Annual Report 2009 - Sturt Fleurieu

educating doctors for a future in general practiceAnnual Report 2009For the year ended 31 December 2009www.sfgpet.com.au

MissionTo deliver high quality responsive and forward thinking generalpractice education and training to provide our community with askilled and sustainable general practice workforce.ObjectivesDeliver high quality vertically integratedgeneral practice training across theSturt Fleurieu region that promotesprofessionalism, competency and safepractice in collaboration with other relevantorganizations.Develop a training program which isadaptable for registrars and supervisorswithout compromising quality or the abilityof registrars to achieve fellowship.Plan and market to achieve high demandfor the courses Sturt Fleurieu offers.Monitor and add value to regional capacityto deliver training at all levels.Grow the use of innovative models ofprogram delivery which recognisesthe changing face of general practice,registrars, supervisors and the community.Encourage regional capacity to developnew projects.Deliver high quality outcomes withinavailable resources and manage theorganisation responsibly.Ensure key clients and interest groupsunderstand training and are satisfied withSturt Fleurieu outcomes.

ContentsChair’s Report 2CEO Report 3Corporate Governance 4Committee Members 4Attendance at Meetings 5Sturt Fleurieu Staff 5Training Practices 6Accredited GP Training Practice Locations 7General Practice Training in Sturt FleurieuDirector of Medical Education Report 8Registrar Liaison Officer Report 10Prevocational GP Placements Program 12Academic Post 14Financial Statements 151

Chair’s Report22009 has been anotherchallenging but successful yearfor Sturt Fleurieu. In my lastreport I alluded to the impact ofthe changing medico-politicalenvironment on our activities.This year one of the principalchallenges has been theformulation of a collaborationplan which was to form partof our contract negotiationsfor 2010 to 2012 This hasincluded a plan to expand ourboundaries. GPET have lookedto rationalise and streamline thedelivery of GP training and thisheralded complex and at timesdifficult merger negotiations.This has involved Sturt Fleurieuand discussions with GreaterGreen Triangle were initiated. Itseems that we are to be trainingin the south east of SouthAustralia in the next contracttriennium however the transitionphase requires more work.Ongoing speculation existsregarding likely federalgovernment concepts emergingfrom a number of reportswhich have been released forcomment in 2009. Certainly therecommendations that comeout of these reports, if enacted,herald a definite change in theprimary care landscape andthis will undoubtedly impact ongeneral practice training. Withincreasing GP trainee numbersthere remains a need for carefulplanning and positioning for thefuture. This foreshadows manynew opportunities that we willneed to be careful in managingwell.Our Management Committeehas again remained relativelystable in 2009. The transientrole of RLO representative wasmore than capably shared byTrinh Tran and Nyoli Valentine.The Management Committeewas trimmed down a littlewhen ACRRM nominated ourBarossa Division representativeDr David Adams to alsorepresent that organisation.The SA Department of Healthhas been represented on theManagement Committee thisyear by Dana Shen. Dana inher first full year with us hascertainly been an enthusiasticand knowledgeable contributor,apart from adding somediversity to a board whichotherwise consists of generalpractitioners.In 2009 we co-hosted withour neighbouring consortiathe GPET conference herein Adelaide. Overall it washighly successful and I thinkthat our organisation canbe proud of the role that weplayed. The Sturt Fleurieuprofile continued to grownationally with the ongoingsuccess of the educationalmodules developed by ourstaff. Following earning thenational award for innovation atthe GPET conference in 2007and 2008, Derm-start receivedthe same award at the GPETconference in Adelaide in 2009.It is acknowledgement for thehard work and initiative thatBruce Mugford and his staff,particularly, in this case ShirleyFung, have put in and the awardwas well deserved.There has been ongoing activitywithin the newly formed “Chairs”group continuing to use theirinfluence to support TheAssociations of CEO’s formedsome time previously. There ismore ground to cover as thisgroup searches for its bestposition in the greater schemeof things where hopefullythere will be some capacity toinfluence policy at a nationallevel.As previously, I remainindebted to all members of theManagement Committee whosededication and applicationas well as camaraderie andgood humour have made myjob straightforward. I expressmy sincerest thanks to allconcerned. This has been abusy year for the ManagementCommittee, each yearseems to bring forward morecomplexity, and it has beenparticularly helpful that bothDavid Rosenthal as Chair of theFinance and Risk Managementsubcommittee and DavidAdams as Chair of the Planningsubcommittee have continuedto work so diligently andefficiently.Bruce Mugford, Ken Redfordand Peter Clements and therest of their staff have continuedto perform exceptionally well.Despite minor changes inpersonnel and roles, SturtFleurieu continues to run likeclockwork. The pleasing trendfor our graduates to staylinked with Sturt Fleurieu hascontinued and I think that isa credit to us. However youlook at it, evidence suggeststhat Sturt Fleurieu rates highlyamongst regional trainingproviders on all counts andit remains a pleasure and aprivilege to be part of that.2010 holds promise of moregrowth, more achievement andsatisfaction for all involved.Dr Richard Johns

CEO Report2009 has again proved to bea busy but successful time forSturt Fleurieu.The AGPT training contractwith GPET was due to expireat the end of 2009 thereforemuch of the year was spentdeveloping and refining the‘Collaboration Plan’ that wouldunderpin our application tocontinue to deliver AGPT anddefine the business plan goingforward through to 2012. GPETalso undertook an in depth duediligence process and reviewof our organization which wascompleted and approved byGPET over the latter part ofthe year. It was with relief thatSturt Fleurieu was awarded atraining contract for a furtherthree years to the end of 2012and excitement that we havebeen invited to extend ourtraining footprint to include thesouth east of South Australia.Certainly this expansion of ourtraining footprint will bring withit a new range of challengesbut both at a ManagementCommittee and operationallevel we are looking forward toworking within this new area.Education and training forour registrars, interns andinternational medical graduatesof course has continuedunabated and without any hintof the considerable work goingon in the background aroundrecontracting.There have been manysignificant achievementsagain this year. I would liketo highlight the efforts byNyoli Valentine in winning theResearch Registrar of the Year,Shirley Fung in winning theInnovation Award for Derm-startand Karen Fuller for achievingthe highest mark in the RACGPexam across Australia as threeextraordinary accomplishments.Sturt Fleurieu has now won theInnovation Award for the thirdyear running, as well as twicewinning the Fellowship researchand exam dux prize.National recognition isimportant but it is the all roundeffort within the education andmanagement teams at SturtFleurieu which make thesethings possible. Throughthis year we have moved ouremergency medicine simulationprogram to the University ofAdelaide, no small effort, andrecruited a significant numberof new teaching practices toensure we have capacity forthe registrars we are regularlyattracting. To ensure weremain up to date DannyByrne completed the Harvardprogram and Peter Clementsundertook a sabbatical to theUK where he saw first handhow our training compares tothat on offer overseas.Sturt Fleurieu has continuedto grow in all its core areasof activity - general practicetraining through AGPT,intern placements throughPGPPP and InternationalMedical Graduate supportin conjunction with the RuralDoctors Workforce Agency.Further development of gp-startand the support for other RTPswho use this program has alsogrown through 2009.The best result of all thatmedical students who havehad extended placements inour teaching practices aretaking up the opportunity tohave intern placements in thesame general practices andthen joining general practicetraining. These same registrarsare consistently passing thebenchmark exams of both ourcolleges and increasingly theyare returning to the practiceswhich supplied them with theirtraining. Our next challenge isto ensure that these registrarswill become confident enoughto emerge as our nextgeneration of GP supervisors.Dr Bruce Mugford3

Corporate GovernanceSturt Fleurieu is an incorporated not-for-profit Association. A ManagementCommittee of 10 members comprising representatives of the 5 regional Divisions ofGeneral Practice (Adelaide Hills, Barossa, Murray-Mallee, Riverland and Southern)and one representative each from ACRRM, RACGP, Flinders University, an invitedmember and the registrar liaison officer governs the organisation. The ManagementCommittee has responsibility for the overall strategy, governance and performance ofthe organisation. Day–to-day management of the organisation is the responsibility ofthe Chief Executive Officer.Committee MembersFrom January 2009 to December 2009Dr Richard Johns(Southern - Chair)Dr David Adams(ACCRM)(Barossa - Vice Chair)Dr Martin Altmann(Murray-Mallee)Dr Richard Wilson(Adelaide Hills)Dr Annette Newson(RACGP)Professor Richard Reed(Flinders University)Dr David Rosenthal(Riverland)Ms Dana ShenInvited MemberDr Trinh Tran(Registrar Liaison Officer)Dr Nyoli Valentine(Registrar Liaison Officer)(observer status only)Dr Bruce Mugford(CEO)4

