Overview
Metropolitan Health Service Annual Report 2010-11
Overview of Agency
Delivering a Healthy WA
9
Metropolitan Health Service Annual Report 2010-11
Overview
Vision Statement
Our Vision
Our Mission
Healthier, longer and better quality lives for all West
Australians.
To improve, promote and protect the health of
Western Australians by:
 Caring for individuals and the community
 Caring for those who need it most
 Making best use of funds and resources
 Supporting our team
Care Respect Excellence
Integrity Teamwork Leadership
Our Values
WA Health’s Code of Conduct identifies the values
that we hold as fundamental in our work and
describes how these values translate into action.
Our clients, their families, carers and other uses of
the health system are foremost in our decisions and
actions.
10
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
Executive Summary
In 2010-11, WA Health has performed well for the Western
Australian community - delivering quality health services
across the State, and preparing for the future through
innovative reform and strong planning.
Delivering a Healthy WA
The WA community enjoys excellent health outcomes with life
expectancy among the best in the world and infant mortality rates among the lowest in
Australia. Our hospitals perform well in key areas of safety and quality, and patients
recognise that our hospitals provide quality care. We continue to meet growing demand
for healthcare services while improving the quality of care.
Although we perform well overall, gaps remain in both the health status of Western
Australians and our performance as a system. We are responding with ambitious, longterm reforms to address key health priorities, drive service and productivity
improvement, and position ourselves to meet Western Australians’ future health needs.
All our efforts are aligned to, and given focus by, the four pillars of the WA Health
Strategic Intent 2010–2015:
 Caring for individuals and the community
 Caring for those who need it most
 Making best use of funds and resources
 Supporting our team.
Quality Health Services for Metropolitan Perth
As part of the broader WA Health system, the Metropolitan Health Service (MHS)
provides the bulk of public healthcare services in WA, delivering a comprehensive range
of services though primary, secondary and tertiary providers. The MHS has responded
to significant growth in service demand resulting from the metropolitan area’s growing
population. As the principal provider of health services in WA, the MHS is the key
vehicle for the delivery of health service reform, and safety and quality improvement.
Last year’s efforts to rebase health system finances in line with current and projected
demand under the WA Health Clinical Services Framework 2010–2020 provided WA
Health and the MHS with a more stable financial base. This has been strengthened in
2010/11 with the introduction of Activity Based Funding and Management (ABF/M) for
key services in MHS hospitals. Our financial approach was endorsed through the
2011/12 Budget process, with the Government responding to projected demand growth
by providing improved operational funding.
In February 2011, the Council of Australian Governments, including WA, reached an
agreement on National Health Reform. The reform focuses on hospital funding, and the
delivery of hospital services at an efficient price. The MHS has worked with other
elements of the public health system to develop structures that support National Health
Reform in WA, including arrangements for health service governance and working out
an efficient price for hospital services.
Delivering a Healthy WA
11
Metropolitan Health Service Annual Report 2010-11
Overview
Caring for individuals and the community
The MHS promotes and protects the health of the community and ensures that
metropolitan Western Australians can access quality health care. For several months
during 2010/11, metropolitan hospitals achieved their highest ever proportion of patients
undergoing elective surgery within clinically desirable timeframes. We also continued to
implement initiatives under the WA Strategic Plan for Safety and Quality in Healthcare
2008-2013. In May 2011 BreastScreen WA performed 9,367 screenings—its highest
ever monthly figure. Over the past year, 245,000 children across WA were able to
access free dental treatment through the school dental program, while several new
dental therapy centres were constructed.
The MHS continues to develop and implement innovative programs and projects to
promote health in the community, prevent disease and manage man-made and natural
disasters. In 2010/11, MHS activities included youth alcohol harm minimisation, smoking
cessation and injury prevention programs; and initiatives that promoted healthy eating
and physical activity. In February 2011, the Child and Adolescent Mental Health Service
integrated with the Child and Adolescent Health Service (CAHS) creating a single,
comprehensive health service for young Western Australians.
Caring for those who need it most
The MHS is working to ensure those in greatest need can access health services in a
timely manner. The Four Hour Rule Program has dramatically reduced access block,
improved hospital processes and positioned WA as the national leader in emergency
care reform. During 2011/12, more than 40 new child allied health positions were
recruited to the Metropolitan Child Development Service, reducing waiting times for
physiotherapy, occupational therapy and speech pathology.
The MHS continues to deliver quality mental health services under contract to the
Mental Health Commission. Mental health initiatives over the past year have included
improvements in Mental Emergency Services, extension of drug and alcohol-related
services and the opening of a mental health inpatient unit at Rockingham General
Hospital. Initiatives underway across the MHS to help improve the health of Aboriginal
people include increasing access to parent/child services in key suburban locations and
improvements under the National Partnership Agreements on Closing the Gap and
Indigenous Early Childhood Development.
Making Best Use of Funds and Resources
Metropolitan hospitals have made a considerable contribution over the past year to the
commencement of ABF/M for emergency and inpatient care. As it extends to all areas of
public health activity, ABF/M will improve transparency between Government investment
and health service activity, and guide investment for maximum health benefit.
Work continues at a number of metropolitan sites as part of WA Health’s $7 billion
statewide capital works program. The past year saw completion of the Rockingham
General Hospital redevelopment and the opening of Joondalup Health Campus’ new
Emergency Department and public ward block, with 55 public beds. The MHS continues
to roll out new equipment and medical technology, and enhance the use of Telehealth
and video conferencing technology.
12
Delivering a Healthy WA
Supporting Our Team
We recognise the valuable role MHS employees play in delivering a quality health
service to Western Australians and are committed to strengthening our workforce. The
MHS provided the bulk of training places for the record 265 medical graduates who
joined WA Health in the first months of 2011 and welcomed hundreds of new graduate
nurses.
During 2010/11, MHS staff demonstrated their commitment to excellence, winning
numerous professional awards and developing innovative health and medical research
projects. Efforts to strengthen our team also included enhancement of the Aboriginal
workforce, development of new learning and development opportunities and strategic
workforce planning.
2011-12 and Beyond
The MHS will build on the success of previous years through hospital reforms,
improvements to the safety and quality of care and meeting increased service demand.
We will continue to play a key role in statewide initiatives including the Four Hour Rule,
elective surgery, Aboriginal health and ABF/M; and anticipate that National Health
Reform in will further enhance our reform momentum. I would like to thank all staff for
their contribution over the past 12 months and look forward to another productive year.
