ACT HEALTH
Objectives
ACT Health aims to achieve good health for all residents of the Territory by planning, purchasing and providing quality community based health services, hospital and extended care services, managing public health risks, and promoting health and early care interventions.
ACT Health’s objectives are grouped around the following five key performance areas:
•	community and consumers;
•	safety and quality of care;
•	partnerships;
•	accountability and internal systems; and
•	ACT Health’s people.
2010-11 Priorities
Strategic and operational initiatives to be pursued in 2010-11 include:
•	continuing to work on the efficiencies and reforms that will bring ACT hospital costs closer to the national peer group benchmark;
•	commencing implementation of the national health reforms as agreed by the Council of Australian Governments (COAG);
•	continuing to implement the National Healthcare Agreement (NHA) with the Commonwealth Government.  The NHA outlines a number of priority areas for improving access, quality and timeliness of primary and community care, hospital and extended care services.  National reporting of progress against agreed targets will be a key feature of the agreement;
•	continuing to implement the National Partnership Programs (NPPs) — Hospital and Health Workforce Reform and Aboriginal and Torres Strait Islander Health programs;
•	continuing to meet the growth in demand for acute care, obstetrics and gynaecology services, aged care, cancer treatment, mental health and community health services through extra capacity and by redesigning care delivery systems through the Access Improvement Program;
•	continuing implementation of a comprehensive capital asset development plan to build a sustainable and modern health system to ensure safety, availability and viability of quality health care in the ACT for now and into the future;
•	continuing to expand services for the rapidly growing number of ACT residents living with chronic illness;
•	continuing work to improve health and wellbeing within the Aboriginal and Torres Strait Islander community.
•	opening the newly constructed Neurosurgery Suite at the Canberra Hospital to provide one of the most advanced operating environments in Australia;
•	opening the new Intensive Care Unit/High Dependency Unit and Coronary Care Unit at Calvary Public Hospital and meet growing demand; and
•	maintaining accreditation with appropriate bodies.
Business and Corporate Strategies
ACT Health has a comprehensive and effective governance framework which manages strategic and operational risk, infrastructure and workforce planning, activity, information technology and financial performance.
ACT Health is committed to:
•	achieving a comprehensive health system that protects and improves the health of people;
•	being an effective and efficient service provider;
•	working in partnership with other government services and community organisations;
•	developing new models of care and service delivery;
•	ongoing improvement in the cost of acute health services against the national peer hospital costs;
•	strengthening staff skills and professionalism; and
•	achieving a system of care and support that improves the quality of life for vulnerable groups. 
Estimated Employment Level
2008‑09
Actual Outcome		2009-10
Budget	2009-10
Est. Outcome	2010-11
Budget
	
4,652	Staffing (FTE)1 	4,702	4,861	5,0342	
Notes:
1.	The increase from the 2009-10 Budget to the estimated outcomes relates to an increase of 93 FTE in the 2008-09 financial year, not known at the time of the 2009-10 Budget, and further increases associated with growth in activity.
2.	The planned increase of 173 FTE in 2010-11 relates to new initiatives and growth. 

Strategic Indicators
Strategic Indicator 1
Emergency Department Access Block
Acute Care Services
The proportion of persons who are admitted via the emergency department and who wait more than eight hours from commencement of treatment for admission to a ward.  This provides an indication of the effectiveness of public hospitals in meeting the need for acute care and emergency department care. 

Strategic Indicator 2
Maximising the Quality of Hospital Services
The following three indicators are a selection of the patient safety and service quality indicators that are used to monitor ACT public hospital services.  The targets provide an indication of the desired outcomes over time.  Given the nature of the indicators, small fluctuations during a particular period can skew results.  The success of ACT Health in meeting these indicators requires a consideration of performance over time rather than for any given period.
Rate of Unplanned Return to the Operating Theatre
The proportion of people who undergo a surgical operation and who require an unplanned return to the operating theatre within a single episode of care due to complications of their condition.  This provides an indication of the quality of theatre and post-operative care.

	2009-10
Target	2009-10
Est. Outcome	2010-11
Target	
The Canberra Hospital1	<0.85%	0.96%	<1.0%1	
Calvary Public Hospital	<0.5%	0.38%	<0.5%	
Note: 
1.      The Canberra Hospital 2010-11 target has been amended to be consistent with rates for peer hospitals.

Strategic Indicators cont.
Rate of Unplanned Hospital Readmission
The proportion of people separated from hospital who are readmitted to hospital within 28 days of their separation due to complications of their condition (where the readmission was unforseen at the time of separation).  This provides an indication of the effectiveness of hospital-based and community services in the ACT in the treatment of persons who receive hospital-based care.

	2009-10
Target	2009-10
Est. Outcome	2010-11
Target	
The Canberra Hospital	<2.0%	1.7%	<2.0%	
Calvary Public Hospital	<1.0%	0.8%	<1.0%	
Hospital acquired infection rate (bacteraemia)
The number of people admitted to hospitals per 10,000 occupied bed days who acquire a bacteraemial infection during their stay.  This provides an indication of the safety of hospital‑based services.

	2009-10
Target	2009-10
Est. Outcome	2010-11
Target	
The Canberra Hospital	<7 per 10,000	<6.65 per 10,000	<7 per 10,000	
Calvary Public Hospital	<3 per 10,000	<2.50 per 10,000	<3 per 10,000	

Strategic Indicator 3
Reaching the Optimum Occupancy Rate for Acute Adult Overnight Hospital Beds
Bed Occupancy
The mean percentage of adult overnight acute medical and surgical beds in use.  This provides an indication of the efficient use of resources available for hospital services.

Strategic Indicators cont.
Strategic Indicator 4
Reducing the Usage of Seclusion
Seclusion Rate
The proportion of clients of Mental Health ACT who are subject to seclusion during an inpatient episode.  This measures the effectiveness of Mental Health ACT over time in providing services that minimise the need for seclusion.

Strategic Indicator 5
Maintaining Consumer and Carer Participation
Consumer and Carer Representation on Relevant Mental Health Committees
The proportion of Mental Health ACT committees in which consumers and carers are represented.  This measure ensures that the Committees which monitor the delivery and planning of our mental health services have effective input from mental health consumers.

Strategic Indicators cont.
Strategic Indicator 6
Mental Health – Emergency Department Access Block
Mental Health Acute Care
The proportion of mental health clients admitted to hospital from the emergency department who wait more than eight hours from the time of commencement of treatment to the time of transfer to a ward.

Strategic Indicator 7
Mental Health – Return to Hospital
Return to ACT Health Mental Health Inpatient Unit
The proportion of clients who return to hospital within 28 days of discharge from an ACT Health mental health inpatient unit.  This is a new measure for 2010-11.  The measure provides an indication of the quality of support provided to Mental Health clients being discharged, so as to avoid unnecessary returns to hospital.

	2009-10
Est. Outcome	2010-11
Target	National Rate
2008-092 	
Proportion of clients who return to hospital within 28 days of discharge from an ACT Health mental health inpatient unit	7%	<10%1	13%	
Notes:
1.	COAG suggests a rate below 10% as good practice.
2.	Group A Jurisdictions (NSW, Victoria, Queensland, Western Australia, ACT, Northern Territory).

Strategic Indicators cont.
Strategic Indicator 8
No Waiting for Access to Emergency Dental Health Services
Oral Health
Percentage of assessed emergency clients seen within 24 hours.  This provides an indication of the responsiveness of the dental service to emergency clients.

Strategic Indicator 9
Access to Radiotherapy Services
Radiotherapy Access Times
Percentage of urgent radiotherapy patients who commence treatment within standard time frames.

Category	2009-10 Target	2009-10
Est. Outcome	2010-11
Target	Long Term
Target	
Urgent - treatment starts within 48 hours	100%	98%	100%	100%	
Semi Urgent - treatment starts within 4 weeks	85%	95%	95%	100%	
Non Urgent Category A - treatment starts within 4 weeks	65%	85%	85%	100%	
Non Urgent Category B - treatment starts within 6 weeks	65%	95%	95%	100%	

Strategic Indicators cont.
Strategic Indicator 10
Improving Hospital Access Times for Older Persons
Improving Hospital Access Times for Persons Aged Over 75 Years
The percentage of admissions via Emergency Department (ED) by persons 75 years or more who wait more than eight hours from commencement of treatment in the ED to admission to a ward.

