The Department of Health is responsible for purchasing and delivering integrated services that maintain and improve the health and wellbeing of Tasmanians. The Department reports to the Minister for Health, Hon Sarah Courtney MP, and the Minister for Mental Health and Wellbeing, Hon Jeremy Rockliff MP.
The Department coordinates the delivery of public health services across Tasmania through a network of facilities, community services and home‑based care.
The principal responsibilities of the Department include:
· planning and purchasing high quality, safe and efficient health services through the public hospital system; primary and community health services, including mental health, oral health and correctional health services; and ambulance services;
· delivering health protection through emergency and pandemic management, environmental health, chronic disease prevention and other public health and health improvement services;
· funding care for Tasmanians over 65 years of age, as well as support and assistance to enable them to remain living independently in their own homes; and
· funding a network of alcohol and drug abuse prevention and treatment services.
The functions of the THS include:
· improving, promoting, protecting and maintaining the health of Tasmanians as required by its Service Plan;
· managing public hospitals, health institutions, health services and health support services;
· achieving and maintaining standards of patient care and delivery of services;
· providing training and education relevant to the provision of health services;
· undertaking research and development relevant to the provision of health services; and
· collecting and providing health data for reporting and research purposes.
Funding for the THS is provided by both the State and Australian Governments. Australian Government Activity Based Funding and Block Funding, and State ABF, flows through the National Health Funding Pool, which is overseen by an independent statutory office holder known as the Administrator. Block funding for some activities is paid to the THS via a State‑managed Fund. In addition to State and Australian Government funding, the THS also generates its own revenue to fund some of its activities.
This chapter provides the Department’s financial information for 2020‑21 and over the Forward Estimates (2021‑22 to 2023‑24). Further information about the Department is provided at www.health.tas.gov.au.
The National Health Reform Agreement sets out arrangements for the Tasmanian and Australian Government contributions to the provision of health services in Tasmania, as primarily delivered by the THS.
In May 2020, the Australian Government and all states and territories signed the current NHRA, which applies from 1 July 2020 to 30 June 2025. The current NHRA provides for a continuation of existing public hospital funding arrangements.
Under the NHRA, State and Australian Governments provide ABF wherever practicable. Where ABF is not practical, funding is provided on a Block basis. Block funded services include smaller regional or rural hospitals; teaching, training and research; and non‑admitted mental health services.
The Australian Government’s funding contribution in each year is its prior year contribution plus 45 per cent of the efficient growth in the price and volume of activity under the NHRA. The Independent Hospital Pricing Authority determines the efficient price of ABF and the efficient cost of Block grants. Growth in Australian Government funding to the states and territories is capped at 6.5 per cent per year. The NHRA is a cost‑sharing arrangement and the amount of funding to be received through the Agreement is dependent on the annual level of public hospital activity.
In recognition of the impact of the response to the COVID-19 pandemic on hospital activity, the Australian Government is providing a multilateral minimum funding guarantee to all states and territories for 2019‑20 and 2020‑21. Under these arrangements, Tasmania is guaranteed a minimum level of National Health Reform funding of $449.7 million in 2019‑20 and 2020‑21. Entitlement to this guarantee is based on funding received through the NHRA plus the Hospital Services Payment component of the National Partnership on COVID‑19 Response being less than the guaranteed amount in those years. This guarantee provides Tasmania with an improved level of funding certainty for the two financial years where public hospital activity is most likely to be impacted by the response to the COVID‑19 pandemic.
The Australian Government has also agreed to extend Tasmania’s previous bilateral guarantee of a minimum annual level of funding growth for the full term of the current NHRA. The guarantee provides for funding received by Tasmania through the NHRA to be indexed by at least the rate of Consumer Price Index growth and national population growth. In the absence of this guarantee, Tasmania would be at risk of receiving less ABF from one year to the next if public hospital activity decreases.
There remains an underlying risk to the Budget and Forward
Estimates that demand for health services in the State may grow at a faster
rate than growth in the Australian Government’s capped funding contribution.
Table 5.1 provides a summary of the Budget and Forward Estimates allocations for key deliverables being undertaken by the Department.
In addition to the important key deliverables identified in the below table, the agency is also taking action to support the implementation of the important recommendations included in the Premier’s Economic and Social Recovery Advisory Council’s Interim Report which have been endorsed by the Government. Where specific additional funding is not required, recommendations are being implemented within existing agency resources.
|
|
2020‑21
Budget |
2021‑22 Forward Estimate |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
COVID‑19 Response and Recovery Measures |
|
|
|
|
|
Cancer Council Tasmania |
500 |
.... |
.... |
.... |
|
Community Healthcare |
1 600 |
2 300 |
.... |
.... |
|
Community Mental Health Support |
1 152 |
.... |
.... |
.... |
|
COVID‑19 Health General Allocation |
51 673 |
.... |
.... |
.... |
|
COVID‑19 Rapid Response Team |
1 630 |
.... |
.... |
.... |
|
Elective Surgery1 |
9 100 |
36 400 |
.... |
.... |
|
Health Care and Front Line Workers Accommodation |
929 |
.... |
.... |
.... |
|
Mental Health Program |
2 110 |
.... |
.... |
.... |
|
National Partnership Agreement on COVID‑19 Response |
46 985 |
.... |
.... |
.... |
|
National Partnership Agreement on COVID‑19 Response: Private Hospital Financial Viability Payments |
46 384 |
.... |
.... |
.... |
|
Primary Health Support |
1 309 |
.... |
.... |
.... |
|
Public Building Maintenance Program |
12 684 |
3 000 |
.... |
.... |
|
Regional Health and Ambulance Facilities Fund2 |
5 000 |
5 000 |
.... |
.... |
|
|
|
|
|
|
|
Other Key Deliverables ‑ new initiatives |
|
|
|
|
|
|
|
|
|
|
|
Tasmanian Health Service |
|
|
|
|
|
Additional THS Funding |
140 000 |
150 000 |
150 000 |
150 000 |
|
Demand and Beds ‑ Major Hospitals3 |
25 441 |
24 795 |
.... |
.... |
|
Palliative Care Tasmania |
500 |
500 |
.... |
.... |
|
|
|
|
|
|
|
Statewide and Mental Health Services |
|
|
|
|
|
Child and Adolescent Mental Health Service Recommendations |
1 500 |
2 500 |
.... |
.... |
|
Mental Health Integration and Reform |
1 200 |
2 900 |
.... |
.... |
|
Reform Agenda for the Alcohol and Drug Sector in Tasmania |
1 200 |
3 700 |
.... |
.... |
|
|
|
|
|
|
|
|
2020‑21
Budget |
2021‑22 Forward Estimate |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
System Management |
|
|
|
|
|
Digital Health Transformation2,4 |
500 |
1 000 |
.... |
.... |
|
Human Resources Information System2 |
2 100 |
11 000 |
8 500 |
.... |
|
|
|
|
|
|
|
Other Key Deliverables - existing initiatives5 |
|
|
|
|
|
|
|
|
|
|
|
Tasmanian Health Service |
|
|
|
|
|
Acute Hospital Services6 |
|
|
|
|
|
180 more Nursing Graduates across Tasmania |
2 892 |
2 951 |
3 010 |
3 070 |
|
250 beds for the Royal Hobart Hospital |
16 184 |
36 796 |
79 131 |
167 222 |
|
Air Conditioning Upgrades - Statewide2 |
4 276 |
.... |
.... |
.... |
|
Eight Bed Acute Medical Unit at the North West Regional Hospital |
5 057 |
5 183 |
5 313 |
5 446 |
|
Eight Beds on Ward 4K at Launceston General Hospital |
3 718 |
3 811 |
3 906 |
4 004 |
|
Health Demand7 |
55 000 |
45 000 |
45 000 |
45 000 |
|
Launceston General Hospital Redevelopment2,8 |
16 424 |
12 000 |
20 508 |
29 643 |
|
Maternity Services at the North West Regional Hospital2 |
4 191 |
.... |
.... |
.... |
|
Mersey Community Hospital Capital Upgrades2 |
28 888 |
4 081 |
.... |
.... |
|
New Services and New Staff for the Mersey Community Hospital |
…. |
1 000 |
3 000 |
5 348 |
|
Royal Hobart Hospital Stage 2 Redevelopment2 |
17 197 |
61 200 |
11 400 |
.... |
|
Ward 3D ‑ A 32 Bed Inpatient Ward |
.... |
.... |
.... |
21 862 |
|
|
|
|
|
|
|
Community and Aged Care Services |
|
|
|
|
|
Better Accommodation for Health Professionals on Flinders Island2 |
580 |
.... |
.... |
.... |
|
Community Rapid Response |
7 786 |
1 162 |
1 191 |
1 220 |
|
Stage 2 of the King Island Hospital Redevelopment2 |
5 956 |
1 440 |
.... |
.... |
|
|
|
|
|
|
|
Statewide and Mental Health Services |
|
|
|
|
|
27 Mental Health Beds in Southern Tasmania - Infrastructure2 |
17 947 |
1 809 |
.... |
.... |
|
27 Mental Health Beds in Southern Tasmania |
7 130 |
6 480 |
6 642 |
6 807 |
|
Drug and Alcohol Rehabilitation Beds in Ulverstone |
800 |
800 |
.... |
.... |
|
Housing and Accommodation Support Initiative |
500 |
.... |
.... |
.... |
|
More Drug and Alcohol Rehabilitation Beds |
1 998 |
.... |
.... |
.... |
|
|
|
|
|
|
|
Ambulance Tasmania9 |
|
|
|
|
|
Aeromedical Helicopter Service - Infrastructure2 |
581 |
.... |
.... |
.... |
|
Aeromedical Helicopter Service |
10 100 |
10 352 |
10 611 |
10 876 |
|
Burnie and Glenorchy Ambulance Stations2 |
8 877 |
2 822 |
.... |
.... |
|
Health Demand |
5 000 |
5 000 |
5 000 |
5 000 |
|
More Paramedics in Regional Areas |
4 807 |
6 374 |
7 001 |
7 141 |
|
Secondary Triage |
3 401 |
2 900 |
2 900 |
2 900 |
|
|
2020‑21
Budget |
2021‑22 Forward Estimate |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
Ambulance Tasmania (continued)9 |
|
|
|
|
|
Smithton Ambulance Training Station2 |
1 030 |
.... |
.... |
.... |
|
State Operations Centre Boost |
749 |
764 |
779 |
795 |
|
Statewide Rural Hospital and Ambulance Station Upgrade Fund2 |
11 454 |
.... |
.... |
.... |
|
Volunteer Support Package |
800 |
800 |
800 |
800 |
|
|
|
|
|
|
|
Public Health |
|
|
|
|
|
A Healthy Tasmania |
1 100 |
1 100 |
1 100 |
1 100 |
|
Additional Funding for NGO Health Organisations |
160 |
.... |
.... |
.... |
|
Tasmanian Community Health Fund |
3 438 |
1 314 |
.... |
.... |
|
|
|
|
|
|
Notes:
1. Elective Surgery funding consists of a State Government component of $5 million in 2020‑21 and $20 million in 2021‑22 plus an Australian Government Activity Based Funding component of $4.1 million in 2020‑21 and $16.4 million in 2021‑22.
2. These initiatives are also included in the Capital Investment Program at Table 5.5, with descriptions for each project included below.
3. Demand and Beds - Major Hospitals funding consists of a State Government component of $18 million in 2020‑21 and $18 million in 2021‑22 plus an Australian Government Activity Based Funding component of $7.4 million in 2020‑21 and $6.8 million in 2021‑22.
4. This initiative of $1.5 million will be funded from the Digital Transformation Priority Expenditure Program within Finance‑General.
5. Other Key Deliverables - existing initiatives include election commitments and Key Deliverables first detailed in prior years Budget Papers.
6. These initiatives are included in the Government’s Better Care in Northern Tasmania, Better Care in North West Tasmania and Record Boost to Health in Southern Tasmania policies.
