south west healthcare

ANNUAL REPORT 2005

excellence in regional & rural healthcare

www.southwestheal thcare .com.au

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WARRNAMBOOL CAMPUSRyot Street, Warrnambool 3280Ph: (03) 5563 1666 Fax: (03) 5563 1660

LISMORE CAMPUSHigh Street, Lismore 3324Ph: (03) 5558 3000 Fax: (03) 5596 2265

CAMPERDOWN CAMPUSRobinson Street, Camperdown 3260Ph: (03) 5593 7300 Fax: (03) 5593 2659

MACARTHUR CAMPUS12 Ardonachie Street, Macarthur 3286Ph: (03) 5552 2000 Fax: (03) 5576 1098

PSYCHIATRIC SERVICESCAMPERDOWN64 Scott Street, Camperdown 3260Ph: (03) 5593 6000 Fax: (03) 5593 2403

PORTLAND63 Julia Street, Portland 3305Ph: (03) 5522 1000 Fax: (03) 5523 4212

HAMILTON12 Foster Street, Hamilton 3300Ph: (03) 5551 8418 Fax: (03) 5571 1995

WARRNAMBOOLBohan Place, Lava Street, Warrnambool 3280Ph: (03) 5561 9100 Fax: (03) 5561 3813

south west hea l thcareANNUAL REPORT 2005

PAGETHE YEAR IN REVIEW 2

FIVE YEAR STRATEGIC PLAN 5

BOARD OF MANAGEMENT 7

EXECUTIVE 8

UNRIVALLED HEALTHCARE & SERVICE 9

RESEARCH & EDUCATION 15

QUALITY MANAGEMENT 17

LIFE GOVERNORS 21

HEALTHCARE SERVICES 22

STAFF 23

MANAGEMENT STRUCTURE 26

STATISTICAL INFORMATION 27

FINANCIAL STATEMENTS 30

DONATIONS 45

COMPLIANCE INDEX TO DISCLOSURE REQUIREMENTS 48

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FRONT COVERPhoto: South West Healthcare TheatreTechnician Paul Hodgins (left) and South WestHealthcare Orthopaedic RegistrarDr Raghavan Unni.Top right: South West Healthcare MerindahLodge resident Lorna Mirtschin and daughter,South West Healthcare Medical ImagingReceptionist, Margaret Clissold.Bottom right: Seven-year-old Sienna Williams(daughter of Tracey and Jason Williams ofWarrnambool) and South West HealthcareChildren’s Ward Divisional 1 RegisteredNurse Jacinda Duerden.

CONTENTS

Top: A new $58,500 operating table is the prideand joy of our Camperdown Hospital TheatreNurses, Sally Rix (left) and Jo Teal.Centre: We continue to employ highly sought afterspecialists. Two of the eight to join our team in2004-2005 were General Surgeon, Mr Carl Murphy,and ENT Surgeon, Dr Bridget Clancy.Bottom: For the 74th year, the Nestle Sports andSocial Club sent Santa to South West Healthcare.Every patient at our Warrnambool hospitalreceived gifts while the Warrnambool HolidayActors sang carols. Eight-year-old Grace Paulin (thedaughter of Warrnambool’s Angela and ChrisPaulin) was one of them. Photo: The Standard’sGlen Watson. to come (Photo

File Name:SWHSantakids)

Many people have contributed to the development of this publication. In particular, South WestHealthcare wishes to thank Michelle Atkinson, Ian Barton, Liz Bramich, Jan Chapman, Jenny Charles,Judy Dalton, Julie Dixon, Jeanette Doolan, Doug Duffy, Samantha Laird, Sarah Lawrenson, LeanneMcCann, David McLaren, Graeme Mitchell, Ruth Mitchell, Robert Moore, Suzan Morey, Peter O’Brien,Janet Punch, Robert Quantrelle, Trish Riordan, Rob Sharrock, Jenice Smart and Cheryl Wright.

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COMMERCIAL APPOINTMENTSAuditors: Coffey Hunt & Co.Bankers: Australian & New Zealand Banking Group Ltd

Where appropriate, declarations of pecuniary interest havebeen lodged by members of the Board of Managementand senior management staff for the year under review.

WHISTLEBLOWERS PROTECTION ACT (2001)South West Healthcare has policies and procedures inplace to enable total compliance with the Act. Thesepolicies and procedures provide a safe environment inwhich disclosures can be made, people are protected fromreprisal and the investigation process is clear and providesa fair outcome.

The privacy of all individuals involved in a disclosure isassured of protection at all times.

South West Healthcare is committed to the principles ofthe Act and at no time will improper conduct by theorganisation or any of our employees be condoned. Acopy of the policy is available upon request.

DisclosuresSince the introduction of the Act in 2002 there have beenno disclosures received and no notification of disclosuresto the Ombudsman or any other external agency.Disclosures will be received by:

• Chief Executive Officer, Mr John KryggerSouth West Healthcare, Ryot Street, Warrnambool, Victoria 3280Phone 03 5563 1666.

• The OmbudsmanLevel 3/459 Collins Street, Melbourne, Victoria 3000Phone 1800 806 314.

Photo: Our Camperdown Hospital’s $550,000 Theatre upgrade seesChief Executive Officer, John Krygger, meeting with some of thedesign team. Photo: The Camperdown Chronicle.Photo: Three-year-old Abby Warburton (the daughter ofWarrnambool’s Shannon Jones and Jason Warburton) snoozes on aProne Trolley donated by Manchester Unity while five-year-oldcousin, Lachlan Arden (the son of Warrnambool’s Rachel Arden),takes a little time out. Photo: Standard’s Glen Watson.Photo: Two of our Camperdown Campus nurses, Prue Pincott (left)and Jane Leadbetter, participated in an international aid mission totsunami-devastated Indonesia in July.

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THE YEAR IN REVIEW‘It is extremely pleasing to reflect on another year of significant achievement forSouth West Healthcare, which continues to provide an outstanding level of service to thecommunities of South West Victoria.

It is also reassuring to note that numerous planning studies undertaken suggest that SouthWest Healthcare has a very bright future and an extremely important role to playin health service provision.’

• Winner of the 2004 Quality of Care Reporting Award• Completion of comprehensive Service Plan and Model of Care Report• Significant progress against Five Year Strategic Plan• Comprehensive review undertaken of Governance arrangements and accountability instruments• Record number of patients treated• Sound financial result• Positive results from all Patient Satisfaction Surveys• Receipt of full Aged Care Accreditation status for Merindah Lodge

HIGHLIGHTS

Photo: South West Healthcare Chief Executive Officer, John Krygger (left), and Board of Management President, Ian Armstrong, are thrilledwith South West Healthcare’s achievements of the past 12 months. Here, they stand at the site of our Warrnambool campus’ new $1.2 millionSupply & Boiler House redevelopment; a project regarded as essential infrastructure.

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THE YEAR IN REVIEW

PATIENT SERVICESWe continue to expand our range of services and havetreated more patients this year than ever before. During2004-2005 we treated a record 16,493 acute inpatients and24,158 Emergency Department presentations.In actual fact, the level of patient throughput had to becurtailed during the year through strategic closures ofoperating theatres during holiday periods to avoidsignificantly exceeding the agreed throughput targets.The major body of work undertaken during the past 12months was the development of a comprehensive ServicePlan and Model of Care Report to guide theorganisation’s development over the next 10-year period.The Service Plan and Model of Care Report has beenformally endorsed by the Department of Human Servicesand foreshadows major increases in service provision forthe future. For example, the number of acute inpatientsadmitted to our Warrnambool campus is predicted toincrease by 50% in the next 10 years. The number ofsame-day surgical separations is expected to increase by59% for the same period and the number of same-daytotal separations is expected to increase by a staggering84.5%.

The Service Plan and Model of Care Report made 30recommendations in total and further supports theongoing development of our Primary Care andCommunity Health Programs. The Service Plan has alsoreviewed the role and function of the Camperdown,Lismore and Macarthur campuses and is not suggestingany changes to the current configurations.

FACILITY DEVELOPMENTWith the completion of the major Service Plan and Modelof Care Report, the Department of Human Services hasgiven us approval to proceed immediately to the MasterPlan/Feasibility Study of our Warrnambool campus. Thissignificant project involves new and expanded acute bedaccommodation, additional Operating Theatre andEmergency Department capacity, new facilities for primaryand community based services and mental health services.It is anticipated that the Master Plan/Feasibility Study willbe completed by the end of October 2005 so that a fullbusiness case can be submitted to the Department ofTreasury for funding in the May Budget next year.

Substantial capital works have also been undertaken at ourWarrnambool campus with the construction of a newBoiler House and commencement of construction of anew Supply & Sterile Storage Facility. This $1.2 millionproject is being funded through Health Service capital

reserves and is considered essential infrastructurenecessary to be completed in readiness for the new MasterPlan redevelopment.

It is also extremely pleasing to point out that the Ministerfor Health, the Honorable Bronwyn Pike, announced afunding allocation of $550,000 during the year tosignificantly upgrade the Operating Theatre andEmergency Department at our Camperdown campus.

COMMITMENT TO QUALITYA major quality milestone was achieved during the yearwith the awarding of full accreditation for MerindahLodge by the Aged Care Standards Agency. The NursingHome and Hostel at Camperdown achieved fullcompliance on all 44 outcome standards, which was agreat result.

South West Healthcare also underwent a self-assessment,which was submitted to the Australian Council ofHealthcare Standards. This report has been prepared inreadiness for a full Accreditation survey that is scheduledto be conducted in May next year. A major highlight forthe organisation during the year was the receipt of theMost Outstanding Quality of Care Report. The awardwas presented by the Minister for Health, Bronwyn Pike,at a gala event in Melbourne. South West Healthcare’sQuality of Care Report was regarded as the best Qualityof Care Report of all regional hospitals in Victoria. Wereceived an engraved plaque and a cheque for $10,000 inrecognition of this supreme effort.

The Quality of Care Report demonstrated how wemonitor the quality of services we provide and covers arange of issues including quality, safety and riskmanagement, financial management and communityengagement.

...the number of acute inpatientsadmitted to our Warrnambool

campus is predicted to increase by50% in the next 10 years. Thenumber of same-day surgical

separations is expected to increaseby 59% for the same period and the

number of same-day totalseparations is expected to increase

by a staggering 84.5%.

It is extremely pleasing to report to our community on the significant achievements of South WestHealthcare during the financial year just completed.

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FINANCEIn response to the development of some robust businessplanning principles and a strong financial discipline, werecorded a modest operational surplus for the financial year.We are grateful for the additional financial support thateventuated following the conclusion of the Price andResource Allocation Review developed by the Departmentof Human Services and we look forward to consolidatingour financial position as a result of the increased fundsnow available.

COMMUNITY SUPPORTA group of very loyal and dedicated volunteers andauxiliaries provide assistance to both patients and staff aswell as being involved in fundraising to purchase muchneeded medical and nursing equipment. In particular, ourvolunteer auxiliaries have become a vital part of our patientcare team. During the year, very generous donations werereceived from the following auxiliaries:

• South West Healthcare Staff Auxiliary• South West Healthcare Woolsthorpe Auxiliary• South West Healthcare Warrnambool Ladies Auxiliary• South West Healthcare Camperdown Hospital Auxiliary• South West Healthcare Camperdown Fete Committee• South West Healthcare Charity Golf & Bowls Days Auxiliaries• South West Healthcare Lismore Ladies Auxiliary

This dedicated band of supporters, together withdonations from individuals, service clubs, communitygroups and philanthropic trusts, have contributed morethan $150,000 to South West Healthcare during the year.This is very much appreciated.

BOARD OF MANAGEMENTThe Board of Management is the organisation’s majorpolicy making body and assumes overall responsibility forthe direction and operation of all services.

During the year we welcomed two new members to theBoard, namely Mrs Mary Alexander and Mr Chris Logan.Both of these Board members have respondedenthusiastically to the challenges associated with thisdemanding role.

A major undertaking of the Board this year has been acomplete review of the Governance and AccountabilityInstruments. This has necessitated numerous meetingsand a comprehensive assessment of the method in whichthe Board performs its important governance role. TheBoard’s primary responsibility is to demonstrate effective

strategic leadership and to ensure that the responsibilitiesit has delegated are exercised effectively. The review hasestablished effective reporting systems that should enablethe Board to feel confident that its delegations are beingimplemented prudently and effectively.

CONCLUSIONIt is extremely pleasing to reflect on another year ofsignificant achievement for South West Healthcare, whichcontinues to provide an outstanding level of service tothe communities of South West Victoria. It is alsoreassuring to note that numerous planning studiesundertaken suggest that South West Healthcare has a verybright future and an extremely important role to play inhealth service provision.

The completion of the comprehensive Service Plan andModel of Care Report is premised on the notion thatSouth West Healthcare is the key sub-regional healthservice provider for the South West region of Victoria.The acknowledgement from the Department of HumanServices that our Warrnambool campus requiressubstantial upgrading from a physical facility point ofview is an encouraging sign and gives us enormousimpetus and a sense of excitement as we move forward.

There are obvious challenges which will continue toconfront the organisation, however it is our belief thatthe community can be extremely proud of its publichealth service and its achievements during the past 12month period.

May we take this opportunity to acknowledge theoutstanding contribution of all staff for their dedicationand professionalism, which has become a permanentfeature of the culture within South West Healthcare.

IAN ARMSTRONG JOHN F KRYGGERPRESIDENT CHIEF EXECUTIVE OFFICERBOARD OF MANAGEMENT

South West Healthcare’sQuality of Care Report was

regarded as the best Quality ofCare Report of all regional

hospitals in Victoria.

To develop an organisationalculture that supportsimproved performance,whilst meeting allrelevant accreditationrequirements includingthe establishment of anappropriate riskmanagement framework.

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MAJOR GOALS

OUR VISIONTo be a leader in providinginnovative and qualityhealth services.

OUR MISSIONWe are committed to provide acomprehensive range of health careservices to enhance the quality of lifefor people in South West Victoria.

OUR VALUES

CARINGWe are caring and responsiveto the needs of users of our service,their families and our staff.

EQUITYWe promote equity of accessand service delivery sensitiveto individual needs.

EXCELLENCEWe continually review andanalyse performance in orderto ensure best practice.

RESPECTWe respect individualrights and dignity.

INTEGRITYWe are guided by the highestethical principles in carrying outour professional responsibilities.

STRATEGICPLAN

5 YEAR

2004 - 2009

1. QUALITY SAFETY &RISK MANAGEMENT

2. FINANCIALMANAGEMENT

3. HUMAN RESOURCEMANAGEMENT

To develop a sustainablefunding base which allowsthe organisation to respondflexibly to the demand forhealth and wellbeing in thecommunity.

To further strengthenour skilled and efficientworkforce.

To enhance thesupportive and motivatedorganisational culture.

GOALS

STRATEGIES

OUTCOMES

1.1 Ongoing commitment tobest practice for allrelevant accreditationstandards.

1.2 Integrate clinical andcorporate riskmanagement andcompliance programs todevelop a total riskprofile.

1.3 Complete andimplement a riskmanagement plan.

1.4 Continue to developannual quality planningcycle throughout theorganisation.

2.1 Diversify the funding base.2.2 Educate and encourage

department managers toinvestigate fundingopportunities.

2.3 Maximise opportunitiesfor business units.

2.4 Explore funding throughphilanthropic trusts anddevelop donor data base.

2.5 Further develop businessplanning cycle throughout theorganisation.

2.6 Ensure efficient use ofresources.

3.1 Develop a HumanResource ManagementStrategic Plan.

3.2 Improve communicationacross the organisaiton.

3.3 Develop flexible andresponsive workforcerecruitment andmanagement strategies.

3.4 Provide safe workpractices and a healthyworking environment.

3.5 Promote ongoingeducation and professionaldevelopment programs.

• All 12 recommendationsfrom previous surveyaddressed.

• Organisational selfassessment completed.

• Compliance with all 44outcome standards. Fullthree-year accreditationachieved.

• Plan addressing AustralianCouncil of HealthcareStandards (ACHS) andNational Standards on MentalHealth Services (NSMHS)requirements completed.

• Internal auditors completedorganisation-wide RiskAssessment Report.

• All clinical departmentscompleted monthly selfassessment Patient SafetyRisk Audits. Data beingelectronically collated inpreparation for developmentof Risk Management Plan.

• Draft Key PerformanceIndicators (KPIs) for Boardof Management. Severaldepartments made goodprogress in this area.

• Budget surplus of 1%achieved. Current asset ratiomaintained at 1.27.

• Financial reports modified toincorporate financial analysisand commentary.

• Successful campaign deliveredto attract private electionresulted in an increase of$400,000 in fees over prior year.

• Completed audit of patientclassification yielded additional$45,000.

• Review of radiology andpathology charges resulted insavings of $170,000.

• Benchmarking audit of payrollsystem conducted.

• Implementation of salarypackaging software underway.

• Completed audit ofWorkCover claims yielded$45,000 in outstanding claims.

• Action plan for fundraisingstrategy developed.

• 100% complete. All reportingtimelines met.

• Human ResourcesPlan completed.

• Business Plans includerecommendations followingprevious Staff SatisfactionSurveys.

• Continuing Nurse EducationPlan for 2004/05 successfullycompleted.

• Business Continuity Plancurrently being reviewed byinternal auditors.

• Environmental Safety Auditprogram developed andperformed on a monthly basis.

• Annual Safety and DangerousGoods Audit undertaken.

• All Material Safety Data Sheetsdownloaded into Chemwatchsystem.

• New Manual Handling RiskAssessment Tool developed.

• Manual Handling EducationForms become part ofOrientation Program andmandatory Staff UpdateSessions.

• Significant increase in patientthroughput managed withoutsignificant increases in staffinglevels.

7.

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4. FACILITIES, EQUIPMENT& TECHNOLOGY

COMMUNITYENGAGEMENT

To ensure that infrastructuresupports the efficient, effectiveand flexible operation of thehealth service.

5. SERVICEINTEGRATION

To develop a seamless servicesystem across the organisationwhich delivers high quality careresponsive to consumer needs.

6. COMMUNITYHEALTH

4.1 Review and completeService Plan

4.2 Review and implementMaster Plan• Camperdown• Warrnambool

4.3 Promote the developmentof healthcare precinct.

4.4 Develop annual assetreplacement and acquisitionplan.

4.5 Utilise information andcommunications technolgyto enhance serviceprovision.

5.1 Support diversity andinnovation in serviceprovision.

5.2 Continue the process ofintegration of programsthroughout the organisation.

5.3 Provide services consistentwith a continuum of caremodel.

5.4 Support and encourageongoing servicedevelopment.

6.1 Develop and implement acomprehensive communityhealth plan.

6.2 Continue engagement withthe Primary Care Partnershipand local government in relationto community health planningprocesses.

6.3 Engage with thecommunity:• Consumers• General Practitioners and• Agencies and other service providers.

6.4 Ensure that primary healthis an integral component ofthe master planninginfrastructure.

6.5 Provide leadership andcollaboration for seamlessservice delivery.

6.6 Provide advocacy on keypublic health issues.

To promote health inthe community through astructured primary healthcare strategy.

To develop collaborativeand co-operativerelationships with thecommunity we serve.

7.1 Identify ways to encouragegreater communityengagement.

7.2 Build appropriatecollaborative arrangementswith local government andother service providers.

7.3 Develop and maintain animproved public profilethroughout the region.

7.4 Continue to developcommunity partnerships inservice planning,delivery and evaluation.

• Major Service Plan and Model ofCare Report completed.

• Master Plan/Feasibility Studycommenced.

• Significant progress against CapitalEquipment Plan.

• Steady progress against MajorCapital Works Plan.

• All buildings and facilities metrelevant legislative compliancewith common expiry date ofJuly 31 2005. Form 6 and Form 15certificates received.

• Significant legislative compliancework undertaken by alldepartments.

• Steady progress against InformationTechnology Plan Benefits achieved:- Real time pathology ordering and results.- On line discharge summaries.- Monitoring length of stay in Emergency Department.

• Development of dedicated website (www.southwesthealthcare.com.au)and integrated intranet site.

• Positive achievement with clinicalguidelines accessible via intranet.

• Multi-disciplinary and multi-campus process in place formonthly policy review/update.

• Improved management ofNursing Home Type clients.

• Psychogeriatric protocolsdeveloped with Lyndoch.

• Resident Care Policy introduced.• Weekly communication (visits)

with all local aged care agencies todiscuss waiting lists established.

• Effective Discharge Committeesecures external agencyrepresentation.

• All regional leadershipprograms maintained.

• Corangamite Managed ClinicalNetwork utilised to developobstetric policies.

• New arrangements in place andcontract documentationcompleted.

• Comprehensive CommunityHealth Plan completed inconjunction with South WestPrimary Care Partnerships.

• Development and integration ofHealth Promotion Plan across allcampuses including:- Chronic Illness- Better Health Self Management- Healthy Families - A Balanced Approach- 10,000 Steps (Physical Activity Program)- Strength, Balance and Coordination- Mental Health & Social Connectedness- Preschool Development- Sun Smart- Asthma Friendly Schools- Sexual Health & Development

• Ambulatory Care SensitiveConditions (ACSC) project anoutstanding success with plans toextend program to other diseasecategories.

• Evaluations compiled byUniversity of Melbourne andbenchmarked across Australiashow the Warrnambool programrates well above the expectedbenchmark. Plan to extend theprogram to other diseasecategories.

• Consumer Participation Planfurther developed.

• New position of CommunityRelations Manager engaged.

• Significantly increased media profile.• ‘Operation Engagement’

(community awareness andengagement initiative) commenced.

• Established Cultural AwarenessProgram within SWH PostnatalDepression Project.

• Developed process to determinewhether patients’ cultural needsare being met.

• Developed collaborativerelationship with WarrnamboolCity Council in relation to itsongoing Migration to WarrnamboolProgram.

• SWH CASA working withnumerous partners on a region-first Drink Spiking CommunityAwareness Project.

BOARD OFMANAGEMENTOur 12 member Board of Management is appointed bythe Governor-In-Council from nominations received bySouth West Healthcare. Board Members serve a three-year term and may be eligible for re-nomination at theconclusion of that term.

The Board of Management‘s function is to oversee theoperation of the organisation and ensure that theservices provided comply with both the requirements ofthe Health Services Act 1988 and the objectives of SouthWest Healthcare.

