RDNS 2008 Annual Report - Royal District Nursing Service
RDNS 2008 Annual Report - Royal District Nursing Service
RDNS 2008 Annual Report - Royal District Nursing Service
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celebrating diversity
<strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong> ABN 49 052 188 717<br />
Page<br />
Contents<br />
2 Introduction<br />
3 <strong>2008</strong> at a glance<br />
3 Staff Achievement Awards – <strong>2008</strong> winners<br />
4 Chairman’s and Chief Executive Officer’s report<br />
7 Operational report<br />
12 Our clients: diversity and dignity<br />
12 Robert – Homeless Persons Program client<br />
14 Roy – home-based client<br />
16 Our nursing care: diversity in action<br />
16 Janie – wound care<br />
18 Jane – palliative care<br />
20 Our staff: diversity and dedication<br />
20 Chris – mechanic<br />
22 Jessica – registered nurse<br />
24 Our world: diversity of cultures<br />
24 Toula – client<br />
26 Daniel – nurse<br />
28 Financial summary<br />
29 Our Executive Team<br />
30 Donations received<br />
32 Facts & figures <strong>2008</strong><br />
36 Our Directors<br />
40 Corporate governance statement<br />
Patrons’ Council<br />
Dr Sally Cockburn<br />
Lady April Hamer OAM<br />
Darvell Hutchinson AM<br />
The Honourable Jeffrey Kennett AC<br />
The Honourable Joan Kirner AM<br />
Simon Molesworth AM QC<br />
Lady Primrose Potter AC DLJ<br />
Sir Gilbert Simpson KNZM QSM<br />
Dr Mano Thevathasan
Welcome to the<br />
royal district<br />
nursing service<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Thank you to our clients and staff<br />
To the clients and staff of <strong>RDNS</strong> who<br />
have so graciously participated in this<br />
<strong>Annual</strong> <strong>Report</strong>, we extend our heartfelt<br />
thanks and appreciation. Thank you for<br />
allowing us into your homes and lives<br />
and for so generously sharing your stories.<br />
Welcome <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> 1
celebrating diversity<br />
Diversity is all around us. More than ever<br />
before, our society is a rich assortment of<br />
people, customs, cultures, traditions, views<br />
and opinions. Certainly, diversity brings<br />
its challenges – it requires us to adapt, to<br />
understand, to cooperate and to change.<br />
But with diversity comes enormous rewards –<br />
new insights, understanding, experiences<br />
and progress all stem from the rich tapestry<br />
that has become the modern world.<br />
And diversity is no more evident than at<br />
<strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong>. Our clients<br />
are the embodiment of variety. Each year<br />
we care for over 30,000 people across<br />
Melbourne, drawn from every conceivable<br />
walk of life and possessing a bottomless<br />
reservoir of life experiences. We care for those<br />
who have lived a life of relative comfort to<br />
those who have battled at the margins; we<br />
tend to those needing a little help to get back<br />
on their feet and accompany others as they<br />
enter the last phase of their lives.<br />
Our staff cross all age, gender and cultural<br />
boundaries, bringing with them a rich<br />
selection of professional training, experience,<br />
skill, know-how and insight. Individually they<br />
bring comfort, hope and healing to our clients;<br />
together they form a cohesive and dedicated<br />
group of healthcare professionals.<br />
Modern Australia is the epitome of cultural<br />
diversity and the world of <strong>RDNS</strong> offers up<br />
a melting pot of cultures, customs and<br />
traditions. Our clients come from almost 150<br />
different cultures and our staff too originate<br />
from many different cultural backgrounds.<br />
But the ultimate aim is to deliver nursing<br />
care to our clients, and diversity plays a key<br />
role in meeting our responsibilities. Each<br />
nurse at <strong>RDNS</strong> enters a complex and diverse<br />
world every day. Different people, different<br />
challenges, different family dynamics, different<br />
medical conditions lie behind every door. The<br />
broad range of care delivered by our staff is<br />
testament to their skill and training and brings<br />
to clients independence, greater control and<br />
peace of mind.<br />
Diversity in all of its forms accounts for much<br />
of the richness of life. And certainly the world<br />
of <strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong> is brimming<br />
with multiple riches. This year, we salute<br />
diversity at <strong>RDNS</strong>.<br />
2 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Introduction
<strong>2008</strong> at a glance<br />
Clients visited 32,125<br />
Visits made 1,608,257<br />
Hours of care 558,646<br />
cars 592<br />
DISTANCE travelled 9.2 million km<br />
staff 1,300<br />
staff achievement awards<br />
The Staff Achievement Awards is a peer-nominated, annual awards scheme<br />
which recognises and celebrates <strong>RDNS</strong> staff members for their dedication,<br />
enthusiasm, accomplishments and contributions. The awards identify<br />
excellence in client and customer service, innovation and creative thinking.<br />
There are four award categories.<br />
The Outstanding Clinical Outcome Award<br />
Awarded to a direct care staff member who has<br />
displayed extraordinary commitment to a particular<br />
client and their condition in a way that has seen<br />
that client achieve a significant and positive<br />
clinical outcome.<br />
<strong>2008</strong> winner: Leanne Quach – <strong>RDNS</strong> Springvale<br />
The Beyond the Call of Duty Award<br />
Awarded to a staff member who has either<br />
shown repeated displays of working beyond the<br />
normal requirements of their daily role or has been<br />
responsible for an extraordinary, individual act<br />
of going ‘beyond the call of duty’ in the course<br />
of their work.<br />
<strong>2008</strong> winner: Denman Lombard<br />
Information <strong>Service</strong>s<br />
The Leadership Award<br />
Awarded to a staff member who has shown<br />
remarkable leadership, whether that leadership<br />
is of people, programs, projects or specialities.<br />
<strong>2008</strong> winner: Jaklina Michael – Cultural Liaison<br />
The Star Performer Award<br />
Awarded to a staff member who has displayed<br />
outstanding service in their field and has<br />
demonstrated integrity, professionalism, ability to<br />
draw respect from colleagues and clients/customers<br />
alike and has shown an on-going and genuine<br />
commitment to <strong>RDNS</strong> and the community we serve.<br />
<strong>2008</strong> winners: Carmel Brown – <strong>RDNS</strong> Lionsville;<br />
Laura Hyndman – <strong>RDNS</strong> Rosebud<br />
Introduction <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
3
CHAIRMAN’s and<br />
CEO’s REPORT<br />
4 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Chairman’s and Chief Executive Officer’s report
To say that the past year has been one of great activity at<br />
<strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong> would probably be a significant<br />
understatement. With a strong sense of commitment to the<br />
future, our focus has been firmly on continually improving<br />
what we currently do, responding to the growing need for<br />
community-based healthcare and pursuing the opportunities<br />
presented by a highly skilled staff using a sophisticated and<br />
leading-edge technology base.<br />
As this <strong>Annual</strong> <strong>Report</strong> amply demonstrates, our wonderful staff has<br />
continued to provide quality care to large numbers of people and<br />
their families and we have seen the bedding down of some major<br />
initiatives of recent years.<br />
Last year we spoke of the pursuit of future directions and new<br />
horizons for <strong>RDNS</strong>. Against a backdrop of rigorous public and<br />
political debate about the future of healthcare directions and the<br />
long overdue recognition of the importance of realistically funding<br />
and supporting community-based healthcare services, much is<br />
being achieved at <strong>RDNS</strong>. Considerable work has been undertaken<br />
on ways by which we might best take <strong>RDNS</strong> forward, with directors<br />
working closely with management to chart the strategic directions<br />
which we must pursue from a clinical and a business perspective.<br />
Whilst <strong>RDNS</strong> has always been – and will remain – a major<br />
Melbourne icon, we know that the future is one in which we must<br />
grow in terms of our current work and service offerings, in terms of<br />
geographic boundaries and in terms of the diversity of the people<br />
we care for.<br />
Our attention has been focussed in various ways. We have a<br />
major service planning review underway, looking at the likely<br />
demographic changes across Melbourne over the next decade<br />
and the implications for community care services. We have been<br />
actively exploring opportunities for <strong>RDNS</strong> across and beyond<br />
Victoria with a number of situations identified in which the<br />
expertise of our staff and the infrastructure of our organisation<br />
as Australia’s leading district nursing service can be effectively<br />
applied in working with others.<br />
Chairman’s and Chief Executive Officer’s report <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
5
Of particular importance this past 12 months has been the<br />
development of our Customer <strong>Service</strong> Centre (CSC) which<br />
provides an improved and consistent response to the ever growing<br />
requests for <strong>RDNS</strong>’ services. The full implementation of the CSC,<br />
achieved during this year, is an important milestone in re-shaping<br />
our organisation for the future. The pathway leading to that<br />
achievement has, at times, not been an easy one for our staff or<br />
for our clients and referrers. We are grateful for the willingness<br />
shown by so many people both across and beyond <strong>RDNS</strong> to<br />
assist in ensuring that the quality of care and support provided<br />
to our clients in their homes and communities across Melbourne<br />
remained paramount.<br />
A mid-year customer satisfaction survey gave us confidence<br />
about these changes. With a high response rate, the survey<br />
results identified exceptional results overall, exceeding industry<br />
benchmarks and demonstrating great satisfaction with client<br />
care, dealings with our field staff and with staff at the Customer<br />
<strong>Service</strong> Centre.<br />
In New Zealand we have built strong relationships with service<br />
planners, service providers and many others associated with<br />
community-based care and by year’s end had appointed our first<br />
New Zealand manager, established an office in Wellington and<br />
were well advanced in the development of a strategic alliance<br />
with a local service provider.<br />
The <strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong> Helen Macpherson Smith<br />
Institute of Community Health plays a central role in the<br />
pursuit of many of these new directions, ensuring a solid base<br />
for our delivery of clinical care and ensuring new levels of<br />
excellence in research and training across the community care<br />
sector. We are committed to further enhancing our relationships<br />
with universities and continue to develop collaborative initiatives<br />
and new opportunities.<br />
Our financial position remains strong and healthy and our<br />
financial management reporting and monitoring systems have<br />
been further developed and enhanced this year, ensuring that<br />
board directors receive timely and accurate information to<br />
fulfil their governance role.<br />
As is often remarked, it is the people at <strong>RDNS</strong> who make the<br />
organisation what it is – who make the difference – pursuing<br />
exceptional care for our clients and ensuring our systems operate<br />
efficiently and smoothly. We are privileged to work alongside such<br />
a wonderful group. But we also recognise the existence of growing<br />
workforce shortages, particularly in nursing. Our challenge is to<br />
continue to recognise and celebrate the diverse work of each and<br />
every individual, to provide the environment in which everyone at<br />
<strong>RDNS</strong> has the opportunity, desire, encouragement and support to<br />
contribute to our work, and to maintain our success in recruiting<br />
and retaining the best possible staff.<br />
An extensive number of our donors and supporters are specifically<br />
noted later in this report. Such supporters are many and varied,<br />
from large philanthropic and community organisations, to<br />
individuals who contribute a few dollars each year. We receive<br />
support from large and small businesses, and from individuals<br />
including our own staff. We want to draw attention to the<br />
important difference their support makes to what we can achieve.<br />
Whether it be funds to enable us to purchase expensive leg ulcer<br />
dressings for clients who would otherwise be unable to afford<br />
them; or tens of thousands of dollars to support a major research<br />
initiative; or support for a research master class, funds to assist us<br />
to purchase a car or provide food and nutrition for the homeless,<br />
donations to enable us to employ more nurses; or Christmas<br />
hampers for some of our needy clients, every donation to <strong>RDNS</strong><br />
makes a difference, is truly appreciated and we sincerely thank you.<br />