Attendance at MeetingsFrom January 2009 to December 2009MemberManagementCommitteeFinance & RiskManagementSub CommitteesPlanning &Nominations(2 meetingsscheduled for 2009 –1 cancelled)Richard Johns 6/6 7/7 1/1Annette Newson 6/6 Not a member 1/1Richard Wilson 4/6 5/7 Not a memberDavid Rosenthal 6/6 7/7 Not a memberDavid Adams 5/6 1/1 (special request) 1/1Martin Altmann 5/62/2 (commenced ascommittee memberNov 09)Not a memberRichard Reed 5/6 Not a member 1/1Trinh Tran 6/6 Not a member 1/1Dana Shen 4/6 Not a member Not a memberBruce Mugford, CEO 5/6 7/7 1/1Sturt Fleurieu StaffAs at 31 December 2009CEODr Bruce MugfordKimberley MartinsenExecutive Officer, ACE/Manager e-EducationEducation and TrainingDr Peter ClementsDirector of Medical EducationJennifer EvittsManager Education ServicesSallie GoffTraining CoordinatorTaya PeekTraining Support Officer(Maternity Leave)(June 09 - Jan 10)Caroline FurlongActing Training Support Officer(May 09 - Dec 09)Business Development andAdministrationKen RedfordManager OperationsLeeann AncellAdministration ManagerSue Hope-JohnstoneFinance Officer/AdministrationOfficerMedical EducatorsDr Danny ByrneSenior Regional MedicalEducator (p/t)Dr Cate PriceRegional Medical Educator (p/t)Dr Anke DoleyRegional Medical Educator (p/t)Dr Shirley FungRegional Medical Educator (p/t)Dr Ken WangahuRegional Medical Educator(IMGs)(p/t)Dr Ian McCombeHospital Educator/ PGPPPCoordinator (p/t)Dr Michal WozniakMedical Educator (p/t)Dr Nyoli ValentineDr Trinh TranRegistrar Liaison OfficersDr Phil JohnsSupervisor TrainingCo-ordinator (p/t)5

Training PracticesSturt Fleurieu Training Practices (Current December 2009)URBANTraining Provider Name Suburb / Town DivisionRRMAClassificationAberfoyle Park Medical Centre Aberfoyle Park Southern 1Arkaba Medical Centre Parkside Adelaide 1Aldinga Medical Centre* Aldinga Beach Southern 1Brian Burdekin Clinic Adelaide Adelaide 1Chandlers Hill Surgery Happy Valley Southern 1Christies Beach Medical Centre Christies Beach Southern 1Crafter Medical Centre Hawthorn Adelaide 1Flagstaff Hill Medical Centre Flagstaff Hill Southern 1Flinders Clinic Oaklands Park Adelaide 1Floreat Surgery Morphett Vale Southern 1Hallett Cove Corner Surgery Hallett Cove Southern 1Hills Medical Service Aldgate Adelaide Hills 1Kingston Family Practice Brighton Southern 1Morphett Vale Family Practice Morphett Vale Southern 1Nunkuwarrin Yunti* Adelaide Adelaide 1Seacombe Medical Centre Seacombe Gardens Southern 1Stirling Central Health Clinic Stirling Adelaide Hills 1Stirling Medical Centre Stirling Adelaide Hills 1Woodcroft Medical Practice Woodcroft Southern 1Wirreanda Clinic Morphett Vale Southern 1Outer MetroRURALTraining Provider Name Suburb / Town Division RRMA ClassificationAngaston Medical Centre Angaston Barossa 5Barmera Medical Centre Barmera Riverland 5Berri Medical Clinic Berri Riverland 5Bridge Clinic* Murray Bridge Murray Mallee 4Gawler Medical Clinic Gawler Northern 5Goolwa Medical Centre* Goolwa Southern 5Gumeracha Medical Practice Gumeracha Adelaide Hills 5Hahndorf Medical Centre* Hahndorf Adelaide Hills 5Hyde and Partners Gawler Northern 5Kapunda Medical Practice* Kapunda Barossa 5Loxton Medical Centre Loxton Riverland 5Mt Barker / Balhannah Medical Centre* Mt Barker / Balhannah Adelaide HIlls 5Mt Barker Family Medical Practice Mt Barker Adelaide Hills 5Mt Barker Medical Clinic* Mt Barker Adelaide Hills 5Norfolk House Medical Services Victor Harbor Southern 5Renmark Medical Centre Renmark Riverland 5Strathalbyn Branch - Mt Barker Medical Clinic* Strathalbyn Adelaide Hills 5Strathalbyn Medical Clinic* Strathalbyn Adelaide Hills 5Talunga Clinic Mount Pleasant Adelaide Hills 5Tanunda Medical Clinic Tanunda Barossa 5Victor Medical Centre* Victor Harbor Southern 5Waikerie Medical Centre Waikerie Riverland 56* These practices have branch practices which registrars will be required to work in.

acoorteMillicentambierTanundaAccredited GP Training Gumeracha MountPracticePleasantLocationsKapundaNuriootpa AngastonGawlerTanunda8borGumeracha3ankalillaMount PleasantHahndorfMount BarkerMurray BridgeStrathalbynGoolwaWaikerieDarwinKingstonRenmark AdelaideBarmera BerriKeithBordertownLoxtonVictor HarborAdelaideNuriootpaGawlerYankalillaVictor HarborKapundaNuriootpa AngastonGawlerTanundaGumerachaYankalillaKapundaAngastonHahndorfMount BarkerMurray BridgeStrathalbynGoolwaMount PleasantHahndorfMount BarkerKingstonMurray BridgeStrathalbynGoolwaWaikerieRenmarkBarmera BerriWaikerieKeithBordertownNaracoorteLoxtonRenmarkBarmera BerriLoxtonKangaroo IslandNaracoorteMillicentMount GambierMillicentMount GambierKeithBordertownAdelaide216DarwinAdelaide 21615 9 5717 610141984183Darwin1 Aberfoyle Park2 Adelaide(Nunkawarrin Yunti)3 Aldgate4 Aldinga Beach5 Belair6 Blackwood7 Brighton8 Christies Beach9 Clovelly Park415 971710651810 Flagstaff Hill11 Hallett Cove1412 Happy 19 Valley813 Hawthorn14 Morphett Vale (2)15 Oaklands Park16 Parkside17 Seacombe Gardens18 Stirling19 Woodcroft3KingstonNaracoorteMillicentMount Gambier7

Director of Medical Education Report82009 was another enjoyable,challenging and rewarding yearfrom many points of view.Strong supervisor involvementcontinued with goodattendance at supervisorworkshops and greatinteraction and collegiality inevidence as ever. Supervisorscontinued to be the majoreducational providers in theprogram and Sturt Fleurieu isindebted to these individualsand their practices for theirongoing dedication to thecause.Supervisor involvement hasbeen strengthened through theincreased understanding oftheir important role in programssuch as gp-start and gpadvancedand the willingnessof many to become involvedas external clinical teachervisitors and to present at majoreducational release days forSturt Fleurieu registrars.There has also been somesupervisor involvement withpresenting to interns andstudents and this is greatlyvalued by the Sturt Fleurieueducation team.Several new practices haveapproached us with a view tobecoming training practicesand we look likely to increaseour practice base as a result.We welcome those practices.We will, of course, continueto work to avoid a mismatchbetween registrar numbers andavailable practices.The regional medical educatorteam has been stable forsome years and the programsdelivered have matured anddeveloped. Feedback fromregistrars about their respectiveRMEs is very positive andthey remain central to the waywe deliver our educationalprogram. Thanks to DannyByrne as senior ME and theteam of Ken Wanguhu, CatePrice, Anke Doley and ShirleyFung for their commitment tothe program.Registrars are our “raisond’etre” and we have beenprivileged to have a large groupof high standard registrars enterthe program in 2009 as well asthe excellent more advancedregistrars.Congratulations to all ourregistrars who sat and passedthe FRACGP exams throughthe year. The exam pass ratesremain extremely high and wehad major success in 2009with a top of Australia going toKaryn Fuller in Semester 1.Clinical attachments havebeen made available in clinicaleducation, domestic violenceand forensic medicine,diabetes, chronic painmanagement and addictionmedicine and palliative care.All were well subscribed in 2009and feedback was generallyvery positive once again.Further clinical attachmentshave been developed for 2010in disability medicine and welook forward to seeing thisexciting opportunity taken upby Sturt Fleurieu registrars. Wewill continue to consider newand different opportunities asthey arise. It is now possible toregard our increasingly popularpro-start anaesthetic programas a clinical attachment as well.The emphasis which we placeon emergency medicine skillswas continued in 2009 butthis year we moved basefrom Flinders to the AdelaideMedical School simulationlaboratory. There were several“teething” problems but thesesettled gradually throughthe year and we now have asmoothly functioning programagain.Thanks to Michal Wozniak andCollette Lancaster-Lockwoodfor their enthusiasm, skills anddedication in this area. Theirinvolvement will continue in2010 and the program willcontinue to be fine tuned forbest outcomes.Case discussion/gp-advancedhas progressed and registrarshave now developed >400cases with questions writtenin RACGP exam format whichthey can use as a revisionresource at anytime. This isalso available to IMGs whowe are contracted by RuralDoctors’ Workforce Agencyto provide with exam support.The quality of questions andanswers continues to grow andthe quality of case presentationprovides an insight into thehigh knowledge levels of ourregistrars.Extended skills posts andadvanced rural skills postscontinue to be encouragedat Sturt Fleurieu, although thelack of availability of proceduralposts in SA remains an ongoingconcern to us and is one of themajor barriers to proceduraltraining in general practice.