Dr D Russell-Weisz
ACTING DIRECTOR GENERAL OF HEALTH
26 September 2011
Delivering a Healthy WA
13
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
Address and Location
North Metropolitan Area Health Service
Hospital Avenue, NEDLANDS WA 6009
Postal address
Locked Bag 2012, NEDLANDS WA 6009
Phone: (08) 9346 3333
Fax: (08) 9346 3759
Email: scgh.webmaster@health.wa.gov.au
Internet: www.nmahs.health.wa.gov.au
Sir Charles Gairdner Hospital
Queen Elizabeth II Medical Centre
Hospital Avenue, NEDLANDS WA 6009
Postal address
Locked Bag 2012, NEDLANDS WA 6009
Phone: (08) 9346 3333
Fax: (08) 9346 3759
Email: scgh.webmaster@health.wa.gov.au
Internet: www.scgh.health.wa.gov.au
NMAHS Ambulatory Care
54 Salvado Road, WEMBLEY WA 6014
Phone: (08) 9380 7700
Fax: (08) 9380 7719
Email: scgh.webmaster@health.wa.gov.au
Web: www.scgh.health.wa.gov.au
NMAHS Area Mental Health Service
Executive Office
83 Fairfield Street, MT HAWTHORN WA 6016
Phone: (08) 9242 9642
Email: secretary_amhs.gh@health.wa.gov.au
Internet: www.nmahsmh.health.wa.gov.au
Swan Kalamunda Health Service
Eveline Road, MIDDLE SWAN WA 6056
Postal address
PO Box 195, MIDLAND WA 6936
Phone: (08) 9347 5400
Fax: (08) 9347 5410
Internet: www.nmahs.health.wa.gov.au
Email: swanhealthservice@health.wa.gov.au
Osborne Park Hospital
Osborne Place, STIRLING WA 6021
Phone: (08) 9346 8000
Fax: (08) 9346 8008
Internet: www.oph.health.wa.gov.au
14
Women’s and Newborn Health Service
King Edward Memorial Hospital for Women
374 Bagot Road, SUBIACO WA 6008
Postal address
PO Box 134, SUBIACO WA 6904
Phone: (08) 9340 2222
Email: kemhcsu@health.wa.gov.au
Internet: www.wnhs.health.wa.gov.au
BreastScreen WA
9th Floor, Eastpoint Plaza
233 Adelaide Terrace, PERTH WA 6000
Phone: (08) 9323 6700
Fax: (08) 9323 6771
Internet:
www.breastscreen.health.wa.gov.au
Email: breastscreenwa@health.wa.gov.au
South Metropolitan Area Health Service
Executive Office
16 Ogilvie Road, MT PLEASANT WA 6153
Postal address
Locked Bag 8, CANNING BRIDGE WA 6153
Phone: (08) 9318 7500
Fax: (08) 9318 7515
Internet: www.smahs.health.wa.gov.au
Murray District Hospital
McKay Street,
PINJARRA WA 6208
Postal address
PO Box 243, PINJARRA WA 6208
Phone: (08) 9531 7222
Fax: (08) 9531 7241
E-mail: rkpg@health.wa.gov.au
Rockingham Peel Group
(Corporate Office)
and Rockingham General Hospital
Elanora Drive,
COOLOONGUP WA 6168
PO Box 2033,
ROCKINGHAM WA 6967
Phone: (08) 9599 4000
Fax: (08) 9599 4619
E-mail: rkpg@health.wa.gov.au
Internet: www.smahs.health.wa.gov.au
Delivering a Healthy WA
Mandurah Community Health and
Development Centre
112 Lakes Road,
MANDURAH WA 6210
Postal Address
PO Box 541, MANDURAH WA 6210
Phone: (08) 9586 4400
Fax: (08) 9586 4499
E-mail: rkpg@health.wa.gov.au
Peel and Rockingham-Kwinana Mental
Health Service
Lakes Road,
MANDURAH WA 6210
Postal Address
PO Box 162, MANDURAH WA 6210
Phone: (08) 9531 8080
Fax: (08) 9531 8070
E-mail: PaRKMHS@health.wa.gov.au
Armadale-Kelmscott Memorial Hospital
3056 Albany Highway,
ARMADALE WA 6112
Postal Address
PO Box 460, ARMADALE WA 6992
Phone: (08) 9391 2000
Fax: (08) 9391 2129
Internet: www.ahs.health.wa.gov.au
Email: ahs@health.wa.gov.au
Overview
Metropolitan Health Service Annual Report 2010-11
Kaleeya Hospital
15 Wolsely Road (cnr Staton Rd),
EAST FREMANTLE WA 6158
Postal address
PO Box 480, FREMANTLE WA 6959
Phone: (08) 9319 0300
Fax: (08) 9319 1958
Internet: www.fhhs.health.wa.gov.au
Email: fhweb@health.wa.gov.au
Royal Perth Hospital
Wellington Street, PERTH WA 6001
Postal address
GPO Box X2213, PERTH WA 6847
Phone: (08) 9224 2244
Fax: (08) 9224 3511
Internet: www.rph.wa.gov.au
Email: rph.feedback@health.wa.gov.au
Royal Perth Hospital: Shenton Park
Campus
6 Selby Street, SHENTON PARK WA 6008
Postal Address (as above)
Phone: (08) 9382 7171
Fax: (08) 9382 7351
Internet: www.rph.wa.gov.au
Email: rph.feedback@health.wa.gov.au
Bentley Hospital
33 Mills Street,
BENTLEY WA 6102
Postal address
PO Box 158, BENTLEY WA 6982
Phone: (08) 9334 3666
Fax: (08) 9356 1632
Internet: www.health.wa.gov.au/bhs
Email: bl.enquires@health.wa.gov.au
Rottnest Island Nursing Post
2 Abbott Street,
ROTTNEST ISLAND WA 6161
Postal address:
RINP, c/- Fremantle Hospital,
PO Box 480 Fremantle WA 6959
Phone: (08) 9292 5030
Fax: (08) 9292 5121
Internet:
www.fhhs.health.wa.gov.au/services/rottnest
Fremantle Hospital
Alma Street,
FREMANTLE WA 6160
Postal address
PO Box 480, FREMANTLE WA 6959
Phone: (08) 9431 3333
Fax: (08) 9431 2921
Internet: www.fhhs.health.wa.gov.au
Email: fhweb@health.wa.gov.au
South Metropolitan Mental Health Service
18 Dalgety Street,
EAST FREMANTLE WA 6156
Postal address
PO Box 480,
FREMANTLE WA 6959
Phone: (08) 9319 7200
Fax: (08) 9319 7222
Email:
mentalhealthreceptionist.SMAHS@health.wa.gov.au
Delivering a Healthy WA
15
Metropolitan Health Service Annual Report 2010-11
Overview
South Metropolitan Public Health Unit
Level 2, 7 Pakenham Street
FREMANTLE WA 6160
PO Box 546, FREMANTLE WA 6959
Phone: (08) 9431 0200
Fax: (08) 9431 0222
Internet: www.smphu.health.wa.gov.au
Fiona Stanley Hospital project
16 Ogilvie Road,
MOUNT PLEASANT WA 6153
Postal address
Locked Bag 8, CANNING BRIDGE WA 6153
Phone: 1800 659 475
Fax: (08) 6466 7805
Internet: www.fionastanley.health.wa.gov.au
Email: www.fsh@health.wa.gov.au
Child and Adolescent Health Service
(CAHS) and Princess Margaret Hospital
for Children
Roberts Road,
SUBIACO WA 6008
Postal address
GPO Box D184 Perth WA 6840
Phone: (08) 9340 8222
Fax: (08) 9340 7000
Internet: www.pmh.health.wa.gov.au
Internet: www.cahs.health.wa.gov.au
Child and Adolescent Community Health
WASON Building
151 Wellington Street,
PERTH WA 6000
Postal address
PO Box S1296 PERTH WA 6845.
