Post on 26-Jun-2020
Prepared by
Teresa Anderson
Chief Executive
Jacquie Ferguson
Director of Finance
August 2016
SLHD budget presentation 2015/16
SLHD budget presentation 2015/16
Dr Teresa Anderson, Chief Executive
Opening and welcome
Dr Teresa Anderson and Ms Jacquie Ferguson
Budget presentation
Dr Teresa Anderson, Chief Executive
Questions
1
Wrap up of 2015/16
$M $ VAR % VAR STATUS
TOTAL EXPENDITURE $1,566.1M $6.10M (F) 0.38% (PERFORMING)
TOTAL REVENUE $1,476.1M -$5.97M (U) -0.40% (UNDER PERFORMING)
TOTAL NCoS $90.0M $0.13M (F) 0.14% (PERFORMING)
GENERAL FUND FOR YEAR TO 30 JUNE 2016
2
Wrap up of 2015/16
$M $ VAR % VAR STATUS
TOTAL EXPENDITURE $27.372M -$1.632M (U) -6.34%
TOTAL REVENUE $47.569M $9.494M (F) 24.9% (PERFORMING)
TOTAL NCoS $20.196M $7.862M (F) 63.7% (PERFORMING)
SPECIAL PURPOSE AND TRUST FUND FOR YEAR TO 30 JUNE 2016
3
Wrap up of 2015/16 FACILITY LEVEL FINANCIAL PERFORMANCE 30 June 2016:
HOSPITAL / SERVICE 2015/16
NCoS ($M)
% 2014/15
NCoS ($M)
%
RPA $9.210M (U) -1.74% $9.554M(U) -1.97%
CONCORD $3.133M (U) -1.10% $4.629M (U) -1.78%
CANTERBURY $1.439M (U) -1.52% $0.206M (U) -0.23%
BALMAIN $0.110M (F) 0.36% $0.012M (F) 0.04%
IRO $0.190M (F) 1.08% $0.638M (U) -3.74%
SYDNEY DENTAL $0.516M (F) 1.21% $0.009M (F) 0.02%
MENTAL HEALTH $0.129M (U) -0.13% $2.360M (U) -2.76%
THOMAS WALKER $0.147M (U) -3.07% $0.005M (F) 0.12%
COMMUNITY HEALTH $0.380M (F) 1.15% $0.748M (U) -2.61%
POPULATION HEALTH $0.254M (F) 2.89% $1.455M (F) 16.89%
4
2015/16 Achievements
PROJECT EXPENDITURE
RPA RADIOLOGY REPLACEMENT OF CT1 AND CT2
SCANNERS
$4.168M
RPA JOHN LOWENTHAL (JL) THEATRES - DA VINCI
ROBOT $3.500M
RPA RADIOLOGY REPLACEMENT OF
ANGIOGRAPHY EQUIPMENT ROOM 1 AND 2
$3.300M
RPA INSTITUTE OF ACADEMIC SURGERY $1.508M
RPA BUILDING 63 LIFT MODERNISATION $0.500M
CONCORD INTERVENTIONAL HYBRID VASCULAR
THEATRE
$4.488M
CONCORD HOSPITAL – BIOLOGICAL RESEARCH
FACILITY
$3.000M
CONCORD HOSPITAL SPECT-CT CAMERA
REPLACEMENT
$1.254M
5
2015/16 Achievements WORK IN PROGRESS PROJECTS EXPENDITURE
DENTAL HOSPITAL REFURBISHMENT $2.183M
MEDICAL RESEARCH INFRASTRUCTURE
INITIATIVES PHASE 1 (SLHD)
$2.500M
2015/16 ASSET REPLACEMENT AND
REFURBISHMENT PROGRAM
$0.494M
BED REPLACEMENT $1.000M
6
2015/16 Achievements
156,152 people attended emergency departments
across SLHD
41,612 operations were performed in our hospitals
165,524 admissions and discharges across our
hospitals
6,658 babies were born at RPA
and Canterbury
7
2015/16 Achievements
Maintained performance at level 0 for the full year – 66
months in a row
Came in on budget
Maintained surgical performance at 0,0,0
Significantly improved performance on most key
performance indicators including Emergency Treatment
Performance
Successful accreditation of Sydney Dental Hospital and
Oral Health Services against national standards
8
2015/16 Achievements
Nursing Transfer of Care (TOC)
at RPA – successfully
established an Emergency
Department nursing Transfer of
Care program in partnership
with the NSW Ambulance
Service.
