Role Delineation Levels of Emergency Medicine
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1 Role Delineation Levels of Emergency Medicine January 2014 Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002
2 NSW MINISTRY OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) Fax. (02) TTY. (02) Produced by: Health System Planning and Investment NSW Ministry of Health Tel. (02) Fax. (02) This work is copyright. It may be reproduced in whole or in part for study training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. NSW Ministry of Health 2014 SHPN (HSPI) ISBN Copies of this document can be downloaded from the NSW Health website January 2014
3 Role Delineation of Health Services In NSW, role delineation forms part of service planning to assist in describing the complexity of services required for the needs of the population. Local Health Districts (LHDs) and Specialty Networks are responsible for determining the appropriate role delineation of services for health care facilities within the network of services in that LHD. The process of role delineation is part of the process which responds to the needs of the population and takes into account the clinical networks within the LHD. Role delineation levels are determined for a range of services provided at a health facility including; emergency, medical, surgical, maternity, integrated community and hospital, community based services, as well as support services; such as pharmacy, diagnostic imaging and pathology. The process determines the support services, staff profile, safety standards and requirements to ensure that clinical services are provided safely and with appropriate support. Role delineation levels are reviewed by the LHD to ensure consistency with service requirements. The Ministry provides an oversighting role in regard to the appropriateness of clinical services across LHDs. Levels range from Level 1 (the lowest complexity level of care) to Level 6 (the complex care). Additionally, a clinical service must be supported by the presence of the related and necessary support services. For example, a Level 6 Neurosurgery service requires the support of: Level 6 Diagnostic Imaging, Anaesthetics, ICU and Operating Suites; Level 5 Pathology, Pharmacy, Nuclear Medicine; and a Level 4 Coronary Care Unit. The NSW Health Guide to the Role Delineation of Health Services (Third edition, 2002), and the Rural Companion Guide (First edition, 2004), are the tools developed by NSW Health for health service planning, and describe the requirements for designated service levels. The Statewide Services Development Branch is responsible for the Guide. This document provides the current designated role delineation levels for a number of Emergency Services in NSW Public Hospitals. Review of this information will occur on an annual basis, unless there has been a major commissioning of services. The role delineation level of a service describes the complexity of clinical activity undertaken by that service, and is significantly impacted by the presence of medical, nursing and other health care personnel who hold qualifications compatible with the defined level of service. Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002 NSW HEALTH PAGE 1
4 Emergency Service Role Levels as Described by the Guide to the Role Delineation of Health Services Third Edition 2002 as at 1 January 2014 Local Health District Hospital Emergency Central Coast Gosford Hospital 5 Wyong Hospital 3 Far West Broken Hill Base Hospital 3 Balranald MPS 2 Wilcannia MPS 2 Ivanhoe District Hospital 1 Menindee Health Service 1 Tibooburra District Hospital 1 Wentworth District Hospital 1 White Cliffs Health Service 1 Hunter New England John Hunter Hospital 6 Newcastle Mater Misericordiae Hospital 5 Tamworth Base Hospital 5 Armidale and New England Hospital 4 Maitland Hospital 4 Manning Base Hospital 4 Belmont Hospital 3 Cessnock District Hospital 3 Gunnedah District Hospital 3 Inverell District Hospital 3 Moree District Hospital 3 Muswellbrook District Hospital 3 Narrabri District Hospital 3 Singleton District Hospital 3 Barraba MPS 2 Bingara MPS 2 Boggabri MPS 2 Dungog District Hospital 2 Glen Innes District Hospital 2 Gloucester Soldiers Memorial Hospital 2 Guyra MPS 2 Manilla MPS 2 Merriwa MPS 2 Prince Albert Memorial Hospital, Tenterfield 2 Quirindi District Hospital 2 Scott Memorial Hospital, Scone 2 Tomaree Community Health Service 2 Walcha MPS 2 Warialda MPS 2 Wee Waa District Hospital 2 PAGE 2 NSW HEALTH Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002
