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SA Dental Service
Year Book 12-13
SA Dental Service Yearbook 2012-13 Page 1
Contents
2 Executive Director Report
3 Strategic Directions
4 Vision
4 Values
5 Organisational Chart
6 Statewide Dental Services
7 Adelaide Dental Hospital
8 Health Promotion Division
8 Policy and Programs Division
9 Corporate Services Division
10 Report on the implementation of the
SA Dental Service Strategic Plan 2011-2016
22 Freedom of information
24 Adelaide Dental Hospital statistics
26 School Dental Service statistics
29 Community Dental Service statistics
32 Aboriginal Dental Scheme statistics
33 Human Resource statistics
36 Financial Statements
SA Dental Service Yearbook 2012-13
Executive Director s
Report 2012/13
SA Dental Service has developed its own suite of
strategic outcomes 2011-2016 within the framework
of the SA Health Care Plan and the Department
for Health and Ageing s Strategic Directions. These
SA Dental Service Strategic outcomes formed the
framework for activities during the 2012-13 financial
year. Highlights of the year include:
> A balanced budget for at least the 12th year in
a row.
> Further expansion of the Aboriginal Liaison
Program connecting Aboriginal communities with
mainstream public dental services. As a result
there was a further 9.4% increase in the number
of Aboriginal children treated in SA Dental
Service facilities and a 4% increase in the number
of Aboriginal adults. This builds on significant
increases in previous years.
> A further 4.5% increase in the number of
preschool children treated in the School Dental
Service reflecting a focus on reducing the
incidence of early childhood caries.
> A reduction in the number of children waiting for
treatment under general anaesthetic from 1,212
children waiting an average 20.4 months to 565
children waiting an average of 4.6 months.
> A significant reduction in the number of children
who are more than 6 months overdue for their
dental check-up from 15.6% to 9.4% including
10% fewer children assessed as high risk being
overdue.
> A significant reduction in waiting lists for
restorative dental treatment of eligible adults from
16 months in June 2012 to 11.5 months in June
2013. The waiting time for dentures decreased
from 14.8 months in June 2012 to 11.4 months
in June 2013. (However, the average waiting time
for specialist dental services at the Adelaide Dental
Hospital increased from 14.4 months to 15.6
months at June 2013.)
> In line with oral health s integral role within
general health, the number of public dental
patients receiving short interventions for tobacco
cessation increased once again, this year by a
further 33%.
> Sustainment of excellent outcomes in a range of
indicators of clinical quality including retreatment
rates for a range of services.
> Implementation of the National Partnership
Agreement on Treating More Public Patients
in May 2013 which had immediate impact on
waiting lists.
> Implementation of the Building Better Oral
Communities project.
> Involvement in the development of a National Oral
Health Promotion Plan.
> Implementation of a Specialist fee for service
scheme for endodontic care.
> Roll out of Motivational Interviewing training for
all clinical staff.
> Construction of a new 6 chair Aged Care clinic at
the ADH.
> Commencement of involvement in conducting the
National Child Oral Health Survey.
> Commencement in January 2014 of the
Commonwealth Voluntary Dentist Graduate Year
Program with one graduate selected for SA Dental
Service.
Martin Dooland
Executive Director
Statewide Services
Page 2 SA Dental Service Yearbook 2012-13
SA Dental Service Yearbook 2012-13 Page 3
Strategic Directions
SA Dental Service Strategic Outcomes for 2011-2016
Strategic Outcome 1 The oral health of the South Australian population is improved and oral health
inequalities are reduced with a particular focus on:
> people living in rural and remote areas
> Aboriginal people
> homeless people
> people in Supported Residential Facilities
> older people living in the community and in residential care
> pre-school children
> people with chronic diseases
> migrants with a refugee background
Strategic Outcome 2 Oral health is sustainably integrated into the wider health system.
Strategic Outcome 3 The community and private dental sector are involved in the planning, design and
monitoring of public dental services.
Strategic Outcome 4 SA Dental Service is active in the development of public oral health policy at a State
level and National level.
Strategic Outcome 5 Population based health promotion underpins all of SA Dental Service Programs and
clinical programs have an increased focus on prevention and early intervention.
