6. Health Cluster Expenses Agency Capital Expenditure 2011-12 Budget $m 2012-13 Budget $m Var. % 2011-12 Budget $m 2012-13 Budget $m 554.6 1,186.9 97.3 1,665.3 1,767.3 7,728.2 1,340.0 405.0 1,227.6 100.2 1,717.3 1,836.2 8,239.1 1,412.2 (27.0) 3.4 3.0 3.1 3.9 6.6 5.4 … 12.3 … 117.5 63.1 493.6 113.8 … 63.6 … 186.3 210.3 457.0 48.3 … 417.3 … 58.5 233.2 (7.4) (57.5) 1,265.4 805.6 10.2 1,324.0 839.4 176.8 4.6 4.2 N/A 103.2 17.4 … 31.3 7.6 … (69.6) (56.6) … 16,420.9 17,277.7 5.2 921.0 1,004.5 9.1 Var. % Ministry of Health Service Group Population Health Services .......................... Primary and Community Based Services ..... Aboriginal Health Services .......................... Outpatient Services ..................................... Emergency Services ..................................... Inpatient Hospital Services .......................... Mental Health Services ................................ Rehabilitation and Extended Care Services ...................................................... Teaching and Research ............................... Cluster Grant Funding ................................. Total Health Care Complaints Commission Service Group Complaints Handling ................................... 11.0 11.9 8.4 … 0.5 N/A Total 11.0 11.9 8.4 … 0.5 N/A … 8.3 N/A … … … 156.9 161.0 2.6 2.9 1.1 (59.8) Mental Health Commission Total Cancer Institute NSW Total Budget Estimates 2012-13 6-1 Health Cluster Introduction The Health cluster aims to protect the health and safety of the public by managing and regulating the NSW public health care system. Its work includes: providing health care services to patients and the community promoting wellness and illness prevention developing health care policy and planning managing, monitoring and reporting on health system performance. The Health cluster is the lead for achieving the following NSW 2021 goals. Keep people healthy and out of hospital. Provide world class clinical services with timely access and effective infrastructure. The Health cluster comprises Ministry of Health, the Cancer Institute NSW, the Health Care Complaints Commission and the Mental Health Commission. Services The Health cluster’s key services are: promoting and regulating public health providing preventive health services delivering services in community health centres, outpatient clinics and the home providing services to people with chronic illness to avoid unnecessary hospitalisation providing health services to Aboriginal people providing emergency transport and treatment providing health care to patients admitted to hospitals providing mental health, rehabilitation and long-term care services conducting professional training and investing in research managing complaints. 6-2 Budget Estimates 2012-13 Health Cluster 2012-13 Budget Highlights In 2012-13, the total expenses for the Ministry of Health will be $17.3 billion. This covers the following grants: $157 million for the Cancer Institute NSW $11 million for the Health Care Complaints Commission $8.3 million to establish the NSW Mental Health Commission. A New Health Funding System In 2012-13, New South Wales will begin the transition to a new Activity Based Funding (ABF) model for public hospitals, in line with the National Health Reform Agreement (NHRA). The new funding model will: provide a clearer, more transparent basis for funding and comparing hospital costs, to enhance patient-centred services improve quality and efficiency within the health system, reinforcing new models of care for improved patient outcomes and better use of resources. In 2012-13, an estimated $10 billion of NSW and Commonwealth funding will be provided for public hospital services as defined under the NHRA. This includes: an estimated 1.2 million acute inpatient separations in 2012-13 a 2.6 per cent (30,000) increase from 2011-12 including 2,000 additional elective surgery cases on top of increased levels of elective surgery delivered in the previous year an estimated 2.6 million emergency department attendances in 2012-13 a 2 per cent (50,000) increase from 2011-12. A further $4 million will be provided in 2012-13 under the National Partnership Agreement