Phone: (08) 9224 1625
Fax: (08) 9224 1612
Internet: www.cahs.health.wa.gov.au
Child and Adolescent Mental Health
70 Hay Street,
SUBIACO WA 6008
Postal address
GPO Box D184 PERTH WA 6840.
Phone: (08) 9224 1625
Fax: (08) 9224 1612
Internet: www.cahs.health.wa.gov.au
16
PathWest Laboratory Medicine WA
J Block, QEII Medical Centre
Hospital Avenue, NEDLANDS WA 6009
Postal Address
Locked Bag 2009, NEDLANDS WA 6909
Phone: (08) 9346 3000
Fax: (08) 9381 7594
Email: pathwest@health.wa.gov.au
Internet: www.pathwest.com.au
PathWest Laboratory Medicine WA RPH
North Block, Royal Perth Hospital
Wellington Street, PERTH WA 6001
Postal Address
GPO Box X2213, PERTH WA 6847
Phone: (08) 9224 2422
Fax: (08) 9224 3466
PathWest Laboratory Medicine WA KEMH
King Edward Memorial Hospital for Women
Bagot Road, SUBIACO WA 6008
Postal address
PO Box 134, SUBIACO WA 6904
Phone: (08) 9340 2712
Fax: (08) 9340 2714
PathWest Laboratory Medicine WA PMH
Princess Margaret Hospital
Roberts Road, SUBIACO WA 6008
GPO D184, SUBIACO WA 6840
Phone: (08) 9340 8271
Fax: (08) 9340 8117
PathWest Laboratory Medicine WA FHHS
Fremantle Hospital and Health Service
Alma Street, FREMANTLE WA 6160
PO Box 480, FREMANTLE WA 6959
Phone: (08) 9431 2744
Fax: (08) 9431 2520
Dental Health Services
43 Mt Henry Road,
COMO WA 6152
Postal Address
Locked Bag 15, Bentley Delivery Centre
PERTH WA 6983
Phone: (08) 9313 0555
Fax: (08) 9313 1302
Email: enquiries@dental.health.wa.gov.au
Internet: www.dental.wa.gov.au
Delivering a Healthy WA
Services Provided
Metropolitan Health Service
Direct patient services
• adolescent clinic
• acute adult, youth, child, adolescent and older persons medicine and mental health
• aged care
• after hours general practice
• ambulatory surgery
• amputee
• anaesthesia
• antenatal clinic
• bone marrow transplantation
• breast cancer assessment
• burns clinics
• cardiovascular medicine, cardiology / cardiothoracic
• care co-ordination
• child protection
• chronic and palliative care
• clinical oncology / haematology
• clinical immunology
• clinical investigation
• community and developmental paediatrics
• cornea grafting
• coronary care
• day surgery and procedures
• dermatology
• dietetics and nutrition
• ear, nose and throat and neck
• eating disorders
• emergency and trauma centre medicine
• endocrinology / diabetes
• endoscopy
• enuresis and stomal therapy
• epilepsy
• family pathways / early intervention program
• gastroenterology
• general medicine
• general and specialist surgery
• geriatric medicine and extended care
• geriatric mental health
• gynaecology
• haematology
• haemophilia
• hepatology
• hyperbaric medicine
• HIV/AIDS education
• home based hospital care
Delivering a Healthy WA
17
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
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home care midwifery
hospital in the home (HITH)
infectious disease management
intensive care
immunology
menopause assessment and programs
mental health care – acute infant, child, adolescent, adult, older adult, geriatric
mental health care – rehabilitation adult, older adult
mental health care – consultation liaison
neonatal and neonatology
nephrology
neurology / neurosurgery / neurosciences
neuropsychology
nuclear medicine
obstetrics and midwifery
oncology
ophthalmology
orthopaedics
orthotics and prosthetics
outpatient clinics
paediatric gynaecology
paediatric medicine
paediatric ENT surgery
paediatric psychological consultation
paediatric rehabilitation
paediatric surgery including cranio-maxillo facial and plastic
pain management
palliative care
pathology
physiotherapy
podiatry
post acute care
postnatal infants
psychology
radiation oncology
radiology and medical imaging
rehabilitation in the home (RITH)
rehabilitation medicine unit
renal services / dialysis
respiratory medicine
respite care
rheumatology
rural paediatric
sexual health service
social work
speech pathology
tropical medicine
urology
vascular surgery
18
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
Medical support services
• Aboriginal mental health
• antenatal
• audiology and newborn hearing screening
• bio-engineering
• cardiac angiography
• chaplaincy and pastoral care
• clinical psychology
• community aids and equipment
• computed tomography
• continence and stomal therapy
• dietetics and nutrition
• general angiography
• health record management and information technology
• interventional radiology
• infection control
• medical illustration
• medical technology
• microbiology
• occupational therapy
• orthotics and prosthetics
• pathology
• pharmacy
• physiotherapy
• podiatry
• post mortem services
• school health
• social work
• speech pathology
• telehealth
• toxicology
Community services
• Aboriginal health
• asthma education
• child and family health
• child and adolescent health and child development
• chronic disease and ambulatory care
• community physiotherapy
• chronic disease management teams
• diabetes education
• health promotion
• mental health outpatient, community and day hospital
• migrant and refugee health
• parenting programs
• Post Graduate Medical Education
• Post Graduate Nursing Education
• Post Graduate Training for Psychiatry
• Public health medicine
Delivering a Healthy WA
19
Metropolitan Health Service Annual Report 2010-11
Overview
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psychiatric emergency
rehabilitation and living skills
sexually transmitted infections
teaching, training, research and development
youth and sexual health
Other services
• art therapy
• administrative and clerical
• ambulatory care coordination program
• catering, hotel, laundry and linen
• communicable disease control
• community health
• demography and epidemiology
• engineering
• enuresis program
• emergency preparedness
• finance and business
• family pathways