Mrs Mary ALEXANDEROccupation: JournalistAppointment Date: November 2004Sub Committee/s Member: Quality Care, Physical Resources2004-2005 Attendance Record: 100%

Mr Ian ARMSTRONG APM PresidentOccupation: Police Senior SergeantAppointment Date: October 1997Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk,Quality Care

2004-2005 Attendance Record: 100%

Mrs Margaret BROCKOccupation: Lecturer in Law/ConsultantQualifications: B.A., LLB., (Hons)Appointment Date: February 2003Sub Committee/s Member: Quality Care2004-2005 Attendance Record: 73%

Mr Francis BROEKMANOccupation: Chief Executive OfficerQualifications: Bach. Social Work, Master Social

ServicesAppointment Date: November 2003Sub Committee/s Member: Physical Resources, Quality Care2004-2005 Attendance Record: 45%

Dr Anthony BROWNOccupation: Medical PractitionerQualifications: MB, BS, Dip. RACOG, FRACGPAppointment Date: October 2001Retirement Date: October 2004

Mr Murray FRY Junior Vice PresidentOccupation: PharmacistQualifications: B.Pharm.Appointment Date: October 2001Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk2004-2005 Attendance Record: 82%

Mr David JELLIEOccupation: SolicitorQualifications: B.A., LL.BAppointment Date: May 1996Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk2004-2005 Attendance Record: 91%

Mr Christopher LOGANOccupation: Western Area ManagerAppointment Date: November 2004Sub Committee/s Member: Quality Care, Physical Resources2004-2005 Attendance Record: 86%

Ms Felicity MELICAN TreasurerOccupation: Chartered AccountantQualifications: B. Bus., Grad. Dip. Ed. (Secondary)Appointment Date: November 2002Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk2004-2005 Attendance Record: 91%

Mrs Sharon MULDOON Senior Vice PresidentOccupation: State ManagerQualifications: B.A. (Soc. Sc.), Cert, Soc. Geront.,

ACMAppointment Date: October 2000Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk, MultiDisciplinary Ethics 2004-2005

Attendance Record: 91%

Ms Mara PACERSOccupation: Self Employed Farm ManagerQualifications: BBSc, BSW, Masters of Public

Policy and Management (MPPM)Appointment Date: November 2003Sub Committee/s Member: Quality Care2004-2005 Attendance Record: 73%

Mrs Barbara PIESSEOccupation: Lecturer in LawQualifications: LL.BAppointment Date: September 1983Sub Committee/s Member: Financial Performance, Audit and

Risk, Multi Disciplinary Ethics2004-2005 Attendance Record: 73%

Mr Richard ZERBEOccupation: Marketing and Business

Development LeaderQualifications: Bachelor Ag Science, Master of Bus.

AdminAppointment Date: October 2000Sub Committee/s Member: Physical Resources, Financial

Performance, Audit and Risk2004-2005 Attendance Record: 82%

Note: In March 2005 the Financial Performance, Audit and Risk SubCommittee assumed responsibility for the functions of the PhysicalResources Sub Committee.

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Photo: South West Healthcare’s Board of Management (front row,from left): Richard Zerbe, Sharon Muldoon, Ian Armstrong, MaraPacers, (back row, from left) Murray Fry, Mary Alexander, DavidJellie, Barbara Piesse and Margaret Brock. Absent are FelicityMelican, Chris Logan and Francis Broekman.

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EXECUTIVE

South West Healthcare’s four Divisional Directors and the Chief Executive Officer form the Executive Team.Each is responsible for the day-to-day operations of specific aspects of the organisation.

Mr John KRYGGERPosition: Chief Executive OfficerQualifications: BHA (UNSW), MBA (Monash), AFCHSE, CHE, AIM

Mr Ian BARTONPosition: Director of FinanceQualifications: ASA, CPA, Dip Bus (Deakin), BHA (UNSW), AFCHSE, CHE

Mrs Caroline BYRNEPosition: Director of Psychiatric ServicesQualifications: RPN, Post Grad Dip Social Sciences (Drug Dependence), Grad Dip Business (Health Admin),

Master Applied Science (Innovation & Service Management)

Mrs Sue MORRISONPosition: Director of NursingQualifications: RN, MBA (USQ), MHA (UNSW), BN, Dip Nursing, Cert of Computer Business Applications,

FRCNA, AFCHSE, CHE

Dr Peter O’BRIENPosition: Director of Medical ServicesQualifications: MB, BS, Dip Obst, RACOG, MHA, AFCHSE, CHE, FRACMA, FACRRM

Photo: South West Healthcare’s Executive(from left), Dr Peter O’Brien, Sue Morrison,John Krygger, Caroline Byrne and Ian Barton.

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UNRIVALLED HEALTH CARE AND SERVICE DELIVERYSouth West Healthcare’s strong leadership has led to thedevelopment and implementation of a number ofhistory-making initiatives this year. Productivecollaborative partnerships have allowed us to continue toaddress the very unique needs of the 100,000 people inour catchment area.

South West Healthcare opened anexciting initiative in February whenWarrnambool’s three paediatricians

moved into a purpose-designed buildingon the grounds of our Warrnamboolcampus to provide the region with apaediatric one-stop specialist shop.

This innovative arrangement means families are nowreaping the benefits of 60 collective years of paediatricexperience because Dr Nick Thies, Dr Greg Pallas andDr Christian Fiedler are under the one roof.

The unique development also means improvedcontinuity of care because of the accessibility to on-the-spot second opinions and shared-access to files; quickerattendance when called to an emergency by virtue of thefact the three specialists are based just 50 metres fromSouth West Healthcare’s Warrnambool EmergencyDepartment; and time for conference leave, ensuringSouth West Victoria isn’t left behind when it comes tolatest medical knowledge and best-practice developments.

It ends professional and social isolation that comes withbeing a sole practitioner; marks the beginning of newresearch opportunities (Dr Fiedler’s developing newpolicies for community health); increases opportunities toincorporate video conferencing in the daily managementof their young patients (the building next door to themhouses the award-winning South West Alliance of RuralHealth team and its state-of-the-art IT equipment); andhas the ability to provide paediatric outreach services toCamperdown, Portland, Hamilton and Horsham.

Dr Pallas says it’s exceptional to have three paediatriciansin the one rural location, let alone under the one roof,because so many paediatricians don’t want to work in thecountry. ‘That’s why we believe the hospital has been socreative to have come up with such an innovativesolution,’ he explains.

South West Healthcare Medical Services Director, Dr PeterO’Brien, is thrilled to have three paediatricians ‘of suchsuperb calibre’ practicing on-campus. He says the initiativewill provide specialist paediatric care for hundreds of ruralchildren.

This is not the first time Dr Pallas and Dr Thies havebeen involved in such a groundbreaking development.Having practiced as paediatricians for the past 18 and 30years respectively, their commitment to looking at cleverways to address unique rural needs has been proven manytimes over. Nearly two decades ago, for example, the pairestablished what today is still a thriving PaediatricDiabetes Clinic at South West Healthcare, after realisinglocal children were having to travel to Melbourne fordiabetes education.

An amazing year’s work has beenconsolidated and celebrated withthe signing off of a unique protocol

to improve the coordination of emergencyservices for people experiencing mental

health issues who are in crisis.

Led by South West Healthcare’s Residential ServicesManager, Chris Healey, Warrnambool-based psychiatricand emergency services organisations have shared theirknowledge and expertise to develop a rural-specificcoordinated response.

The 2005 Psychiatric and Emergency Services Protocol is acollaborative plan between South West Healthcare, RuralAmbulance Victoria and Victoria Police. It defines eachorganisation’s roles and responsibilities and comes withthree objectives: to effectively manage service delivery to

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people with high-risk behaviours; to clarify the workingrelationship between psychiatric and emergency serviceproviders; and to promote linkages between psychiatricand emergency service providers. The outcome is a 24-page document that will efficiently and compassionatelyassist South Western Victorians in their most diremoments of need.

SWH Psychiatric Services Division Director, CarolineByrne, describes the protocol as dynamic and says itscompletion is perfect timing, given Health Minister Pike’srecent announcement of funding to establish moreprivate areas in public hospital Emergency Departmentsfor people experiencing mental health problems.

Well before a South West baby is evena twinkle in its parents’ eyes, anothergroup of rural experts has their sightsset on the health and happiness of the

family it will be born into.

In a first-ever coordinated approach aimed at enhancingthe resilience and wellbeing of soon-to-be parents, aninnovative South West Postnatal Depression Project hasdeveloped a Victoria-first educators’ module to helpsupport antenatal educators preparing families for thereality of parenthood, and a booklet for couples to helpguide them through the parenthood maze.

No other place in Victoria has implemented such acoordinated model that examines and promotes resilienceand wellbeing right across the perinatal phase (frompregnancy to a year after a baby is born).

South West Postnatal Depression Project Manager, LouiseRyan - a psychologist who specialises in perinatal health - saysthe task of early parenting is demanding and constant andimpacts on parents physically, emotionally and socially. There’sa web of things to work through. Not least of which areissues many couples may not have thought to talk about.

The parents’ guide - given to all first-time parents during theirantenatal course - has a run down of the issues that should bediscussed, such as when should mum-to-be finish up atwork; how much, and when, should her partner take leave;what, and how realistic, are the couple’s expectations about thebaby’s delivery; are there strong feeding preferences (breastversus formula); how will the couple each get routine time outfor themselves; and how involved will the partner be on thechildcare front? And then there’s the often-touchy subject ofdiffering parenting styles.

The guide covers pregnancy, preparing for parenthood,motherhood, fatherhood, the telltale signs of depression inpregnancy and early parenthood and treatment options.Nationally, one in seven women will experience some sort ofpostnatal depression. Anecdotally, Louise suspects that inparts of Western Victoria that statistic could be higher.

Based on the development of the region’s first South WestPerinatal Emotional Health Model - again, courtesy of theSouth West Postnatal Depression Project - this coordinatedapproach sees midwives, antenatal educators, GPs, Maternal &Child Health Nurses and the Primary Mental Health Teamworking side by side.

Opposite page: South West Healthcareopened the new paediatric centre inFebruary when Warrnambool’s threepaediatricians, (from left) Dr Nick Thies,Dr Greg Pallas and Dr Christian Fiedler,joined forces on-site.

Right: South West Healthcare led thedevelopment and signing off of a dynamicprotocol to improve psychiatric andemergency services service delivery withthe development and signing off of adynamic protocol. From left, VictoriaPolice Senior Sergeant Louise Bryant,South West Healthcare’s EmergencyDepartment Unit Manager Kate Sloan andResidential Services Manager Chris Healey,and Rural Ambulance Victoria AreaManager Pat McKenzie.

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In line with the educators’ module,the projects responsible for the

implementation of antenatal screening inevery hospital across thousands of squarekilometres of land bordered by the Shires

of Southern Grampians,Moyne, Corangamite and Glenelg

and the City of Warrnambool.

In another Victorian first, a collaborativepartnership between a rural hospital and

a rural council is ensuring a ruralcommunity keeps skilled workers.

South West Healthcare’s Camperdown campus is the onlyhospital in country Victoria to have an on-site Family &Community Services-funded ‘in venue’ centre. Formothers such as Theatre Unit Manager, Nikki Delaney,and Support Services Manager, Jeannine Creely, it’s madeall the difference to them being able to return to work.

Run by the Children’s Services Unit of Corangamite ShireCouncil, its hours are totally nursing-shift friendly(6.30am to 4 pm weekdays), its on site location makesbreastfeeding a breeze, and you couldn’t be closer tomedical back-up if you tried.

Five dynamic community healthcentres make their mark on the 10,323

square-kilometres South WestHealthcare calls home.

Warrrnambool Community Health, LismoreCommunity Health, Macarthur Community Health,Camperdown’s Manifold Place Community Health andDavid Newman Adult Day Activity Centre provide aunique range of custom-designed services, activities andprograms to help keep the 63,000 people who live in ourlocal communities healthy and happy.

They are also helping to keep our communities strong.There is no doubt the activities of these centres areproviding participants - many of them rurally-dispersed -with social connectedness; an ingredient essential to acommunity’s health.

Photo: Some of the innovative steering committee membersresponsible for a history-making project now helping new parents:(from left) South West Healthcare Primary Mental Health TeamManager, Nicholas Place; SWH Maternity Service EnhancementStrategy Program Coordinator, Kathy Culkin; Frances HewettCommunity Centre (Hamilton) Postnatal Depression Counsellor,Evelyn Jack; SWH Postnatal Depression Project Worker, MarianneWeddell; Gunditjmara Aboriginal Co-operative Maternal & ChildHealth Worker Georgie Taylor and South West Postnatal DepressionProject Manager, Louise Ryan.

YOUR HEALTH.YOUR COMMUNITY HEALTH CENTRE.

Above: Macarthur Community Health Centre District Nurse, Christina Freckleton, takes Macarthur Senior Citizens through their paces. Tunnel ballis one of many exercises provided weekly as part of the centre’s Falls Prevention Program aimed at improving coordination and balance.Below: Lismore’s Bob Young says South West Healthcare dietitian, Tess Griersmith, has dramatically helped him to manage his diabetes. Based at ourWarrnambool campus, Tess takes her dietary knowledge to the Lismore Community Health Centre monthly. Photo: Western District Newspapers.

SWH Child & Adolescent Mental Health Service Manager and SeniorClinician, Rebecca Knapp, was the recipient of the 2004-2005 AEWMatthews Memorial Travelling Scholarship. It allowed her to studyassessment and treatment practices at specialist infant mental healthprograms in San Francisco and New Orleans.

The assessment procedures experience she gained included the WorkingModel of Child Interview (which evaluates a parent’s expectations, beliefsand attitudes in relation to their child) and the Crowell procedure (whichprovides a structured play setting involving both the caregiver and theiryoung child, in which the dad’s interactions can be observed andanalysed). Relationship based treatments she observed and receivedtraining in included infant-parent psychotherapy and interaction guidance.

AEW MATTHEWS MEMORIALTRAVELLING SCHOLARSHIP

2004 - 2005

Since 1991 the AEW Matthews Memorial Travelling Scholarship has seen the following 19 worthy recipientstravelling the globe in search of new knowledge:

1999: Mrs J Gibbs, Chief Occupational Therapist – Fellowship in Hand Therapy,University of Texas (US) and clinical placement (Canada).

1998: Dr R Brough, Drug & Alcohol Physician – Centres of Excellence foralcohol and drug rehabilitation (UK and US).

1997: Ms T Irish, Rural Psychiatric Services Manager – Organisation visits retraining in psychiatric rating scales (Italy).

1996: Mr T Rayner, Chief Audiologist – International Audiology Conferences(Austria and UK), audiology update course and hospital visits (UK).

1995: Mrs D Gedye, Midwifery Clinical Nurse Specialist – Hospital visits remanaged care in obstetrics (US).

1994: Mr M Johnstone, Nursing Informatics Officer – Hospital visits reapplication of informatics to nursing (US).

1993: Mrs J Smart, Paediatric Nurse – Commitment to Care Conference andhospital visits (UK).

1993: Mrs S Waring, Paediatric Nurse – Commitment to Care Conference andhospital visits (UK).

1992: Mr L Ryan, Chief Engineer – 12th International Congress of HospitalEngineers (Italy) and hospital visits (UK, Germany and Denmark).

1991: Mr I Barton, Director of Finance – Hospital visits re clinical costingcasemix and Hospital In The Home programs (US and Canada).

Rebecca plans to utilise these skills and knowledge to develop capacity within South West Healthcare’s Child & AdolescentMental Health Service to provide specialist assessment and therapeutic interventions for the region’s most troubled infantsand young children, and their caregivers.

The AEW Matthews Memorial Travelling Scholarship provides up to $7,500 to South West Healthcare employeeswith an insatiable appetite to learn latest techniques, treatments and approaches.

Awarded annually, the scholarship is named in recognition of outstanding service to the Warrnambool & District BaseHospital (now known as South West Healthcare Warrnambool) by the late Allan Matthews. Allan was Chief ExecutiveOfficer from 1972 to 1983.

2005: Ms R Knapp, Child & Adolescent Mental Health Service Manager andSenior Clinician – visits to specialist infant mental health programmes (SanFrancisco and New Orleans) to study assessment and treatment practices.

2004: Mrs H Wilson, Centre Against Sexual Assault Director – 4th International Conference on Social Work in Health and Mental Health(Quebec), clinical visits to St Paul’s (Minneapolis) and Summer School at theUniversity of Minnesota.

2003: Mr B Hoekstra, Chief Physiotherapist – 14th International Congressof the World Confederation for Physical Therapy (Barcelona) and visits toToronto Rehabilitation Institute and Astley Ainslie Hospital (Edinburgh).2003: Mr S Storer, Chief Social Worker – VIIIth European Conference onTraumatic Stress (Germany) and site visits (Europe and Asia).

2002: Mrs P O’Brien, Breast Care Nurse- 3rd European Breast CareConference (Spain) and 3rd European Oncology Nursing Society Conference(Italy).2002: Mr P Logan, Clinical Pathways Coordinator – 2002 Medical RecordAssociation of America’s Towards the Electronic Patient Record Conference(Seattle) and visits to the University of Washington Medical Centre and theEvergreen Hospital (US).

2001: Mrs S Baudinette, Chief Dietician – 17th International Congress ofNutrition (Austria) and hospital visits and nutrition clinical placement (UK).2001: Mrs A Morris, Diabetes Resource Nurse – Holloway UniversityDiabetes Centre (UK).

2000: Mrs S Nicholson, Education/Quality Manager – ISQua Conference(Ireland) and hospital visits (UK).

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SWH Child & Adolescent MentalHealth Service Manager and SeniorClinician Rebecca Knapp was therecipient of the 2004-2005 AEWMatthews Memorial TravellingScholarship.

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AWARDS, ACCREDITATIONS & ACCOLADESSouth West Healthcare has stolen the limelight many times throughout 2004/2005

for ‘dux-ing the class’ in health service delivery.

Left: SWH Alcohol & Drug ServicesDirector, Dr Rodger Brough, withhis 2004 Rural Victorian Alcohol &Drug Award for Excellence.Photo: The Standard’s Glen Watson.

QUALITY OF CAREREPORTING AWARDSouth West Healthcare’s ongoing commitment to qualityservice provision was recognised at the highest level inNovember when, at a gala event in Melbourne, HealthMinister Bronwyn Pike presented SWH Director ofNursing, Sue Morrison, with a 2004 Quality of CareReporting Award.

The prestigious award recognises the calibre of our 2004Quality of Care Report; judged by an independent panelto be the best of all Victorian regional base hospitals.The 25-page document demonstrates how South WestHealthcare monitors the quality of the services it offersagainst industry standards, covering a range of issuesincluding quality safety and risk management, financialmanagement and community engagement.

Minister Pike commended the report for demonstrating ahigh standard across all assessment criteria and acommitment to improving the quality and safety ofhealthcare for consumers.

A $10,000 grant came with the accolade. It’s being utilisedto support ongoing South West Healthcare quality-relatedinitiatives by employing the organisation’s first StrokeLiaison Project Worker. This position, developed inresponse to both locally and regionally identified needs,will promote a more coordinated approach to stroke care inline with the National Clinical Guidelines for Acute StrokeManagement. South West Healthcare is a member of theRural Organisation of Acute Stroke Teams (ROAST) thataims to improve patient care by fostering the developmentof well educated teams of health professionals capable ofbecoming the backbone of rural stroke units.

ENDORSEMENT OF AUSTRALIA’SFIRST WOUND MANAGEMENTNURSE PRACTITIONERAt the 2004 State Nursing Excellence and CommitmentAwards in Melbourne, Health Minister Pike endorsedAustralia’s first Wound Management Nurse Practitioner,South West Healthcare’s Terry Swanson.

Having been SWH Wound Management Consultantsince 1997, Terry’s new Wound Management NursePractitioner status is a major shift in how things aredone. Until now, on the wounds-management front,only registered doctors have been legally allowed toprescribe medications, order diagnostics, admit anddischarge patients, write sick certificates and refer to otherhealth professionals. For a patient, this is significant. Thetime saved by the streamlining of the above-mentionedprocesses means a wound will have every chance ofhealing quicker, by virtue of the fact it can be assessed,dressed and treated quicker.

2004 VICTORIAN ALCOHOL& DRUG AWARD FOR EXCELLENCEColleagues and peers of South West Healthcare Alcohol& Drug Services Director, Dr Rodger Brough,acknowledged his significant contribution to thedevelopment of rural-based alcohol and drug services bypresenting him with a Rural Victorian Alcohol & DrugAward for Excellence in August.

Rodger has spent more than 20 years helping treat, andadvocate for, rural people with alcohol and drug-relatedissues. Highly regarded for being attuned to the needs ofpatients, their families and their rural communities, he’s aco-founder of the Western Region Alcohol & DrugCentre (WRAD) and the founder of the Australian RuralCentre for Addictive Behaviours (ARCAB); the country’sfirst rural-specific addictive behaviours centre.

Left: SWH’s Terry Swanson (left)celebrates her status as Australia’s firstWound Management Nurse Practitionerwith Health Minister Bronwyn Pike atthe 2004 State Nursing Excellence andCommitment Awards.

Right: SWH Director of NursingSue Morrison (left) accepts a

prestigious 2004 Quality of CareReporting Award from Health

Minister Bronwyn Pike.

BABY FRIENDLY ACCREDITATIONOur hospitals at Warrnambool and Camperdown weresuccessfully reaccredited as ‘baby friendly’ this year.The Baby Friendly Hospital Initiative (BFHI) is ahospital-based program designed to provide healthprofessionals with a framework that promotes, protectsand supports breastfeeding.

Health professionals involved with the care of mothersand their babies have always recognised the value ofbreastfeeding but have long been criticised forinconsistent advice and assistance. The BFHI is aprogram designed to address these issues by providinga framework (10 successful steps to breastfeeding) forhealth professionals to use to promote and educatefamilies about breastfeeding within their communities.It recognises the importance of giving women accurateand up to date information about breast and formulafeeding, especially during the antenatal period.

Left: The care,responsiveness andcompassion shown by SWHCamperdown MerindahLodge Divisional 2Registered Nurse KimHelmore (left) and hercolleagues towards residentsincluding Audrey Patterson(right) contributed to theaged care facility’s perfectaccreditation score.

AGED CARE ACCREDITATIONMerindah Lodge, South West Healthcare’s aged care facility atCamperdown, received a perfect accreditation score in June.Full compliance was reached on all 44 outcome standards.The independent surveyors were particularly impressed withthe staff at Merindah Lodge. They described them as ‘caring,responsive and compassionate’. These dedicated healthcareworkers were commended for their ‘high level ofdocumentation and excellent activity programs’. Thesurveyors said the pursuit of continuous improvement wasapparent in the high level of care being provided.

