2000-01 Annual Report - Sydney Local Health District - NSW ...

MAP_______________________________________________________________________Major healthcare centres1. Balmain Hospital2. Canterbury Hospital3. Concord Hospital4. NSW Institute of Forensic Medicine5. Royal Prince Alfred Hospitala) Dame Eadith Walker Hospitalb) King George V Hospitalc) Rachel Forster Hospitald) Thomas Walker Hospital6. Rozelle Hospital7. United Dental Hospital8. CEIDA (to April 2000)9. HealthQuest10. Tresillian Family Care CentresCSAHS 2000/2001 Statutory Annual Report 7

Olwyn Mackenzie BA (Hons)Joining the board in 1996, Olwyn is amember of the Consumer’s Health Forum,Kings Cross Community Drug AdvisoryTeam, Council on the Ageing, OlderWomen’s Network, University of the ThirdAge, Country Women’s Association andWomen’s Electoral Lobby.John Meadth MB, BSJohn has been a board member since 1997.Working as a general practitioner inConcord, he chairs the Department ofGeneral Practice at Strathfield PrivateHospital. He has a ministerial appointmentas an official visitor under the Mental HealthAct.Jon Isaacs BA (Hons), FAICD, FAIMAppointed in 2000, Jon is a director of theSydney Foreshore Authority, AustralianTechnology Park Precinct ManagementLimited and the Ambulance Service of NSW.He is an executive coach, managementconsultant and accredited mediator. Jonserves as Independent Chair of the NSWAuditor-General’s Audit Committee.Glenn Wran MBA (CSU)Glenn joined the board in 2000. He isgeneral manager of the State ValuationOffice, deputy chairman of the BusinessEnterprise Centre Northside, foundingtrustee of the Australian Cord Blood BankFoundation and director of the HaberfieldRotary Club.Ten board meetings were held this year:MemberAttendanceChris Puplick 10Frances Carolan 8Peter Fernando 8Nea Goodman 8Diana Horvath 7Jon Isaacs 9Charles Linsell 9Olwyn Mackenzie 10John Meadth 8Maria Pethard 9Glenn Wran 7John Young 5CSAHS 2000/2001 Statutory Annual Report 9

• Ethics Review committees meetmonthly at RPA and Concord hospitalsand bi-monthly at UDH.The RPA committee is chaired by DrRob Loblay. Dr Sue Liew chaired theConcord committee to January 2001,with Dr Garry Pearce from February2001. Dr Barbara Taylor chairs the UDHcommittee.Members (attendance):RPA: Dr R Loblay (11), A Bolton (8),Prof D Cook (8), Dr A Eyers (8),Dr P Glare (4), P Green (2), Dr V Levy(9), J Lutman (10), H Milne (8),Rev Dr M Nixon (8), Dr I Reiger (10),K Vesk (6), Dr P White (1).Concord: Dr S Liew (4), Dr G Pearce (6),Dr G Aggarwal (1), J Bell (5),Dr D Brieger (5), Dr J Donnelly (3),Dr C George (5), E Lane (5), Dr F Li (9),Dr S Lim (4), J Lutman (9),Dr H McCathie (3), C Marsh (6),Dr M Millward (5), Dr G Molland (7),L Nigro (7), M Richardson (4),Dr E Spence (3), C Stewart (3),Rev P Watkins (7).UDH: Dr B Taylor (3), Dr S Buchanan(3), C Diep (2), Dr R Loblay (2),J Lutman (3), Fr Martin Milani (0),P Power (3), A Roth (2), W Sherson (2),Dr M Swain (2).Resources availableEthical behaviourAs part of a commitment to integrity, conductof the board is bound by the CSAHS By-Laws which cover such matters asresponsibilities to the community,compliance with regulations and ethicalresponsibilities.The board has also endorsed the CSAHSCode of Conduct, which determines theacceptable standards of behaviour by staff.All employees must observe the code aspart of their conditions of employment. Acomplete copy of the code can be found atwww.cs.nsw.gov.au/corporate/codeRisk managementThe board is responsible for supervising andmonitoring risk management by CSAHS,including the system of internal controls. Ithas mechanisms for monitoring theorganisation’s operations and financialperformance.Specific strategies have been developed andimplemented to control the risks associatedwith manual handling, hazardoussubstances, security and critical incidents.The board receives and considers all ofCSAHS’s external and internal audits and,through the audit committee, ensures theimplementation of recommendations. A riskmanagement plan is in place.The board and its members have access tovarious sources of independent adviceincluding the Auditor-General, the internalauditor who is free to give advice direct tothe board, and professional advice.Engaging in independent professional adviceis subject to the approval of the board or of acommittee of the board.Strategic directionThe board has in place processes for theeffective planning and delivery of healthservices to the community and patients. Theprocesses include the setting of strategicdirections for the organisation and the healthservices it provides.CSAHS 2000/2001 Statutory Annual Report 11

2. Executive ManagementThe management of CSAHS is overseen bya dedicated group of seven people, whoenjoy close working ties with senior staffwithin our facilities, clinical groups andadministrative areas.Chief Executive OfficerDr Diana Horvath AO, MB, BS, MHP, FRACMA,FAFPHM, FCHSEThe CEO is responsible and accountable toNSW Health for the management of one ofthe largest and busiest area health servicesin the State. CSAHS has an annualexpenditure of more than $777 million.Deputy Chief Executive OfficerMichael Wallace MSc (Soc), BScThe deputy CEO coordinates the operationsof CSAHS and oversees and manages theuse of resources and facilities.Director of Health ServicesDr Greg Stewart MB, BS, MPH (Syd), FRACMA,FAFPHM (to September 2000)Dr Peter Kennedy MB, BS, FRACP (fromOctober 2000)Focusing on quality outcomes, the director ofHealth Services assesses and guides thedevelopment and integration of healthcareservices across the 14 clinical groups whichmake up CSAHS.Director of FinanceCandy Cheng BComm, FCPAThe director of Finance is responsible for theefficient, professional and equitablemanagement of CSAHS’s available financialresources and assets to ensure appropriateuse and value.Director of Health Services PlanningRichard Gilbert BSc (Hons)The director of Health Services Planning isresponsible for developing and planningservices including assessing the healthrequirements of the population andidentifying the services required to meetthese needs. He formulates appropriateplans and advises on the resourceimplications of various funding methods andthe use of casemix information.Director of Corporate ServicesJan Whalan BPharm, MPH, MBA, AFAIMThe director of Corporate Services guides adiverse portfolio including human resourcesand risk management; occupational health,safety and rehabilitation; procurement andtendering; management and performancecontracts; policy development; administrativeand legal services; and non-governmentorganisations.Director of Nursing ServicesProfessor Joan Englert AM, RN, CM, MSc(Soc), BHA, DNA, COTM, CIC, FCN (NSW), FRCNA,FAIMThe director of Nursing Services directs andcoordinates the provision of nursing careacross our facilities. This involves workingclosely with clinical services to ensure theimplementation of best practice initiatives.The role includes managing the StaffDevelopment and Training Network to meetthe ongoing needs of all employees as wellas the portfolio for continuous qualityimprovement.CSAHS 2000/2001 Statutory Annual Report 12

PERFORMANCE OBJECTIVES_______________________________________________________________________CSAHS is committed to healthier people, fairer access, quality healthcare and better value.These philosophies build on and extend current levels of achievement and orientate us towardscontinuing to meet the community’s needs. Determined by NSW Health, these core goals guidethe provision of services and the setting of standards across the State.Over the past five years hospitals have increasingly been replacing same day admissions withambulatory care. These include chemotherapy, some sleep studies, endoscopies, cardiaccatherisation, amniocentesis and geriatric day hospital services. Adjusting for this activity(estimated at 18,300 admissions per year) would increase the number of acute admissions to150,000 (a 12.2 per cent increase).Highlights of our objectives and achievements for the year are detailed in the following table:Strategic DirectionsGoalsTarget in 2000/01 Outcome Future GoalsHealthier PeopleChronic and complexand other careReduce the unplannedreturn of patients to theoperating room followingneurosurgery to lessthan 2.8%The rate stands at lessthan 2%. This is adecrease from 3% in1997Develop guidelines andappropriate protocols tocontinue the reductionEstablish adegenerative jointdiseases clinic atConcord Hospital as aone-stop centre foreligible war widows andveteransImproved mobility andquality of life benefits forpatients due to individualtreatments and clinicalexpertise of staffContinue to improve themanagement ofdegenerative jointdiseasesPublic health protectionand health promotionImplement home visitingfor newborns in 30% ofEarly Childhood HealthService centres as partof the Families FirstprogramThe program operates in30% of childhood healthcentresExtend the program toall childhood healthcentresLimit exposure tosmoking in CSAHSfacilities to 71 exemptareas across 23 sitesAchievedGradually reduce theexempt areas to zero bySeptember 2002In falls prevention,improve on the 1998rate of 6.2 inpatient fallsper 1000 bed daysThe number fell to 4.6per 1000 bed days in2000Continue to decreasethe rateFairer AccessService accessstrategiesFor 100% of EmergencyCategory 1 patients tobe seen by a doctorwithin the benchmark oftwo minutesAchievedAll EmergencyCategory 1 patientswere seen in under twominutesMaintain the benchmarkCSAHS 2000/2001 Statutory Annual Report 13

Strategic DirectionsGoalsService accessstrategiesTarget in 2000/01 Outcome Future GoalsIncrease the day ofsurgery admission rateto 80% for patientsundergoinggastroenterology andliver proceduresThe target was metTo improve on the targetQuality healthcareInitiatives in qualitymanagementReduce waiting lists forfrail and elderly podiatryoutpatients in Riverwoodand MarrickvilleComplaints handling.Performance oncomplaints handling toexceed the benchmarkof 80% being resolved in35 daysWaiting times fell fromthree months to oneweekThe benchmark wasexceeded with 98% of allcomplaints resolved in35 days.This is better than theaverages in the State(82%) and MetropolitanSydney (83%)Ensure continuedsuccess of waiting timereductionsMaintain theperformanceSame-day bookedsurgery.Increase the percentageof surgeries undertakenon the same dayThe rate rose from 44%in 1999/2000 to 47% in2000/01Maintain and improve oncurrent levelsHowever CSAHS hastwo major, acute careteaching hospitalsproviding a significantamount of complexsurgery which does notlend itself to day-onlyproceduresThe Clinical QualityControl Council toendorse a CSAHS-wideaction plan as part of acommitment todelivering the higheststandards in serviceThe clinical qualityaction plan wasendorsed by the councilin March 2001Monitor and review keyareas including clinicalrisk managementprocesses, safety andquality structure andreporting lines, throughthe action planCommunity engagementand working inpartnershipsBetter ValueService developmentand asset strategiesImplement and developcontingency plans forinfectious diseases,environmental healthand food safety for theOlympic and Paralympicgames periodsOpening of ResourceTransition Programdevelopments includingthe RPA Institute ofRheumatology &Orthopaedics andrefurbishment works atthe United DentalHospitalAs a result of the plans,no critical incidentsoccurred during theeventsThe projects reflect theRTP’s philosophy of acollocation of relatedservices for greaterefficiency, and thedelivery of care from themost appropriate settingThe RTP continues toprogress on time and onbudgetBuild on the strong linksdeveloped with LocalGovernment during thistimeA $73 million project isunderway atConcord Hospital,scheduled forcompletion in 2002.Women’s and Children’sHealth is among theservices which will moveinto a purpose builtfacility at RPA during2002/03. The$258 million project willlocate complimentaryunits in close proximityCSAHS 2000/2001 Statutory Annual Report 14

CLINICAL GROUPS_______________________________________________________________________Bone, Joint and Connective Tissue ServiceClinical Director: Dr Peter Holman MB, BS, FRACS, FAOrthAThe Bone, Joint and Connective TissueService covers the disciplines oforthopaedics, rheumatology, immunologyand allergy, plastics, reconstructive anddental surgery, and HIV/AIDS. It alsoincorporates Sexual Health Services, whichmoved from CSAHS’s Respiratory andCritical Care Service in December 2000.Highlights in 2000/01 included:• Opening the RPA Institute ofRheumatology & Orthopaedics on themain campus as a stand-alone facility tocontinue the service’s trademarkexcellence in clinical outcomes,especially joint replacement surgery. Itfollowed the successful move of servicesfrom the Rachel Forster Hospital site inRedfern to the refurbished QEII building.Part of the Resource TransitionProgram, the new centre was unveiledby NSW Health Minister Craig Knowles.• Rising numbers of orthopaedic patientsbeing admitted on the day of theiroperation with the figure jumping above90 per cent following development of apre-admission clinic.• Advances in therapies which led toreduced HIV inpatient admissions.• Selection of the burns unit at ConcordHospital as the primary centre for theStatewide Severe Burns Service underthe Metropolitan Health Plan.• Innovations in plastics andreconstructive surgery, such asmicrovascular stapling devices havereduced the average operating time forcertain microsurgical applications suchas free flap procedures. New techniquesin reverse tissue expansion are showinggood results in the treatment of deepthoracic cavity wounds.• Establishing a one-stop clinic to treateligible war widows and veteranssuffering from degenerative jointdiseases, at Concord Hospital. Outcomeindicators have shown greater activityand mobility and improved managementof the disease.• Researchers in rheumatology andorthopaedics joining international, multicentretrials of new treatments toprevent crippling arthritis pain, and bloodclotting in patients who had jointreplacement surgery.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 360.17 359.43 319Admissions 10,166 9,799 8,829Same-day admissions 3,225 3,456 3,338Occasions of service 64,706 60,776 45,800#^ equivalent full-time # change due to the RTPBone, Joint and Connective Tissue ServiceRPA Concord CanterburyOrthopaedics • • •Rheumatology • • •Plastic & Reconstructive Surgery • •Burns•Faciomaxillary Surgery • •Trauma • •Dentistry • •Immunology • •Sexual Health Services•NSW Institute of Sports Medicine•CSAHS 2000/2001 Statutory Annual Report 15

Cancer ServicesClinical Director: Professor James Bishop MD, MMed, MB, BS, FRACP, FRCPAOperating under the banner of the SydneyCancer Centre, extensive clinical programshave been established at Royal PrinceAlfred, Concord and Canterbury hospitals.Community-based palliative care, anoutreach program at Dubbo Base Hospitaland work in Noumea are included in CancerServices.Offering the highest standards of care, staffdelivered more than 129,000 outpatienttreatments. In a population survey, CSAHSresidents recorded higher than Stateaverage survival rates for multiple myeloma,and upper gastrointestinal and renalcancers.With the incidence of cancer in NSWincreasing by 12 per cent each decade,efforts at addressing this figure include earlyintervention, rapid application of newresearch, and developing best practice incare and management.More than 450 teaching hours were devotedto students from the University of Sydney.Highlights during 2000/01 included:• Continuing the planning anddevelopment of a sophisticatedambulatory care model to maximisepatients’ time at home.• Developing a comprehensive cancercentre model using establishedinternational criteria to maximiseoutcomes.• Using the database at the SydneyMelanoma Unit, the largest treatmentcentre of its type in the world, to developa new, global classification formelanoma.• Launching a cancer fellowship programto develop additional training andresearch opportunities within allspecialties.• As part of a commitment to research,undertaking projects in DNAmethylation, gene therapy,pharmacology, sun screen and skincancer analysis, new drug development,the psychosocial aspects of cancer andleukaemia and multiple myelomainvestigations.• The cancer trials program winningaccreditation from the US NationalCancer Institute. Major grants receivedincluded $4.8 million from the NationalHealth and Medical Research Council.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 363.0 370.0 398.15Admissions 18,890 18,111 14,799Same-day admissions 10,592 5,737 5,104Non-inpatient occasions of service 95,000 114,775 129,022^ equivalent full-timeCancer ServicesRPA Concord CanterburyMedical Oncology • • •Surgical Oncology • •Radiation Oncology • •Urology • •Sydney Breast Cancer Institute • •BreastScreen NSW Central &Eastern Sydney•Gynaecological Oncology•Clinical Haematology • •Head and Neck Surgery • •Sydney Melanoma Unit•Palliative Care • • •Dermatology • •Bone and Soft Tissue Sarcoma Service•CSAHS 2000/2001 Statutory Annual Report 16

Cardiovascular ServicesClinical Director: Associate Professor Brian McCaughan MB, BS (Hon 1), FRACSPatients needing cardiovascular surgery arespending less time in hospital with theaverage length of stay falling from 3.5 to3.2 days. This reflects the development ofpre-admission clinics to conduct educationseminars and tests before the patient ischecked in.As a result we were able to treat morepatients, with same day admissions rising by12.4 per cent at Royal Prince Alfred Hospitaland 4 per cent across the clinical group.Cardiovascular Services treats cardiology,renal, endocrinology, vascular andcardiothoracic surgery, clinicalpharmacology and toxicology patients fromRPA and Concord hospitals, with networksin place extending links to other CSAHSfacilities.Highlights for 2000/01 included:• More people receiving their care as noninpatientswith the occasions of servicefor this group rising 6.3 per cent to34,344.• Introducing a pre-admission andeducation clinic for vascular surgerypatients. As a result the number ofpeople being admitted on the day oftheir operation rose from zero to 80 percent in eight months.• Specialists in cardiothoracic surgerycontinuing to meet the demand forimplantable prosthetic devices to treatlife-threatening arrhythmias. RPAbecame Australia’s second largestimplanter of heart defibrillators and thefifth in the nation for pacemakers. In the12 months to December 2000, 154patients received pacemakers, a 55 percent increase on the previous year. Thenumber of heart defibrillators implantedrose by 38 per cent.• Commencing talks to join ConcordHospital’s cardiology and vascularsurgery units to form the facility’s largestdepartment, cementing closer workingties and joint consultations.• Starting a gestational diabetes programat Canterbury Hospital to meet theneeds of the local community. Similarprograms operate at RPA and Concordhospitals. For enhanced patient servicesand care, endocrinology was divided intodiabetes, bone metabolism and generalendocrinology streams.• Developing an ambulatory care HighRisk Foot Service within RPA’s DiabetesCentre. As a result more than 57 percent of people with diabetic ulcers weresuccessfully treated within three months,at 10 per cent of the cost of previouscare.• Establishing a Priority Health CareProgram for chronic heart failure anddiabetes patients with footcareproblems, who traditionally have highreadmission rates.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 509.72 517.79 534.3Admissions 27,227 27,745 27,935Same-day admissions 17,514 18,591 19,332Non-inpatient occasions of service 29,942 32,285 34,344^ equivalent full-timeCardiovascular ServicesRPA ConcordRenal^ • •Cardiology • •Cardiothoracic Surgery • #Endocrinology • •National Poisons Register •Vascular Surgery • •Clinical Pharmacology•^ Includes nephrology and transplantation # a specialist service in the insertion of cardiac pacemakersCSAHS 2000/2001 Statutory Annual Report 17

Central Sydney Laboratory ServiceClinical Director: Associate Professor Geoff Duggin MB, BS (Hons), PhC, FRACP, FAFPHMThe Central Sydney Laboratory Service isone of the nation’s most cost-effectivepathology centres with a reputation forproviding the widest range of specialist testsin NSW. Benchmarking from the RoyalCollege of Pathologists of Australia identifiedthe CSLS as one of the country’s mostefficient in a total cost per test comparison.CSLS is one of five pathology hubs in NSWand research and teaching is an importantpart of its activities.Staff work from laboratories at Royal PrinceAlfred, Concord and Canterbury hospitals,providing specialised tests including traceelement analysis, bone and mineralmetabolism, and molecular biology.Highlights for 2000/01 included:• Joining with Hunter Area Pathology andPacific Laboratory Medicine services toform the Pathology Alliance of Australia.The resultant superhub allows expertiseand resources to be shared and boostsgroup purchasing and buying power.• Continuing with the development of anew laboratory facility with the plansapproved by the management advisorycommittee. Construction is expected tostart in 2002 through the ResourceTransition Program, which aims tocollocate services and maximise the useof resources and staff skills. Services atBalmain and Rachel Forster hospitalsmoved to RPA this year to consolidateactivities.Key indicators 1998/99 1999/2000 2000/01Staff EFT^ 444 427 415Occasions of service 818,179# 826,231 858,317^ equivalent full-time# a review of occasions of service for 1998/99 indicated anomalies in countingCentral Sydney Laboratory ServiceConcord^ RPA^ CanterburyAnatomical Pathology • •Biochemistry • • •Blood Bank • • •Electron Microscopy•Endocrinology • •Clinical Andrology Laboratory•Gastroenterology Laboratory•Haematology • # •Immunology•Laboratory Information Services • •Microbiology • •Molecular Genetics/Medicine • •Renal Laboratory•^ RPA and Concord hospital laboratories provide a range of tests for facilities outside CSAHS# Includes the Kanematsu Research LaboratoryCSAHS 2000/2001 Statutory Annual Report 18

Dental ServicesClinical Director: Dr Susan Buchanan BDSc, MDS, MBA, FRACDS, FICDOral healthcare is provided to CSAHSresidents and people in NSW who holdcurrent pensioner and healthcareconcession cards. In addition to the fullrange of on-site care, a network of child andadult clinics, mobile units, screeningprograms and education services areadministered. Many programs are providedin consultation with advocacy groups forindividuals with special needs.Dental Services are coordinated fromAustralia’s most modern dental facility at theUnited Dental Hospital, which has beenextensively refurbished. The clinical groupprovides training for university and TAFEstudents in dentistry, prosthodontics anddental assistant courses.The first students enrolled in the newgraduate dental program, and the coursewas developed following close liaison withthe University of Sydney. Studies focus onproblem-solving based learning, withpractical experience at UDH an integral part.Highlights during 2000/01 included:• Unveiling the $10 million redevelopmentworks at UDH as part of the ResourceTransition Program.• Continuing to develop and implementdental services across CSAHS facilitiesincluding postgraduate registrarprograms in children’s dentistry,orthodontics and crown, bridge anddenture specialties.• Working with carers from the BoardingHouse Team, which is run by MentalHealth Services. The carers identifydental problems, make appointmentsand assist with access to services.• Undertaking major research projects toexpand the service’s expertise. Theseinclude developing a quantitativemethod of evaluating pain by testingbiochemical changes in saliva, and alarge study on the relationship betweenperiodontal and cardiac disease.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 360 325 330Occasions of service:AdultsChildren^ equivalent full-time164,16631,261157,22131,876148,68228,271Dental ServicesSpecialist General Adult ChildrenUDH • • •RPA ^ •St George Hospital•Peakhurst Community Centre•Sutherland Hospital•Canterbury Hospital ^ • •Concord Hospital ^ •Rozelle Hospital•Clemton Park School•Marrickville School•Newtown School•Rozelle School•Homebush West School•Kirkton Road Centre #Cellblock Youth Centre #3 x mobile vans •^ not a full range of specialist services# patient assessment with referral to UDH for treatmentCSAHS 2000/2001 Statutory Annual Report 19