An exciting extended skilldevelopment late in 2009 forcommencement in 2010 isa position with Royal FlyingDoctor Service based in BrokenHill. This position has alreadybeen allocated for 2010 butwill be available as an ongoingopportunity.The annual GPET conventionfor 2009 was held in Adelaideand Sturt Fleurieu played amajor role in the planning of theprogram as well as running 3major workshops, all of whichwere very highly regarded. Wecontinue to be regular presentersat a national level and expectto do so again in 2010 (in AliceSprings). Thanks to all thoseinvolved in ensuring the successof our workshops.diminished but the team workshard and most efficiently todeliver the goods.Thanks to all for their hard workand their genuine concern forpractices and registrars.We look forward to 2010, when itis likely we will begin to transitioninto the SE of South Australiato expand our training footprint.These are exciting times in GPtraining and we aim to continueto deliver high quality, consistenttraining across our whole areaof responsibility, while trying tomaintain continuity of registrarsto our training practices.Dr Peter ClementsAccreditation of trainingpractices for both RACGP andACRRM was an important areaof discussion through the yearand we collaborated with AOGP,NTGPE and GGT to developa pilot program whereby eachRTP could internally accreditits training practices with thecollege role being essentially toaudit and ensure the processis rigorous and sustainable.Encouraging signs were seenbut getting agreement betweenall parties has proved elusive sofar. We continue to work towardsa simplified system of practiceaccreditation and look forresolution of the issues in 2010.I wish to thank the hard workingeducational team of Jenni Evitts,Sallie Goff and Taya Peek. Tayawent on maternity leave throughthe year and was replaced forseveral months by CarolineFurlong who did a great job.The workload certainly has not9

as socials after exams toacknowledge this milestonein the training programmeand allow opportunities fordebriefing.Changes for 2010:Dr Nyoli Valentine is ouroutgoing Registrar LiaisonOfficer. However it is withforesight that Sturt Fleurieuretains Nyoli and her skills asa staff member working withInterns in 2010, in addition toher RRADO role with GPET.Dr Trinh Tran will remain in theRLO role, and welcomes ourincoming RLOs joining her,Dr Bronwyn Knight and DrKassandra Fairhall. Bronwynand Kassandra trained inSouth Australia at AdelaideUniversity and FlindersUniversity, respectively, butmost importantly, have alreadyexpressed and demonstratedkeen interest and enthusiasmfor registrar representation,advocacy roles and peersupport. It is without doubt thattheir backgrounds and skillssets will be assets in the RLOroles, and we look forward toworking as a team in the yearahead.Challenges for 2010:1) Ongoing true and effectiverepresentation and supportof Sturt Fleurieu Registrarswith the aim to optimisetheir training experiencethroughout the programme.2) There has been anexceptionally large new GPRegistrar cohort enteringgeneral practice placementsat the start of this year. Itwas a pleasure meeting thenew Registrars during theOrientation programme,and we aim to maintaincommunication regularly,and encourage and supportthe uptake of trainingopportunities wheneverpossible throughout thetraining programme.3) There is a relatively smallhospital registrar cohortthis year, but high on ouragenda is ensuring thatthe hospital registrars feelconnected and part ofthe Sturt Fleurieu trainingprogramme, includingfrequent communicationand invitations to academicand social events.4) The future promises to beexciting with expansion ofSturt Fleurieu training intothe South-East. This makesregistrar recruitment andengagement ever moreimportant, and we hopeto be able to contribute byproviding greater exposureand promotion of GeneralPractice in the hospitalsetting, including Intern/RMO/Registrar events andsocials.Having reflected on the pastyear, we now look ahead to2010 and the opportunitiesand challenges that presentthemselves whilst workingwithin a successful, motivatedand friendly organisation thatcontinues to move forward.Dr Trinh Tran &Dr Nyoli Valentine11

Prevocational GP Placements ProgramSturt Fleurieu has continued toprovide an orientation sessionfor interns on the first morningof their rotation. All interns meettogether in Adelaide, and arepresented with an overview oftheir placement. They also geta reminder (and some practice)at ear and eye examinations.Dr James Allen (supervisorfrom Hills Medical Practice)has been a frequent visitor atthe orientation mornings andhas regularly presented anexcellent pictorial overview ofdermatology. This talk has beenwell received by interns. Mostinterns get a physical visit to thepractice during their rotation.This is done for reportingpurposes, and to keeppositive communication flowingbetween the practice, SturtFleurieu and the tertiary ‘feeder’hospital. The visits also ensurethe interns continue to get avaluable learning experience, ina supported environment. Theinterns also meet at the end oftheir rotations for handover oflaptops and a lively feedbacksession from their placementsand case presentations fromtheir experience in generalpractice.During the year, Sturt Fleurieu’ssuccessful ‘gp-start’ modules(Asthma, CardiovascularDisease, Diabetes, Introductionto Supervisor, GP Consultingand WorkCover) were madeavailable to interns via both aweb site and CD ROM. Thisprovided the interns with someuseful reference material as wellas giving supervisors potential‘tutorial fodder’. The ruralinterns are also provided withlaptops which come completewith electronic Murtagh, eTGand AMH. The rural interns areprovided with accommodationand broadband connection.All intern practices also haveaccess to the on-line resource‘up to date’.Sturt Fleurieu, the practicesand the feeder tertiary hospitals(Flinders Medical Centre ,Royal Adelaide Hospital andLyell McEwin Health Services)are enthusiastic aboutcontinuing the excellent ruraland outer metropolitan GeneralPractice experiences andrelationships. We will see thestart of a new era in 2010 withGPET taking over the role of‘managing organisation’ fromthe colleges. There will be nochanges in funding for 2010but we await progress, andhopefully the opportunity formore placements in 2011 andbeyond.We look forward to a busy butproductive 2010 with excellenttraining opportunities for juniordoctors in general practicecontinuing.Dr Ian McCombe12

Intern Placements with Sturt Fleurieu(PGPPP)2009 has been another successful year for Sturt Fleurieu practices with interns through PGPPP funding. Funding cutsenforced have been absorbed by the practices, Sturt Fleurieu and the hospitals, and the high quality placements continue.The following table summarises the practices and the interns who completed a placement in 2009.PREVOCATIONAL GENERAL PRACTICE PLACEMENTS PROGRAM 14/1/2009 to 12/1/2010Summary of Junior Doctor PlacementsTerm12345Rotation Date14/01/09 to31/03/1001/04/09 to09/06/0910/06/09 to25/08/0926/08/09 to03/11/0904/11/09 to12/01/10Kapunda MedicalPractice(Lyell McEwin)(ACRRM)Ujun KohLesley-Ann HallJason TanWei How LimNimalVigayaraghavanJamestown(FMC)(ACRRM)Alecia MacrowKate PenroseBen JacobKevin NathanLydia KennedyBridge Clinic(FMC)(ACRRM)SabineDannebergTobias EkinsRichard Lumb(Sam)DamianTownsend*Sheree Hunt*Victor MedicalCentre(FMC)(ACRRM)ElizabethSharradTibor PinczelDan WilsonHayleyMessengerWilliam StaridasMannum(RAH)(ACRRM)Hayley-Fleur(Hayley) RobertsNicole MontanaLaura Bullock*Paul SpizzoLisa BanhHills (Aldgate)(FMC)(RACGP)CandiceThomsonJasmineMacIntyreKasandraMelville*Ali LydeamoreKasey-LeaWilliams*Christies Beach(RAH)(RACGP)Sachin JoshiDang-Khoa(Dang) PhanJoanne UngAnn YeohWinston StorerBerri Medical(FMC)(ACRRM)Vinod KhelgiPetra BosAparna ArjunanJessicaVandenkamp*Diana MoirInterns marked with an * have joined Sturt Fleurieu as GP registrars in 2009 and are currently completing their RMO year.More of these doctors are likely to join general practice training in the years to come.13

