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ANNUAL REPORT - Northern Health

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09/10<br />

<strong>ANNUAL</strong> <strong>REPORT</strong><br />

Broadmeadows <strong>Health</strong> Service / Bundoora Extended Care Centre / Craigieburn <strong>Health</strong> Service / Panch <strong>Health</strong> Service / The <strong>Northern</strong> Hospital


Our Vision<br />

A <strong>Health</strong>ier <strong>Northern</strong> Community<br />

Our Mission<br />

To apply our resources to work with our staff and<br />

partners, offering our diverse community excellence in<br />

health care and well-being through:<br />

• Prompt access;<br />

• A health promoting approach to quality care;<br />

• Effective partnerships;<br />

• Education.<br />

Our Values<br />

• Good patient care<br />

• Respect<br />

• Stewardship (responsibility)<br />

• Kindness<br />

• Integrity<br />

Our Goals<br />

<strong>Northern</strong> <strong>Health</strong> has determined six strategic goals for<br />

2009-2012. Focusing on these goals will support us to<br />

achieve our vision and mission.<br />

1. Deliver quality health services<br />

2. Build corporate capability (Finances, Infrastructure,<br />

Reputation)<br />

3. Improve consumer experience<br />

4. Enhance access to appropriate services<br />

5. Strengthen leadership and develop workforce<br />

6. Grow and translate education and research


Annual Report<br />

02 Chair’s Report<br />

04 CEO’s Report<br />

06 The <strong>Northern</strong> <strong>Health</strong> Board<br />

09 Corporate Governance<br />

13 Executive Team<br />

15 Organisational Structure<br />

16 Our Services<br />

20 Our Achievements<br />

33 Statement of Priorities<br />

33 Performance Priorities<br />

35 Activity and Funding<br />

36 Corporate Information<br />

38 Financial Summary<br />

40 Disclosure Index<br />

Financial Statements & Accompanying Notes<br />

44 Table of Contents - Financial Statements<br />

Contents<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 1


Chair’s Report<br />

<strong>Northern</strong> <strong>Health</strong> provides quality care to residents in<br />

Victoria’s fastest growing, northern growth corridor. We<br />

provide care to some 500,000 people living in Melbourne’s<br />

northern suburbs and to rural and regional centres north<br />

of Melbourne.<br />

Our five campuses, Broadmeadows <strong>Health</strong> Service, Bundoora<br />

Extended Care Centre, Criagieburn <strong>Health</strong> Service, Panch<br />

<strong>Health</strong> Service and The <strong>Northern</strong> Hospital provide care<br />

throughout all stages of life and in a variety of settings from<br />

acute and sub acute, to community based and in-home<br />

services.<br />

<strong>Northern</strong> <strong>Health</strong> continues to adapt to the needs of the<br />

community and during this last year, my final one as Chair<br />

of the <strong>Northern</strong> <strong>Health</strong> Board, it has been particularly<br />

rewarding to see significant organisational change take<br />

place in response to these ever increasing demands on<br />

our services.<br />

Since 2005 when I came to <strong>Northern</strong> <strong>Health</strong>, I am<br />

particularly proud of some of the major achievements<br />

<strong>Northern</strong> <strong>Health</strong> has made including:<br />

• the opening of the Day Oncology Service at The <strong>Northern</strong><br />

Hospital to provide chemotherapy services<br />

to people in their local area;<br />

• the opening of Craigieburn <strong>Health</strong> Service enabling the<br />

delivery of sophisticated healthcare services to an area<br />

historically under-resourced and growing rapidly;<br />

• implementation of the <strong>Health</strong>SMART technology<br />

program, an integrated patient and financial<br />

management information system;<br />

• The <strong>Northern</strong> Hospital - Stage 2A Capital Development<br />

which delivered two new medical wards, a refurbished<br />

Paediatric Ward, and a redesigned Paediatric Outpatients<br />

area, as well as the crucial expansion to the Outpatients<br />

Department;<br />

• the opening of the Medical Assessment and Planning<br />

Unit (MAPU) at The <strong>Northern</strong> Hospital, which receives<br />

medical inpatients for observation, care and treatment<br />

prior to transfer to a ward, another care facility or home.<br />

Patients receive intensive treatment by physicians, nurses<br />

and allied health staff for up to 48 hours, streamlining<br />

care and improving health outcomes;<br />

• the Transit Lounge at The <strong>Northern</strong> Hospital where we<br />

can care for patients waiting for ambulance transport<br />

home or elsewhere, allowing us to promptly prepare<br />

another bed for patients awaiting admission;<br />

• the development and implementation of the “Time-out”<br />

process in operating theatres to ensure that the correct<br />

procedure is carried out on the correct patient;<br />

• the implementation of ‘Centres Promoting <strong>Health</strong><br />

Independence’ and ‘Improving Care for Older People’<br />

initiatives which aim to move to a more person-centred<br />

approach for older patients;<br />

• extensive redevelopment and refurbishment of Bundoora<br />

Extended Care Centre;<br />

• the Client Patient Folder system was implemented,<br />

making <strong>Northern</strong> <strong>Health</strong> the first Victorian health service<br />

to have completed the full implementation of a scanned<br />

medical record within all campuses. The new scanned<br />

medical record replaces the existing hard copy medical<br />

records and provide clinical staff with immediate<br />

access to patient information from every PC within<br />

<strong>Northern</strong> <strong>Health</strong>;<br />

• the ongoing planning and development of the <strong>Northern</strong><br />

<strong>Health</strong> Academic and Research Precint;<br />

• the redevelopment of the Short Stay Unit and After<br />

Hours GP Clinic at The <strong>Northern</strong> Hospital;<br />

• the $19.4m Mental <strong>Health</strong> extension at The <strong>Northern</strong><br />

Hospital; and<br />

• The $2.5m, six bed maternity expansion.<br />

2 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


It has been a privilege to serve this community and to do so<br />

with so with many exceptional people. To the members of<br />

the <strong>Northern</strong> <strong>Health</strong> Board, who I have had the wonderful<br />

opportunity to work so closely with to develop and enhance<br />

<strong>Northern</strong> <strong>Health</strong>’s future, I thank you for your dedication and<br />

commitment. The demands on <strong>Northern</strong> <strong>Health</strong> continue to<br />

change with increasing speed and intensity and being able<br />

to work with people who hold a similar vision has made my<br />

role leading the Board, a pleasure.<br />

I extend sincere thanks to the <strong>Northern</strong> <strong>Health</strong> Executive<br />

Management team, particularly during the past year, when<br />

they have shown sheer determination and strength. The<br />

financial challenges of the last 12 months and the incredible<br />

turnaround achieved, through exceptional leadership is an<br />

indication of the great team leading this terrific organisation.<br />

My thanks too to all staff members across our campuses<br />

who can continue to be proud to work for <strong>Northern</strong> <strong>Health</strong><br />

as we provide the right health services at the right time and<br />

create a healthier northern community.<br />

Dr Sandra Hacker, AO<br />

Chair<br />

<strong>Northern</strong> <strong>Health</strong> Board<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 3


CEO’s Report<br />

<strong>Northern</strong> <strong>Health</strong> continues to demonstrate great flexibility<br />

and responsiveness to the needs of the community we<br />

serve. Our organisation is experiencing significant increases<br />

and demand on our services and we continue to focus on<br />

achieving our vision for a healthier northern community.<br />

The previous two years have seen significant work<br />

undertaken and completed in clinical services and capital<br />

planning to prepare for and provide the most appropriate<br />

health services to meet the growing needs of our<br />

community. The outcomes from this have been rapidly<br />

translated into strategic master planning with predicted<br />

outcomes being 50% increase in services over the next five<br />

years and 100% increase in services over the next 10 years.<br />

In July, 2009, <strong>Northern</strong> <strong>Health</strong> implemented an organisation<br />

wide restructure to more efficiently and effectively operate<br />

across our five campuses and in December 2009, the 2009-<br />

12 Strategic Plan was endorsed by the Minister for <strong>Health</strong><br />

and the Department of <strong>Health</strong>.<br />

In addition to strategic clinical services planning, the<br />

Redesigning Care program was established to deliver service<br />

improvement and build health service capability. Some of<br />

the significant projects completed within our Redesigning<br />

Care program include:<br />

• a major operational review of General Operating<br />

Theatres which led to a number of recommendations<br />

being implemented to improve overall management,<br />

patient flow and reduce patients cancellations;<br />

• the ‘Smooth Operations’ program which is designed<br />

to enhance the surgical patient journey and has led<br />

to reductions in non-elective patient postponements,<br />

reductions in Length Of Stay and improved systems<br />

for Pre-admission, elective admissions and unplanned<br />

surgery;<br />

• the ‘Redesigning the Non-admitted emergency patient<br />

journey’ program which supported the establishment<br />

of the Rapid Intervention and Treatment Zone (RITZ) in<br />

the Emergency Department at The <strong>Northern</strong> Hospital.<br />

This has resulted in improved access and care for nonadmitted<br />

patients. Patients treated in the RITZ are now<br />

seen in a more timely fashion reducing wait times for all<br />

patients; and<br />

• the ‘Improving the MAPU Experience’ project which<br />

focused on improving ward level communication for the<br />

Medical Assessment and Planning Unit at The <strong>Northern</strong><br />

Hospital. Staff now spend more time directly with<br />

patients and supporting staff and the number of MAPU<br />

patients discharged prior to a 48 hour Length Of Stay<br />

has improved.<br />

Many organisations, including health services, have faced<br />

financial difficulty during recent years and <strong>Northern</strong> <strong>Health</strong><br />

has worked extremely hard and had the largest financial<br />

turnaround of the 22 monitored health services in Victoria<br />

during the 2009/10 financial year. <strong>Northern</strong> <strong>Health</strong>’s<br />

performance improved from an operating deficit of $9.85m<br />

in 2008/09 to only $1.14m in 2009/10.<br />

This has been in conjunction with the achievement of the<br />

majority of our clinical service targets. This is evidenced<br />

by the improvement in the final quarter performance<br />

monitoring score from 51 out of 100 for the last quarter<br />

of 2008/09 to 83 out of 100 at the end of the 2009/10<br />

financial year. Underpinning this financial recovery is the<br />

three year <strong>Northern</strong> <strong>Health</strong> Financial Recovery Plan (2009-<br />

2012). This plan details strategies to return <strong>Northern</strong> <strong>Health</strong><br />

to a financially viable <strong>Health</strong> Service and is linked to the<br />

Strategic Plan.<br />

<strong>Northern</strong> <strong>Health</strong> performed well against access targets,<br />

particularly the success in surgery in 2009/10. The<br />

recruitment of several highly skilled surgeons assists in<br />

meeting demands and brings new innovative surgical<br />

techniques to the community such as Enhanced Recovery<br />

Programs (ERP) in colorectal surgery. The goal of the<br />

Enhanced Recovery Program is to minimise the patient’s<br />

stress response to surgery, reducing individual recovery times.<br />

Length Of Stay is reduced with resultant cost savings and<br />

increased bed availability allows more patients to be treated.<br />

Notwithstanding this, the focus of ERP is always on the<br />

benefits to the patient.<br />

4 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


<strong>Northern</strong> <strong>Health</strong> was first to fully implement a shared<br />

scanned semi-electronic medical record known as the Clinical<br />

Patient Folder (CPF). The medical record can be accessed<br />

via any PC within the network and allows staff to enter<br />

progress notes electronically. This function is mainly used for<br />

outpatient attendances. Uptake has increased from 92,565<br />

electronic progress notes entered in 2008/09 to 224,539<br />

in 2009/10. Electronic progress notes improve legibility of<br />

clinical entries and are available<br />

in real time for all clinical staff.<br />

Workforce planning is critical to achieve the <strong>Northern</strong> <strong>Health</strong><br />

objectives. To support health professional students and our<br />

future workforce the innovative Interprofessional Clinical<br />

Education (IPCE) program was developed. This program<br />

facilitates health professionals to work effectively together,<br />

and is available to penultimate and final year students in<br />

allied health, medicine and nursing, including community<br />

health, mental health, private hospitals and practices, aged<br />

care and rehabilitation facilities.<br />

Our commitment to Nursing Education continues to grow<br />

with the expansion and development of the Graduate Nurse<br />

Program and continued commitment to the development of<br />

the Nurse Practitioner role across all campuses.<br />

Melbourne’s first aged care nurse practitioner was endorsed<br />

in 2010 and is providing vital care to older patients at<br />

Broadmeadows <strong>Health</strong> Service. <strong>Northern</strong> <strong>Health</strong> has four<br />

endorsed nurse practitioners practicing in Emergency<br />

Medicine, Minor Injury and Illness and Aged Care<br />

<strong>Northern</strong> <strong>Health</strong> serves a vibrant and diverse community and<br />

to meet the needs of our clients and their families, a Cultural<br />

Responsiveness Framework and Plan has been developed.<br />

The Framework and Plan aims to increase <strong>Northern</strong> <strong>Health</strong>’s<br />

capacity to effectively respond to the needs of patients<br />

whose first language is not English. <strong>Northern</strong> <strong>Health</strong> has<br />

also restructured its Transcultural & Language Services<br />

Department to better respond to an increasing demand<br />

for languages services. The objective was to centralise and<br />

standardise language services across our five campuses and<br />

provide higher quality interpreters and transcultural training.<br />

<strong>Northern</strong> <strong>Health</strong> implemented the Smoke Free policy on<br />

January 1st, 2010 with all campuses becoming smoke free<br />

areas. This applies to all patients, staff, visitors, contractors<br />

and volunteers. The Smoke Free policy is part of <strong>Northern</strong><br />

<strong>Health</strong>’s commitment to improving the health of people in<br />

Melbourne’s northern suburbs as well as providing a safe,<br />

healthy environment for everyone who uses or provides<br />

our services.<br />

Protecting the environment is of paramount importance<br />

to <strong>Northern</strong> <strong>Health</strong> and this continues to be a strategic<br />

priority for the organisation. Through planning and<br />

practice, including the development of the <strong>Northern</strong> <strong>Health</strong><br />

Environmental Management Strategy, we are committed<br />

to ensuring the protection of the environment by keeping<br />

environmental impacts to a minimum in a sustainable,<br />

financially rewarding and technically feasible manner.<br />

I would like to express my sincere gratitude to Dr Sandra<br />

Hacker, AO for her exceptional leadership and dedication to<br />

<strong>Northern</strong> <strong>Health</strong> during her time as Chair of the <strong>Northern</strong><br />

<strong>Health</strong> Board.<br />

Since her appointment as Chair of the <strong>Northern</strong> <strong>Health</strong> Board<br />

in 2005, Dr Hacker has demonstrated great dedication,<br />

commitment and enthusiasm in leading our organisation.<br />

Dr Hacker was instrumental in providing strategic guidance<br />

and in shaping our organisation for the future, as well as<br />

supporting organisational change and development.<br />

As Chair of the <strong>Northern</strong> <strong>Health</strong> Board, Dr Hacker was<br />

responsible for a number of significant developments<br />

at <strong>Northern</strong> <strong>Health</strong>.<br />

I would like to thank the Executive Management team<br />

who have demonstrated great leadership during some<br />

extremely challenging times. However, an organisation is<br />

only as strong as its people and without such a strong and<br />

committed workforce, we would not have been able to<br />

achieve so many significant outcomes and I would like<br />

to express my sincere thanks to the fantastic <strong>Northern</strong><br />

<strong>Health</strong> team.<br />

Responsible Bodies Declaration<br />

I accordance with the Financial Management Act, 1994,<br />

I am pleased to present the Report of Operations for<br />

<strong>Northern</strong> <strong>Health</strong> for the year ending 30 June, 2010.<br />

Greg Pullen<br />

CEO<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 5


The <strong>Northern</strong> <strong>Health</strong> Board<br />

<strong>Northern</strong> <strong>Health</strong> Directors, 2009/10<br />

(Back Row) Brian Joyce; Stephen Black; Steve Hay; Professor Vin Massaro.<br />

(Front Row) Sue Renkin; Dr Sandra Hacker (Chair); Sabine Phillips; Marilyn Beaumont.<br />

Absent: Ray Judd<br />

Dr Sandra Hacker, AO<br />

Dr Sandra Hacker, AO chairs the Board of <strong>Northern</strong><br />

<strong>Health</strong> and sits on its Finance, Audit & Risk, Quality and<br />

Remuneration and Appointments Committees.<br />

Prior to her <strong>Northern</strong> <strong>Health</strong> appointment, she served on<br />

the Eastern <strong>Health</strong> Board, as Chair of the Primary Care &<br />

Population <strong>Health</strong> Committee and the Quality Committee,<br />

and as a member of the Finance Committee.<br />

Dr Hacker is a psychiatrist in private practice, who also works<br />

as a liaison psychiatrist at the Alfred Hospital Heart/Lung<br />

Transplant Unit. Her prime area of clinical interest is in severe<br />

trauma and her clinical work involves mostly long-term<br />

psychotherapy with adult victims of severe childhood sexual<br />

assault.<br />

She is Chair of the Mental <strong>Health</strong> Research Institute and<br />

Deputy Chair of the Human Genetics Advisory Committee. In<br />

September 2009, Dr Hacker was appointed to the position<br />

of Chair of the Australian <strong>Health</strong> Ethics Committee. She is<br />

Deputy Chair of the Human Genetics Advisory Committee,<br />

a principal committee of the National <strong>Health</strong> & Medical<br />

Research Council, and was a member of the National <strong>Health</strong><br />

and Medical Research Council and of the NHMRC <strong>Health</strong><br />

Privacy Working Party.<br />

She chairs the Cunningham Dax collection of Psychiatric<br />

Art advisory committee and is a member of the Victorian<br />

Medical Benevolent Association. She is chairperson of<br />

the Inner Suburban subdivision of AMA Victoria and is a<br />

councillor of AMA Victoria. She sits on the health panel in<br />

Victoria for the Winston Churchill Memorial Trust.<br />

Dr Hacker is a former chair of the Australian Institute of<br />

<strong>Health</strong> & Welfare, is a past president of the AMA Victoria<br />

and a former federal vice-president of the AMA. She was<br />

secretary of the Royal Australian & New Zealand College of<br />

Psychiatrists, and a former College Censor.<br />

Dr Hacker was appointed an Officer of the Order of Australia<br />

(AO) in the Australia Day Honours List of 2005 for services to<br />

the medical profession. Her major non-professional interests<br />

are her family, opera and classical orchestral music, foreign<br />

film and literature.<br />

6 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Mr Stephen Black<br />

Stephen Black has had extensive senior management and<br />

operational experience within a diverse range of government<br />

and statutory bodies as well as within the private sector.<br />

As Managing Director of a Melbourne-based consulting<br />

company, he provided management advice to high<br />

technology telecommunications and ICT ‘start up’<br />

companies, utilities and telecommunications carriers.<br />

Mr Black has held the positions of Director, Forward Planning<br />

and Director, Strategic Planning within AAPT, having<br />

previously served as the founding Managing Director of<br />

United Energy Telecommunications. He has held a number<br />

of senior executive positions within Telstra including Group<br />

General Manager, Customer Affairs, and positions within<br />

the Victorian Government including Chairman, State Tender<br />

Board, Director of Gaming, Deputy Director-General, Ministry<br />

of Finance and Deputy Director-General, Housing and<br />

Construction.<br />

Mr Black has served as Chairman of Boards controling<br />

State Government initiatives including the Board of the<br />

Telecommunications Purchasing and Management Strategy<br />

(TPAMS) and is currently Chairman of VeRSI, a consortium<br />

between Melbourne, Monash and La Trobe Universities and<br />

the Victorian Government to develop e-research in Victoria.<br />

Ms Marilyn Beaumont<br />

With a registered general and psychiatric nurse background<br />

Marilyn Beaumont has extensive experience in management<br />

and administration, health policy development and analysis,<br />

women’s health and health consumer rights.<br />

Ms Beaumont is a member of a number of advisory<br />

committees to government including the Victorian Women’s<br />

Correctional Services Advisory Committee and Justice <strong>Health</strong><br />

Clinical Advisory Committee. Amongst a number of previous<br />

Board positions Ms Beaumont has held, from 2000 to 2009<br />

she was a member of the Melbourne <strong>Health</strong> Board. She is<br />

a current member of the Australian Institute of Company<br />

Directors.<br />

Ms Beaumont is the current Women’s <strong>Health</strong> Victoria<br />

Executive Director. Between 1987 to 1995 she was Federal<br />

Secretary - Australian Nursing Federation and prior to that<br />

for five years ANF South Australian Branch Secretary.<br />

In 2003 Ms Beaumont was awarded the Australian<br />

Centenary of Federation Medal and in 2007 she was<br />

inducted to the Victorian Honour Roll of Women for her<br />

contribution to women’s health.<br />

Mr Steve Hay<br />

Steve Hay has more than 20 years experience in the field of<br />

real estate. He is currently a director of Northside Landsales.<br />

A licensed real estate agent and a qualified auctioneer, he<br />

was born and raised in the north of Melbourne, where he<br />

still lives. Mr Hay has been instrumental in the successful<br />

development of the Hayston Valley Estate in Epping, which<br />

is now home to approximately 1500 residents. Mr Hay has<br />

a long association with <strong>Northern</strong> <strong>Health</strong>, having served on<br />

the Fundraising Committee of The <strong>Northern</strong> Hospital for<br />

more than seven years.<br />

Mr Brian Joyce<br />

Brian Joyce is a Certified Practising Accountant and Master<br />

of Administration (Monash) and has extensive experience in<br />

Hospitals and <strong>Health</strong> Services management and financing.<br />

Until 2008 Mr Joyce was Regional Director of the North<br />

and West Metropolitan Region of the Department of<br />

Human Services (DHS). During his career with DHS Mr<br />

Joyce held a number of senior executive positions including<br />

Director, Primary and Community <strong>Health</strong>, Executive Director<br />

Operations, and Regional Director, Southern Metropolitan<br />

Region. Mr Joyce also held the position of Deputy Chief<br />

General Manager of the former State Department of <strong>Health</strong>.<br />

Prior to joining the Government Mr Joyce held the positions<br />

of Finance Director, Box Hill Hospital and Manager, Finance<br />

and Services, of the Victorian Branch of the <strong>Health</strong> Insurance<br />

Commission and Medibank Private.<br />

Mr Joyce is presently the government appointed part time<br />

Administrator of Western Education Support and Training<br />

Network (WestNet), a disability service provider. Mr Joyce<br />

also undertakes consulting work in the Human Services<br />

sector.<br />

Mr Ray Judd<br />

Ray Judd is the General Manager, Corporate Development<br />

and Support for Mind Australia. Mind is one of the largest<br />

non government providers of mental health services. Prior to<br />

joining Mind, Mr Judd was a Principal with the Nous Group.<br />

Before joining Nous, Mr Judd had a long career in the<br />

Victorian Public Service. During that part of his career Mr<br />

Judd worked in the Department of Human Services in a<br />

number of senior management roles at policy, program and<br />

operational levels. Mr Judd also held senior management<br />

roles in the Department of Premier and Cabinet and the<br />

Department of Victorian Communities.<br />

Mr Judd is a Fellow of the Institute of Public Administration<br />

(Victorian Division).<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 7


The <strong>Northern</strong> <strong>Health</strong> Board cont’d...<br />

Professor Vin Massaro<br />

Professor Vin Massaro has considerable experience in<br />

senior management in higher education and health<br />

institutions, and as a consultant and adviser in Australia and<br />

internationally. He has also chaired or been a member of<br />

several boards.<br />

Professor Massaro is currently Managing Director of Massaro<br />

Consulting, a company providing strategic advice on higher<br />

education policy, management and governance, and on<br />

health workforce planning and training to organisations and<br />

government departments.<br />

He has been Chief Executive of the Royal Australasian College<br />

of Surgeons and was the inaugural Chief Executive of the<br />

Victorian State Board of Education. He has held senior<br />

positions at Flinders University and the Lincoln Institute of<br />

<strong>Health</strong> Sciences (now the Faculty of <strong>Health</strong> Sciences at La<br />

Trobe University). He has also been a consultant on higher<br />

education to the OECD and is Editor of its international<br />

Journal of Higher Education Management and Policy.<br />

Professor Massaro’s Board roles have included the Anti-<br />

Cancer Foundation of South Australia, the Australian Safety<br />

and Efficacy Register of New Interventional Procedures<br />

- Surgical (ASERNIP-s), Flinders Reproductive Medicine,<br />

Flinders Consulting and the Advisory Board of the Centre for<br />

International Mental <strong>Health</strong> at the University of Melbourne.<br />

He holds a Professorial Fellowship in the Australian <strong>Health</strong><br />

Workforce Institute, a joint Institute of the Universities of<br />

Melbourne and Queensland, and is a Professorial Fellow<br />

in the LH Martin Institute for Higher Education Leadership<br />

and Management and the Centre for the Study of Higher<br />

Education at the University of Melbourne<br />

Ms Sabine Phillips<br />

Sabine Phillips is currently a Principal with Russell Kennedy<br />

Pty Ltd, a law firm in Melbourne. Ms Phillips has been<br />

with Russell Kennedy since 2004 and works in the area of<br />

<strong>Health</strong> and Aged Care. Ms Phillips has a Master of Laws<br />

(Legal Practice) and a Master of Business (Organisational<br />

Behaviour).<br />

Ms Phillips is also a registered nurse (Division 1) and has<br />

been a proprietor of aged care facilities. She is a member of<br />

the Law Institute of Victoria, a Fellow of the Royal Collage of<br />

Nursing Australia, and an Associate Fellow of the Australian<br />

College of <strong>Health</strong> Service Administrators. Ms Phillips is also<br />

a sessional member of the Victorian Civil and Administrative<br />

Tribunal on the Occupational and Business List.<br />

Ms Phillips brings to <strong>Northern</strong> <strong>Health</strong> a wealth of experience<br />

in health and aged care and as a past assessor for the Aged<br />

Care Standards and Accreditation Agency.<br />

Ms Sue Renkin<br />

Sue Renkin has held Chief Executive appointments since<br />

1984 in health and emergency services industries. Her<br />

focus has been on the restructure of organisations to<br />

improve profitability and business growth through business<br />

development, motivational leadership, change management,<br />

brand development and strategic vision.<br />

Ms Renkin commenced her career in nursing, moved into<br />

hospital management in 1983, and held CEO appointments<br />

in the hospital sector until 1998. Ms Renkin completed an<br />

MBA from Monash University in 1995 and has since studied<br />

Strategic Management at Harvard University in the USA.<br />

In 1997 Ms Renkin was awarded the Telstra Business Woman<br />

of the Year Award for the private sector with more than 100<br />

employees in Victoria and then again for Australia.<br />

Ms Renkin has been actively involved in government lobbying<br />

for a period and is currently a community representative on<br />

the Australian Bravery Council. In addition to her role as Non<br />

Executive Director at <strong>Northern</strong> <strong>Health</strong>, Ms Renkin currently<br />

holds the Chair of the Clayton Laboratories Advanced<br />

Imaging Research Centre and the Chair of Monash Centre for<br />

Green Chemistry and is a member of the Dean of Medicine<br />

Advisory Board at Monash.<br />

Ms Renkin was recently appointed Chair of the Southern<br />

Metropolitan Cemeteries Trust and is a non-executive<br />

Director for General Practice Victoria and GMHBA <strong>Health</strong><br />

Insurance.<br />

8 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Corporate Governance<br />

Appointment of Directors<br />

Terms of appointment vary from one to three years, at<br />

an annual salary set by the Minister in accordance with<br />

guidelines issued by the Office of the Public Service<br />

Commissioner. Note: Board changes subsequent to the end<br />

of the financial year were as follows:<br />

On 30 June 2010 the period of appointment of Dr<br />

Sandra Hacker, AO expired. Dr Hacker completed six<br />

years as Board Chair.<br />

On the recommendation of the Minister, the Governor-in-<br />

Council appointed Mr Steve Black as Board Chair for<br />

a period of one year expiring on 30 June 2011.<br />

On 30 June, 2010, the period of appointment for<br />

Mr Steve Hay expired. Mr Hay completed three years<br />

of service.<br />

On 20 June 2010 the period of appointment for<br />

Ms Sabine Phillips and Mr Brian Joyce expired. On<br />

1 July 2010, on the recommendation of the Minister,<br />

the Governor-in-Council re-appointed Ms Phillips and<br />

Mr Joyce for a further three year period expiring on<br />

30 June 2013.<br />

On 1 July, 2010, on the recommendation of the Minister,<br />

the Governor-in-Council appointed Mr Ian Dunn and<br />

Mr Leigh Hocking for a three year period expiring on<br />

30 June, 2013.<br />

Role of the Board<br />

The role of the Board is to exercise good governance in the<br />

achievement of <strong>Northern</strong> <strong>Health</strong>’s stated objectives. Key<br />

aspects of this governance role include:<br />

• setting the organisation’s strategic direction;<br />

• establishing a policy framework (primary policy);<br />

• appointing the Chief Executive Officer and<br />

monitoring the performance of the Chief Executive<br />

Officer;<br />

• evaluating organisational performance;<br />

• ensuring organisational accountability and<br />

compliance with legislative requirements; and<br />

• evaluation of the Board’s own effectiveness<br />

in governance The Directors contribute to the<br />

governance of <strong>Northern</strong> <strong>Health</strong> collectively as<br />

a board through attendance at meetings, of<br />

which there are 12 per year. Individual contribution<br />

occurs through participation or chairmanship of<br />

the various Committees of the Board and between<br />

Committee meetings they are often approached to<br />

direct or assist management in the performance of<br />

their <strong>Northern</strong> <strong>Health</strong> functions.<br />

Directors also give their time to attend significant functions<br />

and Ministerial events across <strong>Northern</strong> <strong>Health</strong>. The Board<br />

meets monthly, with 12 meetings held in the financial year<br />

1 July, 2009 to 30 June, 2010.<br />

Board Meetings & Access to Management<br />

At these meetings, members of the <strong>Northern</strong> <strong>Health</strong><br />