Gastroenterology and Liver ServicesClinical Director: Professor Les Bokey MB, BS, MS, FRACSThe clinical group is made up ofgastroenterology, colorectal, uppergastrointestinal, biliary and general surgeryand the Total Parenteral Nutrition Service. Itincludes the Australian National LiverTransplantation Unit.Highlights in 2000/01 included:• Redesigning the delivery of care throughthe collocation of services to meet thechanging needs of patients as part of theResource Transition Program.Preparations were in full swing to moveinto new facilities on the main RoyalPrince Alfred Hospital campus in July2001, and facilities at Concord Hospitalare also being upgraded.• Meeting targets with 80 per cent ofpatients undergoing gastroenteroloy andliver procedures being admitted tohospital on the day of surgery, and90 per cent of all elective patientsattending pre-admission services. Thefocus has now shifted to improving dayof-surgeryand day-only admissiontargets set by NSW Health andextending pre-admission services to allpatients.• Trialling an innovative pill, which acts asa visual aid when ingested to assist indiagnosing gastro-intestinal tractdisorders, at RPA’s EndoscopyDepartment. The pill can travel to themiddle and lower sections of the bowel,areas which traditional endoscopescannot reach. Physicians download theinformation to a computer for review.• Conducting a world-first, double-blindplacebo-controlled trial into Crohn’sdisease, a chronic inflammation of theintestine with an unknown cause. Led byAssociate Professor Warwick Selby,researchers at RPA and Concordhospitals are using an antibiotic to targetbacterium thought to be linked to thedisease.• Professor Geoffrey McCaughan winningthe inaugural RPA Foundation Medal forResearch. He is leading a team ofresearchers to discover new ways todiagnose and treat liver disease.• Joining forces with the NSW CancerCouncil and the University of Sydney topropose a screening project to targetcolorectal cancer.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 290.4 261.5+ 242.4+Admissions 16,625 16,398 3,253+Day Only Admissions 6,600 6,402 1,048+Occasions of Service 11,200 10,730 9,304#^ equivalent full-time# figure does not include Canterbury Hospital+ variation due to change in ward configurations as part of the RTPGastroenterology and Liver ServicesRPA Concord CanterburyLiver Transplant•Gastroenterology • •Colorectal Surgery • •Upper GIT Surgery • •General Surgery • • •CSAHS 2000/2001 Statutory Annual Report 20

General, Geriatric and Rehabilitation MedicineClinical Director: Dr John Cullen MB, BS, FRACPSpecialist clinics for Parkinson’s disease,cognitive disorders, amputee and chronicpain care and burns rehabilitation aremanaged by General, Geriatric andRehabilitation Medicine (GGRM).From hospital and community settingsacross CSAHS, staff working in GGRMprovide acute and ambulatory care, inpatientrehabilitation and day hospital treatments, inaddition to a range of local health servicesand carer support programs.Working with other clinical groups, staff helpstroke, orthogeriatric and burns patients aswell as boarding house residents whosecare extends beyond the boundaries of asingle clinical directorate. The group focuseson the multi-disciplinary management oftransitions such as hospital discharge.Highlights during 2000/01 included:• Extending the geriatric medicine trainingprogram into Canterbury Hospital,resulting in a rise in the number ofadvanced trainees and enhancing theprogram’s reputation.• The Centre for Education and Researchon Ageing (CERA) at Concord Hospitalwinning an $82,000 tender from theNational Health and Medical ResearchCouncil to conduct a review of ageingresearch in Australia.• Receiving a $155,000 grant from theCommonwealth Department of Healthand Aged Care to identify and managebest practice for preventing falls amongelderly residential care patients.• Appointing Professor David Le Couteuras director of CERA and professor ofGeriatric Medicine at the University ofSydney.• Transcultural Aged Care Serviceslaunching two manuals aimed atimproving the health and satisfaction ofnursing home residents from diverseethnic groups. At Home with Diversity:Diversional Therapy and A Home for All:Cross-cultural Awareness for Aged CareServices help workers provide moreculturally relevant activities such asvisits to mosques and temples.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 473.59 472.71 458.97Admissions 13,454 12,123 13,916Same-day Admissions 3,268 3,249 3,054Occasions of Service 107,027 103,353 100,971^ equivalent full-timeGeneral, Geriatric and Rehabilitation MedicineBalmain RPA Concord Canterbury CommunityAcute Inpatient Services • • • •RehabilitationInpatient Services • • •Day Hospital Services • •Outpatient Services • • • •Community Assessment•Psychogeriatric Services • •Home Therapy Service • •Respite and Carer Support • •Community Options • •PADP^•Community Podiatry • • • •Residential Information Services•Transcultural Aged Care Services•Day Centres • • •^ Provision of Appliances for Disabled PeopleCSAHS 2000/2001 Statutory Annual Report 21

General PracticeActing Clinical Director: Associate Professor Lindsay Thompson AM, MB, BS, FRACGP, FAMAThe clinical stream features the Canterburyand Central Sydney divisions of generalpractice, Acute Primary Care Service,Balmain Hospital General Practice Casualtyand the Canterbury GP After-Hours Service.This year the Canterbury Division increasedits focus on initiatives to improve quality ingeneral practice including immunisation,standards in medicine, computerisation andpractice accreditation. At the same time, theCentral Sydney Division underwentrestructuring to begin operations as anincorporated body.A restructure of the General Practice clinicalstream and a review of its relationship withCSAHS is currently under discussion. Issuesinclude the importance of GPs and their rolein hospital settings, and may result in aformal agreement covering the broad areaswhere collaboration should actively proceed,setting objectives and developing keyindicators.Highlights for 2000/01 included:• Completing the 12-month trial of thefree, after-hours medical advice lineHealthConnect, which was instigated bya consortium headed by CSAHS. Morethan 13,000 residents in central Sydneyand Broken Hill used the service duringthe Commonwealth-funded trial, whichended in June. Knowledge andexperience gained from the trial and itsevaluation will be invaluable for thedevelopment of health-funded telephoneadvisory services in the future. The trialdemonstrated that patients could behandled equally well by nearby afterhoursGP services, taking the emphasisaway from emergency departmentsettings.• The HealthConnect project included anafter-hours GP casualty service atCanterbury Hospital’s EmergencyDepartment.• GPs fostering a more collaborativerelationship with their hospital-basedcolleagues though the Priority HealthCare Program. This NSW Healthsponsoredprogram seeks to enhancethe community management of patientswith chronic obstructive pulmonarydisease, congestive cardiac failure,diabetes and stroke.• Developing and running programs toenhance the management of patientswith conditions such as diabetes andpsychiatric illnesses, supporting themfrom hospital discharge into thecommunity setting.Key Indicators 1998/99 1999/2000 2000/01GPs 520 649 652Active major projects 17 19 20General PracticeBalmain Canterbury CommunityCentral Sydney Division of GP • •Canterbury Division of GP • •General Practice Casualty • •CSAHS 2000/2001 Statutory Annual Report 22

Medical Imaging ServicesClinical Director: Associate Professor Michael Fulham MBBS, FRACPMedical Imaging Services manages theequipment used to depict the anatomy andfunction of the body, through thedepartments of Radiology and NuclearMedicine. The clinical group includes theState’s only Positron Emission Tomography(PET) scanner which is located at RoyalPrince Alfred Hospital.Highlights in 2000/01 included:• Introduction of the Picture Archival andCommunication System (PACS) beingpiloted at Balmain Hospital before itsimplementation at RPA. Rapid digitaltransfer of imaging information is nowpossible across computer networks fromthe site where the scan is stored, towhere the patient is being treated.• Installing a multi-slice CT scanner, thefirst of its type in Australia, in ConcordHospital. The device is faster than itspredecessors, and reduces the timeneeded to scan a patient. It can producethree-dimensional images of complexstructures such as the airways, whichwill help in the assessment of lungdiseases.• Improving the management ofemergency department patients atConcord Hospital by the addition of aComputed Radiography system, whichis one of the initial steps to PACStechnology. Staff are able to immediatelyassess images of their patients ratherthan having to look for X-ray films.• Ensuring optimum care for patients withcancer and neurological disease with thecompleted expansion of RPA’s PETDepartment. The upgrade has resultedin better appointed patient preparationareas which are vital for the optimumperformance of the scanner, and allowsgreater comfort and staff efficiency.• Installing new video-EEG monitoringequipment in the PET Departmentprovides closer monitoring of patientswith epilepsy during scans, anddetection of subtle seizures that mayoccur without the patient’s awareness.These seizures can cause adeterioration in the patient’s conditionbut can be effectively reversed withappropriate anti-convulsant medication.• Using a new imaging tracer 123-iodineto improve the detection of tumours inthyroid cancer patients and to enhanceresponses to treatment. The use of thistracer has shortened the length of stayin hospital and reduced the number oftreatments required.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 242.83# 228 231Occasions of service 205,000 215,772 215,434^ equivalent full-time# includes Canterbury HospitalMedical Imaging ServicesBalmain Canterbury Concord RPAGeneral Radiology • • • •Interventional Radiology • •MRI•CT • • •Ultrasound • • •Cerebrovascular•EmbolisationMammography • •Nuclear Medicine • •PET•CSAHS 2000/2001 Statutory Annual Report 23

Mental Health ServicesClinical Director: Professor Marie Bashir AO, MB, BS, FRANZCP (to July 2000)Acting Clinical Director: Dr Victor Storm MB, BS, MPA, FRANZCP, FAFPHM (from August 2000)NSW Health Minister Craig Knowlesannounced an expansion of inpatientpsychiatric care and the relocation ofservices from Rozelle Hospital to theConcord Hospital campus. The proposalinvolves moving services to a new purposebuiltfacility at the Concord site in February2003. A masterplanning process involvingextensive community consultation hasbegun. The move will allow for psychiatriccare to be conducted in modern facilities andwith easier access to general hospitalservices.All existing services will continue. Therelocation aims to deliver better integratedmedical services in accordance with nationalmental health reforms.Through the Resource Transition Program,Concord Hospital is currently undergoing amajor redevelopment, with inpatient mentalhealth services temporarily moving toRozelle. This will allow for a completeintegration of services at Rozelle, prior torelocating the centralised units to Concord.Mental Health Services met major personnelchanges in the past 12 months and beganrestructuring its organisation pending themove to Concord.The clinical group provides ongoingassistance to children and adolescents andtheir families, adults, seniors as well asinpatients in psychiatric and general hospitalsettings.Highlights for 2000/01 included:• Supporting the needs of indigenousclients through the Aboriginal MentalHealth Unit in collaboration with theAboriginal Medical Service in Redfern.• Consultation nurses stationed in mentalhealth in the emergency departments ofRoyal Prince Alfred and Canterburyhospitals, as well as extended careteams• Expanding psychiatry clinics for seniorcitizens at Canterbury Hospital.• Utilising a schools program tostrengthen ties between child andadolescent mental health services andstudents in CSAHS, as part ofprevention and early interventioninitiatives.• Starting a perinatal psychiatry programat RPA.• Enhancing consumer and carer supportprograms to build on CSAHS’spioneering work in mental health.• Providing training and support topractitioners in the Greater Murrayregion of NSW.• Using a GP Shared Care Project tostrengthen links with CSAHS’s divisionsof general practice.Key Indicators1998/99 1999/2000 2000/01Staff EFT^ 820 790.4 745Admissions 10,134 9,767 8,567Same-day admissions 6,033 6,157 5,277^ equivalent full-timeCSAHS 2000/2001 Statutory Annual Report 24

Mental Health ServicesRPA Concord Rozelle RivendellAdolescentUnitMarrickville*Glebe/Redfern^Canterbury^ Ashfield^ NGOlinks24-Hour Acute Care • • • • • • • •Consultation/Liaison • • •Intake/Assessment • • • • • • • • +Acute Inpatients • • • • Rehabilitation Accommodation • •• •• •• • +Aged Care Assessment • • Aged Care Beds • •Aboriginal MH Service • • • • • • • + Telepsychiatry • • +Forensic Services • • • • Child and Family Services • • •HIV/AIDS Mental Health • • • • • Boarding House Teams Hearing Impaired Services • •Dietary Disorders Service • •Bilingual Counsellors • • •^ community health centre not on weekends+ respite supervised group homes• psychogeriatric assessment teams located in separate premises special service for boarding house residents but have access to all adult facilities as required includes Aboriginal medical services at Redfern, Kempsey and Richmond fellowship includes Corrective Services Juvenile Justice Acute Psychiatric Inpatient Care transferred to the Rozelle campus in June 2001, while the new mental health facility is built at Concord HospitalOther

NeurosciencesClinical Director: Associate Professor Michael Besser AM, MB, BS, FRACS, FRCSC, FACSThe Neurosciences clinical groupencompasses medical and surgicalproblems affecting the nervous systemincluding the brain, spinal cord andperipheral nerves. Ear, nose and throatdisorders, as well as ophthalmology andpain management are included in thediscipline.Specialised services are available acrossour facilities including a Parkinson’s diseaseclinic at Concord Hospital and the pioneeringCochlear Implant Unit at Royal Prince AlfredHospital.Highlights for 2000/01 included:• Meeting targets for 70 per cent ofpatients to be admitted on the day ofneurological surgery. This allowspatients to spend less time in hospital,releasing them for faster recovery in thecommunity and freeing up beds.• Reducing the number of patient falls inwards following delicate surgery whichaffects balance, resulting in 36 per centfewer incidents. As well as patienteducation, falls prevention guidelinesare being developed.• Continuing to reduce the rate of patientsreturning to the operating theatre aftercataract surgery. The incidence fell toless than 1 per cent, from 5 per cent in1998/99. This was achieved throughnew surgical techniques involvingsmaller incisions which minimisedinflammation to the eye.• Establishing new stroke treatmentprotocols and a dedicated four-bedstroke unit at RPA to assist patientrecovery and rehabilitation. The positionof a stroke fellow has been fundedthrough a private sector grant.• Planning for a Department of PainMedicine, incorporating the streams ofpalliative care, chronic painmanagement and the anaesthetic acutepain service. Staff in each of the streamswill develop closer working ties toensure patients are managed and caredfor more efficiently.Key Indicators1998/99 1999/2000 2000/01Staff EFT^ 203 190.63 190Admissions 8,216 8,202 6,026#Same-day admissions 2,242 2,643 2,270Occasions of service 30,624 31,847 20,155#^ equivalent part-time# change due to the RTP and an increase in ambulatory care managementNeurosciencesRPA Concord CanterburyNeurology • •Neurosurgery • •Ophthalmology • • •Otolaryngology, Head and Neck Surgery • • •Pain Management Unit • •CSAHS 2000/2001 Statutory Annual Report 26

Population Health and Drug & Alcohol ServicesClinical Director: Associate Professor Peter Sainsbury MB, BS, DObstRCOG, MHP, FRACMA,FAFPHM, PhDPopulation Health and Drug & AlcoholServices is comprised of nine sectionscovering Aboriginal and community healthservices, social health research, multiculturaland women’s health, as well as Drug HealthServices, and the units of Health Promotion,Needs Assessment and Health Outcomesand Public Health.Highlights for 2000/01 included:• Meeting targets aimed at improving thehealth and general wellbeing of thecommunity.• Starting home visits for families withnewborns in 30 per cent of EarlyChildhood Health Services, with plans toextend the program to all centres. Thehome visits model was developed by theclinical group as the basis for the StateGovernment’s Families First project inCSAHS. It works to increase theeffectiveness of prevention programsand support services, to help peopleraise healthy and well-adjusted children.• Improving access to screening servicesfor female residents from non-Englishspeaking backgrounds in centralSydney, 35 clinics were held in Arabic,Chinese, Greek and Turkish this year.Staff are keen to develop partnershipswith community organisations to extendthe reach of the strategy in the future.• Employing an Aboriginal HealthEducation Officer as part of a healthpromotion program for indigenousAustralians. The officer will incorporatethe themes of dance, art and history inhealth promotion messages.• The Health Promotion Unit receivingfunding from NSW Health to studywhether Tai Chi helps to prevent falls inolder Australians. Over a three-yearperiod, the participants’ balance, fear offalling, functional ability and level ofphysical activity will be monitored.• Launching a smoke-free homescampaign in Canterbury to show parentshow to protect children fromenvironmental smoke in cars anddomestic settings.• Conducting focus groups to determineyoung females’ attitudes to smoking.• Health Promotion Unit staff winning aYear 2000 Baxter Health Award for theinnovative project, Concord: A GreatPlace To Be Active.• Reducing the healing times for chronicwounds and improving health outcomeswith the Community Nursing Serviceusing new dressings to treat injuries.• The Multicultural HIV/AIDS Serviceinitiating a national media campaign toencourage people from non-Englishspeaking backgrounds to be tested forHIV. Written resources in 14 languageswere developed for people living with thedisease.• Public Health Unit developingcomprehensive plans and programscovering environmental health, foodsafety, communicable disease controland disaster management during theOlympic and Paralympic games.• Drug Health Services experiencing a100 per cent rise in its capacity toprovide public methadone treatments,introducing an outpatient detoxificationclinic and increasing its shared careservices with GPs and communitypharmacies, following the NSW DrugSummit in the previous year.• Coordinating the introduction of a childimmunisation schedule and investigatinginfectious diseases through the PublicHealth Unit.Key indicators 1998/99 1999/2000 2000/01Staff EFT^Occasions ofservice429.7#430,983439467,864430467,845^ equivalent full-time# includes part of the transferred Sydney Home Nursing Service in November 1998CSAHS 2000/2001 Statutory Annual Report 27

Population Health and Drug & Alcohol ServicesRPA Concord Canterbury Rozelle CommunityCommunity Health Services • • • •Public Health Unit•Health Promotion Unit•Aboriginal Health • •Needs Assessment &Health Outcomes Unit•Multicultural health • •Social Health Research Unit •Women’s health • •Drug Health Services • • • • •CSAHS 2000/2001 Statutory Annual Report 28

Respiratory and Critical Care ServiceClinical Director: Associate Professor Paul Torzillo MB, BS, FRACPIntensive care, emergency, anaesthetics andrespiratory medicine are listed under theumbrella of the Respiratory and Critical CareService.Emergency services are a key component ofhospital care in CSAHS and staff interactconstantly with a range of specialiseddepartments as well as general practice andcommunity organisations. In the past year,more than 100,000 patients have attendedour emergency departments at Royal PrinceAlfred, Concord and Canterbury hospitals.Our intensive care departments at RPA andConcord hospitals have close contact withlaboratory, surgical, medical and anaestheticservices to coordinate the treatment andrehabilitation of patients with complexillnesses.Highlights in 2000/01 included:• Meetings between representatives fromthe three emergency departmentsresulting in unified approaches toreporting adverse incidents to improvethe delivery of consistent quality careacross CSAHS.• Reducing the number of patientsrequired to be sent out of the area fortheir intensive care, by improving bedmanagement programs. This is in linewith recommendations of the NSWHealth Council report.• Developing a strategy to increase thelevel of home care for pulmonarypatients through more vigorousmanagement, as part of the ChronicObtrusive Pulmonary Disease PriorityHealth Care Program.• Planning for the further development ofacute non-invasive ventilatory servicesat RPA. This form of breathing support isincreasingly used for a wide range ofrespiratory illnesses and potentiallyaverts the need for conventionalventilators and intensive careplacement.• Transferring infectious and sexuallytransmitted disease units to the Bone,Joint and Connective Tissue Service fora collocation of related services and staffresources.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 626.2 644.4 663.55Admissions 14,996 15,024 7,651#Same-day admissions 3,799 4,802 3,757Occasions of service 89,440 99,848 117,475+Admissions via emergency 25,542 26,004 31,514^ equivalent full-time# change due to an increase in ambulatory care management and more day procedures# in areas including sleep disorders and bronchoscopes+ due to a rise in presentations to emergency departmentsRespiratory and Critical Care ServiceRPA Concord CanterburyRespiratory Medicine • •Sleep Disorders • •Tuberculosis Clinic • • •Thoracic Surgery•Emergency Department • • •Intensive Care • • •Anaesthetics • • •CSAHS 2000/2001 Statutory Annual Report 29