After 17 years of strongly supporting <strong>RDNS</strong>, the directors of the<br />
<strong>RDNS</strong> Foundation this year decided to wind up the Foundation’s<br />
operations and hand its assets to <strong>RDNS</strong>. The directors of both<br />
companies see this decision as reflecting changing corporate<br />
structures and needs, and particularly as being in the best<br />
interests of <strong>RDNS</strong> clients. Within <strong>RDNS</strong> a Charitable Trust has<br />
been established to ensure that the underpinning philosophy<br />
of the Foundation – to protect the philanthropic capital built up<br />
during over 120 years of <strong>RDNS</strong> charitable operations – continues.<br />
We thank current and past directors of the Foundation for their<br />
careful stewardship of this responsibility over the years.<br />
From our respective leadership roles, we also similarly express<br />
our gratitude to our board directors and our staff, many of whom<br />
have been engaged with <strong>RDNS</strong> for many years. In our meetings<br />
with staff across the organisation we are so frequently aware of<br />
the strong sense of dedication, caring and compassion of our<br />
staff. Our directors devote many hours each month to <strong>RDNS</strong>’<br />
work, and we acknowledge their significant contribution to<br />
making <strong>RDNS</strong> what it is today.<br />
As will be evident in reading this year’s report, we celebrate<br />
and showcase diversity: the diversity of our clients, our staff, the<br />
services we offer and the skills we apply, the diversity of those<br />
who support us in a multitude of ways, whether through referral<br />
of people to us for care, through contracting with us for services,<br />
or by donations or voluntary support.<br />
<strong>RDNS</strong> symbolises the very essence of our diverse<br />
society – its richness and its depth, its caring and its<br />
sense of community.<br />
Jillian Pappas<br />
Chairman<br />
Dan Romanis<br />
Chief Executive Officer<br />
6 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Chairman’s and Chief Executive Officer’s report
operational report<br />
1<br />
strategic objective<br />
Our people<br />
At <strong>RDNS</strong>, all staff are highly regarded and have<br />
the desire, opportunity and encouragement<br />
to contribute to exceptional client care.<br />
The year saw us take an important step forward when a four-year,<br />
<strong>RDNS</strong>-specific Collective Agreement for all award-based staff was<br />
successfully negotiated with staff and relevant unions. This has<br />
provided us with an opportunity to recognise and reward the<br />
contribution of all our staff through the provision of conditions<br />
of employment that reflect the work that they undertake. The<br />
agreement allows, for the first time at <strong>RDNS</strong>, the employment<br />
of Division 2 Registered Nurses and a new structure for the<br />
employment of Community Care Aides (previously known as<br />
Health Aides).<br />
In addition, 20 graduate nurses were appointed to the <strong>RDNS</strong><br />
Graduate Nurse Program. This welcome increase is indicative<br />
of the level of interest in community nursing.<br />
Existing staff were provided with skills and professional<br />
development through various education programs offered by<br />
the <strong>RDNS</strong> Helen Macpherson Smith Institute of Community Health,<br />
all of which contributed to the on-going cycle of improved clinical<br />
practice and better client care.<br />
As a measure of <strong>RDNS</strong>’ positive and rewarding conditions,<br />
67 staff received Long <strong>Service</strong> Awards, recognising service<br />
to <strong>RDNS</strong> of 10, 15, 20, 25 and in two cases, 30 years.<br />
In response to the tightening of the healthcare workforce and<br />
the competitive market for staff, we streamlined our on-line<br />
recruitment process to ensure a faster turnaround of candidates.<br />
Information sessions for potential candidates were launched<br />
enabling them to learn more about <strong>RDNS</strong>. Further enhancements<br />
were also made to our graduate recruitment activities. <strong>RDNS</strong><br />
managers also completed recruitment and performance<br />
management training.<br />
Media publicity focused on the achievements of <strong>RDNS</strong> nurses and<br />
the benefits of community nursing with good publicity achieved<br />
across all media. Local newspapers provided the strongest form of<br />
exposure, lending good endorsement to the importance of local<br />
community-based healthcare.<br />
Prominent involvement with industry and nursing expos continued<br />
to raise our profile and generated interest in job opportunities, new<br />
business and education and training.<br />
Operational report <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
7
2<br />
strategic<br />
objective<br />
our clinical quality<br />
<strong>RDNS</strong> delivers high quality, individualised<br />
healthcare based on best practice.<br />
The <strong>RDNS</strong> Helen Macpherson Smith Institute of Community Health<br />
continued to capitalise on its strong research capacity, undertaking<br />
a number of innovative research projects throughout the year. The<br />
aim of our research is to promote and develop evidence-based<br />
practice to improve clinical care for clients. With over 10,000 clients<br />
during the year receiving wound care from <strong>RDNS</strong>, research into<br />
best practice wound management continued to be an important<br />
area of our work. Our Clinical Leadership Groups provided expert<br />
input and leadership into research projects, education programs<br />
and enriched our evidence-based framework for clinical practice.<br />
Providing adequate resources (staff and material) for research<br />
projects remained a constant challenge. Recruiting clinical staff<br />
from the field to assist with projects has an impact on clinical staff<br />
resources. However, such opportunities add to the experience and<br />
skill development of clinical staff, provide valuable clinical support<br />
for research activities and assist in the retention of staff at <strong>RDNS</strong>.<br />
The Angior Initiative, a major research project aimed at improving<br />
the care and outcomes of clients living with chronic lower leg<br />
ulcers, was completed in <strong>2008</strong>. This initiative was funded by the<br />
Angior Family Foundation, the <strong>RDNS</strong> Foundation and the Victorian<br />
Department of Human <strong>Service</strong>s (DHS). It involved a three-pronged<br />
research study, the major component of which was a controlled<br />
trial which compared two types of antimicrobial dressing on leg<br />
ulcers. The trial was conducted in collaboration with Silver Chain<br />
<strong>Nursing</strong> Association in Western Australia. <strong>RDNS</strong> also undertook<br />
a qualitative study considering nurses’ perceived barriers to<br />
applying compression bandaging and a wound best practice<br />
education and evaluation program.<br />
Also of note during the year was the implementation of an Active<br />
<strong>Service</strong> Model Project with Banyule City Council. Funded by the<br />
Department of Human <strong>Service</strong>s, the model enhanced clients’<br />
functional capacity and independence in the management of<br />
their continence issues. The result was that the vast majority of<br />
these previously housebound clients improved the management<br />
of their continence, became more active at home and socially<br />
and required less personal care than before the project.<br />
During the year, development commenced on an on-line<br />
Cardio-Pulmonary Resuscitation (CPR) training package that will<br />
provide convenient access to this mandatory training module<br />
for our clinical staff. This is the first on-line training package to be<br />
developed by the <strong>RDNS</strong> e-learning team and key learnings will<br />
inform future work in this area of education and training.<br />
During the year, 229 complaints from consumers were received.<br />
Complaints related primarily to accessing <strong>RDNS</strong> services. In<br />
response, several process and technology improvements were<br />
implemented at the Customer <strong>Service</strong> Centre to improve the grade<br />
of service. At the time of writing it is pleasing to see a reduction in<br />
the number of these complaints.<br />
Like most healthcare organisations, we require the reporting of<br />
all incidents involving clients and staff: 558 incidents were<br />
reported for the year, which equates to one incident for every<br />
2,881 visits. The most significant issue during the year concerned<br />
the administration of medication. The challenges associated with<br />
managing client medication in the healthcare sector are well<br />
known, with medication errors contributing to 26% of hospitalrelated<br />
incidents as reported via the Australian Incident<br />
Monitoring System (2003).<br />
To help address this issue we completed a Medication<br />
Management Review Project during the year which will see<br />
new initiatives implemented across the organisation during<br />
<strong>2008</strong>–2009 to improve systems and processes for the safe<br />
administration of medication.<br />
Several papers were published and presentations delivered on<br />
this initiative, which was a runner-up in the Victorian Primary and<br />
Community Health Network Awards for Innovation and Excellence<br />
in the category of Research and Development in 2007. Most<br />
importantly, guidelines and recommendations for clinical practice<br />
have already been, and will continue to be, considered at <strong>RDNS</strong><br />
and by other health services to improve the care of, and outcomes<br />
for, people living with a lower leg ulcer.<br />
8 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Operational report
3<br />
strategic<br />
objective<br />
our growth and<br />
diversification<br />
<strong>RDNS</strong> will continue to grow and diversify the revenue<br />
base within existing and new market segments.<br />
One of the most significant developments in client care was our<br />
employment of Division 2 nurses, 12 of whom joined our nursing<br />
team in mid-<strong>2008</strong> in the provision of client care. This is the first time<br />
Division 2 nurses have been employed by <strong>RDNS</strong> and the on-going<br />
effects of this workforce change will enable us to help more clients<br />
with high care needs, boost our nursing workforce overall and<br />
address the healthcare needs of our ageing population.<br />
We achieved another first during the year – the provision of<br />
clinical placements to eight second-year medical students via<br />
the Monash University Community Based Practice Program.<br />
This program offers medical students the opportunity to<br />
understand and apply the principles of a social model of health,<br />
social justice and equity and relate these to the practice of<br />
medicine. <strong>RDNS</strong>’ participation in this program enables us to<br />
expose future doctors to community nursing and the role of<br />
interdisciplinary health teams in a community-based setting.<br />
The change in the Federal Government has provided several new<br />
opportunities for <strong>RDNS</strong>. We have worked to build relationships with<br />
our new Ministers, local Members of Parliament and individuals<br />
participating in new high-level groups such as the National Health<br />
and Hospitals Reform Commission, the National Primary Health<br />
Strategy’s External Reference Group and the Minister’s Dementia<br />
Advisory Group.<br />
We continued our participation in nine Hospital Admission<br />
Risk Program (HARP) projects, working in partnership with other<br />
health services to provide coordinated care in order to reduce<br />
presentations at hospital emergency wards.<br />
Our commitment to the on-going work of the 12 Primary Care<br />
Partnerships continued with the aim of improving the overall<br />
health and wellbeing of Melburnians by reducing the preventable<br />
use of hospital, medical and residential services through a greater<br />
emphasis on health promotion programs and by responding to<br />
the early signs of disease and/or people’s need for support.<br />
During the year we also participated in the following forums<br />
and projects, all of which aimed to improve the overall health<br />
and wellbeing of people:<br />
• Advisory Group of the <strong>Service</strong> Delivery Framework and<br />
Funding Model Review being undertaken by the Cancer<br />
and Palliative Care Unit of DHS<br />
• Alzheimer’s Australia National Cross Cultural Dementia Task Force<br />
• Commonwealth Access Points<br />
• Commonwealth’s Green Paper – Which Way Home<br />
A new approach to homelessness<br />
• Department of Health and Ageing Dementia Advisory Group<br />
• DHS Care in Your Community<br />
• DHS Because Mental Health Matters – A new focus for<br />
mental heath and wellbeing in Victoria<br />
• DVA Community <strong>Nursing</strong> & Veterans Home Care<br />
• HACC Wound Project<br />
• HACC Active <strong>Service</strong> Model<br />
• National Health & Hospitals Reform Commission<br />
• Victorian Elder Prevention Advisory Group<br />
• Victorian Health Incident Management System Project<br />
Advisory Group.<br />
This year our core Home and Community Care (HACC) funding<br />
increased by $1,571,981 (2.4%) enabling the provision of over 20,000<br />
hours of service to new clients. This increase also reflected the<br />