on Health and Hospital Workforce Reform to support the implementation of ABF. Patient Services Key initiatives will include spending: $1 billion of capital expenditure for health sector upgrades and redevelopments, including commencing Blacktown–Mt Druitt Hospitals Expansion Stage 1, Hornsby–Ku-ring-gai Hospital Redevelopment Stage 1, Tamworth Hospital Redevelopment Stage 2, and a new South East Regional Hospital at Bega; as well as continuing work on Campbelltown, Liverpool, Nepean and Royal North Shore hospitals $42 million to provide more sub-acute services including general rehabilitation, palliative care and mental health services under the third year of the National Partnership Agreement on Improving Public Hospital Services Budget Estimates 2012-13 6-3 Health Cluster $9.8 million on additional intensive care services for adults, children and babies, allowing an estimated 388 more patients to receive intensive care treatment $7.6 million to expand radiotherapy services in rural and regional areas for patients living with cancer $5 million to increase the availability of palliative care services $5 million to boost pain management services $3 million to improve the emergency response capacity of ambulances $1.8 million to increase the statewide Involuntary Drug and Alcohol Treatment Service to help severely substance-dependent people $1 million on more cochlear implants for children. Preventive Health Included in the $405 million expenditure on Population Health Services, key initiatives will include spending $29 million to implement the Healthy Children and Healthy Workers initiatives under the National Partnership Agreement on Preventive Health. These initiatives will promote healthy weight, healthy eating and physical activity in children and will support workplaces and workers to be healthier. Nurses, Doctors and Allied Health Professionals Key initiatives will include spending: $64 million for approximately 500 more nurses at hospitals throughout the state $10 million from Health Workforce Australia to support professional entry clinical training and to build the skills of the existing workforce $4.4 million to employ more clinical nurse/midwife educators and specialists $1.9 million to support the Health Professionals Workforce Plan, including expanding medical specialist training positions and the allied health workforce to better align it with health service demands. 6-4 Budget Estimates 2012-13 Health Cluster Medical Research Key initiatives will include spending: $55 million on a capital grant to Westmead Millennium Institute for construction of a new medical research facility at Westmead Hospital a further $5 million to bring annual support for the Medical Research Support Program to $37 million $5 million for a Medical Devices Seeding Fund to encourage investment in medical devices that will lead to new treatments and diagnostic techniques $3.5 million to begin implementation of a 10-year NSW Health and Medical Research Strategic Plan. Mental Health Services As part of the $1.4 billion expenditure on mental health services, key initiatives will include spending: $30 million over three years to establish the NSW Mental Health Commission, with $8.3 million provided for its first year of operation in 2012-13 $16 million for additional mental health services at new and expanded mental health facilities $14 million under National Partnership Agreements to improve the care and support of people living with severe mental illness. Cancer Services Key initiatives will include providing an additional $7.5 million to the Cancer Institute NSW to improve outcomes in cancer diagnosis, treatment, care and survival, and to promote the objectives of the NSW Cancer Plan 2011-2015. In 2012-13, the Cancer Institute NSW will provide $28 million in research grants, an increase of $1.1 million from 2011-12. Transparent Reporting Key initiatives will include spending $1 million to enhance the Bureau of Health Information’s program of work to enable more reporting on patient outcomes and clinical variations, to improve patient care. Complaints Handling Key initiatives will include spending an additional $1.1 million to help the Health Care Complaints Commission manage complaints more efficiently. Budget Estimates 2012-13 6-5 Ministry of Health Service Group Statements Population Health Services Service description: This service group covers the provision of health services targeted at broad population groups including environmental health protection, food and poisons regulation and monitoring of communicable diseases. