Department of Health Annual Report Disclosure and

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					Department of Health Annual Report 2010-11

   The 2010-11 results for Non-Elective/ Elective Patients, 0 – 34 nights

   Disclosure and Compliance

Delivering a Healthy WA                                                     1
                                                                            Department of Health Annual Report 2010-11

                            Compliance with Public Sector Standards and Ethical Codes
                            In the administration of the Department of Health, I have complied with the Western
                            Australia Public Sector Code of Ethics, Public Sector Standards in Human Resource
                            Management and the WA Health Code of Conduct.

                            Human Resource Management
                            The Department of Health undertakes analysis of breach of standards claims lodged
                            within our agency and subsequent review and feedback from the Office of the Public
                            Sector Standards Commissioner (OPSSC) is the primary method of monitoring and

                            There were no claims carried over from 2009-10 and the Department of Health only
                            received one claim in 2010-11 in relation to recruitment, selection and appointment
                            processes. This claim was referred to the Office of the Public Sector Standards

                            Induction programs, both online and through face to face sessions for new employees,
                            are the most interactive processes for educating staff on the Public Sector Standards.
                            Material is provided at the induction sessions and information is readily available to all
                            staff through the Department of Health intranet.

                            General monitoring of human resource activities within the workplace is managed by the
                            various human resource areas across the Department of Health.

                            Code of Ethics and Code of Conduct
Disclosure and Compliance

                            Education strategies are implemented by the Corporate Governance Directorate. The
                            sessions are provided under the umbrella of Accountable and Ethical Decision Making
                            which focuses on the six modules contained within the Public Sector Commission
                            training. As at 30 June 2011, 453 Department of Health staff have completed this e-
                            Learning training during the financial year. Face to face presentations which included a
                            Code of Conduct component were held with over 200 employees in attendance.

                            The Codes of Ethics and Conduct are also communicated through the intranet, online
                            induction facility and face to face corporate induction sessions for new employees, who
                            are then required to provide acknowledgement. The Code of Conduct is also
                            communicated to staff via handouts and at staff meetings.

                            There were no specific compliance issues raised in this reporting year.

                            All breaches reported are assessed and reviewed, with a view to determining whether
                            they fall within the category of reportable misconduct to the Corruption and Crime
                            Commission. Of the five non-reportable breaches reported, four were concluded.

                            Exit Surveys were implemented within the organisation in October 2010, which provided
                            an opportunity for employees to comment on workplace culture. Two questions relate
                            directly to ethical codes - understanding the values and expected behaviours and if the

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Department of Health Annual Report 2010-11

    Code of Conduct and the Code of Ethics were clearly communicated. No results are yet
    available for the 2010-11 year.

    There were 13 complaints reported to the Corporate Governance Directorate, alleging
    non-compliance with the Code of Ethics or the Code of Conduct, which were
    investigated internally in the Department.

    Dr D Russell-Weisz

    20 September 2011

                                                                                           Disclosure and Compliance

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                                                                                                 Department of Health Annual Report 2010-11

                            Employee Profile
                            The table below shows the number of full-time equivalent (FTE) staff employed by the
                            Department of Health year-to-date June 2011 by category.

                            Table 1: Total Department of Health FTE by category
                                    Category                                        Definition                                   2009-10         2010-11
                            Administration and          Includes all clerical-based occupations together with
                                                                                                                                    560             651
                            clerical                    patient-facing (ward) clerical support staff.
                                                        Includes FTE associated with the following occupational
                                                        categories: administration and clerical, medical support,
                            Agency*                                                                                                  18              18
                                                        hotel services, site services, medical salaried (excludes
                                                        visiting medical practitioners) and medical sessional.
                                                        Includes workers engaged on a ‘contract for service’
                            Agency nursing              basis. Does not include workers employed by                                   0              0

                                                        Support registered nurses and enrolled nurses in
                            Assistants in nursing       delivery of general patient care.                                             0              5

                                                        Includes registered dental nurses and dental clinic
                            Dental nursing              assistants.                                                                   0              0

                                                        Includes catering, cleaning, stores/supply laundry and
                            Hotel services              transport occupations.                                                        1              0

                                                        Includes all salary-based medical occupations including
                            Medical salaried            interns, registrars and specialist medical practitioners.                    14              16
Disclosure and Compliance

                                                        Includes specialist medical practitioners that are
                            Medical sessional           engaged on a sessional basis.                                                 3              3

                                                        Includes all Allied Health and scientific/technical related
                            Medical support             occupations.                                                                 33              27

                                                        Includes all nursing occupations. Does not include
                            Nursing                     agency nurses.                                                               28              25

                                                        Includes engineering, garden and security-based
                            Site services               occupations.                                                                  0              0

                                                        Captures Aboriginal and ethnic health worker related
                            Other categories            occupations.                                                                  0              0

                            Total                                                                                                   657             745

                            Totals may not add due to rounding.

                            *FTE for agency was under-reported from November 2009 onwards due to an Alesco reporting issue. It has now been added and
                            back dated.
                            1. FTE is calculated as the monthly Average FTE and is the average hours worked during a period of time divided by the Award
                                Full Time Hours for the same period. Hours include ordinary time; overtime; all leave categories; public holidays, Time Off in
                                Lieu, Workers Compensation.
                            2. FTE figures provided are based on Actual (Paid) month to date FTE.
                            3. The Department of Health includes all non Metropolitan Health Services and non WA Country Health Services.
                            4. Data excludes the Drug and Alcohol Office, Mental Health Division/Commission and Office of Health Review.
                            5. The figures above exclude Health Corporate Network, Health Information Network.
                            6. Data Source: HR Data Warehouse, extracted 14 July 2011.

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Department of Health Annual Report 2010-11

    Major Capital Works
    The following tables show major capital works in progress and works completed in 2010-11.
    Table 2: Major capital works - completed in 2010-11

                                                                               Estimated Total
    Project                                                                    Cost in 2010-11
    Broome Regional Resource Centre - Redevelopment Stage 1                          42,000
    Carryover Various                                                                 1,858
    Commonwealth Elective Surgery Stage 2 Funding Holding Account                     5,400
    Community Health Facilities Expansion Statewide                                   6,202
    Community Mental Health Initiatives                                               6,220
    Fremantle Hospital - Endoscopy                                                    1,208
    Fremantle Hospital - ICU and CCU                                                  5,703
    Fremantle Hospital - Lifts Upgrade                                                1,774
    Fremantle Hospital ED Redevelopment                                                 596
    Hedland Regional Resource Centre – Replacement Stage 2                          136,700
    Joondalup Health Campus - Inpatient Mental Health Unit                           12,315
    Kalamunda Hospital - Surgical Theatres Redevelopment                              3,205
    Kalamunda Maternity Services                                                        482
    KEMH - Holding – Controlled                                                         150
    KEMH Lift upgrade B Block lifts 3, 4, 5, 6                                          911
    Mandatory Reporting of Child Sexual Abuse                                            20
    Mandurah Community Health Centre - Development Stage 2                            3,418
    Metropolitan Plan Implementation - RPH Breast Clinic Redevelopment                1,347
    Neonatal Medical Equipment                                                          875
    Osborne Park Hospital - Elective Surgery Upgrade                                    500
    Peel Paediatric Ward                                                                500

                                                                                                 Disclosure and Compliance
    Pilbara Revitalisation Plan - Medical Equipment                                   2,500
    PMH PMCCU                                                                         4,650
    PMH Ward 5A Upgrade                                                               2,633
    QEIIMC Electricity Substation Upgrade1                                              371
    Rockingham District Hospital - Commonwealth Elective Surgery Blitz                3,000
    Rockingham Kwinana Hospital - Redevelopment Stage 1                             114,743
    Shenton Park - Ward 1 Redevelopment                                               4,806
    South West Health Campus - Critical Care Unit                                       300
    Wyndham Multi-Purpose Centre                                                      4,100
    Note – Completed projects:
    The above information is based upon the 2010-11 published budget papers.
    No significant variations for the above projects.
    Projects that are in the defects period are included above.

