Annual Report Central Gippsland Health Service

Transcription

1 Annual Report The provision of quality integrated health services. Central Gippsland Health Service 07/08

2 The provision of quality integrated health services. MISSION Provide quality integrated acute, aged care and community services to meet the needs of our stakeholders with the flexibility to adapt to Wellington s future needs. VISION The provision of quality integrated health services. VALUES 1. Ethical behaviour - honesty, transparency and integrity 2. Quality - excellence, with the client at the centre of what we do 3. Caring - support, compassion and tolerance 4. Valuing people - respect, with a mutual obligation for excellence Printerd by The LV Printers (14252)

3 Contents Our History 2 Our Community 2 Board and Chief Executive Officer s Report 3 Board of Management, Executive staff 4 Workforce Data 5 Overview of Services 6 Our Structure 8 Service Performance 9 Annual Report on Activities Acute Services 11 Community Services 13 Corporate Services 15 Quality of Care Report 18 Support Groups 21 Senior Personnel 24 Visiting Medical Officers 25 Statutory Information 27 Report of Operations 29 Disclosure Index 32 Financial Statements Central Gippsland Health Service employs people in a wide range of professions. Throughout this report there are brief snapshots of the people and their professions that support the delivery of care to our local community. The staff members featured on the front page are: Pictured top row from left, Pharmacy Technician Kylie Nikolakew, Medical Unit Associate Nurse Unit Manager, Melinda Counahan, Central Sterilising Department s Dianne Hurst, and Chief Occupational Therapist Alethea Leendertz. Lower row from left, Assistant Accountant Emma Weston, Linen Service Supervisor Sue Jenner, Hospital Medical Officer Arturo Gomez with Hospital Medical Officer Manager Lisa Neuchew, and Hospital in the Home Clinical Coordinator Jeff Thomas.

4 Annual Report 07/08 Our History The Gippsland Base Hospital was established more than 140 years ago. In the intervening years, various other service entities were established in the surrounding districts of what is now the Wellington Shire. These included home and community services, community health centres and maternal and child health centres established by municipalities based in and around Maffra, Sale and Rosedale in the 1970s. Through a series of amalgamations, the Gippsland Base Hospital, Maffra and District Hospital, the JHF McDonald Nursing Home and Evelyn Wilson Nursing Home became the Central Gippsland Health Service in As well, the Heyfield Hospital, Stretton Park and Laurina Lodge Hostel have become associated by management agreement with the Central Gippsland Health Service. Central Gippsland Health Service is responsible for the majority of acute and residential aged care as well as a wide range of community services throughout Wellington Shire, excluding Yarram and district. Central Gippsland Health Service has 74 acute beds, three labour beds, six neonatal cots and 173 high and low care residential aged care beds. The Health Service provides management and corporate services to two not-for-profit private facilities, Stretton Park Hostel Inc and Heyfield Hospital Inc. These facilities have acute and aged care services as well as 19 independent living units. Nearly 800 staff members occupying almost 600 full time equivalent positions are employed by Central Gippsland Health Service, which is also supported by some 600 volunteers and has total revenues of nearly $60 million. The organisation serves the immediate population in Central Gippsland, while acute specialist services reach a wider community in East Gippsland and parts of South Gippsland. Our Community Statistics obtained in the last census provide this snapshot of Wellington Shire, the primary service area of Central Gippsland Health Service. Population 40, % are males and 49.5% females. Indigenous people comprise 1.1% of the total, compared with 2.3% in Australia. 20% of the population are children aged between 0-14 years, and 28.4% are aged 55 years and over. The median age in the Wellington Shire is 40 years, compared with 37 years nationally. 84.3% are born in Australia. Other common ethnic groups include England 3.1%, New Zealand 1.0%, Netherlands 0.9%, Germany 0.6% and Scotland 0.5%. 90.2% are Australian citizens, 10.0% were born overseas and 0.3% were overseas visitors. The most common religious affiliation are Anglican 24.4%, Catholic 22.4%, No Religion 20.8%, Uniting Church 8.4% and Presbyterian and Reformed 4.0%. The median weekly individual income for those aged 15 years and over is $385, compared with $466 in Australia. The median weekly household income is $773, compared with $1,027 in Australia. The median weekly family income is $1,021, compared with $1,171 in Australia. The median weekly rent is $125, compared to $190 in Australia. The median monthly housing loan repayment was $867, compared to $1,300 in Australia. The average household size was 2.4 and the average number of persons per bedroom was 1.1. There are 10,687 families in Wellington: 41.9% are family couples with children, 42.4% are couples without children, 14.7% are one parent families and 1.0% were other families. 39.8% of occupied private dwellings were fully owned, 32.3% were being purchased and 21.4% were rented. New Ultrasound State-of-the-art three and four dimensional ultrasound equipment was purchased during the year. The new equipment provides graphic images of yet to be born babies and their features, fascinating for parents and very useful for diagnostic purposes. The images allow a much higher level of detail with a better chance of observing, for example, cardiac or other organ abnormalities while the child is still being carried. Practice Manager Michael Coleman is pictured giving expectant mum Kate Lucieer an ultrasound using the new machine. 2

5 Report by President, Board of Management and Chief Executive Officer A number of years of hard work are starting to bear fruit for the Central Gippsland Health Service, with major new developments underway throughout the 2007/2008 year. Key among these developments is the reconfiguration and expansion of the Emergency Department. The redevelopment will benefit the staff and the public by providing a spacious, pleasant environment for all involved. At the same time we are developing a larger and better equipped Dialysis Unit, another department that has outgrown its present location. The opportunity to undertake these changes was instigated by the redevelopment of the former Evelyn Wilson Nursing Home into a new Community Rehabilitation Centre, which officially opened in September Allied Health Services moved into the new building, which allowed the former space they occupied to be turned into administration offices. The move of the administration offices then cleared the way for redevelopment of the Dialysis Unit and the Emergency Department. The whole process will result in a win-win situation for the staff and the community. The $1.6 million project is also significant because it is being funded by the Health Service. Another major purchase this year was in the Medical Imaging area. The suite of new medical imaging equipment includes state-of-the-art ultra sound and a new CT Scanner, with Cardiac CT that enables x-ray of the coronary arteries. These activities have been made possible by the focus on strong financial management, an approach that will continue and which has put the Health Service in a position to continue to develop and enhance the services delivered to its community. The 2007/08 financial year delivered another solid financial result. During the year positive cash growth was achieved which will provide a firm foundation for current and future developments. The Health Service has this year also undergone the full accreditation process with the Australian Council on Healthcare Standards. Thanks to the efforts of staff in all departments, Central Gippsland Health Service was successful in all areas and has been awarded the full four year accreditation. It is a result that is to the credit of everyone. A special note of congratulations is extended to the former President of the Board, Glenn Stagg. Glenn took on the role from the inauguration of the new Board and played a pivotal role, with the help of the Board and Management, in lifting community confidence in the future of the service. Thanks are also extended to two retiring Board members, Graeme Dyer and Rosita Petch, who completed their terms at the end of June Both have been excellent contributors and their knowledge in a range of areas has played an important part in re-establishing the community-based Board of Management. Both have retired from the Board with the knowledge that the organisation is on a sound footing to move forward. Three new Board members have been appointed, Graeme Horne, Angela Todd and Helene Booth, and commenced on 1 July, We look forward to their contributions. The Board would also like to pay special tribute to the work of our out-going Chief Executive Officer, Peter Craighead. After four years at the helm, first as Administrator and then as Chief Executive Officer, Peter has accepted a new position as Chief Executive Officer of the Latrobe Regional Hospital. The Board records its thanks to Peter, who has done an outstanding job, with excellent support from staff, executive management and the Board, to return the Health Service to a position of financial stability. The Board is sorry to see him leave, and believes Latrobe Regional Hospital is very fortunate to have secured his services. The Board and the Executive would also like to thank the staff who have continued to perform in a very professional manner delivering quality in all areas of the Health Service. Their commitment to their work and to their communities is highlighted in this Annual Report. The assistance from across the community continues to be a high point, with auxiliaries, support groups and volunteers providing on-going financial and moral backing. We also acknowledge the contributions of the Commonwealth Government s Department of Health and Ageing, and the State Government s Department of Human Services. Both Departments have, as usual, remained very supportive of the Health Service. The Central Gippsland Health Service is now embarking upon a period of measured growth that aims to provide the best service possible to the Central Gippsland community. John Sullivan Board President Peter Craighead Chief Executive Officer 3