Institute of Academic Surgery
at RPA – officially opened the
IAS and the RPA Transplant
Institute building and launched
the SLHD Surgical Robotic
Program.
9
2015/16 Achievements
Canterbury Hospital consistently met its emergency
department targets (including Emergency Treatment
Performance, triage and surgical targets) throughout
2015-16.
10
• The Emergency Department
Short Stay Unit was opened
at Canterbury Hospital, which
is well utilised by clinicians to
ensure best patient care and
flow throughout the
emergency department.
2015/16 Achievements The Telopea ward was refurbished, which has helped to
ensure the ward’s aged care and rehabilitation focus.
This ward now has a purpose-built bariatric room, with a
ceiling hoist.
Canterbury Hospital received the 2015 NSW Health
Harry Collins Award for reducing the incidence of
catheter associated urinary tract infections.
11
2015/16 Achievements
Rollout of the Electronic Medication
Management System ‘eMeds’.
Concord was the first public
hospital in NSW to implement
eMeds and received the Minister’s
prize for Innovation at the NSW
Health Awards 2015.
Completion of schematic design for
the Concord Hospital
redevelopment.
Construction and opening of the
hybrid theatre as well as
refurbishment of theatres 3 and 4.
12
2015/16 Achievements
Procurement of new MRI machine and new
angiography machine in the Radiology Department at
Concord.
Concord Hospital completed a hospital-wide bed
replacement program with electric beds delivered to all
wards as of June 2016.
Balmain Hospital Physiotherapy Department received
funding as part of “The Pitch” in September 2015 for the
purchase of a Litegait patient hoist.
13
2015/16 Achievements
Periodic review was conducted by ACHS surveyors in
October 2015. Balmain Hospital met all criteria in each
of the reviewed standards, successfully closed off the
two previous recommendations and did not receive any
new recommendations. Balmain Hospital was awarded
three met with merits in regards to hand hygiene.
The Falls Safety Huddle Review Tool, a clinical initiative
to address falls risk and incidents, was introduced
across all wards at Balmain Hospital in December 2015.
14
2015/16 Achievements
Sydney Dental Hospital and Oral Health Services
successfully met the accreditation requirement under
the ACQSHC National Standards and achieved 14 met
with merits.
Sydney Dental Hospital and Oral Health Services
successfully decanted prosthodontics, periodontics and
endodontics and completed half of the construction of
level 4 refurbishment for these departments.
15
2015/16 Achievements
Youth health moved into purpose-built premises in July
2015. The stand-alone building in Abercrombie Street
Redfern makes it more accessible to young people.
The implementation of the Living Well Living Longer
program continues to ensure the physical health and
wellbeing of mental health clients.
16
2015/16 Achievements
The Sexual Health Service commenced delivery of the
expanded PrEP implementation in communities (EPIC)
trial in Sydney Local Health District.
17
• Implementation and rollout of the Healthy Homes and
Neighbourhoods integrated care initiative.
• Development and implementation of the Healthy
Families Healthy Children harmonised model of
sustained health home visiting.
2015/16 Achievements
Implemented the CHOC eMR in April, with the ability for
integrated medical records to be available across the
LHD in ambulatory and inpatient settings.
Healthy Strong Communities, which evolved from the
Premier’s Service Delivery Reform initiative, has seen
the Mental Health Service, in partnership with Housing,
New Horizons and Partners in Recovery, develop maps
of rough sleepers, boarding houses and supported
accommodation.
The Harm Minimisation Program commenced a project
to increase the number of sterile injecting equipment
distributed in line with ministry targets.
18
2015/16 Achievements
Drug Health Services Strategic Plan 2016-2021 was
launched on 3 March 2016.
Drug Health Services Harm Minimisation Program won
a position on the ACI’s Clinical Redesign Program in
2016.