Women’s and Children’s HealthClinical Director: Professor Roger Houghton DPhil (Oxon). MB, BS, BSc (Med), FRACOG, FRCOGMore than 5,350 babies entered the world atRoyal Prince Alfred and Canterburyhospitals this year.Their delivery by Women’s and Children’sHealth specialists is part of the full range ofexpert care which includes the latest andbest innovations and treatments for womenand youngsters. An early pregnancyassessment service was formed to targetwomen experiencing pain and bleedingduring the first stages of gestation.As part of the Resource Transition Program,attention focused on planning for the transferof services from the King George V buildingto the new RPA clinical services building,scheduled for early 2002.Access to Women’s and Children’s Healthwill be provided from a dedicated entrance,maintaining its unique and prominentidentity. The purpose-built facility linkscomplementary units in close proximity foroptimum efficiency and patient care,reflecting the RTP’s philosophy of acollocation of services. Neonatal IntensiveCare will be located next to the Delivery Unitand adjacent to the Birth Centre. Theoperating theatre will be across the corridorfrom the Delivery Unit.Highlights in 2000/01 included:• Ensuring RPA’s neonatal intensive careunit is among the best in the State forpatient outcomes. More pre-term babiesborn after less than 32 weeks gestationwere treated there in the past five yearsthan at any other facility in NSW.• John Spence Nursery continuing its roleas an international centre of excellence.The training of neonatal specialists fromMacedonia is being coordinatedfollowing its selection in a World Bankscheme last year. To utilise the largepool of education resources thisprogram is generating, a continuingeducation program was implemented in2000/01.• The Paediatrics Department marking asignificant change in the treatment ofchildhood asthma through theintroduction of spacer devices to replacetraditional nebulisers. The portabledevice is a plastic tube that puffsmetered aerosol through a soft mask,delivering medication as small particlesthat are better inhaled and travel furtherinto the lungs.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 320.38 326.7 393.95Admissions 15,762# 15,274# 14,500Same-day admissions 6,262 7,254 5,191Occasions of service 46,298 51,196 35,291+^ equivalent full-time# a review of admissions indicated anomalies in counting+ refers to RPA onlyWomen’s and Children’s HealthRPA/KGV Concord CanterburyObstetrics • •Gynaecology • • •Paediatrics • •Urogynaecology•Reproductive Endocrinology and Infertility•Neonatal Medicine • •Diagnostic Ultrasound and Foetal Medicine • ^Gynaecological Oncology•Pelvic Floor Unit•^ being developedCSAHS 2000/2001 Statutory Annual Report 30

OTHER SERVICES_______________________________________________________________________Allied Health ServicesDirector: Kit Eu BEc, BSoc Admin (to March 2001)Katherine Moore MappSc (OT) (from April 2001)The eight professions of nutrition anddietetics, physiotherapy, podiatry,psychology, speech pathology, social work,occupational therapy and orthotics aremanaged by the service.From hospital and community settings, staffwork in partnership with patients and theirfamilies to optimise physical andpsychosocial functions and develop healthylife skills.The service continued to supply a range ofhome visits to review patient safety andfunction, and provide grief counselling,nutritional advice and psychologicaltreatments.Highlights for 2000/01 included:• Enjoying a productive and beneficial firstyear partnership with the ResearchCentre for Adaptation in Health andIllness at the University of Sydney.• Receiving grants in psychology andoccupational therapy to fund studies inthe functional impairment of people withAIDS dementia complex, cardiacrehabilitation, and the cognitivebehavioural treatment of panicdisorders.• Remaining committed to research withstaff producing more than 46 conferencepapers, journal articles andpresentations. The culture of researchwill continue to be explored in 2001/02.• Developing voice outcome scores todetermine the effectiveness oftreatments for patients with damagedvocal chords and pitch problems. Theevaluation is being used by speechpathologists to analyse the effectivenessof treatment outcomes by ranking themon a comparative scale.• Expanding Royal Prince AlfredHospital’s allied health departments toinclude colleagues from the RPAInstitute of Rheumatology &Orthopaedics, which officially opened onthe main campus as part of theResource Transition Program.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 235 218 211Inpatient occasions of service 225,508 204,858 208,102Non-inpatient occasions of service 142,026 111,726 114,312^ equivalent full-timeThis table only applies to Allied Health in RPA, Concord and Canterbury hospitalsAllied Health ServicesRPA Concord Canterbury Rozelle Balmain CommunityPhysiotherapy • • • • • •Social Work • • • • • •Nutrition & Dietetics • • • • •Occupational Therapy • • • • • •Speech Pathology • • • • • •Psychology • • • •Orthotics • •Podiatry • • • • • •CSAHS 2000/2001 Statutory Annual Report 31

Multicultural ServicesEthnic Affairs Priority StatementMore than 496,300 people live within theboundaries of CSAHS. It is one of theState’s most culturally diverse areas with41.1 per cent of residents born overseas,compared to 23 per cent in NSW. Of these,83.4 per cent are from non-English speakingbackgrounds, primarily China, Italy, Greece,Lebanon and Vietnam. Among thepopulation over age five, 46 per cent speaka language other than English at home,compared to 21.4 per cent in the rest of theState. More than 5,000 residents haveidentified themselves as Aborigines orTorres Strait Islanders, according toAustralian Bureau of Statistics ERPnumbers*.CSAHS acknowledges and supports thecultural diversity of its population andimplements the NSW Government Principlesof Cultural Diversity through multiculturalhealth programs and access committees.Initiatives include:• the Multicultural Health division whichplays a leadership role in EthnicAffairs Priority Statementimplementation, monitoring andreporting, and coordinates healthpromotion activities. It offers crossculturaltraining to equip staff with thenecessary skills to work with a diverseclientele and workforce• the Health Care Interpreter Service(HCIS), a 24-hour, seven-day-a-weekfree service providing professionalface-to-face interpreting andtranslating for a variety of healthinformation, in 71 languages includingAustralian Sign Language (Auslan).Assistance is offered to Central andEastern Sydney area health services• an ethnic aged access program,providing culturally sensitive agedcare services• a migrant health team, which givesinformation and referral, and healtheducation for Arabic, Greek,Vietnamese, Chinese, Portugueseand Turkish communities to highlighthealthy lifestyle opportunities• mental health counsellors, to providecase management in communitylanguages• the Canterbury Multicultural YouthHealth Service, offering counselling,recreation activities and a medicalreferral service for homeless youth inthe Canterbury local government area• Ethnic Obstetric Liaison Officers, whogive antenatal support to women atCanterbury Hospital.CSAHS manages the Statewide MulticulturalHIV/AIDS Service and the TransculturalAged Care Service.Highlights in 2000/01 included:• Launching two brochures in ninecommunity languages, including Englishto promote and improve access toavailable health services, by theMulticultural HIV/AIDS Service.• The HCIS providing assistance withtreatment of athletes and officials duringthe Sydney Olympic and Paralympicgames, at Concord and Royal PrinceAlfred hospitals. Russian, French andSpanish interpreters were mostfrequently requested.• Unveiling a poster titled Multiculturalismand Faiths: A guide for Health CareProviders during the second annualMulticultural Health Week. The posterwas designed to complement theCSAHS policy promoting religioustolerance and to assist in meeting thediverse spiritual needs of patients andstaff.• Launching a Choose or Lose campaignto inform and educate Portugueseresidents of the consequences of drinkdriving. It was designed, implementedand evaluated in partnership withMarrickville Council.* Estimated Resident PopulationCSAHS 2000/2001 Statutory Annual Report 32

FACILITIES_______________________________________________________________________Balmain HospitalBooth StreetBalmain NSW 2041Phone: (02) 9395 2111Fax: (02) 9395 2020E-mail: zoe@bal.cs.nsw.gov.auwww.cs.nsw.gov.au/balmain/default.htmGeneral Manager: Ken CahillBalmain Hospital specialises in aged care,rehabilitation and general medicine.Established in 1885, the facility has becomethe heart of our community-based servicesfor the elderly. A unique General PracticeCasualty operates from the site and iscoordinated in conjunction with local doctorsand the Division of General Practice.Staff began trialling the Picture Archival andCommunication System featuring electronicmulti-user access. As part of the pilot, theinternal network and the existing microwavelink to nearby Concord Hospital wereupgraded.In keeping with our commitment to theelderly, funding for the hospital’s STRONGclinic (Strength, Training, Rehabilitation andOutreach Needs in General Medicine)continued. This popular program saw olderpeople take part in supervised strengthtraining for a variety of health problems.The hospital’s dedicated Ladies Auxiliarycontinued its support, raising funds to buymedical equipment including wheelchairs,pressure-relieving mattresses andspirometers.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 251.4 270.3 275.5Average available beds 93 87 78.7Inpatient bed days 29,826 27,544 26,154Total admissions 2,526 2,365 2,002Bed occupancy rate (%) 87.2 86.9 91.1Average length of stay (days) 12.3 11.5 13.1ENIOOS# 82,133 79,897 81,045^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 33

Canterbury HospitalCanterbury RoadCampsie NSW 2194Phone: (02) 9787 0000Fax: (02) 9787 0031E-mail: shandr@email.cs.nsw.gov.auwww.cs.nsw.gov.au/facilities/canterbury.htmGeneral Manager: Peter CloutCanterbury Hospital serves a diverse localpopulation of 135,000 residents. Generalmedicine, surgery, obstetrics andgynaecology, paediatrics, aged care,rehabilitation and palliative care are amongthe services provided.The hospital’s language-specific antenatalclasses continued to be popular, aiming tomeet the needs of an ethnic population of 53per cent, which is 8 per cent higher than theSydney region average. Regular tours wereheld for newly-arrived immigrants andstudents learning English at TAFE colleges.Following completion of its rebuilding worksin 1998, and accessing better networkingwith other CSAHS services, CanterburyHospital’s Emergency Department was ableto see 10 per cent more child patients thisyear.Colour-coded signs to identify ward areasare being prepared to ensure easy accessfor visitors. Volunteers play a vitalcommunity service role, meeting visitors atthe reception desk and walking them to theward areas.Support from the community continuedthrough a regular pattern of donated funds.New support included first-time donationsfrom the Lions Club of Sydney Korean andSydney Markets Industries Lions Club.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 400.82 579 585.4Average available beds 173 156 146Inpatient bed days 53,628 56,329 54,741Total admissions 13,029 14,361 14,584Bed occupancy rate (%) 95.5 91.3 94.7Average length of stay (days) 5.0 3.9 3.8Births 1,276 1,485 1,560ENIOOS# 142,940 165,505 197,809^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 34

CEIDA(Centre for Education and Information on Drugs and Alcohol)(to April 2001)Rozelle Hospital groundsBalmain RoadRozelle NSW 2039Director: Lyn Stoker(from April 2001)Drug Programs BureauNSW Health73 Miller StNorth Sydney NSW 2060Phone: (02) 9391 9000Fax: (02) 9391 9101E-mail: dohdad@doh.health.nsw.gov.auwww.ceida.net.auDirector: Jennifer GrayStaff continued to work with government andnon-government agencies across the Stateto promote harm minimisation throughpromotion and education.Health promotion activities includingseminars, publications and a website aim toincrease the public’s awareness ofstrategies to reduce drug and alcohol relatedproblems.The functions of CEIDA are now coordinatedby NSW Health’s Drug Program Bureau aspart of a collocation of services. It relocatedto North Sydney in April 2001 but the libraryremains at Rozelle Hospital.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 33.4 25.2 22^ equivalent full-timeCSAHS 2000/2001 Statutory Annual Report 35

Concord Repatriation General HospitalHospital RoadConcord NSW 2139Phone: (02) 9767 5000Fax: (02) 9767 6991E-mail: concordinfo@email.cs.nsw.gov.auwww.cs.nsw.gov.au/concord/default.htmExecutive Director: Matthew DalyConcord Hospital is a principal referralhospital and teaching facility of theUniversity of Sydney.It has been identified as the primary centrefor the Statewide Severe Burns Service.Under the NSW Health Metropolitan HealthPlan, existing burns services are beingbrought together and networked acrossNSW.Other services provided include colorectaland laparoscopic surgery, molecular biology,genetics, gastroenterology and aged andextended care, many of which arerecognised nationally and internationally.Concord Hospital has a long tradition ofproviding services to the veteran and warwidows community.The facility is currently undergoingsignificant redevelopment as part of a$73 million capital works program. Plansinclude redeveloping the multibuilding, BurnsUnit and ramp wards and construction of anew west infill. The project will result in theintegration of inpatient and ambulatory careservices to meet the community’s changinghealthcare needs.Located a short distance fromHomebush Bay, hospital staff played apivotal role during the Sydney Olympic andParalympic games. They treated 288members of the Olympic family including110 athletes, officials and spectators.Committed to education, the hospital is acentre of excellence in teaching medical,nursing and allied health professionals atundergraduate and postgraduate levels.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 2,140.75 2,075.6 2,063.3Average available beds 550 498 454.6Inpatient bed days 176,140 170,603 160,663Total admissions 47,093 48,042 46,380+Bed occupancy rate (%) 88.18 93.7 96.8Average length of stay (days) 3.7 3.5 3.5ENIOOS# 329,362 273,440 218,006=^ equivalent full-time# equivalent non-inpatient occasions of service+ reduction due to the Olympic and Paralympic periods and RTP works= reflects a change in the delivery of careCSAHS 2000/2001 Statutory Annual Report 36

Division of Population HealthLevel 6Queen Mary buildingGrose StreetCamperdown NSW 2050Phone: (02) 9515 3270Facsimile: (02) 9515 3282Email: sainsburyp@email.cs.nsw.gov.auwww.ozemail.com.au/pophealthDirector: Associate Professor Peter SainsburyThe Division of Population Health comprisesmore than 30 locations throughout CSAHS.It covers Aboriginal and community healthservices, social health research, multiculturaland women’s health, as well as the HealthPromotion, Needs Assessment and HealthOutcomes, and Public Health units.As part of a population-based approach,staff focus on improving the well-being ofindividuals and groups by planningprograms, formulating policies and workingwith other agencies to bring about betterhealth outcomes.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 329 322 322Occasions of service 316,014# 343,844 320,879^ equivalent full-time# incorporates new staff and services previously part of Sydney Home Nursing ServiceCSAHS 2000/2001 Statutory Annual Report 37

HealthQuestWorkforce Health ManagementLevel 2, 187 Thomas StreetHaymarket NSW 2000Phone: (02) 9281 0811Fax: (02) 9211 1060E-mail: enquiries@healthquest.gov.auwww.cs.nsw.gov.au/facilities/healthquest.htmDirector: Dr Helia Gapper (to January 2001)Dr Armand Casolin (from January 2001)HealthQuest assists the State’s public andprivate sector employers by givingoccupational medical advice. Servicesinclude pre-placement and fitnessassessments, plus formulating andreviewing return to work programs.It began a program of change to review theway referrals are accepted and ensureongoing improvements in quality andbusiness growth.appointed staff in injury management,workplace and disability assessment andQ-fever vaccination.A marketing campaign to increase its clientbase began.Long-serving director Dr Helia Gapperretired this year. A new management teamwas formed consisting of Drs ArmandCasolin and Taggart Lidbury.HealthQuest broadened its range of servicesto expand the scope of assistance itprovides, utilising the skills of newly-Key Indicators 1998/99 1999/00 2000/01Staff EFT^ 19.96 15.7 15.3ENIOOS# 18,901 19,311 18,196^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 38

NSW Institute of Forensic Medicine42-50 Parramatta RoadGlebe NSW 2037Phone: (02) 8584 7800Facsimile: (02) 9552 1613Email: duflou@email.cs.nsw.gov.auDirector: Associate Professor John Hilton (to March 2001)Acting Director: Dr Johan Duflou (from March 2001)The NSW Institute of Forensic Medicine isthe main centre for autopsies in NSW andconducts coronial investigations for a varietyof agencies. It provides a Statewide servicefor high-risk autopsies and operates themass disaster response service in NSW.Interest in the institute’s work escalated withairing of concerns worldwide aboutautopsies, tissue retention and research.Following allegations made in the media inMarch, the NSW Government establishedthe Walker Inquiry to investigate practices atthe institute.Legislation affecting the institute, theCoroners Act and Human Tissue Act, hasbeen reviewed over the past year, with billstabled in State Parliament. Enactment of thislegislation will significantly change thepractice of forensic medicine in NSW.The molecular biology laboratory becameone of only two laboratories in Australia tobe accredited for forensic mitochondrial DNAcase work.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 45.56 48.4 49.4Admissions 2,698 2,724 2,479Post-mortems 2,288 2,201 2,153#High-risk autopsies182 158 132+(HIV, hep C, CJD)^ equivalent full-time# Includes 114 cases where the Coroner has limited the examination of the case+ includes 103 hepatitis C positive cases, 15 HIV positive cases and 10 cases suspected of having CJDCSAHS 2000/2001 Statutory Annual Report 39

Royal Prince Alfred HospitalMissenden RoadCamperdown NSW 2050Phone: (02) 9515 6111Fax: (02) 9515 6133E-mail: gmsec@gmu.rpa.cs.nsw.gov.auwww.cs.nsw.gov.au/rpa/default.htmGroup General Manager: Dr Peter Kennedy (to October 2000)Executive Director: Diane Gill (acting from October 2000)Royal Prince Alfred Hospital is one of thenation’s most respected hospitals, with adistinguished history serving the healthneeds of local, Statewide and internationalcommunities.Formed in 1882, the hospital is one ofAustralia’s major referral centres and theprime teaching facility of the University ofSydney.RPA’s comprehensive range of servicesincludes cardiology, cardiothoracic,emergency and intensive care,gastrointestinal, head and neck care andrespiratory medicine. Renal, liver and kidneytransplant, cancer, obstetrics and neonatal,vascular and neurology expertise, diagnosticimaging and interventional radiology are alsooffered.Services are delivered from the mainMissenden Road campus and facilitiesincluding the King George V Hospital andRPA Institute of Rheumatology &Orthopaedics (IRO) in Camperdown,Thomas Walker and Dame Eadith Walkerhospitals at Concord West and variouscommunity settings.RPA’s intensive Resource TransitionProgram works continued to take shapetowards a 2002/03 completion target. A coreprinciple of the RTP is the collocation ofservices for improved patient outcomes andgreater efficiency.Among the RTP milestones met in 2000/01was the opening of the $17.4 millionRPA IRO on the main campus. It followedthe successful move of services duringSeptember, from the outmoded RachelFoster Hospital site in Redfern to therefurbished QEII building. The IROcombines a tradition of excellence with thebenefits of new technologies and an ongoingcommitment to quality. Patients arediagnosed, treated, managed andrehabilitated under the one roof by highlyspecialised staff.Completion of the design phase for the KingGeorge V building confirmed it will houseservices including community and populationhealth, social work and executive supportoffices when Women’s and Children’s Healthmoves across the road to the new clinicalservices building.The high-rating Channel Nine RPA seriesprovides a fly-on-the-wall look at life in theinnovative hospital, and received its secondconsecutive Logie Award nomination thisyear. Millions of weekly viewers tuned in towatch the sixth series.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 3,428 3,445.2 3,466.9Average available beds 737 712 650.5Inpatient bed days 254,539 239,007 230,680Total admissions 60,335 60,420 59,535Bed occupancy rate (%) 89.6 87 92.5Average length of stay (days) 4.2 4 3.9Births 4,117 4,037 3,798ENIOOS# 481,208 469,591 432,964^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 40

RPA Institute of Rheumatology & Orthopaedics (formerly Rachel Forster Hospital)Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 133.9 125.8 105.4Average available beds 56 52 39.9Inpatient bed days 14,239 13,010 16,450Total admissions 2,462 2,131 1,854Bed occupancy rate (%) 70 69 67.1Average length of stay (days) 5.8 6.1 5.3ENIOOS# 26,231 21,378 9,786^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 41

Rozelle HospitalChurch and Glover streetsLeichhardt NSW 2040Phone: (02) 9556 9100Fax: (02) 9818 5712E-mail: robinsonl@email.cs.nsw.gov.auwww.cs.nsw.gov.au/facilities/rozelle.htmGeneral Manager: Glenda Cleaver (to March 2001 – currently on secondment)Acting General Manager: Gary Rowley (from April 2001)Rozelle Hospital is the subject of amasterplanning process as part of ourproposal to build a new mental health facilityon the Concord Hospital campus.Its existing buildings are no longer adequatefor the provision of modern psychiatric care,with the move scheduled for February 2003.Specialising in acute adult psychiatric andpyschogeriatric care, drug and alcoholservices, rehabilitation and help for warveterans, the facility’s existing services willcontinue in the purpose-built Concordfacility. All patients will have their own singlerooms for greater comfort and privacy.Housing patient facilities on the same site asa general hospital will ensure a wholisticapproach, giving people greater access tonecessary general medical care in additionto mental health treatment. This plan will bemade possible through the sale of a smallportion of the current site to fund the newcentre.In other achievements, a 24-hour telephoneservice has begun with trained staff offeringafter-hour triage advice. A sexual healthclinic was initiated to assist inpatients andpeople in the community who have a mentalillness.The relocation aims to deliver betterintegratedmedical services in accordancewith national mental health reforms.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 655.4+ 746.1 720.8Average available beds 250 244 239.8Inpatient bed days 72,725 67,614 65,923Total admissions 2,648 2,187 2,189Bed occupancy rate (%) 82.4 75.8 75.3Average length of stay (days) 29.5 30.9 30.1ENIOOS# 211,805 169,902 166,763^ equivalent full-time# equivalent non-inpatient occasions of service+ staff figure does not include Concord Hospital mental health servicesCSAHS 2000/2001 Statutory Annual Report 42

Tresillian Family Care CentresMcKenzie StreetBelmore NSW 2192Phone: (02) 9787 0800Fax: (02) 9787 0880E-mail: tresillian@email.cs.nsw.gov.auwww.tresillian.netPresident of Council: Bob Elmslie OAMGeneral Manager: David HannafordTresillian Family Care Centres offer adviceand care to families during their child’s firstfive years of life, following referrals fromgeneral practitioners or early childhoodhealth clinics.Child and family health nurses,paediatricians, psychiatrists, psychologistsand social workers operate from four centresat Belmore, Willoughby, Wollstonecraft andPenrith to advise on matters includingbreastfeeding, toddler behaviour andpostnatal depression. The 24-hour ParentsHelp Line based in Belmore, receives morethan 55,000 calls annually.A two-year maternal outcomes study began,monitoring the changes families experienceon admission to Tresillian, at discharge andat three and 12 week follow-ups. Fundingwas received for a pilot home visitingintervention project for high-risk families whorequire additional psychosocial support. Theprogram has a July 2001 start date.Support from the community and businessgroups continued this year with Nestle`sponsoring Tresillian’s rural seminarprogram. Ongoing sponsorship funds werereceived from Johnson & Johnson Pacific forthe 24-hour Parents Help Line.The website was launched, and the facility’sbi-annual conference promoted the complexknowledge and skills needed to maintainhealthy Australian families.Key Indicators 1998/99 1999/2000 2000/01Staff EFT^ 85.1 83.5 80.5Average available beds 33.9 34.1 33.8Inpatient bed days 10,683 11,093 10,929Admissions 2,277 2,262 2,261Bed occupancy rate (%) 86.3 89.0 88.6Average length of stay (days) 4.7 4.9 4.8^ equivalent full-timeCSAHS 2000/2001 Statutory Annual Report 43