Strategic Outcome 6 Client focused quality systems drive improved clinical and non clinical services which are
demonstrably efficient and effective.
Strategic Outcome 7 SA Dental Service is an employer of choice, has sufficient skilled clinical and non clinical
workforce and is making full and flexible use of its capabilities.
Strategic Outcome 8 SA Dental Service is an active partner with the dental tertiary education and
research sectors.
Strategic Outcome 9 Public dental infrastructure supports the provision of contemporary public dental
services and is integrated with other health services wherever possible.
SA Dental Service Yearbook 2012-13Page 4
SA Dental Service Vision
Good oral health is essential for overall health and well being. A healthy mouth has a positive impact on
physical, mental and social well being, hence healthy smile - healthy life.
Mission
Working with the community to enable South Australians to achieve better oral health and well being through
> health promotion
> timely dental treatment with a focus on prevention and early intervention
> support for education and research.
Values
SA Dental Service Yearbook 2012-13 Page 5
Organisational Structure
SA Dental Service
Chief Executive Officer
Central Adelaide Local
Health Network
Executive Director
Statewide Services
General
Manager
Statewide
Dental
Services
Director
Policy and
Programs
Director
Health
Promotion
Manager
Corporate
Service
Statewide
Services
General
Manager
Adelaide
Dental
Hospital
Geoff Franklin Anne Pak-Poy Janet Weeks Christine Morris Shelley Crooks
School Dental
Service
Community
Dental Service
Private Schemes
(purchasing)
Remote Dental
Services
Clinical Attraction
and Retention
Specialist Services
Teaching clinics
Special Needs
Services
Infection Control
Safety and
Quality
Service and
Capital Planning
Client Relations
Evaluation and
Research
Programs
Workforce
Development
(clinical)
Health Promotion
Communication
Corporate
Administration
Risk Management
SA Dental Service Yearbook 2012-13
Statewide Dental
Services Division
Statewide Dental Services provide dental services
to children and eligible adults through two core
programs, the School Dental Service and the
Community Dental Service. Special arrangements
apply for those who may be particularly vulnerable
to the consequences of poor oral health including
preschool children, Aboriginal clients, clients
with mental health issues and the aged. Those
arrangements may include priority access to care
and/or free care.
In addition to services provided by qualified
clinicians, general dental services in School and
Community Dental Services are also provided by
undergraduate dental students and students in
the Bachelor of Oral Health Program. School and
Community Dental Service staff are involved in the
clinical supervision and training of undergraduate
students.
School Dental Service
The School Dental Service offers a comprehensive
dental care program to all children up until their
18th birthday. This care is free of charge to all pre-
school children. It is also free for primary school
and high school students with a school card, or who
have or are dependents of a Centrelink cardholder.
All other primary school and high school students
are required to pay a small fee for each general
course of care they receive. Those aged between
12-17 years who are eligible may present their
Medicare Teen Dental Voucher to receive their care.
Care is provided by teams of Dentists, Dental
Therapists and Dental Assistants who work from a
network of 46 clinics and mobile vans throughout
the state. Many of these clinics are located within
Primary Schools while others are mobile services to
remote locations such as Leigh Creek, Nepabunna
and Marree. The advent of the GP Plus and GP Super
clinics at Elizabeth, Modbury, Marion and Noarlunga
has resulted in the closure of many small, old, part
time clinics in these areas.
Private dentists provide school dental services, under
a capitation agreement, to approximately 2100
children who reside in areas remote from a school
dental clinic. No client fees apply for these services.
General Anaesthetics are required for some young
children with extensive oral health care needs
and these are provided both at local hospitals by
SA Dental Service dentists and under contractual
arrangements with the Department of Paediatric
Dentistry at the Women s and Children s Hospital.
Children are examined on a regular basis according
to their individual needs and receive a full range
of preventive and treatment based services. These
services are provided mainly by Dental Therapists
who work under the general supervision of a
Dentist and in accordance with their conditions of
employment, supported by Dental Assistants.
Community Dental Service
The Community Dental Service provides emergency
and routine dental services to adults who are the
holders of a Centrelink concession card. Urgent
needs are usually attended to promptly, while
routine care is provided after recourse to a waiting
list. Average waiting periods reduced to12 months
during the year.