continuing close working relationship between <strong>RDNS</strong> and the<br />
Department of Human <strong>Service</strong>s (DHS) in addressing the healthcare<br />
needs of ageing Victorians.<br />
Our community partnership with RACV continued into a fourth<br />
year with RACV providing the funds to purchase a car for our<br />
Homeless Persons Program (HPP) outreach services. Additionally,<br />
RACV made a substantial donation to fund the cost of transporting<br />
homeless clients to medical and other appointments and to<br />
support HPP’s Food and Nutritional Support Program, which<br />
equips HPP nurses with food for certain clients.<br />
We also entered into another year of a corporate sponsorship<br />
with Telstra, who continue to be a major supporter of <strong>RDNS</strong>.<br />
A new corporate sponsorship that supports the work of our nurses<br />
in the community was achieved with our information technology<br />
supplier, Leading Solutions.<br />
Fundraising returned an outstanding result for the year of<br />
$2,378,930 which is a 26% increase from the previous year.<br />
Fundraising costs increased from 11 cents to 16 cents for every<br />
dollar raised due to the introduction of a new revenue stream from<br />
telemarketing, however it is pleasing that this cost remains below<br />
the industry standard.<br />
Operational report <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
9
In the absence of a national voice for district nursing, we continued<br />
to work with other peak bodies that could assist <strong>RDNS</strong> by speaking<br />
on behalf of district nursing. We also continued to pursue<br />
strategically significant new opportunities in line with <strong>RDNS</strong>’<br />
current core business and capability. Groundwork has been laid<br />
and relationships established in several potential new markets.<br />
Strong relationships also have been built in New Zealand which<br />
provide potential for <strong>RDNS</strong> to work with service planners and<br />
heathcare providers in New Zealand.<br />
The recent refresh program of the 1,000 mobile computer devices<br />
used by our nurses was recognised during the year with an award<br />
by the Australian Institute of Project Management in recognition<br />
of excellence in the management of a complex project. In addition,<br />
<strong>RDNS</strong>’ Homeless Persons Program was chosen as a finalist in<br />
the City of Melbourne Awards for its implementation of the<br />
‘Where the Heart Is Community Festival’.<br />
4<br />
strategic<br />
objective<br />
our efficiencies<br />
and performance<br />
The <strong>RDNS</strong> website and the intranet were both redeveloped,<br />
providing a more professional on-line environment for both<br />
the general public and staff and allowing for the introduction<br />
of a collaboration tool for the intranet, enhanced informationsharing,<br />
more staff ownership of content management and a<br />
common platform for future <strong>RDNS</strong> web systems.<br />
In summary, 2007–<strong>2008</strong> has been a year where we have<br />
sought to consolidate a number of important activities whilst<br />
steadily moving towards further growth and improvement.<br />
The challenge, as always, has been to ensure that we meet our<br />
core commitment of providing superior home-based nursing<br />
care, whilst at the same time endeavouring to grow and<br />
expand our business.<br />
Exemplary clinical care was our driving goal and ensuring<br />
that we fostered an environment for our staff that is supportive<br />
and positive remained a key foundation for performance.<br />
Certainly in the year ahead we will continue to assess our<br />
performance and explore further efficiencies and new<br />
business ventures in a fast-paced and constantly changing<br />
marketplace. We look forward to those opportunities with<br />
eagerness and enthusiasm.<br />
We will continue to improve management of our<br />
resources in order to enhance the services we provide.<br />
The new Collective Agreement has provided us with workforce<br />
flexibility that will enable us to further improve our service<br />
provision to the community. With an increasingly mobile workforce,<br />
the agreement enables our staff to support other <strong>RDNS</strong> locations<br />
in the provision of services to clients and assists us in meeting the<br />
service delivery demands and expectations of our consumers.<br />
A priority for <strong>RDNS</strong> over the last year has been the integration of<br />
the Customer <strong>Service</strong> Centre (CSC) with staff, clients, referrers and<br />
the community. The CSC provides a first line response to all our<br />
clients, health professionals and the general public.<br />
Open Disclosure principles were also introduced during the year.<br />
These principles focus on open and honest communication<br />
between clients, their family and/or carers, about an incident that<br />
may have caused harm or concern to the client. Open Disclosure<br />
supports our commitment as a leading healthcare provider to<br />
improve the quality and standards of the service we deliver.<br />
This practice will help strengthen the relationship between<br />
clients, their carers and family and our staff who care for them.<br />
During the year, an on-line exit survey tool was launched as part of<br />
our retention and recruitment strategy. This on-line tool provides<br />
us with feedback and information from staff who have resigned<br />
from <strong>RDNS</strong> that can be used to inform retention strategies. To aid<br />
staff in the ordering and management of their corporate wardrobe,<br />
we also introduced an on-line ordering system for all staff.<br />
Rosemary Hogan<br />
Executive General Manager<br />
Client <strong>Service</strong>s<br />
Stelvio Vido<br />
Executive General Manager<br />
Strategic and Support <strong>Service</strong>s<br />
10<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Operational report
Operational report <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
11
Our clients:<br />
diversity and dignity<br />
Home is where the heart is and it’s true that much of the time you<br />
will find our nurses behind closed doors in the privacy of clients’<br />
homes. But not all clients have a roof over their head and some<br />
are experiencing life in their own home for the first time.<br />
12 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our clients: diversity and dignity
obert – client, <strong>RDNS</strong> Homeless Persons Program<br />
It’s a glorious day: the sun is shining after its prolonged winter retreat<br />
and the birds have returned to the branches of newly blooming trees.<br />
They sing merrily, as if to celebrate the onset of new life. But today,<br />
their choral efforts are being challenged.<br />
On the third floor of a public housing estate in Melbourne’s inner<br />
west, a singing voice booms out of a single open window. It’s mildly<br />
gruff and recognisably male, but it holds its tune as it accompanies<br />
the latest offering from FM radio. Most noticeably, it carries an air<br />
of joy, of lightness, of hope. Like the birds, it seems to celebrate<br />
new life.<br />
The flat is small and sparsely furnished, but to its<br />
occupant Robert, it’s almost palatial: most importantly<br />
though, it’s home. After all, he explains, this is the first<br />
place he has been able to call his own in his entire<br />
life. For year after year Robert had been ‘living rough’.<br />
Sometimes it was on other people’s couches, sometimes<br />
on the streets, sometimes in the local lock-up. Most of<br />
it was spent in a dark blur of alcohol and drugs he says,<br />
in an attempt to dull the pain that he has kept locked<br />
up inside since, as a three-year old, he spent time in<br />
a boys’ home. He tells his story with painful honesty<br />
and touching politeness. He is gentle and dignified<br />
and his face, despite the years of abuse from external<br />
and internal forces, has a tenderness and warmth that<br />
betrays his history.<br />
He had little hope he says, and was destined to maintain<br />
his vicious cycle until one day, while he was ‘couch<br />
surfing’ at a block of flats in Preston, someone noticed<br />
him. That someone was Darren, from <strong>RDNS</strong>’ Homeless<br />
Persons Program, and what began as a sequence of<br />
short exchanges gradually led to a life-changing series<br />
of events.<br />
At first, Robert was wary of this stranger, explaining<br />
that no-one had taken an interest in him before.<br />
“I kept waiting for the bill!” he says with a warm<br />
chuckle. There was no bill and there was no agenda,<br />
except for Darren to ensure that Robert was linked into<br />
the support services he needed to help turn his life<br />
around. The early days were challenging: Robert needed<br />
temporary accommodation; he was badly malnourished<br />
and of his substance abuse he simply says: “There was a<br />
fair bit going into the system”. Darren helped link Robert<br />
into the relevant services, and although progress was<br />
slow to come, come it did.<br />
With disarming candour and heart-warming<br />
honesty, Robert says that it was then, once<br />
the fog had lifted a little, that he realised<br />
there was a better life than the one he had<br />
been living for over 20 years.<br />
Darren helped to educate him about his health, he<br />
reduced his drinking significantly and he had his teeth<br />
fixed, which had been in a bad state of repair. After so<br />
long, Robert felt he could smile again. But perhaps the<br />
most significant moment came when he moved into<br />
his current flat. It was here, he says, that he had one of<br />
the happiest days of his life: he received an electricity<br />
bill. “I’d never received anything with my own name and<br />
my own address on it before,” he explains, aware of the<br />
paradox of the experience.<br />
He is proud of how far he has come. He is living<br />
independently now, cooking for himself and eating<br />
more healthily. He sees “different sorts of people” socially<br />
to avoid the temptations of his former life and he enjoys<br />
gardening, often lending a helping hand in a nearby<br />
neighbour’s garden. He talks about his love of writing<br />
and he says that he’d like to work.<br />
Darren has a less prominent role in Robert’s life these<br />
days, maintaining a balance between ensuring things<br />
are going well and allowing Robert to build a life of<br />
independence. “There’s a bit of letting go,” Darren<br />
explains, ”but you don’t want anyone to become<br />
dependent. We’re not always successful; you see people<br />
fall through. But Robert, he’s a good story. A good story.”<br />
Robert makes his way into the laneway that borders<br />
his home, checking his mailbox on the way. The sun<br />
floods his face with warmth and his eyes light up as he<br />
breathes in the fresh, lightly scented air. Above him the<br />
birds of his neighbourhood launch into another cheerful<br />
chorus. Robert smiles. Yes, there is good reason to sing.<br />
Our clients: diversity and dignity <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
13
oy – <strong>RDNS</strong> home-based client<br />
The first sign that Roy is approaching is the sound of his<br />
whistling. As he makes his way in from his garden, this<br />
bright 87 year-old offers up old time tunes that celebrate<br />
a bygone era. He introduces himself with assertive<br />
friendliness; his hand shake is firm and certain.<br />
Putting his walking frame to one side, Roy sits himself down<br />
in his favourite armchair, smoothing his enviably thick head<br />
of hair as he settles in. The key to his healthy pate, he jokes,<br />
is that his father would run the clippers over his head every<br />
week when he was a boy, in the belief that it would ensure<br />
a lifetime of thick locks.<br />
Across the impressive ornamental coffee table, just one of<br />
many items collected during a lifetime of travel, Roy’s wife<br />
Pat playfully rolls her eyes at her husband. After 66 years of<br />
marriage, she is well-accustomed to his social antics and his<br />
almost endless stories. There are many tales from his time<br />
as a naval man in the war – he was stationed on board a<br />
sub-chaser – and still more from his long career as an expert<br />
witness within the judicial system. A quick survey of their<br />
bayside home indicates a love of art, sculpture and furniture.<br />
Pat laments that this is about a third of what they had before<br />
they downsized to their current home. Much of it, collected<br />
while travelling overseas every year for as long as she can<br />
remember, was given away or sold when they moved.<br />
A mild wince and shake of the head confirms that it’s a<br />
subject that still pains Pat.<br />
14 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our clients: diversity and dignity
After a number of weeks in hospital, Roy was discharged:<br />
considerably improved but with his diabetes in need of on-going<br />
attention. With no car and limited mobility, Roy and Pat were<br />
dependent on assistance from <strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong>.<br />
Amanda is Roy’s primary nurse, having attended to his diabetes<br />
care since his return home. She and her colleagues have been<br />
seeing him every day, giving him his insulin injections and<br />
keeping a close check on his blood sugar levels. There was a<br />
problem with one of his feet early on but that has been addressed.<br />
Communication with Roy’s doctors has been regular and today<br />