Executive regularly present papers on their areas of<br />

responsibility in the <strong>Health</strong> Service. Between meetings,<br />

individual Board members have regular contact with<br />

management through committee or project involvement<br />

and are regularly contacted by the Chief Executive Officer<br />

on major issues. <strong>Northern</strong> <strong>Health</strong> comprises five separate<br />

campuses, and the Directors are encouraged to undertake<br />

site visits in order to view first hand the activities and services<br />

provided at hospitals and facilities.<br />

Delegation of Functions<br />

The by-laws provide for the delegation of duties by the<br />

Board, and the Board has approved a detailed Delegations<br />

Policy enabling designated <strong>Northern</strong> <strong>Health</strong> executives to<br />

perform their duties through the exercise of set authorities.<br />

The Chief Executive Officer may vary such delegations<br />

downward during periods when, or in areas where, tighter<br />

temporary controls are required. However delegated<br />

authorities cannot be varied upward to the extent that they<br />

would exceed delegations initially approved by the Board.<br />

Board Committees<br />

Directors lend their expertise to the operations of<br />

Committees of the Board and in this way some of the<br />

general functions of the Board are delegated to individuals<br />

or small groups of Directors. During the year the following<br />

Board Committees comprised the Directors listed:<br />

Audit & Risk Committee<br />

Mr Brian Joyce (Chair)<br />

Mr Stephen Black<br />

Dr Sandra Hacker<br />

Ms Sabine Phillips<br />

In addition to these board members, representatives from<br />

management also attend meetings of the Audit & Risk<br />

Committee.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 9


Corporate Governance cont’d...<br />

During the year the following staff were in regular<br />

attendance:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Mr Sam Costanzo (Executive Director, Finance)<br />

Mr Robert Burnham (Executive Director, Surgical, Obstetrics<br />

& Paediatric Services)<br />

Mr Henk de Deugd (Executive Director, Corporate Services)<br />

A/Prof Kwang Lim (Chief Medical Officer)<br />

Ms Jennifer Smith (Executive Director, Ambulatory and<br />

Consulting Services)<br />

Ms Maree Cuddihy (Executive Director, Business Performance,<br />

Planning and Workforce & Clinical Governance)<br />

Ms Robynne Cooke, Executive Director, Medical and<br />

Continuing Care Services/CNO)<br />

Ms Jenny Peterson (Quality, Safety & Risk Manager)<br />

Mr John Delinaoum (Director of Finance)<br />

Mr Greg Patterson (Financial Controller)<br />

Meetings were also attended by representatives from<br />

<strong>Northern</strong> <strong>Health</strong>’s internal and external auditors.<br />

The Audit & Risk Committee assists the Board in fulfilling its<br />

financial management and related reporting responsibilities<br />

for <strong>Northern</strong> <strong>Health</strong> including compliance with laws and<br />

regulations, the maintenance of an effective and efficient<br />

audit system and the maintenance of ongoing relationships<br />

with <strong>Northern</strong> <strong>Health</strong>’s auditors.<br />

Finance Committee<br />

Mr Stephen Black (Chair)<br />

Dr Sandra Hacker<br />

Prof Vin Massaro<br />

Mr Brian Joyce<br />

During the year the following staff were in regular<br />

attendance:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Mr Sam Costanzo (Executive Director, Finance)<br />

Mr Robert Burnham (Executive Director, Surgical, Obstetrics<br />

& Paediatric Services)<br />

Mr Henk de Deugd (Executive Director, Corporate Services)<br />

A/Prof Kwang Lim (Chief Medical Officer)<br />

Ms Jennifer Smith (Executive Director, Ambulatory and<br />

Consulting Services)<br />

Ms Maree Cuddihy (Executive Director, Business Performance,<br />

Planning and Workforce & Clinical Governance)<br />

Ms Robynne Cooke, (Executive Director, Medical and<br />

Continuing Care Services/CNO)<br />

Mr John Delinaoum (Director of Finance)<br />

Mr Greg Patterson (Financial Controller)<br />

Education & Research Committee<br />

Mr Ray Judd (Chair)<br />

Ms Sue Renkin<br />

Prof Vin Massaro<br />

Mr Steve Black<br />

In addition to these Board Members, the Committee<br />

comprises the following members:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Mr Robert Burnham (Executive Director, Surgical, Obstetrics<br />

& Paediatric Services)<br />

Mr Henk de Deugd (Executive Director, Corporate Services)<br />

Ms Jennifer Smith (Executive Director, Ambulatory and<br />

Consulting Services)<br />

Ms Maree Cuddihy (Executive Director, Business Performance,<br />

Planning and Workforce & Clinical Governance)<br />

Ms Robynne Cooke (Executive Director, Medical and<br />

Continuing Care Services/CNO)<br />

Ms Robyn Smith, HSM Allied <strong>Health</strong> Learning & Research<br />

Prof. Judy Savige (University of Melbourne representative)<br />

Prof. Keith Hill (LaTrobe University representative)<br />

The Education & Research Committee was established<br />

at the beginning of 2002 and exists to advise the Board<br />

regarding the educational requirements of all <strong>Northern</strong><br />

<strong>Health</strong> employees. The Education & Research Committee<br />

has linkages to the Quality Committee in terms of receiving<br />

recommendations relating to educational activities, training<br />

and monitoring requirements identified by the Quality<br />

Committee. The Education & Research Committee meets<br />

every third month.<br />

10 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Quality Committee<br />

Ms Sabine Phillips (Chair)<br />

Dr Sandra Hacker<br />

Prof Vin Massaro<br />

Ms Marilyn Beaumont<br />

In addition to these Board Members, the Committee<br />

comprises the following members:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Mr Robert Burnham (Executive Director, Surgical, Obstetrics<br />

& Paediatric Services)<br />

Ms Jennifer Smith (Executive Director, Ambulatory and<br />

Consulting Services)<br />

Ms Maree Cuddihy (Executive Director, Business Performance,<br />

Planning and Workforce & Clinical Governance)<br />

Ms Robynne Cooke (Executive Director, Medical and<br />

Continuing Care Services/CNO)<br />

A/Prof Kwang Lim (Chief Medical Officer)<br />

Dr Graeme Duke (Chair, Clinical Outcomes Review<br />

Committee)<br />

Ms Jenny Peterson (Quality, Safety and Risk Manager)<br />

Prof. Judy Savige (Professor, Department of Medicine)<br />

The Quality Committee meets every second month and<br />

assists the Board in fulfilling its responsibilities in relation<br />

to the promotion and maintenance of quality of care in the<br />

delivery of clinical and non-clinical services. This is done in<br />

accordance with the <strong>Northern</strong> <strong>Health</strong> Quality Plan.<br />

To assist in the implementation of the plan, the Committee<br />

has also established a system of feedback and evaluation of<br />

quality across <strong>Northern</strong> <strong>Health</strong> ensuring appropriate action is<br />

taken to address any issues identified.<br />

Remuneration & Appointments Committee<br />

Mr Ray Judd (Chair)<br />

Dr Sandra Hacker<br />

Mr Stephen Black<br />

Ms Sabine Phillips<br />

The Remuneration & Appointments Committee meets<br />

quarterly or as required. Its functions are to ensure that<br />

remuneration policy is compatible with <strong>Northern</strong> <strong>Health</strong>’s<br />

strategic goals in both its objective and implementation, to<br />

oversee any remuneration review, and to recommend to the<br />

Board appropriate salary and contractual arrangements for<br />

senior staff. In attendance at each meeting are:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Mr Roger Nicholls (Director, Human Resources)<br />

Community Advisory Committee<br />

Mr Steve Hay (Chair)<br />

Mr Ray Judd<br />

Ms Sue Renkin<br />

Ms Marilyn Beaumont<br />

In addition to these Board members, the Committee<br />

comprises the following members:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Cr K. Pavlidis (Community Member)<br />

Ms P. Church (Community Member)<br />

Mr L. Thrasis (Community Member)<br />

Mr I. Brown (Community Member)<br />

Mr P. Smith (Community Member)<br />

Resigned February 2010<br />

Mr J Makaronis (Community Member)<br />

Resigned April 2010<br />

Mr G. Roberts (Community Member)<br />

Ms D Sterjovska (Community Member)<br />

Ms Z Yesilyurt (Community Member)<br />

Ms V Goodwin (Community Member)<br />

Commenced October 2009<br />

Ms D Sleiman (Community Member)<br />

Commenced August 2009<br />

Ms Sally Delaney (Community Member)<br />

Commenced April 2010<br />

Mr S Costanzo (Executive Director Finance)<br />

Ms M Cuddihy (Executive Director Business Performance)<br />

The <strong>Northern</strong> <strong>Health</strong> Community Advisory Committee has<br />

been meeting on a bi-monthly basis. The purpose of the<br />

Committee is to advise the Board on strategies to enhance<br />

and promote consumer and community participation at all<br />

levels within the <strong>Health</strong> Service.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 11


Corporate Governance cont’d...<br />

The Committee seeks to enhance the Board’s ability to<br />

advocate on behalf of the communities served by <strong>Northern</strong><br />

<strong>Health</strong>. The Committee was resourced by Ms Eileesh Diviney<br />

(Manager, Partnerships) until October 2009, then by Mr<br />

Gerry O’Donnell (Manager, Partnerships).<br />

Primary Care And Population <strong>Health</strong><br />

Advisory Committee<br />

Ms Marilyn Beaumont (Chair)<br />

(Commenced September 2009)<br />

Mr Steve Hay<br />

Mr Brian Joyce (Commenced September 2009)<br />

Ms Sue Renkin (Commenced September 2009)<br />

In addition to these Board members, the Committee<br />

comprises the following members:<br />

Mr Greg Pullen (Chief Executive Officer)<br />

Dr J. Fraser (Divisions of General Practice)<br />

Resigned September 2009<br />

Ms K O’Donnell (Primary Care Partnerships)<br />

Resigned September 2009<br />

Ms F. Hearn (Royal District Nursing Service)<br />

Ms Gabrielle MacTiernan (Community <strong>Health</strong>)<br />

Mr Russell Hopkins (Local Government)<br />

Resigned September 2009<br />

Ms Belgin Besim (Local Government)<br />

Commenced March 2010<br />

Ms Robyn Humphries (Specialist Service – Mental <strong>Health</strong>)<br />

Ms Sandy Austin (Dept of Human Services)<br />

Mr Phillip Bain (non-GP, Divisions of General Practice)<br />

Ms Maree Cuddihy (Executive Director, Business Performance)<br />

Commenced March 2010<br />

Ms Jenni Smith (Executive Director, Ambulatory & Consulting<br />

Services)<br />

Mr Tim O’Leary (Planning For A <strong>Health</strong>ier North)<br />

The Primary Care & Population <strong>Health</strong> Advisory Committee<br />

has been meeting on a bi-monthly basis. It has been<br />

established to assist the Board to play a complementary<br />

role in interagency planning. Its role is to also assist with<br />

the integration of the health services in the catchment<br />

area, particularly with regard to the primary care and acute<br />

sectors. It will assist the Board in identifying community<br />

health needs with a view to establishing innovative programs<br />

to improve the accessibility and responsiveness of <strong>Northern</strong><br />

<strong>Health</strong> services.<br />

This will include direct service partnerships with other health<br />

and community services, commissioning research in relevant<br />

areas and working in partnership with other local agencies<br />

on health promotion schemes. The Committee was resourced<br />

by Ms Eileesh Diviney (Manager, Partnerships) until November<br />

2009, then by Mr Gerry O’Donnell (Manager, Partnerships).<br />

DIRECTOR’S ATTENDANCE FOR MEETINGS – 1 JULY 2009 – 30 JUNE 2010<br />

Board<br />

Community<br />

Advisory<br />

Committee<br />

Remuneration<br />

and<br />

Appointments<br />

Committee<br />

Board<br />

Quality<br />

Committee<br />

Primary<br />

Care and<br />

Population<br />

<strong>Health</strong> Advisory<br />

Committee<br />

Finance<br />

Committee<br />

Audit and Risk<br />

Committee<br />

Education and<br />

Research<br />

Committee<br />

Academic and<br />

Research<br />

Steering<br />

Commitee<br />

Total<br />

No. of Meetings<br />

12<br />

6<br />

3<br />

6<br />

4<br />

12<br />

6<br />

4<br />

7<br />

60<br />

Sandra Hacker<br />

Vin Massaro<br />

Ray Judd<br />

Sabine Phillips<br />

Marilyn Beaumont<br />

Brian Joyce<br />

Sue Renkin<br />

Stephen Black<br />

Steve Hay<br />

(Reappointment<br />

unconfirmed during<br />

Jul/Aug)<br />

12<br />

11<br />

11<br />

12<br />

11<br />

12<br />

11<br />

11<br />

8<br />

6<br />

4<br />

3<br />

6<br />

3<br />

3<br />

2<br />

2<br />

4<br />

6<br />

6<br />

4<br />

2<br />

(from Sept 2010)<br />

2<br />

(from Sept 2010)<br />

2<br />

(from Sept 2010)<br />

1<br />

11<br />

12<br />

11<br />

11<br />

3<br />

3<br />

3<br />

3<br />

2<br />

4<br />

0<br />

2<br />

2<br />

4<br />

7<br />

33 From a<br />

possible 39<br />

31 From a<br />

possible 34<br />

26 From a<br />

possible 32<br />

23 From a<br />

possible 27<br />

21 From a<br />

possible 28<br />

28 From a<br />

possible 34<br />

16 From a<br />

possible 26<br />

33 From a<br />

possible 44<br />

22 From a<br />

possible 29<br />

12 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Executive Team<br />

Mr Greg Pullen,<br />

Chief Executive Officer<br />

MHA GD HSM B.Bus (accounting)<br />

Greg Pullen is the Chief Executive Officer of <strong>Northern</strong> <strong>Health</strong>. Before joining <strong>Northern</strong> <strong>Health</strong> he was the<br />

CEO of Goulburn Valley <strong>Health</strong>, the regional referral hospital for north-eastern Victoria.<br />

Mr Pullen’s professional memberships include Associate Fellow of the Australian College of <strong>Health</strong><br />

Service Executives (AFCHSE), Fellow of the Australian Society of Certified Practising Accountants (FCPA),<br />

Associate Fellow of the Australian <strong>Health</strong> Services Financial Management Association (AHSFMA).<br />

Mr Robert Burnham,<br />

Executive Director, Surgical, Obstetrics and Paediatric Services<br />

RN, RM, Crit Care, Bch App Sc (Admin), Grad Dip, (Hlth Admin), MHA, AFACHSE<br />

As the Executive Director Surgical, Obstetrics and Paediatric Services, Robert Burnham brings with him<br />

more than 30 years of acute health care experience. Mr Burnham built on his nursing background<br />

with a Bachelor of Applied Science (<strong>Health</strong> Administration), a Graduate Diploma of <strong>Health</strong> Services<br />

Management and a Masters of <strong>Health</strong> Services Management.<br />

Mr Burnham served at the former Preston & Northcote Community Hospital and Prince Henry Hospital<br />

in various capacities including Associate Director of Nursing Human Resources, Director (Nursing)<br />

Surgical Services, Chief Nursing Officer, Operations Director (Obstetrics, Paediatrics and Surgery) and<br />

General Manager of The <strong>Northern</strong> Hospital.<br />

He was also the Chair of The <strong>Northern</strong> Hospital Relocation Consultation Committee, given the task of<br />

establishing The <strong>Northern</strong> Hospital in Epping, relocating from the PANCH site in Preston. Mr Burnham<br />

was also a member of the DoH Patient Management Task Force that reviewed acute health services in<br />

metropolitan hospitals and the DoH Patient and Client Management Information Systems Committee,<br />

which was responsible for the selection and implementation of a common patient information system<br />

across health services in Victoria.<br />

Mr Burnham is currently a member of the Intensive Care Advisory Committee which advises and informs<br />

the DoH on critical care policy matters.<br />

Ms Robynne Cooke,<br />

Executive Director Medical and Continuing Care<br />

RN, Ba Nursing, Grad Dip(Gerontology) MHSM, MRCNA<br />

Robynne Cooke is currently the Executive Director of Medical and Continuing Care Services and also<br />

the Chief Nursing Officer for <strong>Northern</strong> <strong>Health</strong>. Ms Cooke commenced at <strong>Northern</strong> <strong>Health</strong> in 2008<br />

as the Director of Nursing and Director of Operations at Bundoora Extended Care Centre. Ms Cooke<br />

has worked previously at Melbourne <strong>Health</strong> as a Director, the Department of Human Services and<br />

also Austin <strong>Health</strong>. She currently represents <strong>Northern</strong> <strong>Health</strong> on the acute medical inpatient advisory<br />

committee and is also a member of the Metropolitan <strong>Health</strong> Services Nurse Executives Group. Ms Cooke<br />

is a member of the Royal College of Nursing Australia.<br />

Mr Sam Costanzo, Executive Director, Finance,<br />

Client Data Management and Corporate Communications<br />

B.Bus (accounting) CPA<br />

Sam Costanzo joined <strong>Northern</strong> <strong>Health</strong> in April 2005, and has been working in the public healthcare<br />

system since 2001. Mr Costanzo previously worked with Western <strong>Health</strong> (2001- 2005), TXU (formerly<br />

Westar Pty Ltd) (1999-2001), Westar Pty Ltd (formerly Gas & Fuel) (1997- 1999) and Whittlesea City<br />

Council (1994-1997). Mr Costanzo is a member of CPA Australia.<br />

In his current role he is responsible for financial governance and oversight in support of the CEO.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 13


Executive Team cont’d...<br />

Ms Maree Cuddihy,<br />

Executive Director Business Performance, Workforce Planning and Clinical Governance<br />

RN, RM, Grad Cert Onc, BN, Grad Dip Nurs Admin, M.Bus (Mgt)<br />

Maree Cuddihy has worked in the public sector since she qualified and has a strong knowledge of,<br />

commitment to, and enthusiasm for healthcare in general.<br />

She has senior experience in large and small complex organisations, in both clinical and support<br />

positions. In her current role she is responsible for critical strategic level support to the CEO and senior<br />

management and has responsibility for Human Resources, Clinical Governance, Planning and Redesign.<br />

Mr Henk de Deugd,<br />

Executive Director Corporate Services<br />

MBus, BEng, Grad Dip Maintenance Management Grad Dip Education, SMIE Aust,<br />

Chartered Professional Engineer, NPER.<br />

Henk de Deugd joined <strong>Northern</strong> <strong>Health</strong> in late 2006. Prior to taking up his role as Executive Director,<br />

Corporate Services, Mr de Deugd was the Director, Facilities and Infrastructure at the Royal Children’s<br />

Hospital, Melbourne. Earlier in his career he worked in the telecommunications industry as a design and<br />

plant engineer.<br />

This was followed by a time in the education sector, mainly teaching telecommunications and power<br />

industry trainees. Although Mr de Deugd has worked for most of his career in the health sector, he<br />

took the opportunity to complement his health experience to work for some time as an electrical<br />

engineering consultant in the pharmaceutical, defense, education and health fields. In health, he has<br />

worked in sub-acute, women’s and children’s, and regional hospitals. Mr de Deugd is currently the<br />

National President of the Institute of Hospital Engineering Australia.<br />

Ms Jenni Smith,<br />

Executive Director Ambulatory and Consulting Services, Chief Allied <strong>Health</strong> Officer<br />

B App Sci (Phyth), Grad Dip Physiotherapy (Research)<br />

Jenni Smith commenced with <strong>Northern</strong> <strong>Health</strong> in 2002 and was appointed to the position of Executive<br />

Director of Ambulatory & Consulting Service in 2009 and Chief Allied <strong>Health</strong> Officer in 2010. She has<br />

an extensive background in the delivery of healthcare services in both the public and private sectors<br />

and has served on numerous industry and professional committees. This experience has included the<br />

development and implementation of sustainable quality improvement systems and appropriate clinical<br />

governance structures in healthcare environments.<br />

Recent publications and presentations have included integration of interprofessional clinical practices,<br />

undergraduate clinical education, work role design/substitution and work force development.<br />

Associate Professor Kwang Lim,<br />

Chief Medical Officer<br />

Associate Professor Kwang Lim joined <strong>Northern</strong> <strong>Health</strong> in 1999. Associate Professor Lim was appointed<br />

Chief Medical Officer in 2010 and is also the Clinical Director, Medicine. He is an Associate Professor in<br />

Medicine at Melbourne University as well as a Fellow of the Australian College of Physicians in Geriatric<br />

and General Medicine. Associate Professor Lim has previous obtained a medical doctorate related to<br />

health services research and currently has research interests in aged care and health services delivery.<br />

14 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Organisation Structure<br />

<strong>Northern</strong> <strong>Health</strong> Board<br />

Chief Executive Officer<br />

Greg Pullen<br />

Chief Nursing Officer<br />

Robynne Cooke<br />

Chief Medical Officer<br />

Associate Professor Kwang Lim<br />

Chief Allied <strong>Health</strong> Officer<br />

Jenni Smith<br />

Executive Director<br />

Medical & Continuing<br />

Care<br />

Robynne Cooke<br />

Executive Director<br />

Ambulatory & Consulting<br />

Services<br />

Jenni Smith<br />

Executive Director<br />

Surgical, Obstetrics<br />

& Paediatrics Services<br />

Robert Burnham<br />

Executive Director<br />

Corporate Services &<br />

IM & ICT<br />

Henk de Deugd<br />

Executive Director<br />

Business Performance,<br />

Planning, Workforce *<br />

Clinical Governance<br />

Maree Cuddihy<br />

Executive Director<br />

Finance, Client Data<br />

Management, Corporate<br />

Communications<br />

Sam Costanzo<br />

Director<br />

Emergency<br />

Services<br />

Dr Helen Stergiou<br />

Operations Director<br />

Community Services<br />

Jenelle Linton<br />

Diagnostic Services<br />

Robert Burnham<br />

Chief Information<br />

Officer<br />

Bill O’Brien<br />

Director Human<br />

Resources<br />

Roger Nichols<br />

Director<br />

Finance<br />

John Delinaoum<br />

Operations Director<br />

Medicine<br />

Maree Glynn<br />

Operations Director<br />

Ambulatory Services<br />

Sandy Capron<br />

Operations Director<br />

Surgery DON<br />

Christine Lamotte<br />

Director<br />

ICT – Infrastructure<br />

Manager<br />

Quality, Clinical<br />

Governance & Risk<br />

Jenny Peterson<br />

Director<br />

Client Data<br />

Management<br />

Terri Letizia<br />

Clinical Service Director<br />

Medicine & Continuing<br />

Care<br />

Associate Professor<br />

Kwang Lim<br />

Operations Director<br />

Outpatient & Specialist<br />

Consulting Clinics<br />

Gillian Dickman<br />

Clinical Service<br />

Director – Surgery<br />

Dr Neil Strugnell<br />

Director<br />

ICT– Applications<br />

Director<br />

Strategic & Service<br />

Planning<br />

Oliver Furness<br />

Director<br />

Corporate<br />

Communications<br />

Emma Diffen<br />

Operations Director<br />

Inpatient Services/<br />

DON- Site Manager<br />

BECC<br />

Mark Aitken<br />

Operations Director<br />

Inpatient Services/<br />

DON – BHS<br />

Marie Mohr<br />

Craigieburn <strong>Health</strong><br />

Service<br />

Operations Director<br />

O&G, Paeds & ED<br />

Fiona Middleton<br />

Clinical Service<br />

Director<br />

Dr Simon Hauser<br />

Paediatrics<br />

Director<br />

Facilities Management<br />

Sharon McNulty<br />

Director<br />

Capital Planning<br />

& Development<br />

Brian Pope<br />

Manager Partnerships<br />

Gerry O’Donnell<br />

Advanced Care Planning<br />

Anne Marie Fabri/<br />

Barbara Hayes<br />

Clinical Service Director<br />

O&G<br />

Dr Alex Teare<br />

Director<br />

Engineering<br />

& Building Services<br />

Colin Woodward<br />

Director Pharmacy<br />

Peter Stuchbery<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 15


Our Services<br />

<strong>Northern</strong> <strong>Health</strong> is one of the busiest health services<br />

in Victoria.<br />

Every week, on average:<br />

5000 patients are treated at a <strong>Northern</strong> <strong>Health</strong> campus.<br />

46 babies are born at The <strong>Northern</strong> Hospital and 47 children<br />

receive treatment in our paediatric unit.<br />

Our Hospital in the Home service visits 22 patients in<br />

their home while more than 1750 patients are referred to<br />

a <strong>Northern</strong> <strong>Health</strong> service by their GP.<br />

320 patients come to our Emergency Department at<br />

The <strong>Northern</strong> Hospital by Ambulance and close to 1300<br />

patients are treated in our Emergency Department.<br />

We perform almost 100 emergency operations and more<br />

than 200 elective procedures.<br />

Across <strong>Northern</strong> <strong>Health</strong> we treat people born in more than<br />

130 different countries and our in-house interpreting services<br />

provide assistance to a range of patients for whom English is<br />

not their first language.<br />

16 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Admitted Patients & Emergency<br />

$207.8m<br />

Medicine &<br />

Continuing<br />

Care<br />

General Medicine<br />

General Surgery<br />

Specialist Medicine<br />

Specialist Surgery<br />

Emergency<br />

Day Surgery<br />

&<br />

Day Medical<br />

587 beds<br />

Paediatric<br />

Intensive Care,<br />

Aged Care<br />

Medicine<br />

High Dependency,<br />

Rehabilitation<br />

& Surgery<br />

Coronary Care<br />

Palliative Care<br />

Geriatric<br />

Evaluation<br />

&<br />

Management<br />

Obstetrics,<br />

Gynaecology<br />

& Neonatology<br />

Business<br />

Performance,<br />

Planning,<br />

Workforce<br />

Surgery,<br />

Obstetrics &<br />

Paediatrics<br />

8 operating<br />

theatres<br />

Finance and<br />

Corporate<br />

Services<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 17


Our Services cont’d...<br />

Outpatients & Ambulatory<br />

$67.2m<br />

Community<br />

Therapy<br />

Services<br />

Diabetes<br />

Services<br />

Hand<br />

therapy<br />

Psychology<br />

and<br />

Neuropsychology<br />

Occupational<br />

Therapist<br />

Music<br />

Therapy<br />

Adult<br />

Rehabilitation<br />

Social Work<br />

Ambulatory<br />

&<br />

Consulting<br />

Services<br />

Volunteers<br />

Chronic Wound<br />

Service<br />

Specialists<br />

Consulting<br />

Rooms<br />

Harp Services<br />

Planned Activity<br />

Group<br />

Community<br />

Services<br />

Orthotist<br />

Podiatry<br />

Day Activity Centre<br />

Physiotherapy<br />

Speech Therapy<br />

Business<br />

Performance,<br />

Planning,<br />

Workforce<br />

Finance<br />

and<br />

Corporate<br />

Services<br />

18 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Other Services<br />

$30.9m<br />

Finance<br />

Services<br />

Retail Services<br />

Capital<br />

Programs<br />

Corporate<br />

Services<br />

Depreciation<br />

Special<br />

Purpose<br />

Funds<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 19


Our achievements<br />

Strategic Goal 1<br />

A healthier northern community through<br />

the delivery of quality health services<br />

<strong>Northern</strong> <strong>Health</strong> has a strong and integrated approach to<br />

quality service provision ensuring good patient outcomes<br />

and a reduction in clinical risk. <strong>Northern</strong> <strong>Health</strong> continues<br />

to deliver quality health services by continuing to enhance<br />

our programs and services. This activity continues despite the<br />

increasing demand on services.<br />

Clinical Services and Master Planning<br />

<strong>Northern</strong> <strong>Health</strong> undertakes strategic clinical services<br />

planning in response to increasing or changing demand for<br />

services. The outcomes from this have been rapidly translated<br />

into strategic master planning with predicted outcomes<br />

being 50% increase in services over the next five years and<br />

100% increase in services over the next 10 years.<br />

In addition to strategic clinical services planning, the<br />

Redesigning Care program was established to deliver service<br />

improvement and build health service capability. <strong>Northern</strong><br />

<strong>Health</strong>’s Redesigning Care team has successfully completed<br />

three projects funded by the Department of <strong>Health</strong> and<br />

designed to ensure patient and family centred care.<br />

‘Smooth Operations: enhancing the surgical patient journey’<br />

has led to reductions in non-elective patient postponements,<br />

reductions in Length Of Stay and improved systems for<br />

pre-admission, elective admissions and unplanned surgery.<br />

‘Redesigning the Non-admitted emergency patient journey’<br />

supported the establishment of the Rapid Intervention and<br />

Treatment Zone (RITZ) in the Emergency Department which<br />

has improved access and care for non-admitted patients.<br />

Patients treated in the RITZ are now seen in a more timely<br />

fashion reducing wait times for all patients<br />

The ‘Improving the MAPU Experience’ project focused<br />

on improving ward level communication for our Medical<br />

Assessment and Planning Unit. Staff in these roles now<br />

spend more time directly with patients and supporting<br />

staff, and the number of MAPU patients discharged prior<br />

to a 48 hour Length Of Stay has improved.<br />

The Redesigning Care team is currently undertaking a major<br />

project aimed at improving care for General Medicine<br />

patients, this project aims to streamline care for the largest<br />

cohort of admissions to the hospital improving efficiency and<br />

patient outcomes by reducing delays and wait times.<br />

Data driven improvement<br />

<strong>Northern</strong> <strong>Health</strong> utilises data from a range of sources to<br />

identify opportunities for improving the quality of care we<br />

deliver. These include external organisations such as the<br />

<strong>Health</strong> Roundtable, which has identified opportunities for<br />

improvement around two major diagnostic related groups<br />

(DRGs) – respiratory patients and orthopaedic procedures.<br />

Respiratory Care<br />

In late 2009 <strong>Northern</strong> <strong>Health</strong>’s average Length Of Stay (LOS)<br />

was 5.6 days, which presented an opportunity to save up to<br />

600 bed days by achieving the Length Of Stay of the state’s<br />

exemplar hospitals (4.6 days).<br />

Practice changes which led to substantial reduction in Length<br />

Of Stay include:<br />

• improved discharge planning with the revision of the<br />

daily bed management meeting;<br />

• a revised medical model reducing the patient workload<br />

of our medical workforce;<br />

• better access to sub-acute beds has reduced delays for<br />

patient transfer between <strong>Northern</strong> <strong>Health</strong> campuses; and<br />

