Annual Report 2012

General Surgeon Mr Tellambura

Front cover - Senior Dentist John Goodley with Lily Benbow.

Swan Hill District Health was established as the Lower Murray District Hospital in 1860.

It was incorporated as the Swan Hill District Hospital on March11, 1872.

The Health Service is now incorporated under Section 31 of the Health Services Act 1988.

The Minister for Health is the Honourable David Davis, MP.

Four publications are produced which deal with the functions, powers, duties and activities of the Hospital.

i. The Constitution Objects and By-laws.ii. Strategic Plan.

Each is obtainable from Swan Hill District Health.

iii. The Annual Report and Financial Statements.iv. The Health Service Agreement.

Annual Report 2012

Page 1

President Report 2

Board of Directors & Executive Staff 3

Organisation & Reporting Structure 4 & 5

Strategic Plan 2010-2013 6

Statement of Priorities 2011-2012: Part A, B & C Refer Appendix’s

Senior Staff 7

Medical Staff 8

Report of Operations 9 & 10

Disclosure Index 11

Financial Statements Refer Appendix’s

Contents

SHDH Medical Imaging Service was successful in achieving full stage 2 accreditation status from the Department of Health and Ageing.

Annual Report 2012

Page 2

The 2012 year brought a mix of success and disappointment with health infrastructure funding.

We were delighted with the State Government approval of $18m for a new aged care facility to

be built on the land which our health service purchased from the Anglican Church. This will allow

residents from the Extended Care Unit (ECU) to transfer to a modern aged care facility and

thereby free up the ECU to assist in overcoming the lack of space for service needs of the site.

The second round of funding applications with the Commonwealth did not result in any support

for the $30.8m requirement for the fi rst stage of redevelopment. This funding would have

progressed an acute ward, emergency department, day surgery opposite the operating theatre

and allied health building. The 2½ hour distance of Swan Hill from Bendigo regional hospital

and the reliance on services provided by Swan Hill District Health to other surrounding health

services in Northern Victoria and NSW was stressed in the submission to the Commonwealth.

Another signifi cant success was the building of a 4 chair dental clinic which opened from

September 2011 with three dentists appointed.

Our allied health staff assisted with the assessment of the physical layout of a planned new

Community Rehabilitation Centre (CRC) which, due to limited funding, is too small to house

all the necessary services. This is due to the need to future proof the building to meet the master plan requirements for the building

to become an Emergency Department at ground level with a new acute ward above when funds are available from government.

The Board of Management approved additional funding of $200,000 to achieve at least some expansion of the CRC to allow more

appropriate treatment areas.

We applied and received funding from Health Workforce Australia (HWA) which will cover the cost of a new Learning Centre at the

rear of 44 High Street. Also funds from HWA will provide for a 5 room student accommodation facility on SHDH land in Rutherford

Street which will be increased to 8 rooms with funds from Swan Hill District Health. Both projects are in progress and due to be

completed by December, 2012.

We were successful with our application to the Department of Health Rural Capital Support Program for $49,200 which will replace

the existing counter and security screen with new acoustic panelling between the triage and reception function and to create an

additional consulting room.

Fire safety upgrade funding was received from the Department of Health. Sprinkler installation in the operating theatre and midwifery

was completed without any issues. Further installation work to the Allied Health, Finance, Health Information Services, Radiology

and Kitchen areas will completed early next year.

This year we exceeded our funded activity level by 10.9%. The increase in separations, bed days, emergency and urgent theatre

cases have contributed to this increase in activity. Despite this extra activity we would have run close to budget but for additional

enterprise bargaining costs. We received approval to fund a clinical review which will inform policy makers and funders about the

clinical services required for Swan Hill District Health that needs to provide appropriate services as close to home as possible for

those in our sub-regional catchment area. The alternative is an increase in patient transport for services to be provided in Bendigo or

Melbourne which would be an increase in costs to the health system in Victoria.