there is good news: Roy can cease having injections for his<br />
diabetes and return to taking tablets.<br />
Causing her more pain however is the slow healing of her hip.<br />
Broken in a household accident, it has been a long process<br />
of recovery and she is clearly annoyed that her normal levels<br />
of energy and activity have been so acutely curtailed these<br />
past weeks. Compounding issues has been the fact that Roy<br />
has also been ill. Pneumonia, infection and uncontrolled<br />
diabetes saw him admitted to hospital recently for an<br />
extended period. With Pat battling through her own medical<br />
crisis, it was a stressful and anxious time, even for these most<br />
experienced of life’s travellers.<br />
For a couple who had rarely needed assistance for<br />
anything in the past, <strong>RDNS</strong> was a comforting surprise.<br />
Pat freely admits to not previously knowing much<br />
about what nurses like Amanda and her colleagues<br />
did, but she is effusive in her praise and readily<br />
concedes that she and Roy would not have been<br />
able to manage without <strong>RDNS</strong>’ help.<br />
Much to their regret, Roy and Pat don’t travel overseas anymore –<br />
Hawaii was a favourite – but there is still plenty of life to be lived<br />
and much to be enjoyed. <strong>RDNS</strong> has helped get Roy back on his<br />
feet and Pat is looking forward to walking on hers without the<br />
aid of a walking stick. For Amanda, only three months into the job,<br />
this is what district nursing is all about: helping people like Roy<br />
and Pat maintain independent living. And for this well-travelled<br />
and dignified couple, independent living is a prize not to be<br />
given up lightly.<br />
Our clients: diversity and dignity <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
15
Our nursing care:<br />
diversity in action<br />
For every <strong>RDNS</strong> nurse, no day is the same. Different clients, different<br />
living environments, different conditions provide wonder, challenge<br />
and great reward. But within the vast array of care provided by<br />
our nurses, some staff have pursued a specific field of expertise.<br />
Some chose their field by design, others arrived almost by accident;<br />
all are single-minded in their dedication.<br />
16<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Our nursing care: diversity in action
janie – wound care<br />
For one so diminutive in physical stature, Janie Beckhouse possesses<br />
a ferocious tenacity when it comes to the battle against her clients’<br />
wounds. She speaks bluntly about being intolerant of persistent leg<br />
ulcers that won’t heal and makes no apology for untiringly pursuing<br />
a 100% success rate. It’s not possible of course, not yet at least, but<br />
that doesn’t prevent this veteran of <strong>RDNS</strong> from signing up with a<br />
daily dose of passion in her battle against one of the most common<br />
ailments affecting <strong>RDNS</strong>’ clients.<br />
Janie explains that wound care has taken off as a speciality in the<br />
last 15 years and the progress made in terms of treatments and<br />
technology have resulted in greatly increased recovery rates.<br />
As a young nurse looking to make a difference, she wanted to work<br />
in psychiatric care. She felt that this would help her to look after the<br />
‘whole person’. But it quickly became evident after a short time that<br />
<strong>RDNS</strong> would fulfil her need to care for clients holistically. That was over<br />
20 years ago and although she started life at <strong>RDNS</strong> as a general field<br />
nurse, she realised over time that many of her clients, regardless of<br />
their primary diagnosis, were suffering wounds of one sort or another.<br />
A natural student and seeker of knowledge, Janie set out on a quest<br />
to educate herself about wound care and within a short period,<br />
equipped with new learning and understanding, the opportunity<br />
arose for her to become a Clinical Nurse Consultant in wound care.<br />
It was a daunting moment but she grasped the opportunity and<br />
since then has made wound care her vocation and her passion.<br />
She spends a large part of her working life in the wound clinic at<br />
<strong>RDNS</strong>’ Rosebud site. Unlike the majority of <strong>RDNS</strong>’ work, which see<br />
nurses visiting clients in their own homes, the clinic allows clients to<br />
visit Janie at a scheduled time. Most of the clinic’s clients are receiving<br />
treatment for leg ulcers and there is a large degree of follow-up<br />
consultation for clients who have already achieved good results.<br />
She also acts as a consultant to other local healthcare providers,<br />
particularly local doctors, who refer their own patients for Janie’s<br />
expert assessment and treatment. The care she tailors for clients<br />
requires careful consideration of all of the factors that can affect<br />
healing: their lifestyle, general health, medical history, nutrition.<br />
And the state of their circulation. Blood circulation, Janie explains<br />
earnestly, is a key factor in the healing of wounds.<br />
Outside of the clinic, Janie spends considerable time informing other<br />
health service providers about <strong>RDNS</strong>’ particular expertise in wound<br />
care. It leads to a more holistic model of healthcare, she explains, and<br />
promotes good collaboration and working relationships across the<br />
Mornington Peninsula, where she is based.<br />
The rewards come thick and fast from this<br />
type of work, she enthuses. She recalls with<br />
obvious pleasure an early client who was<br />
suffering such a terrible plight with leg ulcers<br />
that she had almost become a recluse.<br />
So bad was her affliction that she would not<br />
see her family or even venture out shopping.<br />
Within three months of meeting Janie, her<br />
wounds were healed and she was on a<br />
plane for an extended family holiday.<br />
It was a pivotal moment in Janie’s career<br />
and secured her commitment to this<br />
highly specialised vocation.<br />
She loves the fact that progress<br />
in wound care is obvious and<br />
demonstrable.<br />
Clients can witness their ulcers healing, their<br />
pain reducing and their suffering retreating.<br />
It is the most satisfying aspect of what<br />
Janie does and bolsters her determination,<br />
especially on those days when certain wounds<br />
seem particularly resistant to her intervention.<br />
With a wry smile, Janie recalls that she fell<br />
into her job almost by default, her early sights<br />
set on psychiatric nursing. The look on her<br />
face as she recalls her many years as a wound<br />
specialist confirms the fact that, despite<br />
her tentative start, she is well-satisfied with<br />
the path that she took. And one gets the<br />
impression that, for all of the healing that she<br />
has helped achieve for clients on the outside,<br />
there has been plenty of inner healing as well.<br />
Our nursing care: diversity in action <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
17
JANE – palliative care<br />
Death isn’t easy. It’s confronting and arresting and disquieting, prompting<br />
questions about life, loss and meaning. But even in the shadow of death<br />
and dying, amidst its grief and pain, there is often beauty, quiet dignity<br />
and the unmistakable touch of grace. At least that’s the experience of<br />
<strong>RDNS</strong> nurse Jane Bourke, Clinical Nurse Consultant, Palliative Care.<br />
Whilst the primary charge of most of <strong>RDNS</strong>’ nurses is to restore health and<br />
ensure a better quality of life for clients, Jane’s role is located squarely in the<br />
world of dying. She acknowledges that it is not a field that many would<br />
voluntarily choose, but she is adamant that helping people with a terminal illness<br />
to prepare for the last chapter of their lives is a noble pursuit; one that affords<br />
her many moments of enormous, albeit subdued, satisfaction.<br />
She explains that it is more natural for people to die in their homes, with their<br />
loved ones close to their bed and even closer to their heart, than to die “behind<br />
closed doors in some facility.” And although her role is indelibly tinged by one<br />
of life’s most confronting inevitabilities, the job itself is varied and multi-faceted,<br />
blending a mix of clinical care, education, mentoring and support.<br />
Over half of her work involves providing nursing care to terminally ill clients<br />
to help manage their pain and distress. To achieve this is not always easy and<br />
much of her time is spent seeing clients with complex care needs. Effective pain<br />
management borders on being an art form and requires careful consideration<br />
of all of a client’s needs. In each case she says she must work in with the family<br />
dynamic, whatever that may be. In most cases she sees families do and say things<br />
that are needed; forgiveness is sought, peace is made and relationships are put<br />
right. People assume different roles and she acknowledges the privileged part<br />
she has to play in the overall situation. She maintains professional boundaries<br />
but admits it is hard not to be affected by her work.<br />
In addition to providing direct care,<br />
Jane spends a lot of time with other <strong>RDNS</strong><br />
nurses to help them better care for their<br />
own clients. She also teaches palliative<br />
care at the <strong>RDNS</strong> Institute, educating<br />
<strong>RDNS</strong> staff and other healthcare workers<br />
about this specialty area that has grown<br />
into its own in the last 15 years. She also<br />
has an active role on <strong>RDNS</strong>’ Palliative<br />
Care Clinical Leadership Group, whose<br />
task it is to pursue best practice in<br />
palliative care based on the latest<br />
research and education.<br />
It’s a cool Spring day, and as the rain<br />
lightly falls, Jane concedes that her job is<br />
emotionally demanding; there is a place<br />
for her own tears amidst those of her<br />
clients and their families, she explains.<br />
She grieves for those she cares for and<br />
those she says good-bye to with relentless<br />
regularity. But with four children of her<br />
own, she explains that most days there<br />
isn’t a lot of time to dwell too heavily.<br />
“It’s a normal human reaction to share<br />
people’s pain and to grieve for them, but<br />
when I leave work each day I have to work<br />
out what I’m going to cook for dinner,<br />
what homework needs doing.”<br />
As the late morning sun splinters the high<br />
grey cloud, Jane sums up what her job has<br />
taught her over the last 18 years. “Live in<br />
the moment,” she says. “Don’t put off what<br />
you want to do … and make the most of<br />
who you are and what you’ve got.”<br />
18<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Our nursing care: diversity in action
Our nursing care: diversity in action <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
19
Our staff:<br />
diversity and dedication<br />
When it boils down to it, <strong>RDNS</strong> is all about providing nursing<br />
and healthcare. Naturally, nurses make up the bulk of our<br />
workforce. But it is the efforts of so many different people doing<br />
very different things that allow us to fully meet our charter.<br />
20<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Our staff: diversity and dedication
chris – <strong>RDNS</strong> mechanic<br />
They say that big boys don’t cry. But one gets the<br />
feeling that if the Collingwood Football Club doesn’t<br />
make the finals, <strong>RDNS</strong>’ Chris Glitzos will need his own<br />
box of tissues.<br />
There is black and white blood running through<br />
the veins of this burly mechanic, his devotion to his<br />
football club evident at every turn. Whether it be the<br />
Collingwood diary that sits atop his desk, the huge<br />
logo that adorns his office wall or the fact that he is<br />
Collingwood’s Team Leader in the AFL Cheer Squad<br />
League, here is a man of whom Eddie McGuire<br />
would be proud (and probably is).<br />
It all started as a young boy who wanted to buck<br />
the trend: his mates barracked for Hawthorn, Chris<br />
wanted to be different. He bought a Collingwood<br />
jumper and hasn’t taken it off since. The Pies<br />
have been a part of his life for as long as he can<br />
remember. Also a part of his life since a young<br />
age has been cars. After leaving school, the<br />
young football fanatic launched into a mechanic’s<br />
apprenticeship. Soon after its completion he was<br />
working for a major rental car company. He liked<br />
the work: it was rewarding fixing cars but in time he<br />
wanted an added dimension to his vocation.<br />
An advertisement in the local paper prompted him<br />
to apply for a job at <strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong>.<br />
With hundreds of cars in the <strong>RDNS</strong> fleet, here was a<br />
steady stream of activity and the chance to work for<br />
an organisation that made a positive difference to<br />
the community. Chris applied and shortly afterwards<br />
began as one of three mechanics at <strong>RDNS</strong>. That<br />
was 18 years ago: he has received two long service<br />
awards since, one for 10 and one for 15 years of<br />
service; it seems likely that he will notch up his<br />
20-year anniversary.<br />
He’s a sensitive man, clearly moved<br />
by his experiences at <strong>RDNS</strong> and the<br />
interaction he has had with nurses and<br />
clients. His main responsibility is servicing<br />
