THIRTY - SECOND

ANNUAL REPO,RT IQ1S-Iq,1

The Entrance-Long Jetty Hospital.

Woy Woy Hospital

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THIRTY - SECOND

ANNUAL REPORT 1975 ~ 1976

WITH STATEMENT OF RECEIPTS AND PAYMENTS FOR THE PERIOD ENDED 24TH JUNE, 1976 AND BALANCE

SHEET AS AT THAT DATE.

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Im&ltr.aoo m~CON O.li' N.IS.W..

GOSFORD DISTRICT L!BRAHY

HOSPITAL

WOY WOY HOSPITAL

THE ENTRANCE­LONG JETTY HOSPITAL

WYOMING HOSPITAL

13oard CHAIRMAN: MR. R. S. NEWTON, B.A., LL.B.

Of VICE-CHAIRMAN: MRS. M. F. WESTERWELLER.

Directors TREASURER: MR. N. A. BYRNES, F.A.P.A., A.T.I.A.

MEMBERS: MR. R. M. VAUGHAN, M.B.E., MR. R. W. EDDY, " MR. R. W. DIBBEN, MR. A. E. EAGLE, MRS. A. FINDLAY, I MR. L. HANNELL.

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CHIEF EXECUTIVE MR. N. R. BOYCE, F.A.S.A., A.H.A., A.F.A.I.M .

Hospital OFFICER:

MEDICAL DR. E. A. FREEMAN, M.B.B.S., F.R.C.S. (Ed.) to 7-12-75.

Executive SUPERINTENDENT: DR. R. J. KENNEDY, M.B.B.S., D.P.H .. D.H.A. from 8-12-75.

DIRECTOR OF NURSING:

MISS M. L LOWNDES, D.N.A., F.C.N. (N.S.W.).

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AUDITOR: MR. B. W. O'DONOGHUE, F.C.A., A.C.I.S.A. ~ I

HONORARY MESSRS A. D. HICKEY & BRENNAN.

SOLICITORS:

JULY 1, 1975 to JUNE 30, 1976 ARCHITECTS: LEIGHTON IRWIN & CO. PTY. L TO.

BANKERS: COMMONWEALTH SAVINGS BANK OF AUSTRALIA

,--------------------r----- HONORARY MEDICAL STAFF -

DEPARTMENT OF SURGERY:

HONORARY CONSULTANT SURGEON HONORARY SURGEONS

HONORARY ASSOCIATE SURGEONS

HONORARY ASSOCIATE SURGEONS (Relieving)

HONORARY CONSULTING NEUROSURGEONS

HONORARY ORTHOPAEDIC SURGEONS

HONORARY EAR, NOSE & THROAT SU.RGEON HONORARY OPHTHALMOLOGISTS

HONORARY OPHTHALMOLOGIST (Visiting) HONORARY FACIO MAXILLARY SURGEON

DEPARTMENT OF MEDICINE:

HONORARY CONSULTING PHYSICIAN HONORARY PHYSICIANS

HONORARY PHYSICIAN (Visiting) HONORARY PHYSICIAN (Pulmonary) (Visiting)

HONORARY PAEDIATRICIANS

HONORARY ASSOCIATE PHYSICIANS

WYNDHAM, Dr. Norman Richard, M.D., M.S., F.R.C.S., F.R.A.C.S. ANDREWS, Dr. Colin John, M.B., B.S., F.R.A.C.S. CONNOLLY, Dr. John Anthony, M.B., B.S., F.R.C.S. (Eng.), F.R.A.C.S. DUNCAN, Dr. George Craig, M.B., B.S., F.R.C.S., (Ed.). McLELLAN, Dr. George Malcolm, M.B., B.S., F.R.A.C.S. ARMSTRONG, Dr. John Beresford, M.B., B.S. HURLEY, Dr. Raymond Neil, M.B., B.S. REDDEL, Dr. Arthur, M.B., B.S., M.S., F.R.A.C.S., F.A.C.S. AHLUWALIA, Dr. Ajit Kumar, L.S.M.F., M.B., B.S., F.R.C.S. (Ed.). BYRNES, Dr Francis, M.B., B.S. MORSON, Dr. Stuart Mackenzie, M.B., B.S., M.S., F.R.A.C.S. VANDERFIELD, Dr. Geoffrey Keith, M.B., B.S., F.R.A.C.S., F.A.C.S. O'MALLEY, Dr. David Francis, M.B., B.S., F.R.C.S., (Ed.). WALKER, Dr. Michael John, M.B., B.S., F.R.C.S., F.R.A.C.S. VANDELEUR, Dr. Terrance John, MB., B.S., F.R.A.C.S. DOUGLAS, Dr. Raymond Lindsay, M.B., B.S., D.O. (Lon.). HALL, Dr. Peter, B.Sc., M.B., B.S., M.R.C.S., L.R.C.P., D.O., M.A.C.O. MUNTZ, Dr. William McLaughlin, M.B., B.S., D.O. (Lond.), D.O. (Vienna), M.A.C.O. COREN, Mr. Alfred John, B.D.S., F.D.S.R.C.S., F.F.D.R.C.S.

MADDOX, Sir Kempson, M.D., F.R.C.P., F.R.A.C.P., F.A.C.P. (Hon.), F.A.C.C. BLISS, Dr. David William, B.Sc., B.Ch.E., M.B., B.S., F.R.A.C.P. CHOY, Dr. Daniel Hee Ling, M.B., B.S., F.R.A.C.P. HARRISON, Dr. John Reginald, M.B., Ch.B., M.R.C.P., D.T.M.&H. JEFFERY, Dr. lan Michael, M.B., B.S., M.R.C.P., M.R.A.C.P. BURGESS, Dr. John Austin, M.B., B.S., F.R.A.C.P. DESGRAND, Dr. Vincent Geoffrey, M.B., B.S. HONG, Dr. J. Chee-Seng, M.B., B.S., F.R.A.C.P. KEWLEY, Dr. Geoffrey, M.B, B.S., M.R.C.P. (Paeds.), D.C.H. ARNDT, Dr. Douglas Vernon, M.B., B.S., D.M.&S., D.T.M.&H., F.R.A.C.G.P. GASKA, Dr. Zdenko Josef, M.D., M.B., B.S. DWYER, Dr. Brian Michael, M.B., B.S. GALVIN, Dr. Bryan Thomas, M.B., B.S. HARMEY, Dr. Allan John, M.B., B.S. MINOGUE. Dr. Francis, M.B., B.S.

.,.......----------------.-- - --HONORARY MEDICAL STAFF-HONORARY DERMATOLOGISTS

DEPARTMENT OF PSYCHIATRY: HONORARY PSYCHIATRIST (Visiting)

DEPARTMENT OF ANAESTHESIA: DIRECTOR OF ANAESTHESIA HONORARY ANAESTHETISTS

HONORARY ASSOCIATE ANAESTHETISTS

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY:

HONORARY OBSTETRICIAN & GYNAECOLOGIST

HONORARY OBSTETRCIAN & GYNAECOLOGIST (Visiting)

. HONORARY ASSOCIATE OBSTETRICIAN &

GYNAECOLOGIST

HONORARY ASSOCIATE OBSTETRICIAN & GYNAECOLOGIST (Relieving)

DEPARTMENT OF PATHOLOGY: HONORARY PATHOLOGISTS

HONORARY PATHOLOGIST (Relieving) HONORARY HISTOPATHOLOGIST

DEPARTMENT OF RADIOLOGY: HONORARY RADIOLOGISTS

HONORARY CONSULTING RADIOTHERAPIST

DEPARTMENT OF DENTISTRY: HONORARY DENTAL OFFICERS

CLARKE-JONES, Dr. Robert David, M.B., B.S., D.D.M., F.A.C.D. HAVYATT, Dr. Miles Tom, E.D., M.B., B.S., D.D.M., F.R.A.C.P., F.A.C.D.

MARRABLE, Dr. Harvey, M.B., Ch.B., D.C.H., D.P.M., M.A.N.Z.P., M.R.C. Psych .

McGUINNESS, Dr'. Robert Thomas, M.B., B.S., F.F.A.R.A.C.S. SHAW, Dr. Brian John, M.B., B.S., F.F.A.R.A.C.S. TOH, Dr. Theam Chye, M.B., B.D., F.F.A.R.A.C.S. DEANER, Dr. Phillip Bedford, M.B., B.S., D. Obst. A.C.O.G., D.A. , F.R.A.C.G.P. REID, Dr lan Daer, M.B., Ch.B. (Ed.) RENI, Dr. Henry, M.B., B.S., M.D. (Berlin).

BARR, Dr. Stephen Grimwood, B.A., M.B., B.S., D.T.M.& H., D.G.O., L.M. GATT, Dr. Malcolm, M.B., B.S., M.R.C.O.G., F.A.G.O. COLLIER, Dr. Beryl, M.B., B.S., M.A.C.O.G., F.A.G:O. HYLAND, Dr. Paul Douglas, M.B., B.S., F.R.C.S. (Ed.), M.A.C.O.G., F.A.G.O. MORTON, Dr. David Charles, M.B., B.S., M.R.C.O.G., F.A.G.O.

