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HUMAN SERVICES AT
A GLANCE
EACH WEEK IN SOUTH AUSTRALIA IN 1997-98:
1,295 women were screened for breast cancer
2,500 children were immunised
424 families or individuals received Financial Counselling and Support
11,404 concessions were processed for transport, water rates, electricity and council rates
281 households applied for public housing
111 households were allocated public housing
388 people renting in the private rental market received assistance with their weekly rent payments
398 people were given assistance to access housing in the private rental market with average bonds
of $426
$2.5 million in rental income was foregone providing rental subsidies for eligible tenants
76 Alternative Care placements were made
12,798 Home and Community Care services were provided
8,471 Royal District Nursing Society Nurse visits were made
5,698 people were counselled by a community health worker
1,470 people donated blood
300 calls were made to the Child Abuse Report Line
1,074 calls were received by Crisis Care
362 babies were born
8,739 people were treated in accident and emergency in public hospitals
27,852 services were provided at outpatient clinics
6,263 people were admitted to public hospitals
2,608 same-day admissions occurred in public hospitals
$32,900,893 of State Government funding was spent on health, housing and community services
and facilities.
Government
of South Australia
1998
DEPARTMENT OF HUMAN SERVICES
SOUTH AUSTRALIAN HEALTH COMMISSION
11-13 Hindmarsh Square
ADELAIDE SA 5000
Tel: 08 8226 6599
Fax: 08 8226 6456
Acronyms and Abbreviations 4
Chief Executive s Report 5
Ministerial Portfolio Responsibilities 7
Boards and Committees 8
DEPARTMENT OF HUMAN SERVICES ANNUAL REPORT
Department of Human Services 10
Organisational Chart 13
Initiatives and Achievements 13
Community Wellbeing, Safety and Support 15
Personal Financial Assistance 18
Housing 20
Accommodation and Care 21
Community Care 24
Coordinated Care 27
Crisis and Acute Care 29
Policy, Ministerial Advice 31
SOUTH AUSTRALIAN HEALTH COMMISSION ANNUAL REPORT
Roles and Responsibilities 34
Members of the Commission 35
Organisation Chart 36
Initiatives and Achievements 37
Community Wellbeing, Safety and Support 39
Personal Financial Assistance 42
Accommodation and Care 43
Community Care 45
Coordinated Care 47
Crisis and Acute Care 48
Policy, Ministerial Advice 51
CORPORATE ACTIVITIES OF DEPARTMENT OF HUMAN SERVICES AND SOUTH
AUSTRALIAN HEALTH COMMISSION
Corporate Support and Development 56
Fraud Detection 61
Contractual Arrangements 62
Account Payment Performance 63
Year 2000 Compliance 64
External Consultancies 68
Freedom of Information 71
Publications 73
FINANCIAL STATEMENTS
Financial Statements - Department of Human Services 78
Financial Statements - South Australian Health Commission 97
Financial Statements - Department of Housing and Urban Development 121
Financial Statements - Department for Family and Community Services 129
APPENDICES
Appendix 1 - Statistics 140
Appendix 2 - Special Program Funding 146
CONTENTS
AHU Aboriginal Housing Unit
DHS Department of Human Services
DHUD Department of Housing and Urban Development
FACS Family and Community Services
FAYS Family and Youth Services
FOI Freedom of Information
HACC Home and Community Care
HIDC Health Industry Development Centre
ICU Intensive Care Unit
IDSC Intellectual Disability Services Council
IMVS Institute of Medical and Veterinary Science
ISIS Inpatients Separations Information System
ISAAC Integrated South Australian Activity Collection
IT Information Technology
JIS Justice Information System
MMSS Monthly Management Statistical System
MOU Memorandum of Understanding
OACIS Open Architecture Clinical Information System
OHS&W Occupational health, safety and welfare
SAAP Supported Accommodation Assistance Program
SACHA South Australian Community Housing Authority
SAHC South Australian Health Commission
SAHT South Australian Housing Trust
SERCIS Social and Economic Risk Context Information System
STD Sexually Transmitted Disease
TQEH The Queen Elizabeth Hospital
4
ACRONYMS &
ABBREVIATIONS
I have pleasure in submitting the first Annual
Report of the Department of Human Services
for the financial year 1997-98. In addition,
pursuant to Section 26 of the South
Australian Health Commission Act 1976, the
Annual Report of the South Australian Health
Commission is incorporated in this report.
The Department of Human Services was
formed in October 1997 as part of a general
public service restructure in South Australia.
The new department brings together into one
portfolio the Health Commission, the housing
activities of the former Housing and Urban
Development portfolio, and the Department
of Family and Community Services.
Broadly, the Department of Human Services
aims to enhance the quality of life for South
Australians and to respond to those in need. It
does this through government and community
partnerships promoting health and wellbeing,
and the development of a sustainable
community and quality living standards.
In measuring whether these aims are being
met, it is important to understand what is
being delivered given the available resources.
This is being achieved across Government
through the change from the previous
program-based budgeting to an output-based
approach, supported by accrual accounting,
which gives a better indication of the real
cost of providing services to the community.
The new approach will provide greater
accountability, transparency and choice in
service delivery. This year has been a
transition year for the Department of Human
Services in changing from inputs to output
classes and further work will continue in
1998-99.
The human services environment involves
significant challenges. These include
increasing pressure on services caused by an
ageing population; improvements in medical
technology and increasing community
expectations; and continuing poverty,
especially for single parents, younger single
people and families with children.
In positioning itself to address these
challenges, the Department of Human
Services will build on the inter-relationships
among health, housing and community
services to support planning and service
provision. It will also assist the Minister in
providing the strong voice that South
Australia needs in Commonwealth/State
negotiations on health care, community
services and housing.
In human services it is essential to ensure that
planning is driven by needs rather than solely
by budget imperatives or by institutional
arrangement. The new arrangements will
offer opportunities to respond more
effectively to community needs which are
complex and diverse.
We aim to take a more holistic approach to
policy making while ensuring appropriate
service standards and to ensure adequate
health and physical protection. It will focus
on preventing illness and promoting health,
wellbeing and vital communities by
developing partnerships among government,
service providers and the community to meet
the needs of all South Australians. The
Department will work with communities to
build on their strengths and support their
endeavours.
5
CHIEF EXECUTIVE S
REPORT
To: The Honourable,
The Minister for Human Services,
The Minister for Disability Services,
The Minister for the Ageing
An important aspect of the organisation is the
separate operational focus on metropolitan
and country communities, as well as on
issues of statewide significance.
Human Services will have a continued focus
on ageing, mental health, disability, families
and children, and Aboriginal people. It will
provide high level accountability for key
issues such as public health, financial
management, business services, and capital
and asset management.
One of the driving forces in creating the new
department is to provide seamless services to
remove the need for people to navigate
numerous service boundaries, referrals and
assessments.
The achievement of portfolio outcomes in
Human Services requires that the decisions
on priorities and resources allocation are
informed by the people providing and
accessing services.
While the new structural arrangements are
still evolving, the department has begun a
number of across-portfolio initiatives.
Regional managers from the previous health,
housing and community services areas are
exploring the delivery of human services
responses at the local provider level. In both
metropolitan and country areas, work has
begun on assessing needs and common goals.
I am confident that the new arrangements will
enable us to maintain South Australia s
position at the forefront of human services
well into the 21st century.
Christine Charles
CHIEF EXECUTIVE
30 June 1998
6
Adoption Act 1988
Aged Citizens Clubs (Subsidies) Act 1963
Blood Contaminants Act 1985
Children s Protection Act 1993
Chiropodists Act 1950
Chiropractors Act 1991
Commonwealth and State Housing
Agreement Act 1945
Commonwealth and State Housing
Supplemental Agreement Act 1954
Consent to Medical Treatment and Palliative
Care Act 1995
Controlled Substances Act 1984
Dentists Act 1984
Disability Services Act 1993
Drugs Act 1908
Family and Community Services Act 1972
Food Act 1985
Guardianship and Administration Act 1993
Housing and Urban Development
(Administrative Arrangements) Act 1995
Housing Agreement Act 1991
Housing Improvement Act 1940
Institute of Medical and Veterinary Science
Act 1982
Hospitals Act 1934
Medical Practitioners Act 1983
Mental Health Act 1993
Nurses Act 1984
Occupational Therapists Act 1974
Office for the Ageing Act 1985
Optometrists Act 1920
Pharmacists Act 1991
Physiotherapists Act 1991
Psychological Practices Act 1974
Public and Environmental Health Act 1987
Public Charities Funds Act 1935
Public Intoxication Act 1984
Radiation Protection and Control Act 1982
Reproductive Technology Act 1988
South Australian Co-operative and
Community Housing Act 1991
South Australian Health Commission Act
1976
South Australian Housing Trust Act 1995
Supported Residential Facilities Act 1992
Transplantation and Anatomy Act 1983
Young Offenders Act 1993
7
MINISTERIAL
PORTFOLIO
RESPONSIBILITIES
LEGISLATION COMMITTED TO THE
MINISTER FOR HUMAN SERVICES,
MINISTER FOR DISABILITY
SERVICES, MINISTER FOR THE
AGEING
Advisory Board on Ageing
Charitable and Social Welfare Fund Board
Children s Interests Bureau
Children s Protection Advisory Panel
Chiropody Board of South Australia
Chiropractors Board of South Australia
Clinical Dental Technicians Registration
Committee
Commissioners of Charitable Funds
Controlled Substances Advisory Council
Dental Board of South Australia
Dental Professional Conduct Tribunal
Grants for Seniors Advisory Committee
Guardianship Board
Home and Community Care Ministerial
Advisory Committee
HomeStart Finance Board
Housing Advisory Council Community
Committee
Institute of Medical and Veterinary Science
Council
Medical Board of South Australia
Medical Practitioners Professional Conduct
Tribunal
Nurses Board of South Australia
Occupational Therapists Registration Board
of South Australia
Optical Dispensers Registration Committee
Optometrists Board
Pharmacy Board of South Australia
Physiotherapists Board of South Australia
Public and Environmental Health Council
Public Housing Appeal Panel
Radiation Protection Committee
South Australian Community Housing
Authority Board
South Australian Council on Reproductive
Technology
South Australian Health Commission
South Australian Housing Trust
South Australian Psychological Board
South Australian Sports Promotion, Cultural
and Health Advancement Trust (Living
Health)
Supported Residential Facilities Advisory
Committee
8
BOARDS AND
COMMITTEES
DEPARTMENT OF HUMAN SERVICES
9
DEPARTMENT OF
HUMAN SERVICES
Annual Report
1997-98
The Department of Human Services was
formed in October 1997, as part of a general
public service restructure in South Australia.
Human Services became one of ten
departments designed to create a more
coordinated and streamlined public service.
Underlying the public service restructure are
principles of better service and more efficient
and effective government.
The department brings together the South
Australian Health Commission, the former
Department of Family and Community
Services, the housing activities of the former
Department of Housing and Urban
Development, the South Australian Housing
Trust, the South Australian Community
Housing Authority, HomeStart Finance and
the Institute of Medical and Veterinary
Science.
The department is responsible for policy
administration and operations of public
health, hospitals, family and community
services, disability services, ageing and
housing. The combined budget of the
portfolio amounts to approximately 40% of
the State s annual expenditure and it employs
about 23 200 staff. Its structure includes a
central office with strong links to a number of
service providers.
Central Office
Central office of the Department of Human
Services has the following roles and
responsibilities:
to ensure that publicly funded human
services are strategically planned and
developed, appropriately resourced and
work harmoniously and effectively with
in whole of government policies and
administrative requirements;
to be accountable within government for
the overall performance of the publicly
funded South Australian human services
system;
to provide high level support to the
Minister for Human Services, Minister
for the Ageing and Disability Services
and the Chief Executive of the
Department of Human Services;
to allocate funds to providers of human
services and programs on a properly
planned and considered basis taking
account of population requirements,
government policy, defined outcomes
and the availability of resources;
to provide support, as appropriate and
necessary to enable the efficient and
effective provision of high quality
human services and programs within
available resources.
10
DEPARTMENT OF
HUMAN SERVICES
11
Central Office comprises six divisions:
Aboriginal Services - which is responsible
for the overall coordination and management
of support services, including effective
funding procurement processes, and the
provision of innovative, consultative and
collaborative decision making processes, to
contribute to the health and wellbeing of the
Aboriginal community.
Strategic Planning and Policy - the role of
which is:
to develop and maintain the
department s strategic planning and
policy framework with a key focus on
population groups, key human services
issues, prevention, interagency
cooperation and consumer involvement;
to develop strategic directions and plans
based on this framework, including
across Government, sociodemographic
trend analysis, health, housing and
welfare modelling;
The division also manages inter-
government relations, provides executive
support for the Minister and the Chief
Executive and provides legal services to
the department.
Strategic Finance and Corporate Services -
is responsible for the strategic management of
finance and budgets, capital and asset
management, information management and
corporate services across the human services
department.
Corporate services covers human resources,
internal audit, industrial relations, risk
management, insurance, administrative
services, library services and public affairs.
Country and Metropolitan divisions -
are responsible for service planning and
coordination, purchasing, monitoring and
evaluation of efficiency and effectiveness of
services, business improvement management
development and support among providers
within a defined geographic area.
This will enable:
specific program design and
procurement which is best suited to the
needs of populations within a
corporately developed high level out
comes framework;
a closer focus on service delivery to
observe and gather feedback on
successful initiatives and areas requiring
improvement;
promotion and cultivation of
opportunities for providers to deliver
service improvements and to form
integrated service networks;
accountability for the resources allocated
and to meet particular needs in relation
to population outcome improvements in
their areas.
In addition to specific regional work, each
division takes a lead role in specific program
development, including the Supported
Accommodation Assistance Program State
Plan. The Disability Services Office and the
Office of the Ageing are included in this area.
Statewide Division - is responsible for
services planning and coordination,
purchasing, monitoring/evaluation of
efficiency and effectiveness of services,
management development and support for the
eight largest public hospitals. These represent
$720 million of the portfolio budget and
include Flinders Medical Centre and The
Queen Elizabeth, Lyell McEwin, Royal
Adelaide, Women s and Children s, Modbury,
Noarlunga and Repatriation General hospitals.
The division also comprises Population
Outcomes (including Population Health and
Coordinated Care), and Public and
Environmental Health. The Statewide
Division will provide a number of services
across the department, such as costing and
evaluation, industry and export development
and review of contestability and outsourcing
options.
Service Providers
Human services has a comprehensive service
provider arm, which includes the following
entities:
The South Australian Housing Trust
which provides public housing to
approximately 55,000 households.
Assistance is also provided for people
in need who are renting in the private
rental market, through the provision of
bond guarantees and rent relief payment.
The South Australian Community
Housing Authority which provides
housing capital to community housing
associations and housing cooperatives
which provide accommodation for
groups on low incomes or with other
special needs.
HomeStart which provides home
ownership assistance to low income
families and households who often
experience difficulties in purchasing
their own homes.
Family and Youth Services which
provides child protection, alternative
care and juvenile justice services as
required by statute, as well as meeting
the needs of vulnerable young people.
Hospitals: major public hospitals in the
metropolitan area and many hospitals
throughout the State.
Health units and community health
centres: a regional network of health
services at the community level, cover
ing rural and metropolitan areas,
including specific Aboriginal health
services.
South Australian Dental Service which
provides preventative dental care
programs for young people in schools,
and also provides dental care for low
income families and older people.
Institute of Medical and Veterinary
Science which provides pathology
services across the State of South
Australia.
Local area planning is taking place to
determine the best configuration for regional
service provision and management.
Restructuring
Amalgamating human services provides
opportunities for improved service provision
and reduced infrastructure costs with a
renewed commitment to identify and respond
to the community s needs. The creation of a
new structure in which this could be achieved
included establishing a central office which
draws together the three streams of the
portfolio - health, housing and family and
community services, and linked them with a
range of service providers. This has been
achieved by a planning process that began
with the establishment of the Department of
Human Services in October 1997 and
continues through a strategic policy
framework.
12
13
SA Health Commission
Country
Metropolitan
Statewide
Internal Audit
Strategic Finance and
Corporate Services
Aboriginal Services
Strategic Planning and
Policy
ORGANISATION CHART
HomeStart South Australian Community Housing
Authority
South Australian
Housing Trust
Health Units
Non-Government funded
Services
Family and Youth Services
Chief Executive
Service Providers
INITIATIVES AND
ACHIEVEMENTS
The Department of Human Services has been
formed in a climate of changing socio-
economic trends that establish key challenges
for human services including:
ageing of the population - 14 per cent of
South Australians will be over the age
of 65 by the turn of the century
compared to 12 per cent nationally;
the increasing life expectancy over the
last 30 years particularly among the
older age groups contrasted with the
continuing lower life expectancy and
higher disease prevalence patterns for
Aboriginal people;
the changing poverty demographic with
single parents (21 per cent), younger
single persons (19 percent) and families
with children (12 per cent) experiencing
the highest rates.
All of these factors serve to increase the
demand on services, including aged care,
disability, mental health, housing and
community support services. The department
MINISTER
responds to these imperatives by focussing
assistance on those in need, and by applying
the principles of prevention, promotion of
health and wellbeing, and early intervention
to maximise long term benefits to the
community whilst making more effective use
of the community s resources.
Outcomes and Outputs
The outcomes for the Department were
developed to take account of key roles:
human services working in partnership
to contribute to quality of life goals for
the community;
human services responding to the formal
care and accommodation of people and
to ensure that services are delivered to
meet those needs;
human services role in innovation and
in responding to Government policy.
Outputs reflect the objectives and priorities of
government in delivering its products and
services to the community. The outputs
nominated for the Department of Human
Services reflect the strategic directions of
government for delivering human services to
the community and form a continuum of care
from the more preventive, self-management
focus of community wellbeing, safety and
support at one end to the more interventional,
obligatory focus of crisis and acute care at the
other.
The outputs are:
Community Wellbeing, Safety and
Support;
Personal Financial Assistance;
Housing;
Accommodation and Care;
Community Care;
Coordinated Care;
Crisis and Acute Care;
Policy, Ministerial Advice.
14
Note: This table presents the indicative costs of the department s outputs as presented
throughout the Annual Report. The table was included in the department s annual Estimates
presentation to Parliament as a part of the Treasury White Papers Estimates.
The information has been prepared on the basis of estimates of the portfolio s consolidated
economic entity and therefore differs substantially from the audited financial information
presented at the rear of the annual reports for the Health Commission s Chief Entity and the
Department of Human Services.
Due to the eliminations necessary in compiling the consolidated figures, the sum of individual
entity reports will not agree to the consolidated total.
In the following pages, the Department of Human Services initiatives and achievements are
listed under the relevant outputs.
OPERATING EXPENSES 1997-98 %
$ M
Community Wellbeing, Safety and Support 61 2%
Personal Financial Assistance 490 20%
Housing Support 105 4%
Accommodation and Care 205 8%
Community Care 333 13%
Coordinated Care 40 2%
Crisis and Acute Care 1222 50%
Policy, Ministerial Advice 15 1%
TOTAL OPERATING EXPENSES 2471 100%
Assistance for Families
Parenting SA attracted an extra four years of
funding from the South Australian
Government s Community Development
Fund and a further $240,000 from the
Commonwealth Government to help improve
and support parenting.
Over three million Parent Easy Guides (tip
sheets for parents on 48 different parenting
topics) were distributed. These guides are
available from 700 commercial, government
and community services throughout the State.
Information and other supports are also
available on the Internet which had almost
261,000 hits (www.parenting.sa.gov.au).
Financial support was provided to develop the
expertise of the Child and Youth Health s
Parent Helpline in dealing with teenage
issues. The Helpline is promoted as the first
point of access to government services which
provide parenting support. It receives over
100 000 calls per year.
Grants to the value of $73,206 were made to
96 community groups to help provide
parenting support at a local level. Priority
was given to groups providing services to
rural or disadvantaged communities,
Aboriginal people, sole parents and fathers.
The Southern Home Visiting Program,
funded by the Commonwealth Government,
was launched in the Noarlunga area.
Managed by the Adelaide Central Mission,
this program assists parents to develop
parenting skills.
The Office for Families and Children recently
updated and reprinted the booklets: When
Can I? and When Mum and Dad Split Up.
Protocols on assisting pregnant women with a
mental illness and a charter for children and
young people in care were developed and
implemented. A study of the economic cost
of child abuse and neglect in South Australia
was undertaken.
15
COMMUNITY
WELLBEING,
SAFETY AND SUPPORT
This covers outputs that have an impact at
the population level, promote health and
wellbeing and regulate environmental and
living standards. These outputs promote the
caring role of families and communities and
have a community development focus.
These outputs seek to meet the government s
objectives of prevention, health promotion
and early intervention. Programs which
focus on achieving these outputs include
Parenting SA, the Violence Intervention
Project, the provision of community
development grants to organisations and
community groups and monitoring and
securing public health in areas such as food
safety and water quality.
Programs which focus on achieving these
outputs include screening services such as
Pap smears and breast xrays, immunisation
programs and domestic violence programs.
Funding support is provided for a range of
non-government organisations, Aboriginal
community controlled health services, the
Guardianship Board and other advocacy
programs.
Expenditure for community wellbeing, safety
and support is $61 million which represents
2% of the budget.
16
Neighbourhood and Community
Development
In 1997-98 the Neighbourhood and
Community Development Program supported
29 metropolitan and nine rural services in
providing a range of services to promote the
welfare of individuals and families,
particularly those who were most
disadvantaged. These included community
based neighbourhood houses, community
development projects and other specialist
services such as women s centres, which are
involved in facilitating self-help groups,
community activities, adult education
programs and provision of information about
community services to local communities.
In 1997-98 total funding for the
Neighbourhood and Community
Development Program was $1,029,400.
Programs for Older People
The Grants for Seniors Program assists
voluntary agencies, community organisations
and self-help groups to remain active in their
communities through the provision of small
one-off grants. In 1997-98, 305 grants
totalling $197,000 were approved.
In 1997-98 the Office for the Ageing Grants
Program provided support for innovative
projects directed towards extending older
people s involvement in their communities.
The grants were for one-off funding for
amounts not exceeding $20,000. A total of
$300,000 was provided to a range of projects.
The administration of the Seniors Card for
over 197,000 South Australian card holders
who receive concessions and discounts for a
broad range of goods and services was further
streamlined.
Aboriginal Health
$1 million has been allocated to projects
under the Aboriginal Health Partnership.
These include:
$511,781 for Aboriginal community
controlled health services;
$393,254 for mainstream organisations
to increase numbers of Aboriginal
health workers;
$48,680 for health promotion activities
by Aboriginal health workers working
in mainstream organisations in the areas
of diabetes, substance misuse and sexual
health;
$46,290 for upgrading the facilities at
Point Pearce and Maitland.
Industry Support and Development
During 1997-98 funding of $512,500 was
distributed through the Industry Support and
Development sub program to five peak bodies
and one other organisation to advise on
family and community service plans and
policies, and to assist community service
agencies to improve their management
practices and coordination of services. The
specific areas of assistance provided included
support with strategic planning, evaluation
techniques, personnel management and
consumer participation.
Food Safety
A large number of cases of food poisoning
from Salmonella Oranienberg were
investigated. Production processes were
reviewed and altered at the source and action
taken to ensure the safety of raw materials
used in manufacturing. Following the
identification and elimination of the probable
source, no further cases were reported.
Domestic Violence
The Domestic Violence Unit coordinates
projects funded from the Prime Minister s
Domestic Violence Summit. These include:
community consultation and needs
assessment; resources developed for
Aboriginal and multicultural communities;
development of competency based standards
and training packages; and peer education for
young people at risk.
A Violence Intervention Project is being
trialled in the northern suburbs, coordinating
the services of a range of key agencies to
assist families appearing before the Elizabeth
Domestic Violence Court. The positive out-
comes of the trial were highlighted by an
independent evaluation.
Health Promotion
Primary health care grants worth $1.5 million
for health promotion projects were announced
on 2 June 1998. Priority areas are mental
health, diabetes education, Aboriginal health,
maternal and child health, immunisation and
violence and abuse.
Immunisation
The Commonwealth Government provided
$745,000 towards a measles vaccination
program to vaccinate all primary school
children in the third term of 1998.
$1.87 million on State funding was allocated
to provide free influenza vaccine to people
over 70 years old.
Screening
BreastScreen SA completed its 300,000th
mammogram screening in February 1998 and
announced a $1 million expansion. The
funding assisted in purchasing additional
mammography units, expansion of the Marion
Clinic and provision of mobile screening.
Private Rental Accommodation
Standards
These standards are regulated by the South
Australian Housing Trust under the Housing
Improvement Act 1940 to ensure that
minimum standards of accommodation are
maintained in the private rental market. In
1997-98 approximately 144 notices of
intention to declare houses sub-standard were
issued and some 91 rents fixed.
17
Utility and Transport Concessions
Concessions for water rates, council rates,
electricity and transport are provided to
alleviate financial pressures experienced by
pensioners, beneficiaries and low income
earners. SA Water and ETSA processed
185,000 and 205,000 applications
respectively for concessions. 145,000
applications were processed for concessions
in council rates. 58,000 beneficiaries and low
income earners also received transport
concession cards. This year there was an
increase in demand for utility concessions
of 6.8%.
The State Concession Card Scheme is
administered by the Department of Human
Services. Cards are issued to unemployed
males over the age of 60 who have been
receiving Centrelink administered benefits for
less than 12 months and who do not qualify
for a Pensioner Concession Card; dependant
spouses in receipt of the card prior to the
Commonwealth extension of the Pensioner
Concession Card in April 1993; and war
widows under the age of 60, subject to an
income test.
In the past year, 151 State Concession Cards
were issued compared to 51 in the previous
year. The increase came from the broadening
of eligibility criteria to include skilled
migrants who did not qualify for
Commonwealth income supports but whose
income and assets were within the allowable
limits.
Private Rental Assistance
The South Australian Housing Trust helps
people on low incomes to access and
maintain accommodation in the private rental
market. Financial assistance is provided in
the form of weekly rent relief payments, bond
guarantees, and assistance with rent payments
in advance or arrears. In 1997-98, the Trust
assisted approximately 20,000 people with
bond guarantees and rent in advance or
arrears, and a further 20,000 with rent relief
payments. Program details are contained in
the Trust s Annual Report.
South Australian Spectacles Scheme
The South Australian Spectacles Scheme
assists eligible people to obtain basic optical
appliances at reduced cost. Eligibility is
restricted to residents of South Australia who
hold either a Pensioner Concession Card or
who have held a Health Care Card for at least
12 months. In 1997-98, approximately
74,000 people were assisted at a cost of
$1,441,200.
18
PERSONAL FINANCIAL
ASSISTANCE
This covers outputs that contribute to
quality of life by providing financial support
to help people afford housing, local
government rates and appropriate health
services.
This assistance is targeted to people who
are financially disadvantaged. It provides
for concessions on electricity and water
bills, rental subsidies and outpatient
prescriptions. It makes it easier for country
people to afford transport to the city for
treatment not provided in their locality.
Expenditure on personal financial
assistance is $490 million which represents
20% of the budget.
Patient Assistance Transport Scheme
The Patient Assistance Transport Scheme
assists rural patients with the cost of travel
and accommodation when they are required to
travel over 200 kilometres (or from Kangaroo
Island to the mainland) to receive medical
specialist treatment that is not available at a
nearer centre. In 1997-98, approximately
17,000 people were assisted at a cost of
$2,058,400.
Pharmaceuticals
Pharmaceuticals are provided at a reduced
cost to Commonwealth Health Care Card
holders accessing public hospital outpatient
services. General patients pay a fee of $15
per item while those eligible for the
concessional rate pay $3.20 up to the Safety
Net Threshold specified under the
Pharmaceutical Benefits Safety Net Scheme,
after which pharmaceuticals are provided free.
It is not possible to estimate the total number
of concessional recipients or expenditure. A
survey of three metropolitan public hospitals
undertaken in 1998, suggests that expenditure
on concessional pharmaceuticals could be in
the range of $1 million for the State.
Funerals Assistance
The Funerals Assistance Program continued
to provide dignified funerals for people who
died in financially disadvantaged
circumstances. Assistance was also provided
to the immediate relatives of deceased persons
who were not able to pay for the funeral of a
family member.
In 1997-98, the department provided financial
assistance to or arranged more than 500
funerals at a cost of $491,535. This
represents a 9.7% increase from the preceding
year. Contributions towards these funeral
costs of $81,045 were realised, from
recipients of funeral assistance.
19
Public Rental Housing
Public rental housing is provided by the South
Australian Housing Trust through its 15
regional offices. In 1997-98, the Trust
managed approximately 58,000 public
housing dwellings, allocated housing to 5,773
new tenants including some 1,500 priority
housing allocations for people with urgent
housing need. Assistance is given to those on
low income through rental rebates, and in
1997-98 over 82.9% of all Trust public
housing tenants paid a reduced rent based on
their income and other factors. Program
details are in the Trust s annual report.
Rural and Remote Housing
Rural and Remote Housing is made available
for Aboriginal communities through the Rural
and Remote Housing Program and is
administered by the Aboriginal Housing Unit
(AHU) of the South Australian Housing
Trust. This program provides housing
funding and construction management for the
Aboriginal Lands and Remote Areas.
Decisions are made through direct
negotiations with the communities and the
relevant Aboriginal organisations. Ownership
and management of the houses are vested in
the community. At 30 June 1998, there were
582 properties provided through this program.
Further details are in the Trust s annual
report.
Home Purchase for Low Income Earners
Housing finance is provided by HomeStart
Finance to assist low and moderate income
earners into home ownership. HomeStart
Finance products include the HomeStart Loan
which is a low start home loan, with
repayments linked to income and inflation
rather than interest rates; the Advantage Loan,
which is an additional loan with an interest
rebate period of five years, for those who
have the maximum HomeStart loan for which
they are eligible and with gross incomes less
than $500 per week; and the Seniors Loan
designed for persons over 55 years of age
who already own a home. In 1997-98, new
settlements consisted of 2163 HomeStart
Loans, including 760 Advantage Loans, plus
204 Seniors Loans, with a total value of
$139.4 million. Details of HomeStart
Finance s activities are contained in its annual
report.