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast % 53.3 51.4 53.0 50.5 51.3 % thous 60.3 9,270 55.6 9,980 57.0 10,379 56.5 10,616 57.0 11,551 Service measures: Two-yearly participation rate of women within breast cancer screening target group (50-69) Two-yearly participation rate of women within cervical cancer screening target group (20-69) Needles and syringes distributed __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Total Expenses Excluding Losses 554,647 536,734 405,028 Expense Items of Interest: Grants and subsidies Cancer Institute NSW 149,551 147,051 Financial indicators: …(a) (a) Grants to the Cancer Institute NSW are reclassified to Cluster Grant Funding service group in 2012-13. 6-6 Budget Estimates 2012-13 Ministry of Health Primary and Community Based Services Service description: This service group covers the provision of health services for persons attending community health centres or in the home, including health promotion activities, community based women's health, dental, drug and alcohol and HIV/AIDS services. It also covers the provision of grants to non-government organisations for community health purposes. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast thous thous no. 2,614 380 19,114 2,735 380 18,831 2,871 380 16,370 2,804 380 18,500 3,015 380 18,500 no. no. 9,583 14,600 10,048 16,006 11,500 17,000 11,500 18,400 11,500 21,000 Service measures: Dental health non-inpatient weighted occasions of service Home nursing occasions of service Opioid treatment clients Withdrawal management (detoxification) people treated (a) Hospital in the Home episodes (a) The figures have been revised due to data cleansing and re-feed processes which update and correct data provided by the Local Health Districts. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses 1,186,912 1,188,089 1,227,573 12,289 50,698 63,576 Capital Expenditure Aboriginal Health Services Service description: This service group covers the provision of supplementary health services to Aboriginal people particularly in the areas of health promotion, health education and disease prevention. This program excludes most services for Aboriginal people provided directly by Local Health Districts and other general health services that are used by all members of the community. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast 69 71 N/A 73 75 Service measures: Antenatal visits confinements for Aboriginal women where first antenatal visit was before 14 weeks gestation(a) % (a) Antenatal visits before 14 weeks are in line with the national indicator reported under the Indigenous Early Childhood National Partnership Agreement. This is a new measure which replaces the previously reported indicator of ‘before 20 weeks gestation’. The data is collected and reported by calendar year. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses Budget Estimates 2012-13 97,297 96,856 100,225 6-7 Ministry of Health Outpatient Services Service description: This service group covers the provision of services in outpatient clinics including low level emergency care, diagnostic and pharmacy services and radiotherapy treatment. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast thous thous 9,000 2,320 9,200 2,320 9,400 2,400 9,400 2,400 9,600 2,450 Service measures: Outpatient clinics occasions of service (a) Diagnostics occasions of service (a) Current unit estimates are based on historical data collection methods, which under Activity Based Funding are being reviewed to align with national cost data standards. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses 1,665,318 1,667,014 1,717,296 117,534 48,862 186,302 Capital Expenditure Emergency Services Service description: This service group covers the provision of emergency road and air ambulance services and treatment of patients in emergency departments of public hospitals. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast thous thous thous 2,443 505 507 2,486 504 505 2,544 538 508 2,530 529 520 2,580 555 530 no. 1,880 1,962 1,972 1,990 2,030 Service measures: Attendances in emergency departments Attendances admitted Emergency road transport cases Emergency department weighted attendances (a) (a) Includes emergency departments with electronic data submission only. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses Capital Expenditure 6-8 1,767,349 1,772,931 1,836,157 63,120 49,562 210,295 Budget Estimates 2012-13 Ministry of Health Inpatient Hospital Services Service description: This service group covers the provision of health care to patients admitted to hospitals including elective surgery and maternity services. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast thous thous 304 804 309 811 327 840 321 835 330 856 thous thous 150 1,432 154 1,442 158 1,470 160 1,485 165 1,522 days thous 5.1 4,398 5.1 4,378 5.1 4,533 5.1 4,422 5.1 4,466 Service measures: Acute separations: Same day Overnight Acute weighted separations: (a) Same day Overnight Average length of stay for overnight separations Total bed days for acute patients (a) The results reflect a change in the patient classifications system and the related cost weights used to measure this service. Results for all periods have been revised using the updated patient classification system and weights. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses 7,728,235 7,732,300 8,239,073 493,631 504,683 457,031 Capital Expenditure Mental Health Services Service description: This service group covers the provision of an integrated and comprehensive network of services by Local Health Districts and community based organisations for people seriously affected by mental illnesses and mental health problems. It also covers the development of preventative programs that meet the needs of specific client groups. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast no. 29,016 30,007 30,294 30,560 31,170 thous 278 319 306 325 333 Service measures: Acute mental health service overnight separations Non-acute mental health inpatient days __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses Capital Expenditure Budget Estimates 2012-13 1,340,004 1,340,196 1,412,212 113,829 23,605 48,349 6-9 Ministry of Health Rehabilitation and Extended Care Services Service description: This service group covers the provision of appropriate health care services for persons with long-term physical and psycho-physical disabilities and for the frail-aged. It also includes the coordination of the Ministry’s services for the aged and disabled with those provided by other agencies and individuals. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast no. 29,895 31,906 34,000 34,150 35,000 thous 3,230 3,390 3,560 3,560 3,740 Service measures: Total separations to usual place of residence Total non-inpatient occasions of service __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses 1,265,395 1,234,466 1,323,953 103,174 6,832 31,347 Capital Expenditure Teaching and Research Service description: This service group covers the provision of professional training for the needs of the NSW health system. It also includes strategic investment in research and development to improve the health and wellbeing of the people of New South Wales. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast no. no. 679 588 764 645 824 726 850 726 905 807 no. 300 304 300 300 300 Service measures: Interns First year resident medical officers Total clinical trials approved for conduct within the NSW public health system __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 805,608 804,719 839,372 17,417 20,692 7,558 Financial indicators: Total Expenses Excluding Losses Capital Expenditure 6 - 10 Budget Estimates 2012-13 Ministry of Health Cluster Grant Funding Service description: This service group covers the provision of grant funding to agencies within the Health cluster. This includes funding to Health Care Complaints Commission, Cancer Institute