• the establishment of a patient journey board in the<br />

Medical Assessment Planning Unit (MAPU) increasing<br />

referral response times for allied health staff.<br />

Data collected in March 2010 identified an average Length<br />

Of Stay of 4.9 days, an improvement of 14% equating to<br />

a saving of more than 420 bed days (annualised).<br />

Orthopaedic procedures<br />

Three new initiatives were implemented in 2009 to reduce<br />

the length of stay for acute orthopaedic patients:<br />

• implementation of an Orthopaedic Rehabilitation in the<br />

Home (RITH) program where appropriate patients are<br />

discharged at day three or four and with ongoing care<br />

provided in the patient’s home. This service enables<br />

early discharge of patients (hip replacements, knee<br />

replacements, fracture necks of femurs and a few other<br />

orthopaedic conditions), prevents unnecessary inpatient<br />

rehabilitation bed admissions, and supports patients’<br />

recovery at home;<br />

• introduction of the Risk Assessment and Prediction<br />

Tool (RAPT) to pre-admission clinic for elective joint<br />

replacement surgery patients. The patient answers<br />

six simple questions included in the RAPT. A score<br />

determines the likelihood of the patient discharge<br />

destination. A score of 6+ indicates suitability for<br />

RITH; and<br />

• existing orthopaedic clinical pathways for elective joint<br />

replacement patients were modified to monitor and<br />

reduce Length Of Stay. Major changes included a LOS<br />

objective of five days, improved clinician guidelines and<br />

RAPT and RITH integration.<br />

20 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Enhanced Recovery After Surgery (ERAS)<br />

<strong>Northern</strong> <strong>Health</strong> is one of the first health services in Victoria<br />

to introduce a new approach to surgery called the Enhanced<br />

Recovery After Surgery program for patients undergoing<br />

bowel surgery. A specialist team of doctors, nurses, dieticians<br />

and physiotherapists will care for the patient throughout the<br />

journey of preparing for, undergoing and recovering from<br />

surgery. The program encourages the patient to be an active<br />

member of the treating team.<br />

This new approach means that patients fast for less time<br />

prior to surgery, have fewer tubes for a shorter period of<br />

time, are able to eat and drink sooner and are up out of bed<br />

and walking earlier. As patients feel more normal and better<br />

sooner, they have a shorter recovery time and are able to go<br />

home from hospital sooner. Patients are telling us that they<br />

are “pleasantly surprised by how they feel after their surgery”<br />

as they were expecting to “feel very unwell after a major<br />

operation.”<br />

This new approach is changing the way specialist teams<br />

and patients view having major bowel surgery. In the future<br />

<strong>Northern</strong> <strong>Health</strong> will look into how this approach may be of<br />

benefit to patients undergoing other types of major surgery.<br />

Improving care for stroke sufferers<br />

<strong>Northern</strong> <strong>Health</strong> has been actively undertaking initiatives<br />

to improve stroke services care in line with the Stroke Care<br />

Strategy for Victoria (2007). The implementation of the<br />

Strategy has been supported by the Victorian Stroke Clinical<br />

Network (VSCN) which has government commitment<br />

for $5million over four years. <strong>Northern</strong> <strong>Health</strong> has been<br />

fortunate to have a Victorian Stroke Clinical Facilitator<br />

in post at 0.5 EFT since mid 2008 to implement the<br />

recommendations of the strategy.<br />

Caring for new families<br />

Antenatal clinics, led by midwives are now in place at The<br />

<strong>Northern</strong> Hospital, Broadmeadows <strong>Health</strong> Service and<br />

Craigieburn <strong>Health</strong> Service. Antenatal attendances have<br />

increased by 8% at Broadmeadows <strong>Health</strong> Service and by<br />

20% at Craigieburn <strong>Health</strong> Service. These clinics provide<br />

important information for new mothers on what to expect<br />

in those critical first weeks after the birth of their baby,<br />

assistance and advice with breastfeeding and caring for<br />

their baby.<br />

Hand Hygiene<br />

It is estimated that each year in Australia, there are<br />

approximately 200,000 healthcare associated infections.<br />

These infections contribute to prolonged hospital admissions<br />

and can cause significant harm to the patient. <strong>Health</strong>care<br />

associated infections also put pressure on hospital financial<br />

resources with a single outbreak potentially costing an<br />

organisation up to $170,000. Many of these infections are<br />

preventable.<br />

<strong>Northern</strong> <strong>Health</strong> has participated in the Victorian Department<br />

of <strong>Health</strong> Hand Hygiene program since 2006. The program<br />

has now expanded to become Hand Hygiene Australia.<br />

Audits are conducted in six wards to measure compliance,<br />

with the results of the audits reported to the Department<br />

of <strong>Health</strong> and Hand Hygiene Australia. <strong>Northern</strong> <strong>Health</strong>’s<br />

compliance rate is 85%, well above the Department of<br />

<strong>Health</strong>’s overall target of 60% compliance.<br />

Review of nursing education and the Nurse<br />

Practitioner role.<br />

A review of nursing education across <strong>Northern</strong> <strong>Health</strong><br />

resulted in an agreed organisation wide approach to Nursing<br />

and education. An evidence based review of nursing<br />

education programs was undertaken to determine whether<br />

existing courses and programs are meeting the needs of staff.<br />

The role of the nurse practitioner role was reviewed and in<br />

a first for metropolitan Melbourne and <strong>Northern</strong> <strong>Health</strong>,<br />

the Nurses Board of Victoria endorsed Cheryl Donohue as<br />

an Aged Care Nurse Practitioner. Based at Broadmeadows<br />

<strong>Health</strong> Service, Ms Donohue’s endorsement builds on her<br />

25 years of nursing experience to deliver high quality,<br />

specialised care to older patients. Nurse Practitioners at<br />

<strong>Northern</strong> <strong>Health</strong> play an important role in the community by<br />

delivering more immediate access to required services while<br />

being a role model to their peers.<br />

As an Aged Care Nurse Practitioner Ms Donohue is able<br />

to provide a comprehensive geriatric nursing assessment<br />

to diagnose common clinical conditions in older people<br />

who don’t fit into discrete categories, such as changes in<br />

cognition, mobility, incontinence and nutritional status.<br />

This may include the treatment of acute health problems<br />

within her scope of practice, prescription of medications<br />

from an approved medication formulary and admit and<br />

discharge patients from <strong>Northern</strong> <strong>Health</strong> campuses. Of<br />

the 55 Nurse Practitioners in Victoria, four are working at<br />

<strong>Northern</strong> <strong>Health</strong> campuses.<br />

Utilising technology<br />

<strong>Northern</strong> <strong>Health</strong> was the first Victorian health service to fully<br />

implement a shared scanned semi-electronic medical record<br />

known as the Clinical Patient Folder (CPF). The medical<br />

record can be accessed via any PC within the network and<br />

allows staff to enter progress notes electronically. This<br />

function is mainly used for outpatient attendances.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 21


Our Achievements cont’d...<br />

Uptake has increased from 92,565 electronic progress notes<br />

entered in 2008/09 to 224,539 in 2009/2010. Electronic<br />

progress notes improve legibility of clinical entries and are<br />

available in real time for all clinical staff.<br />

The <strong>Northern</strong> <strong>Health</strong> Records Management policy was<br />

reviewed in light of the changes to the Evidence Act 2008<br />

and the destruction of scanned documentation.<br />

<strong>Northern</strong> <strong>Health</strong> was successful in its submission to be<br />

part of a statewide implementation of PROMPT (Protocol<br />

Management and Production Tool) and commenced<br />

the project in December 2009. PROMPT is a web based<br />

document management system used to store, search and<br />

facilitate the review of policies and procedures across the<br />

organisation. The system went ‘live’ in May 2010 enabling<br />

all staff to access both <strong>Northern</strong> <strong>Health</strong> and local level<br />

(campus & departmental) policies & procedures from an<br />

icon on their desk top. PROMPT provides <strong>Northern</strong> <strong>Health</strong><br />

with improved document management systems, improved<br />

search function allowing easy access and retrieval of policies<br />

& procedures and improved capacity for learning through<br />

sharing of best practice documents and guidelines (both<br />

within <strong>Northern</strong> <strong>Health</strong> and with other health services).<br />

22 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Strategic Goal 2<br />

A healthier northern community through<br />

building corporate capability (Finances,<br />

Infrastructure, Reputation)<br />

Corporate capability supports effective and efficient service<br />

provision. Building corporate capability in terms of finances,<br />

infrastructure and reputation is a strategic priority for<br />

<strong>Northern</strong> <strong>Health</strong> and the maintaining a strong corporate<br />

base provides the foundation required to deliver quality<br />

health services.<br />

<strong>Northern</strong> <strong>Health</strong> became one of the first public health<br />

services in Victoria to receive Australian Council on<br />

<strong>Health</strong>care Standards (ACHS) Corporate Accreditation<br />

in 2009.<br />

At organisational wide survey the <strong>Northern</strong> <strong>Health</strong>’s<br />

campuses achieved 17 Extensive Achievements. The criteria<br />

relating to ‘care of dying’ was found to be an example of<br />

very good practice, and <strong>Northern</strong> <strong>Health</strong> also achieved an<br />

Outstanding Achievement rating for work undertaken in the<br />

area of Culturally and Linguistically Diverse (CALD) needs. The<br />

surveyor felt the work was exceptional and recognised that<br />

<strong>Northern</strong> <strong>Health</strong> considered the CALD community served by<br />

the organisation as an important part of core business.<br />

Review of Governance Structure<br />

Governance arrangements within <strong>Northern</strong> <strong>Health</strong> are<br />

overseen by the <strong>Northern</strong> <strong>Health</strong> Board and CEO, who<br />

work closely with six Executive Directors. The <strong>Northern</strong><br />

<strong>Health</strong> Strategic Plan and annual Budget Plan guide decisionmaking<br />

and actions as we strive to achieve our strategic and<br />

operational goals and fulfill our obligations for funding and<br />

service to our community. The recently appointed CEO and<br />

Executive Directors, in close partnership with Operational<br />

and Clinical Service Directors, work with a clear focus on<br />

both financial governance and clinical service provision<br />

obligations.<br />

At <strong>Northern</strong> <strong>Health</strong>, our Quality and Clinical Governance<br />

Framework ensures that the care we provide to our patients<br />

is monitored, that risks are minimised and that the quality<br />

and safety of services is continuously improved.<br />

<strong>Northern</strong> <strong>Health</strong> is keen to publish results, share with other<br />

organisations and benchmark performance. <strong>Northern</strong><br />

<strong>Health</strong> has been acknowledged for its leadership in the<br />

implementation of the national best practice guidelines<br />

for VTE.<br />

<strong>Northern</strong> <strong>Health</strong> was awarded the National Institute of<br />

Clinical Studies ‘Action In Research’ Award in November<br />

2007 and in February 2010 members of the UK National<br />

<strong>Health</strong> Service Medical Directors Venous Thromboembolism<br />

Prevention Team visited to discuss the program and how the<br />

VTE prevention results had been sustained.<br />

<strong>Northern</strong> <strong>Health</strong> actively reviews quality and patient safety<br />

indicators. All patient safety indicators are monitored using<br />

Six Sigma Control Charts and current data exceeds the<br />

benchmark or falls within the confidence limits.<br />

Financial Performance<br />

<strong>Northern</strong> <strong>Health</strong> had the largest financial turnaround of the<br />

22 monitored health services in Victoria during 2009/10,<br />

improving from an operating deficit of $9.85m in 2008/09<br />

to only $1.14m in the 2009/10 financial year.<br />

This has been in conjunction with the achievement of the<br />

majority of clinical service targets. A significant highlight<br />

is the improvement in the final quarter performance<br />

monitoring score from 51 out of 100 for the last quarter of<br />

2008/09 to 83 in the last quarter of 2009/10.<br />

Underpinning this financial recovery is the three year<br />

<strong>Northern</strong> <strong>Health</strong> Financial Recovery Plan (2009-2012).<br />

This plan details strategies to return <strong>Northern</strong> <strong>Health</strong> to a<br />

financially viable <strong>Health</strong> Service and is linked to the Strategic<br />

Plan. Monthly executive performance meetings ensure<br />

ongoing accountability and monitoring against targets.<br />

In collaboration with the senior medical staff, <strong>Northern</strong><br />

<strong>Health</strong> has increased its private practice revenue by $1m in<br />

2009-10 compared to the 2008-09 financial year. Proceeds<br />

from private practice revenue now exceed $2.56m and<br />

examples of reinvestment of those funds include:<br />

• Broadmeadows <strong>Health</strong> Service endoscopy service<br />

purchasing a double-balloon enteroscopy and capsule<br />

endoscopy equipment; and<br />

• Dermatology outpatient service having access to vital UV<br />

therapy equipment.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 23


Our Achievements cont’d...<br />

A review of the use of agency and bank nursing staff was<br />

undertaken with the development of an organisation wide<br />

approach to the casual workforce as well as a reduction in<br />

expenditure in this area. An extensive review of the nursing<br />

roster system resulted in the improvement and development<br />

of the electronic rostering system.<br />

<strong>Northern</strong> <strong>Health</strong> was one of the first health services to<br />

join <strong>Health</strong> Purchasing Victoria an independent statutory<br />

authority which was formed to improve the collective<br />

purchasing power of Victorian public hospitals and<br />

health services and to achieve ‘best value’ outcomes in<br />

the procurement of health related goods, services and<br />

equipment. <strong>Health</strong> Purchasing Victoria works in partnership<br />

with public hospitals and health services in order to<br />

understand their requirements, facilitate large scale tenders<br />

and manage common use contracts on behalf of the state.<br />

Improving infrastructure to care for our community<br />

<strong>Northern</strong> <strong>Health</strong> has continued to build new facilities<br />

and increase services to meet the needs of our growing<br />

community.<br />

The Strategic Master Plan and Feasibility Study for the<br />

redevelopment of The <strong>Northern</strong> Hospital is proceeding and<br />

<strong>Northern</strong> <strong>Health</strong> has prepared the Strategic Clinical Services<br />

Plan, Model of Care and Functional Brief documentation<br />

which have been endorsed by the Department of <strong>Health</strong>.<br />

The $29.6m Short Stay and Mental <strong>Health</strong> Projects are<br />

nearing completion with the opening of the Short Stay Unit<br />

in August 2009. This project also included the upgrade of<br />

The <strong>Northern</strong> Hospital’s core infrastructure services and car<br />

parking facilities.<br />

The $2.5m, six bed extension to the Maternity Ward at The<br />

<strong>Northern</strong> Hospital has been completed with the additional<br />

beds to be commissioned in 2010/2011. This expansion<br />

will provide increased capacity to deliver an additional 500<br />

babies each year.<br />

<strong>Northern</strong> <strong>Health</strong> has provided assistance to Plenty Valley<br />

Community <strong>Health</strong> in the design and development of the<br />

GP Super Clinic at South Morang.<br />

Design and documentation is proceeding on the $7.4m<br />

Cardiac Catheter Suite and the $6.2m redevelopment of The<br />

<strong>Northern</strong> Hospital front entrance. These projects are planned<br />

to be completed between 2011 and 2012.<br />

Caring for the community and the environment<br />

<strong>Northern</strong> <strong>Health</strong> acknowledges the importance of protecting<br />

environmental values as part of a global community and<br />

within its vision of creating a healthier northern community.<br />

Through its planning and practice, <strong>Northern</strong> <strong>Health</strong> is<br />

committed to ensuring the protection of the environment<br />

by keeping environmental impacts to a minimum in a<br />

sustainable, financially rewarding and technically feasible<br />

manner. This includes:<br />

• confirmation that <strong>Northern</strong> <strong>Health</strong> sees improving the<br />

environmental sustainability of its operations, planning<br />

processes, policy and procedural development as a core<br />

organisational goal and a general statement of how it is<br />

striving to achieve this – for example, by implementing<br />

a formal environmental management program, an<br />

environmental management policy and specific actions;<br />

• identifying the benefits that <strong>Northern</strong> <strong>Health</strong> has<br />

already achieved through implementing environmental<br />

management actions including reduced operational<br />

costs, reduced energy and water consumption and<br />

effective risk management;<br />

• designing an Environmental Management Strategy (EMS)<br />

which demonstrates what <strong>Northern</strong> <strong>Health</strong> is already<br />

doing and what it proposes to undertake to reduce<br />

impacts in its range of operations, planning, policy and<br />

procedural development;<br />

• recognition that meeting the challenge posed by<br />

climate change and other environmental issues is<br />

the responsibility of all government agencies and the<br />

important role the CEO must play in guiding the growth<br />

of <strong>Northern</strong> <strong>Health</strong> if this challenge is to be met;<br />

• commitment to the principle of continuous improvement<br />

in environmental management and that this strategy<br />

provides a basis upon which to build into the future; and<br />

• recognition of links between environmental sustainability,<br />

climate change and human health.<br />

<strong>Northern</strong> <strong>Health</strong> joined the Ecobuy program and is<br />

recognized as a leader in environmental management<br />

particularly around our work on water savings and waste<br />

management. <strong>Northern</strong> <strong>Health</strong> has reduced landfill by 33%,<br />

increased recycled waste by 32% and further reduced our<br />

water consumption by more than 30%. We have reduced<br />

our carbon footprint by 873kg by installing ‘smart trash’<br />

meters and implemented electronic systems to replace paper<br />

24 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


ased systems which in turn have reduced general office and<br />

confidential paper disposal by 34%.<br />

Staff are also encouraged to actively participate in not<br />

only creating a healthier northern community, but also<br />

creating a healthier environment through education about<br />

environmental initiatives.<br />

Creating awareness of our facilities and services<br />

Promoting the service provided by <strong>Northern</strong> <strong>Health</strong> to the<br />

community we serve is of paramount importance. Providing<br />

information to the community utilising state and local<br />

newspapers, television and radio to inform the community in<br />

an ongoing activity performed across <strong>Northern</strong> <strong>Health</strong>.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 25


Our Achievements cont’d...<br />

Strategic Goal 3<br />

A healthier northern community through<br />

improving the consumer experience<br />

Meeting the health needs of consumers is the key driver<br />

for <strong>Northern</strong> <strong>Health</strong>. The experience that consumers have<br />

when they access <strong>Northern</strong> <strong>Health</strong> is a vital component of<br />

the delivery of high quality and effective care. <strong>Northern</strong><br />

<strong>Health</strong> will continue to improve the consumer experience in<br />

the context of growing and evolving needs and expectations<br />

within our community.<br />

Working with the community we serve<br />

“Doing it with us not for us” is the Victorian government’s<br />

policy on consumer, carer and community participation in<br />

the health care system. The Strategic Directions 2010 – 2013<br />

document builds on the policy’s first term, and contains<br />

standards which guide consumer participation across<br />

<strong>Northern</strong> <strong>Health</strong>.<br />

<strong>Northern</strong> <strong>Health</strong>’s Community Participation program is<br />

driven by the Community Advisory Committee (CAC), which<br />

meets bi-monthly, is a formal sub committee of the <strong>Northern</strong><br />

<strong>Health</strong> Board. This robust committee has 11 consumer<br />

representatives, four members of the <strong>Northern</strong> <strong>Health</strong> Board,<br />

the CEO and two Executive Directors.<br />

The <strong>Northern</strong> <strong>Health</strong> Board has endorsed the current<br />

Community Participation Plan 2009 – 2012, which was<br />

developed and is overseen by the CAC. <strong>Northern</strong> <strong>Health</strong> also<br />

has a Community Participation Policy. The <strong>Northern</strong> <strong>Health</strong><br />

Consumer Participation program extends across a broad<br />

range of activities, from patients being actively involved in<br />

their own care to consumer representatives providing advice<br />

to the Board regarding consumer participation.<br />

The Community Advisory Committee is involved with the<br />

review of information developed for consumers and the<br />

broader community as well as having input into education<br />

and training initiatives and projects.<br />

The Community Participation program has also conducted<br />

regular tours for members of Culturally and Linguistically<br />

Diverse communities, in partnership with the local Migrant<br />

Resource Centre, to orientate people to our services.<br />

Responding to Cultural Diversity<br />

<strong>Northern</strong> <strong>Health</strong> is strongly committed to its Culturally and<br />

Linguistically Diverse (CALD) communities. Our diverse<br />

community is made up of residents born in more than 180<br />

countries, who speak more than 130 languages. To better<br />

address the needs of the different migrant communities,<br />

<strong>Northern</strong> <strong>Health</strong> created the Transcultural & Language<br />

Services (TALS) Department.<br />

TALS has implemented strategies to develop a centralised<br />

service and booking mechanism, improve local access to<br />

quality interpreters and introduce specific transcultural<br />

training for <strong>Northern</strong> <strong>Health</strong> staff to increase the use of<br />

interpreters. As well as meeting the increased needs of the<br />

<strong>Health</strong> Service, the TALS department usage hours increased<br />

from 21,823 occasions of service (2008) to 32,089 occasions<br />

of service (2009). The centralised booking and activity<br />

database has maximized efficient use of interpreters’ time<br />

and improved response times for patients (including videointerpreting).<br />

<strong>Northern</strong> <strong>Health</strong> continues to provide culturally diverse<br />

meals for patients including Halal and Kosher menus and<br />

implemented a patient menu which meets the Victorian<br />

Nutritional Standards.<br />

<strong>Northern</strong> <strong>Health</strong>’s Pastoral Services support patients and<br />

their families of all faiths. In December 2009, 11 Muslim<br />

Pastoral Services Volunteers undertook pastoral education<br />

training at <strong>Northern</strong> <strong>Health</strong>. They are now providing pastoral<br />

care to <strong>Northern</strong> <strong>Health</strong>’s Muslim patients and their families<br />

on a continuing basis at The <strong>Northern</strong> Hospital, Bundoora<br />

Extended Care Centre and Broadmeadows <strong>Health</strong> Service.<br />

The program was developed following significant interest<br />

from the local Islamic community to provide a Muslim<br />

Pastoral Care across <strong>Northern</strong> <strong>Health</strong>’s campuses. The<br />

diversity within this group of volunteers reflects the<br />

community we serve. The volunteers speak fluent Arabic,<br />

Urdu (Hindi), Punjabi, English and Syrian and come from a<br />

wide range of countries including Pakistan, India, Lebanon,<br />

Egypt and Somalia.<br />

<strong>Northern</strong> <strong>Health</strong> has identified growth in the Aboriginal<br />

and Torres Strait Islander (ATSI) population in its catchment<br />

during the last five years. The North and West Metropolitan<br />

Region has 7,247 Aboriginal residents, which is 24% of<br />

Victoria’s Aboriginal population. In order to support equity<br />

and access to <strong>Northern</strong> <strong>Health</strong> services, the Aboriginal<br />

Support Unit has been established, consisting of an<br />

Aboriginal Hospital Liaison Officer and an Aboriginal<br />

Community Liaison Officer, who are able to support<br />

Aboriginal patients whilst they are inpatients, outpatients<br />

and during the discharge to community based services<br />

process.<br />

Assistance provided to ATSI people has increased from 35<br />

episodes of service in September 2009, to 83 per month<br />

currently. <strong>Northern</strong> <strong>Health</strong> has established an Aboriginal<br />

Advisory Committee to advise the <strong>Northern</strong> <strong>Health</strong> Board<br />

on issues relating to this community. Aboriginal people<br />

26 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


are now represented as patients in all 76 of <strong>Northern</strong><br />

<strong>Health</strong>’s speciality clinics. Presentations have risen from<br />

1311 attendances in 08/09 to 1527 attendances in 09/10,<br />

indicating an increasing acceptance of <strong>Northern</strong> <strong>Health</strong><br />

services by the ATSI community.<br />

The number of ATSI identified babies born at The <strong>Northern</strong><br />

Hospital has also increased during the last seven years.<br />

This can be attributed to a number of factors including the<br />

increase in the ATSI population in the catchment, better<br />

processes to identify patients who identify as Aboriginal<br />

or Torres Straight Islander, and the increasingly positive<br />

view of the ATSI community towards <strong>Northern</strong> <strong>Health</strong>. This<br />

increasingly positive view is also reflected by the gradually<br />

increasing number of Aboriginal people joining the staff at<br />

<strong>Northern</strong> <strong>Health</strong>, particularly in nursing.<br />

The <strong>Northern</strong> <strong>Health</strong> Primary Care and Population<br />

<strong>Health</strong> Advisory Committee develops annual work plans<br />

to identify population health issues and strategies to<br />

address them. <strong>Northern</strong> <strong>Health</strong> continues to support<br />

Planning for a healthier North and is working towards<br />

WHO International <strong>Health</strong> Promoting Hospital status. The<br />

committee is proposing to further develop <strong>Health</strong> Literacy as<br />

a fundamental concept in training and education.<br />

Improving services for families<br />

Local children in the Craigieburn community and surrounds<br />

have the opportunity to enhance their developmental skills<br />

with the opening of the Craigieburn <strong>Health</strong> Service Resource<br />

Library. The Resource Library, a special library of games and<br />

toys, is designed to enrich a child’s development through<br />

positive play and interaction. Children are able to enjoy<br />

playing while achieving developmental goals.<br />

Parents attending Craigieburn <strong>Health</strong> Service’s Children’s<br />

Services are able to borrow select toys and equipment to<br />

help work towards their child’s short-term goals which may<br />

focus on hand-eye coordination, strength and balance,<br />

mobility and speech and language skills. Clinicians<br />

match the right toy to a child’s specific developmental<br />

need according to their therapy program. Many of the<br />

educational toys purchased for the Resource Library are<br />

expensive and may only be needed for a short period of<br />

time to help the child develop a new skill. The Library<br />

provides an opportunity for families to enhance their child’s<br />

development through positive play and interaction, without<br />

committing to the high cost.<br />

Parents will be provided with education and fact sheets on<br />

the use of library toys and equipment. They will also be given<br />

alternative play activities using day-to-day household items<br />

and other low cost ideas. The new Resource Library is made<br />

possible thanks to a generous $5,000 donation from Variety<br />

Club and is supported by Craigieburn Sporting Club.<br />

Unique opportunities for ‘Old Blokes’<br />

The Old Blokes’ Shed, located at Bundoora Extended Care<br />

Centre is providing many new opportunities for clients to<br />

engage in rewarding rehabilitative and social activities. The<br />

Old Blokes’ Shed was built with the generous support of the<br />

Rotary Club of Bundoora.<br />

Three different sessions are run in the shed including<br />

Occupational Therapy, Planned Activity Group(PAG) and<br />

casual drop-in sessions. Occupational Therapy and PAG<br />

sessions are therapy related and run by Allied <strong>Health</strong> staff,<br />

supported by volunteers.<br />

These sessions are designed to restore or maintain a<br />

patient’s ability to perform tasks used in daily living and<br />

include activities such as woodwork, mosaic, card and board<br />

games and macramé among others.<br />

The Drop-In sessions, run by volunteers, focus on providing<br />

patients with an opportunity to socialise in a relaxed<br />

environment.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 27


Our Achievements cont’d...<br />

Strategic Goal 4<br />

A healthier northern community through<br />

enhancing access to appropriate services<br />

Access to services is a key priority for <strong>Northern</strong> <strong>Health</strong>. We<br />

strive to ensure consumers able to access the right service, in<br />

the right place and at the right time, which is critical for safe<br />

and appropriate care.<br />

Hospitalisation for residential care facility patients may be<br />

associated with increased risk of complications such as<br />

increased delirium, pressure ulcers and falls. Two programs<br />

based at The <strong>Northern</strong> Hospital provide treatment in the<br />

Residential Aged Care Facilities rather than in hospital.<br />

Residents are referred to the Residential Care Intervention<br />

Program in the Elderly (RECIPE) after admission with an acute<br />

illness. Once stabilised a patient is discharged back to the<br />

aged care facility with ongoing specialist care from medical<br />

and nursing staff. The development of clear management<br />

plans helps guide staff and general practitioners in the<br />

community. Outpatient appointments and inpatient lengths<br />

of stays are minimised by a RECIPE follow-up in liaison with<br />

the appropriate hospital staff.<br />

Most importantly the patient is offered the most appropriate<br />

treatment in the location of choice.<br />

A Residential Response Team facilitates a rapid clinical<br />

response for patients living in aged care facilities either to<br />

avoid presentation to the emergency department or hospital<br />

admission. This strategy is led by a geriatric medicine team<br />

and is a viable alternative to inpatient admission for selected<br />

patients including those with multiple comorbidities and<br />

dementia, as well as those who need palliative care support.<br />

Evaluation of the program has demonstrated that this model<br />

of care offers a valuable geriatric service to many residents<br />

who would prefer to avoid hospital transfers if possible, with<br />

no difference in mortality or re-hospitalisation rates for those<br />

treated in residential care.<br />

The Day Oncology Unit at Craigieburn opened as a satellite<br />

of The <strong>Northern</strong> Day Oncology Unit in early 2008. This<br />

service predominantly provides chemotherapy treatments<br />

and care of access devices to Oncology patients who live in<br />

the local community and surrounding areas.<br />

Craigieburn Day Oncology initially opened one day per week,<br />

is now open for two, with a possibility of increasing to three<br />

days per week within the next 12 months. Approximately<br />

20% of <strong>Northern</strong> <strong>Health</strong> chemotherapy treatments are now<br />