Community Housing
Community housing is managed by
community housing associations and housing
cooperatives, which are administered and
regulated by the South Australian Community
Housing Authority (SACHA). Community
housing provides different housing options for
low income and special needs groups. At 30
June 1998, there were 92 housing
cooperatives and 32 community housing
associations managing 2535 dwellings.
SACHA is a statutory body within the
Department of Human Services and details of
its activities are contained in its annual report.
20
HOUSING
This covers a range of outputs that assist
those in need to access appropriate and
affordable accommodation. Support is
provided to facilitate either purchasing or
renting a home, and opportunity is offered
for community participation in housing
management.
South Australia has the highest proportion
per capita of public housing of any state.
The challenge is to target public housing to
those in greatest need. It is estimated that
of all Trust tenants, less than 10% are
eligible families with low incomes. A large
proportion are single people and couples.
Over a third of the houses are more than 30
years old, so a program of urban renewal
has been implemented.
Expenditure on housing outputs is $105
million which represents 4% of the budget.
Supported Tenancies
Under the Supported Tenancy Scheme, the
South Australian Housing Trust leases
residential accommodation to agencies that
provide support services to people with
special needs. For example, the program
provides shelter for women, young people or
families, specific youth housing and housing
for those with a physical or intellectual
disability. In 1997-98, the Trust leased
approximately 709 properties to 127
agencies. Details of this program are
contained in the Trust s annual report.
Supported Accommodation
During 1997-98, seven metropolitan and
seven rural services were funded by the
Supported Accommodation Assistance
Program (SAAP) to provide services to
families with children who were homeless or
were at imminent risk of becoming homeless.
Total State and Commonwealth funding to
these agencies in 1997-98 was $2,500,800.
In 1997-98 a total of $3,113,690 was
allocated to nine services for homeless single
adults, meal services, day centres and crisis
and medium term accommodation services
across the State.
One-off funds of $100,000 were made
available for developing and piloting a
service for residents of boarding houses
which aims to prevent people from becoming
homeless. This will assist residents with
complex problems who have traditionally
been unable to access case management
support from existing mainstream services.
Seventeen youth services were funded across
South Australia under SAAP to meet the
21
ACCOMMODATION
AND CARE
This covers outputs that provide
accommodation and integrated care options
for individuals and families who, for
reasons of vulnerability, dislocation or
disability, cannot live unassisted in a
normal community setting.
The changing context for human services
needs to encompass a number of socio-
economic demographic trends, which
include the ageing of the population - 14
per cent of South Australians will be over
the age of 65 by the turn of the century,
compared to 12 per cent nationally - and
increasing life expectancy for most of the
population, contrasted with continuing
lower life expectancy for Aboriginal people.
There are also high rates of poverty,
especially for single parents, younger single
people and families with children.
Accommodation and care programs include
the supported tenancy scheme, nursing
homes and hostels, support for homeless
individuals and families and
accommodation for people with a physical
disability or impaired mental health that
prevents them from managing in the
community setting. Older South Australians
and their families need to feel that
accommodation and care programs will be
there to support them if they become too
frail to manage in the community.
Expenditure on accommodation and care is
$205 million which represents 8% of the
budget.
needs of young homeless people in crisis and
to assist them in becoming independent
($8,775,540).
In addition to these core services, there are a
number of other specific projects:
research is being conducted into the
most appropriate service delivery model
for young homeless people in the
Riverland region;
a pilot training program focusing on
improving policies and practices in
dealing with challenging behaviours in
SAAP youth services was conducted;
further work was carried out in refining
the assessment and referral process for
youth services;
a performance measurement trial was
implemented across all metropolitan
services identifying the progress young
people have made in achieving their
goals in the services.
In 1997-98, $5,033,996 was distributed by
SAAP to 17 domestic violence services across
the State. The Implementation Plan It s My
Choice, A focus on Women and Children was
launched in August 1997. As a result of the
reforms, resources will be redistributed across
the State to create new services in Ceduna
and Coober Pedy, and to extend services in
the Murraylands and Port Pirie regions.
Because women with children require a range
of accommodation options, significant funds
were committed for furnishing additional safe
and secure transitional houses.
Specific funding was provided for case
management training during 1997-98 with
additional funds also being acquired through
one-off and reform funding to enable
organisations to participate in training for
mandated notifiers, substance abuse, and
occupational health, safety and welfare
training.
A National Indigenous Case Management
Project was also undertaken which culminated
in the production of a culturally appropriate
Aboriginal case management resources guide
which will be distributed to indigenous
agencies.
An external evaluation of SAAP Mark III was
undertaken during 1997-98 and its findings
will be released in 1998. The evaluation
focused on how improvements can be made to
open access to services and exit opportunities
for ex-residents, and how the SAAP can
respond to the increasing complexity of social
and health needs of homeless people.
Secure Care
South Australia continues to participate in
developing service standards in secure care by
the National Working Party on Standards and
Accreditation.
The average daily occupancy figures for
1997-98 decreased from 94 to 76, a 19%
decrease from the 1996-97 financial year.
There were 197 fewer admissions compared
to 1996-97. First Instance Warrants increased
from 218 to 232. The decrease in average
daily occupancy coincides with the decrease
of average length of stay. 1996-97 saw 21.6
days per custody compared to 19.8 days per
custody for the 1997-98 financial year,
equating to a drop of 8.33%.
As a result of changes in methods used to
calculate average daily occupancy, the figures
presented are generally lower than before.
However, detentions have noticeably dropped
in numbers from 57.24 for 1996-97, to 38.46
for the 1997-98 financial year. An ongoing
issue for secure care is the over-representation
of Aboriginal young people, particularly
young women.
Cavan Training Centre is a detention centre
for young male offenders primarily between
the ages of 16 and 18 years. The major
emphasis at Cavan is rehabilitation, by
encouraging participation by residents in a
range of social, educational, vocational,
personal development and restorative
programs. Major activities included
participation in Trees for Life ; work with
the police on Blue Light camps at Millicent
and Iron Knob; assisting disabled persons by
doing yard work at their homes; and
developing a program with the Salisbury
Council to maintain a BMX track at
Salisbury.
Magill Training Centre provides a secure
environment for younger male youths and all
young women admitted on Warrants and
Policy Custody, Remand or Detention
mandates for the State of South Australia.
22
Major activities were:
implementation of a joint agreement
with Child and Youth Health (The
Second Story) resulting in a greatly
improved confidential health and
medical service for young people at the
training centre which will continue to
support them when they are released
back into the community;
development of the Magill Outreach
Program which significantly helped
reduce the number of young people
detained in secure care.
Disability Services
The Disability Services Office, in conjunction
with the Intellectual Disability Services
Council, identified a range of strategies for
the redevelopment of Strathmont Centre.
They include an aged care facility, relocating
some clients to community accommodation
and refurbishing facilities for the remaining
residents.
South Australia, Western Australia and the
Northern Territory jointly funded the
Ngaanyatjarra Pitjantjatjara Yankunytjatjara
(NPY) Women s Council Aboriginal
Corporation Allied Health Project to support
people with a disability from Aboriginal
communities in the cross border districts.
Community Residential Care
Community Residential Care provides care in
six residential units for young people who
cannot live with their families and who cannot
be fostered.
The 12 bed purpose-built Regency Park
Community Unit was opened, replacing the
North Adelaide Community Unit. This unit
can be divided into three discrete areas and
has been set up to provide the young men
with a range of supervision levels, assisting
them to make the transition to independent
living when appropriate.
An extensive range of programs for young
people was offered through the Behaviour
Intervention Service which aims to provide
high quality residential services to extremely
disadvantaged young people with multiple
problems and behaviour disorders, including
mental health issues. These services included
sex education, boys talk, grief and loss,
independent living skills, drug and alcohol
education, self-esteem building, young
women s health and anger management.
Community Residential Care also sponsored a
forum aimed at establishing best practice
standards for young women in residential
care.
Aged Care
Country aged care facilities were upgraded at
the Hawker Great Northern War Memorial
Hospital ($460,000), the Hills Mallee
Southern region ($3,900,000) and as part of
the Kangaroo Island Hospital Redevelopment
($2,800,000).
Hospitals Development
A $6.8 million upgrading of Hampstead
Centre was announced, as part of Stage 1 of
Royal Adelaide Hospital redevelopment. This
will strengthen the links and coordination of
rehabilitation, domiciliary and community
based care to provide a more efficient service
to families and the community.
The new $21.4 million Port Augusta Hospital
opened in December 1997. This was
facilitated through a private finance leaseback
arrangement.
Palliative Care
After consultation with services and
consumers, the Strategic Plan for Palliative
Care Services in SA was developed. The plan
recognises that palliative care is a specialty
service requiring improved coordination and
integration, and describes the best practice
model under which palliative care services
will be purchased in the future.
23
Community Care
$70.4 million was available for Home and
Community Care (HACC) services in 1997-
98, an increase of 4% from the previous year.
This allowed for 2% indexation totalling $1.4
million and the remaining $1.3 million for
service growth. $1.5 million was made
available for distribution to new or expanded
recurrent services and $1.352 million was
recommended for one-off projects. In
addition, $1.48 million was made available
for the Carers Strategy and a further $1.464
million for one-off projects as a result of
surplus funds from previous years.
Funding approved for this year was used to
address the priorities in the 1996-97 HACC
Annual Plan. These were:
flexible and coordinated services,
including collaborative regional projects;
geographical priorities based on regional
inequities;
carer support;
community transport networks;
extension of pilot projects;
special needs groups, particularly
Aboriginal and non English speaking
background.
Family Support and Development
During 1997-98 a total of 34 metropolitan and
22 country family development services were
funded to provide parent education,
counselling services for parents and
adolescents, and family support services
including specialist services for Aboriginal
and non-English speaking families. The focus
of these services is preventative rather than
crisis intervention, and funding for these 56
services in 1997-98 was $3,060,873.
Payments for 1000 trust maintenance
accounts totalling $1.039 million were
received. This work was taken over by the
Child Support Agency for parents who
separated after October 1989, reducing the
total number of active cases from 490 in June
1997 to 400 in June 1998.
Vulnerable Youth: Funding to Non-
government Agencies
The Department of Human Services
commitment to the development of
indigenous youth saw the continuation of
support and funding of $62,000 from the
24
COMMUNITY CARE
This covers outputs that enable individuals
and families to function in the community
setting. It includes Home and Community
Care programs for older South Australians,
family support services and programs to
support vulnerable youth.
Many of the people who need this support
are older South Australians, who will
comprise 14% of the population by the year
2000. They are choosing home based care
services rather than nursing homes.
Support is also provided through
Domiciliary Care and RDNS, community
health centres, help for those with gambling
problems and financial counselling services.
Options Coordination supports those with
disabilities that are able to live
independently or with their families in the
community, recognising the caring roles of
families and carers. Community teams
provide support to those with mental illness
and their families to enable them to live in
the community.
In 1997-98 a number of programs were
established to support continuing education
of doctors and to attract general practi-
tioners to country areas.
Expenditure on community care is $333
million which represents 13% of the budget.
Family and Community Development
Program during 1997-98 to 20 Aboriginal
Youth Action Committees across the State.
The long term vision of the program is to
encourage young people to take up
responsible roles on community councils and
other organisations.
Twelve services for vulnerable youth were
funded during 1997-98 for $966,430. This
included one regional and four metropolitan
services, two ethno-specific (Cambodian and
Vietnamese) and two services for young
people frequenting the inner city (one
specifically targeting indigenous Australians).
The following specialist programs operated
through the FAYS (Family and Youth
Services) Community Based Programs
Branch:
the Metropolitan Aboriginal Youth
Team which addresses the over
representation of young Aboriginal
people in the juvenile justice system.
The 1997- 98 program included Marine,
Wardang Island and Pets for Therapy
Programs. Participants attending
Wardang Island have completed
approximately 600 hours of community
service and 85 days of mandates, as
community service in lieu of payment
of fines;
an Australian first, a home detention
program using intensive supervision of
young people while they pursue
education, employment or training,
supported by active electronic
monitoring in their home. The program
has successfully managed over 100
young people;
an experiential education/wilderness
challenge program designed specifically
for persistent offenders;
the Remand INC Program which
commenced on 1 December 1997
provides short term family based
alternative care for young people who
have offended and who are unable to
return home;
the Bail Assessment Program which
commenced in January 1998 and a ten
day program for young people who are
at risk of becoming persistent offenders;
a Suicide Prevention Task Force report,
commissioned by the Minister following
the 19th Congress of the International
Association for Suicide Prevention, held
in Adelaide in March 1997, was
released in April 1998.
Adoptions
Amendments to the Adoption Act 1988 and
Regulations commenced in October 1997.
The changes aimed to:
balance the rights and needs for
information of parties affected by
adoption;
comply with the requirements of the
Hague Convention on the Protection of
Children and Cooperation in Respect of
Intercountry Adoption;
ensure that children are afforded the
opportunity to be heard in judicial
proceedings in keeping with the UN
Convention on the Rights of the Child;
bring the Adoption Act 1988 in line
with recent changes to the Family Law
Act and other legislation.
Parenting Support
An independent evaluation identified a
successful first year of operation of the
Parenting Network at the Women s and
Children s Hospital.
Alternative Care
Alternative care services were restructured
following the implementation of a new
funding and service model during the latter
half of 1997. This resulted in a consolidation
of services for families and children. Delivery
of a range of similar services to Aboriginal
families in rural and remote country areas
commenced in January 1998, and should be
completed by December 1998.
The Central Alternative Care Unit was
established within FAYS in December 1997.
It receives and processes all referrals for
family preservation and placement services;
collects and monitors data requirements; pays
subsidies to carers for the provision of care;
and approves and authorises expenditure for
brokerage funds.
25
The Foster Carers Charter and Commitments
in Care were developed in partnership with
SA Foster Carers Association and the
Guardianship children s and young person s
advocacy group, Future Echoes. The release
of these charters is an important step in
improving service delivery and promoting
partnership with stakeholders in the
alternative care system.
Low Income Support
In 1997-98 the Low Income Support Program
continued to work with other service
providers in metropolitan and country regions
to implement a planned approach to service
for adults and families experiencing poverty
and financial disadvantage. Total funding
provided to Low Income Support Program
services was $7,16,256.
Demand for financial counselling and support
services continued to climb with an increase
in the number of clients seeking financial
assistance (from 19,085 in 1996-97 to 22,029
in 1997-98) and a slight increase in the
number of financial support payments
provided.
Support for Rural Doctors
The State Government has initiated a number
of programs to help recruit and retain general
practitioners in rural South Australia,
including a $6 million rural enhancement
package, rural health scholarships, Cleve
Internship Programs and continuing funding
for medical education.
The SA Rural and Remote Medical Support
Agency commenced in April 1998 with the
amalgamation of the Rural Doctors
Association of SA and the SA Rural
Divisions General Practice Coordinating Unit.
The State Government contributed $200,000
to the inauguration of the agency whose role
is to coordinate activities, eliminate
duplication of functions and develop
strategies to assist the recruitment and
retention of doctors in rural South Australia.
The Rural Health Satellite Network was
provided with a $30,000 grant to support the
provision of continuing education services to
rural and remote doctors.
Rural Communities
A new Flying Doctors Clinic at Wiawera
Station in the State s far north was opened on
22 March 1998.
South Australia leads the nation in telehealth
and developed the national report on tele-
health issues for presentation to the Australian
Health Ministers' Advisory Council.
Aboriginal Communities
$300,000 was provided for a statewide
Specialist Renal Project under the Aboriginal
Health Partnership to develop a more
appropriate and efficient service to Aboriginal
patients.
Mental Health Services
A series of workshops, involving consumers,
carers, service providers and members of the
community was held to inform the Minister
and the department on issues and experiences
of people with mental illness. Collaborative
models for mental health services with a
regional and local focus continue to be
developed.
A broad range of initiatives addressing mental
health service quality and scope, inter-
relationships between services and assistance
in linguistically and culturally appropriate
ways is ongoing. Development of
partnerships between human services and
other agencies assisting people with multiple
difficulties was a dominant theme.
Duke of Edinburgh s Award Program
An expedition was conducted for a group of
peer leaders and youth from disadvantaged
backgrounds participating in The Second
Story Urban Survival Program aimed at
saving youth from juvenile delinquency.
The fifteenth Annual Canoe Challenge at
Blanchetown with 260 participants and a
second Dukes Plus Program for young
offenders, with a third commenced, were also
held.
26
Care21 Coordinated Care Trial
The Care21 Coordinated Care Trial has been
operating since September 1997. Its focus is
to provide a more coordinated approach to
care for people over the age of 65 and
involves 140 general practitioners and over
500 participants. An initiative of State and
Commonwealth governments, the Care21
trial covers the northern local government
areas of Salisbury, Playford and Gawler and
will be completed in December 1999.
Participants have an individual case plan and
a package of care based on their
requirements. The package provides
continuity throughout the health and
community care system involving general
practitioners, hospitals, pharmacists and
community service providers. It also
acknowledges the importance of addressing
carers, needs. Participants find that
individual care packages provide them with
more flexibility and choice in the selection of
services to meet their needs. A strong
partnership between general practitioners,
participants and service coordinators is
improving health and wellbeing outcomes.
Care21 is strongly supported by key human
service providers in the northern region;
including Adelaide Northern Division of
General Practice, Northern Suburbs Carers
Network, North West Adelaide Health
Service, Royal District Nursing Service and
the Pharmacy Guild of South Australia.
Single Assessment Project
As a corollary to Care21, a model of single
assessment for services to the aged in the
northern suburbs is being developed. The
Director of Care21 advises on the model
development and implementation. The
Northern Single Assessment Project is
recognised as an innovative project of
national significance.
SA HealthPlus
Additional funding was allocated to the
HealthPlus coordinated care trial which has
continued to recruit patients with chronic
illnesses such as asthma and diabetes. Over
400 general practitioners and 3000
metropolitan and country patients are now
taking part. The trial, which is backed by
both State and Federal governments, will run
for two years and will eventually involve over
4000 patients.
Options Coordination
Options Coordination provides a single entry
point to the service system for people with
disabilities and ensures the consistent
27
COORDINATED CARE
This covers outputs that provide care
options for those who have multiple needs
or chronic health conditions which require
formal planning and coordination of
services based on a specific care plan.
South Australia is at the forefront of
coordinated care, developing innovative
programs such as Care21, Options
Coordination and HealthPlus that are
supporting people with complex needs in
metropolitan and country areas. These
programs serve to provide a single
coordination point for all the care and
support required by an individual, with a
focus on preventing problems before they
occur.
The case management approach taken to
families in need provides a more holistic
approach to dealing with parents, children
and young people.
Expenditure on coordinated care is $40
million which represents 2% of the budget.
determination of eligibility, assessment of
need and allocation of resources for the
purchase or procurement of services in all
disability areas.
Case Management
Case management activities of Family and
Youth Services aim to ensure that key
agencies act in a coordinated and
collaborative way to meet the complex and
multiple needs of families and children and
young people.
Where a child protection investigation
assesses that the risk of further abuse or
neglect is high, the identification of family
needs and the resources required to meet
those needs drives ongoing work with the
family
Where circumstances require that a child or
young person be placed in alternative care,
case management aims to provide placement
stability, appropriate levels of family contact
and ensure that their particular identified
needs are addressed.
Case management for vulnerable young
people is primarily focused on referral to
agencies who undertake specialist work in
areas such as parent-child conflict or mental
health. Work is progressing on an agreement
between Family and Youth Services and
Mental Health Services for young people with
mental health issues.
Case management, where poverty is an under-
pinning factor in child protection issues, is
focused on achieving long-term change using
financial counselling and financial support as
tools. Preventative projects are being
developed to address specific needs in each
locality. Currently some locations are
working on preventative projects for children
under Guardianship of the Minister before
they move into independent living situations.
28
Crisis Care
Crisis Care provides an after hours emergency
assistance, counselling and support service to
families and children throughout South
Australia. The service experienced strong
demand over the past 12 months, receiving a
total of 56,003 calls. There were 15,589 calls
to the Central Intake Team and Yaitya
Tirramangkotti.
Crisis Care continued to provide additional
services by contracting in after hours
assessment and response to the Rape and
Sexual Assault Service, Options Coordination
(IDSC) and the Domestic Violence Helpline.
A well trained and active volunteer team
operates at the unit and is extremely
important in augmenting the work of staff.
Crisis Accommodation
Funds for the Crisis Accommodation Program
(CAP) are administered by the South
Australian Housing Trust in conjunction with
the Joint Officers Group (made up of
Commonwealth and State representatives).
This program provides capital funding for
expanding and upgrading emergency and
transitional accommodation. Housing
provided through this program is leased to
community organisations offering emergency
accommodation to homeless people or those
at risk of becoming homeless. The 1997-98
CAP allocation was $3.178 million with $5
million carried over from previous funding
rounds. During the year 44 projects were
funded from carryover funds and 13 major
projects worth an estimated $1.778 million
from this year's allocation.
Child Protection
During 1997-98 the department received a
total of 11 651 notifications from community
members and those mandated by law to notify
suspected child abuse and neglect. This is a
15% increase over 1996-97. In metropolitan
districts the increase in notifications was 10%,
whereas in country areas there was a 33%
increase, suggesting that the new Central
Child Abuse Report Line has been
particularly accessible to notifiers from the
country.
29
CRISIS AND ACUTE
CARE
This covers outputs that meet government s
obligation and statutory responsibility to
provide services to those in crisis and to
respond to the acute health care needs of
people requiring access to public hospital
services. The outputs are characterised as
short term and episodic.
These outputs seek to meet the
government s objectives of cost-effective
care for those in need. Those requiring
support in a time of crisis may be seeking
housing, health services, mental health
support, child protection or counselling.
The demand for these services is escalating
due to the ageing of the population and
high rates of poverty in families and
amongst young people. Crisis Care is
experiencing increasing demand and child
protection notifications continue to rise.
In the health arena there is increasing
demand for public hospital services,
increased community expectations, and
declining health insurance participation
rates.
Expenditure on crisis and acute care is
$1,222 million which represents 50% of the
budget.
The central intake and differential response
systems have been in operation for over a
year and early results indicate a significant
improvement in the response to the most
serious cases. Surveys of all child protection
intakes for two week periods in February
1996 and February 1998 enabled a direct
comparison pre and post reform.
Of notifications rated Tier 1 (children in
danger), 80% were investigated immediately
in 1998 compared to just 60% in 1996.
Confirmation of abuse or neglect following
investigation of Tier 1 cases also rose from
35% to 47%. Investigation rates for Tier 2
notifications (children at risk) also increased
from 53% in 1996-97 to 75% in 1997-98,
with confirmation rates for this group of
cases increasing marginally from 28% to
29%. For the eight month period since the
reform was implemented (November 1997 to
June 1998), 80% of Tier 1 cases and 79% of
Tier 2 cases were investigated.
In Tier 3 cases (children in need) the families
are invited to attend meetings with
departmental staff to discuss the reported
problems. Two thirds of invited families have
attended these meetings.
Mental Health
A 24 hour, seven day specialist assessment
and crisis intervention service in the
metropolitan area and a triage service for
rural and remote areas are now accessible
statewide through a single telephone number.
Hospital Waiting Lists
$7.5 million was allocated in the 1997-98
health budget for projects to reduce waiting
lists and increase efficiency. There was a
significant fall in the number of urgent over-
due patients and a corresponding decrease in
clearance time of public hospital waiting lists,
despite an increase in admission rates.
Hospital Infrastructure
A $14.7 million redevelopment to provide
improved patient facilities and increase
efficiency in service delivery at the
Repatriation General Hospital commenced.
Developments worth $4,700,000 to the
Roxby Downs health facility will improve
amenities for remote patients.
$5.6 million was provided for The Queen
Elizabeth Hospital Psychiatric Unit. The
ICU/HDU facilities and laboratory services
were also upgraded.
$7.4 million was provided for stage 3 of the
Port Lincoln Hospital redevelopment to
improve amenities for country patients.
The State Government allocated $60 million
for the first two stages of Royal Adelaide
Hospital redevelopment which will provide
improved inpatient and outpatient
accommodation.
30
Housing Policy
Housing needs were analysed and policies
and initiatives developed to improve
responsiveness and enhance the integration of
housing assistance policies and programs
across the Department of Human Services.
Significant work has been undertaken to
develop a new Aboriginal housing authority,
including the development of a bilateral
agreement between the Commonwealth
Government and the State Government for the
provision of housing services to Aboriginal
people.
Major reforms to the provision of public and
community housing in the areas of eligibility,
housing allocation and tenure were developed.
Agreement on a State Housing Plan was
negotiated with the Commonwealth and
funding pursuant to this secured. Proposals
were developed for arrangements beyond the
expiry of the current Commonwealth and
State Housing Agreement in June 1999. The
Department of Human Services participated
in and contributed to national housing policy
research and to performance indicator
development.
Ten Year Plan for the Ageing
The implementation of the Ten Year Plan
saw:
the completion of a review of day
centres;
the commencement of a review of
respite care services across the aged and
young disability areas;
the establishment of the HACC Service
Providers Network, which will promote,
inform, coordinate and develop new
ideas across HACC-funded agencies and
examine the interface between them and
other aged care organisations and
service providers.
Adoption Policy
A policy for planning, funding and delivery of
adoption and affiliated services in South
Australia was developed in consultation with
all organisations providing services to people
affected by adoption. The new policy will
inform the broad allocation of funds to
adoption services.
Intergovernment Agreements
Negotiations with the Commonwealth
continued on the new Australian Health Care
31
POLICY, MINISTERIAL
ADVICE
This covers outputs that respond to the
Government through the Minister as the
funder of human services. It includes
Ministerial advice, policy, intergovernment
agreements and strategic relationships.
Policy development and planning is
informed by consultation with communities,
demographic profiles, surveys and analysis
of needs to ensure that priorities are met.
Major projects this year included the
negotiation of Commonwealth/State
Agreements for health, housing and
disability services, and policy development
and planning for the better management of
issues related to housing allocations,
ageing, adoption and carers.
Expenditure on policy and Ministerial
advice is $15 million which represents 1%
of the budget.
Agreements (1998-2003) to maximise
Commonwealth funding, ensure that roles
and responsibilities are defined and that
appropriate levels of services are provided.
The Public Health Outcomes Funding
Agreement was signed.
The Minister for Disability Services signed
the second Commonwealth State Disability
Agreement on 26 May 1998.
Services to Older Aboriginal People
Aboriginal life expectancy is significantly
below the average for the non indigenous
population: 49 years compared to 75 years for
men and 62 years compared to 81 for women.
In 1997-98 the Department of Human
Services:
increased the level of services to older
Aboriginal people through the increased
allocations in the HACC program;
recognised the role older Aboriginal
people play in providing cultural and
social leadership to their communities
by funding a number of innovative
programs through the OFTA grants
program;
commissioned research which involved
an examination of the factors
contributing to the reduced life
expectancy of Aboriginal people.
The department funded and facilitated
research on the ageing. Initiatives in this area
included issues relevant to the Aboriginal
population, ageing and the economy and the
needs of the older population of the future.
Assistance for Families
Jumping to Heaven, a publication to help
educate young people about the experiences
of young refugees, was published, as was
research on the factors in early childhood
development which lead to adult
disadvantage.
The Carers Policy was finalised and a range
of projects designed to provide assistance for
carers was implemented. A campaign to
encourage active participation of fathers in
parenting, the Dads In Families campaign,
was also completed.
Youth Services
The Youth Crossroads Fund was established
in mid-1997 to serve a small group of
vulnerable young people whose particular
needs could not be met by existing services.
An evaluation of the effectiveness and
efficiency of services, and the appropriateness
of the model of service delivery began.
Information gathered will help to determine
correlations between successful outcomes and
characteristics of the interventions providing
caseworkers with valuable information for
service planning.
Regional Health Planning
Regional Health Profiles were developed to
provide comprehensive information about
population projections, demographic
differences between regions and between
areas within regions, mortality and morbidity
rates and projected implications. The profiles
will assist in identifying health priorities for
resource purposes.
Mental Health
The findings of the community up
consultation process which was held to
review current directions in mental health are
informing the development of a statewide
strategic plan for mental health services.
Review of Community Benefit
Community Benefit SA was established in
1996 by the Government of South Australia
to distribute $3 million annually from gaming
machine taxes to assist charitable and social
welfare organisations. The effectiveness and
efficiency of the operation and administration
of the fund were reviewed following the first
year of operation.
Competitive Neutrality
A unit was established to review current
legislation against competition principles.
Category 1 and 2 business enterprises were
confirmed, and assessment of diagnostic
pathology at the Institute of Medical and
Veterinary Science against competitive
neutrality guidelines commenced
32
SOUTH AUSTRALIAN HEALTH COMMISSION
33
SOUTH AUSTRALIAN
HEALTH
COMMISSION
Annual Report
1997-98
The South Australian Health Commission Act
1976, established the Health Commission as a
body corporate having general powers
comparable with those of other State statutory
corporations. The primary role and functions
of the Health Commission are to promote the
health and wellbeing of the people of this
State (section 16). In performing this
general role and function, the Health
Commission is required to exercise a number
of particular functions identified in Section
16 of the Act that may be summarised as
follows:
the institution and promotion of
research;
the collection of information;
the assessment of requirements for
services and the supply thereof;
the implementation and operation of
required services;
assistance to other service suppliers;
ensuring the efficiency and economy of
service supply;
ensuring the proper allocation of
resources between health units;
providing education, instruction and
training;
promoting voluntary participation in the
provision of services;
disseminating knowledge and
information in the public interest;
reviewing and evaluating policy and
standards;
maintaining a healthy living and
working environment.
