Annual report 2010 - Australian and New Zealand College of ...

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faculty ofpain medicinecontinuedA pilot collaborative outcome projectinvolving two centres in Victoria andNSW was commenced by two boardmembers. Research involves the analysisand benchmarking of quantitative datacontained in questionnaires completedby study participants from January 2010to January 2012.Professor David Currow, Palliative CareOutcome Centre (PCOC) met with theBoard in February and provided valuableadvice on the process of establishingsuch an initiative.ProfessionalNational specialist registrationTerminology for national specialistregistration was confirmed as “specialistpain medicine physician” and Fellows areencouraged to use this title.Recognition of pain medicine asa specialty – New ZealandAfter lengthy delays arising fromchanging processes within the MedicalCouncil of New Zealand (MCNZ),the Faculty’s application for specialtyrecognition in New Zealand wasadvanced with stage one of the two-stepprocess being assessed and approvedand an invitation to proceed to stagetwo received on December 24. Theyrequested a submission by June 30 2011.Before then, the MCNZ is required togazette the intention to recognise painmedicine as a vocational specialty andmake wider consultation in accord withthe HPCAA Act (2003). Stage two isexpected to take six to 10 months.Acute Pain Management: ScientificEvidence (APM:SE) 3rd EditionThe third edition of the acute painguidelines was launched at the NationalPain Summit in Canberra on March 11and subsequently circulated to all ANZCAand FPM Fellows and trainees.This publication, endorsed by theNHMRC and many national andinternational bodies, provides accessto the most up-to-date science andpractice on acute pain management.Of equal importance, there is much newinformation about effective managementof acute pain as a preventive strategy toreduce the risk of progression from acuteto chronic pain.This third edition was brought to fruitionthrough the enormous commitmentof Associate Professor Pam Macintyreand Associate Professor David Scott,Professor Stephan Schug, Dr Eric Visserand Dr Suellen Walker.Policy/governmentAnnual reports were provided to theAustralian Medical Council and MedicalTraining Review Panel. The Facultycontributed to a growing numberof submissions including:• Australian Commission on Safetyand Quality in Health Care - ClinicalHandover Pilot Program• Australian Commission on Safetyand Quality in Health Care – PatientCentred Care: Improving Quality andSafety by Focusing Care on Patientsand Consumers• Australian Commission on Safety andQuality in Health Care – ConsultationPaper on the Draft National Safetyand Quality Healthcare Standards(Aug 2010)• Australian Medical Council –Competence based medical educationconsultation paper• Australian Medical Council – SpecialistRegistration – Registration Standard• NHMRC – Ethical issues involved in thetransitions to palliation and end of lifecare for people with chronic conditions:A Discussion Paper for patients, carersand health professionals• Health Quality and ComplaintsCommission – Risk Profiling andDoctors with Multiple complaints• Health Workforce Australia – ClinicalSupervisor Support Program• NHMRC – National Guidance onCollaborative Maternity Care• Medical Board of Australia –Consultation Paper 5 on SpecialistRegistration• Medical Board of Australia – Consultationon Codes and Guidelines• Medical Specialist Outreach AssistanceProgram – Indigenous Chronic Disease(MSOAP-ICD) GuidelinesNational Pain SummitThe National Pain Summit in Canberrain March 2010 brought together thelargest cross-section of stakeholders everfocused on a single health policy initiative– to elevate chronic pain as a significantissue on the political and healthcareagenda.The Summit was addressed by theAustralian Health Minister, Hon.Nicola Roxon MP. It was facilitatedby Dr Norman Swan and chaired byProfessor Michael Cousins. The Facultywas represented by Dr Penny Briscoe,Associate Professor Leigh Atkinson,Dr Carolyn Arnold and Dr Chris Hayes.ANZCA/FPM support to the Summitwas provided in the form of projectmanagement, venue and administrativesupport and communications expertise.As well as