The majority of care is provided by dentists who
operate from a network of 37 clinics and mobile
services located throughout the state, supplemented
by private dentists through a range of schemes such
as the Emergency Dental Scheme, General Dental
Scheme, Pensioner Denture Scheme, Prisoner Dental
Scheme and the Aboriginal Dental Scheme. Client
fees apply for most services but some preventive
items are provided at no cost.
Two Domiciliary Dental teams operate in the
Adelaide metropolitan area and provide services to
homebound people in private homes and Residential
Aged Care Facilities.
Page 6
SA Dental Service Yearbook 2012-13
Remote Dental Services
The Remote Dental Service team responsibilities include:
> Strategic planning to meet service needs in remote
areas, in particular for Aboriginal communities
> Contractual arrangements with private dentists
to provide services in remote locations such as
Coober Pedy
> Visiting services by SA Dental Service staff, for
example, services to children in Ceduna
> Output or other funded services through
Aboriginal Community Controlled Health Services
such as at Coober Pedy and Yalata.
During the year, services at Oodnadatta, Leigh Creek,
Nepabunna and Marree were either introduced or
enhanced with the assistance of Commonwealth
infrastructure funding which enabled the building of
a dental clinic at Oodnadatta and the refurbishment
of a dental truck.
Schemes Unit
This team has a range of responsibilities for
predominantly externally sourced services including:
> The management of private practice schemes
including Emergency Dental Scheme, General
Dental Scheme, Aboriginal Dental Scheme,
Pensioner Dental Scheme, Capitation, Prisoner
Dental Scheme
> Purchasing of dental services including schedules
for services provided through private practitioners
> Clinical quality issues relating to the outsourced
provision of oral health services.
The Adelaide Dental
Hospital Division
The Adelaide Dental Hospital (ADH) is one of the
two service provision arms of SA Dental Service
and is a core component of the SA Government s
approach to providing public dental care. The ADH
fulfils a number of essential roles including:
> the only dental teaching hospital in South
Australia that provides facilities, management and
staff to support the training of undergraduate and
postgraduate students of the School of Dentistry
of the University of Adelaide
> the sole statewide referral centre for specialist and
complex oral health care services
> provision of general and specialist public dental
services, continuing education, some specialist and
treatment planning advice to SA Dental Service
professional staff. The provision of a specialist network
and advice supports the acute medical sector in SA.
Page 7
General and emergency dental care is largely
provided by undergraduate dental and oral health
students under the supervision of SA Dental Service.
Specialist services in the ADH are provided by
a combination of staff and visiting specialists,
academic staff of the University and significantly by
postgraduate students in specialty training programs.
The range of specialty services provided include:
> oral and maxillofacial surgery
> orthodontics
> endodontics
> periodontics
> fixed and removable prosthodontics
> special needs dentistry.
In addition to managing the operation of the ADH,
and providing patient care, staff are involved in the
clinical supervision and training of undergraduate
and postgraduate students. Academic staff of the
Dental School provide patient care as honorary
appointees to the Hospital, or indirectly by the
supervision of students in clinical programs.
Because of its historic relationship with the Royal
Adelaide Hospital (RAH), the ADH provides dental
services to inpatients of the RAH and operates
an after hours on-call service through the RAH
Accident and Emergency Department. All patients
requiring general anaesthesia for dental or oral
and maxillofacial surgery procedures are admitted
and treated in RAH theatres. Dental technicians
attached to the Oral and Maxillofacial Surgery Unit
provide maxillofacial prostheses on referral from
metropolitan hospitals.
In addition to providing specialist support to dentists
in SA Dental Service Community and School Dental
Services, the ADH also accepts a limited number of
referrals from the private sector. These patients are
accepted in circumstances where the resources of
the Hospital are better able to accommodate the
needs of particularly complex or difficult cases.
Health Promotion Division
The Health Promotion Division is focussed on the
provision of strategic advice on health promotion
and quality support to SA Dental Service staff, our
clients and consumers and the wider community.
The division has a strategic approach to ensure that
health promotion is integrated into all SA Dental
Service programs and projects and to actively
promote the integration of oral health into overall
health and wellbeing.