In the exercise of its function the Health
Commission is:
subject to the control and direction of
the Minister;
empowered to take any action necessary
for the performance of its functions;
required to encourage the participation
of voluntary organisations and local
governing bodies and to establish,
where practicable, appropriate regional
or local authorities for the provision of
health services;
empowered to delegate its powers or
functions.
In October 1997, the South Australian Health
Commission was integrated into the newly
created Department of Human Services and
in April 1998 staff of the Central Office were
transferred to the department by a
proclamation under section 7 (3) (b) of the
Public Sector Management Act 1995.
34
ROLES AND
RESPONSIBILITIES
Chair: Ms Christine Charles (appointed 16 April 1998)
Deputy Chair: Dr David Filby Ph D (appointed 30 March 1995)
Members: Professor William Runciman BSc, MBBCh, FANZA, PhD
(re-appointed 30 November 1995)
Mr Jim Birch BHA (appointed 30 November 1995)
Ms Helen Tolstoshev RN, B Bus, Grad Dip Health Science
(appointed 30 November 1995)
35
MEMBERS OF THE
COMMISSION
36
ORGANISATION CHART
Policy and Budget Division
Public and Environmental
Health Service
Aboriginal Health Division
Disability Services Office
Information Management
Division
Purchasing Office
Health Unit Management
Support Division
Business and Advisory Services
Division
Financial Risk Management
Unit
Private Development Unit
Casemix and Clinical Costing
Unit
Mental Health Unit
Chief Medical Officer
Chief Nursing Officer
SA HealthPlus Unit
Health Industry and
Export Development Unit
Health Online Unit
Human Resources
Strategy and Policy Unit
Internal Audit
SA Organ Donation
Agency
Chief Executive Officer
30 June 1998
The South Australian Health Commission,
supported by the Department of Human
Services, operates in a climate of changing
socio-economic trends including:
ageing of the population - 14 per cent of
South Australians will be over the age of
65 by the turn of the century compared
to 12 per cent nationally;
the increasing life expectancy over the
last 30 years particularly among the
older age groups contrasted with the
continuing lower life expectancy and
higher disease prevalence patterns for
Aboriginal people;
the changing poverty demographic with
single parents (21 per cent), younger
single persons (19 percent) and families
with children (12 per cent) experiencing
the highest rates.
All of these factors serve to increase the
demand on services, including aged care,
disability and mental health services. The
department responds to these imperatives by
focussing assistance on those in need, and by
applying the principles of prevention,
promotion of health and wellbeing, and early
intervention to maximise long term benefits to
the community whilst making more effective
use of the community s resources.
Outcomes and Outputs
The outcomes were developed to take account
of key roles:
human services working in partnership
to contribute to quality of life goals for
the community;
human services responding to the formal
care and accommodation of people and
to ensure that services are delivered to
meet those needs;
human services role in innovation and
in responding to Government policy.
Outputs reflect the objectives and priorities of
government in delivering its products and
services to the community. The nominated
outputs for the South Australian Health
Commission reflect the strategic directions of
government for delivering human services to
the community. They form a continuum of
care from the more preventive, self-
management focus of community wellbeing,
safety and support at one end to the more
interventional, obligatory focus of crisis and
acute care at the other.
The outputs are:
Community Wellbeing, Safety and
Support;
Personal Financial Assistance;
Accommodation and Care;
Community Care;
Coordinated Care;
Crisis and Acute Care;
Policy, Ministerial Advice.
37
INITIATIVES AND
ACHIEVEMENTS
Note: This table presents the indicative costs of the SA Health Commission s contribution to
Department of Human Services outputs as presented throughout the Annual Report. The table
was consolidated with other portfolio information and used as a representation of the
portfolio s outputs in the Treasury White Papers Estimates.
The information has been prepared on the basis of estimates of the Health Commission s
consolidated economic entity for 1997-98 and therefore differs substantially from the audited
financial information presented in this report for the Health Commission s Chief Entity .
In the following pages, the South Australian Health Commission s initiatives and achievements
are listed under the relevant outputs.
38
OPERATING EXPENSES 1997-98 %
$ M
Community Wellbeing, Safety and Support 56 3%
Personal Financial Assistance 2 0%
Accommodation and Care 176 10%
Community Care 269 15%
Coordinated Care 30 2%
Crisis and Acute Care 1,247 70%
Policy, Ministerial Advice 6 0%
TOTAL OPERATING EXPENSES 1,786 100%
Immunisation
The Commonwealth Government provided
$745,000 towards a measles vaccination
program to vaccinate all primary school
children in term three of 1998.
$1.8 million of State funding was allocated to
provide free influenza vaccine to people over
70 years old.
Aboriginal Health
$1 million has been allocated to projects
under the Aboriginal Health Partnership.
These include:
$511,781 for Aboriginal community
controlled health services;
$393,254 for mainstream organisations
to increase numbers of Aboriginal
health workers;
$48,680 for health promotion activities
by Aboriginal health workers working
in mainstream organisations in the areas
of diabetes, substance misuse and sexual
health;
$46,290 for upgrading the facilities at
Point Pearce and Maitland.
Communicable Diseases
The South Australian HIV/AIDS Strategy
1997-99 was launched during AIDS
Awareness Week in December 1997. The
aim of the strategy was to maintain a quality
education and prevention program to
eliminate the transmission of HIV in South
Australia; to minimise the personal and social
impact of infection and improve the quality
of life and life expectancy of those infected.
The amalgamation of the SA Immunisation
Coordination Unit, the HIV/AIDS and
Related Programs Unit and the
Communicable Diseases Control Branch
resulted in improved recognition and
response to disease outbreaks. In particular,
electronic notification of diseases by some
laboratories has expedited the investigation
process.
Sexually Transmitted Disease Diagnosis and
Management guidelines have been distributed
39
COMMUNITY
WELLBEING, SAFETY
AND SUPPORT
This covers outputs that have an impact at
the population level, promote health and
wellbeing and regulate environmental and
living standards. These outputs promote the
caring role of families and communities and
have a community development focus.
In health, outputs seek to meet the
government s objectives of prevention,
health promotion and early intervention.
Important issues during 1997-98 included
food safety, immunisation of children and
older South Australians, and health
promotion.
Programs which focus on achieving these
outputs include screening services such as
Pap smears and breast xrays, immunisation
programs and monitoring and securing
public health in areas such as radiation,
food safety and water quality. Funding
support is provided for a range of non-
government organisations, Aboriginal
Community Controlled health services, the
Guardianship Board and other advocacy
programs.
Expenditure on community wellbeing, safety
and support is $56 million and represents
3% of the health budget.
40
to general practitioners and standards of care
have been monitored as part of STD
notification systems.
Health Promotion
Primary health care grants worth $1.5 million
for health promotion projects were announced
on 2 June 1998. Priority areas are mental
health, diabetes education, Aboriginal health,
maternal and child health, immunisation and
violence and abuse.
Making the Move Towards Health Promoting
Hospitals, Health Services and Regions was
released. This guide provides advice on
improving health care structures, processes
and outcomes to become progressively more
consumer focused and to promote health in
the community.
Screening
BreastScreen SA completed its 300,000th
mammogram screening in February 1998 and
announced a $1 million expansion. The
funding helped to buy additional
mammography units, expand the Marion
Clinic and provide mobile screening services
to low participation areas.
BreastScreen SA provided 58,000 screens in
1997-98 compared with 50,000 in the
previous year. Early detection through
screening of women with no symptoms in the
targeted age group is beginning to reduce
mortality from breast cancer.
A computerised reminder system for taking
Pap smears was introduced by the Cervix
Screening Program. The cervical cancer rate
was found to be the lowest on record (since
1987).
Mental Health
The Women and Depression Project
investigated alternative counselling and
support models to assist women with mental
health problems in addressing difficulties with
life issues as well as managing their illness.
The project highlighted the needs of women
with long term mental illness and encouraged
providers across mental health, community
health and women s health to work together
more effectively.
Through the National Youth Suicide Strategy
Prevention Program, $100,000 was allocated
to fund training for a range of people working
in this area.
Food Safety
A large number of cases of food poisoning
from Salmonella Oranienberg were
investigated. Production processes were
reviewed and altered at the source and action
taken to ensure the safety of raw materials
used in manufacturing. Following the
identification and elimination of the probable
source, no further cases were reported.
Epidemiology
New Clinical Epidemiology units were
established at Women s and Children s
Hospital ($250,000), Royal Adelaide Hospital
($250,000), Johanna Briggs Institute
($200,000) and Flinders Medical Centre
($250,000).
Genetic Diagnosis
The Women s and Children s Hospital was
allocated $201,000 to establish the Cancer
Genetic Services to expand cancer-focused
genetic diagnosis.
Lead Levels
Blood testing of Port Pirie children indicated
a further reduction in the average blood lead
level. The level has fallen from 12.1 g/dl in
1995 to 10.1 g/dl in 1998. The Port Pirie
Lead Program has been a major contributor to
this reduction.
Consumer Support
The Health Consumer Support Office
provides a free call Health Advice and
Information telephone call facility and assists
around 10,000 callers each year with a
comprehensive and customer focused service.
State and regional consumer advisory
mechanisms were resourced and supported
and consumers of mental health services are
now involved in a range of decision making
and advisory forums.
A Thanksgiving Service to recognise and
acknowledge organ donors was held in May.
South Australia continues to have the highest
organ donation rate in Australia.
Community Support
A Health Digest, an electronic product that
can answer commonly asked questions about
health and health services in South Australia,
was produced.
The Health Commission participated in the
Government Call Centre project. A due
diligence exercise on Teletech International
and its subsidiary, High Performance
Healthcare, in relation to its capacity to
undertake health business, has been
completed.
Radiation Safety
The Radiation Protection Branch Internet
Service promotes and provides information on
best practices in radiation protection to
minimise the risks from public and
occupational exposures to radiation. Material
published on the Internet includes information
bulletins on legislation and specific uses of
radiation, and radiation safety notices and
alerts.
Research
The Adelaide Clinical Dental Research Centre
is being established at the Adelaide Dental
Hospital through a SA Health Commission
grant of $200,000.
41
42
Patient Assistance Transport Scheme
The Patient Assistance Transport Scheme
assists rural patients with the cost of travel
and accommodation when they are required
to travel over 200 kilometres (or from
Kangaroo Island to the mainland) to receive
medical specialist treatment that is not
available at a nearer centre. In 1997-98,
approximately 17 000 people were assisted at
a cost of $2,058,400.
South Australian Spectacles Scheme
The South Australian Spectacles Scheme
assists eligible people to obtain basic optical
appliances at a reduced cost. Eligibility is
restricted to residents of South Australia who
hold either a Pensioner Concession Card or
have held a Health Care Card for at least 12
months. In 1997-98, approximately 74,000
people were assisted at a cost of $1,441,200.
Pharmaceuticals
Pharmaceuticals are provided at a reduced
cost to Commonwealth Health Care Card
holders accessing public hospital outpatient
services. General patients pay a fee of $15
per item while those eligible for the
concessional rate pay $3.20 up to the Safety
Net Threshold specified under the
Pharmaceutical Benefits Safety Net Scheme,
after which pharmaceuticals are provided
free.
It is not possible to estimate the total number
of concessional recipients or expenditure.
A 1998 survey of three metropolitan public
hospitals suggests that expenditure on
concessional pharmaceuticals could be in the
order of $1 million for the State.
Home Assist
$100,000 was allocated through Home Assist
programs through local councils or the
Disability Resource Centre for aged people
and people with disabilities to buy and install
smoke alarms.
PERSONAL FINANCIAL
ASSISTANCE
This covers outputs that contribute to
quality of life by providing financial support
to help people afford appropriate health
services.
This assistance is targeted to people who
are financially disadvantaged. It provides
for outpatient prescriptions and spectacles
and makes it easier for country people to
afford transport to the city for treatment not
provided in their locality.
Expenditure on personal financial
assistance is $2 million.
Disability Services
The Disability Services Office in conjunction
with the Intellectual Disability Services
Council identified a range of strategies for the
redevelopment of Strathmont Centre. This
includes an aged care facility, relocation of
some clients to community accommodation
and refurbishment facilities for the remaining
residents.
In a joint project between Julia Farr Services
and the South Australian Health Commission,
a strategy for the future redevelopment of
services is being formulated.
Aged Care
A project was established to integrate
technology and health care to enable more
aged people to live independently at home.
Country aged care facilities were upgraded at
the Hawker Great Northern War Memorial
Hospital ($460,000), the Hills Mallee
Southern region ($3,900,000) and as part of
the Kangaroo Island Hospital Redevelopment
($2,800,000).
An evaluation of aged care services within
the Wakefield and Hills Mallee Southern
regions is being undertaken to ensure that
service providers are working cooperatively
to maximise the benefit to patients and
clients.
In the Hills Mallee Southern region, 45
additional Commonwealth funded nursing
home placements were or will be located
within seven local health units with joint
financing from local communities and the
Health Commission.
Julia Farr Services participated in developing
a Consortium for Education and Training
with Ashford Hospital, Aged Care and
Housing to provide a one-stop shop for health
education.
Funding of $250,000 was provided to
hospitals for home ventilation equipment for
patients on discharge.
43
ACCOMMODATION
AND CARE
This covers outputs that provide
accommodation and integrated care options
for individuals and families who, for
reasons of vulnerability, dislocation or
disability, cannot live unassisted in a
normal community setting.
Accommodation and care programs include
nursing homes and hostels, hospices for the
terminally ill, and accommodation for
people with a physical disability or
impaired mental health that prevents them
from managing in the community setting. It
also covers rehabilitation and non-acute
care in metropolitan and country hospitals.
The changing context for human services
needs to encompass a number of socio-
economic demographic trends. Trends that
include the ageing of the population - 14
per cent of South Australians will be over
the age of 65 by the turn of the century,
compared to 12 per cent nationally - and
increasing life expectancy for most of the
population. It is predominantly these older
age groups and their families that need to
feel that accommodation and care programs
will be there to support them if they become
too frail to manage in the community.
Expenditure on accommodation and care is
$176 million and represents 10% of the
health budget.
44
Hospital Standards
Accreditation was awarded to Yorketown
Hospital, Melaleuca Court Nursing Home
(Minlaton), Southern Yorke Peninsula
Community Health Service, Wallaroo
Hospital and Northern York Private Hospital.
Hospital Projects
Demonstration projects to explore ambulatory
care reform have shown real benefits in terms
of patient outcomes and cost effectiveness.
These projects have improved patient access
to outpatient services through redistribution of
provider facilities throughout the metropolitan
area.
The State Government has allocated $60
million for the first two stages of Royal
Adelaide Hospital redevelopment that will
provide improved inpatient and outpatient
accommodation. A number of projects were
progressed including stage 1 of its
redevelopment, physiological monitoring, and
renovation of the Margaret Graham Building.
Funding of $2 million was provided to
Flinders Medical Centre for operating theatre
equipment, convalescent and rehabilitation
facilities, and to upgrade its entrance.
A number of infrastructure projects were
funded for the Women s and Children s
Hospital. They included the Telemedicine
facility, the upgrade of the interim Good
Friday Ward, the Queen Victoria Hospital
building balustrades and the relocation of the
Brookman Ward (a project undertaken with
substantial financial input from two Adelaide
football identities, Tony McGuiness and Chris
McDermott).
The North Western Adelaide Health Service
expanded the telehealth project by purchasing
videoconferencing equipment for a
telerespiratory in the home project.
A $14.7 million redevelopment of the
Repatriation General Hospital commenced to
provide improved patient facilities and
increased efficiency in service delivery.
It will provide a new allied health unit, a
gymnasium and hydrotherapy pool and pur-
pose built rehabilitation wards. Construction
of the day surgery facility commenced at an
estimated cost of $2.35 million.
Consumer support
The Health Consumer Support Office
provided interim accommodation
reimbursement and direct payment services,
through the Patient Assistance Transport
Scheme, to over 1500 rural outpatients in
1997-98 who were required to stay for
extended periods in Adelaide for treatment.
This assistance also extends to South
Australian patients referred interstate by the
major hospitals for specialised transplant
surgery and paediatric cardiac surgery.
Community Care
A $6.8 million upgrading of Hampstead
Centre was announced, as part of Stage 1 of
the Royal Adelaide Hospital redevelopment.
This will further strengthen the links and
coordination of rehabilitation, domiciliary and
community based care to provide a more
efficient service to families and the
community.
Rural Initiatives
Existing and ageing information systems in
large country hospitals are progressively
being replaced with modern systems
compatible with those recently implemented
in smaller country hospitals. Fire upgrading
projects were implemented at twelve country
hospitals, totalling $180,000.
Meningie, Millicent, Southern Yorke
Peninsula, Loxton, Balaklava, Riverton,
Kapunda, Clare and Cummins hospitals were
funded for minor works projects including
replacement of a nurse call system and a
generator, medical equipment replacement
and upgrading an air-conditioning unit.
Chronic Illnesses
Funding of $110,000 was provided to support
a multi-centred Chronic Obstructive
Pulmonary Disease project.
Palliative Care
After consultation with services and
consumers, the Strategic Plan for Palliative
Care Services in SA was developed. The plan
recognises that palliative care is a specialty
service requiring improved coordination and
integration and describes the best practice
model under which palliative care services
will be purchased in the future.
Mental Health Services
A series of workshops, involving consumers,
carers, service providers and members of the
community was held to inform the Minister
and the department on issues and experiences
of people with mental illness. Collaborative
models for mental health services with a
regional and local focus continue to be
developed.
A broad range of initiatives addressing mental
health service quality and scope, inter-
relationships between services and assistance
in linguistically and culturally appropriate
ways is ongoing. Development of protocols
between human services and other agencies
assisting people with multiple difficulties is a
dominant theme.
Disability Services
The Disability Information Resource Centre
provides an electronic bulletin board service
called Common Ground for people with an
interest in disability. The service raises
awareness of disability issues.
A review was undertaken on the operation of
the Independent Living Equipment Program,
and its recommendations will be implemented
from 1 July 1998.
South Australia, Western Australia and the
Northern Territory jointly funded the
Ngaanyatjarra Pitjantjatjara Yankunytjatjara
(NPY) Women s Council Aboriginal
Corporation Allied Health Project to support
people with a disability from Aboriginal
communities in the cross border districts.
Aboriginal Communities
$300,000 was provided for a statewide
Specialist Renal Project under the Aboriginal
Health Partnership to develop a more
appropriate and efficient service for
Aboriginal patients.
Services for Rural Communities
In 1998 a new Flying Doctor s Clinic was
opened by the Minister for Human Services at
Wiawera Station in the State s far north.
A 24 hour health hotline was established for
the communities of the northern and far
western areas of South Australia, funded from
within existing services.
$46,000 was provided for the Nurse
Practitioner Project which is examining how
nurse practitioners might provide a cost
effective best practice option for health
services in a variety of settings.
45
COMMUNITY CARE
This covers outputs that enable individuals
and families to function in the community
setting. Options recognise the caring roles
of families and carers.
Many of the people who need this support
are older South Australians, who will
comprise 14% of the population by the year
2000. They are choosing home based care
services rather than nursing homes.
Support is also provided through programs
such as RDNS, Domiciliary Care and 13
incorporated community health centres.
Community teams provide support to those
with mental illness and their families to
enable them to live in the community.
General Practitioners are recognised as the
cornerstone of primary medical care. In
1997-98 a number of programs were
established to support continuing education
of doctors and to attract general
practitioners to country areas.
Expenditure on community care is $269
million and represents 15% of the health
budget.
The Office of Public Advocate conducted a
series of education sessions in several country
regions about guardianship and mental health.
South Australia is leading the nation in tele-
health and developed the national report on
telehealth issues for presentation to the
Australian Health Ministers' Advisory
Council.
In April 1998, Health OnLine completed
diabetes, hepatitis C and asthma patient care
products. The use of these products is being
trialled on the Eyre Peninsula.
Support for Rural Doctors
The State Government initiated a number of
programs to help recruit and retain general
practitioners in rural South Australia,
including a $6 million rural enhancement
package, rural health scholarships, the Cleve
Internship Program and continuing funding
for medical education.
The Health Commission participated with the
universities of Adelaide and South Australia
in securing Commonwealth funding for the
establishment of a University Department of
Rural Health at Whyalla.
The SA Rural and Remote Medical Support
Agency commenced in April 1998 with the
amalgamation of the Rural Doctors
Association of SA and the SA Rural
Divisions General Practice Coordinating Unit.
The State Government contributed $200,000
to the inauguration of the agency whose role
is to coordinate activities, eliminate
duplication of functions and develop
strategies to assist the recruitment and
retention of doctors in rural South Australia.
The Rural Health Satellite Network received a
$30 000 grant to help provide continuing
education services to rural and remote
doctors.
Health on the Net, a network for medical
practitioners was launched in July 1997. This
will serve as an initial implementation for the
broader adoption of a medical virtual private
network across the divisions of general
practice in South Australia. Approximately
20% of general practitioners now participate
in Health on the Net as part of their
continuing education.
A two-day workshop to address the problems
of recruiting and retaining country doctors
was held.
Community Support
An independent evaluation identified a
successful first year of operation of the
Parenting Network at the Women s and
Children s Hospital.
Information Systems
Four major information system initiatives
were undertaken within the community health
sector, at a combined cost of over $2 million.
These included infrastructure projects,
replacement of existing patient management
systems, development of information
management strategic plans, and
commencement of a multistate project to
develop a new Community Health
Information Management Enterprise system.
Nineteen community health services have
been provided with upgraded computing
facilities and strategic plans have been
developed. South Australia is involved in a
national project to develop a new Community
Health Information Management Enterprise
(CHIME) system.
46
SA HealthPlus
Additional funding was allocated to the SA
HealthPlus Coordinated Care Trial which has
continued to recruit patients with chronic
illnesses such as asthma and diabetes. Over
400 general practitioners and 3000
metropolitan and country patients are now
taking part. The trial, which is backed by
both the State and Federal governments, will
run for two years and will eventually involve
over 4000 patients.
Options Coordination
Options Coordination provides a single entry
point to the service system for people with
disabilities and ensures the consistent
determination of eligibility, assessment of
need and allocation of resources for
purchasing services in all disability areas.
Rural Communities
A review was conducted in partnership with
the Mid North Division of General
Practitioners to identify and evaluate diabetes
services in the region.
The Eyre Region has developed a wide-
ranging SA HealthPlus trial covering areas as
far afield as Ceduna, Whyalla, Port Lincoln
and Lower Eyre Peninsula. The SA
HealthPlus trials will be greatly enhanced by
an IT network, as an integrated health care
delivery system depends upon rapid access to
patient data and a wide range of health
service information.
Information Technology
A World Wide Web Internet project, to
provide consumers and clinicians with on-line
access to medical and health information has
commenced and is being rapidly developed.
This health information resource will contain
the details of all South Australian health
units. A web site for the whole of the
Department of Human Services is well under
way and there is an interim web site in place
at www.dhs.sa.gov.au.
47
COORDINATED CARE
This covers outputs that provide care
options for those who have multiple needs
or chronic health conditions which require
formal planning and coordination of
services based on a specific care plan.
South Australia is at the forefront of
coordinated care, developing innovative
programs such as HealthPlus which serves
to provide a single coordination point for all
the care and support required by an
individual, with a focus on preventing
problems before they occur.
Integrated health care plans are being
developed for patients in HealthPlus trials
across the state with conditions including
diabetes, and cardiac, respiratory and
chronic pulmonary diseases. These will
reduced acute hospital admissions and play
a key role in future care of the aged.
Options Coordination supports those with
disabilities that are able to live
independently or with their families in the
community.
Expenditure on coordinated care is $30
million which represents 2% of the health
budget.
Accident and Emergency Services
The First Response Program, a joint program
developed by the departments of Human
Services and Emergency Services and
launched in April 1998, will greatly reduce
confusion at accident sites, thereby saving
more lives.
Medical Support
Funding of $491,000 was made available for
providing recombinant Factor VIII for South
Australian haemophiliacs.
In March 1998, the South Australian
Government announced funding for a trial
examining the use of oral Naltrexone as a
maintenance therapy for opioid dependence.
The Drug and Alcohol Services Council is
collaborating with the University of Adelaide
and Royal Adelaide Hospital in this project.
Mental Health
A 24 hour, seven day a week specialist
assessment and crisis intervention service in
the metropolitan area and a triage service for
rural and remote areas were made more
accessible through a single telephone number
statewide.
A project called Forging Links was initiated
to determine the most appropriate way to
provide assessment and crisis intervention
services to Aboriginal people experiencing
emotional and social wellbeing difficulties.
Hospital Waiting Lists
$7.5 million was allocated in the 1997-98
health budget for projects aimed at reducing
waiting lists in hospitals and increasing
efficiency. There has been a significant fall
in the number of urgent overdue patients and
a corresponding decrease in clearance time of
public hospital waiting lists, despite an
increase in admission rates.
As at April 1998, there were 7469 people on
the booking lists of six major metropolitan
hospitals. This represents a decrease of 0.9%
48
CRISIS AND ACUTE
CARE
This covers outputs that meet Government s
obligation and statutory responsibility to
provide services to those in crisis and to
respond to the acute health care needs of
people requiring access to public hospital
services. The outputs are characterised as
short term and episodic.
In the health area, outputs seek to meet the
government s objectives of cost-effective
treatment and care to those in need.
Important factors to be considered are the
increasing demand for public hospital
services which grew by 48% in 1997-98 due
to population growth and ageing, increased
community expectation regarding new
services, improvements in medical practice
and declining health insurance
participation rates.
There are 59 incorporated health facilities
in South Australia, nine in the metropolitan
area and 50 in the country. In 1997-98
these hospitals had 348,940 admissions and
1,752,239 outpatient attendances. They
employed over 20,000 staff.
Expenditure on crisis and acute care is
$1,247 million which represents 70% of the
health budget.
compared with the previous month and a
decrease of 10.6% compared with April 1997.
Rural Hospital Improvements
$7.4 million was provided for stage 3 of the
Port Lincoln Hospital redevelopment to
improve amenities for country patients.
$100,000 was spent on upgrading the North
East Wing of the Ceduna Hospital.
The Cummins Hospital Theatre Block
improvements ($117,000) were undertaken.
The new $21.4 million Port Augusta Hospital
opened in December 1997. This was
facilitated through a private finance leaseback
arrangement.
Developments of $4,700,000 to the Roxby
Downs health facility will improve amenities
for remote patients.
The refurbished Hawker Great Northern War
Memorial Hospital was opened in June 1998
and will provide the local community and
visitors to the Flinders ranges with modern
facilities.
Infrastructure Developments
$670,000 was provided to Modbury Hospital
for a temporary operating theatre.
$5.6 million was provided for The Queen
Elizabeth Hospital Psychiatric Unit. The
ICU/HDU facilities and laboratory services
were also upgraded.
The cardiac angiography suite at the Royal
Adelaide hospital was redeveloped.
Hospital Standards
On its 25th birthday, in February 1998,
Modbury Hospital was re-accredited for a
further three years by the independent
Australian Council on Health Care Standards.
Metropolitan Hospital Equipment Purchases
Metropolitan Hospital Equipment
Purchases
Royal Adelaide Hospital purchased a CT
Scanner at a cost of $1.7 million and physio-
logical monitors and ventilator equipment for
intensive care for $1.35 million. A new state-
of-the-art catheter laboratory was opened,
replacing the previous 15 year old facility. It
includes the latest angiography equipment for
carrying out investigations and procedures for
treating heart disease.
North Western Adelaide Health Service,
Queen Elizabeth Hospital Campus was
provided with $600,000 for the ultrasound
unit and $550,000 for the upgrade of the
Cardiac Monitoring Equipment Coronary
Care Area. The North Western Adelaide
Health Service was also provided $281,000
for an endoscopic facility at its TQEH
campus, and $120,000 for intensive care unit
ventilators for its Lyell McEwin Health
Service campus. An Orthopaedic Service was
established at the Lyell McEwin Health
Service.
At the Women s and Children s Hospital a
mass spectrometer was funded for $676 000.
The Institute of Medical and Veterinary
Science installed automated cytology
screening at a cost of $790,000.
Rural Hospital Equipment Purchases
and Minor Works
Medical equipment purchases include an
ultrasound unit at Riverland Regional Health
Service, $150,000; two anaesthetic machines
at Mount Gambier Hospital, $200,000; and
sterilisers and medical imaging equipment at
Port Augusta Hospital, $410,000.
Three projects were undertaken at a total cost
of $117,000 at Mount Barker Hospital.
Approval was also given for obstetrics
equipment ($22,000), an operating
microscope ($50,000) and ophthalmology
equipment ($45,000).
Port Pirie Health Service was allocated
$100,000 for endoscopic equipment and
minor works.
Capital funding facilitated the purchase of
equipment to extend the telepsychiatry system
to all regional and sub-regional hospitals.
This covers an additional 11 sites to make 17
videoconferencing sites in all, including the
Rural Health Training Unit which provides
distance education programs.
49
Information Technology
$2.4 million was provided for implementation
of the new pathology system at IMVS and the
Women s and Children s Hospital.
Implementation was completed at the
Women s and Children s Hospital during
1997-98, and will be completed at IMVS in
1998-99.
$6 million was spent on patient systems.
Major initiatives during the year included
work on the implementation of accident and
emergency systems, planned for seven sites;
theatre management systems at six
metropolitan hospitals; and patient
information systems, initially planned for
four sites.
OACIS, the computerised clinical information
system designed to deliver up to date
information for clinicians at the point of care,
has now been established at the four renal
units: The Queen Elizabeth Hospital, Royal
Adelaide Hospital, Flinders Medical Centre,
and the Women s and Children s Hospital.
Extension of the existing pilot to other
clinical disciplines and a broader cross-
section of health units will be subject to
evaluation of a number of factors and a
compelling business case.
Approximately $543,000 was spent on
specialist systems including SA HealthPlus
systems and the Medical Virtual Network.
50
Aboriginal Health Partnerships
The South Australian Aboriginal Health
Partnership launched the Aboriginal Health
Regional Plans The First Step in November
1997. They include eight separate Regional
Plans, covering the metropolitan area and the
seven rural and remote regions. The plans
provide a state picture of health service
delivery to Aboriginal people and identify the
gaps, opportunities and health priorities in
each region. The aim is to use them to
improve both individual and environmental
health services to all Aboriginal communities
in South Australia.
