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; 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 2021‑22 and over the Forward Estimates (2022‑23 to 2024‑25). Further information about the Department is provided at www.health.tas.gov.au.
During 2020‑21, the Department was required to administer COVID‑19: Financial Viability Payments as part of the National Partnership Agreement on COVID‑19 response. These payments and associated balances were classified as Administered in accordance with Treasurer’s Instruction FR‑2 under the Financial Management Act 2016.
The National Health Reform Agreement sets out arrangements for the Tasmanian and Australian Government contributions for 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 activity.
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.
|
|
2021‑22
Budget |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
2024‑25 Forward Estimate |
|
|
|
|
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
|
|
|
Election Commitments |
|
|
|
|
|
|
|
Access Scheme for Medicinal Cannabis |
500 |
500 |
500 |
500 |
|
|
|
Additional Paramedic Crews ‑ Hobart and Launceston |
3 500 |
3 500 |
3 500 |
3 500 |
|
|
|
Alcohol and Drug Foundation Good Sports Program |
460 |
470 |
.... |
.... |
|
|
|
Alcohol, Tobacco and other Drugs Council Tasmania |
150 |
150 |
150 |
.... |
|
|
|
Community Awareness Campaign |
250 |
.... |
.... |
.... |
|
|
|
Community Based Health Care1 |
3 875 |
5 812 |
5 812 |
5 812 |
|
|
|
Community Based Programs |
2 623 |
2 623 |
2 133 |
2 000 |
|
|
|
Community Defibrillator Fund |
250 |
250 |
.... |
.... |
|
|
|
Community Mental Health ‑ Addressing Increasing Demand |
1 110 |
1 140 |
.... |
.... |
|
|
|
Community Transport Services Tasmania |
350 |
350 |
350 |
350 |
|
|
|
COVID‑19 continued mental health services |
2 510 |
2 610 |
2 710 |
.... |
|
|
|
Dover Helipad2 |
.... |
300 |
.... |
.... |
|
|
|
Dover Medical Centre Upgrade |
1 000 |
.... |
.... |
.... |
|
|
|
Drug Education Network |
225 |
.... |
.... |
.... |
|
|
|
Elective Surgery ‑ additional funding ‑ Surgeries + Endoscopy3 |
16 500 |
16 500 |
16 500 |
16 500 |
|
|
|
Emergency Mental Health Co‑response model |
2 100 |
3 000 |
.... |
.... |
|
|
|
Family Planning Tasmania |
75 |
75 |
75 |
75 |
|
|
|
GP after hours services ‑ additional support |
1 000 |
1 000 |
1 000 |
.... |
|
|
|
Health Recruitment Taskforce |
500 |
.... |
.... |
.... |
|
|
|
Healthy Tasmania Strategy |
1 000 |
1 000 |
1 000 |
1 000 |
|
|
|
Heart Foundation ‑ support for Rehabilitation of Cardiac patients |
600 |
.... |
.... |
.... |
|
|
|
Holyoake Gottawanna Program |
300 |
300 |
.... |
.... |
|
|
|
Home and Community Based Palliative Care |
1 500 |
3 000 |
3 000 |
3 000 |
|
|
|
Hospital Avoidance Co‑investment Fund |
1 000 |
.... |
.... |
.... |
|
|
|
Hospital Equipment Fund2 |
5 000 |
10 000 |
5 000 |
.... |
|
|
|
Hyperbaric Chamber Royal Hobart Hospital |
80 |
.... |
.... |
.... |
|
|
|
Kingston Health Centre ‑ Stage 22 |
.... |
.... |
2 000 |
8 000 |
|
|
|
Launceston General Hospital ‑ Mental Health Precinct 2 |
500 |
1 500 |
5 000 |
5 000 |
|
|
|
Launceston General Hospital Redevelopment ‑ Stage 24 |
.... |
.... |
.... |
.... |
|
|
|
Mental Health Hospital in the Home Pilot |
.... |
.... |
3 500 |
5 000 |
||
|
Mersey Community Hospital ‑ Expanded Redevelopment2 |
.... |
1 000 |
4 000 |
5 000 |
|
|
|
Mersey Community Hospital ‑ Rural Medical Workforce Centre2,5 |
500 |
1 800 |
1 000 |
1 000 |
||
|
Midlands Multipurpose Health Centre Upgrade2 |
150 |
1 600 |
1 750 |
.... |
|
|
|
|
2021‑22
Budget |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
2024‑25 Forward Estimate |
|
|
|
$'000 |
$'000 |
$'000 |
$'000 |
|
|
Election Commitments (continued) |
|
|
|
|
|
|
New Ambulance Vehicles and Equipment2 |
2 000 |
4 000 |
3 000 |
.... |
|
|
New Paramedics |
5 833 |
7 000 |
7 000 |
7 000 |
|
|
North West Regional Hospital ‑ Mental Health Precinct2 |
.... |
2 000 |
8 000 |
10 000 |
|
|
North West Regional Hospital Masterplan |
500 |
.... |
.... |
.... |
|
|
North West Regional Hospital Second Linear Accelerator |
1 150 |
2 300 |
2 300 |
2 300 |
|
|
North West Regional Hospital Upgrade2 |
.... |
750 |
1 750 |
.... |
|
|
Oral Health ‑ One‑off Funding Injection |
5 000 |
.... |
.... |
.... |
|
|
Palliative Care Private Sector Partnerships |
500 |
1 300 |
2 500 |
2 500 |
|
|
Palliative Care Tasmania |
1 250 |
1 000 |
1 000 |
1 000 |
|
|
Peer Workforce Coordinator and establish Youth Peer Worker Model |
350 |
770 |
790 |
.... |
|
|
Public Private Partnerships to deliver care sooner |
18 000 |
.... |
.... |
.... |
|
|
Residential Rehabilitation Beds |
3 270 |
4 190 |
.... |
.... |
|
|
Rethink 2020 |
500 |
.... |
.... |
.... |
|
|
Royal Flying Doctor Service ‑ Regional Oral Health Support |
300 |
.... |
.... |
.... |
|
|
Royal Hobart Hospital ‑ New Angiography Suite and Equipment Upgrade2,6 |
.... |
.... |
2 250 |
5 250 |
|
|
Royal Hobart Hospital Redevelopment ‑ Expanded Stage 22 |
.... |
.... |
48 100 |
61 900 |
|
|
Rural Hospital Boost ‑ additional staff |
600 |
800 |
1 000 |
1 000 |
|
|
Rural Hospital Equipment Boost2 |
2 500 |
2 500 |
.... |
.... |
|
|
Salvation Army Street Teams |
200 |
200 |
.... |
.... |
|
|
St Helens Helipad2 |
.... |
300 |
.... |
.... |
|
|
Supporting Access to Cutting Edge Treatments for Children with Cancer |
600 |
.... |
.... |
.... |
|
|
Tasmanian Community Health and Wellbeing Networks |
2 250 |
2 250 |
.... |
.... |
|
|
Volunteer Ambulance Officers Association of Tasmania ‑ MOU |
50 |
.... |
.... |
.... |
|
|
Youth Smoking Initiative |
250 |
250 |
250 |
250 |
|
|
|
|
|
|
|
|
|
Other Initiatives |
|
|
|
|
|
|
Beds and Demand ‑ Major Hospitals |
25 000 |
29 000 |
29 000 |
115 000 |
|
|
Building a Positive Health Culture |
1 200 |
1 200 |
1 300 |
1 300 |
|
|
Building the Health Care Workforce ‑ Health Workforce 2040 |
6 700 |
2 000 |
2 000 |
5 000 |
|
|
Community Healthcare |
1 100 |
2 300 |
2 300 |
2 300 |
|
|
COVID‑19 Response ‑ Vaccine Costs |
8 523 |
.... |
.... |
.... |
|
|
Elective Surgery ‑ additional commitment |
.... |
10 000 |
10 000 |
20 000 |
|
|
GP after hours boost ‑ additional funding |
1 000 |
1 000 |
1 000 |
2 000 |
|
|
Health ICT ‑ Digital Transformation ‑ Initiation Phase |
10 000 |
.... |
.... |
.... |
|
|
Housing and Accommodation Support Initiative (HASI) |
520 |
530 |
540 |
550 |
|
|
Huntington's Disease Association of Tasmania |
80 |
80 |
80 |
80 |
|
|
Maternity Services at the North West Regional Hospital2,7 |
.... |
1 500 |
.... |
.... |
|
|
12 500 |
12 500 |
12 500 |
12 500 |
||
|
|
2021‑22
Budget |
2022‑23 Forward Estimate |
2023‑24 Forward Estimate |
2024‑25 Forward Estimate |
||
|
|
$'000 |
$'000 |
$'000 |
$'000 |
||
|
Other Initiatives (continued) |
|
|
|
|
||
|
New Burnie Ambulance Station2,7 |
.... |
.... |
4 266 |
.... |
||
|
New Glenorchy Ambulance Station2,7 |
.... |
.... |
4 266 |
.... |
||
|
Royal Hobart Hospital Pharmacy Redevelopment2,7 |
.... |
2 100 |
.... |
.... |
||
|
Safe Staffing Model for Tasmanian District Hospitals |
5 000 |
4 500 |
4 400 |
4 400 |
||
|
Salvation Army ‑ New Town Site Masterplan |
150 |
.... |
.... |
.... |
||
|
Voluntary Assisted Dying Act Implementation |
1 579 |
2 737 |
2 417 |
2 417 |
||
|
|
|
|
|
|
|
|
Notes:
1. Community Based Health Care total funding of $27.5 million consists of $21.3 million State Government funding and an estimated $6.2 million of Australian Government Activity Based Funding.
2. These initiatives are also included in the Capital Investment Program at Table 5.5, with descriptions for each project included below.
3. Elective Surgery ‑ additional funding ‑ Surgeries + Endoscopy total funding of $120 million consists of $66 million State Government funding and an estimated $54 million of Australian Government Activity Based Funding.
4. Funding of $500 million for the Launceston General Hospital Redevelopment ‑ Stage 2 is allocated for the period 2025‑26 to 2031‑32.
5. Mersey Community Hospital ‑ Rural Medical Workforce Centre includes funding through the Capital Investment Program of $1 million in 2022‑23 to establish the Centre.
6. Royal Hobart Hospital ‑ New Angiography Suite and Equipment Upgrade includes funding through the Capital Investment Program of $2 million in 2023‑24 and $5 million in 2024‑25.
7. Funding outlined here is additional funding for an existing project. Total funding for the project is outlined in Table 5.5 Capital Investment Program.