Academic PostIn 2009 I undertook anAcademic Post part time over12 months. This AcademicPost provided me with theopportunity to undertake aresearch project, lead medicalstudent tutorials and co-authortwo National PrescribingService Modules. As a resultI have presented work withinAustralia and overseas andhave been published in a peerreview journal and in educationliterature.My research projectwas entitled “Detectingundiagnosed diabetesusing HbA1c, an automatedscreening test in hospitalisedpatients”. This project reviewedthe prevalence of undiagnoseddiabetes within hospitalisedpatients and assessedthe utility of HbA1c as ascreening tool for diabetes.The research concluded therewas a high prevalence ofundiagnosed diabetes withinhospitalised patients (11%),and HbA1c easily automatedand a cost effective methodof detecting undiagnoseddiabetes. Pilot data of theresearch was presented at theAustralian Diabetes Societymeeting in Adelaide, andfinal data presented at theWorld Congress of InternalMedicine in Melbourne, at thePrimary Health Care ResearchConference in Darwin, and willpresented at the EuropeanAssociation for the Study ofDiabetes in Stockholm during2010.In addition to the researchundertaken, my academic termprovided me with opportunityto undertake teaching. Thisinvolved leading medicalstudent pharmacotherapytutorials on the use ofmedications in diabetes.Following on from this, I had theopportunity to co-author twoNational Prescribing Serviceteaching modules on type 2diabetes.To complement my researchand teaching experience, Iworked in a tertiary diabetesclinic for 12 months. Thisprovided an opportunity toimplement my theorecticalknowledge and developclinical skills in the nonpharmacological andpharmacological managementof diabetes.I very much enjoyed myAcademic Post experience.I have developed skills incritical thinking, project work,leadership and teaching. Ienjoyed the opportunity towork within an academic unitand collaborate with otherresearchers and clinicians. Thepost also added variety to theclinical work I was undertaking.In every way my Academic Postexperience has made me abetter clinician for my patients.My improved understanding ofresearch and critical thinkingallows me to better filter,appraise, interpret and applyevidence to my patients.I am now working as theRegistrar Research andDevelopment Officer for GPET,continuing my involvement ingeneral practice research. Iam also working as a juniormedical educator for SturtFleurieu continuing my teachinginvolvement.Academic Posts are a uniqueand rewarding educationalopportunity. I decided toundertake an Academic Postafter being inspired by theactivities and achievementsof a previous Sturt Fleurieuacademic registrar. I am veryglad Sturt Fleurieu encouragesregistrars to pursue AcademicPosts to enhance their GPtraining experience andhope that future registrarswill continue to embraceSturt Fleurieu’s academicinvolvement.Dr Nyoli Valentine14

Financial ReportsFor the year ended 31 December 2009Committee’s Report 16Statement of Comprehensive Income 17Balance Sheet 18Statement of Changes in Equity 19Cash Flow Statement 19Notes to the Financial Statements 20Statement by Members of the Committee 38Independent Audit Report 3915

Committee’s ReportYour Committee Members submit the financial report of the Association for the financial year ended 31 December 2009.1. General InformationCommittee MembersThe names of the Committee Members throughout the year and at the date of this report are:Dr Richard JohnsDr David RosenthalDr David AdamsDr Richard WilsonDr Martin AltmannDr Annette NewsonDr Bruce MugfordProfessor Richard ReedMs Dana ShenDr Trinh TranDr Nyoli Valentine (observer)Principal ActivitiesThe principal activities of the Association during the financial year were:- to promote and deliver general practice education and training to medical practitioners and medical studentswishing to pursue a career in general practice in Australia.Significant ChangesNo significant change in the nature of these activities occurred during the year.2. Business reviewOperating ResultThe profit of the Association for the financial year amounted to $193,157 (2008: $242,794).3. Other ItemsSignificant Changes in State of AffairsNo significant changes in the Association’s state of affairs occurred during the financial year.Signed in accordance with a resolution of the Members of the Committee.Dr Richard JohnsCommittee MemberDr David RosenthalCommittee MemberDated this day of 201016

Statement of ComprehensiveIncomeFor the year ended 31 December 2009Note2009$2008$Revenue 2 5,797,164 5,180,388Employee benefits expense (1,643,192) (1,431,881)Depreciation (117,546) (93,474)Board Expenses (83,432) (63,207)Motor Vehicle Expenses (44,524) (39,571)Education Costs (2,917,750) (2,628,645)Registrar costs and incentives (253,252) (296,718)Supervisor Costs (83,046) (64,613)Office Costs (140,814) (115,141)Other employee costs (185,625) (126,339)Other expenses (98,485) (46,175)Finance costs (18,440) (15,255)Loss on Sale of Assets (17,901) (16,575)Profit attributable to members 193,157 242,793The accompanying notes form part of these financial statements.17

Balance SheetAs at 31 December 2009ASSETSNote2009$2008$CURRENT ASSETSCash and cash equivalents 5 1,530,154 1,345,386Trade and other receivables 6 201,097 114,390Other assets 7 4,266 8,675TOTAL CURRENT ASSETS 1,735,517 1,468,451NON CURRENT ASSETSProperty, plant and equipment 8 482,266 514,135TOTAL NON-CURRENT ASSETS 482,266 514,135TOTAL ASSETS 2,217,783 1,982,586LIABILITIESCURRENT LIABILITIESTrade and other payables 9 536,676 690,122Borrowings 10 70,842 108,688Short-term provisions 11 96,328 71,367TOTAL CURRENT LIABILITIES 703,846 870,177NON CURRENT LIABILITIESBorrowings 10 124,897 53,579Other long-term provisions 11 273,629 136,576TOTAL NON CURRENT LIABILITIES 398,526 190,155TOTAL LIABILITIES 1,102,372 1,060,332NET ASSETS 1,115,411 922,254EQUITYRetained earnings 1,115,411 922,254TOTAL EQUITY 1,115,411 922,254The accompanying notes form part of these financial statements.18

Statement of Changes in EquityFor year ended 31 December 2009RetainedEarnings$Buildinginfrastructureupgrade fund $2009Balance at 1 January 2009 922,254 - 922,254Profit attributable to members 193,157 - 193,157Balance at 31 December 2009 1,115,411 - 1,115,4112008Balance at 1 January 2008 429,460 250,000 679,460Profit attributable to members 242,794 - 242,794Transfers to and from reserves- building infrastructure upgrade fund250,000 (250,000) -Balance at 31 December 2008 922,254 - 922,254Cash Flow StatementFor year ended 31 December 2009CASH FROM OPERATING ACTIVITIESOperating grants receipts 6,246,406 5,691,216Payments to suppliers and employees (5,998,057) (5,093,209)Interest received 26,394 54,560Interest paid (18,440) (15,255)Net cash provided by (used in) operating activities 12(a) 256,303 637,312CASH FLOWS FROM INVESTING ACTIVITIESProceeds from sale of plant and equipment 59,091 -Purchase of property, plant and equipment (18,310) (258,686)Net cash provided by (used in) investing activities 40,781 (258,686)CASH FLOWS FROM FINANCING ACTIVITIESPayment of finance lease liabilities (112,316) (42,980)Net cash provided by (used in) financing activities (112,316) (42,980)OTHER ACTIVITIESNet increase (decreases) in cash held 184,768 335,646Cash at beginning of financial year 1,345,386 1,009,740Cash at end of financial year 5 1,530,154 1,345,386The accompanying notes form part of these financial statements.Note2009$Total$2008$19