United Dental Hospital2 Chalmers StreetSurry Hills NSW 2010Phone: (02) 9293 3200Fax: (02) 9293 3488E-mail: info@udh3.udh.cs.nsw.gov.auwww.cs.nsw.gov.au/facilities/udh.htmGeneral Manager: Geoff NeemsThe United Dental Hospital delivers oralhealthcare to people in CSAHS and fromacross NSW. This service is available topeople holding current healthcare cards, aswell as mobile units visiting schools,housebound patients and other healthfacilities. It provides training forundergraduate and postgraduate dentistrystudents from the University of Sydney, inaddition to TAFE students studying to beprosthetists and dental assistants.NSW Health Minister Craig Knowlesunveiled the hospital’s $10 millionrefurbishment works. Staff were praised fortheir efforts in continuing to work atproductive capacity during the four-yearoverhaul. The redevelopment was part of theResource Transition Program, and thelargest revamp undertaken since 1976.patients receiving treatment on the one floor,rather than travelling between various levelsfor their care.Research conducted by the head ofPeriodontics Dr Barbara Taylor confirmedthe treatment of severe gum diseasereduces the risk of heart attack and stroke.The study resulted in media interest from allthe major news groups.The Information Centre for Oral Health wasestablished for greater efficiency withpatients able to phone ahead for anappointment. Emergency cases without anappointment are seen as a priority. Thebooking system ensures the smoothprogression of patients throughout the dayeliminating previous peaks and troughs.The new Assessment & EmergencyDepartment has improved efficiency withKey Indicators 1998/99 1999/2000 2000/01Staff EFT^ 360 310.8 317.4ENIOOS# 195,580 189,806 177,295^ equivalent full-time# equivalent non-inpatient occasions of serviceCSAHS 2000/2001 Statutory Annual Report 44

QUALITY, RESEARCH AND TEACHING_______________________________________________________________________QualityEvery member of the CSAHS family iscommitted to delivering the higheststandards of quality in all levels of patientcare and service provision, research andtraining.As part of our quest for continualimprovement and taking quality to the nextlevel, we have embarked on a CSAHS-wideproject to review our processes for thebenefit of the community.The clinical quality action plan was endorsedby the Clinical Quality Council in March. Itintends to monitor and review nine areas.These are:1. Adverse incidents and performancesuch as sentinel events, which areunexpected occurrences resulting indeath or serious injury. Clinicalindicators will be assessed tohighlight trends and benchmarkingcomparisons with other serviceproviders, as will the results of adhoc quality audits which areconducted after a problem ishighlighted from measures includingcomplaint and risk monitoringsystems2. The quality structure and reportinglines4. Clinical risk management processes5. Patient safety6. Consumer participation7. The requirements of informationtechnology8. Clinical practice variance strategieswhich include examining indicatorsand national benchmarks to improveoutcomes for patient care9. InnovationA clinical information steering committeewas formed to examine the process ofissuing laboratory images and results.Protocols were established in nuclearmedicine to ensure women of child bearingage, and in the early days of pregnancy,were not exposing the unborn foetus to therisk of radiation.As part of the continued pursuit of improvedquality, pilot programs targeting fallsprevention and pressure area care in seniorcitizens are underway.Quality services staff regularly attend riskmanagement workshops and programs toimprove healthcare practices and clinicalsettings.3. Evaluation and Quality ImprovementProgram (EQuIP) accreditationwhich all facilities have receivedCSAHS 2000/2001 Statutory Annual Report 45

ResearchCSAHS has an international reputation forits commitment to developing improvedforms of treatment, diagnosis and patientcare.Each year our scientists, many of whom areleaders in their field, attract grants from theNational Health and Medical ResearchCouncil and other organisations.Advances made in research are transferredinto the clinical setting at the earliestopportunity resulting in improved healthoutcomes for patients in our hospitals andhealthcare facilities.*The inaugural RPA Foundation Medal forResearch was awarded to celebrate thetradition of innovation. Senior researcherProfessor Geoffrey McCaughan won the$50,000 prize to continue investigations intoliver disease. It will allow for furtherexploration of gene arrays from 800 tothousands to track the key molecules withinthe organ which cause damage.Finalists, professors Warwick Britton fromimmunology and Douglas Joshua whospecialises in haematology, received$15,000 runner-up prizes. The medal will beawarded annually.To meet the changes in demand, neweducation centres are being built at ourteaching hospitals. Work at UDH wascompleted as part of its redevelopment, withconstruction at RPA and Concord hospitalscontinuing towards completion in the nextfew years for the use of medical, nursingand allied health students.In medical training, more than 210 studentsenrolled at RPA in addition to 145 atConcord Hospital.There are 189 new graduate nurses and90 trainee enrolled nurses who began workat CSAHS facilities. More than 900undergraduate nursing students completedtheir clinical placements at our hospitals.Nurses received grants to research areasincluding the oversupply of breast milk innew mothers and the needs assessment ofHIV positive female residents, or thoseaccessing our services.* Details of specific research projects can be found atwww.cs.nsw.gov.au/AGM/research.htmTeachingMedical students from the University ofSydney continued to undergo clinical trainingat RPA, Concord and United Dentalhospitals. With courses changing fromundergraduate to postgraduate level and anemphasis on problem-solving basedlearning, a new breed of medical studentsare being trained at our facilities. Theundergraduate program will finish at the endof 2000/01 with the final 43 students at RPAand 15 at Concord Hospital completing theirlast year.CSAHS 2000/2001 Statutory Annual Report 46

CORPORATE SERVICES_______________________________________________________________________Employee RelationsThe Staff Consultative Committee meetsmonthly and is a valuable communicationchannel for resolving issues. Membersinclude representatives from managementand all relevant associations or unions.A five-year Human Resources Strategic Planis being implemented to provide a frameworkfor modern management, beginning with therestructuring of the HR departments toprovide a more strategic focus.EEO statistics 2000/01CSAHS is an equal employment opportunityand anti-discrimination employer. Theseprinciples address the fundamental rights ofall staff members, and are relevant in everyaspect of their working lives.EEO principles and practices areimplemented concerning conditions ofemployment, relationships in the workplace,performance evaluation, training and careerdevelopment opportunities.Our EEO Management Plan 2001-2004 hasbeen distributed to all facility generalmanagers and Human Resourcesmanagers. It is based on the EEO OutcomesFramework, produced by the Office of theDirector of Equal Opportunity in PublicEmployment (ODEOPE). The plan focuseson outcomes of achievable initiatives forCSAHS, with measurable indicators whichwill enable monitoring of EEO practices, andfocus on meeting population benchmarksand Government targets.CSAHS aims to provide initiatives andprograms which apply to equity and diversityprinciples to assist people traditionallydisadvantaged in the workplace includingthose from non-English speakingbackgrounds, Aboriginal and Torres StraitIslanders and those with disabilities.Statistics 2000/01The statistical information for the tablesshown below was obtained from datacontained in the Workforce HumanResource Information System for the periodJuly 1 2000 to June 30 2001. The annualEEO statistical data previously compiled bythe area health services will in future becollated through the Health InformationExchange through the Workforce Profiledata collection.The salary levels for the 2000/01 periodhave been adjusted by ODEOPE to reflectindustry-wide wage increases granted tovarious groups of employees. The increaseswere effective from the first pay period on orafter January 1 2001 as part of the 16 percent wage increase spread over a four-yearperiod to July 2003.CSAHS 2000/2001 Statutory Annual Report 47

CSAHS – Percentage of Total Staff by LevelSubgroup As Percent of Total Staff In Each Employment CategoryLEVELTOTALSTAFF(Number)Staffresponding toEEO data form(Respondents)Men Women Aboriginal &TorresStraitIslanderPeoplePeople fromRacial, Ethnic,Ethno-ReligiousMinorityGroupsPeople WhoseFirst LanguageSpoken as aChild was notEnglishPeoplewith aDisabilityPeople witha DisabilityRequiringanAdjustmentat Work=$80,499.99 (Non SES) 354 70% 66% 34% 0.0% 16% 15% 6% 1%>=$80,499.99 (SES) 6 100% 34% 67% 0.0% 0.0% 17% 0.0% 0.0%TOTAL 9150 61% 31% 69% 0.7% 21% 36% 4% 1%Subgroup Totals 5592 2795 6355 39 1202 2026 241 64

CSAHS – Percentage of Total Staff by Employment TypeSubgroup as Percent of Total Staff In each Employment CategoryLEVELPermanentTOTALSTAFF(Number)Staffresponding toEEO data form(Respondents)Men Women Aboriginal &Torres StraitIslanderPeoplePeople fromRacial, Ethnic,Ethno-ReligiousMinority GroupsPeople WhoseFirst LanguageSpoken as aChild was notEnglishPeoplewith aDisabilityPeople with aDisabilityRequiring anAdjustment atWorkFull -Time6163 63% 33% 67% 0.9% 20% 37% 5% 1%Part -Time 1802 59% 14% 86% 0.3% 22% 35% 4% 1%TemporaryFull - Time960 50% 46% 54% 0.4% 30% 30% 2% 0.4%Part - Time 219 47% 30% 70% 0.0% 24% 27% 3% 1%SeniorExecutiveService6 100% 33% 67% 0.0% 0.0% 17% 0.0% 0.0%Casual 2134 11% 21% 79% 0.4% 22% 31% 3% 1%Other 0 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%TOTAL 11,284 52% 29% 71% 0.4% 11% 19% 2% 0.6%SubgroupTotals 5,822 3235 8049 40 1253 2097 247 66

CSAHS – Total Number of Staff by OccupationOccupation 2000/2001 1999/2000 1998/1999 1997/1998 1996/1997Administration/ClericalSpec Prof – EngineeringSpec Prof – NursingSpec Prof – MedicalSpec Prof – All OthersProf SupportTrades, Trades Supervisors & ApprenticesHospital AssistantsOther Support Services StaffAll Other Staff146312905102714371076184945406615021304810201407107220599344831533031371019152510922281058487515960307210021485117628111177211815282327696313668612301169227154Total^ 9144 9375 9715 9919 9776Data obtained from EEO Statistics - (Headcount)^ Contributing factors include the redevelopment of all facilities with a significant number of beds off-line to allow for the refurbishment, and the world-wideshortage of nurses

Corruption preventionThere were 14 instances of possible corruptconduct reported to the IndependentCommission Against Corruption this year.This was an overall reduction of 15 from theprevious year.Of the 14 cases, nine were reported to theNSW Police Service. The matters wereraised by either senior management or staff,with 12 initially reported by staff.Occupational health & safetyOccupational health & safety policies andprograms assist in the identification,assessment and management of workrelatedinjuries and illnesses. Thesestrategies aim to minimise the risk frommanual handling activities, hazardoussubstances and the occurrence of criticalincidents and security issues. They areincorporated into planning for the ResourceTransition Program.Achievements this year included:• Conducting six interactive sessionsfocusing on corruption prevention anddetection, as well as protecteddisclosures. Organised by the InternalAudit Department, more than 262 stafffrom all levels attended• Ongoing quarterly review meetings tomonitor incidents and corruptionprevention activities at each facility• Continuing internal audits with reportssubmitted to the chief executive officerand CSAHS board• Reporting appropriate matters to theNSW Police Service, ICAC and NSWHealth• Internal Audit promoting its role as acorruption prevention help-desk.Employee recognition programThe dedication of staff is acknowledgedthrough the Employee of the Year program.Individuals are honoured for achievingexcellence in the workplace with theEmployee of the Month award, and one ofthese winners is selected for the annualprize.Details of the 2000/01 winners can be foundin Together Caring: Central Sydney AreaHealth Service 2000/2001 Year in Review.CSAHS 2000/2001 Statutory Annual Report 51

Workers compensationCSAHS continues to support effectiveworkers’ compensation management andworkplace-based rehabilitation. Affectedemployees are offered specific programs ofsuitable duties to assist their return to work.There is a constant review of claims anddiscussions with legal advisers and fundmanagers to monitor costs and ensure anyissues are quickly and economicallyresolved.Workers compensation performance ismeasured by comparison of claim rates andcosts with average NSW Health rates andcosts for the most recent three financialyears.Data from NSW Treasury Managed Fund as at June 30 2001Claim rate/ 100 staff EFT^ 1998/99 1999/2000 2000/01Balmain Hospital 9.3 8.6 10.9Canterbury Hospital 7.4 10.1 8.7Concord Hospital 7.3 6.5 7.2Division of Population Health 5.8 7.9 4.1Royal Prince Alfred Hospital 7.0 6.7 6.1Rozelle Hospital 10.8 10.1 8.7United Dental Hospital 11.2 13.7 11.8CSAHS average 7.3 7.3 6.8NSW Health average 9.0 8.2 7.6^ equivalent full-timeData from NSW Treasury Managed Fund as at June 30 2001Claim cost/ staff EFT^ 1998/99 1999/2000 2000/01Balmain Hospital $1,165 $1,048 $608Canterbury Hospital $986 $1,049 $360Concord Hospital $1,056 $481 $353Division of Population Health $213 $760 $133Royal Prince Alfred Hospital $834 $470 $277Rozelle Hospital $1,018 $1,068 $306United Dental Hospital $3,723 $854 $187CSAHS average $948 $580 $287NSW Health average $1,151 $764 $373^ equivalent full-timeData from NSW Treasury Managed Fund as at June 30 2001Claim rate/ 100 staff EFT^ 1998/99 1999/2000 2000/01General admin 4.2 4.9 4.7Hotel service 15.2 14.5 12.0Maintenance 24.1 23.0 54.9Medical and their support staff 3.7 3.6 3.9Nursing 7.7 7.7 7.2CSAHS average 7.3 7.3 6.8NSW Health average 9.0 8.2 7.6^ equivalent full-timeCSAHS 2000/2001 Statutory Annual Report 52

Data from NSW Treasury Managed Fund as at June 30 2001Claim rate/ 100 staff EFT^ 1998/99 1999/2000 2000/01Body dressing 3.2 3.1 2.6Falls, trips, slips 1.4 1.2 1.4Other 1.0 0.8 0.8^ equivalent full-timeData from NSW Treasury Managed Fund as at June 30 2001% of CSAHS claims 1998/99 1999/2000 2000/01Body dressing 44% 42% 38%Falls, trips, slips 19% 16% 21%Other 14% 11% 12%CSAHS 2000/2001 Statutory Annual Report 53

Motor fleet risk managementThe CSAHS Transport Departmentcontinues to develop strategies to improvefleet management. There has been areview of policies and procedures,improved accident investigation andanalysis of data to identify trends, costsand specific control strategies. This hasresulted in improved risk management,overall.Audits completed for the TreasuryManaged Fund and the Audit Office ofNSW, as well as those conducted by theCSAHS internal audit department are usedto assess and manage risks in property,public liability, environment, fraud,corruption and information systemsmanagement.Data from NSW Treasury Managed Fund as at June 30 20011999/2000 2000/01Claims 188 135CSAHS claim rate/100 vehicles 27 19NSW Health claim rate/100 vehicles^ 27 24CSAHS claim cost/vehicles ($) 796 375NSW Health claim cost/vehicle ($)^ 636 558^ refers to entire NSW Health systemCSAHS 2000/2001 Statutory Annual Report 54

Freedom of Information (FOI)The Freedom of Information Act (1989) wasintroduced to members of the public toensure that records held by governmentagencies concerning personal affairs, arenot incomplete, incorrect, out or date ormisleading. It gives the public the right toview, obtain copies and/or amenddocuments held by government agencies.Section 14(1)(a) of the FOI Act requires anagency to ensure that up-to-date informationis available to the public through theStatement of Affairs, which is published onan annual basis. The current Statement ofAffairs for CSAHS is incorporated into theCSAHS 2000/2001 Statutory Annual Reportand provides information on objectives,functions and structure of CSAHS.The CSAHS mission statement,organisational structure and acomprehensive report detailing our corporateand future objectives are outlined in theannual report.CSAHS has established liaison with anumber of consumer groups includingpatients/clients and their families. Generalpractitioners and health professionals withinCSAHS and other area health services, Non-Government Organisations, communitygroups, local councils and council-runfacilities and local businesses.Consumer involvement can range frominformal to more structured and ongoingcommittee representation, as well asconsultation in an advisory capacity.Consultation allows consumers to have inputto the services that are provided for them,and helps CSAHS to identify whether we aremeeting the community’s needs.Access to personal and/or non-personaldocuments can be obtained by lodging anFOI application. This can be done bycompleting an FOI application form or bywriting a letter and lodging it with theappropriate CSAHS facility, as listed in theSummary of Affairs. The processing fee foran FOI application is $30.00 (GST free) orshould the applicant be able to showhardship, a 50 per cent reduction is given.For access to medical records, the applicantshould write or telephone the MedicalRecord Department of the appropriateCSAHS facility. A processing fee of $32.00(including GST) is required, however, shouldthe applicant be able to show hardship, a 50per cent reduction is given. If the applicantrequires copies of their medical records, afee of $0.27 (GST included) a page ischarged after the first 80 pages.SUMMARY OF AFFAIRSFreedom of Information Act 1989, Section14(1)(b) and (3) of CSAHS (FOI AgencyNo. 2322)The CSAHS Summary of Affairs covers thefollowing:CSAHS office, Royal Prince Alfred, Concord,Canterbury, Balmain, United Dental andRozelle hospitals, The Division of PopulationHealth, Central Sydney Supply Services,HealthQuest, NSW Institute of ForensicMedicine and Tresillian Family CareCentres.SECTION 1: POLICY DOCUMENTSThe following policies and documents areproduced by CSAHS hospitals and centresand may be accessed for information:CSAHS• CSAHS/NSW Health PerformanceAgreement• Governing Body of Management Manual– Board of CSAHS• CSAHS By-Laws• management policies and procedures,organisation and administration, staffingand direction, patients’ rights and specialneeds, corruption prevention,recruitment and employment of staff andother persons, vetting and managementof allegations and improper conduct• No Smoking• Staff Development and Training• Facilities and Equipment• Quality Activities• Equal Employment OpportunityManagement Plan 2001-2004• Annual Report• CSAHS newsletter newsworks• RTP News – CSAHS’s ResourceTransition Program newsletter• Clinical Services Directory• Corporate Plan• CSAHS health plans: Health Gain forChildren & Youth of Central Sydney,CSAHS 2000/2001 Statutory Annual Report 55

Disability Plan, Women’s HealthStrategic Plan, Domestic ViolenceProtocols, Managing Emergency &Elective Workloads in CSAHS, RTPService Delivery Plans, Hep C Plan,Strategic Directions HIV HealthPromotion in CSAHS 1999/2001,CSAHS Health ImprovementPerformance System (CHIPS), StrategicBusiness Plan, Sexual Health Services1999/2002, Tobacco Control Plan,Mental Health Service Plans 2000/03,Child and Youth Health Report Card• Delegations Manual• Human Resources Manual• Critical Incident Management Plan• Guidelines for Service Planning• Waste Management Plan• Area Demographic Profile• CSAHS Staff Handbook• Infection Control Manuals• CSAHS HealthPlan (Disaster Plan)Hospitals, community services and units• Hospital and departmental policy andprocedure manuals• Quality improvement plans• Admission and discharge policy• Patient information booklets/brochures• Hospital newsletters from Royal PrinceAlfred, Concord, United Dental andCanterbury hospitals• Occupational Health and Safety manuals• Management structures• Disaster plans• Staff handbooks and brochures• Complaints policy and proceduresSECTION 2: STATEMENT OF AFFAIRSFollowing is a summary of the CSAHSStatement of Affairs. The full report providesinformation on objectives, functions andstructure of CSAHS. The cost to purchase is$33 (including GST) and inquiries can bemade by contacting any of the FOI Officerslisted in Section 3. A processing charge of$0.27 (including GST) per page will becharged for photocopies of documents.SECTION 3: CONTACT ARRANGEMENTSInquiries in relation to the inspection orpurchase of CSAHS’s policy documents,annual report or the Summary of Affairs canbe directed to the officers listed below,between the hours of 8.30am and 5.00pm onweekdays or through the CSAHS Office on(02) 9515 9600.CSAHSGayle BergCental Sydney Area Health ServiceLevel 1, Building 11RPA campusMissenden RoadCamperdown NSW 2050Telephone: (02) 9515 9632Balmain HospitalLise RavnBalmain HospitalBooth StreetBalmain NSW 2041Telephone: (02) 9395 2111Canterbury HospitalEva FaresCanterbury HospitalCanterbury RoadCampsie NSW 2194Telephone: (02) 9787 0262Concord HospitalJenny NiemeyerConcord HospitalHospital RoadConcord NSW 2139Telephone: (02) 9767 6350Division of Population HealthSamantha AdelQueen Mary buildingLevel 4, Grose StreetCamperdown NSW 2050Telephone: (02) 9515 3270HealthQuestDr Armand Casolin187 Thomas StreetHaymarket NSW 2000Telephone: (02) 9281 0811CSAHS 2000/2001 Statutory Annual Report 56