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                                                                            Department of Health Annual Report 2010-11

                            Table 3: Major capital works – in progress
                                                                     Estimated   Reported
                                                                    Total Cost       in     Variance     Expected
                                                                    in 2010-11   2009-10      ‘000     Completion Date
                                                                        ‘000       ‘000
                            Albany Regional Resource Centre -
                                                                     166,000     135,000      31,000    December 2012
                            Redevelopment Stage 11
                            Armadale Kelmscott Hospital -
                                                                      15,970                                Various
                            Bentley Hospital - Development            10,341                              March 2015
                            Broome Mental Health - 14 bed unit         9,422                             January 2012
                            Broome Paediatrics Facility                7,900                             January 2012
                            Busselton Integrated District Health
                                                                      77,400                                May 14
                            Carnarvon Hospital Redevelopment          20,837                                 TBA
                            Carnarvon Sobering Up Centre                 500                                 TBA
                            COAG - ED Funding Holding Account         15,790                                Various
                            COAG ED Four Hour Rule - Stage 1           4,778                                Various
                            Corporate and Shared Services
                                                                      10,697                                Various
                            Reform – HCN
                            Country Staff Accommodation Stage 4        8,889                                 TBA
                            Country - Transport Initiatives            3,326                                Various
                            Country Staff Accommodation -
                                                                       1,111                                  NA
                            Country Staff Accomodation Stage 3        27,666                                Various
                            East Kimberley Development Package        42,800                                Various
                            Eastern Wheatbelt District (including
                                                                       9,000                                 TBA
                            Merredin) Stage 1
                            Enhancing Health Services for the
                                                                      30,427                                Various
                            Pilbara in Partnership with Industry
Disclosure and Compliance

                            Equipment replacement program3           306,775     186,375     120,400        Various
                            Esperance Integrated District Health
                                                                      31,800      13,000      18,800    December 2013
                            Exmouth Hospital - New Ambulatory
                                                                       8,075                                 TBA
                            Care Facility
                            Fiona Stanley Development               1,761,500                           December 2013
                            Fremantle Hospital - Holding                2,529                              Various
                            Fremantle Hospital B Block Roof
                                                                       3,390                           September 2011
                            Fremantle Hospital Reconfiguration
                                                                      13,211                            December 2014
                            Stage 1
                            Graylands Hospital - Development
                                                                      16,084                            December 2014
                            Stage 1
                            Graylands Hospital - Redevelopment
                                                                         600                                  N/A
                            Harvey Hospital - Redevelopment2          13,900       6,200       7,700         TBA
                            Health Services Development Fund          10,812                                Various
                            Hospital Nurses Support Fund               1,441                                Various
                            Imaging - PACS Stage 1 Metro and
                                                                       6,500                            December 2011
                            Information and Communication
                                                                     326,227                                Various

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Department of Health Annual Report 2010-11

                                             Total Cost                Variance     Expected
    Project                                               in 2009/10
                                             in 2010-11                  ‘000     Completion Date
    Joondalup Health Campus -
                                              227,422                                May 2013
    Development Stage 1
    Kalamunda Hospital - Redevelopment
                                               12,234                                May 2015
    Stage 2
    Kalgoorlie Regional Resource Centre
                                               55,800                             November 2013
    - Redevelopment Stage 1
    Kimberley - Various Health Project
                                               45,300                                 Various
    Kimberley Renal Clinics - Kununurra
                                                8,600                                  N/A
    and Derby
    Kimberley Renal Support                     1,400                                 Various
    King Edward Memorial Hospital –
                                                3,428                                 Various
    King Edward Memorial Hospital
                                                5,500                             December 2011
    Maternal Fetal Assessment
    King Edward Memorial Hospital
                                                9,965                             December 2011
    Neonatal Expansion
    Land Acquisition                            5,750                                  N/A
    Midland Health Campus -
                                              354,200                               June 2015
    Development Stage 1
    Midland Health Campus Planning              6,000                                  N/A
    Minor Building Works                      203,645                                 Various
    New Children's Hospital –
                                               76,799                             December 2015
    New Children's Hospital - Planning         23,000                                  N/A
    Nickol Bay Health Campus
                                              150,000                                  TBA

                                                                                                      Disclosure and Compliance
    Nickol Bay Hospital – Redevelopment        10,000                                 Various
    Osborne Park Hospital -
                                               44,101                              October 2014
    Reconfiguration Stage 1
    Peel Health Campus - Development
                                                2,944                                  N/A
    Stage 1
    Pharmacy Management Application             8,773                                 Various
    PMH - Emergency Power Generation
                                                1,867                             September 2011
    PMH - Fire Detection and Occupant
                                                2,637                              October 2011
    Warning System upgrade
    PMH - Holding                               4,183                                  N/A
    PMH - Interim Holding Works                17,000                                  N/A
    Port Hedland Regional Resource
                                                2,505                                  N/A
    Centre - Interim Works
    QEIIMC - Carpark planning and
                  1                             1,900                             February 2015
    access roads
    QEIIMC - New PathWest Centre1              54,400      71,400       -17,000     June 2012
    QEIIMC - WAIMR                             25,000                               March 2013
    Remote Indigenous Health                   22,200                                  TBA
    Royal Perth Hospital - Holding              8,478                                  N/A
    Royal Perth Hospital – New                 10,000                                  N/A
    SCGH - Cancer Centre Stage 21              51,399      65,399       -14,000   September 2012

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                                                                                                  Department of Health Annual Report 2010-11

                                                                                    Total Cost                          Variance          Expected
                            Project                                                                   in 2009/10
                                                                                    in 2010-11
                                                                                                          ‘000            ‘000          Completion Date
                            SCGH - Mental Health Unit1                                 28,932                              28,932        November 2013
                            SCGH - Redevelopment Stage 1                               83,953           115,156           -31,203        December 2015
                            Shenton Park Hospital - Ward 2
                                                                                            194                                          November 2011
                            State Rehabilitation Service –
                                                                                      255,700                                            December 2013
                            Strengthening Cancer Services in
                                                                                       22,290                                                  Various
                            Regional WA
                            South West Health Campus - New
                                                  4                                    15,206               9206              6000           October 2011
                            Radiotherapy Facility
                            Upgrade of HCN HRIS                                        26,159                                                  Various
                            Upper Great Southern District
                                                                                         9,000                                                   N/A
                            (including Narrogin) - Stage 1
                            WACHS - Holding                                            10,115                                                    N/A
                            WACHS - PACS Regional Resource
                                                                                         6,500                                           December 2011
                            The above information is based upon the 2010/11 published budget papers.
                            Completion timeframes are based upon a combination of known dates at the time of reporting.
                            Where practical completion has occurred, projects have been marked as 'defects' and are in the defects period.