6 Annual Report 07/08 Governance Central Gippsland Health Service is a Body Corporate listed in the Victorian Health Services Act 1988 and operates under the provisions of this Act. The Minister responsible for the administration of the Victorian Health Services Act during the reporting period was the Minister for Health, The Hon. Daniel Andrews, M.P. The registered office of Central Gippsland Health Service is 155 Guthridge Parade, Sale, Telephone (03) Board of Management Rosita Petch, of Loch Sport: Rosita has a background in nursing and nursing administration. She was also a member of the Loch Sport Ambulance Auxiliary and a Volunteer Community Ambulance Officer. Kevin Young, of Sale: A chartered accountant and company auditor, Kevin is a board member of West Gippsland Catchment Management Authority and treasurer of Seaspray Reserves Committee of Management. Executive Staff 4 The Board members are: John Sullivan, (President) of Sale: A local lawyer, John is also a past chairman of the Board of the Gippsland Base Hospital. He took on the President s role again following the annual reporting meeting in December Glenn Stagg, (Vice President): A local accountant, Glenn was Board President from 1 July 2006 until the annual reporting meeting in December 2007 and continues to serve as the Vice President. Catherine Greaves, of Sale: Catherine has tertiary qualifications in Human Resources and Psychology. A manager at Wellington Shire Council, Catherine is also a Board Member of Kilmany Uniting Care. Graeme Dyer, of Sale: Owner of Dyers Gippsland Transport, with background in occupational health and safety and human resource management, Graeme is a member of the Wellington Shire Road Safety Group. John Lawrence, of Maffra: John is Executive Director of Kilmany Uniting Care, with a background in business management and health policy. A past CEO of Lakes Entrance Community Health Service, he is the Victorian representative of the National Rural Special Interest Group of the Australian College of Health Service Executives and a member of the Lake Tyers Aboriginal Trust Health and Children s Service Committee. The Executive Staff are: Chief Executive Officer Peter Craighead, SRN, SCM, B. Nursing, Grad Dip Bus (Health) Director Medical Services Dr Brian Cole, MBBS, FRACGP, FRACMA Director of Nursing, Midwifery and Aged Care Amanda Cameron, RN, PN. B. Health Sci (Nursing) Grad Dip Nursing (Critical Care) Director Community Services Mandy Pusmucans, RN Div 1, Grad Dip Bus. Mgmt, Grad Dip Rural Health Director Corporate Services Michael Clamp, B. Business, ACA Solicitors Milstein and Associates Bill Kee and Associates Banker National Australia Bank Limited

7 Workforce Data Employment Statistics - Total Number of Staff Employed CENTRAL GIPPSLAND HEALTH SERVICE Occupational Category Female % Male % Total* FTE Administration & Clerical % % Ancillary Support Services % % Hospital Medical Officers % % Hotel & Allied Services % % Medical Officers % % Medical Support Services % % Nursing Services % % Total Number of Staff Employed % % Statistics for Whole of Network Occupational Category Female % Male % Total* FTE Central Gippsland Health Service % % Heyfield % % Stretton Park % % Total Number of Staff Employed % % by the Whole Network* *Total figures include the staff with regular hours at the Health Service. It excludes Casual, Nurse Bank or Locum Staff. A number of staff have worked with the Health Service for a considerable period of time. This year, four more were recognised for 25 years service, including Robyn Dingwall in Food Services, Peter McKenzie in Linen Services, Chris Munday Nursing Wilson Lodge and Stephen Wilton Maintenance Painting. Pictured with their awards are, from left, Chris Munday, Peter McKenzie and Robyn Dingwall. Stephen Wilton was an apology at the presentation ceremony. The reception is the point of entry to the Health Service, both by telephone and in person. As with any large organisation, it is a vital communication point that directs people to the correct areas. Long term receptionist Roel Karst says: I like the human contact and I like to deal with and help the people that I see here. 5

8 Annual Report 07/08 Overview of Services Acute Care Clinical Visiting Specialist Services Support Services Outpatient Services Cardiology Genetics Nursing Administration Continence Advisor Critical Care Ophthalmology Bed Allocation Podiatry Day Procedure Paediatric Surgery Discharge Planning Cystic Fibrosis Dialysis Ear, Nose and Throat Infection Control Audiology Emergency Dermatology Stomal Therapy Specialist Medicine Lithotripsy Wound Management Specialist Surgery Gastroenterology Professional Development General Practice Urology Food Services Hospital in the Home Orthopaedic Surgery Pharmacy Obstetrics and Renal Medicine Environmental Gynaecology Fertility Breast Care Paediatrics Oncology Operating Theatres Pre Admission Residential and Aged Care Services Nursing Home Care Respite Care Hostel Care Independent Living Units Maffra - McDonald Wing Heyfield - Laurina Lodge Maffra Stretton Park Maffra Stretton Park Sale Wilson Lodge Maffra - Stretton Park Hostel Heyfield Laurina Lodge Nursing Home Heyfield Laurina Lodge Community Services Allied Health to both Community Health Home Support and Home Nursing the Acute and and Partnerships Service Co-ordination Community Settings Physiotherapy Counselling Home Care District Nursing Occupational Therapy Community Health Nursing Personal Care Palliative Care Podiatry and Foot Care Respiratory Educator Respite Care Hospital in the Home Dietetics Diabetes Educator Delivered Meals Grief and Loss Speech Therapy Maternal and Child Health Property Maintenance Co-ordination Social Work Acute Volunteer Program (CAVA) Planned Activity Groups Koori Liaison Special Projects Intake Child Services Community Dental Service Co-ordination School Services Program Community Transport Discharge Planning Post Acute Care Partner/Member Community Support Co-located Visiting Groups Services Wellington Primary Childbirth Education Community Mental Health Care Partnership Classes Family Court Counselling Wellington Working Parkinson s Support Group Family Mediation Together for Families Carers Support Groups Gippsland Multicultural Let s Get Connected New Mothers Group Services Transport Project Primary Mental Health Committee East Gippsland Division Gippsland Region General Practice Palliative Care Consortium SCOPE Various other collaborative projects 6

9 Overview of Services Corporate Services Finance Human Resources Support Services Information Services Financial and Recruitment Engineering Medical Records Management Reporting Equal Employment Opportunity Equipment Maintenance Freedom of Information Accounts Payable Induction and Orientation Telecommunications / Privacy Account Receivable Industrial Relations Asset Management Health Records Reception Occupational Health Building Maintenance Admissions & Safety & Development Payroll Risk Management New Capital Works Salary Packaging Staff Records WorkSafe/Return to Work Environmental Services Information Technology Porters Security Information Technology Applications Information Technology Infrastructure Supply Services Supply Fleet Management Accommodation Management Medical Library Food Services and Catering Administration Strategic Planning Major Projects Public Relations Fundraising Government Relations Organisational Policy Development Quality Management Business Units Medical Imaging Home Support Services Linen Service Food Services The Admissions Clerk is the first person inpatients see when they are admitted to hospital. The Admissions Clerk records all the relevant patient details and organises the bed fee accounts, which are usually through health funds. Admissions Clerk Kerryn Penrick says: I like being able to chat with people when they are coming as inpatients. I try to make them feel comfortable, which I think is important when people are coming in; most people feel a bit apprehensive so I try to help them through that. 7

10 Annual Report 07/08 Structural Framework Board of Management Quality & Risk Committee Consumer Consultative Committee Chief Executive Credentialing Committee Audit Committee Directorate Medical Services Directorate of Nursing, Midwifery & Aged Care Directorate of Community Services Directorate of Corporate Services Medical Services Medical Staff Visiting Medical Officers Medical Student Liaison (Monash) Pathology Radiology Pharmacy Medico - Legal Clinical Governance A Operations/Access Hospital Coordinators Acute Inpatient Units Medical Unit Surgical Unit Women s & Children s Unit Maffra Campus Heyfield Hospital Emergency Department Critical Care & Ambulatory Services Critical Care Unit Cardiology Oncology Dialysis Surgical Suite Services Operating Theatre Central Sterilising Supply Dept Day Procedure Unit Pre Admission 8 Clinical Nurse Consultants Infection Control Wound Management Residential Aged Care Services Wilson Lodge Stretton Park Maffra Campus Heyfield Campus Allied Health Dietetics Discharge Planning Koori Hospital Liaison Occupational Therapy Physiotherapy Podiatry Speech Therapy Social Work & Outpatients Home Nursing - including Palliative Care District Nursing Hospital in the Home Home Support & Service Co-ordination Home Care Personal Care Respite Care Delivered Meals Property Maintenance Planned Activity Groups Intake Service Co-ordination Community Transport Community Health & Partnerships Counselling Community Health Nursing Respiratory Educator Diabetes Educator Volunteer Program (CAVA) Special Projects Maternal & Child Health Community Dental Program Human Resources Recruitment Health & Safety Work Cover Switchboard & Admissions Finance/Payroll Information Management Information Technology Medical Records Privacy Legislation Library Facilities Management Engineering Services Security Contracts Waste Management Supply, Purchasing & Fleet Management Food Services Environmental Services Professional Development Quality Facilitating Partner For: Wellington Primary Care Partnership Gippsland Regional Palliative Care Consortium Linen Service 8

11 Service performance at a glance Inpatients Treated Total Inpatient Days Average Length of Stay Percentage Public and Private Admissions Public Private WIES Targets / Actual Actual Target 9

12 Annual Report 07/08 Red back spider bite victim A Maffra toddler Kohan Alexander survived a redback spider bite after a Sale Hospital nurse recognised the symptoms. It s rare for staff to receive patients bitten by a redback, but luckily one nurse had seen the symptoms before and was able to alert a doctor. The redback spider bite can be deadly. Kohan is pictured with his mother Alisha in their backyard at Maffra after recovering from the spider bite. Triplets The first triplets born at Central Gippsland Health Service in ten years arrived just before Christmas. Celia and Anthony Scott of Bairnsdale welcomed Sophie Alice, Nathan Michael and Ryan William into the world during a planned caesarian section in mid December. Mum Celia is pictured with the triplets and Central Gippsland Health Service staff. Twins The Level 2 Neonatal Nursery at Central Gippsland Health Service gained re-accreditation for a further three years. It is one of only two Level 2 Nurseries in Gippsland, and provides services to parents and babies across Wellington Shire as well as East Gippsland. Joanne and Darren Robinson from Orbost were among those to utilise the nursery, when their twins Andrew and Chloe were born. Paediatric painting The Paediatric section at Central Gippsland Health Service received a facelift during the year, with a bright new mural lightening the day for young patients. The mural was designed by one of the Central Gippsland Health Service s Engineering and Maintenance team, painter Brooke Jarvis. She and another member of the team, Steve Wilton, are pictured completing the work. 10