developing a powerfulnew website home page, the ANZCACommunications unit was instrumentalin attracting a high level of media interestand wide coverage, both in the lead up to,and following the summit.Following the summit, a steeringcommittee, with FPM/ANZCArepresentation, progressed the formationof Painaustralia Limited, a nationaladvocacy body aimed at “Working toprevent and manage pain” and chairedby Mr James Strong, AO. AssociateProfessor Milton Cohen (past FPM Dean)is the ANZCA/FPM nomination to thePainaustralia Board. As a “Category A”member, the College has committed inkind support to Painaustralia untilJune 2011.International Pain SummitThe Faculty endorsed the Declaration ofMontreal, resulting from the InternationalPain Summit held in Montreal inSeptember 2010, which states that accessto pain management is a fundamentalhuman right.Resources PortfolioPain Medicine JournalA new contract was negotiated with theAmercian Academy of Pain Medicineto include an institutional onlinesubscription to Pain Medicine forthe College.StaffA new position of FPM administratoraccreditation and communications wasdeveloped to support the FPM TrainingUnit Accreditation Committee, coordinateFaculty communications (including thewebsite, Synapse, trainee e-newsletterand contributions to the ANZCA Bulletin,ANZCA E-Newsletter and Staff Update),and to assist with the coordination ofFaculty events.FinanceThe operating result for the Facultyshowed a favourable variance againstbudget for 2010. This was a result of ahigher number of new Fellows, carefultravel budgeting and strong attendanceand healthcare industry support atFaculty continuing medical educationevents. A budget for 2011 was establishedto provide adequate funding to meetthe requirements of expanding Facultyactivities.Dr David JonesDeanRelationshipsPortfolioLiaisonCommitteeEducationCommitteeTrainee AffairsPortfolioPanel of Examiners 2010Dr Carolyn A ArnoldAssociate Professor R Leigh AtkinsonDr Penelope A BriscoeDr Charles BrookerDr Wilbur ChanDr Richard W M ChyeAssociate Professor Milton L CohenProfessor Michael J CousinsDr Meredith J CraigieDr Matthew R CrawfordDr Raymond GarrickDr C Roger GouckeDr Paul D GrayDr David W GronowDr Newman L HarrisDr Martine HolfordDr David JonesExaminationCommitteeANZCA CouncilFPM BoardExecutive OfficerTUACFellowshipAffairs PortfolioAssessorDr Kok E KhorDr Lynette K LeeAssociate Professor Pamela E MacintyreDr Diarmuid G McCoyProfessor George MendelsonDr Frank J NewDr Dianne PaceyDr Greta M PalmerProfessor Peter ReillyDr Bruce F RounsefellDr Marc RussoProfessor Edward A ShiptonDr Melissa A VineyDr Eric VisserDr Owen D WilliamsonDr Paul J WrigleyCE&QACommitteeResourcesPortfolioResearchCommitteeFPM organisation chart at December 31, 201040 ANZCA Annual Report 2010ANZCA Annual Report 2010 41
HonoraryTreasurer’sreport“The sound financial position of the Collegeis a reflection of the loyalty and dedication ofcouncillors, committee members, Fellows andstaff throughout Australia, New Zealandand south-east Asia.”This is my first treasurer’s report sinceassuming the role of Honorary Treasurerin May 2010, and I am pleased to reportthat ANZCA finished 2010 in a verysound financial position, with net assetsof $20.429 million and no debt.The operations of the College produceda deficit of $715,366 (in 2009 theCollege achieved an operating surplusof $1.683 million); however year-onyearcomparisons are distorted by theseparation from the College of the JointFaculty of Intensive Care Medicine(JFICM) at the end of 2009. I willcomment further on this result later inthis report. For the second successiveyear, the College investments providedpositive returns with earnings of $721,432in 2010 compared with $980,408 in 2009.The budget for the 2011 year, approvedby Council in November 2010, anticipatesa minor operating deficit. This does notrepresent a move away from the principleof planning for a break-even result atthe operational level without relianceon the performance of the investmentportfolio. This principle has served theCollege well over the past two yearsduring economically challenging timesworldwide. The 2011 budget merelyreflects the particular conditions thatthe College will face including the HongKong Combined Scientific