The Division works in partnership with our staff
and other agencies to promote health, prevent oral
diseases and provide health information. We support
oral health as an integral part of general health
through the development of healthy public policy
and organisational development. We assist our staff
to develop local health promotion initiatives through
skill development and the provision of oral health
resources.
Health Promotion Division has responsibility for:
> promoting an organisational commitment to
policies and practices that incorporate the health
promotion principles including those of the
Ottawa Charter and Social Determinants of Health
> supporting staff to develop and implement health
promotion into their clinical practice through
health promotion practice guidelines
> promoting oral health as an integral part of
general health by supporting the development of
health promotion and prevention policies, healthy
public policy and organisational practices
> developing quality health information and
resources to support staff to increase awareness
and to promote oral health in the community
> developing strategic partnerships that increase
oral health knowledge and practice
> managing internal and external communication
strategies to ensure consistency of message and
branding
> staff culture surveys
> implementing population health promotion
programs to improve oral health.
Policy and Programs
Division
The Policy and Programs Division has a strategic,
organisation wide focus, and provides leadership
to, and works collaboratively with, all SA Dental
Service divisional teams to challenge and support
service improvement and program development.
As a Division, Policy and Programs promotes public
oral health principles, drives quality and service
improvement and provides high level advice and
leadership with respect to:
> Strategic and operational planning
> Safety, quality and clinical risk management
Page 8 SA Dental Service Yearbook 2012-13
Page 9
> Client relations and the management of consumer
feedback
> Program planning and development
> Capital and infrastructure planning and
development
> Program Evaluation and Research.
Policy and Programs Division comprises the
following Units:
> Quality, Patient Safety, Clinical Risk and Workforce
Development
> Client Relations
> Service Planning
> Evaluation and Research.
Policy and Programs Division leads service
improvement by:
> Promoting a culture of safety and quality as well
as clinical learning.
- Engaging with staff to positively influence the
quality and safety culture of the organisation
in recognition that improvement has to be an
integral part of what the organisation does.
> Developing Programs
- Exploration and development of new and
innovative models of care
- Implementation of the SA Health Care Plan,
State and National Oral Health Plans
- Identification of at risk population groups and
their oral health needs
- Development of programs for at risk population
groups.
SA Dental Service Yearbook 2012-13
> Seeking and securing capital funding to support
the provision of public oral health services
- Identification of infrastructure requirements
- Pursuit of capital funding opportunities
- Oversight of capital developments
> Evaluating programs and organisational clinical
performance
- Provision of program analysis and reporting
- Development of management information
systems
- Conducting and/or overseeing evaluation and
research projects
- Supporting research involving SA Dental Service
clients and staff
> Promoting evidence-based approaches to service
and program delivery
> Promoting client-centred approaches to enhance
service quality
- Promoting and facilitating good consumer
practice at the interface between staff and
clients
- Developing and promoting mechanisms to
facilitate effective management of consumer
feedback
- Monitoring consumer experience.
Corporate Services Division
The Corporate Services Division provides non-
clinical support services to SA Dental Service for
the management of risk, corporate records, and
building assets, as well as policy and procedure
administration, contract development, business
management and executive support services.
The Division leads strategic work for SA Dental
Service via strong links with consolidated support
services such as eHealth Systems, Procurement and
Supply Chain Management, Biomedical Engineering,
Corporate Finance and Property Management, all of
which report under SA Health.
Other non-clinical support services are provided by
SA Health staff out posted to Central Adelaide LHN
who work closely with SA Dental Service in areas
such as Human Resources, Finance and Business
Advisory Service, and Worker Health and Safety.
Links are also maintained with Shared Services SA
who provide Accounts Receivable, Accounts Payable
and Payroll functions under the Department for
Premier and Cabinet.