HEWSON, Dr. Alan Donald, M.B., B.S., F.A.C.S. (Ed)., F.R.C.O.G., F.A.G.O.

HARRISON, Dr Patricia Lesley, M.B., B.S., M.R.C.S., L.R.C.P., D. Obst. R.C.O.G . MALLEY, Dr. John Douglas, M.B., Ch.B. , D. Obst. A.C.O.G. TAYLOR, Dr. Godfrey Unwin, M.B., B.S., D.D.M.

FEATHER, Dr. Robert Hartley, M.B., B.S.

HENDRY, Dr. Peter ian, M.B. , B.S., D.C.P., F.R.C.P.A., F.A.A.C.B. SCHWEITZER, Dr. Peter, M.B., Ch.B., F.R.C.P.A. HAMPSON, Dr. Roger, M.B., B.S., D.C.P., F.A.C.P.A. WHITE, Dr. Kevin Hamilton, B.A., M.B., B.S., D.C.P. (Lon.)., F.A.C.PA •

BASSETT, Dr. Duncan James, M.B., B.S., D.D.R., M.A.A.C.R. LENNON, Dr. Evan Austin, M.B.B.S., F.R.C.A., F.A.A.C.R. CORLETTE, Dr. Phillip Manning, M.B., B.S., D.M.R.T., F.C.R.A., A.C.P. & S.

HICKEY, Mr. Francis, S.O.S. PRYKE, Mr. Lloyd Douglas, S.O.S. SEARLE, Mr. Howard Thomas, B.D.S.

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1----------------r--- AFFILIATED MEDICAL OFFICERS -

AFFILIATED MEDICAL OFFICERS GOSFORD DISTRICT HOSPITAL

AFFILIATED MEDICAL OFFICERS GOSFORD DISTRICT HOSPITAL and

HONORARY GENERAL PRACTITIONERS WOY WOY HO~PITAL

AFFILIATED MEDICAL OFFICERS GOSFORD DISTRICT HOSPITAL and

HONORARY GENERAL PRACTITIONERS THE ENTRANCE - LONG JETTY HOSPITAL

BIG(31N, Dr. Alan, M.B., Ch.B. BIAKHEAD, Dr. Alan James, M.B., B.S. CLARKE, Dr. John, M.D., Ch.B. HUNTER, Dr. William Maxwell, M.B., B.S. LEWIS-DRIVER, Dr. David John, M.B., B.S. LOWNS, Dr. Peter, M.R.C.S., L.R.C.P. McCARTHY, Dr. Geoffrey Francis, M.B., B.S. SOOY, Dr. Donald Warren, B.A., L.M.S.S.A. WOOD, Dr. Douglas John, M.B., B.S.

BARRY, Dr. John, M.B., Ch.B., B.A.O. CASKA, Dr. John Pius, M.B., B.S. CHAUGULE, Dr. Sanatkumar, M.B., B.S. FREEMAN, Dr. Edward Alan, M.B., B.S. F.R.C.S. (Ed.). LOW, Dr. Kenneth Henry, M.B., Ch.B. (NZ). O'BRIEN, Dr. Francis Terrence, M.B., Ch.B., D. Obst. R.C.O.G. PASZKOWSKI, Dr. Janusz, M.B., B.S., F.R.A.C.G.P. PRADHAN, Dr. Kishore, M.B., B.S., M.S. PRADHAN. Dr. Suchita, M.B., B.S., D.A. SMITH, Dr. Stephen, M.B., B.S.

ALLPORT, Dr. William Joseph, M.B., B.S. BOWERS, Dr. Terrance, M.B., Ch.B. BRAMLEY, Dr. Robert, B.D.S., M.B.B.S., F.R.A.C.G.P. CAMUS, Dr. Lydia, M.D., D.O.G. DEACON, Dr. Ralph William, M.B., B.S. GREEN, Dr. Peter Leward, M.B., B.S. LIAUW, Dr. Timothy, M.B., B.S. LUCAS, Dr. James, M.B., B.S., D.R.C.O.G. MOHAMED, Dr. Mohamed, M.B., Ch.B., L.R.C.P. M.R.C.S., D. Obst., R.C.O.G. PRAGASAM, Dr. Edwin, M.B., B.S., M.S. ROBARDS, Dr. Graham John, M.B., B.S. SMEETH, Dr. Peter Leslie, M.B., B.S. THOMAS, Dr. Maxwell Sydney, M.B., B.S. WALSH, Dr. Desmond, M.B., B.S. -WHEREAT, Dr. Suzanne Joy, M.B., B.S. WHITEMAN, Dr. Jan Arthur, M.B., B.S.

.------------------..----------- SENIOR STAFF -ADMINISTRATIVE:

Assistant Secretary, Gosford District Hospital Assistant Secretary, Community Health Services

Project Manager Accountant

Chief Clerk, Gosford District Hospital Assistant Secretary, Woy Woy Hospital

Assistant Secretary, The Entrance-Long Jetty Hospital Assistant Secretary, Wyoming Hospital

Departmental:

MEDICAL:

Engineer Catering Officer

Linen Services Manager Staff Supervisor (Domestic)

Supervisor of Voluntary Services

Assistant Medical Superintendent Admitting Officer

Casualty Registrar Registrars & Resident Medical Officers

On secondment:

MR. K. CUBIS, L.H.A. MR. D. BRIGGS, B.H.A., L.H.A. MR. G. E. MOORE. MR. P. COWDERY. MR. K. McDONALD. MR. G. HYDE, M.N.A.A., A.F.A.I.M., L.T.I.A. MR J. VERHAGEN, A.A.S.A., A.C.I.S.A. MR. R. BROWN, A.A.S.A.

MR. R. BROWN, M.I.A.M.E. MRS. K. GUTHRIE, A.A.H.C.A., M.C.FA. MR. L. McMULLEN, D.L.A., H.L.M.A.A. MRS. M. PARNELL. MRS. T. ARKINS.

Dr. K. J. McCREDIE, M.S., B.S., D.T.M. & H., F.R.A.C.G.P. (to 9/1 /76). Dr. D. J. TIBBETTS, M.S., B.S. Dr. P. KOH, M.S., B.S., F.R.C.S. (Ed.). Dr. T. L. ARUNACHALAM, M.S., B.S. Dr. D. BLACK, M.B., B.S. Dr. T. BOWERS, M.S., B.S. Dr. D. BULLEN, M.S., B.S. Dr. B. EARP, M.B., B.S. Dr. A. KACZYNSKA, M.S., B.S. Dr. K. J. MACKLEY, M.S., B.S., M.R.A.C.R. Dr. M. D. McCALLUM, M.S., B.S. Dr. L. McKAY, M.S., B.S. Dr. J. McKEON, M.S., B.S., B.A., Dip. Ed. Dr. L. OLSSON, M.S., B.S. Dr. R. M. PASUPULETI, M.S., B.S. Dr. S. PRADHAN, M.S., B.S. Dr. H. RASMUSSEN, M.S., B.S. Dr. J. SANDANAM, M.B., B.S., E.C.F.M.G. Dr. R. SPINKS, M.B., B.S Dr. U. THAKUR, M.B., B.S. Dr. L. TAMHANE, M.S., B.S.

55 Resident Medical Officers and Interns from Royai North Shore Hospital. 3 Registrars from Royal Alexandra Hospital for Children.

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.------- -----------------.------------ SENIOR STAFF-Departmental:

NURSING:

Chief Medical Technologist Chief Radiographer

Chief Pharmacist Chief Physiotherapist

Chief Occupational Therapist Chief Social Worker

Medical Records Librarian Dietitian

Cardiopulmonary Central Sterile Service

Deputy Director of Nursing Assistant Director of Nursing

Principal Nurse Educator Sub-Matron, Woy Woy Hospital

Sub-Matron, The Entrance-Long Jetty Hospital Sub-Matron, Wyoming 1-lospital

Supervisors :

Charge Sisters:

Night Duty Evening Duty

Operating Theatres Obstetrics

Casually

Orthopaedic Ward Blood Bank

Female Surgical Female Medical

Male Surgical Male Medical Chest Clinic

MR. K. SWALES, A.A.I.M.T., D.N.T., F.A.C.B.S. MR. B. LE BRETON, M.S.R., A.R.M.I.T. MISS M. BIGGS, Ph.C., M.P.S., M.S.H.P.A. MRS. J. HOLT, M.C.S.P. MISS H. CAMERON, D.O.T. MR. C. PALMER, D.S.S. MRS. B. LYNCH, M.R.L. MRS. B. WINSTON, B.Sc., A.D.A. MRS. G. HILL, B.Sc. MR. F. BRYANT, M.Ch.S., M.A.O.T.T.