Our Maternity Service is vulnerable due to the ageing of our GP workforce and reduced numbers of GP’s with obstetric skills

available to share the on-call roster. We were pleased to acquire the services of a Specialist Obstetrician and Gynaecologist from

NSW who agreed to cover two weeks on-call per month.

The Lymphoedema and Continence services run by our Physiotherapy Department commenced with referrals being received from

multiple surgeons/specialists and other health services.

Home based pulmonary rehabilitation was trialled and successfully implemented as an alternative mode of treatment with suitable

clients unable to easily access Swan Hill.

The CEO of Swan Hill Aboriginal Health Services commenced regular meetings with our health service CEO to discuss

implementation and improvement to the ‘Close the Health Gap Action Plan’.

Once again we thank the volunteers for their dedication and support and the Community Advisory Committee for their advice.

Well done to the Hospital Auxiliary for their efforts in raising a record $43,000 for our health service.

Finally I express my thanks to the Board Members, Executive and staff for their work throughout the year.

In accordance with the Financial Management Act 1994, I am pleased to present the Report of Operations for Swan Hill District

Health for the year ending 30 June, 2012.

Mr. Don Logan

President – Board of Directors

President Report – The Year in Review 2012

Annual Report 2012

Page 3

Mr. D.A. Logan (Don)

President

B. Comm., A.S.C.P.A.

Profession/Occupation:

Snr. Accountant

Date Appointed:

1st November, 1973

Mr. I.P. Ray (Ian)

M.A.I.C.O

Profession/Occupation:

Business Proprietor

Date Appointed:

6th May, 2008

Mr. P.K. Koetsveld (Peter)

Snr. Vice President

Profession/Occupation:

Assistant Manager

Date Appointed:

1st November, 2006

Mr. J. Van Heumen (John)

JP(Vic), BJ(Vic).,LDA.,TTTC

Profession/Occupation:

Retiree

Date Appointed:

1st September, 2008

Mr. K. Mutton (Ken)

Jnr. Vice President

Grad.Dip.Bus.Admin.

Profession/Occupation:

Chief Executive Offi cer

Date Appointed:

1st November, 2004

Mrs. J.E. Kent (Janine)

B.Pharm.MPS.

Profession/Occupation:

Pharmacist

Date Appointed:

1st July, 2009

Mr. I.K. Watson (Ian)

Profession/Occupation:

Semi-Retired

Date Appointed:

1st November, 1997

Mrs. R. M. Kava

(Rosanne)

BE.ME.GAICD.

Profession/Occupation:

Chief Executive Offi cer

Date Appointed:

1st July, 2011

Chief Executive Offi cer:

Mr. E.C. (Ted) Rayment,

B.Bus, Grad Dip PSEM,

FAIM, AFACHSE.

Medical Administrator:

Dr. John Christie,

DMS, DTM & H,

FAFPHM, FRACMA,

MACTM.

Executive Offi cer -

Clinical Services:

Mrs. Kathy Wright,

RN, RM, IC Cert,

B.App.Sc.(Nsg.), MBA,

FACN, AFCHSE,

Grad.Cert.Hlth.Studies

(Comm.Mental Health).

Executive Offi cer -

Corporate Services:

Mr. Rod Prockter,

BHA, AFCHSE.

Executive Offi cer -

Primary Care:

Mr. Paul Smith,

Dip.App.Sc.(Pod.)

HONORARY SOLICITOR: Garden & Green

AUDITOR: Richmond Sinnott & Delahunty

(as agents of Auditor General of Vic.)

INTERNAL AUDITOR: AASB Accounting Solutions

BANKERS: National Australia Bank

Swan Hill District Health 2011 - 2012

Board of Directors

Executive Staff

Annual Report 2012

Page 4

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Annual Report 2012

Page 5

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Annual Report 2012

Page 6

VisionSwan Hill District Health will provide appropriate services in the right setting by

dedicated people with and for our community.