given at Craigieburn.<br />

This service has enabled many patients who live north of<br />

Epping, to receive their cancer treatment closer to home,<br />

in a purpose built, modern facility. These patients are cared<br />

for by specialist Oncology nurses and most are seen by<br />

the Oncologist, who visits Craigieburn one day per week.<br />

Feedback from patients has been very positive and the<br />

Day Oncology Unit at Craigieburn is seen as a convenient,<br />

supportive and friendly place to receive cancer treatments.<br />

A significant proportion of the community we serve is made<br />

up of young families, so ensuring we have appropriate<br />

services to meet the needs of new parents and their children,<br />

close to home, is of vital importance.<br />

A number of outpatients clinics have been developed and<br />

the appointment of an Operational Director – Outpatients<br />

and Specialist Clinics is enabling <strong>Northern</strong> <strong>Health</strong> to meet the<br />

needs of this group in our community. Clinics and services<br />

which were previously offered at Panch <strong>Health</strong> Service were<br />

relocated to other sites, including The <strong>Northern</strong> Hospital<br />

and Craigieburn <strong>Health</strong> Services where services can be better<br />

utilised.<br />

The introduction of a developmental service to premature<br />

neonatal inpatients, with medium-term follow-up at<br />

Craigieburn <strong>Health</strong> Service or Bundoora Paediatric Clinic,<br />

has improved access to preventative and early treatment<br />

developmental services for at-risk infants. The ante-natal<br />

services offered to mothers at a various <strong>Northern</strong> <strong>Health</strong><br />

campuses is bringing important care to a convenient<br />

location. <strong>Northern</strong> <strong>Health</strong>’s Lactation Consultancy Service<br />

was reviewed and the development of a centralised triage<br />

process means we are able to be more responsive to the<br />

needs of new mothers.<br />

Craigieburn <strong>Health</strong> Service’s new paediatric Vitamin D Clinic<br />

is the first service of its kind in the northern metropolitan<br />

area. It offers ongoing assessment, administration of high<br />

dose Vitamin D, information regarding different ways to<br />

source Vitamin D and referrals to consultant paediatricians<br />

where appropriate. The Clinic is jointly run by a paediatric<br />

nurse and a consultant paediatrician. The Vitamin D Clinic<br />

allows families living in Melbourne’s northern suburbs to visit<br />

Craigieburn <strong>Health</strong> Service rather than travelling to another<br />

health service further from home.<br />

The Best Access First Go program is designed to provide GPs<br />

with up to date information and tools to make referring<br />

patients to <strong>Northern</strong> <strong>Health</strong> services easier. The development<br />

of existing online resources provide GPs with details and<br />

advice on referral requirements as well as alternatives<br />

The new $17.23m 25-bed mental health facility at The<br />

<strong>Northern</strong> Hospital was opened in March 2010 by the<br />

Minister for Mental <strong>Health</strong>, The Hon. Lisa Neville. An<br />

additional $1.4m is being spent to upgrade the existing<br />

25 bed Adult Acute Mental <strong>Health</strong> Inpatient Unit. These<br />

facilities are operated by North West Mental <strong>Health</strong> and<br />

28 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


demonstrate the importance of collaboration between<br />

health services to provide access for the community. The<br />

completion of the upgrade of the existing 25-bed ward will<br />

take the total number of beds to 50, one of the biggest<br />

mental health facilities in the state.<br />

The new unit includes single bedrooms with ensuite facilities,<br />

three separate wings which will meet the special needs of<br />

women and adolescents, several smaller lounge areas with<br />

small courtyards rather than one large area for all patients<br />

and a family room for visitors.<br />

Improvements in access to Day Surgery at Broadmeadows<br />

<strong>Health</strong> Service has resulted in an increase in theatre<br />

scheduling from 68% in December 2009 to 91% in March<br />

2010. The implementation of the Department of <strong>Health</strong><br />

Elective Surgery Access Policy saw improvements in patient<br />

communication and overall elective surgery waiting list<br />

management.<br />

<strong>Northern</strong> <strong>Health</strong> also achieved a significant reduction in the<br />

overall surgical waiting list, including those patients waiting<br />

longer than the recommended waiting time. Strategies<br />

to help achieve this included early review of long waiting<br />

patients as outpatients. Plans are put in place to ensure<br />

timely surgery, case management of long waiting patients,<br />

better waiting list management and outsourcing some<br />

surgery to other surgical facilities.<br />

<strong>Northern</strong> <strong>Health</strong>’s Department of Cardiology has seen a large<br />

increase in activity and services throughout the past three<br />

years and following the commencement of a 24 hour, 365<br />

days a year service in late 2007. Demand by patients in the<br />

northern suburbs for local delivery of acute and ambulatory<br />

cardiac services has continued to grow rapidly.<br />

The cardiology outpatient department has doubled<br />

in size and now sees approximately 10,000 patients a<br />

year, with clinics offering expertise in general cardiology,<br />

electrophysiology (heart rhythm), pacemakers and heart<br />

failure, as well as a rapid access chest pain clinic. A new<br />

outpatient area was developed in 2009 to accommodate<br />

an ever increasing referral population which now sees<br />

cardiology clinics running every week day. Patients in<br />

Melbourne’s north no longer have to travel to inner city<br />

hospitals to access high quality outpatient cardiac services.<br />

Inpatient services have dramatically expanded over the past<br />

three years, most notably with the commencement of a<br />

regular Percutaneous Coronary Intervention (PCI) program<br />

(stenting coronary arteries for patients with angina and heart<br />

attack).<br />

The PCI service has developed to include a state of the art<br />

primary PCI service (emergency 24/7 treatment for heart<br />

attack victims). Time-to-treatment saves lives in patients<br />

having heart attacks, and new protocols developed in<br />

conjunction with the Ambulance Service and the Emergency<br />

Department have dramatically improved response times for<br />

these critically ill patients.<br />

This has seen an almost 1000% increase in volume from<br />

approximately four patients treated per month to 40 patients<br />

treated per month.<br />

Previously these patients were transferred to other facilities<br />

across Melbourne. Patients now benefit from reduced<br />

lengths of hospital stay and improved access for family and<br />

friends during their admission. The huge increase in demand<br />

for such services has seen the state government allocate<br />

$7.4m for a new cardiac precinct which will include two new<br />

cardiac catheter laboratories. This is due for completion in<br />

December 2011. All of the cardiologists at <strong>Northern</strong> <strong>Health</strong><br />

exceed minimum requirements set by the Cardiac Society<br />

of Australia and New Zealand (CASNZ) for accreditation to<br />

perform diagnostic and invasive cardiac procedures.<br />

Out of hours specialist staff are now alerted and mobilised<br />

even before the patient arrives at <strong>Northern</strong> <strong>Health</strong>. Rural<br />

hospitals including Bendigo, Kilmore, Echuca and Seymour<br />

have made use of this service, with patients being transferred<br />

directly via ambulance and even helicopter. The PCI service,<br />

including primary PCI, is formally monitored fortnightly with<br />

feedback to physicians, the Emergency department and<br />

Ambulance staff on a regular basis.<br />

Cardiac Rehabilitation services at <strong>Northern</strong> <strong>Health</strong> have<br />

needed to grow to meet local patient needs. A service at<br />

Craigieburn <strong>Health</strong> Service commenced in February 2008<br />

and due to high demand, a second Cardiac Rehabilitation<br />

program started in February 2010. The new program runs<br />

out-of-hours (6 – 8pm) to improve access for patients of<br />

working age who have difficulty attending during standard<br />

business hours.<br />

All patients have an individual assessment by a cardiac<br />

nurse and physiotherapist before joining the program where<br />

they set short and long term goals. A cardiac depression<br />

scale is also used to identify patients at risk and if required<br />

offered intervention. Education sessions are presented by<br />

a dietitian, cardiac nurse, social worker physiotherapist and<br />

include education about risk factor modification, healthy<br />

food options, medications, stress management, emotional<br />

reactions, pathology, exercise and returning to activity.<br />

Exercise is focused around aerobic and strengthening<br />

training and patients are encouraged to become<br />

independent with their own programs with assistance from<br />

the physiotherapist.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 29


Our Achievements cont’d...<br />

Strategic Goal 5<br />

A healthier northern community through<br />

strengthening leadership and developing<br />

our workforce<br />

The delivery of quality healthcare is reliant on a strong<br />

and committed workforce. <strong>Northern</strong> <strong>Health</strong>’s workforce<br />

continues to expand and improve in quality and<br />

productivity to meet the growth in demand for our services.<br />

Strengthened leadership and workforce development is a<br />

strategic priority, where success will ensure <strong>Northern</strong> <strong>Health</strong><br />

can deliver quality services, now and into the future.<br />

To enhance the workforce planning and development<br />

process, a number of new, senior positions were identified.<br />

Appointments have been made in the roles of Director<br />

Human Resources and Chief information Officer. For the first<br />

time, the appointment of a full time Clinical Services Director<br />

as head of the Obstetric and Gynaecology Department has<br />

been made.<br />

<strong>Northern</strong> <strong>Health</strong>’s Human Resources department supports<br />

a number of leadership programs. Courses offered, focus<br />

on Training and Development and include Transition to<br />

Management, Project Management and Leading Staff<br />

Through Change.<br />

A Strategic Leadership program is being developed to<br />

provide leaders within the organisation opportunities<br />

to explore and develop leadership capabilities and<br />

compentencies. Professional Development is encouraged for<br />

all staff in leadership positions and is mandatory for member<br />

of the Executive Management team.<br />

At a clinical level, <strong>Northern</strong> <strong>Health</strong>’s Medical, Nursing and<br />

Allied <strong>Health</strong> staff continue to receive support. The recent<br />

redevelopment of the Clinical Support Unit for both Medical<br />

and Nursing staff has seen improvements in recruitment and<br />

management of staff.<br />

A record number of Junior Doctors commenced their medical<br />

internship with <strong>Northern</strong> <strong>Health</strong> in 2010, commencing at<br />

The <strong>Northern</strong> Hospital. The group of 38, the largest intake<br />

of interns at the Hospital to date, is working across a variety<br />

of disciplines including general medicine, surgery, vascular,<br />

orthopaedics, emergency, radiology, psychiatry, anaesthetics<br />

and general practice. The increase in the number of medical<br />

interns strengthens our capacity to respond to the health<br />

needs within the community.<br />

A number of staff continue to represent <strong>Northern</strong> <strong>Health</strong><br />

on working groups and at conferences. The Paediatric<br />

Department has representatives on the Metropolitan<br />

Working Group of the Paediatric Clinical Network and the<br />

Maternity & Newborn Clinical Network Leadership Group.<br />

Both these groups evaluate paediatric care state-wide.<br />

The successful recruitment of surgeons throughout the<br />

year is allowing full utilisation of operating sessions across<br />

operating theatres at Broadmeadows <strong>Health</strong> Service and The<br />

<strong>Northern</strong> Hospital.<br />

<strong>Northern</strong> <strong>Health</strong> is committed to the ongoing development<br />

and education of Nurses across the organisation and has<br />

developed and enhanced the nursing education function.<br />

The Graduate Nurse Program has been reviewed and<br />

expanded, with plans for continued expansion in 2011.<br />

The role of Nurse Practitioner is also being reviewed and<br />

<strong>Northern</strong> <strong>Health</strong> now has four endorsed Nurse Practitioners.<br />

The inaugural <strong>Northern</strong> <strong>Health</strong> Nursing strategic planning<br />

day was held in May 2010 the Chief Nurse Victoria in<br />

attendance and presenting on the day.<br />

Student health professionals are the future of healthcare and<br />

there is an expectation of qualified health professionals to<br />

work effectively together to achieve high quality outcomes<br />

for the community. Most of our health professional training<br />

however is still provided to individual discipline groups.<br />

The Interprofessional Clinical Education (IPCE) program<br />

is an innovative program that has evolved over the past<br />

three years. It is an interactive workshop style experience<br />

available to senior allied health, medicine and nursing<br />

students on placement at <strong>Northern</strong> <strong>Health</strong> and a wide<br />

range of health and human service agencies in the region<br />

including community health, mental health, private hospitals<br />

and practices, aged care and rehabilitation facilities. Using<br />

experiential learning, small group activities, and complex<br />

case studies, the students explore how interprofessional<br />

teams can work more effectively together to meet patients’<br />

needs. Students report that the program provides a positive<br />

and valuable learning opportunity and their supervisors<br />

observe post-program improvements in students’ team<br />

interactions in the clinical care setting.<br />

Dr Natalie de Morton from <strong>Northern</strong> <strong>Health</strong> and La Trobe<br />

University has been awarded a 2010 Churchill Fellowship to<br />

further expand her work on physical ageing, mobility and<br />

exercise for older people. Churchill Fellowships are awarded<br />

to Australians who are striving for excellence, are passionate<br />

about their profession and who have a strong community<br />

focus.<br />

Dr de Morton’s research and development of the de Morton<br />

Mobility Index (DEMMI) has been significant in helping<br />

clinicians accurately measure the mobility status of older<br />

acute medical patients. Mobility is a very important indicator<br />

30 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


of health status in older patients as it can reveal unknown<br />

issues and help determine exercise regimes.<br />

Dr de Morton’s DEMMI instrument is straightforward,<br />

enabling clinicians to quickly diagnosis mobility status using<br />

15 simple physical tests from the patient’s bedside.<br />

As a Churchill Fellow, Dr de Morton will complete a six<br />

week visit to the USA and Canada to continue her work<br />

on physical ageing, mobility and exercise for older people.<br />

The trip will include attending a two week internationally<br />

recognised course in public health in the USA followed by<br />

conducting research with two world leading research teams.<br />

<strong>Northern</strong> <strong>Health</strong> promotes and observes progressive<br />

strategies for healthy and attractive work environments<br />

which support creativity, innovation and a culture of<br />

teamwork, to make <strong>Northern</strong> <strong>Health</strong> an employer of choice<br />

for professionals<br />

The 2010-11 Redesigning Care program plan includes<br />

the delivery of an education program promoting process<br />

improvement methods across the health service. These<br />

methods have proved highly successful for industries as<br />

diverse as manufacturing, banking and the military, and in<br />

recent times have been successful in reducing wait times<br />

and improving quality in health services. The education will<br />

support staff to improve our current work practices.<br />

Ensuring our staff are working in a safe environment<br />

is of paramount importance and the development of a<br />

new OH&S Strategy is underway. The strategy focuses on<br />

availability of training tools for staff and volunteers, health<br />

and well being initiatives such as assistance quitting smoking<br />

and providing a staff lifestyle checks program.<br />

<strong>Northern</strong> <strong>Health</strong> implemented the Sick Leave Donation<br />

Registry in response to a number of long-term employees<br />

resigning as a result of catastrophic illness or injury.<br />

Employees can donate an amount of their personal sick<br />

leave accrual to a central registry. Other employees who are<br />

experiencing hardship due to a catastrophic illness or injury<br />

suffered by themselves or a member of their immediate<br />

family are able to access the pooled hours. In the last 4 years<br />

7,395 hours of sick leave has been made available to 35 staff<br />

via this donation model.<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 31


Our Achievements cont’d...<br />

Strategic Goal 6<br />

A healthier northern community through<br />

growing and translating education &<br />

research<br />

The translation and learnings from education and research<br />

into direct clinical practice leads to optimal health outcomes<br />

for consumers. With funding to build the Academic and<br />

Research Precinct, <strong>Northern</strong> <strong>Health</strong> now has an increased<br />

capacity in education and research, which ensures we are<br />

able to attract and retain staff who can deliver quality health<br />

services.<br />

Planning and development of the Academic and Research<br />

Precinct continues with the appointment of a project<br />

management team and plans for the facility drawn. Funding<br />

of $11m needs to be secured and the <strong>Northern</strong> <strong>Health</strong><br />

Foundation is working towards a fundraising goal of $5m.<br />

In a day to day sense, a variety of evidence based guidelines<br />

are being incorporated into everyday practice. <strong>Northern</strong><br />

<strong>Health</strong> aims to incorporate research into everyday practice.<br />

<strong>Northern</strong> <strong>Health</strong> staff continue to collaborate with other<br />

health professionals and utilise opportunities to bring<br />

knowledge and experience back to <strong>Northern</strong> <strong>Health</strong>.<br />

Neonatal care is improved by strengthening the clinical<br />

relationship with the Neonatal Intensive Care Unit at the<br />

Mercy Hospital for Women through Dr Wei Qi Fan regularly<br />

attending rounds at the Mercy Hospital for Women.<br />

Dr Simon Hauser has been appointed a Director of Paediatric<br />

Physician Training within the Royal Australasian College of<br />

Physicians (RACP). Overseas elective medical students have<br />

been hosted in the paediatric department for the first time<br />

this year, from the UK, Ireland and Indonesia. Dr Simon<br />

Hauser is a supervisor for a number of Universitas Indonesia<br />

students who undertake an Advanced Medical Science year<br />

at the University of Melbourne. Dr Shane O’Dea received a<br />

grant from the RACP to develop multi-site teleconferencing<br />

for paediatric education for post-graduate education.<br />

<strong>Northern</strong> <strong>Health</strong> is also participating in research programs<br />

with the Department of Clinical and <strong>Health</strong> Psychology at<br />

Austin <strong>Health</strong>, focusing on early signs and symptoms of post<br />

natal depression.<br />

<strong>Northern</strong> Cardiology is committed to research and improving<br />

patient outcomes and choice. An international multicentre<br />

research site, <strong>Northern</strong> Cardiology is a leader in Australia for<br />

recruitment in trials of new therapies for patients with heart<br />

attack. Local investigator initiated research in association<br />

with the University of Melbourne also includes projects<br />

utilising transthoracic echocardiography (cardiac ultrasound),<br />

optical coherence tomography and development of a novel<br />

research project on patient choice of treatment options for<br />

those requiring cardiac surgery.<br />

<strong>Northern</strong> Cardiology has made significant commitments to<br />

teaching in past three years. Our advanced cardiology trainee<br />

program has seen an increase in the number of positions<br />

available, and the department actively teaches both medical<br />

and nursing students. In 2010, the department ran a course<br />

electronically for the first time, streaming live PCI cases to the<br />

lecture theatre for the nurse’s cardiology study day.<br />

Treating an increasing number of patients within our own<br />

primary catchment area has meant improved access to acute<br />

and ambulatory cardiac services for patients in Melbourne’s<br />

northern suburbs. The developments, including recruitment<br />

of Cardiologists at the forefront of their subspecialty, has<br />

lead to Cardiology patients in the northern suburbs having<br />

access to the very latest in technology, and in the case of the<br />

OCT, the first of its kind in Australia.<br />

Attestation on Compliance with Australian/New Zealand Risk Management Standard<br />

I, Greg Pullen certify that <strong>Northern</strong> <strong>Health</strong> has risk management processes in place consistent with the Australian/New<br />

Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand,<br />

manage and satisfactorily control risk exposures. The audit committee verifies this assurance and that the risk profile of<br />

<strong>Northern</strong> <strong>Health</strong> has been critically reviewed within the last 12 months.<br />

Mr Greg Pullen<br />

Accountable Officer<br />

<strong>Northern</strong> <strong>Health</strong><br />

27 August 2010<br />

32 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Statement of Priorities<br />

Strategic Priorities<br />

1. Corporate Capability (finances,<br />

infrastructure, reputation)<br />

2. Deliver quality health services<br />

3. Improve consumer experience<br />

4. Enhance access to appropriate services<br />

5. Strengthen leadership and develop<br />

workforce<br />

6. Grow and translate education<br />

and research<br />

Deliverables/Outcome<br />

• Complete clinical service planning and commence master<br />

planning.<br />

• Undertake appropriate financial management to maximise revenue<br />

opportunities, improve service efficiency and maintain financial<br />

sustainability.<br />

• Implement roster on and the payroll interface of roster on across<br />

<strong>Northern</strong> <strong>Health</strong> on a rolling basis.<br />

• Implement Picture Archiving Computer System (PACS).<br />

• Review <strong>Northern</strong> <strong>Health</strong> governance structures and systems to<br />

ensure alignment with strategic plan priorities.<br />

• Review the potential to reconfigure out of hours surgery.<br />

• Implement lean methodology through DHS Redesigning care<br />

program to improve the patient journey in surgery, MAPU and the<br />

Emergency Department.<br />

• Implement the longer stay older persons’ initiative across acute<br />

inpatient units.<br />

• Complete the pilot of video conferencing for interpreting services.<br />

• Progress strategies to enhance and reconfigure service capacity<br />

across <strong>Northern</strong> <strong>Health</strong>.<br />

• Improve outpatient access and referral management through<br />

a review of current processes.<br />

• Optimise the benefits of Craigieburn <strong>Health</strong> Service.<br />

• Review and implement an integrated <strong>Northern</strong> <strong>Health</strong> workforce<br />

plan with particular emphasis on reducing reliance on casual<br />

workforce and overtime.<br />

• Governance and service agreement arrangements are developed<br />

and agreed between university providers and <strong>Northern</strong> <strong>Health</strong> to<br />

progress the Academic and Research Precinct.<br />

Performance priorities<br />

Financial performance<br />

Operating Result 2009-10<br />

Annual Operating Result ($m)<br />

($1.14m)<br />

Cash management/liquidity 2009-10 2009-10<br />

Creditors 71<br />

Debtors 56<br />

Net movement in cash balance ($m)<br />

-$3.43m<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 33


Performance priorities cont’d...<br />

Service performance<br />

WIES activity performance 2009-10<br />

WIES (public & private) performance 37,727<br />

Elective surgery 2009-10<br />

Elective surgery admissions – quarter 1 1,982<br />

Elective surgery admissions – quarter 2 1,840<br />

Elective surgery admissions – quarter 3 1,769<br />

Elective surgery admissions – quarter 4 2,140<br />

Critical care 2009-10<br />

ICU minimum operating capacity 6<br />

Quality and safety 2009-10<br />

<strong>Health</strong> service accreditation<br />

Full compliance<br />

Residential aged care accreditation<br />

Full compliance<br />

Cleaning standards (%) 97<br />

Submission of data to VICNISS (1) (%) 100<br />

VICNISS Infection Clinical indicators (2) No Outlier(3)<br />

No outlier<br />

Hand Hygiene Program compliance (%) 85<br />

Victorian Patient Satisfaction Monitor<br />

Not met<br />

Maternity 2009-10<br />

Postnatal home care (%) 98<br />

Access performance<br />

Emergency care 2009-10<br />

Percentage of operating time on hospital bypass 1.78%<br />

Percentage of emergency patients transferred to an inpatient bed within 8 hours 62.7%<br />

Percentage of non-admitted emergency patients with length of stay of less than 4 Hours 68.5%<br />

Number of patients with length of stay in the emergency department greater than 24 Hours 28<br />

Percentage of Triage Category 1 emergency patients seen immediately 100%<br />

Percentage of Triage Category 2 emergency patients seen within 10 minutes 87.4%<br />

Percentage of Triage Category 3 emergency patients seen within 30 minutes 75.6%<br />

Elective surgery 2009-10<br />

Percentage of Category 1 elective patients admitted within 30 days 100%<br />

Percentage of Category 2 elective surgery patients waiting less than 90 days 86%<br />

Percentage of Category 3 elective surgery patients waiting less than 365 days 93%<br />

Number of patients on the elective surgery waiting list 2,051<br />

Number of Hospital Initiated Postponements (HiPs) per 100 scheduled admissions 7.5<br />

34 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Activity and Funding<br />

Activity and Funding Type<br />

2009-10 Activity<br />

Acute Inpatient<br />

WIES Public 34,047<br />

WIES Private 3,680<br />

WIES (Public and Private) 37,727<br />

WIES DVA 477<br />

WIES TAC 146<br />

WIES Total 38,350<br />

Sub Acute Inpatient<br />

CRAFT 665<br />

Rehab L2 (non DVA) 793<br />

GEM (non – DVA) 24,584<br />

Palliative Care - Inpatient 5,660<br />

Transition Care (non – DVA) – Bedday 3,158<br />

Restorative Care<br />

n/a<br />

Rehab 2 – DVA 823<br />

GEM – DVA 1,864<br />

Palliative Care – DVA 310<br />

Ambulatory<br />

Emergency Services – Non-Admitted 40,853<br />

VACS – Allied <strong>Health</strong> 26,985<br />

VACS – Variable 53,019<br />

Transition Care (non DVA) – Homeday 10,997<br />

SACS – Non DVA 37,127<br />

Post Acute Care 1,963<br />

VACS – Allied <strong>Health</strong> – DVA 2,267<br />

VACS – Variable – DVA 30<br />

SACS – DVA 277<br />

Post Acute Care - DVA 16<br />

Aged Care<br />

Aged Care Assessment Service 15,555<br />

Attestation on Data Integrity<br />

I, Greg Pullen certify that the <strong>Northern</strong> <strong>Health</strong> has put in place appropriate internal controls and processes to ensure that<br />

reported data reasonably reflects actual performance. <strong>Northern</strong> <strong>Health</strong> has critically reviewed these controls and processes<br />

during the year.<br />

Mr Greg Pullen<br />

Accountable Officer<br />

<strong>Northern</strong> <strong>Health</strong><br />

27 August 2010<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 35


Corporate Information<br />

General Information<br />

<strong>Northern</strong> <strong>Health</strong> was established in July 2000 under the<br />

<strong>Health</strong> Services (Governance & Accountability) Act and<br />

under the auspices of the Minister for <strong>Health</strong>, the<br />

Hon. Daniel Andrews.<br />

It provides a wide range of healthcare services to a<br />

catchment of approximately 500,000 people living in<br />

Melbourne’s middle to outer northern suburbs and the<br />

semi-rural regions beyond the urban fringe.<br />

<strong>Northern</strong> <strong>Health</strong> comprises:<br />

• Broadmeadows <strong>Health</strong> Service<br />

• Bundoora Extended Care Centre<br />

• Craigieburn <strong>Health</strong> Service<br />

• Panch <strong>Health</strong> Service<br />

• The <strong>Northern</strong> Hospital<br />

Consultancies<br />

There were no individual consultancies greater than<br />

$100,000.<br />

The total sum expended on the 22 consultancies each less<br />

than $100,000 was $263,000<br />

Occupational <strong>Health</strong> & Safety Claims<br />

2009/10 16<br />

2008/09 9<br />

2007/08 18<br />

2006/07 24<br />

2005/06 20<br />

2004/05 21<br />

2003/04 20<br />

These are standard Workcover claims, which are defined as<br />

those claims that are over the statutory employer excess and<br />

a reported to VWA during the financial year.<br />

Building Act 1993<br />

During the financial year, it has been <strong>Northern</strong> <strong>Health</strong>’s<br />

practice to obtain building permits for new projects, and<br />

Certificates of Occupancy or Certificates of Final Inspection<br />

for all completed projects.<br />

Registered Building Practitioners have been involved<br />

with all new building work projects and were supervised<br />

by <strong>Northern</strong> <strong>Health</strong>’s Director of Capital Planning &<br />

Development (Building Registration Number CB-U 1944).<br />

Completed & Operational as at 30/06/10:<br />

• $1.5m Corporate Office relocation to<br />

The <strong>Northern</strong> Hospital;<br />

• $5.2m Infrastructure services upgrade at<br />

The <strong>Northern</strong> Hospital;<br />

• $2.5m Maternity bed extension; and<br />

• $0.4m Portable office accommodation.<br />

Current projects in construction:<br />

• $19.4m Mental <strong>Health</strong> extension at<br />

The <strong>Northern</strong> Hospital.<br />

Current projects in design phase:<br />

• $47.4m Academic and Research Precinct at<br />

The <strong>Northern</strong> Hospital;<br />

• $7.4m Cardiac Catheter Laboratory; and<br />

• $6.2m Front Entry Redevelop at The <strong>Northern</strong><br />

Hospital.<br />

Current projects in the planning and funding phase:<br />

• additional Operating and Endoscopy Rooms at<br />

The <strong>Northern</strong> Hospital;<br />

• strategic Master Plan redevelopment of<br />

The <strong>Northern</strong> Hospital; and<br />

• finishing Kitchen Redevelopment.<br />

National Competition Policy<br />

Services that are regularly market tested in accordance with<br />

the government’s Competitive Neutrality Guidelines include:<br />

patient Transport;<br />

waste Management;<br />

car parking;<br />

fleet Management;<br />

supply;<br />

medical Imaging/Radiology;<br />

pathology;<br />

food Service;<br />

biomedical Engineering;<br />

cleaning Services;<br />

laundry;<br />

security;<br />

retail services;<br />

financial services;<br />

information and Communications Technology;<br />

clinical Services;<br />

building and Engineering Services; and<br />

community Services.<br />

Market testing of services will continue as scheduled,<br />

and according to the contract cycle, into the 2010/11<br />

financial year.<br />

36 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


Freedom of Information<br />

710 Freedom of Information applications were received<br />

by <strong>Northern</strong> <strong>Health</strong> during the 2009/10 financial year. All<br />

applications were processed according to the provisions of<br />

the Freedom of Information Act 1982, which provides a<br />

legally enforceable right of access to information held by<br />

government agencies.<br />

All <strong>Northern</strong> <strong>Health</strong> campuses provide a report on these<br />

requests to the Victorian Department of Justice.<br />

The applications were processed as follows:<br />

710 applications received;<br />

Environmental Performance<br />

Detailed in the Report of Operations<br />

Victorian Industry Participation Policy<br />

<strong>Northern</strong> <strong>Health</strong> let no contracts of $3 million or over in the<br />

relevant financial year.<br />

Merit & Equity Principles<br />

Merit & Equity principles are encompassed in all<br />

employment and diversity management activities<br />

throughout <strong>Northern</strong> <strong>Health</strong>.<br />

636 granted in full;<br />

19 granted in part;<br />

0 denied;<br />

4 withdrawn;<br />

49 not finalised; and<br />

2 No document (patient did not attend organisation for<br />

requested dates)<br />

Whistleblowers<br />

The Whistleblowers’ Protection Act 2001 is designed to<br />

protect people who disclose information about serious<br />

wrongdoing within the Victorian public sector, and to<br />

provide a framework for the investigation of these matters.<br />

<strong>Northern</strong> <strong>Health</strong> has implemented the Whistleblower<br />