MISS B. HARRISON, D.N.A., C.O.T.M., F.C.N. (NSW). MISS R. COURT, D.N.A., C.O.T.M., F.C.N. (NSW). MISS R. CARTER-BROWN, D.N.A., D.N.E., F.C.N. (NSW). MISS S. DAY, D.N.A., M.C.N. (NSW). MISS P. ROGERS, C.W.M., F.C.N. (NSW). MISS F. C. BROWNLEE.

MRS A. ELLER. MRS. H. FERGUSON. MISS N. GALLAGHER, C.O.T.M., M.C.N. (NSW). MISS H. HOLDEN. MRS. M. BROWNE, C.W.M., M.C.N. (NSW).

MISS P. O'REGAN, C.W.M., M.C.N . (NSW). MRS. V. CONVY. MISS R. FRASER. MISS M. WAUGH. MISS T. VAN DER SCHOOR MRS. B .COOPER. MISS D. THOMPSON.

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R11porl

Ladies and gentlemen,

On behalf of the Board of Directors and Staff, I have much pleasure in presenting the 32nd Annual Report of the Gosford District Hospital.

We have again had a very busy year, with the usual heavy strain on staff and re­sources, but there are a number of bright signs and it now seems certain that in a few years the Central Coast will have a comprehensive health care system.

The Board

There have been no changes in the composition of the Board during the last twelve months. All members of the Board have contributed a great deal to the hospital and have given much of their time and talents. At a time when so much is under challenge, I be­lieve that the Board has shown the real value of the involvement of the community in the provision of health services.

Staff

At the end of 1975, Dr. E. A. Freeman resigned from his position as Medical Superin­tendent to return to private practice. We thank him most sincerely for his very real con­tribution to the development of the health care services of the Central Coast and wish him every success and happiness in the future.

Dr. R. J. Kennedy took up the position of Medical Superintendent on 8th December, 1975, and we welcome him to the hospital. It is by no means an easy time (sometimes I wonder if it will ever be otherwise) but shortages of skilled personnel and money an ever growing demand for the provision of services and such minor matters as "Medibank" can hardly make a recipe for an easy time. for a Medical Superintendent. Dr. Kennedy has proved to us all how very fortunate we are to have him as our Medical Superintendent.

The Board is pleased to support the increasing involvement of a great many of the staff in the formulation and development of health care services generally. Many of the staff not only attend conferences and seminars, but also take an active part in their organ­isation and in making significant contributions. This is indeed important, and our hospital has proved on many occasions how much its staff can contribute to overall progress in the health field. It is easy to sit back and allow others to take on the extra load, but this is not an attitude that prevails in this hosptal.

Appreciation

Over the past year, we have received assistance from many quarters.

Our thanks go to the Minister for Health, the Hon. K. J. Stewart, M.L.A. and to the previous Minister, Mr. R. 0. Healey, M.L.A. and also to the local Members of Parliament, Federal and State. It is gratifying that they are aware of the difficulties faced by the hospital and have done their very best to assist us whenever possible.

We especially thank the Regional Director, Dr. J. S. Lawson, and his Deputy, Mr. R. Beer, who have worked very hard and given much assistance towards the establishment of a comprehensive and integrated health care system for the Central Coast.

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Our special thanks go to the honorary medical staff who have again made a tremendous contribution to the hospital.

We also thank the members of the Brisbane Water District Ambu­lance, the Clergy, the Police, the press and radio and the Shire Council.

To our voluntary organisations - and it is wonderful how many members of the community are involved - auxiliaries, District Nursing auxiliaries, Pink Ladies, kiosk workers, blood donors, Meals on Wheels and to our many donors - individuals, service clubs, sporting and other clubs and many more - we once more say a profound and heartfelt "Thank you". Perhaps they do not always realise how important their help is - not only because of the very significant results it produces in practical terms, but alsq because "self help" is a vital prerequisite to Government assistance, and more importantly still, because their in­volvement in our work preserves and consolidates the hospital as a community function involving each and every one of us. I make special mention and give our congratulations to The-Entrance -Long Jetty aux­iliary for winning the United Hospitals Association honour bell for 1975/ 76- awarded to the auxiliary which raises the most funds per occupied bed. •

I also make special mention of Sister Convy for her wonderful work in producing the hospital's monthly magazine "The Grapevine" an important contribution to the team spirit within the hpspital.

On a personal note I wish to thank the other members of the Board, and particuta1ly t11e Vice-Chairman, Mrs. Westerweller and the Treasurer Mr. Byrnes, and also our Chief Executive Officer, Mr. Boyce, the Medical Superintendent, Dr. Kennedy and 1he Director of Nursing, Miss Lowndes, for their untiring efforts lor the hospital and for their patience and asslst­am;e to me during the year. It Is a privilege to have a pari to play in such a team. To my wife, Margaret, I also express my thanks for her support and assi~tance.

General

Progress in facilities has again been pleasing in the last year. The extensions to the Nurses' Home and the Nurses' Education Centre have been completed, the Health Services Building has been opened and the new ward block - to provide an extra fifty beds - will shortly be ready for occupation. Much else has been done, much is under way and the futura holds significant prospects.

An Annual Report must surely be an opportunity to look into the future. So much is happening lo change our attitudes, that it is often dangerous to make predictions, but there are some predictions which can be safely made.

Firstly, there is no doubt that costs will continue to increase and there is a danger that health services will price themselves out of exist­ence. In 1964/65 New South Wales paid $24.00 per capita for hospital services - in 1975 this had risen to $111. It is essential that full value be obtained for each dollar.

Secondly, the significant increase in the proportion of the aged members of the community will mean an additional strain on health re­sources. This increase is already taking place and will accelerate greatly in the next 30 years.

Thirdly, health services must be comprehensive, to avoid as far as possible using the most expensive rescources of all, namely hospital beds, and health services must also be integrated, to avoid duplication and waste. Every effort possible is going to be needed in these direc­tions.

Fourthly, harmony and co-operation are the only ways to avoid the disquieting friction which has developed over recent years and which shows no sign of abating. Job satisfaction and the welfare of the patient can only suffer if harmony and co-operation are missing, or in any way impaired.

Fifthly, full utilisation of staff and services must be achieved.

Finally, there is no doubt that the Central Coast is an area to be considered as a whole and the development must take place on this basis. This is the view of the Board of Directors and we believe we have the support of the Regional Office, the Health Commission and the Government.

Conclusion

A critical look at the hospital and health services position on the Central Coast gives us much to feel pleased about and a good deal to be concerned about. The team spirit and co-operation which is most evident gives us all reason to approach the future with much confidence and I am sure that we have nothing to fear if we all approach our respective tasks with careful thought, consideration, patience and above all, with the welfare of the patient paramount. This hospital, and all work within it, have all these qualities in abundance.

R. S. Newton, CHAIRMAN, BOARD OF DIRECTORS.

K!eporf

The development of Gosford District Hospital and its subsidiaries over the past years has produced a unique form of managemen t, where the Gosford District Hospital is looked upon as the acute hospital for the Central Coast and the community, or subsidiary, hos­pitals provide non-acute patient care In a location which is convenient to the patient's home situation.

The four hospitals are managed as the one entity, so the patient can be treated In the most appropriate situation within the hospllat complex. With this system, a better utltlsat ion of the limited funds avail able Is possible, as the daily bed cost for keeping a pati ent In a subsidiary hospital is only half the cost of keeping the patient in Goslord District Hospital, where it is possible to provide sophisticated services which are necessary In an acute hospital situation.

Linked into the system of management are the extremely important back-up services provided by the Community Health Programme. These services make possible a shorter bed stay for patients in the acute hospital and also in subsidiary hospitals.

The future concept of an Area Health Board, with all health services on the Central Coast administered by the one Board, will further increase the efficiency of patient care and will enable further cost reductions to be made.

In the situation where there is the one Board for the four hospitals in the area, there is no competition for, or duplication of, services. There is easy aCCAS~ for the transfer of patients to the most appropriate situation within the hospital complex - whether it be to the subsidiary hospital or linked into the community heal!h programme - and this allows for a more effective integration of services, and allows lor a better staged health care programme.

The escalation of costs cannot continue at the rate of the past few years, and it is our responsibility to provide the best health care service to the residents of the C.entral Coast by fully utilising the services at the lowest feasible cost.

Building and Planning

The past year has been one of expansion and development and the continued accel­eration in the planning and building programme has necessitated the formation of a Project and Planning Department.

The year has been characterised by the construction of new facilities, extensions and remodelling of existing areas. There have been times when the resultant dust, noise and general upheaval have caused great Inconvenience to patients and staff, and I would like to express my appreciation lor the forbearance which was shown during this difficult period.

Extensions to the Nurses' Home and Nurse Education Centre were completed in March 1976, at a cost of $699,054. The previous shortage of live-in accommodation was relieved by the additional 36 bedrooms provided, while extensions to the Nurse Education Centre will give interim breathing space to this department. Considerable work has been carried out in landscaping the grounds in this area.

