DHF Annual Report 2009 - NT Health Digital Library - Northern ...

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Enhanced surgical capacity at Alice Springs Hospital by strengthening partnershipsand establishing agreements with other public and private health organisations.Centre, Royal Adelaide Hospital and Royal Victorian Eye and Ear Hospital providingexperienced surgeons to boost surgical capacity and oversee training in selectspecialties. Concurrently, negotiations have commenced with Fred Hollows Foundationfor the construction of an Eye Clinic at Alice Springs Hospital.Work continues on the redesign and refurbishment of the day procedure unit, fundedcompletion in November 2010.Additionally, the Royal Darwin Hospital received an upgrade to two minor surgicalopened in October 2009 and have greatly assisted the ability of Royal Darwin Hospital toundertake the more complex procedures on the elective surgery waiting list.Commencement of a new satellite renal dialysis service in Alice Springs, to help meet theexpanding needs of Central Australia. The Gap Road satellite dialysis unit commencedoperation in April 2010 and provides clinical care and management for 48 additionalrenal patients. Work also began in 2009-10 on the expansion of the Tennant CreekSatellite unit, adding eight additional dialysis stations by February 2011 and planned toservice an additional 48 renal patients.Non-Admitted Patient ServicesNon-admitted care is care provided to a person who receives direct care within the emergencydepartment or other designated clinics within the hospital and who is not formally admittedat the time when the care is provided. In 2009-10, the revised budget allocated $127.6million to acute care non-admitted services, with actual expenditure amounting to just under$128.4 million, representing a marginal overspend of approximately 0.7%.Output2008-09Actual2009-10Budget2009-10RevisedBudget2009-10ActualOutput cost ($’000) 115 477 121 576 127 556 128 418Outpatient AttendancesPerformance MeasureQuantity 12008-09Actual2009-10Estimate2009-10Actual2010-11EstimateNon-admitted specialist clinic occasions of service 2 172 480 175 400 189 589 195 000Emergency department attendances 3 129 165 129 700 132 583 134 900Timeliness 4- Category 1: resuscitation - attended to immediately 100% 100% 100% 100%- Category 2: emergency - attended to within 10 minutes 62% 70% 63% 70%- Category 3: urgent - attended to within 30 minutes 48% 70% 49% 70%- Category 4: semi-urgent - attended to within 60 minutes 50% 60% 51% 60%- Category 5: non-urgent - attended to within 120 minutes 90% 85% 91% 85%116Department Health and Families
1.2.3.4.Due to remoteness, the dispersed population and absence of alternative health care providers, NorthernTerritory public hospitals fill numerous non-acute care service gaps in the community. A number ofthese measures are therefore not directly comparable with other jurisdictions.Number of specialist consultations for non-admitted patients.Number of patients presenting at an emergency department who are registered and triaged (clinicallyassessed). This now includes patients who did not wait to be seen by a doctor, consistent with nationalreporting.Percentage of emergency department presentations where treatment commenced within clinicallyappropriate waiting time for category.10%increase inoutpatientspecialistserviceNon-admitted specialist clinics occasions of serviceOutpatient specialist clinic attendances increased by nearly 10% to 189 589 occasions ofservice. The majority of growth occurred in the Darwin region followed by Alice Springs withthe remaining three hospitals making only marginal contributions to total growth. Much ofand ASH underpinned by the commencement of the community midwifery practice late in2008-09 and the closure of private obstetric/gynaecology service at Alice Springs over thesame period. Similarly, continued efforts to address the Northern Territory’s ESWL, impactssurgical and medical activity in addition to associated activity done on preadmission.Emergency Department AttendancesIn 2009-10 the number of ED attendances across the hospital network increased by 2.7%.The largest contributor to growth in ED attendances over this period was ASH. Patientswho did not wait to see a doctor decreased by 4.6% over the same period. Medianwaiting time for all patients seen by a doctor decreased marginally from 41 minutes in2008-09 to 38 minutes in 2009-10.Figure 10 - Non-admitted specialist clinic occasions of service – all NT Hospitals2005-06 to 2009-10'00020019018016014014415216017212010080604020005/06 06/07 07/08 08/09 09/10Financial YearDepartment Health and Families 117
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Visit the department’s website at
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Chief Executive ForewordChief Execu
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10Department Health and Families
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Dr Barbara PatersonCorporate Plan P
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Peter BeirneCorporate Plan Priority
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In comparing data between 1994-98 a
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Aboriginal Health and FamiliesProf.