Strategic Plan 2010 - 2013

• Ensure competent workforce

• Workforce sustainability

• Increase staff engagement

Customer

Learning & Growth

Internal Processes

Financial

• Improve customer satisfaction

• Encourage customer inclusion in

system improvement

• Improve quality of care

• Clinical indicator results

• Ensure facilities and services meet

contemporary service delivery

• Maximise safety, minimise risks

• Achieve operating fi nancial

surplus

• Meet WIES targets

• Monitor fi nancial position

• Achieve an operating fi nancial surplus

• Enhance exisiting services and identify new services required by the community

• Our community is engaged and valued

• Facilities to meet contemporary service delivery

• Accreditation and Health Process Redesign

• Staff demonstrate health service values

Goals:

Balanced Scorecard:Overall performance will be tracked using measurable indicators for the above key result areas.

Values

Respect:

Caring:

Professionalism:

Collaboration:

Commited: This means that we are dedicated to the promotion and success of the organisation.

This means working together in a positive, supportive manner.

This means that we provide a standard of service and support which we would expect for

ourselves.

This means that you interact with others as you would expect them to interact with you.

This means we deliver services with integrity, honesty and competence.

Annual Report 2012

Page 7

CLINICAL SERVICES DIVISION:Executive Offi cer: Mrs. K. Wright, RN,Mid.,I.C.Cert.,B.App.Sc.(Nsg.),M.B.A.,

Grad.Cert.Hlth.Studies (Comm.Mental Health), F.A.C.N.,A.F.C.H.S.E.

MEDICAL:

Medical Administrator Dr. J. Christie,D.M.S., D.R.M.&H., F.A.F.P.H.M., F.R.A.C.M.A., M.A.C.T.M.

Clinical Supervisor Dr. E. Hession, B.A.M.B.,B.C.H.,B.A.O.,D.C.H.,Dip.Obs.,F.R.A.C.G.P.,F.A.C.R.R.M.

Director of Emergency Department Dr. J. Britten, MB ChB (NZ), FRACGP, FACRRM

Nurse Unit Managers:

Acute Care Ward Ms.R. Hanns, RN BNsg, Grad Cert Acute Care Nsg

Extended Care Unit Ms. J. Holmes, RN BNsg, Dip.Mgt.

Midwifery Unit Ms. E. (Thami) Sikwebu, RN.,RM.,Adv.Dip.Midwifery,BCur(ED & Admin)

Emergency Department Mrs. T. Oxley, RN.,Mid.,Grad.Cert.Emerg.Nsg.,Adv.Dip.Bus.Man. M.NsgC

Operating Theatre Rooms Mrs. H. Wilkins, RN.,RM

District Nursing Services Mrs. B. DeLisle, RN BSc Public Health/Community Nsg

Renal Dialysis/Chemotherapy Ms. G. Mays, RN

Nyah Aged Care Mrs. L. Bye, RN. Cert. Gerentological Nsg.

Night Nurse in Charge: Mrs. P. Rohde, RN.,RM.,Op.Th.Cert.,B.Nsg.

Mrs. C. Beard, RN, RM

Care Co-ordinator Mrs. B. Leschke, EN, Dip.WelfareStudies (Community)

Infection Control Nurse Ms. J. Deveraux, RN.,Inf.Cont.Cert.,Peri-op.Cert.,

Grad.Dip.Hlth.Sci.Mgt.,M.A.G.N.

Palliative Care Co-ordinator Ms. C. Kemp, Bach.App.Sci.(Nsg) Grad.Cert. PalliativeCare, Grad.Cert.Oncology.

Director of Pharmacy: Mrs. L. Dwyer, B.Pharm.,F.S.H.P.,M.S.C.P.P.

Breast Care Nurse: Mrs. J. Maple, RN.,RM., Grad Cert Breast Cancer Nurs. Dip. App. Sc.

Staff Development Offi cer: Mrs. M.J. Mitton, RN.,RM.,M.R.C.N.A Adv. Dip.Bus.Man..

Mrs. J. Sydes, RN.

Transitional Care Coordinator: Mrs. M. Hennessy, RN. BNsg. Grad Cert Emerg Nsg.

CORPORATE SERVICES DIVISIONExecutive Offi cer: Mr. R.J. Prockter, B.H.A.,A.F.C.H.S.E.