Policies & Procedures in accordance with the Act. The <strong>Health</strong><br />

Service received no disclosures under the Act in the relevant<br />

financial year.<br />

Other Information<br />

Information required in accordance with FRD22 of the<br />

Financial Management Act has been prepared and is<br />

available to the relevant Minister, Members of Parliament<br />

and the public on request.<br />

Workforce Data (FTE)<br />

Jun-10 Jun-10 2010 2009<br />

Headcount FTE FTE FTE<br />

Nursing services 1457 1021 1011 991<br />

Administrative<br />

and Clerical 476 352 352 351<br />

Medical Support<br />

Services 147 119 120 120<br />

Hotel and Allied<br />

Services 167 124 118 121<br />

Medical Officers<br />

including HMOs 288 238 229 216<br />

Sessional Medical<br />

Officers 157 46 44 41<br />

Ancilliary Support<br />

Services 300 237 229 224<br />

Grand total 2992 2141 2105 2064<br />

FTE is reported as an average<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 37


Financial Summary<br />

REVENUE INDICATORS<br />

Debtors Outstanding as at 30 June 2010<br />

000’s Under 31-60 61-90 Over Total Total<br />

30 days days days 90 days 30/6/10 30/6/09<br />

Private 790 247 100 300 1,437 1,931<br />

TAC 5 5 4 14 28 29<br />

VWA 172 75 135 37 419 280<br />

Overseas Visitors 61 40 14 69 184 205<br />

Residential Aged Care 10 0 0 23 33 34<br />

Total Debtors 2,101 2,479<br />

Average Collection Days<br />

56 days 106 days<br />

FINANCIAL SUMMARY<br />

Report of Operations Disclosure<br />

2010 2009 2008 2007 2006<br />

000’s 000’s 000’s 000’s 000’s<br />

Total Revenue 309,506 273,425 252,263 239,088 206,987<br />

Total Expenses 306,328 289,039 266,046 235,118 209,077<br />

Operating Surplus / (Deficit) 3,178 (15,614) (13,783) 3,970 (2,090)<br />

Accumulated Deficits 28,394 31,572 16,031 1,971 5,847<br />

Total Assets 305,400 305,869 276,029 228,765 186,535<br />

Total Liabilities 67,082 70,729 60,678 49,529 44,648<br />

Net Assets 238,318 235,140 215,351 179,236 141,887<br />

Total Equity 238,318 235,140 215,351 179,236 141,887<br />

38 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


2009/10 2008/09<br />

000’s 000’s<br />

Revenue<br />

Services Supported by <strong>Health</strong> Service Agreements<br />

Government Grants 253,206 236,779<br />

Indirect Contributions by Department of Human Services 4,214 5,112<br />

Patient and Resident Fees 9,733 9,441<br />

Recoupment from Private Practice for Use of Hospital Facilities 1,818 1,568<br />

Donations & Bequests 5 36<br />

Interest 501 674<br />

Other Revenue 4,227 3,212<br />

273,704 256,822<br />

Services Supported by Hospital & Community Initiatives<br />

Private Practice Fees 242 237<br />

Donations & Bequests 521 191<br />

Interest 15 16<br />

Property Income 4,430 3,035<br />

Other Revenue 6,080 7,634<br />

11,288 11,113<br />

284,992 267,935<br />

Expenses<br />

Services Supported by <strong>Health</strong> Service Agreements<br />

Employee Benefits 188,367 179,433<br />

Non Salary Labour Costs 8,964 8,790<br />

Supplies & Consumables 51,946 54,142<br />

Other Expenses 29,008 26,385<br />

278,285 268,750<br />

Services Supported by Hospital & Community Initiatives<br />

Employee Benefits 2,573 1,850<br />

Non Salary Labour Costs 1,343 1,426<br />

Supplies & Consumables 1,911 2,210<br />

Other Expenses 2,022 3,552<br />

7,849 9,038<br />

286,134 277,788<br />

Deficit for the Year Before Capital Purpose Income,<br />

Depreciation, & Specific Revenues and Expenses (1,142) (9,853)<br />

Capital Purpose Income 23,896 5,469<br />

Net Gain / (Loss) on Sale of Assets 618 21<br />

Finance Costs (34) (67)<br />

Impairment on Financial Assets 0 (1,417)<br />

Depreciation (20,160) (9,767)<br />

Operating Surplus / (Deficit) For The Year 3,178 (15,614)<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 39


Disclosure Index<br />

The Annual Report of <strong>Northern</strong> <strong>Health</strong> is prepared in accordance with all relevant Victorian legislation. This index has been<br />

prepared to facilitate identification of the <strong>Health</strong> Service’s compliance with statutory disclosure requirements.<br />

Legislation Requirement Page Ref<br />

Ministerial Directions<br />

Report of Operations<br />

Charter and purpose<br />

FRD 22B Manner of establishment and the relevant Ministers A 36<br />

FRD 22B Objectives, functions, powers and duties A 3-35<br />

FRD 22B Nature and range of services provided A 16-19<br />

Management and structure<br />

FRD 22B Organisational structure A 15<br />

Financial and other information<br />

FRD 10 Disclosure index A 40-41<br />

FRD 11 Disclosure of ex-gratia payments N/A<br />

FRD 21A Responsible person and executive officer disclosures F 1<br />

FRD 22B Application and operation of Freedom of Information Act 1982 A 37<br />

FRD 22B Application and operation of Whistleblowers Protection Act 2001 A 37<br />

FRD 22B Compliance with building and maintenance provisions of Building Act 1993 A 36<br />

FRD 22B Details of consultancies over $100,000 A 36<br />

FRD 22B Details of consultancies under $100,000 A 36<br />

FRD 22B Major changes or factors affecting performance A 2-5<br />

FRD 22B Occupational health and safety A 36<br />

FRD 22B Operational and budgetary objectives and performance against objectives A 3-35<br />

FRD 22B Significant changes in financial position during the year A 4-5<br />

FRD 22B Statement of availability of other information A 37<br />

FRD 22B Statement of merit and equity A 37<br />

FRD 22B Statement on National Competition Policy A 36<br />

FRD 22B Subsequent events F 48<br />

FRD 22B Summary of the financial results for the year A 38-39<br />

40 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


FRD 22B Workforce Data Disclosures A 37<br />

FRD 25 Victorian Industry Participation Policy disclosures A 37<br />

SD 4.2(j) Report of Operations, Responsible Body Declaration A 5<br />

SD 4.5.5<br />

Attestation on Compliance with Australian/New Zealand<br />

Risk Management Standard A 32<br />

Legislation Requirement Page Reference<br />

Financial Statements<br />

Financial statements required under Part 7 of the FMA<br />

D 4.2(a)<br />

Compliance with Australian accounting standards and other<br />

authoritative pronouncements F 7<br />

SD 4.2(b) Comprehensive Operating Statement F 2<br />

SD 4.2(b) Balance Sheet F 3<br />

SD 4.2(b) Statement of Changes in Equity F 4<br />

SD 4.2(b) Cash Flow Statement F 6<br />

SD 4.2(c) Accountable officer’s declaration F 1<br />

SD 4.2(c) Compliance with Ministerial Directions F 7<br />

SD 4.2(d) Rounding of amounts F 7<br />

Legislation<br />

Freedom of Information Act 1982 A 37<br />

Whistleblowers Protection Act 2001 A 37<br />

Victorian Industry Participation Policy Act 2003 A 37<br />

Building Act 1993 A 36<br />

Financial Management Act 1994 F 7<br />

09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report 41


42 09/10 <strong>Northern</strong> <strong>Health</strong> Annual Report


<strong>Northern</strong> <strong>Health</strong><br />

Financial Statements<br />

& Accompanying Notes<br />

For the Year Ended<br />

30 June 2010<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report <br />

Appendix to the 2009 - 2010 Annual Report


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Table Of Contents<br />

Page<br />

Board member's, accountable officers and chief finance & accounting officer’s declaration 1<br />

Comprehensive Operating Statement 2<br />

Balance Sheet 3<br />

Statement of Changes in Equity 4<br />

Cash Flow Statement 6<br />

Note 1: Statement of Significant Accounting Policies 7<br />

Note 2: Revenue 17<br />

Note 2a: Analysis of Revenue by Source 19<br />

Note 2b: Patient and Resident Fees 21<br />

Note 2c: Net Gain/(Loss) on Disposal of Non-Financial Assets 21<br />

Note 3: Expenses 22<br />

Note 3a: Analysis of Expenses by Source 24<br />

Note 4: Depreciation and Amortisation 26<br />

Note 5: Finance Costs 26<br />

Note 6: Cash and Cash Equivalents 26<br />

Note 7: Receivables 27<br />

Note 8: Other Financial Assets 28<br />

Note 9: Inventories 29<br />

Note 10: Non-Financial Assets Classified as Held-For-Sale 29<br />

Note 11: Other Assets 29<br />

Note 12: Property, Plant & Equipment 30<br />

Note 13: Intangible Assets 32<br />

Note 14: Payables 33<br />

Note 15: Interest Bearing Liabilities 34<br />

Note 16: Employee Benefits and Related On-Costs Provisions 35<br />

Note 17: Other Liabilities 36<br />

Note 18: Equity 37<br />

Note 19: Reconciliation of Net Result for the Year to Net Cash Inflow/(Outflow) from Operating Activities 38<br />

Note 20: Financial Instruments 39<br />

Note 21: Commitments for Expenditure 44<br />

Note 22: Contingent Assets and Contingent Liabilities 45<br />

Note 23: Segment Reporting 45<br />

Note 24a: Responsible Persons Disclosures 46<br />

Note 24b: Executive Officer Disclosures 47<br />

Note 25: Events Occurring after the Balance Sheet Date 48<br />

Note 26: Controlled Entities 48<br />

Note 27: Economic Dependency 48<br />

Independent Auditors Report 49<br />

Independent Auditors Report 50<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Board member's, accountable officer's and chief finance & accounting officer's declaration<br />

We certify that the attached financial report for <strong>Northern</strong> <strong>Health</strong>, including controlled entities, has been prepared in accordance with Standing Direction 4.2 of the Financial Management Act 1994,<br />

applicable Financial Reporting Directions , Australian Accounting Standards, Australian Accounting Interpretations and other mandatory professional reporting requirements.<br />

We further state that, in our opinion, the information set out in the Comprehensive Operating Statement, Balance Sheet, Statement of Changes in Equity, Cash Flow Statement and notes forming<br />

part of the financial report, presents fairly the financial transactions during the year ended 30 June 2010 and financial position of <strong>Northern</strong> <strong>Health</strong> at 30 June 2010.<br />

We are not aware of any circumstance which would render any particulars included in the financial report to be misleading or inaccurate.<br />

We authorise the attached financial report for issue on this day.<br />

__________________________ __________________________ __________________________<br />

Mr Steve Black Mr Greg Pullen Mr Sam Costanzo<br />

Board Chair Chief Executive Officer Executive Director, Finance<br />

<strong>Northern</strong> <strong>Health</strong> <strong>Northern</strong> <strong>Health</strong> <strong>Northern</strong> <strong>Health</strong><br />

17 August 2010 17 August 2010 17 August 2010<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 1 of 54 52


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong><br />

Comprehensive Operating Statement<br />

For the Year Ended 30 June 2010<br />

Note Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Revenue from Operating Activities 2 284,319 266,512 284,476 267,245<br />

Revenue from Non-Operating Activities 2 502 674 516 690<br />

Employee Benefits 3 (190,840) (181,176) (190,940) (181,283)<br />

Non Salary Labour Costs 3 (10,306) (9,803) (10,307) (10,216)<br />

Supplies & Consumables 3 (53,852) (56,352) (53,857) (56,352)<br />

Other Expenses From Continuing Operations 3 (31,019) (30,098) (31,030) (29,937)<br />

Net Result Before Capital & Specific Items (1,196) (10,243) (1,142) (9,853)<br />

Capital Purpose Income 2 24,514 5,581 24,514 5,490<br />

Impairment of Financial Assets 3 - (1,417) - (1,417)<br />

Depreciation and Amortisation 4 (20,160) (9,763) (20,160) (9,767)<br />

Finance Costs 5 (34) (67) (34) (67)<br />

Net Loss On Disposal Of Non-Current Assets 3 - - - -<br />

Expenditure using Capital Purpose Income 3 - - - -<br />

NET RESULT FOR THE YEAR 3,124 (15,909) 3,178 (15,614)<br />

Other Comprehensive Income<br />

Net fair value revaluation on Non Financial Assets 12 - 25,782 - 25,782<br />

COMPREHENSIVE RESULT FOR THE YEAR 3,124 9,873 3,178 10,168<br />

This Statement should be read in conjunction with the accompanying notes.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 2 of 52


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong><br />

Balance Sheet<br />

As at 30 June 2010<br />

Note Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Current Assets<br />

Cash and Cash Equivalents 6 920 3,830 1,382 4,361<br />

Receivables 7 6,717 7,953 6,717 7,962<br />

Inventories 9 909 873 909 873<br />

Non-Financial Assets Classified as Held For Sale 10 377 1,659 377 1,659<br />

Other Current Assets 11 216 76 216 76<br />

Total Current Assets 9,139 14,391 9,601 14,931<br />

Non-Current Assets<br />

Receivables 7 2,580 2,309 2,580 2,309<br />

Other Financial Assets 8 - 1,440 - 1,440<br />

Property, Plant & Equipment 12 292,665 286,212 292,665 286,221<br />

Intangible Assets 13 554 968 554 968<br />

Total Non-Current Assets 295,799 290,929 295,799 290,938<br />

TOTAL ASSETS 304,938 305,320 305,400 305,869<br />

Current Liabilities<br />

Payables 14 20,930 25,619 20,934 25,734<br />

Interest Bearing Liabilities 15 144 144 144 144<br />

Employee Benefits and Related On-Costs Provisions 16 39,251 38,086 39,251 38,086<br />

Other Liabilities 17 5 8 5 8<br />

Total Current Liabilities 60,330 63,857 60,334 63,972<br />

Non-Current Liabilities<br />

Payables 14 - 46 - 46<br />

Interest Bearing Liabilities 15 711 747 711 747<br />

Employee Benefits and Related On-Costs Provisions 16 6,037 5,964 6,037 5,964<br />

Total Non-Current Liabilities 6,748 6,757 6,748 6,757<br />

TOTAL LIABILITIES 67,078 70,614 67,082 70,729<br />

NET ASSETS 237,860 234,706 238,318 235,140<br />

EQUITY<br />

Property, Plant & Equipment Revaluation Surplus 18a 104,432 104,432 104,432 104,432<br />

Restricted Specific Purpose Reserve 18a 370 340 646 646<br />

Contributed Capital 18b 161,634 161,634 161,634 161,634<br />

Accumulated Deficits 18c (28,576) (31,700) (28,394) (31,572)<br />

TOTAL EQUITY 18d 237,860 234,706 238,318 235,140<br />

Contingent Liabilities and Contingent Assets 22<br />

Commitments for Expenditure 21<br />

This Statement should be read in conjunction with the accompanying notes.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 3 of 52


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong><br />

Statement of Changes in Equity<br />

For the Year Ended 30 June 2010<br />

Note Equity at 1 July<br />

2009<br />

Comprehensive<br />

Result<br />

Transactions with<br />

owner in capacity<br />

as owner<br />

Equity at 30 June<br />

2010<br />

2010<br />

Consolidated $'000 $'000 $'000 $'000<br />

Accumulated Surplus/ (Deficit) 18c (31,572) 3,178 - (28,394)<br />

Transfer (to)/ from Restricted Specific Purpose Reserve 18c - - - -<br />

(31,572) 3,178 - (28,394)<br />

Contribution by Owners 18b 161,634 - - 161,634<br />

161,634 - - 161,634<br />

Reserves<br />

Property Plant & Equipment Revaluation Surplus 18a 104,432 - - 104,432<br />

Restricted Specific Purpose Reserve 18a 646 - - 646<br />

105,078 - - 105,078<br />

TOTAL EQUITY AT THE END OF THE FINANCIAL YEAR 235,140 3,178 - 238,318<br />

Note Equity at 1 July<br />

2008<br />

Comprehensive<br />

Result<br />

Transactions with<br />

owner in capacity<br />

as owner<br />

Equity at 30 June<br />

2009<br />

2009<br />

Consolidated $'000 $'000 $'000 $'000<br />

Accumulated Surplus/ (Deficit) 18c (16,031) (15,614) - (31,645)<br />

Transfer (to)/ from Restricted Specific Purpose Reserve 18c - 73 - 73<br />

(16,031) (15,541) - (31,572)<br />

Contribution by Owners 18b 152,013 - 9,621 161,634<br />

152,013 - 9,621 161,634<br />

Reserves<br />

Property Plant & Equipment Revaluation Surplus 18a 78,650 25,782 - 104,432<br />

Restricted Specific Purpose Reserve 18a 719 (73) - 646<br />

79,369 25,709 - 105,078<br />

TOTAL EQUITY AT THE END OF THE FINANCIAL YEAR 215,351 10,168 9,621 235,140<br />

This Statement should be read in conjunction with the accompanying notes.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 4 of 52


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong><br />

Statement of Changes in Equity<br />

For the Year Ended 30 June 2010<br />

Note Equity at 1 July<br />

2009<br />

Comprehensive<br />

Result<br />

Transactions with<br />

owner in capacity<br />

as owner<br />

Equity at 30 June<br />

2010<br />

2010<br />

Parent $'000 $'000 $'000 $'000<br />

Accumulated Surplus/ (Deficit) 18c (31,700) 3,124 - (28,576)<br />

Transfer (to)/ from Restricted Specific Purpose Reserve 18c - - - -<br />

(31,700) 3,124 - (28,576)<br />

Contribution by Owners 18b 161,634 - - 161,634<br />

161,634 - - 161,634<br />

Reserves<br />

Property Plant & Equipment Revaluation Surplus 18a 104,432 - - 104,432<br />

Restricted Specific Purpose Reserve 18a 340 - - 340<br />

Transfer to and from Internal Entities - - 30<br />

104,772 - - 104,802<br />

TOTAL EQUITY AT THE END OF THE FINANCIAL YEAR 234,706 3,124 - 237,860<br />

Note Equity at 1 July<br />

2008<br />

Comprehensive<br />

Result<br />

Transactions with<br />

owner in capacity<br />

as owner<br />

Equity at 30 June<br />

2009<br />

2009<br />

Parent $'000 $'000 $'000 $'000<br />

Accumulated Surplus/ (Deficit) 18c (16,030) (15,909) - (31,939)<br />

Transfer (to)/ from Restricted Specific Purpose Reserve 18c - 239 - 239<br />

(16,030) (15,670) - (31,700)<br />

Contribution by Owners 18b 152,013 - 9,621 161,634<br />

152,013 - 9,621 161,634<br />

Reserves<br />

Property Plant & Equipment Revaluation Surplus 18a 78,650 25,782 - 104,432<br />

Restricted Specific Purpose Reserve 18a 579 (239) - 340<br />

79,229 25,543 - 104,772<br />

TOTAL EQUITY AT THE END OF THE FINANCIAL YEAR 215,212 9,873 9,621 234,706<br />

This Statement should be read in conjunction with the accompanying notes.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 5 of 52


<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong><br />

Cash Flow Statement<br />

For the Year Ended 30 June 2010<br />

Note Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

CASH FLOWS FROM OPERATING ACTIVITIES<br />

Operating Grants from Government 258,783 240,275 258,783 240,285<br />

Patient and Resident Fees Received 10,515 10,709 10,522 10,956<br />

Private Practice Fees Received 709 (427) 709 (427)<br />

Donations and Bequests Received 369 292 526 226<br />

GST Received from/(paid to) ATO 1,905 (263) 1,907 (264)<br />

Recoupment from private practice for use of hospital facilities 1,833 1,590 1,833 1,590<br />

Interest Received 1,787 676 1,799 691<br />

Other Receipts 14,549 11,966 14,550 12,517<br />

Employee Benefits Paid (188,597) (175,474) (188,698) (175,581)<br />

Non Salary Labour Costs (10,301) (9,801) (10,301) (10,213)<br />

Payments for Supplies & Consumables (62,258) (50,439) (62,376) (50,374)<br />

Finance Costs (33) (67) (33) (67)<br />

Other Payments (30,841) (29,814) (30,883) (29,731)<br />

Cash Generated from Operations (1,580) (777) (1,662) (392)<br />

Capital Grants from Government 21,690 5,395 21,690 5,395<br />

Capital Donations and Bequests Received - - - -<br />

NET CASH INFLOW FROM OPERATING ACTIVITIES 19<br />

20,110 4,618 20,028 5,003<br />

CASH FLOWS FROM INVESTING ACTIVITIES<br />

Payments for Non-Financial Assets (27,508) (16,574) (27,495) (16,645)<br />

Proceeds from sale of Financial Assets 2,697 - 2,697 -<br />

Proceeds from sale of Non-Financial Assets 1,925 20 1,925 20<br />

NET CASH OUTFLOW FROM INVESTING ACTIVITIES (22,886) (16,554) (22,873) (16,625)<br />

CASH FLOWS FROM FINANCING ACTIVITIES<br />

Proceeds from Borrowings - - - -<br />

Repayment of Borrowings (131) (202) (131) (202)<br />

Contributed Capital from Government - 9,621 - 9,621<br />

NET CASH INFLOW FROM FINANCING ACTIVITIES<br />

(131) 9,419 (131) 9,419<br />

NET DECREASE IN CASH HELD (2,907) (2,517) (2,976) (2,203)<br />

CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD 3,822 6,339 4,353 6,556<br />

CASH AND CASH EQUIVALENTS AT END OF PERIOD 6 915 3,822 1,377 4,353<br />

This Statement should be read in conjunction with the accompanying notes<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 6 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(a) Statement of compliance<br />

The financial report is a general purpose financial report which has been prepared on an accrual basis in accordance with the Financial Management Act 1994 and applicable Australian<br />

Accounting Standards (AASs) and Australian Accounting Interpretations. AASs includes Australian equivalents to International Financial Reporting Standards.<br />

The financial statements also comply with relevant Financial Reporting Directives (FRDs) issued by the Department of Treasury and Finance and relevant Standing Directions (SDs) authorised<br />

by the Minister for Finance.<br />

The entity is a not-for profit entity and therefore applies the additional Aus paragraphs applicable to “not-for-profit” entities under the AAS’s.<br />

(b) Basis of preparation<br />

The financial report is prepared in accordance with the historical cost convention, except for the revaluation of certain non-financial assets and financial instruments, as noted. Cost is based on<br />

the fair values of the consideration given in exchange for assets.<br />

In the application of AASs management is required to make judgments, estimates and assumptions about carrying values of assets and liabilities that are not readily apparent from other<br />

sources. The estimates and associated assumptions are based on historical experience and various other factors that are believed to be reasonable under the circumstances, the results of which<br />

form the basis of making the judgments. Actual results may differ from these estimates.<br />

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision<br />

affects only that period or in the period of the revision, and future periods if the revision affects both current and future periods.<br />

Accounting policies are selected and applied in a manner which ensures that the resulting financial information satisfies the concepts of relevance and reliability, thereby ensuring that the<br />

substance of the underlying transactions or other events is reported.<br />

The accounting policies set out below have been applied in preparing the financial report for the year ended 30 June 2010, and the comparative information presented in these financial<br />

statements for the year ended 30 June 2009.<br />

(c) Going Concern<br />

The going concern basis was used to prepare the financial statements.<br />

The Department of <strong>Health</strong> has provided assurances to support the on-going operations and financial requirements of <strong>Northern</strong> <strong>Health</strong> and to provide <strong>Northern</strong> <strong>Health</strong> with adequate cash flow<br />

support to enable <strong>Northern</strong> <strong>Health</strong> to meet its current and future obligations as and when these fall due for a period up to September 2011 should this be required.<br />

(d) Reporting Entity<br />

The financial statements include all the controlled entities of <strong>Northern</strong> <strong>Health</strong>.<br />

The principle address is:<br />

185 Cooper Street<br />

Epping<br />

VIC 3076<br />

(e) Rounding Of Amounts<br />

All amounts shown in the financial report are expressed to the nearest $1,000 unless otherwise stated.<br />

(f) Principles of Consolidation<br />

The assets, liabilities, incomes and expenses of the Controlled Entities of <strong>Northern</strong> <strong>Health</strong> have been included at the values shown in their audited Annual Financial Reports. Subsidiaries are<br />

entities controlled by <strong>Northern</strong> <strong>Health</strong>; control exists when <strong>Northern</strong> <strong>Health</strong> has the power to govern the financial and operating policies of an entity so as to obtain benefits from its activities. In<br />

assessing control, potential voting rights that presently are exercisable are taken into account. Any inter-entity transactions have been eliminated on consolidation. The consolidated financial<br />

statements include the audited financial statements of the controlled entities listed in note 26.<br />

(g) Cash and Cash Equivalents<br />

Cash and cash equivalents comprise cash on hand and cash at bank, deposits at call and highly liquid investments with an original maturity of 3 months or less, which are readily convertible to<br />

known amounts of cash and are subject to insignificant risk of changes in value.<br />

For the cash flow statement presentation purposes, cash and cash equivalents includes bank overdrafts, which are included as current borrowings in the balance sheet.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 7 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(h) Receivables<br />

Trade Debtors are carried at nominal amounts due and are due for settlement within 30 days from the date of recognition. Collectability of debts is reviewed on an ongoing basis, and debts<br />

which are known to be uncollectible are written off. A provision for doubtful debts is raised where doubt as to collection exists. Bad debts are written off when identified.<br />

Receivables are recognised initially at fair value and subsequently measured at amortised cost, using the effective interest rate method, less any accumulated impairment.<br />

(i) Inventories<br />

Inventories include goods and other property held either for sale or for distribution at no or nominal cost in the ordinary course of business operations. It excludes land held for sale and<br />

depreciable assets.<br />

Inventories held for distribution are measured at cost, adjusted for any loss of service potential. All other inventories, including land held for sale, are measured at the lower of cost and net<br />

realisable value.<br />

Bases used in assessing loss of service potential for inventories held for distribution include current replacement cost and technical or functional obsolescence. Technical obsolescence occurs<br />

when an item still functions for some or all of the tasks it was originally acquired to do, but no longer matches existing technologies. Functional obsolescence occurs when an item no longer<br />

functions the way it did when it was first acquired.<br />

Cost is assigned to land for sale (undeveloped, under development and developed) and to other high value, low volume inventory items on a specific identification of cost basis.<br />

Cost for all other inventory is measured on the basis of weighted average cost.<br />

Inventories acquired for no cost or nominal considerations are measured at current replacement cost at the date of acquisition.<br />

(j) Other Financial Assets<br />

Other financial assets are recognised and derecognised on trade date where purchase or sale of an investment is under a contract whose terms require delivery of the investment within the<br />

timeframe established by the market concerned, and are initially measured at fair value, net of transaction costs.<br />

<strong>Northern</strong> <strong>Health</strong> classifies its other financial assets between current and non-current assets based on the purpose for which the assets were acquired. Management determines the classification<br />

of its other financial assets at initial recognition.<br />

<strong>Northern</strong> <strong>Health</strong> assesses at each balance sheet date whether a financial asset or group of financial assets is impaired.<br />

Available-for-sale financial assets<br />

Other financial assets held by the entity are classified as being available-for-sale and are stated at fair value. Gains and losses arising from changes in fair value are recognised directly in<br />

equity until the investment is disposed of or is determined to be impaired, at which time the cumulative gain or loss previously recognised in equity is included in profit or loss for the period.<br />

Fair value is determined in the manner described in Note 20.<br />

Held-to-maturity investments<br />

Where the <strong>Health</strong> Service has the positive intent and ability to hold investments to maturity they are measured at amortised cost less impairment losses.<br />

Loans and receivables<br />

Trade receivables, loans and other receivables are recorded at amortised cost, using the effective interest method, less impairment. Term deposits with maturity greater than three months are<br />

also measured at amortised cost, using the effective interest rate method, less impairment.<br />

The effective interest rate method is a method of calculating the amortised cost of a financial asset and of allocating interest income over the relevant period. The effective interest rate is the<br />

rate that exactly discounts estimated future cash receipts through the expected life of the financial asset, or where appropriate, a shorter period.<br />

(k) Intangible Assets<br />

Intangible Assets represent identifiable non-monetary assets without physical substance such as patents, trademarks, computer software and development costs (where applicable).<br />

Intangible Assets are initially recognised at cost. Subsequently, Intangible Assets with finite useful lives are carried at cost less accumulated amortisation and accumulated impairment losses.<br />

Costs incurred subsequent to initial acquisition are capitalised when it is expected that additional future economic benefits will flow to the entity.<br />

Amortisation is allocated to intangible assets with finite useful lives on a systematic (typically straight-line) basis over the asset’s useful life. Amortisation begins when the asset is available for<br />

use, that is, when it is in the location and condition necessary for it to be capable of operating in the manner intended by management. The amortisation period and the amortisation method for<br />

an intangible asset with a finite useful life are reviewed at least at the end of each annual reporting period. In addition, an assessment is made at each reporting date to determine whether<br />

there are indicators that the intangible asset concerned is impaired. If so, the assets concerned are tested as to whether their carrying value exceeds their recoverable amount.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 8 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Intangible Assets with indefinite useful lives are not amortised, but are tested for impairment annually or whenever there is an indication that the asset may be impaired. The useful lives of<br />

intangible assets that are not being amortised are reviewed each period to determine whether events and circumstances continue to support an indefinite useful life assessment for that asset.<br />

In addition, the entity tests all intangible assets with indefinite useful lives for impairment by comparing its recoverable amount with its carrying amount:<br />

annually, and<br />

whenever there is an indication that the intangible asset may be impaired.<br />

Any excess of the carrying amount over the recoverable amount is recognised as an impairment loss.<br />

Intangible assets with finite useful lives are amortised over a 3 year period (2009: 3 years).<br />

