 31 19<br />
Refundable Entrance Fees 62 109<br />
SRS Ingoing Debtors 110 89<br />
Total Other Assets 203 217<br />
NOTE 10: INVENTORY<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Pharmaceuticals - at cost 63 56<br />
Catering Supplies - at cost 14 16<br />
House Keeping Supplies - at cost 15 15<br />
Medical and Surgical Supplies - at cost 107 102<br />
Administration Stores 37 30<br />
Total Inventory 236 219<br />
62 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 11: PAYABLES<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Trade Creditors 928 707<br />
Accrued Expenses 1,723 415<br />
GST Payable 313 241<br />
Total Payables 2,964 1,363<br />
NOTE 12: INTEREST BEARING LIABILITIES<br />
<strong>2007</strong> 2006<br />
Current $’000 $’000<br />
Australian Dollar Borrowings:<br />
- Loan - Treasury Corporation Victoria 171 171<br />
Total Australian Dollar Borrowings 171 171<br />
Non-Current<br />
Australian Dollar Borrowings:<br />
- Loan - Treasury Corporation Victoria 1,436 1,619<br />
Total Australian Dollar Borrowings 1,436 1,619<br />
Total Interest Bearing Liabilities 1,607 1,790<br />
Current<br />
- Secured Long term fixed interest loan with Treasury Corporation Victoria 171 171<br />
Non-Current<br />
- Secured Long term fixed interest loan with Treasury Corporation Victoria 1,436 1,619<br />
The approved Bank Overdraft Limit is $800,000<br />
Finance Costs <strong>of</strong> the <strong>Health</strong> Service incurred during the year are accounted for as follows:<br />
Amount <strong>of</strong> finance costs recognised as expense 127 110<br />
NOTE 13: EMPLOYEE BENEFITS <strong>2007</strong> 2006<br />
$’000 $’000<br />
Current<br />
Long Service Leave<br />
- short-term benefits at nominal value 254 258<br />
- long-term benefits at present value 84 83<br />
<strong>Annual</strong> Leave<br />
- short-term benefits at nominal value 1,232 1,156<br />
- long-term benefits at present value 335 326<br />
Accrued Wages and Salaries 678 467<br />
Accrued Days Off 45 50<br />
Total Current Employee Benefits 2,628 2,340<br />
Non-Current<br />
Long Service Leave 1,917 1,928<br />
Total Non-Current Employee Benefits 1,917 1,928<br />
Movement in Long Service Leave<br />
Balance 1 July 2,269 2,167<br />
Provision made during the year 213 230<br />
Settlement made during the year (227) (128)<br />
Balance 30 June 2,255 2,269<br />
The following assumptions were adopted in measuring present value:<br />
<strong>2007</strong> 2006<br />
Weighted Average Increase in employee costs 2.8% 2.7%<br />
Weighted average Discount Rates 2.4% 2.3%<br />
Weighted Average Settlement period 12.9 12.8<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 63
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 14: OTHER LIABILITIES Total Total<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Provision for Fee Sharing 45 39<br />
Monies Held in Trust - Sea View House 62 109<br />
- Seymour Cundy Wing 31 19<br />
Other - PCP - 51<br />
Total 138 218<br />
NOTE 15: COMMITMENTS<br />
As at 30th June <strong>2007</strong>, <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> had commitments totalling $4,295,000 which includes the contribution made to<br />
<strong>South</strong> <strong>West</strong> <strong>Alliance</strong> <strong>of</strong> Rural Hospitals <strong>of</strong> which <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> is committed for a further 5 years.<br />
Not Later than Later than<br />
one year one year and<br />
not later than Total Total<br />
ten years <strong>2007</strong> 2006<br />
Capital Commitments $’000 $’000 $’000 $’000<br />
Residential Aged Care Facility and DPU 2,306 - 2,306 6,730<br />
Other - SWARH 19 - 19 59<br />
Sub-Total 2,325 - 2,325 6,789<br />
Lease Commitments<br />
Operating Lease 63 48 111 83<br />