Commencing in 2021‑22, the Government has committed funding over four years to amend Tasmania’s Controlled Access Scheme, allowing general practitioners capacity to prescribe medicinal cannabis in line with processes in other states and territories and using the Therapeutic Goods Administration Portal, resulting in improved access for Tasmanians.
This initiative provides for the recruitment of two new paramedic crews. The funding will enable the employment of an additional 12 full‑time equivalent staff and provide new vehicles in both Launceston and Hobart.
Additional funding is provided over two years for the Alcohol and Drug Foundation’s Good Sports program to enable grassroots work on drugs and alcohol with local sporting clubs.
This initiative is part of the Government’s $10 million investment into alcohol and drug treatment services.
Funding is provided over three years for the Alcohol, Tobacco and other Drugs Council Tasmania to employ a fixed term Project Officer. This position will support the roll out of the Government’s Reform Agenda for the Alcohol and Other Drugs Sector in Tasmania and increase the capacity of the ATDC to establish a consumer representative body.
This initiative is part of the Government’s $10 million investment into alcohol and drug treatment services.
The Government has committed funding in 2021‑22 to complete a community awareness campaign into Community‑based and Preventative Health initiatives. This funding will be used for public education and outreach activities to enable the Tasmanian community to have a greater awareness of available public health services.
Funding is allocated over four years to continue the Community Rapid Response Service hospital‑in‑the‑home service in all regions of the State, and to pilot other hospital in the home services. This primary care initiative supports people who need short‑term intermediate care that can be safely delivered in the community or in the home. This funding consists of $21.3 million in additional State funding and an estimated $6.2 million from the Australian Government.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Staffing for community based health care initiatives is included in the Government’s commitment to employ up to an additional 280 full‑time equivalent staff to support new and boosted services across Tasmania.
Funding is provided over four years to support community‑based programs and initiatives that encourage good health and wellbeing. This includes continuation of the successful Healthy Tasmania Fund grants program with $8 million allocated over four years to help local communities and councils implement projects and initiatives that strengthen community connection and help people live happy, healthy lives.
Additional funding is provided to expand successful existing programs with strong community support, including:
· $400 000 over three years for the Heart Foundation’s popular Walking Program;
· $800 000 over two years for Diabetes Tasmania’s telephone COACH program for type 2 diabetes, which will involve a focus on women following gestational diabetes, and those with other related heart and lung concerns; and
· Dietician support through Public Health for the Government’s expanded School Lunch Pilot.
These initiatives are part of the Government’s $20 million investment to prioritise prevention and early intervention and empower Tasmanians to improve their own health and wellbeing.
The Government has committed funding over two years to the Community Defibrillator Fund for an additional 180 community defibrillators.
Funding is been provided over two years to boost community mental health services to meet increasing demand. This includes Rural Alive and Well, Baptcare’s Choices program and The Butterfly Foundation. Funding of $300 000 is also provided over three years from within the Department’s existing resources to support the recruitment of a locally‑based mental health specialist for the Circular Head region.
This initiative is part of the Government’s $26 million investment in better mental health services.
The Government is providing funding over four years for Community Transport Services Tasmania and its 400 volunteers to continue to support Tasmanians to access care.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Additional funding is provided over three years to continue and expand innovative new mental health services put in place throughout the COVID‑19 pandemic. These services include a mental health phone triage service, the Mental Health Council of Tasmania’s #checkin website, training and supporting Regional Coordinators and Community Engagers and increasing the capacity of Rural Alive and Well to provide more outreach mental health services in rural and remote areas of the State.
This initiative is part of the Government’s $26 million investment in better mental health services.
Funding is provided in 2022‑23 towards a new helipad at the Esperance Multi‑Purpose Centre in Dover to increase aeromedical support to the Huon Valley region.
The new helipad will further boost aeromedical response capabilities following delivery of new helipads at the Royal Hobart Hospital, Mersey Community Hospital and North West Regional Hospital.
Funding is provided in 2021‑22 to upgrade the Dover Medical Centre to allow the Huon Valley Council to expand the health services offered through the Centre, including GP services and allied health, such as podiatry, physiotherapy, occupational therapy, speech pathology, social work and psychology services.
As part of the Government’s $10 million investment into alcohol and drug treatment services, the Drug Education Network is provided with additional funding in 2021‑22 to address the ongoing impact of the COVID‑19 pandemic and increased demand for resources and education.
Additional funding is provided over four years to deliver an additional 20 000 elective surgeries and 2 300 endoscopies to address elective surgery demand in response to the COVID‑19 pandemic. This consists of a State Government component of $66 million and an estimated Australian Government Activity Based Funding component of $54 million. This funding is in addition to the $36.4 million announced for 2021‑22 as part of the 2020‑21 Budget.
More than 180 staff statewide are expected to support this increase in volume, including more than 112 nurses, 10 doctors and 16 allied health staff as well as more than 40 hospital support staff.
Further funding for elective surgery is also provided through the Elective Surgery ‑ additional commitment outlined in the Other Initiatives section of this chapter.
The Government has committed funding over two years to pilot an Emergency Mental Health Co‑response model in southern Tasmania. The Co‑response Team will comprise mental health workers, including clinicians, who will travel with police and ambulance officers to attend mental health‑specific “triple‑0” calls. Secondary triage clinicians will be tasked with specialist mental health triage to support police and ambulance dispatch officers.
This initiative is part of the Government’s $26 million investment in better mental health services.
Funding is provided over four years to establish and deliver new women’s health services within Family Planning Tasmania clinics to reduce health waiting lists and better manage referrals into the public system.
Commencing in 2021‑22, funding over three years is provided for Tasmanians to access medical care close to home by working with the primary health sector to implement a support and encouragement program for primary health services.
Additional funding for GP after hours is also provided through a further initiative outlined in the Other Initiatives section of this chapter.
Funding is provided in 2021‑22 to establish a new Health Staff Recruitment Taskforce to improve recruitment for hospitals, to support investment in elective surgery, and ongoing investment to open beds and take pressure off emergency departments. The Taskforce will consider actions from the draft Health Workforce 2040 strategy.
Additional funding is provided over four years for the Healthy Tasmania Program, which is in addition to ongoing funding of $1.1 million per annum. Total funding of $10 million is allocated over the next five years to support community based preventative health programs under the Healthy Tasmania policy, to improve the wellbeing of Tasmanians.
This funding forms part of a $20 million commitment for prevention and early intervention initiatives, and enables the continuation of the Healthy Tasmania Five Year Strategic Plan, with Healthy Tasmania 2021‑2026 to be launched later this year.
Funding is provided in 2021‑22 for the Heart Foundation to support patients following their hospitalisation for a heart attack or angina.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care, and is aligned to the Community Based Programs (Wellbeing and Preventative Health) initiative.
Funding is provided over two years for the Holyoake Gottawanna Program to deliver counselling and support for individuals dealing with alcohol, drug and other addictions.
This initiative is part of the Government’s $10 million investment into alcohol and drug treatment services.
Additional funding is provided over four years to strengthen in‑home palliative care and after hours care services to improve end of life care, with a particular focus on rural and regional areas.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Funding is provided in 2021‑22 for a Hospital Avoidance Co‑investment Fund to match private sector investment on a dollar‑for‑dollar basis. The fund will support capital upgrades for general practitioners and primary care providers who will improve or expand their facilities in order to deliver improved after hours care.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Funding is provided over three years to replace and upgrade critical hospital equipment across Tasmania, including diagnostic imaging equipment.
Initial funding has been provided in 2021‑22 to extend the functionality of the Royal Hobart Hospital’s Hyper/Hypobaric Chamber. This high‑tech upgrade will attract world‑class research to Tasmania by supporting cutting edge aerospace and human life sciences capabilities.
Funding is provided to build Stage 2 of the Kingston Health Centre, to deliver more community health facilities for the growing region. Funding is also allocated beyond the Forward Estimates, for a total allocation of $30 million for this project. The second stage will be built at Kingston Park.
The Government will work closely with the Kingborough Council and surrounding health services, to ensure the benefits of the new Centre are maximised.
This initiative will deliver a Mental Health Precinct at the LGH to meet future demand. Planning and consultation will commence immediately, with construction of the new mental health precinct expected to be completed in 2027. Funding is also allocated beyond the Forward Estimates, for a total allocation of $80 million for this project.
Funding of $500 million is allocated from 2025‑26 to deliver the next stages of the Launceston General Hospital Redevelopment Masterplan. This is in addition to the $87.3 million Stage 1 redevelopment, due for completion in 2024. Planning and consultation has commenced in 2021, with final construction of the next stages estimated to be completed in 2031.
From 2023‑24, funding is allocated over two years for a Mental Health Hospital in the Home Pilot in the North West. This pilot, based on the existing southern service, will enable people that may have otherwise been hospitalised, to receive intensive, short‑term support in their own home.
This initiative is part of the Government’s $26 million investment in better mental health services.
Additional funding is provided to expand the Mersey Community Hospital Redevelopment. Funding is also allocated beyond the Forward Estimates, for a total allocation of $20 million for this project. This is in addition to the $35 million provided in 2017‑18, taking total investment for redevelopment of the Mersey Community Hospital to $55 million.
Planning and consultation for additional works commenced in 2021, including a new kitchen and a new ward to increase bed capacity, in addition to the existing theatre redevelopment works. Construction is expected to commence in 2022‑23, taking three years to complete.
The 2021‑22 Budget provides funding over four years to establish a new Rural Medical Workforce Centre at the Mersey Community Hospital. This funding consists of $1 million in capital funding to establish the Centre and $3.3 million in operational funding to support the recruitment and retention of permanent doctors for the region.
Funding is provided over three years to refurbish and upgrade the Midlands Multipurpose Centre at Oatlands. Upgrades will be focused towards increasing the comfort of facilities for patients and residents, including delivering improved bathroom access and privacy.
Funding is provided over three years to upgrade Ambulance Tasmania’s vehicle fleet and to provide contemporary equipment. Funding will provide new vehicles, replace ageing stock, deliver an improved fleet management service and upgrade and replace critical equipment to support paramedics.
Funding is provided over four years to recruit three new paramedics each for Sheffield, Dodges Ferry, Campbell Town and New Norfolk; two new paramedics for St Helens, the West Coast and the North East; and the permanent placement of two paramedics in Swansea, Miena and Bruny Island.
In total, 2021 election commitments allocate funding over four years to recruit an additional 48 paramedics. This includes funding for 24 Additional Paramedic Crews ‑ Hobart and Launceston, funding for 24 paramedics in rural and regional Tasmania as outlined above, and funding for New Ambulance Vehicles and Equipment, to support the provision of vehicles and maintenance of full crewing for Statewide rosters.