Strategic Indicator 11
Maintain the Waiting Times for In-Hospital Assessments by the Aged Care Assessment Team
Aged Care Assessment Team
This is measured by the mean waiting time in working days between the request for, and provision of, assessment by the Aged Care Assessment Team (ACAT) for patients in public hospitals.  This provides an indication of the responsiveness of the ACAT team in assessing the needs of clients.

Strategic Indicators cont.
Strategic Indicator 12
Increasing the Rate of Discharge Planning
Discharge Planning
The proportion of aged care clients under the management of the Aged Care and Rehabilitation Service who are discharged with a comprehensive discharge plan.  This provides an indication of the effectiveness of services in planning and organising for the needs of clients following their hospital episode and the level of integration of hospital and community based care.

Strategic Indicator 13
Two Year Participation Rate in the Cervical Screening Program
Cervical Screening Program
The two year participation rate provides an indication of the effectiveness of the early intervention health messages.  The ACT aims to exceed the national average for this indicator.

	ACT Rate	National Rate	
Two year participation rate	61.38%	61.5%	

Source:  Cervical Screening in Australia 2006-07 (Australian Institute of Health and Welfare, April 2009)

Strategic Indicators cont.
Strategic Indicator 14
Emergency Department Timeliness
Waiting Times for Treatment by Triage Category
The proportion of Emergency Department presentations that are treated within clinically appropriate timeframes.

Triage Category	2009-10 Target	2009-10
Est. Outcome	2010-11
Target	Long Term
Target	
One (resuscitation seen immediately)	100%	100%	100%	100%	
Two (emergency seen within 10 mins)	80%	83%	80%	80%	
Three (urgent seen within 30 mins)	75%	61%1	75%	75%	
Four (semi-urgent seen within 60 mins)	70%	56%1	70%	70%	
Five (non-urgent seen within 120 mins)	70%	78%	70%	70%	
All Presentations	-	63%	70%	80%	
Note:
1.	ACT Health has adopted national targets for emergency department waiting times.  While the 2009-10 estimated outcomes are below target, they are well above the 52 per cent and 53 per cent reported for 2008-09 for these categories.  The 2009-10 estimated results show a continuation of the improvement in emergency department waiting times over recent years.

Strategic Indicator 15
Breast Screen Participation Rate for Women Aged 50-69 Years
Breast Screening
The proportion of women in the target age group (50 to 69 years) who have had a breast screen in the 24 months prior to each counting period.  

Strategic Indicators cont.
Strategic Indicator 16
The Proportion of Patients with a Length of Stay Greater than 30 Days who have a Comprehensive Discharge Plan
Discharge Plans – Long Stay Patients
Discharge planning is the quality link between hospital, community-based services, non‑government organisations and carers.  Doctors, nurses and allied health professionals continually assess patients during their stay to determine their post-hospital needs.  80 per cent of patients discharged from hospital are relatively straightforward.  It is the 20 per cent of patients who have more complex needs, who require a more robust discharge plan.  This indicator reports on the provision of complex discharge planning to target those patients whose length of stay is greater than 30 days. 

“Monitoring Our Health” Strategic Indicators
Strategic Indicator 17
Achieve Lower than the Australian Average in the Decayed, Missing or Filled Teeth (DMFT) Index

	ACT Rate	National Rate	
Dental Health - Decay, Missing or Filled Teeth (DMFT)			
DMFT index at 6 years	1.91	1.96	
DMFT Index at 12 years	1.27	1.02	

Source:  Australia’s Health 2008 (AHIW - 2002 data)

The mean number of teeth with dental decay, missing or filled teeth at ages 6 and 12.  This gives an indication of the effectiveness of prevention, early intervention and treatment services in the ACT.  The aim for the ACT is to better the Australian average.

Strategic Indicators cont.
“Monitoring Our Health” Strategic Indicators cont.
Strategic Indicator 18
Maintenance of the Highest Life Expectancy at Birth in Australia

	ACT Rate	National Rate	
Maintenance of the highest life expectancy at birth in Australia			
Females	84.0	83.7	
Males	80.3	79.0	

Source:  Deaths Australia 2007 (ABS)

Life expectancy at birth provides an indication of the general health of the population and reflects on a range of issues other than the provision of health services, such as economic and environmental factors.  The ACT has the highest life expectancy of any jurisdiction in Australia and the Government aims to maintain this result.

Strategic Indicator 19
Prevalence of Circulatory Disease
The proportion of the ACT population with some form of circulatory disease.

Cardiovascular Disease	ACT Rate	National Rate	
Proportion of the ACT population diagnosed with some form of cardiovascular disease	15.2%	16.4%	

Source:  National Health Survey 2007-08 (ABS)

Strategic Indicator 20
Prevalence of Diabetes
The proportion of the ACT population diagnosed with some form of diabetes.  This provides an indication of the success of prevention and early intervention initiatives.  Prevalence rates may increase in the short term as a result of early intervention and detection campaigns.  This would be a positive result as experts predict that only half of those with diabetes are aware of their condition which can have significant impacts on their long-term health.

Diabetes	ACT Rate	National Rate	
Prevalence of diabetes in the ACT	3.1%	4.0%	

Source:  National Health Survey 2007-08 (ABS)

Strategic Indicators cont.
“Monitoring Our Health” Strategic Indicators cont.
Strategic Indicator 21
Reduction in the Rate of Broken Hips (Fractured Neck of Femur)
Reducing the Risk of Fractured Femurs in ACT Residents Aged Over 75 Years
The reduction or maintenance of the rate of fractured femurs for ACT residents aged over 75 years.  This provides an indication of the success of pubic and community health initiatives to prevent hip fractures.  At present, the rate for ACT residents is 5.4 fractures per 1,000 for ACT residents aged over 75 years.  The ageing of the population will significantly increase the number of people in this group.

Strategic Indicators cont.
“Monitoring Our Health” Strategic Indicators cont.
Strategic Indicator 22
Reduction in the Youth Smoking Rate
Percentage of Persons Aged 12-17 Years who Smoke Regularly
The ACT rate has dropped significantly between 2002 (15.3 per cent) and 2005 (8.6 per cent).  The Government aims to continue to reduce youth smoking rates within the objective of reaching five per cent in the long term.

Source:  ACT Chief Health Officer’s Report 2008

Removed Strategic Indicators
Reducing the average length of stay for acute rehabilitation care indicator has been removed.  Reporting requirements under the new National Partnership Agreements have changed.
Universal newborn hearing screening has been removed.  This indicator was established to monitor the effectiveness of the roll out of the Canberra Hospital based program, first to Calvary, and then to the private sector.  At all stages of the program, the ACT has reported a screening rate of more than 99 per cent.