Operating Contracts Commitments (SWARH) 252 - 252 -<br />
Sub-Total 315 48 363 83<br />
Total 2,640 48 2,688 6,872<br />
NOTE 16: EQUITY<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Accumulated Surpluses/(Deficit)<br />
Balance at Beginning <strong>of</strong> Year (3,781) (2,316)<br />
Net result for the Year (509) (1,465)<br />
Transfer to Reserves: (1,725) -<br />
Accumulated Surplus/(Deficit) at the end <strong>of</strong> the financial year (6,015) (3,781)<br />
Contributed Capital<br />
Balance at the beginning <strong>of</strong> the reporting period 27,860 25,568<br />
Capital Contributed From the Victorian Government 5,635 2,292<br />
Balance at the end <strong>of</strong> the reporting period 33,495 27,860<br />
Land and Buildings Asset Revaluation Reserve<br />
Balance at beginning <strong>of</strong> reporting period - -<br />
Revaluation Increment/(Decrement)<br />
- Land 1,630 -<br />
- Buildings 6,237 -<br />
Balance at the end <strong>of</strong> the reporting period 7,867 -<br />
Represented by:<br />
- Land 1,630 -<br />
- Buildings 6,237 -<br />
Restricted Specific Purpose Reserve<br />
7,867 -<br />
Balance at the beginning <strong>of</strong> the reporting period - -<br />
Transfer to Restricted Specific Purpose Reserve 1,725 -<br />
Balance at the end <strong>of</strong> the reporting period 1,725 -<br />
64 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 17: PROPERTY, PLANT AND EQUIPMENT <strong>2007</strong> 2006<br />
$’000 $’000<br />
At Valuation<br />
Crown Land (at <strong>2007</strong> Valuation) 4,530 2,900<br />
Total Land 4,530 2,900<br />
Buildings<br />
Buildings under Construction 7,145 1,207<br />
Buildings at Cost - 393<br />
Less Accumulated Depreciation & Impairment - 2<br />
Buildings (at <strong>2007</strong> Valuation) 27,321 22,900<br />
Less Accumulated Depreciation & Impairment - 1,718<br />
Total Buildings 34,466 22,780<br />
Plant and Equipment at Cost<br />
Plant & Equipment 6,681 6,523<br />
Less Accumulated Depreciation and Impairment 4,873 4,454<br />
Total Plant and Equipment 1,808 2,069<br />
Medical Equipment at Cost<br />
Medical Equipment 2,960 2,371<br />
Less Accumulated Depreciation and Impairment 2,075 1,905<br />
Total Medical Equipment 885 466<br />
Computers and Communication at Cost<br />
Computers and Communication 1,659 1,617<br />
Less Accumulated Depreciation and Impairment 1,581 1,532<br />
Total Computers and Communication 78 85<br />
Other Equipment at Cost<br />
Other Equipment 713 609<br />
Less Accumulated Depreciation 477 414<br />
Total Other Equipment 236 195<br />
Motor Vehicles at Cost<br />
Motor Vehicles 552 572<br />
Less Accumulated Depreciation and Impairment 358 318<br />
194 254<br />
Total Property, Plant & Equipment 42,197 28,749<br />
Reconciliation <strong>of</strong> the carrying amounts <strong>of</strong> each class <strong>of</strong> land, buildings, plant & equipment at the beginning<br />
and end <strong>of</strong> the current and previous financial year are set out below:<br />
Crown Buildings Plant & Medical Computer Other Motor Total<br />
Land Equipment Equipment Equipment Equipment Vehicles<br />
$’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Balance at 1 July 2005 2,900 22,147 2,405 610 327 246 313 28,948<br />
Additions - 1,207 254 42 87 17 44 1,651<br />
Disposals - - (143) - - - (16) (159)<br />
Adjustment on restatement <strong>of</strong> SWARH - - - - (101) - - (101)<br />
Depreciation Expense - (574) (447) (186) (228) (68) (87) (1,590)<br />
Balance at 1 July 2006 2,900 22,780 2,069 466 85 195 254 28,749<br />
Revaluation 1,630 6,237 - - - - - 7,867<br />
Additions - 6,024 158 589 42 104 41 6,958<br />
Disposals - - - - - - (8) (8)<br />
Depreciation Expense - (575) (419) (170) (49) (63) (93) (1,369)<br />