5 Emergency Service Role Levels as Described by the Guide to the Role Delineation of Health Services Third Edition 2002 as at 1 January 2014 Local Health District Hospital Emergency Bulahdelah District Hospital 1 Denman MPS 1 Emmaville / Vegetable Creek MPS 1 Kurri Kurri District Hospital 1 Tingha MPS 1 Werris Creek MPS 1 Wilson Memorial Hospital, Murrurundi 1 Illawarra Shoalhaven Wollongong Hospital 6 Shoalhaven and District Memorial Hospital 4 Shellharbour Hospital 3 Bulli District Hospital 2 Milton and Ulladulla 2 Mid North Coast Port Macquarie Base Hospital 5 Coffs Harbour Base Hospital 5 Kempsey Hospital 3 Macksville District Hospital 3 Bellinger River District Hospital 2 Dorrigo Plateau MPS 2 Wauchope District Memorial Hospital 2 Murrumbidgee Wagga Wagga Base Hospital 5 Griffith Base Hospital 4 Corowa Hospital 3 Deniliquin Hospital 3 Leeton Hospital 3 Narrandera District Hospital 3 Young District Hospital 3 Barham and Koondrook Hospital 2 Batlow MPS 2 Berrigan MPS 2 Boorowa MPS 2 Coolamon-Ganmain MPS 2 Cootamundra Hospital 2 Culcairn MPS 2 Finley Hospital 2 Gundagai Hospital and Health Service 2 Hay Hospital 2 Henty MPS 2 Hillston District Hospital 2 Holbrook District Hospital 2 Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002 NSW HEALTH PAGE 3
6 Emergency Service Role Levels as Described by the Guide to the Role Delineation of Health Services Third Edition 2002 as at 1 January 2014 Local Health District Hospital Emergency Jerilderie MPS 2 Junee MPS 2 Lake Cargelligo MPS 2 Lockhart and District Hospital 2 Murrumburrah-Harden District Hospital 2 Temora and District Hospital 2 Tocumwal Hospital 2 Tumbarumba MPS 2 Tumut District Health Service 2 Urana MPS 2 Wyalong Health Service 2 Nepean Blue Mountains Nepean Hospital 5 Hawkesbury District Health Service 4 Blue Mountains District ANZAC Memorial Hospital 3 Lithgow District Hospital 3 Portland Tabulam Health Centre 1 Network with Vic Albury Base Hospital 4 Northern NSW Lismore Base Hospital 5 The Tweed Hospital 5 Ballina District Hospital 3 Casino and District Memorial Hospital 3 Grafton Base Hospital 3 Maclean District Hospital 3 Murwillumbah District Hospital 3 Bonalbo Hospital 2 Byron Bay District Hospital 2 Kyogle MPS 2 Mullumbimby & District Hospital 2 Nimbin MPS 2 Urbenville MPS 2 Northern Sydney Royal North Shore Hospital 6 Hornsby Ku-Ring-Gai Hospital 4 Manly Hospital 4 Mona Vale Hospital 4 Ryde Hospital 3 PAGE 4 NSW HEALTH Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002
7 Emergency Service Role Levels as Described by the Guide to the Role Delineation of Health Services Third Edition 2002 as at 1 January 2014 Local Health District Hospital Emergency South Eastern Sydney St George Hospital 6 Prince of Wales 6 Sutherland Hospital 5 Sydney/Sydney Eye Hospital 3 Gower Wilson MPS 1 South Western Sydney Liverpool Hospital 6 Bankstown Lidcombe Hospital 5 Campbelltown Hospital 4 Fairfield Hospital 4 Bowral and District Hospital 3 Camden Hospital 2 Southern NSW Goulburn Base Hospital 4 Bega District Hospital 3 Cooma Hospital and Health Service 3 Moruya District Hospital 3 Queanbeyan District Hospital 3 Batemans Bay District Hospital 2 Braidwood MPS 2 Crookwell District Hospital 2 Pambula District Hospital 2 Yass District Hospital 2 Bombala MPS 1 Delegate MPS 1 St Vincent's and Mater St Vincent's Hospital, Darlinghurst 6 Sydney Royal Prince Alfred Hospital 6 Concord Hospital 5 Canterbury Hospital 4 Balmain Hospital 2 Sydney Children's Network Sydney Children's Hospital (Randwick) 6 The Children's Hospital at Westmead 6 Western NSW Dubbo Base Hospital 5 Orange Base Hospital 5 Bathurst Base Hospital 4 Cowra District Hospital 3 Forbes District Hospital 3 Mudgee Hospital 3 Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002 NSW HEALTH PAGE 5
8 Emergency Service Role Levels as Described by the Guide to the Role Delineation of Health Services Third Edition 2002 as at 1 January 2014 Local Health District Hospital Emergency Parkes District Hospital 3 Bourke MPS 2 Cobar District Hospital 2 Condobolin District Hospital 2 Coonabarabran District Hospital 2 Coonamble MPS 2 Lightning Ridge MPS 2 Warren MPS 2 Baradine MPS 1 Blayney MPS 1 Brewarrina MPS 1 Canowindra Soldiers Memorial Hospital 1 Collarenebri MPS 1 Coolah MPS 1 Dunedoo MPS 1 Eugowra MPS 1 Gilgandra MPS 1 Grenfell MPS 1 Gulargambone MPS 1 Gulgong Health Service 1 Molong District Hospital 1 Narromine District Hospital 1 Nyngan MPS 1 Oberon MPS 1 Peak Hill Hospital 1 Rylstone MPS 1 Tottenham MPS 1 Trangie MPS 1 Trundle MPS 1 Tullamore MPS 1 Walgett District Hospital 1 Wellington Hospital, Bindawalla 1 Western Sydney Westmead Hospital 6 Blacktown Hospital 5 Auburn Hospital 3 Mount Druitt Hospital 3 PAGE 6 NSW HEALTH Role Delineation Levels of Emergency Medicine: Consistent with the Guide to the Role Delineation of Health Services Third Edition 2002
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