OCCUPATIONAL HEALTH & SAFETYWORKCOVER: HOURS LOST & NEW CLAIMS

HOURS LOST TO INJURY OR ILLNESS 2004/05 2003/04

WARRNAMBOOL CAMPUSAcute ServicesNursing 2716 3990

Support Services/Administration 4830 3173Medical/Allied Health 1976 1976

Psychiatric Services 1046 355LINEN SERVICE 1976 2144CAMPERDOWN CAMPUSNursing 1408 1496

Support Services/Administration 1976 1970Medical/Allied Health 0 0

LISMORE CAMPUS 0 0MACARTHUR CAMPUS 0 0

TOTAL 15928 15104

NUMBER OF NEW CLAIMS 2004/05 2003/04

WARRNAMBOOL CAMPUSAcute ServicesNursing 3 1

Support Services/Administration 2 0Medical/Allied Health 0 0

Psychiatric Services 1 1LINEN SERVICE 0 0CAMPERDOWN CAMPUSNursing 1 1

Support Services/Administration 0 0Medical/Allied Health 0 0

LISMORE CAMPUS 0 0MACARTHUR CAMPUS 0 0

TOTAL 7 3

South West Healthcare is committed to maintainingthe highest standards of health, safety and wellbeingfor our employees, contractors, volunteers, patients,customers and visitors.

Right: Manual handlinginjuries in our laundry,South West Linen, are keptto a minimum with the useof an Electrodrive Tug,operated here by AssistantKelvin Hovey.Below: Exposure todetergents and hot water isreduced for Food ServicesAssistants, Helen Greene(left) and Debbie McKane,with the use of anautomated dishwasher.

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RESEARCH & EDUCATION

South West Healthcare Chief Dietitian, Susan Baudinette,had two research articles published this year. Healthy Eatingand Physical Activity - Implications for Child Health waspublished by the Victorian Branch of the Australian Councilfor Health, Physical Education and Recreation (HealthEducation Australia Journal Vol 4/No 1 2004) while theInternational Electronic Journal of Rural and RemoteHealth Research, Education, Practice and Policy publishedFood Cost and Availability in a Rural Setting in Australia.

South West Healthcare recognises the vital role researchhas in progressing health care. Research projects areactively promoted and supported, and to ensure they arein the best interests of patients and staff, must beapproved by the Ethics Committee prior to commence-ment.

DEAKIN RESEARCH CONSORTIUM GROUPSouth West Healthcare has joined forces with DeakinUniversity to promote more regional and rural nursingresearch. This regional-based group has identified issuesfaced by regional and rural health services when dealingwith people presenting with psychological conditions. Aconference paper is being prepared for presentation.

The consortium group, now developing a research projectinvestigating medication errors in hospitals, also supportsindividual nurses undertaking research for Mastersdegrees. South West Healthcare’s Perioperative EducationClinical Facilitator, Paula Touzeau, has investigatedoperating theatre experience and its ability to provideknowledge and skills in post-operative nursing care whileQuality Management Projects Nurse, Leanne McCann, hasinvestigated people’s perceptions of their care andtreatment following a stoke. Both projects were awarded aHigh Distinction at Masters level.

PSYCHIATRIC SERVICES DIVISION RE-SEARCHThe Division’s Primary Mental Health Team is investigat-ing whether attending a stress management course in anadult education centre assists people to cope better withstress; reduce the number of symptoms of anxiety anddepression experienced; and have an improved quality oflife. Stress management courses of six-weekly, two-hourworkshops are being delivered across the South Westthrough region wide South West TAFE campuses. Thecourses are promoted through South West TAFE,General Practitioners and community agencies.

The Chronic Illness and Depression Project undertakenon behalf of the South West Primary Care Partnership(PCP) by the Primary Mental Health Team seeks to buildskills and contribute to improved chronic diseasemanagement systems in South West Victoria; evaluate theacceptability of supportive interventions to identifiedpatients with cardio-vascular disease; and examine thecontent of the counselling provided relevant to theassessed needs of the individual.

Three Psychiatric Services Division staff have beenawarded Primary Health Care Research, Evaluation &Development (PHC RED) Individual and General

Practitioner (GP) Research Bursaries respectively byGreater Health (Greater Green Triangle UniversityDepartment for Rural Health). Kate Hawkins will use herbursary to evaluate the Primary Mental Health Team’sStress Management Course; Melissa Ferrier will apply hersto investigate Maternal Post Partum Adjustment; andNicholas Place will apply his to the joint South WestPrimary Care Partnership/Primary Mental Health TeamChronic Disease and Depression Project.

NURSING EDUCATIONAPPOINTMENT OF CLINICAL RESOURCENURSESMick Edwards and Vikki Hoy commenced in their newroles in February 2005 to support and educate graduatenurses, new staff and nurses undertaking supervisedpractice. Both workers are proving to be an invaluableresource to all staff.

CONTINUING NURSE EDUCATIONAn extensive education program for South West SubRegion 3 (this includes Warrnambool, Camperdown,Lismore, Macarthur, Port Fairy, Terang and Mortlake,Koroit, Lyndoch and Timboon) resulted in 950 nursesaccessing formal education.

In-service education has focused on the introduction ofnew technology including new glucometers, and keyissues such as pressure areas.

HIGHLIGHTS OF THE EDUCATION PRO-VIDED

• Medication Management Workshops• Certificate IV in Workplace Training and Assessment• Cardio Pulmonary Resuscitation (CPR) Train the

Trainer Course• Hand, Foot and Face Massage• Understanding Depression• Professional Assault Response Training (PART)• Latest Trends in Care of the Critically Ill Patient• Dementia Competency• Standards and Accreditation for Aged Care

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PSYCHIATRIC SERVICES EDUCATIONTRAINING STATISTICSDuring the year 109 staff participated in 3,029 hours oftraining with an average of 27 hours of training per staffmember.

TRAINING EVALUATION PROJECTIn August 2004 a project was undertaken to evaluate ourPsychiatric Services Division Training Program anddetermine future training needs. A survey was sent to 85clinical staff. Approximately 53% were returned forcollation. The training assessed by staff to be most usefulincluded: Early Warning Signs; Risk Assessment andManagement; PART (Professional Assault ResponseTraining); involvement of families in evidence basedpractice; Applied Suicide Intervention Skills; and the EarlyIntervention workshops. Future training identifiedincluded: motivational interviewing; substance use and itseffects; early psychosis; working with families in crisis; andrunning psychotherapeutic groups. A training calendar hasbeen developed to meet the needs identified in the survey.

ACUTE NURSES STUDY DAYA one-day workshop was provided to nurses and otherinterested health professionals on the management ofdepression in the acute healthcare setting. Topics includedinformation on the incidence, clinical features andtreatment of depression; risk assessment andmanagement; specific issues for aged and young patients;and a consumer perspective. A pre and post-test wasadministered and results showed a significant increase inknowledge and confidence when dealing with depressedpatients in the acute setting. Participant evaluations werevery positive and there are plans for future workshops onbipolar disorder and personality disorders.

MOTIVATIONAL INTERVIEWINGA four-day Train-the-Trainer program was delivered to 12staff across the Division on Motivational Interviewing.This treatment approach has been developed specificallyfor working with people with substance misuse howeverit can also be applied to many other situations includingtreatment compliance. This upskilling was provided byMelbourne’s Turning Point Alcohol and Drug Centre andhas now been delivered to most staff.

DUAL DIAGNOSIS: ASSESSMENT ANDMANAGEMENTProfessor Doug Sellman MBChB PhD FRANZCP,Director of the National Addiction Centre at theChristchurch School of Medicine and Health Science,provided a workshop on the assessment andmanagement of co-existing substance use and mentalhealth disorders.

MENTAL HEALTH ACT AMENDMENTSSignificant amendments to the Mental Health Actimplemented in December 2004 necessitated acomprehensive education program throughout theregion. Staff from the Department of Human ServicesLegal and Forensic Policy Team provided a half-dayworkshop in Warrnambool that was then repeated bysenior staff to all teams. An information pack was alsodistributed to all GPs outlining the key changes to thelegislation.

EARLY PSYCHOSIS: CBT AND INPATIENTISSUES-ORYGENORYGEN Youth Health Clinicians, Primary MentalHealth Team Early Intervention Clinician Kate Hawkinsand Ward 9 Clinical Nurse Consultant Jon Farr presentedtwo workshops around the management of earlypsychosis. These practical workshops focused onproviding a rationale for early intervention; identificationof ‘at risk’ mental states; and assessment, engagementand acute treatment for young people with first episodepsychosis. Particular attention was paid to non-pharmacological interventions. An advanced workshop isplanned for late 2005 to further build on this.

PSYCHIATRIC ASSESSMENT OF THEELDERLY PERSONAssociate Professor Anne Hassett from MelbourneUniversity’s North West Aged Persons Mental HealthProgram provided a teleconference on the psychiatricassessment of older clients. This session providedinformation for staff undertaking emergency assessmentof this client group.

ASIST TRAININGASIST training (a suicide intervention program) isprovided by staff from the Psychiatric Services Divisionboth internally i.e. to new Psychiatric Services Divisionstaff, and externally i.e. a range of primary care agencies.Building on this, our Primary Mental Health Team hasoffered to a number of secondary schools the relatedSuicide Aware Program (an abridged suicide awarenessprogram developed by Living Works) and anticipates anexpansion of the delivery of this program.

OTHER TRAINING PROVIDEDThe Primary Mental Health Team delivered training toboth specialist and primary care providers in multiplesubject areas including Ante/Postnatal Depression;ASIST (Suicide Intervention Skills Training) & SuicideAware; Basic Counselling Skills for Teachers; CBT forDepression & Anxiety in Young People; Early Psychosis;Stress Management for Professionals; and Recognising &Responding to Anxiety and Depression in Students.

QUALITY MANAGEMENTSTRIVING FOR EXCELLENCE INPATIENT CARESouth West Healthcare is committed to continuousquality improvement and best practice. For many years aQuality Management Program at South West Healthcarehas been in place. The strength of the program hasensured continuing Accreditation with the AustralianCouncil on Healthcare Standards (ACHS), the Aged CareStandards Accreditation Agency, compliance with theNational Standards for Mental Health, accreditation withthe Department of Veteran’s Affairs and with theDepartment of Human Services’ Home and CommunityCare. It is also responsible for our recent Baby FriendlyHospital accreditations at our Warrnambool andCamperdown campuses.

PATIENT FOCUS: WE WORK WITHPATIENTS, CARERS AND OTHERS TOIMPROVE THEIR EXPERIENCE ASUSERS OF OUR SERVICE

PATIENT SURVEYSSouth West Healthcare continuously surveys all inpatientsin an ongoing manner in order to receive timely feedback.Many of our wards and departments carry out annualpatient or customer satisfaction surveys. The surveyresults are used to make improvements to, for example,patient information. With the assistance of consumers,we have this year reviewed our patient informationbrochure to make it even more user-friendly. We haveimproved the way in which our information is writtenand the way in which we describe medical procedures.

The Psychiatric Services Division Inpatient Unit reviewedand updated its patient satisfaction questionnaire with theassistance of consumers and carers in early 2005. This hasmade the questionnaire more patient-relevant. Resultsfrom the first six months of 2005 tell us that theinpatients’ rate of satisfaction overall is 100%.

A year-round external survey is also carried out. This isconducted under the auspices of the Department ofHuman Services. South West Healthcare, in its category,consistently ranks among Victoria’s top three facilities.

COMPLAINTS MANAGEMENTAll patients and visitors are encouraged to give usfeedback about our services. This year compliments havefar outweighed the number of complaints received. Allcomplaints received are monitored and actioned. Reportsare disseminated to the Quality Care Committee andother management committees each month. Complaintsreceived have increased from 74 in 2003 to 200 in 2004.

This is as a result of improved reporting from everydepartment at South West Healthcare. In 2004 wereceived 717 compliments. During the first half of2005 we have received 562 compliments.

CONSUMER PARTICIPATIONConsumers actively participate in a range of activitieswhich strengthen quality patient services. From focusgroups that review and improve clinical pathways, tothe Community Advisory Committees across theorganisation, we value the feedback received fromconsumers at all levels. Our consumers have assistedin the development of the 2005 Quality of CareReport and patient information brochures on specificprocedures, as well as with information for patientsand families. Consumers willingly dedicate their timeto assist the organisation to improve service delivery.

PROCESSES FOR QUALITYIMPROVEMENT: WE STRIVE TOENSURE OUR SERVICES ARE SAFE,EFFECTIVE AND OF THE HIGHESTCLINICAL QUALITY

ACCREDITATIONAccreditation is an outward sign to the communitythat we not only demonstrate safe care but have alsoachieved a high standard of that care. In May 2004South West Healthcare underwent a periodic reviewconducted by ACHS and maintained our accreditationstatus.

In April 2005, our Merindah Lodge aged-care facility atCamperdown underwent a two-day accreditationreview with the Aged Care Standards Agency andmaintained its accreditation status for another threeyears. Baby Friendly accreditation status has also beenawarded to both our Warrnambool and Camperdowncampus’ midwifery units.

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RISK MANAGEMENTSouth West Healthcare has commenced embedding riskmanagement into the routine work of the organisationin an integrated manner. This has involved a plannedtop-down and bottom-up approach to risk assessmentthat is both proactive and reactive. A review of riskmanagement processes has been carried out to develop aplan that recognises risk controls and residual risk to theorganisation.

CLINICAL RISK MANAGEMENTClinical risk management is an integral part of the qualitymanagement program. The multidisciplinary ClinicalRisk Management Committee is responsible formonitoring clinical incidents and other areas of clinicalconcern, such as medication safety. As part of thecommittee’s work this year, it has successfully driven thereview and removal of all ampoules of the potentiallydangerous drug, potassium chloride, from all clinicalareas.

The number of clinical incidents reported by staff hasrisen 78% over the last two years, with an average of 82incidents being reported per month. Raising staffawareness about the importance of reporting incidentsand near misses has brought about this increase. All staffattend training and education around clinical riskmanagement.

INFECTION CONTROLInfection control impacts on all aspects of healthcaredelivery. Right from planning a new facility to beyondfacility care, the infection control system is activelyinvolved in reducing the risk of infection to bothpatients and staff. Considerable monitoring andevaluation of infection rates takes place at South WestHealthcare, ensuring safer patient care in all services. Staffeducation plays a key role in providing safe practices andthe Infection Control Consultant evaluates keyperformance indicators that monitor infection controlpractices. This is also achieved with up-to-date, evidence-based policies and timing and targeting of advice that iscrucial to infection control. Even though the number ofpatients being treated at South West Healthcare hasincreased in the last two years, our MRSA (methicillin-resistant staphylococcus aureus) rate has not increased.

USING CLINICAL INFORMATION TOIMPROVE THE QUALITY OF CAREScores of quality improvement projects are carried outacross the organisation annually as part of our never-ending commitment to improving the quality of carepatients receive. These include clinical documentationaudits, carried out regularly by Health InformationServices staff, by Nursing Education teachers, by theQuality Department and clinicians themselves.Excellence in clinical documentation about a patient’sclinical condition and care is fundamental to good clinicalpractice because it ensures patients receive effective andsafe care.

Documentation audits are routinely and regularly carriedout across our departments to ensure compliance withour own policies. More recently, South West Healthcarehas procured an on-line audit tool - the Joanna BriggsInstitute Practical Application of Clinical Evidence System(PACES) - to make it easier for staff to conduct audits.This is a hand-held software device onto which auditresults are entered then uploaded to a main database,where audit results can be compared to otherorganisations. Action plans can then be developed toaddress deficits. Clinical evidence is just a click away byplacing all of our clinical guidelines on the intranet.Clinicians all over the organisation can, just by using amouse, access our own up-to-date clinical policies as wellas those of other organisations, like the Royal Children’sHospital for example.

QUALITY OF CARE REPORTThe annual Quality of Care Report for 2005, whichincorporates quality management actions and outcomes,is printed in conjunction with this Annual Report.Feedback regarding the Quality of Care Report isencouraged to ensure we are meeting the informationneeds of our local communities. The Quality of CareReport informs readers about South West Healthcare’skey performance areas.

We are proud to inform the community that ourQuality of Care Report for 2004 won a majorVictorian award for its category and the organisationreceived $10,000. This has been put back into aclinical improvement project focusing on the care ofstroke patients.

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Opposite page: One of our skilled surgical teams at work: (from left)Registered Nurse, Jenny Lukeis; Surgeon, Mr Stephen Fischer, Dr IanRichardson, Registered Nurse, Linda Said; and Dr Judith Tan.Left: In the first 11 weeks of 2005 our Camperdown Hospital experienced ababy boom of unprecedented proportions. Of the 16 bundles of joy born,14 were to first-time mums. Four of the midwives who assisted with thesedeliveries are (from left) Jan Ellis, Cheryl Gray, Jenny Place and Sharyn Spicer.They’re pictured with 12 of the 16 babies: Harrison Bennett, Tahli MayBenson, Holly-May Bentley-Hill, Joshua Colman, Ruby Conheady, WilliamIngram, Archie Rees, Henry Robertson, Saxon Royal, Noah Sinnott, JessicaWilson and Oliver Wright.

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South West Healthcare’s Warrnambool Hospital turned 150 in 2004. In recognition of this milestoneanniversary a small working party developed an impressive Calendar of Events that included asell-out 150th Ball and the well attended historical exhibition, Wellbeing in Warrnambool.Mrs J C Whitehead

150 YEARS OF HEALTHCARE

Above: SWH Operational Manager/Nursing, KarenMcKinnon and SWH Chief Physiotherapist, Bore Hoekstra,step back in time at the Wellbeing in Warrnambool exhibitionthat celebrated our Warrnambool Hospital’s 150th birthday.

Above: SWH Librarian Judy Dalton (left) and SWH DiabetesResource Nurse Ann Morris revisit 150 years of South WestHealthcare happenings. Photos: The Standard’s Angela Milne.

South West Healthcare’s Warrnambool Hospital turned150 in 2004. In recognition of this milestone anniversarya working party developed an impressive calendar ofevents that included a sell-out 150th Ball and the wellattended historical exhibition, Wellbeing inWarrnambool.

The September exhibition was the brainchild of acollaborative partnership between South West Healthcareand the Warrnambool Art Gallery. Held in the Gallery’sGeorge Lance space, photographs and memorabilia tookcentre stage to refresh memories of the Warrnamboolhospital’s long and critical role in the region.

THE PAST, THE PRESENT, THE FUTUREFormed in 1999 from the amalgamation ofWarrnambool & District Base Hospital and CorangamiteRegional Hospital Services, and joined in 2000 byMacarthur & District Community Health, South WestHealthcare’s formative years have seen the rapiddevelopment of a cohesive health service offering a largerange of services to the community of South WestVictoria.

Leading edge networking between campuses, developedas part of the South West Alliance of Rural Health(SWARH) information technology strategy, has greatlyassisted the rapid integration of services anddepartments across the organisation’s ten campuses andoffices.

Today South West Healthcare draws on traditions ofhigh-quality healthcare that have been in place since themid 19th Century. The progressive establishment of

hospitals in the South West district, and their eventualamalgamation into a large regional organisation, reflectsthe changing historical needs of healthcare, governed bydistance, transport methods and hospital financing.

HOW IT ALL BEGANOUR WARRNAMBOOL CAMPUSIn 1854 the Villiers and Heytesbury Hospital andBenevolent Asylum was formed in Warrnambool toprovide both hospital services and benevolentaccommodation for the poor. Moving to the current RyotStreet site in 1861 (the building was largely financed by anincredibly successful bazaar), the hospital began the firstof a continuing series of expansions in 1869, with the

South West Healthcare’s Campuses

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addition of four more wards, an operating theatre,boardroom, staffrooms and dining room. The mainrevenue sources were Benevolent Society membershipfees, court fines and donations, both monetary andin-kind.

OUR CAMPERDOWN CAMPUS66 kilometres to the east of Warrnambool, the townshipof Camperdown established a hospital in 1907 throughthe generous donation of a two-storey residence by thesons of district pioneer John Manifold. Renovated withfunds originally held for the Queen’s Diamond Jubilee,the eight-bed Camperdown District Hospital (ManifoldQueen Victoria Jubilee Gift) opened to patients in 1909,treating conditions ranging from influenza to gunshotwounds.

Discussions with Corangamite Regional Hospital Servicesbrought the formation of South West Healthcare in 1999,with Warrnambool continuing to provide base hospitalservices and the largest inpatient facility in theorganisation.

Today, inpatient and aged care facilities continue to operateat Camperdown, providing surgical, medical, andmidwifery care, as well as nursing home/hostelaccommodation. A day centre and primary care shopfrontprovide additional services to Camperdown andsurrounds.

OUR LISMORE CAMPUS40 kilometres north of Camperdown, the need for localmidwifery services in the Lismore and Derrinallum districtwas addressed by local builder John Ingles, who opened asix-bed private maternity hospital in 1911, shortly afterthe arrival of the town’s first doctor. Mr Ingles’ wife Jane,an experienced midwife, ran the service with the assistanceof their daughter.

When funding restrictions forced the closure of acute andnursing home services, Lismore amalgamated with theCamperdown Hospital in 1995, taking on a new role as acommunity health centre and increasing its hostel facilityto eight beds. Continued funding pressure forced thetransfer of all hostel functions to Camperdown in 1997.

With the formation of South West Healthcare, Lismoretoday continues to provide a range of primary carefunctions, district nursing and meals-on-wheels, while theprovision of videoconferencing equipment has allowedsmall-scale emergency facilities to be maintained withdirect video supervision by medical staff 100 kilometresaway at Warrnambool.

OUR MACARTHUR CAMPUS74 kilometres northwest of Warrnambool, the mostlysoldier-settlement community of Macarthur opened theeight-bed Macarthur Memorial Hospital in 1960 toprovide medical, surgical and midwifery services to thesurrounding farming district. A doctor’s residence wasalso built.

Following the 1996 release of a report on the role ofsmall rural hospitals, the Board of Management decidedto convert the hospital to a community health centre.The Macarthur & District Community Outreach Servicecommenced in January 1994 after the closure of allinpatient facilities.

In 1999, the newly formed South West Healthcare beganproviding management services to Macarthur. A serviceplan was undertaken to review the future direction of thecommunity health service. The plan recommended thatMacarthur amalgamate with a larger organisation, and inJuly 2000 the service became part of South WestHealthcare with the title Macarthur Community Health.

As well as a range of primary care functions, todayMacarthur Community Health continues to providedistrict nursing and meals-on-wheels services. It runs anactive day centre and regular medical clinics and hostsfrequent visits from allied health workers from otherSouth West Healthcare campuses.

South West Healthcare’s next milestone celebration is justaround the corner. Our Camperdown Hospital turns 100in 2008. A working party will form shortly to develop anexciting list of celebratory events.