<strong>RDNS</strong>’ massive fleet, which stands at<br />
almost 600 cars, but he also has a hand<br />
in car trade-ins and installs key safes<br />
at clients’ homes.<br />
He’s on the road a lot of the time, visiting <strong>RDNS</strong>’<br />
20 sites in his van and servicing vehicles as he<br />
goes. It can be lonely work he confesses wistfully,<br />
and these days he’s the only full-time mechanic.<br />
But it’s honest work, he says, and that’s what’s<br />
important. In his 18 years he estimates he’s serviced<br />
almost 20,000 cars. That’s a lot of grease and oil<br />
changes. He is a devoted family man, happily<br />
married for 22 years and the obviously proud father<br />
of two grown children. As a family they support<br />
their beloved Collingwood Football Club, his<br />
wife attending most games with him.<br />
As Chris lowers the hoist and anticipates<br />
Collingwood’s future challenges, it’s clear that<br />
here beats a heart of black and white. It’s also clear<br />
that within this hard-working <strong>RDNS</strong> employee<br />
beats a heart that is a loyal and faithful. And thank<br />
goodness: with over 5,000 square kilometres to<br />
cover every day there’s a lot of nurses dependent<br />
on the work of this cheerful mechanic. And a lot<br />
of Collingwood supporters.<br />
Our staff: diversity and dedication <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
21
jessica – <strong>RDNS</strong> registered nurse<br />
It was only after Jessica Booth had left <strong>RDNS</strong> for another nursing job that she<br />
realised that working at <strong>RDNS</strong> was what she really wanted to do. The bubbly<br />
nurse recalls how she thought trying something different might be a good<br />
idea. She remembers with a mild tinge of embarrassment telling her new<br />
employer that she felt she had made a mistake and wanted to return to her<br />
role at <strong>RDNS</strong>. It had only been two weeks.<br />
22 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our staff: diversity and dedication
These days she is a settled and accomplished<br />
member at one of <strong>RDNS</strong>’ largest sites and embraces<br />
her daily work with dynamic enthusiasm. An average<br />
day may involve managing multiple medications<br />
for clients with dementia, treating wounds of<br />
varying severity, providing catheter care and giving<br />
many other forms of clinical care. It’s a diverse and<br />
constantly changing world and that’s exactly what<br />
appeals to Jessica. She is bright, keen and clearly<br />
passionate about what she does, explaining what<br />
a pivotal moment of realisation that fortnight away<br />
from <strong>RDNS</strong> was. “I knew then that this is where I<br />
wanted to be and I now appreciate what I do even<br />
more,” she says.<br />
It wasn’t always like that. Jessica’s early days at<br />
<strong>RDNS</strong> were challenging and she admits that at times<br />
she felt the pressure. Not only was there the clinical<br />
care to administer, she was required to exercise<br />
her judgement and discretion at a much higher<br />
rate than she was used to. Having spent time in a<br />
hospital setting, she explains that she had become<br />
accustomed to being told what to do, rather than<br />
having to employ her own decision-making skills<br />
with incessant frequency. The first six months<br />
were the most demanding of her career but she<br />
emphasises that she was determined to overcome<br />
these early challenges, stressing that despite the<br />
new level of pressure, she prized the experience.<br />
It has made her into a better nurse, she says:<br />
more confident in her own ability and more<br />
prepared to back the expertise that has come<br />
from the combination of her studies and first-hand<br />
experience at this front line of nursing. Quite apart<br />
from the smorgasbord of clinical care that she<br />
administers, each day brings any number of other<br />
trials. There is the careful negotiation needed for<br />
clients who are non-compliant regarding their care<br />
and family dynamics throw up a constant challenge.<br />
She says that one of the real beauties of district<br />
nursing is respecting people’s right to choose.<br />
“We can never force people to do what we ask,”<br />
she says respectfully. “We can only educate and<br />
advise and we have to avoid being judgemental.”<br />
She has seen many things in her time at <strong>RDNS</strong> which<br />
underscore this ethic: from her early days working in<br />
high-rise flats to the challenges of caring for people<br />
coping with intellectual disabilities.<br />
All of it, she explains with a hint of steel in her<br />
voice, has strengthened her resolve to be the best<br />
nurse she can be. She says that the lifestyle at <strong>RDNS</strong><br />
is second to none and is still amazed that some of<br />
her old nursing friends think that district nursing<br />
isn’t as challenging as a hospital environment.<br />
Nothing could be further from the truth she<br />
emphatically declares:<br />
“Every day is different. Every day<br />
is new. Nothing is ever the same.”<br />
And after three years at <strong>RDNS</strong>, neither is Jessica.<br />
And that’s just the way she likes it.<br />
Our staff: diversity and dedication <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
23
our world:<br />
diversity of cultures<br />
The numbers say it all: <strong>RDNS</strong>’ clients come from 147 countries<br />
of origin and speak 103 different languages. It’s a rich mosaic<br />
of cultures and traditions that our nurses navigate each day.<br />
Add to that the fact that our nurses themselves come from<br />
scores of different backgrounds, and the cultural landscape<br />
is even more luxuriant.<br />
toula – <strong>RDNS</strong> client<br />
There are two things that stand out<br />
in Toula’s small apartment. The first is<br />
the television, which sits like a faithful<br />
companion in a corner of her living room.<br />
It ‘talks’ to Toula constantly, in her native<br />
Greek tongue, reminding her of her<br />
culture, heritage and history.<br />
She regards it as a friend, and like good<br />
friends, the various personalities and actors<br />
that grace the screen bring Toula a daily<br />
dose of laughter, joy and sustenance. Toula’s<br />
daughter Tanya says that having access to<br />
Greek TV is a God-send for her ageing mother,<br />
who after 50 years in Australia, still only speaks<br />
minimal English. She explains that this small,<br />
luminescent screen, with its mix of Greek<br />
game-shows, news, dramas and movies, is a<br />
comfort. “It’s her connection to her culture<br />
and that’s so important,” explains Tanya.<br />
The second thing you notice in Toula’s apartment is a small candle<br />
in the far corner of the room. It burns all day, every day, fuelled by<br />
a small pot of oil, and sits beneath a picture of the Last Supper and<br />
various other religious mementos. In broken English Toula beams<br />
that she is Greek Orthodox and Tanya confirms that faith is an<br />
important part of her life. She ‘holds God close to her’, she explains,<br />
and this delicate glowing ember serves as a reminder that in life<br />
Toula is not alone, although it is alone that she lives.<br />
It has been that way for a long time now. For 27 years she has lived<br />
in the same apartment, and has enjoyed life in the small community<br />
of which she is a part. But her life has not been easy. She was a<br />
mature-aged migrant to Australia, arriving as a 27 year-old, displaced<br />
from her homeland in the years immediately after World War II.<br />
Born in Egypt to Greek parents and forced to move from one<br />
country to another for much of her early life, she spoke no English<br />
and had little money on her arrival. But through hard work and<br />
determination, she found a job in a clothing factory, joining the<br />
large throng of post-war migrants working in the textile industry.<br />
Although these days her mind is affected by Alzheimer’s disease,<br />
this gentle Greek lady with a winsome smile recalls her early days in<br />
Australia with clarity. They were challenging times, that is obvious,<br />
and when her marriage broke down in the years to follow, there was<br />
an added level of strain in her life.<br />
24 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our world: diversity of cultures
But Tanya beams about her mother’s accomplishments, proud<br />
of the determination she had to make a life of her own and<br />
plainly protective of her as she now battles the stalking menace<br />
of Alzheimer’s. It was a devastating time when, only 12 months<br />
ago, Toula was hospitalised for an extended period following a<br />
severe breakdown due to her condition. Displaced from the familiar<br />
surroundings of her home and yearning for the security of the life<br />
she had worked so hard to build, Toula found herself in a world<br />
far more frightening than the one she had encountered as a<br />
young migrant 50 years earlier.<br />
Tanya relives the trauma of those weeks, as doctors sought to<br />
stabilise the mother she so obviously cherishes. “All she wanted<br />
to do was go home,” says Tanya reflectively. Eventually, Toula was<br />
diagnosed with Alzheimer’s, the right medicines were prescribed<br />
and her symptoms brought under control. But it was the help<br />
of <strong>RDNS</strong> that Tanya says has enabled her mother to return to her<br />
home, and her life, with a large degree of normality. Twice a day<br />
she is visited by her nurses, attending to her medication and other<br />
medical needs. Tanya says that <strong>RDNS</strong> understands not only her<br />
mother’s nursing needs but her cultural ones as well, so important<br />
to helping her once again enjoy a life of relative independence.<br />
Toula smiles serenely as she checks the candle at the centre of<br />
her domestic shrine. She has lived a life full of challenges, none<br />
more difficult than those of the last year. It is clear, as the candle<br />
casts its gentle, flickering glow, that along with her nurses, doctors<br />
and the unwavering love of her daughter, faith has played a<br />
central role throughout it all.<br />
Our world: diversity of cultures <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
25
daniel – rdns nurse<br />
The last memory that Daniel Thomas has<br />
of Mauritius is the sight of the island he had<br />
called home since birth growing smaller in<br />
the distance until gradually it faded from sight.<br />
Aboard a plane for the first time, nervous,<br />
excited and fearful all at once, the 15 year-old<br />
was on his way to a new life in Australia.<br />
26 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our world: diversity of cultures
Daniel remembers the voyage clearly,<br />
recollecting how his dominant thought<br />
at the time was: “When will I see<br />
Mauritius again” He recalls vividly his<br />
first impressions of what was to become<br />
his new home as his plane approached<br />
Melbourne’s airport: the neat, uniform<br />
boxes of the city’s outer suburbs; the vast<br />
and tangled expanse of streets; the bitter<br />
cold as the flight crew opened the doors.<br />
It was the first day of a Melbourne winter,<br />
a stark contrast to the balmy 25 degree<br />
climes of his homeland. That was 25 years<br />
ago and lamentably, this gently-spoken<br />
<strong>RDNS</strong> nurse has not set foot back in his<br />
homeland since.<br />
But his connection to his heritage is<br />
unmistakable and remains a prevailing<br />
influence in his life. He is drawn from the<br />
rich and diverse originating cultures of<br />
Mauritius; in his family is an exotic blend<br />
of Asia, France and Africa and he spoke<br />
French and Creole before moving to<br />
Australia. He still possesses a love of<br />
his native tongue and has enrolled his<br />
nine-year old daughter in French classes<br />
so that an aspect of her own tradition<br />
is maintained.<br />
It was hard for Daniel in the early days of his migration. He spoke no<br />
English and the Australian culture, whilst accepting, friendly and full of<br />
promise for him and his family, was a world away from all he had known.<br />
Buoyed by his parents’ adventurous and determined spirit, the young<br />
Mauritian remembers walking 10 kilometres to school each morning and<br />
10 kilometres home each night once the family settled in Melbourne’s outer<br />
south east. He made friends easily and together his closest mates and the<br />
masters at his school took him under their collective wing, supporting him<br />
in both his education and his efforts to integrate at the social level.<br />
His English improved quickly and upon finishing school he considered his<br />
career options, acutely aware that to make something of his young life<br />
was the least he could do for his parents, who had left their native land to<br />
provide better opportunities for the family. Inspired by his family’s farming<br />
background, he enrolled in and completed an agricultural course but soon<br />
found that within stirred the need to do more then tend the land and herd.<br />
Following the lead of his parents, both nurses, he studied nursing and after<br />
a series of nursing roles in rural Victoria and at a major Melbourne hospital,<br />
again found himself yearning for a greater sense of professional fulfilment.<br />
He acknowledges his inquisitive spirit and nomadic propensity: it was only<br />
a matter of time, he explains, before he ended up at <strong>RDNS</strong>. Here was a<br />