and Mental Health Commission. __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses Expense Items of Interest: Grants and subsidies Health Care Complaints Commission Mental Health Commission Cancer Institute NSW (a) 10,181 10,181 176,782 10,181 … … 10,181 … … 11,485 8,300 156,997 (a) Grants to the Cancer Institute NSW are now reported under this service group in 2012-13. For comparative purposes, the grants paid to the Cancer Institute NSW in 2011-12 are $149,551,000 (Budget) and $147,051,000 (Revised). Budget Estimates 2012-13 6 - 11 Ministry of Health Financial Statements Operating Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Expenses Excluding Losses Operating Expenses Employee related Other operating expenses Depreciation and amortisation Grants and subsidies Finance costs Other expenses TOTAL EXPENSES EXCLUDING LOSSES 9,976,089 10,003,004 4,466,922 4,451,047 10,471,470 4,691,135 550,138 550,138 572,122 1,147,063 1,130,563 1,168,136 76,469 44,469 43,508 204,265 204,265 331,300 16,420,946 16,383,486 17,277,671 Revenue Recurrent appropriation Capital appropriation Sales of goods and services Investment income 13,097,141 13,049,803 9,192,556(a) 703,889 487,631 807,506 1,840,715 1,882,415 2,106,490 96,003 89,003 Grants and contributions 418,730 442,747 4,847,781(a) 86,162 Acceptance by Crown Entity of employee benefits and other liabilities 553,399 569,399 579,159 Other revenue 87,106 73,706 59,393 Total Revenue 16,796,983 16,594,704 17,679,047 Gain/(loss) on disposal of non current assets ... ... (42,000) Other gains/(losses) (10,283) (30,283) (10,283) Net Result 365,754 180,935 349,093 (a) From 2012-13, the Commonwealth will provide National Health Reform payments of $4.3 billion which are recognised as revenue by the Ministry of Health. In previous years these were provided as Specific Purpose Payments via Consolidated Funds. 6 - 12 Budget Estimates 2012-13 Ministry of Health Balance Sheet __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Assets Current Assets Cash assets 1,125,145 1,239,104 1,139,104 Receivables 438,253 438,253 462,582 Other financial assets 207,451 207,451 207,451 Inventories 126,387 126,387 126,387 71,808 50,915 62,000 1,969,044 2,062,110 1,997,524 Receivables 12,459 12,459 12,459 Other financial assets 40,464 40,464 40,464 9,322,241 963,239 348,028 9,455,161 908,805 81,509 9,551,464 1,085,260 85,087 264,210 254,537 306,537 24,636 24,636 24,636 Total Non Current Assets 10,975,277 10,777,571 11,105,907 Total Assets 12,944,321 12,839,681 13,103,431 1,113,655 1,113,655 1,007,598 11,031 11,031 14,191 1,337,735 1,418,914 1,455,509 24,980 24,980 24,980 2,487,401 2,568,580 2,502,278 439,049 439,049 424,008 Assets held for sale Total Current Assets Non Current Assets Property, plant and equipment Land and building Plant and equipment Infrastructure systems Intangibles Other Liabilities Current Liabilities Payables Borrowings at amortised cost Provisions Other Total Current Liabilities Non Current Liabilities Borrowings at amortised cost Provisions Other Total Non Current Liabilities Total Liabilities Net Assets 9,524 9,524 9,524 108,102 107,102 103,102 556,675 555,675 536,634 3,044,076 3,124,255 3,038,912 9,900,245 9,715,426 10,064,519 455,032 2,369,334 2,369,334 9,445,213 7,346,092 7,695,185 9,900,245 9,715,426 10,064,519 Equity Reserves Accumulated funds Total Equity Budget Estimates 2012-13 6 - 13 Ministry of Health Cash Flow Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Cash Flows From Operating Activities Payments Employee related 9,439,763 9,369,499 9,963,532 Grants and subsidies 1,147,063 1,130,563 1,168,136 Finance costs Other Total Payments 76,469 44,469 43,508 5,337,815 5,361,107 5,587,087 16,001,110 15,905,638 16,762,263 Receipts Recurrent appropriation Capital appropriation 13,097,141 13,049,803 9,192,556(a) 703,889 487,631 807,506 1,806,934 1,873,801 2,041,646 96,002 89,002 86,162 Grants and contributions 252,166 292,570 4,678,768(a) Other 932,844 896,057 821,049 16,888,976 16,688,864 17,627,687 887,866 783,226 865,424 44,159 46,698 50,915 (850,894) (644,507) (934,358) (70,100) (60,427) (70,100) (876,835) (658,236) (953,543) ... ... 