Output Classes
	Total Cost1	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output Class 1:
Health and Community Care	985,038	1,068,551	757,891	826,910	
Output 1.1:  Acute Services	653,317	717,400	455,670	506,182	
Note: 
1.	Total cost includes depreciation of $22.570 million in 2009-10 and $26.038 million in 2010-11.
Output Description
The Government provides public hospital services at TCH and Calvary Public Hospital.  These public hospitals provide a comprehensive range of acute care, including inpatient, outpatient and emergency department services.  The key strategic priority for acute services is to deliver timely access to effective and safe hospital care services.  This means focussing on:
•	reducing waiting times for admission to a hospital bed through emergency departments, with a specific emphasis on older patients who might otherwise experience long waits due to the complexity of their conditions;
•	achieving national benchmark performance standards for waiting times for access to elective surgery for category one patients; and
•	achieving bed occupancy rates of approximately 85 per cent over time.  Occupancy levels of around 85 per cent contribute positively to patient safety, reduce access block, ensure efficient workflows and minimise disruptions to elective surgery. 
	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.2:  Mental Health Services	75,426	74,381	73,257	71,594	
Output Description
ACT Health provides a range of mental health services in hospitals, community health centres and in the broader community across the Territory.  Mental Health ACT works with its community partners to provide integrated and responsive mental health services including hospital-based specialist services, supported accommodation services and community based service responses.
The key strategic priorities for mental health services are ensuring that clients’ needs are met in a timely fashion and that care is integrated across hospital, community and residential support services.  This means focussing on:
•	ensuring timely access to emergency mental health care by reducing waiting times for urgent admissions to acute psychiatric units; and
•	ensuring that ACT Health mental health services provide consumers with appropriate assessment, treatment, support and care which results in improved mental health outcomes.
Output Classes cont.
	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.3:  Community Health Services 	98,069	101,494	90,598	93,636	
Output Description
Community Health provides a range of community based health services in a number of settings across the ACT, including health promotion and clinical programs such as maternal and child health services, immunisation, youth health services, women’s health services, alcohol and drug services, dental services, corrections health and Aboriginal liaison and interpreter services.  There is a wide range of allied health, nursing and medical services that meet the needs of many people with post acute and chronic conditions. 
The key strategic priorities for community health include early intervention, improved access to community health care and better integration between acute, primary and community based care.  This includes:
•	ensuring timely access to public dental health care in cases of emergency need; 
•	providing health care assessments for people detained in corrective facilities; 
•	improving accessibility to, and the appropriateness of, services for women of culturally and linguistically diverse backgrounds;
•	providing timely access to counselling services within the ACT Women’s Health Service;
•	ensuring that access, consistent with clinical need, is timely for community-based nursing and allied health services; and
•	ensuring that community-based services are in place to better provide for the acute and post-acute health care needs of the community.
	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.4:  Public Health Services	31,222	29,041	29,540	27,146	
Output Description
Public Health Services provides high quality health and community services to the ACT and surrounding region.  The key strategic priorities for Public Health Services include the monitoring of prevention, early intervention and integrated care services to ensure that the ACT maintains its position as the healthiest jurisdiction in Australia.  This includes:
•	maintaining the ACT’s position as the jurisdiction with the greatest life expectancy in Australia; 
•	reducing the incidence of cardiovascular disease in the community; and
•	ensuring that the rate of hip fractures declines over the long term.
Output Classes cont.
	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.5:  Cancer Services	34,749	38,543	27,243	31,751	
Output Description
Capital Region Cancer Services provides a comprehensive range of screening, assessment, diagnostic, treatment and palliative care services.  Services are provided in inpatient, outpatient and community settings.
The key strategic priorities for cancer care services are early detection and timely access to diagnostic and treatment services.  This includes:
•	ensuring that population screening rates for breast and cervical cancer meet targets;
•	waiting time for access to essential services such as radiotherapy are consistent with agreed benchmarks; and
•	increasing the proportion of females screened through the BreastScreen Australia program for the target population (aged 50-69 years) to 70 per cent over time.

	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.6:  Aged Care and Rehabilitation Services	45,534	47,234	39,914	40,594	
Output Description
The provision of an integrated, effective and timely response to aged care and rehabilitation services in inpatient, outpatient, emergency department, sub-acute and community based settings.
The key strategic priorities for Aged Care and Rehabilitation Services are:
•	reducing waiting times for admission to a hospital bed through emergency departments;
•	ensuring that older persons in hospital wait the least possible time for access to comprehensive assessment by the Aged Care Assessment Team.  This will assist in their safe return home with appropriate support, or access to appropriately supported residential accommodation;
•	improving discharge planning to minimise the likelihood of readmission or inadequate support for independent living, following completion of hospital care; and
•	ensuring that people with rehabilitation care needs receive the care at the right time and in the right place.

Output Classes cont.
	Total Cost	Government Payment for Outputs	
	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	2009-10
Est. Outcome
$’000	2010-11
Budget
$’000	
Output 1.7:  Early Intervention and Prevention	46,721	60,458	41,669	56,007	
Output Description
Increasing the focus on initiatives that provide early intervention to, or prevent, health care conditions that result in major acute or chronic health care burdens on the community.
The key strategic priorities for intervention and prevention are:
•	reducing the level of youth smoking in the ACT; and
•	maintaining immunisation rates for children above 90 per cent.
Note:
A review of outputs has resulted in a transfer of funds from the following outputs to Early Intervention and Prevention:
Output 1.1:	$1.851 million
Output 1.2:	$4.069 million
Output 1.3:	$2.253 million
Output 1.4:	$4.689 million
Overheads:	$0.875 million
Total:		$13.737 million

Accountability Indicators

	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output Class 1:  Health and Community Care	
Output 1.1:  Acute Services	
Patient activity				
a.	Cost weighted patient separations 1	84,6861	84,6861	86,3402	
b.	Non-admitted occasions of service	283,000	283,000	291,490	
c.	Percentage of category one elective surgery patients who receive surgery within 30 days of listing	95%	95%	95%	
d.	Number of allied health care services provided for acute care patients in ACT public hospitals	95,600	95,600	98,460	
Notes:
1.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 11.
2.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 12.  This figure requests an estimated 3.6 per cent growth on the estimated outcome for 2009-10 of 83,342 cost weights using Round 12 weights.

	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.2:  Mental Health Services	
Patient activity				
a.	Cost weighted separations1	3,1521	3,1521	3,7602	
b.	Admitted patient separations 	1,200	1,300	1,340	
c.	Adult services (18 - 64 years)	170,000	170,000	175,100	
d.	Children and youth services (0 - 17 years)	43,500	50,000	51,500	
e.	Older persons’ services (65+ years)	16,700	20,000	20,600	
f.	Psychogeriatric services bed days 	4,400	4,400	4,530	
g.	Psychogeriatric inpatient episodes of care	110	110	113	
This provides an indication of the number of services provided by Mental Health ACT.	
h.	Supported accommodation bed occupancy rate	95%	95%	95%	
The proportion of occupied supported accommodation bed days compared to the total available bed days.  This provides an indication of the efficient use of resources available for supported accommodation services.	
i.	The proportion of clients seen at an ACT Health community facility during the 7 days post discharge from the inpatient services	75%	75%	75%	
This provides an indication of the effectiveness of Mental Health ACT in providing an integrated response to the needs of its clients.	
j.	Percentage of clients with outcome measures completed	65%	65%	65%	
This provides a data platform for analysis of the appropriateness and effectiveness of mental health services in ensuring that client needs are met.	
Notes:
1.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 11.
2.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 12.  This figure represents an estimated 3 per cent growth on the estimated outcome for 2009-10 of 3,655 cost weights using Round 12 weights.

Accountability Indicators cont.
	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.3:  Community Health Services	
a.	Percentage of opioid treatment clients with management plans 	90%	95%	90%	
This indicates the comprehensiveness of the service responses for people on opioid treatments.	
b.	Mean waiting time for clients on the dental services waiting list	12 months	12 months	12 months	
The responsiveness of Community Health to clients of the dental program provides an indication of the capacity of the adult dental program to meet the needs of the community.	
c.	Proportion of offenders and detainees in Bimberi and the Alexander Maconochie Centre with health care assessment plans within 24 hours of detention	100%	85%	-	
d.	Proportion of offenders and detainees at the Alexander Maconochie Centre with a completed health assessment within 24 hours of detention	-	100%	100%	
e.	Proportion of offenders and detainees in Bimberi Youth Detention Centre with a completed health assessment within 24 hours of detention	-	100%	100%	
Measures d and e will replace measure c in 2010‑11 to show the individual performance of the Bimberi and Alexander Maconochie Centre.  In 2010‑11, offenders who are detained for periods in which it is not possible to assess them due to the unavailability of staff will  be excluded from these measures.	
f.	Number of nursing (domiciliary and clinic based) occasions of service	72,200	80,000	80,000	
g.	Number of allied health regional services (occasions of service)	20,000	22,000	22,000	
h.	Percentage of the Women’s Health Service Intake Officer’s clients who receive an intake and assessment service within 14 working days of their initial referral	100%	90%	100%	