13 Acute (Hospital) Services PROFILE Central Gippsland Health Service Acute Division provides acute care as part of an integrated service delivery model. The service provides 74 acute beds across three campuses (Sale, Maffra and Heyfield) as well as day surgery facilities at the Sale campus. This financial year has seen the start and completion of some major capital works. The newly built manager s office and staff area is the last stage of a three stage development at the Heyfield Hospital. Stretton Park Hostel Inc has embarked on building four new Independent Living Units which are due to be completed in July. Major works that have commenced at the Sale site of Central Gippsland Health Service involve the redevelopment of the Emergency Department and the new Dialysis Unit. For some time it has been recognised that the physical environment of both these areas have not been meeting the needs of our community and staff. So it is with great excitement that the building works have started and are progressing well. Last August Central Gippsland Health Service went through full accreditation with the Australian Council on Healthcare Standards. This survey was over three days and encompassed Acute and Community Services at all sites. The staff are to be congratulated on their efforts as the Health Service was successful in obtaining a full four years accreditation. Well done! McDonald Wing at Maffra also achieved a successful outcome, gaining full accreditation by the Aged Care Accreditation Agency in all 44 standards. Once again full credit goes to the hard working staff. Stretton Park and Heyfield have also had successful spot visits from the Aged Care Agency. These efforts demonstrate a commitment to quality by all staff at Central Gippsland Health Service. The new Aged Care Funding Instrument has been introduced to the four Aged Care facilities from the 19 March Staff from all facilities attended training funded by the Commonwealth Government on the new instrument. Central Gippsland Health Service has been involved with a number of quality projects funded by the Department of Human Services and the Victorian Quality Council. These include Pressure Ulcer Prevalence Survey, Acute Post Operative Pain Project, Hand Hygiene Project, Colonoscopy Redesign Project and the Discharge Management of Acute Coronary Syndrome, which has been funded by the National Prescribing Service. Through funding from the Department of Human Services, new monitoring equipment for the Operating Suite and Emergency Department has been purchased along with two new camera stacks that provide state-ofthe-art visual fields for our surgeons. The various auxiliaries, community groups, businesses and volunteers have also contributed to the equipment purchased this year by the Health Service. I would like to thank them for their continued contribution and commitment to the Health Service. This year has seen the completion of negotiations and the beginning of the implementation of the Victorian Nurses Enterprise Bargaining Agreement. The nursing staff across Central Gippsland Health Service are to be commended for the professional manner in which they worked collaboratively with management through this difficult period. On a lighter note Central Gippsland Health Service has entered six teams in the Global Corporate Challenge. This challenge invites teams of seven to virtually walk around the world, entering steps each day. There are over 7,000 teams and 913 companies involved in the challenge which raises funds and awareness for heart disease and diabetes Amanda Cameron Director of Nursing, Midwifery and Aged Care Operations 4112 Snapshot of Births 537 Service Delivery Emergency Department 14,500 Inpatients 11,854 Heyfield extension An extension of the administrative area at the Heyfield Hospital was completed this year, making work more comfortable for staff. The extension includes a new office and administration area as well as a lunch room for staff. The addition has been welcomed by staff as they were working in very cramped conditions. Health Services Manager Liz Bell (right) and nurses Michelle Russell (left) and Narelle Warren are pictured trying out the new lunchroom at Heyfield Hospital. 11

14 Annual Report 07/08 DIRECTOR MEDICAL SERVICES Recruitment of medical staff is an ongoing challenge for rural health services and the market for skilled labour in health is the same as other industries. It is a world market with vigorous competition for practitioners at all levels of experience, from junior medical staff who fill service and training positions, to senior specialists. While the capacity of Australian medical schools has been increased it will be some years before this has any affect on numbers at junior level and a decade at least before it is reflected in the numbers of senior people. Simply increasing the numbers is only part of the answer; the profile of graduates has changed with 50% or more now being female, a vast change from 35 years ago when around 90% of graduates were male. It is also a new generation with different expectations for work and life balance, and not always wanting to work the hours of previous generations. These issues mean replacing medical staff that retire or move on is not so simple and requires us to look to a future where more people are required to provide the 24 hour, seven day a week service. For many of the seven day a week services there are also issues of safe working hours and trying to ensure that medical staff have rosters that support adequate rest and holidays. For a relatively small organisation in terms of numbers of key staff it is also very important that the selection processes not only identify the skills required but the personal qualities that will provide leadership and an enjoyable and safe work environment for all who work at Central Gippsland Health Service. Having said that, it has been a good year for Central Gippsland Health Service. It has been joined by a group of junior and senior medical staff whose countries of origin include Australia, UK, India, South Africa, Sri Lanka, China, South America and the Middle East. Central Gippsland Health Service is also now part of the Gippsland Regional Intern Training (GRIT) program which also involves Latrobe Regional Hospital and West Gippsland Healthcare Group. These new graduates are recruited directly to the Gippsland training program and rotate through various positions in the three hospitals for their intern year rather than rotating from Melbourne. It is hoped that many of them will choose to stay on, with a view to remaining in Gippsland or returning after further training elsewhere. This program will continue to grow and provide training opportunities for rural graduates who may not wish to work in major cities. It is a small beginning for what will become a very significant component of the education and service roles of Gippsland hospitals over the next decade. At present many of the junior doctors are on rotation for short periods or stay for a year or at best two until they have fulfilled basic training requirements and are able to enter metropolitan practice. Our specialists fortunately stay much longer, usually putting down roots that see them become part of the community. Wherever people may come from, it is a major decision to relocate with family to the other side of the world. Central Gippsland Health Service puts a lot of effort into assisting that transition and is very appreciative of the support and welcome they receive from the community. Dr Brian Cole DIRECTOR MEDICAL SERVICES Oil rig donation Off shore oil rig crews and Esso and BHP Billiton continued to support the Health Service, with an $18,000 donation to purchase new surgical equipment. The 80 member Nabors crew and the International Sea Drilling Limited team decided to donate safety bonus funds of $14,500, with Esso and BHP Billiton putting in $3,500. One of the Nabors Rig 175 crew members, Brad van Heurck (left) was on hand to pass over payment for the new equipment, displayed by Acting Nursing Unit Manager Sally Relph, with International Sea Drilling Operations Manager Rob Ghaida (second from left) and Acting Longford Plants Manager David Anderson looking on. Nursing is one of the backbone services in any health service or hospital. At Central Gippsland Health Service nurses make up nearly half of the total staff numbers. Medical Unit Associate Nurse Unit Manager, Melinda Counahan, pictured with patient Allan Gould, says: It is great to make a difference for patients when they are in hospital and then seeing them get better so they can go home. 12

15 Division of Community Services The Division of Community Services operates from a range of sites across the Shire of Wellington, including Sale, Maffra, Heyfield, Rosedale, Loch Sport, Stratford and Briagolong. Approximately 250 staff and volunteers work in a vast range of programs that support clients to remain in the home, through various centre-based and community venues. A summary of key activities this year is as follows. Government funding has enabled the planning of a new Dental Facility to commence, with the aim that the facility is built by December This will have capacity for four dental surgeries and a dental laboratory. Recruitment of dentists has been successful this year, taking the service to three full time dentists with supporting staff. This will have a positive impact for clients. Former Gippsland MHR Peter McGauran, Central Gippsland Health Service Board Chair Glenn Stagg and Chief Executive Officer Peter Craighead officially opened the new Community Rehabilitation Centre. The integration of the School Dental Service into the Central Gippsland Health Service Community Dental program has occurred and once the new facility is built the current School Dental staff will relocate from their existing rooms. The Community Rehabilitation Service has been established, offering a range of rehabilitation therapy options for clients including pulmonary rehabilitation group programs. Central Gippsland Health Service has participated in the formulation of regional directions and recommendations for community dental services. The Volunteer Program relocated from Macalister Street to the Community Services building in Palmerston Street, which has enhanced the opportunities both for volunteers and services. The Breast Feeding Support Service is now an ongoing program, providing both direct client care and supporting organisational development to ensure best outcomes for clients. A Post Natal Depression Support program has been established through joint efforts from the Maternal and Child Health Nurses, the Community Counsellor and Community Health Nurses. More than $120,000 worth of rehabilitation equipment has been purchased for use in the Community Rehabilitation and Allied Health Services. This has been possible through participation in the State-wide Sub acute Ambulatory Care Equipment Review and funding allocation process. Capital funds were secured which has enabled the development of outdoor therapy areas, adjacent to the Community Rehabilitation Centre, for both children and adults. Planning is in the final stages. The Hospital Admission Risk Program was established in October 2007, aimed at supporting clients with chronic disease. Staff visit clients in the home to provide a comprehensive health assessment and discuss management options with those clients. The Maternal and Child Health Service is a free service for all Victorian families with children aged 0-6 years. The Service offers support, information and advice regarding parenting, child health and development, child behaviour, maternal health and well-being, child safety, immunisation, breastfeeding, nutrition and family planning. All Maternal and Child Health centres are staffed by registered nurses with qualifications in midwifery and family and child health. Maternal and Child Health Nurse Barb McCubbin says: It s just a privilege to be associated with families and their children. The potential to develop long term relationships with families makes the job special. 13