2,182 (11,031) (11,031) (14,063) (11,031) (11,031) (11,881) ... 113,959 (100,000) Opening Cash and Cash Equivalents 1,125,145 1,125,145 1,239,104 Closing Cash and Cash Equivalents 1,125,145 1,239,104 1,139,104 Net result 365,754 180,935 349,093 Non cash items added back 550,138 550,138 572,122 Change in operating assets and liabilities (28,026) 52,153 (55,791) Net Cash Flows From Operating Activities 887,866 783,226 865,424 Sale of goods and services Interest Total Receipts Net Cash Flows From Operating Activities Cash Flows From Investing Activities Proceeds from sale of property, plant and equipment Purchases of property, plant and equipment Other Net Cash Flows From Investing Activities Cash Flows From Financing Activities Proceeds from borrowings and advances Repayment of borrowings and advances Net Cash Flows From Financing Activities Net Increase/(Decrease) in Cash Cash Flow Reconciliation (a) From 2012-13, the Commonwealth will provide National Health Reform payments of $4.3 billion which are recognised as revenue by the Ministry of Health. In previous years these were provided as Specific Purpose Payments via Consolidated Funds. 6 - 14 Budget Estimates 2012-13 Health Care Complaints Commission Service Group Statements Complaints Handling Service description: This service group covers the processing, assessment and resolution of health care complaints, which are dealt with through assisted resolution, facilitated conciliation or referral for investigation. Serious cases of inappropriate health care are investigated and prosecuted, and recommendations made to health organisations to address systemic health care issues. Units 2009-10 Actual 2010-11 Actual 2011-12 Forecast 2011-12 Revised 2012-13 Forecast no. no. % 3,515 3,512 82 4,104 4,073 85 4,561 4,525 85 4,160 3,995 86 4,218 4,200 87 % 77 82 80 90 80 no. 272 203 180 228 200 no. no. 141 97 109 107 85 100 143 87 130 100 Service measures: Complaints received Complaints assessed Complaints assessed within 60 days Complaints resolved through assisted resolution Complaint investigations completed Referrals for disciplinary action or prosecution Disciplinary or appeal cases run __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Financial indicators: Total Expenses Excluding Losses Capital Expenditure Budget Estimates 2012-13 10,975 10,855 11,897 25 25 475 6 - 15 Health Care Complaints Commission Financial Statements Operating Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Expenses Excluding Losses Operating Expenses Employee related Other operating expenses Depreciation and amortisation TOTAL EXPENSES EXCLUDING LOSSES 7,659 3,106 7,598 3,043 8,473 3,205 210 214 219 10,975 10,855 11,897 2 ... ... Revenue Sales of goods and services Investment income 40 45 45 10,181 10,181 11,485 Acceptance by Crown Entity of employee benefits and other liabilities 333 36 216 Other revenue 310 425 372 Total Revenue 10,866 10,687 12,118 (109) (168) 221 Grants and contributions Net Result 6 - 16 Budget Estimates 2012-13 Health Care Complaints Commission Balance Sheet __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Assets Current Assets Cash assets 640 552 524 Receivables 258 258 258 898 810 782 5 99 4 121 ... 422 136 111 70 240 236 492 1,138 1,046 1,274 Payables 268 268 275 Provisions 802 802 802 1,070 1,070 1,077 20 ... ... 20 ... ... 1,090 1,070 1,077 48 (24) 197 48 (24) 197 48 (24) 197 Total Current Assets Non Current Assets Property, plant and equipment Land and building Plant and equipment Intangibles Total Non Current Assets Total Assets Liabilities Current Liabilities Total Current Liabilities Non Current Liabilities Provisions Total Non Current Liabilities Total Liabilities Net Assets Equity Accumulated funds Total Equity Budget Estimates 2012-13 6 - 17 Health Care Complaints Commission Cash Flow Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Cash Flows From Operating Activities Payments Employee related 7,430 7,686 8,250 Other 3,479 3,416 3,504 10,909 11,102 11,754 18 16 ... Total Payments Receipts Sale of goods and services Interest 36 41 45 10,181 10,181 11,485 639 741 671 10,874 10,979 12,201 (35) (123) 447 (25) (23) (445) ... (2) (30) Net Cash Flows From Investing