	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.4:  Public Health Services	
a.	Samples analysed	7,000	7,000	7,000	
The number of specimens provided to the Health Protection Service Analytical Laboratory for analysis in connection with legislation enforcement, other services to ACT Government agencies and private activity.	
b.	Inspection compliance of licensable, registrable and non-licensable activities	85%	90%	85%	
c.	Response time to environmental health hazards, communicable disease hazards relating to measles and meningococcal infections and food poisoning outbreaks is less than 24 hours	100%	100%	100%	

Accountability Indicators cont.
	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.5:  Cancer Services	
Patient activity				
a.	Cost weighted admitted patient separations	4,6681	4,6681	4,7102	
b.	Non-admitted occasions of service	48,570	54,0003	55,620	
The number of hospital based services provided to clients.  These provide an indication of the number of services provided for hospital based cancer patients.	
Breast screening				
c.	Total breast screens	12,000	12,000	12,000	
d.	Number of breast screens for women aged 50-69	10,500	10,500	10,500	
The total number of women who have breast screens each year and the number of women in the major target group (aged 50 to 69 years) who access this service.  This gives an indication of the total volume of services as well as providing an indication of the level of services provided to women in the target age group.	
e.	Percentage of women who receive results of screen within 28 days	100%	99%	100%	
f.	Percentage of screened who are assessed within 28 days	90%	89%	90%	
These provide an indication of the effectiveness of the service in providing timely advice to women on the results of their breast screen.	
Notes:
1.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 11.
2.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights round 12.  This figure requests an estimated 3 per cent growth on the estimated outcome for 2009-10 of 4,578 cost weights using Round 12 weights.
3.	Capital Regional Cancer Service continues to experience increases in demand for services above estimates.

	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.6:  Aged Care and Rehabilitation Services	
Patient activity				
a.	Cost weighted admitted patient separations 1	5,2051	5,2051	5,1402	
b.	Non-admitted occasions of service	2,165	2,165	2,230	
c.	Sub-acute service - episodes of care	1,650	1,6003	1,640	
d.	Sub-acute service - occupied bed days	24,500	22,0003	22,660	
These provide an indication of the level of services provided.	
e.	Number of people assessed in falls clinics	420	420	420	
This provides an indication of the demand for this service and the effectiveness of aged care services in minimising the fall risks for older people.	
Notes:
1.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 11.
2.	Cost weights presented using AR-DRG Version 5.1 mapped to National Public Weights Round 12.  This figure requests an estimated 3 per cent growth on the estimated outcome for 2009-10 of 4,990 cost weights using Round 12 weights.
3.	The lower than target estimated outcomes for 2009-10 reflect revisions to the national counting methodology for sub-acute services.

Accountability Indicators cont.
	2009-10
Targets	2009-10
Est. Outcome	2010-11
Targets	
Output 1.7:  Early Intervention and Prevention	
Immunisation				
a.	Immunisation coverage for the primary immunisation schedule measured at 1 year of age, in accordance with the Australian Childhood Immunisation Register	92%	92%	92%	
Community Health				
a.	Proportion of clients attending ‘Well Women's Check’ within the Women's Health Service that are from culturally and linguistically diverse communities	30%	30%	30%	
b.	Proportion of children aged 0-14 who are entering substitute and kinship care within the ACT who attend the Child at Risk Health Unit for a health and wellbeing screen	80%	80%	80%	

Changes to Appropriation
Changes to Appropriation - Departmental						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Government Payment for Outputs	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
2009-10 Budget	748,692	790,964	844,810	909,962	909,962	
						
2010-11 Budget Policy Adjustments						
Mental Health Growth	- 	1,000 	1,030 	1,061 	1,093 	
Increased Critical Care Capacity	- 	2,500 	2,575 	2,652 	2,732 	
Growth in Demand for Elective Surgery	-	5,800	3,000	2,900	3,000	
National Health Reform	-	5,226	4,991	2,913	2,384	
Demand for Acute Care Capacity	- 	3,200 	3,200 	3,300 	3,300 	
Additional Sub-Acute Beds	- 	3,550 	5,564 	7,025 	9,875 	
Growth in Cancer Services	- 	1,000 	1,030 	1,061 	1,093 	
Increased Demand for Older Persons’ Services	- 	1,000 	1,030 	1,061 	1,093 	
Growth in Home and Community Care Services	- 	2,263 	2,331 	2,401 	2,473 	
Intensive Care Unit Expansion Calvary Public Hospital	- 	2,720 	2,802 	2,886 	2,973 	
Chronic Disease Management	- 	1,000 	1,030 	1,061 	1,093 	
New Neurosurgery Theatre Operating Costs	- 	2,300 	2,369 	2,440 	2,513 	
Growth in Health Activity	- 	10,000 	10,250 	10,500 	10,750 	
Increased Demand for Obstetrics and Gynaecology  at the Canberra Hospital 	- 	2,000 	2,100 	2,200 	2,300 	
Offset - Base Funding Envelope	- 	(19,993)	(20,616)	(21,225)	(21,859)	
Revised Wage Parameters	- 	576 	610 	652 	692 	
						
2010-11 Budget Technical Adjustments						
Revised Indexation Parameters	- 	- 	- 	- 	62,840 	
Revised Commonwealth Grants - SPP - National Healthcare Indexation	- 	- 	- 	- 	16,292 	
Revised Indexation Parameters - Community Sector Funding	- 	(107)	(111)	(115)	237 	
Rollover - Essential Vaccines	(1,000)	1,000 	- 	- 	- 	
Rollover - Hospital and Health Workforce Reform - Activity Based Funding	(295)	295 	- 	- 	- 	
Rollover - Hospital and Health Workforce Reform - Sub-Acute Care	(120)	120 	- 	- 	- 	
Rollover - Hospital and Health Workforce Reform - Taking the Pressure off Public Hospitals/Walk-in Centre	(107)	107 	- 	- 	- 	
Rollover - National Perinatal Depression	(48)	48 	- 	- 	- 	
Rollover - A Healthy Future - Preventative Health Program	(1,380)	1,380 	- 	- 	- 	
Rollover - GP Workforce Initiatives	(447)	447 	- 	- 	- 	
Rollover - Health and Workforce Development	(162)	162 	- 	- 	- 	
Revised Commonwealth Grants - Hospital and Health Workforce Reform	- 	- 	- 	- 	(3,518)	
Revised Commonwealth Grants - Health Services	515 	517 	527 	520 	520 	
Revised Commonwealth Grants - Preventative Health	- 	- 	(1,111)	(2,140)	(2,140)	
Revised Commonwealth Grants - Indigenous Early Childhood Development	(100)	(101)	(102)	(103)	(103)	
Revised Commonwealth Grants - Home and Community Care	175 	86 	124 	35 	35 	
Revised Commonwealth Grants - Home and Community Care for Veterans	- 	(3)	(5)	(6)	(6)	

Changes to Appropriation cont.
Changes to Appropriation – Departmental cont.						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Government Payment for Outputs cont.	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
2010-11 Budget Technical Adjustments cont.						
Revised Commonwealth Grants - Aged Care Assessment	51 	72 	100 	130 	130 	
Commonwealth Grants - Elective Surgery Waiting List Reduction	4,937 	3,289 	- 	- 	- 	
National Partnership - Essential Vaccines 	6,206 	4,941 	5,042 	5,118 	5,118 	
Transfer - ESA Flight Paramedic to JACS	- 	(449)	(435)	(421)	(426)	
						
2010-11 Budget	756,917	826,910	872,135	935,868	1,014,446	

Changes to Appropriation - Territorial						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Payment for Expenses on Behalf of Territory	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
2009-10 Budget	7,102	710	727	746	746	
						
Technical Adjustment						
Capital Upgrade Indexation	- 	- 	- 	- 	19 	
Transfer - Provision for Phase 1 CSR to Intensive Care - Calvary Hospital	2,000 	- 	- 	- 	- 	
						