Notes to the Financial StatementsFor year ended 31 December 2009Note 1Statement of Significant Accounting PoliciesThe financial report covers Sturt Fleurieu GPETIncorporated as an individual entity. Sturt Fleurieu GPETIncorporated is an Association incorporated in SouthAustralia under the Associations Incorporation Act 1985.Basis of PreparationThe financial report is a general purpose financialstatement that has been prepared in accordance withAustralian Accounting Standards, Australian AccountingInterpretations, other authoritative pronouncements ofthe Australian Accounting Standards Board and theAssociations Incorporation Act 1985.Australian Accounting Standards set out accountingpolicies that the AASB has concluded would result in afinancial report containing relevant and reliable informationabout transactions, events and conditions to which theyapply. Compliance with Australian Accounting Standardsensures that the financial statements and notes alsocomply with International Financial Reporting Standards.Material accounting policies adopted in the preparation ofthis financial report are presented below. They have beenconsistently applied unless otherwise stated.The financial report has been prepared on an accrualsbasis and is based on historical costs, modified, whereapplicable, by the measurement at fair value of selectednon-current assets, financial assets and financial liabilities.(a) Income TaxesThe Association is an income tax exempt body.(b) Property, Plant and EquipmentEach class of property, plant and equipment is carriedat cost or fair value as indicated less, where applicable,any accumulated depreciation and impairment losses.20Plant and equipmentPlant and equipment are measured on the cost basisless depreciation and impairment losses.The carrying amount of plant and equipment is reviewedannually by committee members to ensure it is not inexcess of the recoverable amount from these assets.The recoverable amount is assessed on the basis ofthe expected net cash flows that will be received fromthe assets employment and subsequent disposal. Theexpected net cash flows have been discounted to theirpresent values in determining recoverable amounts.The cost of fixed assets constructed within theAssociation includes the cost of materials, direct labour,borrowing costs and an appropriate proportion of fixedand variable overheads.Subsequent costs are included in the asset’scarrying amount or recognised as a separate asset,as appropriate, only when it is probable that futureeconomic benefits associated with the item will flowto the Association and the cost of the item can bemeasured reliably. All other repairs and maintenanceare charged to the statement of comprehensive incomeduring the financial period in which they are incurred.DepreciationThe depreciable amount of all fixed assets includingbuilding and capitalised lease assets, is depreciated ona straight-line basis or a diminishing value basis overthe asset’s useful life commencing from the time theasset is held ready for use. Leasehold improvementsare depreciated over the shorter of either the unexpiredperiod of the lease or the estimated useful lives of theimprovements.The depreciation rates used for each class ofdepreciable assets are:Class of Fixed Asset Depreciation RatePlant and equipment 2.5-66.6%The assets’ residual values and useful lives are reviewedand adjusted, if appropriate, at each balance sheetdate.An asset’s carrying amount is written down immediatelyto its recoverable amount if the asset’s carrying amountis greater than its estimated recoverable amount.Gains and losses on disposals are determined bycomparing proceeds with the carrying amount. Thesegains and losses are included in the statement ofcomprehensive income. When revalued assets are sold,amounts included in the revaluation reserve relating tothat asset are transferred to retained earnings.(c) LeasesLeases of fixed assets where substantially all the risksand benefits incidental to the ownership of the asset,but not the legal ownership, that are transferred toentities in the Association are classified as financeleases.

Finance leases are capitalised by recording an assetand a liability at the lower of the amounts equal to thefair value of the leased property or the present value ofthe minimum lease payments, including any guaranteedresidual values. Lease payments are allocated betweenthe reduction of the lease liability and the lease interestexpense for the period.Leased assets are depreciated on a straight-line basisover the shorter of their estimated useful lives or thelease term.Lease payments for operating leases, wheresubstantially all the risks and benefits remain with thelessor, are charged as expenses on a straight line basisover the life of the lease term.Lease incentives under operating leases are recognisedas a liability and amortised on a straight-line basis overthe life of the lease term.The minimum rental revenue of operating leases withfixed rental increases, where the lessor effectivelyretains substantially all of the risks and benefits ofownership of the leased item, are recognised on astraight-line basis.Revenue from other leases is recognised in accordancewith the lease agreement, which is considered to bestrepresent the pattern of service rendered through theprovision of the leased asset.(d) Financial InstrumentsInitial recognition and measurementFinancial assets and financial liabilities are recognisedwhen the entity becomes a party to the contractualprovisions to the instrument. For financial assets, this isequivalent to the date that the Association commits itselfto either purchase or sale of the asset (ie trade dateaccounting is adopted).Financial instruments are initially measured at fair valueplus transactions costs, except where the instrument isclassified ‘at fair value through profit or loss’, in whichcase transaction costs are expensed to profit or lossimmediately.Classification and subsequent measurementFinance instruments are subsequently measured ateither of fair value, amortised cost using the effectiveinterest rate method, or cost. Fair value represents theamount for which an asset could be exchanged or aliability settled, between knowledgeable, willing parties.Where available, quoted prices in an active market areused to determine fair value. In other circumstances,valuation techniques are adopted.Amortised cost is calculated as:• the amount in which the financial asset or financialliability is measured at initial recognition;• less principal repayments;• plus or minus the cumulative amortisation of thedifference, if any, between the amount initiallyrecognised and the maturity amount calculatedusing the effective interest method; and• less any reduction for impairment.The effective interest method is used to allocate interestincome or interest expense over the relevant period andis equivalent to the rate that exactly discounts estimatedfuture cash payments or receipts (including fees,transaction costs and other premiums or discounts)through the expected life (or when this cannot bereliably predicted, the contractual term) of the financialinstrument to the net carrying amount of the financialasset or financial liability. Revisions to expected futurenet cash flows will necessitate an adjustment to thecarrying value with a consequential recognition of anincome or expense in profit or loss.The Association does not designate any interests insubsidiaries, associates or joint venture entities as beingsubject to the requirements of accounting standardsspecifically applicable to financial instruments.(i) Financial assets at fair value through profit orlossFinancial assets are classified at ‘fair value throughprofit or loss’ when they are either held for trading forthe purpose of short term profit taking, derivatives notheld for hedging purposes, or when they are designatedas such to avoid an accounting mismatch or to enableperformance evaluation where a group of financialassets is managed by key management personnel ona fair value basis in accordance with a documented riskmanagement or investment strategy. Such assets aresubsequently measured at fair value with changes incarrying value being included in profit or loss.(ii) Loans and receivablesLoans and receivables are non-derivative financialassets with fixed or determinable payments that arenot quoted in an active market and are subsequentlymeasured at amortised cost.21

Notes to the Financial Statements continuedFor year ended 31 December 200922(iii) Held-to-maturity investmentsHeld-to-maturity investments are non-derivativefinancial assets that have fixed maturities and fixedor determinable payments, and it is the Association’sintention to hold these investments to maturity. Theyare subsequently measured at amortised cost.(iv) Available-for-sale financial assetsAvailable-for-sale financial assets are non-derivativefinancial assets that are either not suitable to beclassified into other categories of financial assetsdue to their nature, or they are designated as suchby management. They comprise investments in theequity of other entities where there is neither a fixedmaturity nor fixed or determinable payments.(v) Financial LiabilitiesNon-derivative financial liabilities (excludingfinancial guarantees) are subsequently measured atamortised cost.ImpairmentAt each reporting date, the Association assess whetherthere is objective evidence that a financial instrumenthas been impaired. In the case of available-for-salefinancial instruments, a prolonged decline in the valueof the instrument is considered to determine whetheran impairment has arisen. Impairment losses arerecognised in the statement of comprehensive income.DerecognitionFinancial assets are derecognised where thecontractual rights to receipt of cash flows expires or theasset is transferred to another party whereby the entityno longer has any significant continuing involvementin the risks and benefits associated with the asset.Financial liabilities are derecognised where the relatedobligations are either discharged, cancelled or expired.The difference between the carrying value of thefinancial liability extinguished or transferred to anotherparty and the fair value of consideration paid, includingthe transfer of non-cash assets or liabilities assumed isrecognised in profit or loss.(e) Impairment of AssetsAt each reporting date, the Association reviews thecarrying values of its tangible and intangible assets todetermine whether there is any indication that thoseassets have been impaired. If such an indication exists,the recoverable amount of the asset, being the higher ofthe asset’s fair value less costs to sell and value in use,is compared to the asset’s carrying value. Any excess ofthe asset’s carrying value over its recoverable amount isexpensed to the statement of comprehensive income.Where it is not possible to estimate the recoverableamount of an individual asset, the Association estimatesthe recoverable amount of the cash-generating unit towhich the asset belongs.(f) Employee BenefitsProvision is made for the Association’s liability foremployee benefits arising from services rendered byemployees to balance date. Employee benefits thatare expected to be settled within one year have beenmeasured at the amounts expected to be paid when theliability is settled. Employee benefits payable later thanone year have been measured at the present value ofthe estimated future cash outflows to be made for thosebenefits. Those cashflows are discounted using marketyields on national government bonds with terms tomaturity that match the expected timing of cashflows.The basis of estimation of the Association’s liability forcertain employee benefits has changed in the currentyear. The increase to profit as a result of this change is$62,406.(g) Cash and Cash EquivalentsCash and cash equivalents include cash on hand,deposits held at call with banks, other short-term highlyliquid investments with original maturities of threemonths or less, and bank overdrafts. Bank overdraftsare shown within short term borrowings in currentliabilities on the balance sheet.(h) RevenueRevenue is measured at the fair value of theconsideration received or receivable after taking intoaccount any trade discounts and volume rebatesallowed. Any consideration deferred is treated as theprovision of finance and is discounted at a rate ofinterest that is generally accepted in the market forsimilar arrangements. The difference between theamount initially recognised and the amount ultimatelyreceived is interest revenue.Revenue from the sale of goods is recognised at thepoint of delivery as this corresponds to the transfer ofsignificant risks and rewards of ownership of the goodsand the cessation of all involvement in those goods.