The new 3-storey block adjoining the existing hospital is due for completion before the end of 1976, at a cost of $2,059,459. The block includes a Children's Ward, General Ward, X-ray Department, Casualty, Pharmacy, Outpatient Clinics and staff cafeteria/dining room.

...

Planning for the new 400 bed hospital, to be constructed to the South of the existinq hospital in the area bounded by Holden. Ward. Cape and Beane Streets, has reached working drawings for Stage 1 of the development. It is anticipated that the drawings and documentation will be completed by the end of 1976, when approval will be sought to go to tender. Stage 1 will consist of a new Accident and Emergency Department, Operating Theatres and four 30-bed surgical wards. This will not only relieve the heavy demand for surgical beds, but will allow the surgical beds in the existing hospital to be made available for medical patients.

The proposed hospital at Kanwal will be part of a staged programme for the overall development of hospital and health services for thP Central Coast. Planning for Kanwal Hospital has now proceeded to sketch plan stage.

The installation of the new boiler was completed in April 1976. The commissioning of this boiler has enabled services to be provided to projects under construction. The total cost of the project was $132,115.

The Health Services Building was completed in June 1976, to be brought into operation over the last few months. Services included in the building are dental, child health, audiometry, speech therapy, health education, geriatric rehabilitation and community hea1th administration. The total cost of the project was $1,430,000.

Community Health Services The amalgamation of community health and hosflital services is

intended to provide a comprehensive and appropriate system of care, wherever the need is found.

The provision of the Health Services Centre on the hospital site at Gosford has expedited the integration of the two systems of health care -hospital and community - and it functions as headquarters for the supervision, co-ordination and delivery of community health services throughout the Central Coast .

The development of community health on the Central Coast has been mainly in the areas of Child Health, Geriatrics and Rehabilitation, Mental Health and Community Nursing. The actual services are generally pro­vided within the people's homes or in one of the community centres which are decentralised throughout Woy Woy, Terrigal, The Entrance, Toukley, Wyong and Mangrove Mountain, and they provide a support programme for the local general practitioners.

The Health Commission of N.S.W. has recognised the feasibility of integrating the two services, by extending the position of Chief Executive Officer of the hospital to include the position of Area Health Executive Officer.

Regional Medical Services The Health Commission of N.S.W. is investigating the feasibility of

implementing Regional Medical Services for specific disciplines, particu­larly those where the number of Specialists in that field are very limited

in the Northern Metropolitan Region. This Hospital has been asked to provide representation on Working Committees, to consider rationalising the resources available into a co-ordinated and integrated Service.

Care of the Aged The Hospital continues to be concerned at the plight of the elderly.

Ongoing negotiations have been continued with the Health Commission and other Government bodies in an effort to provide accommodation by way of public nursing homes and hostels, but the situation has become progressively more critical.

The position on the Central Coast is intensified because of the high ratio of elderly residents in the area, which is approximately twice the ratio of the N.S.W. average.

The Community Nursing Service and the District Nursing Service have amalgamated, and some 90,000 domiciliary visits have been carried out during the past year, in a valuable contribution to the care of the aged. Previously the emphasis was on treatment, but this has now changed to a service which includes prevention of illness.

Staffing Gosford District Hospital, with its three subsidiaries has a staff

of 940 and is one of the major employers of staff on the Central Coast. In addition to employment of staff, the Hospital also plays a signifi­

cant part in education and training programmes. There is an excellent tutor school for general nursing students and nursing aides, with in­service programmes for trained nursing staff from the hospital and com­munity health. On-going training is provided within many departments of the hospital and a considerable number of staff members have par­ticipated in Staff Development Courses conducted by the Health Com­mission of N.S.W., whilst medical, para-medical and nursing staff have undertaken post-graduate courses.

Members of the Hospital staff have promoted career opportunities by giving talks to school groups in the area and by participating in a local Careers Market Day, thus providing for young people in the area specific up-to-date information on careers available within a hospital situation.

Gosford District Hospital, with its subsidiaries, is fortunate in having on the staff so many people who are not only well-qualified in their professions or trades, but who are keenly interested in the welfare of the hospital and its patients. The motivation and dedication which con­tinues to be shown is most encouraging.

Credit Union The Gosford District Hospital Staff Credit Union has provided an

excellent service during its 8 years of operation. At the close of the financial year membership was 674 - over 70% of hospital staff, which is a solid indication of the value and effectiveness of the services it provides.

Statistics The total number of inpatients admllted to Gosford District Hospital

and Its three subsidiaries during the past year was 18,541 , an ir1crease of 1000 on lhe previous year. The A.D.A. rose rrom 301.8 in 197'1·5 to 321.3 In 1975-6. The drop in Bed Occupancy rate from 4.4 to 4.0 is nn Indication of the critical shortage of acute beds on the Contra! Coast as we continue to have one of the lowest bed occupancy rates In the State at Gosford District Hospital.

Outpatient attendances rose to 152,720, an increase of over 18,000 on the previous year, Blood Bank attendances rose to 4,823 and Clinic attendances were 5,904.

Appreciation

I wish to thank the Regional Director, Dr. J. S. Lawson and the Deputy Director, Mr. A. Beer, for the co-operation and assistance which they have extended to me during the year under review.

To the members of my Board, I wish to record sincere appreciation for the unUrlng service they have given to the Hospital. They have given generously of their time, not only by attending meetings but also at many hospital functions and during regular inspect! n visit~ to Gas­ford District Hospital and Its subsidiaries. My personal thanks goes to the Chairman of the Board , Mr. A. S. Newto11, for h1s interest und guid­ance, which have been invaluable to me.

I would like to record my appreciation to Dr. Freeman for his service to the. hospital during his term as Medical Superintendent, and partic­ularly 111 respect of his implementation of the system whereby resident medical officers are attached to lhis hospital, on secondment from Royal North Shore Hospital.

In these times of changing trends In medicine and heallh care delivery, tearnwork Is a fundamental requ irement for the effect ive ad­ministration of a hospital and I acknowledge, and deeply appreciate, the co-operation and courtesy which I have received from Dr. A. J. Kennedy Medical Superintendant and Miss M. Lownde&, Director of Nursing. 1~ addition to their responsibility for the maintenance of the quality of patient care, both Dr. Kennedy and Miss Lowndes have made a most valuable conlribullon to the administration of lhe hospital and to future planning.

Departmental heads, and members of their staff, have maintained a high degree of efficiency, even when working under pressure, and to them I extend my grateful thanks.

My thanks go to my Administrative staff, for meeting the consis­tently high standard required of them, and tor their loyal support.

N. A. Boyce, CHIEF EXECUTIVE OFFICER.

,.

,.

The newly completed Health Services Building

The past year has proved to be both challenging and interesting with progress taking place in the face of constraints by such factors as finance, medical staff deficits and medico/political negotiations.

I am deeply indebted to the previous Medical Superintendent, Dr. E. A. Freeman, who not only provided me with a most comprehensive orientation, but also left the hospital with a legacy of a broad-minded approach to health care and a sound organisation structure with which to face these times of change.

It is pleasing to be able to report that the hospital maintains the tradition of viewing patients as people and not simply as clinical entities. This is a feature of our hospit<JI which is reflected in the attitudes and behaviour of the staff at all levels, and is one which requires conscious effort to maintain , particularly as the "personality" of a hospital tends to become colder with increasing size and workload. It is reflected also in the manner in which planning is considered in the light of community needs and wants.

Honorary Medical Officers

The strong ties traditionally developed between hospital and Honorary Medical Staff have again proved equal to the task of providing progressive and high q'uality medical care .

Increasing emphasis is being piaced on the training of resident medical staff, and the efforts of honoraries in this regard is much appreciated, particularly in the light of expand­ed accreditation and increases to establishment . It is heartening· also that differing ex­pectations continue to be resolved in the best interests of the hospital.

Resident Medical Staff

Gosford District Hospital is becoming more popular as a training institution for resident medical staff and offers a wide and copious range of raw clinic al materi al. Many residents now seek second appointments and our reputation ensures th at no difficulty is experienced in obtaining interns. Accreditation for F.A.G.O. and for the Family Medicine Programme has enhanced both number and qualty of appli cations for these positions. Negotiati ons with our affiliated teaching hospitals and the Health Commission hold great promise [or improved resident cover during the corning year. While interns continue to pe seconded from teaching hospitals, all resident staff wll be appointed by the Gosford District Hospital. Additional staff will be appointed in the light of extensions to the hospital, and agreement has been reached on introducing an anaesthetic registrar on secondment, as well as im­proving continuity by extending the tenure of other registrars.

Casualty Department

Major extensions to Casually Department, current ly nearing completion, are sorely needed as indicated by the steadily increasing workload of both an emergency and general practitioner nature. Our gratitude is due to the staff of Casualty, both medical and nur!:lng, who have previously often worked extremely long hours In atlendlng ·the 56,000 patients seen during the last 12 months. This workload had been undertaken under the most trying and emotionally demanding circumstances.