2010-11 Budget	9,102	710	727	746	765	

Changes to Appropriation - Departmental						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Capital Injections	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
2009-10 Budget	117,309	230,774	96,437	35,156	35,156	
						
FMA Section 16B Rollovers from 2008-09						
Rollover - Adult Mental Health Inpatient Facility	554 	- 	- 	- 	- 	
Rollover - Secure Adult Mental Health Unit	72 	- 	- 	- 	- 	
Rollover - New Multistorey Car Park - TCH	820 	- 	- 	- 	- 	
Rollover - Mental Health Assessment Unit	90 	- 	- 	- 	- 	
Rollover - Provision for Project Definition Planning	997 	- 	- 	- 	- 	
Rollover - Women & Children's Hospital	183 	- 	- 	- 	- 	
Rollover - Surgical Assessment and Planning Unit	72 	- 	- 	- 	- 	
Rollover - Additional Beds	1,933 	- 	- 	- 	- 	
Rollover - Provision for Phase 1 CSR	311 	- 	- 	- 	- 	
Rollover - ATSI Residential Alcohol and Other Drug Rehab Facility	100 	- 	- 	- 	- 	
Rollover - Elective Surgery (Commonwealth Funding)	847 	- 	- 	- 	- 	
Rollover - Digital Mammography	66 	- 	- 	- 	- 	

Changes to Appropriation cont.
Changes to Appropriation – Departmental cont.						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Capital Injections cont.	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
FMA Section 16B Rollovers from 2008-09 cont.						
Rollover - NICU Video Streaming Services	150 	- 	- 	- 	- 	
Rollover - Linear Accelerator Procurement and Replacement	2,536 	- 	- 	- 	- 	
Rollover - Fire Systems Upgrade (Phase 1) TCH	224 	- 	- 	- 	- 	
Rollover - Building Refurbishment and Upgrades	86 	- 	- 	- 	- 	
Rollover - Electrical Lift and Major Plant Upgrades	5 	- 	- 	- 	- 	
Rollover - Electrical Services/Mechanical/HVAC - Various Sites	140 	- 	- 	- 	- 	
Rollover - Hydraulics Plumbing and Drainage - Various Sites	25 	- 	- 	- 	- 	
Rollover - Fire Protection and Security Upgrades - Various Sites	33 	- 	- 	- 	- 	
Rollover - Equipment Loans Scheme Relocation	620 	- 	- 	- 	- 	
Rollover - TCH Discharge Lounge Relocation	150 	- 	- 	- 	- 	
Rollover - TCH Building 7 Works	126 	- 	- 	- 	- 	
Rollover - TCH Clinical Accommodation and 
4 Gaunt Place Refurbishment	47 	- 	- 	- 	- 	
Rollover - TCH 12 Building Works	317 	- 	- 	- 	- 	
Rollover - TCH Building 6 Heating/Air Conditioning Upgrades	286 	- 	- 	- 	- 	
Rollover - TCH Floor Covering Replacement Program	88 	- 	- 	- 	- 	
Rollover - TCH Mechanical and BMS Upgrades	204 	- 	- 	- 	- 	
Rollover - Clinical Equipment for Calvary Hospital	2,147 	- 	- 	- 	- 	
Rollover - Pharmacy Cool Room Upgrade	295 	- 	- 	- 	- 	
Rollover - Expansion of Oncology Clinics and 
Cancer Services Facilities	394 	- 	- 	- 	- 	
Rollover - Ophthalmology Service	91 	- 	- 	- 	- 	
Rollover - Radiation Equipment	250 	- 	- 	- 	- 	
						
Technical Adjustment						
Transfer - Provision for Phase 1 CSR to Intensive Care - Calvary Hospital	(2,000)	- 	- 	- 	- 	
						
2010-11 Budget Policy Adjustments						
Clinical Services Redevelopment - Phase 2 	- 	15,000 	- 	- 	- 	
Tuggeranong Health Centre - Stage 2	- 	- 	10,000 	4,000 	- 	
Capital Asset Development Plan - Change Management and Communication Support	- 	1,765 	2,352 	- 	- 	
National Health Reform	-	7,839	4,755	1,669	835	
Integrated Cancer Care Centre - Phase 1 (Commonwealth Funded)	- 	3,500 	17,000 	7,400 	- 	

Changes to Appropriation cont.
Changes to Appropriation – Departmental cont.						
 	2009-10	2010-11	2011-12	2012-13	2013-14	
Capital Injections cont.	Est. Out.	Budget	Estimate	Estimate	Estimate	
 	$'000	$'000	$'000	$'000	$'000	
						
2010-11 Budget Technical Adjustments						
Capital Upgrade Indexation	- 	- 	- 	- 	94 	
Revised Funding Profile - Adult Mental Health Inpatient Facility	(2,500)	(4,919)	7,419 	- 	- 	
Revised Funding Profile - An E-Healthy Future	2,500 	- 	- 	(2,500)	- 	
Revised Funding Profile - ATSI Residential Alcohol and Other Drug Rehab Facility	(1,752)	(948)	2,700 	- 	- 	
Revised Funding Profile - Enhanced Community Health Centre - Belconnen	(4,958)	(26,101)	14,174 	16,885 	- 	
Revised Funding Profile - Secure Adult Mental Health Unit	(1,000)	(6,364)	4,568 	2,796 	- 	
Revised Funding Profile - New Gungahlin Health Centre	(695)	(8,098)	7,793 	1,000 	- 	
Revised Funding Profile - Provision for Phase 1 CSR	3,514 	(13,211)	2,934 	(607)	- 	
Revised Funding Profile - Provision for Project Definition Planning	(4,650)	(2,769)	(451)	7,870 	- 	
Revised Funding Profile - Refurbishment of Health Centre	(3,331)	1,831 	1,500 	- 	- 	
Revised Funding Profile - Women & Children's Hospital	(11,072)	(28,795)	26,643 	20,594 	- 	
Rollover - Neurosurgery Operating Theatre	(240)	240	- 	- 	- 	
Rollover - Surgical Assessment and Planning Unit	(72)	72	- 	- 	- 	
Rollover - ACT Health Skills Development Centre	(1,300)	1,300 	- 	- 	- 	
Rollover - Adult Mental Health Inpatient Facility - Forward Design	(573)	573 	- 	- 	- 	
Rollover - Digital Mammography	(2,690)	2,690 	- 	- 	- 	
Rollover - Elective Surgery (Commonwealth Funding)	(150)	150 	- 	- 	- 	
Rollover - Equipment Loans Scheme Relocation	(600)	600 	- 	- 	- 	
Rollover - Secure Adult Mental Health Unit - Forward Design	(827)	827 	- 	- 	- 	
Rollover - Mental Health Young Persons Unit	(645)	645 	- 	- 	- 	
Rollover - New Multistorey Car Park TCH	(19,033)	19,033 	- 	- 	- 	
Rollover - Procurement and Installation of a PET/CT Scanner	(500)	500 	- 	- 	- 	
Rollover - Refurbishment of Non-Clinical Accommodation at TCH	(200)	200 	- 	- 	- 	
Rollover - TCH Discharge Lounge Relocation	(150)	150 	- 	- 	- 	
Rollover - TCH Upgrades to Ambulatory Areas IC Facilities Pathology Laboratories and ED	(340)	340 	- 	- 	- 	
Rollover - Walk In Centre - TCH	(157)	157 	- 	- 	- 	
Cessation - An E Healthy Future, Women & Children's Hospital, and CADP Projects	- 	- 	- 	- 	(31,404)	
						
2010-11 Budget	78,147	196,981	197,824	94,263	4,681	

2010-11 Capital Works Program
Departmental
 	Estimated	Estimated	2010-11	2011-12	2012-13	Physical 	
	Total	Expenditure	Financing	Financing	Financing	Completion 	
	Cost 	Pre 2010-11				Date4  	
 	$’000	$’000	$’000	$’000	$’000	 	
							