Activities (25) (25) (475) Net Increase/(Decrease) in Cash (60) (148) (28) Opening Cash and Cash Equivalents 700 700 552 Closing Cash and Cash Equivalents 640 552 524 (109) (168) 221 210 214 219 (136) (169) 7 (35) (123) 447 Grants and contributions Other Total Receipts Net Cash Flows From Operating Activities Cash Flows From Investing Activities Purchases of property, plant and equipment Other Cash Flow Reconciliation Net result Non cash items added back Change in operating assets and liabilities Net Cash Flows From Operating Activities 6 - 18 Budget Estimates 2012-13 Mental Health Commission Financial Statements (a) Operating Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Expenses Excluding Losses Operating Expenses Employee related Other operating expenses ... ... ... ... 4,231 524 Grants and subsidies ... ... 3,545 ... ... 8,300 ... ... 8,300 Total Revenue ... ... 8,300 Net Result … … … TOTAL EXPENSES EXCLUDING LOSSES Revenue Grants and contributions (a) The Mental Health Commission will commence operations 1 July 2012. No prior year data is available. Budget Estimates 2012-13 6 - 19 Mental Health Commission Cash Flow Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Cash Flows From Operating Activities Payments Employee related ... ... 4,231 Grants and subsidies ... ... 3,545 Other ... ... 524 ... ... 8,300 ... ... 8,300 ... ... 8,300 … … … Total Payments Receipts Grants and contributions Total Receipts Net Cash Flows From Operating Activities 6 - 20 Budget Estimates 2012-13 Cancer Institute NSW Financial Statements Operating Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Expenses Excluding Losses Operating Expenses Employee related Other operating expenses Depreciation and amortisation Grants and subsidies Finance costs TOTAL EXPENSES EXCLUDING LOSSES 23,991 31,655 24,144 29,543 24,789 33,968 1,332 1,331 1,816 99,964 99,964 100,351 ... 31 32 156,942 155,013 160,956 Revenue Investment income 2,333 2,751 2,800 152,159 149,659 158,489 Other revenue 833 986 850 Total Revenue 155,325 153,396 162,139 (1,617) (1,617) 1,183 Grants and contributions Net Result Budget Estimates 2012-13 6 - 21 Cancer Institute NSW Balance Sheet __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Assets Current Assets Cash assets 38,935 38,644 40,062 Receivables 2,823 2,823 2,801 41,758 41,467 42,863 Property, plant and equipment Plant and equipment 4,082 4,082 4,292 Intangibles 3,216 3,216 2,338 7,298 7,298 6,630 49,056 48,765 49,493 Payables 4,893 4,893 4,820 Provisions 3,683 3,683 3,827 8,576 8,576 8,647 Total Current Assets Non Current Assets Total Non Current Assets Total Assets Liabilities Current Liabilities Total Current Liabilities Non Current Liabilities Provisions Other Total Non Current Liabilities Total Liabilities Net Assets 530 530 530 2,781 2,781 2,255 3,311 3,311 2,785 11,887 11,887 11,432 37,169 36,878 38,061 37,169 36,878 38,061 37,169 36,878 38,061 Equity Accumulated funds Total Equity 6 - 22 Budget Estimates 2012-13 Cancer Institute NSW Cash Flow Statement __________ 2011-12__________ Budget Revised $000 $000 2012-13 Budget $000 Cash Flows From Operating Activities Payments Employee related 24,248 24,660 24,789 Grants and subsidies 99,964 99,964 100,351 Finance costs ... 31 32 61,876 59,700 62,085 186,088 184,355 187,257 Sale of goods and services 1,399 1,336 ... Interest 2,574 2,958 2,800 151,848 149,348 158,139 28,131 28,285 28,884 183,952 181,927 189,823 (2,136) (2,428) 2,566 Other Total Payments Receipts Grants and contributions Other Total Receipts Net Cash Flows From Operating Activities Cash Flows From Investing Activities Purchases of property, plant and equipment (900) (899) (1,148) (1,956) (1,956) ... Net Cash Flows From Investing Activities (2,856) (2,855) (1,148) Net Increase/(Decrease) in Cash (4,992) (5,283) 1,418 Opening Cash and Cash Equivalents 43,927 43,927 38,644 Closing Cash and Cash Equivalents 38,935 38,644 40,062 (1,617) (1,617) 1,183 Other Cash Flow Reconciliation Net result Non cash items added back 1,332 1,331 1,816 Change in operating assets and liabilities (1,851) (2,142) (433) Net Cash Flows From Operating Activities (2,136) (2,428) 2,566 Budget Estimates 2012-13 6 - 23