Interest revenue is recognised using the effectiveinterest rate method, which, for floating rate financialassets, is the rate inherent in the instrument. Dividendrevenue is recognised when the right to receive adividend has been established.Revenue recognition relating to the provision of servicesis determined with reference to the stage of completionof the transaction at the reporting date and where theoutcome of the contract can be estimated reliably.Stage of completion is determined with reference tothe services performed to date as a percentage oftotal anticipated services to be performed. Wherethe outcome cannot be estimated reliably, revenue isrecognised only to the extent that related expenditureis recoverable.Revenue from the provision of membershipsubscriptions is recognised on a straight line basis overthe financial year.All revenue is stated net of the amount of goods andservices tax (GST).(i) Borrowing CostsBorrowing costs directly attributable to the acquisition,construction or production of assets that necessarilytake a substantial period of time to prepare for theirintended use or sale, are added to the cost of thoseassets, until such time as the assets are substantiallyready for their intended use or sale.All other borrowing costs are recognised in income inthe period in which they are incurred.(j) Going ConcernSturt Fleurieu has been awarded a new contract byGPET for the period 1st January 2010 to 31st December2012 to deliver the Australian General Practice Trainingprogram to registrars in South Australia in the followingareas; the Adelaide Hills, Barossa Valley, Fleurieu,Murray Mallee, Riverland, the South East of SouthAustralia and southern metropolitan Adelaide.(k) Goods and Services Tax (GST)Revenues, expenses and assets are recognised net ofthe amount of GST, except where the amount of GSTincurred is not recoverable from the Australian TaxOffice. In these circumstances the GST is recognisedas part of the cost of acquisition of the asset or as partof an item of the expense. Receivables and payables inthe balance sheet are shown inclusive of GST.Cash flows are presented in the cash flow statementon a gross basis, except for the GST component ofinvesting and financing activities, which are disclosedas operating cash flows.(l) ComparativesWhen required by Accounting Standards, comparativefigures have been adjusted to conform to changes inpresentation for the current financial year.(m) ProvisionsProvisions are recognised when the Association hasa legal or constructive obligation, as a result of pastevents, for which it is probable that an outflow ofeconomic benefits will result and that outflow can bereliably measured.(n) Note topicDuring the current year, the Association has adopted allof the new and revised Australian Accounting Standardsand Interpretations applicable to its operations whichbecame mandatory.The adoption of these Standards has impacted therecognition, measurement and disclosure of certaintransactions. The following is an explanation ofthe impact the adoption of these Standards andinterpretations has had on the financial statements ofSturt Fleurieu GPET Incorporated.AASB 101: Presentation of Financial StatementsIn September 2007, the Australian AccountingStandards Board revised AASB 101, and as a resultthere have been changes to the presentation anddisclosure of certain information within the financialstatements. Below is an overview of the key changesand the impact on the Association’s financialstatements.Disclosure impactTerminology changes – The revised version of AASB 101contains a number of terminology changes, includingthe amendment of the names of the primary financialstatements.23

Notes to the Financial Statements continuedFor year ended 31 December 200924Reporting changes in equity - The revised AASB 101requires all changes in equity arising from transactionswith owners in their capacity as owners to be presentedseparately from non-owner changes in equity. Ownerchanges in equity are to be presented in the statementof changes in equity, with non owner changes in equitypresented in the statement of comprehensive income.The previous version of AASB 101 required that ownerchanges in equity and other comprehensive income bepresented in the statement of changes in equity.Statement of comprehensive income – The revisedAASB 101 requires all income and expenses to bepresented in either one statement – the statementof comprehensive income, or two statements – aseparate income statement of comprehensive income.The previous version of AASB 101 required only thepresentation of a single income statement.The Association’s financial statements now contain astatement of comprehensive income.Other comprehensive income – The revised versionof AASB 101 introduces the concept of ‘othercomprehensive income’ which comprises of incomeand expense that are not recognised in profit or lossas required by other Australian Accounting Standards.Items of other comprehensive income are to bedisclosed in the statement of comprehensive income.Entities are required to disclose the income tax relatingto each component of other comprehensive income.The previous version of AASB 101 did not contain anequivalent concept.(o) New Accounting Standards for Application in FuturePeriodsThe AASB has issued new, revised and amendedstandards and interpretations that have mandatoryapplication dates for future reporting periods. TheAssociation has decided against early adoption of thesestandards. A discussion of those future requirementsand their impact on the Association follows:• AASB 2008-11: Amendments to Australian AccountingStandard – Business Combinations among Not-for-Profit Entities (applicable to annual reporting periodsbeginning on or after 1 July 2009). These amendmentsmake the requirements in AASB 3: BusinessCombinations applicable to business combinationsamong not-for-profit entities (other than restructures oflocal governments) that are not commonly controlled,and to include specific recognition, measurement anddisclosure requirements in AASB 3 for restructures oflocal governments.• AASB 3: Business Combinations, AASB 127:Consolidated and Separate Financial Statements,AASB 2008-3: Amendments to Australian AccountingStandards arising from AASB 3 and AASB 127 [AASBs1, 2, 4, 5, 7, 101, 107, 112, 114, 116, 121, 128, 131,132, 133, 134, 136, 137, 138 & 139 and Interpretations9 & 107] (applicable for annual reporting periodscommencing from 1 July 2009) and AASB 2008-7:Amendments to Australian Accounting Standards – Costof an investment in a Subsidiary, Jointly Controlled Entityor Associate [AASB 1, AASB 118, AASB 121, AASB 127& AASB 136] (applicable for annual reporting periodscommencing from 1 January 2009). These standardsare applicable prospectively and so will only affectrelevant transactions and consolidations occurringfrom the date of application. In this regard, its impacton the Association will be unable to be determined.The following changes to accounting requirement areincluded:- acquisition costs incurred in a business combinationwill no longer be recognised in goodwill but will beexpensed unless the cost relates to issuing debt orequity securities;- contingent consideration will be measured at fairvalue at the acquisition date and may only beprovisionally accounted for during a period of 12months after acquisition;- there shall be no gain or loss from transactionsaffecting a parent’s ownership interest of asubsidiary with all transactions required to beaccounted for through equity (this will not representa change to the Association’s policy);- a gain or loss of control will require the previousownership interests to be remeasured to their fairvalue;- dividends declared out of pre-acquisition profits willnot be deducted from the cost of an investment butwill be recognised as income;- where there is, in substance, no change to Groupinterests, parent entities inserted above existingGroups shall measure the cost of its investments atthe carrying amount of its share of the equity itemsshown in the balance sheet of the original parent atthe date of reorganisation.

- impairment of investments in subsidiaries, jointventures and associates shall be considered when adividend is paid by the respective investee.• AASB 2008-13: Amendments to Australian AccountingStandards arising from AASB Interpretation 17 –Distributions of Non-cash Assets to Owners [AASB 5& AASB 110](applicable for annual reporting periodscommencing from 1 July 2009). This amendmentrequires that non-current assets held for distribution toowners be measured at the lower of carrying value andfair value less costs to distribute.• AASB Interpretation 17: Distributions of Non-cashAssets to Owners (applicable for annual reportingperiods commencing from 1 July 2009). This guidanceapplies prospectively only and clarifies that non-cashdividends payable should be measured at the fair valueof the net assets to be distributed where the differencebetween the fair value and carrying value of the assets isrecognised in profit or loss.• AASB Interpretation 18: Transfer of Assets fromCustomers (applicable for annual reporting periodscommencing from 1 July 2009). This guidance appliesprospectively to entities that receive transfers of assets,such as plant and equipment, from their customers inorder to connect customers to a network and providethem with access to a supply of goods or services.The interpretation outlines the appropriate accountingtreatment in respect of such transfers.The Association does not anticipate early adoption of anyof the above reporting requirements and does not expectthese requirement to have any material effect on theAssociation’s financial statements.25