Above: South West HealthcareDiabetes Educator, MareeBoyle (left), and MacarthurCommunity Health CentreYouth Worker, Vicki Jackson.

21

LIFE GOVERNORS

2004-2005 APPOINTMENTSMrs Marjorie CrothersMr Tony Dupleix

Mrs Jan AitkenDr BS AldersonMrs BS AldersonMr Lyell AllenMr A L AndersonMrs G I AndersonMrs Isabel AndersonMrs J F AndersonMrs J AskewMr R BakerFH BakerMrs V G BalmerMr NI BamfordMrs H BarkerWT BarrMrs M BaulchMrs B P BellMrs S BellMrs JA BellMr GB BennettMrs Iris M BickleyMiss Helen BishopMr RJ BorbidgeMr NC BoydMr C G BoyleMr N BradleyMr D BradshawDr J BrookesMr GN BrownMrs I V BruceLG BuchholzMr T BuckleyMr CW BurginMrs L BurleighMrs LornaMrs Jean ByronMr J CapleMr S CarrollMrs V CarrollMrs P ChadwickMrs EC ChaffeyML CharlesMrs F A J ChislettMrs Helen ChislettMr D ChittickMrs Diane ClanchyMr John ClarkMr Alistair C ColeMrs SE ColeLJ CollinsMrs J ConlinMrs F CoupeMrs M CoxMrs Marjorie CrothersMr R A CrothersMr J P DaffyMs Joan DavidsonMrs R C DawsonMr A DeGarisMr S DeGarisMrs G DicksonMrs M DohertyMiss Judy DonnellyMiss H DouglasMr GW DowlingMrs L DowlingMr EA DupleixMr Tony DupleixMrs Veronica EarlsMrs A ElliotG Elliot

Mr PV EmeryMr W FergusonMr J FinchMr ER FordMrs J FosterMrs C E FraserBD FrenchR GellieMrs FM GeorgeMr MW GeorgeMrs M M GibbsMrs N GilbertMrs Shirley GoldstrawMrs Margaret GoodMrs Joan GoodacreMrs E GoodwinMrs L GordonMrs P GraceHT GrimwadeMrs M GuyettMrs Sheila HabelMiss M HaberfieldMr RE HarrisMrs Joy HartleyMr AJ HartleyMrs A HavardMrs M HayesMr P HeathMrs Mavis HeazlewoodDr Les HemingwayMrs Joan HendersonMr O V HenryMrs P HillMr AJ HillMrs DM HillMr GL HillMr J HillMiss L HillAK HirthMr W HockingMrs Ivy HollingsworthMrs A HolmesMr J HolmesMr W HolmesHJ HolmesMr WJ HoltonMrs A HootonGN HornsbyJS HoskingMr L HowardMrs E HowellMrs Sharon HufMrs Mary HutchingsMr R HydeMrs Winnie HynesMr D A JenkinsMrs Doris JohnsonMr Barry JohnsonMrs M JohnsonMr Rex JohnsonMrs I JonesMr HT JonesMr AE KellyMr DJ LaffertyMrs Helen LaidlawMrs Val LangMr GA LarsenMrs B LaytherS LeeSen A W R LewisMr PE LillieMr S A Lindsay

Mr F G LodgeMrs H LodgeMr RW LucasMrs Wendy LudemanMrs A G LumsdenMrs P LuxtonDr E LyonMrs R MacdonaldMr ID MacdonaldMrs ID MacdonaldMrs AF MacInnesS MackMC MackMrs L MaherMr WG ManifoldMr NS MarshallMrs Norma MarwoodMrs M MathisonMrs D McConnellMrs Arthur McCoshMrs L McCoshMrs R McCrabbMr John McGrathMr Peter McGregorMr Ernie McKennaMrs Mary McKennaMrs Judy McKenzieMrs Nola McKenzieMr Trevor McKenzieMrs Judy McKenzieMrs H McLarenMrs Shirley McLeanMr C McLeodMr Don McRaeMrs W McWhinneyDr John MenziesDr J MenzieJE MeyerMrs B MillardMr J MillerMr Andrew MillerMr Ivan MirtschinMiss M I MitchellMrs C MooreMrs J P MooreMr R MooreMr F MooreMr J P MoranMr J Morris JnrMr W MorrisMrs I MulliganAE MurdockMrs G MuttenNestle Sports & Social ClubMrs Sheryl NicolsonMr AW NoelMrs HW NormanMrs A NortheastMr E R NortheastMr J B NortonMrs Helen NunnDr K NunnMrs Barbara O’BrienMrs M OfficerMrs Judy O’KeefeMiss K O’LearyJR OmanMr L O’RourkeMr W OwensMr K ParkerMrs T J ParkerMrs G R Parsons

Mrs M E PatersonMr DR PattersonMrs P PeartDr Ian PettigrewMr W PhillpotMrs B PiesseMrs G PikeMrs L PriceMrs Gloria RaffertyMrs Margaret RichardsonMr D M RitchieMr Ric RobertsonMrs Phillip RossMr NJ RowleyMr Peter RoyslandMr J C RuleMrs Gladys RussellMr Leo RyanMrs Sue SambellMr John SamonMr RG SampsonMrs E SaveryMr A E ScottMr L SedgleyMr TT ShawMrs A B SmartMr M SmillMrs Ann SmithMichelle SmithMr Ron SprolesMiss J StewartMr GC SullivanMrs B SurkittMrs N SwintonMrs Stuart SwintonMr D N SymonsMrs NM TappMrs D TaylorMrs Robbie TaylorMiss K TaylorMr F TaylorMr HC TaylorMiss Y TealeMrs A ThorpeMr JT ThortonMrs AJ TrotterMr SW WaldronMr J B WalkerMrs H WallaceMrs R J WallaceMrs E WatsonRJ WebsterMrs D WedgeRV WellmanMr A C WhiffenMrs J WhitchurchMrs J C WhiteheadMr G WhitesideMr J Wilkinson

Mrs June WilliamsMrs R WilliamsMrs Zelda WilliamsMrs G J WilsonMr J E WilsonMrs N T WinesMr W J WinesMrs Edna WyndMrs G Young

Our condolences are extended to the families and friends ofthe following Life Govenors who have passed away since theproduction of our last Annual Report: Mr R G Bennett,Mrs J Horwood, Mrs Sylvia Huf, Mrs M MacFarlane,Mrs Ian Officer and Mr William Pallister.

22

HEALTHCARE SERVICES

Acute CareAged CareAnaesthetics

Biomedical EngineeringBlood BankBreast Cancer Support

Cancer Support TeamCardiac Rehabilitation NursingCentre Against Sexual AssaultCommunity HealthClinical Risk ManagementCommunity Rehabilitation CentreContinence Advisory ServiceCoronary CareCounselling & Support Service

Day SurgeryDentistryDermatologyDiabetes Education & Resources

- Sub-Agent Diabetes Aust. (Vic)Discharge PlanningDistrict Nursing ServicesDomiciliary MidwiferyDrug & Alcohol Withdrawal & Support:

• Inpatient• Outpatient• Outreach

Ear, Nose & Throat SurgeryEmergency ServicesEndoscopyEnvironmental ServicesExercise Stress TestingEquipment Hire

Facilities & Supply DepartmentFamily Planning & EducationFinanceFood ServicesFracture Clinic

GastroenterologyGeneral AdministrationGeneral MedicineGeneral SurgeryGeriatric Medicine

HaemodialysisHealth EducationHealth Information ServicesHealth PromotionHome Care Program (Paediatrics)Hospital in the HomeHuman Resources

Infection Control Nurse ConsultantInformation Technology ServicesIntensive Care/Critical Care

Koori Health Programs

Library

Medical DisplanMedical EducationMedical ImagingMedical ManagementMidwifery

Neonatal Special CareNursing EducationNursing ManagementNutrition

Obstetrics & GynaecologyOccupational Health & SafetyOccupational TherapyOncologyOperating Theatre & Recovery WardOphthalmologyOrthopaedicsOutpatient Clinics

Paediatrics / Adolescent CarePaediatric SurgeryPalliative CarePathologyPayroll ServicesPharmacyPhysiotherapyPodiatryPost Acute CarePre-admission ClinicPrimary Care PartnershipsProstheticsPsychiatric Services:

• Aged Persons• Child & Adolescent• Community-Based Services• Extended Care• Inpatient• Residential Rehabilitation

Rehabilitation

South West Healthcare SuppliesSouth West LinenSpeech PathologyStomal Therapy Nursing

Telemetry

Urology

Volunteer Service

Women’s Health Resource WorkerWound Management

Young Women’s Pregnancy& Parenting Service

South West Healthcare provides extensive medical, nursing, psychiatric, allied health and community health services to a largecommunity. Support services and resources are also provided for other hospitals and health-related organisations in the sub-region.

BED ANALYSISWARRNAMBOOL CAMPUSWARD WARD SERVICE BEDSAcute Services (155 Registered Beds)1 Day Procedure 12

Haemodialysis 3Endoscopy 4

2 Short Stay 263 Child & Adolescent 144 Intensive Care/Critical Care 65 Medical/Surgical 206 Medical/Surgical 26

Palliative Care 37 Midwifery 16

Neonatal Special Care 48 Rehabilitation 15

Withdrawal & Support 412 Emergency Department 2

Psychiatric Services (25 Registered Beds)9 Acute 15

Extended Care 6Rehabilitation 4

TOTAL AVAILABLE BEDS(WARRNAMBOOL CAMPUS) 180

CAMPERDOWN CAMPUSWARD WARD SERVICE BEDSAcute Services (31 Registered Beds)

Medical/Surgical 20Obstetrics 6Paediatrics 3Coronary Care 1Palliative Care 1

Aged Care Services (36 Registered Beds)Nursing Home 28Hostel 8

TOTAL AVAILABLE BEDS(CAMPERDOWN CAMPUS) 67

TOTAL AVAILABLE BEDS 247

INPATIENT SOURCESRESIDENCE %Warrnambool 54.78Camperdown 8.75Koroit 5.08Cobden 3.19Port Fairy 3.07Mortlake 2.47Portland 2.26Allansford 2.11Terang 2.06Other Western Victoria 13.07Other Victoria 3.17

INPATIENT AGESAGE %0 to 9 years 9.0610 to 19 years 5.3120 to 29 years 9.9420 to 39 years 11.4240 to 49 years 11.9550 to 59 years 11.9760 to 69 years 12.0070 to 79 years 17.6880 to 89 years 9.0490 and over 1.63

23

CHIEF EXECUTIVE OFFICERMr J Krygger B.H.A., M.B.A.., A.F.C.H.S.E.,C.H.E., A.I.M.

MEDICAL SERVICESVISITING MEDICAL OFFICERS– WARRNAMBOOL CAMPUS

CHAIRPERSON, MEDICAL STAFFASSOCIATION– WARRNAMBOOL CAMPUSDr K Braniff M.B.B.S., F.R.A.N.Z.C.O.G

ANAESTHETISTSDr P Arnold M.B.B.S., F.A.N.Z.C.A.Dr A Cain M.B.B.S., F.A.N.Z.C.A.Dr K Cronin M.B.B.S., F.A.N.Z.C.A.Dr A Dawson M.B.B.S., F.A.N.Z.C.A.Dr G Kilminster M.B.B.S., F.A.N.Z.C.A.Dr M Koo M.B.B.S., F.A.N.Z.C.A.Dr K Prest M.B.B.S., F.A.N.Z.C.A.

VISITING DENTAL OFFICERSDr E Carlsson D.D.S. (Stockholm)Dr C Cugadasan B.Sc. (Hons.), B.D.Sc.Dr T Davies B.D.Sc.Dr D Geryga B.D.Sc.Dr M Johns B.D.S.Dr M Palam B.D.Sc., B.Sc.Dr RJ Sanderson B.D.S.Dr SW Wilde B.D.S. (Liverpool)

DRUG & ALCOHOL PHYSICIANSDr RJ Brough M.B.B.S., D. (Obst.) R.C.O.G.,A.P.S.A.D. Cert., F.A.C.R.R.M., F.A.Ch.A.M.Dr D Richards M.B.Ch.B., F.A.Ch.A.M.

GENERAL PRACTITIONERSDr A Baldam,M.B.B.S., B.Sc., Dip.Av.Med.,A.F.O.M. (R.C.P.), D.R.C.O.G.Dr IT Barratt B.Sc., M.B.B.S., D.R.C.O.G.Dr WJ Bateman M.B.B.S., D.R.C.O.G.,F.R.A.C.G.P.Dr A Chow M.B.B.S., F.R.A.C.G.P.Dr T Cimpoesu M.B. (Rom.), F.R.A.C.G.P.Dr J Duffy M.B.B.S.Dr A Dunbar M.B.Ch.B., M.R.C.P. (UK), F.R.C.P.(Edin), Dip. Trav. Med.Dr M Dunkley M.B.B.S., D.R.A.N.Z.C.O.G.,F.R.A.C.G.P.Dr EC Fairbank M.B.B.S., D.P.H.C., F.R.A.C.G.P.,F.A.Ch.P.M.Dr M Grave B.Sc., M.B.B.S., F.R.A.C.G.P., Cert.Man. Med. (R.A.C.G.P.), Grad. Dip. Fam. Med.(Monash), Cert. Man. Med. (Paris), Dip. Phys.Med. (Sydney).Dr K Gunn M.B.B.S., D.(Obst.) R.A.C.O.G.Dr P Hall M.B.B.S., D. (Obst.) R.A.C.O.G., D.A.(London), F.A.C.R.R.M.Dr GG Irvine M.B.B.S., D. (Obst.) R.A.C.O.G.Dr BF Kay M.B.B.S., D. (Obst.) R.A.C.O.G.,F.A.C.R.R.M., F.R.A.C.G.P.Dr S Killackey M.B.B.S., D.R.A.N.Z.C.O.G.Dr S King M.B.B.S., F.R.A.C.G.P.Dr C Loy M.B.B.S., B.Med.Sc., D.R.A.N.Z.C.O.G.,F.R.A.C.G.P., M.A.I.C.D.Dr J Manderson B.Sc.(Hons.), PhD., M.B.B.S.,F.R.A.C.G.P.Dr C Mooney M.B.Ch.B., M.R.C.S., L.R.C.P.,D.R.C.O.G.Dr J Oleson M.B.B.S.Dr P Oliver M.B.B.S., F.A.C.R.R.M.

Dr B Oppermann M.B.B.S., M.Sc. (Anat.), D.(Obst.) R.A.C.O.G., F.A.C.R.R.M.Dr MR Page M.B.B.S., D. (Obst.) R.A.C.O.G.,F.A.C.R.R.M.Dr JD Philpot M.B.B.S.Dr MG Quinn M.B.B.S.Dr F Reid M.B.Ch.B., D.A.M.F.A.R.C.S.Dr A Robson M.B.B.S. (Hons.).Dr JM Rounsevell M.B.B.S.Dr N Ryan M.B.B.S., D.A., F.R.A.C.G.P.Dr T Slattery M.B.B.S.Dr SW Smith M.B.B.S., D.R.A.C.O.G.,F.A.C.R.R.M.Dr P Viney M.B.Ch.B., D.R.A.N.Z.C.O.G.Dr A Waldron M.B.B.S., Dip. (Obst.)R.A.C.O.G., F.R.A.C.G.P.Dr CW Walters B. Med. Sc., M.B.B.S.

GENERAL SURGEONSMr S Fischer M.B.B.S., F.R.A.C.S.Mr P Gan M.B.B.S., F.R.A.C.S.Mr S Mackay M.B.B.S., F.R.A.C.S.Mr B Mooney M.B.Ch.B., B.A.O. (Hons.), B.Sc.(Anat.) (Hons.), M.Ch., F.R.C.S.I. F.A.C.R.R.M.,F.R.A.C.S.Mr C Murphy M.B.Ch.B., F.R.A.C.S., F.R.C.S.(Glasgow), F.R.C.S.I.

VISITING NEUROLOGISTDr T O’Brien M.B.B.S., F.R.A.C.P.

OBSTETRICIANS & GYNAECOLOGISTSDr C Beaton M.B.Ch.B. (Edin), F.R.A.N.Z.C.O.G.,F.R.C.O.G.Dr K Braniff M.B.B.S., F.R.A.N.Z.C.O.G.Dr E Uren M.B.B.S., F.R.A.N.Z.C.O.G.

ONCOLOGISTDr T Hayes M.B.B.S. (Hons.), B. Med. Sci. (Hons.),F.R.A.C.P.

OPHTHALMOLOGISTSMr G Hunter M.B.B.S., F.R.C.S., F.R.A.C.S.,F.R.A.C.O.Mr J Sanlaureano M.B.B.S., B.Sc., M.Med. (Ophth.),F.R.A.N.Z.C.O.

ORTHOPAEDIC SURGEONSMr D Mladenovic M.D. (Belgrade), Spec. Dip.Ortho. (Novi Sad)Mr NA Sundaram M.B.B.S., L.R.C.P., M.R.C.S.,F.R.A.C.S., M.Ch. (Orth.), F.R.C.S. (Edin. &London), F.R.C.S. (Orth.).

VISITING OTO-RHINO-LARYNGOLOGISTDr A Cass M.B.B.S., F.R.A.C.S.Dr B Clancy M.B.B.S., F.R.A.C.S.Mr L Ryan M.B.B.S., F.R.C.S., F.R.A.C.S., D.L.O.

PAEDIATRICIANSDr C Fiedler M.D., F.R.A.C.P. (Paediatrics).Dr G Pallas B. Med., F.R.A.C.P. (Paediatrics).Dr N Thies M.B.B.S., D.C.H. (London), F.R.A.C.P.(Paediatrics).

PAEDIATRIC SURGEONMr A Woodward M.B.B.S., F.R.C.S., F.R.A.C.S.

PATHOLOGISTDr R Juska* M.B.B.S., F.R.C.P.A.Dr A Sharard M.B.Ch.B., M.D. (Path.).

STAFF 2004 - 2005PHYSICIANSDr N Bayley M.B.B.S., F.R.A.C.P.Dr C Charnley M.B.B.S., F.R.A.C.P.Dr J Hounsell B.Sc., M.B.B.S., F.R.A.C.P.,F.R.C.P.A.Dr C Lewis M.B.B.S., F.R.A.C.P.Dr B Morphett M.B.B.S., F.R.A.C.P.Dr S Nagarajah M.B.B.S., F.R.A.C.P.

PSYCHIATRISTSDr MG Ivers M.B.B.S., F.R.A.N.Z.C.P.Dr G Ridley M.B.Ch.B., M.R.C.Psych.,F.R.A.N.Z.C.P.

RADIOLOGISTSDr D Boima M.B.B.S., F.C. (Rad.) S.A.Dr D Boldt M.B.Ch.B. (Otago), F.R.A.C.R.Dr M Bennett, M.B.B.S., F.R.A.C.R.Dr P Tauro M.B.B.S., F.R.A.C.R.Dr PC Thorfinnson M.D., B.A., D.M.R.,F.Diag,Rad.Dr P Walker M.B.Ch.B. (Otago), C.R.C.P.,F.R.C.P., D.D.U.Dr RWhite M.B.B.S., F.R.A.C.R.Dr S Woodward M.B.B.S., Dip.Med.Rad.,M.R.A.C.R., Dip.Diag.US., Grad.Dip. Epid.Biostat.

VISITING RENAL PHYSICIANDr H Gock M.B.B.S., F.R.A.C.P.

UROLOGISTMr B Mooney M.B.Ch.B., B.A.O. (Hons.), B.Sc.(Anat.) (Hons.), M.Ch., F.R.C.S.I., F.A.C.R.R.M.,F.R.A.C.S.

VISITING MEDICAL OFFICERS– CAMPERDOWN CAMPUS

CHAIRPERSON, MEDICAL STAFFASSOCIATION– CAMPERDOWN CAMPUSDr EG Lyon M.B.Ch.B.

VISITING DENTAL OFFICERSDr AH Wigell B.Sc. (Hon), L.D.S. (Vic).Dr K Selvarajah B.D.S. (N.Z.).

GENERAL PRACTITIONERSDr AL Brown M.B.B.S., Dip. Obst. R.A.C.O.G.,Adv.Cert.Sports.Med., F.R.A.C.G.P.Dr JM Brown M.B.B.S., Dip. Obst. R.A.C.O.G.,F.R.A.C.G.P.Dr MD Brownstein M.B.B.S., D.R.A.N.Z.C.O.G.,F.R.A.C.G.P.Dr TRC Fitzpatrick M.B.B.S.Dr E Grambas M.B.B.S., Grad. Dip. Comp.(MIT).Dr A Griffiths M.B.B.S., B.Sc. (Hon.), D.R.C.O.G.,Dip. Obst, R.A.C.O.G.Dr EG Lyon M.B.Ch.B.Dr SJ Menzies M.B.B.S., M. Med., F.R.A.C.G.P.,D.R.A.N.Z.C.O.G., F.A.C.R.R.M.Dr S Richardson M.B.B.S.Dr RA Stewart M.B.B.S., D.R.A.N.Z.C.O.G.,F.A.C.R.R.M.Dr J van Leerdam M.B.Ch.B., M.R.C.G.P.,M.A.C.N.M., D.A., D.R.C.O.G.Dr A Wong M.B.B.S., F.R.A.C.G.P., D.R.A.C.O.G.,Dip. Rur. Med.

24

GENERAL SURGEONSMr S Eaton M.B.B.S., F.R.A.C.S.

OBSTETRICIANS & GYNAECOLOGISTSDr C Beaton M.B.Ch.B. (Edin), F.R.A.N.Z.C.O.G.,F.R.C.O.G.Dr K Braniff M.B.B.S., F.R.A.N.Z.C.O.G.Dr E Uren M.B.B.S., F.R.A.N.Z.C.O.G.

ORTHOPAEDIC SURGEONMr JW Skelley M.B.Ch.B. (Otago), F.R.A.C.S.,F.A.Orth.A.

PAEDIATRICIANDr N Thies M.B.B.S., D.C.H. (London), F.R.A.C.P.(Paediatrics).

PHYSICIANSDr N Bayley M.B.B.S., F.R.A.C.P.Dr C Charnley M.B.B.S., F.R.A.C.P.Dr J Hounsell B.Sc., M.B.B.S., F.R.A.C.P.,F.R.C.P.A.Dr C Lewis M.B.B.S., F.R.A.C.P.Dr S Nagarajah M.B.B.S., F.R.A.C.P.

UROLOGISTMr L Dodds M.B.B.S., F.R.A.C.S. (Urol).

MEDICAL DEPARTMENTAL OFFICERSDIRECTOR OF MEDICAL SERVICESDr P O’Brien M.B.B.S., Dip. Obst. R.A.C.O.G.,M.H.A., A.F.C.H.S.E., C.H.E., F.R.A.C.M.A.,F.A.C.R.R.M.