' I

Dietary Department

In February 1976, Dietary was estab lished as a separate department, comprising a dietitian, two diet supervisors and four diet aides. These changes have enabled the department to provide more attention to patfents' Individual diet needs and the close supervision of special diets. The number· of outpatients being referred for diet counselling has In­creased by 55% during the last six months. Outpatients clinics are con­ducted at Woy Woy and Long Jetty hospitals In addlllon to those at Gas­ford District Hospital. Plans are presently being formulated to expand nutrition education services, particularly In the areas of weight reduction and the diabetic programme.

Social Work Department

Although staffing of this department has Increased, demands are not yet being fully met. Although the department deals, theoretically, only with hospital referrals, a large amount of the current workload emanates directly from the community. Effort Is being expended in establishing greater co-ordination with Community Health Service~. and developments currenlly under consideration Include involvemenl In a Coronary Care Rehabilitation programme. The service at Woy Woy has been upgraded by appointment of a full-time Welfare Officer.

In-service training of starr is an Integral function of the department and currently courses are being undertaken in mal')agement, welfare officer training, marriage guidance and family planning.

Medical Records Department

The biggest single advance for the department has been the acquisi­tion of a second medical record librarian to the full-time staff. In ad­dition, part-time staff has been Increased and, with staggered rosters for the full-time staff, the department functions from 7 a.m. - 9 p.m. seven days a week.

There has been a much Increased demand for statistics from both the hqspltal staff and the Health Commission and, In addition, a variety of surveys have been carried out for different purposes.

Improved patient care has resulted, In that community and hospital records are no longer entirely separate and Inaccessible.

Central Sterile Service Department

While staffing of this department has remained statio, some indica­tion of the workload is evidenced by the fact that sterile pack production currently averages 15,000 per week. For the previous year production ran at 9,036 packs per week.

Pysiotherapy Department

This department has enjoyed a full staff establishment during the past year and now provides services to the three subsidiary hospitals.

A two-day per week service to the Long Jetty Hospital was com­menced in mid 1976 and provides mainly inpatient facilities, but also an increasingly popular outpatient service.

The Cystic Fibrosis Clinic, scheduled for September 1976, to be conducted monthly at Gosford District Hospital, is also to be serviced by this department.

Department head, Mrs. J. Holt, attended an Instructional techniques course run by the Start Development Division of the Health Commission at North Ryde, and was also awarded a Health Commission Scholarship to attend an eight week Post-graduate Intensive Respiratory Physio­therapy Course conducted by the Australian Physiotherapy Association.

Blood Bank

A blood collection centre was opened at Long Jetty Hospital on 15th December, 1975 and is open two evenings per week.

Staff of this department has increased by one part-time nursing sister and a part-time nurse-aide.

A Government grant has enabled the purchase of new equipment for the fracHonation of blood and this is presently being installed. When this Is operational, the Central Coast will be much more self-suf­ficient as regards supply of blood components for the Increasingly tech­nical medical demands.

fli. total of 4,823 donations of blood were made by 2,581 donors during the year.

Pathology Department

Despite a post Medlbank falllng-olf of outpatient attendances, this department continues to show a steady Increase In services provided. Staff has been Increased by two trainees and one quallfied technologist. Improved laboratory cover for the hospital has been provided by a re­vised roster system, whereby the department Is maintained six days per week with an on-call roster operating after hours and on Sundays.

Two senior personnel attended seminar workshops and management courses during the year and six trainee technicians attended lectures twice weekly in Sydney during the semester year.

Proposals are currently In hand to increase establishment, particu­larly with a view to improving bio-chemistry services.

Pharmacy Department

All staff have been attending "Continuing Educational Lectures" with Northern Metropolitan Hospital Pharmacists in Sydney at night and specialists have been invited to give short talks in the pharmacy during the day.

The Glaxo Research Project Award for N.S.W. was presented to Miss Biggs at the Academy of Science, Canberra, early in the year.

An imprest system of ward order and supply, now throughout Gas­ford District Hospital and subsidiaries, is working well.

With the addition of Mr. Bruce Swain to the staff, considerable progress has been made in ward pharmacy procedures. Mr. Swain is currently doing his Fellowship in Hospital Pharmacy.

The daily pharmacist visits to the wards to check doses, interactions, adverse reactions, legibility, restrictions, etc. have been extended to include a clinical round with a physician when possible. ·

Pharmacology lectures to nurses have increased and it is hoped that these may be varied to include ward-orientated lectures.

The Cardiopulmonary Department

The Cardiopulmonary Department has continued to make progress. A new lour-times-weekly service has been established at Wqy Woy Hos­pital for both inpatients and outpatients clinic. The inpallont service to Wyoming Hospital Is now run daily. Long Jetty Hospital is serviced on request.

The department has been able to start a much needed extended hours service to cover pre-operative assessments on late admissions.

The 24 hour 'on-call' system continues to operate, with much in­creased use of blood gas analysis. This expansion has been made pos­sible by an increase in staff.

There has been a 25% increase in the number of electrocardio­graphs taken and a 42% increase in lung function tests.

The biggest increase has been in blood gas analysis which rse by 152%. This increase was possible only by the acquisition of a new semi-automatic analyser in August, 1975.

The department can now handle inspired and expired gases, and packed-cell values, since the purcllase of a micro haematocrit centri­fuge.

It is hoped shortly to purchase a potassium machine for emergency reading, combined with the blood gas analysis.

The department participates in performing lung function te.sts in the Cystic Fibrosis Clinic.

The second member of the staff to take the Associateship's Course in Cardiopulmonary technology was successful, and a third member of staff hopes to commence the course in 1977.

Occupational Therapy Department The Occupational Therapy Department is now in operation at the

Woy Woy Rehabilitation unit and l1as been staffed since May 1976 with a full time therapist and one technical assistant.

Equipment and supplies for the department have been up-dated and plans are proceedings to subsequently provide a retraining kitchen. During May 1976, the technical assistant attended a course, in retraining techniques for the elderly, at the William Lyne Retraining unit at New­castle.

Radiology Department Radiology staff have been coping. with steadily increasing work-load

in a most elementary and overcrowded department. However, a new Radiology Department is nearing completion and it is hoped it will be­come functional in December, 1976.

An exciting range of new equipment is to be provided to increase the scope of activities of this department.

A new staggered rostering system has recently been introduced in order to provide better continuity and extent of cover, particularly for the high pressure areas such as Casualty and Intensive Care.

Submission has already been made to the Health Commission for the provision of additional staff. Should this be approved it will be pos­sible to provide a much more effective after-hours radiology service.

Proposals are in hand to train radiologists in ultra-sonics and in­struction in E.M.I. scanner techniques is available at Royal Prince Alfred Hospital for interested radiographers.

Conclusion All the indications are present for continued acceleration of facilities

and services during the coming year, and I would like to thank the Board of Directors, the Chief Executive Officer, the Director of Nursing, and their respective staffs for their co-operative assistance and support dur­ing the past year.

R. J. Kennedy MEDICAL SUPERINTENDENT

On reflecting upon the events of the past financial year, the focus must still fall on the activities wh ich have had to revolve around our building projects. Still we have the noise, dirt and disruption; however, we have felt the benefit of the completion of the extensionS to the Education Centre, and look forward to occupation of the other areas before December, 1976.

Patients have been nursed as inpatients and treated as out-patients at Gosford, under quite difficu lt conditions at times, but I have not heard one person complain unduly. Staff have also had to continually adjust to walls being kn o~ed down and temporary partitions being erected, as well as relocating stock and equipment as tradesmen were required to work in different areas.

I would like to commend both patients and staff for their extreme tolerance and under­standing during this period of construction and renovation.

Staff Establishment

This stands at 179.1 Registered Nurses and 254 Untrained Staff (staff undertaking Nursing Educational Programmes).

At 30th June, 1976 our total nursing staff, Including part-time employees, numbered 427.

Like many other hospitals, we felt most acutely the effects of winter ills, and had as many as 33 nursing staff off duty at one time.

Our recruitment of staff is consistently at a satisfactory level, and we manage to main­tain our establishment at most times.

We have continued to visit the high schools in our two Shires, and addressed groups of students. Sster Sue McWilliam, who has been in charge of the Student Recruitment Programme, has also organised many hospital visits by groups of school children of all ages. Our annual Open Day, when parents and prospective students visit in two sessions, was again a success with almost one hundred visitors taking part.

Community Nursing

We are pleased with the prqgressive effectiveness of our 28 General Community Nurses. The amalgamation of the Community Health Nurses with the Gosford District Hospital Nurses has proved to be a wise move, and we now have a well-organised network of nursing care available throughout both Shires. These nurses work in defined demo­graphic areas, in close association with the General Practitioners, and provide the basis of a primary health care team for the residents In the particular area.