Funding is allocated from 2022‑23 for a new Mental Health Precinct adjacent to the North West Regional Hospital, to replace the ageing Spencer Clinic. Additional funding is provided beyond the Forward Estimates, for a total allocation of $40 million for this project. This new contemporary facility will be a hub for delivery of integrated mental health services in the North West, and is expected to be completed in 2025‑26.
Over the next ten years, the Government will undertake a major redevelopment of the North West Regional Hospital to meet future demand. Funding is provided in 2021‑22 for an updated Masterplan for the North West Regional Hospital and local health facilities to guide future stages of the redevelopment.
Funding is provided over four years to staff and operate a second
Linear Accelerator at the North West Cancer Centre, which will double current
capacity to keep up with increasing demand. The purchase of an additional
Linear Accelerator was previously funded by the Australian Government through
its Community Health and Hospitals Program.
Funding is allocated in 2022‑23 and 2023‑24 to deliver ward upgrades to provide additional bed capacity to meet future demand, utilising space freed up following relocation of the Spencer Clinic to the new Mental Health Precinct. Additional funding is provided beyond the Forward Estimates, for a total allocation of $20 million for this project.
Funding is provided in 2021‑22 to deliver an additional 20 000 dental appointments statewide across emergency dental, general dental care and denture clinics. This funding will help to mitigate the impacts of the COVID‑19 pandemic on oral health waiting lists.
The 2021‑22 Budget provides funding over four years to provide better palliative care services, in partnership with private hospitals and service providers.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Funding is provided over four years for Palliative Care Tasmania. This will allow continuation of its successful GP education and training programs, workforce development and community education and awareness activities.
This initiative is part of the Government’s $52 million investment to strengthen palliative and community health care.
Funding is provided over three years to deliver a Peer Workforce Coordinator and establish the Youth Peer Worker Model as part of the Tasmanian Peer Workforce Development Strategy for providing support to people living with mental health challenges.
This initiative is part of the Government’s $26 million investment in better mental health services.
Funding is provided in 2021‑22 to allow private hospitals to support Tasmanian public hospitals to manage increased demand, including elective surgery. This funding will enable purchase of beds from private hospitals to improve patient flow and access to care, facilitate increased levels of elective surgery to reduce public waiting lists and help with demand in other areas, including community nursing and home care to avoid hospital presentations.
As part of the funding allocation for this initiative, funding of $2 million is allocated to the Hobart Clinic towards the redevelopment of its Rokeby site, taking the Government’s total commitment to Public Private Partnerships to $20 million.
As part of its investment into alcohol and drug treatment services, funding is provided over two years for the Salvation Army, City Mission and Velocity Transformations to deliver 65 residential rehabilitation beds across the State for those seeking to detox, and receive counselling and education.
This initiative is part of the Government’s $10 million investment into alcohol and drug treatment services.
Funding is provided in 2021‑22 to develop an implementation plan and commence the roll‑out of Rethink 2020, Tasmania’s new overarching mental health plan that will include suicide prevention initiatives.
This initiative is part of the Government’s $26 million investment in better mental health services.
Funding is provided in 2021‑22 for the Royal Flying Doctor Service to provide oral health care in regional Tasmania, with an initial focus on the West Coast, Huon Valley and Central Tasmania.
Funding is allocated from 2023‑24 to build, equip and staff a new Angiography Suite at the Royal Hobart Hospital. A second suite at the Royal Hobart Hospital will meet increasing patient demand and support better care for patients requiring interventional neuroradiology, stroke services and vascular procedures. Planning for the new suite will commence in 2021‑22 with delivery to be reviewed as part of the Royal Hobart Redevelopment ‑ Expanded Stage 2.
Additional funding is allocated from 2023‑24 to expand the Stage 2 Redevelopment of the Royal Hobart Hospital, including a full refurbishment of A‑Block. This is in addition to the $91 million in funding previously provided for Ward Upgrades and commencement of the Stage 2 Redevelopment, including expansion of the Emergency Department and Intensive Care Unit.
The expansion is part of a new 30‑year Masterplan for the Royal Hobart Hospital precinct. Detailed design work for the expanded program will deliver over $200 million in new facilities to meet future demand.
Funding is provided over four years to boost staffing at rural hospitals across the State, including New Norfolk District Hospital, West Coast District Hospital, St Helens District Hospital, May Shaw at Swansea and North East Soldiers Memorial Hospital at Scottsdale.
Funding is provided over two years for new and upgraded rural hospital and health facility equipment across Tasmania.
Funding includes $600 000 each for the New Norfolk District Hospital and North East Soldiers Memorial Hospital and $400 000 each for the St Helens District Hospital and West Coast District Hospital.
In addition, funding of $2 million ($200 000 per hospital) has been provided to purchase new and upgraded equipment at regional hospitals and health facilities including at King Island, Flinders Island, Smithton, Beaconsfield, Campbell Town, Deloraine, George Town, Oatlands, St Marys and May Shaw at Swansea. A further $1 million will be used to buy equipment to support other sites, as well as services contracted through other providers, including those at Franklin, Longford, Huon and Dover.
Funding is provided over two years for the Salvation Army Street Teams to provide support and help to those in need on a Friday and Saturday night. This service helps to alleviate unnecessary pressure on Tasmania Police and Tasmanian hospitals.
This initiative is part of the Government’s $10 million investment into alcohol and drug treatment services.
Funding is allocated in 2022‑23 towards a new helipad at the St Helens District Hospital to increase aeromedical support to the East Coast Regions. The new helipad will boost aeromedical response capabilities following delivery of new helipads at the Royal Hobart Hospital, Mersey Community Hospital and North West Regional Hospital.
Funding is provided in 2021‑22 to ensure continued local access to clinical trials for Tasmanian children with aggressive forms of cancer. It will secure the future of Tasmania’s only Children’s Cancer Clinical Trials Unit.
Funding is provided over two years to trial three Tasmanian Community Health and Wellbeing Networks in Ulverstone, Huonville and Scottsdale. These will be managed in the local communities through the employment of a Local Health Connector, to deliver community‑led health and wellbeing services focused on the needs of local people and using local community resources.
This initiative is part of the Government’s $20 million investment to prioritise prevention and early intervention and empower Tasmanians to improve their own health and wellbeing.
One‑off funding in 2021‑22 is provided to the Volunteer Ambulance Officers Association of Tasmania for work on a Memorandum of Understanding regarding attraction, retention, training and support for ambulance volunteers.
Funding is provided over four years to build on the work of the Smoke Free Young People Working Group and the Smoke Free Generation Campaign. The Departments of Health and Education will collaborate on an evidence based prevention package to deter youth tobacco use, targeting students in Year 6 and above within Tasmanian Schools.
This initiative is part of the
Government’s $20 million
investment to
prioritise prevention and early intervention
and empower Tasmanians to improve their own
health and wellbeing.
Additional funding is provided over four years to the THS to meet demand faced by major hospitals and to support opening beds in major hospitals, including fulfilling the Government’s commitment announced on 4 June 2021. Under this commitment, more than 50 additional permanent hospital beds will be opened across the State in 2021 to meet increased demand and to support the Government’s elective surgery commitments. These beds will be brought online in a staged approach to ensure that they can be appropriately staffed. Staffing for these additional beds is included in the Government’s commitment to employ up to an additional 280 full‑time equivalent staff to support new and boosted services across Tasmania.
Funding is provided over four years to implement a cultural change program within Tasmania’s hospitals. This includes a program of work that facilitates the transformation of the work culture into a positive, patient centric and solutions focused environment that meets contemporary and best practice standards with the aim of strongly positioning the THS to attract and retain a highly performing workforce, to meet new health care challenges and improve the future of health care delivery to the Tasmanian community.
Funding is provided over four years to implement the Health Workforce 2040 strategy. Health Workforce 2040 is a long‑term strategy to shape a health workforce that meets the needs of Tasmanians now and into the future. It includes a commitment to prepare a 20‑year future health workforce plan, including current and future training and recruitment, re‑training and post graduate training and recruitment processes.
Funding is provided over four years to continue community healthcare initiatives. Funding will be provided to: Cancer Council Tasmania ($1.1 million); Epilepsy Tasmania ($1.3 million); Palliative Care Clinical Nurse Educators ($1.2 million); GP Assist ($1.2 million); Hobart District Nurses ($1.5 million); Stroke Foundation ($660 000); Scarlett Alliance ($360 000); Health Consumers Tasmania ($600 000); and Better Patient Transport on Flinders Island ($90 000).
Funding is provided in 2021‑22 to fund the State Government’s component of the COVID‑19 Vaccine rollout.
Additional funding is allocated over three years from 2022‑23 to increase the Government’s elective surgery commitment. The Government has committed a total of $160 million in additional funding over the Budget and Forward Estimates for elective surgery activity. This commitment, which is fully State funded, is an investment to improve elective surgery public wait times to the clinically recommended standard for the surgical category.
In addition to 2021 election commitment funding for GP after hours services, funding is provided over four years to allow more Tasmanians to access after‑hours primary care and reduce hospital demand.
Funding is provided in 2021‑22 of $15 million, including an allocation of funding from the Digital Transformation Priority Expenditure Program of $5 million held in Finance‑General, to commence progressing key focus areas of a 10‑year Digital Health Transformation Plan for the Department. The Plan, which is currently under development for consultation, will be the first time that Tasmania has had a strategic document setting the Government’s long‑term vision for digital technology across the health system.
This funding is in addition to digital funding announced in the 2020‑21 Budget of $23.1 million that included an allocation to modernise the Department’s human resource systems across the State.
Commencing in 2021‑22, additional funding is provided over four years for the Housing and Accommodation Support Initiative. This builds on the $1 million provided for a trial period that commenced in 2018‑19. HASI is a partnership between the THS, 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.
Funding is provided over four years for Huntington’s Disease Tasmania to support its volunteer Board to assist Tasmanian’s living with Huntington’s Disease as well as their families and carers.
Funding is allocated in 2022‑23 for the North West Regional Hospital Antenatal Clinic. This funding is in addition to the existing $3.3 million provided to construct a purpose‑built Antenatal Clinic at the North West Regional Hospital as part of the Integrated North West Birthing Service. This Clinic will provide a state‑of‑the‑art facility to better support mums, babies and staff that operate the service.
The Government has committed to fully fund its response to Phases One and Two of the Child and Adolescent Mental Health Services Review report and recommendations. The Review recommended large scale changes in the way CAMHS operates, including its structure, practice and culture, to better support mental health service provision to Tasmanian children and adolescents, with particular emphasis on those most vulnerable and in need of support.