DIRECTOR OF EMERGENCY SERVICESDr Q Sukabula M.B.Ch.B., (Otago).Dr S Tsipouras* M.B.B.S., F.A.C.E.M.

MEDICAL SERVICES COORDINATORMr P Martin Cert. App. Sc.

DIRECTOR OF ANAESTHETICSDr K Prest M.B.B.S., F.A.N.Z.C.A.

CHIEF DENTAL OFFICERDr S Koshy* M.D.S. (Otago), M.B.A., B.D.S., B.Sc.

DIRECTOR OF CRITICAL CARE UNITDr N Bayley M.B.B.S., F.R.A.C.P.

DIRECTOR OF PALLIATIVE CAREDr E Fairbank M.B.B.S., D.P.H.C., F.R.A.C.G.P.,F.A.Ch.P.M.

DIRECTOR OF SURGICAL SERVICESMr S Fischer M.B.B.S., F.R.A.C.S.

HOSPITAL IN THE HOME MEDICALOFFICERDr E Fairbank M.B.B.S., D.P.H.C., F.R.A.C.G.P.,F.A.Ch.P.M.

REGIONAL SUPERVISOR GRADUATEMEDICAL EDUCATIONDr B Oppermann M.B.B.S., M.Sc. (Anat.), D.(Obst.) R.A.C.O.G.

ALLIED HEALTHCHIEF BIOMEDICAL ENGINEERMr D Stewart B. Eng. (Elec.), I.B.M.E.

CHIEF DIETITIANMs S Baudinette B.Sc. (Nutrition), Grad. Dip.(Dietetics).

CHIEF MEDICAL IMAGINGTECHNOLOGISTMr L Pontonio M.I.R., Dip. App. Sc. (Med.Radiography) (Warrnambool campus).

CHIEF OCCUPATIONAL THERAPISTMs J Gibbs B. App. Sc. (O.T.).

CHIEF PHYSIOTHERAPISTMr B Hoekstra Dip. Psyche (Neth.), Dip.Physiotherapy (Neth.), B. Psych (Neth.), M. Phys.(Uni. Melb.), M.A.P.A

CHIEF PODIATRISTMs K Harris B.Pod. (Hons).

CHIEF SPEECH PATHOLOGISTMs K Brown B. App. Sc. (Speech Pathology).

CO-ORDINATOR, CENTRE AGAINSTSEXUAL ASSAULTMrs H Wilson B. Commerce, Dip. Soc. Studies

DIRECTOR OF PHARMACYMr B Dillon B. Pharm., Grad. Dip. Hosp. Pharm.

LIBRARIANMs JG Dalton T.P.T.C., A.L.A.A.

MANAGER, ABORIGINAL HEALTHPROGRAMSMr J Mifsud

MANAGER, HEALTH INFORMATIONSERVICESMs M Atkinson Ass. Dip. (M.R.A.), R.M.R.A.

MANAGER, COUNSELLINGAND SUPPORT SERVICESMr S Storer B.A., B.S.W.

PRIMARY CARE PARTNERSHIPS -EXECUTIVE OFFICERMr C Fraser B.Pros.Orth., Dip. App. Sc. (P&O).To March 25.Ms H Steenbergen B. App. Sc. (H.M.).

NURSING SERVICESDIRECTOR OF NURSINGMrs S Morrison R.N., M.B.A. (U.S.Q), M.H.A(U.N.S.W.), B.N.,Dip. Nursing, Cert. of Computer BusinessApplications, F.R.C.N.A., A.F.C.H.S.E., C.H.E.

SWH STAFF NUMBERS (EFFECTIVE FULL TIME/EFT)

June 2005 June 2004OPERATING NON TOTAL OPERATING NON TOTAL

EFT OP. EFT EFT EFT OP. EFT EFT

Medical 32.57 - 32.57 33.98 - 33.98Nursing 360.29 - 360.29 352.39 - 352.39Medical/Support 110.86 0.22 111.08 113.48 0.15 113.63Hotel/Allied 107.49 19.01 126.50 105.09 19.20 124.29Admin/Clerical 105.20 2.96 108.16 104.15 1.74 105.89

TOTAL 716.41 22.19 738.60 709.09 21.09 730.18

DEPUTY DIRECTOR OF NURSINGMrs K McKinnon R.N., M.A. (Health Studies)R.M., Cert. Post Basic Theatre, Cert. InfantWelfare, B.Ed., Dip Technical Teaching, Cert.Technical Teaching, Cert. MicrocomputingApplications, M.R.C.N.A.

QUALITY MANAGERMrs K Harrison R.N., M.H.S.M. (CSU), O.N., B.N.,Grad Cert. (Advanced Nursing),M.R.C.N.A., A.F.C.H.S.E., C.H.E.

EDUCATION MANAGERMrs J Smart R.N., M.P.E.T., Bachelor ofManagement:Employment Relations (U.S.A.), Cert.IV Workplace Training & Assessment,M.R.C.N.A.

PERIOPRATIVE SERVICES MANAGERMr A Kelly R.N., Grad.Dip.Health & InformationSystems, Cert.Perioperative Nursing

UNIT MANAGERSWARD 1Mrs E Karlinski R.N., R.M., Adv.Dip.Mgt

WARD 2Mrs J Rowe R.N., Certificate in WorkplaceLeadership, Dip. Business

WARD 3Mrs S Marsh R.N., Cert. of Computer BusinessApplications, M.R.C.N.A.

WARD 4Ms M Beard R.N., Master of Nursing (CriticalCare), B.N., Grad.Dip.Critical Care (RMIT), Cert.IV Workplace Training & Assessment.

WARD 5Ms J Hallinan R.N., Certificate in WorkplaceLeadership, Dip. Business.

WARD 6Mr J Quinlivan R.N., R.P.N., B.N., Dip.Fine Arts.,Cert. of Computer Business Applications.

WARD 7Mr P Logan R.N., B.N., R.M., Grad. Dip. PublicHealth

WARD 8/WITHRAWAL & SUPPORTSERVICEMrs K McCarthy R.N., Cert. Rehabilitation,Certificate in Workplace Leadership, Dip.Business.

25

DISTRICT NURSING SERVICE/HOSPITALIN THE HOMEMrs L Brooks R.N., R.M., M.N.S., B.N.,Grad.Dip.Adv.Nurs.Ed.

EMERGENCY DEPARTMENTMs K Sloan R.N., M.N.P (Emergency)., R.M.,Coronary Care Cert, B.Nurs, Grad Dip HealthServ.Management, M.R.C.N.A., M.C.E.N.A.

OPERATING THEATREMs R Piper R.N., R.M., Cert.Perioperative Nursing

PSYCHIATRIC SERVICESDIRECTOR OF PSYCHIATRIC SERVICESMrs C Byrne R.P.N. Grad Dip Social Sc. (DrugDependence), Grad Dip Bus. (Health Admin),M.A.S. (Innovation & Service Man., R.M.I.T.)

ACTING DIRECTOR CLINICAL SERVICESDr D Chinnasamy* M.B., B.S., M.D. (India) D.P.M.,M.R.A.C.M.A.

DIRECTOR CLINICAL SERVICESDr R Chau* M.B., B.S., F.R.A.N.Z.C.P., Dip. Psych.Med., Dip. Crim.

QUALITY COORDINATORMrs J Bateman B.Sc. (Hons), M.A.P.S.Ms I Purcell B.A. (Hons), B.S.W. Until April 15.

STAFF DEVELOPMENTMrs J Punch R.P.N., Cert IV Workplace Trainingand Assessment (TAFE)

MANAGERS, PSYCHIATRIC SERVICESRESIDENTIAL SERVICESMr C Healey R.P.N.

WARRNAMBOOL COMMUNITYPSYCHIATRIC SERVICESMr T Reading B. App. Sc. (O.T.)

AGED PERSONS MENTAL HEALTHMr R Porter B.A., R.P.N.

CHILD & ADOLESCENT MENTAL HEALTHSERVICESMs R Knapp B.Sc., B.A. (Hons) Psychology,M.Psych. (Ed. & Dev.)

REGIONAL COORDINATORMs I Purcell B.A. (Hons), B.S.W. From April 18.

RURAL COMMUNITY PSYCHIATRICSERVICESMs T Irish* R.N., R.M., R.P.N.

PRIMARY MENTAL HEALTHMr N Place B.A., B.S.W.

PSYCHIATRIC MEDICAL SERVICESPSYCHIATRISTSDr J Herur* M.B., B.S., M.D. (India)Dr S Baruah* M.B., B.S., M.D. (India) D.P.M.Dr T Praveen* M.B., B.S., M.D., (India)Dr W Atkin M.B., B.S., F.R.A.N.Z.P.Dr C Seetha M.B., B.S., M.D. (India), D.R.M., D.N.BA/Prof R Harvey M.D., M.R.C. Psych,F.R.A.N.Z.C.P.Dr M Atkins M.R.C. Psych, F.R.A.N.Z.C.P.Dr MG Ivers M.M.B.S., F.R.A.N.Z.C.P.Dr G Ridley M.B. Ch.B., M.R.C. Psych, F.R.A.N.C.P.

CORPORATE/ADMINISTRATIVESERVICESFOOD SERVICES MANAGERMr D Church Cert.Catering, L.I.H.C., A.F.C.I.A.

FACILITIES MANAGER & SUPPLYMANAGERMr W Hall Cert. Hospital Supply Management(Mayfield)

GENERAL SERVICES MANAGERMr D Miller Adv.Cert.Management (TAFE)

HUMAN RESOURCES MANAGERMr G Mitchell B.Ec. (Monash), B.H.A. (U.N.S.W.)

DEPUTY HUMAN RESOURCESMANAGERMrs C Rose Adv.Cert.Management (TAFE),Cert.3 OH&S (Mayfield)

OCCUPATIONAL HEALTH & SAFETYMANAGERMr D Brown* R.N., Crit.Care Cert., Grad. Dip.OH&S, Cert Structural Firefighting & HAZMAT(CFA)Ms A Hilton B.A., (Deakin University)

MANAGER COMMUNITY HEALTHMs J Nichols* M.H.A., M.B.A., M.Sc., Grad. Cert.Diet. Ed., Post. Grad. Dip. Diet & Nut.Mr C Fraser B. App. Sc (P&O) From March 28.

MANAGER COMMUNITY RELATIONSMs S Morey FIA

SOUTH WEST ALLIANCE OF RURALHEALTH (VIC)CHIEF INFORMATION OFFICERMr G Druitt BSc.(Sydney), BEc(Deakin)

PATIENT & CLIENT SYSTEMS MANAGERMr M Johnstone R.N., BBus.(Accounting)

ADMINISTRATIVE MANAGERMr R Quantrelle DipT(Deakin), BEd(Deakin),Grad Dip Admin(Deakin)

ICT SERVICES MANAGERMr G Hall B.Bus.(Computing)(Deakin)

MACARTHUR COMMUNITY HEALTHMANAGER, MACARTHUR COMMUNITYHEALTHMrs C. Loria R.N., R.M., Cert. CCU, Cert.Oncology, Grad. Dip. Community Health

CAMPERDOWN/LISMORE CAMPUSESMANAGER PATIENT CARE SERVICESMr M Oates* R.N., R.M., G.N.C.(Q.E.G.C.), B.N.,Grad. Dip. Hlth Admin.Mrs J Leadbetter (Acting) R.Comp N., Cert.Critical Care.

MANAGER SUPPORT SERVICESMrs J Creely B.S. Business (Acctg) (USA).

UNIT MANAGER ACUTE SERVICESMrs J Leadbetter R.Comp N., Cert. Critical Care.

UNIT MANAGER AGED CARE FACILITYMrs J Riches R.N., B.N., Grad. Dip. Aged ServiceManagement.

OPERATING THEATRE/EMERGENCYDEPARTMENT COORDINATORMrs N Delaney R.N., Grad. Dip. Peri-OperativeNursing, Cert. III Sterilisation/Technician.

PRIMARY CARE COORDINATORSMrs J Hirth R.N., R.M., Women’s Health Nurse,DCP Test Provider (Lismore)Ms R Leske R.N., (Lismore).

CHEFS-IN-CHARGEMr S McCann Trade Cert. (Catering).Ms E Gould Trade Cert. (Catering).

DAY CENTRE SUPERVISORMrs J White R.N., Cert. Diversional Therapy.

CHIEF MEDICAL IMAGINGTECHNOLOGISTMs A Gibson M.I.R.

QUALITY INFECTION CONTROLCOORDINATORMrs B Vagg R.N., R.M., B.N.

DISTRICT NURSING SERVICESMrs K Bell, R.N., R.M., (Camperdown).Mrs J Zedaitis R.N. (Lismore).

FINANCEDIRECTOR OF FINANCEMr I Barton A.S.A., C.P.A., Dip.Bus.(Deakin),B.H.A.(UNSW), A.F.C.H.S.E., C.H.E.

DEPUTY DIRECTOR OF FINANCEMr D McLaren B.Bus.(Deakin), A.S.A.

ASSISTANT DIRECTOR OF FINANCEMs L Bramich B.Bus.(Deakin), A.S.A., C.P.A.

* Resigned during the Report Year.

SWH STAFF BY GENDER& EMPLOYMENT STATUS

June June2005 2004

FEMALEFull time 235 216Part time 485 472Casual 81 78

SUB TOTAL 801 766

MALEFull time 154 158Part time 39 40Casual 12 9

SUB TOTAL 205 207

TOTAL 1006 973

26

MANAGEMENTSTRUCTURE

BOARD OF MANAGEMENTPrincipal Committees

CHIEF EXECUTIVEOFFICER

Human Resources ManagerChief information Officer (SWARH)Quality ManagerFacilities & Supply ManagerCommunity Health Centre ManagerCommunity Relations Manager

Top Left: Under the watchful eye of Captain Starlight, Warrnambool CampusChildren’s Ward Unit Manager, Sue Marsh, and Daniel Buck test their skills ona $10,000 entertainment centre donated by the Starlight Children’sFoundation. Photo: The Standard’s Glen Watson.Top Right: Three of our youngest Camperdown Campus Meals on Wheelsvolunteers are (from left) St Patrick Primary School’s Mitchell Carrigan-Walsh,Rachel Hickey and Daniel Broomby.Right: Our Warrnambool Community Health Centre opened a one-stopInformation Hub in July to provide locals with up-to-date information onexisting health and welfare services. More than 20 local services helpeddevelop this South West Primary Care Partnership project. SWPCP ConsumerReference Group Member, Rob Amos, was one of the first to check it outwith SWH Community Health Nurse, Jane Meiklejohn.Photo: The Standard’s Leanne Pickett.

DIRECTOR OF FINANCEDeputy Director of FinanceIT Services Manager

DIRECTOR OF MEDICAL SERVICESDirector of Emergency ServicesVisiting Medical StaffMedical Department DirectorsDrug and Alcohol PhysiciansHospital Medical OfficersDental SurgeonsAllied Health Department HeadsExecutive Officer – Primary Care Partnership

DIRECTOR OF NURSING SERVICESOperational ManagerEducation ManagerClinical Co-ordinatorsUnit ManagersManager – Patient Care Services, CamperdownGeneral Services ManagerFood Services Manager

DIRECTOR OF PSYCHIATRIC SERVICESDirector of Clinical ServicesManager – Aged CareManager – Child and AdolescentManager – Warrnambool Psychiatric ServicesRegional Coordinator – Psychiatric Services

27

STATISTICAL INFORMATIONACUTE HOSPITAL - WARRNAMBOOL CAMPUSAccommodation - Registered Beds

INPATIENT SEPARATIONSPublic - No ChargePrivate/Third PartyNursing Home Type

Total Inpatient Separations

INPATIENT SEPARATIONS BY PATIENT TYPEEmergencyElectiveObstetric

Total Patients Treated

TOTAL PATIENT DAYS IN HOSPITALPublic - No ChargePrivate/Third PartyNursing Home Type

Total Patient Bed Days

Daily Average of Occupied Beds% Occupancy on Registered beds% Occupancy on Staffed bedsAverage Length of Stay

Births (Number of deliveries)

Theatre OperationsEndoscopy Patients

Total Operations

Day Case Surgery in Theatre

NON INPATIENT SERVICESNumber of Attendances:Emergency DepartmentMedical/Surgical ClinicsPathologyMedical ImagingPharmacyAllied HealthDental UnitOther Programs

Total Non Inpatient Attendances

Community Rehabilitation Centre (Attendances)District Nursing • Care HoursMeals • Number of ‘Fresh Deliver’ Meals• Total Number of Meals ServedCommunity Health Attendances

2004/05155

13,0381,255

18

14,311

5,6767,6131,022

14,311

40,9565,7721,012

47,740

124.580.392.43.3

490

4,9261,695

6,621

3,129

21,7938,4394,8735,5958,672

13,598760

7,216

70,946

6,97813,45932,435

266,6523,029

2003/04155

12,3731,088

8

13,469

5,1917,2621,016

13,469

42,5345,426

438

48,398

123.879.990.83.5

474

4,2101,582

5,792

2,811

21,2507,2634,6355,138

10,47115,226

8637,018

71,864

8,43815,75933,764

254,1062,454

2002/03155

12,3781,006

5

13,389

4,7657,4631,161

13,389

41,1485,358

78

46,584

122.479.087.73.4

515

4,2951,435

5,730

2,669

20,4767,1514,2524,449

10,16717,1932,2116,883

72,782

6,32314,29234,468

264,257

2001/02155

11,5921,068

2

12,662

4,4037,2111,048

12,662

39,4995,181

26

44,706

116.875.483.93.5

468

4,8801,600

6,480

2,421

19,5629,0333,0693,846

11,09315,9733,9146,057

72,547

5,20213,33332,041

252,236

2000/01155

11,516936

3

12,455

4,1247,1291,202

12,455

40,9984,441

224

45,663

116.475.183.63.6

512

4,6981,302

6,000

2,100

19,1479,6192,1223,569

16,22815,1404,9084,491

75,224

5,29812,89325,665

244,013

28

STATISTICAL INFORMATIONCAMPERDOWN/LISMORE CAMPUSESAccommodation - Registered Beds

INPATIENT SEPARATIONS BY PATIENT TYPEEmergencyElectiveObstetrics

Total Inpatient Separations

Public Separations (Acute)Total WIESAverage Inlier Equivalent DRG WeightAcute Bed DaysAged Care Bed DaysTotal Beddays (Acute plus Aged Care)% Occupancy on Available BedsAcuteAged CareAverage Length of StayAcuteBirthsTotal Operations

Day Case Surgery in Theatre (Incl above)

NON INPATIENT SERVICESEmergency DepartmentOutpatient AttendancesDistrict Nursing VisitsCommunity Health - ContactsCommunity Health - Group Session AttendancesDay Care AttendancesMeals on Wheels Prepared

Total Non Inpatient Activity

MACARTHUR CAMPUSDistrict Nursing/personal care visitsCommunity Health contactsCommunity Health groupsDay Care session attendancesHACC GroupsMeals on Wheels PreparedVolunteer contacts

2004/05 TOTAL - ALL CAMPUSESADMITTED PATIENTS

SEPARATIONSSame DayMulti Day

Total Separations

EmergencyElectiveMaternity

Total Separations

Public SeparationsTotal WIES

Total Bed Days

NON ADMITTED PATIENTSEmergency Medicine AttendancesOutpatient Services - occasions of servicesOther Services - District Nursing Care HoursResidential Bed Days

2003/0467

67599595

1,765

1,4211,214

0.68885,500

12,65018,150

70.6796.01

3.1448

566

448

2,8242,3435,6573,1766,3023,121

11,844

35,267

2003/043,2281,0771,1121,397

1421,3051,529

Sub Acute

0574

574

574

574

498

7,526

Sub Acute

6,978

2002/0367

6151164132

1,911

1,5211,376

0.72576,308

12,88919,197

79.3498.09

3.2752

649

500

2,6472,2255,9133,147

2,8639,315

26,110

2002/032,0541,338

1081,273

2041,1391,220

Mental Health

47422

469

469

469

3,957

Mental Health2,152

93,371

1,618

2001/0267

6261175132

1,933

1,5341,487

0.77036,753

12,91819,671

85.8498.31

3.4960

640

485

2,7592,5208,2782,763

2,7197,599

26,638

2001/021,784

92329

1,28544

1,4631,238

Aged Care

27

27

27

27

12,668

Aged Care

17,113

2000/0167

4851,145

134

1,764

1,3731,282

0.72965,962

12,93518,897

75.8198.42

3.3961

622

455

2,6121,7397,7543,062

2,4679,025

26,659

2000/012,3241,158

281,129

301,8321,207

Total

7,4099,111

16,520

6,3179,0521,151

16,520

14,42210,993

69,625

Total26,764

145,67617,1131,618

2004/0567

609975129

1,713

1,3691,196

0.69865,260

12,66817,928

70.9796.41

3.0560

492

375

2,8192,2365,8812,2314,3182,555

12,221

32,261

2004/052,346

9861,5111,265

1381,1891,290

Acute

7,3628,088

15,450

5,8488,4511,151

15,450

13,92410,993

45,474

Acute24,61245,327

29

STATISTICAL INFORMATION2004/05 2003/04 2002/03 2001/02 2000/01

StatisticsNumber of Inpatient Separations 469 488 469 420 416Bed Days 3,957 4,350 4,291 4,371 3,849Daily Average Inpatients Accommodated 10.84 11.89 11.76 11.97 10.54Percentage Occupancy (%) 72.27 79.24 78.37 79.84 70.27Average Inpatient Length of Stay (days) 8.44 8.92 9.15 10.41 9.25Number of Outpatient Contacts 95,523 94,656 96,767 84,226 75,329Number of Residential Bed Days 1,618 1,475 1,289 1,460 1,095

Central Linen ServiceKilograms Produced 709,583 680,058 708,853 701,381 681,862Average cost per kilogram (cents) 175.29 165.93 160.84 156.23 148.64

Accreditation Status Fully Accredited. Next organisation-wide survey due May 2006.