The nurses have been enthusiastic, energetic and in many cases, extremely innova­tive in initiating self-care health and welfare supportive programmes where there has been an obvious need.

I highly commend our Community Nurse Co-ordinator, Sister Jane Roberts, for her commitment to the success of the scheme, and her efficiEl_[lCY in organisation and co­ordination with other health and welfare personnel, both within_ the Hospital system and the Community Health field.

rtl

We have attempted to p1omote nurs1ng on the Ccntrnl Coast as an lnte­gratecl continuum or care. It would appear we hove achieved some success In thi s concept, <Js we have enqendored the Interest of health authorities and staff tn othe t Regions and educational Institutions. This has resulted in an Increasing nurnber of vlslts by nurses and other health profess ion als who wi sh to observe, and learn more or, our organ isation and methods.

I consider this hospital should be proud of the fact that Sister Roberts was elected the President of the New South Wales Division of the Australian Council of Community Nursing.

Central Coast Nursing Advisory Committee This Committee was established In Sept mber 1975 wit11 the con­

currence of the Regional Director (Northern Metropolitan Region) to olve the hUt ses working In the Central Coast D voice In forming nursing pol­Icies relative to the parllcular needs or the profession In this area, and !o creole better understanding of each ot t1er's role, both within institu­ti ons nnd the community. It also creates a lo1um lor relaying l lealth Commission and nursing organisation polic ies nnd acllvltles throllghout the nursing profession in our area. •

Through our Area Executive Officer, Mr. N. Boyce, we act as an advisory body on nursing matters to ttle Regional Director and the Regional Nursing Officer.

It is a small but widely representative Committee which. is consolidat­ing its structure and function, and meeting its objectives. I have· the honour of being the Chairman of this Committee.

Team Nursing In April this year the nu1sing starr introduced Into the wards at

Gosford a paUern of pallont assignment team nu rsing Some of the senior staff had been studying and observing this method of nursing for some time, and we were convinced that the philosophy of total pAtient care and careful planning of !he individual needs of patien ts was most necessary. Our objectives were:

a)

b)

Improved pallenl care-by believing sincerely In the rlgltls or the Individual, and the retention of human dignity, we hope to per sonalise a system of care which has tended to become depersonalised and de­tached, In the wake of ultm specialisation and fragmentation of the Individual into symptoms, rather than a person with par· ticular needs.

Improved professional job satisfactton or nursing staff-by altocalmg a defined number of patients In each ward to a small group (2-3) nu1ses, who plan, lmplomcnl anrl evAluate nt.trsing care or 'lhelr' patients, we have overcome, to a great extent, the boredom and frust1 all on experienced by nurses in the job assgnment or task-oriented pattern Of nursing.

We believe we have succeeded with out team nursing in Gosford; now we are planning to introduce the same pattern into all our wards in each of the subsidiary hospitals, commencing with Wyoming Hospital.

A tremendous amount of planning, education and re-evaluation has gone into introducing this pattern of team nursing, and I congratu late and highly commend Sister Roberta Carter-Brown and her starr, and the Ward Charge Sisters, for their enthusiasm and commitment to this phi losophy of professional nursing.

Proposed Midwifery Nurse Educational Programme

Negotiations are progressing with the N.S.W. Nurses' Registration Board for the establishment of a Midwifery Training School at this hos­pital.

Our plans and proposals were viewed quite favourably, and we look forward to a decision before the end of 1976.

Renovations are almost completed within the present "A" ward area for our new delivery suite, comprising four delivery rooms, induction and labour rooms and slightly improved neonatal nursery facilities.

Despite l11e fac1 that many of the major Obstetric Hospitals are closing obstetric units for tack of cases, we are ma'intalning our birth rate on the Central Coast. Our need for an increasing number of midwives Is obvious. Less nurses are undertaking obstetric nursing, as more fields of speciallsalion are now availab le. This has been proven by the num­ber of · nqulries we have rece ived from nurses, many of whom are resident in this area, who are desirous of doing this course. We are convinced that there is wisdom In ensuring our own future requirements for good midwifery nurses.

In our endeavours, we are particularly encouraged by the interest and assured support shown by our Obstetric Medical Officers.

Nurse Graduation

This event, held In December, in the Gosford Technical College Auditorium, ngaln proved to be the highlight of our nursing year. It is always well attended by families and friends of the graduates, and in­creasingly more of our interested citizens.

Successful students within this year totalled : 19 General Nurses. 19 Nurse Aides.

General Nursing Course Graduates ARNOLD, Valerie. MciNTYRE, Merry! (Credit). BARNETT, Janet. PARAOREEN, Kathleen. BRADBURY. Susan (Credit). (High Distinction). DOWN ING, Ann. PAYNE, Prlcllla. FREWIN, Charmaine (Credit). RUGLESS, (DUGGAN), Lynne. GAINEY, Narel ie. SEWELL, Lynel1e. GILL, Elaine. SHAILER (McADAM), Lynne. HALE, Deborah. STEPHENSON, Karyn (Distinction). HALL, Wendy (Credit). WALKER, Lois. MARSAY, (BENNETT), Belinda. WALLACE, Trevor.

Nurse Aide Graduates BROWNE, Marrin (Credit). BROWNING, Erica. BYRNE, Judith. EGG, Helen. EVANS, Jennifer. FEWTRELL, Colleen (Credit). HARVEY, Kerry (Credit). HEATON, Heather (Credit). HOLLAND, Faye (Credit). MOLYNEUX, Janet (Credit).

General Nursing Prizes J. F. Parr Memorial Prize-

NAYLOR, Julie. PASSMORE, Susan. PAYNE, Sandra (Distinction). PHILLIPS, Roberta. PINKSTONE, Kerry Anne. RIDGE, Vicki (Credit). SAUNDERS, Judith (Credit). SENIOR, Susan. ' WHITE, Delece.

"Best Nurse of the Year" - J. Campbell. Sister Doris Pearce Memorial Prize -

"Outstanding Junior Nurse" - T. Legg. Wyong Business & Professional Women's Club Prize-

"Most Improved Nurse" - N. Gainey. Third Year- Nr. K. Stephenson 1st; Nr. M. Mcintyre 2nd. Second Year: Nr. K. Paragreen 1st; Nr. M. Howard 2nd. First Year: Nr. J. Hughes-Ford 1st; Nr. P. Hevener-Field 2nd.

Nurse Aide Prizes Nr. W. Duncombe, Highest Mark. Nr. L. Dawson, Outstanding General Performance.

Continuing Nurse Education In-service education programmes for staff in all areas are conducted

throughout the year. These are well prepared by our Education Centre staff, and well supported by other staff - many of whom actually lecture in their own special area of nursing.

Staff are encouraged to participate in conferences and seminars of particular interest to them personally, and of benefit to the hospital and the profession, and the Nurse Education Fund enabl~s . us to f.inance some of these which may not qualify for Health CommiSSion subs1dy.

Post Basic Course Some of these external courses are recognised by the Nurses' Reg­

istration Board, and attract extra salary allowance. Others are under­taken solely for the purpose of expanding knowledge and improving nurs­ing skills in various specialities.

Courses undertaken by Nursing Staff in this year-

College of Nursing Courses "Legal Responsibilities In Relation to Nursing" "An Infection Control Programme" "Pharmacology for Nurses"

Sr. N. Gallagher Sr. N. Gallagher

Sr. J. Ashbury

t-tealth Commission/Staff Development Courses Coronary Care Course: Sr. N. Chandler.

First Line Management Course (8 Months Combined Residential/Cor­respondence Course): Sr. T. Van der Schoor, Sr. M. Derbyshire, Sr. F. Ford, Sr. H. Holden, Sr. D. Hewitt (Community Nurse).

Instructional Techniques Course: Sr. N. Saywell, Sr. B. Gavenlock.

Post Graduate Course Cumberland College of Health Sciences, School of Nursing, Diploma

Nursing Administration: Sr. R. Carter-Brown.

Once again, I would like to thank all the voluntary workers for our hospitals, all the members of our auxiliaries and, In particular, Mrs. Arkins and the Pink Ladles. They seem to be continually coming up with new ways of being extremely helpful, In a most gracious and en­thusiastic manner. We know the patients ate most appreciative of the many kindnesses shown them.

We again record appreciation to stall of all other departments for their co-operation In promoting harmonious working re lationships in our common objective - the care of our patienl.s.

We of the Nursing Department feel particularly blessed In our as­sociation with Medical and General Administration. Whilst we were sorry to lose Dr. Freeman, we have been mosl Impressed by the energy, enthusiasm and co-operation of his successor, Dr. Kenndy.

It has always been a pleasure to work wllh Mr. Neville Boyce and his staff.

The interest and enthusiasm of all our Board Directors is indeed an inspiration, and assists greatly in· maintaining staff morale at a high level.