New Capital Works							
Clinical Services Redevelopment
– Phase 2	15,000	-	15,000	-	-	Jun 2011	
Tuggeranong Health Centre – Stage 2	14,000	-	-	10,000	4,000	Sep 2012	
CADP Change Management and Communication Support	4,117	-	1,765	2,352	-	Jun 2012	
National Health Reform1	15,098	-	7,839	4,755	1,669	Jun 2014	
Integrated Cancer Centre – Phase 1	27,900	-	3,500	17,000	7,400	Nov 2012	
							
Total New Capital Works	76,115	-	28,104	34,107	13,069		
							
Capital Upgrades							
Building Upgrades	556	-	556				
Installation of Energy Savings Equipment and Sustainability Upgrades	235	-	235				
Improvements to OH&S and Fire and Safety Systems	355	-	355				
Upgrade of Mechanical Systems	540	-	540				
Augmentation of Oncology Unit	790	-	790				
Workplace Improvements	640	-	640				
Augmentation of Medical Offices	455	-	455				
							
Total Capital Upgrades 	3,571	-	3,571				
							
Total New Works	79,686	-	31,675	34,107	13,069		
							
Works in Progress							
Enhanced Community Health Centre 
– Belconnen	51,344	-	6,369	28,090	16,885	Dec 2012	
Walk-In Centre – TCH	2,157	2,000	157	-	-	Apr 2010	
Mental Health Young Persons Unit	775	130	645	-	-	Jun 2011	
ACT Health Skills Development Centre	1,300	-	1,300	-	-	Mar 2011	
Adult Mental Health Inpatient Facility  	23,630	-	15,934	7,696	-	Oct 2011	
Secure Adult Mental Health Unit	11,160	-	1,000	7,364	2,796	Aug 2012	
Women and Children's Hospital2	97,370	1,394	25,939	45,513	24,524	Sep 2012	
Neurosurgery Operating Theatre	10,500	9,540	960	-	-	Aug 2010	
Surgical Assessment and Planning Unit	4,100	3,739	361	-	-	Aug 2010	
New Gungahlin Health Centre	18,000	5	6,775	10,220	1,000	Jun 2012	
Refurbishment of Health Centre	5,000	1	3,499	1,500	-	Aug 2011	
Provision for Phase 1 CSR2,3	26,630	8,996	10,604	6,973	57	Sep 2012	
Provision for Project Definition Planning	63,800	21,624	15,681	15,000	11,495	Sep 2012	
Elective Surgery (Commonwealth Funding)	4,680	4,530	150	-	-	Sep 2009	
Adult Mental Health Inpatient Facility
– Forward Design	2,290	1,717	573	-	-	Sep 2010	
Secure Adult Mental Health Unit 
– Forward Design	1,200	373	827	-	-	Jun 2011	
New Multistorey Car Park TCH	45,000	6,031	38,969	-	-	Jan 2011  	
Aboriginal Torres Straight Islander Residential Alcohol & Other Drug Rehabilitation Facility	5,883	600	2,583	2,700	-	Sep 2012	

2010-11 Capital Works Program cont.
Departmental cont.
 	Estimated	Estimated	2010-11	2011-12	2012-13	Physical 	
	Total	Expenditure	Financing	Financing	Financing	Completion 	
	Cost 	Pre 2010-11				Date  	
 	$’000	$’000	$’000	$’000	$’000	 	
							
Works in Progress cont.							
Equipment Loans Scheme Relocation (Prior Year Capital Upgrades)	620	20	600			Dec 2010	
TCH Discharge Lounge Relocation (Prior Year Capital Upgrades)	150	-	150			Sep 2010	
Refurbishment of Non-Clinical Accommodation at TCH (Prior Year Capital Upgrades)	300	100	200			Jul 2010	
TCH Upgrades to Ambulatory Areas, Intensive Care Facilities, Pathology Laboratories and ED (Prior Year Capital Upgrades)	525	185	340			Sep 2010	
							
Total Works in Progress	376,414	60,985	133,616	125,056	56,757		
							
Total Departmental Capital Works	456,100	60,985	165,291	159,163	69,826		
Notes:
1.	An additional $0.835 million has been forecast for 2013‑14.
2.	$7.370 million has been transferred from the Provision for Phase 1 CSR project to the Women and Children’s Hospital.
3.	$2 million was transferred to the Intensive Care Unit – Calvary Hospital project and is expected to be spent in 2009-10. 
4.	Projects may require a commissioning phase following the physical completion date.

Territorial
	Estimated	Estimated	2010-11	2011-12	2012-13	Physical 	
	Total	Expenditure	Financing	Financing	Financing	Completion 	
	Cost 	Pre 2010-11				Date  	
	$’000	$’000	$’000	$’000	$’000	 	
							
Capital Upgrades							
Security Upgrades	100	-	100				
Fire Safety Upgrades	300	-	300				
Residential Accommodation Refurbishment	310	-	310				
							
Total Capital Upgrades	710	-	710				
							
Total New Works	710	-	710				
							
Total Territorial Capital Works	710	-	710				

ACT Health
Operating Statement
  2009-10			  2009-10	   2010-11		  2011-12	    2012-13	  2013-14		
    Budget			Est.Outcome	   Budget	     Var	  Estimate	    Estimate	  Estimate		
    $'000			    $'000	   $'000	      %	    $'000	     $'000	   $'000		
		Income								
		Revenue								
748,692		Government Payment for Outputs	757,891	826,910	9	872,135	935,868	1,014,446		
192,881		User Charges - Non ACT Government	190,881	200,619	5	208,823	213,823	218,877		
832		User Charges - ACT Government	832	862	4	922	952	972		
278		Interest	278	278	-	278	278	278		
9,938		Other Revenue	11,713	11,838	1	11,976	12,176	12,381		
1,125		Resources Received Free of Charge	931	956	3	986	1,016	1,046		
953,746		Total Revenue	962,526	1,041,463	8	1,095,120	1,164,113	1,248,000		
		Gains								
1,038		Other Gains	1,457	1,469	1	1,496	1,524	1,544		
1,038		Total Gains	1,457	1,469	1	1,496	1,524	1,544		
954,784		Total Income	963,983	1,042,932	8	1,096,616	1,165,637	1,249,544		
		Expenses								
417,289		Employee Expenses	434,874	476,461	10	502,968	538,219	581,555		
57,984		Superannuation Expenses	57,923	60,568	5	61,232	61,745	63,809		
270,107		Supplies and Services	257,477	278,561	8	292,488	310,820	334,482		
22,873		Depreciation and Amortisation	22,570	26,038	15	33,803	40,505	43,362		
401		Borrowing Costs	401	401	-	401	401	401		
15,142		Cost of Goods Sold	15,142	17,701	17	18,763	19,514	20,295		
185,174		Grants and Purchased Services	188,495	200,456	6	211,251	223,627	238,977		
4,198		Other Expenses	8,156	8,365	3	8,580	8,799	9,013		
973,168		Total Ordinary Expenses	985,038	1,068,551	8	1,129,486	1,203,630	1,291,894		
-18,384		Operating Result	-21,055	-25,619	-22	-32,870	-37,993	-42,350		
-18,384		Total Comprehensive Income	-21,055	-25,619	-22	-32,870	-37,993	-42,350		

