Leaders in Healthcare…Partners in

community wellbeing

Annual Public Meeting

27 February 2014

NSLHD Strategic Plan 2012 – 2016

Aligning achievements

NSLHD’s Strategic Plan is framed around three strategic priorities,

each of which drives specific initiatives and actions in the pursuit

of delivering our Vision:

1. Maintaining the health of our Local Health District

(a) Talent & Culture

(b) Clinical excellence

(c) Operational excellence

2. Enhancing the strength and impact of our Local Health District

(a) Community & patient experience

(b) Strategic relationships

(c) Infrastructure

NSLHD Strategic Plan 2012 – 2016

Aligning achievements cont.

3. Enabling transformational change in our Local Heath District

(a) Operating model reform

(b) Academic excellence

(c) Risk, governance & quality

Maintaining the health of

our Local Health District

‘Walk a day in my shoes’

Executive staff swap a day in

the office to participate in

front line hospital roles

Provides an insight into the

everyday challenges in

delivering health care at the

frontline.

Identifies areas of

excellence, commitment,

opportunity and potential

improvement.

Prostate cancer tracking system

World first clinical trial began in

November at the Northern Sydney

Cancer Centre.

Uses a tracking system to improve

prostate cancer radiotherapy

treatment.

Potential to reduce prostate

radiotherapy treatment from eight

weeks to five days.

Trial team hoping to use the

technology in lung, pancreas and liver

tumours.

Canine cancer vaccine trial

Kolling researchers are

producing vaccines that are

prolonging the lives of dogs

with cancer.

64 dogs have been treated.

Vast majority have outlived

their expected survival time.

Next step commercialisation

in the United States.

Mental Health Service silver award

‘No Suppression’ is a

recovery group for people

with mental health issues.

The group won the award for

its role in encouraging

people to share their

creativity through art, music,

poetry, comedy or drama.

Participants report a sense of

fulfilment, happiness and

connection with others.

NSW Health Innovation Award

Doctors and nurses at RNSH

won this award for creating a

series of short films to

educate staff about caring for

deteriorating patients.

Since the films were

introduced in February 2013,

there have been no serious

critical incidents involving

deteriorating patients .

The films are now being

shared with staff in other

NSW hospitals.

Accreditation … November 2013

NSRHS and MHD&A were

successful in achieving full

accreditation for four years:

NSRHS had 12 actions

assessed as “Met with

Merit” (indicating industry

best practice)

MHD&A achieved 23 “Met

with Merits”

Enhancing the strength and impact

of our Local Health District

P.A.R.T.Y. Sydney at RNSH

A program that brings high

school students into hospital

to show them first hand the

effects of risk-related

behaviours like drinking,

using drugs and texting

while driving.

RNSH is the first hospital in

NSW to run the program.

NSLHD website

www.nslhd.health.nsw.gov.au

The new look NSLHD website

launched in December 2013.

It’s user friendly and

contains more information at

your fingertips.

Designed to be mobile and

tablet compatible.

Approximately half of the

27,000 users accessing our

website each month are

doing so from a mobile

phone or tablet.

NSW Senior Volunteer of the Year Award

Norma Unger - one of the

original Ryde Hospital Pink

Ladies – won NSW Senior

Volunteer of the Year in 2013.

The award recognises her 47-

year commitment to Ryde

Hospital.

Norma has been described

as a “living angel”.

Cognitive Decline Partnership Centre

A $25 million Partnership Centre for Better Health to improve the

quality of care for people with dementia in hospitals, community

settings and residential care across Australia.

Based at Hornsby Ku-ring-gai Hospital and led by Associate Professor

Sue Kurrle.

Projects across NSLHD are in the five-year work plan.

Our ageing population will benefit from the work.

headspace Chatswood

headspace is designed for 12

to 25 year olds.

Focusing on early

intervention during the

critical adolescent years.

By ensuring help is accessed

in those early stages, young

people can get things back

on track.

Hornsby Ku-ring-gai Mental Health Centre

A $33.5 million state-of-the-art mental health facility

Includes a 35-bed adult inpatient ward and a 12-bed child and

adolescent inpatient unit

Enhances mental health care for both the Northern Sydney and Central

Coast communities.

Graythwaite at Ryde Hospital

The $41 million, 64-bed inpatient

facility opened in September 2013.

Provides modern and best practice

rehabilitation medicine and models of

care to those living in the Ryde and

North Shore area.

Caters specifically to neurological,

orthopaedic, reconditioning, and

burns and amputee patients.

Enabling transformational change

in our Local Health District

NEAT performance

The 2013 NEAT benchmark of 71 per

cent was consistently met by Manly,

Mona Vale and Ryde Hospitals.