Balance at 30 June <strong>2007</strong> 4,530 34,466 1,808 885 78 236 194 42,197<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 65
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 18: LEASED ASSETS<br />
Total<br />
Total<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Cost<br />
Finance Leased Assets<br />
- Plant & Equipment - 6<br />
less Accumulated Amortisation - (6)<br />
Total Written Down Value - -<br />
Reconciliation <strong>of</strong> the carrying amounts <strong>of</strong> Leased Assets at the beginning<br />
and end <strong>of</strong> the current and previous financial year are set out below<br />
Leased Assets Leased Assets<br />
$’000 $’000<br />
Carrying amount at start <strong>of</strong> year - 4<br />
Amortisation Expense - (4)<br />
Carrying amount at end <strong>of</strong> year - -<br />
NOTE 19: RECONCILIATION OF NET RESULT FOR THE YEAR TO NET CASH INFLOW/(OUTFLOW)<br />
FROM OPERATING ACTIVITIES<br />
<strong>2007</strong> 2006<br />
$’000 $’000<br />
Net Result for the Year (509) (1,465)<br />
Depreciation 1,369 1,590<br />
Long Service Leave Expense 211 267<br />
Long Service Leave Paid (213) (221)<br />
Net Gain on Sale <strong>of</strong> Plant & Equipment (23) 3<br />
Changes in Operating Assets and Liabilities:<br />
Increase/(Decrease) in Payables 1,361 167<br />
Increase/(Decrease) in Employee Benefits 277 228<br />
Increase/(Decrease) in Other Current Liabilities (263) (97)<br />
(Increase)/Decrease in Prepayments - 11<br />
(Increase)/Decrease in Stores (17) 3<br />
(Increase)/Decrease in Receivables 259 46<br />
(Increase)/Decrease in Other Current Assets 179 (113)<br />
Net Cash Flows From Operating Activities 2,631 419<br />
66 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 20: LEASE LIABILITIES<br />
Aggregate Lease Expenditure contracted for at Balance Date. <strong>2007</strong> 2006<br />
Operating Lease $’000 $’000<br />
Not later than one year 63 55<br />
Later than 1 but not later than five years 48 28<br />
Total 111 83<br />
NOTE 21: CONTINGENT LIABILITIES/ASSETS<br />
As at balance date the Board <strong>of</strong> Management is unaware <strong>of</strong> the existence <strong>of</strong> any contingent liabilities/assets that may have a material effect<br />
on the Operating Statement as a result <strong>of</strong> any future event which may or may not happen.<br />
NOTE 22: SUPERANNUATION<br />
Superannuation contributions for the reporting period are included as part <strong>of</strong> employee benefits and on costs in the Operating Statement <strong>of</strong> the Hospital.<br />
The name and details <strong>of</strong> the major employee superannuation fund and contributions made by the Hospital are as follows:<br />
Contribution for the year <strong>2007</strong> 2006<br />
$000 $000<br />
<strong>Health</strong> Super Fund 1,522 1,497<br />
Total 1,522 1,497<br />
The bases for contributions are determined by the various schemes.<br />
The unfunded superannuation liability in respect to members <strong>of</strong> State Superannuation Schemes and <strong>Health</strong> Super Scheme is not recognised in the Balance Sheet.<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong>’s total unfunded superannuation liability in relation to these funds has been assumed by and is reflected in the financial statements <strong>of</strong> the Department<br />
<strong>of</strong> Treasury and Finance.<br />
The above amounts were measured as at 30 June <strong>of</strong> each year, or in the case <strong>of</strong> employer contributions they relate to the years ended 30 June. All employees <strong>of</strong> the agency<br />
are entitled to benefits on retirement, disability or death from the Government Employees Super Fund. This fund provides defined lump sum benefits based on years <strong>of</strong> service<br />
and annual average salary.<br />