SERVICE, ACTIVITY AND EFFICIENCY MEASURESStatistical Comparison to Previous Years

Actual Actual Actual Actual ActualWarrnambool Campus 2004/05 2003/04 2002/03 2001/02 2000/ 01

Weighted Inlier Equivalent Separations 9,797 9,425 9,299 9,192 9,353Average Inlier Equivalent DRG Weight 0.7132 0.7264 0.7212 0.7558 0.7752

Statistical Indicators% Public (Medicare) Patients Treated 91.4% 92.0% 92.5% 91.6% 92.5%

Revenue Indicators - All Campuses

Average Days to Collect 2004/05 2003/04Private Inpatient Fees 65.94 51.30

TAC Inpatient Fees 203.76 60.97

VWA Inpatient Fees 47.40 86.91

Debtors Outstanding as at 30th June 2005Total Total

Under 30 Days 31-60 Days 61-90 Days Over 90 Days 2005 2004Private Inpatients 145,684 84,938 8,199 27,565 266,386 188,435TAC Inpatients 34,040 0 0 0 34,040 3,960VWA Inpatients 10,125 12,060 0 0 22,185 49,540

189,849 96,998 8,199 27,565 322,611 241,935

Note: ‘TAC’ means Transport Accident Commission ‘VWA’ means Victorian Workcover Authority

CONSOLIDATED FINANCIAL RESULTS SOUTH WEST HEALTHCARE

2004/05 2003/04 2002/03 2001/02 2000/01$’000’s $’000’s $’000’s $’000’s $’000’s

Total Revenue 77,761 73,899 69,765 66,044 62,581Total Expenses 79,873 74,608 69,889 64,601 61,253

Operating Surplus (Deficit) -2,112 -709 -124 1,443 1,328

Retained Earnings (Accumulated Losses) -1,911 201 910 1,034 -409

Total Assets 79,714 80,797 81,495 63,557 61,022Total Liabilities 14,748 15,423 15,412 14,155 13,063

Net Assets 64,966 65,374 66,083 49,402 47,959Total Equity 64,966 65,374 66,083 49,402 47,959

PSYCHIATRIC SERVICES

30

FINANCIAL STATEMENTSSTATEMENT OF FINANCIAL PERFORMANCE FOR THE YEAR ENDED 30 JUNE 2005

Notes 2004/05 2003/2004$000 $000

REVENUE FROM ORDINARY ACTIVITIES 2,2a 77,761 73,899

EXPENSES FROM ORDINARY ACTIVITIESEmployee Benefits 49,092 45,601Fee for Service Medical Officers 6,398 6,043Supplies & Consumables 8,515 7,480Share of Net Result of Associates & Joint Ventures for using Equity Model 13 226 110Depreciation and Amortisation 3 3,706 3,641Other Expenses From Ordinary Activities 11,936 11,733

2b 79,873 74,608

NET RESULT FOR THE YEAR -2,112 -709

Net Increase/(Decrease) in Asset Revaluation Reserve 20a 1,704 -

TOTAL REVENUES, EXPENSES AND VALUATION ADJUSTMENT -408 -709RECOGNISED DIRECTLY IN EQUITYTOTAL CHANGES IN EQUITY OTHER THAN THOSE RESULTING -408 -709FROM CHANGES IN CONTRIBUTED CAPITAL

This Statement should be read in conjunction with the accompanying notes

STATEMENT OF FINANCIAL POSITION AS AT 30 JUNE 20052005 2004

ASSETS Notes $000 $000

Current AssetsCash Assets 16 8,402 10,445Receivables 6 1,076 1,206Inventory 7 1,497 1,540Prepayments 7 99Other Assets 11 21 127Total Current Assets 11,003 13,417

Non Current AssetsReceivables 6 2,039 1,456Other Financial Assets 8 22 22Property, Plant & Equipment 5 66,650 65,902Total Non-Current Assets 68,711 67,380TOTAL ASSETS 79,714 80,797

LIABILITIESCurrent LiabilitiesPayables 9 3,209 4,684Interest Bearing Liabilities 22 12 12Employee Benefits 10 5,421 5,208Other Liabilities 11 21 127Total Current Liabilities 8,663 10,031

Non Current LiabilitiesEmployee Benefits 10 6,077 5,371Interest Bearing Liabilities 22 8 21Total Non-Current Liabilities 6,085 5,392TOTAL LIABILITIES 14,748 15,423NET ASSETS 64,966 65,374

EQUITYContributed Capital 20b 48,346 48,346Asset Revaluation Reserve 20a 18,509 16,805Restricted Specific Purpose Reserve 20a 22 22Accumulated Surpluses/(Deficits) 20c (1,911) 201TOTAL EQUITY 20d 64,966 65,374

This Statement should be read in conjunction with the accompanying notes.

31

STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 30 JUNE 2005

CASH FLOWS FROM OPERATING ACTIVITIES Note 2004/2005 2003/2004$000 $000

ReceiptsGovernment Grants 72,918 69,495Capital Grants 1,023 2,811Patient Fees 3,635 3,005Private Practice Fees 322 227Donations & Bequests 103 218GST recovered from ATO 2,722 2,804Other 4,029 3,619Total Receipts 84,752 82,179

PaymentsEmployee Benefits -45,520 -45,248Fee for service medical officers -6,398 -6,043Supplies and Consumables -8,772 -7,917GST paid to ATO -7,126 -6,898Other -15,765 -13,364Total Payments -83,581 -79,470NET CASH FLOWS FROM OPERATING ACTIVITIES 17 1,171 2,709

CASH FLOWS FROM INVESTING ACTIVITIESPurchase of Properties, Plant & Equipment -5,084 -7,296Proceeds from Sale of Properties, Plant & Equipment 1,870 1,670NET CASH USED IN INVESTING ACTIVITIES -3,214 -5,626NET DECREASE IN CASH HELD -2,043 -2,917CASH AT 1 JULY 2004 10,445 13,362CASH AT 30 JUNE 2005 16 8,402 10,445

This Statement should be read in conjunction with the accompanying notes

NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2005

NOTE 1 STATEMENT OF ACCOUNTING POLICIESThe general purpose financial report has been prepared on anaccrual basis in accordance with the Financial Management Act1994, Australian Accounting Standards, Statements of AccountingConcepts and other authoritative pronouncements of theAustralian Accounting Standards Board, and Urgent Issues GroupConsensus Views.

It is prepared in accordance with the historical cost convention,except for certain assets and liabilities which, as noted, are atvaluation. The accounting policies adopted, and the classificationand presentation of items, are consistent with those of theprevious year, except where a change is required to comply withan Australian Accounting Standard or Urgent Issues GroupConsensus View, or an alternative accounting policy permittedby an Australian Accounting Standard is adopted to improve therelevance and reliability of the financial report. Wherepracticable, comparative amounts are presented and classified ona basis consistent with the current year.

a) ReceivablesRevenues are recognised when they are controlled. Tradedebtors are carried at nominal amounts due and are due forsettlement within 30 days. Collectability of debts isreviewed on an ongoing basis. A provision for doubtfuldebts is raised where doubt as to collection exists.

b) PayablesThese amounts represent liabilities for goods and servicesprovided prior to the end of the financial year and whichare unpaid. The normal credit terms are Net 30 days.

c) Goods and Services TaxRevenues, expenses and assets are recognized net of GSTexcept where the amount of GST incurred is notrecoverable, in which case it is recognised as part of the costof acquisition of an asset or part of an item of expense orrevenue. GST receivable from and payable to the AustralianTaxation Office (ATO) is included in the statement offinancial position. The GST component of a receipt orpayment is recognised on a gross basis in the statement ofcash flows in accordance with Accounting Standard AAS 28.

d) Rounding OffAll amounts shown in the financial statements are expressedto the nearest $1,000.

e) Other Financial AssetsOther financial assets are valued at cost and are classifiedbetween current and non-current assets based on theHospital Board of Management’s intentions at balance datewith respect to timing of disposal of each investment.Interest revenue from investments is brought to accountwhen it is earned.

f) DepreciationFixed assets of the Hospital with value in excess of $1,000are capitalised and depreciation has been provided overtheir estimated useful lives using the straight-line method.Useful lives of fixed assets are reviewed annually. Thisdepreciation charge is not funded by the Department ofHuman Services. The following table indicates the expecteduseful lives of non current assets on which the depreciationcharges are based.

2004/05 2003/04Buildings Up to 25 years Up to 25 yearsPlant & Equipment Up to 20 years Up to 20 yearsFurniture & Fittings Up to 20 years Up to 20 years

g) InventoriesInventories are valued at average cost. This method assignsweighted average costs arrived at by means of a continuouscalculation.

h) Employee BenefitsBased on pay rates expected to apply when the obligation issettled. On costs such as Workcover and superannuation areincluded in the calculation of leave provisions.

Long Service LeaveThe provision for long service leave is determined inaccordance with AASB 1028. The liability for long serviceleave expected to be settled within 12 months of thereporting date is recognised in the provision foremployee benefits as a current liability. The balance ofthe provision is classified as a non-current liability measuredat the present value of the estimated future cash outflowarising from employee’s services to date.

Salaries & Wages, Annual Leave and Accrued Days OffLiabilities for wages and salaries, annual leave and accrueddays off are recognised, and are measured as the amountunpaid at the reporting date in respect of the employee’sservices up to the reporting date and are measuredas the amounts expected to be paid when the liabilitiesare settled.

i) Inter-segment TransactionsTransactions between segments within the Hospital havebeen eliminated to reflect the extent of the Hospital’soperations as a group.

j) Fund AccountingThe Hospital operates on a fund accounting basis andmaintains three funds Operating, Specific Purpose andCapital Funds. The Hospital’s Capital and Specific PurposeFunds comprise unspent capital donations, receipts fromfund-raising activities and funds generated from businessactivities conducted solely in respect of these funds.

k) DonationsDonations are recognised as revenue when the cash isreceived.

l) Health Services Agreement/Budget Sector and Servicessupported by Hospitals and Community initiatives.Activities classified as Services Supported by Health ServicesAgreement are substantially funded by the Department ofHuman Services while the Hospital and CommunityInitiatives are funded by the Hospitals own activities or localinitiatives.

m) Leased Property and EquipmentA distinction is made between finance leases whicheffectively transfer from the lessor to the lesseesubstantially all the risks and benefits incidental toownership of leased non-current assets, and operatingleases under which the lessor effectively retains all such risksand benefits. Where a non-current asset is acquiredby means of a finance lease, the minimum lease paymentsare discounted at the interest rate implicit in the lease. Thediscounted amount is established as a non-current asset at thebeginning of the lease term and is amortised on astraight line basis over its expected economic life. Acorresponding liability is established and each lease paymentis allocated between the principal component and theinterest expense. Operating lease payments arerepresentative of the pattern of benefits derived fromthe leased assets and accordingly are charged against revenuein the periods in which they are incurred.

n) Revenue RecognitionRevenue is recognised in accordance with AAS 15. Incomeis recognised as revenue to the extent they are earned,should there be unearned income at reporting date, it isreported as income in advance.

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Government GrantsGrants are recognised as revenue when the Hospital gainscontrol of the underlying assets. Where grants arereciprocal, revenue is recognised as performance occursunder the grant. Non-reciprocal grants are recognised asrevenue when the grant is received or receivable.Conditional grants may be reciprocal or non-reciprocaldepending on the terms of the grant

Indirect Contributions• Insurance is recognised as revenue following advice from

the Department of Human Services• Long Service Leave - Revenue is recognised monthly upon

finalisation of movements in LSL liability in line with thearrangements set out in the Acute Health Division HospitalCircular 13/2001.

Patient FeesPatient fees are recognised as revenue at the time invoices areraised.

Private Patient FeesPrivate Patient fees are recognised as revenue at the timeinvoices are raised.

o) Revaluations of Non-Current AssetsSubsequent to the initial recognition as assets, non-currentphysical assets, other than plant and equipment, are measuredat fair value. Plant and equipment are measured at cost.Revaluations are made with sufficient regularity to ensure that thecarrying amount of each asset does not differ materially from its fairvalue at the reporting date. Revaluations are assessed annually andsupplemented by independent assessments, at least every three years.Revaluations are conducted in accordance with the VictorianGovernment Policy Paper Revaluation of Non-Current PhysicalAssets.

Revaluation increments are credited directly to the assetrevaluation reserve, except that, to the extent that anincrement reverses a revaluation decrement in respect ofthat class of asset previously recognised at an expense in netresult, the increment is recognised immediately as revenuein net result.

Revaluation decrements are recognised immediately asexpenses in the net result, except that, to the extent that acredit balance exists in the asset revaluation reserve inrespect of the same class of assets, they are debited to theasset revaluation reserve.

Revaluation increments and decrements are offset againstone another within a class of non-current assets.

p) Adoption of International Financial Reporting Standards(IFRS)For periods beginning on or after 1 January 2005 , allAustralian reporting entities are required to adoptthe financial reporting requirements of the Australianequivalents to International Financial ReportingStandards (A-IFRSs).

South West Healthcare established a project team to managethe transition to A-IFRSs, including training staff and systemand internal control changes necessary to gather all therequired financial information.

The project team has analysed all of the A-IFRS and A-IFRSFinancial Reporting Directions to identify the accountingpolicy changes that will be required.

The known or reliably estimable impacts on the financialreport for the year ended 30 June 2005 had it been preparedusing A-IFRS are set out in Note 4.

NOTE 2: REVENUEHSA HSA Non HSA Non Total Total Total

2004/05 2003/04 2004/05 2003/04 2004/05 2003/04$000 $000 $000 $000 $000 $000

Revenue from Operating ActivitiesRecurrentGovernment Contributions• Department of Human Services 63,608 59,921 - - 63,608 59,921• Commonwealth Government 934 245 62 546 996 791Indirect Contributions by Human Services 2,405 1,797 - - 2,405 1,797Patients and Resident Fees (refer note 2c) 3,695 3,126 - - 3,695 3,126Private Practice Fees - 334 227 334 227Other 305 212 2,656 2,498 2,961 2,710

Capital Purpose IncomeState Government Capital Grants• Equipment and Infrastructure - - 855 2,507 855 2,507Commonwealth Government Capital Grants - - - 122 0 122Donations and Bequests - - 103 176 103 176

Sub-Total Revenue from Operating Activities 70,947 65,301 4,010 6,076 74,957 71,377

Revenue from Non-Operating ActivitiesInterest - - 604 558 604 558Property Income - - 330 294 330 294Proceeds from Sale of Non-Current Assets (refer note 2d) - - 1,870 1,670 1,870 1,670Sub-Total Revenue from Non-Operating Activities - - 2,804 2,522 2,804 2,522Total Revenue from Ordinary Activities (refer note 2a) 70,947 65,301 6,814 8,598 77,761 73,899

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NOTE 2A: ANALYSIS OF REVENUE BY SOURCE

Aged & Residential RAC Mental PrimaryAcute Care Home Care Aged Care Mental Health Health Health Other Total Total

2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2003/04$000 $000 $000 $000 $000 $000 $000 $000 $000

Revenue from Services Supported by Health Service AgreementGovernment GrantsDepartment of Human Services 45,536 1,604 553 - 10,735 1,182 3,998 63,608 59,921• Commonwealth Government 838 - 35 61 - - - 934 245Indirect Contributions by Human ServicesInsurance 1,741 - - - - - - 1,741 1,697• Long Service Leave 494 19 - - 90 13 48 664 100Patient and Resident Fees (refer Note 2 c) 1,756 331 1,464 - - 17 25 3,593 3,059Other 293 - - - 12 - - 305 212Sub-Total Revenue from ServicesSupportedby Health Services Agreement 50,658 1,954 2,052 61 10,837 1,212 4,071 70,845 65,234

Indirect contributions by Human ServicesDepartment of Human Services makes insurance payments on behalf of the Hospital. These amounts have been brought to account indetermining the operating result for the year by recording them as revenue and expenses.

Aged & Residential RAC Mental PrimaryAcute Care Home Care Aged Care Mental Health Health Health Other Total Total

2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2003/04$000 $000 $000 $000 $000 $000 $000 $000 $000

Revenue From Services Supported by Hospital and Community InitiativesBusiness UnitsCatering & Commissions 355 370Sales 1,406 1,299Training & Staff development 40 28Fundraising 71 75Linen Service 679 595Other 105 131Total 2,656 2,498

Revenue From Other SourcesGovernment Contributions - Commonwealth Government 62 546Residential Accomodation Payments 102 67Private Practice Fees 334 227State Government Capital Grants• Equipment and Infrastructure Maintenance 855 2,507Commonwealth Government Capital Grants 0 122Donations and Bequests 103 176Interest 604 558Property Income 330 294Proceeds from Sale of Non Current Assets 1,870 1,670Sub Total Revenue From Other Sources 4,260 6,167Total Revenue from All Sources 77,761 73,899

NOTE 2B: ANALYSIS OF EXPENSES BY SOURCE

Aged & Residential RAC Mental PrimaryAcute Care Home Care Aged Care Mental Health Health Health Other Total Total

2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2003/04$000 $000 $000 $000 $000 $000 $000 $000 $000

Services Supported by Health Services AgreementEmployee Entitlements

Salaries & Wages 28,971 1,162 1,614 42 7,443 697 2,356 42,285 39,186Workcover 240 10 139 1 82 6 19 497 606Long Service Leave 933 37 11 - 136 23 76 1,216 656

Superannuation 2,922 117 137 3 644 70 238 4,131 3,837Fee for Service Medical Officers 6,395 - 3 - - - - 6,398 6,043Supplies & Consumables

Drug Supplies 1,854 - 3 - 140 - 615 2,612 2,198Medical & Surgical Supplies 3,576 313 37 - 73 188 480 4,667 4,285Food Supplies 291 35 270 - 92 21 22 731 703

Other ExpensesDomestic Services 812 57 51 - 88 34 3 1,045 953Fuel Light Power & Water 479 36 42 1 50 22 3 633 683Repairs & Maintenance 1,006 69 21 9 159 41 100 1,405 1,228Maintenance Contracts 313 22 - - 3 13 - 351 318Postal & Telephone 396 32 5 3 134 19 43 632 645Motor Vehicles 203 14 - 8 172 8 35 440 415Administrative Expenses 2,412 64 34 3 1,236 38 168 3,955 3,896Patient Transport 584 - - - 12 - - 596 606Audit Fees Auditor-General 26 1 - - 4 1 - 32 31

51,413 1,969 2,367 70 10,468 1,181 4,158 71,626 66,289

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NOTE 2B: ANALYSIS OF EXPENSES BY SOURCE (CONT’D)

Aged & Residential RAC Mental PrimaryAcute Care Home Care Aged Care Mental Health Health Health Other Total Total

2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2003/04$000 $000 $000 $000 $000 $000 $000 $000 $000

Services Supported by Hospital and Community InitiativesEmployee Entitlements

Salaries & Wages 848 1,149Workcover 2 3Long Service Leave 23 36Superannuation 90 128

Supplies & ConsumablesMedical & Surgical Supplies 270 322Food Supplies 234 257

Other ExpensesDomestic Services 126 59Fuel Light Power & Water 63 59Repairs & Maintenance 254 433Motor Vehicles 13 42Administrative Expenses 383 423Audit Fees Auditor-General 1 1

2,307 2,912Sub-Total Expenses from ServicesSupported by Hospital and 51,413 1,969 2,367 70 10,468 1,181 4,158 73,933 69,201Community Initiatives

Share of Net result of Associates & Joint 226 110Ventures for using Equity Model (refer note 13)Depreciation and Amortisation (refer note 3) 3,706 3,641Written Down Value of Assets Sold (refer note 2d) 2,008 1,656Total Expenses fromOrdinary Activities 51,413 1,969 2,367 70 10,468 1,181 4,158 79,873 74,608

NOTE 2C: PATIENTS FEES

Commonwealth Nursing Home inpatients benefits are included in patient fee revenue. The Hospital charges fees in accordance with theDepartment of Human Services directives.

Patient Fees Raised Total Total2004/05 2003/04

Recurrent: $000 $000Acute • Inpatient 1,220 1,004

• Outpatient 557 458Sub Acute • Inpatient Rehabilitation 335 154Aged Care & Primary Health • Nursing Home 1,464 1,418

• Primary Care 17 25Total Recurrent 3,593 3,059Capital Purpose:Residential Accommodation Payments 102 67Total Capital 102 67

NOTE 2D: SALE OF NON CURRENT ASSETS

Plant & EquipmentProceeds from disposal 10 7Less: Written Down Value of Assets Sold 75 3Net Gains / (Losses) on disposal (65) 4

Furniture & FittingsProceeds from disposal 34 -Less: Written Down Value of Assets Sold 32 -Net Gains / (Losses) on disposal 2 -

Motor VehiclesProceeds from disposal 1,826 1,663Less: Written Down Value of Assets Sold 1,901 1,653Net Gains / (Losses) on disposal (75) 10

Total $000 $000Proceeds from disposal 1,870 1,670Less: Written Down Value of Assets Sold 2,008 1,656Net Gains / (Losses) on disposal (138) 14

NOTE 2E: ANALYSIS OF EXPENSES BY BUSINESS UNITS FOR SERVICES SUPPORTED BY HOSPITAL &COMMUNITY INITIATIVES

Aged & Residential RAC Mental PrimaryAcute Care Home Care Aged Care Mental Health Health Health Other Total Total

2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2004/05 2003/04$000 $000 $000 $000 $000 $000 $000 $000 $000

ExpensesBusiness UnitsRetail outlets 1,023 1,214Private Practice 274 316Linen Services 556 488Other 454 894Total 2,307 2,912

NOTE 3: DEPRECIATION AND AMORTISATION

Total Total2004/05 2003/04

Recurrent: $000 $000Buildings 2,013 1,898Plant & Equipment 851 962Furniture and Fittings 466 420Motor Vehicles 376 361Sub-total as per Statement of Financial Performance 3,706 3,641Share of Joint Venture Depreciation 313 299Total 4,019 3,940

NOTE 4: IMPACTS OF ADOPTING AASB EQUIVALENTS TO IASB STANDARDS

Following the adoption of Australian equivalents to International Financial Reporting Standards (A-IFRS), the Agency will report for the firsttime in compliance with A-IFRS when results for the financial year ended 30 June 2006 are released.

It should be noted that under A-IFRS, there are requirements that apply specifically to not-for-profit entities that are not consistent with IFRSrequirements. The Agency is established to achieve the objectives of government in providing services free of charge or at prices significantlybelow their cost of production for the collective consumption by the community, which is incompatible with generating profit as a principalobjective. Consequently, where appropriate, the Agency applies those paragraphs in accounting standards applicable to not-for-profit entities.

An A-IFRS compliant financial report will comprise a new statement of changes in equity in addition to the three existing financial statements,which will all be renamed. The Statement of Financial Performance will be renamed as the Operating Statement, the Statement of FinancialPosition will revert to its previous title as the Balance sheet and the Statement of Cash Flows will be simplified as the Cash flow Statement.However, for the purpose of disclosing the impact of adopting A-IFRS in the 2004-2005 financial report, which is prepared under existingaccounting standards, existing titles and terminologies will be retained.