• Health Equity for Aboriginal people and Refugees Team (HEART)
• immunisation
• library
• peer support and consumer groups
• public relations, patient support, customer liaison – including Freedom of Information
• safety, quality, and performance
• security
• workforce development
PathWest Laboratory Medicine WA
Direct patient services
• biochemistry
• clinical chemistry and anatomical pathology
• clinical immunology
• comprehensive pathology services to WA domiciliary collection
• cytopathology
• haematology
• histopathology
• immunology
• infectious disease
• medical support
• microbiology
• post-mortem
• research and development
• specialist pathology services to private patients
• transfusion medicine
• teaching and training
• toxicology
20
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
Community services
• forensic, pathology and biology testing
• forensic pathology and biology
• microbiological food and water testing
• manufacturing of test reagents for its laboratories
Dental Health Services
Direct patient services
• aged care oral health program
• emergency, community and general dental care to eligible adults and enrolled school
children
• dental prosthetic
• domiciliary dental care for the homebound
• medical support
Other support services
• corporate and administration
• engineering and maintenance
• oral health promotion
• research and evaluation
Delivering a Healthy WA
21
Metropolitan Health Service Annual Report 2010-11
Overview
Pecuniary Interests
Senior officers of the Metropolitan Health Service have declared no pecuniary interests
in 2010-11.
Accountable Authority
The Director General of Health, Mr Kim Snowball, is the accountable authority for the
Metropolitan Health Service.
Senior Officers
Senior officers for the Metropolitan Health Service and their areas of responsibility, as at
30 June 2011 are listed in the table below.
Table 1: Senior officers – North Metropolitan Area Health Service as at 30 June 2011
Area of Responsibility
North Metropolitan Area Health
Service
Mental Health
Title
Name
Chief Executive
Dr D Russell-Weisz
Executive Director
Dr Ann Hodge
Finance
Executive Director
Alain St Flour
Nursing Services
Executive Director
Anthony Dolan
Medical Services
Executive Director
Dr John Keenan
Workforce
Executive Director
Jon Frame
Facilities Management
Executive Director
John Fullerton
Safety, Quality and Performance
Executive Director
Sandra Miller
Clinical Planning and Development
Executive Director
David Mulligan
Public Health and Ambulatory Care Executive Director
Ros Elmes
PathWest Laboratory Medicine
Executive Director
Silvano Palladino
Sir Charles Gairdner Group
Executive Director
Dr Robyn Lawrence
Strategic Development
Director
Liz MacLeod
Swan Kalamunda Health Service
Women and Newborn Health
Service
Executive Director
Dr Peter Wynn Owen
Executive Director
Dr Amanda Frazer
22
Delivering a Healthy WA
Table 2: Senior officers – South Metropolitan Area Health Service as at 30 June 2011
Area of Responsibility
South Metropolitan Area Health
Service
Corporate Operations
Title
Name
Chief Executive
Nicole Feely
Group General Officer
Shaun Strachan
Human Resources
Area Manager
Steve Seeds
Finance and Performance
Group General Manager
Ian Male
Safety, Quality and Risk
Diane Barr
Nursing Services
Group General Manager
Acting Group General
Manager
Area Director
Clinical Services
Area Director
Dr Paul Mark
Royal Perth Hospital
Acting Executive Director
Maha Rajagopal
Armadale Health Service
Acting Executive Director
Chris Bone
Bentley Health Service
Fremantle Hospital (including
Kaleeya and Rottnest Nursing Post)
Rockingham General Hospital
(including Murray Districts and Peel
Community Health)
Mental Health
Acting Executive Director
Sam Carrello
Acting Executive Director
Dr Shirley Bowen
Acting Executive Director
Alex Smith
Executive Director
Dr Elizabeth Moore
Fiona Stanley Hospital
Public Health, Ambulatory Care and
Strategic Allied Health
Executive Director
Brad Sebbes
Acting Executive Director
Karen Banks
Strategy and Development
Geraldine Carlton
Karen Bradley
Table 3: Senior officers – Dental Health Services as at 30 June 2011
Area of Responsibility
Title
Name
Dental Health Services Management
Acting Director
Martin Glick
Clinical Services and Subsidy Scheme
Clinical Services and Subsidy Scheme
Manager,
Community Dental
Services
Acting Manager,
Central Clinical and
Support Services
Soniya Nanda-Paul
John Grapsas
Information and Communication
Technology
Manager
Glen Walker
Corporate Services
Acting Manager
Michael Shepherd
Delivering a Healthy WA
23
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
Table 4: Senior officers – Child and Adolescent Health Service as at 30 June 2011
Area of Responsibility
Title
Name
Chief Executive
Philip Aylward
Executive Director
Dr Mark Salmon
Nursing and Support Services
Executive Director
Anne Bourke
Finance and Business
Acting Director of
Finance
Murray Brown
Community Health
Executive Director
Mark Morrissey
Mental Health
Acting Executive Director
Sylvia Meier
Paediatric Medicine
Chairman
Dr Gervase Chaney
Paediatric Medicine
Nursing Director
Ann Stynes
Surgical Services
Co-Chairman
Dr Chris Johnson
Surgical Services
Co-Chairman
Dr David Vyse
Surgical Services
Nursing Director
Paul Darcy
Advisory Committee
Chair
Dr Cathy Choong
Allied Health
Coordinator
Jenny Mace
Safety and Quality
Acting Director
Debbie Bryan
New Children’s Hospital Project
Director
Susan Medlin
Communications
Acting Manager
Jacqui Lee-Steere
Child and Adolescent Health
Service
Medical Services
Table 5: Senior officers - PathWest Laboratory Medicine WA as at 30 June 2011
Area of Responsibility
Title
Name
Corporate Management
Chief Pathologist
Dr Dominic Mallon
Corporate Management
Executive Director
Silvano Palladino
Corporate Management
Acting General Manager
Leesa Ivey