16 Annual Report 07/08 Expansion of the Diabetes Nurse Education program has enabled an increase in the staffing levels. Implementation of a three year Government funded project is aimed at improving the interface between hospital care, community care and residential aged care, under the Federal and State Government Improving Care for Older People Initiative. A centre based Home Nursing Clinic has now been established which offers options in service delivery. Clients can choose to attend the clinic at a set appointment time rather than wait at home for the nurse to arrive this often fits better with their lifestyle. The wound consultant now provides a regular session and the Hospital in the Home service also utilises this room for client consultations. Continence services have become a focus for the Home Nursing program in particular, with one staff member attending the Continence Certificate Short course at Mayfield Education during the year. This has enhanced the knowledge base in this field within the team. Additionally, the Division has been involved in the regional continence strategic planning that is aimed at improving continence services across the region. The Division has been successful in its submission to become a Home and Community Care Assessment Service under the Home and Community Care government program. While the Division has been providing high quality assessment services for some years, this designation confirms its commitment and capacity to deliver Living at Home Assessments in line with the new government policy direction titled Framework for Assessment in the Home and Community Care Program in Victoria. The Supported Couples Retreat Program funding has been extended for a further three years, through the National Respite for Carers program, which is very exciting news. This year, 12 local older couples have taken a break where they have been supported by additional carers to destinations including Paynesville, Yarram and Port Albert. Overwhelmingly the couples report that they are pleased to be a couple again, rather than a client and carer. The Kids Go For Your Life and Smiles 4 Miles programs have again been extended, which will enable consolidation of work to date, and commencement of new partnerships with local agencies, including kindergartens, family day care and schools. These community development programs have supported these local children s agencies in implementing healthy nutrition policies and practices that they can sustain into the future. Partnerships and linkages continue to play an important part in the consolidation of services both for the area and for the region. There are too many to mention here, but some examples include the: Gippsland Region Palliative Care Consortium Wellington Primary Care Partnership Regions of Choice targeting allied health recruitment and retention, and The Home and Community Care Managers Network. Mandy Pusmucans Director Community Services Go for your life The Kids Go For Your Life program was one of the success stories of the year, teaching children about the advantages of healthy eating and exercise. The Community Services Division of the Health Service runs a very wide range of health support programs for all sectors of the community. One of the major programs is Home Support and Service Coordination, which provides assistance to people while at home. Home Support and Service Coordination Manager Belinda Greening has some 90 staff in her area and says: It is really valuable and pleasing when we can help aged people or people with injury or illness who prefer to remain at home and connected with their community. 14

17 Corporate Services Corporate Services is responsible for the delivery of all the non-clinical services that Central Gippsland Health Service needs to perform in order to be an effective commercial organisation. The key areas and a summary of the Division s achievements are as follows. Implementation and refinement of Organisation Wide Performance Appraisal System Implementation of a range of new award (EBA) changes Reviews to ensure that key safety risks for staff and patients are being more effectively addressed FINANCE Finance oversees the financial performance of Central Gippsland Health Service, Stretton Park and Heyfield Hospital. It facilitates the budget process, provides management and Board reports, ensures accounts are paid on a timely basis, and fees are raised and collected. The key developments during the past year include: Facilitate the completion of a sophisticated budget process Involvement in the design and development of a new finance system Monitor budgets for major infrastructure projects Continued review of all Fixed Assets and development of procedures to ensure that assets are accurately recorded and valued Development of long-term Capital Expenditure Budget Continued development of Risk Register and implementation of revised Risk Management procedures Continued improvement in the quality of Board and Management information HUMAN RESOURCES Human Resources provide services for the staff at Central Gippsland Health Service, Stretton Park and Heyfield Hospital. The service includes payroll, salary packaging, management of risks, recruitment, workcover, industrial relations and performance appraisals. Key activities this year have included: Review, development and re-release of all safety procedures with particular focus on Emergency Management procedures Ongoing training for all staff in key areas of: Emergency Management Resuscitation Occupational Health and Safety Involvement in the design and development of a new payroll system SALE LINEN SERVICE Sale Linen Service is a business unit of Central Gippsland Health Service. The service supplies linen to health services, aged care providers and hospitality clients in the Gippsland region. The linen service has continued to achieve its goal of controlling labour and operating costs. Revenues increased and it continues to explore new markets with a view to achieving moderate growth. Staff have actively participated in workplace safety initiatives including manual handling training and there has also been a focus on risk management. A new truck was purchased in early SUPPLY The Supply Department plays an important role for all wards and departments within Central Gippsland Health Service in sourcing equipment and day to day supplies. It also provides supplies for other health organisations across Gippsland. The Supply Department has been effective in: Improving stock control and maintaining the levels of stock on hand; and Through an association with Health Purchasing Victoria (HPV) and the Gippsland Purchasing Alliance achieving better value for money. Sale Linen Service cleans and supplies linen to the Central Gippsland Health Service, as well as other health organisations, aged care providers and hospitality clients across the Gippsland region. The staff processes several million items each year. Supervisor, Sue Jenner, says: Being able to supply an essential service to the community is really satisfying, both the Health Service and our other clients. 15

18 Annual Report 07/08 ENGINEERING Engineering provides comprehensive building, painting, plumbing, electrical, mechanical and grounds support to the Health Service. During the last year, engineering staff responded to nearly 5,000 work requests. As a part of a major works program the following was completed: Redeveloped the old Allied Health department to enable the relocation of Human Resources, Finance, Payroll and Medical Records. Coordinated the planning of the Dental facility redevelopment. Facilitated the ongoing management of maintenance and gardening programs at all Central Gippsland Health Service sites. Project managed the development of Independent Living Units at Maffra. Installed a new switchboard to enable the Health Service to meet its future electricity requirements ENVIRONMENTAL SERVICES Environmental Services provides support services to all departments throughout the Health Service. The services provided are varied and include cleaning, security, coordinating room setups, shredding confidential documents, disbursement of clean linen, removal of soiled linen, and waste management. Each year an external audit is undertaken to provide an independent evaluation of the cleanliness of service. This year as with previous years the Health Service passed all of the audited areas. From the start of December 2007 Central Gippsland Health Service became totally smokefree. The change was very successful and the Health Service remains committed to providing a safe, healthy environment for patients, visitors and staff. INFORMATION TECHNOLOGY The Information Technology Department plays an integral role across all of the Central Gippsland Health Service sites in addressing Information Technology and Telephony needs. There have been a number of significant initiatives this year, including the following: Implementation of a HealthSmart patient management system named isoft Patient Management Implementation of a wireless network upgrade Completion of an organisation wide IT survey First phase of a computer replacement program, which will continue next year FOOD SERVICES Food Services produced more than 223,000 meals for the financial year, an increase of 13,000 from the previous year. An External Audit addressing food safety for the entire organisation was completed in April and the results were a credit to the staff. Food Services provide meals for: Sale Hospital Maffra Hospital Wilson Lodge Meals on Wheels Stretton Park, Maffra Internal and External Functions Cafeteria Sale Community Services Planned Activity Groups and Sale Police complex Smoke free The entire Health Service went smokefree from the start of December and to help promote the fact, staff helped install a giant banner in the grounds to inform the public. 16

19 LIBRARY The Clayton Willington Library has extended its breadth of information services through an expansion of electronic resources using the web based catalogue and the organisation s intranet pages. Journal titles, books, reports, drug information and government publications are now available at the desk top in the office and at the point of clinical care across all sites. An additional linking of electronic serials to Clinicians Health Channel databases has enhanced the speed at which evidence based information is accessed. Additional formal training sessions have been conducted by the Librarian to many service specific groups. This has ensured ongoing professional development in current clinical practice. The Library has had a steady increase of staff; on site Monash University staff and students, and clinical placement students use the facility in the Monash building (Sale campus). Together with electronic access, the Clayton Willington Library has grown in its role as an information source, study place, and training facility. This year Medical Records completed the following activities: Processed and coded 11,461 discharges Prepared and filed 16,000 emergency attendances Responded to 50 Freedom of Information Requests Supported ongoing quality review programs such as the infection control audit, surgical unit audits and clinical documentation audits Participated in a number of documentation reviews and form development initiatives Coordinated the implementation of the new Patient Management System Michael Clamp Director Corporate Services MEDICAL RECORDS Key roles of the Medical Records Department include the following: Documentation of the presenting illness, treatment initiated or undertaken, outcome and follow up Support to the clinical areas to meet high quality documentation standards Coding of each patient episode to reflect the medical and surgical work of the hospital in a format that the Department of Human Services uses to calculate funding Provision of information required by external agencies including the Cancer Council of Victoria, Births, Deaths and Marriages Registry and the Infectious Diseases Unit of the Department of Human Services Ensuring compliance with Privacy Laws and Freedom of Information requirements Stretton Place Further extensions were carried out in Maffra, with the addition of four new independent living units at Stretton Place, one of which is pictured. The new units are adjacent to Stretton Close, which opened in Completion of the units is another step forward for the Stretton Park complex, which now includes the Stretton Park Hostel and 19 independent living units. Central Gippsland Health Service has an extensive information technology network which includes 300 desktop computers, 20 servers, 40 printers and a CISCO network. As well as infrastructure, the Information and Communication Technology team provides support for a wide variety of applications. It also plays an integral role in projects or redevelopments that are implemented across the organisation. Information and Communication Technology Manager Jon Millar says: I enjoy being apart of the ICT team because of the diversity of the role and the interaction with other staff members. 17