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Corporate Plan 2009 - 2012Vision, M
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to detect, monitor, report and eval
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PRIORITY ACTION AREA 2Healthy Child
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to parents at key ages i.e. exclusi
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PRIORITY ACTION AREA 3Targeting Smo
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the health effects of smoking from
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PRIORITY ACTION AREA 4Connecting Ca
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The Chief Minister’s Youth Round
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Created four additional positions i
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PRIORITY ACTION AREA 5Safety, Quali
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essential to make sure that, wherev
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PRIORITY ACTION AREA 6Attract, Deve
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Established an Indigenous Nursing a
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Implement the Professional Practice
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The Integrated Maternity Services C
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Radiation Oncology Services
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Service Map DetailsDepartment Healt
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NT HEALTH FACILITIESDEPARTMENT OF H
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Through the East Arnhem Regionalisa
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very effective with the Alice Sprin
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Across the TerritoryDigital Regions
Page 65 and 66: Our PeopleDepartment Health and Fam
Page 67 and 68: Snapshot of our peopleFigure 1 show
Page 69 and 70: National Indigenous Cadetship Progr
Page 71 and 72: Supporting our PeopleHuman Resource
Page 73 and 74: Managing AggressionAggression Manag
Page 75 and 76: Eliminating bullying and harassment
Page 77 and 78: Graduate ProgramThe Department has
Page 79 and 80: GovernanceDepartment Health and Fam
Page 81 and 82: NT Family & ChildrenAdvisory Counci
Page 83 and 84: Royal Darwin Hospital Medical Evacu
Page 85 and 86: Coronial FindingsThe Coroners Act e
Page 87 and 88: NTFC options for a complaint outcom
Page 89 and 90: Sentinel Eventsdeath or serious har
Page 91 and 92: Human Research Ethics CommitteeThe
Page 93 and 94: Department Health and Families 93
Page 95 and 96: Table 16: Budget by Output groups20
Page 97 and 98: NT Families and ChildrenDepartment
Page 99 and 100: Key Achievementsfurther increases i
Page 101 and 102: Key AchievementsAdditional funds of
Page 103 and 104: The Youth Triage Team was formed in
Page 105 and 106: Youth ServicesThe Northern Territor
Page 107 and 108: Performance Measure2008-09Actual200
Page 109 and 110: Acute CareDepartment Health and Fam
Page 111 and 112: 1. “Due to remoteness, the disper
Page 113 and 114: Figure 5 - Weighted Separations by
Page 115: There are three types of treatment
Page 119 and 120: HospitalsAlice Springs HospitalTota
Page 121 and 122: Audiologist (visits from Darwin) Ce
Page 123 and 124: Patients requiring services that ar
Page 125 and 126: Health and Wellbeing ServicesDepart
Page 127 and 128: in remote communities. Children are
Page 129 and 130: Key AchievementsMore than 70 facili
Page 131 and 132: Healthy Pregnancy Healthy Baby info
Page 133 and 134: The core clinical and health promot
Page 136 and 137: School Screening Services (SSS)The
Page 138 and 139: increased access to after-hours med
Page 140 and 141: Key AchievementsImplemented the NT
Page 142 and 143: Community Support Services for Frai
Page 144 and 145: Commenced development and implement
Page 146 and 147: 146Department Health and Families
Page 148 and 149: Public Health ServicesEnvironmental
Page 150 and 151: Key AchievementsNo Germs on MeThe
Page 152 and 153: Figure 13: NT Schedule 8 drug presc
Page 154 and 155: 1. SHBBV 2009-10 data may not be co
Page 156 and 157: of on-shore detections of exotic Ae
Page 158 and 159: In July 2009 a National Coordinatio
Page 160 and 161: Tuberculosis and Leprosy Unitwith a
Page 162 and 163: 1 The Alcohol and Other Drugs Progr
Page 164 and 165: other drugs nursing position is bas
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Father Flynn FellowshipThe Father F
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Sales of Goods &Services4%Other Rev
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Grants and Subsidies
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CERTIFICATION OF THE FINANCIAL STAT
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Balance SheetNOTE 2010$'0002009$'00
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Cash Flow StatementNOTE2010$’0002
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1. Objectives and fundingThe Depart
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c) Agency and Territory Itemsand eq
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Revenue in respect of Appropriation
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o) ReceivablesReceivables include a
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t) Employee Benefitsmeasured at pre
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3. Comrehensive operating statement
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2010$'0002009$'000Note 6 (cont)Unal
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10 PROPERTY, PLANT AND EQUIPMENT (C
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11c HERITAGE AND CULTURAL ASSETS201
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2010$’0002009$’00017. NOTES TO
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18. FINANCIAL INSTRUMENTS (continue
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18. FINANCIAL INSTRUMENTS (continue
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20. CONTINGENT LIABILITIES AND CONT
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24. SCHEDULE OF TERRITORY ITEMSThe
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Appendix IFunding to External Provi
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Appendix II2009-10 Capital and Mino
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New Works 2009-10Alice Springs Hosp
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Appendix IIILegislation Responsibil
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Appendix IVCouncils, Committees and
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7. Raise community awareness of the
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Northern Territory Family and Child
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Key areas from terms of reference:T
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Australian Manufacturing Workers’
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Members of the Council who left in2
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Meetings:The Committee met in July
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Appendix VEmployment InstructionsDe
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Employment Instruction No.5Medical
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Appendix VIAcronymsAASAustralian Ac
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DHFDepartment of Health andFamilies
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MHSMental Health ServicesMJDMachado
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TBCTBCHTuberculosis CommunityHealth
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