Corporate Management
Director
Frances Brogden
Corporate Management
General Manager
David Miotti
PathWest Site Management, QEII
Site Director
Dr David Smith
PathWest Site Management, RPH
Site Director
Professor Frank
Christiansen
Site Director
Dr Ashleigh Murch
Site Director
Dr David McGechie
PathWest Site Management,
Women’s and Children’s Health
Service
PathWest Site Management,
Fremantle Hospital
24
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
Metropolitan Health Service Management Structures
North Metropolitan Area Health Service (June 2011)
CHIEF EXECUTIVE
EXECUTIVE DIRECTOR
Workforce
EXECUTIVE DIRECTOR
Women and Newborn
Health Service
EXECUTIVE DIRECTOR
Mental Health
EXECUTIVE DIRECTOR
Sir Charles Gairdner
Group
EXECUTIVE DIRECTOR
Safety, Quality and
Performance
EXECUTIVE DIRECTOR
Swan Kalamunda Group
EXECUTIVE DIRECTOR
Medical Services
EXECUTIVE DIRECTOR
Nursing Services
EXECUTIVE DIRECTOR
Facilities Management
EXECUTIVE DIRECTOR
Finance
EXECUTIVE DIRECTOR
PathWest Laboratory
Medicine
DIRECTOR
Strategic Development
EXECUTIVE DIRECTOR
Public Health and
Ambulatory Care
EXECUTIVE DIRECTOR
Clinical Planning and
Development
Delivering a Healthy WA
25
Metropolitan Health Service Annual Report 2010-11
Overview
South Metropolitan Area Health Service (June 2011)
CHIEF EXECUTIVE
GROUP
GENERAL OFFICER
Corporate Operations
Human Resources
EXECUTIVE DIRECTOR
Royal Perth Hospital
AREA MANAGER
Human Resources
EXECUTIVE DIRECTOR
Bentley Health Service
GROUP GENERAL
MANAGER
Finance and Performance
EXECUTIVE DIRECTOR
Armadale Health Service
GROUP
GENERAL MANAGER
Safety, Quality and Risk
EXECUTIVE DIRECTOR
Fremantle Hospital
EXECUTIVE DIRECTOR
Mental Health
EXECUTIVE DIRECTOR
Rockingham General
Hospital
AREA DIRECTOR
Nursing Services
AREA DIRECTOR
Clinical Services
EXECUTIVE DIRECTOR
Fiona Stanley Hospital
26
EXECUTIVE DIRECTOR
Public Health, Ambulatory
Care and Strategic Allied
Health
GROUP GENERAL
MANAGER
Strategy and Development
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
Child and Adolescent Health Service (June 2011)
CHIEF EXECUTIVE
EXECUTIVE DIRECTOR
Nursing and Support
Services
EXECUTIVE DIRECTOR
Community Health
EXECUTIVE DIRECTOR
Medical Services
DIRECTOR
New Children’s Hospital
Project
DIRECTOR OF FINANCE
Finance and Business
MANAGER
Communications
CHAIR
Advisory Committee
CHAIRMAN
Paediatric Medicine
EXECUTIVE DIRECTOR
Mental Health
NURSING DIRECTOR
Paediatric Medicine
COORDINATOR
Allied Health
CO-CHAIRMAN x 2
Surgical Services
DIRECTOR
Safety and Quality
NURSING DIRECTOR
Surgical Services
Delivering a Healthy WA
27
Metropolitan Health Service Annual Report 2010-11
Overview
Dental Health Service (June 2011)
DIRECTOR
28
MANAGER
Community Dental
Services
MANAGER
Information and
Communication
Technology
MANAGER
Central Clinical and
Support Services
MANAGER
Corporate Services
Delivering a Healthy WA
Metropolitan Health Service Annual Report 2010-11
Overview
PathWest Laboratory Medicine WA (June 2011)
CHIEF PATHOLOGIST
Corporate Management
EXECUTIVE DIRECTOR
Corporate Management
DIRECTOR
Corporate Management
SITE DIRECTOR
PathWest Site Management,
Women’s and Children’s
Health Service
GENERAL MANAGER x 2
Corporate Management
SITE DIRECTOR
PathWest Site Management,
Fremantle Health Service
SITE DIRECTOR
SITE DIRECTOR
PathWest Site Management,
PathWest Site Management,
QEII
RPH
Delivering a Healthy WA
29
Metropolitan Health Service Annual Report 2010-11
Overview
2010-11 Metropolitan Health Service
The Metropolitan Health Service (MHS) comprises the North Metropolitan Area Health
Service, the South Metropolitan Area Health Service and the Child and Adolescent
Health Service. The MHS provides healthcare services to over 1.5 million people.
North Metropolitan Area Health Service
The North Metropolitan Area Health Service (NMAHS) provides public hospital,
community, and mental health services to over 900,000 people living in Perth’s north,
and north-eastern suburbs. NMAHS consists of three tertiary hospitals and three outer
metropolitan hospitals and oversees the provision of contracted public health care from
the privately operated Joondalup Health Campus. Public hospitals include Kalamunda,
King Edward Memorial, Graylands, Osborne Park, Sir Charles Gairdner and Swan
District Hospitals
The NMAHS has over 1,400 beds across the six hospital sites and 100 neonatal cots.
The service provides Emergency Services, Intensive and High Dependency Care,
Coronary Care, Medical Services, Maternity and newborn services, Surgical Services,
Cancer Services, Palliative Care Services, Rehabilitation and Aged Care, Mental Health
Services, Ambulatory Care, Primary Health Care and Clinical Support Services
It also offers a range of hospital and community based specialised State wide services
including the Aboriginal Maternity Services Support Unit, BreastScreen WA, and
Comprehensive Cancer Centre. Dental Health, DonateLife, Humanitarian Entrant Health
Service, Neurological Intervention and Imaging Service of WA, PathWest, State
Forensic Mental Health Service, State Head Injury Unit, State Neurosurgery Service,
Statewide Obstetric Support Unit, Tuberculosis Control Program, WA Cervical Cancer
Prevention Program, WA Perinatal Mental Health Unit, Women’s Health Policy and
Project Unit and WoundsWest
The State Government is actively investing in new facilities across the area. Stage 1 of
the Queen Elizabeth II Medical Centre expansion is nearly two years into a five year
build program which will deliver a new Mental Health Unit, expanded Comprehensive
Cancer Centre and new PathWest facility, among other State and private projects by
2015. The redevelopment of Joondalup Health Campus continues and an
announcement of the preferred proponent to deliver the new Midland Health Campus in
a Public Private Partnership is anticipated in early 2012.