                            Projects variations above, were due to the following:
                            1. Transfer of funding between projects
                            2. Additional Royalties for Regions Funding
                            3. Additional State Funding
                            4. Additional Commonwealth Funding
Disclosure and Compliance

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Department of Health Annual Report 2010-11

    Enabling Legislation
    Acts administrated
       Alcohol and Drug Authority Act 1974                    The Department of Health
       Anatomy Act 1930                                       is established by the
       Animal Resources Authority Act 1981                    Governor under section 35
       Blood Donation (Limitation of Liability) Act 1985      of the Public Sector
       Cremation Act 1929                                     Management Act 1994.
       Fluoridation of Public Water Supplies Act 1966         The Director General of
       Food Act 2008                                          Health is responsible to the
       Health Act 1911                                        Minister for Health for the
       Health and Disability Services (Complaints) Act        efficient   and      effective
        1995                                                   management         of      the
       Health Legislation Administration Act 1984             organisations.            The
       Health Practitioner Regulation National Law (WA)       Department      of     Health
        Act 2010                                               supports the Ministers in
       Health Professionals (Special Events Exemption)        the administration of 31
                                                               Acts and 89 sets of
        Act 2000
                                                               subsidiary legislation.
       Health Services (Quality Improvement) Act 1994
       Hospital Fund Act 1930
       Hospitals and Health Services Act 1927
       Human Reproductive Technology Act 1991
       Human Tissue and Transplant Act 1982
       Medical Radiation Technologists Act 2006
       Mental Health Act 1996
       Mental Health (Consequential Provisions) Act 1996 sections 53-72 inclusive

                                                                                                  Disclosure and Compliance
       Nuclear Waste Storage and Transportation (Prohibition) Act 1999
       Occupational Therapists Act 2005
       Pharmacy Act 1964
       Poisons Act 1964
       Prostitution Act 2000 (Act other than s.62 and Part 5)
       Queen Elizabeth II Medical Centre Act 1966
       Radiation Safety Act 1975
       Surrogacy Act 2008
       Tobacco Products Control Act 2006
       University Medical School Teaching Hospitals Act 1955
       White Phosphorous Matches Prohibition Act 1912

    Acts passed during 2010-11
     Health Practitioner Regulation National Law (WA) Act 2010
     Health, Safety and Civil Liability (Children in Schools and Child Care Services) Act 2010
     Pharmacy Act 2010

    Bills in Parliament as at 30 June 2011
     Royal Perth Hospital Protection Bill 2008

    There were no Boards amalgamated or established during 2010-11.

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                                                                         Department of Health Annual Report 2010-11

                            In accordance with section 175ZE of the Electoral Act 1907, the Department of Health
                            incurred the following expenditure on advertising agencies, market research, polling,
                            direct mail and media advertising. Total expenditure for 2010-11 was $1,428,456.
                            Table 4: Total expenditure for Advertising – Department of Health
                            Summary of Advertising                                               Amount ($)
                            Advertising Agencies                                                      26,002
                            Media Advertising Organisations                                       1,050,525
                            Polling                                                                         0
                            Market Research Organisations                                           105,443
                            Direct Mail Organisations                                               246,486
                            Total Advertising Expenditure                                         1,428,456

                            Recipient / Organisations                                            Amount ($)
                            Advertising Agencies
                            303 Group Pty Ltd                                                         26,002
                            Total - Advertising Agencies                                              26,002

                            Direct Mail Organisations
                            Australia Post                                                               457
Disclosure and Compliance

                            Packcentre Marketing Services Pty Ltd                                   241,120
                            Specialist Mail Services                                                   4,909
                            Total – Direct Mail Organisations                                       246,486

                            Market Research Organisations
                            Curtin University of Technology                                         105,443
                            Total – Market Research Organisations                                   105,443

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Department of Health Annual Report 2010-11

    Recipient / Organisations                                            Amount ($)
    Media Advertising Organisations
     303 Group Pty Ltd                                                     122,825
    AMA Services WA                                                             550
    Adcorp Australia Limited                                                 67,625
    Adstream Aust                                                               150
    Australian Business Guide AUST                                              899
    B S H G-Advertising                                                         487
    BMJ Publishing Group Limited                                             50,213
    British Balls Magazine                                                    2,080
    Campaignmonitor Co                                                            9
    Careerone Pty Limited                                                    11,400
    Convenience Advertising (AUST) Pty Ltd                                   19,208
    Countrywide Media Pty Ltd                                                25,318
    Curtin University                                                         1,818
    Edith Cowan University Student Guild                                        500
    Event Services and Productions Pty Ltd                                   11,497
    Government Education and Business Directories                             1,817
    Health Books Australia                                                    3,580
    Marketforce Advertising                                                   9,310

                                                                                             Disclosure and Compliance
    Media Decisions WA                                                     196,808
    Medical Education Solutions                                               2,921
    Mitchell and Partners Australia Pty Ltd                                408,636
    Mitchell Communication                                                   12,144
    Optum Media Decision                                                      6,206
    Pharmacy Guild WA                                                           636
    Public Health Association                                                   150
    Radio 88FM                                                                1,812
    RCN Publishing Co Ltd                                                    43,556
    Seek Limited                                                             15,096
    Southpac Media Services                                                     995
    State Law Publisher                                                      31,549
    University of Western Australia                                             720
    Total – Media Advertising Organisations                               1,050,525
    * Health Information Network reported no advertising expenditure during 2010-11.

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                                                                             Department of Health Annual Report 2010-11

                            Pricing Policy
                            Under the National Healthcare Agreement, where a Medicare eligible patient elects to
                            receive medical treatment as a public patient in a public hospital, or a publicly contracted
                            bed in a private hospital, they will be treated ‘free of charge’.
                            Patients in a public hospital for more than 35 continuous days, who no longer require
                            acute care and are deemed to be Nursing Home Type Patients, may be charged a
                            patient contribution as determined by the Commonwealth Minister for Health and
                            Private, Compensable and Ineligible persons may be charged an amount for public
                            hospital services as determined by the State of Western Australia which can be on a full
                            cost recovery basis. The Commonwealth Department of Health and Ageing sets the
                            minimum default benefit payable by private health funds to privately insured patients and
                            the State sets such fees to equate with the minimum default benefit.
                            Pharmaceutical items supplied to admitted private patients will be provided ‘free of
                            charge’ and cannot be claimed under the Pharmaceutical Benefits Scheme.
                            Under the National Healthcare Agreement, eligible patients who have entered into ‘third
                            party’ arrangements with compensable insurers are known as ‘Compensable’ patients.
                            This cohort of compensable patients include, among other groups, the Australian
                            Defence Force, the Insurance Commission of Western Australia covering motor vehicle
                            accident patients and WorkCover for workers’ compensation patients.
                            The charging of eligible war service veterans is determined under a separate
                            Commonwealth-State agreement with the Department of Veterans’ Affairs. Under this
                            agreement the Department of Health does not charge medical treatment costs to eligible
Disclosure and Compliance

                            war service veteran patients, instead medical charges are recouped from the
                            Department of Veterans’ Affairs.
                            In summary, the majority of hospital fees and charges for public hospitals are set out in
                            the Hospitals (Services Charges) Regulations 1984 and the Hospitals (Services Charges
                            for Compensable Patients) Determination 2005. These public hospital fees and charges
                            are reviewed annually and increased each financial year in accordance with Ministerial
                            and other approval processes. The exceptions to this general rule are pharmaceuticals
                            and nursing home type patients, which are increased on advice from the Commonwealth
                            Department of Health and Ageing.
                            ‘Dental Health Services’ charges eligible patients for dental treatment based on the
                            Department of Veterans’ Affairs Local Dental Officers fee schedule, with eligible patients
                            charged either of the following co-payment rates:
                               50 per cent of the treatment fee if the patient is the holder of a current Health Care
                                Card or Pensioner Concession Card; or
                               25 per cent of the treatment fee if the patient is the current holder of one of the
                                above cards and in receipt of a near full pension or an allowance from Centrelink or
                                the Department of Veterans’ Affairs.