In developing the plans, five priorities were
identified in every Aboriginal community in
South Australia. These were
more Aboriginal health workers, with
appropriate support arrangements;
diabetes;
social and emotional wellbeing (mental
health);
substance misuse;
the need for a culturally appropriate and
responsive health system.
These common elements form the basis for
the Partnership's Key Statewide Actions and
inform the work being undertaken in 1998-
2000.
Benchmarking and Best Practice
The Health Commission is involved in a
number of activities to develop performance
indicators and, eventually, benchmarks for the
Australian health care system. The emphasis
to date has been on public acute hospitals
because of their importance in the health
sector and the generally greater availability of
performance indicator data for hospitals.
In line with the Medicare Agreement,
performance targets and elective surgery and
emergency department waiting times
continued to be monitored.
Intergovernment Activities
The Health Commission continued
negotiations with the Commonwealth on the
new Australian Health Care Agreements
(1998-2003) to maximise Commonwealth
funding, ensure that roles and responsibilities
are defined and that appropriate levels of
services are provided.
There were major concerns for South
Australia about the quantity of funds and
51
POLICY, MINISTERIAL
ADVICE
This covers outputs that respond to the
Government through the Minister as the
funder of human services. It includes
Ministerial advice, policy, intergovernment
agreements and strategic relationships.
Policy development and planning is
informed by consultation with communities,
demographic profiles, surveys and analysis
of needs to ensure that priorities are met.
Negotiations with the Commonwealth on a
new five year Health Care Agreement that
will replace the Medicare Agreement
centred on ensuring that South Australia s
health services would be able to maintain
their quality and accessibility into the
future.
Expenditure on policy and Ministerial
advice is $6 million in a budget of $1,786
million.
terms and conditions of funding for the new
Health Care Agreement. The Medicare
Agreement ceased on 30 June 1998 and the
Commonwealth offered an annual grant,
pending agreement by the parties.
The Public Health Outcomes Funding
Agreement was signed.
The Minister for Disability Services signed
the second Commonwealth State Disability
Agreement in May 1998.
The third, Report on Government Services, by
the Productivity Council was released in
1998. The report compares performance of
state health systems with a number of key
indicators, and shows that South Australian
hospitals (with Victorian hospitals) have the
lowest cost per casemix category. However,
South Australia has the highest number of
hospital episodes per head of population.
In April 1998 an 18 month Memorandum of
Understanding was signed between the
Department of Human Services and the
Department of Correctional Services to ensure
the on-going provision of custodial health
services. This MOU will significantly
improve the planning, coordination,
integration and delivery of custodial health
services to prisoners and offenders.
Health Commission staff participated in a
number of national and local working groups
which included consumers. These groups
addressed information, privacy and
confidentiality, the development of best
practice guidelines and a range of other
service issues.
Planning
Special attention was given to the collection
of health data through population surveys
(Social Environmental Risk Context
Information Systems and Health Omnibus)
with emphasis on mental health, disability
and migrant health.
Regional Health Profiles were developed to
provide comprehensive information about
population projections, demographic
differences between regions and between
areas within regions, mortality and morbidity
rates and projected implications. The profiles
will assist in identifying health priorities for
human and physical resourcing.
The Children's and Young Persons' Mental
Health Services Plan was finalised and a
preliminary document for early intervention
services was drafted. A Strategic Plan for
Health and Community Services titled
Moving Ahead and a Health Promotion Plan
for Older People commenced.
Consultation
The Child Health Council and the Older
Persons Health Council continued to provide
advice on the health status and needs of these
two population groups. These councils also
monitor the effects of changes within the
South Australian publicly funded health
system on these populations. Their role
encompasses monitoring the implementation
of relevant policies and developing an
evaluation and review process focusing on
whether defined targets have been achieved.
A community up consultation process was
held to review current directions in mental
health. Submissions were received and work-
shops held on specific topics. Findings from
this process are being used to inform the
development of a statewide strategic plan for
mental health services.
The public and professional awareness
campaign for the Consent to Medical
Treatment and Palliative Care Act 1995
continued and the associated pamphlet was
revised and updated in response to feedback
from the public.
Support for Community Initiatives
The Minister for Human Services presented a
cheque for $59,000 to the Florey Centenary
Committee which had a number of events
planned to celebrate the centenary of the
South Australian born scientist who
discovered penicillin. A further $15,000 was
provided for establishment costs.
Disability Policy
A policy on equity and access to health
services was formulated to promote the
development of effective health services for
people with a disability. The policy examines
how health services account for the specific
needs of disabled people.
52
Funding of $159,925 was provided to enable
the preparation of the Disability Action Plan
for the public health sector.
Information Management
The benefits of adopting a well-managed,
centralised data repository were examined.
The repository or data warehouse provides an
opportunity to examine population based data
and complements the existing OACIS data
repository. A Health Data Privacy Committee
has been established, to address the issues
related of privacy and security of patient data
stored in systems of this type.
The Inpatients Separations Information
System (ISIS) was replaced by a more
comprehensive new system (Integrated South
Australian Activity Collection, ISAAC) from
the start of the year. A new MMSS (Monthly
Management Statistical System) is also being
developed.
Information Support
The South Australian Social Health Atlas is
used to identify mortality and illness across
the State and to relate these to the distribution
of groups in the population such as single
parent families, the unemployed and
Aboriginal people. A Disability Chartbook
based on information from SERCIS is being
developed to highlight information about
people with a disability.
The Commonwealth Department of Health
and Family Services contracted the Health
Commission to produce the second edition of
the Social Health Atlas of Australia.
A system was devised for the timely reporting
of non-fatal road accident victims, so that
these statistics can be featured by the media
along with the statistics on fatalities.
Partnerships Promoting Economic
Development
The Health Commission explored ways of
using the public health system s power as a
major purchaser of equipment and supplies to
attract health service and product industries to
South Australia.
The Health Commission is working with
individual South Australian health industry
companies to market and sell products over-
seas and interstate. The Health Industry and
Export Development Unit also works with
Australian Health Industry (Inc), the private
sector s umbrella group. A number of
strategic alliances were set up to promote
economic activity (for example with Western
Australia, the Northern Territory and
Malaysia).
53
54
Note: The information in this section relates
to the operation of both the Department of
Human Services and the South Australian
Health Commission and forms the schedules
to the preceding annual reports. Information
relating to employment, however, is combined
as Department of Human Services statistics
since all employees became Department of
Human Services employees from April 1998.
55
CORPORATE ACTIVITIES
CORPORATE
ACTIVITIES
Department of
Human Services
and
South Australian
Health Commission
Equal Employment Opportunity
As an Equal Employment Opportunity
employer, the Department of Human Services
is committed to employing on merit
regardless of race, gender, sexuality, marital
status, pregnancy or physical or intellectual
impairment.
Equal Opportunity and Sexual Harassment
policies reflect the principles of the Equal
Opportunity Act 1984, and the
Commonwealth Sex Discrimination Act 1984.
The department continues to review its
recruitment and selection policies and
practices. In 1997-98, 135 contact officers
attended workshops on dealing with sexual
harassment.
Enterprise Bargaining
Negotiations commenced on developing a
new enterprise agreement to cover employees
of the housing and health groups, excluding
medical officers and nurses for whom there
will be separate agreements. The Department
of Family and Community Services
Enterprise Agreement No 2 continues in force
until 30 June 1999.
Occupational Health, Safety and Welfare
(OHS&W)
In May 1998, the Department of Human
Services Interim Central Occupational Health
Safety and Welfare Committee was formed,
comprising representatives from both
management and employee groups within
human services. In the transition, the
committee s role is to examine OHS&W
issues across the agency.
The department continues its commitment to
achieving and maintaining Level 3 in all areas
of OHS&W Prevention, (management
commitment, policy, training, hazard
management, consultation and
administration), Claims Administration and
Rehabilitation.
Training over the past year has included:
interpretation of material safety data
sheets;
ongoing training for executives,
managers, supervisors, OHS&W
representatives and union representatives
in occupational health, safety and
welfare and managing injury at work;
OHS&W representative training;
first aid and fire safety;
dealing with potentially violent clients;
managing stress and relaxation and
surviving in a changing environment;
manual handling and back care;
driver education;
office ergonomics;
personal safety and security.
Strategic plans, action plans, and various
policies and procedures continue to be
reviewed on a regular basis and managing
injury at work training for managers and
supervisors continued throughout the year, as
did the process of identifying and training
delegates to assist in the rehabilitation
process.
The delegates pilot program has now been in
operation for over 12 months and has assisted
in ensuring that initial contact with the client
occurs within ten days of the accident
happening; in reducing the time involved in
56
CORPORATE SUPPORT
AND DEVELOPMENT
the initial notification of injury to a
rehabilitation adviser; and in reducing the
time involved in returning to work. Statistical
information on rehabilitation is provided to
OHS&W committees on a regular basis.
Occupational Health and Safety
Statistics
57
PREVENTION
Accidents reported 602
Major type of injury Sprains/Strains/Stress
WORKERS COMPENSATION
Claims lodged 206
Days lost 3 147
Claims of 5 days or more lost time 58
Total expenditure 2 173 370
Lump sum payments 171 603
REHABILITATION
Rehabilitation files 83
Note: This schedule includes the non-incorporated units that are part of the South Australian
Health Commission, Central Office, and the Mental Health Unit and those which come under
their auspices; the South Australian Housing Trust and the South Australian Community
Housing Authority, but excludes HomeStart Finance and the Parks Community Centre.
Leave Management
The average amount of sick leave taken per
full time equivalent during the year was seven
days.
Training and Development
The focus of 1997-98 training and
development was on:
computer training;
management development program for
middle managers, project officers and
first level supervisors;
project design and management;
Accredited Certificate III in Youth Work
(Residential Care) (a joint venture with
COPE);
risk management;
case management;
adolescent development and youth work;
Aboriginal and NESB cultural diversity;
financial counselling;
child protection;
restraint training;
workplace assessor training;
negotiation skills;
consultation skills;
facilitating change;
developing customer partnerships;
Graduate Certificate in Business (a joint
venture with the University of South
Australia);
organisational review and improvement
planning;
integrative planning processes;
developing organisational learning;
introduction to critical thinking and
problem solving;
team based critical analysis and problem
solving;
developing organisational learning;
frontline managers program;
HIDC (Self Study) Management Program;
Influential Leadership Program (ILP);
executive development.
Scholarships of $5000 each were awarded to
seven Aboriginal and Torres Strait Islander
students in May 1998. They are studying for
degrees in nursing, administration dental
surgery and behavioural science. One
scholarship has also been allocated to Flinders
University for the Bachelor of Nutrition and
Dietetics.
An accredited training program was
developed for Youth Support Workers in
Secure and Community Residential Care in
conjunction with COPE. Forty staff have
undertaken the course successfully.
A series of workshops which will change the
way health and medical education are
delivered to students and patients was held.
The Interactive Medical Curriculum Project,
developed by Adelaide-based Interactive
Health On-line, a unit of the South Australian
Health Commission, was launched at a two-
day workshop attended by delegates from
south east Asia and the United States.
The Health Industry Development Centre
(HIDC) provides a corporate, professional and
expert human resource development service to
Department of Human Services employees
and its service delivery units. HIDC
specialises in organisation and workforce
development solutions which anticipate
organisational needs in a rapidly changing
environment.
In 1997-98 HIDC offered 34 courses, some
more than once, with a total of 52.
A joint initiative between HIDC and the
Adelaide Institute of TAFE Workplace
Education Services resulted in the
development of a program to meet the
significant skills needs of front line managers.
HIDC has also developed programs such as
the Self Study Management Program as a
vehicle by which formal learning can be
integrated into the workplace. This program
aims to improve service delivery through
improving management and targets the
transition from a technical to a professional
role to one of leader and manager. The 1997-
98 financial year saw 49 managers start the
program and 29 graduate.
In seeking to build on traditional management
programs, the Influential Leadership Program
promotes effective management and
leadership. In 1997-98 25 participants
successfully completed the seven and a half
day program.
In November 1997, an Executive
Development Program was conducted with 12
participants undertaking professional
development plans. This initiative gained
attention at the national level, with the
Western Australian Health Department s
engaging HIDC to deliver the program to
their executives in 1997.
58
59
NON-EXECUTIVE EMPLOYMENT: 30 JUNE 1998
Head Count FTEs
Classification Male Female Total Ongoing Contract Casual Total
TRAINEES 11 49 60 6 54 0 60
ASO1 24 157 181 106.33 42.12 3.7 152.15
ASO2 30 127 157 120.08 27.25 0.03 147.36
ASO3 29 86 115 80.5 29.33 0 109.83
ASO4 25 40 65 47.8 15.6 0 63.4
ASO5 60 103 163 119.01 35.19 0 154.2
ASO6 37 47 84 60.1 21.6 0 81.7
ASO7 23 20 43 26.8 15.8 0 42.6
ASO 8 13 5 18 7.8 10 0 17.8
MAS1 3 2 5 3 2 0 5
MAS2 28 16 44 39.3 4 0 43.3
MAS3 4 2 6 4 2 0 6
PSO1 82 208 290 228.47 33.1 1.23 262.8
PSO2 26 68 94 67.15 20.37 0 87.52
PSO3 24 35 59 53.1 5 0 58.1
PSO4 8 2 10 9 1 0 10
PSO5 1 0 1 1 0 0 1
MPS2 1 0 1 1 0 0 1
MPS3 2 2 4 3 1 0 4
OPS1 2 12 14 1 2 0.29 3.29
OPS2 117 142 259 141.54 48.5 1.37 191.41
OPS3 94 58 152 138.77 9 0.03 147.8
OPS4 29 23 52 50.85 0 0 50.85
OPS5 14 5 19 19 0 0 19
TGO 0 1 1 2 1 1 0 2
TGO2 7 2 9 6.8 2 0 8.8
TGO3 5 0 5 5 0 0 5
TGO4 1 0 1 0 1 0 1
NG3 0 3 3 2.38 0 0 2.38
MHN3 3 4 7 6 1 0 7
60
NON-EXECUTIVE EMPLOYMENT: 30 JUNE 1998 (Continued)
Head Count FTEs
Classification Male Female Total Ongoing Contract Casual Total
RN1 1 0 1 0 1 0 1
RN2 0 16 16 8.39 5.78 0 14.17
RN3 2 10 12 9.79 2 0 11.79
RN4 0 1 1 1 0 0 1
RN5 1 0 1 1 0 0 1
MD1 2 7 9 1.6 6.1 0 7.7
MD2 13 2 15 12.61 1.5 0 14.11
WHA1 0 2 2 0.53 0 0.11 0.64
WHA4 0 1 1 1 0 0 1
HAE1 0 4 4 1.05 1.08 0 2.13
HAE 2 3 6 9 4.47 2.16 0.03 6.66
HAE3 2 5 7 3 3.42 0 6.42
HAE4 1 1 2 1 1 0 2
HAE5 0 1 1 1 0 0 1
MIG0 1 0 1 0 0.03 0 0.03
HUD00 4 9 13 5 7.87 0 12.87
HUD01 9 35 44 33.57 7.4 0 40.97
HUD02 41 130 171 152.89 8 1 161.89
HUD03 29 90 119 112.76 2 0 114.76
HUD04 147 121 268 261.3 4 1 266.3
HUD05 37 26 63 56.2 4 0 60.2
HUD06 36 17 53 50.6 4 0 54.6
HUD07 16 12 28 27.9 0 0 27.9
HUD08 11 2 13 13 0 0 13
HUD4T 5 0 5 2 0 0 2
Total 335 442 777 715.22 37.27 2 754.49
Grand Total 1065 1717 2782 2117.44 445.2 8.79 2571.43
Note: This table includes the non-incorporated units that are part of the South Australian
Health Commission Central Office, the Mental Health Unit and those units under their
auspices, the South Australian Housing Trust and South Australian Community Housing
Authority, but excludes HomeStart Finance and the Parks Community Centre.
61
EXECUTIVE EMPLOYMENT: 30 JUNE 1998
Head Count FTEs
Classification Approved Male Female Untenured Tenured
Executive Positions
EXF 1 0 1 1 0
EXD 3 3 0 1 2
EXC (EL-3) 10 9 1 1 9
EXB (EL-2) 12 1 2 4 8
EXA (EL-1) 22 16 6 2 20
TOTAL 48 38 10 9 39
Note: This table includes temporary acting arrangements due to some unfilled positions
pending the full implementation of the Department of Human Services structure. It includes
the non-incorporated units that are part of the South Australian Health Commission Central
Office, the Mental Health Unit and those units under their auspices; the South Australian
Housing Trust and the South Australian Community Housing Authority, but excludes
HomeStart Finance and the Parks Community Centre.
During 1997-98 one incident of fraud was
identified and reported to Internal Audit and
Business Review. This related to diversion of
money belonging to the department at one of
its district centres. Internal procedures were
adequate to highlight the problem. Police
have been informed and disciplinary action
has been instigated. No changes to internal
procedures are believed to be necessary
following this incident.
The regulations of the Public Sector
Management Act are followed in respect of
known fraud and reporting of fraud. Section
66 of the Act requires that the agency's report
to the Minister must include the number of
instances and nature of fraud detected, and
the strategies implemented to control and
prevent fraud.
An audit review of ethical standards guidance
is currently being undertaken with the
intention of ensuring that all employees are
aware of obligations related to fraudulent
activity, its detection and reporting.
FRAUD DETECTION
62
There was only one contract greater than $4
million:
Modbury Public Hospital Torrens Valley
Private Hospital Amending Agreement
19 August 1997
Key objective
To amend agreements executed 3
February 1995 providing for the
management and operation by
Healthscope of the Modbury Public
Hospital, the Head Lease of the site of
Modbury Public Hospital from the
Health Commission to the Modbury
Public Hospital Board (Board), an
Underlease of a portion of the site of
Modbury Public Hospital from the
Board to Healthscope and for the
design, construction and commissioning
of a 65 bed acute medial, surgical and
obstetrics hospital adjacent to Modbury
Public Hospital.
Private sector participant
Healthscope Limited
Duration
The term of the amending agreement is
the term of the agreement it amends:
expires on 5 February 2010.
Assets transferred
None
Contingent and other liabilities
None
CONTRACTUAL
ARRANGEMENTS
63
ACCOUNT PAYMENT
PERFORMANCE
DEPARTMENT OF HUMAN SERVICES
SOUTH AUSTRALIAN HEALTH COMMISSION
Note: This table includes figures for the Office of Local Government until 31 December 1997
and the figures for Planning SA for the full financial year. The latter will be transferred to the
Department of Transport, Urban Planning and Infrastructure for the next financial year.
Number and value of accounts paid for 1997-98
Number Value
Paid by due date 27 221 $231 934 254
Paid late and paid 30 days or less from due date 23 056 $60 756 772
Paid late and paid more than 30 days from due date 5 291 $7 507 188
Number and value of accounts paid for 1997-98
Number Value
Paid by due date 8 354 $165 462 170
Paid late and paid 30 days or less from due date 5 010 $18 503 824
Paid late and paid more than 30 days from due date 1 499 $5 306 608
The Department of Human Services is
assessing its exposure to the Year 2000
problem on its business functions and
services. The Millennium Project was
established in 1997 to ensure that every effort
is made to minimise the impact of the
transition from 1999 to 2000 on the
department. This project is:
assessing critical exposures in computer
systems, networks, operational systems,
building management and external
relationships;
ensuring that all critical exposures
identified are made ready for the
transition well before 31 December
1999.
The department is placing priority on those
areas assessed as having most impact on the
organisation s ability to provide its services to
the people of South Australia and on its
financial viability.
Financial Implications
Preliminary estimates are that $18.7 million
will be spent on this program in the health
area by January 2000, however, this is subject
to a more detailed assessment of the problem.
For housing and community services, initial
estimates are that $4.2 million will be spent
on this program by July 2000, however, this
is also subject to a more detailed assessment.
Progress against Federal/State year 2000
Compliance Timeframe
The approach being adopted by the
department in addressing the year 2000
problem is consistent with guidelines
published by the State Government and
includes the following phases:
64
YEAR 2000
COMPLIANCE
Phase Description
Inventory Determining what equipment, systems, processes and interfaces exist,
including versions and vendor details.
Assessment Checking the systems, processes and interfaces to find out how many
of each of these are date-sensitive and how they interrelate.
Planning Deciding which systems, processes and interfaces need to be amended
or replaced, how these are best prioritised, and the time and resources
required.
Correction Changing code, or replacing equipment or systems, converting data and
updating control software.
Testing and Confirming that the equipment, systems, processes and interfaces will
implementation operate before, during and after the transition to 2000.
Contingency Developing further plans to cater for unexpected problems and for
planning managing the less critical exposures identified but not fixed in time.
Year 2000 Exposure and Risk
Management
Project managers and project teams are in
place across the department. Formal
reporting mechanisms are being developed,
and monthly reports to Year 2000 South
Australia are being submitted, as required of
all government agencies.
In the housing area of the department, focus
is on clearly identifying exposures to critical
business systems which rely on mainframe
computing infrastructure.
Community services has reached Year 2000
compliance in critical mainframe systems
through Justice Information Systems testing.
For those aspects of the Year 2000 problem
that may affect building management and
environmental control systems, non-
mainframe computer systems and
miscellaneous equipment across community
services, housing and corporate services
groups, compliance planning is still being
completed.
The health sector is focusing on identifying
risks to critical items of biomedical
engineering equipment, building services,
mainframe and mid-range applications and
personal computers. Letters were sent to over
8000 service providers, manufacturers and
vendors of systems and equipment to
determine compliance and to assess risk
levels. To date about 25% had responded
before June 1998. Health units are planning
for known exposures, and plans will not be
completed until more information is provided
by vendors and manufacturers.
The following table shows progress in the
health area of the department against
established government timeframes:
65
Federal/State Requirement % Progress Estimated
Deadlines against Completion
Requirement Date
at 30 June 1998
December 1998 Correction of critical items completed 10% September 1999
March 1999 Correction of non-critical items completed 12% June 1999
June 1999 Testing of critical items completed 15% September 1999
June 1999 Development of contingency plans 2% June 1999
completed
September 1999 Testing of non-critical items completed 15% September 1999
Federal/State Requirement % Progress Estimated
Deadlines against Completion
Requirement Date
at 30 June 1998
December 1998 Correction of critical items completed 30% April 1999
March 1999 Correction of non-critical items completed 0% May 1999
June 1999 Testing of critical items completed 10% August 1999
June 1999 Development of contingency plans 0% June 1999
completed
September 1999 Testing of non-critical items completed 0% September 1999
The following table shows progress in the housing and community services areas of the
department against established Government timeframes.
Critical exposure
The table below identifies the critical exposures identified in health to date and the planned
strategy to redress the risk. The estimated completion date indicates the expected time frame
for the implementation of the corrected system. Ongoing work to finalise the assessment in
some areas may result in additional items being added to the list. The table excludes those
items which have been deemed to be Year 2000 ready but subject to confirmation through
compliance testing.
66
Description of Exposure Planned Correction Correction
Strategy Estimated
Completion Date
Health
Pharmacy System: Royal Adelaide Hospital Replace system June 1999
Pharmacy System: Flinders Medical Centre Replace system June 1999
Patient Management System: Replace system June 1999
Repatriation General Hospital
Patient Management System: SA Dental Service Replace system June 1999
Building Management System: Modbury Hospital Replace system June 1999
Building Management System: Replace system June 1999
DHS Citi Centre Building
Building Management System: Replace system June 1999
Flinders Medical Centre
Building Management System: Replace system June 1999
Queen Elizabeth Hospital
Epidemiology System: Replace system June 1999
Public and Environmental Health
Country health units: PABXs Replace non-compliant June 1999
PABXs
Corporate applications With vendors, test and September 1999
implement required
changes
Non-critical exposures and remediation strategies will be documented for the health sector for
all other aspects of the Year 2000 problem on completion of current assessment work.
The following table identifies the critical exposures identified to date in the housing area of the
department and the planned strategy to redress the risk. The estimated completion date
indicates the expected time frame for implementing the corrected system. Ongoing work to
finalise the assessment in some areas may result in additional items being added to the list.
The table excludes those items that have been deemed to be Year 2000 compliant but are still
subject to confirmation through compliance testing.
67
Description of Exposure Planned Correction Correction
Strategy Estimated
Completion Date
Housing
Customer service and property based systems: June 1999
Capital works Retire December 1998
Customer Information System (CIS) Replace (CAIS March 1999
Common Registration)
Replace (CAIS Waiting March 1999
List Management)
Council and water rates Convert (pilot) February 1998
Property maintenance Convert October 1998
Property/land information Convert August 1998
House sales Convert October 1998
Rent management Convert March 1999
Direct payments Convert November 1998
Client deductions Convert February 1999
Information expert Upgrade (vendor supplied) August 1998
Telephone voice response system Contact supplier June 1999
Administrative and building management systems:
Concept HR Coordinate upgrade June 1999
through DAIS/OCPE
OfficeVision (IBM) Retire through roll out June 1999
of standard operating
environment.
Building security Replace (proximity June 1999
badge readers)
Non-critical exposures and remediation strategies will be documented for community services,
housing and corporate services groups for other aspects of the Year 2000 problem on
completion of current inventory and assessment work.
68
Consultancies $10 000 to $50 000
Health Consultant $
Essential Trace Element Dr RA Goyer 10000
Disability Services-Infrastructure Aspect Computing 10 500
Trendstar Education Michell and Assoc Health Care Service 13 200
Ambulatory Care Project KPMG Management Consulting 13 500
Best Practice Conference C Gaston 14 000
Health Plus -OACIS Interface KPMG 15 600
Management Inform Systems Program Computer Power 15 900
Hospital Separation Analysis Milliman and Robertson1 5 955
Casemix SOYM Ernst and Young 16 640
Health Logistics Strategy Coopers and Lybrand 16 800
Clinical Resource Management Dr A Rosenstein 18 146
CAM Restructure Health Management Solutions 19 575
Ambulatory Care Obstetric Program University of Adelaide 20 000
Intranet Internet Consult Services Network 20 500
Clarification of community values Gavin Mooney 20 847
Review director of nursing positions Cullen Egan Dell / Dr PJ Brennan 21 501
Priority setting METRO hospitals Gavin Mooney 22 194
Palliative Care Purchasing Plan AD Loan and Associates PL 23 259
Large Country Hospital Information KPMG 23 400
Systems Business Case
Public Health Legislation Review Chris Reynolds 23 500
Total Health Network Dallas Ariotti 24 397
Migrant Health Consultancy Beckman and Associates 24 843
Health Plus -Remote Access Medical Comm Aust 25 000
HP-Health Services & Regions projects Helen Radoslovich & Associates 26 445
Nurse Workforce Modelling Rawinski Management 27 000
Community Health Services IT Infrastructure CSC Aust 28 600
HIPP Program Sheena D'Angelo 30 000
Clinical Costing Health Tech PL and Others 31 543
P&EHS IT Strategic Plan Ernst and Young 32 162
Advice on corporations Arthur Andersen 32 500
Trendstar P J Power Consulting 32 830
Development of Strategies to Chemically Bin CSIRO Land & Water 34 050
Lead In Household Dust
Tobacco Litigation Johnston Withers 35 000
Pharmacy Business Case Computer Power 37 194
SA HealthPlus Project Management KPMG 37 200
SA HealthPlus Information Scoping Project Flinders University of SA 39 000
National Costing Project K Mazzoleni / Health Tech 42 300
Total 37 895 081
Consultancies $10 000 to $50 000
Total 21 $1 592 208
EXTERNAL CONSULTANCIES
69
Housing Consultant $
Risk Management Presentation to Executive Dr S Gray of Broadleaf Capital 10 790
Management Forum International Pty Ltd
Preparation of Consultancy Reports for the PKF Securities 21 700
Working Group on Cemeteries
Preparation for the Announcement of the New KPMG Management Consulting 35 908
Management Responsibilities for DHS
Total 3 68 398
Community Services Consultant $
Professional Appraisal and Career Guidance Leadership Solutions 10 372
Business Case Preparation Intech Consulting Group 10 450
Financial Analysis AD Loan & Associates 11 000
Manual Handling Training Nery Ergonomics 11 083
Self Help Research Study Flinders University of SA 13 000
Training in Mental Health Social Options Australia 13 560
Frail Aged and Homeless Anglicare SA 14 000
Evaluation of Framework for Alternative Care Coopers and Lybrand 14 025
Premature Ageing in SA Aboriginal Population Faculty of Aboriginal and Islander 14 250
Studies, University of SA
SAAP Pilot for Challenging Behaviours Training Centre of Personal Education Inc 15 000
New Health Management Services User Rights Reference Group 15 643
Dealing with Violent Clients Training Achievement Training 15 695
Competency Standards/Management Development Oz Train/John Morris 18 000
Review of Role of Property Management Unit Ernst and Young 18 550
Public Relations Michells Warren 19 511
Training Records Database JC Ware 20 200
Preparation of FACS 23/10/97 Financial Statements Ernst and Young 24 750
Alternative Care and Family Preservation for Community Business Bureau 27 520
Aboriginal Clients
Day Activity Implementation Schools of Occupational Therapy, 29 750
University of SA
Ageing Statistics Centre for Ageing Studies 32 500
GRF Models of Therapeutic Counselling for Aboriginal Drug and Alcohol Council 35 000
Aboriginal Communities
Review of Respite Services Elliot Stanford & Associates 37 500
Study of Attitudes to Ageing Across Cultures Kate Barnett & Associates 48 000
& Generations
Total 23 469 359
Total Consultancies $10 001 to $50 000 63 1 432 838
70
Consultancies over $50 000
Health Consultant $
Strategic Communications (notes 1, 2 and 3) DDB Needham 110 314
Davies, Hutchens and Blackburn 28 312
Allied Health Computer Power 51 698
Casemix Funding Mode Casefund Consulting P L 51 990
Trendstar Post Implementation Review Brewerton and Associates 61 500
YEAR 2000 Co-ordination KPMG Consult 63 360
IT Strategic Plan Project - SAMHS & CAMHS Aspect Computing 64 238
Information Resource Management Computer Power 73 995
Market Survey McGregor Marketing 82 564
Health Plus Business Plan Andersen Consulting1 26 767
SA HealthPlus Information Scoping Project Coded Inform P/L 142 927
Clinical Costing HealthTech P L 173 025
SA HealthPlus Coordinated Care Flinders Consulting 360 000
Costing outpatients shortlist Coopers & Lybrand 576 500
Total 14 1 967 190
Housing Consultant $
Review of Ownership of Housing Trust Stock Beston Pacific Corporation Ltd 51 000
Recruitment of Executive Positions Cooper and Lybrand Consultants 53 000
HR Development Support Taylor Management Consulting 62 250
Department of Human Services Financial Ernst & Young 224 008
Systems Consultancy
Total 4 390 258
Community Services Consultant $
Review Structure and Staffing of Finance Branch Performance and Audit Review 50 453
Evaluation of Coordinated Care Trials Paul Laris 55 000
Evaluation of SAAP in SA Elliot Stanford & Associates 55 000
Management Team Development Jill Gael and Associates 62 854
SAAP Boarding House Kenwyn Consulting Services Pty Ltd 90 000
1990s Major Changes in Economic Terms for Retired Centre for Ageing Studies, 93 800
Persons; Productive Ageing of South Australia Flinders University
HACC Workforce Planning and Development Community Services and Health 94 447
Industry Training Advisory Board
Preparation of FACS 1996-97 Financial Statements Ernst and Young 186 302
and Review Financial Processes
Total 8 687 856
Total DHS Consultancies over $50 000 26 3 045 304
TOTAL CONSULTANTS PAID TO 30 JUNE 1998: 210 (note 4) 6 070 350
Information Statement
The Freedom of Information (FOI) Act 1991
gives members of the public a legally
enforceable right to access information held
by the South Australian Government, subject
to certain restrictions.