job where he could “get out and about” and still contribute something of<br />
supreme value to society. Community life is central to the Mauritian people<br />
and he celebrates the influence of his parents and extended family, many of<br />
whom now live in Australia, for instilling in him such attributes. He cites the<br />
fact that he can see the efforts of his work take hold in people’s lives and<br />
speaks with compassion and tenderness about helping clients and their<br />
families in the latter part of their lives.<br />
“Australia has taught me that no matter what background or culture you<br />
are, we are all the same. We all share the same concerns and vulnerabilities.<br />
This is the land of equality,” he says with quiet but certain resolve.<br />
As for returning to his homeland, he says that a trip is definitely on the<br />
agenda in the next year or two. But, true to his bohemian nature, he says<br />
that it is his adopted homeland of Australia that also holds great allure for<br />
travel. Whatever he does, it is clear that Daniel takes with him the richest<br />
aspects of the many cultures that have helped to shape his life.<br />
Our world: diversity of cultures <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
27
financial summary<br />
A copy of the full Directors’ <strong>Report</strong> and Financial Statements can be downloaded from www.rdns.com.au<br />
Income Statement<br />
for the year ended 30 June <strong>2008</strong><br />
<strong>RDNS</strong> <strong>2008</strong> <strong>RDNS</strong> 2007<br />
$ $<br />
Revenue from continuing operations 89,979,817 85,085,319<br />
Net gain / (loss) on disposal of property, plant and equipment 359,199 191,509<br />
Total revenue 90,339,016 85,276,828<br />
Total expenses 88,505,326 83,482,205<br />
Surplus from continuing operations 1,833,690 1,794,623<br />
Balance Sheet<br />
as at 30 June <strong>2008</strong><br />
<strong>RDNS</strong> <strong>2008</strong> <strong>RDNS</strong> 2007<br />
$ $<br />
Total current assets 9,540,908 6,258,972<br />
Total non-current assets 22,101,503 25,189,329<br />
Total assets 31,642,411 31,448,301<br />
Total current liabilities 19,983,931 18,773,027<br />
Total non-current liabilities 2,348,927 3,116,095<br />
Total liabilities 22,332,858 21,889,122<br />
Net assets 9,309,553 9,559,179<br />
Reserves 3,295,260 5,378,576<br />
Accumulated surplus 6,014,293 4,180,603<br />
Total equity 9,309,553 9,559,179<br />
28<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Financial summary
our executive team<br />
Dan Romanis<br />
Chief Executive Officer<br />
rosemary hogan<br />
Executive General Manager,<br />
Client <strong>Service</strong>s<br />
stelvio vido<br />
Executive General Manager,<br />
Strategic and Support <strong>Service</strong>s<br />
anthony boffa<br />
General Manager,<br />
Finance and Assets<br />
ian cash<br />
General Manager,<br />
Information <strong>Service</strong>s<br />
Lisa DONOHUE<br />
General Manager (Acting),<br />
<strong>RDNS</strong> Helen Macpherson<br />
Smith Institute of<br />
Community Health<br />
evan gordon<br />
General Manager,<br />
Marketing and Planning<br />
debra harrison<br />
General Manager,<br />
Human Resources<br />
fiona hearn<br />
General Manager / Director<br />
of <strong>Nursing</strong>, North and<br />
West Regions<br />
mark smith<br />
General Manager,<br />
External Relations<br />
martin wischer<br />
General Manager/Director<br />
of <strong>Nursing</strong>, South and<br />
East Regions<br />
Our Executive Team <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
29
Thank you!<br />
We would like to thank the individuals, philanthropic trusts<br />
and organisations listed below for their wonderful support<br />
during the past year. We also sincerely thank the many donors<br />
whose names we have been unable to list.<br />
Every gift is important.<br />
As we strive to keep pace with the demand for our<br />
services, your support is more important than ever.<br />
If you can help <strong>RDNS</strong> please send your gift today or call<br />
<strong>RDNS</strong> on (03) 9536 5222 to donate. You can also make<br />
a secure on-line donation at www.rdns.com.au<br />
Major donors – $15,000 and over<br />
Estate of William Lawrence Anderson<br />
ANZ Trustees Charitable Purposes in<br />
Victoria – Miss Ruth Watchorn Estate,<br />
VCF General Fund, Leigh & Marjorie<br />
Bronwyn Murray Trust, Alfred<br />
Edments Estate<br />
Jack Brockhoff Foundation<br />
William Buckland Foundation<br />
Estate of James Douglas Collins<br />
Marian & E H Flack Trust<br />
Estate of Irene Florence<br />
Joan Foreman<br />
Gandel Charitable Trust<br />
$10,000 – $14,999<br />
Berwick Opportunity Shop<br />
Inc<br />
Miss Leline Cairns-Lloyd<br />
Award Fund<br />
Collier Charitable Fund<br />
Honda Foundation<br />
Kimberley Foundation<br />
James N Kirby Foundation<br />
Herbert & Dorothy Lancaster<br />
Charitable Trust<br />
Flora & Frank Leith<br />
Charitable Trust<br />
Estate of Mr Franz Strazar<br />
VicHealth<br />
Estate of Mrs Jessie R Young<br />
$1,000 – $9,999<br />
Ms Janet Adams<br />
Mr Edward Anderson<br />
Andrews Foundation<br />
Angel Opportunity Shop Inc<br />
William Angliss (Vic)<br />
Charitable Fund<br />
Mrs Nola Armstrong<br />
Banyule Watsonia RSL Trust<br />
Mrs Brenda Baxter<br />
Besen Family Foundation<br />
Mrs Sheila Bignell<br />
Miss Bea Boardman<br />
Mr William Bowness<br />
Peter Brock Foundation<br />
Bryan Fund<br />
Mr Robert Butler<br />
Sylvia Caddy Charitable Trust<br />
Miss Georgina Caldwell<br />
Mr E J Camm<br />
Caulfield Voluntary<br />
Opportunity Shop<br />
Mrs Nora Cayley<br />
Cheltenham Golf Club –<br />
Lady Members<br />
Estate of Lois Mary Child<br />
Mr Alan Cohn<br />
Combined Charities<br />
Christmas Shop<br />
Commonwealth Bank<br />
Australia Home Loan<br />
Processing Centre Staff<br />
Mrs R E Costello<br />
Mr John Covell<br />
Dr Nancy Cowling<br />
Ms Gael Danaher<br />
John & Ina Davey Trust Fund<br />
Mrs Eileen Davies<br />
Mr G Davies<br />
Ms Margaret Dean<br />
Miss Valerie Douglas<br />
Mr Stephen Earp<br />
Ms Elizabeth Eastgate<br />
Eltham Rural Group<br />
Mary Evans Estate<br />
Mr Con Foscolos<br />
Mr Glenn Fouse<br />
Mr A Frederick<br />
Clive Johnson Trust<br />
Pam & Alfred E G Lavey Trust<br />
Leading Solutions<br />
Estate of Edith May Martin<br />
Sidney Myer Fund<br />
Mrs Merna Olver<br />
Sax International Pty Ltd<br />
RACV<br />
Telstra<br />
Trust Company Ltd<br />
Union Jack Club of Australia<br />
J O & J R Wicking Trust<br />
Estate of Ian Fraser Freeman<br />
Freemasons Public Charitable<br />
Foundation<br />
Sir John Frew Memorial Fund<br />
Ms Meigs Ghent<br />
Mr & Mrs S & T Greedy<br />
Estate of Jonathon Greening<br />
Mrs Carol Greig<br />
Mrs E M Groat<br />
Mrs Jean Hadges<br />
Ms Sally-Anne Hains<br />
Mr Craig Handasyde<br />
Estate of Jack Stanley Haynes<br />
Dr Margaret Henderson<br />
Miss Belinda Ho<br />
Ms Patricia Holmes<br />
Inner Range Pty Ltd<br />
Ms Hilary Irwin<br />
Ivor Ronald Evans<br />
Foundation<br />
H & K Johnston Family<br />
Foundation<br />
Kathleen Townsend<br />
Executive Solutions Pty Ltd<br />
Mr Ron Kerr<br />
Mrs Betsy King<br />
Dr Jean Laby<br />
Mrs Laura Lewis<br />
LINUS Information<br />
Security Solutions<br />
Lioness Club of Deer Park<br />
Lioness Club of Dromana<br />
Lions Club of Rye Inc<br />
Mrs A I Longworth<br />
Lord Mayor’s Charitable Fund<br />
Mr Brian Lowe<br />
Miss Nannette Lowth<br />
Mrs Ann Marsh<br />
Mr D T McGregor<br />
McGregorWestWong<br />
H V McKay Charitable Trust<br />
Mr James McKenzie<br />
Mr John McPhee MBE ADM<br />
Mrs Daisy Merrett<br />
Harold Mitchell Foundation<br />
Modara Pines<br />
Mornington Peninsula Shire<br />
Mr Nicholas Mules<br />
Dame Elisabeth Murdoch<br />
AC DBE<br />
Nelson Alexander<br />
Charitable Foundation<br />
Mrs Jillian Pappas<br />
Mr Michael Paris<br />
Mr Alexander Parker<br />
Mrs T M Parry<br />
Pierce Armstrong Foundation<br />
RACV Retail Network<br />
<strong>RDNS</strong> Frankston Auxiliary<br />
Mr Gary Richardson<br />
Ritchies Supermarket<br />
Mr Ian Robertson BEM<br />
R E Ross Trust<br />
Rotary Club of Rosebud Inc<br />
Doug Sandell Trust<br />
Mr Greg Shalit &<br />
Ms Miriam Faine<br />
Professor Alan Shaw<br />
Miss Jane Sheridan<br />
Sisters of Charity Foundation<br />
Ms Peggy Smart<br />
Mrs Betty Smith<br />
Smith & Nephew Pty Ltd<br />
Mr Gene Sparks<br />
Mr Henry L Speagle OAM<br />
St Michael’s Global<br />
Concerns Committee<br />
TB Ex-<strong>Service</strong> Association<br />
of Victoria<br />
TalkPoint Pty Ltd<br />
Mrs Marie Tatchell<br />
Tecoma Treasure<br />
Opportunity Shop<br />
Mrs Nancy Telford<br />
Dr Mano Thevathasan<br />
Tobin Brothers<br />
Foundation Ltd<br />
Mrs Anne Tregear<br />
Ms Katrina Tull<br />
Mr George Walker<br />
Mr & Mrs Jeff & Val Walter<br />
Mr & Mrs John &<br />
Marie Warnock<br />
Mr & Mrs John &<br />
Patricia Webb<br />
Mr Alfred Wheatland<br />
Joe White Bequest<br />
Estate of Renee Ethel Wilson<br />
Ms Abby Winters<br />
Mrs Shirlie Wolfe<br />
$500 – $999<br />
All Souls Opportunity Shop<br />
Mr & Mrs Max &<br />
Mary Anderson<br />
Mrs Rita Andre<br />
Mrs Jean Armstrong<br />
Miss Margaret Bain<br />
Mrs Vera Bascomb<br />
Henry Berry Estate and Trust<br />
Mr K Bethell<br />
Mr Edgar Blacklow<br />
Botanic Gardens Retirement<br />
Village Resident’s Committee<br />
Mrs Margaret Brabham<br />
Brotherhood of St Laurence<br />
Ms Christine Butcher<br />
Catholic Ladies College<br />
Eltham Student<br />
Representative Council<br />
Mr & Mrs Keith &<br />
Jean Comben<br />
Mrs Helen Connelly<br />
Mr Brian Cox<br />
Mrs E V Crohn<br />
CWA Noble Park<br />
Miss Helen Davies<br />
Mr Alan Day<br />
Mrs Sandra Dennis<br />
Ms Esma Dicker<br />
Mr Don Dyson<br />
Eastern Region Mental<br />
Health Association<br />
Eltham College<br />
Eltham Interact Club<br />
Mr Phillip Evans<br />
Mrs Meredith Evans<br />
Mr R G Feltscheer<br />
Ms Jean Ford<br />
Mr Paul Foster<br />
Dr & Mrs J A & D M Frew<br />
Ms Anne Gaides &<br />
Dr Chris Callahan<br />
Mr Leonard Glass<br />
Mr Adrian Godfrey<br />
Mr Owen Gomez<br />
Mr Bentley Guest<br />
Mr Walter Gunther<br />
Mrs Lynette Hadden<br />
Mr J Arnold Hancock<br />
Mr Val Hannah<br />
Mr & Mrs L J Heale<br />
Mr James Healey<br />
Mrs Hannelore Heitmann<br />
Mrs Helen Hewitt<br />
Miss Dorothy Higgins<br />
Mrs Sue Home<br />
Mrs Robin Hone<br />
Mr John Hopkins<br />
Estate of Elizabeth W Howie<br />
Mr & Mrs C & S Hughes<br />
Mrs M Huybregts<br />
ID-ME Pty Ltd<br />
Mr Frank Imrei<br />
Inner Wheel Club of Prahran<br />
Inc<br />
Ms Nola Jennings<br />
Mr David Johnston<br />
Mr L A F Jones<br />
Mrs Marie Jones<br />
Mr Cyril Kaighin<br />
Mr William Kelly<br />
Mr John Lander<br />
Mrs Honor Lane<br />
Ms Barbara Langley<br />
Mrs Leng Seu Lay<br />
Mr Frank Lendvay<br />
Mr Harris Levi<br />
Ms Helen Lind<br />
Mrs Jean Linton<br />
Lions Club of Box Hill<br />
Mrs Isobel Long<br />
Mr Robert Long<br />
Mr & Mrs A P & L W Manning<br />
Marymede Catholic College<br />
Mr Alan Matheson<br />
Dr Ian McDonald<br />
Mrs J McIntosh<br />
Mr Malcolm McLellan<br />
Mrs Molly McTaggart<br />
Mrs Margaret Michelmore<br />
Mr Samuel Miller<br />
Mr Ron Moebus<br />
Mr Paul Montgomery<br />
Mr David Moore<br />
Mr Arthur Morgan<br />
30<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Donations received
Mr Valentine Morgan<br />
Ms Rose Ngai<br />
Mr Tony Oliver<br />
Mr Frank O’Shea<br />
Miss M O’Sullevan<br />
Mr John Paisley<br />
Mrs Margaret Paull<br />
Mr Thomas Peck<br />
Mrs Anne Pepper<br />
Miss Isabella Poloni<br />
Mrs Kate Price<br />
Mrs Ruth Prowse<br />
Miss Margaret Raw<br />
Mr Alan Ray<br />
Mr F Renouf<br />
Mr Graeme Reynolds<br />
Mrs Lorna Robinson<br />
Mr Jack Rogers<br />
Mrs Margaret Ross AM<br />
Rotary Club of Bundoora<br />
Mr Robert Salas<br />
Mrs Kaye Salisbury &<br />
Mr Bart Wissink<br />
Salvation Army –<br />
Adult <strong>Service</strong>s<br />
Mr David Scarr<br />
Mrs Judy Siddins<br />
Mrs Joan Skerman<br />
Mr Keith Smith<br />
St Kilda Crisis Centre<br />
St Marks Dromana &<br />
St Georges Red Hill<br />
St Paul’s Opportunity Shop<br />
St Vincent de Paul Aged Care<br />
& Community <strong>Service</strong>s<br />
Mrs T O Stephens<br />
Mrs Doreen Stevenson<br />
Mr Alexander Stewart<br />
Ms Georgie Stubbs<br />
Mrs Alma Stump<br />
Mr & Mrs D & B Sutherland<br />
Lee E Tan<br />
Mrs Siew Kim Tan<br />
Ms Carolyn Tatchell<br />
Mrs Helen Taylor<br />
Mrs Nancy Telford<br />
Mrs Beryl Thomas<br />
Mr Ian Thomas<br />
Mr Graeme Thomson<br />
Mr Keith Thornton<br />
Mr Ian Tyler<br />
Mr Gerard Veitch<br />
Ms Annette Waight<br />
Mr William Waterfield<br />
Mr Jon Webster<br />
Professor Bruce West<br />
Mrs Nancy White<br />
Mrs Judith Williams<br />
Mr John Winter<br />
Wintringham Hostels<br />
Women of the University<br />
Fund<br />
Mr Stuart Young<br />
Douglas & Phillip Young<br />
Charitable Trust<br />
Corporate<br />
Sponsors<br />
Telstra<br />
Leading Solutions<br />
RACV<br />
In Kind<br />
donations<br />
Caring Friends of<br />
Cystic Fibrosis<br />
City of Yarra<br />
Clarendon Lawyers<br />
Freehills<br />
Sax International Pty Ltd<br />
State Revenue Office<br />
Women of the University Fund<br />
and all of the many volunteers<br />
who have assisted with <strong>RDNS</strong><br />
Christmas cards and archives.<br />
Constant<br />
Companions<br />
Mrs Lorraine A’Hearn<br />
Mr Douglas Alkemade<br />
Mr Grahame Anderson<br />
Mr Marlen Anis<br />
Mr Edward Appleyard<br />
Mrs Nola Armstrong<br />
Mrs Doreen Ashley-Brown<br />
Miss Judith Bach<br />
Mr Frank Baines<br />
Mr Peter Ball<br />
Dr William Bamford<br />
Mr Les Banner<br />
Mrs Lorraine Birtwistle<br />