1 add my sincere gratitude and appreciation to all my nursing staff for their continued loyalty and support, and trust their faith in the future of our Health Service will soon be wholly justified.

Marie L. Lowndes DIRECTOR OF NURSING

....,,

The modern Education Centre Library, used extensively by

professional staff and students.

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Two of the 2000 children cared for in our Children's Ward during the past year.

I­I

d

With the advent of Medibank on the 1st October, 1975, the Hospital Books of account were altered from a conventional accrual system to a system of Receipts and Payments. Hence the figures printed in this report are for a 9 months period only. Therefore, com­parisons between previous years' performances are virtually impossible due to the period under review.

This year, changes have been made to the layout of the report, primarily the presen­tation of the Balance Sheet, Receipts and Payments, and associated statements have been altered to incorporate and consolidate for easy reference, the performance of the four hos­pitals.

As can be seen from the Statement of Receipts and Payments, Gosford District Hospital and Subsidiaries finished the period under review with a cash surplus of Income over Expenditure of:

$16684 for Gosford District Hospital.

$19517 for Woy Woy Hospital.

$ 2 for The Entrance - Long Jetty Hospital.

$ 1117 for Wyoming Hospital.

In view of the initial problems associated with the changeover to the new accounting .system, the results show a most satisfactory conclusion to the financial year.

The Special Purposes and Trust Funds showed increases in Capital items for new tluldings of $3,168,607.90 and new plant and equipment of $211,048.55.

As usual, the Hospital received many and varied donations from individuals and organ-isations. A full list of donations received is tabled at the end of this report. The support given by donors is most encouraging to the Board and Staff of the Hospital.

It is therefore with great pleasure that I ask you to accept this as a true and fair record of the Hospital's activities for the period ended 24th June, 1976.

N. A. Byrnes, HONORARY TREASURER.

MAINTENANCE FUND

BALANCE SHEETS AS AT 24TH JUNE, 1975.

GOSFORD DISTRICT WOY WOY THE ENTRANCE WYOMING - LONG JETTY

HOSPITAL HOSPITAL HOSPITAL HOSPITAL

CURRENT ASSETS. $

Cash on Hand 480 135 50 100 Cash at Bank 257408 57718 17002 24127

257888 57853 17052 24227

FIXED ASSETS.

Land and Buildings - at cost 6426093 856646 180879 39366 Plant Furniture & Equipment - at cost 878570 159592 59155 8579 Motor Vehicl e s - at cost 30609 J.F. Parr Investments 1000

7 336272 1016238 240034 47945

TOTAL ASSETS, 7594160 1074091 257086 72172

CURRENT LIABILITIES.

Repayable Subsidy Advance 240000 40000 17000 23000 Other 724

240724 40000 17000 23000

NET ASSETS. 7353426 1034091 240086 49172

- --Represented by

ACCUMULATED FUNDS, 7353436 1034091 240086 49172

AUDITORS' REPORT,

I have examined and audi.ted the books, vouchers a.nd other records of, The Gosford District Hospital, Way Way Hospital, The Entrance - Lcng Jetty Hospital and Wyoming Hospital for the period from lst ·october, 1975 to 24th June, 1976 and have obtained all the information and explanations required by me. In my opinion, the attached Balance Sheets and Statements of Receipts and Payments are properly drawn up so as to exhibit a true and fair view of the state of the Hospitals' affairs as at 24th June, 1976, according to the best of my information and the explanations given to me, and as shown by the books of the Hospitals. Other records and Registers examined by me have been properly kept in accordance with the Public Hospitals Act and Regulations, The Transfer of funds from Wyoming Hospital to Woy Way Hospital ($20,000) and The Entrance -Long Jetty Hospital ($19,000) and the inclusion in the attached accounts of $1,750 wages paid by Way Way Hospital in respect of the period prior to 30th September, 1975 have b e en noted in my report dated 9th September, 1976.

Gosford 18th October, 1976.

B.W.O'Donoghue, Chartered Accountant . Registered under the Public Accounta nts' Registration Ac t, ~945, as ame nded.

MAINTENANCE FUND

STATEMENT OF RECEIPTS AND PAYMENTS FOR THE PERIOD ENDED 24TH JUNE, 1976 .

GOSFORD DISTRICT WOY WOY THE ENTRANCE WYOMING - LONG JETTY

HOSPITAL HOSPITAL HOSPITAL HOSPITAL

RECEIPTS. $ ~ $ ~

Patients Fees 456282 32758 34369 97593

Commonwealth Government Grants 40202

Public Contributions 303

Other Income 138905 152 367 1175

Meals and Accomodation 34748 4843 872 1494

Government Assistance 5040875 695980 306908 415168

TOTAL RECEIPTS. 5711315 733733 342516 515430

PAYMENTS .

Salaries and Wages 4079537 542289 268540 414590

Food Supplies 124462 29221 11260 19140

Drug Supplies 139233 3732 3521 3278

Payments to Visiting Medical Officers 31740

Medical and Surgical Supplies 169938 8492 2245 6241

Replacements 32334 868 1021 370

Fuel Light and Power 68482 6062 2627 3740

Domestic Charges 106403 18233 8455 24500

Special Service Departments 300849 78504 37586 27041

Maintenance and Repairs 110404 12465 3184 3160

Administration Expenses 157125 8153 3398 8383

Additions 49916 6197 677 3870

Superannuation 324208

TOTAL PAYMENTS. 5694631 714216 342514 514313

NET GAIN . 16684 19517 2 1117

STATI STICAL SUMMARY

WOY WOY HOSPITAL

Total beds available Total in-patients treated Daily average occupied beds Adjusted daily average Average stay of in-patients Bed days for in-patients Registered out-patients Out-patient attendances Occupational therapy attendances Physiotherapy attendances Blood bank attendances *

THE ENTRANCE LONG JETTY HOSPITAL

Total beds available Total in-patients treated Daily average occupied beds Adjusted daily average Average stay of in - patients Bed days of in-patients Registered out-patients Out-patien t attendances ~ilysiotherapy attendances Blood bank attendances *

WYOMING HOSPITAL

Total beds available Totnl in-patients treated Dnily average occupied beds .~justed daily average Average s t ay of in- patients Bed days of in-patients

1972

34 483

25.1 25.7 13.6 65 8 3

306 427

0 0 0

1973 1974

34 999

27.7 31.8 10.1

10108 2884 3488

0 0 0

19 515

15 15.1 7.95 4093

100 156

0 0

34 1048 25.4 30.7 8.8

9275 3684 5061

0 0 • 0

29 1023

18 18.7

6.4 6546

504 662

0 0

55 701

38.7 38.7 12.8 8945

* Previously included in Gosford District Hospital .

1975

64 1025 29.6 34.8 10.6

10825 3665 5163

0 0 0

29 1079 19.5 21.1

6.6 7104 1125 1169

0 0

55 2149 37. 7 37.7 13.4

13753

1976

6 4 1258 35.3 42.6 10. 1

1 2721 5111

12000 37

1308 227

32 1129 18.8 20.7

6.0 6775 1399 1683

32 8 268

55 2485 40.5 40.5

5.8 14579

Total be ds available To t al in-patients tre ated Babies born during the yea r Daily ave rage of occupied beds Adjusted daily average Ave rage stay of in-patients (days) Be d days of in-pa tients Operations Re gistered out-patients Out-patient attendances (Incl DNS) District Nurse home visits Blood bank attendances Surgical c linic attendances Gynaecology clinic attendances Ante-natal c linic attendances Psychiatric clinic attenda nc e s Opthalmology clinic attendances Medical clinic attendances De rmatology clinic attendances Orthopaedic clinic attendance s E.N.T. clinic attendances Ste rility clinic a ttendance s Paediatric a ttenda nces Oc c upational therapy attendances Physiotherapy atte ndances Pathology - number of tests X-ray examinations X-ray atte ndances C.S.S.D. (packs)

1972

180 10204

1501 176.5 210.0

6.1 64579

3268 2 3450 99352 50004

280 8 1 619

605 1406

0 335 852

1034 1437

0 62

0 0

14891 95816 17012 1 3033 81260

1973 1974 1975 1976

GOSFORD DISTRICT HOSPITAL

200 11385

1635 178.3 219.7

5.7 65076

4064 29010

100693 48645

3514 1847

597 1328

107 338 873

1047 1507

0 38

0 0

16624 120901

19682 12883

302241

200 12930

1768 172.1 219.8

4.8 62828

58 8 3 33426

111442 57318

4393 1850

594 1121

110 308

2061 1211 1627

383 24

300 0

18065 161250

19893 13745

374251

200 13288

1751 161.6 208.8

4.4 58984

6140 32634

128320 67867

3832 1937

812 1112

167 323

3218 1321 1695

545 0

311 0

15854 234223

21607 17813

470018

200 13669

1745 153.3 217.3

4.0 55188

6213 44793

139037 82894

4 328 704 387 724

38 70

254 3 290 851 187

0 110

0 24271

291407 19854 16551

472406

~ I

COMBINED HOSPITALS

TOTAL BEDS AVAILABLE ADJUSTED DAILY AVERAGE

72 73 74 75 76 72 73 74 75 76

-1976 Hl72 1973 1974 1975 1976 ~

r-- r-

r--

r-u COMBINED HOSPITALS

I ,.-

200 214 2 53 318 348 351 l3669 10687 12899 15,702 17541 18541 1745 1501 1635 1768 1751 1745

L53. 3 195.0 217.2 240.0 248.4 248.0 !17.3 2t8.9 262.9 293.7 301.9 321.3

4.0 0 0 0 0 0 ;5188 71162 79277 87603 90666 89263 6213 3268 4064 5883 6140 6213

14 793 23756 31994 37614 37424 51303 !9037 99779 104337 117165 134652 152720 !2894 50004 48645 57318 67867 82894 4328 2808 3514 4393 3832 4823

704 1619 1847 1850 1937 704

~

' v <:'] ql Cl) ,.. (.;i 10 ,.. oq- ~ "' M! M

I

r--

OJ ~ ~ ,.._

0! ~ ~ C'i ,....