Hornsby and Royal North Shore

Hospitals continued to show

improvement during 2013.

Carers Act and Disability Action Plan

The Disability Action Plan has

seven priority areas:

Identifying and removing

barriers to services for

people with a disability.

Providing information in a

range of formats that are

accessible to people with a

disability.

Making Government

buildings and facilities

physically accessible to

people with a disability.

DAP priority areas continued

Assisting people with a disability to participate in public

consultations and to apply for and participate in government

advisory boards and committees.

Increasing employment participation of people with a disability

in the NSW public sector.

Using government decision-making, programs and operations

to influence other agencies and sectors to improve community

participation and quality of life for people with a disability.

Providing quality specialist and adapted services where

mainstream services are not responsive or adequate to meet the

needs of people with a disability.

Nursing and Midwifery Research and

Innovative Practice Conference

Nurses, midwives and health

professionals shared

developments in nursing and

midwifery research and

innovative practice.

Topics included burns,

rehabilitation, diabetes, child

and family health, surgery,

aged care.

Highlighted contributions

towards excellence in health

care within NSLHD.

eASY

(electronic Antibiotic Stewardship System)

Pharmacists and infectious

diseases specialists created

an electronic approval

system called ‘eASY’ to help

reduce inappropriate

prescriptions.

eASY is designed to improve

patient outcomes and reduce

adverse consequences of

antimicrobial use.

eASY is now available at all

NSLHD hospitals.

Also being offered to other

LHDs.

Finance & Performance 2012/13

Expense/ Revenue Budget Actual

$000's $000's $000's %

Expense 1,240,359 1,269,474 (29,116) (2.35)

Revenue (210,534) (208,596) (1,938) 0.92

Other Items 59,426 62,737 (3,311) (5.57)

Net Cost of Service 1,089,251 1,123,616 (34,365) (3.15)

Variance

2011/12 2012/13 Variance

KPI % % %

NEAT 55.10 67.50 12.40

NEST 1 94.00 99.00 5.00

NEST 2 91.00 93.00 2.00

NEST 3 96.00 92.00 (4.00)

Major National KPIs

Financial Performance

Activity KPIs & Volumes

• The LHD was 3.15% over budget in 2012/13

o Operating costs of the new Royal North

Shore

o Increases in unplanned demand

• ED Presentations increased 5.71% (NSW 2%) –

particularly at RNS, Hornsby, & Mona Vale

• Total Separations – major increases at RNS 10%,

Mona Vale 8%

o Partly NEAT related

KPI 2011/12 2012/13 Variance %

ED Presentations 171,834 181,640 9,806 5.71

Total Separations 112,819 120,824 8,005 7.10

NWAU 129,049 132,484 3,435 2.66

Major Activity KPIs

• NEAT improvement of 12%

• Improvement to NEST performance in Category 1

& 2

• NEST 3 below target, though target was being

achieved by June 2013

Current challenges, opportunities and

future directions

Capital works

RNSH; Ryde; Hornsby; Northern Beaches – NB Hospital,

Mona Vale and community health centres

Clinical services planning

Increased partnering with the academic, commercial, no-for-

profit, primary care sectors

Agreed strategic priorities in 2014-6

Development of Integrated Models of Care

Development of an Academic Health Science Centre in the

Northern Sydney Local Health District

Commitment to a cultural change that will facilitate efficiency in

the delivery of health care and equity of access across the

health district.

Integrated models of care

Development of Integrated models of care

What populations do we serve?

What care do we deliver and where (with a focus on delivering

more care in the home environment)?

How well do we do it?

What are the risks and opportunities?

What are our plans for the future?

Are training, education and research integrated to improve care,

increase knowledge and train the next generation of health care

workers?

Academic Health Science Centre

The population expects we will constantly re-engineer the health

system to provide excellent services that reduce variation in outcome,

no matter where one enters the health system and guards against

inappropriate and ineffective treatment

We need to enable the workforce to develop and implement better

treatments for existing conditions

The community expects that we will continually research the cause of

disease, treatments of disease and when appropriate facilitate the

patient’s access to new therapies

We need improved interaction with the commercial sector to facilitate

implementation of novel therapies sooner than currently occurs

Academic Health Science Centre

promote excellence in health and medical research where clinical care

is provided

encourage collaboration between researchers on these campuses

promote the uptake of research into improving clinical practice

develop innovative models of care

ensure efficient use of research facilities on the campus;

foster increased training in research of health care professionals; and

provide national leadership in excellence in research translation, to

provide “flagship” examples to the whole health care system.