Structure and functions of the
Department of Human Services
The structure and functions of the
department, including the various divisions of
Central Office which report to the
department s Chief Executive, are shown at
the front of this report and provide an
overview of the reporting lines of
responsibility. Departmental direction is also
influenced by the input of advisory boards
and committees.
Ways in which the functions of the
department affect members of the public
The department s work directly impacts on
the public in the areas of health, community
services and housing planning, strategy
development, major projects and library
services.
Other work such as policy development and
information technology has an impact on the
public once it has been implemented by the
relevant agencies, for example, the SA
Housing Trust, SA Community Housing
Authority, hospitals and health centres, which
are themselves separate FOI agencies.
Public participation
There are a number of avenues through which
the public can contribute to policy
development in the department.
The department uses external expertise and
policy advice through statutory and non-
statutory advisory committees, which are
comprised of both government and non-
government representatives. Advice is taken
from peak non-government organisations and
additionally a consultative process is under-
taken in the formulation of development,
planning, and policy. The department
consults with major consumer groups,
circulates discussion papers, calls for
submissions on particular topics, and
convenes public meetings in metropolitan and
country areas.
Documents held by Central Office
The department holds a number of health,
community services, and housing
publications, including administrative and
client files, books, discussion and background
papers, reports, reviews, serial publications,
codes of practice, surveys, guidelines,
policies, programs, strategies, directories,
evaluations, needs assessments and
proposals. Other documents held within
central office include procedure manuals,
administrative circulars on general
management, finance, staffing, plant and
equipment,property, motor vehicles and
industrial circulars.
71
Note 1: This consultancy was assigned to Davies Hutchins and Blackburn commencing
January 1998.
Note 2: The major project undertaken by DDB Needham was for SA Coordinated Care -
SA HealthPlus ($73 304).
Note 3: The major project undertaken by Davis, Hutchins and Blackburn was for SA
Coordinated Care - SA HealthPlus ($13 312).
Note 4: Totals may be affected by rounding.
FREEDOM OF
INFORMATION
Major health and community services
publications for the year are listed in next part
of this report. These documents are available
for inspection in the health and Family and
Youth Services libraries during business
hours.
The department s libraries also keep
information as to where health, FAYS, and
housing publications are held and whether or
not they are free, for sale, or for inspection -
most of the documents listed can be seen in
the libraries, and may be photocopied at a
moderate cost per page.
The addresses of the departmental libraries
are:
Health and Family and Youth Services:
3rd floor, Citi Centre
11-13 Hindmarsh Square
ADELAIDE SA 5000
Tel: (08) 8226 6071
Fax: (08) 8226 6677
Housing:
1st floor, Roma Mitchell House
136 North Terrace
ADELAIDE SA 5000
Tel: (08) 8303 0610
Fax: (08) 8303 0611
The Health Promotion Unit has a small range
of anti-smoking stickers, leaflets and
information sheets available free and can be
contacted on (08) 8226 6329.
The constitutions of hospitals and health
centres incorporated under the South
Australian Health Commission Act 1976 may
be inspected in the Legal Services Branch,
10th floor, 11-13 Hindmarsh Square, Adelaide
(08 82266178).
Arrangements and procedures for seeking
access to records
Applications for access to or amendment of
Department of Human Services documents
should be addressed to:
Freedom of Information Liaison Officer
Department of Human Services
10th floor, Citi Centre
11-13 Hindmarsh Square
ADELAIDE SA 5000
Tel: (08) 8226 6178
Applications for access to or amendment of
Family and Youth Services documents should
be addressed to:
Freedom of Information Liaison Officer
(FAYS)
Department of Human Services
1st floor, Citi Centre
11-13 Hindmarsh Square
ADELAIDE SA 5000
Tel: (08) 8226 6707
72
Aboriginal Health
The first step: South Australian Aboriginal health regional plans / South Australian Aboriginal
Health Partnership. Dulwich, SA: the South Australian Aboriginal Health Partnership,
1998.
Aged
Moving ahead: the development of a strategic plan for health and community services for
older people / the Purchasing Office, South Australian Health Commission in partnership
with the Office for the Ageing. Adelaide: Department of Human Services, 1998.
Promoting non drug strategies for older people / by Tammy LeBlanc. Adelaide: South
Australian Health Commission, 1998.
Ambulatory Care
Ambulatory care: reform program: a report of the research and analysis into Ambulatory
Health Care Services conducted in South Australia 1995-1997 / Meryl Horsell, Sue
McKechnie. Adelaide: Ambulatory Care Unit, South Australian Health Commission,
1997.
Ambulatory care: reform program: research projects executive summaries: attached volume /
Ambulatory Care Unit, Purchasing Office South Australian Health Commission.
Adelaide: Ambulatory Care Unit, South Australian Health Commission, 1997.
Child Protection
Child Protection in South Australia: a new approach / Family and Community Services,
October, 1997.
Commitments in Care A Charter for Children and Young People in Care / Joint Venture
between Future Echoes, The Office for Families and Children and The Department for
Family and Community Services, July 1997.
Community Health Services
Evaluation of one-to-one services: a literature review / Soi Yeng Lewis. Adelaide: South
Australian Community Health Research Unit, 1997.
Obtaining and using feedback from service-users in women s and community health services.
Adelaide: South Australian Community Health Research Unit, 1997.
Innovative health services for homeless youth program: evaluation report / Donna Chung and
Frank Tesoriero. Adelaide: South Australian Health Commission, 1997.
Communicable Diseases
Infectious and notifiable diseases in South Australia: Annual Summary 1995 / Adelaide:
Communicable Disease Control Unit, South Australian Health Commission, 1998.
Environmental Health
Aluminium: report of an international meeting 20-21 April 1995, Brisbane / edited by Paula
Imray .{et al.} Revised ed. National Environmental Health Forum monographs. Metal
series no. 1. Adelaide: National Environmental Health Forum, 1998.
73
PUBLICATIONS
1997-98
Exposure scenarios and exposure settings / Roscoe Taylor and Andrew Langley. 2nd ed.
National Environmental Health Forum monographs. Soil series no. 2. Adelaide:
National Environmental Health Forum, 1998.
Guidance on the use of rainwater tanks / David A. Cunliffe. National Environmental Health
Forum monographs. Water series no. 3. Adelaide: National Environmental Health
Forum, 1998.
The health risk assessment and management of contaminated sites: proceedings of the Fourth
National Workshop on the Health Risk Assessment and Management of Contaminated Sites /
editors A. Langley ...{et al.} Adelaide: South Australian Health Commission, 1997.
Nitrogen dioxide / Len Ferrari. National Environmental Health Forum monographs. Air series
no. 3. Adelaide: National Environmental Health Forum, 1997.
Paint film components / M. Van Alphen. National Environmental Health Forum monographs.
General series no. 2. Adelaide: National Environmental Health Forum, 1998.
Pesticide use in schools and school grounds / Kevin J. Buckett and Peter N. Di Marco.
National Environmental Health Forum monographs. General series no. 1. Adelaide:
National Environmental Health Forum, 1997.
Foster Care
Fostering: The Future / Policy and Development Division, Family and Community Services,
Research Paper 1997.
Health Promotion
Making the move: towards health promoting hospitals, health services and regions / Helen
Radoslovich and Kate Barnett. Adelaide: South Australian Health Commission, 1998.
Health Surveys
The South Australian survey of disability prevalence, November- February 1997: conducted for
the Disability Service Office, South Australian Health Commission / Anne Taylor ...{et
al.} Adelaide: SERCIS, Behavioural Epidemiology Unit, Epidemiology Branch, South
Australian Health Commission, 1997.
HIV/AIDS
South Australian HIV/AIDS Strategy 1997-1999 / South Australian Health Commission, Public
and Environmental Health Service, HIV/AIDS and Related Programs Unit. Adelaide:
South Australian Health Commission, 1997.
Maternal Health Services
Pregnancy outcome in South Australia 1996 / Annabelle Chan ...{et al.} Adelaide: Pregnancy
Outcome Unit, 1997.
Medical Care
Clinical pathways development in acute care / Adelaide: South Australian Health Commission,
1997.
Mental Health Services
Mental health status of South Australians: October 1997 / Anne Taylor, Eleonora Dal Grande,
Jacqueline Parsons. Adelaide, SA: SERCIS, Behavioural Epidemiology Unit,
Epidemiology Branch, South Australian Health Commission, 1997.
Migrant Health
Migrant health survey, October 1996 - February 1997 / conducted for the Migrant Health
Service, SA Health Commission, Anne Taylor et al. Adelaide: SERCIS, Behavioural
Epidemiology Unit, Epidemiology Branch, South Australian Health Commission, 1997.
74
Nursing
Profile of the registered and enrolled nurse workforce, South Australia 1995 / prepared by
Edward Rawinski. Adelaide: Nurses Board of South Australia and South Australian
Health Commission, 1997.
Palliative Care
Report to parliament on the care of people who are dying in South Australia / Geraldine
Sladden. Adelaide: South Australian Health Commission, 1997.
Primary Health Care
Preparing the ground for healthy communities manual: a new approach to workforce planning
and development in primary health care / by Angela May ...{et al.} for the Rural Health
Training Unit. Adelaide: Rural Health Training Unit, South Australian Health
Commission, 1997.
Public Health
Focus on wellbeing in schools / compiled by Annegret Lackmann. Adelaide: Wellbeing
Project, Enfield Community Centre and Adelaide Central Community Health Services,
1997.
Food Act Report year ending 30th June 1997. Adelaide: South Australian Health Commission,
1997.
Guidelines on food labelling / South Australian Health Commission. 8th ed. Adelaide: The
Commission, 1997.
Strategic Directions for health: progress report 1997. Adelaide, SA: South Australian Health
Commission, 1997.
Transport and health: accessing the impact / Beverly Clarke. Adelaide: South Australian
Community Health Research Unit, 1998.
Rural Health Services
Clinical and admitting privileges in SA rural public hospitals. Adelaide: South Australian
Health Commission, 1997.
Diversity makes a difference: findings of the Hills Mallee Southern Regional Health Needs
Assessment Project / Hills Mallee Southern Regional Health Service {prepared by
Michael Bentley}. Adelaide: South Australian Health Commission, 1997.
Midwifery workforce report: a report of the recruitment and retention of midwives in
rural/remote South Australia / prepared by Pauline Kearns. North Adelaide, SA: Rural
Health Training Unit, South Australian Health Commission, 1997.
We could fly: improving services for adult survivors of childhood sexual abuse in rural South
Australia, Hills Mallee Southern Region / Rosie King. Adelaide: South Australian Health
Commission, 1998.
Sexually Transmitted Diseases
Sexually transmitted diseases in South Australia in 1997. Epidemiologic report no. 11
Adelaide: South Australia, Department. of Human Services, Public and Environmental
Health Service, 1998.
Small Business
Small business charter : a state government initiative for small business / South Australian
Health Commission. Adelaide: South Australian Health Commission, 1997.
75
Statistics
Eleventh report of the maternal, perinatal and infant mortality committee on maternal,
perinatal and post-neonatal deaths in 1996. Adelaide: South Australian Health
Commission, 1997.
Epidemiology of cancer in South Australia: incidence, mortality and survival 1977 to 1996,
incidence and mortality 1996. Adelaide: South Australian Cancer Registry, 1997.
Women s Health
Expanding possibilities: an alternative approach to working with women who experience the
effects of depression. Written by Aerrin Morgan. Adelaide, SA: South Australian Health
Commission, 1997.
Just health for rural women: evaluation of Phase 2 (1993/94-1996/97) National Women s
Health Program / Report prepared by Kate Barnett and Helen Radoslovich. Adelaide,
SA: National Women s Health Program: South Australian Health Commission, 1997.
76
77
FINANCIAL STATEM
ENTS
FINANCIAL
STATEMENTS
Notes:
1. Inter-entity transactions have not been
eliminated in this simplified
presentation.
2. 1996-97 comparative figures have been
estimated due to organisational changes
in the activities formerly undertaken by
the former Department of Housing and
Urban Development
3. The Department of Human Services
figures reflect the full year costs of
operation of the department.
4. Funding provided to health units and
the housing sector for capital purposes
have been recorded under operational
costs of the Health Commission and
Department of Human Services in
accordance with the accounting
practices established for the Annual
Financial Statements Department of
Human Services and Health
Commission Chief Entity. Capital
spending totalled $3.7 million in
1997-98 ($6.4 million for 1996-97).
The following financial statements present the
operational costs of the SA Health
Commission Chief Entity and the
Department of Human Services at 30 June
1998.
The Health Commission chief entity report
presents the financial affairs of the corporate
and health service related functions of the
Commission and those financial affairs
relating to certain Unincorporated Health
Service Units, notably:
South Australian Health Commission
functions including:
Corporate Policy, Planning and
Administration
Public and Environmental Health
Service
Unincorporated Health Service
Units
Management Assessment Panel
Office of the Public Advocate
Guardianship Board
Mental Health Services
Rural Health Training Unit
Migrant Health
Adult Physiological and
Neurological Option Co-ordination
Agency
Brain Injury Option Co-ordination
Agency.
The Department of Human Services was
created by the amalgamation of the former
Department of Housing and Urban
Development, including Policy and
Corporate/Business Services divisions (but
excluding the Urban Planning function) and
the Department for Family and Community
Services.
The following table presents a summary of
the operating expenditure of the combined
Human Services and Health Commission
functions.
78
DEPARTMENT OF
HUMAN SERVICES
for the period 24 October
1997 to 30 June 1998
FINANCIAL STATEMENTS
South Australian Department of 1996-97 1997-98
Health Commission Human Services Total $m Total $m
Operational 1641.9 381.7 2023.6 1868.3
Expenses
De
pa
rt
m
en
t o
f H
um
an
S
er
vi
ce
s
fo
r
th
e
pe
rio
d
24
O
ct
ob
er
1
99
7
to
30
Ju
m
e
19
98
79
Note 30/06/1998
$'000
Operating Expenses
Employee related 57 528
Supplies and services 29 592
Grants & subsidies 125 087
Client payments 6 607
Depreciation 3 750
Total Operating Expenses 3 222 564
Operating Revenue
Rent, fees and charges 4 27 103
Interest 2 110
Dividends - HomeStart Finance 5 000
Other 5 271
Total Operating Revenue 39 484
Net Cost of Services 183 080
Government Revenues
Department Appropriation 5 94 167
Commonwealth grants 6 81 496
Other grants & contributions 112
Total Revenues from Government 175 775
Net Revenues from Disposalof Non-Current Assets 407
Change in Net Assets Before Restructuring (6 898)
Net Revenues From Restructuring 7 67 147
Change in Net Assets After Restructuring 60 249
The Operating Statement is to be read in conjunction with the notes to and forming
part of the Financial Statements.
DEPARTMENT OF
HUMAN SERVICES
OPERATING
STATEMENT
for the period 23 october 1997
to 30 June 1998
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
80
Note 30/06/1998
$'000
CURRENT ASSETS
Cash on hand and deposit accounts 13(a) 57 052
Receivables 8 15 404
Other 401
72 857
NON-CURRENT ASSETS
Capital works in progress 66
Property, plant and equipment 9 48 677
48 743
TOTAL ASSETS 121 600
CURRENT LIABILITIES
Payables 10 18 132
Employee entitlements and related provisions 11 14 359
Borrowings 12 351
Other 53
32 895
NON-CURRENT LIABILITIES
Employee entitlements and related provisions 11 28 171
Borrowings 12 285
28 456
TOTAL LIABILITIES 61 351
TOTAL NET ASSETS 60 249
EQUITY
Asset revaluation reserve 192
Accumulated surplus 60 057
TOTAL EQUITY 60 249
The Statement of Financial Position is to be read in conjunction with the notes to
and forming part of the Financial Statements.
DEPARTMENT OF
HUMAN SERVICES
STATEMENT OF
FINANCIAL POSITION
as at 30 June 1998
De
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rt
m
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f H
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S
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99
7
to
30
Ju
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19
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81
Note 30/06/1998
Inflows (Outflows)
$'000
Cash flows from Operating Activities
Payments
Employee related (51 205)
Supplies & services (24 521)
Grants to organisations (181 966)
Client payments (6 607)
Receipts
Rent, fees and charges 24 258
Dividends - HomeStart 5 000
Interest 3 663
Other 5 788
Net Cash Used in Operating Activities 13(b) (225 590)
Cash Flows from Investing Activities
Purchase of property, plant & equipment (796)
Proceeds from sale of property, plant & equipment 2 679
Net Cash Flows from Investing Activities 1 883
Cash flows from Government
State Government 153 182
Commonwealth Government 92 903
Cash flows provided by Government 246 085
Cash flows from restructure 34 674
Net increase (decrease) in cash held 57 052
Cash at the beginning of the reporting period -
Cash at the end of the reporting period 13(a) 57 052
The Statement of Cash Flows is to be read in conjunction with the notes to and
forming part of the Financial Statements
DEPARTMENT OF
HUMAN SERVICES
STATEMENT OF
CASHFLOWS
for the period 23 october 1997
to 30 June 1998
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
82
1. Creation of the Department
(a) Objectives and funding
The Department of Human Services was cre-
ated by proclamation dated 23 October 1997
as an Administrative Unit under the Public
Sector Management Act 1995.
On 23 October 1997 the Department for
Family and Community Services (FACS) and
the Department of Housing and Urban
Development (DHUD) were abolished. On
that date staff, functions, assets and liabilities
of these abolished agencies (excluding urban
planning and local government functions of
DHUD) were transferred to the newly
established Department of Human Services.
The department is charged with broad ranging
policy and certain responsibilities for health,
housing and support and protection of people
as members of families and communities.
The department performs a coordinating role
for the Ministerial Portfolio of Human
Services. Key features of the structural
arrangements for the department and the
portfolio are:
Promotion of integrated corporate
support arrangements for the South
Australian Health Commission, South
Australian Housing Trust and the
department;
continued separation between funding
/planning and provider roles for health
and housing, and arrangements for
family and youth services;
separate operational focus on
metropolitan and country communities
as well as on sectors and issues of state-
wide significance;
continued strategic policy focus on
health, housing, ageing, disability,
families and children, and Aboriginal
people; and
accountability for financial management,
business services and capital asset
management of the portfolio.
The department is predominantly funded by
Parliamentary appropriations. It provides the
following services on a fee-for-service basis
for portfolio entities:
Information technology development
and facilities management for the
Housing Trust;
Human Resources and Human Resource
management for the South Australian
Health Commission, the South
Australian Housing Trust and the South
Australian Community Housing
Authority;
Management of the central office
accommodation in respect of the South
Australian Health Commission, the
South Australian Housing Trust and
South Australian Community Housing
Authority.
The fees charged are determined at cost and
represent in the main, the recovery of wages
and salaries and related benefits paid to
employees and the recovery of expenditure
incurred in relation to the management of the
central office accommodation of the portfolio
entities.
DEPARTMENT OF
HUMAN SERVICES
NOTES TO AND PART OF
THE FINANCIAL
STATEMENT
for the year ended 30 June 1998
De
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Ju
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98
The financial report encompasses special
deposit accounts and all Funds through which
the department controls resources to carry on
its functions.
(b) Portfolio Staffing Restructure
By proclamation under section 7 of the Public
Sector Management Act 1995, effective from
25 April 1998, the Government incorporated a
number of public sector employees into the
Department of Human Services.
The public sector employees affected by the
proclamation included:
all public sector employees of the South
Australian Health Commission, with
some exceptions eg the Chief Executive
Officer and the Deputy Chief Executive
Officer of the Commission;
all public sector employees of the South
Australian Housing Trust; and
all public sector employees of the South
Australian Community Housing
Authority
employed prior to the effective date of 25
April 1998.
The proclamation did not affect those
employees who at the effective date were
employed on an hourly, daily, weekly or
piece-work basis, or officers and employees
of an incorporated hospital or health centre
under the South Australian Health
Commission Act 1976.
2. Statement of Accounting
Policies
The significant Accounting Policies which
have been adopted in the preparation of these
financial statements are:
(a) Basis of preparation of the Financial
Statements
The Financial Statements are a general
purpose financial report and have been
prepared in accordance with the requirements
of the Statements of Accounting Concepts,
applicable Accounting Standards, the
Treasurer s Instructions and applicable
Accounting Policy Statements issued pursuant
to the Public Finance and Audit Act 1987.
The accrual basis of accounting has been
employed on the basis of historical cost and
does not take into account changing money
values or, except where stated, current
valuations of non-current assets.
(b) Revenue recognition
Rent, fees and charges
Service fee income comprises revenue earned
from the provision of services to entities
external to the department. The revenue is
recognised when the fee in respect of services
provided is receivable.
Dividends
Dividends are received by the department
from HomeStart Finance in compliance with
section 26(8) of the Housing and Urban
Development (Administrative Arrangements)
Act 1995 and redistributed to portfolio entities
consistent with department strategic plans.
Revenue is recognised upon agreement by the
Minister to the dividend proposed by the
HomeStart Board.
Government Revenues
General appropriation, Housing Assistance
grants and Deposit 5000 Scheme grants are
recognised when payments are received in the
department s operating account at Treasury.
Tax Equivalent Regime and other grants are
recognised when they are due and receivable.
(c) Grants and subsidies
The department provides grant monies to
certain community organisations which are
subject to a requirement that monies
unexpended at year end or at the end of the
grant period are repayable unless specific
authority is obtained to carry funds forward
into the next financial year or grant period.
The department has not conducted a balance
day confirmation process with external parties
to determine what unexpended monies should
be repaid and consequently no receivable has
been recognised in the accounts in relation to
these funds.
(d) Employee Entitlements and Related
Provisions
Provision is made for the department's
liability for employee entitlements arising
from services rendered by employees to
83
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
balance date. Employee entitlements
expected to be settled within one year have
been measured at their nominal amount.
Other employee entitlements payable later
than one year have been measured at the
present value of the estimated future cash out-
flows to be made for those entitlements.
A superannuation oncost has been provided
for against provisions for annual leave and
that portion of the provision for long service
leave which it is estimated will be taken as
leave. The oncost has been applied based on
the average of employer contribution rates.
Other employee related provisions represent
oncosts consisting of workers compensation
premiums and payroll tax. These oncosts
have been calculated by applying their
corresponding levied rates to employee
entitlements.
No provision is made for sick leave because
entitlements do not vest in the employee and
because of the material uncertainty which
precludes reliable estimation of future usage
of sick leave by department employees.
(e) Property, Plant and Equipment
Freehold land and buildings comprising a
class of non-current assets are revalued on a
progressive basis over a three year period.
The basis of valuation is either using the
deprival method or market rents method
depending on the nature of the land and
buildings subject to valuation.
All non-current assets having a limited useful
life are systematically depreciated over their
useful lives in a manner which reflects the
consumption of their service potential Items
of plant and equipment with an individual
value of less than $5 000 are expensed upon
acquisition.
Depreciation is provided for on a straight line
balance basis, with the following depreciation
periods:
Computer equipment 3 years
Office equipment 5-10 years
Plant and Machinery 5-10 years
Buildings 15-60 years
(f) Work in Progress
The department incurs capital works in
providing care facilities. To the extent that
these capital works are physically incomplete
as at balance date the value of work
completed is included in work in progress.
Work in progress is recorded at the lower of
cost or estimated final project value.
(g) Leased Assets
The department has entered into a number of
operating lease agreements for buildings and
office equipment where the lessors effectively
retain all of the risks and benefits incident to
ownership of the items held under the
operating leases. Equal instalments of the
lease payments are charged to the operating
statement over the lease term as this is
representative of the pattern of benefits to be
derived from the leased property.
(h) Tax Status
The activities of the department are exempt
from Commonwealth income tax but other
Commonwealth taxes such as fringe benefits
tax and other State taxes including payroll tax
are applicable.
(i) Comparative Figures
The department is a newly formed entity
established on the 23 October 1997 and hence
no comparative figures are available.
84
De
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f H
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S
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O
ct
ob
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99
7
to
30
Ju
m
e
19
98
30/06/1998
$'000
EMPLOYEE RELATED:
Salaries and wages 44 619
Long service leave and annual leave 2 832
Superannuation and retiring allowances 3 941
Workers compensation 4 298
Payroll tax 854
Other employee related expenses 984
Total employee related expenses 57 528
SUPPLIES AND SERVICES:
Advertising 75
Departmental accommodation 5 878
Property related 1 979
Consultant fees 1 054
Contractors & agency staff 2 753
Amounts paid or payable for audit services to Auditor General of South Australia: 80
Finance costs 6
Printing publications and stationery 991
Communication and computing 9 724
Equipment expenses 1 153
Vehicle expenses 1 080
Travel expenses 535
Client related expenses 1 103
Seminars, courses and training 124
Other administration expenses 3 057
Total supplies and services 29 592
GRANTS:
Home and community care 32 080
Supported accommodation assistance 9 997
Family and community development grants 3 382
Non government agency grants 4 124
Domestic violence rural and remote 165
Funds for seniors 631
Housing Assistance grants 67 395
Deposit 5000 Scheme 2 138
SA Housing Trust - Tax Equivalent Regime 2 517
Parks Community Centre - Community Cultural Recreation Centre 1 594
Various other grants 1 064
Total grants 125 087
CLIENT PAYMENTS:
Children s payments 4 831
Emergency financial assistance 1 426
Funerals 350
Total client payments 6 607
DEPRECIATION:
Plant and equipment 2 618
Buildings 1 132
Total depreciation 3 750
Total Operating Expenses 222 564
85
3. Operating Expenses Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
86
4. Rent, Fees and Charges
30/06/1998
$'000
Rent 770
Business Services 13 793
Employee services (1) 12 540
27 103
(1) Represents the recovery of costs for the provision of employee related services to
the South Australian Health Commission, South Australian Housing Trust and the
South Australian Community Housing Authority for the period 25/4/98 to 30/6/98.
5. Departmental Appropriation
30/06/1998
$'000
Tax Equivalent Regime reimbursement - SA Housing Trust 2 076
Tax Equivalent Regime reimbursement - HomeStart Finance 3 132
State Housing Assistance Funds 23 138
General Appropriation 65 821
94 167
6. Commonwealth Grants
30/06/1998
$'000
Home and community care 22 172
Supported accommodation assistance 8 551
Domestic violence rural and remote 87
Community development 1 800
Housing assistance 46 593
Other 2 293
81 496
7. Net Revenues from Restructuring
With effect from 23 October 1997 the Department of Housing and Urban Development
and the Department for Family and Community services were abolished. The functions,
together with the assets and liabilities of the abolished departments, with the exception of
the former Planning Division of the Department of Housing and Urban Development,
were transferred to the newly established Department of Human Services as follows:
Facs Dhud 30/06/1998
$ 000 $ 000 $ 000
Current Assets
Cash on hand and deposit accounts 15 929 18 745 34 674
Receivables 1 955 82 884 84 839
Other 470 233 703
Non-Current Assets
Receivables - 1 075 1 075
Capital works in progress 45 - 45
Property, plant and equipment 32 576 20 895 53 471
Total Assets 50 975 123 832 174 807
De
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rt
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t o
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an
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to
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Ju
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87
Facs Dhud 30/06/1998
$ 000 $ 000 $ 000
Current Liabilities
Payables 1 659 69 010 70 669
Employee entitlements and related provisions 4 886 630 5 516
Borrowings - 421 421
Non-Current Liabilities
Employee entitlements and related provision 10 932 1 526 12 458
Borrowings 265 221 486
Total Liabilities 17 742 71 808 89 550
Net Assets 33 233 52 024 85 257
With effect from 25 April 1998 employees of the South Australian Housing Trust, South
Australian Community Housing Authority and the South Australian Health Commission were
transferred to the department. Consequently the department assumed all employee
entitlements and related provision as follows:
SAHT SACHA SAHC 30/06/1998
$ 000 $ 000 $ 000 $ 000
Current Employee Entitlements and Related Provisions
Annual Leave 1 406 67 1 582 3 055
Long service leave 400 - 718 1 118
Superannuation 163 5 210 378
Provision for payroll tax 118 4 108 230
Provision for workers compensation - - 1 1
Non-Current Employee Entitlements and Related Provisions
Long service leave 5 407 208 6 461 12 076
Superannuation 297 9 343 649
Provision for payroll tax 342 13 246 601
Provision for workers compensation - - 2 2
(8 133) (306) (9 671) (18 110)
Total Net Revenues From Restructuring 67 147
8. Receivables
30/06/1998
$'000
Debtors 8 780
Interest 278
Tax Equivalent Regime 6 346
15 404
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
88
9. Property, Plant and Equipment
30/06/1998
$'000
Land
Parks Community Centre - At Valuer-General s valuation 30/6/96 2 380
At independent valuation - 30 June 1997 (1) 12 427
14 807
Buildings and Improvements
Parks Community Centre - At Valuer-General s valuation 30/6/96 35 000
At independent valuation - 30 June 1997 (1) 14 281
Accumulated Depreciation (18 553)
30 728
Plant and Equipment
At Cost 8 532
Accumulated Depreciation (5 390)
3 142
Total Property, Plant and Equipment 48 677
(1) All land and buildings were restated to independent valuations in July 1997 other than
transportable buildings. The valuations were estimates of either the deprival value of the
property or in the case of residential housing, market value. Market value being the
estimate of the amounts for which the assets could be exchanged between a
knowledgeable willing buyer and a knowledgeable willing seller in an arm s length
transaction at the valuation date. The department has set a policy for regular valuation
of freehold land and buildings at least once every three financial years.