Engineering Services Manager: Mr. G. Stokes

Environmental Services/Supply Manager: Mr. D. McCallum, Adv.Dip.Bus.Man.

Finance Manager: Mrs. P. Lindsay, CPA BBus(Acc)/BApSci (Food Tech)

Food Production Manager: Mr. K. Blackman

Chief Health Information Manager: Mrs. M. Leahy, BHlthInfoManagement, Cert.InfTech(Multimedia)

Occupational Health & Safety Offi cer: Mrs. J. Jones

Human Resources Manager: Mr. S. Wainwright

Chief Radiographer: Mr. J. Laughlin, Ba.App.Sci.(Radiography),Grad. Dip.(Medical Sono.)

PRIMARY CARE DIVISION:Executive Offi cer: Mr. P. Smith, Dip.App.Sc.(Pod.)

Aboriginal Liaison Offi cer: Ms. M.E. Nicholls

Adult Day Services Coordinator: Mrs. J. Munro, B.Hlth.Sc.(O.T.)

Mrs. E. Pay, B.Physio

Community Rehabilitation Co-ordinator Mrs. K. Corrie, B.Hlth.Sc.(O.T.)

Counselling Services Head: Mrs. E. Witney, Assoc.Dip.Welfare Studies,Dip.Psych.(Counselling)

Chief Dietitian/Health Promotion Head: Mrs. G. Taylor, B.Sc.(Nut.),Grad.Dip.(Diet.) Adv.Dip.Bus.Man.

Chief Occupational Therapist: Ms. T. Nolan , B.Hlth.Sc.(O.T.)

Acting Chief Physiotherapist: Mrs. S. Kennedy, B.Physio.,M.A.P.A.

Chief Podiatrist Ms. H. Farquhar, BSc(NZ).,G CertPopHealth.,NatDipPod(NZ).,RPod.

Mrs. K. Harvey, BSc.Pod(UK)

Chief Speech Pathologist: Mrs. L. Baker, B.Sp.Path.

Rural Primary Health Services P/Manager: Mrs. T. Lawry, B.App.Sc.(H.Prom.)

Ms. L. Byrnes, B.Hlth.(H.Prom.)

Senior Dentist Mr. J Goodley, BD Sc LDS

QUALITY & SAFETY:Safety & Quality & Risk Co-ordinator: Ms. K. Finch, Grad.Dip Health Sci.Nsg, Grad.Cert. Critical Care

Senior Staff

Annual Report 2012

Page 8

CLINICAL SERVICES DIVISIONS - HONORARY DIRECTORS:

ANAESTHETICS: Dr. M. Elahi,, M.B.,B.S.,D.A

SURGERY: Mr. G. Khan, M.B.,B.S.,F.R.A.C.S.(Ed.),F.R.A.C.S.

OBSTETRICS AND GYNAECOLOGY: Dr. R.S. Booth,M.B.,B.S.,Dip.Obs.(R.A.C.O.G.),F.R.A.C.G.P.

FAMILY HEALTH: Dr. E.F.Hession, B.A.M.B.,B.C.H.,B.A.O.,D.C.H.,Dip.Obs.,F.R.A.C.G.P.,F.A.C.R.R.M

VISITING MEDICAL STAFF:

GENERAL PRACTICE: Dr. M. Awal, M.B.,B.S.,M.D.,Dip.Card.

(including Anaesthetics and Obstetrics) Dr. J.J. Barry, M.B.,B.S.,Dip.Obs.(R.A.C.O.G.)

Dr. R.S. Booth, M.B.,B.S.,Dip.Obs.(R.A.C.O.G.),F.R.A.C.G.P.

Dr. D. Chakraborty, M.B.B.S.,Mid.,D.R.C.OG;D.R.A.N.Z.C.O.G.,Post.Grad.Cert.Prim.Care Mental Health

Dr. M. Elahi, M.B.,B.S.,D.A.

Dr. E.F. Hession, B.A.M.B.,B.C.H.,B.A.O.,D.C.H.,Dip.Obs.,F.R.A.C.G.P.,F.A.C.R.R.M.