In accordance with the Directions <strong>of</strong> the Minister for Finance under the Financial Management Act 1994, contributed income sector bodies are required to make certain<br />
disclosures regarding superannuation. Accordingly the following items are disclosed;<br />
(i) Name <strong>of</strong> the Fund - <strong>Health</strong> Super Fund<br />
(ii) Total contributions made by the Hospital to the schemes during 2006-07 were $1,522,155<br />
(iii) As at balance date there were no outstanding contributions in respect <strong>of</strong> the 2006-07 financial year;<br />
(iv) Contributions are paid in accordance with the Hospitals Superannuation Act 1988 and the State Superannuation Act 1988;<br />
(v) There were no loans made from the Hospitals Superannuation Fund to the Hospital.<br />
NOTE 23: REMUNERATION OF AUDITORS<br />
Audit fees paid to the Victorian Auditor-General’s Office<br />
for audit <strong>of</strong> the Hospitals financial report<br />
Total<br />
Total<br />
2006-07 2005-06<br />
$’000 $’000<br />
Paid as at 30 June <strong>2007</strong> 2 2<br />
Payable as at 30 June <strong>2007</strong> 9 9<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 67
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 24: SEGMENT REPORTING<br />
Hospital Hospital RACS RACS Primary Primary Other Other Total Total<br />
Care Care<br />
<strong>2007</strong> 2006 <strong>2007</strong> 2006 <strong>2007</strong> 2006 <strong>2007</strong> 2006 <strong>2007</strong> 2006<br />
$’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000 $’000<br />
Revenue<br />
External Segment Revenue 17,054 17,041 2,093 2,068 1,695 1,582 5,888 3,965 26,730 24,656<br />
Total Revenue 17,054 17,041 2,093 2,068 1,695 1,582 5,888 3,965 26,730 24,656<br />
Result<br />
Segment Result (534) (1,032) (183) (242) (204) (100) 818 36 (103) (1,338)<br />
Net Result from ordinary Activities (534) (1,032) (183) (242) (204) (100) 818 36 (103) (1,338)<br />
Interest Expense (30) (2) - - - - (97) (108) (127) (110)<br />
Interest Income 3 18 - - - - 40 - 43 18<br />
Share <strong>of</strong> Net Result <strong>of</strong> Joint Ventures (31) (29) (15) (3) (19) (1) (17) (2) (82) (35)<br />
using the Equity Model<br />
Net Result for Year (592) (1,045) (198) (245) (223) (101) 744 (74) (509) (1,465)<br />
Other Information<br />
Segment Assets 45,027 30,566 612 585 175 169 512 398 46,326 31,718<br />
Total Assets 45,027 30,566 612 585 175 169 512 398 46,326 31,718<br />
Segment Liabilities 8,586 7,305 208 195 75 51 145 88 9,014 7,639<br />
Total Liabilities 8,586 7,305 208 195 75 51 145 88 9,014 7,639<br />
Investments in associates and joint<br />
venture partnerships 130 207 8 12 3 4 1 2 142 225<br />
Acquisition <strong>of</strong> property, plant and<br />
equipment and intangible assets 1,384 1,472 5,494 45 29 58 51 76 6,958 1,651<br />
Depreciation and amortisation expense 804 956 236 225 101 96 228 313 1,369 1,590<br />
The major product/services from which the above segments derive revenue are:<br />
Business Segments<br />
Hospital<br />
Nursing Home<br />
Primary <strong>Health</strong><br />
Supported Residential Service<br />
PDH Medical Centre<br />
Services<br />
Acute <strong>Health</strong><br />
Aged Care<br />
Primary Care<br />
Supported Residential Service<br />
Medical Clinic<br />
Geographical Segment<br />
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong> operates predominantly in the <strong>South</strong> <strong>West</strong> <strong>of</strong> Victoria. All revenue, net surplus from ordinary activities and segment assets relate<br />
to operations in <strong>Portland</strong>, Victoria.<br />
68 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Notes to and forming part <strong>of</strong> the Financial Statements<br />
for the year ended 30 June <strong>2007</strong><br />