7. In the 2020‑21 Budget, the $10 million provision for Health Demand has been transferred from Finance‑General to the Department.
8. This includes the Launceston General Hospital Redevelopment and the Launceston General Hospital ‑ More Car Parking 2018 election commitments.
9. These initiatives are included in the Government’s Investment in Ambulance Services policy.
The 2020‑21 Budget provides $500 000 to Cancer Council Tasmania in 2020‑21 to support the delivery of cancer related services and programs during the COVID‑19 response and recovery period.
The 2020‑21 Budget provides $3.9 million over two years to continue community healthcare initiatives during the COVID‑19 response and recovery period. Funding will be provided to: Epilepsy Tasmania ($880 000); Palliative Care Clinical Nurse Educators ($800 000); GP Assist ($780 000); Hobart District Nurses ($500 000); Stroke Foundation ($440 000); Scarlett Alliance ($240 000); Health Consumers Tasmania ($200 000); and Better Patient Transport on Flinders Island ($60 000).
Funding of $1.2 million in 2020‑21 has been provided to continue mental health support initiatives during the COVID‑19 response and recovery period. Funding will be provided towards: GoodSports ($400 000); Velocity Transformations ($200 000); Rural Alive and Well ($195 000); Lifeline ($120 000); Gottawanna ($100 000); Street Teams ($92 000); and the Alcohol, Tobacco and other Drugs Council (Tasmania) Inc ($45 000).
As part of the Government’s COVID‑19 Response and Recovery Measures, $51.7 million has been allocated in 2020‑21 to support Tasmania’s health system during the COVID‑19 response and recovery period.
The 2020‑21 Budget provides $1.6 million in 2020‑21 to fund the operations of the COVID‑19 Rapid Response Team.
The COVID‑19 Rapid Response Team provides a base level of resources to ensure that the State has an improved public health response capability to manage clusters and outbreaks of COVID‑19 and surge arrangements for large or complex outbreaks.
The 2020‑21 Budget provides additional funding of $45.5 million over two years to address elective surgery demand in response to the COVID‑19 pandemic. This consists of a State Government component of $5 million in 2020‑21 and $20 million in 2021‑22 plus an Australian Government Activity Based Funding component of $4.1 million in 2020‑21 and $16.4 million in 2021‑22.
As part of the Government’s COVID‑19 response, the 2020‑21 Budget provides funding of $929 000 for accommodation for frontline workers, if they need to stay away from home in circumstances where their family members are ill or vulnerable. This allows for COVID‑19 response capabilities to be maintained in a safe way.
As part of the Government’s COVID‑19 Response and Recovery Measures, the 2020‑21 Budget provides $2.1 million to community organisations to support individuals experiencing mental health difficulties as a result of issues associated with the COVID‑19 pandemic.
This National Partnership Agreement will contribute to supporting the Australian health system to respond effectively to the outbreak of Novel Coronavirus (COVID‑19). This Agreement is separate from, but complements, the NHRA, and provides the states with funding to respond to the COVID‑19 pandemic. The Australian Government shares the funding equally with state and territory governments for certain COVID‑19 related public health activities.
The Australian Government contribution is estimated to be $47 million in 2020‑21 to support Tasmania’s health system during the COVID‑19 response and recovery period.
Under the National Partnership Agreement on COVID‑19 Response, the Australian Government has committed funding to guarantee the financial viability of the private hospital system in Tasmania during the COVID‑19 response and recovery period. The Australian Government contribution is estimated to be $46.4 million in 2020‑21.
As part of the Government’s COVID‑19 response, the 2020‑21 Budget provides $1.3 million to equip the primary health sector to continue its response to COVID‑19, through the purchase of items such as: personal protective equipment; infrastructure including minor capital works; information and communications technology; and workforce related costs, including additional staffing support, specialist expertise and security staffing. The funds will also be used to support the primary health sector to strengthen COVID‑19 testing and preparedness in local communities.
On 17 March 2020, the Premier announced several COVID‑19 Social and Economic Measures including funding for the Department of Health of $10 million for the maintenance of public buildings, commencing in 2019‑20.
The 2020‑21 Budget provides additional funding of $6 million over two years to support further Public Building Maintenance Works, taking the total program for Health to $16 million over three years.
Funding will be utilised to undertake critical routine and periodic maintenance of departmental infrastructure, including: works at St Johns Park; Launceston General Hospital; Flinders Island District Hospital; Devonport Community Health Centre and other rural hospital and ambulance station sites across the State.
As part of the Government’s COVID‑19 response, the 2020‑21 Budget provides $10 million over two years for regional health and ambulance facilities. The Fund will be used to provide improved facilities for rural hospital staff and patients; and paramedics and volunteers at rural ambulance stations. This will complement the $15 million provided for capital improvements at Tasmania’s rural and regional hospitals through the Statewide Rural Hospital and Ambulance Station Upgrade Fund, as detailed in the Capital Investment Program section of this chapter.
Tasmanian Health Service
As announced in the 2019‑20 Revised Estimates Report, the Government has committed significant new funding to support the delivery of health services. The 2020‑21 Budget provides additional funding of $140 million in 2020‑21 and $150 million per annum from 2021‑22.
The 2020‑21 Budget provides additional funding of $50.2 million over two years to meet demand faced by major hospitals and to support opening beds in major hospitals. This consists of a State Government component of $18 million in 2020‑21 and $18 million in 2021‑22, plus an Australian Government ABF component of $7.4 million in 2020‑21 and $6.8 million in 2021‑22.
The 2020‑21 Budget provides funding of $1 million over two years for Palliative Care Tasmania. Palliative Care Tasmania supports families in their dealings with the Guardianship and Administration Board, provides clinician training and delivers advocacy and advisory services.
Statewide and Mental Health Services
The 2020‑21 Budget provides funding of $4 million over two years in response to a review of Child and Adolescent Mental Health Services. The funding will be used to increase available resourcing for Child and Adolescent Mental Health Services and enable service delivery reform.
The 2020‑21 Budget provides funding of $4.1 million over two years to address priority areas in the Mental Health Reform Agenda. The funding will be directed towards addressing priority areas identified within: Rethink Mental Health Plan 2015 ‑ 2025; The Tasmanian Suicide Prevention Strategy (2016‑2020) and associated Plans; The Fifth National Mental Health and Suicide Prevention Plan; The Mental Health Integration Taskforce Report and Recommendations - "Better Integration of Mental Health Services in Southern Tasmania" and the Government’s response; and Coroner’s Report 201 TASCD 386.
The 2020‑21 Budget provides funding of $4.9 million over two years for the Reform Agenda for Alcohol and Drug Sector in Tasmania. This funding builds upon existing government investment into alcohol and other drug services and addresses the reform directions in the “Reform Agenda for the Alcohol and Drug Sector in Tasmania”. The “Reform Agenda for the Alcohol and Drug Sector in Tasmania” aims to reduce the harms associated with the use of alcohol, tobacco and other drugs.
System Management
The 2020‑21 Budget provides funding of $1.5 million over two years to deliver the strategy and business case for the Health ICT Plan 2020 to 2030. This sets a course of action to remediate and modernise the delivery of Health Services through Digital Technologies. Digital Health Transformation aims to digitally transform hospitals, improve patient information outcomes and better manage the Department's workforce.
This initiative will be funded from the Digital Transformation Priority Expenditure Program within Finance‑General.
The 2020‑21 Budget provides funding of $21.6 million over three years to replace the Department’s existing Human Resources Information System and related processes with a fully integrated HRIS.
Existing key HR systems and practices require an urgent upgrade, supported by the development of an integrated HRIS. The new system will enable the Department to move away from paper‑based systems, improving the delivery of critical human resource management systems. This investment is consistent with Recommendation 9 of the COVID‑19 North West Regional Hospital Outbreak - Interim Report, to identify improvements necessary to facilitate a move away from paper‑based systems.
Tasmanian Health Service
Acute Hospital Services
Building on the success of the 2014 election commitment, where transition to practice placements have increased each year, this initiative will fund an additional 30 nursing positions each year, which will see an additional 180 nursing positions offered over six years (2018‑19 to 2023‑24).
Commencing in 2020‑21, funding of $299.3 million has been provided over four years to boost care in Tasmania by fully staffing 250 new beds. These new beds will be progressively rolled out from 2020‑21, including 10 new Intensive Care Unit beds. Clinicians will determine the final mix of services and beds.
Commencing in 2018‑19, funding of $4.9 million was provided to undertake comprehensive air conditioning upgrades at the Royal Hobart Hospital ($3 million), the Launceston General Hospital ($1.4 million) and the North West Regional Hospital ($500 000). The Launceston General Hospital upgrades were completed during 2018‑19, with a further allocation of $1 million for 2020‑21 for additional compliance works.
Commencing in 2018‑19, funding of $28.3 million was provided over six years to open eight new acute medical beds at the North West Regional Hospital, including four Emergency Department short stay beds and four surgical beds for elective surgery patients who need to stay overnight.
The 2018‑19 Budget provided funding of $19.1 million over five years to fully staff and open eight new beds on Ward 4K at the Launceston General Hospital, on completion of the redevelopment.
Additional funding of $45 million per annum was allocated in the 2019‑20 Budget to meet health demand pressures across the Tasmanian Health Service, including $5 million per annum for the Royal Hobart Hospital Emergency Department.
Further funding of $30 million in 2019‑20 and $10 million in 2020‑21 was set aside in Finance‑General in the 2019‑20 Budget for health demand. In the 2020‑21 Budget, the $10 million provision has been transferred from Finance‑General to the Department.
This funding will support emergency care and bed access throughout the health system and will assist in supporting the commissioning of additional hospital capacity enabled by the Royal Hobart Hospital Redevelopment.
Commencing in 2018‑19, funding of $87.3 million was provided over six years for a major redevelopment and expansion of the LGH building, including improvements across medical, surgical, maternity, obstetric, paediatric and mental health units, with an additional $5 million of funding allocated to provide more car parking.
The program of works is expected to include:
· refurbishment of existing wards and the development of new single rooms;
· expansion of existing blocks to accommodate additional beds;
· a new Women’s and Children’s outpatient building on top of the proposed Ward 4K project;
· an upgrade to the Central Sterilising Department;
· an upgrade to the Acute Medical Unit to contemporary pandemic preparedness specifications; and
· contemporary mental health facilities.
The redevelopment commenced in 2018 and is scheduled for completion in 2024. The Clinical Planning Taskforce commenced development of both a Clinical Services Plan and a site Master Plan, due for completion by December 2020.
Funding of $2.1 million was provided in the 2018‑19 Budget, and an additional $2.2 million allocated from Statewide Hospital Critical Facility Upgrade funds in 2019‑20, to construct a purpose‑built antenatal clinic at the North West Regional Hospital as part of the Integrated North West Birthing Service. This will provide a state‑of‑the‑art facility to better support mums, babies and the staff that operate the service.
The 2017‑18 Budget provided additional funding of $35 million to deliver a significant capital upgrade of the Mersey Community Hospital, and an additional $2.4 million was allocated during 2019‑20 from internal funds, with the majority of these funds being directed towards lift replacement and additional car parking. The upgrade will support the new service profile being implemented as part of the One Health System reforms.
The 2018‑19 Budget provided funding to implement new services at the Mersey Community Hospital to deliver better health outcomes on the North West Coast and across the State as part of the One Health System reforms. Additional funding has been allocated from 2021‑22 to provide additional services and staff.
The 2019‑20 Budget provided additional funding of $63 million to commence Stage 2 of the Royal Hobart Hospital Redevelopment. This is in addition to $28.1 million allocated in the 2018‑19 Budget for Royal Hobart Hospital Ward Upgrades.