Dr. S. Kelada-Polupanova, M.B., B.S.

Dr. A.KM Shahiduzzaman Khan, M.B.,B.S.

Dr. M.L. Moynihan, M.B.,B.Ch. Dip Obs., F.A.C.R.R.M

Dr. V. Spatari, M.B.,B.S.

Dr. C.A. Stanbury, M.B.,B.S.(Hons.)

Dr. R. Talukder, M.B.,B.S.

Dr. F. Vivian, M.B.,B.S.(Adel.) F.R.A.C.G.P., DCH, Dip Rural GP

Dr. M. Watson, M.B.,B.S.

Dr. D.G. Williamson, M.B.,B.S., F.A.C.R.R.M., J.C.C.A.,G.P.A

Dr. B. Zanker, M.B.,B.S.,F.R.A.C.G.P.

CARDIOLOGY:

Dr. G.P. Leitl, B.E.,M.B.,B.S.,F.R.A.C.P.

GENERAL MEDICINE:

Dr. P.J. Cooney, M.B.B.S., F.R.A.C.P.

GENERAL SURGERY:

Mr. D.L. Freedman, M.B.,B.S.,B.Sc.(Med.),F.R.A.C.S.

Mr. G. Khan, M.B.,B.S.,F.R.A.C.S.(Ed.),F.R.A.C.S.

Mr. S. Tellambura, M.B.B.S., F.R.A.C.S

GERIATRIC MEDICINE:

Dr. G. Eapen, M.B.,B.S.,D.G.M.

GYNAECOLOGY:

Dr. R. Monro, M.B.,B.S.,F.R.A.N.Z.C.O.G.,F.R.C.O.G.Assoc.

Prof. I.G. Pettigrew, M.B., B.S., F.RA.N.Z.C.O.G., F.R.C.O.G.

NEPHROLOGY:

Dr. M. Lanteri, M.B.,B.S., F.R.A.C.P.

ONCOLOGY:

Dr. R. Blum, M.B.,B.S., F.R.A.C.P.

OPHTHALMIC SURGERY:

Mr. S. Bassili, M.B.,B.Ch.,L.M.S.S.A.(Lon.),D.O.,F.R.A.C.S.,F.R.A.C.O.

Mr. A. Gibson, M.B.B.S., F.R.A.C.O.

ORTHOPAEDIC SURGERY:

Mr. S. Holland, M.B.,B.S.,F.R.A.C.S.

Mr. J. Hunt, M.B.,B.S.,F.R.A.C.S.

OTORHINOLARYNGOLOGY:

Mr. S.P. Smith, M.B.,B.S.,F.R.A.C.S.

PAEDIATRIC MEDICINE:

Dr. J.A. McLennan, M.B.,B.S.,F.R.A.C.P.

Dr. P.W. Wearne, M.B.,B.S.,F.R.A.C.P.

PATHOLOGY:

Assoc. Prof. John H. Andrew, BMedSci, MBChB(Otago), FRCPA, FRCPath, FASM

RADIOLOGY:

Dr. D.M. Cleeve, M.B.,B.S.,F.R.A.C.R.

Dr. R. Jarvis, M.B.,B.S.,F.R.A.C.R.

Dr. S. Skinner, B.M.B.S., F.R.A.N.Z.C.R

Dr. J. Eng, M.B.,B.S., F.R.A.N.Z.C.R.

Dr. J. Wilkie, M.B.,B.S., R.C.R.

UROLOGY:

Mr. P.H.G. Mortenson, M.B.,B.S.,F.R.A.C.S.

Ms. J. Brennan, M.B. B.S. (Hons), F.R.A.C.S (Urology)

VASCULAR SURGERY:

Mr. R. Mayer, M.B.,B.S.(Hons.),F.R.A.C.S., Dip Surg Anatomy.

HONORARY DENTAL SURGEONS:

Dr. J.M. Harrison, B.D.Sc.,L.D.S.

Dr. S. Zhang, B.D.Surg.,B.M.