20 Annual Report 07/08 Quality of Care Report Central Gippsland Health Service is committed to continuous quality improvement and is pleased to present the Quality of Care Report for 2007/08. This report provides information about the quality of care we provide to the community. The Quality and Risk Framework, adopted in November 2005 and reviewed in July 2008, provides a stable platform from which to operate and continually assess quality of care. This framework represents a clear and direct reporting guideline from Quality and Service Committees. The Quality and Risk Working Party meets weekly to identify and monitor issues related to patient/client safety and quality of service. The Quality and Risk Committee meets bi-monthly and reports directly to the Board of Management. Quality Teams operate within the framework and report directly to the Quality and Risk Committee. These teams are Leadership and Management, Information Management, Human Resource Management, Safe Practice and Environment and Continuum of Care. Accreditation Status Central Gippsland Health Service is accredited with the Australian Council on Healthcare Standards. A full organisation-wide survey was held on August, 2007 and Central Gippsland Health Service subsequently gained full accreditation, which is valid for four years. A self assessment report is sent to Australian Council on Healthcare Standards in August, 2008, with a Periodic Review due in August, The Periodic Review determines ongoing Accreditation Status, reviewing Mandatory Standards as well as reviewing the progress on recommendations made at the organisation wide survey. Victorian Patient Satisfaction Monitoring System Central Gippsland Health Service participates in the Victorian Patient Satisfaction Monitor run by the Department of Human Services. This allows organisations to compare their performance with similar size/type hospitals across Victoria. The following graph shows performance in key satisfaction indicator areas for the period September 2007 to February Limited Adverse Event Screening The Limited Adverse Occurrence Screening process has been in place at Central Gippsland Health Service since April The occurrences screened are: Medical Emergency Team calls Code Blue (Cardiac Arrest) Unplanned return to Theatre within seven days Deaths Unplanned Transfers to Critical Care Unit Emergency Caesarean Sections Transfers in from a hospital within the Gippsland Region Transfers to Sale Campus and Tertiary facilities from Maffra Hospital Unplanned representation to Emergency Department within 48 hours Frequent representations to Emergency Department (4 or> per month) Pharmacy Technicians play a vital role in the distribution of medications to patients at Central Gippsland Health Service. The role includes ensuring the correct medications are allocated in the correct amounts and providing assistance to the pharmacists. Pharmacy Technician Kylie Nikolakew says: I love working with the patients. I see them in the wards and we can help them by ensuring the correct medications that help them over their illness or injury. 18

21 Between July 2007 and June 2008, there were 517 Limited Adverse Occurrence Screening reports screened. Of these, 16 (4%) were presented to the Quality and Risk Working Group. Some examples of changes to practice as a result of these actions include: Information provided to general practitioners on Coroner s requirements for reporting falls related deaths Overnight observations requirements in Medical Unit revised and implemented Education on management of Insulin Infusions Revision of care of drain tube guidelines Incident Reporting Central Gippsland Health Service promotes a robust incident reporting system. Regular monitoring and management of incidents takes place within the Quality Department. Significant reported incidents are tabled at the weekly meeting of the Quality and Risk Working Party, with specified reporting to the Quality and Risk Committee. The organisation is able to conduct trend analysis on incidents reported under certain categories. Infection Control The Infection Control Program is responsible for monitoring all aspects of infection risk, ranging from ensuring correct systems for food handling, environmental safety, water supplies and air conditioning systems, correct operating theatre and sterilising procedures. There is also close monitoring of wound infections. The Infection Control Consultants are nurses with specialised training who provide leadership on behalf of the Infection Control Committee. This Committee reports directly to the Quality and Risk Working Party. Central Gippsland Health Service has participated in and completed the Hand Hygiene Project, funded by Department of Human Services. Falls Monitoring Central Gippsland Health Service continues to identify those patients who are at increased risk of falls in the hospital setting as well as in their home environment. Falls risk assessment tools and falls minimisation plans are developed in acute and aged care. Completion of assessments and implementation of plans continue to be audited. Since November 2005 the Falls Prevention Committee has been meeting regularly. The Falls Prevention Education Program has been conducted throughout the organisation to introduce the revised Falls Management Plans. The Falls Prevention Committee continues to monitor data related to falls, in particular incidents reported. The results of benchmarking through submission of Falls Clinical Indicators to the Australian Council on Health Care Standards show that Central Gippsland Health Service continues to perform slightly better than the average across all hospitals. Medication Management Delivering medication safely depends on providing the correct medication to the right patient in the correct dose at the right time. Central Gippsland Health Service has an active program of monitoring any incidents that occur in relation to drug administration. All Division 1 Nurses complete an annual medication administration education program as part of their ongoing professional development and credentialing program. Benchmarking against like organisations shows that Central Gippsland Health Service is performing slightly better than average in this area. Prevention of Pressure Ulcers Pressure Ulcers result from damage to the skin when patients are unable to move freely in bed. There are four levels of severity and recognising the subtle changes in the skin before it breaks down has a major influence on reducing the occurrence of pressure ulcers. Central Gippsland Health Services continues to participate in the state-wide Pressure Ulcer Point Prevalence Study (PUPPS). Central Gippsland Health Service also has commenced submitting Pressure Area Clinical Indicators to the Australian Council on Health Care Standards. Results of this benchmarking show that Central Gippsland Health Services compares favourably with other organisations. Hospital Medical Officers (HMOs) are Interns and Registrars who rotate to Sale from their parent hospital in Melbourne for periods ranging from 10 weeks to six months. The group can also include International Medical Graduates who are re-establishing their medical career in a new country and environment. HMO Manager, Lisa Neuchew, says: Developing good relationships with the HMOs and providing personal support to assist HMOs with managing their very busy and demanding lives is the most enjoyable aspect of my role. Many of the HMOs have dual lives; managing their life at CGHS which revolves around work and a home life in Melbourne where family and friends are. 19

22 Annual Report 07/08 Consumer, Carer and Community Participation Improving Care for Aboriginal and Torres Strait Islanders Central Gippsland Health Service is funded to provide a Koori Liaison position. This position reports monthly statistics to Department of Human Services. The Koori Liaison Officer, Sandra Neilson, is a member of the Gippsland Koori Hospital Liaison Network and was presented with a Certificate of Recognition as part of NAIDOC Week in A Koori Cultural Plan for was developed during the reporting period. Continuity of Care Central Gippsland Health Service responds to the needs of consumers, their families, carers and the community through such forums as: Consumer and Carer Consultative Committee Rosedale and Loch Sport Advisory Committees Board of Management Meals on Wheels Reference Groups Level 1 Member of Wellington Primary Care Partnership Gippsland Region Palliative Care Consortium Wellington Working Together Specifically the committee assists in the following: Enhance the credibility and objectivity of internal and external financial reporting; Ensure the effective management of financial and other corporate risks and the protection of Health Service assets; Ensure compliance with laws and regulations as well as use best practice guidelines and oversee the effectiveness of the internal audit function; Ensure an effective means of communication between the external auditor, internal auditor, management and the Board. During 2007/08, Vickie Mavros continued as Chairperson of the Audit Committee. She brings a number of years experience in leading Audit Committees to Central Gippsland Health Service. Vickie Mavros and Peter Fiddian continued in their roles as independent members. Peter has vast experience in the Health Sector and both leading and contributing to Audit Committees. The Board was represented by Kevin Young and Graeme Dyer who have considerable accounting, auditing and business knowledge. During the course of 2007/08, LSH Accounting was responsible for delivery of Internal Audit services. A three year Internal Audit Plan has been developed and range of reviews have been completed. The following reviews were completed during 2007/08: Funding has been granted for the Hospital Admission Risk Program (HARP). This program commenced in late Audit Committee Central Gippsland Health Service s Audit Committee is an independent advisory committee to the Board of Management. The primary objective of the Audit Committee is to assist the Board of Management in the effective conduct of its responsibilities for financial reporting, management of corporate risk and maintaining a reliable system of internal controls. Aged Care; Community Services; Asset Management; Corporate Governance; Compliance with Financial Management Framework; and Radiology Business Unit review. The Committee has also overseen and reviewed the financial statements. As part of this process they have reviewed the External Audit strategy and met on several occasions with the External Auditor. The Committee also oversees the Health Service s Corporate Risk Management Procedures. To achieve this objective, a risk register is updated and presented at all Audit Committee meetings. 20 Food Services produces more than 220,000 meals in a year, servicing not only the inpatients, but also Meals on Wheels, and Residential Aged Care facilities in Sale, Heyfield and Maffra. Food Services staff member at Stretton Park in Maffra, Tim Rowley, says: The other staff and contact with the residents here and their families makes this the job it is.

23 Support groups Members of the Central Gippsland Health Service Auxiliary CENTRAL GIPPSLAND HEALTH SERVICE AUXILIARY On behalf of Central Gippsland Health Service Auxiliary I have much pleasure in presenting this year s report. It has been a very quiet year. Fundraising came in with Fathers Day, Christmas Wrapping and Mothers Day. Donations from Ritchies (IGA Supermarket) have been wonderful. They come in each month. In December we celebrated our 75th Birthday Anniversary. The Health Service put on a wonderful afternoon tea. Christmas Cheer of $1,000 was given for Health Service patients, with our Christmas break-up held at the Star Hotel. Thanks to the Gippsland Centre, Sale for all its support and we would like to record our thanks to the general public for continued support. In closing, I would like to thank Vic Forrest for all his hard work for the Auxiliary, Office Bearers and members and also all the volunteers. Elva Doolan-Jones President MAFFRA HOSPITAL LADIES AUXILIARY It is my pleasure to present this report for the year We have a membership of 15 who faithfully continue to work to support our local hospital. We raise funds to provide items for the hospital, both to enhance the comfort of residents and to assist the nursing staff. During the past 12 months the Auxiliary has raised approximately $26,000. We had two very successful raffles at Christmas and Easter, a street stall and a couple of coffee mornings. The annual Oaks Day Luncheon continues to be well supported by members of the community. We are grateful to members of the community who support us through the IGA Supermarket Community Benefits Scheme and for the donation of $720 we received from St John s Op Shop. A couple of items purchased this year were a Vital Signs Monitor at a cost of $3,500, another massage chair and pressure mattress. Thanks are due to all members who so willingly bake for street stalls and morning and afternoon teas, and take their turn delivering Meals on Wheels. Many thanks to our Treasurer, Pat McKenzie for so capably keeping track of our finances and to President Lennie Stammers for leading the Auxiliary. Pat Cameron Secretary McDonald Wing games Maffra Secondary School students Kirby Faulks, Taylor O Brien (back) and Niki Porter present Maffra Hospital McDonald Wing resident Alice Lofting with a Nintendo Wii. The three students raised money to donate the Wii after spending time with the residents as part of their Personal Development Community Project. 21