NSW Institute of Forensic MedicineKevin BestNSW Institute of Forensic Medicine50 Parramatta RoadGlebe NSW 2037Telephone: (02) 8584 7800Royal Prince Alfred HospitalCharlotte RobertsRoyal Prince Alfred HospitalMissenden RoadCamperdown NSW 2050Telephone: (02) 9515 8397Rozelle HospitalKathleen LeeRozelle HospitalPO Box 1Rozelle NSW 2039Telephone: (02) 9556 9100Tresillian Family Care CentresJane KookarkinTresillian Family Care CentresCanterbury HospitalCanterbury RoadCampsie NSW 2194Telephone: (02) 9787 0875United Dental HospitalSuzanne MaxwellUnited Dental Hospital2 Chalmers StreetSurry Hills NSW 2010Telephone: (02) 9293 3200Freedom of InformationstatisticsOnce again, the number of FOI applicationsreceived by CSAHS for the 2000/01 periodwas a reduction on the previous year.HealthQuest and Royal Prince Alfred,Canterbury and United Dental hospitalsreceived the largest proportion of newapplications, with the remainder beingreceived at the CSAHS office.A number of FOI applications were receivedby the CSAHS Office and forwarded to therelevant facility for processing. CSAHSprocessed six FOI applications, two wereinternal reviews, with three classified as nonpersonal.Third party consultations wereconducted for two applications. One resultedin the appeal of a decision by a third party tothe Administrative Decisions Tribunal (ADT).In the matter of the appeal against CSAHSregarding its determination of an applicationfor an amendment of records underSchedule 47 of the FOI Act, the ADTcommissioner presiding over the case foundin favour of the appellant. CSAHS haslodged an appeal against the decision.The CSAHS Summary of Affairs is updatedand forwarded to the Government PrintingOffice for inclusion in the GovernmentGazette every six months. FOI Officers listedin the Summary of Affairs are available forinquiries regarding FOI applications, accessto medical records and/or amendments ofrecords.CSAHS 2000/2001 Statutory Annual Report 57

FREEDOM OF INFORMATION STATISTICAL RETURNSNUMBER OF APPLICATIONS1999/2000Personal1999/2000Non-Personal2000/01Personal2000/01Non-PersonalApplications carried forward from 30 June(applications not completed in the previous period)1 1 2 1New applications 184 13 142 18Applications completed 146 11 140 18Number of amendments and/or notations 1 0 0 1OUTCOME OF APPLICATIONSOutcome of completed applicationsGranted in full 140 10 79 16Granted in part 6 1 6 2Refused 35 0 53 0Deferred 0 0 0 0Applications granted in part or refusedExempt (Schedule 1) 7 0 7 2Unreasonable diversion of resources 0 0 0 0Otherwise available 35 0 52 0Other 2 1 0 0No record held 1 1 2 0No fees submitted 0 0 0 0FEESFees received ($) 3,699 510 3,515 1,475.50Number of discounts allowed 25 0 43 0Financial Hardship 11 0 43 0Public Interest 0 0 0 0PROCESSING TIME0-14 days 123 8 128 1415-21 days 13 0 6 0Over 21 days 10 3 6 4Reviews and appeals 2 0 1 2CSAHS 2000/2001 Statutory Annual Report 58

PUBLIC AFFAIRS & MARKETING_______________________________________________________________________The unit plays a crucial role in promoting thecorporate identity of CSAHS and each of itshospitals and healthcare facilities. Activitiesare coordinated with an emphasis onoptimising positive media coverage.Issues management, the formulation ofinternal and external communicationstrategies, media advocacy, specialisedpromotional campaigns, corporatepublications and events management areamong its wide range of expertise.Highlights included:• Coordination of the official opening ofthe RPA Institute of Rheumatology &Orthopaedics in conjunction with the1999/2000 CSAHS Annual GeneralMeeting.• Publicity and event coordination for theunveiling of the completedredevelopment works at the UnitedDental Hospital.• Orchestrating a thank you to CSAHS’s500 dedicated volunteers held atCanterbury Hospital, marking 2001 asthe International Year of the Volunteer.Among the special guests were actorRachel Ward and our board chairmanChris Puplick.• Winning a Gold Serif Award from theAustralian Institute of ProfessionalCommunicators for the 1998/99 AnnualReport, and a Bronze Annual ReportAward for the 1999/2000 Annual Report.• Producing regular publications includingthe staff newsletter newsworks whichprovides a general overview of activities,and RTP news to update readers on theprogress of major construction projects.The CSAHS Year in Review andStatutory Annual Report were alsoproduced. A brochure on the new RPAInstitute of Rheumatology &Orthopaedics was designed anddistributed to every GP in the State.• Continuing success of the Logie awardwinningChannel Nine reality televisionseries RPA, which received its secondconsecutive Logie nomination this year.• Widespread media coverage on a rangeof health issues including the trial of anew drug at RPA to fight rheumatoidarthritis and world-first research intogum and heart disease at UDH.• Coordination of a comprehensivepublicity and marketing strategy tosupport the 12-month pilot of theHealthConnect telephone medicaladvice line.CSAHS 2000/2001 Statutory Annual Report 59

VOLUNTEERS AND DONORS_______________________________________________________________________With selfless commitment and dedication,many willing supporters from the communitygenerously donate their time, energy andtalents to our hospitals and healthcarefacilities.2001 is the International Year of theVolunteer. The contribution of our 500-strong band of community workers wasrecognised at the inaugural NSW HealthVolunteer Appreciation Day in February.Representatives joined board chairmanChris Puplick, special guest actorRachel Ward and staff for a specialcelebration at Canterbury Hospital.Our volunteers raise funds for research andequipment, visit patients and support thework of staff in many areas.Donations are made to our hospitals,programs and centres by hundreds ofindividuals, businesses, private estates andfoundations with some groups coordinatingfundraising initiatives on our behalf.The following individuals and organisations provided more than $5000 in support:M AngeloNick BalagiannisBalmain Hospital Ladies AuxiliaryCampsie RSL ClubCanterbury CouncilCanterbury-Hurlstone Park RSL ClubBrian J CarrColoplastConcord Hospital Volunteer ServiceAuxiliary IncJames DiveDive & Kerr SolicitorsThe Doll Collectors Club of NSW IncEarlwood-Bardwell Park Women’s BowlingClubEarlwood Ex-Services ClubGeorge EliasJohn FoleyJames Gibbs (estate)M GrantMrs Dagmar HalasJohnson & Johnson PacificKingsgrove RSL ClubKingsgrove RSL Club Sub BranchF S Knuvers (bequest)Richard Mew JorkLakemba Services ClubLakemba Soldiers ClubLebanon Rugby Leagues ClubLions Club of BankstownLions Club of Beverly HillsLions Club of Sydney Korean IncNestle`Nine Network AustraliaDr O’BrienGraham O’NeillPunchbowl RSL ClubRAAF Association BankstownJohn Slattery (bequest)St George HotelSydney Markets Industries Lions Club IncSydney Orchid SocietyJohn SwindellsA TannousWestern Suburbs Soccer ClubThank you to all our donors, volunteers and supportersCSAHS 2000/2001 Statutory Annual Report 60

OPERATIONAL EFFICIENCY_______________________________________________________________________Energy management• A review of electricity consumption wasundertaken and completed this year.Strategies have been identified toensure continued compliance with theGovernment Energy ManagementPolicy. These include increasingeducation about energy conservationand adopting the most energy efficientlighting tubes.They build on previous achievementsincluding:- Appointing an energy manager andestablishing a working party to setstrategies and directions- Incorporating energy managementstrategies into the ResourceTransition Program- Developing an energy plan and staffawareness program- Conducting energy audits, and- Establishing baseline data fromwhich to monitor future savings.Waste management• The CSAHS Waste Minimisation Planwas further reviewed in accordance withGovernment policy. It has beensubmitted to the Environment ProtectionAuthority.• All facilities undertake recyclingprograms, and management initiativescontinue to be implemented acrossCSAHS with advice from the Inner WestWaste Management Board.Other services• The CSAHS Supply Service proceededwith following the NSW Health SupplyChain Reform Initiatives throughcentralised management of procurementand logistics functions• Details about operational costs includinglinen, cleaning and catering services arelisted in the audited financial statements.CSAHS 2000/2001 Statutory Annual Report 61

SES OFFICERS’ REPORT_______________________________________________________________________NamePositionDr Diana Horvath AOChief Executive OfficerCentral Sydney Area HealthServiceSES Level 7commitment to the continuedimprovement of services• Supported the official launch of theAboriginal and Torres Strait IslanderEmployment Strategy.Period inpositionRESULTS:Strategic Initiatives:First appointed in December1992; re-appointed inDecember 1997• Major capital works continued toprogress under CSAHS’s $390 millionResource Transition Program during theyear. These included:- The $10 million redevelopment ofthe United Dental Hospital- Official opening of the RPA Instituteof Rheumatology & Orthopaedics, a$17.4 million refurbishment of theQEII building to accommodate therelocation of inpatient services fromRachel Forster Hospital at Redfern- Commencement of upgrade worksat Concord Hospital, and- Continued redevelopment at RoyalPrince Alfred Hospital.• Provided healthcare support services tothe main sporting venues and toathletes, delegates and officials duringthe Sydney Olympic and Paralympicgames• Established effective initiatives forresearch fundraising through thedevelopment of the RPA Foundation• Supported health outcomes andpromotion initiatives• Restructured the executive managementorganisation to provide enhanced focuson strategic and quality issuesManagement Accountabilities:• Met financial management targets andachieved a favourable net cost ofservices• Kept Australian Council on HealthcareStandards accreditation for all hospitalswithin CSAHS• Developed improved bed managementprograms to reduce the number ofpatients required to be sent out of thearea for their intensive care• Maintained the highest level of paidstudy leave for nursing staff in NSW• Continued progress with the secondTobacco Control Plan including thetargeting of specific ethnic communities• Met day-of-surgery admission ratesacross CSAHS• Achieved all capital works milestones• Integrated the mental health patientdatabase with acute hospital patientsystems• Continued to develop and implementenergy and waste managementinitiatives in accordance withGovernment policy• Integrated the mental health patientdatabase with acute hospital patientsystems.• Endorsed the clinical quality action planto review processes as part of aCSAHS 2000/2001 Statutory Annual Report 62

Name:PositionPeriod inposition:Michael WallaceDeputy Chief ExecutiveOfficer, Central SydneyArea Health ServiceSES Level 5First appointed in February1993; re-appointed inMay 1998• Managed the ongoing development ofperformance benchmarks particularly inregard to capital assets• Advised on the development andimplementation of nurse recruitment andretention strategies• Devised and implemented strategies toenhance medical research potential inmajor hospital sitesRESULTS:Strategic Initiatives:• Continued to progress theimplementation of CSAHS’s capitalasset program, the $390 millionResource Transition Program, throughongoing planning and negotiations. Keyareas included:- The completed upgrade of theUnited Dental Hospital- Completion of the concrete structurefor the new clinical services buildingat Royal Prince Alfred Hospital- Progression of the reconstructionprocess at Concord Hospitalincluding the completion ofdemolition work- Commencement of themasterplanning process for theRozelle Hospital site anddevelopment of plans to integrateand relocate Mental Health Servicesto the Concord Hospital campus- Ongoing planning for theCamperdown Community HealthCentre following completion of theschematic design, and- Review of proposals for the InnerWest Health Centre following thecall for submissions.• Developed safe operating practices.Management Accountabilities:• Met financial management targets• Implemented cost-saving initiatives andcontrols to achieve favourable net costof services• Attained capital works milestones• Improved revenue collectionperformance• Continued the development of riskmanagement programs.CSAHS 2000/2001 Statutory Annual Report 63

A:\AFS_NGOS.WK4NON-GOVERNMENT ORGANISATIONSCSAHS is responsible for adminitering the following non-government organisations (NGOs)funded through the NSW Health NGO grant program.Subsidy NGO Grant 2000/2001RECIPIENTS/GRANTEES Program 2000/2001 Grant1 Australian Nutrition Foundation Health Promotion 48,20048,2002 Barnardo's - Marrickville Drug & Alcohol 80,2003 Barnardo's - Youth at Risk Drug & Alcohol 76,4004 Building Trades Union Drug & Alcohol 113,8005 CO AS IT Drug & Alcohol 48,2006 Cyrenian House - ADF NSW Drug & Alcohol 228,9527 Fact Tree Youth Services - Making It Drug & Alcohol 88,5008 Guthrie House Drug & Alcohol 114,2009 Leichhardt Women's Health Centre Drug & Alcohol 56,40010 South Sydney Women's Therapy Centre Drug & Alcohol 106,50011 We Help Ourselves Drug & Alcohol 411,80012 Youth Unlimited Drug & Alcohol 41,70013 Kathleen York House Drug & Alcohol 25,0001,391,65214 Family Planning NSW AIDS 396,80015 Haemophilia Society of NSW AIDS 65,00016 Stanford House Inc AIDS 115,90017 The Gender Centre AIDS 168,70018 We Help Ourselves AIDS 83,700830,10019 Dental Health Foundation Dental 51,70051,70020 Centacare Services - Sydney Community Services 26,00021 Dympna House Community Services 297,60022 Family Planning NSW Community Services 519,00023 Leichhardt Women's Health Centre Community Services 447,80024 Lifeline Sydney Community Services 45,30025 NSW Council Child's Film & TV Community Services 1,20026 Sydney Rape Crisis Centre Community Services 448,90027 South Sydney Women's Therapy Centre Community Services 190,50028 Sydney Indo-Chinese Youth Support Community Services 50,40029 Thalassaemia Society of NSW Community Services 45,6002,072,30030 After Care - Administration Mental Health 76,50031 After Care - Ashfield/Parramatta Mental Health 72,30032 After Care - Psycho Support Services Mental Health 63,50033 CO AS IT Mental Health 108,30034 GROW (Community Services) Mental Health 370,20035 Homicide Victims Support Group Mental Health 366,50036 Richmond Fellowship Mental Health 595,2001,652,50037 Diabetes Australia Aged & Disabled 17,90038 Ella Community Centre Aged & Disabled 44,80039 Motor Neurone Disease Association Aged & Disabled 105,60040 Royal Blind Society of NSW Aged & Disabled 169,60041 Stroke Recovery Association Aged & Disabled 84,30042 Kindilan Centre Aged & Disabled 139,400561,60043 NSW Rape Crisis Centre National Women's Health 132,60044 Fairfield Multicultural Family Planning National Women's Health 377,40045 Women's Incest Survivors Network National Women's Health 7,500517,500TOTAL 7,125,552

TREASURER’S REPORT_______________________________________________________________________The year commenced and ended with a great deal of time being expended on the administrationand management of the tax system. The compliance component of the Goods and Services Tax,and to a lesser degree, the Fringe Benefits and Pay As You Go taxes absorbed significant staffresources.Expenses for the year were $777.863 million compared to the $789.786 million budget. Thefavourability for the year was $11.923 million of which $9.1 million was this year’s budgetedallocation to the Resource Transition Program. The year’s outgoings were within $1.8 million(0.23%) of the expenditure of a year earlier.The recurrent contribution to the Resource Transition Program this year is our largest, and wasonly possible because of the unusual 27 th pay in the prior financial year.The Revenue budget of $230.718 million was exceeded by $6.188 million.The overall Net Cost of Services of $538.166 million was $17.752 million favourable to the$555.918 million budget target. This includes all Trusts, Grants and Special Purposes.The Equity at June 2000 was $559.999 million – that sum increased $88.223 million to$648.222 million in the year 2001.Again this year the provision of services to other (NSW) area health services was significant; theywere costed at $120.685 million (up $2.901 million on last year). Those sums compare with the$53.777 million worth of services ($53.183 million in the year 2000) provided to CSAHS residentsby other area health services.The capital outlay in the rebuilding of the Area’s facilities for the year was $126 million.Again this year I extend my congratulations to the staff of the Area Health Service on delivering anexcellent result.Maria PethardCSAHS 2000/2001 Statutory Annual Report 65

Certification of Financial StatementsThe attached financial statements of Central Sydney Area Health Service for the year ended30 June 2001:(i)(ii)(iii)have been prepared in accordance with applicable Australian Accounting Standards,other authoritive pronouncements of the Australian Accounting Standards Board,Urgent Issues Group Consensus Views, the requirements of the Public Finance andAudit Act, 1983 and its regulations, the requirements of the Health Services Act 1997,the Accounts and Audit Determination, and the Accounting Manual for Area HealthServices, District Health Services and Public Hospitals; andpresent fairly the financial position and transactions of the Health Service; andhave no circumstances which would render any particulars in the financial statementsto be misleading or inaccurate...................................... .......................................Christopher Puplick AMDr Diana G Horvath AOChairmanChief Executive Officer27 August, 2001 27 August, 2001

Beginning of Audited Financial StatementsCENTRAL SYDNEY AREA HEALTH SERVICEStatement of Financial Position as at 30 June 2001ParentConsolidatedActual2001$000Budget2001$000Actual2000$000NotesActual2001$000Budget2001$000Actual2000$00023,52318,9905,16428,14912,52411,4585,30128,14954,96515,1595,325-ASSETSCurrent AssetsCashReceivablesInventoriesOther Financial Assets2(r)(i),162(r)(ii),182(o),192(r)(iii),1725,90819,0005,16428,14912,52411,4585,30128,14957,74615,1635,325-75,826 57,432 75,449 Total Current Assets 78,221 57,432 78,234687,12752,037692,19955,114588,53154,595Non-Current AssetsProperty, Plant and Equipment- Land and Buildings- Plant and Equipment2(i),2(l),202(j),20692,71252,240692,19955,114593,58254,651739,164 747,313 643,126 Total Property, Plant and Equipment 744,952 747,313 648,233500 500 1,000 Receivables 18 500 500 1,000739,664 747,813 644,126 Total Non-Current Assets 745,452 747,813 649,233815,490 805,245 719,575 Total Assets 823,673 805,245 727,46733,04954,89637,25947,19930,98850,142LIABILITIESCurrent LiabilitiesPayablesEmployee Entitlements and OtherProvisions2(r)(iv),222(b),2333,16054,92137,25947,19930,99850,14287,945 84,458 81,130 Total Current Liabilities 88,081 84,458 81,14087,370 90,213 86,328Non-Current LiabilitiesEmployee Entitlements and OtherProvisions2(b),2387,370 90,213 86,32887,370 90,213 86,328 Total Non-Current Liabilities 87,370 90,213 86,328175,315 174,671 167,458 Total Liabilities 175,451 174,671 167,468640,175 630,574 552,117 Net Assets 648,222 630,574 559,999147,789492,386151,961478,613151,961400,156EquityReservesAccumulated Funds2424147,789500,433151,961478,613151,961408,038640,175 630,574 552,117 Total Equity 648,222 630,574 559,999The accompanying notes form part of these financial statements

CENTRAL SYDNEY AREA HEALTH SERVICEStatement of Financial Performance for the Year Ended 30 June 2001ParentConsolidatedActual2001$000Budget2001$000Actual2000$000NotesActual2001$000Budget2001$000Actual2000$000490,20323,671204,33520,83426,3077,1264,466495,88725,311205,72124,16226,6667,0085,031487,83724,587199,20621,99129,8257,8514,395ExpensesOperating ExpensesEmployee RelatedVisiting Medical OfficersGoods and ServicesMaintenanceDepreciationGrants and SubsidiesPayments to Affiliated Health Organisations- Recurrent342(m),52(k),678490,41023,671204,58921,14626,4557,1264,466495,88725,311205,72124,16226,6667,0085,031488,01724,587199,37321,99629,8307,8514,395776,942 789,786 775,692 Total Expenses 777,863 789,786 776,049201,1633,72220,9399,996198,5673,12820,0388,985193,7833,25826,2405,292RevenuesSale of Goods and ServicesInvestment IncomeGrants and ContributionsOther Revenue2(e),91011,1412,14201,1633,84421,81310,086198,5673,12820,0388,985193,7833,53626,7585,442235,820 230,718 228,573 Total Revenues 236,906 230,718 229,519(2,791) (3,150) (3,326) (Gain)/Loss on Disposal of Non Current Assets 13 (2,791) (3,150) (3,326)538,331 555,918 543,793 Net Cost of Services 29 538,166 555,918 543,204501,26690,88935,444501,26690,93835,500490,82428,17031,263Government ContributionsNSW Health Department Recurrent AllocationsNSW Health Department Capital AllocationsAcceptance by the Crown Entity ofSuperannuation Liability2(a)2(a)2(c)501,26690,88935,444501,26690,93835,500490,82428,17031,263627,599 627,704 550,257 Total Government Contributions 627,599 627,704 550,25789,268 71,786 6,464 Result for the Year from Ordinary Activities 24 89,433 71,786 7,053- - -89,268 71,786 6,464Total Revenues, Expenses and ValuationAdjustments Recognised Directly in Equity - - -Total Changes in Equity Other Than ThoseResulting From Transactions with Ownersas Owners 89,433 71,786 7,053The accompanying notes form part of these financial statements

CENTRAL SYDNEY AREA HEALTH SERVICEStatement of Cash Flows for the Year Ended 30 June 2001ParentConsolidatedActual2001$000Budget2001$000Actual2000$000NotesActual2001$000Budget2001$000Actual2000$000(448,992)(7,839)(278,559)(453,622)(7,721)(282,500)(453,704)(7,851)(237,875)Cash Flows From Operating ActivitiesPaymentsEmployee RelatedGrants and SubsidiesOther2(w)(449,161)(7,839)(279,131)(453,622)(7,721)(282,506)(453,885)(7,851)(238,051)(735,390) (743,843) (699,430) Total Payments (736,131) (743,849) (699,787)206,3864,09150,206201,9083,12849,492195,9563,11728,637ReceiptsSale of Goods and ServicesInterest ReceivedOther206,3864,21351,188201,9083,12849,509196,0293,41629,198260,683 254,528 227,710 Total Receipts 261,787 254,545 228,643501,26690,889501,26690,938490,82428,170Cash Flows From GovernmentNSW Health Department Recurrent AllocationsNSW Health Department Capital Allocations501,26690,889501,26690,938490,82428,170592,155 592,204 518,994 NET CASH FLOWS FROM GOVERNMENT 592,155 592,204 518,994117,448 102,889 47,274NET CASH FLOWS FROM OPERATINGACTIVITIES 117,811 102,900 47,8506,738(124,993)(28,149)(763)6,576(131,174)-3,17515,280(68,158)-2,693Cash Flows From Investing ActivitiesProceeds from the Sale of Land and Buildings,and Plant and EquipmentPurchases of Land and Buildings, and Plant andEquipmentPurchase of InvestmentsOther6,738(125,822)(28,149)(693)6,576(131,174)-3,16415,280(72,804)-2,696(147,167) (121,423) (50,185)NET CASH FLOWS FROM INVESTINGACTIVITIES (147,926) (121,434) (54,828)-(1,723)--(750)-Cash Flows From Financing ActivitiesRepayment of Borrowings and AdvancesCash and Other Financial Assets of CEIDAtransferred to NSW Health Department-(1,723)--(750)-(1,723) - (750)NET CASH FLOWS FROM FINANCINGACTIVITIES (1,723) - (750)(31,442)54,965(18,534)31,058(3,661)58,626NET INCREASE/(DECREASE) IN CASHOpening Cash and Cash Equivalents(31,838)57,746(18,534)31,058(7,728)65,47423,523 12,524 54,965 CLOSING CASH AND CASH EQUIVALENTS 16 25,908 12,524 57,746The accompanying notes form part of these financial statements