Additional funding is also provided in the 2021‑22 Budget to continue the broader roll‑out of the Tasmanian Mental Health Reform Program across the State.
Additional funding is allocated in 2023‑24 towards increased construction costs for a new Burnie Ambulance Station. This is in addition to the $6 million provided in 2018‑19 for the project, taking the total project budget to $10.3 million.
The new Burnie Ambulance Station will replace ageing infrastructure and provide dedicated staff meeting/training rooms and amenities, a bigger garage to ensure that service vehicles do not have to park outside and better parking and disability access. Its new location will also allow easy access and support for officers attending the North West Regional Hospital and North West Private Hospital services.
Additional funding is allocated in 2023‑24 towards construction of a new Glenorchy Ambulance Station. This is in addition to the $6 million provided in 2018‑19 for the project, taking the total project budget to $10.3 million.
The Glenorchy Ambulance 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.
Additional funding is allocated in 2022‑23 towards the Royal Hobart Hospital Pharmacy Redevelopment to meet increased designed construction costs, taking the total project budget to $5.9 million. 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.
Additional funding has been provided over four years, together with $6.7 million from the Department’s existing resources, to support health care professionals through an improved safe staffing model for the Tasmanian District Hospitals. Implementation of the safe staffing model will result in a net increase in staff statewide, as well as an increase in the mix of skills available to those seeking care in regional locations.
District hospitals play a key role in Tasmania’s health system providing care in rural communities and supporting the major hospitals to meet the increasing demands on acute care services. Across Tasmania, the THS has 13 District Hospitals providing sub‑acute beds, aged care and emergency beds.
Funding is provided in 2021‑22 towards a masterplan for the redevelopment of the Salvation Army New Town site to increase services for vulnerable Tasmanians. The proposed redevelopment will transform the ageing site into a purpose‑built “village” which provides tailored support for alcohol, drug, mental health, housing and family violence services.
This initiative will support the implementation of the End‑of‑Life Choices (Voluntary Assisted Dying) Act 2021,
including ongoing funding.
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.
Table 5.2 provides an Output Group Expense Summary for the Department.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management1 |
|
|
|
|
|
|
1.1 System Management - Health2 |
168 447 |
186 778 |
153 106 |
155 053 |
158 555 |
|
|
168 447 |
186 778 |
153 106 |
155 053 |
158 555 |
|
Output Group 2 ‑ Health Services1 |
|
|
|
|
|
|
2.1 Admitted Services3 |
1 152 110 |
1 259 700 |
1 309 150 |
1 435 172 |
1 571 625 |
|
2.2 Non‑admitted Services4 |
245 188 |
262 282 |
267 438 |
273 655 |
280 086 |
|
2.3 Emergency Department Services |
185 629 |
187 592 |
191 668 |
196 086 |
200 706 |
|
2.4 Community Health Services5 |
251 536 |
269 295 |
267 219 |
270 729 |
275 074 |
|
2.6 Ambulance Services6 |
134 635 |
135 810 |
139 015 |
139 720 |
141 730 |
|
2.7 Public Health Services7 |
30 976 |
37 925 |
29 806 |
30 640 |
30 875 |
|
|
2 000 074 |
2 152 604 |
2 204 296 |
2 346 002 |
2 500 096 |
|
Output Group 89 ‑ Public Building Maintenance Program8 |
|
|
|
|
|
|
89.1 Public Building Maintenance Program9 |
12 684 |
6 000 |
.... |
.... |
.... |
|
|
12 684 |
6 000 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
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 Allocation |
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 |
.... |
.... |
.... |
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Grants and Subsidies10 |
46 384 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management1 |
|
|
|
|
|
|
1.2 System Management ‑ Mental Health and Wellbeing11 |
37 702 |
45 380 |
41 689 |
34 978 |
33 124 |
|
|
37 702 |
45 380 |
41 689 |
34 978 |
33 124 |
|
Output Group 2 ‑ Health Services1 |
|
|
|
|
|
|
2.5 Statewide and Mental Health Services12 |
148 366 |
171 294 |
159 773 |
160 400 |
164 182 |
|
|
148 366 |
171 294 |
159 773 |
160 400 |
164 182 |
|
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 |
2 471 854 |
2 584 356 |
2 558 864 |
2 696 433 |
2 855 957 |
|
|
|
|
|
|
|
Notes:
1. The variations between the 2020‑21 and 2021‑22 Budget allocations include an internal reallocation between Outputs to more accurately reflect anticipated expenditure.
2. The increase in System Management ‑ Health in 2021‑22 primarily reflects additional funding for key deliverables including Public Private Partnerships to deliver care sooner and Health ICT - Digital Transformation ‑ Initiation Phase, partially offset by the completion of some COVID‑19 Response and Recovery measures in 2020‑21.
3. The increase in Admitted Services primarily reflects additional funding for key deliverables including Beds and Demand ‑ Major Hospitals and Elective Surgery and a National Health Reform Funding update to align with forecast activity.
4. The increase in Non‑admitted Services in 2021‑22 primarily reflects a forecast increase in expenditure funded from revenue retained within the Department’s Specific Purpose Account.
5. The increase in Community Health Services in 2021‑22 primarily reflects additional funding for key deliverables including Safe Staffing Model for Tasmanian District Hospitals, Oral Health ‑ One‑off Funding Injection and commitments relating to Community Health and Palliative Care.
6. The increase in Ambulance Services in 2021‑22 primarily reflects additional funding for key deliverables including New Paramedics and Additional Paramedic Crews ‑ Hobart and Launceston.
7. The increase in Public Health Services in 2021‑22 primarily reflects additional funding for key deliverables including COVID‑19 Response ‑ Vaccine Costs and Healthy Tasmania Strategy.
8. Expenditure profiles within the Public Building Maintenance Program and the COVID‑19 Response and Recovery Output Groups reflect the timeframes to deliver these initiatives that were announced in the 2020‑21 Budget.
9. Expenditure of $6 million in 2021‑22 for Public Building Maintenance Program consists of $3 million funded in the 2020‑21 Budget for 2021‑22, and $3 million reallocated from 2020‑21 to 2021‑22. Funding from this program will be used to undertake critical routine and periodic maintenance including: works at St Johns Park; Launceston General Hospital; North West Regional Hospital; Flinders Island District Hospital; and other rural hospital and ambulance station sites across the State.
10. The decrease in Grants and Subsidies in 2021‑22 reflects completion of the Australian Government National Partnership Agreement on COVID‑19 Response: Private Hospital Financial Viability Payments.
11. The increase in System Management ‑ Mental Health and Wellbeing in 2021‑22 primarily reflects additional funding for key deliverables including Residential Rehabilitation Beds, Community Mental Health ‑ Addressing Increasing Demand, and COVID‑19 continued mental health services. The variation over the Forward Estimates reflects the completion of key deliverables.
12. The variations in Statewide and Mental Health Services primarily reflect additional funding for key deliverables including Mental Health Service Reviews ‑ including CAMHS, and Emergency Mental Health Co‑response model, and the profile of costs associated with recoveries from the Tasmanian Risk Management Fund for the rebuild of the Peacock Centre.
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 in the context of metal health and wellbeing.
|
Performance Measure |
Unit of Measure |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Actual |
2021‑22 Target |
|
|
|
|
|
|
|
|
System Management ‑ Health |
|
|
|
|
|
|
Implementation of Government reform agenda goals achieved within published timeframe1 |
% |
89 |
72 |
100 |
100 |
|
Service Plan developed and administered in accordance with the THS Reform Act, and policy settings endorsed by the Minister for Health2 |
Number |
1 |
1 |
1 |
1 |
|
|
|
|
|
|
|
|
System Management ‑ Mental Health and Wellbeing |
|
|
|
|
|
|
Implementation of Government reform agenda goals achieved within published timeframe1 |
% |
100 |
na |
100 |
100 |
|
|
|
|
|
|
|
Notes:
1. The reform agenda goals for 2020‑21 and 2021‑22 are those specified in the Government’s First 100 Days Plan.
2. The Tasmanian Health Service Act 2018 requires a Service Plan to be prepared by the Secretary of the Department.
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 (Output 2.5 Statewide and Mental Health Services) or district hospitals (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.