24 Annual Report 07/08 LOCH SPORT COMMUNITY HEALTH CENTRE AUXILIARY The Loch Sport Auxiliary has unfortunately suffered a drastic reduction in members attending the monthly meetings. It operated during the past 12 months with as few as five or six attendees. This places huge pressure on those remaining when it comes to successfully raising funds for the Health Centre. As the town had no Doctor for nearly 16 months, the extreme pressure placed on nurses and administration staff was great; however, the residents of the town appreciated every ounce of service and care given by the wonderful Health Centre staff, all much loved members of the town. Many raffles have been run, and as usual the support received whenever there was a sit-out to sell raffle tickets has been nothing short of magnificent. During the year the Auxiliary purchased a printer for the nurses, a CD player for reception, a reverse cycle air conditioner for the treatment room and a new set of scales. A specially modified generator has been ordered, to ensure that stock in the vaccine fridge is not spoilt due to the large number of power outages at Loch Sport. During the year an acrylic painting by local artist Lesley Dwyer was donated to the Health Centre by Mr. Lindsay Goold of Loch Sport. It has been placed in the reception area and certainly enhances this area, the colours used in the painting matching perfectly with the existing décor. Hopefully, the Auxiliary s 2008/09 report will see an increase in the number of people willing to participate in the fund-raising efforts... time will tell! Lyn Schapendonk Secretary SOCIAL CLUB REPORT Thanks to all the staff who put their hand up to join our committee and to those who could assist us. Running our Social Club is a team effort and our team this past year have been terrific. I would like to also thank the hospital cashier there have been quite a few staff members filling this position at various times during the year. The cashier has been a huge part of our team, selling cinema tickets, organising selling of Social Club books, receipting, etc. We could not run the club without their help. Thanks to Belinda Harvey who took on the role of Treasurer for the first couple of months and to Emma Weston and Sharon McDonald who took over the role in November. These girls are ensuring our books are not only balanced but everything is transparent and with up to date finance reports. Thanks as always to our wonderful secretary Kate Jones. Nothing is too much trouble for Kate and she is a whiz when it comes to organising things. Her sense of humour makes the meetings very memorable to say the least. Our club is open to all Central Gippsland Health Service employees, including temporary employees and this year we had more than 400 members. There continues to be numerous social club events. Some of them are noted here. This year we decided to have bi-monthly member draws, with four lucky members each receiving a $50 voucher to one of the businesses who give our members discounts. New membership cards have been designed and distributed. These cards are used for entrance to Happy Hours, to get drinks from the bar, and they are also used at the 30 or so local businesses that give our members a discount. Sharon has updated our membership form and Jon and Peter have organised Social Club information to be included in the orientation packs that are given to all new employees. Although this year seems to have been the Year of the Happy Hour our most memorable function was the Sale Cup Day in October. Over 30 members attended and were well entertained, well nourished and well hydrated. Thanks to Dave Askew and Jon Millar for organising a wonderful, fun filled day; they even had their own Fashions on the Field. People are already talking about cup day for this year. Our fantastic Happy Hours are certainly gaining in popularity. The Christmas happy hour was attended by 113 members, thanks to Belinda for purchasing the prizes and to the three cute Santa s, Kylie, Kristie and Sheree for handing them out. Then came the Valentine s Day Happy Hour at the Star in February, with 65 people attending. As Kate stated in the monthly minutes Brilliant prizes were purchased by an excellent shopper!! The Easter Happy Hour in March was held at the Bowls Club, with 70 members attending. The Bowls Club members are excellent hosts and certainly enjoy having us there. 22 Patchworkers Pat Shepard, Judy Utah, Kay Little and Marion Lucas with quilts they created from materials decorated by McDonald Wing nursing home residents as part of the Busy Hands Program. Residents at Maffra's McDonald Wing Nursing Home have been using their creative talents to tie dye, print and decorate material.

25 CAVA 30 year celebration More than 70 people attended a Community Aid Volunteers Association (CAVA) 30 year reunion in December. Pictured at the reunion are, from left, former Director Dee Benson of Maffra, Secretary-Treasurer Val Thomas of Sale, Emergency Relief and long distance driver Alan Murray of Sale, first Office Coordinator Pam Wise of Sale and former Director Lyn Bellinger, now of Pakenham. The Any Excuse Happy Hour in May was attended by 91 members. Jan Roberts and Michelle Austin purchased the prizes, lots of delicious chocolates sourced direct from the factory and plenty of liquid refreshments. The next was Jeans for Genes Day in August, which more than 70 people attended even though it was a cold miserable afternoon just perfect weather for the delicious pizzas that Dave and Jon had organised! The Happy Hours have been a wonderful Social Club event. Members from all areas of the Health Service have attended, they laugh together, eat and drink together and some even exchange prizes. Many of the members from all different areas often continued the evening having dinner together. All in all it has been a pleasure to be the President of such a club. The committee though small of number have been wonderful to work with; nobody rules the roost, instead everyone just did their bit. Di Finch Social Club President DONATIONS Central Gippsland Health Service gratefully acknowledges the support of individuals, families and organisations who gave donations of cash or equipment during the past year. Because of issues which may arise due to the Privacy Act, we have chosen not to list personal names in this report. Total contributions received 2007/2008: General Donations $ 8, Ward Specific $ 61, Network Appeal $ 22, Clyne Estate (Bequest) $106, A special vote of thanks goes to Central Gippsland Health Service Fundraising Committee, chaired by local businessman Peter Donovan. The group continues to work at staging events and activities to raise funds for future developments that benefit the Health Service and therefore the local community. Porters walk around 30,000 steps on any given shift, as they transport patients around the Health Service, provide security support to people in need of assistance and provide other assistance as necessary. Steven Clogg says: It s the best job in the Health Service. We get to meet everyone and see everyone and the variety is great. It s everything from security to helping people who need help. I ve worked out we walk about 25 kilometres on day shift and about 18 on night shift. 23

26 Annual Report 07/08 Executive staff as at 30 June 2008 Chief Executive Officer Peter Craighead Director Medical Services Brian Cole Director of Nursing, Midwifery and Aged Care Amanda Cameron Director Community Services Mandy Pusmucans Director Corporate Services Michael Clamp Senior staff Acute Services Director Critical Care and Emergency Services Dr Howard Connor Head of Anesthetics Dr Gary Rooke Head of Aged Care Dr Krishna Mandaleson Director Pharmacy Annabel McNally Deputy Director of Nursing Anne Woollard Hospital Co-ordinators: Wendy Harwood; Neville Nicholas; Catherine Lee; Dianne Matcott; Therese Smyth; Judy Niziolek Professional Development Co-ordinator Di Fahy (until July 2007) Denise McInnes SURGICAL SERVICES Nursing Unit Manager, Surgical Gary McMillan Nursing Unit Manager, Perioperative Services Patricia Madeley (until October 2007) Sally Relph WOMENS AND CHILDRENS UNIT Nursing Unit Manager Shirley Greatorex MEDICAL SERVICES Nursing Unit Manager, Critical Care, Dialysis, Cardiology, Oncology Jenny Dennett Nursing Unit Manager, Medical Jennie Wright (until September 2007) Sue Roberts Nursing Unit Manager, Emergency Louise Vuillermin CLINICAL SUPPORT SERVICES Infection Control Officers Louella Rintoul (until November 2007) Cathy Mowat Wound/Stomal Therapy Ann Payne MAFFRA CAMPUS Nurse Manager Sonya Hanratty Nursing Unit Manager Robyn Cotterill HEYFIELD (including Laurina Lodge) Health Service Manager Liz Bell Nursing Unit Manager Jo Ollier Residential Aged Care WILSON LODGE NURSING HOME Nursing Unit Manager Sue Ingrouille STRETTON PARK HOSTEL AND INDEPENDENT LIVING UNITS Care Manager Jane Delahunty (until February 2008) Sonya Hanratty Community Services Home Nursing Manager Mary Hartwig Allied Health Manager Maureen Wilson Community Health and Partnerships Manager Ruth Churchill Home Support and Service Co-ordination Manager Belinda Greening Corporate Services General Manager Support Services Rohan Fitzgerald Financial Manager Daryl Cooper Health Information Manager Heather Rowell Information Technology Manager Wylie Edwards / Jon Millar Librarian Helen Ried Quality Improvement Manager Sally Stiberc BUSINESS UNITS Medical Imaging Practice Manager Michael Coleman Cardiology Kathie Smith and Wendy Peters The Allied Health Department includes a range of health professionals, such as Occupational Therapists, Physiotherapists, Speech Therapists and support staff. Now based in the new Community Rehabilitation Centre, Allied Health staff provide a range of services for inpatients and outpatients. Chief Occupational Therapist Alethea Leendertz moved to Gippsland from South Africa this year and says: I like to be flexible in my work. There are many different areas that are interesting, including lecturing and training. The role here lends itself to that as well as management, coordination and using all of my skills. 24