~ "' g "!. "' I

387 605 597 594 812 387 724 1406 1328 1121 1112 724

38 0 107 110 167 38 TOTAL INPATIENTS TREATED TOTAL OUTPATIENTS ATTENDANCES

70 335 338 308 323 70 2543 852 873 2061 3218 2543 72 73 74 75 76 72 73 74 75 76

290 1034 1047 1211 1321 290 851 1437 1507 1627 1695 851 187 0 0 383 545 187 -0 62 38 24 0 0 110 0 0 300 jn 110 -

0 0 0 0 0 37 !4271 14891 16624 18065 15854 25907

r--~

11407 95816 120901 161250 234223 291407 L9854 17012 19682 19893 21607 19854 ~

L6551 13033 12883 13745 17813 16551 -12406 81260 302241 374251 470018 4 72406 .....-- ~

!'- CJ) ~ ... -

CD CJ) ~ v (,0

~ ~ r- ~ 0 "' ..... ... .... ,_ ...

WHERE EACH DOLLAR CAME FROM

8 8. 4 %~~Government Subsidy.

Fees

WHERE EACH DOLLAR WAS SPENT

75.3% Wages.

Food

Drugs & Medical/Surgical

Fuel/Light/Power & Domestic

6.1% Special Service Departments

2.3% Maintenance

Superannuation & Administration

DONATIONS.

Mrs. Austin .................. .

Mrs. Almonds ......•...........

"A" Riding District Nursing Service ...................... .

Australasian Order of Old Bastards ..................... .

Apex Club of Gosford .•........

Apex Club of East Gosford •....

Brisbane water Trefoil Guild ..

Mr. G. Brittliff. ............ .

Mr. & Mrs. E. Bumstead ....... .

Mr. P. Brion .....•............

Brisbane Water Senior Citizens

Mr. C.M. Brown ............... .

Mrs. Bailey .................. .

Buff Point Senior Citizens ... .

Mrs. M. Butcher .............. .

Mr. M.H : Brooks .............. .

Basketball Association ....... .

Chapter 431 O.E.S. Gosford ... .

Chapter 653 O.E.S~············

Chapter 432 O.E.S. Woy Woy ....

Central Coast District'Council R.S.L ....................... .

C.W.A. The Entrance .....•.....

Estate Late A.I. Chapman ..... .

Estate Late E.H. Chapman ..... .

Colgate Palmolive Pty. Ltd ... .

F. c. Dehn .................... .

A.A. Dehn .................... .

T.A. & D.M. Daunt ............ .

Estate Late A.M. Evans ....... .

Ettalong Memorial Bowling Club

Ettalong Auxiliary ........... .

10.00

12.00

1200.00

13720.00

35.00

518.00

20.00

125.00

60.00

330.00

26.00

250.00

12.00

20.00

20.00

50.00

56.00

54.97

15.90

300.00

1930.00

34.00

4616.49

2324.10

100.00

150·. 00

150.00

300.00

469.91

660.00

4200.00

Mrs. Ford ................... .

Mrs. I. Gollan ......•........

Estate Late H.M. Grundy ..... .

G.D.H. Ball Committee ....... .

Estate Late C.R. Goodman .... .

Gosford Branch Red Cross .... .

Gosford Auxiliary ........... .

Hardys Bay Auxiliary ........ .

Henry Kendall Interact Club . .

Mr. S. Hillyer ..........•....

Mrs. L. Hillyer ............. .

Mr. T.J. Jones .............. .

Mrs. M. Kennedy .. •. .. . .... . ..

Mrs. D. Kemp ..... • .. ... . .....

Koolewong Social Club ....... .

Kincumber Auxiliary ......... .

Lions Club Toukley .......... .

Lions Club Wyoming .......... .

Lions Club Mangrove Mountain.

Leighton Irwin & Co. Pty. Ltd

Mr. H. Lees ..........•.......

Mr. & Mrs. Mouland .......... .

Mangrove Mountain Community Nurses Auxiliary ............ .

Mr. C. McNeilly ............. .

Mrs. R.E. McDonald .......... .

National Heart Foundation ... .

Original Old Aged and Invalid Pensioners Club of Long Jetty

Ourimbah Auxiliary ....•......

Mrs. I. Pascoe ...•...........

Pandora Committee ...........•

Mr. Brian Phillips .......... .

Mrs. L. Patterson ........... .

14.00

10.00

1631.29

1800.00

11789.47

7000.00

1800.00

600.00

1900.00

20.00

12.00

10.00

15.00

10.00

100.00

500.00

1250.00

430.00,

569.00

200.00

600.00

20.00

250.00

35.00

25.00

2615.00

10.00

800.00

10.00

810.00

20.00

10.00

Mrs. Robinson ............... .

Rotary Club of Wyong ........ .

Rotary Club of Gosford North.

Rotary Club of Woy ~voy ...... .

R.S.L. Wyong Womens Bowling Club ........................ .

R.S.L. Wyong .........•.......

Mrs. M. Renwick ............. .

Mrs. D. Smith .........•......

Mrs. S. Sylvester ........... .

Mary Troy ................... .

The Entrance-Long Jetty Pensioners Community Club ....

The Entrance & District Garden Club, ....•.... . ..... ..

K. & D. Taylor .............. .

Tuggerah Lakes Memorial Club.

Toukley Bowling Club ........ .

The Entrance-Long Jetty Auxiliary ................... .

Mr. & Mrs. R.M. Vaughan ..... .

Woy Woy District Nursing Service Association ........ . .

Wyong Pensioners ......... . .. .

Western Brisbane Water Progress Association ... .. . . . .

Mrs. F. Winterburn ...... . . •..

Woy Woy Pink Ladies ..... •....

Mr. & Mrs. A. wimble .... . .. . .

W.D. & H.O. Wills .......... ..

Woy Woy Auxiliary ........... .

Woy Woy Bowling Club ........ .

Miscellaneous ..••... . . ... ....

TOTAL.

10.00

500.00

400.00

250.00

10.00

30.00

34.00

73.00

10.00

10.00

10.00

250.00

10.00

100.00

45.60

4000.00

200.00

526.00

14.36

25.00

10.00

18.91

100.00

25.00

1867.00

300.00

40.00

$75504.00

,.___ AUXILIARIES-------------~ OFFICE BEARERS 197511976

GOSFORD:

OURIMBAH:

HARDYS BAY:

THE ENTRANCE • LONG JETTY:

President: Mrs. F. Drysdale. Secretary: Mrs. M. Harrison. Treasurer: Mrs. H. Bishop.

President: Mrs. E. Robson. Secretary : Mrs. P. Preston. Treasurer: Mrs. E. Foott.

President: Mrs. P. Woods. Secretary: Mrs. B. Yo.ung. Treasurer: Mrs. A. Tait.

President: Mrs. F. Knutson. Secretary: Mrs. N. Cole.

Mrs. L. Johnston. Treasurer: Mrs. B. Sherlock.

PINK LADIES:

ETTALONG BEACH:

KINCUMBER:

-WOY WOY:

WYONG:

President: Mrs. E. Griffiths. Secretary: Mrs. G. Watson. Treasurer: Mrs. G. Morgan.

President: Mrs. A. Bennett. Secretary: Mrs. J. Johnson. Treasurer: Mrs. K. Wilson.

President: Mrs. E. Greystone. Secretary: Mrs. L. Hillyer. Treasurer: Mrs. W. Evans.

President: Mrs. I. Booth. Secretary: Mrs. H. Vaughan. Treasurer: Mrs. J. Chapman.

President: Mrs. 0. Thompson. Secretary: Mrs. J. Baird. Treasurer: Mrs. I. McKinnon.

lhe newly - completed Stores Building and Engineering

Workshops

Wyoming Hospital

Berriok Printery, The Enlrllnce-Ph; 324651