|
Performance Measure |
Unit of Measure |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Actual |
2021‑22 Target |
|
|
|
|
|
|
|
|
Admitted Services1 |
|
|
|
|
|
|
Admitted patients ‑ National Weighted Activity Unit2 |
Number |
118 223 |
117 745 |
121 520 |
127 873 |
|
Elective surgery patients seen on time3 |
|
|
|
|
|
|
Category 1 |
% |
71.8 |
68.0 |
64.1 |
100.0 |
|
Category 2 |
% |
43.1 |
36.7 |
36.3 |
45.0 |
|
Category 3 |
% |
66.4 |
59.2 |
32.9 |
65.0 |
|
Elective surgery patients ‑ average overdue wait time for those waiting beyond the recommended time3 |
|
|
|
|
|
|
Category 1 |
Days |
58.0 |
84.9 |
104.0 |
0.0 |
|
Category 2 |
Days |
125.0 |
161.4 |
219.7 |
120.0 |
|
Category 3 |
Days |
95.4 |
150.2 |
220.9 |
92.0 |
|
Elective surgery admissions3,4 |
Number |
17 858 |
15 065 |
18 192 |
22 800 |
|
Hand hygiene compliance5 |
% |
79.4 |
82.8 |
80.2 |
>80.0 |
|
Healthcare associated staphylococcus aureus (including MRSA) bacteraemia (rate per 10 000 patient days)6 |
Rate |
1.0 |
1.1 |
0.7 |
≤1.0 |
|
Cost per weighted separation7 |
$ |
5 662 |
6 409 |
na |
na |
|
|
|
|
|
|
|
|
Non‑admitted Services1 |
|
|
|
|
|
|
Outpatient attendances8 |
Number |
576 650 |
532 802 |
427 947 |
581 000 |
|
|
|
|
|
|
|
|
Emergency Department Services1 |
|
|
|
|
|
|
Emergency Department presentations9 |
Number |
165 994 |
153 738 |
170 645 |
170 000 |
|
ED patients who are admitted, referred for treatment or discharged within four hours9,10 |
% |
62.0 |
60.0 |
58.0 |
90.0 |
|
Percentage of all ED patients seen within the recommended triage time9,10 |
% |
64.0 |
64.6 |
58.9 |
80.0 |
|
|
|
|
|
|
|
|
Community Health Services1 |
|
|
|
|
|
|
District hospitals ‑ separations11 |
Number |
4 020 |
3 921 |
3 916 |
4 150 |
|
District hospitals ‑ occupancy rate11 |
% |
56.1 |
53.5 |
50.5 |
60.0 |
|
Community nursing ‑ occasions of service11 |
Number |
173 810 |
171 913 |
177 514 |
173 000 |
|
Residential aged care ‑ occupancy rate11 |
% |
87.6 |
89.6 |
88.3 |
90.0 |
|
Aged Care Assessment Program ‑ completed assessments12 |
Number |
4 648 |
4 648 |
4 595 |
4 700 |
|
Mothers attending the eight‑week Child Health Assessment13 |
% |
91.8 |
91.2 |
90.8 |
91.0 |
|
Performance Measure |
Unit of Measure |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Actual |
2021‑22 Target |
|
|
|
|
|
|
|
|
Community Health Services (continued)1 |
|
|
|
|
|
|
Oral Health14 |
|
|
|
|
|
|
Adults ‑ occasions of service ‑ general |
Number |
13 912 |
7 054 |
3 283 |
7 900 |
|
Adults ‑ occasions of service ‑ episodic |
Number |
32 072 |
28 588 |
32 188 |
32 300 |
|
Adults ‑ occasions of service ‑ dentures |
Number |
18 498 |
13 960 |
14 707 |
15 400 |
|
Children ‑ occasions of service |
Number |
64 883 |
49 909 |
50 468 |
57 700 |
|
General (adults) waiting list |
Number |
12 113 |
15 381 |
17 518 |
17 600 |
|
Dentures waiting list15 |
Number |
246 |
647 |
759 |
300 |
|
|
|
|
|
|
|
|
Statewide and Mental Health Services1 |
|
|
|
|
|
|
Inpatient Separations |
Number |
1 670 |
1 917 |
2 287 |
2 100 |
|
28‑day readmission rate |
% |
12.5 |
13.4 |
15.3 |
≤14.0 |
|
Average length of acute inpatient stay |
Days |
15.0 |
13.1 |
12.2 |
12.0 |
|
Community and Residential ‑ active clients16 |
Number |
8 032 |
8 202 |
7 324 |
7 800 |
|
Proportion of persons with a mental illness whose needs are met by the Tasmanian Mental Health Service17 |
% |
68.2 |
71.5 |
63.7 |
63.0 |
|
Alcohol and Drug Services ‑ closed episodes of treatment18 |
Number |
3 591 |
3 431 |
na |
4 000 |
|
Pharmacotherapy Program ‑ total active participants19 |
Number |
886 |
866 |
786 |
930 |
|
Withdrawal Unit ‑ bed occupancy |
% |
58.2 |
55.7 |
43.4 |
75.0 |
|
Withdrawal Unit ‑ average length of stay |
Days |
5.8 |
5.4 |
5.4 |
7.0 |
|
|
|
|
|
|
|
|
Ambulance Services |
|
|
|
|
|
|
Total Ambulance Responses20 |
Number |
89 606 |
93 165 |
101 800 |
105 872 |
|
Emergency Ambulance Responses |
Number |
45 763 |
46 302 |
48 500 |
50 440 |
|
Satisfaction with Ambulance Services21 |
% |
98.0 |
98.0 |
na |
98.0 |
|
Median Emergency Response Times (Statewide) |
Mins |
12.9 |
13.8 |
14.1 |
13.8 |
|
Median Emergency Response Times (Hobart) |
Mins |
11.7 |
13.1 |
13.8 |
13.1 |
|
Median Emergency Response Times (Launceston) |
Mins |
11.1 |
12.3 |
12.4 |
12.3 |
|
Median Emergency Response Times (Devonport) |
Mins |
10.1 |
11.0 |
10.9 |
11.0 |
|
Median Emergency Response Times (Burnie) |
Mins |
10.6 |
11.0 |
11.2 |
11.0 |
|
Ambulance Services expenditure per person22 |
$ |
184.13 |
212.06 |
na |
na |
|
|
|
|
|
|
|
|
Performance Measure |
Unit of Measure |
2018‑19 Actual |
2019‑20 Actual |
2020‑21 Actual |
2021‑22 Target |
|
|
|
|
|
|
|
|
Public Health Services |
|
|
|
|
|
|
Eligible women screened for breast cancer1,23 |
Number |
32 431 |
29 487 |
35 995 |
35 860 |
|
BreastScreen ‑ percentage of clients assessed within 28 days of screening1,24 |
% |
93.9 |
94.3 |
90.3 |
90.0 |
|
|
|
|
|
|
|
|
Radiation Protection |
|
|
|
|
|
|
Radiation Management Plan ‑ Notifying of a review25 |
% |
87.0 |
78.0 |
80.0 |
95.0 |
|
Radiation Source Certification ‑ Recertified prior to expiry |
% |
94.0 |
95.0 |
94.0 |
95.0 |
|
|
|
|
|
|
|
|
Immunisation |
|
|
|
|
|
|
Vaccine coverage in children aged 5 years26 |
% |
95.5 |
95.0 |
95.0 |
95.0 |
|
|
|
|
|
|
|
|
Move Well Eat Well27 |
|
|
|
|
|
|
Primary School Program Membership |
% |
82.0 |
82.0 |
83.3 |
83.0 |
|
Primary School Program Awarded |
% |
28.7 |
26.0 |
27.1 |
28.0 |
|
Early Childhood Program Membership |
% |
80.5 |
80.6 |
78.6 |
80.0 |
|
Early Childhood Program Awarded |
% |
30.1 |
34.7 |
35.7 |
36.0 |
|
|
|
|
|
|
|
Notes:
1. The performance measures and associated targets are in accordance with the 2021‑22 Service Plan that came into effect on 1 July 2021. The Service Plan will be amended following delivery of the 2021‑22 Budget to reflect any relevant key deliverables. Further amendments can occur at any time in the financial year. The performance measures and associated targets included in any endorsed amendment to the Service Plan will supersede those included in this chapter.
2. National Weighted Activity Units are measured differently each year. The measure is therefore not directly comparable between years. The 2020‑21 figure is preliminary and subject to change following final reconciliation by the National Health Funding Body. Similarly, the 2019‑20 result in the 2020‑21 Budget Paper was preliminary with the actual for 2019‑20 reported here. The 2021‑22 target is based on the 2021‑22 Service Plan. The increase from 2020‑21 actual primarily reflects an additional uplift in funding for elective surgery announced in the 2020‑21 Budget and estimated increases in hospital activity levels associated with new bed openings across the system.
3. Actual figures for 2020‑21 are preliminary. The 2021‑22 elective surgery admissions target reflects an uplift in volume associated with the Government’s additional investment of $196.4 million over four years, commencing in 2021‑22, to deliver a record program of elective surgery to reduce waiting lists and deliver an additional 22 300 elective surgeries and endoscopies over four years.
4. The 2020‑21 figure 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.
5. Hand hygiene figures for 2018‑19 and 2019‑20 have been revised to include the Repatriation Centre, which is a campus of the Royal Hobart Hospital. The 2020‑21 figure is a preliminary figure, which only includes the first two audit periods.
6. The 2020‑21 figure is preliminary and only includes the first six months of 2020‑21.
7. The 2019‑20 actual has been revised to reflect the preliminary result as per the Round 24 National Hospital Cost Data Collection. The 2020‑21 result will not be known until the completion of the Round 25 NHCDC, scheduled for November 2022. Targets are not set for this indicator as historical cost does not provide a good indicator of future costs.
8. The 2019‑20 result was affected by the impact of the COVID‑19 pandemic and a change in counting rules for Tier 2 clinics. The 2020‑21 actual is for nine months to 31 March 2021. The 2021‑22 target for outpatient occasions of service has been set at pre‑COVID‑19 activity levels.
9. The 2020‑21 figure for the number of Emergency Department presentations is preliminary.
10. The target for the percentage of all Emergency Department patients seen within the recommended time has been set in accordance with the 2021‑22 Service Plan.
11. The 2020‑21 figures are projected based on 11 months of data to 31 May 2021.
12. The 2020‑21 figure is preliminary and only includes data up to 31 May 2021.
13. The 2020‑21 figure is preliminary as an end of year result was not available at the time of finalising this Budget.
14. The 2020‑21 figures were impacted by the COVID‑19 pandemic. The service transitioned to an emergency only service from April to June 2020 and then resumed at reduced capacity under a Recovery Plan. The 2021‑22 Oral Health targets are an increase on the 2020‑21 figures due to the Government’s allocation of $5 million to Oral Health Services Tasmania to generate 20 000 additional appointments.
15. The 2020‑21 figures are projected. In July 2020, the Government allocated $1 million to Oral Health Services Tasmania to increase its capacity for a six‑month period while the service recovered from COVID‑19 service restrictions. This funding enabled OHST to utilise the Tasmanian Denture Scheme to fund private dental practitioners to deliver denture services to patients on the dentures waiting list. This has resulted in a lower than projected dentures waiting list as at 30 June 2021. The dentures waiting list is projected to decrease further in 2021‑22 as a result of the Government’s investment to increase public dental service delivery.
16. The 2020‑21 actual figure is preliminary and only includes data up to 31 March 2021.
17. 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 2021 for Tasmania is 535 985, giving an estimated 16 080 people with a severe and persistent mental illness in 2021‑22. The 2019‑20 actual reflects the former model of care with targets from 2020‑21 revised to reflect the new model of care that was introduced from 2020‑21.
18. Data for the 2020‑21 actual for Alcohol and Drug Services ‑ closed episodes of treatment was not available at the time of finalising the Budget. Similarly, data for the 2019‑20 measure was not available at the time of publishing the 2020‑21 Budget; the actual for 2019‑20 is reflected in this Budget.
19. The 2020‑21 figure is preliminary and only includes data up to 31 March 2021. It reflects total unique clients with an opioid pharmacotherapy script dispensed within the period. This is an improved counting method on previous periods, which analysed total unique patients receiving an opioid pharmacotherapy dose within the period. The 2018‑19 and 2019‑20 actuals have been updated using the new counting method.
20. Total Ambulance Responses include emergency, urgent and non‑urgent responses. This indicator is a measure of demand rather than performance. The 2020‑21 figure is based on a projection. Target figures for 2021‑22 are calculated using four per cent expected growth, which is an average of previous year’s growth.
21. A Patient Satisfaction Survey is undertaken in May/June each year. The results for 2020‑21 will not be available until October 2021.
22. 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 differ from those reported previously. Data for the 2020‑21 actual was not available at the time of finalising the Budget. Targets are not set for this indicator as historical expenditure does not provide a good indicator of future expenditure.
