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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

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