The project will include:
· expansion of the Emergency Department, to meet growing patient demand;
· a comprehensive refurbishment of A‑Block, which will provide contemporary space for additional beds;
· an expansion of the Intensive Care Unit in its current location, providing space for an additional 10 beds on the same floor by 2024, whilst retaining close physical linkage to medical imaging;
· a refit of the soon to be vacated J‑Block to meet additional demand and provide for new clinical uses;
· upgrade of the Ground Floor C‑Block entry, including the construction of an Integrated Operations Centre;
· external Liverpool Street cafe seating area; and
· six additional consulting rooms and paediatric waiting room for the Department of Surgical Admissions; and new pathway connection to K‑Block theatre precinct.
Funding of $21.9 million for 2023‑24 was announced as a 2018 election commitment to recruit, fully staff and open 32 new beds on a new ward 3D at the Launceston General Hospital.
Community and Aged Care Services
The 2020‑21 Budget provides an additional $190 000 towards the purchase of a new property, as well as refurbishments to provide better accommodation for nursing, medical and allied health professionals working on Flinders Island. This is in addition to the $500 000 provided in the 2018‑19 Budget, providing a total of $690 000 to deliver improved accommodation on the Island.
Commencing in 2018‑19, funding of $6.9 million was provided over six years to extend the Community Rapid Response Service pilot program in the North into a permanent part of the health system. This program supports people who need short‑term intermediate care that can be safely delivered in the community or in the home.
Funding was also provided to roll out a three‑year pilot program to the Greater Hobart Area ($5.6 million) and the North West Coast ($5.6 million), scheduled for completion in 2020‑21. Evaluation of the new pilot programs will occur during 2020‑21.
The 2018‑19 Budget provided funding of $10.5 million over four years from 2018‑19 to build the next stage of the King Island Hospital Redevelopment, including staff and student accommodation. Works will include palliative care and associated family rooms; acute care and observation areas; improved emergency and after‑hours access; and a kitchen upgrade. The redevelopment will also include construction of dedicated housing for nurses working and living on King Island. Redevelopment works commenced in February 2020.
Statewide and Mental Health Services
The 2018‑19 Budget provided funding of $11.8 million to deliver 25 mental health beds in the South for: safe, supportive “step down” care post hospitalisation; “step up” care to avoid hospitalisation for those whose condition has escalated; and community mental health services. These beds will help take pressure off the Royal Hobart Hospital. In October 2018, the Government announced an additional $8.9 million in new funding to build a brand‑new mental health facility on a greenfield site at St John’s Park, delivering more capacity for the mental health system and extra mental health beds. Funding of $2.6 million that was originally allocated to Mistral Place was redirected to the new St John’s Park project, bringing total funding for St John’s Park to $11.5 million. This increased the Government’s commitment from the delivery of 25 extra mental health beds to 27 extra beds, with 12 new beds to be provided at St John’s Park and 15 new beds to be provided at the Peacock Centre.
Works at the Peacock Centre are scheduled to commence in December 2020 and works at St John’s Park are due to commence in July 2021.
In addition, the 2018‑19 Budget also provided funding of $29.9 million over five years from 2018‑19 for the operation of the new beds.
While the St John’s Park facility is under construction, an equivalent mental health Hospital in the Home Service has been established. This Service allows patients to receive hospital level care whilst being accommodated in their own home, thereby reducing pressure on Emergency Departments. The 2019‑20 Budget provided an additional $1.7 million over two years towards this service.
Commencing in 2019‑20, $2.4 million was provided over three years for additional community‑based drug and alcohol rehabilitation beds in Ulverstone, which forms part of the boost to health in the North West.
In 2018‑19, funding of $1 million was provided to trial the Housing and Accommodation Support Initiative, which has been highly successful in New South Wales. Remaining funding of $500 000 is allocated to 2020‑21.
HASI is a partnership between the Tasmanian Health Service, Housing Tasmania and Colony 47 to provide better clinical and psychosocial rehabilitation supports to Tasmanians with mental illness. This is linked with stable housing and supported accommodation.
The 2018‑19 Budget provided $6 million over three years to enable the provision of 30 additional community based drug and alcohol rehabilitation beds.
Ambulance Tasmania
The 2018‑19 Budget provided funding to establish a dedicated aeromedical and medical retrieval service. In 2020‑21, funding of $10.1 million is provided, increasing to $10.9 million in 2023‑24. The funding will be used to provide additional staffing consisting of flight paramedics and specialist retrieval doctors.
The 2018‑19 Budget also included funding of $1.6 million for capital costs associated with establishing a dedicated aeromedical and medical retrieval service including expanded base facilities to accommodate crew on‑site and additional road vehicles so that the helicopter crew can respond by road if required. Upgrades to the base facilities (including accommodation and IT services) have been completed, with $581 000 to be spent in 2020‑21 on equipment for flight paramedics and final accommodation upgrades.
The 2018‑19 Budget provided funding of $12 million over three years to build state‑of‑the‑art ambulance stations in Burnie ($6 million) and Glenorchy ($6 million).
The new Burnie station will provide greatly improved facilities including dedicated staff meeting facilities, a bigger garage to ensure that service vehicles do not have to park outside and better parking and disability access. The Glenorchy station will have a specific focus on state‑of‑the‑art training facilities, including contemporary administration, operations and staff amenities, better garaging of vehicles and parking spaces.
The 2019‑20 Budget provided additional funding of $5 million per annum, commencing from 2019‑20, to meet health demand pressures within Ambulance Tasmania.
The 2018‑19 Budget provided additional funding to recruit an additional 42 paramedics, to reduce overtime costs, increase ambulance responsiveness and reduce fatigue in regional areas around Tasmania. In 2020‑21, funding of $4.8 million is provided, increasing to $7.1 million in 2023‑24. These paramedics will provide 24 hour on duty coverage in those communities to better support Ambulance Tasmania volunteers.
Commencing in 2018‑19, funding was provided to fully roll‑out secondary triage of Ambulance Tasmania calls. In 2020‑21, $3.4 million is provided, which includes funds rolled forward from 2019‑20. Funding of $2.9 million per annum is provided from 2021‑22. Secondary triage will ensure that patients not requiring emergency intervention or transport to an emergency department will be referred to an appropriate health service, keeping paramedic resources available for emergency calls. Once fully operational, it is estimated the secondary triage service will assess almost 22 000 calls per annum and has the potential to divert up to 16 000 patients to alternate service providers.
The 2018‑19 Budget provided funding of $1.1 million to construct a dedicated training room at the Smithton Ambulance Station and a new two bedroom unit for relief staff. Construction commenced in August 2020.
Commencing in 2018‑19, additional funding was provided for the Ambulance Tasmania State Operations Centre, to boost staffing in the Centre by employing an additional six full‑time staff. These staff will help meet the growing demand for services and are in addition to a staffing increase of five full‑time staff in 2017‑18. Funding of $749 000 is provided in 2020‑21, increasing to $795 000 in 2023‑24.
Commencing in 2018‑19, funding of $15 million was provided for capital improvements at Tasmania’s rural and regional hospitals. In addition to existing funding of $1.5 million for 2020‑21 remaining from the original allocation, the 2020‑21 Budget provides an additional $10 million toward better facilities for rural hospital staff and patients and paramedics and volunteers at rural ambulance stations. Funding is being allocated based on areas with the greatest need.
Commencing in 2018‑19, additional funding of $800 000 per annum is provided to enhance support for ambulance volunteers including:
· reimbursement of out‑of‑pocket expenses;
· enhanced training and coordination;
· enhanced equipment for training volunteers;
· formal recognition of skills developed, including Advanced First Aid certificates;
· reviewing operational responsibility to ensure volunteer stations have support from a Branch Station Officer; and
· increased volunteer recruitment and retention to improve the efficiency of Ambulance Tasmania and the response to patients, particularly in rural communities.
Public Health
The 2020‑21 Budget provides funding of $1.1 million per annum to support the Healthy Tasmania Five Year Strategic Plan from 2020‑21. The Strategic Plan includes initiatives to reduce smoking (including support for pregnant women in quitting), promote healthy eating and physical activity (including the student health initiative in Schools) and assist in community connectedness (including health literacy programs and the active ageing plan).
The 2019‑20 Budget provided additional funding of $320 000 over two years for non‑government organisations for educational services. The funding will be utilised by Family Planning Tasmania, Hobart Women’s Health Centre, The Link Youth Health Service and Pregnancy Counselling and Support Tasmania.
The 2018‑19 Budget provided $6.6 million over two years to establish the Tasmanian Community Health Fund which provides grant funding to individuals and groups with ideas to improve the health of their community. In the 2020‑21 Budget, funding from 2019‑20 has been reallocated to 2020‑21 and 2021‑22 to better reflect the profile of anticipated expenditure.
The 2020‑21 Budget Papers present a new Output structure for the Department of Health.
The new structure reflects the creation of the Ministerial Portfolio for Mental Health and Wellbeing as announced by the Government on 30 June 2019. The new structure also better aligns the service delivery areas of the Department with the current operating environment and the national Government Finance Statistics Framework.
The following Output related changes have been made in this year’s Budget Papers:
· The former Output Group 1 - Health Services System Management has been renamed Output Group 1 ‑ System Management;
· The former Output 1.1 ‑ Health Services System Management has been split into two and renamed 1.1 ‑ System Management ‑ Health and 1.2 System Management - Mental Health and Wellbeing;
· The former Output Group 2 ‑ Tasmanian Health Service has been combined with the former Output Group 3 ‑ Statewide Services and renamed Output Group 2 ‑ Health Services;
· The former Output 2.4 ‑ Community and Aged Care Services has been renamed Output 2.4 ‑ Community Health Services;
· The former Output 2.6 ‑ Forensic Medicine Service has been combined with Output 2.2 - Non‑admitted Services;
· The former Outputs 3.1 Ambulance Services and 3.2 Public Health Services have been transferred to the new Output Group 2 ‑ Health Services and re‑numbered as Output 2.6 ‑ Ambulance Services and Output 2.7 ‑ Public Health Services; and
· Outputs 1.2 ‑ System Management ‑ Mental Health and Wellbeing and 2.5 Statewide and Mental Health Services relate to the new Ministerial Portfolio for Mental Health and Wellbeing.
The 2019‑20 Budget estimates have been restructured consistent with the new structure for comparative purposes.
Performance information for the Department has been updated to reflect the new Output structure.
Outputs of the Department of Health are provided under the following Output Groups:
· Output Group 1 ‑ System Management;
· Output Group 2 ‑ Health Services;
· Output Group 89 - Public Building Maintenance Program; and
· Output Group 90 - COVID‑19 Response and Recovery.
To enable the presentation of important information on the COVID‑19 Response and Recovery Measures, new Output Groups have been established. Output Group 89 ‑ Public Building Maintenance Program reflects expenditure under the Government’s Public Building Maintenance Program and Output Group 90 - COVID‑19 Response and Recovery, reflects expenditure allocated to specific Government COVID‑19 response and recovery initiatives. Further information in relation to these outputs is provided in the Key Deliverables section of this chapter.
