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

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A new position, Alcohol and Other Drug CommunityCounsellor/Educator was recruited in early 2010.A new apprentice commenced on a two yearapprenticeship program with Alcohol and Other Drugs(AOD) in March 2010. Both positions have enhancedthe AOD services in the region and contributed toenabling Volatile Substance Abuse ManagementPlans development with communities and clinicalcare for AOD clients.Since October 2009, Departmental staff from variousprograms participated in the interagency response toassist the Binjari Community to re-engage followingseveral major anti-social incidents. The response wasconducted within the Binjari Action Plan, coordinatedby the Territory Police in liaison with the Binjaricommunity, Northern Territory and Federal agenciesand NGOs. The Department’s direct participationincluded - Safe Kids Strong Futures, Peace@Home (NTFC staff working with the Territory Police Child Protection, Mental Health, Aged and Disability,Women’s Health Educator, Alcohol and Other Drugs.Participation occurred in improving Youth Activitiesin Katherine and Binjari through interagency youthgroups in liaison with Department funded nongovernment agencies delivering youth services. Thisincluded AOD small grant funding for Binjari childrento access school holiday programs.The Department facilitated six meetings of theCommunity Helping, Action and Information Network(CHAIN) throughout the year which providesnetworking opportunities for providers in Katherine.Over 75 non government agencies, Northern Territoryand Australian Government organisations are on theCHAIN distribution emailing list.Central AustraliaThe W & E Rubuntja Researchand Medical Education building,home of the Baker Institute:Infectious Diseases and theFlinders University NorthernTerritory Rural Clinical School,was opened at the Alice SpringsHospital campus in March 2010.It provides a Central Australianbase for diabetes and vascular disease research aswell as research into other chronic diseases affectingAboriginal health.Agreement was reached on the provision of renalservices for Central Australian patients, includingthose from Western Australia and South Australia.Capacity was greatly expanded with a new 48 stationprivate partnership for renal services in the NorthernTerritory with Fresenius Medical Care responsible forproviding the dialysis services and the Alice SpringsHospital and Territory Renal Services responsiblefor clinical governance. Dialysis services were alsoexpanded with the introduction of a demountable atFlynn Drive providing two stations for self dialysisand a Home Dialysis Care program in remote centresincluding Ti Tree, Ali Curing and Santa Teresa.The Safe and Sober project commenced in 2010 asan initiative of the Alice Springs Transformation Plan’sAlcohol Rehabilitation Action Group. The project wasdeveloped by representatives of all the Alcohol andOther Drugs (AOD) stakeholders in Alice Springs andas a result Congress is to receive $5.4 million over twoand a half years to implement this ambulatory casemanagement and therapeutic intervention project.A $3.4 million NT Trachoma Strategy commencedin 2010, coordinated from Alice Springs. Theproject involves screening and treatment of adultsat Community Clinics and of children as part of theHealthy School Aged Kids program. A TrachomaEducator was recruited to deliver training inpartnership with the International Centre for EyeEducation at Central Australian Aboriginal Congressand service education and trachoma updates areregularly delivered to remote area nurses.60Department Health and Families
very effective with the Alice Springs region achievingan impressive 42% vaccination coverage rate. Aneducation campaign on sexually transmitted diseaseswas also a priority in 2009-10 with Central Australia’sCDC working with young people to develop the DVDAny Chance. The DVD promotes choices in sex,alcohol and safety and is being distributed throughoutthe Northern Territory.Alice Springs Hospital (ASH) introduced a numberof innovations in 2009-10 including a Paediatric UnitPlaygroup conducted by Tangentyere Council. Anextension of the Hospital in the Home program toseven days a week resulted in 2567 bed days savedover the twelve months to June 2010. The ASHMidwifery Group Practice provided 240 women witha choice of care including a designated Midwife andhome birthing.The Alice Springs Hospital Drovers Volunteer ServiceService category of the 2009 Rural and OutbackAwards. Founder of the Drovers, Ms Di Deans, wasalso recognised as the 2009 Centralian of the Year.The Drovers fundraising provided more than $50000 worth of equipment and materials, including awig library for those suffering hair loss as a result ofdisease or medical treatment.Central Australian Mental Health Services staff gainedaccreditation in Mental Health First Aid InstructorTraining in order to provide training to other serviceproviders in the broader community and to raiseawareness and education around mental health. Thisand prevention strategies in line with the NationalMental Health Standards. A Psychology OutpatientClinic for clients was established taking referrals fromcase managers, psychiatrists and medical staff andan emphasis on mental ill health prevention was thefocus of the Youth Mental Health First Aid service.The Aged and Disability program increased utilisationof the Community Services Program Network ClientManagement Framework in 2009-10. Guidelineswere developed and implemented and these haveresulted in interagency shared case management.The development of an NT wide practice manual isunderway to ensure equity in service access andeligibility in the disability sector.Central Australian Oral Health Services focused onmanagement of its waitlist in 2009-10 and as a resultsaw a reduction in waiting times for dental servicesin Alice Springs to approximately six months. OralHealth Services maintained its collaboration