5     Department of Health

Agency Outline

The Department of Health is responsible for purchasing and delivering integrated services that maintain and improve the health and wellbeing of Tasmanians. The Department reports to the Minister for Health and Minister for Mental Health and Wellbeing, Hon Jeremy Rockliff MP.

The Department coordinates the delivery of public health services across Tasmania through a network of facilities, community services and home‑based care.

The principal responsibilities of the Department include:

·       planning and purchasing high quality, safe and efficient health services through the public hospital system; primary and community health services, including mental health, oral health and correctional health services; and ambulance services;

·       delivering health protection through emergency and pandemic management, environmental health, chronic disease prevention and other public health and health improvement services; and

·       funding a network of alcohol and drug abuse prevention and treatment services.

The Department also coordinates the delivery of public hospital services and a broad range of community health services through the Tasmanian Health Service in accordance with the Tasmanian Health Service Act 2018.

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.

National Health Reform Agreement

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.


 

Key Deliverables

Table 5.1 provides a summary of the Budget and Forward Estimates allocations for key deliverables being undertaken by the Department.

Table 5.1:         Key Deliverables Statement

 

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

....

 

Table 5.1:         Key Deliverables Statement (continued)

 

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

....

....

Mental Health Service Reviews ‑ including CAMHS

12 500

12 500

12 500

12 500

 

Table 5.1:         Key Deliverables Statement (continued)

 

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.

Election Commitments

Access Scheme for Medicinal Cannabis (Alignment with National Approach)

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.

Additional Paramedic Crews ‑ Hobart and Launceston

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.

Alcohol and Drug Foundation Good Sports Program

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.


 

Alcohol, Tobacco and other Drugs Council Tasmania

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.

Community Awareness Campaign (Preventative Health)

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.

Community Based Health Care

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.

Community Based Programs (Wellbeing and Preventative Health)

Funding is provided over four years to support communitybased 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.

Community Defibrillator Fund

The Government has committed funding over two years to the Community Defibrillator Fund for an additional 180 community defibrillators.

Community Mental Health ‑ Addressing Increasing Demand

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.

Community Transport Services Tasmania

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.

COVID‑19 continued mental health services

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.

Dover Helipad

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.

Dover Medical Centre Upgrade

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.

Drug Education Network

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.

Elective Surgery ‑ additional funding ‑ Surgeries + Endoscopy

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.

Emergency Mental Health Co‑response model

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.

Family Planning Tasmania

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.

GP after hours services ‑ additional support

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.

Health Recruitment Taskforce

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.


 

Healthy Tasmania 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.

Heart Foundation ‑ support for Rehabilitation of Cardiac patients

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.

Holyoake Gottawanna Program

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.

Home and Community Based Palliative Care

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.

Hospital Avoidance Co‑investment Fund

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.

Hospital Equipment Fund

Funding is provided over three years to replace and upgrade critical hospital equipment across Tasmania, including diagnostic imaging equipment.

Hyperbaric Chamber Royal Hobart Hospital

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.

Kingston Health Centre ‑ Stage 2

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.

Launceston General Hospital ‑ Mental Health Precinct

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.

Launceston General Hospital Redevelopment ‑ Stage 2

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.

Mental Health Hospital in the Home Pilot

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.

Mersey Community Hospital ‑ Expanded Redevelopment

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.


 

Mersey Community Hospital ‑ Rural Medical Workforce Centre

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.

Midlands Multipurpose Health Centre Upgrade

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.

New Ambulance Vehicles and Equipment

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.

New 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.

North West Regional Hospital ‑ Mental Health Precinct

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.

North West Regional Hospital Masterplan

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.

North West Regional Hospital Second Linear Accelerator

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.

North West Regional Hospital Upgrade

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.

Oral Health ‑ One‑off Funding Injection

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.

Palliative Care Private Sector Partnerships

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.

Palliative Care Tasmania

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.

Peer Workforce Coordinator and establish Youth Peer Worker Model

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.

Public Private Partnerships to deliver care sooner

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.

Residential Rehabilitation Beds

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.

Rethink 2020

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.

Royal Flying Doctor Service ‑ Regional Oral Health Support

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.

Royal Hobart Hospital ‑ New Angiography Suite and Equipment Upgrade

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.

Royal Hobart Hospital 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.

Rural Hospital Boost ‑ additional staff

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.

Rural Hospital Equipment Boost

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.

Salvation Army Street Teams

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.

St Helens Helipad

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.

Supporting Access to Cutting Edge Treatments for Children with Cancer

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.

Tasmanian Community Health and Wellbeing Networks

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.

Volunteer Ambulance Officers Association of Tasmania ‑ MOU

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.

Youth Smoking Initiative

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.

Other Initiatives

Beds and Demand ‑ Major Hospitals

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 fulltime equivalent staff to support new and boosted services across Tasmania.

Building a Positive Health Culture

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.

Building the Health Care Workforce ‑ Health Workforce 2040

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.