Table 5.2 provides an Output Group Expense Summary for the Department.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management |
|
|
|
|
|
|
1.1 System Management - Health1 |
152 228 |
168 447 |
129 119 |
123 935 |
128 304 |
|
|
152 228 |
168 447 |
129 119 |
123 935 |
128 304 |
|
Output Group 2 ‑ Health Services |
|
|
|
|
|
|
2.1 Admitted Services2 |
932 379 |
1 152 110 |
1 196 230 |
1 223 814 |
1 347 540 |
|
2.2 Non‑admitted Services3 |
204 659 |
245 188 |
254 424 |
253 955 |
257 433 |
|
2.3 Emergency Department Services4 |
146 083 |
185 629 |
192 804 |
199 792 |
204 193 |
|
2.4 Community Health Services5 |
209 935 |
251 536 |
249 876 |
252 102 |
253 072 |
|
2.6 Ambulance Services6 |
101 021 |
134 635 |
127 664 |
130 588 |
133 202 |
|
2.7 Public Health Services7 |
25 849 |
30 976 |
26 324 |
27 123 |
27 704 |
|
|
1 619 926 |
2 000 074 |
2 047 322 |
2 087 374 |
2 223 144 |
|
Output Group 89 ‑ Public Building Maintenance Program8 |
|
|
|
|
|
|
89.1 Public Building Maintenance Program |
.... |
12 684 |
3 000 |
.... |
.... |
|
|
.... |
12 684 |
3 000 |
.... |
.... |
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Output Group 90 ‑ COVID‑19 Response and Recovery8 |
|
|
|
|
|
|
90.1 Primary Health Support |
.... |
1 309 |
.... |
.... |
.... |
|
90.2 Health Care and Front Line Workers Accommodation |
.... |
929 |
.... |
.... |
.... |
|
90.3 Health COVID‑19 General Allocation9 |
.... |
45 597 |
.... |
.... |
.... |
|
90.5 Cancer Council Tasmania |
.... |
500 |
.... |
.... |
.... |
|
90.6 Community Healthcare |
.... |
1 600 |
2 300 |
.... |
.... |
|
90.7 Elective Surgery |
.... |
5 000 |
20 000 |
.... |
.... |
|
|
.... |
54 935 |
22 300 |
.... |
.... |
|
|
|
|
|
|
|
|
Grants and Subsidies10 |
.... |
46 384 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Special Capital Investment Funds |
51 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management |
|
|
|
|
|
|
1.2 System Management ‑ Mental Health and Wellbeing |
37 069 |
37 702 |
35 028 |
34 777 |
35 341 |
|
|
37 069 |
37 702 |
35 028 |
34 777 |
35 341 |
|
Output Group 2 ‑ Health Services |
|
|
|
|
|
|
2.5 Statewide and Mental Health Services11 |
119 621 |
148 366 |
151 993 |
146 289 |
148 896 |
|
|
119 621 |
148 366 |
151 993 |
146 289 |
148 896 |
|
Output Group 90 ‑ COVID‑19 Response and Recovery8 |
|
|
|
|
|
|
90.4 Mental Health Program |
.... |
2 110 |
.... |
.... |
.... |
|
90.8 Community Mental Health Support |
.... |
1 152 |
.... |
.... |
.... |
|
|
.... |
3 262 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
TOTAL |
1 928 895 |
2 471 854 |
2 388 762 |
2 392 375 |
2 535 685 |
|
|
|
|
|
|
|
Notes:
1. The increase in System Management - Health in 2020‑21 primarily reflects: the National Partnership Agreement on COVID‑19 Response ($31.1 million); anticipated expenditure on the Australian Government funded Community Health and Hospitals Program Tasmanian 2019‑20 and 2020‑21 Initiatives, for Improved Access to Health Services ($8 million) and Diagnostic Mammography ($3 million); and a rollover of unexpended appropriation from 2019‑20 for the Tasmanian Community Health Fund ($3.4 million). This is offset by an internal reallocation between Departmental outputs to more accurately reflect anticipated expenditure ($20.3 million) and a depreciation update ($3.9 million). The decrease in 2021‑22 and 2022‑23 primarily reflects the cessation of expenditure for the National Partnership Agreement on COVID‑19 Response and the Community Health and Hospitals Program Tasmanian 2019‑20 and 2020‑21 Initiatives.
2. The increase in Admitted Services in 2020‑21 primarily reflects: Additional THS Funding ($77.7 million); a National Health Reform Funding update to align with forecast activity ($23.6 million); Demand and Beds - Major Hospitals ($25.4 million); an update to own‑source revenue related expenditure primarily related to Medicare ($15.6 million); anticipated expenditure on the Australian Government funded Community Health and Hospitals Program Tasmanian 2019‑20 and 2020‑21 Initiatives - Elective Surgery ($12.5 million); and an update to depreciation mostly relating to the Royal Hobart Hospital K‑Block development ($17 million). The increase in 2023‑24 reflects the funding profile for the 250 beds for the Royal Hobart Hospital initiative.
3. The increase in Non‑admitted Services in 2020‑21 primarily reflects: Additional THS Funding ($19.9 million); an update to own‑source revenue related expenditure primarily related to Medicare ($4.7 million); an internal reallocation of expenditure between Departmental outputs to more accurately reflect anticipated expenditure ($4.3 million); a National Health Reform Funding update to align with forecast activity ($2 million); and an update to depreciation ($1.6 million).
4. The increase in Emergency Department Services in 2020‑21 primarily reflects: Additional THS Funding ($19 million); a National Health Reform Funding update to align with forecast activity ($8.6 million); an update to own‑source revenue related expenditure primarily related to Medicare ($4.2 million); an internal reallocation of expenditure between Departmental outputs to more accurately reflect anticipated expenditure ($2.6 million) and an update to depreciation ($1 million).
5. The increase in Community Health Services in 2020‑21 primarily reflects: Additional THS Funding ($20.8 million); additional Commonwealth Own Purpose Expenditure payments ($6.4 million); an extension to the Australian Government funded Child Dental Benefits Scheme for a further three years to 31 December 2022 ($6 million); an internal reallocation of expenditure between Departmental outputs to more accurately reflect anticipated expenditure ($4.4 million); and a rollover of unexpended appropriation from 2019‑20 for the Community Rapid Response Service ($2.1 million); an update to depreciation ($1.7 million); and an update to the National Partnership on Public Dental Services for Adults ($1.3 million).
6. The increase in Ambulance Services in 2020‑21 primarily reflects: recognition of the estimated contribution made by volunteers to Ambulance Tasmania under the AASB 1058 Income of Not‑for Profit Entities ($11 million); the National Partnership Agreement on COVID‑19 Response ($5.4 million); an increase in funding for More Paramedics in Regional Areas ($2 million) and Secondary Triage ($3.4 million); and a 27th pay period in 2020‑21 ($2.9 million). The decrease in 2021‑22 primarily reflects the cessation of funding for the National Partnership Agreement on COVID‑19 Response and the 27th pay period in 2020‑21.
7. The increase in Public Health Services in 2020‑21 and the decrease in 2021‑22 primarily reflects the National Partnership Agreement on COVID‑19 Response ($3.4 million).
8. Expenditure profiles within the Public Building Maintenance Program and the COVID‑19 Response and Recovery Output Groups reflect the Government’s commitment to COVID‑19 Response and Recovery, as detailed in Table 5.1 Key Deliverables Statement and the associated commentary.
9. This amount reflects the component of the Health COVID‑19 General Allocation that is being expensed. Other expenditure is reflected as Purchases of non‑financial assets.
10. Grants and Subsidies reflects the National Partnership Agreement on COVID‑19 Response: Private Hospital Financial Viability Payments.
11. The
increase in Statewide and Mental Health Services in 2020‑21 and 2021‑22
primarily reflects: Additional THS Funding ($11.8 million); a National
Health Reform Funding update to align with forecast activity ($4.7 million);
funding for the Peacock Centre ($3.8 million); an internal reallocation
between Departmental outputs to more accurately reflect anticipated expenditure
($2.2 million); the Australian Government funded Community Health and Hospitals
Program Tasmanian 2019‑20 and 2020‑21 Initiatives - Perinatal
and Infant Mental Health Services ($1.5 million in 2020‑21 and
$3 million in 2021‑22); an update to own‑source revenue
related expenditure primarily related to Medicare ($1.3 million); Child and
Adolescent Mental Health Service Recommendations ($1.5 million in 2020‑21
and $2.5 million in 2021‑22); Mental Health Integration and Reform
($1.2 million in 2020‑21 and $2.9 million in 2021‑22);
and Reform Agenda for the Alcohol and Drug Sector in Tasmania
($1.2 million in 2020‑21 and $3.7 million in 2021‑22).
The decrease in 2022‑23 primarily reflects cessation of funding for the
Australian Government funded Community Health and Hospitals Program Tasmanian
2019‑20 and 2020‑21 Initiatives ‑ Perinatal and Infant Mental
Health Services.
This Output provides specialist clinical advice on health professional, policy, regulatory and clinical issues impacting the Tasmanian health system; the management of intergovernmental relations; and core health services system management functions of strategy and planning, purchasing, monitoring, performance management, analysis, evaluation and reporting.
This Output provides specialist clinical advice on mental health and wellbeing professional, policy, regulatory and clinical issues impacting the Tasmanian health system; the management of intergovernmental relations; and core mental health and wellbeing services system management functions of strategy and planning, purchasing, monitoring, performance management, analysis, evaluation and reporting.
|
Performance Measure |
Unit of Measure |
2017‑18 Actual |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Target |
|
|
|
|
|
|
|
|
System Management ‑ Health |
|
|
|
|
|
|
Implementation of Government reform agenda goals achieved within published timeframe1,2 |
% |
100 |
89 |
72 |
100 |
|
Service Plan developed and administered in accordance with the THS Reform Act, and policy settings endorsed by the Minister for Health3 |
Number |
1 |
1 |
1 |
1 |
|
|
|
|
|
|
|
|
System Management - Mental Health and Wellbeing |
|
|
|
|
|
|
Implementation of Government reform agenda goals achieved within published timeframe4 |
% |
91 |
100 |
na |
100 |
|
|
|
|
|
|
|
Notes:
1. Figures for dates prior to 1 July 2018 relate to activities administered by the former Department of Health and Human Services. Figures from 1 July 2018 relate to activities administered by the Department of Health and also reflects the new Output structure of the Department.
2. The health reform goals for 2019‑20 are those specified in the Government’s Second Year Agenda (Quarters Two, Three and Four). The 2019‑20 target of 100 per cent was not achieved due to a number of infrastructure projects being delayed due to the COVID‑19 pandemic.
3. The Tasmanian Health Service Act 2018 requires a Service Plan to be prepared by the Secretary. The Service Plan replaces the previous requirement for a Service Agreement.
4. There were no initiatives in the Second Year Agenda for Mental Health. This is not applicable for 2019‑20.
This Output provides services to acute, sub‑acute and non‑acute admitted patients (inpatients) through Tasmania’s major public hospitals. It excludes admitted services provided by designated mental health wards in major public hospitals (see Output 2.5 Statewide and Mental Health Services) or district hospitals (see Output 2.4 Community Health Services).
This Output provides services to non‑admitted patients through Tasmania’s major public hospitals. It includes services provided in outpatient clinics, as well as a number of other health services provided by Tasmania’s major public hospitals, including forensic medicine services, that are neither admitted services nor emergency department services.
This Output provides services relating to emergency presentations at Tasmania’s major public hospital emergency departments.
This Output provides community health services, hospital services, and aged care services to patients and residents outside Tasmania’s major public hospitals. These services are provided through a broad range of service centres, including community health centres, child health centres, parenting centres, dental clinics, district hospitals and multi‑purpose centres.
This Output supports a wide range of clients including people experiencing complex and chronic disease, severe mental health illness, alcohol and drug issues and people within the corrections and justice system. Services include the provision of inpatient, hospital‑based and community‑based services, with many provided in partnership with community sector organisations.
This Output provides integrated pre‑hospital emergency and medical services, health transport, aero‑medical and medical retrieval services to the Tasmanian community. It provides these services through a system of paramedics, doctors, patient transport officers, volunteer officers and the support and partnership of independent non‑government services around the State.