10. Payables
30/06/1998
$'000
Current Payables
Creditors 10 296
Accruals (Grants to organisations) 2 990
Accruals (Tax Equivalent Regime - SAHT) 4 846
18 132
11. Employee Entitlements and Related Provisions
30/06/1998
$'000
Current Employee Entitlements and Related Provisions
Accrued salaries & wages 2 502
Annual leave 6 828
Long service leave 1 802
Superannuation 658
Provision for payroll tax 465
Provision for workers compensation 2 099
Other employee provisions 5
14 359
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89
30/06/1998
$'000
Non-Current Employee Entitlements and Related Provisions
Long service leave 22 592
Superannuation 752
Provision for payroll tax 718
Provision for workers compensation 4 109
28 171
12. Borrowings
30/06/1998
$'000
Current Borrowings
Advance - Enfield Council 45
Lease Incentive (1) 306
351
Non-Current Borrowings
Advance - Treasury Imprest A/C 285
(1) The department received a lump sum of $1m in 1995-96 from the SA Housing Trust in
relation to the renewal of the non-cancellable operating lease of the Riverside Centre
administrative property. This amount is amortised against lease expenses over the term
of the lease.
13. Notes to the Statement of Cash Flows
(a) Reconciliation of cash
Cash held at the end of the reporting year as shown in the Statement of Cash Flows is
represented by the following balances:
30/06/1998
$'000
Special Deposit Account 56 748
Advance Accounts 278
Other deposits 15
Cash on Hand 11
57 052
(b) Reconciliation of Net Cash Used in Operating Activities to Net Cost of Services
30/06/1998
$'000
Net Cash Used in Operating Activities 225 590
Adjustments
Depreciation 3 750
Changes in Assets and Liabilities
Movement in receivables (1 412)
Movement in other current assets 302
Movement in recurrent payables (52 103)
Movement in employee entitlements & related provisions 6 403
Movement in lease incentive (228)
Asset write-off 725
Movement in other liabilities 53
Net Cost of Services 183 080
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
90
14. Department of Human Services effective full year
The following represents a full year picture of the Department of Human Services
operating result by combining those revenues and expenses whilst under the control of
the Department of Housing and Urban Development and the Department for Family and
Community Services with that of the department.
FACS DHUD DHS Total
$ 000 $ 000 $ 000 $ 000
Operating Expenses
Employee related 17 565 2 471 57 528 77 564
Supplies and services 5 812 5 611 29 592 41 015
Grants & subsidies 49 077 74 101 125 087 248 265
Client payments 3 308 - 6 607 9 915
Depreciation 793 404 3 750 4 947
Total Operating Expenses 76 555 82 587 222 564 381 706
Operating Revenue
Rent, fees and charges - 5 658 27 103 32 761
Interest 90 362 2 110 2 562
Dividends - HomeStart Finance - - 5 000 5 000
Other 1 243 961 5 271 7 475
Total Operating Revenue 1 333 6 981 39 484 47 798
Net Cost of Services 75 222 75 606 183 080 333 908
Government Revenues
Department Appropriation 53 302 69 049 94 167 216 518
Commonwealth grants 26 380 11 407 81 496 119 283
Other grants & contributions - 1 397 112 1 509
Total Revenues from Government 79 682 81 853 175 775 337 310
Net Revenues from Disposal of - (29) 407 378
Non-Current Assets
Change in Net Assets 4 460 6 218 (6 898) 3 780
Before Restructuring
15. Expenditure commitments
Operating lease commitments
Non-cancellable operating lease rentals with a term of more than one year, and not provided
for within the financial statements are payable as follows:
30/06/1998
$'000
Not later than one year 7 119
Later than one year but not later than two years 3 940
Later than two years but not later than five years 9 688
Later than five years 1 946
22 693
Other commitments
The department has commitments of $6.542m representing the balance of grants held for the
Crisis Accommodation Program.
De
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91
16. Targeted Voluntary Separation Packages (TVSPs)
For the purpose of this note the period represents the full financial year and therefore includes
packages accepted by employees of the former Department of Housing and Urban
Development and Family and Community Services.
During the period a total of 30 employees of the department accepted packages in line with the
State Government s policy. The TVSP component of termination payments totalled $1.198m.
The aggregate amount paid to employees who received TVSPs during 1997-98 for accrued
leave entitlements was $0.368m.
17. Administered Items
The following revenues, expenditures, assets and liabilities were administered but not
controlled by the department. In accordance with Accounting Standard AAS29 the items have
been classified as Administered and have not been included in the Financial Statements
Schedule of Administered Revenue and Expenditure
for the period 23 October 1997 to 30 June 1998
$'000
Administered Expenditure
Concessions
Water & Sewerage rates 17 148
Local Government rates 3 372
Transport 8 722
Electricity 8 510
Rail Freight for charitable organisations -
Gamblers Rehabilitation Fund 1 198
Charitable and Social Welfare Fund 2 628
Duke of Edinburgh Award Scheme 249
Family Maintenance Orders 718
Minister s Salary 68
Enfield Council salary & wage 634
43 247
Administered Revenues
Concessions 31 577
Local Government Reform Fund 3 199
Gamblers Rehabilitation Fund 1 113
Charitable and Social Welfare Fund 2 055
Duke of Edinburgh Award Scheme 230
Family Maintenance Orders 698
Minister s Salary 68
Enfield Council salary & wage recovery 634
39 574
Increase (Decrease) in Net Administered Assets Resulting from Operations (3 673)
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
92
Schedule of Administered Assets and Liabilities as at 30 June 1998
$ 000s
Administered Assets
Cash
Concessions 371
Gamblers Rehabilitation Fund 1 619
Charitable and Social Welfare Fund 268
Duke of Edinburgh Award Scheme 102
Family Maintenance Orders 45
2 405
Receivables
Local Government Reform Fund 346
Gamblers Rehabilitation Fund 6
352
Total Administered Assets 2 757
Administered Liabilities
Creditors
Concessions 263
Gamblers Rehabilitation Fund 2
Charitable and Social Welfare Fund 2
267
Total Administered Liabilities 267
Administered Net Assets 2 490
18. Employee remuneration
The number of department employees whose remuneration was over $100 000 was:
30/6/98
DHS SAHC SAHT
Number of Number of Number of
Employees Employees Employees
$ 100 001 - 110 000 2 6 4
$ 110 001 - 120 000 1 1 -
$ 120 001 - 130 000 2 2 -
$ 130 001 - 140 000 2 3 -
$ 140 001 - 150 000 1 2 1
$ 150 001 - 160 000 1 3 -
$ 160 001 - 170 000 1 - 1
$ 170 001 - 180 000 - 1 -
10 18 6
The total remuneration received or due and receivable by employees whose remuneration
exceeds $100 000:
DHS SAHC SAHT
$ 000 $ 000 $ 000
1 300 2 321 729
The table above discloses the number of employees of the department as at 30 June 1998
whose remuneration received exceeded $100 000. As remuneration details incorporate the full
financial year it includes remuneration received by staff as employees of the former FACS and
DHUD (now incorporated with the Department of Human Services) or as employees, or
assigned employees, of the South Australian Health Commission and South Australian
Housing Trust (refer Note 1 on portfolio staffing restructure).
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93
19. Auditors Remuneration
Services provided by the Auditor General s Department with respect to the audit of the
department and projects administered by the department totalled $0.080m for the reporting
period.
20. Additional Financial Instruments Disclosure
(a) Accounting Policies and Terms and Conditions affecting Future Cash Flows
The department s receivables are generally settled within 30 days with bad debts written
off in the period they are identified. Bad debts historically have not been material with
over 90% by value relating to other State Government bodies.
The department s payables are generally settled within 30 days.
(b) Interest Rate Risk Exposure
The department's exposure to interest rate risk and the effective weighted average interest rate
for classes of financial assets and financial liabilities is set out below.
Floating Non-interest Total
Interest rate Bearing 30/06/1998
$'000 $'000 $'000
Financial Assets
Cash and Deposits 57 052 - 57 052
Receivables - 15 404 15 404
57 052 15 404 72 456
Weighted average interest rate: 5 percent -
Financial Liabilities
Creditors & accruals - 18 132 18 132
Borrowings - 636 636
- 18 768 18 768
Weighted average interest rate: -
(c) Net fair value of Financial Assets and Liabilities
The net fair value of cash and cash equivalents and non-interest bearing monetary
financial assets and financial liabilities approximates their carrying value.
Carrying amount Net fair value
30/06/1998 30/06/1998
$'000 $'000
On-Balance Sheet
Financial Assets
Cash and Deposits 57 052 57 052
Receivables 15 404 15 404
72 456 72 456
Financial Liabilities
Creditors & accruals 18 132 18 132
Borrowings 636 636
18 768 18 768
Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
u
m
e 1998
94
DEPARTMENT OF HUMAN SERVICES
STATEMENT BY CHIEF EXECUTIVE
FOR THE PERIOD 23 OCTOBER 1997 TO 30 JUNE 1998
This report comprises the Financial Statements of the Department of Human Services, which
have been prepared on an accrual accounting basis. In my opinion:
the Operating Statement and the Statement of Cash Flows are drawn up to give a true and
fair view of the results of the operations and the cash flows of the department for period
23 October 1997 to 30 June 1998;
the Statement of Financial Position has been drawn up to give a true and fair view of the
state of affairs of the department as at 30 June 1998.
The Financial Statements have been prepared in accordance with Statements of Accounting
Concepts, Applicable Accounting Standards and the Public Finance and Audit Act 1987, as
amended.
Christine Charles
Chief Executive
DEPARTMENT OF HUMAN SERVICES
18 September 1998
STATEMENT BY CHIEF
EXECUTIVE
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Auditor General s Department
TO THE CHIEF EXECUTIVE
DEPARTMENT OF HUMAN SERVICES
SCOPE
As required by section 31 of the Public Finance and Audit Act 1987 I have audited the
financial statements of the Department of Human Services for the period 23 October to the
30 June 1998.
The financial statements comprise:
An Operating Statement;
A Statement of Financial Position;
A Statement of Cash Flows;
Notes to and forming part of the Financial Statements; and
Statement by the Chief Executive and the Director, Budgets.
The Chief Executive and the Director, Budgets are responsible for the preparation and
presentation of the financial statements and the information contained therein. An independent
audit of the financial statements has been conducted in order to express an opinion on them to
the Chief Executive.
The audit has been conducted in accordance with the requirements of the Public Finance and
Audit Act 1987 and the Australian Auditing Standards to provide reasonable assurance as to
whether the financial statements are free of material misstatement.
Audit procedures include examination on a test basis of evidence supporting the amounts and
other disclosures in the financial statements, and the evaluation of accounting policies and
significant accounting estimates. Those procedures were undertaken to form an opinion
whether, in all material respects, the financial statements are presented fairly in accordance
with the Treasurer s Instructions promulgated under the provisions of the Public Finance and
Audit Act 1987, Australian Accounting Standards and other mandatory professional reporting
requirements (Urgent Issues Group Consensus Views) so as to present a view which is
consistent with my understanding of the Department of Human Services financial position, the
results of its operations and its cash flows.
The audit opinion expressed in this report has been formed on the above basis.
Departm
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fo
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to
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INDEPENDENT AUDIT
REPORT
QUALIFICATION
As stated in Note 2(c) the Department provides grant monies to certain community
organisations which are subject to a requirement that monies unexpended at year end or at the
end of the grant period are repayable unless specific authority is obtained to carry funds
forward into the next financial year or grant period. The Department has not conducted a
balance day confirmation process with external parties to determine what unexpended monies
should be repaid and consequently no receivable has been recognised in the accounts in
relation to these funds.
QUALIFIED AUDIT OPINION
In my opinion, except for the effects on the financial report of the matter referred to in the
qualification paragraph, the financial report presents fairly in accordance with the Treasurer s
Instructions promulgated under the provisions of the Public Finance and Audit Act 1987,
applicable Australian Accounting Standards and other mandatory professional reporting
requirements, the financial position of the Department of Human Services as at 30 June 1998,
the results of its operations and its cash flows for the period ended 30 June 1998.
30 September 1998
K I MacPHERSON
AUDITOR-GENERAL
9th Floor State Administration Centre Victoria Square Adelaide 5000
Telephone (08) 226 9640 Facsimile (08) 226 9688 DX 56208 Victoria Square
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1998 1997
Note $'000 $'000
OPERATING EXPENSES:
Funding allocation to incorporated health services 1 431 260 1 309 085
Funding allocation to other bodies 64 221 74 979
Corporate policy, planning and administration 3,4,5 70 853 62 770
Unincorporated health services 3,4,5 61 100 66 275
Interstate patient transfers 9 951 4 592
Interest on loans 26 3 298 3 427
Total Cost of Services and Funding 1 640 683 1 521 128
OPERATING REVENUES:
Corporate policy, planning and administration 6 27 587 33 406
Unincorporated health services 6 8 572 3 186
Interstate patient transfers 17 741 11 704
Interest on loans 26 3 763 3 933
Total Operating Revenue 57 663 52 229
NET COST OF SERVICES AND FUNDING (1 583 020) (1 468 899)
GOVERNMENT CONTRIBUTIONS FOR
PROVISION OF HEALTH SERVICES:
SA Government appropriation 8(a)(c) 671 466 748 982
Commonwealth specific purpose funds 8b 674 666 658 858
Grants from other SA Government agencies 8(a)(c) 184 240 49 930
TOTAL GOVERNMENT CONTRIBUTIONS
FOR PROVISION OF HEALTH SERVICES 1 530 372 1 457 770
Net gain (loss) on sale of property, plant and equipment 7 (1 265) (3 280)
Abnormal items 9a - (7 399)
CHANGE IN NET ASSETS RESULTING FROM
OPERATIONS (53 913) (21 808)
Extraordinary items 9b 2 517 (57 902)
Restructure of Administrative Arrangements 10 9 671 -
CHANGE IN NET ASSETS RESULTING
FROM OPERATIONS, EXTRAORDINARY
ITEMS & RESTRUCTURE OF
ADMINISTRATIVE ARRANGEMENTS (41 725) (79 710)
SOUTH AUSTRALIAN
HEALTH COMMISSION
OPERATING
STATEMENT
for the year ended
30 June 1998
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1998 1997
Note $'000 $'000
CURRENT ASSETS:
Cash 29 198 91 483
Receivables 11, 26 28 331 10 975
Inventories 12 320 56
Other 13 1 631 330
Total Current Assets 59 480 102 844
NON-CURRENT ASSETS:
Receivables 11, 26 36 520 37 556
Land and improvements 14 15 636 14 611
Plant and equipment 15 5 694 9 659
Other 13 1 013 -
Total Non-Current Assets 58 863 61 826
TOTAL ASSETS 118 343 164 670
CURRENT LIABILITIES:
Payables 16 17 281 15 957
Borrowings 17 2 110 2 335
Employee entitlements 18 630 5 668
Provisions 19 10 937 11 139
Other 20 1 613 1 596
Total Current Liabilities 32 571 36 695
NON-CURRENT LIABILITIES:
Borrowings 17 29 533 30 414
Employee entitlements 18 623 8 870
Provisions 19 26 981 24 074
Other 20 677 -
Total Non-Current Liabilities 57 814 63 358
TOTAL LIABILITIES 90 385 100 053
NET ASSETS 27 958 64 617
EQUITY
Accumulated surplus 21 27 958 64 617
TOTAL EQUITY 27 958 64 617
Commitments 22,24
SOUTH AUSTRALIAN HEALTH
COMMISSION
STATEMENT OF
FINANCIAL POSITION
for the year ended
30 June 1998
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Note Inflows Inflows
(Outflows) (Outflows)
1998 1998
$'000 $'000
CASH FLOWS FROM OPERATING ACTIVITIES:
PAYMENTS:
Funding allocation to incorporated health services (1 446 289) (1 314 295)
Funding allocation to other bodies (62 250) (73 911)
Corporate policy, planning and administration (67 291) (35 269)
Unincorporated health services (60 896) (66 275)
Interstate patient transfers (2 351) (4 592)
Interest on loans (2 577) (2 692)
New loans (290) (1 257)
RECEIPTS:
Corporate policy, planning and administration 34 202 32 842
Unincorporated health services 8 572 6 512
Interstate patient transfers 12 125 13 300
Interest on loans 2 843 3 217
Loan principal repayments 2 557 2 914
Reduction in overdraft due to devolution of entity 5 -
CASH FLOWS FROM GOVERNMENT:
SA government appropriation 671 466 748 982
Commonwealth specific purpose funds 670 894 658 858
Grants from other SA Government agencies 183 228 48 606
NET CASH (USED IN)/PROVIDED BY
OPERATING ACTIVITIES 25(b) (56 052) 16 940
CASH FLOWS FROM INVESTING ACTIVITIES:
Receipts from sale of non-current assets 7 1 247 1 873
Payments for purchase of non-current assets 25(c) (5 653) (2 287)
NET CASH (USED IN) INVESTING ACTIVITIES (4 406) (414)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of borrowings (1 493) (2 453)
NET CASH USED IN FINANCING ACTIVITIES (1 493) (2 453)
Net (decrease)/increase in cash held (61 951) 14 073
Cash at 1 July 90 815 76 742
CASH AT 30 JUNE 25(a) 28 864 90 815
SOUTH AUSTRALIAN
HEALTH COMMISSION
STATEMENT OF
CASHFLOWS
for the year ended 30 June 1998
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1. South Australian Health
Commission and Health
Service Units
The South Australian Health Commission (the
Commission) is established as a body
corporate under the South Australian Health
Commission Act 1976, as amended (the Act).
The Commission s function is to promote the
health and wellbeing of the people of the
State and to ensure the proper allocation and
use of resources between hospitals, health
centres and health services. Hospitals, health
centres and health services are either
incorporated as body corporates under the Act
(Incorporated Health Service Units) or are
unincorporated (Unincorporated Health
Service Units).
The Commission, designated as the Chief
Entity for financial reporting purposes, is
required under the Act to keep proper
accounts of its financial affairs and to have
those accounts audited by the Auditor
General. The Chief Entity s accounts for
financial reporting purposes comprises the
financial affairs of the Commission and
certain Unincorporated Health Service Units.
The financial affairs of Incorporated Health
Service Units do not form part of the Chief
Entity s financial report. Under the Act,
Incorporated Health Service Units are
required to maintain separate accounts of their
respective financial affairs and to have them
separately audited by the Auditor General or
an auditor approved by the Auditor General.
This financial report then presents the
financial affairs of the corporate and health
service related functions of the Commission
and those financial affairs relating to certain
Unincorporated Health Service Units,
notably:
South Australian Health Commission
Corporate Policy, Planning and
Administration
Public and Environmental Health
Service
Unincorporated Health Service Units
Management Assessment Panel
Office of the Public Advocate
Guardianship Board
Mental Health Services
Rural Health Training Unit
Adult Physiological and Neurological
Option Co-ordination Agency
Brain Injury Option Co-ordination
Agency
On 25 April 1998, all public sector employees
and officers of the Commission employed
under a contract on a temporary or casual
basis, or for a fixed term, other than the Chief
Executive Officer and the Deputy Chief
Executive Officer; employees of the former
South Australian Mental Health Services
(SAMHS) programs; Mental Health Services
for Older People and Rural and Remote;
employees remunerated at hourly, daily,
weekly or piece-work rates of payments; and
employees and officers of a hospital or health
centre incorporated under the Act were
appointed to the administrative unit of the
Department of Human Services under the
Public Sector Management Act 1995.
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NOTES TO AND PART OF
THE FINANCIAL
STATEMENT
for the year ended 30 June 1998
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With respect to Mental Health Services, the
Commission continued the devolution of
certain Mental Health Services to various
metropolitan hospitals during 1997-98. The
associated management and operating costs of
these services will be brought to account in
the financial statements of these hospitals.
Those functions and activities that remain
within the Chief Entity at 30 June 1998 are
associated with Rural and Remote Mental
Health and the Mental Health Unit
(realignment team). The Commission also
devolved the Sexual Offenders Treatment
Assistance Program and Migrant Health
during 1997-98.
All land and buildings and infrastructure costs
associated with the two Mental Health
Service campuses at Glenside and Hillcrest
are brought to account in the financial state-
ments for Royal Adelaide Hospital as the
funding for the infrastructure costs associated
with these Mental Health Service campuses
has been allocated to Royal Adelaide Hospital
in 1997-98.
2. Significant Accounting
Policies Financial Report
Preparation
The financial statements have been prepared
in accordance with the requirements of the
Act, South Australian Health Commission
Accounting Policies and the Public Finance
and Audit Act 1987. The Commission, in
accordance with the approval of the Treasurer,
has submitted to the Auditor General the
financial statements reflecting the financial
affairs of the Chief Entity. Whole-of-Health
Sector financial statements reflecting the
consolidation of the accounts of the Chief
Entity and Incorporated Health Service Units
are required to be submitted to the Auditor
General by 31 December 1998.
The 1997-98 financial statements include
comparative figures for the preceding
financial year which were the subject of audit
qualification in the previous year. That
qualification resulted from limitations in some
systems and records, subsidiary to the accrual
based general ledger system, which prevented
the production of timely and appropriate
information to establish with sufficient
certainty the values ascribed to those
disclosure items within the financial
statements.
The items related to Interstate Patient
Transfers - Operating Expenses (Payables)
and Revenues (Receivables); Budget
Variations included under Funding Allocation
to Incorporated Health Services - Operating
Expenses (Payables/Receivables); and
Employee Entitlements - Liabilities.
The matters giving rise to the qualification
were resolved during the year and as a
consequence disclosures with respect to the
1997-98 financial statement figures are
unqualified.
These financial statements encompass the
reporting of the revenues, expenses, assets
and liabilities associated with the financial
reporting responsibility of the Chief Entity
described in Note 1.
Health Service Unit Funding
Funding is allocated from the Chief Entity s
Special Deposit Account based on the net cost
of health unit activities. Under net funding
principles established with Health Service
Units, the Units are permitted to retain
revenue from operations to finance recurrent
activities. Health Service Unit revenues are
therefore not included as revenues in the
financial report of the Chief Entity.
(a) Principles of Consolidation
This financial report consolidates the
assets, liabilities, revenues and expenses
of the Chief Entity comprising the South
Australian Health Commission and the
Unincorporated Health Service Units
detailed in Note 1.
In preparing the consolidated accounts
the effect of all transactions between the
Chief Entity and these Unincorporated
Health Service Units are eliminated in
full.
Accounting policies are applied
consistently by both the Chief Entity and
the Unincorporated Health Service
Units.
(b) Property, Plant and Equipment
The Statement of Financial Position
includes property, plant and equipment
controlled by the Chief Entity and
Unincorporated Health Service Units.
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In the case of land and buildings, values
at 1 July 1997 are based on the deprival
value method of valuation.
In the case of property, plant and equip
ment other than land and buildings, the
value at 1 July 1997 is calculated on the
basis of replacement cost (or historic
cost where replacement cost is not
available) less a deduction to reflect the
portion of service potential which has
been consumed since the asset was
acquired, that is, written down
replacement cost (or depreciated historic
cost).
All assets acquired since 1 July 1997 are
accounted for at cost. In accordance
with South Australian Health
Commission Accounting Policies, land
and buildings are to be revalued every
three years thereafter.
The Department of Treasury and
Finance has approved the delay of the
revaluation of land and buildings until
1998-99 to enable the finalisation of the
development and trial of the CABS
(Condition of Asset Based System)
framework and methodology, with the
intent of using it for the revaluation of
land and buildings in 1998-99.
Minor items of property, plant and
equipment with an individual value of
less than $1000 are expensed at the time
they are acquired.
(c) Depreciation
All items of property, plant and
equipment, except land are depreciated
in accordance with South Australian
Health Commission Accounting Policies
on a straight line basis over their useful
lives.
d) Income Recognition
All income is recorded as revenue in the
Operating Statement at the time it is
earned or at the time control passes to
the Chief Entity.
Patient fees, nursing home fees and
other client fees are based on rates
specified by South Australian Health
Commission Regulations.
(e) Employee Entitlements
The charge for wages, salaries and other
employee entitlements includes amounts
expected to be paid to employees for
their pro rata entitlements to long
service leave and annual leave. Pro rata
long service leave is accrued for all
employees with five or more years
service. An on-cost for workers
compensation and superannuation is
included in the employee entitlements
liability. As a result of the restructure of
administrative arrangements which
transferred the employees and officers of
the Act to the administrative unit of the
Department of Human Services, the
Department of Human Services has
assumed all future obligations in regards
to the accumulated employee entitle
ments for transferred employees.
(f) Services provided free of charge
The financial report does not reflect any
amount for employee entitlements
provided on a voluntary basis. Goods
and Services provided free of charge or
for a nominal value are included in the
revenue amount in the financial
statements.
(g) Operating Leases
Leases under which substantially all the
risks and benefits of ownership are
effectively retained by the lessor are
classified as operating leases. Operating
lease payments are charged to expense
over the period of expected benefit.
These leases are detailed in Note 22 to
the accounts.
(h) Inventories
Items held for use by the Chief Entity
are accounted for at cost unless it is
apparent they are obsolete or surplus to
requirements in which case they are
written off.
Items held for sale are accounted for at
the lower of cost or net realisable value.
(i) Specific Commonwealth and Other
Purpose Funds
The Chief Entity receives specific
purpose funds from various sources,
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principally from the Commonwealth
Government which are outlined in Note
8(b). These amounts are controlled by
the entity and applied towards the fund
ing of health service related activities.
The Chief Entity s accounting records
do not distinguish the amount unspent at
balance date with respect to each fund.
(j) Superannuation
The Chief Entity contributed $2.071
million (1997: $2.414 million) towards
the accruing employee superannuation
retirement benefits for staff employed by
or assigned to the Commission under a
number of employer sponsored
superannuation schemes. These
schemes include the SA Superannuation
Fund and a number of non-government
superannuation schemes. The Chief
Entity pays the accruing employer
component. The funds' trustees are
responsible for managing the employee
retirement liability.
In addition, the Chief Entity contributed
$1.142 million (1997: $1.641 million) in
relation to employees who are not active
contributors of employer schemes as
required under the Commonwealth
Superannuation Guarantee
(Administration) Act 1992.
(k) Workers Compensation
The Commission is an exempt employer
under the Workers Rehabilitation and
Compensation Act 1986.
Under a scheme arrangement the
Commission and participating exempt
Health Service Units are responsible for
the management of workers
rehabilitation and compensation.
Health services participating in the
scheme continue to be directly
responsible for the cost of workers
compensation claims, the
implementation and funding of
preventive programs and are allocated
funding for this purpose. The
Commission has retained responsibility
for the settlement of lump sum and
journey claims.
The worker s compensation liability
amounts for workers compensation at 30
June 1998 has been estimated at $25.901
million (1997: $22.295 million). That
liability has been determined by an
actuarial assessment conducted by
Auton Consulting Pty Ltd. The
valuation method used was the Payment
Per Claim Incurred (PPCI) method. The
assessment has been carried out in
accordance with Australian Accounting
Standard 26, Financial Reporting of
General Insurance Activities and the
Workcover Guidelines for Actuarial
Assessments. The liability covers claims
incurred but not yet paid, incurred but
not reported claims and the anticipated
direct and indirect costs of settling those
claims. The liability for outstanding
claims is measured as the present value
of the expected future payments,
reflecting the fact that all the claims do
not have to be paid out in the immediate
future.
(l) General Public Liability and
Professional Indemnity Insurance
The overall value of outstanding claims
as at 30 June 1998 was estimated to be
$80.784 million (1997: $71.939
million). Of this amount, the Chief
Entity as a participant in the State
Government's Insurance Program, is
only liable for $11.267 million (1997:
$12.168 million).
(m) Rounding
All amounts are rounded to the nearest
thousand dollars.
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3. Operating Expenses - Salaries, Wages, Other Employee Entitlements
and Staffing Expenses
Salaries, wages, employee entitlements and staffing expenses recorded in the Operating
Statement comprise:
1998 1997
$ 000 $ 000
Salaries & wages 38 146 43 928
Long service leave 676 2 779
Superannuation 3 451 4 794
Annual leave 2 546 4 270
Targeted separation packages 118 676
Other 79 788
45 016 57 235
Included in the cost of salaries, wages and employee entitlements total above are the staffing
expenses associated with staffing the Commission from the 26 April 1998 to the 30 June 1998
by Department of Human Services employees. These expenses amounted to $6.885 million.