Mr Ross Blair<br />
Mrs Sigrid Bode<br />
Mr Bruce Boell<br />
Mrs Margot Bone<br />
Mrs Sheila Boulton<br />
Mr Reg Brewer<br />
Mrs Hilda Bruce<br />
Mrs Marjorie Bryant<br />
Mr Harry Bugden<br />
Mr Paul Burness<br />
Mrs Mary Cain<br />
Mrs Grace Cairns<br />
Mr John Cairns<br />
Mrs Susan Cannon<br />
Ms Joanna Capozzi<br />
Mr Peter Carpenter<br />
Mr Keith Cathro<br />
Mrs Nora Cayley<br />
Mrs Trix Chambers<br />
Mrs Molly Cheah<br />
Mr Norman Chesterfield<br />
Mrs Margaret Christensen<br />
Mrs Iona Christianson<br />
Mr Leslie Claringbull<br />
Mr Ron Cruickshank<br />
Mr Leslie Culmer<br />
Dr Philippa Currie<br />
Mrs Maire Dale<br />
Mrs Sheila Daniels<br />
Mrs Gwenyth Dargan<br />
Ms Gayle Davey<br />
Mr Lyle Davis<br />
Mrs Elaine Dempsey<br />
Mrs Betty Denton<br />
Mrs Gloria Di Tomasso<br />
Mrs Janet Dickins<br />
Dr Janet Dickson<br />
Mr Blair Dixon<br />
Mrs Sarah Donnan<br />
Ms Helen Donnellan<br />
Mr Richard Dooley<br />
Mrs Diane Dott<br />
Mr Allan Dowel<br />
Ms Carolyn Downes<br />
Ms Mary Duckworth<br />
Ms Anne Duffield<br />
Mr John Dunn<br />
Mrs Tulay Durur<br />
Mr Con Duyvestyn<br />
Miss Nancy Elliott<br />
Mrs Betty Fabry<br />
Mrs Jane Farr<br />
Mrs Ruth Firkin<br />
Mrs Norma Firth<br />
Mr & Mrs H & P Ford<br />
Mr Garth Foster<br />
Mrs Frankie Frees<br />
Ms Anne Gaides &<br />
Dr Chris Callahan<br />
Mrs Joan Gale<br />
Mr Brian Garde<br />
Mr William Gates<br />
Mrs Lore Germain<br />
Rev Joan Gilchrist<br />
Mrs Joyce Gillespie<br />
Mr Kim Gladigau<br />
Mr Adrian Godfrey<br />
Mrs Marjorie Gough<br />
Mrs Sandra Gough<br />
Miss Yvonne Gray<br />
Mr Fred Greenslade<br />
Mr Geoffrey Griffiths<br />
Mr Donald Grove<br />
Mrs Rae Hamilton<br />
Ms Peg Hampton<br />
Mrs Joan Hare<br />
Mr Tom Harle<br />
Mrs Barbara Harradine<br />
Mrs Serena Harrison<br />
Mr Daryll Hart<br />
Mrs Dorothy Hart<br />
Mrs Dorothy Hibbs<br />
Mrs Joan Holley<br />
Ms Patricia Holmes<br />
Mrs Claire Holt<br />
Mr Harry Holt<br />
Ms Alex Home<br />
Mrs Ruth Hopkins<br />
Mrs Jennifer Hornidge<br />
Mr Donald Hosking<br />
Mrs Noelle Howell<br />
Miss Karen Hoyle<br />
Mrs Patricia Hoyle<br />
Mr Robert Hudson<br />
Mrs Della Hutchinson<br />
Mrs Jean Jackson<br />
Mrs Margaret Jacobs<br />
Mrs Diane Jenkins<br />
Mrs Marjorie Job<br />
Mrs Marjorie Johnson<br />
Miss Lorraine Jones<br />
Mrs Margot Jones<br />
Mr Arthur Joslyn<br />
Mr Ronald Jukes<br />
Ms Margaret Jungwirth<br />
Mrs Anneli Kaendler<br />
Ms Ann Kang<br />
Mrs Marjorie Kean<br />
Mrs Elaine Keenan<br />
Mrs Peggy Kemp<br />
Ms Susan Kemp<br />
Mr & Mrs Alan & Charon Khor<br />
Mrs Irene Kowala<br />
Mr John Lander<br />
Mrs Joan Langford<br />
Mr & Mrs Robert &<br />
Alma Laycock<br />
Mrs Jean Lee<br />
Mrs Madge Leigh<br />
Mrs Hilde Lesheim<br />
Mr Donald Linden<br />
Mr William Linton<br />
Mr Thomas Logan<br />
Mr John Love<br />
Mr Tony Love<br />
Dr Zena Lowe<br />
Mrs Ailsa Luke<br />
Ms Pauline Lynch<br />
Mrs Pat Mahoney<br />
Mrs Claire Major<br />
Mr Brian Mander<br />
Mr Reginald Mannix<br />
Mr Alan Matheson<br />
Mr Alwyn Mathews<br />
Mr Denis McCormack<br />
Ms Joanne McCoy<br />
Mr J D McCredie<br />
Mrs Mary McGowan<br />
Mr Keith McK Lowe<br />
Mr James McKenzie<br />
Mr & Mrs David McLiesh<br />
Mr Noel McMinn<br />
Ms Inge Meldgaard<br />
Mrs Joanna Middows<br />
Mrs Margot Minogue<br />
Mr William Moloney<br />
Mr Maurice Monigatti<br />
Mr A L Moore<br />
Miss Margaret Morrissey<br />
Ms Lorraine Murphy<br />
Mrs Lorna Nazier<br />
Mr Peter Newton<br />
Miss Ruth Nicholls<br />
Mr Geoff O’Callaghan<br />
Ms Anne O’Connor<br />
Ms Lesley Ogden<br />
Mr Edward Oldham<br />
Mr Norman O’Leary<br />
Ms Janine O’Neill<br />
Mrs Nance O’Ryan<br />
Mrs Sylvia Packer<br />
Ms P Panth<br />
Mr Alexander Parker<br />
Mrs Joan Parrett<br />
Mrs Janet Paterson<br />
Mr Peter Pearse<br />
Mr Don Peckham<br />
Mrs Joyce Penman<br />
Mrs Patricia Petch<br />
Mr Vincent T Powell<br />
Mr Maurice Pritchard<br />
Mr Thomas Pritchard<br />
Mr Emmanuel Psaila<br />
Mr John Radford<br />
Mr Candyah Ramadasan<br />
Mrs Carol Ramsbotham<br />
Mrs Sheila Randell<br />
Mrs Joyce Raverty<br />
Mrs Diane Redman-Heath<br />
Ms Judith Rees<br />
Ms Yvonne Renard<br />
Mrs Pamela Richardson<br />
Mrs Lorna Robinson<br />
Mr Chris Rogers<br />
Mr Dan Romanis<br />
Mrs Alys Ross<br />
Mrs Kathleen Rouse<br />
Mr Alister Rowe<br />
Mr John Rowe<br />
Mrs Kathleen Rushby<br />
Mrs Betty Ryle<br />
Mrs Rose Sadler<br />
Mr Bernie Sagebrecht<br />
Mr Edwin Salisbury<br />
Dr Robert Salter<br />
Ms Elizabeth Sevior<br />
Mr John M Shaw<br />
Mrs Mary Shelton<br />
Mr Khik H Sie<br />
Mr Herbert Simpson<br />
Mr Robert Simpson<br />
Mr Rodney Simpson<br />
Mr Howard Skitt<br />
Mr Mohammad Slamet<br />
Mr Dennis Smith<br />
Mrs Doreen Smith<br />
Mrs Esna Smith<br />
Mrs Janette Smith<br />
Mr Keith Smith<br />
Mrs Valda Smith<br />
Mrs & Mr Wendy & Ian Smith<br />
Mrs Margaret Smith<br />
Mr William Smith<br />
Ms June Speed<br />
Mrs Shirley Stanley<br />
Mrs Helen Steiner<br />
Mr Henry Stevens<br />
Ms Kiera Stevens<br />
Mr Alexander Stewart<br />
Mrs Benita Stribley<br />
Mr Rudi Stryk<br />
Ms Georgie Stubbs<br />
Mrs Hilma Suren<br />
Miss Phyllis Tanti<br />
Ms Carolyn Tatchell<br />
Mrs Judy Tham-Gazzard<br />
Miss Ruby Thomson<br />
Mr Thomas Tillig<br />
Mrs Esther Tims<br />
Mr Don Treble<br />
Mr Graeme Tregaskis<br />
Mrs Judith Tuck<br />
Mr & Mrs Can & Sema Tuncer<br />
Mr Henry Turnbull<br />
Miss Jean Urie<br />
Mr Carl Van Eck<br />
Mr Gerard Veitch<br />
Mr Michael Vermeulen<br />
Mrs May Vernon<br />
Mrs Joy Vincent<br />
Mr Ronald Wadey<br />
Ms Sarah Walker<br />
Mr Gary Wallin<br />
Ms Jacqueline Walling<br />
Mr Ian Weaver<br />
Mr Ronald White<br />
Mrs Judith Wight<br />
Mr Norris Williams<br />
Mr & Mrs J D E & M N Wischer<br />
Ms Valentina Wolzak<br />
Lifetime<br />
Companions<br />
Mr Grahame Anderson<br />
Miss Judith Bach<br />
Mrs Irene Berry<br />
Miss Beatrice Annie<br />
Boardman<br />
Mr Rodney Bright<br />
Mrs Barbara Burrows<br />
Ms Elaine Cox<br />
Miss Ruth Doig<br />
Mr & Mrs Dykstra<br />
Mr Stephen Earp<br />
Mrs Catherine Erdos<br />
Mr William Finighan<br />
Ms Anne Gaides &<br />
Dr Chris Callahan<br />
Miss Heidi Gasser<br />
Miss Gwendoline Gillard<br />
Miss Beatrice Glascodine<br />
Mrs Gillian Hannan<br />
Mrs Helen Harbeck<br />
Mr Raymond Harbert<br />
Dr Margaret Henderson<br />
Mrs Patricia Holdenson<br />
Mr Les Hudson<br />
Mr & Mrs Terence &<br />
Janet Keefe<br />
Miss Betsy King<br />
Mrs Judith Knight<br />
Mr John Lander<br />
Mrs Patricia Lawson<br />
Mr Donald Linden<br />
Mr Brian Lowe<br />
Miss Nannette Lowth<br />
Mr Anthony Lux<br />
Mrs Pat Mahoney<br />
Mrs Ruby Marshall<br />
Mr & Mrs W & T Matthews<br />
Mr Phillip Mayers<br />
Mrs Inge Meldgaard<br />
Mrs Edna Olson<br />
Mr Emmanuel Psaila<br />
Ms Pamela Purton<br />
Mrs Priscilla Randall<br />
Mr Brian Smith<br />
Mrs Audrey Smith<br />
Mr & Mrs Henry L Speagle<br />
OAM<br />
Mr Harold Swanton<br />
Mr Ferdinand Ten-Tye<br />
Mr Ian A Walker<br />
Mr Ian Walker<br />
Mrs Kathleen Welch<br />
Mrs Dorothy Witchell<br />
In Memory<br />
Donations of $1,000 or more<br />
were made to honour the<br />
following:<br />
Mr Neale Burgess<br />
Mrs Mavis Camm<br />
Dr John Connelly<br />
Mrs Christina Karamoshos<br />
Miss Leane Walter<br />
Donations received <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
31
how can<br />
you help<br />
(see overleaf for details)
You can help<br />
We need your help to care for the sick and elderly in our community.<br />
Being a charity, <strong>RDNS</strong> relies on the gifts of supporters to help meet<br />
the ever-increasing demand for our services.<br />
If you can help, simply fill out this form and send it, along with your<br />
donation, to the address below.<br />
Yes! I would like to help<br />
Name<br />
Address<br />
Postcode<br />
Telephone (H)<br />
(W)<br />
Email<br />
Enclosed is my donation of:<br />
$25 $50 $75 $100 Other $<br />
Enclosed is my cheque/money order payable to<br />
<strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong><br />
Or please charge my:<br />
Visa Bankcard Mastercard Amex Diners<br />
Card No.<br />
Name on card<br />
Signature<br />
Expiry date<br />
You can make a credit card donation over the phone by<br />
calling (03) 9536 5222 or securely on-line at www.rdns.com.au<br />
All donations of $2 or more to <strong>RDNS</strong> are tax deductable.<br />
Please send me further information on how to include <strong>RDNS</strong> in my Will<br />
I would like information on making a regular monthly donation to <strong>RDNS</strong><br />
Return your completed form to:<br />
<strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong><br />
31 Alma Rd, St Kilda, Victoria, 3182<br />
Telephone (03) 9536 5222<br />
Facsimile (03) 9536 5333<br />
Email fundraising@rdns.com.au<br />
www.rdns.com.au
Top ten ICD-9-CM* classification of diseases and injuries:<br />
number of occurrences and percentage 2007 / <strong>2008</strong><br />
Classification of diseases and injuries<br />
within ICD-9-CM (Primary Diagnosis) Conditions at <strong>RDNS</strong> within the Main ICD-9-CM categories Occurrences %<br />
Post-operative care 5,577 15<br />
Diseases of the skin and subcutaneous tissue Leg ulcers and cellulitis (11%) ** 5,474 15<br />
Symptoms, signs and ill-defined conditions Urinary incontinence (6%) ** 5,556 14<br />
Injury and poisoning Wounds (6%) ** 3,643 10<br />
Neoplasms Malignant neoplasm (7%) ** 3,248 8<br />
Mental disorders Dementia (3%) ** 3,053 8<br />
Endocrine, nutritional, metabolic diseases<br />
and immunity disorders Diabetes (7%) ** 2,871 7<br />
Diseases of the circulatory system Venous ulcers (1%) ** 2,081 5<br />
Diseases of the nervous system and sense organs Multiple sclerosis, Alzheimer’s, Parkinson’s diseases (3%) ** 1,819 5<br />
Genitourinary system Urinary retention (1%) 1,000 3<br />
Other 3,757 10<br />
TOTAL 38,079 100<br />
* International Classification of Diseases (9 th Revision) Clinical Modification.<br />
** Each ICD-9-CM classification consists of a number of conditions.<br />
This figure represents the frequency of the conditions’ occurrence within the ICD-9-CM classification.<br />
Visit hours by care t ype 2007 / <strong>2008</strong><br />
Support and<br />
maintenance<br />
Acute /<br />
Post acute Palliative Other TOTAL<br />
Visit at home 408,958 38,926 25,865 42,553 516,302<br />
Visit at school / work 3,116 203 113 8,564 11,996<br />
Visit to hospital (liaison) 1,243 3,933 140 9,837 15,153<br />
Visit to hospital (not liaison) 498 19 31 1,151 1,699<br />
Client attended centre 1,632 138 6 7,121 8,897<br />
Bereavement visit 102 3 337 58 500<br />
Other 234 4 1 3,860 4,099<br />
TOTAL 415,783 43,226 26,493 73,144 558,646<br />
NB: Visit hours exclude client-related contact hours.<br />
34<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Facts & figures <strong>2008</strong>
Cultur al diversit y of client popul ation 2007 / <strong>2008</strong> :<br />
% of clients born in non-English speaking countries<br />
REGIONS<br />
Western<br />
44 56<br />
Southern<br />
28 73<br />
Northern<br />
44 56<br />
Eastern<br />
29 71<br />
%<br />
0<br />
10 20 30 40 50 60 70 80 90 100<br />
Non-English speaking countries<br />
English speaking countries<br />
Additional Information about<br />
Cultural Diversity of Client Population<br />
<strong>RDNS</strong> clients originate from 147 countries<br />
<strong>RDNS</strong> clients speak 103 languages<br />
32.5% of total <strong>RDNS</strong> clients are born in non-English speaking countries<br />
0.8% of total <strong>RDNS</strong> clients are Aboriginal and/or Torres Strait Islander<br />
11% increase in the use of on-site interpreters<br />
13% increase in the use of telephone interpreters (includes <strong>RDNS</strong> Language Line)<br />
Facts & figures <strong>2008</strong> <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> 35
Noel Armstrong<br />
our directors<br />
Noel Armstrong<br />
FPRIA<br />
67, <strong>RDNS</strong> Director since 2006<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Audit and Risk<br />
Noel’s expertise in strategic communication<br />
is supported by over 35 years experience<br />
in the industry. Prior to moving into<br />
corporate and public affairs in 1972, Noel<br />
had worked for newspapers and radio;<br />
and produced television news and current<br />
affairs programs.<br />
In 1978, Noel established a Victorian-based<br />
strategic communications consultancy<br />
which he sold to Hill and Knowlton in 1989.<br />
He continued to work as General Manager,<br />
Victoria, before becoming Chief Executive<br />
of the company’s Australian operations.<br />
He was later appointed Executive<br />
Chairman of Hill and Knowlton Australia<br />
and New Zealand and Executive Vice<br />
President of the company in the Asia<br />
Pacific Region.<br />
In 1996, Noel become the Director of<br />
Corporate Affairs at Epworth Hospital and<br />
worked there until his retirement in May<br />
2006. During that time, Noel worked on<br />
the integration of the Freemasons business<br />
with the Epworth Group and was partly<br />
responsible for the overall administration<br />
of the three hospital campuses at<br />
Richmond, Box Hill and Brighton.<br />
36 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Our Directors<br />
Whilst working at Epworth, Noel<br />
successfully established a company<br />
to assess and analyse the customer<br />
performance of call centres of major<br />
corporations throughout Australia.<br />
Apart from his responsibilities at<br />
<strong>RDNS</strong>, Noel is also a member of the<br />
Board of Management of Alexandra<br />
<strong>District</strong> Hospital.