Notes to the Financial Statements continuedFor year ended 31 December 2009Note 2 - RevenueOperating activitiesOperating grants 5,266,375 4,602,367Outer Metro Funds 62,500 63,256Rural Health Training 4,591 141,080RDWA/OTD 87,631 7,182Overprovision for undelivered training funding - 50,000Interest received 26,394 54,560Other revenue 349,673 261,943Total Revenue 5,797,164 5,180,3882009$2008$Note 3 - Profit for the Year(a) ExpensesFinance costs 18,440 15,255Depreciation 117,546 93,474Loss on Sale of Assets 17,901 16,5752009$2008$Note 4 - Auditors’ RemunerationRemuneration of the auditor of the Association for:auditing or reviewing the financial report 2007 - 2,075auditing or reviewing the financial report 2008 1000 14,000auditing or reviewing the financial report 2009 15,000 -other services - 2007 - 1,660other services - 2008 7,250 5,000other services - 2009 7,500 -2009$2008$30,750 22,73526

Note 5 - Cash and Cash EquivalentsCash at bank 1,530,154 1,345,3862009$2008$1,530,154 1,345,386Reconciliation of cashCash at the end of financial year as shown in the cash flow statement is reconciled toitems in the balance sheet as follows:Cash and cash equivalents 1,530,154 1,345,3861,530,154 1,345,386Note 6 - Trade and Other ReceivablesCURRENTTrade and other receivables 201,097 113,981Other receivables - 4092009$2008$201,097 114,390(a) Credit Risk - Trade and Other ReceivablesThe entity has no significant concentration of credit risk with respect to any single counterparty or group of counterparties.The main source of credit risk to the entity is considered to relate to the class of assets described as trade and otherreceivables.The following table details the entity’s trade receivables exposed to credit risk with ageing analysis and impairmentprovided theron. Amounts considered as ‘past due’ when the debt has not been settled within the terms and conditionsagreed between the Association and the member or counterparty to the transaction. Receivables that are past dueare assessed for impairment by ascertaining their willingness to pay and are provided for where there are specificcircumstances indicating that the debt may not be fully repaid to the entity.The balances of receivables that remain within initial terms (as detailed in the table) are considered to be of high creditquality.27

Notes to the Financial Statements continuedFor year ended 31 December 2009Grossamount$pastdue andimpaired$60$61>90$>90$Withininitial tradeterms$2009Trade and termreceivables201,097 - 27,456 - - - 173,641Total 201,097 - 27,456 - - - 173,6412008Trade and termreceivables113,981 - - - - - 113,981Total 113,981 - - - - - 113,981(b) Collateral held as securityNo collateral is held as security for any of the trade and other receivable balances.(c) Financial assets classified as loans and receivablesTotal current 201,097 114,390Financial Assets 201,097 114,3902009$2008$Note 7 - Other AssetsCURRENTPrepayments 4,266 8,6752009$2008$4,266 8,67528

Note 8 - Property, Plant and EquipmentPlant and EquipmentAt cost 271,249 275,172Accumulated depreciation (174,507) (159,540)Total plant and equipment 96,742 115,632Motor vehiclesUnder lease 229,925 217,455Accumulated depreciation (36,127) (41,029)Total motor vehicles 193,798 176,426ImprovementsAt cost 234,729 234,729Accumulated depreciation (43,003) (12,652)Total improvements 191,726 222,0772009$2008$Total Property, Plant and Equipment 482,266 514,135Movements in Carrying AmountsMovements in the carrying amount for each class of property, plant and equipment between the beginning and end of thecurrent financial year.Current YearPlant &Equipment$MotorVehicles$Improvements$Balance at the beginning of year 115,632 176,426 222,077 514,135Additions 18,310 171,632 - 189,942Disposals - (104,265) - (104,265)Depreciation expense (37,200) (49,995) (30,351) (117,546)Carrying amount at the end of year 96,742 193,798 191,726 482,266Prior YearBalance at the beginning of year 124,364 141,387 10,280 276,031Additions 36,465 166,285 222,222 424,972Disposals - (93,394) - (93,394)Depreciation expense (45,197) (37,852) (10,425) (93,474)Carrying amount at the end of year 115,632 176,426 222,077 514,135Total$29

Notes to the Financial Statements continuedFor year ended 31 December 2009Note 9 - Trade and other payablesCURRENTTrade Payables 298,297 162,682Amounts received in advance - 274,809Employee Benefits:Annual leave 91,906 64,140Other 146,473 188,491Financial liabilities at amortised cost classified as trade and other payablesTrade and other payablesNote2009$2008$536,676 690,122- Total Current 536,676 690,122Less:Accrued employee entitlements (238,379) (252,631)Amounts received in advance - (274,809)Financial liabilities as trade and other payables 16 298,297 162,682Note 10 - BorrowingsCURRENTSecured liabilitiesFinance lease obligation 70,842 108,688NON-CURRENTSecured liabilities2009$2008$70,842 108,688Finance lease obligation 124,897 53,579124,897 53,579Total Borrowings 195,739 162,26730

Note 11 - ProvisionsEmployeeentitlements$Other provisions$Opening balance at 1 January 2009 107,943 100,000 207,943Additional provisions 62,014 100,000 162,014Balance at 31 December 2009 169,957 200,000 369,957Analysis of Total ProvisionsCurrent 96,328 71,367Non-current 273,629 136,5762009$Total$2008$369,957 207,943Note 12 - Cash Flow Information(a) Reconciliation of Cash Flow from Operations with Profit after Income TaxNet income/loss for the period 193,157 242,794Non-cash flows in profitDepreciation 117,546 93,474Net gain on disposal of property, plant and equipment 17,901 16,575Changes in assets and liabilities(Increase)/decrease in trade and term receivables (79,102) (63,934)(Increase)/decrease in prepayments 4,409 (5,434)Increase/(decrease) in trade payables and accruals (145,370) 213,843Increase/(decrease) in employee benefits 147,762 139,994(b) Non-cash Financing and Investing ActivitiesProperty, plant and equipment2009$2008$256,303 637,312During the financial year, the Association acquired plant and equipment with an aggregate fair value of $173,060 by means of hirepurchase agreements. These acquisitions are not reflected in the statement of cash flows.31

Notes to the Financial Statements continuedFor year ended 31 December 2009Note 13 - Capital and Leasing Commitments(a) Finance Lease CommitmentsPayable - minimum lease payments- not later than 12 months 83,853 119,521- Between 12 months and 5 years 132,229 55,937Minimum lease payments 216,082 175,458Less future finance changes (20,343) (13,190)Present value of minimum lease payments 195,739 162,268(b) Capital Expenditure Commitments for forthcoming yearCapital Expenditure commitments contracted for:Salary and wages - contractual 1,612,800 1,507,300Practice payments 900,000 400,000Premises 32,000 31,200Other - telephone 30,000 27,600PGPPP Contracts 2,278,188 2,162,9402009$2009$2008$2008$4,852,988 4,129,040Note 14 - Related Party TransactionsTransactions between related parties are on normal commercial terms and conditions no more favourable than those available to otherparties unless otherwise stated.Payments made to associated entitiesAngaston Medical Centre 32,497 24,566Barmera/Lake Bonney Private Medical Centre 15,972 49,480Berri Medical Clinic 126,600 94,124Bridge Clinic 150,722 170,449Kingston Family Clinic 16,268 19,660Renmark Medical Centre 24,689 21,234Gumeracha Medical Practice - 7,961Total 366,748 387,4742009$2008$32

Note 15 - Interests of Key Management PersonnelShort-termbenefits$Post employmentbenefit$2009Total compensation 507,140 86,214 593,3542008Total compensation 467,735 79,515 547,250Total$Note 16 - Financial Risk ManagementFinancial Risk ManagementThe Association’s financial instruments consist mainly of deposits with banks, local money market instruments, short-terminvestments, accounts receivable and payable, and leases.The totals for each category of financial instruments, measured in accordance with AASB 139 as detailed in accountingpolicies to these financial statements, are as follows:Financial AssetsCash and cash equivalents 1,530,154 1,345,386Loans and receivables 201,097 114,390Financial LiabilitiesFinancial liabilities at amortised cost2009$2008$1,731,251 1,459,776- Trade and other payables 298,297 162,682- Borrowings 195,739 162,267494,036 324,949Financial Risk Management policiesThe Association’s Finance Committee is responsible for, among other issues, monitoring and managing financial riskexposures of the Association. The committee monitors the Association’s transactions and reviews the effectiveness ofcontrols relating to credit risk, finance risk and interest rate risk. Discussions on monitoring and managing financial riskexposures are held on a regular basis and minuted by the Committee of Management.33