Page 10
In 2012/13 1331 children attended SDS an increase
of 2.3% compared to 2011/12 and 113% increase
from 2010/11
Aboriginal Oral Health
The general and oral health of the Aboriginal and
Torres Strait Islander population of South Australia
is significantly worse than the total population. As
a consequence, Aboriginal and Torres Strait Islander
oral health has been identified as a priority in South
Australia s Oral Health Plan 2010 2017 and an
action area in Australia s National Oral Health Plan
2004 - 2013. The South Australian Dental Service
secured funding through the Council of Australian
Governments (COAG) for the financial years 2011-
2013. The first round of funding has ensured that
strategies to increase access to mainstream dental
services for families, early childhood, teenagers
and pregnant women was available in addition to
resources to support oral health messages specifically
for Aboriginal people.
Report on the
Implementation of the
SA Dental Service Strategic
Plan - Progress as at June 2013
Strategic Outcome 1
After continuous deterioration since the late 1990s,
the amount of dental decay in children fell for the
fourth year in a row. The 12 year-old mean DMFT is
now 0.84, compared with 1.05 in 2008.
Population Oral Health Program
The Population Oral Health Program aims to increase
the number of preschool children attending dental
services. In 2012/2013, 2437 children were referred
to the Program. A total of 8878 preschool children
had been referred to the program by 30 June 2013.
Referrals were made by 591 allied health
professionals, up from 510 to June 2012; 71% of
external referrals were made by CaFHS nurses in
2012/13 and 42% of children referred were aged
under 4 at the time of referral.
Aboriginal Health Workers were trained to screen
preschoolers for tooth decay and were asked to offer
all Aboriginal and or Torres Strait Islander preschool
children a referral. Referrals made by Aboriginal
Health Workers increased from just under 2% in
2011/12, to 10% in 2012/2013. Of the total referrals
received in 2012/2013, 13% of referred children
identified as being of Aboriginal and or Torres Strait
Islander descent.
Improved health and reduced health
inequalities
12 year old Mean DMFT SA SDS
1.20
1.10
1.00
0.90
0.80
0.70
0.60
0.50
0.40
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
Number of New Children seen under the
Lift the Lip program by SDS
1400
1200
1000
800
600
400
200
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
0
2008/09
2009/10
2010/11
2011/12
2012/13
SA Dental Service Yearbook 2012-13
SA Dental Service Yearbook 2012-13 Page 11
Aboriginal ADULT PATIENTS
Aboriginal Liaison Program
2400
2800
2600
2200
2000
1800
1600
1400
1200
1000
800
600
400
200
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
0
2010/11
2009/10
2008/09
2007/08
2011/12
2012/13
Aboriginal ADULT PATIENTS
4500
4000
3500
3000
2000
2500
1500
1000
500
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
0
2011/12
2012/13
2010/11
2009/10
2008/09
2007/08
2006/07
2005/06
Aboriginal CHILD PATIENTS
4000
4500
3500
3000
2500
2000
1500
1000
500
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
0
2011/12
2012/13
2010/11
2009/10
2008/09
2007/08
2006/07
2005/06
Through the Aboriginal Oral Health Program,
partnerships have formed between SA Dental
Service and other participating organisations.
These partnerships have been pivotal in raising the
profile of oral health and increasing acceptability
of dental services among Aboriginal people,
resulting in an increase in Aboriginal people
accessing dental care.
The Aboriginal Liaison Program has expanded to
all 24 Community Dental Service sites. All Adult
Community Dental Clinics are now participating in
the Aboriginal Liaison Program for adults with many
Aboriginal adults self-referring to SA Dental Service.
In 2012/13, 2,548 Aboriginal adult clients who
attended SA Dental Service Community Dental Clinics
were referred through Aboriginal Liaison Program
(part of the Aboriginal Oral Health Program).
In 2012/13 4,274 Aboriginal adult clients were
treated in public dental services an increase of 4%
on the previous year and an increase of 10% since
baseline in 2010-11.
In 2012/13 4403 Aboriginal children attended SDS
an increase of 9% compared to 2011/12 and 24%
increase from 2010/11.
Crunch&Sip
Crunch&Sip encourages children to eat fruit and
vegetables and drink water every day. Schools implement a
formal break allowing students to eat fruit and vegetables
and drink water in the classroom. It is a healthy way for
children to re-fuel, and aids concentration, and mental and
physical performance at school. This aligns with our
oral health messages and supports clinical practice.
During 2012-2013, 139 Reception to Year 7 schools
implemented Crunch&Sip . Within these schools,
1,605 classes participated with a total of 37,433
students. Crunch&Sip also reached 26,823 families
through these schools.