With certain exceptions, entities that have adopted A-IFRS must record transactions that are reported in the financial report as though A-IFRShad always applied. This requirement also extends to any comparative information included within the financial report. Most accounting policyadjustments to apply A-IFRS retrospectively will be made against accumulated surplus/(deficit) at the 1 July 2004 opening balance sheet date forthe comparative period. The exceptions include deferral until 1 July 2005 of the application and adjustments for:

• AASB 132 Financial Instruments: Disclosure and Presentation;• AASB 139 Financial Instruments: Recognition and Measurement;• AASB 4 Insurance Contracts;• AASB 1023 General Insurance Contracts (revised July 2004); and• AASB 1038 Life Insurance Contracts (revised July 2004).

The comparative information for transactions affected by theses standards will be accounted for in accordance with existing accountingstandards.

The Agency has taken the following steps in managing the transition to A-IFRS and has achieved the following scheduled milestones:• established a steering committee to oversee the transition to and implementation of the A-IFRS;• established an A-IFRS project team to review the new accounting standards to identify key issues and the likely impacts resulting from the adoption of A-IFRS and any relevant Financial Reporting Directions as issued by the Minister for Finance;• Finance staff participated in an education and training process for South West Healthcare to raise awareness of the changes in reporting requirements and the processes to be undertaken.; and• initiated reconfiguration and testing of user systems and processes to meet new requirements.

This financial report has been prepared in accordance with Australian accounting standards and other financial reporting requirements(Australian GAAP). A number of differences between Australian GAAP and A-IFRS have been identified as potentially having material impacton the Agency’s financial position and financial performance following the adoption of A-IFRS. The following table outlines the estimatedsignificant impacts on the financial position of the Agency as at 30 June 2005 and the likely impact on the current year result had the financialstatements been prepared using A-IFRS.

The estimates disclosed below are the Agency’s best estimates of the significant quantitative impact of the changes as at the date of preparingthe 30 June 2005 financial report. The actual effects of transition to A-IFRS may differ from the estimates disclosed due to: a) change in facts and circumstances b) ongoing work being undertaken by the A-IFRS project team; c) potential amendments to A-IFRS and Interpretations; and d) emerging accepted practice in the interpretation and application of A-IFRS and UIG Interpretations.

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NOTE 4: IMPACTS OF ADOPTING AASB EQUIVALENTS TO IASB STANDARDS (CONT’D)

Table 1: Reconciliation of Total LiabilitiesAs at 30 June

2005Consolidated

$‘000

Total current liabilities under Australian GAAP 8,663Estimated A-IFRS impact on liabilitied (873)

Total current liabilities under A-IFRS 7,790

Total non current liabilities under Australian GAAP 6,085

Estimated A-IFRS impact on liabilities 873

Total non current liabilities under A-IFRS 6,958

1. Employee Benefits.Under existing Australian accounting standards, employee benefits such as wages and salaries, annual leave and sick leave are required to bemeasured at their nominal amount regardless of whether they are expected to be settled within 12 months of the reporting date. On adoptionof A-IFRS, a distinction is made between short-term and long-term employee benefits and AASB 119 Employee Benefits requires liabilities forshort-term employee benefits to be measured at nominal amounts and liabilities for long-term employee benefits to be measured at presentvalue. AASB 119 defines short-term employee benefits as employee benefits that fall due wholly within twelve months after the end of theperiod in which the employees render the related service. Therefore, liabilities for employee benefits such as wages and salaries, annual leaveand sick leave are required to be measured at present value where they are not expected to be settled within 12 months of the reporting date.The effect of the above requirement on the Agency’s Statement of Financial Position as at 30 June 2005 will be an estimated decrease inemployee benefits current liability of $873,000 and an increase in non-current liability of $873,000.

NOTE 5: PROPERTY, PLANT & EQUIPMENT

Gross Cost/ Gross Cost/ Accum. Accum. Net Assets Net AssetsValuation Valuation Deprec. Deprec. at at

2005 2004 2005 2004 2005 2004$000 $000 $000 $000 $000 $000

Land at valuation 10,112 8,408 - - 10,112 8,408Buildings at valuation 47,278 47,278 3,782 1,891 43,496 45,387Subtotal 57,390 55,686 3,782 1,891 53,608 53,795Buildings at cost 5,468 4,442 492 302 4,976 4,140Plant & Equipment at cost 13,796 13,321 9,288 8,933 4,508 4,388Furniture & Office Equipment at cost 5,193 4,831 4,112 3,688 1,081 1,143Motor Vehicles at cost 2,818 2,764 341 328 2,477 2,436Subtotal 27,275 25,358 14,233 13,251 13,042 12,107Total 84,665 81,044 18,015 15,142 66,650 65,902

The valuations of buildings were conducted by Landlink Property Group in June 2003. The valuer was Mr. Eddie Northeast CPV.

Land was revalued by Landlink Property Group in June 2005. The Valuer was Mr. Les Speed AAPI 1250.

NOTE 5A: PROPERTY, PLANT & EQUIPMENTPlant & Furniture

Land Buildings Equipment & Fittings MV Total2005 $000 $000 $000 $000 $000 $000Carrying amount at start of year 8,408 49,527 4,388 1,143 2,436 65,902Additions - 1,049 1,060 622 2,317 5,048Disposals - - 75 10 1,900 1,985Revaluation increments/(decrements) 1,704 - - - - 1,704Depreciation/amortisation expense (note 3) - 2,104 865 674 376 4,019Carrying amount at end of year 10,112 48,472 4,508 1,081 2,477 66,650

2004Carrying amount at start of year 8,408 47,945 4,590 992 2,255 64,190Additions - 3,565 778 770 2,195 7,308Disposals - - 3 - 1,653 1,656Revaluation increments/(decrements) - - - - - 0Depreciation/amortisation expense (note 3) - 1,983 977 619 361 3,940Carrying amount at end of year 8,408 49,527 4,388 1,143 2,436 65,902

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NOTE 6: RECEIVABLES2004/05 2003/04

Current $000 $000Acute • Inpatient 345 242Acute • Outpatient 85 121Aged Care • Nursing Home 23 37Regional Institutions 422 421Linen Service Debtors 67 59Accrued Government Grants 117 283Interest 40 78Total 1,099 1,241Less Provision for Bad Debts -23 -35Total Current Receivables 1,076 1,206

Non CurrentAccrued Government Grants 2,039 1,456Total Non Current Receivables 2,039 1,456

NOTE 7: INVENTORIES 2004/05 2003/04$000 $000

Pharmaceuticals 285 251Medical & Surgical 252 288Stationery 100 129Domestic & Maintenance 56 57Food Supplies 17 25Kiosk & Healthcare Shop Supplies 106 136Bulk Linen Store - Linen Service 207 201Linen in Use 474 453Total 1,497 1,540

NOTE 8: OTHER FINANCIAL ASSETS Endowment Total TotalFund 2004/05 2003/04

Non Current: $000 $000Interest Bearing Term Deposit 22 22 22Total 22 22 22

NOTE 9: PAYABLES 2004/05 2003/04$000 $000

Creditors 2,648 3,148Grant Recall 104 862Audit Fee 25 19GST Payable 432 655TOTAL 3,209 4,684

NOTE 10: EMPLOYEE BENEFITS2004/05 2003/04

Current $000 $000Long service leave 613 655Accrued wages and salaries 1,252 1,078Annual leave 3,465 3,390Accrued days off 91 85Total Current 5,421 5,208Non-CurrentLong service leave 6,077 5,371Total 11,498 10,579Movement in Long Service Leave:Balance July 1 6,026 5,926Provision made during the year 1,220 694Settlement made during the year 556 594Balance June 30 6,690 6,026

NOTE 11: OTHER LIABILITIES 2004/05 2003/04$000 $000

Patient Trust 19 124Equipment Deposits 2 3Total 21 127

Represented by the following assets: 2004/05 2003/04$000 $000

Cash Assets 21 127Total 21 127

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NOTE 12: SUPERANNUATION

Superannuation contributions for the reporting period are included as part of salaries and associated costs in the Statement of FinancialPerformance of the Hospital.

The outstanding liability for the year ending 30 June, 2005 is nil (2004 nil) and contributions were as follows:

Contributions2004/05 2003/04

Hospital 3,007 2,805Linen Service 78 72Psychiatric Services 647 603Camperdown Campus 469 462Macarthur Campus 20 23Total 4,221 3,965

The basis for the contributions are determined by the various schemes.

The unfunded superannuation liability in respect to members of State Superannuation Schemes and Health Super Scheme is not recognisedin the Statement of Financial Position. South West Healthcare’s total unfunded superannuation liability in relation to these funds has beenassumed by and is reflected in the financial statements of the Department of Treasury and Finance.

The above amounts were measured as at 30 June of each year, or in case of employer contributions they relate to the years ended 30 June.

All employees of the Agency are entitled to benefits on retirement, disability or death from the Government Employees Super Fund. ThisFund provides defined lump sum benefits based on years of service and annual average salary.

NOTE 13: S.W.A.R.H. ALLIANCE

The hospital has joint venture interest in the South Western Alliance of Rural Health (SWARH) whose principal activity is the implementingand processing of an information technology system and an associated telecommunication service suitable for use by each memberhospital.The hospital’s share of assets, liabilities and operating result is: Total Total

2004/05 2003/04CURRENT ASSETS $000 $000Cash at bank 158 289Receivables 48 33Prepayments 7 99

213 421NON-CURRENT ASSETSBuildings 502 581Plant and Equipment -355 -313

147 268TOTAL ASSETS 360 689

CURRENT LIABILITIESBank Overdraft - -Payables 54 148Employee Entitlements 12 34

66 182NON CURRENT LIABILITIESEmployee Entitlements 12

TOTAL LIABILITIES 78 182NET ASSETS 282 507

CONTRIBUTION TO OPERATING PROFIT/( LOSS) -226 -110

NOTE 14: CAPITAL COMMITMENTS

The hospital had outstanding commitments at 30 June, 2005 for the supply of works, services and materials to the value of $1,649,728($1,053,987 2004). $ 993,728 relates to the upgrade of the SWHC Supply Department with $656,000 being South West Healthcare’scontribution to information technology expenditure for the South West Alliance of Rural Health(SWARH).

NOTE 15: CONTINGENT LIABILITIES AND CONTINGENT ASSETS

South West Healthcare is unaware of any contingent liabilities or assets in existence.

NOTE 16: RECONCILIATION OF CASH

For the purpose of this statement of cash flows, cash includes cash on hand and at call deposits with banks or financial institutions, net ofbank overdrafts.

2004/05 2003/04$000 $000

Cash on Hand 157 38Deposits at Call 8,245 10,407Cash at End of Reporting Period 8,402 10,445

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NOTE 17: RECONCILIATION OF NET CASH USED IN OPERATING ACTIVITIES TO NET RESULT FOR THE YEAR

Total Total2004/05 2003/04

$000 $000Net Result for the year -2,112 -709NON CASH MOVEMENTSDepreciation 4,019 3,940(Increase)/Decrease in Receivables -1,822 -191Increase/(Decrease) in Payables 129 -440Increase/(Decrease) in Employee Entitlements 683 110(Increase)/Decrease in Other Current Assets 136 13Net (Revenue)/Cost on Sale of Assets 138 -14NET CASH PROVIDED BY OPERATING ACTIVITIES 1,171 2,709

NOTE 18: RESPONSIBLE PERSON-RELATED DISCLOSURES

a) Responsible PersonsThe following were responsible persons during 2004/05 - Snr Sgt I. Armstrong, Mr J. Krygger, Mrs S. Muldoon, Ms B.Piesse, Mr F.Broekman, Mrs M. Brock, Dr. A. Brown, Mr. M. Fry, Mr D. Jellie, Ms. F. Melican, Ms. M. Pacers, Mr. R. Zerbe, Mrs M.Alexander, Mr C.Logan,and The Hon. B. Pike.

b) Remuneration of Responsible PersonsNo responsible person received remuneration from the reporting entity in relation to their duties as responsible persons. Theremuneration of the Accountable Officer who is not a member of the Board is reported under “Executive Officers Remuneration”

c) Retirement Benefits of Responsible PersonsNo responsible person received Retirement benefits from the reporting entity in connection with the retirement of Responsible Personsduring the year.

2004/05 2003/04$000 $000

d) Other Transactions of Responsible Persons and their Related EntitiesMr. D.Jellie - Provision of Legal/Consultancy Services 2 2Dr. A. Brown - (Resigned October 2004) - Fee for Service Medical Officer 15 63Mrs. D.Daffy - (Resigned February 2004) - Employee 17Mr. M. Fry - Retail Services 2 1

e) Other Receivables from and Payables to Responsible Persons and their Related PartiesNo amounts were payable to to Responsible Persons and their Related Entites at balance date.

f) Remuneration of Executive Officers 2004/05 2003/04$000 $000

Number of Executive Officers with remuneration between 240,000 - 250,000 1 -Number of Executive Officers with remuneration between 230,000 - 240,000 - 1Number of Executive Officers with remuneration between 200,000 - 210,000 1 -Number of Executive Officers with remuneration between 190,000 - 200,000 - 1Number of Executive Officers with remuneration between 130,000 - 140,000 3 2Number of Executive Officers with remuneration between 120,000 - 130,000 1 2

6 6Total Remuneration 974,421 944,285

Remuneration includes Superannation Guarantee Levy, Employer superannuation contributions, deemed value of motor vehicle and allnon-cash benefits.

NOTE 19: FINANCIAL INSTRUMENTS

(a) Interest Rate Risk ExposureThe Hospital’s exposure to interest rate risk and effective weighted average interest rate by maturity periods is set out in the followingtimetable. For interest rates applicable to each class of asset or liability refer to individual notes to the financial statements. Exposure arisespredominantly from assets and libilities bearing variable interest rates.

Interest rate exposure as at 30/06/2005Floating 1 year 1 to 5 Non Interest Book Value Net Fair Value

Interest Rate or less years Bearing 2004/05 2004/05$000 $000 $000 $000 $000 $000

Financial AssetsCash at bank 8,402 - - - 8,402 8,402Trade debtors - - - 603 603 603Other receivables - - - 2,512 2,512 2,512Deposits - 21 - - 21 21Prepayments - - - 7 7 7Other financial assets - - 22 - 22 22Total Financial Assets 8,402 21 22 3,122 11,567 11,567

Financial LiabilitiesTrade creditors and accruals - - - 3,209 3,209 3,209Advances - 21 - 21 21Borrowings - 12 8 - 20 20Total Financial Liabilities - 33 8 3,209 3,250 3,250Net Financial Asset/Liabilities 8,402 -12 14 -87 8,317 8,317

Weighted Average Interest Rate = 3.20% 5.48%

Interest rate exposure as at 30/06/2004Floating 1 year 1 to 5 Non Interest Book Value Net Fair Value

Interest Rate or less years Bearing 2003/04 2003/04$000 $000 $000 $000 $000 $000

Financial AssetsCash at bank 10,445 - - - 10,445 10,445Trade debtors - - - 845 845 845Other receivables - - - 1,817 1,817 1,817Deposits - 127 - - 127 127Prepayments - - - 99 99 99Other financial assets - - 22 - 22 22Total Financial Assets 10,445 127 22 2,761 13,355 13,355

Financial LiabilitiesTrade creditors and accruals - - - 4,684 4,684 4,684Advances - 127 - - 127 127Borrowings - 12 21 - 33 33Total Financial Liabilities - 139 21 4,684 4,844 4,844Net Financial Asset/Liabilities 10,445 -12 1 -1,923 8,511 8,511

Weighted Average Interest Rate = 2.66% 5.09%*Net fair values are capital amounts(Net fair values of financial instruments are determined on the following bases:

i. Cash, deposit investments, cash equivalents and non-interest bearing financial assets and liabilities (trade debtors, other receivables,trade creditors and advances) are valued at cost which approximates net market value

ii Interest bearing liabilities amounts are based on the present value of expected future cash flows discounted at current market interestrates quoted for trade Treasury Corporation of Victoria.)

(b) Credit Risk ExposureCredit risk represents the loss that would be recognised if couterparties fail to meet their obligations under the respective contracts atmaturity. The credit risk on financial assets of the entity have been recognised on the statement of financial position, as the carryingamount, net any provisions for doubtful debts.

(c) Net Fair Value of Financial Assets and LiabilitesThe net fair value of on-balance sheet financial assets and liabilities are not materially different to the carrying value of the financialassets liabilities.

NOTE 20: EQUITY & RESERVES2004/05 2003/04

(a) Reserves $000 $000Asset Revaluation ReserveBalance at the beginning of the reporting period 16,805 16,805Increase in Land during the year 1,704 -Balance at the end of the reporting period 18,509 16,805

Specific Purpose ReserveBalance at the beginning of the reporting period 22 22Balance at the end of the reporting period 22 22

Total Reserves 18,531 16,827

(b) Contributed CapitalBalance at the beginning of the reporting period 48,346 48,346Balance at the end of the reporting period 48,346 48,346

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Floating 1 year 1 to 5 Non Interest Book Value Net Fair ValueInterest Rate or less years Bearing 2004/05 2004/05

$000 $000 $000 $000 $000 $000

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NOTE 20: EQUITY & RESERVES (CONT’D)

(c) Accumulated Surpluses/(Deficits)Balance at the beginning of the reporting period 201 910Net Result for the Year -2,112 -709Balance at the end of the reporting period -1,911 201

(d) EquityTotal Equity at the Beginning of the reporting period 65,374 66,083Total Changes in Equity Recognised in the Statement of Financial Performance -408 -709Total Equity at the end of the reporting period 64,966 65,374

NOTE 21: REMUNERATION OF AUDITORS 2004/05 2003/04$000 $000

Audit fees paid or payable to the Victorian Auditor-General’s Officefor audit of the Hospital’s financial report

Paid as at 30 June 2005 6 12Payable as at 30 June 2005 26 19Total Paid & Payable 32 31

NOTE 22: LEASE LIABILITIES2004/05 2003/04

Finance Leases $000 $000Commitments in relation to finance leases are payable as follows:

Not later than one year 15 15Later than one year but not later than 2 years 10 152 to 5 years 1 12Minimum Lease Payments 26 42Less Future Finance Charges (6) (9)

TOTAL 20 33

Representing Lease Liabilities

Current 12 12Non-Current 8 21

TOTAL 20 33

43

44

DONATIONS

45

Anonymous donations x 26 903Donations less than $20.00 x 71 603Abicare, Heather 20Alcoholics Anonymous 150Alcon 200Alexander Murdoch Estate 369Anderson, Geoff and Jeannie 20Anglican Women’s Guild 500ANZ Executors & Trust Co Limited 1,445Applied Chemicals Pty Ltd 500Atkinson, Jen and Ted 50Australian Pharmaceutical Industry 500Australian Legion of ExServicemen and Women 21,144Baker Family 20Bardy, Pauline 30Bartlett, Evelyn 100Bartlett, Jennifer 200Beaton, Chris & Braniff, Kathleen 450Beer Family 60Bell, Alison and Family 50Bennett and Richardson families 100Benzing, B 100Bidvest Food Services Geelong 500Bollard, PM 50Borstel, James 500Bounds, Viv and Jean 20Bourne Family 20Boyce Family 20Brauer College 50Bray, Clive 340Bridgman, Heather 25Bryant, Dr Bronwen 50Bryce Family 100Bryce, CG & JM 30Bryce, Edna 100Burma, Paul 20Burns, Lyn and Chris 50Butler, Ken and Anne 50Cabot Australasia Pty Ltd 50Callaghan Motors Pty Ltd 500Callaghan, Brian 500Cambabebe, Mick 20Campbell, Ian, Denis and Christopher 50Camperdown Occasional Child Care 225Camperdown Racquetball Club 366Cannard, Peter 100Caramut Golf Club 50Carey, Patricia 20Cathie, Barbara and Ken 20CB Donation 37CGU 500Cisco Systems Australia Pty Ltd 1,000Clark, John and Helen 200Clifford, Lila 20Coates, Jean and Kevin and Smith, Lyn 40Cooke, Joan and Anderson, Denise 30Cottee, LT & MA 500Country Music Group 360Countrywide Technologies 500Cox, Gweneth 20Crater Cruisers Murray to MoyneCycle Relay Team 2005 4,000Criminal Justice Diversion Program 200Crooks, Fran and David 20Curran, GM 50Daffodil Dance Committee 4,500Daryl, Kerryn, Jacob and Jessica 50Deakin University 135Diabetes Support Group 100Dickson, Frances 100Dobson, Colin and Tricia 50Downie, June 100Duffy, Anne & Pat & Family 50Dumesny, SW & LC 200

Duncan, Bill and Rita 40Dunham, Daneele 100Ewers, Susan, Mary and Edward 50Facey, Janene 20Ferguson, Ken and Val 20Findlay, Barbara 20Fire Flyers Murray to Moyne CycleRelay Team 2005 1,200Flames Murray to Moyne CycleRelay Team 2005 3,029Foran, Estate Anne 500Fraser, Craig 300Garrett, WG & BM 50Genesis Psychologists 200Gilbert, HM & NF 100Gleeson, Joel 200Godkin, Marj and Stuart 40Golf Day Donations 3,031Goodall, Lola 200Gordon Family 20Goss & Paine Families 60Goss, Helen 50Goss, Liz and Byrne, June 20Greaves, Hilda and Ralph 20Gribbles Pathology 500Hall, Joan and Digger 20Hall, Ross and Maureen 20Hansen, Ron 220Hansford, Jan and John 25Harman, A & K 20Hayden 244Heathcote, Jill 20Heather, G 50Hermans Family 50Herrmann Family 200Heywood, Robert 50Hill, M 50Hocking, David 50Hocking, Julie and Robins, Paul 50Hoffman, Carolyn 100Holland, John Pty Ltd 350Holt 50Ingwersen, Penny and Johnson, Kelvin 25ITL Healthcare Pty Ltd 500Jackson, H 150Jackson, Nell and Family 20Jeffs, Karen 20Jericho, Annmaree and Stephen 50Jobe, Cindy 50Johns, Peter and Ruth 20Johnson, Gary 20Jones, Alan 100Jones, John 50Kinley, James 200Koop, Anthony 150Lack, Peter 365Ladies in Black 1,002Lane, The AL Lane Foundation 15,000Langley, PJ & LB 380Lemmens, Gail and Greg and family 50Lemmens, Greg and Gail 20Leong, Elaine 50Lewellin, Marsha and Gavin 100Linker-Spahn, Jutta 50Looney, Howard 20Loxton, Ernest 150Ludeman, Tania 100Lyon, Dianne 20Maceys Carpets 500Mahony, JJ & JL 200Mahood, Marion 50Maston Feakes Leviton Voice & Data 500McDonald, Janet and MacInnes, John 50McDonough, Peter 100McDowall, Judy 20