27 Visiting Medical Officers 2007/2008 Consultant Anaesthetist Dr G Rooke, MB (Hons), FANZCA GP Anaesthetists Dr N Atherstone, MB, ChB, DRACOG, DCH, FRACGP Dr D Langford, MBBS, DRACOG, DRANZCOG Dr M Langford, MBBS Dr C O Kane, MBBS, DRACOG Dermatologists Dr C Baker, MBBS, FACD Dr D Gin, MBBS, FACD Dr J Horton, BSc, MBBS, MRCP, FACD Dr A Mar, MBBS, FACD Dr R L Nixon, BSc (Hons), MBBS, FACD, FRACP (FOM) Dr D Orchard, MBBS, FACD Director Medical Services Dr B Cole, MBBS, FRACGP, FRACMA Emergency Department Senior Medical Officer Dr JM van der Westhuizen, MB, ChB, RCPSC General Practitioners Dr Y Ahmad, MBBS Dr S Anderson, MBBS, FRACGP, DSCM Dr M T Baker, MBBS, FRACGP, DRACOG Dr F Begum, MBBS, BSc (Hons), DRACOG Dr JM Bergin, MBBS Dr A Burk, MBBS, BMSc, DRACOG, FRACGP, FACRRM Dr. J Bvirakare, MB, ChB, MPH Dr P Dandy, MBBS Dr LJ Derrick, MBBS Dr RJ Hides, MBBS, DRANZCOG Dr G Ivanof, MBBS Dr CJ Jarman, MBBS, FRACGP Dr B Johnston, MBBS Dr D Langford, MBBS, DRACOG, DRANZCOG Dr CA Martin, MBBS, FRACGP, DRACOG Dr RH Melville, MBBS, DRACOG Dr A Miller, MBBS, MRCP, FAMAC Dr DA Monash, BMSc, MBBS Dr IC Nicolson, MBBS Dr C O Kane, MBBS, DRANZCOG Dr R Nandha, MBChB, DGMRcP, DRCOG, DA, MRCGP, FRACGP Dr AC Richards, BMSc, MBBS Dr H Stanley, MBBS Dr P Stevens, MBBS, FACRRM Dr F Sundermann, MBBS Dr LA Waters, MBBS, DRACOG Dr AJ Watt, MBBS, DA Dr SJ Williams, MBBS Dr AJ Wright, MBBS Consultant General Practitioners Dr A Hughes, MA, MBBS, DRCOG, MRCGP Dr D Mudunna, MBBS IVF/Gynaecology Dr JM Talbot, MBBS, FRACOG, FRANZOG Dr G Weston, MB,MS, PhD, MPH, FRANZCOG Nephrologist Dr P Lee, MBBS, FRACP Prof D Power, MBBS, MRCP, MD, FRACP, PhD, FRCP Nuclear Medicine Physician Dr Y Jenkin, MBBS, FRACP Obstetricians & Gynaecologists Dr R Guirguis, MB.BCH (Hon), MRCOG, CCST, MRANCOG, FRANCOG Dr RJ McKimm, MBBS, MRCOG, FRACOG, FRANZCOG Dr Anu Sarkar, MBBS, DRCP, MRCOG Obstetricians &Gynaecologists (Locum) Dr Usam Elsabary, MB CHB, MRANZCOG GP Obstetricians Dr D Langford, MBBS, DRACOG, DRANZCOG Dr C O Kane, MBBS, DRANZCOG Dr AJ Wright, MBBS, FACRRM Ophthalmologist Mr KP Gullifer, MBBS, FRACO, FRACS Oral Maxillofacial Surgery Dr S R Hookey, BDSc, MDSc, FRACDS Orthopaedic Surgeons Mr P Rehfisch, MBBS, FRACS Mr P Smith; MB, ChB, MScSM, FCO, MMO Otorhinolaryngologists (ENT) Mr M Campbell, MBBS, FRACS Mr PJ Guiney, MBBS, D, FRACS 25

28 Annual Report 07/08 Paediatricians Dr A Erasmus, MB CCh, DCH, FCP Dr M Painter, MB ChB, DCH, FCP, MM, RCPSC Paediatric Cardiologist Dr L Fong, DDU, FRACP, MBBS Paediatricians (Locums) Dr S Beggs, MBBS, FRACP Dr R Diplock, MB.MS, FRACP Dr M Marks, MBBS, FRACP, MD, MPH Dr J Martin, MBBS, FRACP (resigned October 07) Dr S O Dea, MBBS, FRACP Dr G Roberts, MBBS, FRACP, MPH Paediatric Surgeons Mr C Kimber, MBBS, FRACS Mr N McMullin, MBBS, FRACS Pathologists Vascular Surgeon Mr Neil Roberts, MBBS, FRACS Urologist Assoc Prof Mark Frydenberg, MBBS, FRACS Dentists Dr JJ Gibson, BD Sc, LDS Dr R Malouf, BD Sc, LDS Dr B Pedrotti, BD Sc Dr T Ranten, BD Sc Dr I J Ronchi, B Sc, BD Sc Dr O Husodo, B DSc Dr J Roberts, B DSc, MD Sc, FRACDS Hospital Dentists Dr D Duraisamy, BDS, NZDREX Dr J Raj, BDS, ADC Dr R Zamanihazarjaribi, BDS, ADC Dr B Morrison, MB Bch, BAO, BDS, FRACPA Dr NR Sonenberg, MBBS, FRCPA Dr PJ Van der Hoeven, MD, FRCPC, FRACPA Physicians Dr H Connor, MBBS, FRACP Dr V Das, MBBS, MRCP Dr K Mandaleson, MBBS, MRCP, FRCP Dr RW Ziffer, MBBS, MRACP, FRACP Physician (Locum) Dr Su Hii, MBBS, FRACP Radiologists Dr R Bain, MBBS, FRANZCB Dr R Brownlee, MBBS, FRACR Dr T Kulatunge, MBBS, FRANZCR Dr G Savarkudele, MBBS, DMRD, DNB Dr K Stribley, MBBS, FRACR Dr A Zammit, MD (Malta), DMRD, FRCR General Surgeons Mr A Aitken, BSc (Hons), PHd, MBBS, EMST, USMLE, FRACS Mr I McN Miller, MBBS, MRCS, LRCP, DCH, FRCS, FRACS Mr A Sarkar, MBBS, MS, FRCS Upper GI Surgeon Mr S Banting, MBBS, FRACS 26

29 Statutory Information Statutory Compliance Central Gippsland Health Service is a public hospital listed in Schedule 1 to the Health Services Act 1988 (the Act). Central Gippsland Health Service is an incorporated body under and is regulated by the Act. The Victorian Minister for Health during 2007/2008 was The Hon. Daniel Andrews. Reporting Requirements The information requirements listed in the Financial Management Act 1994 (the Act) the Standing directions of the Minister for Finance under the Act (Section 4 Financial Management Reporting) and Financial Reporting Directions has been prepared and are available to the relevant Minister, Members of Parliament and the public on request. Objectives, functions, powers and duties of Central Gippsland Health Service The principal objective of Central Gippsland Health Service is to provide public hospital services in accordance with the Australian Health Care Agreement (Medicare) principles. In addition to these, Central Gippsland Health Service has set other objectives which encompass the shared vision, core values and strategic directions of the organisation. Whistleblowers, FOI (Reported in following section) Consultancies engaged during 2007/2008 A number of consultants were contracted to work for Central Gippsland Health Service in 2007/2008. As required by the Victorian Industry Participation Policy Act 2003, a summary of the extent of contractual costs for consultants is outlined. 07/08 06/07 Number of consultants used to 0 0 a value greater than $100,000 Total cost of consultants used 0 0 to a value greater than $100,000 Number of consultants used to 6 4 a value less than $100,000 Total cost of consultants used to $81,805 $17,246 a value less than $100,000 During 2007/2008 there has been one contract commenced or completed under the Victorian Industry Participation Policy Act Competitive Neutrality Central Gippsland Health Service supports the Victorian Government s policy statements as outlined in Competitive Neutrality; a statement of Victorian Government policy. Competitive Neutrality is seen as a complementary mechanism to the ongoing quest to increase operating efficiencies by way of benchmarking and embracing better work practices. Building Act 1993 Compliance Central Gippsland Health Service complies with the Standards for Publicly Owned Buildings (the guideline). Central Gippsland Health Service controls 9 properties of which involve 6 residential care and 3 non-residential care. Non residential Loch Sport CHC 1 Community Care 1 Community 1 Rehabilitation Centre Residential Heyfield Hospital 1 Laurina Lodge 1 Maffra Hospital 1 Stretton Park 1 Sale Acute 1 Wilson Lodge 1 All new work and redevelopment of existing properties is carried out to confirm to current building regulations (1994) and the provisions of the Building Act The local authority or a building surveyor issues either a Certificate of Final Inspection or an Occupancy Permit for all new works or upgrades to existing facilities. As at June 30, 2008, fire risk audits had been completed for all Central Gippsland Health Service occupied residential care facilities. Central Gippsland Health Service installs and maintains fire safety equipment in accordance with building regulations and regularly conducts audits. The upgrading of fire prevention equipment in buildings is also undertaken as part of any general upgrade of properties where necessary and is identified in maintenance inspections. Central Gippsland Health Service requires building practitioners engaged on building works to be registered and to maintain registration throughout the course of the building works. Freedom of Information A total of 50 requests under the Freedom of Information Act were processed during the 2007/2008 financial year. Requests for documents in the possession of Central Gippsland Health Service are directed to the Freedom of Information Manager, and all requests are processed in accordance with the Freedom of Information Act