23. The 2021‑22 target for eligible women (aged 40 and over) screened for breast cancer is based on incremental growth in screening required to achieve 65 per cent biennial participation of women in the 50‑74 years target age group by 2024‑25.
24. The 2020‑21 actual figures for percentage of clients assessed within 28 days of screening are projected. The 2021‑22 target is in accordance with the BreastScreen Australia National Accreditation Standards.
25. In 2019‑20, there was a reduction in businesses notifying that they had reviewed their Plan due to closures in response to the COVID‑19 pandemic. In 2020‑21, the actual figure was measured at a point in time, and is not an end of financial year figure. The 20 per cent of licence holders who have not notified that they have carried out a review are subject to follow up by the Radiation Protection Unit.
26. 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 2020‑21 includes children turning five years in the 12 months between 1 January 2020 to 31 December 2020, as measured in the reporting period from 1 April 2020 to 31 March 2021.
27. Award and Member percentages for Early Childhood and Primary School fluctuates due to variance in the pool of eligible services and schools. In 2021, there has been an increase in the number of eligible Long Day Care services which makes up one component of Early Childhood Services resulting in a slight decrease in Early Childhood membership. There was also a decrease in the number of eligible Primary Schools, resulting in an increase in Primary School membership.
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 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
Total |
|
Forward |
Forward |
Forward |
|
|
Cost |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
New Infrastructure Commitments1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
Dover Helipad |
300 |
.... |
300 |
.... |
.... |
|
Hospital Equipment Fund |
20 000 |
5 000 |
10 000 |
5 000 |
.... |
|
Kingston Health Centre ‑ Stage 2 |
30 000 |
.... |
.... |
2 000 |
8 000 |
|
Launceston General Hospital ‑ Mental Health Precinct |
80 000 |
500 |
1 500 |
5 000 |
5 000 |
|
Launceston General Hospital Redevelopment ‑ Stage 22 |
500 000 |
.... |
.... |
.... |
.... |
|
Mersey Community Hospital ‑ Expanded Redevelopment |
20 000 |
.... |
1 000 |
4 000 |
5 000 |
|
Mersey Community Hospital ‑ Rural Medical Workforce Centre |
1 000 |
.... |
1 000 |
.... |
.... |
|
Midlands Multipurpose Health Centre Upgrade |
3 500 |
150 |
1 600 |
1 750 |
.... |
|
New Ambulance Vehicles and Equipment |
9 000 |
2 000 |
4 000 |
3 000 |
.... |
|
North West Regional Hospital Upgrade |
20 000 |
.... |
750 |
1 750 |
.... |
|
North West Regional Hospital ‑ Mental Health Precinct |
40 000 |
.... |
2 000 |
8 000 |
10 000 |
|
Royal Hobart Hospital ‑ New Angiography Suite and Equipment Upgrade |
7 000 |
.... |
.... |
2 000 |
5 000 |
|
Royal Hobart Hospital Redevelopment ‑ Expanded Stage 2 |
110 000 |
.... |
.... |
48 100 |
61 900 |
|
Rural Hospital Equipment Boost |
5 000 |
2 500 |
2 500 |
.... |
.... |
|
St Helens Helipad |
300 |
.... |
300 |
.... |
.... |
|
|
|
|
|
|
|
|
Existing Infrastructure Commitments |
|
|
|
|
|
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
Air Conditioning Upgrades ‑ Statewide |
5 900 |
2 712 |
.... |
.... |
.... |
|
Burnie and Glenorchy Ambulance Stations1,3 |
20 532 |
2 410 |
6 726 |
10 532 |
.... |
|
Campbell Town Ambulance Station |
2 960 |
10 |
.... |
.... |
.... |
|
CHHP Acute Care facility NWRH4 |
10 000 |
1 000 |
4 000 |
5 000 |
.... |
|
CHHP Birthing Suites Upgrade LGH |
400 |
242 |
.... |
.... |
.... |
|
CHHP Kings Meadows Community Centre4 |
10 000 |
1 000 |
4 000 |
5 000 |
.... |
|
CHHP Queenstown Allied Health and Aged Care Facility |
1 000 |
1 000 |
.... |
.... |
.... |
|
Health Transport and Coordination Infrastructure |
9 187 |
689 |
.... |
.... |
.... |
|
Human Resources Information System4 |
21 600 |
3 100 |
6 600 |
6 300 |
5 000 |
|
Launceston General Hospital ‑ Redevelopment |
87 331 |
24 469 |
15 000 |
20 000 |
7 000 |
|
|
Estimated |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
Total |
|
Forward |
Forward |
Forward |
|
|
Cost |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Maternity Services at the North West Regional Hospital1,3 |
5 800 |
3 631 |
1 500 |
.... |
.... |
|
Mersey Community Hospital Capital Upgrades4 |
37 386 |
12 077 |
18 014 |
.... |
.... |
|
Regional Health and Ambulance Facilities Fund4 |
10 000 |
2 500 |
2 500 |
2 500 |
2 500 |
|
Royal Hobart Hospital Pharmacy Redevelopment1,3 |
5 861 |
3 623 |
2 100 |
.... |
.... |
|
Royal Hobart Hospital Redevelopment |
469 200 |
5 000 |
.... |
.... |
.... |
|
Royal Hobart Hospital Stage 2 Redevelopment 4 |
91 080 |
26 700 |
44 100 |
16 952 |
.... |
|
Stage 2 of the King Island Hospital Redevelopment |
10 500 |
221 |
.... |
.... |
.... |
|
Statewide Hospital Critical Facility Upgrades |
6 990 |
500 |
1 404 |
.... |
.... |
|
Statewide Rural Health Facility Infrastructure Upgrades4 |
4 700 |
500 |
1 318 |
.... |
.... |
|
Statewide Rural Hospital and Ambulance Station Upgrade Fund |
15 000 |
2 366 |
2 000 |
2 000 |
.... |
|
THS Infrastructure Upgrades |
1 130 |
500 |
580 |
.... |
.... |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
27 New Mental Health Beds in Southern Tasmania4 |
20 740 |
9 356 |
6 500 |
1 500 |
.... |
|
CHHP St Johns Park Eating Disorders Treatment Centre4 |
10 000 |
.... |
4 925 |
4 925 |
.... |
|
|
|
|
|
|
|
|
Total CIP Allocations |
|
113 756 |
146 217 |
155 309 |
109 400 |
|
|
|
|
|
|
|
Notes:
1. These projects are included in Table 5.1 in the Key Deliverables section of this chapter, along with a description for each project.
2. The funding allocation for the Launceston General Hospital Redevelopment ‑ Stage 2 commences from 2025‑26.
3. The estimated total cost has changed due to the allocation of additional funding, as described in the Key Deliverables section of this chapter.
4. Funding profiles over the Budget and Forward Estimates have been revised to reflect a more accurate expenditure profile.
Commencing in 2018‑19, funding was provided to undertake comprehensive air conditioning upgrades at the Royal Hobart Hospital, Launceston General Hospital and North West Regional Hospital. Remaining funding of $2.7 million is allocated to 2021‑22 to complete works at the Royal Hobart Hospital.
Funding of $3 million was allocated in the 2017‑18 Budget to construct a new Campbell Town Ambulance Station. This project was completed in 2020‑21 with minor payments remaining in 2021‑22.
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. Noise attenuation works were completed in 2020 and bath upgrades will be completed in 2021‑22;
· $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, to be co‑located at St Johns Park with the 27 New Mental Health Beds in Southern Tasmania project.
The 2021‑22 Budget provides funding of $689 000 toward the Telehealth Project to finalise Virtual Care Hub works.
The 2020‑21 Budget provided 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.
Commencing in 2018‑19, funding of $87.3 million was provided over six years for a major redevelopment and expansion of the LGH campus, 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 and $9.6 million for refurbishment and expansion of the Ward 4K Paediatric Inpatient Unit.
The first stage of the Ward 4K Paediatric Inpatient Unit in the new WACS tower opened in April 2020, with the final stage of the refurbishment of the existing ward completed in June 2021.
A project to upgrade fire services was completed in June 2021.
The forward program of works includes:
· refurbishment of Ward 3D. The first phase of this work, delivering an additional 18 beds will be completed in the first quarter of 2021‑22;
· new Women’s and Children’s outpatient clinics in Levels 3 and 5 of the Women’s and Children’s precinct. These works will be completed in 2021‑22;
· an upgrade to the Central Sterilising Department, with work underway, to be completed in 2021‑22;
· an upgrade to the Acute Medical Unit to contemporary pandemic preparedness specifications. An early works package is underway and the full scope of works will be completed in 2021‑22; and
· refurbishment of 39 Frankland Street as a new Administration and Training Hub. Building compliance works and base fit out were completed in 2020‑21, with final fit out to be completed in 2021‑22.
A draft Masterplan for remaining stages of work was released for public consultation in May 2021.
Funding of $35 million was provided in the 2017‑18 Budget to commence delivery of significant capital upgrades at the Mersey Community Hospital. 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. Remaining upgrades, including theatres/outpatient facilities and medical wards, are scheduled for completion by September 2023.
In 2020‑21, the construction of a new car park and refurbishment of lifts were completed and work commenced on an early works package as a prerequisite to construction works on new theatres, outpatient facilities and medical wards, which will commence in 2021‑22.
As part of the Government’s COVID‑19 response, the 2020‑21 Budget provided an additional $10 million over four years for regional health and ambulance facilities. This funding continues the $15 million provided for capital improvements at Tasmania’s rural and regional hospitals through the Statewide Rural Hospital and Ambulance Station Upgrade Fund.
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.
The total $689 million cost of this Project includes $469 million from the Capital Investment Program 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.
Construction of K‑Block, a 10 storey inpatient facility, was completed on 18 March 2020, with the first operating theatre procedure in June 2020 and full transition of service by October 2020. Contract finalisation occurred in June 2021.
The 2021‑22 funding of $5 million will fund post K‑Block works, including a component of the refurbishment of A‑Block.
The 2019‑20 Budget provided funding of $63 million to commence Stage 2 of the Royal Hobart Hospital Redevelopment in addition to $28.1 million allocated in the 2018‑19 Budget for Royal Hobart Hospital Ward Upgrades.
The project includes:
· expanding the Emergency Department, to meet growing patient demand. The first stage of the Emergency Department expansion will run in parallel with the Paediatric Outpatients relocation, with all works scheduled to reach completion by 2025;
· expanding 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. Planning and design has been completed for expansion of the Intensive Care Unit, with construction to commence in 2021‑22;
· re‑fitting J‑Block to provide a contemporary space for Cardiology services and provide additional inpatient bed capacity. Design has commenced for the refit of J‑Block with construction to commence in 2021‑22; and
· relocating and upgrading of paediatric outpatients facilities. Design has been completed for the relocation of Paediatric Outpatients, with construction works following on from the completion of the J‑Block refit in 2022‑23.