Jan Begg Desmond Benjamin Christopher Carlile Pamela Burgess<br />
Jan Begg<br />
BSc (Hons), MBA<br />
51, <strong>RDNS</strong> Director since 2004<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Finance and Investments<br />
Jan has extensive experience at senior<br />
executive level in the areas of strategic<br />
consulting, project management, sales<br />
and marketing, change management,<br />
software development and business<br />
unit management.<br />
As an experienced consultant, Company<br />
Director and Executive Manager, Jan brings<br />
a sound understanding of organisational<br />
change initiatives to <strong>RDNS</strong> – from strategic<br />
planning to harvesting benefits from<br />
successful implementation.<br />
Jan’s recent experience includes corporate<br />
governance of major projects at ANZ<br />
Banking Group, project setup and business<br />
case development for the Victorian Public<br />
<strong>Service</strong> and pharmaceutical research and<br />
development project management.<br />
She has also consulted to major<br />
government and corporate business within<br />
Australia, New Zealand, UK and USA and is<br />
active in developing scholarship funding<br />
for the Melbourne Business School.<br />
Apart from her role at <strong>RDNS</strong>, Jan is also<br />
Managing Director of Azulin Pty Ltd and<br />
a Member of the Australian Institute of<br />
Company Directors.<br />
Desmond Benjamin<br />
FGAA FAICD<br />
66, <strong>RDNS</strong> Director since 2001<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Audit and Risk<br />
Desmond has had extensive experience as<br />
a Director, Chief Executive, Non-Executive<br />
Director, Chairman and Board consultant<br />
across a broad spectrum of both public<br />
and private companies.<br />
His honorary work has included past<br />
President of the Company Directors<br />
Association, Save the Children, Toorak<br />
and South Yarra Rotary Clubs and<br />
Life Education.<br />
Desmond was also a past Zone Chairman<br />
of the Salvation Army Red Shield Appeal<br />
and a past Treasurer of the Toorak Red Cross.<br />
Apart from his responsibilities at <strong>RDNS</strong>,<br />
Desmond is currently a shareholder and<br />
Director of a privately owned home<br />
garden and agricultural chemical supplier<br />
and a Non-Executive Director of a<br />
privately owned retail lifestyle chain<br />
and consultancy.<br />
Christopher Carlile<br />
B Comm, CPA, FAICD<br />
60, <strong>RDNS</strong> Director since 2001<br />
Member of <strong>RDNS</strong> Board Committees:<br />
Finance and Investments (Chair);<br />
Remuneration and Nominations<br />
Christopher brings to <strong>RDNS</strong> over 30 years<br />
experience in corporate management<br />
with a particular emphasis on financial<br />
management, investments, acquisitions,<br />
strategic planning, marketing and<br />
organisational change. He was former<br />
Finance Director - PA Consulting Group<br />
and Commercial Director - Blake Dawson<br />
Waldron Lawyers.<br />
Apart from his role at <strong>RDNS</strong>, Christopher<br />
is currently a Fellow of the Australian<br />
Institute of Company Directors and holds<br />
a number of Non-Executive Board<br />
positions in private companies.<br />
Pamela Burgess<br />
BEc, DipEd, MBA (Melbourne)<br />
57, <strong>RDNS</strong> Director since 2003<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Finance and Investments<br />
Pamela brings to <strong>RDNS</strong> experience<br />
gained from the finance sector in roles<br />
associated with economics, stock broking<br />
and corporate finance. She has also been<br />
involved in the commercial and retail<br />
property market.<br />
Pamela worked as an economist for the<br />
International Wool Secretariat in London<br />
and for the Committee for Economic<br />
Development of Australia.<br />
At the University of Melbourne, she<br />
worked as an Econometrician for the<br />
Institute of Applied Economic & Social<br />
Research. She was also an Investment<br />
Manager for CL-May Mellor Laing &<br />
Cruickshank Ltd and Corporate Finance<br />
Advisor, Equities, for ANZ Investment Bank.<br />
Pamela has also worked in an honorary<br />
capacity for St Vincent’s Institute of<br />
Medical Research (SVIMR) and the<br />
SVIMR Foundation.<br />
Apart from her roles at <strong>RDNS</strong>, Pamela is a<br />
Non-Executive Director of Merost Pty Ltd.<br />
Our Directors <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
37
Marion Lau Philip Mayers Paul Montgomery Dr Michael Murray<br />
Marion Lau OAM JP<br />
RN Div 1; RM; Certificate in Gynaecology, Diploma in<br />
<strong>Nursing</strong> Administration; Bachelor in Health <strong>Service</strong>s<br />
Administration (BHA)<br />
65, <strong>RDNS</strong> Director since 1996<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Clinical Governance<br />
Marion has excelled as an aged care<br />
consultant, registered nurse and midwife<br />
and is also a mentor and business coach<br />
for the industry and small business.<br />
Her vast experience includes Matron/<br />
Manager – Avenue Hospital, Windsor,<br />
Administrator and Advisor for the<br />
Commonwealth Department of Health<br />
& Aged Care; Justice of the Peace;<br />
Director – Management Consultants and<br />
Technology <strong>Service</strong>s; Member – Ministerial<br />
Small Business Advisory Council; President –<br />
Chinese Health Foundation; President –<br />
Chinese Community Society of Victoria<br />
and Past Chair – Ethnic Communities’<br />
Council of Victoria.<br />
Marion was the first woman to be elected<br />
as Chair of the Ethnic Communities Council<br />
of Victoria – the Victorian Peak Body for<br />
Ethnic Specific Organisations, as well as<br />
the first woman President of the Chinese<br />
Community Society of Victoria.<br />
She was awarded an Order of Australia in<br />
1996 for her services to older Australians,<br />
as well as to the Chinese community. In<br />
recent years, she received the Centenary<br />
Medal for her services to multiculturalism<br />
and for her work as Chair of the Victorian<br />
Ethnic Communities Council.<br />
Apart from her roles at <strong>RDNS</strong>, Marion has<br />
been Past Chair and is current Executive<br />
member – Ethnic Communities’ Council<br />
of Victoria (ECCV); President Elect<br />
2009/2010 – Rotary Club of Elsternwick;<br />
President – Chinese Health Foundation<br />
of Australia; Director – Doutta Galla Aged<br />
<strong>Service</strong>s; Member – Ministerial Small<br />
Business Advisory Council; Committee of<br />
Management – Small Business Mentoring<br />
<strong>Service</strong>; Member – Communications<br />
Alliance Consumer Council and Charter<br />
Member – Rotary Club of Elsternwick.<br />
Philip Mayers<br />
BA, LLB, CAHRI<br />
61, <strong>RDNS</strong> Director since 1995<br />
Member of <strong>RDNS</strong> Board Committees:<br />
Finance and Investments; Remuneration<br />
and Nominations<br />
Philip has extensive experience in<br />
human resources, governance, legal<br />
and fundraising in the health, aged care<br />
and not-for-profit sectors.<br />
His past roles include Chief Executive –<br />
Jewish Care (Montefiore Homes), Chairman –<br />
Victorian Union for Progressive Judaism;<br />
Chairman - London Business School<br />
Alumni (Melbourne) and Chairman –<br />
Witwatersrand University Alumni<br />
(Melbourne).<br />
Apart from his roles at <strong>RDNS</strong>, Philip is<br />
also a Director – Silverman Dakin Human<br />
Resources Consulting and Executive<br />
Recruitment, Director – Rotary Club of<br />
Melbourne and Chairman – Make-a-Wish<br />
Foundation of Australia. From time to<br />
time, Philip also guest lectures in Human<br />
Resources at Victoria University.<br />
Paul Montgomery<br />
BA, LLB (ANU)<br />
59, <strong>RDNS</strong> Director since 2005; Deputy<br />
Chairman since 2007<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Remuneration and Nominations<br />
With a track record as one of Australia’s<br />
most respected law firm leaders, Paul<br />
specialises in strategy and leadership<br />
development and recognises the<br />
importance of its implementation from<br />
a client perspective.<br />
Paul was a Partner of Freehills Melbourne<br />
for 28 years and Managing Partner for<br />
12 years. Since leaving Freehills, Paul<br />
has consulted widely to professional<br />
service firms and regularly facilitates<br />
retreats and conferences.<br />
Apart from his responsibilities at <strong>RDNS</strong>,<br />
Paul is also Director – Mental Illness<br />
Fellowship, Victoria.<br />
Dr Michael Murray<br />
MBBS, FRACP, MPH<br />
48, <strong>RDNS</strong> Director since 2004<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Clinical Governance (Chair)<br />
Michael brings a broad range of<br />
management, clinical and clinical<br />
teaching experience to <strong>RDNS</strong>.<br />
He has extensive professional networks<br />
in aged care including National Evaluation<br />
of the Innovative Care (Rehabilitation)<br />
<strong>Service</strong>s Steering Committee; Continence<br />
Management Advisory Committee; Care of<br />
Older Australians clinical reference group<br />
Australian Centre for Evidence Based<br />
Aged Care (La Trobe University);<br />
38<br />
<strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong><br />
Our Directors
Jillian Pappas Professor Leon Piterman Michael Roberts<br />
Australian Association of Gerontology<br />
(Vic Branch); Continence Foundation<br />
of Australia (National); Lynden Aged<br />
Care Association Board of Governance;<br />
Australian Society for Geriatric Medicine<br />
and the International Continence Society.<br />
Apart from his roles at <strong>RDNS</strong>, Michael<br />
is also Director of Geriatric Medicine –<br />
St Vincent’s; Fellow – Australian Association<br />
of Gerontology (FAAG) and Adjunct<br />
Associate Professor - Australian Centre<br />
for Evidence Based Aged Care (ACEBAC).<br />
Jillian Pappas<br />
BEc (Monash)<br />
60, <strong>RDNS</strong> Director since 2000; Chairman<br />
since 2005<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Remuneration and Nominations (Chair)<br />
Jillian has experience in research and<br />
analysis in economics, copywriting<br />
accountancy and fundraising.<br />
In addition to her responsibilities at <strong>RDNS</strong>,<br />
Jillian is also a Company Director, President<br />
of Merton Hall Foundation and a member<br />
of Council of Melbourne Girls Grammar.<br />
Professor Leon Piterman AM<br />
MBBS, MMed, MEdSt, MRCP (UK), FRCP (Edin) FRACGP<br />
60, <strong>RDNS</strong> Director since 2006<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Clinical Governance<br />
Leon has extensive expertise in<br />
medical education, medical research<br />
and clinical audit.<br />
He has published widely on clinical<br />
and educational issues related to<br />
general practice and was awarded the<br />
F.H. Faulding Prize for research in General<br />
Practice in 1987, the Silver Jubilee Teaching<br />
Prize in 1992 and the Hong Kong College<br />
of General Practitioners Award for best<br />
research project in 1994. He has over<br />
90 publications in refereed journals<br />
and co-authored the text “General<br />
Practice Psychiatry”.<br />
In June 2006, he was made a Member<br />
of the Order of Australia (AM) for service<br />
to family medicine through distance<br />
education for doctors in remote areas,<br />
to research and student training, and to<br />
international education.<br />
Apart from his roles at <strong>RDNS</strong>, Leon is also<br />
Professor of General Practice – Monash<br />
University; Head of School – Primary<br />
Health Care and Deputy Dean - Faculty of<br />
Medicine <strong>Nursing</strong> and Health Sciences. He<br />
is also a member of the Board of Examiners<br />
of the Australian Medical Council and sits<br />
on numerous university, professional and<br />
government expert committees.<br />
Michael Roberts<br />
Registered Nurse, Grad Dip Bus Admin<br />
52, <strong>RDNS</strong> Director since 2005<br />
Member of <strong>RDNS</strong> Board Committee:<br />
Audit and Risk (Chair)<br />
Michael has more than 27 years experience<br />
in healthcare as a nurse, clinical service<br />
manager, and consultant. He worked in<br />
senior management and clinical roles at<br />
St Vincent’s Hospital Melbourne and<br />
other hospitals.<br />
Apart from his roles at <strong>RDNS</strong>, Michael is<br />
also a Director of Iridium Consulting –<br />
a Melbourne based healthcare<br />
consultancy. He specialises in problem<br />
solving, change management, service<br />
redesign and planning. Iridium’s clients<br />
include health departments, professional<br />
bodies, hospitals, community services,<br />
aged care services and mental health<br />
services. He is also active in several<br />
community service activities.<br />
Our Directors <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> 39
Corporate<br />
governance<br />
statement<br />
On 31 March 2003 the Australian Stock Exchange released the ASX Corporate<br />
Governance Council’s Principles of Good Governance and Best Practice<br />
Recommendations (‘ASX Principles’). Those ASX Principles require major publicly<br />
listed companies to disclose in their annual reports whether their corporate<br />
governance practices follow the ASX Principles on an ‘if not, why not’ basis.<br />
<strong>RDNS</strong> is not a publicly listed company and is not subject to the ASX Principles –<br />
indeed some of them are not applicable to the not-for-profit sector. For over<br />
ten years the Board of Directors of <strong>Royal</strong> <strong>District</strong> <strong>Nursing</strong> <strong>Service</strong> has worked,<br />
as a key priority, on the development and adoption of processes and practices<br />
which are aimed at achieving best practice in good governance in the not-for-profit<br />
sector. So, whilst not technically required to comply with the ASX Principles, <strong>RDNS</strong><br />
Directors have determined to use them as the basis for continuing to revise and<br />
update their own practices.<br />
The <strong>RDNS</strong> Board Charter, originally developed in 1996 / 97, sets out the basis by which<br />
the <strong>RDNS</strong> Board fulfils its role and the Charter Statement (1999) provides further<br />
guidance on the way by which the Board/management/staff interface operates.<br />
In summary, the Board is a strong advocate of good corporate governance and seeks<br />
to ensure that all officers and employees of the company fulfil their obligations and<br />
their responsibilities to all stakeholders.<br />
40 <strong>RDNS</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2008</strong> Corporate governance statement
ERC 080786<br />
Cover image: sincere thanks to Rob Rabba at Eureka Skydeck
Contact us Telephone Fax<br />
Clients/general public 1300 33 44 55 1300 657 265<br />
Health professionals 1300 687 7464<br />
(1300 NURSING)<br />
1300 657 265<br />
RALLY Healthcare 1300 633 933 1300 791 162<br />
<strong>RDNS</strong> Head Office<br />
31 Alma Road, St Kilda, VIC, 3182 (03) 9536 5222 (03) 9536 5333<br />
www.rdns.com.au