Following a program review by SA Health,
Crunch&Sip will transition to the next stage of
being championed by parents and teachers, with
program updates and resources including advice and
tips for teachers and parents available online.
SA Dental Service Yearbook 2012-13Page 12
New Migrant Program
Following extensive consultation with the Adelaide
Migrant Health Service, from May 2012 a pilot
program was launched to provide priority dental
care to newly arrived migrants with a refugee
background. Adult migrants with a refugee
background are referred by the Adelaide Migrant
Health Service to designated Community Dental
Service clinics for dental care. This regime of
early care to bring an individual s oral health to a
basic fundamental standard will assist clients to
confidently seek employment and meet adequate
nutritional needs.
Homelessness and Oral Health Project (HOHP)
The HOHP commenced in April 2011 and builds on
established relationships with key homeless sector
agencies and involves a collaborative partnership
between SA Dental Service, the Homelessness
Support Program and the Department for
Communities and Social Inclusion.
The initial focus of the HOHP was to address
identified service gaps such as access to timely and
affordable care for vulnerable people in need of
urgent dental treatment in the inner city area.
Following an extensive review, the 2012-2013
year saw the HOHP expanded to cover the most of
the metropolitan and some country areas of South
Australia.
Cessation of the Medicare Chronic Disease Program
also saw a change in the focus from emergency
care to a general course of care for HOHP clients.
Treatment provision continues to be provided through
a mix of public and private dental providers who have
expressed their interest and willingness to be involved.
Supported Residential Facility (SRF)
Dental Program
In South Australia there are 29 Supported Residential Facilities
(SRFs) accommodating around 850 people. Established in
2004, the SRF Dental Program continues to offer dental
treatment to all residents of licenced pension-only SRFs.
People living in SRFs tend to have complex and
diverse needs and many have a history of chronic
homelessness. Overall, SRF residents are a vulnerable
group who face significant barriers in accessing
mainstream health services.
Over the past year around 590 (69%) SRF residents have
received dental treatment which compares favourably
with attendance patterns of the general population.
The SRF Dental Program involves a multidisciplinary
approach involving SRF residents, SRF Managers and
care staff, external support agency staff, and public
and private dental professionals. Excellent working
relationships have been established supporting a
greater awareness of the importance of oral health,
and better oral health outcomes for SRF residents.
Focus on increased country access
Strategies were developed to increase access for
country clients where significant waiting time
inequity existed. Mobile dental vans were placed
at Mount Gambier (waiting time 44.7 months at
December 2012) and the Riverland (waiting time
27.8 months at July 2012).
This enabled recruitment of additional salaried dentists.
Staff worked with the private sector to maximise their
ability to see SA Dental Service clients via the private
sector schemes funded by SA Dental Service.
This resulted in waiting times reducing to 34.5
months in Mount Gambier and 7.2 months in the
Riverland by June 2013.
Homeless Referrals
60
50
40
30
20
10
Ju
ly
A
ug
11/12
12/13
Se
pt O
ct
N
ov
D
ec Ja
n
Fe
b
M
ar
A
pr
il
M
ay
Ju
ne
0
SRF_YTD Patients 2012/2013
500
450
400
350
250
300
150
200
100
50
Jul-12
58
404
344
322
298
284
259
239
204
160
122
416
Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13
N
um
be
r o
f P
at
ie
nt
s
Int Patients
Ext Patients
0
24
60
77
93
44
110 117104
131 135
174
150
SA Dental Service Yearbook 2012-13 Page 13
The survey has five main foci:
> To establish residential aged care facilities knowledge
of the Better Oral Health in Residential Care Model
and if so have they implemented the Model.
> To establish whether oral health assessments are
conducted for residents.
> To establish whether oral health care plans are
developed for residents.
> To establish whether staff have received any
training on oral health care.
> To establish whether residents have access to
dental treatment.
The key findings included:
> The difficulty residential aged care facilities have
accessing a dentist particularly on site.
> The difficulty many residents have accessing a
private and / or public dentist offsite.
> Overall the facilities in the country have far more
difficulty accessing a dental professional than
their counterparts in the metropolitan area.