Child and Adolescent Health Service
The Child and Adolescent Health Service (CAHS) comprises Princess Margaret Hospital
for Children (PMH), Child and Adolescent Community Health Service (CACH) and Child
and Adolescent Mental Health Service (CAMHS).
PMH is internationally recognised as a tertiary paediatric facility treating children and
adolescents from around the State, providing over 250,000 patient visits each year. This
year funding for a new children’s hospital was announced with a new $1.7bn, 274 bed
hospital, which will include an integrated paediatric research and education facility; to be
built at the QEII Medical Centre site in Nedlands. The new children’s hospital will begin
30
Delivering a Healthy WA
construction in early 2010 and is scheduled for completion at the end of 2015. The new
hospital will provide inpatient, ambulatory and outpatient services and house the State’s
only paediatric trauma centre.
CACH provides a comprehensive range of health promotion, and early identification and
intervention and detection services to the WA community. It focuses on growth and
development in the early years and promoting wellbeing during childhood and
adolescence. At risk populations are such as Aboriginal and Torres Strait Islanders
(ATSI), are of particular focus as are newly arrived refugees. Core services include child
and school health, immunisation and child development.
CAMHS transitioned to CAHS in February 2011 and provides mental health services to
infants, children and adolescents across the Perth metropolitan area. Services include
inpatient services at PMH and the Bentley Adolescent Unit, community and youth
services, and intensive intervention programs eating disorders, families at work, Family
Pathways and Multi Systemic Therapy.
South Metropolitan Area Health Service
The South Metropolitan Area Health Service (SMAHS) provides a range of tertiary,
secondary and community based services to over 800,000 people living in Perth’s
southern suburbs. SMAHS hospitals include Fremantle (including Kaleeya), Royal Perth,
Armadale, Bentley and Rockingham hospitals as well as the Murray District Hospital at
Pinjarra, and the privately operated Peel Health Campus, contracted to provide hospital
and emergency services for public patients.
There are two tertiary hospitals in the SMAHS, being Fremantle and Royal Perth
Hospital RPH). With two campuses, one in Wellington Street and the other in Shenton
Park, RPH is the oldest of Perth’s current public hospitals. It provides a full range of
services for adults (except obstetrics) and serves as the State’s referral centre for many
specialities. Each year it treats over 270,000 inpatients, providing a range of clinical
services including general medicine and surgery, orthopaedics and cardiac care and
provides emergency treatment to over 82,000 people. Following the completion of the
new Fiona Stanley Hospital at Murdoch, RPH will become a 410 bed tertiary hospital
providing a major trauma centre as well as highly specialised surgical services.
Fremantle Hospital is a 482 bed tertiary facility providing general and speciality services.
It is State referral centre for diving and hyperbaric medicine and has a cardiothoracic
surgery centre and nuclear medicine department. Kaleeya Hospital provides obstetric
and gynaecological services, rehabilitation, endoscopy and elective surgery. Fremantle
Hospital and Health Service also manages the nursing post at Rottnest Island. The Alma
Street Centre admitted mental health facility is located within the Fremantle Hospital
precinct.
On completion in 2014 the 783 bed Fiona Stanley Hospital (FSH) will be Western
Australia’s flagship health facility and will include the Commonwealth funded 140 bed
State Rehabilitation Service. The hospital will provide a full range of acute medical and
surgical services including the State Burns Service, comprehensive cancer services,
paediatrics, obstetics and neonatalogy services, pathology, medical imaging and a
medical research facility.
Delivering a Healthy WA
31
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
In addition to the tertiary hospital services detailed above, the privately managed Peel
Health Campus is contracted to provide public patient admitted hospital and emergency
services to residents living in the southern parts of the south metropolitan area.
Non-tertiary hospitals in the SMAHS are the Armadale Kelmscott Memorial Hospital
providing a full range of medical, surgical and emergency services; Bentley Hospital and
Health Service, which will become a specialist hospital following the completion of the
FSH; and the new Rockingham General Hospital providing the full range of general
hospital services.
Other services provided through the SMAHS include the SMAHS Public Health Unit
comprising communicable disease control, health promotion, and Aboriginal health and
planning and epidemiology; and the SMAHS Mental Health Service providing a full
range of mental health services to meet the needs of the local community.
32
Delivering a Healthy WA
Interesting MHS Health Care Facts
In 2010-11, the Metropolitan Health Service (MHS), including the Child and Adolescent
Health Service, had a total cost of service of $3.256 billion averaging $9.15 million per
day. Dental Health Services provided statewide services at a total cost of $62.8 million
($176,500 per day) and PathWest Laboratory Medicine provided services at a total cost
of $222.4 million ($624,700 per day), including services provided to agencies outside of
WA Health.
MHS hospitals and/or health facilities (excludes privately contracted services):
 Addressed the health care needs of an approximate residential population of
1,782,979 and the whole state for a number of health care disciplines.
 Provided 375,373 separations, for approximately 388,389 casemix adjusted
separations with an average length of stay of 2.7 days.
 Admitted 54,152 cases for elective surgery, of which 87% were within the category
admission wait time boundary.
 Attended to 405,456 occasions at a metropolitan emergency department or service.
 Provided 701,587 occasions of doctor-attended and 1,503,420 occasions of nondoctor-attended non-admitted health care.
 Provided 7,368 inpatient admissions to specialised mental health units across the
metropolitan area.
 In 2010 provided 585,912 occasions of ambulatory mental health care to 33,889
persons.
 Delivered 13,532 babies in 2010.

Provided 65,493 occasions for renal dialysis (separations) and 21,072 sameday
chemotherapy procedures.
Figure 1: Demography
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Aboriginal
Non-Aboriginal
State
74,921
2,215,125
Delivering a Healthy WA
MHS
28,526
1,754,055
33
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
MHS Expenditure by Service 2010-11
The following graph details the MHS expenditure against service types as reported for
the 2010-11 efficiency key performance indicators. Expenditure includes contracted
emergency services provided under contract by private providers and the statewide
public dental health service.