                                112                                                    Delivering a Healthy WA
Department of Health Annual Report 2010-11

    The State Records Act 2000 was established to mandate the standardisation of statutory
    record keeping practices for every Government agency including records creation policy,
    record security and the responsibilities of all staff. Government agency practice is
    subject to the provisions of the Act and the standards and policies, and Government
    agencies are subject to scrutiny by the State Records Commission.

    All DOH staff are required to comply with both the Department’s Recordkeeping Plan
    and associated policies. In 2010-11 the Department of Health (DOH) continues to
    progress its compliance requirements under the DOH Recordkeeping Plan.

    Recordkeeping is included in formal online induction programs, face to face induction
    training and relevant handouts. Online Recordkeeping Awareness training is also
    provided, and staff are enrolled in and have to complete this training when they are
    enrolled in the Online Accountable and Ethical Decision Making Course.

    In total 7,506 staff have been enrolled in this training course, with 4,431 enrolled during
    2010-11. High percentages of staff from Area Health Services (AHS) continue to
    undertake this training with a total of 4,238 AHS staff enrolled, of which 3,634 were
    enrolled during 2010-11.

    The online Recordkeeping Awareness Training is a prerequisite for both face-to-face
    Electronic Document and Records Management System (EDRMS) training and the
    numbers of licensed users of the EDRMS have doubled during 2010-11 to 1,604.

                                                                                                  Disclosure and Compliance
    Regular newsletters, the Recordkeeping Plan, recordkeeping policies, the Business
    Classification Scheme and Retention and Disposal Schedules are all available from the
    Department’s Intranet site and are transmitted to staff via Department of Health Circulars
    as required. The Department’s recordkeeping policies are currently being reviewed as a
    prerequisite to the review of the Recordkeeping Plan in 2011-12.

    The efficiency and effectiveness of the recordkeeping training program is reviewed on a
    regular basis via feedback and assessments of training by attendees. These training
    programs have proved very popular with approximately 95% of staff both enjoying these
    courses and agreeing that their knowledge has improved as a consequence of the

    All staff, including new employees, are continually advised of their obligations and
    managers monitor the record keeping practice. The Department of Health divisions have
    very high completion rate for the ‘Online Recordkeeping Awareness Training’. Divisions
    either have already established protocols or are developing administration processes
    and instruction sheets to support staff members in accurate record keeping.

    The efficiency and effectiveness of the agency’s recordkeeping systems will be
    evaluated prior to the Recordkeeping Plan review in March 2012.

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                                                                                          Department of Health Annual Report 2010-11

                            Freedom of Information
                            For the year ending 30 June 2011, the Department of Health dealt with 68 formal
                            applications for access to information in accordance with the Freedom of Information Act
                            1992 (the FOI Act).

                            Table 5: Freedom of information applications 2010-11
                            Applications                                                                                       Number
                            Carried over from 2009-10                                                                             9
                            Received in 2010-11                                                                                  59
                            Total applications received in the 2010-11                                                           68
                            Granted full access                                                                                  20
                            Granted partial or edited access1                                                                    21
                            Withdrawn by applicant                                                                                6
                            Refused                                                                                              12
                            In progress                                                                                           3
                            Other2                                                                                                6
                            Total applications dealt with in 2010-11                                                             68
                                Includes the number accessed in accordance with section s28 of the Freedom of Information Act 1992 (WA).
                                Includes exemptions, deferments or transfers to other departments/agencies.

                            The types of documents held by the Department of Health include:
                             reports on health programs and projects;
                             briefings for the Minister for Health and executive staff;
                             health circulars, policies, standards and guidelines;
                             health articles and discussion papers;
Disclosure and Compliance

                             departmental magazines, bulletins and pamphlets;
                             health research reports (epidemiologic, health surveys and statistical analyses);
                             publications relating to health planning and management;
                             committee meeting minutes;
                             general administrative correspondence;
                             financial and budget reports; and
                             staff personnel records.

                            Arrangements for giving members of the public access to the documents are as follows:
                             The most efficient and direct method of discovering and accessing the wide range of
                              Departmental publications is via the internet website ( The
                              website has a search facility for accessing documents pertaining to specific health
                              subjects and a directory for links to other health-related websites;
                             There are also links to an extensive range of public health services provided in WA
                              including links to the various public hospitals; and
                             Members of the public who do not have internet access can obtain some hard copy
                              documents for free or at nominal cost.
                                 Enquiries should be made with the Departmental Branch that has jurisdiction over the
                                 matter of interest. Alternatively a general enquiry may be made to the Freedom of
                                 Information (FOI) Coordinator on telephone (08) 9222 6412.

                                 114                                                                   Delivering a Healthy WA
Department of Health Annual Report 2010-11

    The Department of Health has procedures for dealing with applications under the
    Freedom of Information Act 1992.

    An FOI application must:
     be in writing;
     give an Australian address to which notices can be sent;
     be lodged at the Department of Health, Western Australia;
     give enough information to enable the requested document/s to be identified; and
     be lodged with an application fee of $30, unless the request is only for personal
      information about the applicant.

    An application for amendment of personal information must:
     give enough details to enable the document that contains the information to be
     give details of the matters in relation to which the applicant believes the information is
      inaccurate, incomplete, out of date or misleading;
     give the applicant's reasons for holding that belief; and
     give details of the amendment that the applicant wishes to have made.

    The FOI Act allows for charges to be levied for providing access to documents. General
    processing charges are $30.00 per hour. However the spirit and intent of the FOI Act is
    to provide access to documents at the lowest reasonable cost.
    Under the FOI Act, the Department of Health has the right to refuse access to parts or all
    of a document if the text satisfies certain exemption provisions. However, in accordance

                                                                                                   Disclosure and Compliance
    with the spirit and intent of the Act, access is provided wherever possible. The applicant
    has rights of appeal if he/she is dissatisfied with the process or reasoning leading to an
    adverse access decision.
    Enquiries regarding access to documents and amendment of personal information can
    be made to the Senior Policy Officer (FOI) on (08) 9222 6412.
    Applications should be addressed to the Freedom of Information Coordinator, and may
    be lodged in person or by mail at the following addresses:

    In person:
    Department of Health
    Corporate Governance Directorate
    189 Royal Street
    EAST PERTH WA 6004

    By mail:
    Department of Health, Western Australia
    PO Box 8172
    Perth Business Centre WA 6849

    Or by Fax:
    (08) 9222 2398

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                                                                            Department of Health Annual Report 2010-11

                            Disability Access and Inclusion Plan
                            The Disability Service Act 1993 was introduced to ensure that people with disabilities
                            have the same opportunities as other Western Australians. A 2004 amendment to the
                            Act required the Department of Health to fully develop and implement a Disability
                            Access and Inclusion Plan (DAIP).