This Output provides public health services that improve and protect the health of all Tasmanians by enabling Tasmanians to make positive health choices and live in safe environments. This is achieved through an integrated network of practice and programs led by public health specialist practitioners, doctors and scientists, with the support of local government, other agencies of government and non‑government organisations.
|
Unit of Measure |
2017‑18 Actual |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Target |
|
|
|
|
|
|
|
|
|
Admitted Services1 |
|
|
|
|
|
|
Admitted patients ‑ National Weighted Activity Unit2 |
Number |
114 796 |
118 223 |
107 870 |
124 947 |
|
Elective surgery patients seen on time3 |
|
|
|
|
|
|
Category 1 |
% |
75.6 |
71.8 |
68.0 |
100.0 |
|
Category 2 |
% |
61.4 |
43.1 |
36.7 |
40.0 |
|
Category 3 |
% |
86.8 |
66.4 |
59.2 |
62.0 |
|
Elective surgery patients ‑ average overdue wait time for those waiting beyond the recommended time3 |
|
|
|
|
|
|
Category 1 |
Days |
49.7 |
58.0 |
84.9 |
0.0 |
|
Category 2 |
Days |
100.1 |
125.0 |
161.4 |
125.0 |
|
Category 3 |
Days |
55.0 |
95.4 |
150.2 |
95.0 |
|
Elective surgery admissions3,4 |
Number |
17 564 |
17 858 |
15 065 |
19 116 |
|
Hand hygiene compliance |
% |
79.3 |
79.4 |
81.5 |
>80.0 |
|
Healthcare associated staphylococcus aureus (including MRSA) bacteraemia (rate per 10 000 patient days) |
Rate |
1.0 |
1.0 |
1.1 |
≤1.0 |
|
Cost per weighted separation5 |
$ |
5 188 |
5 662 |
na |
na |
|
|
|
|
|
|
|
|
Non‑admitted Services1 |
|
|
|
|
|
|
Outpatient attendances6 |
Number |
561 286 |
576 650 |
532 802 |
581 000 |
|
|
|
|
|
|
|
|
Emergency Department Services1 |
|
|
|
|
|
|
Emergency Department presentations7 |
Number |
162 441 |
165 994 |
153 738 |
170 000 |
|
ED patients who are admitted, referred for treatment or discharged within four hours8 |
% |
64.4 |
62.0 |
60.0 |
90 |
|
Percentage of all ED patients seen within the recommended triage time8 |
% |
65.5 |
64.0 |
64.6 |
80 |
|
|
|
|
|
|
|
|
Community Health Services1 |
|
|
|
|
|
|
District hospitals ‑ separations |
Number |
4 002 |
4 020 |
3 921 |
4 150 |
|
District hospitals ‑ occupancy rate |
% |
59.2 |
56.1 |
53.5 |
60.0 |
|
Community nursing ‑ occasions of service |
Number |
169 232 |
173 810 |
171 913 |
173 000 |
|
Residential aged care ‑ occupancy rate |
% |
89.3 |
87.6 |
89.6 |
90.0 |
|
Aged Care Assessment Program ‑ completed assessments |
Number |
4 443 |
4 648 |
4 648 |
4 700 |
|
Mothers attending the eight‑week Child Health Assessment |
% |
91.0 |
91.8 |
91.2 |
91.0 |
|
Performance Measure |
Unit of Measure |
2017‑18 Actual |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Target |
|
|
|
|
|
|
|
|
Community Health Services1 (continued) |
|
|
|
|
|
|
Oral Health9 |
|
|
|
|
|
|
Adults ‑ occasions of service - general |
Number |
11 152 |
13 912 |
7 054 |
6 900 |
|
Adults ‑ occasions of service ‑ episodic |
Number |
33 576 |
32 072 |
28 588 |
24 700 |
|
Adults ‑ occasions of service ‑ dentures |
Number |
17 901 |
18 498 |
13 960 |
12 700 |
|
Children ‑ occasions of service |
Number |
63 686 |
64 883 |
49 909 |
44 300 |
|
General (adults) waiting list |
Number |
10 462 |
12 113 |
15 381 |
15 000 |
|
Dentures waiting list10 |
Number |
170 |
246 |
647 |
1 404 |
|
|
|
|
|
|
|
|
Statewide and Mental Health Services1 |
|
|
|
|
|
|
Inpatient Separations |
Number |
1 795 |
1 670 |
1 917 |
2 100 |
|
Community and Residential ‑ active clients |
Number |
7 865 |
8 032 |
8 202 |
7 800 |
|
28 day readmission rate |
% |
15.3 |
12.5 |
13.4 |
≤14.0 |
|
Proportion of persons with a mental illness whose needs are met by the Tasmanian Mental Health Service11 |
% |
61.3 |
68.2 |
71.5 |
63.0 |
|
Average length of acute inpatient stay |
Days |
13.3 |
15.0 |
13.1 |
12.0 |
|
Alcohol and Drug Services ‑ closed episodes of treatment12 |
Number |
3 574 |
3 591 |
na |
4 000 |
|
Pharmacotherapy Program ‑ total active participants13 |
Number |
907 |
895 |
896 |
930 |
|
Withdrawal Unit ‑ bed occupancy |
% |
54.8 |
58.2 |
55.7 |
75.0 |
|
Withdrawal Unit ‑ average length of stay |
Days |
6.3 |
5.8 |
5.4 |
7.0 |
|
|
|
|
|
|
|
|
Ambulance Services |
|
|
|
|
|
|
Total Ambulance Responses14 |
Number |
89 220 |
89 606 |
93 165 |
97 823 |
|
Emergency Ambulance Responses |
Number |
44 895 |
45 763 |
46 302 |
48 617 |
|
Satisfaction with Ambulance Services |
% |
98 |
98 |
98 |
98 |
|
Median Emergency Response Times (Statewide) |
Mins |
12.8 |
12.9 |
13.8 |
13.8 |
|
Median Emergency Response Times (Hobart) |
Mins |
11.5 |
11.7 |
13.1 |
13.1 |
|
Median Emergency Response Times (Launceston) |
Mins |
11.1 |
11.1 |
12.3 |
12.3 |
|
Median Emergency Response Times (Devonport) |
Mins |
9.8 |
10.1 |
11.0 |
11.0 |
|
Median Emergency Response Times (Burnie) |
Mins |
10.2 |
10.6 |
11.0 |
11.0 |
|
Ambulance Services expenditure per person15 |
$ |
160.5 |
181.2 |
na |
na |
|
Performance Measure |
Unit of Measure |
2017‑18 Actual |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Target |
|
|
|
|
|
|
|
|
Public Health Services |
|
|
|
|
|
|
Eligible women screened for breast cancer1,16 |
Number |
34 103 |
32 431 |
29 487 |
34 377 |
|
BreastScreen ‑ percentage of clients assessed within 28 days of screening1,17 |
% |
97.9 |
93.9 |
94.3 |
90.0 |
|
|
|
|
|
|
|
|
Radiation Protection |
|
|
|
|
|
|
% |
94.0 |
87.0 |
78.0 |
95.0 |
|
|
Radiation Source Certification ‑ Recertified prior to expiry |
% |
96.0 |
94.0 |
95.0 |
95.0 |
|
|
|
|
|
|
|
|
Immunisation |
|
|
|
|
|
|
Vaccine coverage in children aged 5 years19 |
% |
94.6 |
95.5 |
95.0 |
95.0 |
|
|
|
|
|
|
|
|
Move Well Eat Well |
|
|
|
|
|
|
Primary School Program Membership |
% |
82.4 |
82.0 |
82.0 |
82.0 |
|
Primary School Program Awarded |
% |
27.2 |
28.7 |
26.0 |
26.5 |
|
Early Childhood Program Membership |
% |
79.7 |
80.5 |
80.6 |
81.0 |
|
Early Childhood Program Awarded |
% |
25.2 |
30.1 |
34.7 |
34.8 |
|
|
|
|
|
|
|
Notes:
1. The performance measures and associated targets are in accordance with the 2020‑21 Service Plan that came into effect on 1 July 2020, preceding the provision of additional information provided in this Budget. In the event that the 2020‑21 Service Plan is amended throughout the duration of 2020‑21, the performance measures and associated figures included in the most current endorsed amendment will supersede those quoted in this chapter.
2. National Weighted Activity Units are measured differently each year. The measure is therefore not directly comparable between years. The 2019‑20 result is preliminary and subject to change following final reconciliation by the National Health Funding Body. The reduction from 2018‑19 NWAUs in part reflects lower levels of elective surgery and the impact of COVID‑19. The 2020‑21 target is set at the funded levels in the 2020‑21 Service Plan. The increase from 2019‑20 in part reflects an assumed return to pre‑COVID‑19 activity levels and the inclusion of additional activity associated with bed openings at the Royal Hobart Hospital K‑Block.
3. All non‑urgent elective surgery was suspended due to the COVID‑19 pandemic between 25 March 2020 and 27 April 2020, with only Category 1 and some exceptional Category 2 surgery performed during this period. From mid‑May 2020, elective surgery began being restored toward normal activity. As per note 4 below, additional elective surgeries in 2020‑21 will be targeted at over‑boundary patients in response to the impact of COVID‑19. Because of this, it is anticipated that Category 2 and 3 average overdue wait times will return to pre‑COVID‑19 levels.
4. The 2020‑21 target includes estimates of additional elective surgeries funded through both the Australian Government’s Community Health and Hospital’s Package and the State Government’s elective surgery boost. The elective surgery boost consists of a State Government component of $5 million in 2020‑21 and $20 million in 2021‑22 plus an Australian Government Activity Based Funding component of $4.1 million in 2020‑21 and $16.4 million in 2021‑22.
5. The 2017‑18 actual has been revised to reflect the final published result as per the Round 22 National Hospital Cost Data Collection. The 2018‑19 actual has been revised to reflect the preliminary result as per the Round 23 NHCDC. The 2019‑20 result will not be known until the completion of the Round 24 NHCDC, scheduled for November 2021. The 2020‑21 result will not be known until completion of the Round 25 NHCDC, scheduled for November 2022.
6. The 2019‑20 preliminary result has seen a reduction in outpatient attendances due to the impact of COVID‑19 and a change in counting rules for Tier 2 clinics. The 2020‑21 target is set at pre‑COVID-19 activity levels.
7. Emergency Department activity was impacted from mid‑March 2020 onwards by the State’s response to COVID‑19 with temporary closures and restricted operating hours of Emergency Departments in the North West. The 2020‑21 target has been set in line with the 2020‑21 Service Plan.
8. The 2020‑21 target for ED patients seen within time has been set in accordance with the 2020‑21 Service Plan.
9. Oral Health Services Tasmania transitioned to an emergency service only from April to June 2020 in response to the COVID‑19 pandemic, limiting the amount of non‑urgent care provided. The 2020‑21 targets for Oral Health Services general and episodic care are lower than the 2019‑20 targets due to the border restrictions in response to COVID‑19 impacting on the availability of dentists from interstate.
10. The dentures waiting list increased in 2019‑20 due to a reduction in Australian Government funds for the Tasmanian Denture Scheme. This program enables public patients to be managed by private dental practitioners.
11. This indicator is based on the estimated three per cent of the Tasmanian population with severe mental illness. The Department of Treasury and Finance’s population projections for 2020 for Tasmania was 533 384, giving an estimated 16 002 people with a severe and persistent mental illness in 2020‑21. The 2019‑20 Actual reflects the current model of care, and the 2020‑21 target has been revised to reflect the new model of care to be introduced from 2020‑21.
12. Data for the 2019‑20 Alcohol and Drug Services ‑ closed episodes of treatment actual was not available at the time of finalising the Budget Papers.
13. In 2017-18 the Department transferred responsibility for collection and reporting of Schedule 8 drugs and number of patients dosed to the Tasmanian Health Service. During the transition to a new data collection process, data was not available for reporting. Implementation of the new data collection process has enabled the reporting of previously unavailable data.
14. Total ambulance responses include emergency, urgent and non‑urgent responses. This indicator is a measure of demand rather than performance. The figures presented here for 2017‑18 to 2019‑20 are actual caseload.
15. Ambulance Services expenditure per person are as published in the Productivity Commission’s Annual Report on Government Services. Each year, the Productivity Commission adjusts the time series financial data to current year dollars. Consequently, figures reported this year may differ from those reported previously. Data for the 2019‑20 actual was not available at the time of finalising the Budget Papers. Targets are not set for this indicator as historical expenditure does not provide a good indicator of future expenditure.