The 2017‑18 Budget provided $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 completion of the Cambridge Kitchen site.
Works being undertaken in 2021‑22 include upgrading of the LGH Level 6 Mechanical Services Switchboard to reduce risk of heating and cooling system failure and LGH Generator Replacement to improve backup power supply reliability.
The 2017‑18 Budget provided $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.
Commencing in 2018‑19, funding of $15 million was provided for capital improvements at Tasmania’s rural and regional hospitals, and ambulance stations.
Works that commenced in 2020‑21, scheduled for completion in 2021‑22, include nurse call, body protection and hydraulic services at Ouse Community Health Centre; Campbell Town nurses accommodation upgrades; and hand basin upgrades at Flinders Island Multi‑purpose Centre and Deloraine District Hospital.
Construction will commence in 2021‑22 on new ambulance stations at Queenstown, Bridgewater, Oatlands and Beaconsfield. The stations will be built to a standard design, based on the new Campbell Town Ambulance Station, which was completed in 2020‑21.
Commencing in 2019‑20, $1.9 million was provided over two years for significant infrastructure upgrades and replacements in the THS. Remaining projects will be prioritised during finalisation of the Department’s internal Capital Programming and Delivery Essential Maintenance allocations process for 2021‑22.
The 2018‑19 Budget provided $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 15 new beds to be provided at St John’s Park and 12 new beds to be provided at the Peacock Centre.
Works at the Peacock Centre commenced in March 2020, with completion scheduled for April 2022. Works at St John’s Park are scheduled to commence in February 2022.
The Australian Government's 2019‑20 Budget provided $10 million over five years to support treatment of Eating Disorders. Capital investment initiatives announced in this program included an Eating Disorders Treatment Centre located at St Johns Park, co‑located with the 27 New Mental Health Beds project. Construction works are scheduled to commence in February 2022.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Revenue and other income |
|
|
|
|
|
|
Appropriation revenue ‑ operating1 |
1 435 894 |
1 612 569 |
1 599 120 |
1 704 206 |
1 836 779 |
|
Appropriation revenue ‑ capital |
104 994 |
101 907 |
133 292 |
140 384 |
109 400 |
|
Other revenue from government |
69 876 |
9 595 |
.... |
.... |
.... |
|
Grants2 |
655 029 |
617 899 |
606 165 |
633 360 |
636 460 |
|
Sales of goods and services3 |
234 153 |
236 524 |
240 980 |
247 634 |
255 306 |
|
Interest4 |
344 |
94 |
95 |
96 |
97 |
|
Other revenue5 |
40 415 |
47 845 |
43 979 |
44 444 |
45 627 |
|
Total revenue |
2 540 705 |
2 626 433 |
2 623 631 |
2 770 124 |
2 883 669 |
|
Net gain/(loss) on non‑financial assets |
183 |
183 |
183 |
184 |
104 |
|
Total income |
2 540 888 |
2 626 616 |
2 623 814 |
2 770 308 |
2 883 773 |
|
|
|
|
|
|
|
|
Expenses |
|
|
|
|
|
|
Employee benefits3,6 |
1 523 369 |
1 625 988 |
1 634 947 |
1 753 306 |
1 882 624 |
|
Depreciation and amortisation |
90 055 |
92 585 |
94 800 |
97 278 |
95 910 |
|
Supplies and consumables3,7 |
645 102 |
699 887 |
683 251 |
702 620 |
733 542 |
|
Grants and subsidies3,8 |
122 965 |
119 788 |
98 383 |
94 448 |
92 452 |
|
Borrowing costs9 |
623 |
385 |
288 |
521 |
387 |
|
Other expenses3 |
43 356 |
45 723 |
47 195 |
48 260 |
51 042 |
|
Total expenses |
2 425 470 |
2 584 356 |
2 558 864 |
2 696 433 |
2 855 957 |
|
|
|
|
|
|
|
|
Net result |
115 418 |
42 260 |
64 950 |
73 875 |
27 816 |
|
|
|
|
|
|
|
|
Other comprehensive income |
|
|
|
|
|
|
Changes in physical asset revaluation reserve |
47 340 |
48 878 |
52 167 |
51 964 |
51 964 |
|
Total other comprehensive income |
47 340 |
48 878 |
52 167 |
51 964 |
51 964 |
|
|
|
|
|
|
|
|
Comprehensive result |
162 758 |
91 138 |
117 117 |
125 839 |
79 780 |
|
|
|
|
|
|
|
Notes:
1. The decrease in Appropriation revenue ‑ operating in 2022‑23 primarily reflects the completion of: COVID‑19 Response and Recovery initiatives for Community Healthcare and Elective Surgery; and Demand and Beds ‑ Major Hospitals, funded in the 2020‑21 Budget.
2. The variation in Grants reflects the profile of Australian Government funding allocations. The decrease in 2021‑22 primarily reflects the completion of 2020‑21 commitments in Australian Government NPA funding for COVID‑19 Response and the Redevelopment of the Royal Hobart Hospital.
3. The variations between the 2020‑21 and 2021‑22 Budget allocations include an internal reallocation to more accurately reflect anticipated revenue and expenditure.
4. The
decrease in Interest reflects a change to anticipated interest revenue reflected
within the Department’s Specific Purpose Accounts.
5. The variation in Other revenue primarily reflects recoveries from the Tasmanian Risk Management Fund for the rebuild of the Peacock Centre mental health facility, and forecast reimbursement from the Digital Transformation Priority Expenditure Program in Finance‑General for the 2020‑21 Digital Health Transformation initiative, as well as updated Departmental estimates for donations and research funds.
6. The increase in Employee benefits primarily reflects the profile of expenditure associated with key deliverables, as well as funding provided in previous Budgets for key Government initiatives including 250 beds for the Royal Hobart Hospital, Elective Surgery and Additional THS Funding.
8. The decrease in Grants and subsidies from 2022‑23 primarily reflects the profile of key deliverables, including the delivery of Public Private Partnerships to deliver care sooner initiative in 2021‑22.
9. The variation in Borrowing costs primarily reflects the accounting treatment for leases in accordance with AASB 16 Leases.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Administered revenue and other income |
|
|
|
|
|
|
Grants1 |
48 187 |
.... |
.... |
.... |
.... |
|
Total administered revenue |
48 187 |
.... |
.... |
.... |
.... |
|
Total administered income |
48 187 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Administered expenses |
|
|
|
|
|
|
Grants and subsidies1 |
46 384 |
.... |
.... |
.... |
.... |
|
Transfers to the Public Account2 |
1 803 |
.... |
.... |
.... |
.... |
|
Total administered expenses |
48 187 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Administered net result |
.... |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Administered comprehensive result |
.... |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
Notes:
1. This reflects funding budgeted to be 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.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Minister for Health |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management1 |
|
|
|
|
|
|
1.1 System Management ‑ Health2 |
104 983 |
165 612 |
137 101 |
144 347 |
150 523 |
|
|
104 983 |
165 612 |
137 101 |
144 347 |
150 523 |
|
Output Group 2 ‑ Health Services1 |
|
|
|
|
|
|
2.1 Admitted Services3 |
642 691 |
739 118 |
777 963 |
866 623 |
978 875 |
|
2.2 Non‑admitted Services1 |
140 740 |
139 416 |
142 591 |
146 981 |
151 305 |
|
2.3 Emergency Department Services |
96 259 |
118 829 |
122 067 |
125 734 |
129 422 |
|
2.4 Community Health Services4 |
150 477 |
141 115 |
143 122 |
145 616 |
148 977 |
|
2.6 Ambulance Services5 |
97 040 |
110 074 |
112 916 |
114 080 |
115 146 |
|
2.7 Public Health Services6 |
13 367 |
24 672 |
16 156 |
16 514 |
16 732 |
|
|
1 140 574 |
1 273 224 |
1 314 815 |
1 415 548 |
1 540 457 |
|
Output Group 90 ‑ COVID‑19 Response and Recovery7 |
|
|
|
|
|
|
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 |
91 224 |
92 551 |
126 792 |
138 884 |
109 400 |
|
|
|
|
|
|
|
|
Operating Services |
1 308 198 |
1 461 136 |
1 451 916 |
1 559 895 |
1 690 980 |
|
Capital Services |
91 224 |
92 551 |
126 792 |
138 884 |
109 400 |
|
|
1 399 422 |
1 553 687 |
1 578 708 |
1 698 779 |
1 800 380 |
|
|
|
|
|
|
|
|
Minister for Mental Health and Wellbeing |
|
|
|
|
|
|
|
|
|
|
|
|
|
Output Group 1 ‑ System Management1 |
|
|
|
|
|
|
1.2 System Management ‑ Mental Health and Wellbeing8 |
33 597 |
40 968 |
38 635 |
32 384 |
30 489 |
|
|
33 597 |
40 968 |
38 635 |
32 384 |
30 489 |
|
Output Group 2 ‑ Health Services1 |
|
|
|
|
|
|
2.5 Statewide and Mental Health Services9 |
90 837 |
110 465 |
108 569 |
111 927 |
115 310 |
|
|
90 837 |
110 465 |
108 569 |
111 927 |
115 310 |
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Output Group 90 ‑ COVID‑19 Response and Recovery7 |
|
|
|
|
|
|
90.4 Mental Health Program |
2 110 |
.... |
.... |
.... |
.... |
|
90.8 Community Mental Health Support |
1 152 |
.... |
.... |
.... |
.... |
|
|
3 262 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Capital Investment Program |
13 770 |
9 356 |
6 500 |
1 500 |
.... |
|
|
|
|
|
|
|
|
Operating Services |
127 696 |
151 433 |
147 204 |
144 311 |
145 799 |
|
Capital Services |
13 770 |
9 356 |
6 500 |
1 500 |
.... |
|
|
141 466 |
160 789 |
153 704 |
145 811 |
145 799 |
|
|
|
|
|
|
|
|
Department of Health |
|
|
|
|
|
|
Total Operating Services |
1 435 894 |
1 612 569 |
1 599 120 |
1 704 206 |
1 836 779 |
|
Total Capital Services |
104 994 |
101 907 |
133 292 |
140 384 |
109 400 |
|
|
1 540 888 |
1 714 476 |
1 732 412 |
1 844 590 |
1 946 179 |
|
|
|
|
|
|
|
|
Appropriation Rollover |
69 876 |
9 595 |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Total Revenue from Appropriation |
1 610 764 |
1 724 071 |
1 732 412 |
1 844 590 |
1 946 179 |
|
|
|
|
|
|
|
|
Controlled Revenue from Appropriation |
1 610 764 |
1 724 071 |
1 732 412 |
1 844 590 |
1 946 179 |
|
|
1 610 764 |
1 724 071 |
1 732 412 |
1 844 590 |
1 946 179 |
|
|
|
|
|
|
|
Notes:
1. The variation between the 2020‑21 and 2021‑22 Budget allocations includes an internal reallocation between Outputs to more accurately reflect anticipated expenditure.