Central Sydney Area Health ServiceProgram Statement — Expenses and Revenuesfor the Year Ended 30 June 2001CSAHS EXPENSES ANDREVENUESProgram1.1Program1.2Program1.3Program2.1Program2.2Program2.3Program3.1Program4.1Program5.1Program6.1Grand Total2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000 2001 2000$000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000ExpensesOperating ExpensesEmployee RelatedVisiting Medical OfficersOther Operating ExpensesMaintenanceDepreciationGrants and SubsidiesOther Expenses24,0441,0546,6606282973,72546523,9271,0956,5136533354,103458276106121--275106021--75,5114,89830,9314,2424,640-38875,1435,08830,2494,4135,232-38221,8988755,5309101,382--21,7919095,4089471,558--212,00610,077118,7369,16214,444-3,613210,97110,467115,4139,52916,289-3,55528,7462,48815,7131,7402,120--28,6062,58415,3661,8102,390--49,1271,66110,4901,1691,2341,443-48,8871,72510,2591,2161,3911,590-29,4091,1707,3841,0931,029444-29,2651,2157,2211,1371,160489-6,6845203,28142026344-6,6515403,20943729649-42,7099185,8031,7801,0451,470-42,5019545,6751,8521,1781,620-490,41023,671204,58921,14626,4557,1264,466488,01724,587199,37321,99629,8307,8514,395Total Expenses 36,873 37,084 350 348 120,610 120,507 30,595 30,613 368,038 366,224 50,807 50,756 65,124 65,068 40,529 40,487 11,212 11,182 53,725 53,780 777,863 776,049Retained RevenueSale of Goods and ServicesInvestment IncomeGrants and ContributionsOther Revenue2,4033842,1791,0082,1473532,630544--------27,4502481,40565026,6742281,6963507,85734192897,6393123249118,3469155,3722,434114,6548696,4601,32812,9157241019012,4686649510217,8124324211217,144392926013,2662261,28059212,6342081,5463195638406621972211,0581,88410,6934,9454021,73313,3352,669201,1633,84421,81310,086193,7833,53626,7585,442Total Retained Revenue 5,974 5,674 - - 29,753 28,948 8,172 7,951 127,067 123,311 13,587 13,131 18,209 17,535 15,364 14,707 200 123 18,580 18,139 236,906 229,519Gain/(Loss) on Disposal of Non CurrentAssets(33) (33) - - - (35) - - 2,888 3,735 - - (44) (20) (20) (321) - - - - 2,791 3,326NET COST OF SERVICES 30,932 31,443 350 348 90,857 91,594 22,423 22,662 238,083 239,178 37,220 37,625 46,959 47,553 25,185 26,101 11,012 11,059 35,145 35,641 538,166 543,204The name and purpose of each program is summarised in Note 15.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 20011. Central Sydney Area Health Service Reporting EntityCentral Sydney Area Health Service (CSAHS) was established on 1 August 1988. CSAHS incorporates andmanages all the operating activities of the following hospitals, community health services and other facilitiesunder its control:C Royal Prince Alfred HospitalC Concord Repatriation General HospitalC Balmain HospitalC Canterbury HospitalC HealthQuestC NSW Institute of Forensic MedicineC Population HealthC Institute of Rheumatology and OrthopaedicsC Rozelle HospitalC Thomas Walker HospitalC United Dental Hospital• ANZAC Health and Medical Research FoundationIn addition, the following Affiliated Health Organisations are associated by special arrangements with CSAHS:CCCentral Sydney Scarba ServiceTresillian Family Care CentresThe Centre for Education and Information on Drugs and Alcohol (CEIDA) was transferred to NSW HealthDepartment from 1 July 2000.The Financial Statements encompass the activities of the General Fund and the controlled segment of theSpecial Purposes and Trust Fund. As CSAHS cannot use the uncontrolled segment of the latter fund to achieveits objectives, the cash balances and activity of that segment are disclosed by way of a note to the financialstatements. Within the controlled segment of the Special Purposes and Trust Fund there are assets restricted tospecific uses by donors but nonetheless controlled by CSAHS.The primary objectives of CSAHS are to protect, promote and maintain the health of Central Sydney residentsand to provide state and nationwide health services, research and training.Principles of ConsolidationThe consolidated accounts are those of the consolidated entity, comprising CSAHS (the chief entity), and itscontrolled entity, ANZAC Health and Medical Research Foundation.In the process of preparing the consolidated financial statements for the economic entity consisting of thecontrolling and controlled entity, all inter-entity transactions and balances have been eliminated.The ANZAC Health and Medical Research Foundation is a controlled entity of CSAHS by virtue of CSAHS’scapacity to control the casting of the majority of the votes at meetings of the governing body of the Foundation.The Foundation is incorporated in Australia as a company limited by guarantee under the Corporations Act 2001,and it is an economic entity whose principal activity is research. The beneficial interest held by CSAHS is 100%.The revenue of the Foundation for the year was $1,087,131 (2000 $945,823), expenditure was $921,792 (2000$357,199) and the surplus was $165,339 (2000 $588,624).

2. Summary of Significant Accounting PoliciesCentral Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001CSAHS’s Financial Statements are a general purpose financial report which has been prepared on an accrualsbasis in accordance with applicable Australian Accounting Standards, other authoritative pronouncements of theAustralian Accounting Standards Board (AASB), UIG Consensus Views and the requirements of the HealthServices Act 1997 and its regulations including observation of the Accounts and Audit Determination for AreaHealth Services and Public Hospitals.Where there are inconsistencies between the above requirements, the legislative provisions have prevailed.Statements of Accounting Concepts are used as guidance in the absence of applicable Accounting Standards,other mandatory professional requirements and legislative requirements.Except for certain land and buildings and plant and equipment, which are recorded at valuation, the financialstatements are prepared in accordance with the historical cost convention. All amounts are rounded to thenearest one thousand dollars and are expressed in Australian currency.Other significant accounting policies used in the preparation of these financial statements are as follows:(a)NSW Health Department AllocationsPayments are made by the NSW Health Department on the basis of the net allocation for CSAHS asadjusted for approved supplementations, mostly for salary agreements, patient flows between HealthServices and other States and approved enhancement projects. This allocation is included in theStatement of Financial Performance before arriving at the Result from Ordinary Activities on the basisthat the allocation is earned in return for the health services provided in 2000/2001 on behalf of theDepartment.General operating expenses/revenues of Affiliated Health Organisations ie Tresillian Family CareCentres and Central Sydney Scarba Service have only been included in the Statement of FinancialPerformance to the extent of the net cash payments made to the facilities concerned. CSAHS is notdeemed to own or control the various assets/liabilities of the aforementioned Affiliated HealthOrganisations and such amounts have been excluded from the Statement of Financial Position. Anyexceptions are specifically listed in the notes that follow.The NSW Health Department has implemented a policy of net appropriation with all revenues earnedbeing retained at CSAHS level and, with NSW Health Department Cash Payments, applied to offset netexpenditure.Capital Allocations have been treated as revenue in these financial statements and have been brought toaccount after Net Cost of Services.(b)Employee EntitlementsThe elements of the entitlements are: salaries and wages, annual leave, long service leave, sick leaveand on-costs.Liabilities for salaries and wages, annual leave, vesting sick leave and related on-costs are recognisedand measured as the amount unpaid at the reporting date at current pay rates in respect of employees’services up to that date.Long Service Leave measurement is based on the remuneration rates at year end for all employees withfive or more years of service. It is considered that this measurement technique produces results notmaterially different from the estimate determined by using the present value basis of measurement.Employee leave entitlements are dissected between the “Current” and “Non Current” components on thebasis of anticipated payments for the next 12 months. This in turn is based on past trends and knownresignations and retirements.Unused non-vesting sick leave does not give rise to a liability as it is not considered probable that sickleave taken in the future will be greater than the entitlements accrued in the future.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001The outstanding amounts of workers’ compensation insurance premiums and fringe benefits tax, whichare consequential to employment, are recognised as liabilities and expenses where the employeeentitlements to which they relate have been recognised.Under the Leave Mobility provisions applicable in the Government Sector from May 1993, CSAHS paidand received monies in respect of employee leave transferred.(c)SuperannuationCSAHS’s liability for superannuation is assumed by the Crown Entity. CSAHS accounts for the liability ashaving been extinguished resulting in the amount assumed being shown as part of the non-monetaryrevenue item described as “Acceptance by the Crown Entity of Superannuation Liability”.The superannuation expense for the financial year is determined by using the formulae specified by theNSW Health Department. The expense for certain superannuation schemes (ie. Basic Benefit and FirstState Superannuation) is calculated as a percentage of the employees’ salary. For other superannuationschemes (ie. State Superannuation Scheme and State Authorities Superannuation Scheme), theexpense is calculated as a multiple of the employees’ superannuation contributions.In the eight years ending 30 June 2001, since Concord Repatriation General Hospital was absorbed intoCSAHS, the superannuation expenditure associated with those staff who have remained in the FederalSuperannuation Fund was paid by NSW Health Department. That expenditure totalled $5.684 million in2000/01 and $6.877 million in 1999/00.(d)InsuranceCSAHS’s insurance activities are conducted through the NSW Treasury Managed Fund Scheme of selfinsurance for Government agencies. The expense (premium) is determined by the Fund Manager basedon past experience.(e)Revenue RecognitionRevenue arising from the sale of goods, the provision of services and the use of CSAHS’s assets isrecognised when:(i)(ii)(iii)(iv)(v)CSAHS has passed control of the goods or other assets to the buyer;CSAHS controls a right to be compensated for services rendered;CSAHS controls a right relating to the consideration payable for the provision of investmentassets;it is probable that the economic benefits comprising the consideration will flow to the entity; andthe amount of the revenue can be measured reliably.Patient FeesPatient Fees are derived from chargeable inpatients and non-inpatients on the basis of rates specified bythe NSW Health Department from time to time.Debt ForgivenessIn accordance with the provisions of Australian Accounting Standard AAS23 debts are accounted for asextinguished when and only when settlement occurs through repayment or replacement by anotherliability or the debt is subject to a legal defeasance.

Use of Hospital FacilitiesCentral Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001Specialist doctors with rights of private practice are charged an infrastructure fee for the use of hospitalfacilities at rates determined by the NSW Health Department and are based on fees collected.Use of Outside FacilitiesCSAHS uses a number of facilities owned and maintained by the local authorities in the area to delivercommunity health services, for which no charges are raised by the authorities. The cost method ofaccounting is used for the initial recording of all such services with cost being determined as the fairvalue of the services given which is then duly recognised as both revenue and matching expense.(f)Goods and Services Tax (GST)Revenues, expenses and assets are recognised net of the amount of GST, except:• the amount of GST incurred by the agency as a purchaser that is not recoverable from theAustralian Taxation Office is recognised as part of the cost of acquisition of an asset or as part ofan item of expense;• receivables and payables are stated with the amount of GST included;• the Statement of Cash Flows has been grossed up for the GST.(g)Inter Area and Interstate Patient FlowsCSAHS recognised the flow of acute inpatients from the area in which they are resident to other areaswithin the State and across Australia. The expense and revenue values reported within the financialstatements have been based on 1999/2000 activity data using standard cost weighted separation valuesto reflect estimated costs in 2000/01 for acute weighted inpatient separations. Where treatment isobtained outside the home health service the area providing the service is reimbursed by the benefitingArea.The reporting adopted also aims to provide a greater accuracy of the cost of service provision to theArea’s resident population and disclose the extent to which service is provided to non-residents.The adjustments have no effect on equity values as the movement in Net Cost of Services is matched bya corresponding adjustment to the value of the NSW Health Department Recurrent Allocation.In 2000/01 calculation of the patient flows has been amended to include the flows to/from otherAustralian States and Territories. (Refer Note 2w)The composition of patient flow revenue/expense is disclosed in Notes 4 and 9.(h)Research and Development CostsResearch and development costs are charged to expense in the year in which they are incurred.(i)Acquisition of AssetsThe cost method of accounting is used for the initial recording of all acquisitions of assets controlled byCSAHS. Cost is determined as the fair value of assets given as consideration plus costs incidental to theacquisition.Assets acquired at no cost, or for nominal consideration, are initially recognised as assets and revenuesat their fair value at the date of acquisition.Fair value means the amount for which an asset could be exchanged between a knowledgeable, willingbuyer and a knowledgeable, willing seller in an arm’s length transaction.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001Where settlement of any part of cash consideration is deferred, the amounts payable in the future arediscounted to their present value at the acquisition date. The discount rate used is the incrementalborrowing rate, being the rate at which similar borrowing could be obtained.Land and Buildings which are owned by the Health Administration Corporation or the State andadministered by CSAHS are deemed to be controlled by CSAHS and are reflected as such in thefinancial statements.Construction in Progress is carried at cost and relates to Capital Work on the redevelopment of theResource Transition Program and miscellaneous projects.(j)Plant and EquipmentIndividual items of plant and equipment costing $5,000 or more are capitalised.(k)DepreciationDepreciation is provided for on a straight line basis against all depreciable assets so as to write off thedepreciable amount of each depreciable asset as it is consumed over its useful life to CSAHS. Land isnot considered a depreciable asset.Property, Plant and Equipment have been depreciated from not later than the month following acquisitionor operation. Depreciation rates on individual assets are reviewed annually.Details of depreciation rates for major asset categories are as follows:Buildings 0.2% - 2.8%Electro Medical Equipment- Costing less than $200,000 10.0%- Costing more than or equal to $200,000 12.5%Computer Equipment 20.0%Computer Software 20.0%Office Equipment 10.0% -12.5%Plant and Machinery 10.0%Furniture, Fittings and Furnishings 10.0%Linen 20.0% - 33.3%Motor Vehicles - Trucks, Buses and Vans 20.0%(l)Revaluation of Physical Non Current AssetsBuildings and improvements and infrastructure assets (excluding land) are valued on the basis of theestimated written down replacement cost of the most appropriate modern equivalent replacement facilityhaving a similar service potential to the existing asset. Land is valued on an existing use basis.Plant and equipment are carried at net book value, which management has assessed to approximatewritten down replacement cost. Construction in progress is shown at cost. Land and buildings surplus toCSAHS’s requirements are stated at market value.Land and buildings are revalued every 5 years by independent valuation. The last such revaluation wascompleted as at 1 July 1997.In accordance with Treasury policy, CSAHS has applied the AAS38 “Revaluation of Non Current Assets”transitional provisions for the public sector and has elected to apply the same revaluation basis as thepreceding reporting period, while the relationship between fair value and the existing valuation basis inthe NSW public sector is further examined. It is expected however, that in most instances the currentvaluation methodology will approximate fair value.Where assets are revalued upward or downward using the replacement cost basis, CSAHS restatesseparately the gross amount and the related accumulated depreciation of that class of assets.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001The recoverable amount test has not been applied as CSAHS is a not-for-profit entity whose servicepotential is not related to the ability to generate net cash inflows.Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extentthat an increment reverses a revaluation decrement in respect of that class of asset previouslyrecognised as an expense in the “result for the year from ordinary activities”, the increment is recognisedimmediately as revenue in the “result for the year from ordinary activities”.Revaluation decrements are recognised immediately as expenses in the “result for the year from ordinaryactivities” except that, to the extent that a credit balance exists in the asset revaluation reserve in respectof the same class of assets, they are debited directly to the asset revaluation reserve.Revaluation increments and decrements are offset against one another within a class of non-currentassets, but not otherwise.(m)Maintenance and RepairsThe costs of maintenance are charged as expenses as incurred, except where they relate to thereplacement of a component of an asset in which case the costs are capitalised and depreciated.(n)Leased AssetsA distinction is made between finance leases which effectively transfer from the lessor to the lesseesubstantially all the risks and benefits incidental to ownership of the leased assets, and operating leasesunder which the lessor effectively retains all such risks and benefits. CSAHS has no finance leases. Itdoes however, have a number of operating leases for buildings and office equipment and motor vehicles.Operating lease payments are charged to the Statement of Financial Performance in the periods in whichthey are incurred.(o)InventoriesAll inventories have been valued at the lower of cost and net realisable value. Costs are assigned toindividual items of stock mainly on a weighted average cost basis.Obsolete items are disposed of in accordance with instructions issued by the NSW Health Department.(p)InvestmentsMarketable securities and deposits are valued at cost unless specifically stated in Note 17. Nonmarketable securities are brought to account at cost.For non-current investments, revaluation increments are credited directly to the asset revaluation reserve.Revaluation decrements are recognised in the Statement of Financial Performance except to the extentthat the decrement reverses an increment previously credited to the asset revaluation reserve, in whichcase it is debited to the asset revaluation reserve.For current investments, revaluation increments and decrements are recognised in the Statement ofFinancial Performance.Interest revenues are recognised as they accrue.(q)Administrative RestructuringThe transfer of net assets between agencies as a result of administrative restructuring is treated as adirect adjustment to the opening balance of “Accumulated Funds”.Transfer of the net assets of CEIDA was effected to the NSW Health Department on 1 July 2000. Thetransfer of $1.210 million in net assets has been treated as a direct adjustment to the opening balance ofAccumulated Funds. Details of assets and liabilities transferred are disclosed in note 24.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001(r)Financial InstrumentsFinancial instruments give rise to positions that are a financial asset of either CSAHS or its counterpartyand a financial liability (or equity instrument) of the other party. For CSAHS these include cash at bank,receivables, other financial assets and payables.In accordance with Australian Accounting Standard AAS33, “Presentation and Disclosure of FinancialInstruments”, information is disclosed in Note 34 in respect of the credit risk and interest rate risk offinancial instruments. All such amounts are carried in the accounts at net fair value. The specificaccounting policy in respect of each class of such financial instrument is stated hereunder.Classes of instruments recorded at cost and their terms and conditions at balance date are as follows:(i)CashAccounting Policies - Cash is carried at nominal values reconcilable to monies on hand andindependent bank statements.Terms and Conditions - Monies on deposit attract an interest rate ranging from 4.70% to 6.98%(4.05% to 5.3% in 1999/00).(ii)ReceivablesAccounting Policies - Receivables are carried at nominal amounts due less any provision fordoubtful debts. A provision for doubtful debts is recognised when collection of the full nominalamount is no longer probable.Terms and Conditions - Accounts are issued on 7 and 30 day terms.(iii)InvestmentsAccounting Policies - NSW Treasury Corporation Hour Glass investments are stated at the lowerof cost and net realisable value. Interest is recognised in the Statement of FinancialPerformance when earned.Terms and Conditions - Deposits with effective interest rates of 4.55% to 9.32%.(iv)PayablesAccounting Policies — Payables are recognised for amounts to be paid in the future for goodsand services received, whether or not billed to the Health Service.Terms and Conditions — Trade liabilities are settled within any terms specified. If no terms arespecified, payment is made by the end of the month following the month in which the invoice isreceived.There are no classes of instruments which are recorded at other than cost or market valuation.All financial instruments including revenue, expenses and other cash flows arising from instruments arerecognised on an accruals basis.(s)PayablesThese amounts represent liabilities for goods and services provided to the agency and other amounts,including interest. Interest is accrued over the period it becomes due.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001(t)Trust FundsCSAHS receives monies in a trustee capacity for various trusts as set out in Note 26. As CSAHSperforms only a custodial role in respect of these monies, and because the monies cannot be used forthe achievement of CSAHS’ own objectives, they are not brought to account in the financial statements.(u)Reclassification of financial informationAs a result of applying AAS1 “Statement of Financial Performance” and AAS36 “Statement of FinancialPosition”, the format of the Statement of Financial Performance (previously referred to as the OperatingStatement) and the Statement of Financial Position has been amended. As a result of applying theseAccounting Standards, a number of comparative amounts were represented or reclassified to ensurecomparability with the current reporting period.(v)EquityEquity consists of the excess of the value of the total assets of the organisation over its liabilities.Increases or decreases in equity arise primarily from:(a)(b)(c)Excesses of revenues over expenditure, or excesses of expenditure over revenues fromoperations of the organisation (ie transactions other than with owners of the organisation in theircapacity as owners);Contributions by owners or distributions to owners (ie transactions with owners of the organisationin their capacity as owners of the organisation);Increments or decrements resulting from periodic revaluations of non current assets (ie furthertransactions other than with owners of the organisation in their capacity as owners).(w)Statement of Cash FlowsOther payments are for visiting medical officers, goods and services, maintenance, grants and subsidiesand payments to Affiliated Health Organisations.(x)Budgeted amountsThe budgeted amounts are drawn from the budgets as formulated at the beginning of the financial yearand with any adjustments for the effects of additional supplementation provided.(y)Changes in Accounting PolicyFrom 2000/01 all Health Services have been provided with adjustments which recognise the flow of acuteinpatients to/from other Australian States and Territories. To the extent that services are provided topersons from outside of New South Wales revenues are recognised. To the extent that services areprovided to an Area’s residents outside of New South Wales an expense is recorded. The adjustmentshave no effect on the equity values as the movement in Net Cost of Services is matched by acorresponding adjustment to the value of the NSW Health Department Recurrent Allocation.The composition of patient flow revenue/expense is disclosed in Note 4 and Note 9.The effect of the change in the current year is that Net Cost of Services is $739,000 less than it wouldotherwise have been.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 20013. Employee Related ExpensesParent Consolidated2001$0002000$0002001$0002000$000374,8105,46911,45138,4045,6551,02417,87035,520377,2964,75112,37938,7435,36097817,00731,323Salaries and WagesEnterprise Agreements/AwardsLong Service Leave [see note 2(b)]Annual Leave [see note 2(b)]Nursing Agency PaymentsOther Agency PaymentsWorkers Compensation InsuranceSuperannuation [see note 2(c)]374,9695,46911,45138,4275,6551,03617,87035,533377,4734,75112,37938,7465,36097817,00731,323490,203 487,837 490,410 488,017Salaries and Wages includes $144,740 paid to members of the Health Service Board consistent with the Statutory Determination by theMinister for Health which provided remuneration effective from 1 July 2000.The payments have been made within the following bands -$ range Number Paid$0 to $9,999 -$10,000 to $19,999 10$20,000 to $29,999 14. Goods and Services2,81011,46135,1455,7508,09310,9513851,16553,7771,32447,1603,7363,5771,77118113,4221,0236401,9642,57210,66836,2976,0487,83011,20733185653,183-45,2263,9103,3322,07525912,0661,0593261,961Computer Related ExpensesDomestic ChargesDrug SuppliesFood SuppliesFuel, Light and PowerGeneral ExpensesHospital Ambulance Transport CostsInsuranceInter Area Patient Outflows, NSW *Interstate Patient Outflows**Medical and Surgical SuppliesPostal and Telephone CostsPrinting and StationeryRentalRates and ChargesSpecial Service DepartmentsStaff Related CostsSundry Operating ExpensesTravel Related Costs2,81411,46935,1455,7518,09311,0023851,16553,7771,32447,1713,7393,6071,77118113,4471,0437191,9862,57210,66836,2976,0487,83011,27633185653,183-45,2273,9103,3602,07525912,0661,0613901,964204,335 199,206 204,589 199,37354694326-(a) Sundry Operating Expenses comprise:Aircraft Expenses (Ambulance)Other54617332664640 326 719 390