16. The 2020‑21 target for eligible women screened for breast cancer is based on six per cent growth on the 2018‑19 attendance figure, as BreastScreen is a biennial screening program. This reflects growth in the demographic and an increase in participation. During 2019‑20, the number of eligible women screened for breast cancer was affected due to COVID‑19 related service closures.
17. The 2020‑21 target for the percentage of clients assessed within 28 days of screening is in accordance with the BreastScreen Australia National Accreditation Standards.
18. In 2019‑20, there was a reduction in businesses notifying that they had reviewed their Plan because businesses (with a lower potential risk), such as veterinarians and dentists, closed for a period of time in response to the COVID‑19 pandemic.
19. There
is a break in the series for immunisation data following the introduction of a
new indicator. Vaccine coverage indicates the proportion of five year old
children (aged 60<63 months) who have been immunised against Diphtheria,
Tetanus, Pertussis (Whooping Cough), and Polio due at four years of age. Data
for 2019‑20 includes children turning five years in the 12 months
between 1 January 2019 to 31 December 2019, as measured in
the reporting period from 1 April 2019 to 31 March 2020.
Table 5.5 provides financial information for the Department’s Capital Investment Program. More information on the Capital Investment Program is provided in chapter 6 of The Budget Budget Paper No 1.
|
|
Estimated |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
Total |
|
Forward |
Forward |
Forward |
|
|
Cost |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
New Infrastructure Commitments |
|
|
|
|
|
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
Human Resources Information System2 |
21 600 |
2 100 |
11 000 |
8 500 |
.... |
|
Regional Health and Ambulance Facilities Fund2 |
10 000 |
5 000 |
5 000 |
.... |
.... |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
CHHP St Johns Park Eating Disorders Treatment Centre |
10 000 |
250 |
5 750 |
2 000 |
2 000 |
|
|
|
|
|
|
|
|
Existing Infrastructure Commitments |
|
|
|
|
|
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
Aeromedical Helicopter Service2 |
1 615 |
581 |
.... |
.... |
.... |
|
Air Conditioning Upgrades ‑ Statewide2 |
5 902 |
4 276 |
.... |
.... |
.... |
|
Better Accommodation for Health Professionals on Flinders Island2 |
690 |
580 |
.... |
.... |
.... |
|
Burnie and Glenorchy Ambulance Stations2 |
12 000 |
8 877 |
2 822 |
.... |
.... |
|
Campbell Town Ambulance Station |
2 960 |
2 057 |
.... |
.... |
.... |
|
CHHP Acute Care facility NWRH3 |
10 000 |
.... |
.... |
5 000 |
5 000 |
|
CHHP Birthing Suites Upgrade LGH |
400 |
340 |
.... |
.... |
.... |
|
CHHP Kings Meadows Community Centre3 |
10 000 |
.... |
.... |
5 000 |
5 000 |
|
CHHP Queenstown Allied Health and Aged Care Facility3 |
1 000 |
.... |
1 000 |
.... |
.... |
|
Digital Health Transformation2 |
1 500 |
.... |
.... |
.... |
.... |
|
Health Transport and Coordination Infrastructure |
9 187 |
1 757 |
.... |
.... |
.... |
|
Launceston General Hospital ‑ More Car Parking2 |
5 000 |
2 332 |
.... |
.... |
.... |
|
Launceston General Hospital ‑ Redevelopment2 |
87 331 |
14 092 |
12 000 |
20 508 |
29 643 |
|
Launceston General Hospital Ward Upgrades ‑ Ward 4K Upgrades |
9 664 |
1 220 |
.... |
.... |
.... |
|
Maternity Services at the North West Regional Hospital2 |
4 300 |
4 191 |
.... |
.... |
.... |
|
Mersey Community Hospital Capital Upgrades2 |
37 386 |
28 888 |
4 081 |
.... |
.... |
|
Midlands Multipurpose Centre (Oatlands Hospital) Upgrade |
2 536 |
11 |
.... |
.... |
.... |
|
|
Estimated |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
Total |
|
Forward |
Forward |
Forward |
|
|
Cost |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Priority Infrastructure Works - Health |
2 800 |
118 |
.... |
.... |
.... |
|
Royal Hobart Hospital Pharmacy Redevelopment |
3 761 |
3 743 |
.... |
.... |
.... |
|
Royal Hobart Hospital Redevelopment4 |
469 200 |
49 554 |
.... |
.... |
.... |
|
Royal Hobart Hospital Stage 2 Redevelopment2,5 |
91 080 |
17 197 |
61 200 |
11 400 |
.... |
|
Smithton Ambulance Training Station2 |
1 130 |
1 030 |
.... |
.... |
.... |
|
St Helens Hospital Redevelopment |
12 100 |
165 |
.... |
.... |
.... |
|
Stage 2 of the King Island Hospital Redevelopment2 |
10 500 |
5 956 |
1 440 |
.... |
.... |
|
Statewide Rural Hospital and Ambulance Station Upgrade Fund2 |
15 000 |
11 454 |
.... |
.... |
.... |
|
Statewide Hospital Critical Facility Upgrades |
6 990 |
3 304 |
.... |
.... |
.... |
|
Statewide Rural Health Facility Infrastructure Upgrades |
4 700 |
2 915 |
.... |
.... |
.... |
|
THS Infrastructure Upgrades |
1 130 |
1 130 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
27 New Mental Health Beds in Southern Tasmania2 |
20 740 |
17 947 |
1 809 |
.... |
.... |
|
|
|
|
|
|
|
|
Total CIP Allocations |
|
191 065 |
106 102 |
52 408 |
41 643 |
|
|
|
|
|
|
|
Notes:
1. The estimated total cost for some projects has changed from the original allocations in prior Budgets due to revised project funding requirements resulting in the reallocation of funding between projects and from other fund sources where necessary.
2. These projects are included in Table 5.1 in the Key Deliverables section at the commencement of this chapter, along with a description for each project.
3. Project timing and cash flows are preliminary estimates, which will be finalised in conjunction with the Australian Government.
4. Funds allocated for the Royal Hobart Hospital Redevelopment in 2020‑21 include: final commissioning and service fit out works. Practical completion of K‑Block occurred on 18 March 2020.
5. The 2018‑19 Budget provided $28.1 million for Royal Hobart Hospital Ward Upgrades. This project now forms part of the Royal Hobart Hospital Stage 2 Redevelopment.
Additional funding of $3 million was allocated in 2017‑18 to construct a new Campbell Town Ambulance Station. The new Station will deliver a contemporary ambulance station on a greenfield site at the southern end of Campbell Town. The project will include accommodation for relieving paramedics. Works are due for completion in 2020‑21.
The Australian Government provided $92 million in the 2019‑20 Australian Government Budget to support better health care for all Tasmanians, improving waiting times for elective surgery, boosting mental health and maternity services, and increasing cancer diagnosis scans. Capital investment initiatives announced in this program include:
· $10 million for an Acute Care Facility at the North West Regional Hospital;
· $400 000 for Birthing Suites Upgrades at the Launceston General Hospital;
· $10 million for the Kings Meadows Community Centre;
· $1 million towards the Queenstown Allied Health and Aged Care Facility; and
· $10 million for a new residential eating disorder clinic in Hobart.
Funding of $10 million was provided in the 2015‑16 Budget for health transport infrastructure projects. These funds were used to improve infrastructure associated with changes to patient coordination, transport and accommodation arising from the One Health System reforms. These funds were directed to capital upgrades to support patients that need to travel for services, staff that may need to travel to provide outreach services to patients, or strategies that limit the need for patients or staff to travel in order to provide or receive services under a single state‑wide Tasmanian health system, including developing Telehealth Services. During 2019‑20, $813 000 was transferred to the Mersey Community Hospital Capital Upgrades project. The 2020‑21 Budget provides funding of $1.8 million toward the Telehealth Project Team, to continue development of this service across the Tasmanian health system.
The 2016‑17 Budget provided $7.9 million over four years to upgrade Ward 4K at the Launceston General Hospital. A further $1.8 million has been allocated to the Project from internal funds to fund the Women’s and Children’s Services playground, an additional back-up generator and mains relocation and other priority areas. Funds of $1.2 million remain in 2020‑21. The expansion of Ward 4K into a Paediatric Inpatient Unit will enable young people suffering from a mental illness to be treated in a clinically appropriate environment. Works are due for completion in 2020‑21.
The 2016‑17 Budget provided additional funding of $3.8 million for the Royal Hobart Hospital Pharmacy Redevelopment project. This project will deliver a new, purpose built sterile pharmaceutical production facility at the Royal Hobart Hospital. This facility will be a contemporary, safe, high‑capacity sterile production suite that is able to meet patient throughput needs for chemotherapy and elective surgery, and other services as required. This project will run concurrently with the Royal Hobart Hospital Stage 2 Redevelopment works.
The $689 million Royal Hobart Hospital Redevelopment is Tasmania’s largest ever health infrastructure project to deliver a modern health facility for future generations. This project is jointly funded by the Australian and Tasmanian Governments.
Construction of K‑Block, a 10 storey inpatient facility, was granted practical completion on 18 March 2020.
The total $689 million cost of this project includes $469 million from the Capital Investment Program project identified in Table 5.5, funds from the former Special Capital Investment Fund and funding relating to the Women’s and Children’s Precinct and Cancer Centre phases of the project. The 2020‑21 Budget of $49.6 million will fund final commissioning and service fit out works.
The 2017‑18 Budget provided additional funding of $10.5 million over three years for critical upgrades at hospital facilities across the State. Funding has been approved for a number of upgrades including emergency power backup at Launceston General Hospital, server upgrades at Royal Hobart Hospital and the Cambridge Kitchen site which has been completed. A portion of funding has been transferred to these projects.
The 2017‑18 Budget provided funding of $4.7 million over three years for high priority infrastructure upgrades in rural health facilities across the State. Investment is primarily dedicated to roof upgrades and heating, ventilation and air‑conditioning units across the State that are in need of upgrade and replacement.
Funding of $1.9 million was provided over two years,
commencing in 2019‑20, for significant infrastructure upgrades and
replacements in the THS in addition to the Essential Maintenance program
already undertaken. During 2019‑20, $750 000 was reallocated to
additional LGH 4K works following a revised scope of works and increase to
initial costs.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Revenue and other income |
|
|
|
|
|
|
Appropriation revenue - operating1 |
1 180 798 |
1 435 894 |
1 453 290 |
1 462 935 |
1 570 558 |
|
Appropriation revenue - capital2 |
95 993 |
104 994 |
99 352 |
40 408 |
29 643 |
|
Other revenue from government3 |
.... |
69 876 |
.... |
.... |
.... |
|
Grants4 |
565 618 |
655 029 |
566 832 |
561 732 |
593 693 |
|
Sales of goods and services5 |
203 363 |
234 153 |
236 103 |
238 733 |
241 494 |
|
Interest |
334 |
344 |
344 |
344 |
344 |
|
Other revenue6 |
22 671 |
40 415 |
41 807 |
42 808 |
43 147 |
|
Total revenue |
2 068 777 |
2 540 705 |
2 397 728 |
2 346 960 |
2 478 879 |
|
Net gain/(loss) on non‑financial assets |
13 |
183 |
184 |
184 |
185 |
|
Total income |
2 068 790 |
2 540 888 |
2 397 912 |
2 347 144 |
2 479 064 |
|
|
|
|
|
|
|
|
Expenses |
|
|
|
|
|
|
Employee benefits7 |
1 216 692 |
1 523 369 |
1 549 164 |
1 535 736 |
1 597 797 |
|
Depreciation and amortisation8 |
67 777 |
90 055 |
92 475 |
92 863 |
93 281 |
|
Supplies and consumables9 |
488 241 |
645 102 |
587 266 |
597 134 |
675 277 |
|
Grants and subsidies10 |
115 915 |
122 965 |
116 169 |
121 739 |
125 020 |
|
Borrowing costs11 |
1 471 |
623 |
480 |
343 |
214 |
|
Other expenses |
38 799 |
43 356 |
43 208 |
44 560 |
44 096 |
|
Total expenses |
1 928 895 |
2 425 470 |
2 388 762 |
2 392 375 |
2 535 685 |
|
|
|
|
|
|
|
|
Net result |
139 895 |
115 418 |
9 150 |
(45 231) |
(56 621) |
|
|
|
|
|
|
|
|
Other comprehensive income |
|
|
|
|
|
|
Changes in physical asset revaluation reserve12 |
30 908 |
47 340 |
48 878 |
52 167 |
51 964 |
|
Total other comprehensive income |
30 908 |
47 340 |
48 878 |
52 167 |
51 964 |
|
|
|
|
|
|
|
|
Comprehensive result |
170 803 |
162 758 |
58 028 |
6 936 |
(4 657) |
|
|
|
|
|
|
|
Notes:
1. The increase in Appropriation revenue ‑ operating primarily reflects additional funding provided in the 2020‑21 Budget for initiatives detailed in Table 5.1 Key Deliverables Statement. The increase in 2023‑24 primarily reflects the funding profile of the 250 beds for the Royal Hobart Hospital initiative.