Community Healthcare

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).

COVID‑19 Response ‑ Vaccine Costs

Funding is provided in 2021‑22 to fund the State Government’s component of the COVID‑19 Vaccine rollout.

Elective Surgery ‑ additional commitment

Additional funding is allocated over three years from 202223 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.

GP after hours boost ‑ additional funding

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.

Health ICT ‑ Digital Transformation ‑ Initiation Phase

Funding is provided in 202122 of $15 million, including an allocation of funding from the Digital Transformation Priority Expenditure Program of $5 million held in FinanceGeneral, to commence progressing key focus areas of a 10year 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 longterm vision for digital technology across the health system.

This funding is in addition to digital funding announced in the 202021 Budget of $23.1 million that included an allocation to modernise the Department’s human resource systems across the State.

Housing and Accommodation Support Initiative (HASI)

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.

Huntington’s Disease Association of Tasmania

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.

Maternity Services at the North West Regional Hospital

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.

Mental Health Service Reviews ‑ including CAMHS

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.

New Burnie Ambulance Station

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.

New Glenorchy Ambulance Station

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.

Royal Hobart Hospital Pharmacy Redevelopment

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.

Safe Staffing Model for Tasmanian District Hospitals

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 subacute beds, aged care and emergency beds.

Salvation Army ‑ New Town Site Masterplan

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.

Voluntary Assisted Dying Act Implementation

This initiative will support the implementation of the End‑of‑Life Choices (Voluntary Assisted Dying) Act 2021, including ongoing funding.

Output Information

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.

Table 5.2:         Output Group Expense Summary

 

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 

.... 

.... 

.... 

Table 5.2:         Output Group Expense Summary (continued)

 

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 202122 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.

Output Group 1:    System Management

1.1 System Management ‑ Health

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.

1.2 System Management ‑ Mental Health and Wellbeing

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.

Table 5.3:         Performance Information ‑ Output Group 1

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.


 

Output Group 2:    Health Services

2.1 Admitted Services

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).

2.2 Non‑admitted 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.

2.3 Emergency Department Services

This Output provides services relating to emergency presentations at Tasmania’s major public hospital emergency departments.

2.4 Community Health Services

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.

2.5 Statewide and Mental Health Services

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.

2.6 Ambulance Services

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.

2.7 Public Health Services

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.

Table 5.4:         Performance Information ‑ Output Group 2

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


 

Table 5.4:         Performance Information ‑ Output Group 2 (continued)

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

 

 

 

 

 

 


 

Table 5.4:         Performance Information ‑ Output Group 2 (continued)

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 201920 actual reflects the former model of care with targets from 202021 revised to reflect the new model of care that was introduced from 202021.

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.


 

Capital Investment Program

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.

Table 5.5:         Capital Investment Program

 

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 

Table 5.5:         Capital Investment Program (continued)

 

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.

Air Conditioning Upgrades ‑ Statewide

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.

Campbell Town Ambulance Station

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.


 

Community Health and Hospitals Program

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.

Health Transport and Coordination Infrastructure

The 2021‑22 Budget provides funding of $689 000 toward the Telehealth Project to finalise Virtual Care Hub works.

Human Resources Information System

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.

Launceston General Hospital Redevelopment 

Commencing in 2018‑19, funding of $87.3 million was provided over six years for a major redevelopment and expansion of the LGH 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.

Mersey Community Hospital Capital Upgrades

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.

Regional Health and Ambulance Facilities Fund

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.

Royal Hobart Hospital Redevelopment

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.

Royal Hobart Hospital Stage 2 Redevelopment

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.

Statewide Hospital Critical Facility Upgrades

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.

Statewide Rural Health Facility Infrastructure Upgrades

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.

Statewide Rural Hospital and Ambulance Station Upgrade Fund

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.

THS Infrastructure Upgrades

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.

27 Mental Health Beds in Southern Tasmania

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.

St Johns Park Eating Disorders Treatment Centre

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.


 

Detailed Budget Statements

Table 5.6:         Statement of Comprehensive Income

 

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.

7.    The variation in Supplies and consumables primarily reflects the profile of expenditure associated with key deliverables and the profile of Australian Government funding for National Partnership Agreement projects including Elective Surgery and Improved Access to Health Services, and Commonwealth Own Purpose Expenditure.

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.


 

Table 5.7:         Statement of Comprehensive Income ‑ Administered

 

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.


 

Table 5.8:         Revenue from Appropriation by Output

 

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 


 

Table 5.8:         Revenue from Appropriation by Output (continued)

 

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.

 

Table 5.9:         Administered Revenue

 

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.

 

Table 5.10:       Administered Expenses

 

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.


 

Table 5.11:       Statement of Financial Position as at 30 June

 

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.

Table 5.12:       Statement of Cash Flows

 

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.

 

Table 5.13:       Statement of Cash Flows ‑ Administered

 

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

.... 

.... 

.... 

.... 

....