Figure 2: Expenditure by service 2010-11
Population
Statewide
health , 4% dental health,
2%
Community
mental health,
6%
Admitted
mental health,
5%
Non-admitted
patients , 15%
Emergency
Department ,
8%
Public tertiary
hospital
admitted
patients , 51%
Home based
hospital
patients, 1%
Public nontertiary hospital
admitted
patients , 9%
Note: Population health includes BreastScreen WA expenditure.
Morbidity Information
Each year the Department of Health commissions a general health and wellbeing survey
conducted independently across the State. This survey collates self-reported health
information from randomly selected respondents.
Figure 3: Prevalence Estimate of Some Risk Factors for persons 16 years and over
25.6%
Obese
26.5%
19.9%
High Cholesterol
19.9%
Metro
State
17.1%
High blood pressure
17.1%
0%
10%
20%
30%
Percentage of population
34
Delivering a Healthy WA
Figure 4: Self-reported doctor diagnosed health conditions for persons 16 years and
over
23.1%
23.0%
Injury
4.8%
5.0%
Osteoporosis
20.0%
19.9%
Arthritis
Stroke
1.7%
1.7%
Respiratory Problem
1.8%
1.7%
State
Metro
8.8%
8.3%
Asthma
5.3%
5.3%
Cancer
5.9%
6.0%
Heart Disease
6.5%
6.4%
Diabetes
0%
5%
10%
15%
20%
25%
Percentage of population
Figure 5: Self-reported health utilisation for persons 16 years and over
8.7%
Alternative Health care
8.9%
MHS
26.2%
Hospital Health Care
State
27.6%
49.7%
Allied Health care
49.9%
54.1%
Dental Health care
53.0%
88.5%
Primary Health Care
88.3%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90% 100%
Percentage of population
Delivering a Healthy WA
35
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
Figure 6: Major reasons for hospital admissions by MHS residents, 2009
Pregnancy and Childbirth
5.6%
Neoplasms
7.0%
Musculoskeletal
6.8%
Mental Disorders
4.1%
Injury and Poisoning
6.1%
Ill-defined conditions
6.3%
Genitourinary
4.4%
Digestive
10.6%
Circulatory
5.0%
Other
17.3%
0%
5%
10%
15%
20%
Percentage of population
36
Delivering a Healthy WA
Top 25 hospital separations described by casemix coded diagnostic related group
Each hospital admission is described and coded onto the WA hospital morbidity data
system (HMDS). This results in the admission being designated to a diagnostic related
group (DRG) based on an assessment of all the diagnoses attributed to that hospitalised
patient.
Table 6: MHS Hospital separations by DRG
Diagnostic Related Group
Renal Dialysis
Chemotherapy, sameday
Neonate, Admission weight > 2499 gm without significant
Operating Room Procedure and without Problem
Vaginal Delivery without Catastrophic or Severe Complication
or Co-morbidity
Lens Procedures, Sameday
Chest Pain
Rehabilitation with Catastrophic or Severe Complication or Comorbidity
Oesophagitis, Gastroenteritis and Miscellaneous Digestive
System Disorders Age >9 without Catastrophic or Severe
Complication or Co-morbidity
Colonoscopy (Discharged Sameday)
Other Factors Influencing Health Status, Sameday
Follow Up without Endoscopy
Caesarean Delivery without Catastrophic or Severe
Complication or Co-morbidity
Circulatory Disorders without Acute Myocardial Infarction but
with Invasive Cardiac Investigation Procedure, without
Complex Diagnosis or Procedure
Other Gastroscopy for Non-Major Digestive Disease, Sameday
Red Blood Cell Disorders without Catastrophic or Severe
Complication or Co-morbidity
Other Skin, Subcutaneous Tissue and Breast Procedures
Cellulitis (Age >59 without Catastrophic or Severe
Complication or Co-morbidity) or Age <60
Follow Up with Endoscopy
Abdominal Pain or Mesenteric Adenitis without Complication or
Co-morbidity
Hand Procedures
Lymphoma and Non-Acute Leukaemia, Sameday
Antenatal and Other Obstetric Admission
Rehabilitation without Catastrophic or Severe Complication or
Co-morbidity
Other Kidney and Urinary Tract Diagnoses without
Catastrophic or Severe Complication or Co-morbidity
Cystourethroscopy, Sameday
Delivering a Healthy WA
Separations
2007-08 2008-09 2009-10
52,847
17,819
47,458
18,758
65,493
21,072
10,361
10,464
10,697
6,257
6,098
6,396
3,777
3,821
4,458
4,082
5,244
5,144
5,188
5,226
5,066
2,329
2,697
3,668
3,851
2,659
2,116
3,740
3,034
2,407
3,644
2,934
2,613
2,464
2,609
2,608
2,394
2,411
2,518
2,586
2,593
2,485
2,582
2,294
2,464
2,163
2,169
2,262
2,095
2,160
2,204
1,964
2,051
2,176
1,357
1,792
2,129
2,055
1,690
2,423
2,217
1,750
2,021
2,096
2,014
2,005
1,847
2,238
1,988
1,487
1,689
1,963
1,428
1,890
1,956
37
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Admitted hospital activity
In the period 2006-2011, casemix adjusted acute activity at metropolitan tertiary and
non-tertiary hospitals increased by 20.2%.
Figure 7: Admitted Acute Data 2006-11
300,000
250,000
200,000
Metropolitan Weighted
Separations Tertiary
150,000
Metropolitan Weighted
Separations Non-Tertiary
100,000
50,000
0
2006-07
2007-08
2008-09
2009-10
2010-11
Elective Surgery
Providing elective surgery to public patients is a significant health care responsibility for
the metropolitan area health services and includes appropriately referred country
patients. From 2006 to 2011 metropolitan hospitals, including the privately contracted
public patient sites, have increased elective surgery activity by 13.9%.
Figure 8: Elective Surgery data 2006-11
63,995
60,433
55,498
55,735
50,344
21,677
19,092
Admissions
Overview
General MHS health care activity trends
38
24,728
19,203
Category 3
18,544
Category 2
18,968
21,584
18,795
22,561
15,020
Category 1
MHS Region
17,438
17,737
16,780
17,172
16,706
2006-07
2007-08
2008-09
2009-10
2010-11
Delivering a Healthy WA
Emergency services activity
Public hospitals and contracted private providers across the metropolitan area serve the
emergency health care needs of the community and those transferred from country
areas. From 2007 to 2011, metropolitan hospitals, including the contracted private
hospitals, saw a 9% increase in emergency department attendances.