2. The increase in System Management ‑ Health in 2021‑22 reflects additional funding for key deliverables including Public Private Partnerships to deliver care sooner, Health ICT - Digital Transformation ‑ Initiation Phase, Building the Health Care Workforce ‑ Health 2040, Community Based Programs, Voluntary Assisted Dying Act Implementation and Palliative Care Tasmania.
3. The increase in Admitted Services reflects the profile of expenditure for key deliverables including Beds and Demand ‑ Major Hospitals, various commitments for Elective Surgery and prior year initiatives for 250 New Beds for the Royal Hobart Hospital and Ward 3D ‑ A 32 Bed Inpatient Ward.
4. The decrease in Community Health Services in 2021‑22 primarily reflects an internal reallocation between Departmental outputs as explained in note 1; partially offset by additional funding for key deliverables including Safe Staffing Model for Tasmanian District Hospitals, Oral Health ‑ One‑off Funding Injection and various commitments for Palliative Care.
5. The increase in Ambulance Services in 2021‑22 primarily reflects additional funding for key deliverables including New Paramedics and Additional Paramedic Crews ‑ Hobart and Launceston.
6. The variation in Public Health Services primarily reflects additional funding for key deliverables including COVID‑19 Response - Vaccine Costs in 2021‑22 and the Healthy Tasmania Strategy.
7. The profiles within the COVID‑19 Response and Recovery Output Group reflect the timeframes to deliver these initiatives that were announced in the 2020‑21 Budget.
8. The increase in System Management ‑ Mental Health and Wellbeing in 2021‑22 primarily reflects additional funding for key deliverables including Residential Rehabilitation Beds, Community Mental Health ‑ Addressing Increasing Demand and COVID‑19 continued mental health services. The decrease from 2022‑23 reflects the completion of key deliverables including Rethink 2020 and Drug Education Network.
9. The variation in Statewide and Mental Health Services primarily reflects additional funding for key deliverables including Mental Health Service Reviews ‑ including CAMHS, Emergency Mental Health Co‑response model and Mental Health Hospital in the Home Pilot.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
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.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
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.
|
|
2021 |
2022 |
2023 |
2024 |
2025 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Assets |
|
|
|
|
|
|
Financial assets |
|
|
|
|
|
|
Cash and deposits1 |
95 272 |
151 476 |
149 672 |
148 038 |
146 494 |
|
Receivables |
37 026 |
37 557 |
39 273 |
41 011 |
42 770 |
|
Other financial assets1 |
21 444 |
32 181 |
33 002 |
33 823 |
34 644 |
|
|
153 742 |
221 214 |
221 947 |
222 872 |
223 908 |
|
|
|
|
|
|
|
|
Non‑financial assets |
|
|
|
|
|
|
Inventories1 |
11 397 |
35 469 |
36 402 |
37 335 |
38 268 |
|
Property, plant and equipment1 |
1 957 631 |
1 814 107 |
1 929 991 |
2 054 458 |
2 137 203 |
|
Heritage and cultural assets |
4 028 |
4 305 |
4 378 |
4 451 |
4 524 |
|
Intangibles2 |
9 139 |
5 158 |
13 922 |
22 386 |
26 625 |
|
Other assets1,3 |
57 894 |
45 133 |
40 419 |
51 519 |
45 406 |
|
|
2 040 089 |
1 904 172 |
2 025 112 |
2 170 149 |
2 252 026 |
|
|
|
|
|
|
|
|
Total assets |
2 193 831 |
2 125 386 |
2 247 059 |
2 393 021 |
2 475 934 |
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
Payables1 |
124 768 |
103 569 |
104 401 |
105 233 |
106 065 |
|
Interest bearing liabilities1,3 |
49 083 |
14 319 |
9 436 |
20 058 |
13 667 |
|
Employee benefits1 |
302 520 |
341 788 |
351 565 |
361 342 |
371 119 |
|
Superannuation1 |
4 430 |
6 155 |
6 213 |
6 271 |
6 329 |
|
Other liabilities |
31 918 |
36 650 |
35 422 |
34 256 |
33 113 |
|
Total liabilities |
512 719 |
502 481 |
507 037 |
527 160 |
530 293 |
|
|
|
|
|
|
|
|
Net assets (liabilities) |
1 681 112 |
1 622 905 |
1 740 022 |
1 865 861 |
1 945 641 |
|
|
|
|
|
|
|
|
Equity |
|
|
|
|
|
|
Reserves |
453 972 |
434 657 |
486 824 |
538 788 |
590 752 |
|
Accumulated funds |
1 227 140 |
1 188 248 |
1 253 198 |
1 327 073 |
1 354 889 |
|
Total equity |
1 681 112 |
1 622 905 |
1 740 022 |
1 865 861 |
1 945 641 |
|
|
|
|
|
|
|
Notes:
1. The variation in these items in 2022 reflects a more accurate estimate based on the 30 June 2020 outcome.
2. The variation in Intangibles reflects the purchase of ICT‑related assets, in particular the investment in the Human Resources Information System.
3. The variation in Other assets and Interest bearing liabilities reflects the accounting treatment for leases in accordance with AASB 16 Leases.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Cash flows from operating activities |
|
|
|
|
|
|
Cash inflows |
|
|
|
|
|
|
Appropriation receipts ‑ operating |
1 435 894 |
1 612 569 |
1 599 120 |
1 704 206 |
1 836 779 |
|
Appropriation receipts ‑ capital |
104 994 |
101 907 |
133 292 |
140 384 |
109 400 |
|
Appropriation receipts ‑ other |
69 876 |
9 595 |
.... |
.... |
.... |
|
Grants |
655 029 |
617 899 |
606 165 |
633 360 |
636 460 |
|
Sales of goods and services1 |
234 246 |
235 076 |
239 532 |
246 186 |
253 858 |
|
GST receipts |
106 476 |
108 605 |
110 777 |
112 993 |
115 253 |
|
Interest received |
344 |
94 |
95 |
96 |
97 |
|
Other cash receipts |
29 433 |
36 610 |
32 486 |
32 687 |
33 600 |
|
Total cash inflows |
2 636 292 |
2 722 355 |
2 721 467 |
2 869 912 |
2 985 447 |
|
|
|
|
|
|
|
|
Cash outflows |
|
|
|
|
|
|
Employee benefits1 |
(1 378 685) |
(1 439 888) |
(1 443 141) |
(1 546 397) |
(1 654 348) |
|
Superannuation1 |
(140 040) |
(176 377) |
(182 083) |
(197 186) |
(218 553) |
|
Borrowing costs2 |
(623) |
(385) |
(288) |
(521) |
(387) |
|
GST payments |
(107 514) |
(109 664) |
(111 857) |
(114 095) |
(116 376) |
|
Grants and subsidies1 |
(122 965) |
(119 788) |
(98 383) |
(94 448) |
(92 452) |
|
Supplies and consumables1 |
(639 447) |
(700 217) |
(684 478) |
(703 785) |
(734 684) |
|
Other cash payments1 |
(32 374) |
(34 474) |
(35 688) |
(36 489) |
(39 001) |
|
Total cash outflows |
(2 421 648) |
(2 580 793) |
(2 555 918) |
(2 692 921) |
(2 855 801) |
|
|
|
|
|
|
|
|
Net cash from (used by) operating activities |
214 644 |
141 562 |
165 549 |
176 991 |
129 646 |
|
|
|
|
|
|
|
|
Cash flows from investing activities |
|
|
|
|
|
|
Payments for acquisition of non‑financial assets1,3 |
(229 685) |
(138 026) |
(159 177) |
(168 351) |
(122 404) |
|
Proceeds from the disposal of non‑financial assets |
183 |
183 |
183 |
184 |
104 |
|
Net cash from (used by) investing activities |
(229 502) |
(137 843) |
(158 994) |
(168 167) |
(122 300) |
|
|
|
|
|
|
|
|
Cash flows from financing activities |
|
|
|
|
|
|
Net borrowings2 |
(6 963) |
(7 601) |
(8 359) |
(10 458) |
(8 890) |
|
Net cash from (used by) financing activities |
(6 963) |
(7 601) |
(8 359) |
(10 458) |
(8 890) |
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents held |
(21 821) |
(3 882) |
(1 804) |
(1 634) |
(1 544) |
|
|
|
|
|
|
|
|
Cash and deposits at the beginning of the reporting period |
117 093 |
155 358 |
151 476 |
149 672 |
148 038 |
|
Cash and deposits at the end of the reporting period |
95 272 |
151 476 |
149 672 |
148 038 |
146 494 |
|
|
|
|
|
|
|
Notes:
1. The variations between the 2020‑21 and 2021‑22 Budget allocations include an internal reallocation to more accurately reflect anticipated revenue and expenditure.
2. The variation in Borrowing costs and Net borrowings primarily reflects the accounting treatment for leases in accordance with AASB 16 Leases.
3. 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.
|
|
2020‑21 |
2021‑22 |
2022‑23 |
2023‑24 |
2024‑25 |
|
|
|
|
Forward |
Forward |
Forward |
|
|
Budget |
Budget |
Estimate |
Estimate |
Estimate |
|
|
$'000 |
$'000 |
$'000 |
$'000 |
$'000 |
|
|
|
|
|
|
|
|
Cash flows from operating activities |
|
|
|
|
|
|
Cash inflows |
|
|
|
|
|
|
Grants |
31 803 |
.... |
.... |
.... |
.... |
|
Total cash inflows |
31 803 |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Cash outflows |
|
|
|
|
|
|
Grants and subsidies |
(46 384) |
.... |
.... |
.... |
.... |
|
Transfer to the Public Account |
(1 803) |
.... |
.... |
.... |
.... |
|
Total cash outflows |
(48 187) |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Net cash from (used by) operating activities |
(16 384) |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents held |
(16 384) |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|
|
Cash and deposits at the beginning of the reporting period |
16 384 |
.... |
.... |
.... |
.... |
|
Cash and deposits at the end of the reporting period |
.... |
.... |
.... |
.... |
.... |
|
|
|
|
|
|
|