putting patients first...putting patients first. more patients treated faster 2 ... 453,800...
TRANSCRIPT
1
Public Accounts and Estimates Committee (Budget 2010-11)Hon Daniel Andrews MPMinister for Health12 May 2010
Health Portfolio
Putting Patients First
2More patients treated faster
� Performance compared to National Averages:� 100% of clinical urgency category 1 patients were
seen within recommended time – the best in Australia
� Lower average length of stay (6.3 days compared to Aust av. of 6.5 days) in public hospitals
� Consistently high performance despite pressures� Victoria’s above average annual and projected
population growth
� Changing demographics such as the ageing population
� More complex care needs
� New medical technologies
3Patients Admitted
� Growth in 2010-11 since 1999-2000 is expected to be high:� 41% more admissions
� 47% more emergency presentations
� 26% more specialist outpatient treatments
Total patients admitted to Victorian public hospita ls
1,042 1,0661,124
1,185 1,224 1,2601,312 1,356 1,393 1,421
1,468 1,500
-
200
400
600
800
1,000
1,200
1,400
1,600
1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10* 2010-11*
Tot
al h
ospi
tal s
epar
atio
ns (
'000
)
4Elective Surgery
� Shorter wait (median 33 days) for elective surgery (Aust. median 34 days).
� 30% growth in elective surgery admissions from 1999-2000 to 2008-09
Total elective surgery admissions
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09
Year
Adm
issi
ons
5Emergency Departments
� Victorians wait less (23 mins) than the national median wait time (24 mins)
� More Victorians (71%) are seen within the clinically recommended time than Australian average (69%).
Total patients attending emergency departments
9831,043
1,092
1,247
1,4201,3551,350 1,395
946
1,1131,156
1,303
-
200
400
600
800
1,000
1,200
1,400
1,600
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10*
2010-11*
Tot
al p
atie
nts
atte
ndin
g ('0
00)
6Complexity increased
� Change in presentations: � 25,000 more presentations expected in 2009-10 compared to 2008-09.
� Treating more complex patients
� Increase in trauma cases – 17% growth from 2005-06 to 08-09
� Increase in urgent cases� Increase of 274,000 urgent (category 1-3) presentations compared to
1999-2000
� Share of ED presentations
– note increase in Cat 1-3 from 32%
In 1999-2000 to 38% now:
62%38%2009/10 YTD
63%37%2008-09
68%32%1999/00
Cat 4-5Cat 1-3Year
7Services we expect to deliver in 2009-10
� 1.395 million emergency department presentations
� 1.468 million Admissions
� 1.308 million Specialist Outpatient appointments
� 453,800 Emergency patient transports
� 1.006 million screens for preventable illness
� 314,700 persons treated in dental health
� 982,000 service delivery hours in community health
8Our response: Strategic investment in our future
� 9% increase in health budget from last year
� 146% increase in health and aged care budget since 1999-2000
� 153% increase in acute health budget since 1999-2000
Health and Aged Care Budget Growth 1999-00 to 2010- 11
3,425 3,670 4,130 4,467 4,857 5,350 5,845 6,283 6,7107,268
7,8638,672
5,0085,382
5,9566,470
7,010
7,693
8,383
9,0629,729
10,487
11,314
12,335
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
$ million
Acute Health Total Health and Aged Care
9Building our workforce
� 50% increase in nurses since 1999-2000
� 75% Increase in doctors since 1999-2000
� 92% increase in paramedics since 1999-2000
Growth in medical workforce EFT, Victoria, 1999 to 2009
2,462
1,282
4,139
7,343
21,154
31,670
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
Jun-99 Jun-00 Jun-01 Jun-02 Jun-03 Jun-04 Jun-05 Jun-06 Jun-07 Jun-08 Jun-09
-
5,000
10,000
15,000
20,000
25,000
30,000
35,000
Paramedics Doctors Nurses
102010-11 Budget:Getting the basics right now to prepare for the future
�2010-11 Budget increases total output budget to $12.335 billion – a 9% increase
�$4 billion of health and hospital services, including capital improvements, through the 2010 State Budget and COAG agreement.