                            Outcome 1
                            People with disabilities have the same opportunities as other people to access the
                            services of, and events organised by, the relevant public authority.
                            Measures taken to ensure this compliance include:
                             The Department of Health (DOH) Disability Access and Inclusion Plan 2010 – 2015
                              was developed following community and staff consultation.
                             All events organised by the DOH have been accessible to people with disabilities.
                             People with special learning needs have the opportunity to notify the Department‘s
                              event organisers via registration form prior to attending events or courses.
                             Community groups are advised of the facilities available for people with disabilities at
                              Grace Vaughan House where some of the Public Health directorates are based.
                             Consideration is given to the make up of potential attendees at forums, seminars and
                              other events, and the requirement to cater for people with disabilities.
                            Outcome 2
                            People with disabilities have the same opportunities as other people to access the
                            buildings and other facilities of a public authority.
                             Disability access is available at both the Royal St, East Perth building and Grace
                              Vaughan House. This includes disabled parking bays, ramp access at the entrance to
Disclosure and Compliance

                              the building, lifts and disabled toilets.
                             Project directors of Infrastructure projects have been advised to include disability
                              access and inclusion representatives in consultation groups for the early design
                             Training courses for fire wardens include procedures for people with disabilities.
                             Health Information Network (HIN) has upgraded access to the building at 67 Walters
                              Drive, Osborne Park to ensure that people with disabilities can obtain physical access
                              to all areas.
                            Outcome 3
                            People with disabilities receive information from a public authority in a format that will
                            enable them to access the information as readily as other people are able to access it.
                            A range of measures are in place to ensure availability of access to information provided
                            by the Department of Health WA, including:
                             The WA Health Language Services Policy developed by the Cultural Diversity Unit
                              (within the Public Health Division) provides direction to health professionals and other
                              WA Health staff to enable clear communication with consumers and carers and to
                              assist in managing health, legal and other risks that may arise in the delivery of health
                              services to people with no or limited English proficiency, including people who are
                              deaf or who have a hearing impairment. The policy will also be available in
                              alternative formats upon request from a person with a disability. The WA Health Web
                              Development Policy has been developed in consultation with Disability Services

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       Commission and refers to the Department’s Disability and Access Inclusion Policy.
     Health Information Network designs, develops and maintains websites in accordance
      with the WA Department of Health Disability and Access Inclusion Policy.
     HIN Wireless infrastructure foundation work will support computing facilities for mobile
      devices that may be relied upon by people with disabilities. The move away from
      traditional workstations will provide additional capability for people with disabilities to
      access health information services.
     Special needs of people with disabilities are considered in development of learning
     The majority of programs funded by the Chronic Disease Prevention Directorate are
      campaigns or programs provided in communities and schools, targeting the overall
      population. Where possible, closed captioning is applied to television advertising
      developed as part of health promotion campaigns delivered by not-for-profit
      community organisations under service agreements with the Public Health Division. In
      addition, providers of campaigns and programs under service agreements with the
      Public Health Division, if applicable, must demonstrate progress towards meeting the
      requirements of all relevant Disability Services legislation.
     The Department’s communication materials, publications and resources for service
      users and the general public can be provided in alternative formats such as computer
      disc, audio tape or Braille, on request.
    Outcome 4
    People with disabilities receive the same level and quality of service from the staff of a
    public authority as other people receive from the staff of that authority.
    Department of Health staff are made aware of the necessary considerations regarding
    Disability Access and Inclusion Plans as part of induction/orientation processes.

                                                                                                    Disclosure and Compliance
    Awareness raising sessions are also conducted for staff on accessible printed
    Outcome 5
    People with disabilities have the same opportunities as other people to make complaints
    to a public authority.
    To comply with this requirement, complaints can be lodged via written correspondence,
    telephone, in person or by an alternative medium. The Department of Health will also
    undertake an annual audit of complaints related to participation in public consultation,
    decision making and grievance procedures from people with disabilities.
    Outcome 6
    People with disabilities have the same opportunities as other people to participate in any
    public consultation by a public authority.
     The Department ensures that seminars, public forums and other functions are held in
      appropriate venues with access for people with Disabilities.
     Media releases are provided in a number of mediums for print, radio, media and the
     When public consultation is required, the Department ensures that people with
      disabilities and agencies that provide services for them are involved.

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                                                                            Department of Health Annual Report 2010-11

                            Internal Audits
                            Audits undertaken were generally planned audits; however, on several occasions,
                            Director General and senior management initiated audits or special audits were also
                            carried out. Audits were of a financial/operational compliance, performance or
                            information system nature. In addition, external consultants were utilised to complete
                            some audits, either independently or in a co-sourced arrangement. All audits were
                            conducted to assist senior management in achieving sound managerial control.
                            All audit reports, as per the following table, were considered by the relevant executive
                            and were also considered by the WA Health Audit and Risk Committee. The Committee
                            also has oversight of the Corporate Governance Work Programme and other associated
                            governance issues, to ensure appropriate and timely advice is provided to the Director
                            General. The WA Health Audit & Risk Committee meets six times per year.

                            The 42 audits/reviews completed over the 2010-11 financial year included the following:

                            Table 6: Completed audits or reviews in 2010-11
                            Audit                                         Area audited
                            IT Application Security Review                SMAHS, HCN, Pathwest, HIN
                                                                          SMAHS, NMAHS, WACHS, CAHS, Statewide
                            Review of funding and Purchasing Health       Contracting, Aged Care Policy Directorate,
                            Services from NGOs and NFP Organisations      Communicable Disease Control, Office of
                                                                          Aboriginal Health.
                            Review of Centre for Rural and Remote Oral
                                                                          NMAHS – Dental Health Services
                            Health Contract
                            Review of Special Purpose Accounts            NMAHS – SCGH & PMH
Disclosure and Compliance

                            Review of AMA Industrial Agreement (Private
                                                                          NMAHS, SMAHS, CAHS
                            Practice Arrangement A)
                            Review of Purchasing Cards                    SMAHS, NMAHS, CAHS
                            Control Systems Review – Facilities
                                                                          SMAHS - RPH
                            Control Systems Review – Theft                WACHS - Newman
                            Review of Attractive Items                    SMAHS, NMAHS, CAHS, HCN
                            Review of the Ambulatory Surgery Initiative
                                                                          Trend Report
                            Review of the Privately Referred Non-
                                                                          Trend Report
                            Inpatient Initiative (PRNI) Model
                            Review of Audit Log Integrity                 Trend Report
                            Review of the eHealth Program                 HIN
                            Review of HIN-eHealth Facilities Program      HIN
                            Review of eHealth PAS Project, follow up of
                            Prior Findings
                            Review of iPharmacy Application Security      HIN
                            Review of Health Information Network          HIN
                            Review of HIN/eHealth Clinical Information
                            Systems Projects

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    Audit                                       Area audited
                                                CAHS, Department of Health - Innovation and
    Review of Anaphylaxis Budget 2008/09
                                                Health System Reform
                                                WACHS, NMAHS, SMAHS, CAHS, HCN,
    Review of Business Continuity Planning      HIN, Pathwest, Department of Health (Royal
    Review of Integrity of Audit Recommendations
    Fiona Stanley Hospital (FSH) Project
    FMA and Contract Management Review          Mental Health Commission
    Review of 2008-2009 Health Deficit          Department of Health
    Audit of Leave Balances                     HCN
    Review of FTE Establishment and
                                                NMAHS, SMAHS, WACHS
                                                NMAHS – KEMH, SCGH.
                                                SMAHS – RPH, FHS.
    Review of Research Governance in WA
                                                Department of Health – RDU, SHRAC, DLU,
                                                HREC. Trend Report

    Industrial Relations
    The WA Health Industrial Relations Service provides advisory, representation and
    consultancy support in industrial relations and significant workforce management issues
    for the Metropolitan Area Health Services, WA Country Health Service and associated
    health services within WA Health.