Notes to the Financial Statements continuedFor year ended 31 December 2009Specific Financial Risk Exposures and ManagementThe main risks the Association is exposed to through its financial instruments are interest rate risk, liquidity risk and creditrisk.(a) Interest rate riskExposure to interest rate risk arises on financial assets and financial liabilities recognised at reporting date wherebya future change in interest rates will affect future cash flows or the fair value of fixed rate financial instruments. TheAssociation is also exposed to earnings volatility on floating rate instruments.Interest rate risk is managed using a fixed rate debt. At 31 December 2009, approximately 100% of group debt is fixedrate.(b) Liquidity riskLiquidity risk arises from the possibility that the Association might encounter difficulty in settling its debts or otherwisemeeting its obligations related to financial liabilities. The Association manages risk through the following mechanisms:• monitoring forecast cash flows• ensuring the adequate unutilised borrowing facilities are maintainedThe tables below reflect an undiscounted contractual maturity analysis for financial liabilities.Cash flows realised from financial assets reflect management’s expectation as to the timing of realisation. Actualtiming may therefore differ from that disclosed. The timing of cash flows presented in the table to settle financialliabilities reflect the earliest contractual settlement dates and does not reflect management’s expectations that bankingfacilities will be rolled forward.Financial liability and financial asset maturity analysis34Within 1 Year 1 to 5 Years Over 5 Years2009$2008$2009$2008$2009$2008$Total ContractualCash FlowFinancial liabilitiesdue for paymentTrade and otherpayables (excluding 298,297 162,682 - - - - 298,297 162,682estimated annual leave)Finance lease liabilities 70,842 108,688 124,897 53,579 - - 195,739 162,267Total contractualoutflows369,139 271,370 124,897 53,579 - - 494,036 324,949Total expectedoutflows369,139 271,370 124,897 53,579 - - 494,036 324,949Financial assets -cash flows realisableCash and cashequivalents1,530,154 1,345,386 - - - - 1,530,154 1,345,386Trade, term and loansreceivables201,097 114,390 - - - - 201,097 114,390Total anticipated inflows 1,731,251 1,459,776 - - - - 1,731,251 1,459,776Net (outflow)/inflow on financialinstruments1,362,112 1,188,406 (124,897) (53,579) - - 1,237,215 1,134,8272009$2008$

(c) Credit riskExposure to credit risk relating to financial assets arises from the potential non-performance by counter parties ofcontract obligations that could lead to a financial loss to the Association.Credit risk is managed and reviewed regularly by the Finance Committee.Credit Risk ExposuresThe maximum exposure to credit risk by class of recognised financial assets at balance date, excluding the value ofany collateral or other security held, is equivalent to the carrying value and classification of those financial assets (netof any provisions) as presented in the balance sheet.Collateral held by the Association securing receivables are detailed in Note 6: Trade and Other Receivables.The Association has no significant concentration of credit risk with any single counterparty or group of counterparties.Details with respect to credit risk of Trade and Other Receivables are provided in Note 6.Trade and other receivables that are neither past due or impaired are considered to be of high credit quality.Aggregates of such amounts are as detailed at Note 6.Sensitivity AnalysisInterest rate riskThe Association has performed a sensitivity analysis relating to its exposure to interest rate risk at balance date. Thissensitivity analysis demonstrates the effect on the current year result and equity which could result from a change in theserisks.Interest Rate Risk Sensitivity AnalysisAt 31 December 2009, the effect on profit and equity as a result of changes in the interest rate, with all other variablesremaining constant would be as follows:Change in profit- Increase in interest rates by 1% [2008:1%] 15,302 11,776- Decrease in interest rates by 0.25% [2008:1%] (3,825) (11,776)Change in equity- Increase in interest rates by 1% [2008:1%] 15,302 11,776- Decrease in interest rates by 0.25% [2008:1%] (3,825) (11,776)2009$2008$35

Notes to the Financial Statements continuedFor year ended 31 December 2009Net Fair ValuesFair value estimationThe fair values of financial assets and financial liabilities are presented in the following table and can be compared to theircarrying values as presented in the balance sheet. Fair values are those amounts at which an asset could be exchanged,or a liability settled, between knowledgeable, willing parties in an arm’s length transaction.Fair values derived may be based on information that is estimated or subject to judgment, where changes in assumptionsmay have a material impact on the amounts estimated. Areas of judgment and the assumptions have been detailedbelow. Where possible, valuation information used to calculate fair value is extracted from the market, with more reliableinformation available from markets that are actively traded. In this regard, fair values for listed securities are obtained fromquoted market bid prices. Where securities are unlisted and no market quotes are available, fair value is obtained usingdiscounted cash flow analysis and other valuation techniques commonly used by market participants.ConsolidatedFinancial AssetsFootnoteCarryingAmount$2009 2008Net FairValue$CarryingAmount$Net FairValue$Cash and cash equivalents (i) 1,530,154 1,530,154 1,345,386 1,345,386Trade and other receivables (i) 201,097 201,097 114,390 114,390Total Financial assets 1,731,251 1,731,251 1,459,776 1,459,776Financial LiabilitiesTrade and other payables (i) 298,297 298,297 162,682 162,682Leases (ii) 195,739 195,739 162,267 162,267Total financial liabilities 494,036 494,036 324,949 324,949The fair values disclosed in the above table have been determined based on the following methodologies:(i) Cash at cash equivalents, trade and other receivables and trade and other payables are short-term instruments in nature whose carryingvalue is equivalent to fair value. Trade and other payables exclude amounts provided for relating to annual leave, which is not considereda financial instrument.(ii) These liabilities are fixed interest leases carried at amortised cost.36

Note 17 - Capital ManagementThe Committee Members control the capital of the Association in order to maintain a good debt to equity ratio and toensure that the Association can fund its operations and continue as a going concern.The Association’s debt and capital includes financial liabilities, supported by financial assets.There are no externally imposed capital requirements.The Committee Members effectively manage the Association capital by assessing the Association’s financial risks andadjusting it’s capital structure in response to changes in these risks and in the market. These responses include themanagement of debt levels.There have been no changes in the strategy adopted by management to control the capital of the Association since theprior year. This strategy is to ensure that there is sufficient cash to meet trade and sundry payables and borrowings.The gearing ratio’s for the year ended 31 December 2009 and 31 December 2008 are as follows:Note2009$2008$Total Borrowings 10 195,739 162,267Less cash and cash equivalents 5 (1,530,154) (1,345,386)Net debt (1,334,415) (1,183,119)Equity 1,115,412 922,254Gearing Ratio N/A N/ANote 18 - Contingent Liabilities and Contingent AssetsNil.Note 19 - Events after the end of the reporting periodNil.Note 20 - Segment InformationThe Association operates predominantly in one business and geographical segment, being the delivery of generalpractice education and training to medical practitioners and medical students.Note 21 - Association DetailsThe registered office of the Association is:Sturt Fleurieu GPET Inc.18 Alfred Place, Strathalbyn, SA 525537

Statement by Members of theCommitteeIn the opinion of the Committee the financial report as set out on pages 15 to 37:1. Presents fairly the financial position of Sturt Fleurieu GPET Incorporated as at 31 December 2009 and its performancefor the year ended on that date in accordance with Australian Accounting Standards (including Australian AccountingInterpretations) of the Australian Accounting Standards Board.2. At the date of this statement, there are reasonable grounds to believe that Sturt Fleurieu GPET Incorporated will beable to pay its debts as and when they fall due.3. The Committee submit the following report for the financial year 31 December 2009 under sub-section 35(5) of theAssociations Incorporation Act 1985 (as amended) as follows:-(a) other than as disclosed in Note 14 to the accounts, no officer of the Association has, since the end of the previousfinancial year received, or become entitled to receive a benefit (other than a benefit included in the aggregateamount of emoluments received or due and receivable by the officers of the Association shown in the accounts) asa result of a contract between the officer or a firm of which he is a member or an entity in which he has a substantialfinancial interest and the Association.(b) no officer of the Association has, since the end of the previous financial year, received directly or indirectly fromthe Association, any payment or other benefit of a pecuniary value (other than a benefit included in the aggregateamount of emoluments received or due and receivable by the officers of the Association shown in the accounts).The statement is made in accordance with a resolution of the Committee and is signed for and on behalf of theCommittee by:Dr Richard JohnsCommittee MemberDr David RosenthalCommittee MemberDated this day of 201038

Sturt FleurieuABN 77 072 089 959Acknowledgement:Sturt Fleurieu is a contracted regional training provider of theAustralian General Practice Program that is administered byGeneral Practice Education and Training Ltd and funded by theCommonwealth Department of Health and Ageing.Copyright:© 2010 Sturt Fleurieu.All rights reserved. No part of this document may be reproduced byany means or in any form without the expressedpermission in writing from Sturt Fleurieu.Published by Sturt Fleurieu18 Alfred Place STRATHALBYN SA 5255t. (08) 8536 5000f. (08) 8536 8019e. sturt.fleurieu@sfgpet.com.auwww.sfgpet.com.auWinnerGPETInnovation Award