Meetingwhich has a one-off surplus sharingarrangement with the Hong Kong Collegeof Anaesthesiologists. The investmentearnings will continue to be used to buildon the corpus of the portfolio providinga basis for financing future capitalinvestments and maintaining the levelof research funding.Statement of comprehensive incomeThis is a summary of the revenue,expenses and surplus from the activitiesof the College.As mentioned above, the comparisonsbetween 2010 and 2009 are significantlydistorted by the separation of JFICM toform the new College of Intensive CareMedicine. In 2009, JFICM contributed$2.555 million in revenue offset by $1.238million of expenses as reflected in theattached financial statements.In 2010 without that JFICM contribution,overall revenue from operating activitiesfor the year was $19.363 million ($20.505million in 2009). Expenses totalled$20.078 million ($18.823 million for2009), leaving an operating deficit of$715,366 (surplus of $1.683 million in2009). The lower result came throughreduced revenue from key activityareas, again largely as a result of JFICM:registration, training and exam fees(down $779,344) and meeting andcourse income (down $627,291); partiallyoffset by increases in subscriptionsand entry fees (up $135,895) and otherincome, including Anaesthesia andPain Medicine Foundation sponsorshipand donations, international medicalgraduate specialist (IMGS) assessmentsand expense recoveries (up $128,645).Expenditure growth was held to $1.256million whereas the growth in theprevious year had been $1.667 million.Whilst volatility continued to affectinvestment markets, it is pleasing toreport that the College investments(comprising the investment portfolioand interest bearing operational bankaccounts) followed on from the 2009positive return of $980,408 with a furtherpositive result of $721,432. The result wasdriven by income earnings of $782,443,partially offset by unrealised capitallosses of $61,011. Whilst this is pleasing,indications are that in 2011, investmentmarkets will still face volatility and someuncertainty, further reinforcing theCollege approach of minimal relianceon investment earnings to fundoperational activities.The surplus from investments allowed fora small consolidated surplus of $6066 tobe achieved, compared to $2.663 millionin 2009. The asset transfer to the newCollege of Intensive Care Medicine in2009 of approximately $1 million underthe terms of the separation of JFICMmeant that the net surplus for 2009was $1.684 million. Minor exchangetranslation differences between theNew Zealand and Australian dollarat balance date, resulted in the totalcomprehensive income for the yearbeing a negative $1894.Statement of financial positionThis is a summary of the assets, liabilitiesand equity position of the College.Over the year, the net assets of theCollege were maintained at $20.429million compared to $20.430 million atthe end of 2009 despite the net assettransfers to JFICM.The maintenance of the net assetposition with no debt after the JFICMseparation is an indication of the soundfinancial position of the College.Statement of cash flowsA further indication of the sound financialposition of the College is the cashholdings of $4.267 million at the end of2010. This is $372,563 greater than 2009.The College operations produced a netcash outcome of $1.480 million partiallydriven by strong receipts for 2011 eventsand subscriptions which was sufficientto fund net investment spending oncapital asset purchases and growing theportfolio of $1.108 million.CommentsIn 2011 and beyond, Council iscommitted to maintaining a directionthat ensures financial sustainability andprudent use of retained surpluses thatwill enable us to take up opportunitiesand to invest wisely in the future.The sound financial position of theCollege is a reflection of the loyalty anddedication of councillors, committeemembers, Fellows and staff throughoutAustralia, New Zealand and south-eastAsia. Without their continued support theCollege would not be in the position it istoday. I would like to acknowledge thatcommitment on behalf of the College.Dr Lindy RobertsHonorary Treasurer42 ANZCA Annual Report 2010ANZCA Annual Report 2010 43
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