Medical Staff

Annual Report 2012

Page 9

In 2011-12 Swan Hill District Health engaged 21 consultancies where the total fees payable to the consultants were less than

$10,000, with a total expenditure of $54,520.

BUILDING AND MAINTENANCE

Swan Hill District Health complies with the Building Act 1993.

In accordance with legislative requirements, building standards

and conditions are reviewed to their adequacy in providing

services. The review is undertaken three yearly and was

completed in September, 2010. Overall the buildings were

generally deemed to be in a fair condition which is refl ective of

the need for the Hospital to be redeveloped in the near future.

A Form 10 Certifi cation is maintained which specifi es

compliance to its Essential Services management obligations.

ENVIRONMENTAL PERFORMANCE

A review of the Swan Hill District Health Green Health Strategy

was undertaken by Department of Health and Sustainability

Victoria.

Swan Hill District Health was commended for the development

of an Environmental Policy and the implementation of resource

management initiatives in particular to water savings projects

such as the ozone system for the laundry, water recapture and

recycling. An environmental committee will implement and

monitor the Swan Hill District Health Green Health Strategy

which includes baseline data on consumption of water, energy,

waste, carbon footprint and transport; objectives and targets; an

action plan and a communication plan.

FEES AND CHARGES

Swan Hill District Health charges fees in accordance with

the Department of Human Services directives issued under

Regulation 8 of the Hospitals & Charities (Fees) Regulations

1986 as amended.

FREEDOM OF INFORMATION

Freedom of information is the means whereby people may

obtain access to information not normally available to them, in

accordance with the terms of the Freedom of Information Act

1982.

The Principal Offi cer under the Act is the Chief Executive Offi cer;

the authorised Freedom of Information Manager is the Executive

Offi cer - Corporate Services.

The public may seek access to any documents and records held

by Swan Hill District Health by making a written request to the

Hospital’s Freedom of Information Manager.

This year 136 requests for information were received which

related to personal documents.

INDUSTRIAL RELATIONS

The Hospital continues to function in an industrially stable

environment.

NATIONAL COMPETITION POLICY

Swan Hill District Health complies with the requirements of the

National Competition Policy to State Competitive Neutrality

Policy (as revised).

QUALITY OF CARE

Swan Hill District Health has a strong commitment to quality

and the standard of care that is delivered. To demonstrate our

achievements the Hospital publishes a Quality of Care Report

which is made available through publication in “The Guardian”

newspaper and accessible on our website www.shdh.org.au

FINANCIAL MANAGEMENT ACT 1994

In accordance with the direction of the Minister of Finance part

9.1.3 (iv), information requirements have been prepared and are

available to the relevant Minister, Members of Parliament and the

public on request.

VICTORIAN INDUSTRY PARTICIPATION POLICY

Swan Hill District Health complies with the requirements of the

Victorian Industry Participation Policy Act 2003.

EX GRATIA PAYMENTS

No ex gratia payments have been incurred and written off during

the reporting period.

Consultant Purpose of

Consultancy

Start Date End Date Total Approved

Project Fee

(Excl GST)

Expenditure

2011-12

(Excl. GST)

Future

Expenditure

(Excl. GST)

Inside Health

ManagementReview of Maternity Services at SHDH

April 2011 Sept. 2011 $36,510 $36,510 Nil

Syris Consulting

Pty LtdClinical Costing Data Analysis

Oct 2011 Nov. 2011 $16,975 $16,975 $13,100

Biruu Health Pty

LtdHHF Application Assistance

Sept 2011 Oct 2011 $10,000 $10,000 Nil

Lake Young &

AssociatesReview of Sprinkler System Protection

July 2011 Aug 2011 $12,500 $12,500 Nil

Report of OperationsCONSULTANCIES

Annual Report 2012

Page 10

OCCUPATIONAL HEALTH AND SAFETY MATTERS

In accordance with the Occupational Health and Safety Act

2004 Swan Hill District Health maintains its responsibility

under the Act to be proactive and take reasonable practicable

measures to ensure health and safety, promotes the exchange

of information and ideas with staff about risks to health

and safety and undertakes measures to eliminate or reduce

occupational risk. In 2011 / 2012, collaboration between the

Occupational Health and Safety, Occupational Therapy and

Physiotherapy departments has resulted in the development

of comprehensive musculoskeletal injury prevention program.