(l) Property, Plant and Equipment<br />

Crown Land is measured at fair value with regard to the property’s highest and best use after due consideration is made for any legal or constructive restrictions imposed on the asset, public<br />

announcements or commitments made in relation to the intended use of the asset. Theoretical opportunities that may be available in relation to the asset(s) are not taken into account until it is<br />

virtually certain that any restrictions will no longer apply.<br />

Land and Buildings are recognised initially at cost and subsequently measured at fair value less accumulated depreciation and impairment. Depreciated historical cost is generally a<br />

reasonable proxy for depreciated replacement cost because of the short lives of the assets concerned.<br />

Plant, Equipment and Vehicles are recognised initially at cost and subsequently measured at fair value less accumulated depreciation and impairment. Depreciated historical cost is generally<br />

a reasonable proxy for depreciated replacement cost because of the short lives of the assets concerned.<br />

Cultural, Collections, Heritage Assets and Other Non-Current Physical Assets that the State intends to preserve because of their unique historical, cultural or environmental attributes<br />

are measured at the cost of replacing the asset less, where applicable, accumulated depreciation calculated on the basis of such cost to reflect the already consumed or expired future economic<br />

benefits of the asset.<br />

Restrictive nature of cultural and heritage assets, Crown land and infrastructure assets<br />

During the reporting period, the entity may hold cultural assets, heritage assets, Crown land and infrastructure assets.<br />

Such assets are deemed worthy of preservation because of the social rather than financial benefits they provide to the community. The nature of these assets means that there are certain<br />

limitations and restrictions imposed on their use and/or disposal.<br />

(m) Revaluations of Non-current Physical Assets<br />

Non-current physical assets measured at fair value are revalued in accordance with FRD 103D. This revaluation process normally occurs every five years, based upon the asset’s Government<br />

Purpose Classification, but may occur more frequently if fair value assessments indicate material changes in values. Revaluation increments or decrements arise from differences between an<br />

asset’s carrying value and fair value.<br />

Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an increment reverses a revaluation decrement in respect of that class of asset<br />

previously recognised at an expense in net result, the increment is recognised as income in the net result.<br />

Revaluation decrements are recognised immediately as expenses in the net result, except that, to the extent that a credit balance exists in the asset revaluation reserve in respect of the same<br />

class of assets, they are debited directly to the asset revaluation reserve.<br />

Revaluation increases and revaluation decreases relating to individual assets within an asset class are offset against one another within that class but are not offset in respect of assets in<br />

different classes.<br />

Revaluation reserves are not transferred to accumulated funds on derecognition of the relevant asset.<br />

In accordance with FRD 103D, <strong>Northern</strong> <strong>Health</strong>'s non current physical assets were assessed to determine whether revaluation of the non-current physical assets was required.<br />

(n) Non Current Assets Classified as Held for Sale<br />

Non-current assets (including disposal groups) classified as held for sale are measured at the lower of carrying amount and fair value less costs to sell, and are not subject to depreciation.<br />

Non-current assets and disposal groups and related liabilities are treated as current and are classified as held for sale if their carrying amount will be recovered through a sale transaction rather<br />

than through continuing use. This condition is regarded as met only when the sale is highly probable and the asset's sale (or disposal group) is expected to be completed within 12 months from<br />

the date of classification.<br />

(o) Depreciation and Amortisation<br />

Assets with a cost in excess of $1,000 (2008-09 and 2009-10) are capitalised and depreciation has been provided on depreciable assets so as to allocate their cost or valuation over their<br />

estimated useful lives using the straight-line method. Estimates of the remaining useful lives and depreciation method for all assets are reviewed at least annually. This depreciation charge is<br />

not funded by the Department of <strong>Health</strong>.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 9 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

The following table indicates the expected useful lives of non current assets on which the depreciation charges are based.<br />

2009 2010<br />

Buildings 22 - 45 Years 22 - 45 Years<br />

Plant & Equipment 10 Years 10 Years<br />

Medical Equipment 10 Years 10 Years<br />

Computers & Communication 3 Years 3 Years<br />

Non-Medical Equipment 10 Years 10 Years<br />

Motor Vehicles 4 Years 4 Years<br />

Furniture & Fittings 10 Years 10 Years<br />

In undertaking the valuation as at 30 June 2009 the valuers determined components of the building in determining depreciated replacement cost as follows:<br />

2009 2010<br />

Structure Shell / Building Fabric <br />

Site Engineering Services and Central Plant <br />

Fit Out <br />

Trunk Reticulated Building Systems <br />

(p) Net Gain/(Loss) on Non-Financial Assets<br />

Net gain/(loss) on Non-Financial Assets includes realised and unrealised gains and losses from revaluations, impairments and disposals of all physical assets and intangible assets.<br />

Disposal of Non-Financial Assets<br />

Any gain or loss on the sale of Non-Financial Assets is recognised at the date that control of the asset is passed to the buyer and is determined after deducting from the proceeds the carrying<br />

value of the asset at that time.<br />

Impairment of Non-Financial Assets<br />

Intangible Assets with indefinite useful lives (and Intangible Assets not yet available for use) are tested annually for impairment (i.e. as to whether their carrying value exceeds their<br />

recoverable amount, and so require write-downs) and whenever there is an indication that the asset may be impaired. All other assets are assessed annually for indications of impairment,<br />

except for:<br />

inventories;<br />

assets arising from construction costs;<br />

assets arising from employee benefits;<br />

financial instrument assets;<br />

non-current physical assets held for sale;<br />

If there is an indication of impairment, the assets concerned are tested as to whether their carrying value exceeds their possible recoverable amount. Where an asset’s carrying value exceeds<br />

its recoverable amount, the difference is written-off as an expense except to the extent that the write-down can be debited to an asset revaluation reserve amount applicable to that class of<br />

asset.<br />

It is deemed that, in the event of the loss of an asset, the future economic benefits arising from the use of the asset will be replaced unless a specific decision to the contrary has been made.<br />

The recoverable amount for most assets is measured at the higher of depreciated replacement cost and fair value less costs to sell. Recoverable amount for assets held primarily to generate net<br />

cash inflows is measured at the higher of the present value of future cash flows expected to be obtained from the asset and fair value less costs to sell.<br />

(q) Net Gain/(Loss) on Financial Instruments<br />

Net gain/(loss) on financial instruments includes realised and unrealised gains and losses from revaluations of financial instruments that are designated at fair value through profit or loss or<br />

held-for-trading, impairment and reversal of impairment for financial instruments at amortised cost, and disposals of financial assets.<br />

Revaluations of Financial Instruments at Fair Value<br />

The revaluation gain/(loss) on financial instruments at fair value excludes dividends or interest earned on financial assets, which is reported as part of income from transactions.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 10 of 52


Note 1: Statement of Significant Accounting Policies<br />

Impairment of Financial Assets<br />

Bad and doubtful debts are assessed on a regular basis. Those bad debts considered as written off are classified as an expense.<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Financial Assets have been assessed for impairment in accordance with Australian Accounting Standards. Where a financial asset’s fair value at balance date has reduced by 20 per cent or<br />

more than its cost price; or where its fair value has been less than its cost price for a period of 12 or more months, the financial instrument is treated as impaired.<br />

In order to determine an appropriate fair value as at 30 June 2010 for its portfolio of financial assets, <strong>Northern</strong> <strong>Health</strong> obtained a valuation based on the best available advice using an estimated<br />

market value through a reputable financial institution. This value was compared against valuation methodologies provided by the issuer as at 30 June 2010. These methodologies were<br />

explored and considered to be consistent with standard market valuation techniques.<br />

Prices obtained from both sources were compared and were generally consistent with the full portfolio. The above valuation process was used to quantify the level of impairment on the<br />

portfolio of financial assets as at year end.<br />

(r) Payables<br />

These amounts consist predominantly of liabilities for goods and services.<br />

Payables are initially recognised at fair value, then subsequently carried at amortised cost and represent liabilities for goods and services provided to <strong>Northern</strong> <strong>Health</strong> prior to the end of the<br />

financial year that are unpaid, and arise when the <strong>Northern</strong> <strong>Health</strong> becomes obliged to make future payments in respect of the purchase of these goods and services.<br />

The normal credit terms are usually Net 30 days.<br />

(s) Provisions<br />

Provisions are recognised when <strong>Northern</strong> <strong>Health</strong> has a present obligation, the future sacrifice of economic benefits is probable, and the amount of the provision can be measured reliably.<br />

The amount recognised as a provision is the best estimate of the consideration required to settle the present obligation at reporting date, taking into account the risks and uncertainties<br />

surrounding the obligation. Where a provision is measured using the cash flows estimated to settle the present obligation, its carrying amount is the present value of those cash flows.<br />

(t) Resources Provided and Received Free of Charge or for Nominal Consideration<br />

Resources provided or received free of charge or for nominal consideration are recognised at their fair value when the transferee obtains control over them, irrespective of whether restrictions<br />

or conditions are imposed over the use of the contributions, unless received from another entity or agency as a consequence of a restructuring of administrative arrangements. In the latter<br />

case, such transfer will be recognised at carrying value. Contributions in the form of services are only recognised when a fair value can be reliably determined and the services would have been<br />

purchased if not donated.<br />

(u) Interest Bearing Liabilities<br />

Interest bearing liabilities in the Balance Sheet are recognised at fair value upon initial recognition. Subsequent to initial recognition, interest bearing liabilities are measured at amortised cost<br />

with any difference between the initial recognised amount and the redemption value being recognised in profit and loss over the period of the interest bearing liability using the effective interest<br />

rate method. Fair value is determined in the manner described in Note 20.<br />

(v) Functional and Presentation Currency<br />

The presentation currency of <strong>Northern</strong> <strong>Health</strong> is the Australian dollar, which has also been identified as the functional currency of <strong>Northern</strong> <strong>Health</strong>.<br />

(w) Goods and Services Tax<br />

Income, expenses and assets are recognised net of the amount of associated GST, unless the GST incurred is not recoverable from the taxation authority. In this case it is recognised as part of<br />

the cost of acquisition of the asset or as part of the expense.<br />

Receivables and payables are stated inclusive of the amount of GST receivable or payable. The net amount of GST recoverable from, or payable to, the taxation authority is included with other<br />

receivables or payables in the balance sheet.<br />

Cash flows are presented on a gross basis. The GST components of cash flows arising from investing or financing activities which are recoverable from, or payable to the taxation authority, are<br />

presented as operating cash flow.<br />

Commitments and contingent assets and liabilities are presented on a gross basis.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 11 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(x) Employee Benefits<br />

Wages and Salaries, Annual Leave, Sick Leave and Accrued Days Off<br />

Liabilities for wages and salaries, including non-monetary benefits, annual leave accumulating sick leave and accrued days off expected to be settled within 12 months of the reporting date are<br />

recognised in the provision for employee benefits in respect of employee’s services up to the reporting date, classified as current liabilities and measured at nominal values.<br />

Those liabilities that <strong>Northern</strong> <strong>Health</strong> are not expected to be settled within 12 months are recognised in the provision for employee benefits as current liabilities, measured at present value of<br />

the amounts expected to be paid when the liabilities are settled using the remuneration rate expected to apply at the time of settlement.<br />

Long Service Leave<br />

Current Liability – unconditional LSL (representing 10 or more years of continuous service) is disclosed as a current liability even where <strong>Northern</strong> <strong>Health</strong> does not expect to settle the<br />

liability within 12 months because it will not have the unconditional right to defer the settlement of the entitlement should an employee take leave within 12 months.<br />

The components of this current LSL liability are measured at:<br />

nominal value – component that <strong>Northern</strong> <strong>Health</strong> expects to settle within 12 months.<br />

present value – component that <strong>Northern</strong> <strong>Health</strong> does not expect to settle within 12 months; and<br />

Non-Current Liability – conditional LSL (representing less than 10 years of continuous service) is disclosed as a non-current liability. There is an unconditional right to defer the settlement<br />

of the entitlement until the employee has completed the requisite years of service. Conditional LSL is required to be measured at present value.<br />

Consideration is given to expected future wage and salary levels, experience of employee departures and periods of service. Expected future payments are discounted using interest rates of<br />

Commonwealth Government guaranteed securities in Australia.<br />

Superannuation<br />

Defined contribution plans<br />

Contributions to defined contribution superannuation plans are expensed when incurred.<br />

Defined benefit plans<br />

The amount charged to the Operating Statement in respect of defined benefit superannuation plans represents the contributions made by the entity to the superannuation plans in respect of the<br />

services of current entity staff. Superannuation contributions are made to the plans based on the relevant rules of each plan.<br />

Employees of <strong>Northern</strong> <strong>Health</strong> are entitled to receive superannuation benefits and <strong>Northern</strong> <strong>Health</strong> contributes to both the defined benefit and defined contribution plans. The defined benefit<br />

plan(s) provide benefits based on years of service and final average salary.<br />

The name and details of the major employee superannuation funds and contributions made by <strong>Northern</strong> <strong>Health</strong> are as follows:<br />

Fund<br />

Contributions Paid or Payable for the year<br />

2010 2009<br />

$’000 $’000<br />

Defined benefit plans:<br />

<strong>Health</strong> Super 602 588<br />

Defined contribution plans:<br />

<strong>Health</strong> Super 11,119 10,825<br />

HESTA 3,605 3,167<br />

Other 72 45<br />

Total 15,398 14,625<br />

<strong>Northern</strong> <strong>Health</strong> does not recognise any unfunded defined benefit liability in respect of the superannuation plans because the entity has no legal or constructive obligation to pay future benefits<br />

relating to its employees; its only obligation is to pay superannuation contributions as they fall due. The Department of Treasury and Finance administers and discloses the State’s defined<br />

benefit liabilities in its financial report.<br />

Termination Benefits<br />

Liabilities for termination benefits are recognised when a detailed plan for the termination has been developed and a valid expectation has been raised with those employees affected that the<br />

terminations will be carried out. The liabilities for termination benefits are recognised in other creditors unless the amount or timing of the payments is uncertain, in which case they are<br />

recognised as a provision.<br />

On-Costs<br />

Employee benefits on-costs (workers compensation, superannuation, annual leave and LSL accrued while on LSL taken in service) are recognised separately from provisions for employee<br />

benefits.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 12 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(y) Finance Costs<br />

Finance costs are recognised as expenses in the period in which they are incurred.<br />

Finance costs include:<br />

interest on bank overdrafts and short-term and long-term borrowings;<br />

amortisation of discounts or premiums relating to borrowings;<br />

amortisation of ancillary costs incurred in connection with the arrangement of borrowings; and<br />

finance charges in respect of finance leases recognised in accordance with AASB 117 Leases .<br />

(z) Residential Aged Care Service<br />

The <strong>Northern</strong> <strong>Health</strong> Residential Aged Care Service operations are an integral part of <strong>Northern</strong> <strong>Health</strong> and shares its resources. An apportionment of land and buildings has been made based on<br />

floor space. The results of the two operations have been segregated based on actual revenue earned and expenditure incurred by each operation in note 2b to the financial statement.<br />

(aa) Intersegment Transactions<br />

Transactions between segments within <strong>Northern</strong> <strong>Health</strong> have been eliminated to reflect the extent of <strong>Northern</strong> <strong>Health</strong>'s operations as a group.<br />

(ab) Leases<br />

Leases of property, plant and equipment are classified as finance leases whenever the terms of the lease transfer substantially all the risks and rewards of ownership to the lessee. All other<br />

leases are classified as operating leases.<br />

Finance Leases<br />

Entity as lessor<br />

Rental income from operating lease is recognised on a straight-line basis over the term of the relevant lease.<br />

Entity as lessee<br />

Finance leases are recognised as assets and liabilities at amounts equal to the fair value of the lease property or, if lower, the present value of the minimum lease payment, each determined at<br />

the inception of the lease. The lease asset is depreciated over the shorter of the estimated useful life of the asset or the term of the lease. Minimum lease payments are allocated between the<br />

principal component of the lease liability, and the interest expense calculated using the interest rate implicit in the lease, and charged directly to the operating statement.<br />

Operating Leases<br />

Operating lease payments, including any contingent rentals, are recognised as an expense in the operating statement on a straight line basis over the lease term, except where another<br />

systematic basis is more representative of the time pattern of the benefits derived from the use of the leased asset.<br />

(ac) Income Recognition<br />

Income is recognised in accordance with AASB 118 Revenue and is recognised as to the extent it is earned. Unearned income at reporting date is reported as income received in advance.<br />

Amounts disclosed as revenue are, where applicable, net of returns, allowances and duties and taxes.<br />

Government Grants<br />

Grants are recognised as income when the entity gains control of the underlying assets in accordance with AASB 1004 Contributions. For reciprocal grants, <strong>Northern</strong> <strong>Health</strong> is deemed to have<br />

assumed control when the performance has occurred under the grant. For non-reciprocal grants, <strong>Northern</strong> <strong>Health</strong> is deemed to have assumed control when the grant is received or receivable.<br />

Conditional grants may be reciprocal or non-reciprocal depending on the terms of the grant.<br />

Indirect Contributions<br />

– Insurance is recognised as revenue following advice from the Department of <strong>Health</strong>.<br />

– Long Service Leave (LSL) – Revenue is recognised upon finalisation of movements in LSL liability in line with the arrangements set out in the Metropolitan <strong>Health</strong> and Aged Care Services<br />

Division Hospital Circular 14/2009.<br />

Patient and Resident Fees<br />

Patient fees are recognised as revenue at the time invoices are raised.<br />

Private Practice Fees<br />

Private practice fees are recognised as revenue at the time invoices are raised.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 13 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Donations and Other Bequests<br />

Donations and bequests are recognised as revenue when received. If donations are for a special purpose, they may be appropriated to a reserve, such as the specific restricted purpose reserve.<br />

Interest Revenue<br />

Interest revenue is recognised on a time proportionate basis that takes in account the effective yield of the financial asset.<br />

(ad) Fund Accounting<br />

<strong>Northern</strong> <strong>Health</strong> operates on a fund accounting basis and maintains three funds: Operating, Specific Purpose and Capital Funds. <strong>Northern</strong> <strong>Health</strong>'s Capital and Specific Purpose Funds include<br />

unspent capital donations and receipts from fund-raising activities conducted solely in respect of these funds.<br />

(ae) Services Supported By <strong>Health</strong> Services Agreement and Services Supported By Hospital and Community Initiatives<br />

Activities classified as Services Supported by <strong>Health</strong> Services Agreement (HSA) are substantially funded by the Department of <strong>Health</strong> and includes Residential Aged Care Services (RACS) and<br />

are also funded from other sources such as the Commonwealth, patients and residents, while Services Supported by Hospital and Community Initiatives (Non HSA) are funded by the <strong>Health</strong><br />

Service's own activities or local initiatives and/or the Commonwealth.<br />

(af) Comparative Information<br />

Where necessary the previous year’s figures have been reclassified to facilitate comparisons.<br />

(ag) Property, Plant & Equipment Revaluation Reserve<br />

The asset revaluation reserve is used to record increments and decrements on the revaluation of non-current assets.<br />

(ah) Specific Restricted Purpose Reserve<br />

A specific restricted purpose reserve is established where the entity has possession or title to the funds but has no discretion to amend or vary the restriction and/or condition underlying the<br />

funds received.<br />

(ai) Contributed Capital<br />

Consistent with Australian Accounting Interpretation 1038 Contributions by Owners Made to Wholly-Owned Public Sector Entities and FRD 119 Contributions by Owners , appropriations for<br />

additions to the net asset base have been designated as contributed capital. Other transfers that are in the nature of contributions or distributions that have been designated as contributed<br />

capital are also treated as contributed capital.<br />

(aj) Commitments<br />

Commitments are not recognised in the balance sheet. Commitments are disclosed at their nominal value and are inclusive of the GST payable.<br />

(ak) Contingent assets and contingent liabilities<br />

Contingent assets and contingent liabilities are not recognised in the Balance Sheet, but are disclosed by way of note,. and if quantifiable, are measured at nominal value. Contingent assets and<br />

contingent liabilities are presented inclusive of the GST receivable or payable respectively.<br />

(al) Net Result Before Capital & Specific Items<br />

The subtotal entitled ‘Net result Before Capital & Specific Items’ is included in the Comprehensive Operating Statement to enhance the understanding of the financial performance of <strong>Northern</strong><br />

<strong>Health</strong>. This subtotal reports the result excluding items such as capital grants, assets received or provided free of charge, depreciation, and items of an unusual nature and amount such as<br />

specific revenues and expenses. The exclusion of these items are made to enhance matching of income and expenses so as to facilitate the comparability and consistency of results between<br />

years and Victorian Public <strong>Health</strong> Services. The Net result Before Capital & Specific Items is used by the management of <strong>Northern</strong> <strong>Health</strong>, the Department of <strong>Health</strong> and the Victorian<br />

Government to measure the ongoing result of <strong>Health</strong> Services in operating hospital services.<br />

Capital and specific items, which are excluded from this sub-total, comprise:<br />

Capital purpose income, which comprises all tied grants, donations and bequests received for the purpose of acquiring non-current assets, such as capital works, plant and equipment<br />

or intangible assets. It also includes donations of plant and equipment (refer note 1 (t)). Consequently the recognition of revenue as capital purpose income is based on the intention of<br />

the provider of the revenue at the time the revenue is provided.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 14 of 52


Note 1: Statement of Significant Accounting Policies<br />

Specific income/expense, comprises the following items, where material:<br />

Voluntary departure packages<br />

Write-down of inventories<br />

Non-current asset revaluation increments/decrements<br />

Diminution in investments<br />

Restructuring of operations (disaggregation/aggregation of health services)<br />

Litigation settlements<br />

Non-current assets lost or found<br />

Forgiveness of loans<br />

Reversals of provisions<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Voluntary changes in accounting policies (which are not required by an accounting standard or other authoritative pronouncement of the Australian Accounting Standards<br />

Board)<br />

Impairment of financial and non-financial assets, includes all impairment losses (and reversal of previous impairment losses), which have been recognised in accordance with note 1<br />

(p) and (q)<br />

Depreciation and amortisation, as described in note 1 (k) and (o)<br />

Assets provided or received free of charge, as described in note 1 (t)<br />

Expenditure using capital purpose income, comprises expenditure which either falls below the asset capitalisation threshold (note 1 (k) and (l), or doesn’t meet asset recognition<br />

criteria and therefore does not result in the recognition of an asset in the balance sheet, where funding for that expenditure is from capital purpose income<br />

(am) Category Groups<br />

<strong>Northern</strong> <strong>Health</strong> has used the following category groups for reporting purposes for the current and previous financial years.<br />

Admitted Patient Services (Admitted Patients) comprises all recurrent health revenue/expenditure on admitted patient services, where services are delivered in public hospitals, or free<br />

standing day hospital facilities, or alcohol and drug treatment units or hospitals specialising in dental services, hearing and ophthalmic aids.<br />

Outpatient Services (Outpatients) comprises all recurrent health revenue/expenditure on public hospital type outpatient services, where services are delivered in public hospital outpatient<br />

clinics, or free standing day hospital facilities, or rehabilitation facilities, or alcohol and drug treatment units, or outpatient clinics specialising in ophthalmic aids or palliative care.<br />

Emergency Department Services (EDS) comprises all recurrent health revenue/expenditure on emergency department services that are available free of charge to public patients.<br />

Aged Care comprises revenue/expenditure for Home and Community Care (HACC) programs, Allied <strong>Health</strong>, Aged Care Assessment and support services.<br />

Primary <strong>Health</strong> comprises revenue/expenditure for Community <strong>Health</strong> Services including health promotion and counselling, physiotherapy, speech therapy, podiatry and occupational therapy.<br />

Off Campus, Ambulatory Services (Ambulatory) comprises all recurrent health revenue/expenditure on public hospital type services including palliative care facilities and rehabilitation<br />

facilities, as well as services provided under the following agreements: Services that are provided or received by hospitals (or area health services) but are delivered/received outside a hospital<br />

campus, services which have moved from a hospital to a community setting since June 1998, services which fall within the agreed scope of inclusions under the new system, which have been<br />

delivered within hospital’s i.e. in rural/remote areas.<br />

Residential Aged Care including Mental <strong>Health</strong> (RAC incl. Mental <strong>Health</strong>) referred to in the past as psychogeriatric residential services, comprises those Commonwealth-licensed<br />

residential aged care services in receipt of supplementary funding from DHS under the mental health program. It excludes all other residential services funded under the mental health<br />

program, such as mental health funded community care units (CCUs) and secure extended care units (SECs).<br />

Other Services excluded from Australian <strong>Health</strong> Care Agreement (AHCA) (Other) comprises revenue/expenditure for services not separately classified above, including: Public health<br />

services including Laboratory testing, Blood Borne Viruses / Sexually Transmitted Infections clinical services, Kooris liaison officers, immunisation and screening services, Drugs services<br />

including drug withdrawal, counselling and the needle and syringe program, Dental <strong>Health</strong> services including general and specialist dental care, school dental services and clinical education,<br />

Disability services including aids and equipment and flexible support packages to people with a disability, Community Care programs including sexual assault support, early parenting services,<br />

parenting assessment and skills development, and various support services. <strong>Health</strong> and Community Initiatives also falls in this category group.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 15 of 52


Note 1: Statement of Significant Accounting Policies<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(an) New Accounting Standards and Interpretations<br />

Certain new accounting standards and interpretations have been published that are not mandatory for 30 June 2010 reporting period. As at 30 June 2010, the following standards and<br />

interpretations had been issued but were not mandatory for financial years ending 30 June 2010. <strong>Northern</strong> <strong>Health</strong> has not and does not intend to adopt these standards early.<br />

Standard / Interpretation Summary<br />

AASB 9 Financial instruments This standard simplifies requirements for the<br />

classification and measurement of financial assets<br />

resulting from Phase 1 of the IASB’s project to replace<br />

IAS 39 Financial instruments: recognition and<br />

measurement (AASB 139 financial Instruments:<br />

recognition and measurement).<br />

Applicable for reporting periods beginning on or<br />

ending on<br />

Impact on Entities Annual Statements<br />

Beginning 1 Jan 2013 Detail of impact still being assessed.<br />

AASB 2009-11 Amendments to Australian Accounting<br />

Standards arising from AASB 9 [AASB 1, 3, 4, 5, 7,<br />

101, 102, 108, 112, 118, 121, 127, 128, 131, 132,<br />

136, 139, 1023 and 1038 and Interpretations 10 and<br />

12]<br />

AASB 2009-5 Further amendments to Australian<br />

Accounting Standards arising from the annual<br />

improvements project (AASB 5, 8, 101, 107, 117,<br />

118, 136 and 139)<br />

This gives effect to consequential changes arising from<br />

the issuance of AASB 9.<br />

Some amendments will result in accounting changes<br />

for presentation, recognition or measurement<br />

purposes, while other amendments will relate to<br />

terminology and editorial changes.<br />

Beginning 1 Jan 2013 Detail of impact still being assessed.<br />

Beginning 1 Jan 2010 Terminology and editorial changes. Impact minor.<br />

AASB 2009-9 Amendments to Australian Accounting<br />

Standards – additional exemptions for first-time<br />

adopters [AASB 1]<br />

Applies to <strong>Health</strong> Services adopting Australian<br />

Accounting Standards for the first time, to ensure<br />

<strong>Health</strong> Services will not face undue cost or effort in<br />

the transition process in particular situations.<br />

Beginning 1 Jan 2010 No impact. Relates to first time adopters of Australian<br />

Accounting Standards.<br />

AASB 124 Related party disclosures (Dec 2009) Government related <strong>Health</strong> Services have been<br />

granted partial exemption with certain disclosure<br />

AASB 2009-12 Amendments to Australian Accounting<br />

Standards [AASB 5, 8, 108, 110, 112, 119, 133, 137,<br />

139, 1023 and 1031 and Interpretations 2, 4, 16,<br />

1039 and 1052]<br />

AASB 2009-14 Amendments to Australian<br />

Interpretation – Prepayments of a minimum funding<br />

requirement [AASB Interpretation 14]<br />

requirements.<br />

This standard amends AASB 8 to require an entity to<br />

exercise judgement in assessing whether a<br />

government and <strong>Health</strong> Services known to be under<br />

the control of that government are considered a single<br />

customer for purposes of certain operating segment<br />

disclosures. This standard also makes numerous<br />

editorial amendments to other AASs.<br />

Amendment to Interpretation 14 arising from the<br />

issuance of Prepayments of a minimum funding<br />

requirement<br />

Beginning 1 Jan 2011 Impact expected to be insignificant.<br />

Beginning 1 Jan 2011 AASB 8 does not apply to <strong>Health</strong> Services therefore no<br />

impact expected. Otherwise, only editorial changes<br />

arising from amendments to other standards, impact<br />

insignificant.<br />

Beginning 1 Jan 2011 Impact expected to be insignificant.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 16 of 52


Note 2: Revenue<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Consolidated<br />

HSA HSA Non HSA Non HSA Total Total HSA HSA Non HSA Non HSA Total Total<br />

2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Revenue from Operating Activities<br />

Government Grants<br />

- Department of <strong>Health</strong> 245,323 229,253 - - 245,323 229,253 245,323 229,254 - - 245,323 229,254<br />

- Commonwealth Government<br />

- Residential Aged Care Subsidy 2,190 2,080 - - 2,190 2,080 2,190 2,080 - - 2,190 2,080<br />

- Other 5,693 5,445 61 64 5,754 5,509 5,693 5,445 61 74 5,754 5,519<br />

Total Government Grants 253,206 236,778 61 64 253,267 236,842 253,206 236,779 61 74 253,267 236,853<br />

Indirect Contributions by Department of <strong>Health</strong><br />

- Insurance 3,943 3,562 - - 3,943 3,562 3,943 3,562 - - 3,943 3,562<br />

- Long Service Leave 271 1,550 - - 271 1,550 271 1,550 - - 271 1,550<br />

Total Indirect Contributions by<br />

Department of <strong>Health</strong> 4,214 5,112 - - 4,214 5,112 4,214 5,112 - - 4,214 5,112<br />