withAdelaide and Melbourne Universities and provided dental students. Work experience placements werealso provided for local high school students. Allremote communities were provided with access toservices via mobile dental trucks and regular visits toremote clinics.Targeted Families Support program achievedexcellent results in 2009-10 and additional andfunding was provided to Central Australian AboriginalCongress to expand the service in Alice Springs. ATargeted Family Support Service was implementedin Tennant Creek using an inter agency casemanagement protocol. Therapeutic services wereestablished for children and young people in the ChildProtection, Out of Home Care system and/or SafeFamilies program at Tangentyere Council.Remote Health Services conducted the basic trainingcourse for community based workers at Haasts Bluff.Joint service plans were completed with WYN Health(Willowra, Yuendemu and Nyirripi Health), WAHAC(Western Aranda Health Aboriginal Corporation)and Anyiniginyi. Remote Medical Practitioner casereviews and clinical records audits were implementedand activity and incident data reviewed by RemoteHealth Executive on a monthly basis. A process to standards has commenced and Remote HealthServices have increased employment of communitymembers to assist with service delivery.Health Development adopted a multi-disciplinaryapproach for service delivery based alonggeographical lines in order to deliver a rangeof specialised programs to remote Aboriginalcommunities. The Failure to Thrive project wasestablished as a collaborative project betweenGovernment and non-government agencies inCentral Australia and has resulted in an integrated/care pathway case management model, a ChildHealth Resource Directory and the re-establishmentof Under 10s case management meetings for theDepartment and other service providers.Department Health and Families 61
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Visit the department’s website at
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Chief Executive ForewordChief Execu
Page 10 and 11: 10Department Health and Families
Page 12 and 13: Dr Barbara PatersonCorporate Plan P
Page 14 and 15: Peter BeirneCorporate Plan Priority
Page 16: In comparing data between 1994-98 a
Page 19 and 20: Aboriginal Health and FamiliesProf.
Page 21: Corporate Plan 2009 - 2012Vision, M
Page 25 and 26: to detect, monitor, report and eval
Page 27 and 28: PRIORITY ACTION AREA 2Healthy Child
Page 29 and 30: to parents at key ages i.e. exclusi
Page 31 and 32: PRIORITY ACTION AREA 3Targeting Smo
Page 33 and 34: the health effects of smoking from
Page 35 and 36: PRIORITY ACTION AREA 4Connecting Ca
Page 37 and 38: The Chief Minister’s Youth Round
Page 39 and 40: Created four additional positions i
Page 41 and 42: PRIORITY ACTION AREA 5Safety, Quali
Page 43 and 44: essential to make sure that, wherev
Page 45 and 46: PRIORITY ACTION AREA 6Attract, Deve
Page 47 and 48: Established an Indigenous Nursing a
Page 49 and 50: Implement the Professional Practice
Page 51 and 52: The Integrated Maternity Services C
Page 53 and 54: Radiation Oncology Services
Page 55 and 56: Service Map DetailsDepartment Healt
Page 57 and 58: NT HEALTH FACILITIESDEPARTMENT OF H
Page 59: Through the East Arnhem Regionalisa
Page 63 and 64: 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
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1. “Due to remoteness, the disper
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Figure 5 - Weighted Separations by
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There are three types of treatment
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1.2.3.4.Due to remoteness, the disp
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HospitalsAlice Springs HospitalTota
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Audiologist (visits from Darwin) Ce
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Patients requiring services that ar
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Health and Wellbeing ServicesDepart
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in remote communities. Children are
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Key AchievementsMore than 70 facili
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Healthy Pregnancy Healthy Baby info
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The core clinical and health promot
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School Screening Services (SSS)The
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increased access to after-hours med
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Key AchievementsImplemented the NT
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Community Support Services for Frai
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Commenced development and implement
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146Department Health and Families
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Public Health ServicesEnvironmental
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Key AchievementsNo Germs on MeThe
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Figure 13: NT Schedule 8 drug presc
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1. SHBBV 2009-10 data may not be co
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of on-shore detections of exotic Ae
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In July 2009 a National Coordinatio
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Tuberculosis and Leprosy Unitwith a
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1 The Alcohol and Other Drugs Progr
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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
Page 232 and 233:
Appendix VIAcronymsAASAustralian Ac
Page 234 and 235:
DHFDepartment of Health andFamilies
Page 236 and 237:
MHSMental Health ServicesMJDMachado
Page 238 and 239:
TBCTBCHTuberculosis CommunityHealth
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