> Many reported the Better Oral Health in Residential
Aged Care Model is a positive and useful tool however
there is a continued need for care staff to be educated
and trained to provide oral health care to residents.
> Education is also required to ensure facilities are
equipped to implement and committed to embed
the Better Oral Health in Residential Care Model
in policy, planning and service development.
> Facilities concerns of the lack of resources
(people, financial and time) to continue the
implementation of the Model.
Planning re how to address these issues will continue
in 2013-2014
The Better Oral Health in Residential Care educational
resources continues to attract national and international
interest. This year a visiting UK Public Health Dentist
from the Birmingham and Solihull NHS Cluster entered
into an agreement with SA Dental Service to adapt
some the resources to better suit the UK context.
Building Better Oral Health Communities
In late 2011-12 SA Dental Service secured $1.4M
funding for a project called Building Better Oral Health
Communities under the Commonwealth Department
for Health and Ageing s Encouraging Better Practice
in Aged Care (EBPAC) initiative. The Project partners
include three SA community aged care providers, one
of which is an Aboriginal specific service, an aged
care provider in the Hunter New England area of NSW
together with the Hunter New England Oral Health
Service. The University of Adelaide School of Nursing
and ARCPOH are our project evaluation partners.
Enhanced service provision models for
pre-school children including GA/RA models
Revised guidelines and protocols for provision of
General Anaesthetic (GA) and Relative Analgesia
(RA) services to children were developed. These
focussed on referral protocols, preventive care and
maintenance of children waiting for GA and RA care.
Information for the families and siblings of child GA
patients was developed to assist in preventing the
need for further GAs.
Additional GA sessions were implemented at both
Noarlunga and Modbury Hospitals.The wait time for
GAs improved from 20.1 months in August 2012 to
4.6 months in June 2013 and, from 12.8 months in
June 2012 to 6.5 months in June 2013 for RA.
Strategic Outcome 2
Integration into GP Plus Centres
SA Dental Service has four clinics integrated into
GP Plus centres at Noarlunga, Marion, Modbury
and Elizabeth. These clinics are integrated with the
other health services provided at these local centres,
which include general practitioners, mental health
and other allied health services, enabling immediate
referrals to other disciplines where additional client
needs are identified.
Most of these clinics also contribute significantly to
the training of dental students by providing extensive
clinical practice experience under the supervision and
tutelage of qualified clinicians.
Better Oral Health in Residential Aged Care
High levels of dental disease continues to be suffered
by people in residential aged care facilities despite the
Building Better Oral Health Care in Residential Aged Care
project. Led by SA Dental Service and funded by the
Commonwealth Department of Health and Ageing, the
project was rolled out Australia wide in 2010 to promote
a team approach to oral health care for residents.
This year the Service Planning team surveyed the 273
Residential Aged Care Facilities in South Australia to
establish the effectiveness of this model, help inform
planning for ongoing care and determine what support
the dental service could provide for the sector.
Oral health is sustainably integrated
into the wider health system
SA Dental Service Yearbook 2012-13Page 14
The aims of the Project are to:
> develop a model of oral health care for use in
community aged care which is person centred and
supports the principles of ageing well at home
> support the changing needs of older people as
they transition from independence to informal
assistance to formal assistance and finally to
residential care
> enhance access to oral health information across
the continuum of ageing for care workers and
for older people, their families and the wider
community
> promote the integration of the four key oral
health processes of oral health assessment, oral
health care planning, daily oral hygiene and
dental referral into routine community aged care
service delivery.
Phase 1 of this 2 year project is now well
underway. Key activities in the first 12 months
have included formalisation of arrangements
with our project partners, the recruitment of staff
within both SA Dental Service and our project
partner organisations, gaining the relevant ethics
approvals, establishment of the project governance
arrangements and most importantly the recruitment
of older people to participate in the project and the
collection of baseline information
Disability Project
The Australia Research Centre for Population
Oral Health (ARCPOH) commenced a project in
collaboration with SA Dental Service and the
Disability Sector. This project aims to:
> collaborate with sector agencies to develop a
feasible and sustainable oral health intervention
program
> train care workers to provide oral care for people
with disabilities
> evaluate the training program via care worker
questionnaires and assessment of care recipient
clinical outcomes.