ACT Health
Balance Sheet
    Budget			Est.Outcome	    Planned		   Planned	   Planned	   Planned		
as at 30/6/10			as at 30/6/10	as at 30/6/11	   Var	as at 30/6/12	as at 30/6/13	as at 30/6/14		
   $'000			   $'000	     $'000	    %	    $'000	    $'000	    $'000		
		Current Assets								
16,075		Cash and Cash Equivalents	8,173	505	-94	467	429	891		
27,236		Receivables	53,357	53,356	..	53,415	53,461	53,203		
6,685		Inventories	5,433	5,433	-	5,433	5,433	5,433		
1,509		Other	1,348	1,348	-	1,348	1,348	1,348		
51,505		Total Current Assets	68,311	60,642	-11	60,663	60,671	60,875		
		Non Current Assets								
3,000		Investments	3,000	3,000	-	3,000	3,000	3,000		
535,155		Property, Plant and Equipment	526,951	617,090	17	686,868	987,484	951,148		
20,595		Intangibles	25,030	44,228	77	59,593	64,477	71,861		
134,524		Capital Works in Progress	77,362	154,890	100	242,514	0	0		
693,274		Total Non Current Assets	632,343	819,208	30	991,975	1,054,961	1,026,009		
744,779		TOTAL ASSETS	700,654	879,850	26	1,052,638	1,115,632	1,086,884		
		Current Liabilities								
29,135		Payables	35,810	35,010	-2	34,210	33,410	32,610		
2,319		Finance Leases	2,560	3,250	27	2,560	3,250	2,560		
98,029		Employee Benefits	124,047	131,129	6	138,211	144,183	152,352		
12,490		Other	8,834	8,834	-	8,834	8,834	8,834		
141,973		Total Current Liabilities	171,251	178,223	4	183,815	189,677	196,356		
		Non Current Liabilities								
13		Payables	0	0	-	0	0	0		
3,009		Finance Leases	2,799	2,109	-25	2,799	2,109	2,799		
6,533		Employee Benefits	13,069	14,621	12	16,173	17,725	19,277		
9,555		Total Non Current Liabilities	15,868	16,730	5	18,972	19,834	22,076		
151,528		TOTAL LIABILITIES	187,119	194,953	4	202,787	209,511	218,432		
593,251		NET ASSETS	513,535	684,897	33	849,851	906,121	868,452		
		REPRESENTED BY FUNDS EMPLOYED								
457,847		Accumulated Funds	378,141	549,503	45	714,457	770,727	733,058		
135,404		Reserves	135,394	135,394	-	135,394	135,394	135,394		
593,251		TOTAL FUNDS EMPLOYED	513,535	684,897	33	849,851	906,121	868,452		

ACT Health
Cash Flow Statement 
  2009-10			  2009-10	   2010-11		  2011-12	    2012-13	  2013-14		
    Budget			Est.Outcome	   Budget	     Var	  Estimate	    Estimate	  Estimate		
    $'000			    $'000	   $'000	      %	    $'000	     $'000	   $'000		
		CASH FLOWS FROM OPERATING ACTIVITIES								
		Receipts								
748,692		Cash from Government for Outputs	756,917	826,910	9	872,135	935,868	1,014,446		
198,713		User Charges	196,695	201,482	2	209,686	214,729	220,107		
278		Interest Received	278	278	-	278	278	278		
53,672		Other Revenue	60,866	62,204	2	63,669	65,297	66,522		
1,001,355		Operating Receipts	1,014,756	1,090,874	8	1,145,768	1,216,172	1,301,353		
		Payments								
413,838		Related to Employees	427,594	468,010	9	494,517	530,732	571,870		
57,984		Related to Superannuation	57,923	60,568	5	61,232	61,745	63,810		
269,648		Related to Supplies and Services	260,698	280,799	8	295,016	313,465	336,370		
401		Borrowing Costs	401	401	-	401	401	401		
185,174		Grants and Purchased Services	184,765	197,684	7	208,159	220,534	236,201		
61,986		Other	71,188	75,157	6	77,734	80,104	82,509		
989,031		Operating Payments	1,002,569	1,082,619	8	1,137,059	1,206,981	1,291,161		
12,324		NET CASH INFLOW/ (OUTFLOW) FROM OPERATING ACTIVITIES	12,187	8,255	-32	8,709	9,191	10,192		
		CASH FLOWS FROM INVESTING ACTIVITIES								
		Payments								
128,887		Purchase of Property, Plant and Equipment and Capital Works	89,725	211,452	136	205,119	102,040	12,959		
128,887		Investing Payments	89,725	211,452	136	205,119	102,040	12,959		
-128,887		NET CASH INFLOW/ (OUTFLOW) FROM INVESTING ACTIVITIES	-89,725	-211,452	-136	-205,119	-102,040	-12,959		
		CASH FLOWS FROM FINANCING ACTIVITIES								
		Receipts								
117,309		Capital Injection from Government	78,147	196,981	152	197,824	94,263	4,681		
117,309		Financing Receipts	78,147	196,981	152	197,824	94,263	4,681		
		Payments								
1,452		Repayment of Finance Lease	1,452	1,452	-	1,452	1,452	1,452		
1,452		Financing Payments	1,452	1,452	-	1,452	1,452	1,452		
115,857		NET CASH INFLOW/ (OUTFLOW) FROM FINANCING ACTIVITIES	76,695	195,529	155	196,372	92,811	3,229		
-706		NET INCREASE/ (DECREASE) IN CASH HELD	-843	-7,668	-810	-38	-38	462		
16,781		CASH AT BEGINNING OF REPORTING PERIOD	9,016	8,173	-9	505	467	429		
16,075		CASH AT THE END OF THE REPORTING PERIOD	8,173	505	-94	467	429	891		

ACT Health
Statement of Changes in Equity
    Budget			Est.Outcome	    Planned		   Planned	   Planned	   Planned		
as at 30/6/10			as at 30/6/10	as at 30/6/11	   Var	as at 30/6/12	as at 30/6/13	as at 30/6/14		
   $'000			   $'000	     $'000	    %	    $'000	    $'000	    $'000		
		Opening Equity								
358,922		Opening Accumulated Funds	321,049	378,141	18	549,503	714,457	770,727		
135,404		Opening Asset Revaluation Reserve	135,394	135,394	-	135,394	135,394	135,394		
494,326		Balance at the Start of the Reporting Period	456,443	513,535	13	684,897	849,851	906,121		
		Comprehensive Income								
-18,384		Operating Result for the Period	-21,055	-25,619	-22	-32,870	-37,993	-42,350		
-18,384		Total Comprehensive Income	-21,055	-25,619	-22	-32,870	-37,993	-42,350		
0		Total Movement in Reserves	0	0	-	0	0	0		
		Transactions Involving Owners Affecting Accumulated Funds								
117,309		Capital Injections	78,147	196,981	152	197,824	94,263	4,681		
117,309		Total Transactions Involving Owners Affecting Accumulated Funds	78,147	196,981	152	197,824	94,263	4,681		
		Closing Equity								
457,847		Closing Accumulated Funds	378,141	549,503	45	714,457	770,727	733,058		
135,404		Closing Asset Revaluation Reserve	135,394	135,394	-	135,394	135,394	135,394		
593,251		Balance at the End of the Reporting Period	513,535	684,897	33	849,851	906,121	868,452		