                                                                                               Disclosure and Compliance
    Key activities for 2010-11 included the negotiation of new industrial agreements for
    salaried medical practitioners, registered and ancillary nursing staff, hospital hotel
    services and associated support workers, hospital maintenance operations workers,
    non-medical and non-nursing health professionals, administrative, clerical and technical
    (PACT) staff, and the commencement of negotiations for hospital maintenance
    operations workers.

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                                                                            Department of Health Annual Report 2010-11

                            Substantive Equality
                            The WA Health Substantive Equality Implementation Committee guides the
                            development and implementation of the Policy Framework for Substantive Equality over
                            five years to 2013. Members of the Implementation Committee represent all areas of WA
                            Health and are senior officers from a clinical or operational area who are in a position to
                            be able to influence how services are delivered.

                            During 2010-11, the following progress has been reported:
                            A substantive equality statement has been developed for inclusion in all job
                            advertisements as follows:
                             For 50(d) positions (service provision to people of a particular race is best provided by
                              a person of the same race)
                                “WA Health embraces diversity and is committed to eliminating all forms of
                                discrimination in the provision of our service.
                                WA Health supports flexible working practices within the context of a quality health
                                WA Health is committed to a smoke free environment across all buildings, grounds
                                and vehicles.”

                               For all positions other than 50(d)
                                “WA Health is committed to eliminating all forms of discrimination in the provision of
                                our service. We embrace diversity and strongly encourage applications from
                                Aboriginal and Torres Strait Islander peoples, people from culturally diverse
                                backgrounds and people with disabilities.
Disclosure and Compliance

                                WA Health supports flexible working practices within the context of a quality health
                                WA Health is committed to a smoke-free environment across all buildings, grounds
                                and vehicles.”

                            Dental Health Services
                            Project: Increasing access for Aboriginal patients to dental treatment –
                            A mobile dental van has been delivered to the Aboriginal Wellness Centre.
                            All the information technology related requirements have been identified and are ready
                            to be implemented. Meetings have been held with the Rockingham Kwinana Division of
                            General Practice to determine their expectations and needs. Actions currently in
                            progress are:
                             The recruitment for staffing the van.
                             The training of staff to use Dental Health Services supply of consumables.
                             Developing strategies to increase the uptake of the service by Aboriginal people.
                             Improving access to the van for patients with mobility issues.

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    Public Health and Ambulatory Care (PH and AC), North Metropolitan Health
    Service (NMAHS)
    Project: Application of a Complaints Management Process at Perth Chest Clinic
    Initiatives progressed to support the project include:
     Inclusion of Substantive Equality in the NMAHS and Child and Adolescent Health
      Service (CAHS) Safety, Quality and Performance operational plan for 2010 -11.
     Continuation of Substantive Equality in the PH and AC Safety and Quality operational
      plan for 2010-11
     A briefing paper and comprehensive status report drafted for NMAHS Area Executive
      Group review
     Finalisation and PH and AC endorsement of a feedback brochure in January 2011
     Development of a supporting education package to complement the feedback
      brochure commencing February 2011
     Integration of Substantive Equality principles in the development, implementation and
      review of the Council of Australian Governments’ initiatives across NMAHS.

    South Metropolitan Public Health Unit (SMPHU)
    Project: Armadale Growers Market
    The needs and impact assessment focussed on the Aboriginal community engagement
    process undertaken in the development of a local producers market in which the
    SMPHU unit was a key partner based on a chronic disease service objective in the
    SMPHU June 2009 – 2010 business plan to increase healthy eating across the

                                                                                                 Disclosure and Compliance
    Recommendations were made that centred on the need for inclusive and participatory
    forms of decision making in the development of programs and services that affect
    Aboriginal communities. This would ensure that positive outcomes for Aboriginal people
    are achieved and services and programs are tailored to include the unique and specific
    needs of the Aboriginal communities.

    Specific recommendations that have been achieved:
     Health priorities identified by Aboriginal communities have been included in the
      SMPHU 2010- 2011 business plan.
     Local health promotion initiatives are supported by the local District Aboriginal Health
      Action Groups (DAHAG) – local Aboriginal community members are provided with the
      opportunity for providing input and receiving updates at local DAHAG meetings.

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                                                                            Department of Health Annual Report 2010-11

                            The Department of Health focuses on developing initiatives to strengthen workforce
                            attraction and retention strategies whilst continuing to undertake recruitment and
                            selection processes in accordance with the Public Sector Standards in Human Resource

                            Recruitment is conducted in conjunction with Health Corporate Network Human
                            Resources (HR) consultants to ensure all standards and protocols are maintained.

                            In line with Public Sector Commission policy changes, the recruitment and selection
                            processes have been updated and include:
                             The introduction of the Commissioner’s Instruction Employment Standard. This
                              amalgamates the principles of the four previous standards: recruitment, selection and
                              appointment; transfer; temporary deployment (acting); and secondment
                             The Commissioner’s Instruction: Filling a Public Sector Vacancy. This allows greater
                              flexibility when filling a vacancy (subject to specific requirements).
                             The introduction of procedures that set minimum requirements and the provision of
                              guidance notes that support good practice
                             Incorporation of the pre-employment integrity check procedure which is undertaken as
                              part of the pre-employment screening process.
Disclosure and Compliance

                            The Workforce Directorate links to WA Health recruitment strategies by identifying and
                            developing opportunities to increase the source of health labour market supply in
                            collaboration with the education and training sectors.

                            In line with state and national workforce priorities, initiatives have been developed to
                            improve employment opportunities for Aboriginal people in health. These include the
                            use of Vocation Employment and Training (VET) in schools as a pathway into further
                            VET and tertiary qualification streams and employment in areas including nursing,
                            primary health care work and pathology.

                            Office of Aboriginal Health
                            As a way of encouraging Aboriginal people to apply for positions in Office of Aboriginal
                            Health (OAH), some vacancies will be advertised as 50d positions, which refers to the
                            section of the Equal Opportunity Act 1984 (the Act) and these special positions have
                            been identified as service provision to people of a particular race and best provided by a
                            person of the same race.

                            The OAH was instrumental in advocating change in WA Health job vacancy
                            advertisements by ensuring that a statement that encourages Aboriginal people to apply
                            be included. This is currently part of all job advertisements in WA Health.

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    The OAH partnered with Workforce Directorate in the development of an Aboriginal
    Cadetship Program for university students to work within the Royal Street offices of the
    Department of Health during their final year of study.

    The program offers students an opportunity to gain paid work experience while
    completing an undergraduate degree and hopefully lay the foundations for a career in
    WA Health once they complete their studies. This program also provides WA Health with
    access to talented and relevant students keen to gain experience in a real life

    Health Information Network
    Health Information Network has been planning a Strategic Workforce and Capability
    Plan to be implemented in 2011-12. The Plan will identify required workforce
    capabilities and recruitment strategies that will ensure appropriate recruitment and
    retention in the ICT environment.