30 Annual Report 07/08 A fee is levied for this service based on the time involved in retrieving and copying the requested documents. Central Gippsland Health Service nominated officers under the Freedom of Information Act are: Principal Officer Peter Craighead, Chief Executive Officer Medical Principal Officer Dr Brian Cole, Director Medical Services Freedom of Information Manager Ms Heather Rowell, Health Information Administrator Privacy Central Gippsland Health Service has embraced the privacy legislation and is committed to ensuring that consumer and staff rights to privacy are upheld at all times. The Privacy Standing Committee has been formed with representation from across all divisions. The role of the committee has been to ensure that the organisation has the proper processes and policies in place to enable the organisation to be compliant with privacy legislation, and to provide information to staff and consumers regarding privacy rights and responsibilities. All Central Gippsland Health Service consumers have the right to have personal information stored in a secure location and to be assured that only that information that is necessary to ensure high quality health care is to be collected. Central Gippsland Health Service has implemented a privacy complaints procedure that can be accessed by both staff and consumers that both monitors and enforces privacy issues. There is an Information Standards Committee which oversees privacy matters. Whistleblowers The Whistleblowers Protection Act (Vic) came into effect on 1 January Central Gippsland Health Service has developed both a Policy and Procedure to encourage and facilitate the making of disclosures, where these are supported by reasonable grounds, related to alleged improper or corrupt conduct in the management or conduct of the organisation. Any staff person or member of the public who has reasonable grounds to believe that improper or corrupt conduct has occurred, is occurring or is about to occur in the management or conduct of the organisation is encouraged to disclose this to senior staff. The number and nature of disclosures shall be reported in this and subsequent annual reports. No disclosures were made to Central Gippsland Health Service during the year No disclosures were referred by Central Gippsland Health Service Services to the Ombudsman for determination or investigation. No disclosures were referred to Central Gippsland Health Service Services by the Ombudsman, or taken over by the Ombudsman. No requests were made under Section 74 to the Ombudsman to investigate. No matters were declined for investigation. No recommendations were made of the Ombudsman under the Act that relate to Central Gippsland Health Service services. The Whistleblower Co-ordinator is Peter Craighead, Chief Executive Officer. The Health Service is one of the major employers in Central Gippsland, with nearly 800 full and part time staff. The Human Resources group provides a range of support services for existing staff and helps with recruitment of new staff. Human Resources Department Support Officer, Lyn Lancey, says: I like being able to work with people right across the organisation, at Heyfield, Maffra and Sale as well. My work is not just confined to a small group of people, it s right across the Health Service. 28

31 CENTRAL GIPPSLAND HEALTH SERVICE REPORT OF OPERATIONS Responsible Bodies Declaration In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Central Gippsland Health Service for the year ending 30 June John Sullivan Board Member Sale, Victoria 9 September 2008 SUMMARY OF FINANCIAL RESULTS 2007/ / / / / /03 Total Expenses 60,482 56,818 54,320 54,245 54,209 52,504 Total Revenue 59,286 57,732 55,752 52,503 53,820 50,305 Operating Surplus/(Deficit) (1,196) 914 1,432 (1,742) 389) (2,199) Accumulated Surplus (Deficit) (5,301) (4,105) (5,019) (6,175) (4,433) (3,778) Total Assets 63,660 64,487 62,998 51,684 53,977 51,000 Total Liabilities 12,579 12,682 12,107 13,058 15,609 15,276 Net Assets 51,081 51,805 50,891 38,626 38,368 35,724 Total Equity 51,081 51,805 50,891 38,626 38,368 35,724 Summary of Operational and Budgetary Objectives The service recorded a net surplus from continuing operations before capital & specific items of $0.8 million (2006/07: $1.6 million surplus). After taking into account capital & specific items the net result was a loss of $1.1 million (2006/07 $0.9 million surplus) The Health Service exceeded its budgetary objectives for 2007/08. Summary of factors that have affected the Operations for the Year The results of the service during the reporting period have been affected by the following factors: Implementation of a new Nursing Enterprise Bargaining Agreement. Commencement of Emergency/Dialysis redevelopment financed from cash reserves. Major upgrade of Medical Imaging equipment to ensure quality of service is maintained and lastest technology is available to patients. Development of robust budget and management reporting process. Strong management of cash position. Events Subsequent to Balance Date At the date of this report, management is not aware of any events that have occurred subsequent to balance date that may have a material impact on the results of the next reporting period. 29

32 Annual Report 07/08 Revenue Indicators Average Collection Days 2007/ /07 Private Inpatients TAC Inpatients - - Victorian Workcover Inpatients Other Compensable Inpatients Nursing Home 7 1 Community Services Patient Debtors Outstanding as at 30 June 2008 Under 30 Days Days Days Over 90 Days Total 30/06/08 Total 30/06/07 $'000 $'000 $'000 $'000 $'000 $'000 Private Inpatients TAC Inpatients Victorian Workcover Inpatients Other Compensable Inpatients Nursing Home Community Services Total Attestation on Compliance with Australian/New Zealand Risk Management Standard I, Amanda Cameron certify that the Central Gippsland Health Service has risk management processes in place consistent with the Australian/New Zealand Risk Management Standard and an internal control system is in place that enables the executives to understand, manage and satisfactorily control risk exposures. The audit committee verifies this assurance and that the risk profile of the Central Gippsland Health Service has been critically reviewed within the last 12 months. Amanda Cameron Acting Chief Executive Officer Sale, Victoria 25 September

33 CENTRAL GIPPSLAND HEALTH SERVICE REPORT OF OPERATIONS KEY PERFORMANCE INDICATORS Service Level Central Gippsland Health Service provides services throughout the Wellington Shire. The population of the total area is approximately 40,000. Activity Data Admitted Patient Acute Sub Acute Total Separations Same Day 5,946-5,946 Multi Day 5, ,908 Total Separations 11, ,854 Emergency 3, ,633 Elective 6, ,667 Other (inc maternity, newborn &statistical) 1, ,554 Total Separations 11, ,854 Public Separations 10, ,374 Total WIES 6, Total Bed Days 32,109 1,860 33,969 Non Admitted Patient Acute Other Total Emergency Medicine Attendances 14,151-14,151 Outpatient Services - Occ. of Service 46,109-46,109 Other Services - Occ. Of Service 1,092 32,892 33,984 Total Occasions of Service 61,352 32,892 94,244 31

34 Annual Report 07/08 Disclosure Index The Annual Report of the Central Gippsland Health Service is prepared in accordance with all relevant Victorian legislation. This index has been prepared to facilitate identification of the Department s compliance with statutory disclosure requirements. Legislation Requirement Page Reference Ministerial Directions Report of Operations FRD Guidance Charter and purpose FRD 22B Manner of establishment and the relevant Ministers 4 FRD 22B Objectives, functions, powers and duties 27 FRD 22B Nature and range of services provided 6 Management and structure FRD 22B Organisational structure 8 Financial and other information SD 4.2(j) Accountable officer, signed of report of operations 29 SD Risk Management Compliance 30 FRD 22B Operational and budgetary objectives and performance against Objectives 29 FRD 22B Statement of Merit and Equity 7 FRD 22B Workforce Data Disclosures 5 FRD 22B Occupational Health and Safety 15 FRD 22B Summary of the financial results for the year 29 FRD 22B Significant changes in financial position during the year 29 FRD 22B Major changes or factors affecting performance 29 FRD 22B Subsequent events 29 FRD 22B Application and operation of Freedom of Information Act FRD 22B Compliance with building and maintenance provisions of Building Act FRD 25 Victorian Industry Participation Policy disclosures 27 FRD 22B Statement on National Competition Policy 27 FRD 22B Application and operation of the Whistleblowers Protection Act FRD 22B Details of consultancies over $100, FRD 22B Details of consultancies under $100, FRD 22B Statement of availability of other information 28 FRD 10 Disclosure index 32 FRD 11 Disclosure of ex-gratia payments N/A FRD 21A Responsible person and executive officer disclosures Financial Statements 40 Legislation Requirement Page Reference Financial Statements FRD Guidance Financial statements required under Part 7 of the FMA SD 4.2(b) Operating Statement Financial Statements 5 SD 4.2(b) Balance Sheet Financial Statements 6 SD 4.2(b) Statement of Changes in Equity Financial Statements 7 SD 4.2(b) Cash Flow Statement Financial Statements 8 SD 4.2(c) Accountable officer s declaration Financial Statements 2 SD 4.2(c) Compliance with Australian Accounting Standards and other authoritative pronouncements Financial Statements 10 SD 4.2(c) Compliance with Ministerial Directions Financial Statements 40 SD 4.2(d) Rounding of amounts Financial Statements 10 Legislation Freedom of Information Act Whistleblowers Protection Act Victorian Industry Protection Act Building Act Financial Management Act 1994 Financial Statements 10 Audit Act 1994 Financial Statements 3 32

35 All Correspondence to: Executive Office Central Gippsland Health Service 155 Guthridge Parade Sale, Victoria 3850 Telephone: Fax:

36 SALE Acute Care Services 155 Guthridge Parade Sale Victoria 3850 Telephone: Facsimile: Community Services Telephone: Facsimile: Wilson Lodge Nursing Home Telephone: Facsimile: HEYFIELD 14 Licola Road Heyfield Victoria 3858 Telephone: Facsimile: All Correspondence Chief Executive Officer Central Gippsland Health Service 155 Guthridge Parade Sale Victoria 3850 Telephone: Facsimile: MAFFRA 48 Kent Street PO Box 313 Maffra Victoria 3860 Telephone: Facsimile: The provision of quality integrated health services.