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001ParentConsolidated2001$0002000$0002001$0002000$0007621,1481,4241762446123882,921123,2646851,0003,2941861504163803,17381,915(b) General Expenses include:AdvertisingBooks and MagazinesConsultancies- Operating ActivitiesCourier and FreightAuditor’s Remuneration - Audit of financial reportsLegal ExpensesMembership/Professional FeesOperating Lease ExpensePayroll ServicesProvision for Bad and Doubtful Debts7661,1551,4621782446123882,921123,2646851,0013,3571881524163813,17381,91510,951 11,207 11,002 11,276* Payments for Inter Area Patient Flows from other NSW Area Health Services were as follows ($000):South Eastern Sydney Area Health Service: $30,081 ($28,676). South Western Sydney Area Health Service: $9,645 ($11,227).Northern Sydney Area Health Service: $3,888 ($3,862). Western Sydney Area Health Service: $3,815 ($3,571). Royal AlexandriaHospital for Children: $4,948 ($4,732). Other Area Health Services (12 in all): $1,400 ($1,115).** Payments for Interstate Patient Flows were as follows ($000):Australian Capital Territory: $163. Northern Territory :$15. Queensland: $670. South Australia: $211. Tasmania: $13. Victoria: $178.Western Australia: $745. Maintenance10,4124,2656,15710,7105,8245,457Repairs and Routine MaintenanceOther- Renovations and Additional Works- Replacements and Additional Equipment less than$5,00010,4324,2706,44410,7115,8245,46120,834 21,991 21,146 21,9966. Depreciation13,17713,13014,55615,269Depreciation - BuildingsDepreciation - Plant and Equipment13,30713,14814,55615,27426,307 29,825 26,455 29,8307. Grants and Subsidies7,126------6,2312727203482007010Payments to Non Government OrganisationsInstitute of Respiratory MedicineHeart Research InstituteCentre for Health Economics and Research EvaluationCentre for Education and Research on AgeingPerinatal HealthOther7,126------6,23127272034820070107,126 7,851 7,126 7,851

8. Payments to Affiliated Health OrganisationsCentral Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001ParentConsolidated2001$0002000$0002001$0002000$0004,1213454,049346RecurrentTresillian Family Care CentresCentral Sydney Scarba Service4,1213454,0493464,466 4,395 4,466 4,3959. Sale of Goods and Services50,65469711,4161,2954001938921,9221445,7432,063120,6851,5683,49149,90676311,1121,1073903447462,2531284,386-117,7841,9272,937Patient Fees [see note 2(e)]Staff Meals and AccommodationUse of Hospital Facilities [see note 2(e)]Car ParkingChild Care FeesFees for Medical RecordsLease and Rental IncomeNon Staff MealsLinen Service Revenues - Other Health ServicesSale of ProsthesesPatient Inflows from Interstate**Inter Area Patient Inflows *HealthQuest RevenueOther50,65469711,4161,2954001938921,9221445,7432,063120,6851,5683,49149,90676311,1121,1073903447462,2531284,386-117,7841,9272,937201,163 193,783 201,163 193,783* Revenues from Inter Area Patient Flows provided to other NSW Area Health Services were as follows ($000) :South Western Sydney Area Health Service: $23,079 ($23,147). Northern Sydney Area Health Service: $18,625 ($18,941).Western Sydney Area Health Service: $18,693 ($18,889). South Eastern Sydney Area Health Service: $18,208 ($16,359).Illawarra Area Health Service: $10,831 ($8,667). Mid-Western Area Health Service: $4,606 ($4,826). Central Coast AreaHealth Service: $4,560 ($4,585). Macquarie Area Health Service: $5,800 ($5,318). Wentworth Area Health Service: $3,566($3,996). Mid-North Coast Area Health Service: $3,798 ($3,692). New England Area Health Service: $1,574 ($1,627).Southern Area Health Service: $2,016 ($2,178). Greater Murray Area Health Service: $1,726 ($1,848). Hunter Area HealthService: $1,698 ($1,971). Far Western Area Health Service: $909 ($1,067). Northern Rivers Area Health Service: $996($673).** Revenues from Patient Inflows from Interstate are as follows ($000):Australian Capital Territory: $985. Northern Territory: $86. Queensland: $491. South Australia: $103. Tasmania: $49.Victoria: $303. Western Australia: $46.10. Investment Income3,722 3,258 Interest 3,844 3,5363,722 3,258 3,844 3,536

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200111. Grants and ContributionsParentConsolidated2001$0002000$0002001$0002000$0003374,8791,8142,589-4331950-1057865,5564,1194374,5013,3433,5932,6496556816356529,2131,942University Commission GrantsCommonwealth Government GrantsResearch Grant Non GovernmentsOther- Mammography- Centre for Education and Information on Drugs and Alcohol- Manufacturing- Wholesale and Retail Trade- Finance, Property and Business Services- Public Administration and Defence- Clinical Drug Trials- Community Services- Recreation, Personal and Other Services- Industry Contributions and Others3374,8792,0592,589-43519177-1,0571185,5824,5614374,5013,5553,5932,64966514216429729,3061,98720,939 26,240 21,813 26,75812. Other Revenue9,996 5,292 Local Fund Contributions and Others 10,086 5,4429,996 5,292 10,086 5,44213. (Gain)/Loss on Disposal of Non Current Assets5,685(1,738)21,951(9,997)Property, Plant and EquipmentLess Accumulated Depreciation5,685(1,738)21,955(10,001)3,947(6,738)11,954(15,280)Written Down ValueLess Proceeds from Sale3,947(6,738)11,954(15,280)(2,791) (3,326) (Gain)/Loss on Disposal of Non Current Assets (2,791) (3,326)

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200114. Conditions on ContributionsContributions recognised as revenues during current year for which expenditure in manner specified has not occurred as at balance date.ParentConsolidatedTotal2001$000Total2000$000Major CategoryTotal2001$000Total2000$0007,2929765,2737,3514,2683,624Health Promotion, Education and ResearchPurchase of AssetsFellowships, Education, Prizes and Others8,3799765,2738,2964,2683,62413,541 15,243 Total 14,628 16,188Aggregate of Contributions recognised as revenues during the financial year which were specifically provided for expenditure over a futureperiod.ParentMajor Category

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001Revenues recognised in previous years which were obtained for expenditure in the current financial year.ParentConsolidated2001$0002000$000Major Category 2001$0002000$0007,4859743,7965,0318392,341Health Promotion, Education and ResearchPurchase of AssetsFellowships, Education, Prizes and Others8,4079743,7965,3888392,34112,255 8,211 Total 13,177 8,568Total Amount of unexpended Contributions as at Balance Date.0016,9808,14215,55216,9558,3849,053Health Promotion, Education and ResearchPurchase of AssetsFellowships, Education, Prizes and Others23,02710,14215,55222,83710,3849,05340,674 34,392 Total 48,721 42,274Comment on restricted assets appears in Note 21.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200115. Programs/Activities of CSAHSProgram 1.1Objective:Program 1.2Objective:Program 1.3Objective:Program 2.1Objective:Program 2.2Objective:Program 2.3Objective:Program 3.1Objective:Program 4.1Objective:Program 5.1Objective:Program 6.1Objective:Primary and Community Based ServicesTo improve, maintain or restore health through health promotion, early intervention, assessment, therapyand treatment services for clients in a home or community setting.Aboriginal Health ServicesTo raise the health status of Aborigines and to promote a healthy lifestyle.Outpatient ServicesTo improve, maintain or restore health through diagnosis, therapy, education and treatment services forambulant patients in a hospital setting.Emergency ServicesTo reduce the risk of premature death and disability for people suffering injury or acute illness by providingtimely emergency diagnostic, treatment and transport services.Overnight Acute Inpatient ServicesTo restore or improve health and manage risks of illness, injury and childbirth through diagnosis andtreatment for people intended to be admitted to hospital on an overnight basis.Same Day Acute Inpatient ServicesTo restore or improve health and manage risks of illness, injury and childbirth through diagnosis andtreatment for people intended to be admitted to hospital and discharged on the same day.Mental Health ServicesTo improve the health, wellbeing and social functioning of people with disabling mental disorders and toreduce the incidence of suicide, mental health problems and mental disorders in the community.Rehabilitation and Extended Care ServicesTo improve or maintain the wellbeing and independent functioning of people with disabilities or chronicconditions, the frail aged and the terminally ill.Population Health ServicesTo promote health and reduce the incidence of preventable disease and disability by improving access toopportunities and prerequisites for good health.Teaching and ResearchTo develop the skills and knowledge of the health workforce to support patient care and population health.To extend knowledge through scientific enquiry and applied research aimed at improving the health andwellbeing of the people of New South Wales.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200116. CashParent Consolidated2001$0002000$0002001$0002000$0007,20716,3161,61253,353CurrentCash at Bank and on HandDeposits at Call7,39518,5131,87755,86923,523 54,965 25,908 57,746Cash assets recognised in the Statement of Financial Position arereconciled to cash at the end of the financial year as shown in theStatement of Cash Flows as follows:23,523 54,96523.523 54,965Cash (per Statement of Financial Position) 25,908 57,746Closing Cash and Cash Equivalents (per Statement of CashFlows) 25.908 57,74617. Other Financial Assets28,149 -CurrentNSW Treasury Corporation - Hour Glass Facility 28,149 -28,149 - 28,149 -

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200118. ReceivablesParent Consolidated2001$0002000$0002001$0002000$0008,413-1,1441,8251,1694372,2697454,9591,89810,246121,3381,1807253432,391902471,396Current(a) Sale of Goods and ServicesSale of Goods and ServicesPrepaymentsProsthesesIntra Area chargesDebtors - NSW Health DepartmentWorkers CompensationSundry DebtorsLeave Mobility DebtorsGST DebtorsOther Debtors8,413-1,1441,8251,1694372,2697454,9651,90210,246121,3381,1807253432,391902471,40022,859 18,580 Sub Total 22,869 18,584(3,519)(350)(3,153)(268)less Provision for Doubtful DebtsOthers(3,519)(350)(3,153)(268)18,990 15,159 19,000 15,1639581,5512357121364422947(b) Bad Debts written off during the yearCurrent Receivables- Patients’ Fees- Private- Overseas visitors- Compensable- Other Debtors9581,55123571213644229472,815 1,133 2,815 1,1331,8654,2192,3292,1965,0992,951(c) Sale of Goods and Services includes:Patient Fees - CompensablePatient Fees - IneligiblePatient Fees - Other1,8654,2192,3292,1965,0992,9518,413 10,246 8,413 10,246500 1,000Non CurrentOther Debtors- Leave Mobility Receivable 500 1,000500 1,000 500 1,000

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001(d) Reconciliation of Non-Current Receivables2001Sale of Goodsand Services$000Prepayments$000Other$000Total$000Carrying amount at start of yearRepayments----1,000(500)1,000(500)Carrying amount at end of year - - 500 5002000Sale of Goodsand Services$000Prepayments$000Other$000Total$000Carrying amount at start of yearRepayments----1,500(500)1,500(500)Carrying amount at end of year - - 1,000 1,00019. InventoriesParent Consolidated2001$0002000$0002001$0002000$000Current - at cost3,4031,175419191483,5581,20333560169DrugsMedical and Surgical SuppliesFood and Hotel SuppliesPrinting and StationeryOther including goods in transit3,4031,175419191483,5581,203335601695,164 5,325 5,164 5,325

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200120. Property, Plant and Equipment(a) Parent 2001 2000Land$000Buildings$000Work InProgress$000Plant andEquipment$000Total$000Total$000Balance 1 July 2000At ValuationAt CostCapital Expenditure/Donations [seenote 2(i)]DisposalsAdjustment for AdministrativeRestructureBalance at 30 June 2001At ValuationAt Cost216,785-(3,250)-213,535-702,87180,25223,047--702,871103,299-94,37691,976---186,35275,529129,52811,346(2,435)(144)73,282140,542995,185304,156126,369(5,685)(144)989,688430,1931,001,715252,64566,932(21,951)-995,185304,156Total 213,535 806,170 186,352 213,824 1,419,881 1,299,341DepreciationBalance 1 July 2000At ValuationAt CostCharge for the year [see note 2(i)]Adjustment for disposalsAdjustment for AdministrativeRestructureBalance at 30 June 2001At ValuationAt Cost-------501,8913,86213,177--512,8556,075-------73,89376,56913,130(1,738)(67)71,80989,978575,78480,43126,307(1,738)(67)584,66496,053566,23170,15629,825(9,997)-575,78480,431Total - 518,930 - 161,787 680,717 656,215Carrying Amount at 30 JuneAt Valuation date 1 July 1997At Cost213,535-190,01697,224-186,3521,47350,564405,024334,140419,401223,725Total 213,535 287,240 186,352 52,037 739,164 643,126ParentCarrying amount at 30 June 213,535 287,240 186,352 52,037 739,164 643,126

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001(b) Consolidated 2001 2000Land$000Buildings$000Work InProgress$000Plant andEquipment$000Total$000Total$000Balance 1 July 2000At ValuationAt CostCapital Expenditure/Donations [seenote 2(i)]DisposalsAdjustment for AdministrativeRestructureBalance at 30 June 2001At ValuationAt Cost216,785-(3,250)-213,535-702,87184,70124,311--702,871109,012-94,97891,376---186,35475,529129,59011,511(2,435)(144)73,282140,769995,185309,269127,198(5,685)(144)989,688436,1351,001,715253,08271,612(21,955)-995,185309,269Total 213,535 811,883 186,354 214,051 1,425,823 1,304,454DepreciationBalance 1 July 2000At ValuationAt CostCharge for the year [see note 2(i)]Adjustment for disposalsAdjustment for AdministrativeRestructureBalance at 30 June 2001At ValuationAt Cost-------501,8913,86213,307--512,8556,205-------73,89376,57513,148(1,738)(67)71,80990,002575,78480,43726,455(1,738)(67)584,66496,207566,23170,16229,829(10,001)-575,78480,437Total - 519,060 - 161,811 680,871 656,221Carrying Amount at 30 JuneAt Valuation date 1 July 1997At Cost213,535-190,016102,807-186,3541,47350,767405,024339,928419,401228,832Total 213,535 292,823 186,354 52,240 744,952 648,233ConsolidatedCarrying amount at 30 June 213,535 292,823 186,354 52,240 744,952 648,233(i)(ii)(iii)Land and Buildings include land owned by the NSW Health Department and administered by CSAHS [see note 2(i)].Land and Buildings were valued by Preston Rowe Paterson NSW Pty Ltd, property valuers at 1 July 1997. The firm also providesproperty management services to CSAHS.Plant and Equipment (excluding Concord Hospital’s), other than motor vehicles were valued by CSAHS on 1 July 1992 on the basis ofdepreciated replacement cost. Plant and Equipment of Concord Hospital have been valued at cost of acquisitions.(iv) As of 30 June 2001, CSAHS continues to derive service potential and economic benefits from the following fully depreciated assetscomprised 2,292 pieces of Medical Equipment, 232 pieces of Non Medical Equipment, 67 items of Furniture and Equipment, 463 units ofPlant and Machinery, 549 units of Computer Equipment and 14 units of Motor Vehicle.(v)The Rozelle Hospital site is the subject of a master planning process, which is examining options for the future use of this site. UnderState Environmental Planning Policy 56 a Master Plan must be prepared before any development application can proceed. The MasterPlan should be completed in early 2002.The value of the site is reflected in the financial statements at $69.437 million, comprised of $57.680 million for land, and $11.757 millionfor buildings.It is the opinion of the Board that the planning process is not at this point sufficiently well advanced to permit a realistic reappraisal of thevalue of the Rozelle Hospital site.Consequently, no adjustment has been made to the values reflected above.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200121. Restricted AssetsCSAHS’s financial statements include the following assets which are restricted by externally imposed conditions, eg. donor requirements. Theassets are only available for application in accordance with the terms of the donor restrictions.ParentConsolidated2001$0002000$0002001$0002000$000Major Categories of Contributions16,9808,14215,55216,9558,3849,053Research GrantsPurchase of AssetsGeneral23,02710,14215,55222,83710,3849,05340,674 34,392 48,721 42,27422. Accounts PayableCurrent24,4301,7843,4813892,96524,641-2,6031,1272,617CreditorsOther Creditors- GST Creditors- Sundry Creditors- Leave Mobility Creditors- Accrual Visiting Medical Officers24,4301,8013,5753892,96524,641-2,6131,1272,61733,049 30,988 33,160 30,99823. Current / Non Current Liabilities - Employee Entitlements and Other ProvisionsCurrent38,1837,4525,4153,84636,8506,3452,9174,030Employee Annual LeaveEmployee Long Service LeaveAccrued Salaries and WagesTaxation and other Payroll Deductions38,2057,4525,4183,84636,8506,3452,9174,03054,896 50,142 Aggregate Employee Entitlements and Other Provisions 54,921 50,142Non Current15,27572,09514,71171,617Employee Annual LeaveEmployee Long Service Leave15,27572,09514,71171,61787,370 86,328 Aggregate Employee Entitlements and Other Provisions 87,370 86,328

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200124. EquityAccumulated FundsAsset RevaluationReserveTotal Equity2001$0002000$0002001$0002000$0002001$0002000$000ParentBalance at the beginning of the financial year 400,156 393,692 151,961 151,961 552,117 545,653Changes in Equity - Transactions with Owners asOwnersDecrease in Net Assets from AdministrativeRestructuring(1,210)---(1,210)-Changes in Equity - other than Transactions withOwners as OwnersResult for the Year from Ordinary Activities89,2686,464--89,2686,464Transfer from Revaluation Reserve on Disposal of Landand Buildings 4,172 - (4,172) - - -Balance at the end of the financial year 492,386 400,156 147,789 151,961 640,175 552,117ConsolidatedBalance at the beginning of the financial year 408,038 400,985 151,961 151,961 559,999 552,946Changes in Equity - Transactions with Owners asOwnersDecrease in Net Assets from AdministrativeRestructuring(1,210)---(1,210)-Changes in Equity - other than Transactions withOwners as OwnersResult for the Year from Ordinary Activities89,4337,053--89,4337,053Transfer from Revaluation Reserve on Disposal of Landand Buildings4,172-(4,172)---Balance at the end of the financial year 500,433 408,038 147,789 151,961 648,222 559,999As indicated in Note 2(q) CEIDA was transferred to the NSW Health Department on 1 July 2000.Net Assets transferred are as follows:$000CashInventoriesReceivablesOther Financial Assets — CurrentPlant and Equipment1124901,71177Total Assets 1,913PayablesEmployee Entitlements299404Decrease in Net Assets from Administrative Restructuring 1,210703