                                                                                               Disclosure and Compliance

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                                                                           Department of Health Annual Report 2010-11

                            Staff Development
                            Staff working for the Department of Health (DOH) are offered opportunities to attend
                            short professional development courses and encouraged to attend DOH internal training
                            courses. Selected staff also participated in the Department’s ‘Emerging Leaders’ and
                            ‘Delivering the Future’ leadership programs. Examples of achievements are given below:

                            Institute for Health Leadership
                             Provision of the new Emerging Nursing and Midwifery Program for 60 senior
                               Registered Nurses and Midwives.
                             Provision of service improvement training and support for an additional 120
                               improvement teams from across WA Health.
                             Provision of executive development days for all WACHS regional executive team
                               members as well as Health Corporate Network executive, Women’s and Newborn
                               Health Service executive, Royal Perth Hospital executive and Child and Adolescent
                               Health Service senior clinicians and executive staff.
                             Sponsorship of regional and metropolitan staff to travel and attend the Australian
                               Institute of Management Aboriginal Leadership Program.
                             Design and delivery of a new Coaching Skills for Health Leaders program.
                             Provision of medical leadership master classes at three tertiary hospitals (RPH,
                               SCGH and PMH).
                             Sponsorship and support for staff to attend external leadership programs.
                             Provision and coordination of two additional interstate Health Executives Action
                               Learning Set programs.
                             Recommissioning of a suite of Institute of Health Leadership (IHL) leadership
Disclosure and Compliance

                               programs including the Delivering the Future Program, Emerging Leaders Program,
                               Leading for Improvement Program, Coaching Skills for Health Leaders Program,
                               coaching and debriefing services.
                               Assisting with the development of a series of Aboriginal leadership development
                                programs for WACHS Pilbara region.

                            Office of Aboriginal Health
                            The OAH’s newly appointed Director has been commissioned with the responsibility to
                            create a team of expert staff to provide WA Health with a strong, dynamic and creative
                            force to achieve tangible results.

                            Public Health
                            Environmental Health Directorate
                            Environmental Health staff members goals for their professional development are
                            discussed when they undergo annual performance agreements and every effort is made
                            to ensure that these training requirements are fulfilled.

                            Disaster Management, Regulation and Planning Directorate
                            All staff are offered time on an annual basis to attend short professional development
                            courses and encouraged to attend DOH internal training course as required. Staff in

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    specialised areas, such as the Licensing Standards and Review Unit, have completed
    compulsory annual CPR course and DOH Corporate Governance Awareness Training.
    The Disaster Preparedness and Management Unit (DPMU) provides a range of staff
    development opportunities in the area of disaster management. These opportunities
    provide health staff (and allied emergency services) in country and metropolitan areas
    with the skills and knowledge to better prepare for, and respond to, the health
    consequences of a disaster. Development generally takes the form of courses and
    exercises and is detailed in an extensive Education and Training Calendar. Courses
    include Emergo Train System (ETS) Instructor courses, Major Incident Medical
    Management and Support (MIMMS) Team and Advanced courses, Hazard Specific
    Courses, Regional Training courses and State Health Incident Coordination Centre
    (SHICC) training. 997 personnel undertook the courses in the 2010-11 year.

    DPMU also provides access to other formal training opportunities including Emergency
    Management Australia courses, private sector courses in relevant subjects and the e-
    learning self paced Introduction to Emergency Management course.

    Communicable Disease Control
    CDCD conducts the annual cycle of performance development to maintain
    communication and feedback between staff and management and to identify areas of
    training and career development.

    Individual staff members development goals are identified and discussed through the
    annual performance agreements and every effort is made to ensure that these training
    requirements are fulfilled. Inhouse training courses are referred to officers for attendance
    and further development is achieved through attendance at seminars and conferences.

                                                                                                   Disclosure and Compliance

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                                                                            Department of Health Annual Report 2010-11

                            Occupational Safety, Health and Injury Management
                            The Department of Health aims to establish a single strategic approach to occupational
                            safety and health, workers’ compensation and injury management across WA Health.
                            The intention of the injury management system is to achieve compliance with regulatory
                            requirements and Australian Council of Healthcare Standards accreditation, as well as
                            establishing a best practice model for managing safety, health and workers’
                            compensation. The Department of Health acknowledges that effective injury
                            management ranks along side the traditional areas of productivity and quality as an
                            essential component in the overall efficiency of the organisation.

                            Commitment to occupational safety and health and injury management
                            The Department of Health is committed to providing a safe workplace to achieve high
                            standards in safety and health for its employees, contractors and visitors and
                            continuously improving its occupational safety and health and injury management

                            All areas of WA Health will comply with, or exceed Occupational Safety and Health
                            (OSH) legal requirements and will develop and implement safe systems and work
                            practices that reflect its commitment to safety and health.

                            To achieve this, WA Health management:
                               Promote a culture that integrates safety as a core value into all aspects of work;
                               Develop and implement an effective OSH management system;
                               Take all practical measures to identify hazards, assess risks and to control risks;
Disclosure and Compliance

                               Thoroughly investigate all incidents/accidents to prevent recurrences;
                               Ensure that management and supervisory staff accept responsibility to provide and
                                maintain safe systems of work where employees are not exposed to hazards;
                               Inform all employees of their duty of care and empower them to take responsibility for
                                the safety and health of themselves and others;
                               Communicate, consult and cooperate with employees and OSH representatives to
                                ensure that all practical measures are undertaken to improve OSH performance;
                               Establish an OSH Plan with measurable objectives and targets to ensure continuous
                                Improvement in safety and health performance; and
                               Provide training, time, resources and financial support to enable implementation of
                                this policy.
                            Health Corporate Network (HCN) is committed to continuously improve its occupational
                            safety and health and injury management systems. This is demonstrated by increasing
                            the allocation of resources to the development of a systematic and integrated OSH
                            management system utilising the Work Safe Plan framework. A key initiative for 2010-
                            2011 was the implementation of a comprehensive staff wellness program which was
                            supported by high numbers of staff participating. Varied events included:
                             healthy cooking demonstrations
                             an exercise program incorporating Zumba fitness classes and teams pedometer

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     time sponsored mammograms
     men’s health workshop
     a focus on Mental Wellness in June with meditation classes, laughter yoga and a
      workshop for developing strategies for keeping sane in a busy workplace.

    Mechanism for consultation with employees on OSH matters
    The Department of Health Occupational Safety and Health (OSH) Committee comprising
    of management and employee nominated representatives is the major vehicle by which
    consultation with employees occurs.
    The Committee members’ appointment, location and details are communicated to all
    employees. The members are accessible and effectively utilised by both management
    and employees in the discussion and resolution of OSH issues. The OSH Committee
    meets bi-monthly to discuss and resolve OSH issues, review hazard and incident
    reports, and review progress against the OSH Business Plan.

    Health Information Network has provided OSH, Ergonomic and First Aid advice at
    induction for new staff and is endeavoring to address outstanding OSH requirements,
    including the establishment of an OSH Committee. Staff and management are made
    aware of OSH representatives via the HIN intranet and notice boards and are
    encouraged to communicate OSH issues.

    HCN’s Occupational Safety and Health Committee, including the employee
    representatives, form the key to occupational safety and health consultation within HCN.
    Commitment to consultation is demonstrated by senior management representation on
    the OSH Committee. The Committee members' appointment, location and details are
    communicated to all employees at Induction, via the intranet and displayed on

                                                                                               Disclosure and Compliance
    noticeboards. The Occupational Safety and Health Committee meets bi-monthly to
    discuss and resolve occupational safety and health issues, review hazard and incident
    reports and review the effectiveness of current control measures for OSH-related risks.
    In addition to these meetings, during 2010-12 a sub-committee of volunteer OSH Reps
    and management representatives undertook a consultative review of the OSH risk
    documented in the Risk Base register. OSH representatives are active at HCN
    participating in workplace inspections and hazard and incident investigation. During
    2010-2011 two new OSH Reps were appointed and underwent accredited training.