This preventative approach investigates task specifi c manual

handling issues as well as individual employee assessments.

The implementation of the project has contributed to a

reduction in injuries sustained which has infl uenced the

reduction in WorkCover claims for 2011/2012.

AUDIT COMMITTEE

This Committee provides independent and objective appraisal

on the organizations operation:-

G.Salvo, B.Bus (Acc) CPA., RCA

M. Ray, CFP

K. Blaby

K. Mutton

P. Koetsveld

PECUNIARY INTERESTS

Board of Directors are required in accordance with Swan Hill

District Health By-laws to declare all pecuniary interests, which

may reasonably, and foreseeably, be considered to create

the potential for a confl ict of interests with their position as a

member of the Board.

These interests have been recorded.

MERIT AND EQUITY

Swan Hill District Health is an equal opportunity employer

and supports the principles of Merit and Equity. In addition it

recognises and values the diverse skills and needs of different

employees. Workplace policies have been developed to ensure

these principles are practiced throughout the agency.

ATSI Aboriginal & Torres Strait Islander.

PWD People with Disability.

NESB Non-English Speaking Background.

No. OF STAFF EMPLOYED AS AT 30TH JUNE 2012

ATTESTATION ON COMPLIANCE WITH AUSTRALIAN/

NEW ZEALAND RISK MANAGEMENT STANDARD

I, Ted Rayment certify that Swan Hill District Health 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 verifi es this assurance and that the risk

profi le of Swan Hill District Health has been critically reviewed

within the last 12 months.

Ted Rayment

Accountable Offi cer

18th July, 2012.

ATTESTATION ON DATA ACCURACY

I, Ted Rayment certify that Swan Hill District Health has put in

place appropriate internal controls and processes to ensure

that the Department of Health is provided with data that refl ects

actual performance. Swan Hill District Health has critically

reviewed these controls and processes during the year.

Ted Rayment

Accountable Offi cer

18th July, 2012.

WHISTLEBLOWERS PROTECTION ACT 2001

The Whistleblowers Protection Act is designed to protect people

who disclose information about serious wrongdoing within

the Victorian public sector and to provide a framework for the

investigation of these matters.

As required under the Act the Hospital provides the following

information:

Swan Hill District Health has a prescribed procedure in place

for dealing with disclosures made under the Act. A copy of the

procedures is available from the Hospital on request. Disclosure

can be made to the Ombudsman.

Web Sites for information regarding this Act:

http://www.ombudsman.vic.gov.au

http://www.health.vic.gov.au/hsc

Since the commencement of the Act the Hospital has not

received any disclosures or notifi cation of disclosures.

2011/2012 2010/2011 2009/2010

Number of Standard

Claims3 4 6

Number of Minor

Claims4 3 5

Number of WorkCover

Days Lost86 117 1191

Total Workers

Compensation

Payments Paid

$15,492 $52,699 $191,651

June 2012

Current

Month EFT

Paid E.F.T.

2011/2012

Paid

E.F.T.

2010/2011

Nursing 156.66 154.83 156.33

Administration & Clerical 56.04 54.56 53.78

Medical Support 19.26 17.59 13.88

Hotel & Allied Services 65.74 62.27 63.96

Medical Offi cers 1.50 1.47 0.89

Hospital Medical Offi cers 13.00 10.20 9.57

Sessional / Clinicians 0.04 0.04 0.05

Ancillary Staff (Allied

Health)37.32 32.69 31.55

Total: 349.56 333.65 330.01

Male Female ATSI PWD NESB

Full Time 46 110 1 1 21

Part Time 12 260 – 1 4

Casual 9 86 – – –

Annual Report 2012

Page 11

The Annual Report of Swan Hill District Health is prepared in accordance with all relevant Victorian legislation. This index has been

prepared to facilitate identifi cation of the Department’s compliance with statutory disclosure requirements