Patient and Resident Fees<br />

- Patient and Resident Fees (refer note 2b) 9,231 9,014 242 - 9,473 9,014 9,231 9,014 242 237 9,473 9,251<br />

- Residential Aged Care (refer note 2b) 502 427 - - 502 427 502 427 - - 502 427<br />

Total Patient & Resident Fees 9,733 9,441 242 - 9,975 9,441 9,733 9,441 242 237 9,975 9,678<br />

Business Units & Specific Purpose Funds<br />

- Private Practice and Other Patient Activities<br />

Fees - - 729 65 729 65 - - 729 65 729 65<br />

- Pharmacy Services - - 1,661 1,869 1,661 1,869 - - 1,661 1,869 1,661 1,869<br />

- Catering - - 272 386 272 386 - - 272 386 272 386<br />

- Cafeteria - - 255 227 255 227 - - 255 227 255 227<br />

- Car Park - - 1,564 1,628 1,564 1,628 - - 1,564 1,628 1,564 1,628<br />

- Property Income - - 4,430 3,035 4,430 3,035 - - 4,430 3,035 4,430 3,035<br />

- Research - - 146 86 146 86 - - 146 86 146 86<br />

Total Business Units & Specific Purpose<br />

Funds - - 9,057 7,296 9,057 7,296 - - 9,057 7,296 9,057 7,296<br />

Donations & Bequests 5 36 364 166 369 202 5 36 521 191 526 227<br />

Recoupment from Private Practice for Use of<br />

Hospital Facilities 1,818 1,568 14 23 1,832 1,591 1,818 1,568 14 23 1,832 1,591<br />

Other Revenue from Operating Activities 4,227 3,212 1,378 2,816 5,605 6,028 4,227 3,212 1,378 3,276 5,605 6,488<br />

Sub-Total Revenue from Operating<br />

Activities 273,203 256,147 11,116 10,365 284,319 266,512 273,203 256,148 11,273 11,097 284,476 267,245<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 17 of 52


Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Note 2: Revenue (Continued)<br />

Parent Consolidated<br />

HSA HSA Non HSA Non HSA Total Total HSA HSA Non HSA Non HSA Total Total<br />

2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Revenue from Non-Operating Activities<br />

Interest & Dividends 501 674 1 - 502 674 501 674 15 16 516 690<br />

Sub-Total Revenue from Non-Operating<br />

Activities 501 674 1 - 502 674 501 674 15 16 516 690<br />

Revenue from Capital Purpose Income<br />

State Government Capital Grants<br />

- Targeted Capital Works and Equipment - - 22,557 5,396 22,557 5,396 - - 22,557 5,396 22,557 5,396<br />

Residential Accomodation Payments (refer note<br />

2b) - - 78 73 78 73 - - 78 73 78 73<br />

Donations & Bequests - - 4 91 4 91 - - 4 - 4 -<br />

Net Gain on Disposal of Financial Assets - - 1,257 - 1,257 - - - 1,257 - 1,257 -<br />

Net Gain on Disposal of Non-Financial Assets<br />

(refer note 2c) - - 618 21 618 21 - - 618 21 618 21<br />

Sub-Total Revenue from Capital Purpose<br />

Income - - 24,514 5,581 24,514 5,581 - - 24,514 5,490 24,514 5,490<br />

Total Revenue (refer to note 2a) 273,704 256,821 35,631 15,946 309,335 272,767 273,704 256,822 35,802 16,603 309,506 273,425<br />

Indirect contributions by Department of <strong>Health</strong>: Department of <strong>Health</strong> makes certain payments on behalf of the <strong>Health</strong> Service. These amounts have been brought to account in determining the<br />

operating result for the year by recording them as revenue and expenses.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 18 of 52


Note 2a: Analysis of Revenue by Source<br />

(based on the consolidated view of note 2)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Admitted<br />

Patients Outpatients EDS<br />

Ambulatory<br />

Other Total<br />

2010 2010 2010 2010 2010 2010 2010 2010 2010<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Revenue from Services Supported by <strong>Health</strong><br />

Services Agreement<br />

Government Grants 159,788 16,012 15,095 51,644 2,190 7,577 135 765 253,206<br />

Indirect contributions by Department of <strong>Health</strong> 4,214 - - - - - - - 4,214<br />

Patient & Resident Fees 5,498 351 28 3,275 502 79 - - 9,733<br />

Donations & Bequests (non capital) - - - - - - - 5 5<br />

Recoupment from Private Practice for Use of Hospital<br />

Facilities 1,817 - - - - - - 1 1,818<br />

Other Revenue from Operating Activities 1,080 20 25 481 - 31 - 2,590 4,227<br />

Interest & Dividends - - - - - - - 501 501<br />

Sub-Total Revenue from Services Supported by<br />

<strong>Health</strong> Services Agreement 172,397 16,383 15,148 55,400 2,692 7,687 135 3,862 273,704<br />

RAC incl.<br />

Mental<br />

<strong>Health</strong><br />

Aged Care<br />

Primary<br />

<strong>Health</strong><br />

Revenue from Services Supported by Hospital and<br />

Community Initiatives<br />

Donations & Bequests (non capital) - - - - - - - 521 521<br />

Business Units & Specific Purpose Funds - - - - - - - 9,057 9,057<br />

Other - - - - - - - 1,710 1,710<br />

Capital Purpose Income (refer note 2) - - - - - - - 24,514 24,514<br />

Sub-Total Revenue from Services Supported by<br />

Hospital and Community Initiatives - - - - - - - 35,802 35,802<br />

Total Revenue 172,397 16,383 15,148 55,400 2,692 7,687 135 39,664 309,506<br />

Indirect contributions by Department of <strong>Health</strong>: Department of <strong>Health</strong> makes certain payments on behalf of the <strong>Health</strong> Service. These amounts have been brought to account in determining the<br />

operating result for the year by recording them as revenue and expenses.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 19 of 52


Note 2a: Analysis of Revenue by Source (Continued)<br />

(based on the consolidated view of note 2)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Admitted<br />

Patients<br />

Outpatients EDS Ambulatory<br />

Other Total<br />

2009 2009 2009 2009 2009 2009 2009 2009 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Revenue from Services Supported by <strong>Health</strong><br />

Services Agreement<br />

Government Grants 148,675 14,351 13,137 50,935 2,080 7,196 200 205 236,779<br />

Indirect contributions by Department of <strong>Health</strong> 5,112 - - - - - - - 5,112<br />

Patient & Resident Fees 4,704 17 - 4,254 427 39 - - 9,441<br />

Donations & Bequests (non capital) - - - - - - - 36 36<br />

Recoupment from Private Practice for Use of Hospital<br />

Facilities 1,566 2 - - - - - - 1,568<br />

Other Revenue from Operating Activities 1,612 17 35 768 - 70 - 710 3,212<br />

Interest & Dividends - - - - - - - 674 674<br />

Sub-Total Revenue from Services Supported by<br />

<strong>Health</strong> Services Agreement 161,669 14,387 13,172 55,957 2,507 7,305 200 1,625 256,822<br />

RAC incl.<br />

Mental<br />

<strong>Health</strong><br />

Aged Care<br />

Primary<br />

<strong>Health</strong><br />

Revenue from Services Supported by Hospital and<br />

Community Initiatives<br />

Donations & Bequests (non capital) - - - - - - - 191 191<br />

Business Units & Specific Purpose Funds - - - - - - - 7,296 7,296<br />

Other - - - - - - - 3,626 3,626<br />

Capital Purpose Income (refer note 2) - - - - - - - 5,490 5,490<br />

Sub-Total Revenue from Services Supported by<br />

Hospital and Community Initiatives - - - - - - - 16,603 16,603<br />

Total Revenue 161,669 14,387 13,172 55,957 2,507 7,305 200 18,228 273,425<br />

Indirect contributions by Department of <strong>Health</strong>: Department of <strong>Health</strong> makes certain payments on behalf of the <strong>Health</strong> Service. These amounts have been brought to account in determining the<br />

operating result for the year by recording them as revenue and expenses.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 20 of 52


Note 2b: Patient and Resident Fees<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Patient and Resident Fees Raised<br />

Recurrent:<br />

Acute<br />

– Inpatients 9,122 8,997 9,122 8,997<br />

– Outpatients 351 17 351 254<br />

Residential Aged Care<br />

– Generic 502 427 502 427<br />

Total Recurrent 9,975 9,441 9,975 9,678<br />

Capital Purpose:<br />

Residential Accomodation Payments* 78 73 78 73<br />

Total Capital 78 73 78 73<br />

(*) This includes accommodation charges, interest earned on accommodation bonds and retention amount.<br />

Note 2c: Net Gain/(Loss) on Disposal of Non-Financial Assets<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Proceeds from Disposals of Non-Current Assets<br />

Land & Buildings 1,818 - 1,818 -<br />

Medical Equipment 1 2 1 2<br />

Motor Vehicles 106 19 106 19<br />

Total Proceeds from Disposal of Non-Current Assets 1,925 21 1,925 21<br />

Less: Written Down Value of Non-Current Assets Sold<br />

Land & Buildings 1,307 - 1,307 -<br />

Medical Equipment - - - -<br />

Motor Vehicles - - - -<br />

Total Written Down Value of Non-Current Assets Sold 1,307 - 1,307 -<br />

Net Gains/(Losses) on Disposal of Non-Current Assets 618 21 618 21<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 21 of 52


Note 3: Expenses<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Consolidated<br />

HSA HSA Non HSA Non HSA Total Total HSA HSA Non HSA Non HSA Total Total<br />

2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Employee Benefits<br />

Salaries & Wages 166,731 159,173 2,352 1,590 169,083 160,763 166,828 159,173 2,355 1,697 169,183 160,870<br />

WorkCover Premium 1,827 1,524 - 14 1,827 1,538 1,827 1,524 - 14 1,827 1,538<br />

Departure Packages 340 155 - - 340 155 340 155 - - 340 155<br />

Long Service Leave 4,310 4,379 48 24 4,358 4,403 4,310 4,379 48 24 4,358 4,403<br />

Superannuation 15,062 14,202 170 115 15,232 14,317 15,062 14,202 170 115 15,232 14,317<br />

Total Employee Benefits 188,270 179,433 2,570 1,743 190,840 181,176 188,367 179,433 2,573 1,850 190,940 181,283<br />

Non Salary Labour Costs<br />

Fees for Visiting Medical Officers 1,595 1,609 3 (1) 1,598 1,608 1,595 1,609 4 - 1,599 1,609<br />

Agency Costs - Nursing 3,247 4,996 1 1 3,248 4,997 3,247 4,996 1 289 3,248 5,285<br />

Agency Costs - Other 4,122 2,185 1,338 1,013 5,460 3,198 4,122 2,185 1,338 1,137 5,460 3,322<br />

Total Non Salary Labour Costs 8,964 8,790 1,342 1,013 10,306 9,803 8,964 8,790 1,343 1,426 10,307 10,216<br />

Supplies & Consumables<br />

Drug Supplies 8,573 8,375 572 623 9,145 8,998 8,573 8,375 572 623 9,145 8,998<br />

S100 Drugs 1,266 1,827 1,040 1,260 2,306 3,087 1,266 1,827 1,040 1,260 2,306 3,087<br />

Medical, Surgical Supplies and Prosthesis 31,375 33,388 42 48 31,417 33,436 31,375 33,388 47 48 31,422 33,436<br />

Pathology Supplies 5,842 5,706 58 67 5,900 5,773 5,842 5,706 58 67 5,900 5,773<br />

Food Supplies 4,890 4,846 194 212 5,084 5,058 4,890 4,846 194 212 5,084 5,058<br />

Total Supplies & Consumables 51,946 54,142 1,906 2,210 53,852 56,352 51,946 54,142 1,911 2,210 53,857 56,352<br />

Other Expenses from Continuing<br />

Operations<br />

Domestic Services & Supplies 6,521 5,844 236 282 6,757 6,126 6,521 5,844 236 282 6,757 6,126<br />

Fuel, Light, Power and Water 1,927 2,112 264 41 2,191 2,153 1,927 2,112 264 41 2,191 2,153<br />

Insurance costs funded by DHS 3,943 3,562 - - 3,943 3,562 3,943 3,562 - - 3,943 3,562<br />

Motor Vehicle Expenses 352 302 33 37 385 339 352 302 33 39 385 341<br />

Repairs & Maintenance 2,259 2,721 258 188 2,517 2,909 2,259 2,721 258 188 2,517 2,909<br />

Maintenance Contracts 1,722 1,559 - 5 1,722 1,564 1,722 1,559 - 5 1,722 1,564<br />

Patient Transport 1,510 1,323 - 14 1,510 1,337 1,510 1,323 - 14 1,510 1,337<br />

Bad & Doubtful Debts 491 236 18 224 509 460 491 236 18 - 509 236<br />

Lease Expenses 659 690 7 2 666 692 659 690 7 39 666 729<br />

Other Administrative Expenses 9,294 7,706 1,195 2,920 10,489 10,626 9,294 7,706 1,202 2,934 10,496 10,640<br />

Audit Fees<br />

- VAGO - Audit of Financial Statements 69 73 - - 69 73 69 73 2 10 71 83<br />

- Other 261 257 - - 261 257 261 257 2 - 263 257<br />

Total Other Expenses from Continuing<br />

Operations 29,008 26,385 2,011 3,713 31,019 30,098 29,008 26,385 2,022 3,552 31,030 29,937<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 22 of 52


Note 3: Expenses (Continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Consolidated<br />

HSA HSA Non HSA Non HSA Total Total HSA HSA Non HSA Non HSA Total Total<br />

2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Expenditure using Capital Purpose Income<br />

Employee Benefits - - - - - - - - - - - -<br />

Non Salary Labour Costs - - - - - - - - - - - -<br />

Other Expenses - - - - - - - - - - - -<br />

Total Expenditure using Capital Purpose<br />

Income - - - - - - - - - - - -<br />

Impairment of Financial Assets<br />

- Held-to-Maturity Investments - - - 1,417 - 1,417 - - - 1,417 - 1,417<br />

Total Impairment of Financial Assets - - - 1,417 - 1,417 - - - 1,417 - 1,417<br />

Depreciation & Amortisation - - 20,160 9,763 20,160 9,763 - - 20,160 9,767 20,160 9,767<br />

Finance Costs 34 67 - - 34 67 34 67 - - 34 67<br />

Total 34 67 20,160 11,180 20,194 11,247 34 67 20,160 11,184 20,194 11,251<br />

Total Expenses 278,222 268,817 27,989 19,859 306,211 288,676 278,319 268,817 28,009 20,222 306,328 289,039<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 23 of 52


Note 3a: Analysis of Expenses by Source<br />

(based on the consolidated view)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

2010 2010 2010 2010 2010 2010 2010 2010 2010<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Services Supported by <strong>Health</strong> Services Agreement<br />

Employee Benefits 133,959 11,149 6,848 28,641 1,713 2,442 69 209 185,030<br />

Non Salary Labour Costs 5,557 2,303 1,539 1,720 476 855 32 819 13,301<br />

Supplies & Consumables 30,613 569 6,927 12,670 63 1,858 - 1,246 53,946<br />

Other Expenses from Continuing Operations 15,736 1,141 399 6,255 615 1,167 20 709 26,042<br />

Sub-Total Expenses from Services Supported by <strong>Health</strong><br />

Services Agreement 185,865 15,162 15,713 49,286 2,867 6,322 121 2,983 278,319<br />

Services Supported by Hospital and Community<br />

Initiatives<br />

Admitted<br />

Patients Outpatients EDS Ambulatory<br />

RAC incl.<br />

Mental<br />

<strong>Health</strong> Aged Care<br />

Employee Benefits - - - - - - - 2,182 2,182<br />

Non Salary Labour Costs - - - - - - - 1,734 1,734<br />

Supplies & Consumables - - - - - - - 1,911 1,911<br />

Other Expenses from Continuing Operations - - - - - - - 2,022 2,022<br />

Depreciation & Amortisation (refer note 4) - - - - - - - 20,160 20,160<br />

Sub-Total Expense from Services Supported by<br />

Hospital and Community Initiatives - - - - - - - 28,009 28,009<br />

Primary<br />

<strong>Health</strong><br />

Other<br />

Total<br />

Services Supported by Capital Sources<br />

Impairment of Financial Assets (refer note 3) - - - - - - - - -<br />

Sub-Total Expenses from Services Supported by<br />

Capital Resources - - - - - - - - -<br />

Total Expenses 185,865 15,162 15,713 49,286 2,867 6,322 121 30,992 306,328<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 24 of 52


Note 3a: Analysis of Expenses by Source (Continued)<br />

(based on the consolidated view)<br />

Admitted<br />

Patients Outpatients EDS Ambulatory<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

RAC incl.<br />

Mental<br />

<strong>Health</strong> Aged Care<br />

2009 2009 2009 2009 2009 2009 2009 2009 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Services Supported by <strong>Health</strong> Services Agreement<br />

Employee Benefits 129,396 10,310 6,261 27,683 1,672 3,795 91 225 179,433<br />

Non Salary Labour Costs 5,430 270 1,293 1,081 520 170 26 - 8,790<br />

Supplies & Consumables 29,097 1,171 6,974 12,449 74 2,982 - 1,395 54,142<br />

Other Expenses from Continuing Operations 16,477 332 431 8,633 494 13 16 56 26,452<br />

Sub-Total Expenses from Services Supported by <strong>Health</strong><br />

Services Agreement 180,400 12,083 14,959 49,846 2,760 6,960 133 1,676 268,817<br />

Primary<br />

<strong>Health</strong><br />

Other<br />

Total<br />

Services Supported by Hospital and Community<br />

Initiatives<br />

Employee Benefits - - - - - - - 1,554 1,554<br />

Non Salary Labour Costs - - - - - - - 1,722 1,722<br />

Supplies & Consumables - - - - - - - 2,210 2,210<br />

Other Expenses from Continuing Operations - - - - - - - 3,552 3,552<br />

Depreciation & Amortisation (refer note 4) - - - - - - - 9,767 9,767<br />

Sub-Total Expense from Services Supported by<br />

Hospital and Community Initiatives - - - - - - - 18,805 18,805<br />

Services Supported by Capital Sources<br />

Impairment of Financial Assets (refer note 3) - - - - - - - 1,417 1,417<br />

Sub-Total Expenses from Services Supported by<br />

Capital Resources - - - - - - - 1,417 1,417<br />

Total Expenses 180,400 12,083 14,959 49,846 2,760 6,960 133 21,898 289,039<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 25 of 52


Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Note 4: Depreciation and Amortisation<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Depreciation<br />

Buildings 15,724 5,508 15,724 5,508<br />

Plant & Equipment 182 132 182 132<br />

Medical Equipment 2,204 2,159 2,204 2,159<br />

Computers & Communication 1,038 927 1,038 931<br />

Furntiure & Fittings 79 51 79 51<br />

Motor Vehicles 253 280 253 280<br />

Non Medical Equipment 145 82 145 82<br />

Total Depreciation 19,625 9,139 19,625 9,143<br />

Amortisation<br />

Intangible Assets 535 624 535 624<br />

Total Amortisation 535 624 535 624<br />

Total Depreciation & Amortisation 20,160 9,763 20,160 9,767<br />

Note 5: Finance Costs<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Interest on Long Term Borrowings 34 67 34 67<br />

TOTAL 34 67 34 67<br />

Note 6: Cash and Cash Equivalents<br />

For the purposes of the Cash Flow Statement, cash assets includes cash on hand and in banks, and short-term deposits which are readily convertible to cash on hand, and are subject to an insignificant<br />

risk of change in value, net of outstanding bank overdrafts.<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Cash on Hand 32 33 32 33<br />

Cash at Bank 888 3,797 1,350 4,328<br />

TOTAL 920 3,830 1,382 4,361<br />

<br />

Cash for <strong>Health</strong> Service Operations (as per Cash Flow Statement) 915 3,822 1,377 4,353<br />

Cash for Monies Held in Trust 5 8 5 8<br />

TOTAL 920 3,830 1,382 4,361<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 26 of 52


Note 7: Receivables<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

CURRENT<br />

Contractual<br />

Trade Debtors 2,254 2,668 2,254 2,668<br />

Patient Fees 3,257 3,601 3,257 3,608<br />

Accrued Investment Income 28 4 28 4<br />

Accrued Revenue - Other 480 258 480 258<br />

Less Allowance for Doubtful Debts<br />

Trade Debtors (150) (174) (150) (174)<br />

Patient Fees (549) (438) (549) (438)<br />

5,320 5,919 5,320 5,926<br />

Statutory<br />

GST Receivable 1,397 2,034 1,397 2,036<br />

1,397 2,034 1,397 2,036<br />

TOTAL CURRENT RECEIVABLES 6,717 7,953 6,717 7,962<br />

NON CURRENT<br />

Statutory<br />

Long Service Leave - DHS 2,580 2,309 2,580 2,309<br />

TOTAL NON-CURRENT RECEIVABLES 2,580 2,309 2,580 2,309<br />

TOTAL RECEIVABLES 9,297 10,262 9,297 10,271<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

(a) Movement in the Allowance for Doubtful Debts $'000 $'000 $'000 $'000<br />

Balance at beginning of year 612 634 612 634<br />

Amounts written off during the year (424) (482) (184) (258)<br />

Increase/(decrease) in allowance recognised in profit or loss 511 460 271 236<br />

Balance at end of year 699 612 699 612<br />

(b) Ageing analysis of receivables<br />

Please refer to note 20(b) for the ageing analysis of receivables<br />

(c) Nature and extent of risk arising from receivables<br />

Please refer to note 20(b) for the nature and extent of credit risk arising from receivables<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 27 of 52


Note 8: Other Financial Assets<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Operating Fund Specific Purpose Fund Capital Fund Parent Entity<br />

Consol'd<br />

2010 2009 2010 2009 2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

NON CURRENT<br />

Available for Sale - At Fair Value - 1,440 - - - - - 1,440 - 1,440<br />

TOTAL - 1,440 - - - - - 1,440 - 1,440<br />

Represented by:<br />

<strong>Health</strong> Service Investments - 1,440 - - - - - 1,440 - 1,440<br />

TOTAL - 1,440 - - - - - 1,440 - 1,440<br />

(b) Ageing analysis of Other Financial Assets<br />

Please refer to note 20(b) for the ageing analysis of other financial assets<br />

(c) Nature and extent of risk arising from Other Financial Assets<br />

Please refer to note 20(b) for the nature and extent of credit risk arising from other financial assets<br />

(d) Available for Sale Investments are represented by:<br />

Beryl Finance Ltd Global Bank Credit Linked Notes maturing 20 September 2014. The cost base of these notes was $1.5m and an impairment charge for the full value of these notes has been<br />

recognised in prior years with the fair value recorded at Nil as at 30 June 2010.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 28 of 52


Note 9: Inventories<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Pharmaceuticals (at cost) 909 873 909 873<br />

TOTAL INVENTORIES 909 873 909 873<br />

Note 10: Non-Financial Assets Classified as Held-For-Sale<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Freehold Land 358 1,420 358 1,420<br />

Written Down Value of Buildings at cost 19 209 19 209<br />

Other costs of sale - 30 - 30<br />

TOTAL 377 1,659 377 1,659<br />

Note 11: Other Assets<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

CURRENT 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Prepayments 216 76 216 76<br />

TOTAL 216 76 216 76<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 29 of 52


Note 12: Property, Plant & Equipment<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Land<br />

Land at Valuation 33,449 33,449 33,449 33,449<br />

Total Land 33,449 33,449 33,449 33,449<br />

Buildings<br />

Buildings 29,990 - 29,990 -<br />

Less Acc'd Depreciation 191 - 191 -<br />

Buildings at valuation 226,480 226,480 226,480 226,480<br />

Less Acc'd Depreciation 15,533 - 15,533 -<br />

Total Buildings 240,746 226,480 240,746 226,480<br />

Plant and Equipment<br />

Plant and Equipment 1,923 1,483 1,923 1,483<br />

Less Acc'd Depreciation 739 557 739 557<br />

Total Plant and Equipment 1,184 926 1,184 926<br />

Medical Equipment<br />

Medical Equipment 23,583 22,042 23,583 22,042<br />

Less Acc'd Depreciation 13,164 10,960 13,164 10,960<br />

Total Medical Equipment 10,419 11,082 10,419 11,082<br />

Computers & Communication<br />

Computers & Communication 6,947 5,513 6,947 5,531<br />

Less Acc'd Depreciation 4,822 3,771 4,822 3,792<br />

Total Computers & Communication 2,125 1,742 2,125 1,739<br />

Furniture & Fittings<br />

Furniture & Fittings 1,913 564 1,913 564<br />

Less Acc'd Depreciation 178 94 178 99<br />

Total Furniture & Fittings 1,735 470 1,735 465<br />

Non-Medical Equipment<br />

Non-Medical Equipment 1,472 1,251 1,472 1,259<br />

Less Acc'd Depreciation 418 274 418 274<br />

Total Non Medical Equipment 1,054 977 1,054 985<br />

Motor Vehicles<br />

Motor Vehicles 1,754 1,774 1,754 1,774<br />

Less Acc'd Depreciation 1,462 1,213 1,462 1,213<br />

Total Motor Vehicles 292 561 292 561<br />

Assets Under Contruction / Work In Progress 1,661 10,525 1,661 10,534<br />

TOTAL 292,665 286,212 292,665 286,221<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 30 of 52


Note 12: Property, Plant & Equipment (continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Reconciliations of the carrying amounts of each class of asset for the consolidated entity at the beginning and end of the previous and current financial year is set out below.<br />

Land Buildings Plant & Medical Assets Under Computers & Furniture & Non Medical Motor Total<br />

Equipment Equipment Construction Communication Fittings Equipment Vehicles<br />

$'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Balance at 1 July 2008 37,489 200,417 620 13,220 1,470 1,391 436 196 606 255,845<br />

Additions - - 407 2,907 9,634 1,754 117 830 221 15,870<br />

Classified as held for sale (1,420) (209) - - - - - - - (1,629)<br />

Revaluation increments/(decrements) (2,523) 28,305 - - - - - - - 25,782<br />

Net Transfers between classes (97) 3,475 31 (2,886) (570) (475) (37) 41 14 (504)<br />

Depreciation and Amortisation (note 4) - (5,508) (132) (2,159) - (931) (51) (82) (280) (9,143)<br />

Balance at 1 July 2009 33,449 226,480 926 11,082 10,534 1,739 465 985 561 286,221<br />

Additions - 2,025 423 1,303 21,720 355 191 73 - 26,090<br />

Disposals - - - - - - - - (16) (16)<br />

Net Transfers between classes - 27,965 17 238 (30,593) 1,069 1,158 141 - (5)<br />

Depreciation and Amortisation (note 4) - (15,724) (182) (2,204) - (1,038) (79) (145) (253) (19,625)<br />

Balance at 30 June 2010 33,449 240,746 1,184 10,419 1,661 2,125 1,735 1,054 292 292,665<br />

Land and buildings carried at valuation<br />

An independent valuation of the <strong>Health</strong> Service's property, was performed by the Valuer-General Victoria to determine the fair value of the land and buildings. The valuation, which conforms to<br />

Australian Valuation Standards, was determined by reference to the amounts for which assets could be exchanged between knowledgeable willing parties in an arm's length transaction. The valuation<br />

was based on independent assessments.<br />

The effective date of the valuation is 30 June 2009.<br />

Plant and all other equipment<br />

<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 31 of 52


Note 13: Intangible Assets<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Development Costs Capitalised 2,775 2,655 2,775 2,655<br />

Less Acc'd Amortisation 2,221 1,687 2,221 1,687<br />

Total Written Down Value 554 968 554 968<br />

Reconciliation of the carrying amounts of intangible assets at the beginning and end of the previous and current financial year:<br />

Development Total<br />

Costs<br />

$'000 $'000<br />

Balance at 1 July 2008 347 347<br />

Additions 741 741<br />

Net Transfers between classes 504 504<br />

Amortisation (note 4) (624) (624)<br />

Balance at 1 July 2009 968 968<br />

Additions 116 116<br />

Net Transfers between classes 5 5<br />

Amortisation (note 4) (535) (535)<br />

Balance at 30 June 2010 554 554<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 32 of 52


Note 14: Payables<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

CURRENT<br />

Contractual<br />

Trade Creditors 3,780 7,074 3,780 7,074<br />

Accrued Expenses 9,570 9,889 9,572 9,888<br />

Salary Packaging 1,760 748 1,760 748<br />

Inter <strong>Health</strong> Services 3,410 6,507 3,410 6,621<br />

Income In Advance 476 - 476 -<br />

Other 347 477 349 479<br />

19,343 24,695 19,347 24,810<br />

Statutory<br />

Department of Human Services 1,587 924 1,587 924<br />

1,587 924 1,587 924<br />

TOTAL CURRENT 20,930 25,619 20,934 25,734<br />

NON CURRENT<br />

Statutory<br />

Department of Human Services - 46 - 46<br />

TOTAL NON CURRENT - 46 - 46<br />

TOTAL 20,930 25,665 20,934 25,780<br />

(a) Maturity analysis of Payables<br />

Please refer to Note 20c for the ageing analysis of payables.<br />

(b) Nature and extent of risk arising from Payables<br />

Please refer to note 20c for the nature and extent of risks arising from payables.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 33 of 52


Note 15: Interest Bearing Liabilities<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

CURRENT<br />

Treasury Corporation of Victoria 144 144 144 144<br />

Total Current 144 144 144 144<br />

NON CURRENT<br />

Treasury Corporation of Victoria 711 747 711 747<br />

Total Non-Current 711 747 711 747<br />

Total Interest Bearing liabilities 855 891 855 891<br />

(a) Maturity analysis of Interest Bearing Liabilities<br />

Please refer to note 20(c) for the ageing analysis of interest bearing liabilities.<br />

(b) Nature and extent of risk arising from Interest Bearing Liabilities<br />

Please refer to note 20(c) for the nature and extent of risks arising from interest bearing liabilities.<br />