Notes to the Budget Statements
Significant variations are as follows:
Operating Statement
•	government payment for outputs:
–	the increase of $9.199 million in the 2009‑10 estimated outcome from the original budget relates to increased Commonwealth funding ($11.784 million) and rollovers from 2008‑09 ($0.974 million), offset by rollovers into 2010‑11 ($3.559 million); and
–	the increase of $69.019 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to growth and new initiatives ($29.993 million), indexation ($30.4 million), Commonwealth funding ($12.040 million), rollovers ($3.559 million) and the full year effect of prior year new initiatives ($6.896 million), partially offset by planned savings ($15.633 million).
•	user charges — non ACT Government:
–	the decrease of $2 million in the 2009-10 estimated outcome from the original budget relates mostly to a reclassification of some revenue items as ‘other revenue’; and
–	the increase of $9.738 million in the 2010-11 Budget from the 2009-10 estimated outcome relates to indexation along with higher NSW Cross Border Health Receipts associated with growth in activity.
•	other revenue:  the increase of $1.775 million in the 2009-10 estimated outcome from the original budget relates mostly to a reclassification of some revenue items from user charges.
•	employee expenses:
–	the increase of $17.585 million in the 2009-10 estimated outcome from the original budget relates largely to an increase in staff employee costs at the expense of agency and contract staff and the full year effect of higher costs in 2008‑09; and
–	the increase of $41.587 million in the 2010-11 Budget from the 2009-10 estimated outcome relates to wages increases ($17.1 million), growth and new initiatives ($18.416 million), Commonwealth funded programs ($7.230 million), the full year effect of prior year initiatives ($5.517 million), NSW Cross Border funded activity ($3.597 million) and rollovers from 2009‑10 ($1.022 million), partially offset by planned savings ($10.161 million); and
•	superannuation expenses:  the increase of $2.645 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to increases in employee numbers and costs.
•	supplies and services:
–	the decrease of $12.630 million in the 2009-10 estimated outcome from the original budget relates to rollovers to 2010-11 ($1.959 million) and the transfer of costs to employee expenses due to recruitment of permanent staff, resulting in reduced agency and contract costs ($6 million) and the reclassification of expenses to other expenses ($3.958 million); and
–	the increase of $21.084 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to indexation ($9.5 million), growth and new initiatives ($3.7 million), rollovers from 2009-10 ($1.959 million), the full year effect of prior year new initiatives ($1.379 million) and Commonwealth funded programs ($4.820 million).
•	depreciation and amortisation:  the increase of $3.468 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates mainly to the completion of major information technology projects and other capital works programs.
•	cost of goods sold:  the increase of $2.559 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to increased volume and cost of medical and surgical supplies to private hospitals.
•	grants and purchased services:
–	the increase of $3.321 million in the 2009-10 estimated outcome from the original budget relates mainly to increased payments to Calvary Public Hospital; and
–	the increase of $11.961 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates mainly to indexation on grants payments to non government organisations, including Calvary Public Hospital ($2.8 million), new initiatives ($6.883 million), Commonwealth funded programs ($0.5 million) and rollovers ($0.5 million).
Balance Sheet
•	cash and cash equivalents:  
–	the decrease of $7.902 million in the 2009‑10 estimated outcome from the original budget relates mainly to an increase in receivables.  This is offset by an increase in payables and funds held for major IT and plant and equipment purchases; and
–	the decrease of $7.668 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to the expenditure of capital funds held for major IT and plant and equipment purchases.
•	receivables:  the increase of $26.121 million in the 2009-10 estimated outcome from the original budget relates largely to an increase in NSW Cross Border receivables.
•	inventories:  the decrease of $1.252 million in the 2009‑10 estimated outcome from the original budget is due to the 2008-09 audited outcome flow-on effect.
•	other current assets:  the decrease of $0.161 million in the 2009-10 estimated outcome from the original budget relates to a reduction in prepayments.
•	property, plant and equipment:  
–	the decrease of $8.204 million in the 2009-10 estimated outcome from the original budget relates to delays in some projects associated with the Capital Asset Development Plan (CADP) and reclassification of assets to intangibles; and
–	the increase of $90.139 million in the 2010‑11 Budget from the 2009-10 estimated outcome reflects completed capital works projects net of depreciation.
•	intangibles:
–	the increase of $4.435 million in the 2009-10 estimated outcome from the original budget relates to the reclassification of assets from property, plant and equipment; and
–	the increase of $19.198 million in 2010‑11 Budget from the 2009‑10 estimated outcome relates to major information technology projects, including those associated with the CADP.
•	capital works in progress:  the decrease of $57.162 million in the 2009‑10 estimated outcome from the original budget and the increase of $77.528 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relate to the CADP projects currently underway or commencing in 2010‑11.
•	payables:  the increase of $6.675 million in the 2009‑10 estimated outcome from the original budget relates to the timing of invoices received by ACT Health.
•	current and non current employee benefits: 
–	the increase of $32.554 million in the 2009‑10 estimated outcome from the original budget relates largely to new accounting standards on the treatment of employee provision on‑costs and increased employee costs than estimated in the 2008-09 financial year; and
–	the increase of $8.634 million in the 2010‑11 Budget from the 2009‑10 estimated outcome is due to revised wage parameters and growth in employee numbers.
•	other current liabilities:  the decrease of $3.656 million in the 2009‑10 estimated outcome from the original budget relates to reduced revenue received in advance.
Statement of Changes in Equity
Variances in the statement are explained in the notes above.

ACT Health
Statement of Income and Expenses on Behalf of the Territory
  2009-10			  2009-10	   2010-11		  2011-12	    2012-13	  2013-14		
    Budget			Est.Outcome	   Budget	     Var	  Estimate	    Estimate	  Estimate		
    $'000			    $'000	   $'000	      %	    $'000	     $'000	   $'000		
		Income								
		Revenue								
7,102		Payment for Expenses on behalf of Territory	9,102	710	-92	727	746	765		
635		Taxes Fees and Fines	635	650	2	676	693	693		
7,737		Total Revenue	9,737	1,360	-86	1,403	1,439	1,458		
		Gains								
0		Total Gains	0	0	-	0	0	0		
7,737		Total Income	9,737	1,360	-86	1,403	1,439	1,458		
		Expenses								
7,102		Grants and Purchased Services	9,102	710	-92	727	746	765		
635		Transfer Expenses	635	650	2	676	693	693		
7,737		Total Ordinary Expenses	9,737	1,360	-86	1,403	1,439	1,458		
0		Operating Result	0	0	-	0	0	0		
0		Total Comprehensive Income	0	0	-	0	0	0		

ACT Health
Statement of Assets and Liabilities on Behalf of the Territory
    Budget			Est.Outcome	    Planned		   Planned	   Planned	   Planned		
as at 30/6/10			as at 30/6/10	as at 30/6/11	   Var	as at 30/6/12	as at 30/6/13	as at 30/6/14		
   $'000			   $'000	     $'000	    %	    $'000	    $'000	    $'000		
		Current Assets								
294		Cash and Cash Equivalents	259	259	-	259	259	259		
6		Receivables	42	42	-	42	42	42		
300		Total Current Assets	301	301	-	301	301	301		
300		TOTAL ASSETS	301	301	-	301	301	301		
		Current Liabilities			-					
300		Payables	301	301	-	301	301	301		
300		Total Current Liabilities	301	301	-	301	301	301		
300		TOTAL LIABILITIES	301	301	-	301	301	301		
0		NET ASSETS	0	0	-	0	0	0		
		REPRESENTED BY FUNDS EMPLOYED								
0		TOTAL FUNDS EMPLOYED	0	0	-	0	0	0		

ACT Health
Budgeted Statement of Cash Flows on Behalf of the Territory
  2009-10			  2009-10	   2010-11		  2011-12	    2012-13	  2013-14		
    Budget			Est.Outcome	   Budget	     Var	  Estimate	    Estimate	  Estimate		
    $'000			    $'000	   $'000	      %	    $'000	     $'000	   $'000		
		CASH FLOWS FROM OPERATING ACTIVITIES								
		Receipts								
7,102		Cash from Government for EBT	9,102	710	-92	727	746	765		
635		Taxes, Fees and Fines	635	650	2	676	693	693		
710		Other Revenue	910	71	-92	73	75	77		
8,447		Operating Receipts	10,647	1,431	-87	1,476	1,514	1,535		
		Payments								
7,102		Grants and Purchased Services	9,102	710	-92	727	746	765		
710		Other	910	71	-92	73	75	77		
635		Territory Receipts to Government	635	650	2	676	693	693		
8,447		Operating Payments	10,647	1,431	-87	1,476	1,514	1,535		
0		NET CASH INFLOW/ (OUTFLOW) FROM OPERATING ACTIVITIES	0	0	-	0	0	0		
0		NET INCREASE/ (DECREASE) IN CASH HELD	0	0	-	0	0	0		
294		CASH AT BEGINNING OF REPORTING PERIOD	259	259	-	259	259	259		
294		CASH AT THE END OF THE REPORTING PERIOD	259	259	-	259	259	259		
Notes to the Budget Statements
Significant variations are as follows:
Statement of Income and Expenses on behalf of the Territory
•	payment for expenses on behalf of the Territory and grants and purchased services:  
–	the increase of $2 million in the 2009‑10 estimated outcome from the original budget relates to the transfer of an additional capital works funding for the Intensive Care Unit at Calvary Public Hospital; and
–	the decrease of $8.392 million in the 2010‑11 Budget from the 2009‑10 estimated outcome relates to the removal of one-off Intensive Care Unit funding.