2. The variation in Appropriation revenue ‑ capital reflects the profile of capital project funding from the Capital Investment Program as detailed in Table 5.5 Capital Investment Program.
3. Other revenue from government in 2020‑21 reflects the rollover of unexpended appropriation from 2019‑20 approved in accordance with the Financial Management Act 2016. The majority of these funds relate to Capital Investment Program projects.
4. The variation in Grants reflects the profile of Australian Government funding. The increase in 2020‑21 primarily reflects funding for the National Partnership Agreement on COVID‑19 Response ($45.2 million) and National Health Reform funding updates to align with forecast activity ($39.3 million). The decrease in 2021‑22 primarily reflects the cessation of the Australian Government National Partnership Agreement on COVID‑19 Response and National Partnership Agreement for the Redevelopment of the Royal Hobart Hospital ($22.3 million). The decrease in 2022‑23 primarily reflects the cessation of the Australian Government Community Health and Hospitals Program Tasmanian 2019‑20 and 2020‑21 Initiatives. The increase in 2023‑24 primarily reflects the increase in ABF relating to the 250 beds for the Royal Hobart Hospital initiative.
5. The increase in Sales of goods and services from 2020‑21 primarily reflects revised estimates for Departmental own‑source revenues including: a change to Medicare Pharmaceutical Benefits Scheme arrangements relating to chemotherapy pharmaceuticals ($22.4 million) and increases in interstate charging receipts for cross border transactions with other jurisdictions ($8.4 million).
6. The increase in Other revenue from 2020‑21 primarily reflects recognition of the estimated contribution made by volunteers to Ambulance Tasmania under AASB 1058 Income of Not‑for Profit Entities ($11 million) and a more accurate estimate of bureau service revenue from the Department of Communities Tasmania.
7. The increase in Employee benefits from 2020‑21 primarily reflects the Additional THS Funding, National Health Reform funding updates to align with forecast activity, and a scale‑up of prior year initiatives as detailed in Table 5.1 Key Deliverables Statement.
8. The increase in Depreciation and amortisation from 2020‑21 primarily reflects an update to the Department’s anticipated depreciation schedules based on current asset balances and anticipated purchases of non‑financial assets over the Budget and Forward Estimates, including a $10 million update in relation to the Royal Hobart Hospital K‑Block.
9. The variation in Supplies and consumables primarily reflects additional funding provided in the 2020‑21 Budget for initiatives detailed in Table 5.1 Key Deliverables Statement, including significant expenditure on COVID‑19 Response and Recovery Measures in 2020‑21. It also reflects the profile of Australian Government funding for National Health Reform and National Partnership Agreement projects.
10. The increase in Grants and subsidies in 2020‑21 primarily reflects a rollover of unexpended appropriation from 2019‑20 for the Tasmanian Community Health Fund ($3.4 million) and Government COVID‑19 response and recovery measures including Mental Health Program ($2.1 million), Community Mental Health Support ($1.2 million) and Primary Health Support ($1.3 million).
11. The decrease in Borrowing Costs from 2020‑21 reflects a change in the accounting treatment for the recognition of leases. Further information on this change is provided in chapter 1 of this Budget Paper.
12. The
profile of Changes in physical asset revaluation reserve reflects latest
estimates for the Department based on current asset balances and anticipated
purchases of non‑financial assets over the Budget and Forward Estimates.
|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
Notes:
1. This reflects funding received from the Australian Government for the National Partnership Agreement on COVID‑19 Response.
2. The
Transfers to the Public Account in 2020‑21 reflects a reimbursement to
the Public Account for the National Partnership Agreement on COVID‑19
Response for COVID‑19 Response and Recovery Measures funded through
appropriation.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management |
|
|
|
|
|
|
1.1 System Management - Health1 |
114 199 |
104 983 |
117 688 |
118 042 |
123 028 |
|
|
114 199 |
104 983 |
117 688 |
118 042 |
123 028 |
|
Output Group 2 ‑ Health Services |
|
|
|
|
|
|
2.1 Admitted Services2 |
529 920 |
642 691 |
667 552 |
690 156 |
775 741 |
|
2.2 Non‑admitted Services3 |
120 032 |
140 740 |
144 917 |
146 955 |
150 850 |
|
2.3 Emergency Department Services3 |
77 323 |
96 259 |
104 470 |
110 038 |
113 530 |
|
2.4 Community Health Services3 |
129 301 |
150 477 |
150 982 |
155 505 |
158 904 |
|
2.6 Ambulance Services4 |
90 153 |
97 040 |
101 557 |
104 566 |
107 384 |
|
2.7 Public Health Services |
13 403 |
13 367 |
13 640 |
13 819 |
14 028 |
|
|
960 132 |
1 140 574 |
1 183 118 |
1 221 039 |
1 320 437 |
|
Output Group 90 ‑ COVID‑19 Response and Recovery5 |
|
|
|
|
|
|
90.1 Primary Health Support |
.... |
1 309 |
.... |
.... |
.... |
|
90.2 Health Care and Front Line Workers Accommodation |
.... |
929 |
.... |
.... |
.... |
|
90.3 Health COVID‑19 General Allocation |
.... |
53 303 |
.... |
.... |
.... |
|
90.5 Cancer Council Tasmania |
.... |
500 |
.... |
.... |
.... |
|
90.6 Community Healthcare |
.... |
1 600 |
2 300 |
.... |
.... |
|
90.7 Elective Surgery |
.... |
5 000 |
20 000 |
.... |
.... |
|
|
.... |
62 641 |
22 300 |
.... |
.... |
|
|
|
|
|
|
|
|
Capital Investment Program |
89 525 |
91 224 |
97 543 |
40 408 |
29 643 |
|
|
|
|
|
|
|
|
Operating Services Expenditure |
1 074 331 |
1 308 198 |
1 323 106 |
1 339 081 |
1 443 465 |
|
Capital Services Expenditure |
89 525 |
91 224 |
97 543 |
40 408 |
29 643 |
|
|
1 163 856 |
1 399 422 |
1 420 649 |
1 379 489 |
1 473 108 |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management |
|
|
|
|
|
|
1.2 System Management ‑ Mental Health and Wellbeing6 |
33 793 |
33 597 |
31 866 |
31 601 |
32 626 |
|
|
33 793 |
33 597 |
31 866 |
31 601 |
32 626 |
|
Output Group 2 ‑ Health Services |
|
|
|
|
|
|
2.5 Statewide and Mental Health Services7 |
72 674 |
90 837 |
98 318 |
92 253 |
94 467 |
|
|
72 674 |
90 837 |
98 318 |
92 253 |
94 467 |
|
|
|
|
|
|
|
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Output Group 90 ‑ COVID‑19 Response and Recovery5 |
|
|
|
|
|
|
90.4 Mental Health Program |
.... |
2 110 |
.... |
.... |
.... |
|
90.8 Community Mental Health Support |
.... |
1 152 |
.... |
.... |
.... |
|
|
.... |
3 262 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Capital Investment Program |
6 468 |
13 770 |
1 809 |
.... |
.... |
|
|
|
|
|
|
|
|
Operating Services Expenditure |
106 467 |
127 696 |
130 184 |
123 854 |
127 093 |
|
Capital Services Expenditure |
6 468 |
13 770 |
1 809 |
.... |
.... |
|
|
112 935 |
141 466 |
131 993 |
123 854 |
127 093 |
|
|
|
|
|
|
|
|
Department of Health |
|
|
|
|
|
|
Total Operating Services Expenditure |
1 180 798 |
1 435 894 |
1 453 290 |
1 462 935 |
1 570 558 |
|
Total Capital Services Expenditure |
95 993 |
104 994 |
99 352 |
40 408 |
29 643 |
|
|
1 276 791 |
1 540 888 |
1 552 642 |
1 503 343 |
1 600 201 |
|
|
|
|
|
|
|
|
Appropriation Rollover |
.... |
69 876 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Total Revenue from Appropriation |
1 276 791 |
1 610 764 |
1 552 642 |
1 503 343 |
1 600 201 |
|
|
|
|
|
|
|
|
Controlled Revenue from Appropriation |
1 276 791 |
1 610 764 |
1 552 642 |
1 503 343 |
1 600 201 |
|
|
1 276 791 |
1 610 764 |
1 552 642 |
1 503 343 |
1 600 201 |
|
|
|
|
|
|
|
Notes:
1. The decrease in System Management ‑ Health in 2020‑21 primarily reflects the funding profile for the Tasmanian Community Health Fund ($3.1 million); the transfer of the Community Sector Relations Unit from the Department of Health to the Department of Communities Tasmania ($860 000); and an internal reallocation between Departmental Outputs to more accurately reflect anticipated expenditure ($7.6 million).
2. The increase in Admitted Services in 2020‑21 primarily reflects Additional THS Funding ($83.2 million) and Demand and Beds - Major Hospitals ($18 million). The increase in 2023‑24 primarily reflects the funding profiles for the 250 beds for the Royal Hobart Hospital and Ward 3D - A 32 Bed Inpatient Ward initiatives.
3. The increase in Non‑admitted Services; Emergency Department Services; and Community Health Services from 2020‑21 primarily reflects the profile of expenditure on key Government initiatives including Additional THS Funding, Demand and Beds - Major Hospitals, Health Demand and 250 beds for the Royal Hobart Hospital.
4. The increase in Ambulance Services in 2020‑21 primarily reflects an increase in funding for More Paramedics in Regional Areas ($2 million); an internal reallocation between Departmental outputs to more accurately reflect anticipated expenditure ($1.8 million); and a 27th pay period in 2020‑21 ($1.1 million).
5. Refer to the Key Deliverables section of this chapter for information on the Government’s COVID‑19 Response and Recovery Measures. Health COVID‑19 General Allocation includes the COVID‑19 Rapid Response Team.
6. The variation in System Management - Mental Health and Wellbeing primarily reflects a realignment of funding between System Management - Health and Statewide and Mental Health Services. The decrease in 2022‑23 reflects the funding profiles of key Government initiatives.
7. The variation in Statewide and Mental Health Services primarily reflects the funding profiles of key Government initiatives including Additional THS Funding; 27 New Mental Health Beds in Southern Tasmania; Reform Agenda for the Alcohol and Drug Sector in Tasmania; Child and Adolescent Mental Health Service Recommendations; and Mental Health Integration and Reform.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Agency Revenue |
|
|
|
|
|
|
Australian Government Recurrent Grants1 |
.... |
48 187 |
.... |
.... |
.... |
|
|
.... |
48 187 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Total Administered Revenue |
.... |
48 187 |
.... |
.... |
.... |
|
|
|
|
|
|
|
Note:
1. Australian Government Recurrent Grants in 2020‑21 reflects the National Partnership Agreement on COVID‑19 Response.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Grants and Subsidies |
|
|
|
|
|
|
COVID‑19: Financial Viability Payments1 |
.... |
46 384 |
.... |
.... |
.... |
|
|
.... |
46 384 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Transfer to the Public Account2 |
.... |
1 803 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Total Administered Expenses |
.... |
48 187 |
.... |
.... |
.... |
|
|
|
|
|
|
|
Notes:
1. COVID‑19: Financial Viability Payments in 2020‑21 relates to the National Partnership Agreement on COVID‑19 Response: Private Hospital Financial Viability Payments.