Legislation Requirement Page Reference

Charter and purposeFRD 22C Manner of establishment and the relevant Ministers

FRD 22C Objectives, functions, powers and duties

FRD 22C Nature and range of services provided

Management and structureFRD 22B Organisational structure

Financial and other informationFRD 10 Disclosure index

FRD 11 Disclosure of ex-gratia payments

FRD 21A Responsible person and executive offi cer disclosures

FRD 22C Application and operation of Freedom of Information Act 1982

FRD 22C Application and operation of the Whistleblowers Protection Act 2001

FRD 22C Compliance with building and maintenance provisions of Building Act 1993

FRD 22C Details of consultancies over $10,000

FRD 22C Details of consultancies under $10,000

FRD 22C Major changes or factors affecting performance

FRD 22C Occupational health and safety

FRD 22C Operational and budgetary objectives and performance against objectives

FRD 22C Signifi cant changes in fi nancial position during the year

FRD 22C Statement of availability of other information

FRD 22C Subsequent events

FRD 22C Summary of the fi nancial results for the year

FRD 22C Workforce Data Disclosures

FRD 22C Environmental Performance

FRD 25 Victorian Industry Participation Policy disclosures

SD 3.4.13 Attestation on Data Integrity

SD 4.2(j) Sign-off requirements

SD 4.5.5 Attestation on Compliance with Australia/New Zealand

Risk Management Standard

Financial statements required under Part 7 of the Financial Management ActSD 4.2(a) Statement of changes in equity

SD 4.2(b) Operating statement

SD 4.2(b) Balance sheet

SD 4.2(b) Cash fl ow statement

Other requirements under Standing Directions 4.2SD 4.2(a) Compliance with Australian accounting standards and other

authoritative pronouncements

SD 4.2(c) Accountable offi cer’s declaration

SD 4.2(c) Compliance with Ministerial Directions

SD 4.2(d) Rounding of amounts

LegislationFreedom of Information Act 1982

Whistleblowers Protection Act 2001

Victorian Industry Participation Policy Act 2003

Building Act 1993

Financial Management Act 1984

Disclosure Index

Inside front cover

Inside front cover

12

4

11

9

2, 10 & Appendix 3

9

10

9

9

9

2

10

2 & Appendix 1, 2 & 3

Appendix 2

Inside front cover

Appendix 3

Appendix 2

10

9

9

10

2

10

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Appendix 3

Annual Report 2012

Page 12

SHDH PROVIDES THE FOLLOWING SERVICES:

Aboriginal Health Promotion

Aboriginal Liaison

Acute Care

Adult Day Service

Aged Care Residential

Breast Care Nurse

Care Co-ordination

Chemotherapy

Community Health Nursing

Community Rehabilitation

Counselling Service, incl. Alcohol and Other Drug Services

Day Surgery

Dental

Dietetics

District Nursing

Domiciliary Midwifery Service

Drink Driver Program

Emergency Department

Haemodialysis

Health Clinics

Health Promotion

Hospital Admission Risk Program

Hospital in the Home

Midwifery Unit

Meals on Wheels

Occupational Therapy

Palliative Care

Pharmacy

Physiotherapy

Preparation for Childbirth

Podiatry

Radiology

Rural Primary Health Services

Speech Pathology

Stomal Therapy

Transitional Care

SERVICES LOCATED AT MAIN CAMPUS PROVIDED BY

OTHERS:

Orthopaedics

Paediatric Clinic

Loddon Mallee Integrated Cancer Service

Our Services

Attached here should be Financial Statements and Statements of Priorities.

Should these be missing contact CEO’s Offi ce ph (03) 5033 9221

or

Email : ceo.offi ce@shdh.org.au

The Extended Care Unit received a visit from friendly clowns.

Splatt Street, PO Box 483, Swan Hill, Vic 3585

Phone: (03) 5033 9300

www.shdh.org.au

Printed by Elliottprint Swan Hill 5032 2161