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200125. Commitments for ExpenditureParent Consolidated2001$0002000$0002001$0002000$000(a) Capital Commitments107,02765,937-104,32999,00049,916Aggregate Capital Expenditure contracted for atBalance Date but not provided for in the accounts:- Not later than one year- Between one and two years- Between two and five years107,02765,937-104,32999,00049,916172,964 253,245 Total Capital Expenditure Commitments (including GST) 172,964 253,245Of the commitments reported at 30 June 2001 it is expected that$54.39 million will be made from locally generated monies.(b) Operating Lease Commitments4,8735,35810,29711,8084,3534,0629,50212,231Commitments in relation to non cancellable operating leases are payableas follows:- Not later than one year- Between one and two years- Between two and five years- Later than five years4,8735,35810,29711,8084,3534,0629,50212,23132,336 30,148 Total Operating Lease Commitments (including GST) 32,336 30,148These operating leases are not recognised in the financial statements as liabilities.(c) Contingent Asset related to Commitments for ExpenditureThe total “Expenditure Commitments” above includes input tax credits of $2.940 million that areexpected to be recoverable from the Australian Taxation Office.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200126. Trust FundsCSAHS holds Trust Fund monies of $41.616 million (2000 $38.720 million) which are used for the safe keeping of patients’ monies,deposits on hired items of equipment and Private Practice Trusts. These monies are excluded from the financial statements as CSAHScannot use them for the achievement of its objectives. The following is a summary of the transactions in the trust accounts.Patients’ Trusts RefundableDepositsPrivate Practice TrustFunds2001$0002000$0002001$0002000$0002001$0002000$000Cash Balance at the beginning of the financialyear1601609,2779,61329,28324,307Receipts1394,9877,60434,62641,904Expenditure(35)(9)(4,173)(7,940)(32,522)(36,928)Cash Balance at the end of the financial year 138 160 10,091 9,277 31,387 29,28327. Contingent Liabilities(a) Claims on Managed FundSince 1 July 1989, CSAHS has been a member of the NSW Treasury Managed Fund. The Fund will pay to or on behalf of CSAHS all sumswhich it shall become legally liable to pay by way of compensation or legal liability if sued except for employment related, discrimination andharassment claims that do not have State wide implications. The costs relating to such exceptions are to be absorbed by CSAHS. Since 1 July1989, no contingent liabilities exist in respect of liability claims against CSAHS. A Solvency Fund (now called Pre-Managed Fund Reserve) wasestablished to deal with the insurance matters incurred before 1 July 1989 that were above the limit of insurance held or for matters incurredbefore 1 July 1989 that would have become verdicts against the State. The Solvency Fund will likewise respond to all claims against CSAHS.There is an unquantified liability in respect of the claims for Workers Compensation as the payments in respect of some claims are not finaliseduntil eighteen months after the financial year in which the claims are made. (See the following note).(b) Workers Compensation Hindsight AdjustmentWhen the New Start (to the) Treasury Managed Fund was introduced in 1995/96, hindsight adjustments in respect of Workers Compensation(three years from commencement of Fund Year) and Motor Vehicle (eighteen months from commencement of Fund Year) became operative.The calculation of hindsight adjustments has been reviewed in 2000/01 to provide an interim adjustment after three years with a finaladjustment at the end of year five.The interim hindsight adjustment has now been effected for the 1997/98 year and resulted in an increase in expenses of $1.555 million.A contingent liability or asset may now exist in respect of the 1997/98, 1998/99 and 1999/2000 Workers Compensation Fund years.The Treasury Managed Fund provide estimates as at 30 June each year and the latest available, viz those advised as at 30 June 2000 estimatethat a liability of $41,549 is applicable.This estimate however is subject to further actuarial calculation and a better indication of quantum will not be available until the last quarter of2001.(c) Affiliated Health OrganisationsBased on the definition of control in Australian Accounting Standard AAS24, Affiliated Health Organisations listed in Schedule 3 of the HealthServices Act, 1997 are only recognised in CSAHS’s consolidated Financial Statements to the extent of cash payments made.However, it is accepted that a contingent liability exists which may be realised in the event of cessation of health service activities by anyAffiliated Health Organisation. In this event the determination of assets and liabilities would be dependent on any contractual relationship whichmay exist or be formulated between the administering bodies of the organisation and the NSW Health Department.(d) Claim by Lessee of Certain PropertyThe lessee of certain property controlled by CSAHS has made a claim against CSAHS. The claim is in relation to Supreme Court proceedingsin respect of recision of an agreement and lease regarding a proposed private hospital on the Royal Prince Alfred Hospital campus which was tobe constructed and operated by the lessee. Litigation is ensuing with a claim by the lessee for compensation in respect of rentals paid to dateamounting to approximately $5 million together with damages which have not been quantified.It is the opinion of the Board that the likelihood of success of the claim is minimal and accordingly no provision in relation to this matter has beenreflected in the financial statements.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001As part of the original agreement for construction of the private hospital, the lessee constructed a private car park on the land leased fromCSAHS. The lease was cancelled in March 2000 and, after an interlocutory hearing, CSAHS was granted the right to operate the car park from26 June 2000. In doing so, CSAHS is entitled to collect parking fees and pay costs associated with operating the car park, retaining any excessin trust pending resolution of matters referred to above. At year end this excess amounted to $225,000. The car park has not been recognisedas an asset in the financial statements as ownership has not been transferred.(e) Claim by Medical OfficerA medical officer is claiming that their contract with CSAHS is unfair and should be declared void, or varied in whole or part so that they areappointed to a higher position than is currently the case. The claim is also for increased compensation between 1990 and the present.The claim has not been particularised. CSAHS is defending the claim, which the Board believes is unlikely to succeed. Accordingly no provisionin relation to this matter has been reflected in the financial statements.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200128. Charitable Fundraising ActivitiesFundraising ActivitiesCSAHS conducts direct fundraising in all units under its control.Income received and the cost of raising income for specific fundraising have been recognised in the financial statement of CSAHS. Fundraisingactivities are dissected as follows:2001 2000IncomeRaised$000DirectExpenditure$000IndirectExpenditure$000NetProceeds$000NetProceeds$000Appeals (Consultants)Appeals (In House)FetesRafflesFunctions-3,060113--3552---14----2,69193--770-549Parent 3,074 357 14 2,703 1,319Percentage of Income 100% 11.6% 0.5% 87.9% 86.2%Consolidated* 3,352 410 14 2,928 1,637Percentage of Income 100% 12.2% 0.4% 87.4% 86.1%Note:Direct Expenditure includes printing, postage, raffle prizes, consulting fees, etc.Indirect Expenditure includes overheads such as office staff administrative costs, cost apportionment of light, power and otheroverheads.2001 2000Consolidated:The net proceeds were used for the following purposes:$000 $000Purchase of EquipmentResearchHeld in Special Purpose and Trust Fund Pending Expenditure3533102,2655671109602,928 1,637The provision of the Charitable Fundraising Act 1991 and the regulations under the Act have been complied with and internal controls exercisedby CSAHS are considered appropriate and effective in accounting for all the income received in all material respects.* The consolidated figures are:2001 2000IncomeRaised$000DirectExpenditure$000IndirectExpenditure$000NetProceeds$000NetProceeds$000Appeals (Consultants)Appeals (In House)FetesRafflesFunctions653,166117103-3582-50-14---652,7949753-999--638Consolidated 3,352 410 14 2,928 1,637

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200129. Reconciliation of Net Cost of Services to Net Cash Flows from Operating ActivitiesParent Consolidated2001$0002000$0002001$0002000$000117,448(26,307)(448)(35,444)(6,385)3,869(1,700)2,791(501,266)(90,889)47,274(29,825)(782)(31,263)(705)(605)(12,219)3,326(490,824)(28,170)Net Cash Flows from Operating ActivitiesDepreciationProvision for Doubtful DebtsAcceptance by the Crown Entity of Superannuation Liability(Increase)/Decrease in ProvisionsIncrease/(Decrease) in Prepayments and Other Assets(Increase)/Decrease in CreditorsNet (Loss)/Gain on Sale of Property, Plant and EquipmentNSW Health Department Recurrent AllocationsNSW Health Department Capital Allocations117,811(26,455)(448)(35,444)(6,411)3,874(1,729)2,791(501,266)(90,889)47,850(29,830)(782)(31,263)(704)(591)(12,216)3,326(490,824)(28,170)(538,331) (543,793) Net Cost of Services (538,166) (543,204)30. 2000/2001 Voluntary ServicesIt is considered impractical to quantify the monetary value of voluntary services provided to CSAHS. Services provided include:• Chaplaincies and Pastoral Care • Patient and Family Support• Pink Ladies/Hospital Auxiliaries • Patient Services, Fundraising• Patient Support Groups • Practical Support to Patients and Relatives• Community Organisations • Counselling, Health Education, Transport, Home Help and Patient Activities31. Unclaimed MoniesUnclaimed salaries and wages are paid to the credit of the Department of Industrial Relations and Employment in accordance with theprovisions of the Industrial Arbitration Act, 1940, as amended.All money and personal effects of patients which are left in the custody of CSAHS by any patient who is discharged or dies in the hospitaland which are not claimed by the person lawfully entitled thereto within a period of twelve months are recognised as the property of CSAHS.All such money and the proceeds of the realisation of any personal effects are lodged to the credit of the Samaritan Fund which is usedspecifically for the benefit of necessitous patients or necessitous outgoing patients.32. Budget ReviewNet Cost of ServicesThe actual Net Cost of Services for the year of $538.166 million was lower than the budget of $555.918 million by $17.752 million (3.19%).The variation reflects favourabilities in revenues ($6.188 million), expenses ($11.923 million), and unfavourably in sale of Non Current Assets($359,000).Movement in Accumulated Funds from Ordinary ActivitiesThe movement in accumulated funds from ordinary activities is principally attributed to the Net Cost of Services variation.Assets and LiabilitiesAssets totalled $823.673 million and were $18.428 million favourable to budget. This represented $20.789 million improvement in CurrentAssets and $2.361 million decrease in Non-Current Assets.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001Cash FlowsThe net decrease in Cash for the year was $31.838 million or $13.304 million more than the budgeted sum; the majority of the variance isexplained by the purchase of investment with Treasury Corporation of $28.149 million.Movements in the level of the NSW Health Department Recurrent Allocation that have occurred since the time of the initial allocation on 16June 2000 are as follows:2001$000Initial Allocation, 16 June 2000Award IncreasesMotor Vehicle LeasesRollover FundingOlympic Services FundingOthersBalance excluding Department of Veteran Affairs ( DVA ) Revenue and Inter Area & Inter State FlowsAdjustmentsLess: DVA Revenue and Inter Area & Inter State Flows AdjustmentsDVA RevenueInter Area Net FlowsInter State Net Flows578,7705,4691,8881,0174328,447596,023(27,110)(66,908)(739)Balance as per Statement of Financial Performance 501,26633. Olympic Games ExpenditureStaff employed by CSAHS on initiatives directly and specifically related to the GamesNumbers of staff directly allocated to games activities (equivalent full-time staff):1.5Total Staff costs $116,000Staff seconded to other agencies on initiatives directly and specifically related to the GamesNumber of staff seconded (equivalent full-time staff): 1.5Total Staff costs $78,000

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 200134. Financial Instruments - Consolidateda) Interest rate risk, is the risk that the value of the financial instrument will fluctuate due to changes in market interest rates. CSAHS’s exposure to interest rate risks and the effective interest rates of financialassets and liabilities both recognised and unrecognised, at the Statement of Financial Position date are as follows:Fixed Interest rate maturing inFinancial Instruments Floating interest rate 1 year or less Over 1 to 5 years More than 5 years Non-interest bearingTotal carrying amount asper the Statement ofFinancial PositionWeighted averageeffective interest rate*2001$0002000$0002001$0002000$0002001$0002000$0002001$0002000$0002001$0002000$0002001$0002000$0002001%2000%Financial AssetsCashReceivablesNSW Treasury CorpInvestmentsOther Loans and Deposits25,874-28,149-1,842--18,075-------37,794----------------3419,000--3515,163--25,90819,00028,149-1,87715,163-55,8695.84--6.944.52N/A-5.29Total Financial Assets 54,023 19,917 - 37,794 - - - - 19,034 15,198 73,057 72,909 -Financial LiabilitiesAccounts Payable - - - - - - - - 33,160 30,998 33,160 30,998 N/A N/ATotal Financial Liabilities - - - - - - - - 33,160 30,998 33,160 30,998 - -* Weighted average effective interest rate was computed on a semi-annual basis. It is not applicable for non-interest bearing financial instruments.

Central Sydney Area Health ServiceNotes to and forming part of the Financial Statementsfor the Year Ended 30 June 2001b) Credit risk is the risk of financial loss arising from another party to a contract or financial position failing to discharge a financial obligation thereunder.CSAHS’s maximum exposure to credit risk is represented by the carrying amounts of the financial assets included in the consolidated Statement of Financial Position.Credit Risk by classification of counterparty.Government Banks Patients Other Total2001$0002000$0002001$0002000$0002001$0002000$0002001$0002000$0002001$0002000$000Financial AssetsCashReceivablesNSW Treasury Corp InvestmentsOther Loans and Deposits-4,96528,149-----25,874---1,842--55,869-4,894---7,093--349,141--358,070--25,90819,00028,149-1,87715,163-55,869Total Financial Assets 33,114 - 25,874 57,711 4,894 7,093 9,175 8,105 73,057 72,909The only significant concentration of credit risk arises in respect of patients ineligible for free treatment under the Medicare provisions.Receivables from these entities totalled $4.219 million at balance date.c) As stated in Note 2(r) all financial instruments are carried at Net Fair Value, the values of which are reported in the Statement of Financial Position.d) CSAHS holds no Derivative Financial Instruments.End of Audited Financial Statements

Central Sydney Area Health ServiceYear Ended 30 June 2001Additional Financial Information –SCHEDULE OF PROPERTIESThe following properties are owned by CSAHSDescriptionLand & Buildings were valued at1/7/97 (refer to Note 20 for thedetails of carrying valueCurrent UsePotential foralternativeuse1. Royal Prince Alfred HospitalMissenden RoadCamperdown NSW 2050$62.800m$123.684mLandBuildings Hospital Nil2. Rhodes HouseUnit 525Unit 506Missenden RoadCamperdown NSW 2050$0.207m$0.177mStrata TitleStrata TitleGuestAccommodationNil3. Dame Eadith Walker EstateNullawarra RoadConcord West NSW 2138$37.000m$1.504mLandBuildings Health Facility Nil4. Rachel Forster Hospital Complex149-155 Pitt Street38 Douglas StreetRedfern NSW 2016$3.850m$4.034mLandBuildingsCommunityHealthNil5. Concord Repatriation General HospitalHospital RoadConcord NSW 21396. Rozelle HospitalCnr Church and Glover StreetLeichardt NSW 2040$22.000m$69.446m$57.680m$10.720mLandBuildings Hospital NilLandBuildings Hospital Nil7. NSW Institute of Forensic Medicine42-50 Parramatta RoadGlebe NSW 2037$1.600m$5.911mLandBuildingsForensicScienceNil8. Sydney Dental HospitalUnited Dental Hospital2 Chalmers StreetSurry Hills NSW 2010$3.800m$6.461mLandBuildingsHospitalNil20-28 Chalmers StreetSurry Hills NSW 2010$1.890mLand9. Balmain HospitalBooth StreetBalmain NSW 204110. Former Western Suburbs Hospital Site22 Croydon AvenueCroydon NSW 213211. Canterbury HospitalCnr Canterbury Road and Tudor StreetCampsie NSW 2194$5.350m$7.771m$5.700m$0.021m$5.000m$60.062mLandBuildings Hospital NilLand onlyBuildingsLandBuildings Hospital Nil

Central Sydney Area Health ServiceYear Ended 30 June 2001DescriptionLand & Buildings were valued at1/7/97 (refer to Note 20 for thedetails of carrying valueCurrent UsePotential foralternativeuse12. Community and Mental Health Services Houses4 Ewell StreetBalmain NSW 2041117 James StreetLeichhardt NSW 204034 Malvern AvenueCroydon NSW 2132114 Ewart StreetDulwich Hill NSW 220311 Berna StreetCanterbury NSW 219346 Charlotte StreetAshfield NSW 213111 Euralla StreetBurwood NSW 2134155, 157-159, 182, 184 and 186 Livingston RoadMarrickville NSW 220415 Tranmere StreetDrummoyne NSW 20479A Wrights RoadDrummoyne NSW 204717 Atkins AvenueFive Dock NSW 2046229 Bridge StreetGlebe NSW 2037491 Parramatta RoadLeichhardt NSW 2040184 Glebe Point RoadGlebe NSW 2037$6.865m$3.057mLandBuildingsHealth FacilityResidentialHouse

Central Sydney Area Health ServiceYear Ended 30 June 2001GENERAL FUND CONSULTANCY FEES OVER $30,000Name $000General ConsultancyClinical Support SolutionsKPMGLatrobe UniversityLEBA Ethnic MedicineMillenium MarketingParamedical Pty Ltd.Real Time Australia Pty LtdSequent ComputerUniversity of NewcastleCapital WorksComputemr Australia P/LFujitsu AustraliaReal Time AustraliaTotal Consultants Fees over $30,0001153132454647506864366759660GENERAL FUND CONSULTANCY FEES UNDER $30,000Total number of Consultancies 26 419PATIENTS FEES AGEING ANALYSISConsolidated30 June 2001< 30 days$00030-60 Days$00060-90 Days$000> 90 Days$0002001$0002000$000Compensable 158 116 237 1,353 1,864 2,196Ineligible 466 583 464 2,706 4,219 5,099Other 1,719 112 174 325 2,330 2,951Total 2,343 811 875 4,384 8,413 10,246TRADE CREDITORS AGEING ANALYSIS< 30 Days30-59 Days60 Days and Over2001$00023,1741,256-2000$00024,439245-24,430 24,641PAYMENT PERFORMANCE INDICATORSPayment Performance Indicators for the Three Month Period Ending 30 June 2001Percentage of accounts paid on time (based on dollar amount)Total dollar amount of accounts paid on timeTotal dollar amount of accounts paid2001$00074.75%78,955105,6052000$00066.82%53,75580,451MISCELLANEOUS FINANCIAL INFORMATION• CSAHS received the 2001/02 Budget Allocation in September 2001. The initial annual allocation shows an increase of 3.4% over the year2000/01.• The reduction of $18,000 in Program 2.1 over the 2000/01 year is mainly due to a significant area of floorpsace at the Emergency Departmentat Concord Repatriation General Hospital being used as a temporary location for some Cardiology Catheter activities during the rebuildingprogram.

Central Sydney Area Health ServiceYear Ended 30 June 2001STATISTICS STATEMENTAll Facilities (Consolidated) 2000/2001 1999/2000Bed CapacityTotal Beds as at 30 June 2001Average Available BedsPatient DetailsInpatientsNo. in Hospital at 1 July 2000Admissions during the yearTotal Patients TreatedNo. in Hospital at 30 June 2001Bed Days of Inpatients TreatedNumber of OperationsBabiesNo. of live BirthsBed days of new born babiesOutpatientsTotal Occasions of ServiceAveragesDaily average of InpatientsAdjustment for Outpatients and BabiesAdjusted Daily Average (ADA)Average stay of Inpatients (Days)Bed Occupancy Rate (%)Staff DetailsStaff employed at 30 June 2001NursingMedicalOther1,6921,6541,451130,306131,7571,358562,33735,0865,35815,2671,741,6281,4994981,9974.390.6%3,250.2968.04,364.61,7811,7911,661133,648135,3091,491588,78435,6805,61016,9521,848,4121,5655292,0944.487.4%3,264.1975.44,397.3Total EFT’s (Including O/Time) 8,582.8 8,636.8

INDEX_______________________________________________________________________Allied Health Services. . . 31Balmain Hospital . . 33Board . . . . 8-11Bone, Joint & Connective TissueService . . . . 15Cancer Services . . 16Canterbury Hospital . . 34Cardiovascular Services . 17Central Sydney Laboratory Service 18Centre for Education andInformation on Drug andAlcohol (CEIDA) . . 35Chairman’s message . . 5Chief Executive Officer . . 8,12,61Clinical groups . . . 15-30Code of Conduct . . 11Concord Hospital . . 36Corporate Governance . . 8-12Corporate Services . . 47-58Corruption Prevention . . 51Dental Services . . . 19Deputy Chief Executive Officer . 12,62Division of Population Health . 37Employee Recognition Program . 51Equal Employment Opportunity . 47Ethnic Affairs Priority Statement . 32Executive Management . . 12Facilities . . . 33-44Financials. . . . from 66Freedom of Information . . 55-58Gastroenterology and Liver Services 20General, Geriatric and RehabilitationMedicine . . . 21General Practice . . 22HealthQuest . . . 38Map . . . . 7Medical Imaging Services . 23Mental Health Services . . 24-25Mission & Service Commitment . 4Motor Fleet . . . 54Multicultural Services . . 32Neurosciences . . . 26Non-Government Organisations 64NSW Institute of Forensic Medicine 39Occupational Health & Safety . 51Operational Efficiency . . 61Operational Structure . . 6Performance Objectives . 13-14Population Health and Drug & AlcoholServices . . . 27-28Public Affairs & Marketing . 59Quality . . . . 45Research . . . 46Respiratory and Critical CareServices . . . 29Risk Management . . 11Royal Prince Alfred Hospital . 40-41Rozelle Hospital . . 42CSAHS 2000/2001 Statutory Annual Report

SES Officers Report. . . 62-63Strategic Direction . . 11Summary of Affairs . . 55Teaching . . . 46Treasurer’s Report . . 65Tresillian Family Care Centres . 43United Dental Hospital . . 44Volunteers and donors . . 60Women’s and Children’s Health . 30Workers Compensation . 52CSAHS 2000/2001 Statutory Annual Report

ACKNOWLEDGMENTS_______________________________________________________________________The CSAHS 2000/2001 Statutory Annual Report provides a summary of the organisation and itsoperations, and highlights significant achievements and events for the year. The report alsopresents performance and outcome information in a candid and reader-friendly manner.Guided by criteria determined by NSW Health, NSW Treasury and the Annual Report Awards Inc,it is benchmarked against reports from other leading Australian businesses each year to maintainour award-winning status.This year, 300 copies of the CSAHS 2000/2001 Statutory Annual Report were produced at a costof 4c per page, in keeping with requirements from NSW Health:• to be produced at a maximum cost of 7c a page• printed on environmentally friendly paperIt can be read in conjunction with Together Caring: Central Sydney Area Health Service2000/2001Year in Review which completes our annual reporting for the year. They are availableat www.cs.nsw.gov.au or by phoning (02) 9515 9600.Central Sydney Area Health ServiceBuilding 11RPA campusMissenden RoadCamperdown NSW 2050Telephone: (02) 9515 9600Fax: (02) 9515 9611E-mail: centreg@cs.nsw.gov.auwww.cs.nsw.gov.auConcept, design and production:Public Affairs & Marketing, CSAHSPrinting: CSAHSA publication of Central Sydney Area HealthService.©All rights reserved. ISSN 1329-5543CSAHS 2000/2001 Statutory Annual Report