2. Transfer
to the Public Account in 2020‑21 reflects a reimbursement to the Public
Account for the National Partnership Agreement on COVID‑19 Response for COVID‑19
Response and Recovery Measures funded through appropriation.
|
|
2020 |
2021 |
2022 |
2023 |
2024 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Assets |
|
|
|
|
|
|
Financial assets |
|
|
|
|
|
|
Cash and deposits1 |
137 369 |
95 272 |
92 557 |
90 208 |
85 424 |
|
Receivables2 |
27 810 |
37 026 |
38 721 |
40 437 |
42 175 |
|
Other financial assets |
22 345 |
21 444 |
22 265 |
23 086 |
23 907 |
|
|
187 524 |
153 742 |
153 543 |
153 731 |
151 506 |
|
|
|
|
|
|
|
|
Non‑financial assets |
|
|
|
|
|
|
Inventories3 |
13 687 |
11 397 |
12 136 |
12 875 |
13 614 |
|
Property, plant and equipment4 |
1 839 606 |
1 957 631 |
2 034 799 |
2 062 964 |
2 087 996 |
|
Heritage and cultural assets5 |
1 983 |
4 028 |
4 099 |
4 170 |
4 241 |
|
Intangibles |
7 776 |
9 139 |
19 378 |
27 117 |
26 356 |
|
Other assets6 |
90 257 |
57 894 |
50 350 |
44 097 |
38 114 |
|
|
1 953 309 |
2 040 089 |
2 120 762 |
2 151 223 |
2 170 321 |
|
|
|
|
|
|
|
|
Total assets |
2 140 833 |
2 193 831 |
2 274 305 |
2 304 954 |
2 321 827 |
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
Payables5 |
96 976 |
124 768 |
125 600 |
126 432 |
127 264 |
|
Interest bearing liabilities6 |
76 164 |
49 083 |
41 980 |
35 921 |
29 979 |
|
Employee benefits5 |
275 321 |
302 520 |
312 297 |
322 074 |
331 851 |
|
Superannuation7 |
(4 804) |
4 430 |
4 488 |
4 546 |
4 604 |
|
Other liabilities5 |
20 629 |
31 918 |
50 800 |
69 905 |
86 710 |
|
Total liabilities |
464 286 |
512 719 |
535 165 |
558 878 |
580 408 |
|
|
|
|
|
|
|
|
Net assets (liabilities) |
1 676 547 |
1 681 112 |
1 739 140 |
1 746 076 |
1 741 419 |
|
|
|
|
|
|
|
|
Equity |
|
|
|
|
|
|
Reserves |
412 081 |
453 972 |
502 850 |
555 017 |
606 981 |
|
Accumulated funds |
1 264 466 |
1 227 140 |
1 236 290 |
1 191 059 |
1 134 438 |
|
Total equity |
1 676 547 |
1 681 112 |
1 739 140 |
1 746 076 |
1 741 419 |
|
|
|
|
|
|
|
Notes:
1. The decrease in Cash and deposits reflects internal funding utilised for Tasmanian Health Service operating activities in 2019‑20 ($20 million) and updates to estimates for own‑source revenue and expenditure, and Commonwealth Own Purpose Expenditure updates.
2. The increase in Receivables primarily reflects updated GST estimates ($5.7 million).
3. The decrease in Inventories reflects the expiry of the former Essential Vaccines National Partnership Agreement and associated inventories funded by the program.
4. The variation in Property, plant and equipment primarily reflects the timing of anticipated capital expenditure, offset by a depreciation provision.
5. The increases in Heritage and cultural assets, Payables, Employee benefits and Other liabilities from 2020‑21 reflect a more accurate estimate based on the 30 June 2019 outcome.
6. The decrease in Other assets and Interest bearing liabilities primarily reflects a change in the accounting treatment for the recognition of leases. Further information on this change is provided in chapter 1 of this Budget Paper.
7. In the 2019‑20 Budget, the balance for Superannuation liability reflected the Ambulance Tasmania Superannuation Fund actuarial determination as at 30 June 2018, which determined that assets exceeded the discounted liability owing to members. The 2020‑21 Budget has updated the balance for the Superannuation Liability for 2020‑21 to reflect the 30 June 2020 outcome.
|
|
2019‑20 |
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Cash flows from operating activities |
|
|
|
|
|
|
Cash inflows |
|
|
|
|
|
|
Appropriation receipts - operating1 |
1 180 798 |
1 435 894 |
1 453 290 |
1 462 935 |
1 570 558 |
|
Appropriation receipts - capital2 |
95 993 |
104 994 |
99 352 |
40 408 |
29 643 |
|
Appropriation receipts - other3 |
.... |
69 876 |
.... |
.... |
.... |
|
Grants4 |
565 699 |
655 029 |
566 832 |
561 732 |
593 693 |
|
Sales of goods and services5 |
202 597 |
234 246 |
234 655 |
237 285 |
240 046 |
|
GST receipts6 |
44 856 |
106 476 |
108 605 |
110 777 |
112 993 |
|
Interest received |
334 |
344 |
344 |
344 |
344 |
|
Other cash receipts7 |
22 671 |
29 433 |
30 572 |
31 315 |
31 390 |
|
Total cash inflows |
2 112 948 |
2 636 292 |
2 493 650 |
2 444 796 |
2 578 667 |
|
|
|
|
|
|
|
|
Cash outflows |
|
|
|
|
|
|
Employee benefits8 |
(1 120 603) |
(1 378 685) |
(1 397 823) |
(1 387 767) |
(1 441 555) |
|
Superannuation8 |
(123 759) |
(140 040) |
(141 618) |
(138 246) |
(146 519) |
|
Borrowing costs9 |
(1 471) |
(623) |
(480) |
(343) |
(214) |
|
GST payments6 |
(44 486) |
(107 514) |
(109 664) |
(111 857) |
(114 095) |
|
Grants and subsidies10 |
(115 996) |
(122 965) |
(116 169) |
(121 739) |
(125 020) |
|
Supplies and consumables11 |
(485 212) |
(639 447) |
(568 189) |
(577 834) |
(658 277) |
|
Other cash payments12 |
(38 797) |
(32 374) |
(31 959) |
(33 053) |
(32 325) |
|
Total cash outflows |
(1 930 324) |
(2 421 648) |
(2 365 902) |
(2 370 839) |
(2 518 005) |
|
|
|
|
|
|
|
|
Net cash from (used by) operating activities |
182 624 |
214 644 |
127 748 |
73 957 |
60 662 |
|
|
|
|
|
|
|
|
Cash flows from investing activities |
|
|
|
|
|
|
Payments for acquisition of non‑financial assets13 |
(169 348) |
(229 685) |
(123 544) |
(70 431) |
(59 689) |
|
Proceeds from the disposal of non‑financial assets |
13 |
183 |
184 |
184 |
185 |
|
Net cash from (used by) investing activities |
(169 335) |
(229 502) |
(123 360) |
(70 247) |
(59 504) |
|
|
|
|
|
|
|
|
Cash flows from financing activities |
|
|
|
|
|
|
Net borrowings |
(8 587) |
(6 963) |
(7 103) |
(6 059) |
(5 942) |
|
Net cash from (used by) financing activities |
(8 587) |
(6 963) |
(7 103) |
(6 059) |
(5 942) |
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents held |
4 702 |
(21 821) |
(2 715) |
(2 349) |
(4 784) |
|
|
|
|
|
|
|
|
Cash and deposits at the beginning of the reporting period |
132 667 |
117 093 |
95 272 |
92 557 |
90 208 |
|
Cash and deposits at the end of the reporting period |
137 369 |
95 272 |
92 557 |
90 208 |
85 424 |
|
|
|
|
|
|
|
Notes:
1. The increase in Appropriation receipts ‑ operating primarily reflects additional funding provided in the 2020‑21 Budget for initiatives detailed in Table 5.1 Key Deliverables Statement. The increase in 2023‑24 primarily reflects the funding profile of the 250 beds for the Royal Hobart Hospital initiative.
2. The variation in Appropriation receipts ‑ capital reflects the profile of capital project funding from the Capital Investment Program as detailed in Table 5.5 Capital Investment Program.
3. Appropriation receipts ‑ other in 2020‑21 reflects the rollover of unexpended appropriation from 2019‑20 approved in accordance with the Financial Management Act 2016. The majority of these funds relate to Capital Investment Program projects.
4. The variation in Grants reflects the profile of Australian Government Funding for the National Partnership Agreement on COVID‑19 Response; National Health Reform funding as per forecast activity; and Australian Government Community Health and Hospitals Program Tasmanian 2019‑20 and 2020‑21 Initiatives. The increase in 2023‑24 primarily reflects the increase in ABF relating to the 250 beds for the Royal Hobart Hospital initiative.
5. The increase in Sales of goods and services from 2020‑21 primarily reflects revised estimates for Departmental own‑source revenues including: a change to Medicare Pharmaceutical Benefits Scheme arrangements relating to chemotherapy pharmaceuticals ($22.4 million) and increases in interstate charging receipts for cross border transactions with other jurisdictions ($8.4 million).
6. The increase in GST receipts and GST payments from 2020‑21 relate to a revised model to more accurately present forecast GST turnover for the Department. The current estimate is based upon the average for the past three years with indexation applied over the Budget and Forward Estimates.
7. The increase in Other cash receipts from 2020‑21 reflects a more accurate estimate of own‑source revenue based on the 30 June 2020 outcome.
8. The increase in Employee benefits and Superannuation from 2020‑21 primarily reflects the Additional THS Funding; National Health Reform funding updates to align with forecast activity; and a scale‑up of prior year initiatives as detailed in Table 5.1 Key Deliverables Statement.
9. The decrease in Borrowing Costs from 2020‑21 reflects a change in the accounting treatment for the recognition of leases. Further information on this change is provided in chapter 1 of this Budget Paper.
10. The variation in Grants and subsidies in 2020‑21 primarily reflects a rollover of unexpended appropriation from 2019‑20 for the Tasmanian Community Health Fund ($3.4 million); and Government COVID‑19 Response and Recovery Measure initiatives in 2020‑21 including: Mental Health Program ($2.1 million); Community Mental Health Support ($1.2 million); and Primary Health Support ($1.3 million).
11. The variation in Supplies and consumables primarily reflects additional funding provided in the 2020‑21 Budget for initiatives detailed in Table 5.1 Key Deliverables Statement, including significant expenditure on COVID‑19 response and recovery measures in 2020‑21. It also reflects the profile of Australian Government funding for National Health Reform and National Partnership Agreement projects.
12. The decrease in Other cash payments in 2020‑21 reflects a more accurate estimate based on the 30 June 2020 outcome.
13. The variation in Payments for acquisition of non‑financial assets primarily reflects the anticipated timing of expenditure on major capital projects as detailed in Table 5.5 Capital Investment Program.
|
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|
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|
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|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
|
Notes:
1. This reflects funding received from the Australian Government for the National Partnership Agreement on COVID‑19 Response: Private Hospital Financial Viability Payments.
2. Transfer to the Public Account in 2020‑21 reflects a reimbursement to the Public Account for the National Partnership Agreement on COVID‑19 Response for COVID‑19 Response and Recovery Measures funded through appropriation.
3. Cash and deposits at the beginning of the reporting period in 2020‑21 relates to unspent funds in relation to the National Partnership Agreement on COVID‑19 Response: Private Hospitals Financial Viability Payments.