19
• The Professor Marie
Bashir Short Stay Unit is a
collaborative initiative
between Mental Health,
ED and Drug Health
Services at RPA and won
the People’s Choice
Award at the NSW Health
Awards 2015.
2015/16 Achievements
Continuing successful partnership with CESPHN of
Health Pathways Sydney including the development of
400 live localised pathways and completing 100
practice visits.
The continued work of the multi-agency and NGO
partnership: Healthy Strong Communities (Service
delivery reform in Sydney) includes three programs:
Housing and Mental Health, Healthy Homes and
Neighbourhoods; and RedLink officially opened on 29
July 2015.
The launch by Minister for Health of the multi-agency
Child Health and Wellbeing Plan.
20
Overview of the service
agreement
21
Strategic Priorities
NSW: Making it happen
Election commitments
Key system priorities for 2016/17
Strategic context
22
The Service Agreement is a key component of the NSW Health
Performance Framework. The Framework:
– Has the over-arching objectives of improving service delivery,
patient safety and quality;
– Provides a single, integrated process for performance review,
escalation and management;
– Provides a clear and transparent outline of how the
performance of districts and networks is assessed;
– Outlines how responses to performance concerns are
structured to improve performance;
– Operates in conjunction with the purchasing framework, the
activity based funding and small hospital operational
specifications.
Performance framework
23
2016/17 Service level
agreement,
strategic priorities and
themes
24
The NSW Ministry of Health, pillars and state wide services are
committed to co-ordinating and partnering with districts and
networks to:
– Deliver NSW: Making it happen - including the Premier’s and state priorities
– Achieve the key goals, directions and strategies articulated within the NSW State
Health Plan: Towards 2021 and the NSW Rural Health Plan: Towards 2021
– Support districts and networks to deliver optimal and efficient frontline services
– Provide leadership in NSW Health’s contribution to the Reform of the Federation
process, review of primary health care and any resulting reforms; and
identification of strategies to drive efficiency and sustainability in the health system
– Deliver on NSW Government election commitments
Strategic priorities
25
The key strategic priorities for NSW Health in 2016/17 are
articulated within the plan on the next slide.
Key system priorities for 2016/17
26
• These priorities are to be
reflected in the strategic and
operational plans of the NSW
Ministry of Health, pillars,
support organisations, districts
and networks comprising NSW
Health. Delivery of the strategic
priorities is the mutual
responsibility of all entities.
27
The roles and responsibilities for Mental Health Intensive Care
Units (MHICU) include:
– standardisation of referral
– clinical handover procedures and pathways
– the role of the primary referral centre in securing a MHICU
bed, and the
– standardisation of escalation processes
Key focus for NSW Health in
2016/17
28
Other priority plans and initiatives Implement programs and policies to achieve NSW targets, focusing
on:
– Reducing smoking rates (in both the Aboriginal and non-Aboriginal population)
– Reducing smoking in pregnant women (in both the Aboriginal and non-Aboriginal
population)
– Reducing overweight and obesity rates in children, young people and adults
– Reducing risk drinking
– Closing the gap in Aboriginal infant mortality
Implement the following plans and strategies:
– NSW Healthy Eating and Active Living Strategy 2013-2018
– NSW Tobacco Strategy 2012-2017
– NSW HIV Strategy 2012-2015 with a focus on increasing HIV testing
– Implement NSW Hepatitis C and B Strategy Strategies 2014-2020 focusing on
reducing the sharing of injecting equipment among people who inject drugs
29
Other priority plans and initiatives
– NSW Aboriginal Health Plan 2013-2023 with a focus on
enhancing formal partnerships with local Aboriginal community
controlled health services, and ensure appropriate consultation
in the development of local healthcare plans.