Targeted Voluntary Separation Expenses (TVSPs)
In accordance with government policy to reduce the public sector workforce, four (1997: 14)
employees of the Chief Entity were paid TVSPs during 1997-98. To 30 June 1998 payments
amounted to $118 000 (1997: $676 000). These payments were met by the Chief Entity and
have been recovered from the Department of the Premier and Cabinet (in 1997 the receivable
was $31 000).
In addition, accrued annual leave and long service entitlements amounting to $37 000 (1997:
$227 000) were paid to those employees who received a TVSP. These payments are included
in salaries, wages and other employee entitlements as shown above.
4. Operating Expenses - Goods and Services
Goods and services expenditure recorded in the Operating Statement comprises:
1998 1997
$ 000 $ 000
Food supplies 98 527
Drug supplies 6 674 1 571
Medical, surgical and laboratory supplies 655 933
Housekeeping 328 922
Electricity, gas and fuel 170 207
Minor equipment 962 680
Repairs and maintenance 898 620
Doubtful debts - 105
Property sale expenses - 750
Administration expenditure (Note 4(a)) 26 207 23 828
Insurance 20 797 26 019
Workers Compensation Expenses 4 787 -
Interpreter / translation fees 1 577 1 572
Patient travel concessions 3 876 3 234
Patient domiciliary services 7 555 3 261
Fee for service - extended care beds 4 835 1 130
Other 5 234 4 621
84 653 69 980
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105
(a) Administration Expenditure
Administration expenditure recorded in the Operating Statement comprises:
1998 1997
$ 000 $ 000
Consultancies (Note 4(b)) 2 198 1 517
External auditors 165 167
Staff travel 1 397 1 410
Operating lease 390 149
Staff training and development 1 789 1 067
Occupancy rent and rates 3 265 3 027
Port Pirie Lead Decontamination 459 1 002
Advertising 437 582
Contract staffing 5 907 2 926
Inter-Agency Project Costs 159 340
Health Survey Costs 399 324
Telephones 1 045 1 153
Computer and software 2 751 2 701
Postage 587 360
Printing and stationery 1 305 1 354
Periodicals, journals & publications 568 261
Legal Fees 461 237
Other 2 925 5 251
26 207 23 828
Breakdown of Consultancies
No 1998 No 1997
$ 000 $ 000
Below $10 000 35 133 24 100
$10 000 - $50 000 23 570 20 462
Above $50 000 8 1 495 8 955
66 2 198 52 1 517
5. Operating Expenses - Depreciation and Amortisation
Depreciation expenditure recorded within the Operating Statement comprises:
1998 1997
$ 000 $ 000
Buildings 45 27
Plant & Equipment 1 561 1 447
Other amortisation 678 356
2 284 1 830
6. Operating Revenues
Revenue recorded within the Operating Statement includes:
1998 1997
$ 000 $ 000
Patient charges and fees 2 055 2 557
Interest revenue 4 188 6 212
Insurance cost recoveries from Health Services 20 268 19 877
Insurance claims cost recoveries from SAICORP 1 837 1 390
Other expense recoveries from Health Services 1 517 3 140
Targeted separation packages 118 676
Health Plus Management Contract 2 296 -
Assets received for nil consideration (Note 6 (a) 1 445 1 310
Other 2 435 1 430
36 159 36 592
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(a) Assets Received for Nil Consideration
During the reporting period the Chief Entity received assets for nil consideration as folows:
1998 1997
$ 000 $ 000
Land 1 350 622
Buildings 95 688
1 445 1 310
7. Net Gain/(Loss) from Sale of Non-Current Assets
During the reporting period the Chief Entity sold land and buildings and plant and equipment:
1998 1997
$ 000 $ 000
Proceeds from sale 1 247 1 873
Amount Receivable 2 751 2 917
Less: written down value of assets sold (5 263) (8 070)
(1 265) (3 280)
8. Total Government Revenues for Provision of General Health
Services
(a) SA Government Appropriations
SA Government funding consists of $671.466 million (1997: $651.690 million) pursuant to the
Appropriation Act 1997. (In addition in 1997 the Chief Entity received $97.292 million
pursuant to the Petroleum Products Regulation Act 1995).
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Commonwealth Government Specific Purpose Grants
The principal program revenues during the year were:
1998 1997
$ 000 $ 000
Aboriginal Advancement Program 200 1 624
Aged Care Assessment Program 3 562 3 524
AIDS Strategy - 2 098
Artificial Limbs Scheme 1 007 985
Breast Screen Australia - 2 603
Cervical Cancer Screening - 741
Childhood Immunisation - 1 144
Commonwealth - State Disability Agreement 40 382 39 760
Daw Park Repat Hospital 53 517 54 951
Daw Park Repat Hospital - Capital - 8 000
Dental Health - 4 913
Drug Programs - 1 883
Health Plus - 1 736
Highly Specialised Drugs 13 538 10 171
Medicare Agreement:
Base funding arrangement 356 440 339 707
Base provision pool - Pool A 134 377 129 018
Annual adjustment - Pool B 9 896 10 993
AIDS care & treatment 3 557 3 272
Mental health reform 2 363 2 309
Outpatients Program - 1 069
Palliative Care 2 460 2 282
Capital 468 760
Other - 65
Magnetic resonance imaging 2 265 1 998
National women s health grant - 636
Pathology laboratory grant - IMVS 29 094 24 501
Public Health Agreement 12 137 -
Red Cross blood transfusion service 4 996 4 147
Red Cross blood transfusion service - capital 444 615
Woomera Hospital 971 963
Other minor schemes 2 992 2 390
674 666 658 858
(c) Grants from Other SA Government Departments
Grants consisted of funds amounting to $7.4 million (1997: $7.5 million) from the Community
Development Fund, $131.074 million from the Business Franchise Fee Replacement Revenue
Account to replace amounts formally received pursuant to the Petroleum Products Regulation
Act 1995 and $45.766 million (1997: $42.430 million) for Home and Community Care
recouped from the Department of Human Services.
9. Abnormal and Extraordinary Items
(a) Abnormal Items
In 1998 there were no abnormal items. (In 1997 advances made in prior years to Health
Service Units to fund budget deficits to the value of $6.827 million were written off and the
Cook Chill loan to North Western Adelaide Health Service for $0.572 million was converted to
a grant).
(b) Extraordinary Items
The extraordinary profit of $2.517 million (1997: $57.770 million loss) disclosed in the
Operating Statement results from the devolution of Mental Health Services.
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1998 1997
$ 000 $ 000
Royal Adelaide Hospital
(Eastern Community Mental Health Service) (9 244) 54 611
NWAHS (North West Adelaide Mental Health Service) 6 359 2 069
Flinders Medical Centre (Southern Mental Health Service) 368 1 119
Noarlunga Health Services (Morier Ward) - 64
Women s & Children s Hospital - (93)
Total (2 517) 57 770
Net liabilities of $1.2 million (1997: $2.145 million) were retained by the Chief Entity.
10. Restructure of Administrative Arrangements
The restructure of administrative arrangements disclosed in the Operating Statement results
from the transfer of the entitlements associated with the employees and officers incorporated
into the administrative unit of the Department of Human Services under the Public Sector
Management Act 1995. Refer to Note 1. The net revenue of the restructure to the Commission
is $9.671 million as the Department of Human Services has completely assumed all future
obligations in regards to the prior accumulated employee entitlements before the transfer date
and thereafter.
1998 1997
$ 000 $ 000
Restructure of Administrative Arrangements 9 671 0
9 671 0
11. Receivables
1998 1997
$ 000 $ 000
Current
Grants 17 641 2 180
Advances 920 573
Loans 2 277 1 793
Property sales 4 176 2 917
Sundry receivables 3 317 3 512
28 331 10 975
Non-Current
Loan s 34 435 36 266
Advances - 920
Property sales 1 492 -
Sundry receivables 693 470
36 620 37 656
Less: provision for doubtful debts 100 100
36 520 37 556
12. Inventories
1998 1997
$ 000 $ 000
Drug Supplies 239 -
Stationery 81 56
320 56
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13. Other Assets
1998 1997
$ 000 $ 000
Current
Prepayments 1 631 330
1 631 330
Non-Current
Prepayments 1 013 -
1 013 -
14. Land and Improvements
1998 1997
$ 000 $ 000
Buildings (at current cost) 4 373 3 436
Other improvements (at current cost) 5 236 2 224
9 609 5 660
Less: Accumulated depreciation 1 778 1 055
7 831 4 605
Site land (at current cost) 46 46
Other land (at current cost) 7 759 9 960
7 805 10 006
15 636 14 611
15. Plant and Equipment
1998 1997
$ 000 $ 000
Plant and equipment at cost 11 860 16 041
Less: Accumulated depreciation 6 181 6 412
5 679 9 629
Motor vehicles at cost 60 60
Less: Accumulated depreciation 45 30
15 30
5 694 9 659
16. Payables
1998 1997
$ 000 $ 000
Current
Payables 17 068 15 691
Accruals 213 266
17 281 15 957
17. Borrowings
1998 1997
$ 000 $ 000
Current
Department of Treasury and Finance 1 776 1 667
Bank overdrafts 334 668
2 110 2 335
Non-Current
Department of Treasury and Finance 29 533 30 414
29 533 30 414
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These borrowings are due for repayment:
1998 1997
$ 000 $ 000
Not later than one year 2 110 2 335
Later than one year and not later than two years 1 243 1 118
Later than two years and not later than five years 429 1 587
Later than five years 27 861 27 709
31 643 32 749
18. Employee Entitlements
1998 1997
$ 000 $ 000
Current
Long service leave 98 1 277
Annual leave 392 2 924
Accrued salaries and wages 140 540
Superannuation - 924
Other - 3
630 5 668
Non-Current
Long service leave 623 8 443
Superannuation - 427
623 8 870
Due to the restructure of administrative arrangements referred to in Notes 1 and 10, the
Department of Human Services has assumed the Chief Entity s future obligations in regards to
the accumulated employee entitlements and in respect of transferred staff. In addition, current
Enterprise Bargaining negotiations on wage parity for Department of Human Services
employees transferred from the Commission may result in a future obligation for parity
adjustments back paid by the administrative department. As at sign off these negotiations have
not yet concluded deeming the measurement of any future obligation unreliable.
19. Provisions
1998 1997
$ 000 $ 000
Current
Insurance 3 372 3 668
Workers compensation 7 565 7 471
10 937 11 139
Non-Current
Provision for property sale costs 750 750
Insurance 7 895 8 500
Workers compensation 18 336 14 824
26 981 24 074
20. Other Liabilities
1998 1997
$ 000 $ 000
Current
Unearned revenue 1 329 1 333
Other 284 263
1 613 1 596
Non-Current
Unearned revenue 677 -
677 -
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21. Equity
Accumulated Surplus Accumulated Surplus
1998 1997
$ 000 $ 000
Consolidated
Balance at 1 July 64 617 144 327
Deficit of the reporting period (41 725) (79 710)
Prior Period Adjustments 5 066 -
Balance at 30 June 27 958 64 617
22. Operating Leases
At 30 June 1998, the Chief Entity had the following commitments under non-cancellable
operating leases:
1998 1997
$ 000 $ 000
Not later than one year 3 403 3 167
Later than one year and not later than two years 3 055 2 909
Later than two years and not later than five years 7 678 7 299
Later than five years 359 3 485
14 495 16 860
23. Contingent Liabilities
A non-quantifiable contingent liability in relation to a guarantee provided until January 2001 to
Palantir Pty Ltd for the operation of the Noarlunga Private Hospital. Under the terms of the
guarantee, the State is liable for all losses and retains all profits of the Noarlunga Private
Hospital. For the financial year 1997-98, the loss amounted to $3 302 (1997: $44 926).
24. Commitments for Capital Expenditures
During the reporting period the Chief Entity had approved for commitment capital expenditure
for a number of specific projects. The total value outstanding as at the end of the reporting
period for specific projects whose value is at least $1 million amounted to $81.568 million
(1997: $67.5 million). These amounts have not been brought to account in the financial
statements.
These amounts are due for payment:
1998 1997
$ 000 $ 000
Not later than one year 50 335 56 000
Later than one year and not later than two years 26 779 7 300
Later than two years and not later than five years 4 454 4 200
81 568 67 500
25. Notes to the Statement of Cash Flows
(a) Reconciliation of Cash
For the purpose of the Statement of Cash Flows, cash includes cash on hand and deposit
accounts and is reconciled to related items in the Statement of Financial Position as follows:
1998 1997
$ 000 $ 000
Cash on hand 85 85
Cash at bank 29 113 91 398
29 198 91483
Bank overdraft (334) (668)
28 864 90 815
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(b) Reconciliation of change in Net Assets to Net Cash
used in Operating Activities
1998 1997
$ 000 $ 000
Change in Net Assets resulting from Operations,
Extraordinary Items and Restructure of
Administrative Arrangements (41 725) (79 710)
Extraordinary item (9 671) 57 902
Add (Less):
Devolution of entity (net of cash) (2 517) 7 399
Net loss on sale of property 1 265 3 280
Non-cash items:
Depreciation 3 297 1 830
Assets received for nil consideration (1 445) (1 310)
Provisions raised 13 954 35 213
Other 779 -
Change in assets and liabilities after devolution of entity:
(Increase)/decrease in receivables (18 523) (4 258)
(Increase)/ decrease in other current assets (1 778) (128)
(Increase)/decrease in payables 375 (3 103)
(Increase)/decrease in other current liabilities 714 1 596
(Decrease)/increase in borrowings (777) (1 771)
Net cash used in operating activities (56 052) 16 940
(c) Purchase of Non-Current Assets
1998 1997
$ 000 $ 000
Payments for acquisition of plant and equipment 2 876 2 287
2 876 2 287
26. Reconciliation of Inter-Health Loans
As at 30 June 1998 the balance of loans to Health Service Units and other bodies was $36.712
million (1997: $38.059 million). The movement and status of the overall loans position is as
follows :
1998 1997
$ 000 $ 000
Balance at 1 July 38 059 39 535
Add:
Advances to Health Units 290 1 257
Interest charges 3 763 3 933
Total Repayable 42 112 44 725
Less:
Repayments received * 5 400 6 094
Conversion of loan to grant - 572
Balance as at 30 June 36 712 38 059
* Repayments received consist of $2.843 million (1997: $3.180 million) for interest and
$2.557 million (1997: $2.914 million) for principal.
The Chief Entity to 30 June 1998 has financed the Health Service Units and other bodies with
loans amounting to $5.403 million (1997: $6.297 million) from South Australian Health
Commission funds and $31.309 million (1997: $32.081 million) from back to back loan
arrangements with the Department of Treasury and Finance.
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The movements and status of the back to back loan arrangements are as follows:
1998 1997
$ 000 $ 000
Balance at 1 July 32 081 33 761
Add:
Interest charged 3 298 3 427
Total Repayable 35 379 37 188
Less:
Repayments* 4 070 5 107
Balance as at 30 June 31 309 32 081
* Repayments consist of $2.577 million (1997: $2.654 million) for interest and $1.493
million (1997: $2.453 million) for principal
27. Commissioners and Related Party Information
Commission members who have served during the course of the reporting period are:
Mr Ray Blight Chief Executive Officer; South Australian Health Commission
(resigned 14 April 1998)
Ms Christine Charles Chief Executive; South Australian Health Commission
(appointed 15 April 1998)
Professor W. Runciman Professor and Head; Department of Anaesthesia and Intensive Care;
Royal Adelaide Hospital
Dr David Filby Executive Director; Policy and Budget; South Australian Health
Commission
Ms Helen Tolstoshev Chief Executive Officer; Nurses Board of South Australia
Mr Jim Birch Chief Executive Officer; Women s & Children s
Hospital
Aggregate fees received or receivable 1998 1997
by members of the Commission in their $ 000 $ 000
capacity as members of the Commission only
9 9
The number of the Commission members included in the above figures are shown in their
relevant income bands:
1998 1997
Number of Number of
Members Members
Nil to $9 999 1 1
Members of the Commission use the services of the Chief Entity under terms and conditions
no more favourable than members of the public.
Professor Runciman as President of the Australian Patient Safety Foundation (APSF) has
entered into an agreement to provide an incident reporting and monitoring system for all public
hospitals in South Australia. Professor Runciman declares he has no pecuniary interest in
APSF.
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28. Administered Funds
During the course of the year the Chief Entity administered funds on behalf of other organisa-
tions. The funds administered were:
1998 1997
$ 000 $ 000
Balance held at 1 July 380 1 081
Add: Receipts during the year 7 054 19 755
Less: Expenses during the year 7 183 20 456
Balance held as at 30 June 251 380
Employee Remuneration greater than $100 000
Total TVSP
1998 Value Component
Number $ 000 $ 000
$100 000 to $109 999 7 734 -
$110 000 to $119 999 1 115 -
$120 000 to $129 999 2 251 -
$130 000 to $139 999 3 394
$140 000 to $149 999 2 290 -
$150 000 to $159 999 3 464 -
$170 000 to $179 999 1 175
*19 2 423 -
* Comprises administrative and health service related employees and includes three
employees of Unincorporated Health Service Units.
Total TVSP
1997 Value Component
Number $ 000 $ 000
$100 000 to $109 999 9 945 136
$110 000 to $119 999 5 571 71
$120 000 to $129 999 3 379 98
$140 000 to $149 999 1 148 -
$150 000 to $159 999 1 155 -
$190 000 to $199 999 1 194 -
*20 2 392 305
* Comprises administrative and health service related employees and includes 9 employees
of Unincorporated Health Service Units.
The table above recognises the number of employees who were employed by the Commission,
or assigned to the Commission from the Department of Human Services (refer Note 1), and
whose full year remuneration exceeded $100 000.
30. Additional Financial Instruments Disclosure
(a) Accounting Policies and Terms and Conditions Affecting Future Cash Flows
Financial Assets
Cash deposits are recognised at their nominal amounts. Interest is credited to revenue as it
accrues. The Chief Entity invests surplus funds with the Reserve Bank at call. Interest is
earned on the daily balance at rates based on the Department of Treasury and Finance 90 day
bank bill rate. Interest is paid at the end of each quarter.
Trade accounts receivables are generally settled within 30 days and are carried at amounts due.
Credit terms are net 30 days. A provision is raised for any doubtful debts based on a review of
all outstanding amounts at balance date. Bad debts are written off in the period in which they
are identified.
Grants and property sales receivables are carried at amounts due. A provision is raised for any
doubtful debts based on a review of all outstanding amounts at balance date. Bad debts are
written off in the period in which they are identified.
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Loans are recognised at the amounts lent. Collectability of amounts outstanding is reviewed at
balance date. Provision is made for bad and doubtful loans where collection of the loan or part
thereof is judged to be less rather than more likely. In very rare circumstances, loan
repayment may be waived. Interest is credited to revenue as it accrues. No security is
generally required. Principal is repaid in full at maturity. Interest rates are fixed. Interest
payments are due on the day of the scheduled agreed terms of payment.
Financial Liabilities
Trade accounts payable, including accruals not yet billed, are recognised when the economic
entity becomes obliged to make future payments as a result of a purchase of assets or services
at their nominal amounts. Trade accounts payable are generally settled within 30 days.
Borrowings and the Overdraft are recognised when issued at the amount of the net proceeds
due and carried at cost until settled. Interest is recognised as an expense on an effective yield
basis.
Grants payable are recognised at their nominal amounts when the economic entity becomes
obliged to make future payments as a result of an unpaid appropriation or failure to meet grant
conditions.
A non-quantifiable contingent liability is the guarantee provided until January 2001 to Palantir
Pty Ltd for the operation of the Noarlunga Private Hospital. No provision is included in the
accounts for this contingent liability because it is considered unlikely any significant liability
will arise.
All Assets and Liabilities are unsecured.
Interest Rate Risk Exposures
The Chief Entity s exposure to interest rate risk and the effective weighted average interest rate
for classes of financial assets and financial liabilities is set out below.
Exposures arise predominantly from assets and liabilities at variable interest rates as the Chief
Entity intends to hold fixed rate assets and liabilities to maturity.
Fixed interest maturing in:
1998 Floating 1 Year or Over 1 More than Non- Total Wieghted
Interest Less to 5 Years 5 Years Interest Average
Rate $ 000s $ 000s $ 000s Bearing $ 000s Effective
$000s $ 000s Rate
Financial Assets
Cash and Deposits 29 198 - - - - 29 198 5.01%
Loans - Fixed - 145 2 427 33082 - 35 654 10.44%
Loans - Non-Interest
Bearing - - - - 1 058 1 058 N/A
Advances - - - - 920 920 N/A
Grants Receivable - - - - 17 641 17 641 N/A
Property Sales
Receivable - - - - 5 668 5 668 N/A
Sundry
Receivables - - - - 4 010 4 010 N/A
29 198 145 2 427 33 082 29 297 94 149
Financial Liabilities
Creditors & accruals - - - - 17 281 17 281 N/A
Borrowings - Fixed - - 2427 28 882 - 31 309 10.35%
Borrowings - Floating 334 - - - - 334 13.40%
334 - 2 427 28 882 17 281 48 924
(b) Foreign Exchange Risk
The Chief Entity does not enter into any forward foreign exchange contracts.
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(c) Commodity Price Risk
The Chief Entity does not enter into any contracts to hedge commodity purchase prices.
(d) Credit Risk Exposures
Credit risk represents the loss that would be recognised if counterparties failed to perform as
contracted.
The credit risk on financial assets, excluding investments, of the Chief Entity which have been
recognised in the Statement of Financial Position, is the carrying amount, net of any provision
for doubtful debts.
The Chief Entity does not have significant exposure to any concentration of credit risk.
(e) Net Fair Value of Financial Assets and Liabilities
The net fair value of other monetary financial assets and financial liabilities is based on market
prices where a market exists or by discounting expected future cash flows by the current
interest rates for assets and liabilities with similar risk properties. Cash flows are discounted
using standard valuation techniques at the applicable market yield having regard to the timing
of the cash flows. The carrying amount of bank term deposits, accounts receivable, accounts
payable and bank loans approximate net fair value.
1998 1998
Carrying Amount Net fair Value
$000s $000s
Financial Assets
Cash and Deposits 29 198 29 198
Loans 36 712 49 587
Advances 920 920
Grants Receivable 17 641 17 641
Property Sales Receivable 5 668 5 668
Sundry Receivables 4010 4 010
94 149 107 024
Financial Liabilities
Creditors & accruals 17 281 17 281
Borrowings 31 643 43 360
48 924 60 641
117
SOUTH AUSTRALIAN HEALTH COMMISSION
STATEMENT BY PRINCIPAL ACCOUNTING OFFICER
FOR THE YEAR ENDED 30 JUNE 1998
To the best of my knowledge and belief, the financial statements and notes thereto of the Chief
Entity of the South Australian Health Commission present a fair view of the financial position
as at 30 June 1998 and the financial transactions for the year ended on that date.
Dated 30 September, 1998.
F. R. Turner
Director, Budgets
STATEMENT BY
PRINCIPAL
ACCOUNTING
OFFICER
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SOUTH AUSTRALIAN HEALTH COMMISSION
STATEMENT BY CHAIR
FOR THE YEAR ENDED 30 JUNE 1998
To the best of my knowledge and belief:
the financial statements are drawn up so as to present fairly in accordance with South
Australian Health Commission Accounting Policies and Australian Accounting
Standards, the financial position of the Chief Entity as at 30 June 1998 and the results of
its operations and cash flows for the financial year ended on that date.
Government funding received during the year ended 30 June 1998 has been spent on the
purposes for which the amounts were advanced.
For and on behalf of the Commission
Dated 30 September 1998.
Christine Charles
Chief Executive
CHAIR, SOUTH AUSTRALIAN HEALTH COMMISSION
STATEMENT BY
CHAIR
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Departm
ent of Hum
an Services
fo
r the period24 O
ctober 1997
to
30 J
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INDEPENDENT AUDIT
REPORT
TO THE CHIEF EXECUTIVE
DEPARTMENT OF HUMAN SERVICES
SCOPE
As required by Section 31 of the Public Finance and Audit Act 1987 and Section 25 of the
South Australian Health Commission Act 1976, I have audited the financial report of the South
Australian Health Commission for the year ended 30 June 1998.
The financial report comprises:-
An Operating statement;
A Statement of Financial Position;
A Statement of Cash Flows;
Notes to and forming part of the Financial Statement;
Statement by the Chairperson and the Director, Budgets.
The Board Members are responsible for the preparation and presentation of the financial report
and the information contained therein. I have conducted an independent audit of the financial
report in order to express an opinion on it to the Chairperson.
The audit has been conducted in accordance with the requirements of the Public Finance and
Audit Act 1987 and Australian Auditing Standards to provide reasonable assurance that the
financial report is free of material misstatement.
Audit procedures included examination, on a test basis, of evidence supporting the amounts
and other disclosures in the financial report, and the evaluation of accounting policies and
significant accounting estimates. Those procedures were undertaken to form an opinion as to
whether, in all material respects, the financial report is presented fairly in accordance with the
South Australian Health Commission Accounting Standards, Australian Accounting Standards
and other mandatory professional reporting requirements (Urgent Issues Group Consensus
Views) so as to present a view which is consistent with my understanding of the South
Australian Health Commission s financial position, the results of its operations and its cash
flows.
The audit opinion expressed in this report has been formed on the above basis.
Auditor General s Department
QUALIFICATION
The 1997-98 financial statements include comparative figures for the preceding financial year
which were the subject of qualification in the previous year. That qualification resulted from
limitations in some systems and records, subsidiary to the accrual base general ledger system,
which prevented the production of timely and appropriate information to establish with
sufficient certainty the values ascribed to certain disclosure items within the financial
statements. The items relate to Interstate Patient Transfers - Operating Expenses (Payables)
and Revenues (Receivables); Budget Variations included under Funding Allocation to
Incorporated Health Services Operating Expenses (Payables/Receivables); and Employee
Entitlements/Liabilities.
The matters giving rise to the qualification were resolved during the year and as a consequence
disclosures with respect to the 1997-98 financial statement figures are unqualified.
QUALIFIED AUDIT OPINION
In my opinion, except for the effects on the financial report of the matters referred to in the
qualification paragraph, the financial report presents fairly in accordance with the Public
Finance and Audit Act 1987, South Australian Health Commission Authority policies,
applicable Australian Accounting Standards and other mandatory professional reporting
requirements, the financial position of the South Australian Health Commission as at 30 June
1998, the results of its operations and its cash flows for the year ended 30 June 1998.
30 September 1998
K I MacPHERSON
AUDITOR-GENERAL
9th Floor State Administration Centre Victoria Square Adelaide 5000
Telephone (08) 226 9640 Facsimile (08) 226 9688 DX 56208 Victoria Square
120
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121
1/07/1997 to 23/10/1997 30/6/1997
$'000 $'000
EXPENSES:
Employee related 5,059 15,684
Supplies and services 7,874 19,118
Grants & subsidies 74,101 151,971
Depreciation 527 1,534
Other - 30
Total Expenses 87,561 188,337
Operating Revenue
Rent and leases 664 1,586
Fees & charges 349 884
Portfolio service fees 5,398 13,257
Interest 411 2,295
Dividends - HomeStart Finance - 7,000
Other 1,056 1,985
Total Operating Revenue 7,878 27,007
Net Cost of Services 79,683 161,330
Government Revenues
Department Appropriation 74,072 91,881
Commonwealth grants 11,407 72,201
Other grants & contributions - 1,685
Total Revenues from Government 85,479 165,767
Net Revenues from Disposalof Non-Current Assets (23) (110)
Change in Net Assets Before Restructuring 5,773 4,327
Net Revenues/(Expenses) From Restructuring (494) 425
Change in Net Assets After Restructuring 5,279 4,752
The Operating Statement is to be read in conjunction with the notes to and forming part of the
Financial Statements
DEPARTMENT OF
HOUSING AND URBAN
DEVELOPMENT
OPERATING
STATEMENT
for the period 1 July 1997 to
23 October 1997
Departm
ent of Housing and Urban Deve
opm
ent
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
122
23/10/1997 30/6/1997
$'000 $'000
Current Assets
Cash on hand and deposit accounts 21,506 29,541
Receivables 83,109 18,033
Inventories 1 -
Other 273 58
104,889 47,632
Non-Current Assets
Receivables 1,074 -
Plant, equipment and vehicles 1,231 2,979
Land and buildings 20,167 20,946
22,472 23,925
Total Assets 127,361 71,557
Current LiabilitiesPayables 69,811 18,290
Employee entitlements 1,108 1,517
Borrowings 378 378
Other 73 511
71,370 20,696
Non-Current Liabilities
Employee entitlements 2,922 2,939
Borrowings 221 326
Other 159 186
3,302 3,451
Total Liabilities 74,672 24,147
Total Net Assets 52,689
47,410
Equity
ACCUMULATED SURPLUS 52,689 47,410
Total Equity 52,689 47,410
The Statement of Financial Position is to be read in conjunction with the notes to and forming
part of the Financial Statements
DEPARTMENT OF HOUSING
AND URBAN DEVELOPMENT
STATEMENT OF
FINANCIAL POSITION
as at 23 October 1997
De
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7
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ob
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7
123
1/07/1997 to 23/10/1997 30/6/1997
$'000 $'000
Cash flows from Operating Activities
Payments
Employee related (4,914) (16,302)
Supplies & services (6,287) (19,256)
Grants to organisations (25,916) (174,994)
Receipts
Sales, fees and charges 2,827 16,271
Dividends - HomeStart - 7,000
Interest 12 2,298
Other 1,026 4,054
Net Cash Used in Operating Activities (33,252) (180,929)
Cash Flows from Investing Activities
Purchase of property, plant & equipment (402) (1,722)
Proceeds from sale of property, plant & equipment 27 5
Net Cash Flows from Investing Activities (375) (1,717)
Cash flows from Government
State Government 25,592 110,977
Commonwealth Government - 72,792
Cash flows provided by Government 25,592 183,769
Cash flows from restructure - (287)
Net increase (decrease) in cash held (8,035) 836
Cash at the beginning of the reporting period 29,541 28,705
Cash at the end of the reporting period 21,506 29,541
The Statement of Cash Flows is to be read in conjunction with the notes to and forming part of
the Financial Statements.
