1. Our Unique WA Or how the Wild West is finally winning! Jodie South, Director, Health Infrastructure Elizabeth Rohwedder, Senior Project Manager, HSIU Nancy Bineham, Manager Planning, WACHS

2. The WA Health Clinical Services Framework 2010 – 2020 (CSF 2010) More than a service role delineation framework….

3. CSF - Timeframe 2005 – First CSF released (2005-2015) Metropolitan hospitals State Cabinet endorsed 2007-2009 – Area Health Service Clinical Service Plans developed 2009 – Second CSF released (2010-2020) Metropolitan & Country hospitals and non-hospital services State Cabinet endorsed

4. CSF 2010 High level health service planning framework for the next 10 years Basis for content and direction of enablers of health service delivery

5. BUSINESS INTEGRATION MODEL Delivering a Healthy WA WA Health Strategic Intent Models of Care Clinical Service Framework 2005 – 2015/2010-2020 WA Health Policy WA Health Activity Modelling Inpatient modelling Non-Inpatient modelling Emergency Dept modelling Planning WorkforceInfrastructureRecurrent CostICT Resource Allocation Model ABF/ABM RAM/Efficient Price Enablers AHS/Divisional Operational Plans RAM / ABF/ABM Budget Allocation Feedback and Accountability Mechanisms Operational Deployment

6. CSF 2010 Impact Influences content and direction of: 1.Workforce strategy and planning 2.Infrastructure – State Health Infrastructure Plan (SHIP) 3.Recurrent Cost - Budget setting, funds allocation (ABF/ABM) 4.Information, communication & medical technology strategy and planning Aligns with: – Reform initiatives – Strategic intent Expects consistency from: – AHS planning – Annual operational plan

7. Enabler 3: Recurrent Cost, Budget setting, funds allocation (ABF/ABM) Whole of Health Cost Model – annual budget bid and forward estimates Funds allocation – Activity Based Funding/ Management (ABF/ABM)

8. What’s Happening in the Country? Major Investment in Country Health Infrastructure and Services aligned to the CSF.

9. Our country health services and infrastructure includes: 70 hospitals 6 Regional Health Campuses 15 District Health Campuses 49 small hospitals including 30 multi-purpose services 26 community mental health services 38 remote nursing posts 2 state government nursing homes and 1 aged care hostel 50 Community health services 206 Child health services

10. Our aims in WA Country Health Service are aspirational but were hard to achieve ….. 1.A fair share for country health 2.Service delivery according to need 3.Closing the gap to improve Aboriginal health 4. Workforce stability and excellence

11. In 2008/09 -22% of population of WA lived in country areas -10% Aboriginal WA Country Health Service provided: -45% of all WA’s ED activity (lack of GPs) -22% of all WA’s public inpatient activity (declining) -22% of all WA’s births in public hospitals (declining) -80% self sufficient

12. Why is government & industry focusing more now on Country WA? To close the gap in country health and Aboriginal health outcomes To meet health needs of increasing population incl. FIFO To bring high quality care closer to home To provide equitable access to services & investment To attract, retain and skill the country workforce To improve patient safety & satisfaction

13. 1.Royalties for Regions funding program Regional Investment ($873m 2010/11) Twin Cities in the Pilbara region – plan to almost double population East Kimberley Development Project 2.COAG NPA and Commonwealth funding - Finally - A Fair Share For Country…

14. Royalties for Regions - Capital initiatives R4R funding to date $363.8m & includes Karratha Hospital- planning/staff accommodation $8m Pilbara health equipment$2.5m Pilbara Health Initiative $32m Kalgoorlie hospital (total $55.8m)$15.5m New Albany Health Campus (total $166m) $60.9m Karratha Health Campus $160m Exmouth Clinic$8m Carnarvon Hospital$20.8m Esperance Hospital$18.8m Remote Indigenous Health Clinics$22.2m

15. TOTAL to date: $152.43 m over 6 years 08/09 – 13/14 RFDS – 37 m ST JOHN AMBULANCE - $26.1 m PATS – $49.8 m RURAL GENERALISTS - $8.5 m PILBARA CARDIO POINT OF TESTING PROGRAM - $1.2 m PILBARA SPECIALIST SERVICES - $29.8 m Royalties for Regions - Service Initiatives

16. COAG INDIGENOUS AGENDA Close the Gap NPA $117M Indigenous Early Childhood NPA $28M COMMONWEALTH PARTNERSHIPS HHF Kimberley renal dialysis $8.6m 5 rural cancer units 22.29m Broome paediatric ward $7.9m Bunbury radiotherapy $15.21m Bunbury ED & ICU $14.1 m East Kimberley Development Package $50m Clever Networks – Telehealth $6m National Health Reform Commonwealth & COAG partnerships

17. Thank you Nancy.Bineham@health.wa.gov.au 08 9223 8565 Jodie.South@health.wa.gov.au 08 9222 6471 Elizabeth.Rohwedder@health.wa.gov.au 08 9222 4195 Nancy.Bineham@health.wa.gov.au Jodie.South@health.wa.gov.au Elizabeth.Rohwedder@health.wa.gov.au