Figure 7: Emergency data 2007-11
519,636
476,879 4,378
51,814
4,492
52,621
4,666
465,792
448,248
58,702
63,424
4,609
Triage 1
168,173
Triage 2
Attendances
138,173
136,810
149,035
Triage 3
Triage 4
248,138
255,812
224,837
227,440
34,376
29,488
26,006
27,561
2007-08
2008-09
2009-10
2010-11
Triage 5
Non-admitted patient activity
In the period 2007-08 to 2010-11 there has been a 27.0% increase in the volume of
doctor attended and non-doctor attended outpatient and non-admitted occasions of
service provided by metropolitan hospitals and health care facilities.
Figure 8: Non-Admitted data 2006-11
2,205,007
Occasions of Service
2,137,310
2,015,606
2,059,900
1,736,189
2006-07
2007-08
Delivering a Healthy WA
2008-09
2009-10
2010-11
39
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
In the period 2006-07 to 2010-11 there has been a Statewide 9.8% increase in the
number of screenings provided by BreastScreen WA.
Figure 9: BreastScreen 2006-11
100,000
86,285
96,071
94,784
2009-10
2010-11
88,710
82,395
Screenings
75,000
50,000
25,000
0
2006-07
2007-08
2008-09
Home based hospital programs
In the period 2006-07 to 2010-11 there has been a 58% increase in the number of
hospital-type care days provided in a patient’s home by the MHS.
Figure 10: Hospital based hospital programs
97,661
100,000
Hospital-type Case Days
Overview
BreastScreen WA activity
90,000
81,278
83,522
80,000
72,277
70,000
61,808
60,000
50,000
2006-07
40
2007-08
2008-09
2009-10
2010-11
Delivering a Healthy WA
Additional health performance information
Risk adjusted mortality rates for sentinel conditions
Risk adjusted mortality for sentinel conditions Acute Myocardial Infarction (AMI), stroke
and Fractured Neck of Femur (FNOF) is an additional performance measure for hospital
care which addresses a number of additional factors besides survival rate (KPI
measure), including emergency treatments, accessibility of patients to health services,
quality of care in hospitals, primary care and prevention, rehabilitation and postdischarge care and socio-economic factors. A mortality rate within 30 days of discharge
also permits some event outcome comparison between reporting entities.
In 2010 the metropolitan area recorded risk adjusted mortality rates of 16.1% for stroke,
11.2% for AMI and 14.9% for FNOF. Indicative targets for these conditions were 19.8%
for stroke, 13.1% for AMI and 13.0% for FNOF.
Antenatal care
Antenatal care is the care provided to women during pregnancy, generally provided
through outpatient or non-admitted health care services. It provides assessment and
improvement opportunities for pregnant women for their own health as well as that of
their baby or babies. Antenatal care has been shown to be negatively associated with
incidence of adverse birth outcomes such as premature births.
Antenatal care is especially important for Aboriginal and Torres Strait Islander women as
they are at higher risk of giving birth to low birthweight babies, and antenatal care could
target various risk factors such as anaemia, poor nutritional status, hypertension,
diabetes and smoking. Improving antenatal care for Indigenous mothers is one of the
strategies that will contribute to the National Indigenous Reform Agreement target of
reducing mortality for Indigenous children under five.
In WA, antenatal care services are jointly delivered by primary health and public
maternity care providers and the first visit encompasses a range of services including
confirmation of pregnancy, initial routine investigations, offer of first trimester screening,
discussions of health risks and completion of a mental health assessment. Statewide
aspirational targets have been set for 75% of all pregnant women to access antenatal
care for the first time at 13 weeks gestation and 95% of all pregnant women at 20 weeks
gestation.
Delivering a Healthy WA
41
Overview
Metropolitan Health Service Annual Report 2010-11
Metropolitan Health Service Annual Report 2010-11
Overview
Figure 11: Percentage of women attending their first ante-natal visit
100%
80.2%
79.5%
80%
56.8%
60%
56.1%
48.4%
40%
24.3%
20%
0%
Aboriginal
Non-Aboriginal
At <=13 Weeks
Combined
At <=20 Weeks
Chronic Obstructive Pulmonary Disease (COPD) and Smoking *
The rate of admission to hospital per 1,000 population for the first time for the treatment
of Chronic Obstructive Pulmonary Disease (COPD) may be an indication of improved
primary care or community health strategies - for example, smoking and lung care health
education, disease prevention and disease management programs.
Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disease
characterised by airflow limitation and airway inflammation. It is a major cause of
hospitalisation in Australia, and the largest contributor to the burden of disease
associated with all lung diseases. COPD has a significant impact on the quality of life,
absorbs considerable hospital resources and can result in premature death.
In many cases the development of COPD can be prevented, especially when related to
smoking and programs to reduce smoking. Health interventions are also aimed at
disease management. Where prevention and management are both the focus of health
strategies, the rate of first hospitalisations* is a more appropriate measure than the
crude hospitalisation rate.
In 2010, the age standardised rate (ASR) for first hospitalisations for COPD across the
metropolitan area was 0.68 hospitalisations per 1000 population. The ASR of first
hospitalisations for COPD in the metropolitan area was significantly lower than the State
as a whole.
The proportion of the metropolitan population aged 16 years and older who are current
smokers was 14.0%. The prevalence of smoking in this population group was slightly
42
Delivering a Healthy WA
lower in the metropolitan area compared to the State but the difference was not
statistically significant.
*The first hospitalistion for COPD is defined as the first hospitalisation for COPD for an
individual in 8 years. A current smoker is defined as a respondent who reported
smoking daily or smoking occasionally. All data is self-reported.
Diabetes Type II
Diabetes is acknowledged to be a major cause of cardiovascular disease, blindness in
people over 60 years of age, non-traumatic lower-limb amputation, and is the most
common reason for commencing renal dialysis. As Type II diabetes and its
complications are largely preventable, the escalating health and financial costs of the
diabetes epidemic demand much greater investment in diabetes awareness and
prevention.
The Diabetes Model of Care targets strategies to prevent and manage diabetes and
improve community-based prevention and management services. Control and
management of diabetes can require a combination of medication, diet and exercise.
The MHS and the Department of Health, in conjunction with primary care providers
(GPs), make available and provide significant resources to support diabetes community
awareness, health promotion and prevention programs, and to promote long-term self
management.
The proportion of the metropolitan population aged 16 years and older with doctor
diagnosed, self reported Type II diabetes was 5.61%. The prevalence of diabetes in this
population group in the metropolitan area is similar to the State.
Delivering a Healthy WA
43
Overview
Metropolitan Health Service Annual Report 2010-11