11Right care, right place, right time
� Record investment of $760.1 million over five years to meet demands and cost pressures of a growing health system� $564.8 million over five years to
increase capacity and strengthen hospital performance
� $45 million to treat 9,000 elective surgery patients faster
� $150.3 million over three years to address cost pressures associated with delivering health services
12Capital investment
� Since 1999, $7.5 billion invested in health and aged care, including:� New Bendigo Hospital - $473m
� New Box Hill Hospital - $407.5m
� Sunshine Hospital expansion - $90.5m
� Barwon Health service capacity expansion - $33.6m
� Leongatha Hospital redevelopment -$25m
� Monash Children’s acute and intensive care services expansion - $11m
2010-11 State Budget commits
$2.3 billion to upgrade hospitals
13Capital building program
� This Government significantly increased capital expenditure
� The 2010-11 budget means a total $7.5 billion investment in capital infrastructure since 1999-2000
Asset Investment in Health and Aged Care1992-93 to 2010-11
0
500
1000
1500
2000
2500
92/9
319
93/9
419
94/9
519
95/9
619
96/9
719
97/9
819
98/9
919
99/0
020
00/0
120
01/0
220
02/0
320
03/0
420
04/0
520
05/0
620
06/0
720
07/0
820
08/0
920
09/1
020
10/1
1
Year
($M
)
Metro Rural Statewide
14Supporting Regional Victorians
� Victoria successfully protected small rural health service block funding method in COAG agreement
� Rural Access Package - $19.3 million over four years
� 1,733 emergency rotary wing transfers and 4,770 fixed wing transfers in 2008-09
� Improved access to dental care - $19.9 million over four years to improve access to dental care for all Victorians
� Maintain ambulance branch in Kinglake and upgrade Whittlesea - $5.2 million over four years
� Building programs:� New Bendigo Hospital - $473 million
� Ballarat Regional Integrated Cancer Centre - $13 million
� Barwon Health: Expanding health service capacity –
Geelong and its Southern Health Corridor - $33.6 million
� Coleraine Hospital redevelopment - $25.8 million
� Leongatha Hospital Redevelopment Stage 2 - $25 million
State-wide Rotary Wing Caseload
0
500
1,000
1,500
2,000
2,500
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
YTD09-10
HEMS 5
HEMS 4
HEMS 3
HEMS 2
HEMS 1
State-wide Fixed Wing Caseload
0
1,000
2,000
3,000
4,000
5,000
6,000
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
YTD09-10
Total (99-00 to 01-02)
Non-emerg
Emerg
15Victoria’s Cancer Action Plan
� Victorians continue to have access to world class cancer treatment facilities
� Over $1.2 billion for Cancer treatment in the 2010-11. This includes:� Development of a new comprehensive cancer centre in Parkville
in partnership with the Federal Government ($1.1b)
� Ballarat Regional Integrated Cancer Centre - $13 million State contribution to $55 million - state of the art facility in Ballarat
� Olivia Newton-John Cancer and Wellness Centre Stage 2a - $40 million
� Statewide enhancements to Regional Cancer Services (from CthRegional Cancer Centre Initiative)
� Research and treatment $28.9 million (from DIIRD)
� New Bendigo Hospital to include a radiotherapy bunker and an additional 18 day oncology chairs for chemotherapy patients
16Chronic and complex conditions
� $19.9 million over four years for dental services for an additional 12,000 eligible clients annually
� $20.1 million over four years for a range of programs that support chronic disease prevention and management.� $6.1 million for diabetes self management and syringes� $4.1 million for the Integrated
Hepatitis C Service Delivery Model
� $3.5 million for Quitline� $3.2 million for whooping cough
immunisation program� $3.2 million in 2010-11 for Go For
Your Life program
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Putting Patients First
Public Accounts and Estimates Committee (Budget 2010-11)Hon Daniel Andrews MPMinister for Health12 May 2010
Health Portfolio