– Oral Health 2020: A Strategic Framework for Dental Health in
NSW
– Healthy, Safe and Well: A Strategic Health Plan for Children,
Young People and Families
– Strategies to support advance planning for quality care at end of
life
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Transition grant
34
Nil
Capital program
35
36
Grossed up private patient service adjustment
37
2016 -17 National Health Funding Body Service
Agreement
Period: 1 July 2016 – 30 June 2017
38
Budget principles As with previous years, the District is holding a contingency of $35M (to meet
additional patient demands, unforeseen equipment replacement or other
unexpected District costs)
The District has also allocated $10M for enhancements, to be finalised with the
executive and clinical directors this week. $500K has already been allocated for
obesity and $1M for sustained home visiting
To derive the contingency:
– NWAU price adjusted for contribution to contingency
– Block funding adjusted for contribution to contingency
Facility budgets built using available ABF and block funding principles:
– ABF funding pool developed using discounted 2016 financial year prices
– Block funding allocated (e.g. dental, AIDS, NGO grants)
– Alignment of entity budgets to 2016 financial year
actual and budget
LHD NWAUs X
SLHD PRICE
39
Budget principles
40
110
120
130
140
150
160
170
180
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
2015/16 SLHD Flow of Expenses Budget and Actual MTD (GF & SPF)
2015/16 Combined expenses budget 2015/16 Combined expenses actual
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun YTD Jun
2015/16 Combined expenses budget 130,967 127,883 124,271 125,287 122,376 134,668 123,038 133,410 136,659 126,598 136,431 176,384 1,597,971
2015/16 Combined expenses actual 132,916 127,468 122,557 123,955 121,713 132,864 120,711 129,910 136,181 130,054 140,405 174,771 1,593,505
Variance (+ Fav, - Unfav) -1,949 415 1,714 1,332 663 1,804 2,327 3,500 478 -3,456 -3,974 1,613 4,466
% of Budget 8.20% 8.00% 7.78% 7.84% 7.66% 8.43% 7.70% 8.35% 8.55% 7.92% 8.54% 11.03%
YTD Budget expended 8.20% 16.20% 23.98% 31.82% 39.48% 47.91% 55.61% 63.96% 72.51% 80.43% 88.97% 100.00%
2016/17 Budget from MoH
SLHD total expenditure budget for 2016-17 is:
MoH presents budget escalation on prior year annualised
budget – this is a 4.9 per cent increase for SLHD
$1.631BILLION
GENERAL FUND SP&T
$1.605B $25.102M
41
2016/17 Budget from MoH
SLHD total revenue budget for 2016-17 is:
Own source revenue target of $241.369M represents a 3.44
per cent increase on the 2015/16 actual result
$1.570BILLION
Govt contribution SP&T Own source
$1.291B $37.789M $241.369M
42
Activity NWAU prices 2016/17
National weighted activity unit (NWAU) prices:
– State price = $4,605
– MoH determined SLHD price acute = $4,545
– MoH determined SLHD price non-admitted = $3,477
43
Facility NWAU prices 2016/17
Facility / Service 2016-17 price /
NWAU16
RPA $4,172
Concord Hospital $4,003
Canterbury $3,358
Balmain $3,200
IRO $3,593
Mental Health $3,348
2016-17 price reflects the 2015-16 price discounted by 0.5 per cent.
Discount reflects the impact of the change from NWAU 15 to NWAU 16
44
2016/17 NWAU activity
SLHD NWAU activity targets
Facility / Service 2016-17
NWAU16
RPA 117,988
Concord Hospital 64,544
Canterbury 27,282
Balmain 7,586
IRO 5,429
Mental Health 31,860
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Next steps
19 – 26 July 2016 – Chief Executive issues budget letters to
facility general managers including budget, activity and FTE
targets. Summaries posted on internet
www.slhd.nsw.gov.au/budget.html
31 July 2016 - Revenue and efficiency roadmap strategies
finalised
District budget roadshows/presentations
– 15 August 2016 – CEWD – 5.30pm
– 16 August 2016 – Concord Hospital – 5.30pm
– 17 August 2016 – Balmain Hospital – 2.30pm
– 23 August 2016 – Royal Prince Alfred Hospital – 7.30am
– 25 August 2016 – Canterbury Hospital – 12 noon
58
Next steps
Continue strong governance over financial performance:
– Monthly distribution of modified monthly finance reports
– Chief Executive and Department of Finance performance
meetings with general managers
– Continued monthly performance reporting to FRAP
– Monitoring of revenue and efficiency improvement roadmaps
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End
Questions?
60