(c) Defaults and breaches<br />

During the current and prior year, there were no defaults and breaches of any of the loans.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 34 of 52


Note 16: Employee Benefits and Related On-Costs Provisions<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Current Provisions<br />

Employee Benefits<br />

- Unconditional and expected to be settled within 12 months 15,532 13,321 15,532 13,321<br />

- Unconditional and expected to be settled after 12 months 15,313 14,804 15,313 14,804<br />

Other 4,637 5,872 4,637 5,872<br />

35,482 33,997 35,482 33,997<br />

Provisions related to employee benefit on-costs<br />

- Unconditional and expected to be settled within 12 months (nominal value) 1,666 2,263 1,666 2,263<br />

- Unconditional and expected to be settled after 12 months (present value) 2,103 1,826 2,103 1,826<br />

3,769 4,089 3,769 4,089<br />

Total Current Provisions 39,251 38,086 39,251 38,086<br />

Non-Current Provisions<br />

Employee Benefits 5,441 5,344 5,441 5,344<br />

Provisions related to employee benefit on-costs 596 620 596 620<br />

Total Non-Current Provisions 6,037 5,964 6,037 5,964<br />

Current Employee Benefits<br />

Unconditional LSL entitlements 17,795 16,219 17,795 16,219<br />

Annual leave entitlements 16,473 15,670 16,473 15,670<br />

Accrued Wages and Salaries 4,637 5,872 4,637 5,872<br />

Accrued Days Off 346 325 346 325<br />

Non-Current Employee Benefits<br />

Conditional Long Service Leave entitlements (present value) 6,037 5,964 6,037 5,964<br />

Total Employee Benefits and Related On-Costs 45,288 44,050 45,288 44,050<br />

Movement in Long Service Leave:<br />

Balance at start of year 22,183 19,427 22,183 19,427<br />

Provision made during the year<br />

- Revaluations (145) 277 (145) 277<br />

- Expense recognising employee service 4,503 4,133 4,503 4,133<br />

Settlement made during the year (2,709) (1,654) (2,709) (1,654)<br />

Balance at end of year 23,832 22,183 23,832 22,183<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 35 of 52


Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Note 17: Other Liabilities<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

CURRENT<br />

Monies Held in Trust*<br />

- Patient Monies Held in Trust 5 8 5 8<br />

TOTAL 5 8 5 8<br />

* Total Monies Held in Trust Represented by the following assets:<br />

Cash Assets (refer to Note 6) 5 8 5 8<br />

TOTAL 5 8 5 8<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 36 of 52


Note 18: Equity<br />

(a) Reserves<br />

Property, Plant & Equipment Revaluation Surplus 1<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Balance at the beginning of the reporting period 104,432 78,650 104,432 78,650<br />

Revaluation Increment/(Decrements) -<br />

- Land - (2,523) - (2,523)<br />

- Buildings - 28,305 - 28,305<br />

Balance at the end of the reporting period* 104,432 104,432 104,432 104,432<br />

* Represented by:<br />

- Land 25,104 25,104 25,104 25,104<br />

- Buildings 79,328 79,328 79,328 79,328<br />

104,432 104,432 104,432 104,432<br />

Restricted Specific Purpose Reserves<br />

Balance at the beginning of the reporting period 340 579 646 719<br />

Transfer to and from Internal Entities 30 - -<br />

Transfer to and from Restricted Specific Purpose Reserves - (239) - (73)<br />

Balance at the end of the reporting period 370 340 646 646<br />

Total Reserves 104,802 104,772 105,078 105,078<br />

(b) Contributed Capital<br />

Balance at the beginning of the reporting period 161,634 152,013 161,634 152,013<br />

Capital contribution received from Victorian Government - 9,621 - 9,621<br />

Balance at the end of the reporting period 161,634 161,634 161,634 161,634<br />

(c) Accumulated Deficits<br />

Balance at the beginning of the reporting period (31,700) (16,030) (31,572) (16,031)<br />

Net Result for the Year 3,124 (15,909) 3,178 (15,614)<br />

Transfer to and from Restricted Specific Purpose Reserve - 239 - 73<br />

Balance at the end of the reporting period (28,576) (31,700) (28,394) (31,572)<br />

(d) Total Equity at end of financial year 237,860 234,706 238,318 235,140<br />

(1) The Property, Plant & Equipment Asset Revaluation Surplus arises on the revaluation of property, plant & equipment.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 37 of 52


Note 19: Reconciliation of Net Result for the Year to Net Cash Inflow/(Outflow) from Operating Activities<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Net Result for the Year 3,124 (15,909) 3,178 (15,614)<br />

Depreciation & Amortisation 20,160 9,763 20,160 9,767<br />

Impairment of Non-Current Assets - 1,417 - 1,417<br />

Provision for Doubtful Debts 511 460 511 236<br />

Change in Inventories (36) 31 (36) 31<br />

Transfer of Reserves within Consolidated Entity 30 - - -<br />

Net (Gain)/Loss from Sale of Investment (1,257) - (1,257) -<br />

Net (Gain)/Loss from Sale of Plant and Equipment (618) (21) (618) (21)<br />

Change in Operating Assets & Liabilities<br />

(Increase)/Decrease in Current Receivables 95 (543) 101 (218)<br />

Decrease in Non Current Receivables (271) 214 (271) 214<br />

Increase in Other Assets 637 (1,487) 637 (1,489)<br />

(Increase)/Decrease in Prepayments (140) (59) (141) (59)<br />

Increase in Payables (4,744) 5,117 (4,854) 5,103<br />

Increase in Employee Benefits 2,251 5,712 2,251 5,712<br />

Increase/(Decrease) in Other Liabilities 368 (77) 367 (76)<br />

NET CASH INFLOW FROM OPERATING ACTIVITIES 20,110 4,618 20,028 5,003<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 38 of 52


Note 20: Financial Instruments<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(a) Financial Risk Management Objectives and Policies<br />

<strong>Northern</strong> <strong>Health</strong>'s principal financial instruments comprise of:<br />

- Cash Assets<br />

- Receivables (excluding statutory receivables)<br />

- Investment in Equities and Managed Investment Schemes<br />

- Payables (excluding statutory payables)<br />

Details of the significant accounting policies and methods adopted, including the criteria for recognition, the basis of measurement and the basis on which income and expenses are recognised, with<br />

respect to each class of financial asset, financial liability and equity instrument are disclosed in note 1 to the financial statements.<br />

The main purpose in holding financial instruments is to prudentially manage <strong>Northern</strong> <strong>Health</strong>'s financial risks within the government policy parameters.<br />

Categorisation of financial instruments<br />

Note Carrying Amount Carrying Amount<br />

2010 2009<br />

$'000 $'000<br />

Financial Assets<br />

Cash and cash equivalents 6 1,382 4,361<br />

Recievables 7 5,320 5,926<br />

Other Financial Assets 8 - 1,440<br />

Total Financial Assets (i) 6,702 11,727<br />

Financial Liabilities<br />

Payables 14 19,347 24,810<br />

Interest Bearing Liabilities 15 855 891<br />

Other Liabilities 17 5 8<br />

Total Financial Liabilities (ii) 20,207 25,709<br />

(i) The total amount of financial assets disclosed here excludes statutory receivables (i.e. GST input tax credit recoverable)<br />

(ii) The total amount of financial liabilities disclosed here excludes statutory payables (i.e. Taxes payables)<br />

Net holding gain/(loss) on financial instruments by category<br />

Financial Assets<br />

Carrying Amount Carrying Amount<br />

2010 2009<br />

$'000 $'000<br />

Cash and cash equivalents (i) 516 690<br />

Available for sale (i) - (1,417)<br />

Total Financial Assets 516 (727)<br />

(i) For cash and cash equivalents, loans or receivables and available-for-sale financial assets, the net gain or loss is calculated by taking the interest revenue, plus or minus foreign exchange gains or<br />

losses arising from revaluation of the financial assets, and minus any impairment recognised in the net result;<br />

(ii) For financial liabilities measure at amortised cost, the net gain or loss is calculated by taking the interest expense, plus or minus foreign exchange gains or losses arising from the revaluation of<br />

financial liabilities measured at amortised cost.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 39 of 52


Note 20: Financial Instruments (continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(b) Credit Risk<br />

<strong>Northern</strong> <strong>Health</strong>'s exposure to credit risk and effective weighted average interest rate by ageing periods is set out in the following table. For interest rates applicable to each class of asset refer to<br />

individual notes to the financial statements.<br />

Ageing analysis of financial asset as at 30 June<br />

Consol'd<br />

Carrying<br />

Amount<br />

Not Past Due<br />

and Not<br />

Impaired<br />

Less than 1<br />

Month<br />

Past Due But Not Impaired<br />

1-3 Months 3 months - 1<br />

Year<br />

1-5 Years<br />

Impaired<br />

Financial Assets<br />

2010 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Financial Assets<br />

Cash and Cash Equivalents 1,382 1,382 - - - - -<br />

Receivables 5,320 3,897 548 451 372 52 -<br />

Total Financial Assets 6,702 5,279 548 451 372 52 -<br />

2009<br />

Financial Assets<br />

Cash and Cash Equivalents 4,361 4,361 - - - - -<br />

Receivables 5,926 2,967 1,146 940 640 233 -<br />

Other financial assets<br />

- Available for sale 1,440 - - - - - 1,440<br />

Total Financial Assets 11,727 7,328 1,146 940 640 233 1,440<br />

Ageing analysis of financial assets excludes statutory financial assets (i.e GST input tax credit)<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 40 of 52


Note 20: Financial Instruments (continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(c) Liquidity Risk<br />

The following table discloses the contractual maturity analysis for <strong>Northern</strong> <strong>Health</strong>'s financial liabilities. For interest rates applicable to each class of liability refer to individual notes to the financial<br />

statements.<br />

Maturity analysis of financial liabilities as at 30 June<br />

Carrying<br />

Amount<br />

Contractual<br />

Cash Flows<br />

Less than 1<br />

Month<br />

Maturity Dates<br />

1-3 Months 3 months - 1<br />

Year<br />

2010 $'000 $'000 $'000 $'000 $'000 $'000<br />

1-5 Years<br />

Financial Liabilities<br />

Payables 19,347 19,347 7,500 11,792 55 -<br />

Interest Bearing Liabilities 855 855 - - 144 711<br />

Other Financial Liabilities 5 5 - 5 - -<br />

Total Financial Liabilities 20,207 20,207 7,500 11,797 199 711<br />

2009<br />

Financial Liabilities<br />

Payables 24,810 24,810 10,950 10,894 2,966 -<br />

Interest Bearing Liabilities 891 891 12 36 96 747<br />

Other Financial Liabilities 8 8 - 8 - -<br />

Total Financial Liabilities 25,709 25,709 10,962 10,938 3,062 747<br />

Ageing analysis of financial liabilities excludes statutory financial liabilities (i.e GST payable)<br />

(d) Fair Value<br />

<strong>Northern</strong> <strong>Health</strong> considers that the carrying amount of financial instrument assets and liabilities recorded in the financial statements to be a fair approximation of their fair values, because of the<br />

short-term nature of the financial instruments and the expectation that they will be paid in full.<br />

The aggregate net fair value of financial assets and liabilities, both recognised and unrecognised, at the balance date are equal to their carrying amount as per the balance sheet.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 41 of 52


Note 20: Financial Instruments (continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(e) Market Risk<br />

<strong>Northern</strong> <strong>Health</strong>'s exposures to market risk are primarily through interest rate risk with only insignificant exposure to foreign currency and other price risks. Objectives, policies and processes used to<br />

manage each of these risks are disclosed in the paragraph below.<br />

Currency Risk<br />

<strong>Northern</strong> <strong>Health</strong> is exposed to insignificant foreign currency risk through its payables relating to purchases of supplies and consumables from overseas. This is because of a limited amount of<br />

purchases denominated in foreign currencies and a short timeframe between commitment and settlement.<br />

Interest Rate Risk<br />

Exposure to interest rate risk might arise primarily through <strong>Northern</strong> <strong>Health</strong>'s interest bearing liabilities. Minimisation of risk is achieved by mainly undertaking fixed rate or non-interest bearing<br />

financial instruments. For financial liabilities, <strong>Northern</strong> <strong>Health</strong> mainly undertake financial liabilities with relatively even maturity profiles.<br />

Other Price Risk<br />

<strong>Northern</strong> <strong>Health</strong>'s exposure to 'Other Price Risk' arises from its current investment portfolio. The investment portfolio has experienced a reduction in value due to the volatility of the global financial<br />

markets and there is an increasing expectation that due to the nature of these investments that the original face value may not be realised on maturity.<br />

As a consequence of these events, <strong>Northern</strong> <strong>Health</strong> has taken all possible steps to strengthen its financial policies and internal controls relating to the investment of surplus funds.<br />

Interest Rate Exposure of Financial Assets and Liabilities as at 30 June<br />

Weighted Carrying<br />

Average Amount Fixed Variable Non-<br />

Effective Interest Interest Interest<br />

Interest Rate Rate Bearing<br />

2010 Rate (%) $'000 $'000 $'000<br />

Financial Assets<br />

Cash and Cash Equivalents 3.23 1,382 - 1,349 33<br />

Recievables (i)<br />

- Trade debtors 0.00 2,104 - - 2,104<br />

- Other receivables 0.00 3,216 - - 3,216<br />

Other financial assets<br />

- Available for sale 4.33 - - - -<br />

6,702 - 1,349 5,353<br />

Financial Liabilities<br />

Payables (i) 0.00 19,347 - - 19,347<br />

Interest Bearing Liabilities 3.80 855 - 855 -<br />

Other financial liabilities 0.00 5 - - 5<br />

20,207 - 855 19,352<br />

2009<br />

Financial Assets<br />

Cash and Cash Equivalents 4.59 4,361 - 4,328 33<br />

Recievables (i)<br />

- Trade debtors 0.00 3,434 - - 3,434<br />

- Other receivables 0.00 2,492 - - 2,492<br />

Other financial assets<br />

- Available for sale 7.39 1,440 - 1,440 -<br />

11,727 - 5,768 5,959<br />

Financial Liabilities<br />

Payables (i) 0.00 24,810 - - 24,810<br />

Interest Bearing Liabilities 3.80 891 - 891 -<br />

Other financial liabilities 0.00 8 - - 8<br />

25,709 - 891 24,818<br />

(i) The carrying amount excludes statutory financial assets and liabilities (i.e. GST input tax credit and GST payable)<br />

Interest Rate Exposure<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 42 of 52


Note 20: Financial Instruments (continued)<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

(e) Market Risk (cont)<br />

Sensitivity Disclosure Analysis<br />

Taking into account past performance, future expectations, economic forecasts, and management's knowledge and experience of the financial markets, <strong>Northern</strong> <strong>Health</strong> believes the following<br />

movements are 'reasonably possible' over the next 12 months (Base rates are sourced from the Reserve Bank of Australia)<br />

- A shift of +1% and -1% in market interest rates (AUD) from year-end rates of 4.1%;<br />

- A parallel shift of +1% and 1% in inflation rate from year-end rates of 2%<br />

The following table discloses the impact on net operating result and equity for each category of financial instrument held by <strong>Northern</strong> <strong>Health</strong> at year end as presented to key management personnel, if<br />

changes in the relevant risk occur.<br />

Carrying<br />

Amount<br />

-1%<br />

Interest Rate Risk Other Price Risk<br />

+1% -5% +10%<br />

Profit Equity Profit Equity Profit Equity Profit Equity<br />

2010 $'000 $'000 $'000 $'000 $'000 $'000 $'000 $'000<br />

Financial Assets<br />

Cash and Cash Equivalents (i) 1,382 (14) (14) 14 14 - - - -<br />

Receivables<br />

- Trade debtors 2,104 - - - - - - - -<br />

- Other receivables 3,216 - - - - - - - -<br />

Other financial assets<br />

- Available for sale - - - - - - - - -<br />

Financial Liabilities<br />

Payables 19,347 - - - - - - - -<br />

Interest Bearing Liabilities 855 9 9 (9) (9) - - - -<br />

Other Financial Liabilities 5 - - - - - - - -<br />

(5) (5) 5 5 - - - -<br />

2009<br />

Financial Assets<br />

Cash and Cash Equivalents (i) 4,361 (44) (44) 44 44 - - - -<br />

Receivables<br />

- Trade debtors 3,434 - - - - - - - -<br />

- Other receivables 2,492 - - - - - - - -<br />

Other financial assets<br />

- Available for sale 1,440 (14) (14) 14 14 (72) (72) 144 144<br />

Financial Liabilities<br />

Payables 24,810 - - - - - - - -<br />

Interest Bearing Liabilities 891 9 9 (9) (9) - - - -<br />

Other Financial Liabilities 8 - - - -<br />

(49) (49) 49 49 (72) (72) 144 144<br />

(i) eg. Sensitivity of cash and cash equivalents to a +1% movement in interest rates: [$1,349k*0.051]-[$1,349k*0.041] = $14k. Similar for a -1% movement in interest rate, impact = $(14k)<br />

The carrying amount excludes statutory financial assets and liabilities (i.e. GST input tax credit and GST payable)<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 43 of 52


Note 21: Commitments for Expenditure<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Parent Entity Parent Entity Consol'd Consol'd<br />

2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000<br />

Capital Expenditure Commitments<br />

Payable:<br />

Land and Buildings 51,972 22,056 51,972 22,056<br />

Plant and Equipment 934 1,839 934 1,839<br />

Total Capital Commitments 52,906 23,895 52,906 23,895<br />

Land and Buildings<br />

Not later than one year 32,172 20,565 32,172 20,565<br />

Later than 1 year and not later than 5 years 19,800 1,491 19,800 1,491<br />

Total 51,972 22,056 51,972 22,056<br />

Plant & Equipment<br />

Not later than one year 934 1,839 934 1,839<br />

Total 934 1,839 934 1,839<br />

Other Expenditure Commitments<br />

Payable:<br />

Pathology Services 13,378 5,776 13,378 5,776<br />

Radiology Services 23,064 30,427 23,064 30,427<br />

Food Services 12,126 17,827 12,126 17,827<br />

Laundry Services 3,175 9,869 3,175 9,869<br />

Mechanical Services 249 - 249 -<br />

Cleaning Services 8,847 912 8,847 912<br />

Total Other Commitments 60,839 64,811 60,839 64,811<br />

Not later than one year 26,455 23,126 26,455 23,126<br />

Later than 1 year and not later than 5 years 34,384 41,685 34,384 41,685<br />

TOTAL 60,839 64,811 60,839 64,811<br />

Lease Commitments<br />

Commitments in relation to leases contracted for at the reporting date:<br />

Operating Leases 1,352 1,273 1,352 1,273<br />

Total Lease Commitments 1,352 1,273 1,352 1,273<br />

Operating Leases<br />

Non-cancellable<br />

Not later than one year 614 558 614 558<br />

Later than 1 year and not later than 5 years 738 715 738 715<br />

Sub Total 1,352 1,273 1,352 1,273<br />

TOTAL 1,352 1,273 1,352 1,273<br />

Total Commitments for expenditure (inclusive of GST) 115,096 89,979 115,096 89,979<br />

less GST recoverable from the Australian Tax Office (10,463) (8,180) (10,463) (8,180)<br />

Total commitments for expenditure (exclusive of GST) 104,633 81,799 104,633 81,799<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 44 of 52


Note 22: Contingent Assets and Contingent Liabilities<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Consol'd<br />

2010 2009<br />

$'000 $'000<br />

<strong>Northern</strong> <strong>Health</strong> is not aware of any contingent assets.<br />

- -<br />

<strong>Northern</strong> <strong>Health</strong> notes the following recallable Department of <strong>Health</strong> capital grants as contingent liabilities.<br />

* Facilitate Provision Of Pathology Service (Initially Catheterisation Laboratory Equipment)<br />

1,200 1,200<br />

* Client Patient Folder - Electronic Medical Record 1,515 1,700<br />

<strong>Northern</strong> <strong>Health</strong> is not aware of any other contingent liabilities.<br />

- -<br />

Note 23: Segment Reporting<br />

RAC Other<br />

2010 2009 2010 2009 2010 2009<br />

$'000 $'000 $'000 $'000 $'000 $'000<br />

REVENUE<br />

External Segment Revenue 2,692 2,507 306,298 270,228 308,990 272,735<br />

Total Revenue 2,692 2,507 306,298 270,228 308,990 272,735<br />

EXPENSES<br />

External Segment Expenses (2,585) (2,616) (303,427) (286,212) (306,012) (288,828)<br />

Intersegment Expenses (282) (144) - - (282) (144)<br />

Total Expenses (2,867) (2,760) (303,427) (286,212) (306,294) (288,972)<br />

Net Result from Ordinary Activities (175) (253) 2,871 (15,984) 2,696 (16,237)<br />

Consol'd<br />

Interest Expense - - (34) (67) (34) (67)<br />

Interest Income - - 516 690 516 690<br />

Net Result for Year (175) (253) 3,353 (15,361) 3,178 (15,614)<br />

OTHER INFORMATION<br />

Segment Assets 76 69 292,589 286,152 292,665 286,221<br />

Unallocated Assets - - 12,735 19,648 12,735 19,648<br />

Total Assets 76 69 305,324 305,800 305,400 305,869<br />

Segment Liabilities - - - - - -<br />

Unallocated Liabilities - - 67,082 70,729 67,082 70,729<br />

Total Liabilities - - 67,082 70,729 67,082 70,729<br />

Acquisition of Property, Plant and Equipment and Intangible Assets 13 16 26,193 16,595 26,206 16,611<br />

Depreciation & Amortisation expense 15 16 20,145 9,751 20,160 9,767<br />

The major products/services from which the above segments derive revenue are:<br />

Business Segments Services<br />

Residential Aged Care Services (RACS) Provider of residential aged care beds<br />

<strong>Northern</strong> <strong>Health</strong> Provider of acute and Sub Acute patient care<br />

All inter-segment transactions are carried at cost.<br />

Geographical Segment<br />

<strong>Northern</strong> <strong>Health</strong> operates in the northern suburbs of Melbourne (Broadmeadows, Bundoora, Craigieburn, Epping and Preston) Victoria. All revenue, expenses and segment assets relate to operations<br />

in Melbourne, Victoria.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 45 of 52


Note 24a: Responsible Persons Disclosures<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

In accordance with the Ministerial Directions issued by the Minister for Finance under the Financial Management Act 1994, the following disclosures are made regarding responsible persons for the<br />

reporting period.<br />

Responsible Minister<br />

The Honourable Daniel Andrews, MLA, Minister for <strong>Health</strong><br />

Period<br />

1/7/2009 - 30/06/2010<br />

Governing Boards<br />

Dr Sandra Hacker (Chair resigned 30 June 2010)<br />

Mr Stephen Black (Chair effective 1 July 2010)<br />

Ms Sabine Phillips<br />

Mr Stephen Hay (Resigned 30 June 2010)<br />

Mr Brian Joyce<br />

Mr Ray Judd<br />

Prof. Vin Massaro<br />

Ms. Sue Renkin<br />

Ms. Marilyn Beaumont<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

1/7/2009 - 30/06/2010<br />

New Board Members effective 1 July 2010<br />

Ian Dunn<br />

Leigh Hocking<br />

Accountable Officers:<br />

Mr Greg Pullen<br />

1/7/2009 - 30/06/2010<br />

Remuneration of Responsible Persons<br />

The number of Responsible Persons are shown in their relevant income bands;<br />

Parent Consol'd<br />

2010 2009 2010 2009<br />

Income Band No. No. No. No.<br />

$10,000 - $19,999 5 4 5 4<br />

$20,000 - $29,999 3 4 3 4<br />

$40,000 - $49,999 0 1 0 1<br />

$50,000 - $59,999 1 0 1 0<br />

$80,000 - $89,999 0 1 0 1<br />

$90,000 - $99,999 0 1 0 1<br />

$110,000 - $119,999 0 1 0 1<br />

$330,000 - $339,999 1 0 1 0<br />

Total Numbers 10 12 10 12<br />

Total remuneration received or due and receivable by Responsible Persons from the reporting entity<br />

amounted to:<br />

$570,989 $512,488 $570,989 $512,488<br />

Amounts relating to Responsible Ministers are reported in the financial statements of the Department of Premier and Cabinet.<br />

Other Transactions of Responsible Persons and their Related Parties.<br />

There were no other transactions of Responsible Persons and their Related Parties to report.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 46 of 52


Note 24b: Executive Officer Disclosures<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

Executive Officers' Remuneration<br />

The numbers of executive officers, other than Ministers and Accountable Officers, and their total remuneration during the reporting period are shown in the first two columns in the table below in their<br />

relevant income bands.<br />

The base remuneration of executive officers is shown in the third and fourth columns. Base remuneration is exclusive of bonus payments, long-service leave payments, redundancy payments and<br />

retirement benefits. Executive Officers with remuneration packages in excess of $100,000 who have commenced or ceased employment with <strong>Northern</strong> <strong>Health</strong> during the year are included in the<br />

following details.<br />

Parent<br />

Total Remuneration Base Remuneration<br />

Total Remuneration<br />

Base Remuneration<br />

2010 2009 2010 2009 2010 2009 2010 2009<br />

No. No. No. No.<br />

$30,000 - $39,999 0 0 2 0 0 0 2 0<br />

$110,000 - $119,999 0 0 0 1 0 0 0 1<br />

$130,000 - $139,999 0 1 0 0 0 1 0 0<br />

$140,000 – $149,999 0 3 1 4 0 3 1 4<br />

$150,000 – $159,999 0 1 1 1 0 1 1 1<br />

$160,000 – $169,999 2 1 2 3 2 1 2 3<br />

$170,000 – $179,999 0 2 1 0 0 2 1 0<br />

$180,000 – $189,999 3 1 0 0 3 1 0 0<br />

$190,000 – $199,999 1 0 1 1 1 0 1 1<br />

$200,000 – $209,999 0 1 0 0 0 1 0 0<br />

$210,000 – $219,999 1 0 0 0 1 0 0 0<br />

$240,000 – $249,999 1 0 0 0 1 0 0 0<br />

$310,000 – $329,999 0 0 1 0 0 0 1 0<br />

$320,000 – $329,999 1 0 0 0 1 0 0 0<br />

Total 9 10 9 10 9 10 9 10<br />

Consol'd<br />

Total Remuneration $1,850,781 $1,629,604 $ 1,384,797 $ 1,541,466 $ 1,850,781 $ 1,629,604 $ 1,384,797 $ 1,541,466<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 47 of 52


Note 25: Events Occurring after the Balance Sheet Date<br />

Notes To and Forming Part of the Financial Statements<br />

<strong>Northern</strong> <strong>Health</strong> Annual Report 2009/2010<br />

<strong>Northern</strong> <strong>Health</strong> is not aware of any events occurring after reporting date that would have a material impact on the financial statements.<br />

Note 26: Controlled Entities<br />

Name of entity<br />

Country of<br />

incorporation<br />

Equity Holding<br />

<strong>Northern</strong> <strong>Health</strong> Research, Training and Equipment Foundation Ltd Australia Limited by Guarantee<br />

<strong>Northern</strong> After Hours Clinic Ltd Australia Limited by Guarantee<br />

Note - The <strong>Northern</strong> After Hours Clinic Ltd ceased trading effective 30 June 2009 and was deregistered with the Australian Securities & Investment Commission (ASIC) on 17 September 2009.<br />

Note 27: Economic Dependency<br />

The financial statements have been prepared on a going concern basis as at 30 June 2010. <strong>Northern</strong> <strong>Health</strong> has:<br />

- A surplus from ordinary activities of $3.18 million for the year ended 30 June 2010 (deficit of $15.61 million for the year ended 30 June 2009).<br />

- A working capital deficiency of $50.73 million as at 30 June 2010 ($49.04 million as at 30 June 2009).<br />

<strong>Northern</strong> <strong>Health</strong> Management are committed to the continued review of its financial and operating performance with a view to identifying further cost saving initiatives and revenue generating<br />

opportunities and providing the most effective and efficient service delivery model without compromising patient care and quality of service delivery.<br />

An on-going budget strategy has been initiated by the Management of <strong>Northern</strong> <strong>Health</strong> which has identified a number of business initiatives to better manage the available financial resources. In<br />

addition, the strategy adopted by <strong>Northern</strong> <strong>Health</strong> also includes assurances by the Department of <strong>Health</strong> to support the on-going operations and financial requirements of <strong>Northern</strong> <strong>Health</strong> and to provide<br />

to <strong>Northern</strong> <strong>Health</strong> adequate cash flow support to enable <strong>Northern</strong> <strong>Health</strong> to meet its current and future obligations as and when they fall due for a period up to September 2011 should this be required.<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report <br />

Page 48 of 52


<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report Page 49 of 52


<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report Page 50 of 52


THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report Page 51 of 52


THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK<br />

<strong>Northern</strong> <strong>Health</strong> Financial Report Appendix to the 2009 - 2010 Annual Report Page 52 of 52


Broadmeadows <strong>Health</strong> Service<br />

35 Johnstone Street Broadmeadows Vic 3074<br />

Telephone (03) 8345 5000 Facsimile (03) 8345 5655<br />

Bundoora Extended Care Centre<br />

1231 Plenty Road Bundoora Vic 3083<br />

Telephone (03) 9495 3100 Facsimile (03) 9467 4365<br />

Craigieburn <strong>Health</strong> Service<br />

Craigieburn Road West Craigieburn Vic 3064<br />

Telephone (03) 8338 3000 Facsimile (03) 8338 3110<br />

Panch <strong>Health</strong> Service<br />

300 Bell Street Preston Vic 3072<br />

Telephone (03) 9485 9000 Facsimile (03) 9485 9010<br />

The <strong>Northern</strong> Hospital<br />

185 Cooper Street Epping Vic 3076<br />

Telephone (03) 8405 8000 Facsimile (03) 8405 8524<br />

www.nh.org.au

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