DEPARTMENT OF
HOUSING AND URBAN
DEVELOPMENT
STATEMENT OF
CASHFLOWS
for the period 1 July 1997 to
23 October 1997
Departm
ent of Housing and Urban Deve
opm
ent
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
1. Abolishment of the
Department of Housing and
Urban Development
With effect from 23 October 1997 the
Department of Housing and Urban
Development(DHUD) was abolished. The
functions, together with the assets and
liabilities of the abolished Department, with
the exception of the former Planning Division
of the Department, were transferred to the
Department of Human Services which was
established on 24 October 1997. The
functions, together with the assets and
liabilities of the former Planning Division of
the Department were transferred to the
Department of Transport, the Arts and Urban
Planning.
Prior to abolishment, the objectives of the
DHUD were to:
encourage and assist orderly
development in accordance with the
Government s Planning Strategy and the
Development Act 1993
develop sound policies for efficient and
effective operations within the portfolio
including strategic planning,
develop, negotiate and manage effective
housing policies under the
Commonwealth State Housing
Agreement(CSHA),
allocate Housing Assistance funds
consistent with strategic directions
developed by the Department and jointly
agreed by Commonwealth and State
Ministers,
develop sound relationships between
State and Local Governments,
manage the West Terrace Heritage
Cemetery with a view to protecting its
historical value for present and future
generations, and
provide support services to the following
entities; South Australian Housing Trust,
South Australian Community Housing
Authority, HomeStart Finance, Office of
Local Government and Department of
Environment and Natural
Resources.
2. Statement of Accounting
Policies
Accounting Standards
This general purpose financial report has been
prepared in accordance with Australian
Accounting Standards and in particular with
AAS 29 Financial Reporting by Government
Departments, except where the effect of those
standards have been modified by Treasurer s
Instruction 9131, Financial Reporting
Following the Restructure of Public
Authorities.
Reporting Period
This financial report has been prepared for the
period 1July 1997 to 23 October 1997, the
date on which the Department of Housing and
Urban Development was abolished.
Comparative Information
Comparative information reflects the balances
at 30 June 1997 for Statement of Financial
Position items and full financial year balances
for Operating Statement and Statement of
Cash Flow items.
124
DEPARTMENT OF HOUSING
AND URBAN DEVELOPMENT
NOTES TO AND PART
OF THE FINANCIAL
STATEMENT
for the period 1 July 1997 to
23 October 1997
De
pa
rt
m
en
t o
f H
ou
sin
g
an
d
Ur
ba
n
De
ve
op
m
en
t
fo
r
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pe
rio
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7
to
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ct
ob
er
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125
3. Notes to the Statement of Cash Flows
(a) Reconciliation of cash
Cash held at the end of the reporting period as shown in the Statement of Cash Flows is
represented by the following balances:
23/10/97
$'000
Special Deposit Account 21,474
Treasury Imprest Account 10
Petty cash & cashier floats 7
Other deposits 15
21,506
(b) Reconciliation of Net Cash Used in Operating Activities to Net Cost of Services
1/07/97 to 23/10/1997
$'000
Net Cash Used in Operating Activities 33,252
Adjustments
Depreciation 527
Changes in Assets and Liabilities
Increase in Receivables (4,725)
Increase in Other Current Assets (215)
Increase in Recurrent Payables 51,818
Decrease in Employee Entitlements (426)
Decease in lease incentive (105)
Decrease in Other Liabilities (443)
Net Cost of Services 79,683
Departm
ent of Housing and Urban Deve
opm
ent
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
126
DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
STATEMENT BY DEPUTY CHIEF EXECUTIVE OFFICER
FOR THE PERIOD 1 JULY 1997 TO 23 OCTOBER 1997
1. This report comprises the Financial Statements of the Department of Housing and Urban
Development which have been prepared on an accrual accounting basis. In my opinion:
(a) the Operating Statement and the Statement of Cash Flows are drawn up to give a
true and fair view of the results of the operations and the cash flows of the
Department for period 1 July 1997 to 23 October 1997;
(b) the Statement of Financial Position has been drawn up to give a true and fair view
of the state of affairs of the Department as at 23 October 1997.
2. The Financial Statements have been prepared in accordance with Statements of
Accounting Concepts, Applicable Accounting Standards and the Public Finance and
Audit Act, 1987, as amended.
Signed:
Ian Proctor
Deputy Chief Executive Officer
DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
Dated: 27 April 1998
STATEMENT BY
DEPUTY CHIEF
EXECUTIVE
De
pa
rt
m
en
t o
f H
ou
sin
g
an
d
Ur
ba
n
De
ve
op
m
en
t
fo
r
th
e
pe
rio
d
1
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to
2
3
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ct
ob
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127
Departm
ent of Housing and Urban Deve
opm
ent
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
TO THE CHIEF EXECUTIVE
DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
In accordance with Section 31 of the Public Finance and Audit Act 1987 I have audited the
financial statements of the Department of Housing and Urban Development for the period
ended 23 October1997. The financial statements comprise:
An Operating statement;
A Statement of Financial Position;
A Statement of Cash Flows;
Notes to and forming part of the Financial Statement;
Certificate by the Deputy Chief Executive.
The Deputy Chief Executive Officer of the Department of Housing and Urban Development is
responsible for the preparation and presentation of the financial statements and the information
contained therein. An independent audit of the financial statements has been conducted in
order to express an opinion of them to the Deputy Chief Executive Officer.
The audit has been conducted in accordance with the requirements of the Public Finance and
Audit Act 1987 and Australian Auditing Standards to provide reasonable assurance as to
whether the financial statements are free of material misstatement.
Audit procedures included examination, on a test basis, of evidence supporting the amounts
and other disclosures in the financial statements and the evaluation of accounting policies and
significant accounting estimates. These procedures were undertaken to form an opinion
whether, in all material respects, the financial statements are presented fairly in accordance
with the Treasurer s Instructions promulgated under the provisions of the Public Finance and
Audit Act 1987, appropriate Australian Accounting Standards and other mandatory professional
reporting requirements (Urgent Issues Group Consensus Views ) so as to present a view which
is consistent with my understanding of the Department of Housing and Urban Development s
financial position, the results of its operations and its cash flows.
The audit opinion expressed in this report has been formed on the above basis.
INDEPENDENT AUDIT
REPORT
Auditor General s Department
AUDIT OPINION
In my opinion the financial statements present fairly in accordance with the Treasurer s
Instructions promulgated under the provisions of the Public Finance and Audit Act 1987,
appropriate Australian Accounting Standards and other mandatory professional reporting
requirements, the financial position of the Department of Housing and Urban Development as
at 23 October 1997 the results of its operations and its cash flows for the period ended 23
October 1997.
Without qualification to the opinion expressed above, attention is drawn to the fact that
Treasurer s Instruction 9131 Financial Reporting Following Restructuring of Public
Authorities was issued specifically in relation to financial statements for South Australian
Government Agencies abolished on 23 October 1997. Note 2 to the financial statements refers
to the application of the instruction. The instruction provides that detailed notes are not
required to accompany the financial statements for the period ending 23 October 1997.
4 May 1998
K I MacPHERSON
AUDITOR-GENERAL
9th Floor State Administration Centre Victoria Square Adelaide 5000
Telephone (08) 226 9640 Facsimile (08) 226 9688 DX 56208 Victoria Square
128
De
pa
rt
m
en
t o
f H
ou
sin
g
an
d
Ur
ba
n
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op
m
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129
Note $'000
Operating Expenses
Employee related 17,565
Supplies and services 5,812
Grants & subsidies 49,077
Client payments 3,308
Depreciation 793
Total Operating Expenses 76,555
Operating Revenue
Interest 90
Other 1,243
Total Operating Revenue 1,333
Net Cost of Services 3 (b) 75,222
Government Revenues
Department Appropriation 53,302
Grants 26,380
Total Revenues from Government 79,682
Change in Net Assets 4,460
The Operating Statement is to be read in conjunction with the notes to and forming part of the
Financial Statements.
DEPARTMENT FOR
FAMILY AND
COMMUNITY SERVICES
OPERATING
STATEMENT
for the period 1 July 1997 to 23
October 1997
Departm
ent for Fam
iy and Com
m
unity Services
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
130
Note $'000
CURRENT ASSETS
Cash on hand and deposit accounts 3(a) 15,929
Receivables 1,955
Other 470
18,354
NON-CURRENT ASSETS
Capital works in progress 45
Property, plant and equipment 32,576
32,621
TOTAL ASSETS 50,975
CURRENT LIABILITIES
Payables 1,659
Employee entitlements and related provisions 4,886
6,545
NON-CURRENT LIABILITIES
Employee entitlements and related provisions 10,932
Borrowings 265
11,197
TOTAL LIABILITIES 17,742
TOTAL NET ASSETS 33,233
EQUITY
Asset revaluation reserve 192
Accumulated surplus 33,041
TOTAL EQUITY 33,233
The Statement of Financial Position is to be read in conjunction with the notes to and forming
part of the Financial Statements.
DEPARTMENT FOR FAMILY
AND COMMUNITY
SERVICES
STATEMENT OF
FINANCIAL POSITION
as at 23 October 1997
De
pa
rt
m
en
t f
or
F
am
iy
a
nd
C
om
m
un
ity
S
re
vi
ce
s
fo
r
th
e
pe
rio
d
1
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ly
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2
3
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ct
ob
er
1
99
7
131
Note $'000
Inflow/(Outflow)
Cash flows from Operating Activities
Payments
Employee related (17,388)
Supplies & services (11,026)
Grants to organisations (48,625)
Client payments (3,308)
Receipts
Interest -
Other 1,470
Net Cash Used in Operating Activities 3(b) (78,877)
Cash Flows from Investing Activities
Purchase of property, plant & equipment (204)
Proceeds from sale of property, plant & equipment -
Net Cash Flows from Investing Activities (204)
Cash flows from Government
State Government 53,279
Commonwealth Government 25,779
Cash flows provided by Government 79,058
Net increase (decrease) in cash held (23)
Cash at the beginning of the reporting period 15,952
Cash at the end of the reporting period 3(a) 15,929
The Statement of Cash Flows is to be read in conjunction with the notes to and forming part of
the Financial Statements.
DEPARTMENT FOR
FAMILY AND
COMMUNITY SERVICES
STATEMENT OF
CASH FLOWS
for the period 1 July 1997 to
23 October 1997
Departm
ent for Fam
iy and Com
m
unity Services
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
1. Abolishment of the
Department for Family and
Community Services
With effect from 23 October 1997 the
Department for Family and Community
Services (FACS) was abolished.
The functions, together with the assets and
liabilities of the abolished Department were
transferred to the Department of Human
Services which was established on 24 October
1997.
Prior to abolishment, the objectives of FACS
were the establishment, encouragement and
coordination of services and facilities
designed to promote the welfare of the
community generally and of individuals,
families and groups within the community.
2. Statement of Accounting
Policies
Accounting Standards
This general purpose financial report has been
prepared in accordance with Australian
Accounting Standards and in particular with
AAS 29 Financial Reporting by Government
Departments, except where the effect of those
standards have been modified by Treasurer s
Instruction 9131, Financial Reporting
Following the Restructure of Public
Authorities.
Reporting Period
This financial report has been prepared for the
period 1July 1997 to 23 October 1997, the
date on which the Department for Family and
Community Services was abolished.
Recognition of Grant Related Transactions
The Department provides grant monies to
certain external parties which are subject to a
requirement that monies unexpended at
balance date are repayable unless specific
authority is obtained to carry funds to next
financial year or grant period.
The Department does not conduct a balance
day confirmation process with external parties
to determine what unexpended monies should
be repaid. Financial transactions in relation to
grants are recognised on a cash basis.
Comparative Information
Comparative information is not provided due
to the different reporting period duration.
132
DEPARTMENT FOR
FAMILY AND
COMMUNITY SERVICES
NOTES TO AND PART OF THE
FINANCIAL STATEMENT
for the period 1 July 1997 to
23 October 1997
De
pa
rt
m
en
t f
or
F
am
iy
a
nd
C
om
m
un
ity
S
re
vi
ce
s
fo
r
th
e
pe
rio
d
1
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ly
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133
3. Notes to the Statement of Cash Flows
(a) Reconciliation of cash
Cash held at the end of the reporting period as shown in the Statement of Cash Flows
is represented by the following balances:
$ 000
Special Deposit Accounts 15,663
Advance Accounts 255
Petty cash & cashier floats 11
15,929
(b) Reconciliation of Net Cash Used in Operating Activities to Net Cost of Services
$ 000
Net Cash Used in Operating Activities 78,877
Adjustments
Depreciation 793
Changes in Assets and Liabilities
Increase in Receivables (1,824)
Increase in Other Current Assets (363)
Decrease in Recurrent Payables (3,210)
Increase in Employee Entitlements 949
Net Cost of Services 75,222
Departm
ent for Fam
iy and Com
m
unity Services
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
134
4. Administered items
The following revenues, expenditures and assets were administered but not controlled by the
Department. In accordance with Accounting Standard AAS29 the items have been classified
as "Administered" and have not been included in the Financial Statements.
Schedule of Administered Revenue and Expenditure for the period 1 July 1997 to 23
October 1977
Administered Expenditure $'000
Concessions
Water & Sewerage rates 7,096
Local Government rates 18,696
Transport 3,685
Electricity 3,897
Rail Freight for charitable organisations 7
Gamblers Rehabilitation Fund 627
Charitable and Social Welfare Fund 1,183
Family Maintenance Orders 347
35,538
Administered Revenues
Concessions 16,447
Local Government Reform Fund 18,961
Gamblers Rehabilitation Fund 500
Charitable and Social Welfare Fund 945
Duke of Edinburgh Award Scheme 92
Family Maintenance Orders 342
37,287
Increase (Decrease) in Net Administered
Assets resulting from Operations 1,749
Schedule of Administered Assets as at 23 October 1997
Administered Assets
Cash at Bank
Concessions 1,441
Gamblers Rehabilitation Fund 1,694
Charitable and Social Welfare Fund 835
Duke of Edinburgh Award Scheme1 21
Family Maintenance Orders 66
4,157
Receivables
Gamblers Rehabilitation Fund - Interest 70
Concessions 1,936
2,006
Total Assets 6,163
Equity
as at 1 July 1997 4,414
Net Increase 1,749
as at 23 October 1997 6,163
De
pa
rt
m
en
t f
or
F
am
iy
a
nd
C
om
m
un
ity
S
re
vi
ce
s
fo
r
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rio
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135
Departm
ent for Fam
iy and Com
m
unity Services
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
DEPARTMENT FOR FAMILY AND COMMUNITY SERVICES
STATEMENT BY PRINCIPAL ACCOUNTING OFFICER
FOR THE PERIOD 1 JULY 1997 TO 23 OCTOBER 1997
1. This report comprises the Financial Statements of the Department for Family and
Community Services. In my opinion:
(a) the operating Statement and the Statement of cash Flows are drawn up to give a true
and fair view of the results of the operations and the cash flows of the Department for the
period 1 July 1997 to 23 October 1997;
(b) the Statement of Financial Position has been drawn up to give a true and fair view of
the state of affairs of the Department as at 23 October 1997.
2. The Financial Statements have been prepared in accordance with Statements of
Accounting Concepts, applicable Accounting Standards and the Public Finance and
Audit Act, 1987, as amended.
Signed:
F.R. Turner
Director, Budgets
Department of Human Services
Dated: 28 September 1998
STATEMENT BY
PRINCIPAL
ACCOUNTING
OFFICER
136
DEPARTMENT FOR FAMILY AND COMMUNITY SERVICES
STATEMENT BY THE CHIEF EXECUTIVE OFFICER
FOR THE PERIOD 1 JULY 1997 TO 23 OCTOBER 1997
1. This report comprises the Financial Statements of the Department for Family and
Community Services. In my opinion:
(a) the operating Statement and the Statement of cash Flows are drawn up to give a true
and fair view of the results of the operations and the cash flows of the Department
for the period 1 July 1997 to 23 October 1997;
(b) the Statement of Financial Position has been drawn up to give a true and fair view
of the state of affairs of the Department as at 23 October 1997.
2. The Financial Statements have been prepared in accordance with Statements of
Accounting Concepts, applicable Accounting Standards and the Public Finance and Audit
Act, 1987, as amended.
Signed:
Richard Deyell
Chief Executive Officer
Department for Family and Community Services
Dated: 30 September 1998
STATEMENT BY
CHIEF EXECUTIVE
OFFICER
De
pa
rt
m
en
t f
or
F
am
iy
a
nd
C
om
m
un
ity
S
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137
TO THE CHIEF EXECUTIVE
DEPARTMENT FOR FAMILY AND COMMUNITY SERVICES
In accordance with Section 31 of the Public Finance and Audit Act 1987 I have audited the
financial statements of the Department for Family and Community Services for the period
ended 23 October1997. The financial statements comprise:
An Operating statement;
A Statement of Financial Position;
A Statement of Cash Flows;
Notes to and forming part of the Financial Statement;
Certificate by the Deputy Chief Executive
The Chief Executive is responsible for the preparation and presentation of the financial
statements and the information contained therein. An independent audit of the financial
statements has been conducted in order to express an opinion of them to the Chief Executive.
The audit has been conducted in accordance with the requirements of the Public Finance and
Audit Act 1987 and Australian Auditing Standards to provide reasonable assurance as to
whether the financial statements are free of material misstatement.
Audit procedures included examination, on a test basis, of evidence supporting the amounts
and other disclosures in the financial statements and the evaluation of accounting policies and
significant accounting estimates. These procedures were undertaken to form an opinion
whether, in all material respects, the financial statements are presented fairly in accordance
with the Treasurer s Instructions promulgated under the provisions of the Public Finance and
Audit Act 1987, appropriate Australian Accounting Standards and other mandatory professional
reporting requirements (Urgent Issues Group Consensus Views ) so as to present a view which
is consistent with my understanding of the Department of Family and Community Service s
financial position, the results of its operations and its cash flows.
The audit opinion expressed in this report has been formed on the above basis.
Departm
ent for Fam
iy and Com
m
unity Services
fo
r the period 1 J
uly 1997 to 23 O
ctober 1997
INDEPENDENT AUDIT
REPORT
Auditor General s Department
QUALIFICATION
The Department provides grant monies to certain community organisations which are subject
to a requirement that monies unexpended at year end of the grant period are repayable unless
specific authority is obtained to carry funds forward into the next financial year or grant
period. The Department has not conducted a balance day confirmation process with external
parties to determine what unexpended monies should be repaid and consequently no receivable
has been recognised in the accounts in relation to these funds.
QUALIFIED AUDIT OPINION
In my opinion, except for the effects on the financial report of the matter referred to in the
qualification paragraph, the financial report present fairly in accordance with the Treasurer s
Instructions promulgated under the provisions of the Public Finance and Audit Act 1987,
applicable Australian Accounting Standards and other mandatory professional reporting
requirements, the financial position of the Department of Family and Community Services as
at 23 October 1997, the results of its operations and its cash flows for the period ended 23
October 1997.
Attention is drawn to the fact that Treasurer s Instruction 9131 Financial Reporting Following
Restructuring of Public Authorities was issued specifically in relation to financial statements
for South Australian Government Agencies abolished on 23 October 1997. Note 2 to the
financial statements refers to the application of the Instruction. The Instruction provides that
detailed notes are not required to accompany the financial statements for the period ending 23
October 1997.
30 September 1998
K I MacPHERSON
AUDITOR-GENERAL
9th Floor State Administration Centre Victoria Square Adelaide 5000
Telephone (08) 226 9640 Facsimile (08) 226 9688 DX 56208 Victoria Square
138
De
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rt
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or
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om
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un
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APPENDICES
APPENDICES
140
APPENDIX 1-
STATISTICS
HOSPITAL ACTIVITY STATISTICS1
1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98
Average daily
available beds2 5280 5119 5060 4946 4874 4725 4696
Occupancy rate3 70% 72% 75% 70% 71% 73% 73%
Admissions
Overnight stay
patients 194 142 193 480 191 104 191 811 191 007 186 820 190 626
Day only patients 77 689 81 579 93 471 108 243 115 725 124 852 135 976
Total admissions 271 831 275 059 284 575 300 054 306 732 311 672 326 602
Admissions/
1000 population4 187 189 194 203 208 210 220
Average length
of stay5 5.2 5.0 4.9 4.4 4.3 4.3 4.1
Occupied bed days 1 407 528 1 386 235 1 384 989 1 327 567 1 334 187 1 336 473 1 342 230
Non-inpatients6
Casualty 361 933 371 046 377 433 414 369 435 378 438 103 455 659
Outpatients 1 325 436 1 299 362 1 323 714 1 356 247 1 384 580 1 389 401 1 453 209
Notes:
1 This table contains data for all recognised hospitals, including the Pregnancy Advisory
Centre and Torrens House.
2 The average number of beds available for use by patients in the course of the year.
3 The ratio of occupied beds divided by annual available beds. This excludes day only
patients treated in designated day only facilities.
4 Population figures represent the mean resident population of South Australia as estimated
by the Australian Bureau of Statistics.
5 The average number of days all admitted patients spent in hospital, including day only
patients.
6 The increases in non-admitted patient activity reflect, in part, trends in the use of these
services and, in part, the results by the Health Commission to improve the quality of data
reported. It should be noted that the series has changed from reporting attendances at
outpatient and casualty clinics (for the years 1990-91 to 1992-93) to occasion of service
at each clinic (from 1993-94).
141
SECURE CARE
The average daily occupancy figure for 1997-98 was 76, representing a 19.15% decrease on
the previous year.
Note: Average daily occupancy is determined by counting all children who were in secure care
at 7.00 am each day of the year. The previous method, via previous JIS/PC systems inflated
the figures using a different method of calculation.
Total admissions have remained fairly stable over the last few years.
Aboriginal Other Unknown Total
No % No % No % No
Sentenced 67 19.71 285 27.83 3 12.5 355
Non-sentenced 273 80.29 739 72.19 21 87.5 1033
Total 340 100 1024 100.02 24 100 1388
Aboriginal Other Unknown Total
No % No % No % No %
Detention 16 4.71 92 8.98 3 12.5 111 7.99
Review board
warrant 0 0 1 .10 0 0 1 .07
Return to centre 2 .59 1 .10 0 0 3 .22
Remand 119 35 240 23.44 5 20.83 364 26.22
First instance
warrant 62 18.24 167 16.31 3 12.5 232 16.72
Police custody 92 27.06 331 32.32 13 54.17 436 31.41
Warrant in
default 49 14.41 191 18.65 0 0 240 17.29
Total 340 100 1023 100 24 100 1387 100
142
In the 1996-97 financial year secure care had 1585 admissions. In 1997-98 there were 197
fewer admissions than 1996-97, a decrease of 12.43%. This relates mostly to orders on
admission but first instance warrants increased from 218 to 232 resulting in a 6.42% increase.
The decrease in average daily occupancy coincides with the decrease of average length of stay.
In 1996-97 average length of custody was 21.6 days compared to 19.8 days for the 1997-98
financial year - this equates to a drop of 8.33%.
Given that the methods used to calculate average daily occupancy give different results, the
figures presented are generally lower than before. In 1997-98 of the average daily occupancy
of 76, 38 were in custody due to a detention order. These figures also include 29 people in
remand, three on a police custody order, two in default of outstanding warrants and one on a
first instance warrant. Detentions have noticeably dropped in numbers - from 57.24 for 1996-
97 to 38.46 for the 1997-98 financial year.
An ongoing issue for secure care still remains the over-representation of Aboriginal young
people. In particular, the numbers of Aboriginal young women in secure care was an area of
concern during 1997-98.
Aboriginal Other Unknown
Male Female Male Female Male Female Total %
Detention 13 3 88 4 3 0 111 8.00
Remand 88 31 212 28 4 1 364 26.22
First instance
warrant 50 12 147 20 2 1 232 16.71
Police custody 70 22 277 54 8 5 436 31.41
Warrant in
default 39 10 169 22 0 0 240 17.29
Other 0 0 1 0 0 0 1 0.07
Review Board
warrant 0 0 1 0 0 0 1 0.07
Return to centre 1 1 1 0 0 0 3 0.22
Total 261 79 896 128 17 7 1388 100
ADOPTIONS
143
ADOPTIONS
Number of registrations on the prospective adopters register (PAR)
Overseas Australia
On PAR AS AT 1.7.97 72 16
New registrations 39 8
Children placed 59 4
Removed from PAR 8 3
(withdrew) (withdrew)
On PAR as at 30.6.98 60 17
Number of adoptions orders granted
1997-98
Placement adoption (Aust born) 4
Placement adoption(special needs) 1
Placement adoption (intercountry) 38
Particular child adoption (eg step-parent) 5
Particular child (eg foster) 0
Particular child (intercountry) 1
Applications for Adoption Information Lodged in 1997-98
People who were party to an adoption prior to the commencement of the Adoption Act 1988
can apply for information about their adoption once the adopted person is 18 years old. Since
its commencement in 1988 over 6000 such applications have been received by Adoption and
Family Information Service.
Adopted person 435
Adoptive parents 1
Birth parents 132
Other birth relatives 44
TOTAL 612
Under the Adoption Act 1988 parties to adoptions that occurred before the commencement of
this Act (once the adopted person is 18 years old) can apply to restrict the release of
identifying information about themselves to other parties.
144
Lodgements of New Identifying Information Vetoes
Adopted persons 15
Adoptive parents 11
Birth parents 7
TOTAL 33
Renewal of Identifying Information Vetoes
Adopted persons 39
Adoptive parents 0
Birth parents 32
Other birth relatives 6
TOTAL 77
Child Protection - Notifications 1991-92 to 1997-98
145
Child Protection - Number of Notifications by age and gender
Age of child Male Female Unknown TOTAL
Under 1 year 331 340 10 681
1 year 340 305 7 652
2 years 337 368 4 709
3 years 370 418 3 791
4 years 402 408 1 811
5 years 422 401 2 825
6 years 458 396 4 858
7 years 440 378 1 819
8 years 417 350 1 768
9 years 354 366 4 724
10 years 397 283 3 683
11 years 308 286 3 597
12 years 222 298 1 521
13 years 208 316 1 525
14 years 164 291 2 457
15 years 96 204 2 302
16 years and over 92 215 1 308
Unknown 300 294 26 620
TOTAL 5 658 5 917 76 11 651
Child Protection - Notifications by Source of Notification
Source No. Source No.
Child 200 Hospital CP Service 95
Parent; Guardian 1 545 Other Medical Person 102
Other Relative 1 228 FACS Worker 235
Friend; Neighbour 1 498 Other Social/Health/Welfare 1226
School; Kin/Day Care 2 680 Police 1 018
Family Day Care 118 Anonymous 445
Doctor 385 Other 876
Total 11 651
Community Benefit South
Australia
The Charitable and Social Welfare Fund was
established under section 73B of the Gaming
Machines (Miscellaneous) Act (1996) to
distribute funds from gaming machine taxes
by providing financial assistance to charitable
and social welfare organisations.
The fund, which has been given the public
name of Community Benefit SA, operates
under the direction of a board appointed by
the Minister for Human Services and is
allocated $3 million annually. The fund is
independent of Government and, in
accordance with the Act, the Board has the
authority to approve funding to non-
government charitable and social welfare
organisations.
Community Benefit SA allocates one-off
funding for normal grants up to $25 000 for
community service projects which assist
families and people in need and fundraising
projects which enable organisations to
develop strategies to increase their annual
revenue.
During 1997-98 a special grants provision
($25 001 to $75 000) was introduced to fund
charities for projects which support high
priority community services. Total funding for
special grants is limited to $600 000 per year
and drawn from the $3 million annual allocation.
A total of 117 projects worth $1 080 000
were funded from round 3 in July 1997 from
rolled over funds from 1996-97. In 1997-98,
249 one-off projects were funded worth
$2 850 000. A total of 366 individual projects
submitted by 280 agencies were funded to a
value of $3 930 000 during the period.
During 1997-98 an independent review of the
fund was undertaken which concluded that it
was operating in an effective manner and was
achieving the purpose as outlined in the Act.
Recommendations were made for minor
improvements and further developments for
the Fund.
Project evaluations undertaken during 1997-
98 indicated that a range of positive benefits
has been achieved for many disadvantaged
people and community building, involvement
and networking have been enhanced.
Gamblers Rehabilitation Fund
Program
The Gamblers Rehabilitation Fund Program
distributes funds contributed annually by the
Australian Hotels Association and Licensed
Clubs Association, through the Independent
Gaming Corporation. The program funds a
range of regional, Aboriginal and non-English
speaking gamblers rehabilitation services as
well as a specialist therapeutic service to
support individuals and their families
experiencing problems associated with the use
of electronic gaming machines.
Funding was also provided for a range of
other initiatives to enhance the system of
gamblers rehabilitation services including:
a community education campaign aimed
at increasing awareness of and access to
rehabilitation services;
research into the role of self-help in
assisting gamblers and their families;
research into appropriate therapeutic and
community education models of
intervention for Aboriginal problem
gamblers;
the operation of a free call 1800 number
for those seeking information and access
to rehabilitation services.
The Gamblers Rehabilitation Fund Committee
provides advice to the Minister for Human
Services on policy and purchasing matters
relevant to the program. The fund is
administered by the Department of Human
Services. In 1997-98 $490 500 was allocated
to metropolitan services and $317 500 to
country services in South Australia. Funding
was also allocated to specialist services such
as Aboriginal and ethno-specific services,
program coordination, research, community
education and a specialist therapeutic service.
Further Information
Detailed information on allocations from the
Community Benefit Fund, the Gamblers
Rehabilitation Fund, Alternative Care, the
Supported Accommodation Assistance
Program and the Family and Community
Development Program is available from the
Department of Human Services.
146
APPENDIX 2 -
SPECIAL PROGRAM
FUNDING
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