NOTE 25: VALUATION OF LAND & BUILDINGS<br />
<strong>Portland</strong> & <strong>District</strong> Hospital contracted the services <strong>of</strong> Alison McLeod AAPI from Land Link Property Group to revalue the land and buildings owned by<br />
<strong>Portland</strong> & <strong>District</strong> Hospital. Valuations were completed on 30/6/07 and totalled $4,530,000 for Land (previously $2,900,000 - 2003) and $27,321,000 for<br />
buildings (previously $22,900,000 - 2003).<br />
NOTE 26: RESPONSIBLE PERSON RELATED DISCLOSURES<br />
(a) Responsible Persons<br />
The names <strong>of</strong> persons who were Responsible Persons at any time during the financial year for the purposes <strong>of</strong> the Financial Management Act 1994 are:<br />
Mr. Greg Andrews Mrs. Merlyn Menzel Mr. Vincent Gannon<br />
Ms. Tanya Simmonds Mr. James Harpley Mr. William Collett<br />
Mr. Bruce du Vergier Mr. Mike Noske Mr. Brian Sparrow<br />
Ms. Marianne Kuljis<br />
Accountable Officer<br />
Mrs. Marie Shea (resigned 31 August <strong>2007</strong>)<br />
Mr. John O’Neill (appointed 4 July <strong>2007</strong>)<br />
Responsible Ministers<br />
The Hon. Bronwyn Pike MP<br />
(b) Remuneration <strong>of</strong> Responsible Persons<br />
The number <strong>of</strong> Responsible Officers whose total remuneration exceeded $110,000 are shown below in their relevant income Bands:<br />
<strong>2007</strong> 2006<br />
No.<br />
No.<br />
$0 - $9,999 10 10<br />
$170,000 - $179,999 1 -<br />
$160,000 - $169,999 - 1<br />
11 11<br />
(c) Amount Attributable to other transactions with Responsible persons:<br />
Total<br />
Total<br />
Responsible Person Transaction <strong>2007</strong> 2006<br />
$’000 $’000<br />
Nil<br />
(d) Executive Officer Remuneration<br />
The number <strong>of</strong> Executive Officers whose total remuneration exceeded $110,000 are shown below in their relevant income bands.<br />
<strong>2007</strong> 2006<br />
No.<br />
No.<br />
$230,000 - $239,999 1 -<br />
$220,000 - $229,999 - 1<br />
$130,000 - $139,999 1 -<br />
$120,000 - $129,999 2 -<br />
$110,000 - $119,999 - 3<br />
4 4<br />
PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07 69
<strong>Portland</strong> <strong>District</strong> <strong>Health</strong><br />
Certification<br />
BOARD MEMBERS, ACCOUNTABLE OFFICER’S AND CHIEF FINANCE<br />
AND ACCOUNTING OFFICER’S DECLARATION<br />
We certify that the attached financial statements for <strong>Portland</strong> <strong>District</strong> <strong>Health</strong> have been prepared in accordance<br />
with Standing Direction 4.2 <strong>of</strong> the Financial Management Act 1994, applicable Financial <strong>Report</strong>ing Directions,<br />
Australian Accounting Standards and other mandatory pr<strong>of</strong>essional reporting requirements.<br />
We further state that, in our opinion, the information set out in the Operating Statement, Balance Sheet, Statement<br />
<strong>of</strong> Changes in Equity, Cash Flow Statement and Notes to and Forming Part <strong>of</strong> the Financial Statements, presents<br />
fairly the financial transactions during the year ended June <strong>2007</strong> and financial position <strong>of</strong> <strong>Portland</strong> <strong>District</strong><br />
<strong>Health</strong> at 30 June <strong>2007</strong>.<br />
We are not aware <strong>of</strong> any circumstance which would render any particulars included in the financial statements<br />
to be misleading or inaccurate.<br />
Mr Greg Andrews<br />
Chairperson<br />
Mr John O’Neill<br />
Chief Executive Officer<br />
Mr. Wayne Armistead<br />
Chief Finance & Accounting Officer<br />
Dated the 28th <strong>of</strong> August <strong>2007</strong><br />
<strong>Portland</strong>, Victoria<br />
70 PORTLAND DISTRICT HEALTH • ANNUAL REPORT 06/07