    Compliance with injury management requirements of the Workers’ Compensation
    and Injury Management Act 1981
    The DOH acknowledges and actively promotes the philosophy of consultation and co-
    operation between the Employer and Employee. Injury management obligations are met
    within the guidelines set out under the Workers Compensation and Injury Management
    Act 1981 and the WorkCover Injury Management Code of Practise 2005.

    Whilst adherence to the aforementioned Act and code of practice is a minimum standard
    requirement, it is the view and vision of the DOH that a best practise Injury Management
    System should be maintained. This will achieve a self-regulated, pro-active and
    innovative approach to injury management, which will enable the DOH to strive towards
    leadership in injury management within the Health sector.

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                                                                               Department of Health Annual Report 2010-11

                            HIN complied with the Injury management requirements of the Workers Compensation
                            and Injury management Act and information is available on the HIN intranet. A return to
                            work approach is utilized.

                            HCN has an established injury management system in accordance with the Workers’
                            Compensation and Injury Management Act 1981. This includes provision of return to
                            work programs and vocational rehabilitation services for injured employees. In
                            accordance with the Workers Compensation Code of Practice, HCN has written policies,
                            procedures and dedicated resources in place to support the system. The injury
                            management system is communicated to staff at Induction and via the intranet.

                            Self evaluation of occupational safety and health managements systems
                            The Department of Health is currently undertaking, and HIN has undertaken, a self
                            evaluation (annual) of occupational safety and health management systems.
                            A self-evaluation using the Work Safe Plan was conducted by HCN’s OSH Consultant in
                            December 2010. The assessment findings concluded that HCN is meeting minimum
                            standards for OSH management, averaging 66% over the five elements of the Work
                            Safe Plan. The key recommendations arising from the self-assessment include:
                             Develop and implement at the executive level an OSH safety management plan
                              (SMP) to include the WA Health Operational Plan Performance Indicators for OSH
                              and summarise priority actions from the report as objectives for 2011-12.
                             Develop and implement Safe Work Procedures at the task-based level for the
                              Warehouse and Distribution Division which incorporates the key risk control measures
                              identified from risk assessments.
                             Establish a Hazard and Corrective Actions Register to track status of actions until
Disclosure and Compliance

                              adequate control measures are implemented.
                             Reassess the business in 12 months to determine progress made towards
                              compliance with the Work Safe Plan and to identify further opportunities for
                              improvement for the following year. (2011-2012).

                            Reporting against the OSH indicators
                            The annual performance reported for the Department of Health
                            Table 7: Occupational safety and health incidence and severity, DOH 2010-11
                                            Lost time        Lost time     Percentage of injured    Percentage of managers
                            Fatalities   injury/disease   injury/disease    workers returned to     trained in OSH and injury
                                         incidence rate    severity rate    work within 28 days    management responsibilities
                                1            0.51            75.00                100%                        0%

                            Table 8: Occupational safety and health incidence and severity, HIN 2010-11
                                            Lost time        Lost time     Percentage of injured    Percentage of managers
                            Fatalities   injury/disease   injury/disease    workers returned to     trained in OSH and injury
                                         incidence rate    severity rate    work witin 28 days     management responsibilities
                                0            0.91             0.00                100%                        0%

                                128                                                        Delivering a Healthy WA
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    Table 9: Occupational safety and health incidence and severity, HCN 2010-11
                    Lost time        Lost time     Percentage of injured    Percentage of managers
    Fatalities   injury/disease   injury/disease    workers returned to     trained in OSH and injury
                 incidence rate    severity rate    work witin 28 days     management responsibilities
        0            1.11             28.57              77.8%                      14.0%
    Lost time injury/disease incidence rate: the number of lost time injuries/disease claims
    where one day/shift was lost, in the reporting financial year as a percentage of total
    number of FTEs as at 30 June.
    Lost time injury/disease severity rate: number of severe injuries (actual or estimated 60
    days/shifts or more lost from work) as a percentage of total number of lost time injuries
    claims in the reporting year. An injury resulting in death is considered to have accounted
    for 60 days or more lost.
    Percentage of injured workers returned to work within 28 days: the number of injured
    workers with a lost time injuries/disease claim with a return to work outcome within 28
    weeks as a percentage of total number of lost time injuries/disease claims.
    Percentage of managers trained in OSH and injury management responsibilities:
    percentage of current managers who have received training in their responsibilities for
    OSH and injury management in the past three years.

                                                                                                         Disclosure and Compliance

 Delivering a Healthy WA                                                                          129
                                                                             Department of Health Annual Report 2010-11

                            Worker’s Compensation and Rehabilitation
                            The Department of Health is committed to the prevention of occupational injuries and
                            diseases, and to ensuring that effective rehabilitation services are available to
                            Table 10: Workers’s compensation and rehabilitation claims 2010-11
                            Employee Category                                     Number of claims in 2010-11
                            Nursing Services/Dental Care Assistant                             Nil
                            Administration and Clerical                                        10
                            Medical Support                                                    Nil
                            Hotel Services                                                     Nil
                            Maintenance / Supply (HCN)                                         Nil
                            Medical (salaried)                                                 Nil
                            Total                                                              10

                            Occupational injury and illness prevention
                            The Department of Health provides occupational health and safety induction and
                            orientation for all new employees. These seminars are important processes designed to
                            ensure that new employees are able to access the support and resources required to
                            provide staff with specific information relating to their job and provide a safe work
                            Every new employee is required to attend a workplace induction seminar. These
Disclosure and Compliance

                            seminars run bi-monthly at the Royal Street Offices, providing the following information:
                             Occupational Safety and Health/Workers Compensation.
                             Duty of care for employers and employees.
                             Duty of care to take responsibility for the safety
                              and health of themselves and others.
                               The incident accident reporting process.
                               Encouragement of staff to take all practical measures to identify incident/hazards.
                               Emergency evacuation procedures.
                               Manual handling/office ergonomics.

                            The DOH conducts safety audits for all sites which also include advice in the following
                             Accident /Incident investigations
                             On-site workstations ergonomic advice on request
                             A website with interactive program on office-based ergonomics
                             Consultation between management and employees which allows decisions on
                              managing workplace Safety and Health

                                130                                                    Delivering a Healthy WA
Department of Health Annual Report 2010-11

    Employee rehabilitation
    The Department of Health acknowledges and actively promotes the philosophy of
    consultation and co-operation between the Employer and Employee; indeed it is the
    fostering and the development of this alliance, which will lead the Department of Health
    to achieve best practice in Injury management.

    The DOH has established monitoring guidelines and procedures to ensure employees
    injured at work receive return to work injury management services for resuming gainful
    employment as soon as possible. The DOH has an established injury management
    policy and program to facilitate early return to work. The return to work program must
    have a documented return to work goal for the injured employee i.e.:
       Same Employer/Same Job
       New Employer/New Job
       Same Employer/Modified Job
       Other vocational rehabilitation options
       Same Employer/New Job

    The return to work program includes:
     Collaboration with the injured worker’s medical practitioners, rehabilitation provider
      and Insurer RiskCover.
     Liaison with vocational rehabilitation providers to assist in the graduated return to
      work program for the injured worker.

                                                                                                    Disclosure and Compliance

 Delivering a Healthy WA                                                                      131

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