Healthy Outlook - Sydney Local Health District - NSW Government

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CLINICAL GROUPS continued CARDIOVASCULAR SERVICES Clinical Director: Associate Professor Brian McCaughan MB, BS (Hon 1), FRACS This year, people who had cardiovascular surgery spent less time in hospital and 80 per cent of elective patients were admitted on the day of their operation. Cardiovascular Services specialises in cardiology, renal, endocrinology, vascular and cardiothoracic surgery, clinical pharmacology and toxicology. It looks after the National Poisons Register. New treatment protocols were introduced during the year, including the use of photopheresis to manage complex kidney transplant rejections. This is the first time the procedure has been used this way in Australia. People with aortic aneurysms spent fewer days in hospital, with endoluminal aortic surgery further developed. This involved inserting a made-to-measure stent into the aneurysm if appropriate for the individual, with the patient returning home in three days. The more traditional open surgery approach required larger incisions and meant a longer stay in hospital, with up to three days in intensive care. CSAHS is a world leader in endoluminal aortic surgery. Key Indicators 1997/98 1998/99 1999/00 Staff EFT* 528.61 509.72 517.79 Admissions 25,488 27,227 27,745 Same-day admissions 16,773 17,514 18,591 Outpatient occasions of service 27,929 29,942 32,285 * equivalent full-time Cardiovascular Services RPA Concord Renal • • Cardiology • • Cardiothoracic Surgery • • Endocrinology • National Poisons Register • Vascular Surgery • • Clinical Pharmacology • Open-heart surgery to close holes in the heart was avoided with the use of cardiac catheters. The new procedure means patients need less time in hospital recovering. A joint project between RPA’s cardiology and radiation oncology departments saw brachytherapy introduced to treat narrowed coronary arteries. This administers radiotherapy to prevent constriction recurring after a stent has been inserted to keep the blood vessel open. RPA staff took their experience in diabetes and associated foot problems to the bush, assisting health professionals in rural and remote parts of NSW. The internationally known high-risk foot clinic was chosen as a NSW Health telemedicine project. A web-based patient information system was developed for people with renal disease, interfacing with information stored in current hospital and national systems. A menopause clinic and research into osteoporosis associated with thyroid cancers began when RPA’s Endocrinology and Metabolism Centre moved into larger premises and acquired a lunar bone densitometer. CENTRAL SYDNEY LABORATORY SERVICE Clinical Director: Associate Professor Geoff Duggin MB, BS (Hons), PhC, FRACP, FAFPHM The Central Sydney Laboratory Service prides itself on providing the widest range of specialist tests in NSW, including molecular and clinical genetics, endocrinology, bone and mineral metabolism as well as the complete range of hepatitis testing. The CSLS aims to return quality test results for patients in minimum time. As one of five pathology hubs in NSW it services public and private healthcare facilities. 12
Incorporating labs at Royal Prince Alfred, Concord, Canterbury and Balmain hospitals, research and teaching are important components of CSLS activities. The final plans for the new laboratory facility under the Resource Transition Program were approved. The laboratory service will be centralised, ensuring better use of staff and resources and a faster turnaround on results. Diagnostic Endocrinology was integrated into the General Diagnostic Unit, maximising the use of state-of-the-art equipment. Memoranda of understanding were signed with ACT Pathology, Pacific Laboratory Medicine Service, and Hampson Sugerman Pathology for certain specialised tests to be carried out by the CSLS. New key performance indicators were developed for pathology centres across NSW. Comparative data will be available early in the new financial year. Key Indicators 1997/98 1998/99 1999/00 Staff EFT* 463 444 427 Occasions of service 736,422** 818,179** 826,231 Central Sydney Laboratory Service Balmain Concord** RPA**+ Canterbury Anatomical Pathology • • Biochemistry O • • • Blood Bank O • • • Electron Microscopy • Endocrinology • • Clinical Andrology Laboratory • Gastroenterology • Haematology O • • • Immunology Kanematsu Research • • Laboratory Information Services • Microbiology • • Molecular Genetics/ Medicine • • Renal • O not a full range of specialised services ** RPA and Concord Hospital laboratories provide a range of tests for facilities outside CSAHS + includes the laboratory at Rachel Forster Hospital, which does not offer a full range of specialised services * equivalent full-time ** a review of occasions of service for 1997/98 and 1998/99 indicated that there were anomalies in counting an outlookof first class treatment 13
Page 1 and 2: a healthy 1999/2000 outlook central
Page 3 and 4: INTRODUCTION CENTRAL SYDNEY AREA HE
Page 5 and 6: CORPORATE AND PATIENT CARE OBJECTIV
Page 7 and 8: OPERATIONAL STRUCTURE NSW Minister
Page 9 and 10: CORPORATE GOVERNANCE BOARD MEMBERS
Page 11 and 12: PLANNING FOR THE FUTURE DEVELOPMENT
Page 13: CANCER SERVICES Clinical Director:
Page 17 and 18: an outlook of new procedures The Re
Page 19 and 20: GENERAL PRACTICE Clinical Director:
Page 21 and 22: Mental health inpatient services ar
Page 23 and 24: informed a more outlook A model for
Page 25 and 26: WOMEN’S AND CHILDREN’S HEALTH C
Page 27 and 28: OUR FACILITIES FAR-REACHING IMPROVE
Page 29 and 30: CONCORD REPATRIATION GENERAL HOSPIT
Page 31 and 32: Key Indicators 1997/98 1998/99 1999
Page 33 and 34: QUALITY, RESEARCH & TEACHING THE QU
Page 35 and 36: HR & CORPORATE SERVICES OUR STAFF I
Page 37 and 38: CENTRAL SYDNEY AREA HEALTH SERVICE
Page 39 and 40: A Healthy Outlook: Central Sydney A

Healthy Outlook - Sydney Local Health District - NSW Government

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