McDowall, Mary 20McFadden Family 20McHeip, Phyllis 20McLaren, David and Narelle 50Medical and Optical 100Medtronic 500Merri Kindergarten 50Merrivale Football Netball Club 120‘Mill End’ 50Moore, NG 50Morey, I & B 20Morse, Mavis, Barrie and Lynette 50Morton, B 375Mudge, Josie (Surgicare Pty Ltd) 830Mugavin, Thomas 10,000Mullins, Nathan and Adkins, Melanie 50Nash, Ivy and Pat 25National Australia Bank WarrnamboolBranch & Business & Agribusiness Centre 1,000Neil, Robert 500Newell, June and Jack 20Newham, R & R 20Nordin, Alf and Bernice 80O’Brien Contracting 500O’Bryan, Mary and Julie 20O’Bryan/Cannon Family 50O’Connor, Gwen and Maurice 100O’Leary Family 20Old Collegians Football Netball Club 350Old Time Country Music Group 550Pall Corporation 200Parsons, Ken and Pam and Family 100Paul, Malcolm and Janet 50Pearn, Don 50Penna Family 20Phillips, Val and Bob 50Pilkington, Jean and Gale, Shirley 50Platt, Grace 20Price, L 150Programmed Maintenance Service 500Pun, James 50Rich, Max and Faye 20Ridley, Family 50Risk, Gordon and Helen 20Ritchies IGA Community Cash Club 450Roberts, PJ & JL 100Robertson, Neil 150Robinson, Jim 1,000Ross Family 50Ross, Tanya 390Rotary Club Warrnambool East 225Rotary Club Warrnambool Daybreak 600Rubber Band 635Ruth, Martina and Siegfried 20Sadler, Margaret and Ian 20Saffin Kerr Bowen Wilson 20Shepphard, G & M 300Shilson, Isabel and Alan 50Shilson, Peter 25Shirrefs, GI & PM 25Simmonds, Alan 500Slater, Roy and Kate 40Smith & Nephew Surgical Pty Ltd 500Smith, Stuart 20South West Counselling 100South West Credit Union 50

46

MONEY RAISED BY SWHAUXILIARIES DURING 2004-2005

AUXILIARY DONATIONCamperdown & DistrictHospital Auxiliary $21,500Lismore Ladies Auxiliary $5,500Warrnambool Ladies Auxiliary $6,500Woolsthorpe Auxiliary $2,200Staff Auxiliary $5,300

Mr G WhitesideMr J WilkinsonMrs June WilliamsMrs R WilliamsMrs Zelda WilliamsMrs G J WilsonMr J E WilsonMrs N T WinesMr W J WinesMrs Edna WyndMrs G Young

MEMORIAL DONATIONS

South West Region Chevrolet CarClub of Victoria Inc 600Sporting Shooters Associationof Australia 2,000Star Printing 200Stryker 500Surridge, Graham 200Swintons IGA Supermarket 3,078Tant, Kevin and Judy and Family 20Tasker Family 100Tasker, David 100Taylor, Graham 50Taylor, Lorraine 100Terrington Family 70Terumo Corporation 100Thomson, Ros and James 50Thornton, I 20Tognolini, HR 50Toole, Molly 20Touzeau, Paula 105Trakhealth Pty Ltd 500Tyco 500Uniting Church 700Uniting Church Evening Fellowship 300Vagg, Sharon 225

Vickus, Ev 20Village Life Social Club 20Wales, Cynthia and Niall 20Warnken, Andrew 30Warnken, Mr and Mrs 20Warrnambool Artists Society 549Warrnambool & District Hospital Auxiliary 6,500Warrnambool & District OldTime Dance Club 300Warrnambool College Murrayto Moyne Cycle Relay Team 2005 1,600Warrnambool CWA 25Warrnambool Masonic Lodge 500Warrnambool Oldtime CountryMusic Group 2,160Warrnambool Ostomy Association 1,500Warrnambool Quilters 500Wathen, Mary 50Weber, Sharyn and Stephen 40West Fridge 1,100Whalers Inn 1,470Williams, Luke 750Williams, T & C 500Wills, Gladys 100Wilson Family 20

Wines, Les and Merle 20Wines, M & L 20Wood, Mathew 400Woollen Mill Reunion 720Woolsthorpe Auxiliary 5,000Wyeth Australia 100

In Memory of Russell BellAbicare, Heather 50Anonymous x 2 85Armistead, Robyn and Charlie 10Baglin, Jack 5Bell, Alison and Family 50Crooks, Fran and David 20Findlay, Barbara 20Isaac, Rosemary 10Lemmens, Greg and Gail 20Looney, Howard 20Manley, Jan 10McLaren Family 10Newham, R & R 20Norris, Danni 10Penna Family 20Platt, Grace 20Reed, Judy 10Rich, Max and Faye 20

In Memory of Marj BrayBray, Clive 340Curran, GM 50Slessar, Betty 50

In Memory of John BryceAllen, Dorothy 10Breen, Kaleen 5Brewis, Rex and Sandra 10Bryce, CG & JM 30Bryce, M 5Caramut Golf Club 50Coates, Jean and Kevin and Smith, Lyn 40Fitzgibbon Family 15Grunter, Alf and Heather 10Hose, Gail and Peter 10Jackson, Nell and Family 20Pohl, Myra 10Shamrock, S &V 5Sheridan, Lee 10Smith, Noel and Pam 10Van Dyke, Pam and Paul 10Village Life Social Club 20Wales, Cynthia and Niall 20

In Memory of Phyllis CannardAnonymous x 1 100

In Memory of John CassadyAnonymous x 1 10Boyd, Carol 10Saffin Kerr Bowen Wilson 20

In Memory of Margaret CurrellAnonymous 20

In Memory of Edward CuthbertAnonymous 50

In Memory of Janette DartAnonymous 55Beer Family 60Bennett, D & D And Richardson,M & Family 100Board, Marg and Lew 10Brauer College 50Bridgman, Heather and Quirk, Heather 25Burma, Paul 20Burns, Lyn and Chris 50Fisher, C 10Gale, David and Gwyneth 5Hayes, Peter 10Hill, M 50Hocking, David 50Hocking, Julie and Robins, Paul 50Holt 50Ingwersen, Penny and Johnson, Kelvin 25Leong, Elaine 50Lew, Alex 10McDonald, Janet and MacInnes, John 50Preston, Aaron 5Ridley Family 50Sack Family 20Sadler, Margaret and Ian 20Shirrefs, GI & PM 25Smith, Wal 10Towling, G 5Wines, Les and Merle 20

In Memory of E EwersEwers, Susan, Mary and Edward 50

In Memory of Monika HallAnonymous x 8 74Baker Family 20Boyce Family 20Cambabebe, Mick 20Cambabebe, Pat and Annette 10Edwards, Julie 5Facey, Janene 20Ferguson, Ken and Val 20Godkin, Marj and Stuart 40Greaves, Hilda and Ralph 20Hall, Joan and Digger 20Hall, Ross and Maureen 20Hansford, Jan and John 25Hayden, Julie 10Heather, G 50Hermans Family 50Ivory, Jan 10Jeffs, Karen 20Johns, Peter and Ruth 20Lemmens, G & G and Family 50Lyon, Dianne 20Malseed, Margaret and Doug 10McFadden Family 20Monk, Jannine 10Morrow, Lois 10Morrow, Lottie 10Mueller, Nina and Otto 5O’Leary Family 20Reed, Judy and Peter 10Ruth, Martina and Siegfried 20South West Credit Union 50Terrington Family 70Thornton, I 20Vickus, Ev 20Ward, Vicki 10Warnken, Andrew 30Warnken, Mr and Mrs 20Wilson Family 20

In Memory of Don HendersonButler, Ken and Anne 50McDonough, Peter 50

In Memory of George HetherinAnonymous 100

In Memory of E HinkleyAnonymous 190

In Memory of Dorothy JonesJones, John 50

In Memory of Marjorie MillsPilkington, Jean and Gale, Shirley 50

In Memory of JP MooreCoulthard Family 10Gaetani, J & D 5Looney, Jim and Joan 10Pun, James 50Sycopoulis, M 10

In Memory of Betty MorseAnderson, Geoff and Jeannie 20Anonymous 5Bakker, Gwen 10Cathie, Barbara and Ken 20Clarke, Verna 10Delaney, Liz and Myles 10Godkin, Marjory and Stuart 10Heathcote, Jill 20Hyde, Marlene 11Mahood, Marion 50McDonald, Rose 10Morse, Mavis, Barrie and Lynette 50Paul, Malcolm and Janet 50Pike, Edna and Jan 10Ross Family 50Slater, Roy and Kaye 40Wines, M & L 20

In Memory of Mary MugavinMugavin, Thomas 10,000

In Memory of Brian O’ConnorCampbell, Ian, Denise and Christopher 50Carey, Patricia 20Clifford, Lila 20Duncan, Bill and Rita 40Hoffman, Carolyn 100Jericho, Annmaree and Stephen 50Lewellin, Marsha and Gavin 100McDonough, Peter 50McDowall, Judy 20McDowall, Mary 20O’Connor, Gwen and Maurice 100Parsons, Ken, Pam and Family 100Rivitt, C & M 5W, Allen and Margaret 5Weber, Sharyn and Stephen 40

In Memory of Agnes RobinsonRobinson, Jim 1,000

In Memory of Norah ShilsonBryant, Dr Bronwen 50Rand, Joan 10Shilson, Isabel and Alan 50Shilson, Peter 25

In Memory of Alan SpikinBardy, Pauline 30Buick 10

In Memory of Coralie StockAnonymous 44Bicalsen, Anne 2Cooke, Joan and Anderson, Denise 30Hines, Beverley 5Hogan, S 10Jensen, Alma 10McHeip, Phyllis 20Nash, Ivy and Pat 25Pearn, Don 50Warrnambool CWA 25

In Memory of Shirley SurridgeSurridge, Graham 200

In Memory of Clive TaskerAnonymous x 5 183Clive’s Family 100John Holland Pty Ltd 350Johnson, Gary 20Mullins, Nathan and Adkins, Melanie 50Tasker, David 100Tognolini, HR 50

In Memory of Keith TaylorAnonymous 10Bounds, Viv and Jan 20Cummings, Ken 5Daryl, Kerryn, Jacob, Jessica and Lucas 50Genesis Psychologists 200Graham, Sue and Rundell, Kell and Jeff 10Harry, R 5Holland, Glenyce and Max 10Knight, John and Ann 15Taylor, Lorraine 100

In Memory of Alice E WalkerBourne Family 20Dobson, Colin and Tricia 50Duffy, Ann and Pat & Family 20Goss and Paine Families 60Goss, Helen 50Goss, Liz and Byrne, June 20Harman, A & K 20Heywood, Robert 50Morey, I & B 20O’Bryan, Mary and Julie 20O’Bryan/Cannon Families 50Tant, Kevin and Judy & Family 20Toole, Molly 20

In Memory of Gordon WalkerAtkinson, Jean and Ted 50

In Memory of Ronald WillsAnonymous x 2 6Marshall, Virginia 10Wills, Gladys 100

EVERY DONATION HELPSSouth West Healthcare received almost $150,000 indonations in 2004-2005. This much-needed assistancecame from individuals, both young and old; groups,fellowships and auxiliaries; service clubs and sports clubs;small businesses; corporations; grant makers; andpatients, families and friends impressed with the careSouth West Healthcare has provided. Big or small,every cent helps us to buy desperately neededmedical equipment.

21,144 REASONS TO BE THRILLEDIn January the Victorian Branch of the Australian Legionof Ex-Servicemen and Women answered the wildestdreams of South West Healthcare’s Lismore CommunityHealth Centre by financing the purchase of every item onits Medical Equipment, Aids & Appliances (Wish) List.The unsolicited $21,144 donation bought the rurally-isolated community a $10,000 Interpretative ECG

(electrocardiograph) Machine; $4,800 podiatry chair;$2,500 treadmill; $1,500 ultrasound machine; elbowcrutches; shower chairs; toilet-raiser seats; walkingframes; evaporative coolers and a dishwasher.

The jewel-in-the-crown purchase, the ECG machine, ishelping monitor the health of local ex-servicemen andwomen and other elderly people who spend manyhours at the centre. The walking machine is helping staffmonitor the airflow and blood pressure of clients usingthe gym. The visiting podiatrist and district nurse areusing the ultrasound to keep on top of wound-caremanagement. The dishwasher means volunteers canspend less time at the sink and more time with clients.And the upgraded aids are available for hire.

47

48

COMPLIANCE INDEX TO DISCLOSURE REQUIREMENTSThe Annual Report of the Entity is prepared in accordance with Section 3 of the Financial Management Act 1994 and theDirections of the Minister for Finance. This index has been prepared to facilitate identification of compliance with statutorydisclosure requirements.

CLAUSE DISCLOSURE PAGE/S

Report of OperationsCharter & Purpose

Manner of establishment and Relevant Minister 49Objectives 5Services provided and persons or sections of community served 22

Management & StructureNames of governing board members, Audit Committee & Chief Executive 7,8Names of senior office holders and brief description of each office 8Chart setting out organisational structure 26

Financial and other informationWorkforce data and application of merit & equity principles 14, 24, 25Occupational Health and Safety Matters 14Application and operation of FOI Act 1982 49Application and operation of the Whistleblowers Protection Act 2001 50Summary of significant changes in financial position 29, 30, 31, 33, 34, 35, 39Operational objectives for the year and performance against those objectives 3,4Financial analysis of operating revenues and expenses 33, 34, 35Major changes or factors affecting achievement of objectives 3,4Number and total cost of consulting engagements, each costing < $100,000 49Extent of compliance with Building Act 1993 49Statement that certain additional information is available on request 49Statement on implementation and compliance with National Competition Policy 49

FINANCIAL STATEMENTS

Statement of Financial OperationsOperating revenue by class 33, 34Other material revenue by class including sale of non-goods, assets and contributions of assets 35Material revenues arising from exchanges of goods or services 33, 34Depreciation, amortisation or diminution in value 36Bad and doubtful debts 38Audit expense 34

Statement of Financial PositionCash at bank or in hand 30, 31, 39Inventories by class 38Receivables, including trade debtors, loans and other debtors 38Other assets, including prepayments 38Property, plant & equipment 37Overdrafts Not ApplicableTrade and other creditors 38Provisions, including employee entitlements 38

Statement of CashflowsA statement of cash flows during the year 31

Notes to The Financial StatementsCommitments for expenditure 39Government grants received or receivable 31, 33, 34Employee superannuation funds 39Transactions with Responsible Persons and their related parties 40Freedom of Information Requests 49

49

MANNER OF ESTABLISHMENTSouth West Healthcare is an incorporated body under, and regulated by, the Health Services Act 1988.

FREEDOM OF INFORMATION REQUESTSRequests for documents in the possession of South West Healthcare are directed to the Freedom of Information Manager. Allrequests are processed in accordance with the Freedom of Information Act 1982. A fee is levied for this service, based on thetime involved in retrieving and copying the requested documents.

The Hospitals Part II publication, which details publication requirements of the Freedom of Information Act, is availablefrom the Health Information Services Department, for perusal by the general public during weekday office hours.

A total of 153 requests under the Freedom of Information Act were processed during the 2004/2005 financial year.

South West Healthcare’s nominated officers under the Freedom of Information Act are:

• Principal Officer: Chief Executive Officer, Mr J.F. Krygger• Medical Principal Officer: Director of Medical Services, Dr P. O’Brien• Freedom of Information Manager: Health Information Administrator, Mrs M. Cook

REPORTING REQUIREMENTSIn accordance with the requirements of the Directions of the Minister for Finance under the Financial Management Act 1994the following information has been prepared and is available upon request, where applicable:

• Declarations of pecuniary interest• Details of publications produced• Details of changes in fees, charges and rates charged by the entity• Details of any major external reviews• Details of overseas visits• Details of major promotional, public relations and marketing activities undertaken by the entity to develop community awareness of the entity and the services it provides• Details of assessments and measures undertaken to improve the occupational health and safety of employees• General statement on industrial relations within the entity and details of time lost through industrial accidents and disputes• List of major committees sponsored by the entity, the purposes of each committee and the extent to which the purposes have been achieved.

CONSULTANCIESThree consultancies at a total cost of $54,950 were conducted during the Report Year.

BUILDING ACT 1993 COMPLIANCESouth West Healthcare complies with the building and maintenance provisions of the Building Act 1993.

COMPETITIVE NEUTRALITY POLICY STATEMENTIn April 1995, the Council of Australian Governments (COAG) agreed to implement a National Competition Policy. TheVictorian State Government has supported this initiative by issuing, in 1996, a Competitive Neutrality Policy of its own, whichapplies to organisations including public hospitals and associated facilities.

South West Healthcare has implemented competitive neutral pricing principles for all new contracts for services provided to theprivate sector to ensure a level playing field.

RESPONSIBLE MINISTERThe Responsible Minister for South West Healthcare is the Victorian Minister for Health.

During 2004-2005 the Responsible Minister was The Hon. Bronwyn Pike.

PAGETHE YEAR IN REVIEW 2

FIVE YEAR STRATEGIC PLAN 5

BOARD OF MANAGEMENT 7

EXECUTIVE 8

UNRIVALLED HEALTHCARE & SERVICE 9

RESEARCH & EDUCATION 15

QUALITY MANAGEMENT 17

LIFE GOVERNORS 21

HEALTHCARE SERVICES 22

STAFF 23

MANAGEMENT STRUCTURE 26

STATISTICAL INFORMATION 27

FINANCIAL STATEMENTS 30

DONATIONS 45

COMPLIANCE INDEX TO DISCLOSURE REQUIREMENTS 48

1

FRONT COVERPhoto: South West Healthcare TheatreTechnician Paul Hodgins (left) and South WestHealthcare Orthopaedic RegistrarDr Raghavan Unni.Top right: South West Healthcare MerindahLodge resident Lorna Mirtschin and daughter,South West Healthcare Medical ImagingReceptionist, Margaret Clissold.Bottom right: Seven-year-old Sienna Williams(daughter of Tracey and Jason Williams ofWarrnambool) and South West HealthcareChildren’s Ward Divisional 1 RegisteredNurse Jacinda Duerden.

CONTENTS

Top: A new $58,500 operating table is the prideand joy of our Camperdown Hospital TheatreNurses, Sally Rix (left) and Jo Teal.Centre: We continue to employ highly sought afterspecialists. Two of the eight to join our team in2004-2005 were General Surgeon, Mr Carl Murphy,and ENT Surgeon, Dr Bridget Clancy.Bottom: For the 74th year, the Nestle Sports andSocial Club sent Santa to South West Healthcare.Every patient at our Warrnambool hospitalreceived gifts while the Warrnambool HolidayActors sang carols. Eight-year-old Grace Paulin (thedaughter of Warrnambool’s Angela and ChrisPaulin) was one of them. Photo: The Standard’sGlen Watson. to come (Photo

File Name:SWHSantakids)

Many people have contributed to the development of this publication. In particular, South WestHealthcare wishes to thank Michelle Atkinson, Ian Barton, Liz Bramich, Jan Chapman, Jenny Charles,Judy Dalton, Julie Dixon, Jeanette Doolan, Doug Duffy, Samantha Laird, Sarah Lawrenson, LeanneMcCann, David McLaren, Graeme Mitchell, Ruth Mitchell, Robert Moore, Suzan Morey, Peter O’Brien,Janet Punch, Robert Quantrelle, Trish Riordan, Rob Sharrock, Jenice Smart and Cheryl Wright.

50

COMMERCIAL APPOINTMENTSAuditors: Coffey Hunt & Co.Bankers: Australian & New Zealand Banking Group Ltd

Where appropriate, declarations of pecuniary interest havebeen lodged by members of the Board of Managementand senior management staff for the year under review.

WHISTLEBLOWERS PROTECTION ACT (2001)South West Healthcare has policies and procedures inplace to enable total compliance with the Act. Thesepolicies and procedures provide a safe environment inwhich disclosures can be made, people are protected fromreprisal and the investigation process is clear and providesa fair outcome.

The privacy of all individuals involved in a disclosure isassured of protection at all times.

South West Healthcare is committed to the principles ofthe Act and at no time will improper conduct by theorganisation or any of our employees be condoned. Acopy of the policy is available upon request.

DisclosuresSince the introduction of the Act in 2002 there have beenno disclosures received and no notification of disclosuresto the Ombudsman or any other external agency.Disclosures will be received by:

• Chief Executive Officer, Mr John KryggerSouth West Healthcare, Ryot Street, Warrnambool, Victoria 3280Phone 03 5563 1666.

• The OmbudsmanLevel 3/459 Collins Street, Melbourne, Victoria 3000Phone 1800 806 314.

Photo: Our Camperdown Hospital’s $550,000 Theatre upgrade seesChief Executive Officer, John Krygger, meeting with some of thedesign team. Photo: The Camperdown Chronicle.Photo: Three-year-old Abby Warburton (the daughter ofWarrnambool’s Shannon Jones and Jason Warburton) snoozes on aProne Trolley donated by Manchester Unity while five-year-oldcousin, Lachlan Arden (the son of Warrnambool’s Rachel Arden),takes a little time out. Photo: Standard’s Glen Watson.Photo: Two of our Camperdown Campus nurses, Prue Pincott (left)and Jane Leadbetter, participated in an international aid mission totsunami-devastated Indonesia in July.

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ANNUAL REPORT 2005

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WARRNAMBOOL CAMPUSRyot Street, Warrnambool 3280Ph: (03) 5563 1666 Fax: (03) 5563 1660

LISMORE CAMPUSHigh Street, Lismore 3324Ph: (03) 5558 3000 Fax: (03) 5596 2265

CAMPERDOWN CAMPUSRobinson Street, Camperdown 3260Ph: (03) 5593 7300 Fax: (03) 5593 2659

MACARTHUR CAMPUS12 Ardonachie Street, Macarthur 3286Ph: (03) 5552 2000 Fax: (03) 5576 1098

PSYCHIATRIC SERVICESCAMPERDOWN64 Scott Street, Camperdown 3260Ph: (03) 5593 6000 Fax: (03) 5593 2403

PORTLAND63 Julia Street, Portland 3305Ph: (03) 5522 1000 Fax: (03) 5523 4212

HAMILTON12 Foster Street, Hamilton 3300Ph: (03) 5551 8418 Fax: (03) 5571 1995

WARRNAMBOOLBohan Place, Lava Street, Warrnambool 3280Ph: (03) 5561 9100 Fax: (03) 5561 3813

south west hea l thcareANNUAL REPORT 2005