14 different agencies sent representatives to the
initial workshops and a steering group was formed.
Despite this initial interest, recruitment for participants
in the project has been difficult, and it is running
slightly behind planned timeframes at this stage.
Strategic Outcome 3
Consumer Advisory Panel 2012-13
The SA Dental Service Consumer Advisory Panel
(CAP) was established in 1999 as a sub-committee
of SA Dental Service Executive. Panel members
are representative of each of the major population
groups to whom public dental services are
provided.
CAP s role is to advise the Executive Director on
effective consumer participation in oral health
programs, operational policy and strategy and
impact on quality oral health service outcomes.
CAP also advocates to the Executive Director on
behalf of the community to promote attention
and sensitivity to the needs of disadvantaged and
marginalised consumers and communities.
During 2012-13 CAP was actively involved in
> providing advice on draft organisational policies
and procedures
> commenting on a range of written materials for
consumers
> providing advice to Executive on how best to
manage saving strategies
> urging support for proposed Federal funding for
public dental treatment through their member
organisations
> promoting information about SA Dental Service
to their communities of interest.
Two CAP meetings were held away from Flinders St
at the Marion GP Plus and Modbury GP Plus Super
clinics.
The community and private dental sector
are involved in the planning, design and
monitoring of public dental services
SA Dental Service Yearbook 2012-13 Page 15
SA Dental Service is active in the
development of public oral health
policy at a State level and National level.
Strategic Outcome 4
South Australia continued to provide secretariat
support for the National Oral Health Monitoring
Group. Executive Director, Martin Dooland, was
acting chair for most of the year. This group
monitors the implementation of the National Oral
Health Plan 2004-13 and develops a report for the
Health Ministers at the Standing Council on Health.
Dr Dooland also chairs the National Dental Directors
Group and SA provides the secretariat support for
this group as well.
Changes in Demand for Care and the
National Partnership Agreement on Treating
More Public Dental Patients
A number of strategies commenced in 2012-13 as
a result of additional Commonwealth funding for
public dental services announced in the May 2012
Federal budget as part of the Commonwealth Dental
Reform Package.
The most significant of these was the National
Partnership Agreement (NPA) on Treating More Public
Dental Patients. This Agreement provides up to $27.7
m for SA and was signed in January 2013 with the SA
Implementation Plan approved by the Commonwealth
in May 2013. In line with NPA objectives, South
Australia s Implementation Plan focuses on:
> Improving access to general dental care for:
? adults who have not accessed care for a number
of years
? high risk groups inclusive of those with medical
conditions that impact oral health, or whose
oral health potentially impacts their general
health and wellbeing. A planned recall interval
system (regular dental check-ups) has been
introduced for identified at-risk adult clients.
> Expanding and enhancing access to dental care
for eligible
? Older people
? Aboriginal people
? People living in regional, rural and remote areas.
In order to fund the NPA the Commonwealth
announced in August 2012 that several existing
Commonwealth programs were closing. The
Chronic Disease Dental Scheme was closed from
30 November 2012. Closure of this scheme led to a
sharp increase in the demand for adult care across
restorative, prosthetic and specialist care. Demand
for restorative services for example, increased by 42%
between MCDDS closure in Oct 2012 and June 2013.
Approval of the Implementation Plan and release of
Commonwealth funds in May 2013 had a dramatic
and immediate effect on both the waiting time and
the numbers of people waiting for care including:
> Immediate removal of 470 people (or more than
55%), from the routine denture waiting lists with
the offer of care.
> The removal of more than 14,400 names from the
restorative waiting lists, a five-fold increase over
the normal rate of the flow of offers of care
Waiting times are expected to reduce further in the
coming months.
While some additional clinical staff will be employed
under the NPA, the majority of clinical activity arising
from these offers of care will occur in the private
sector under existing private sector dental schemes
arrangements.
Grow Up Smiling
The Grow Up Smiling (GUS) program, a further
component of the Commonwealth Government s
Dental Reform, was announced in Aug 2012.
This initiative will replace the current Teen Dental
Plan. Under GUS low and middle income earning
families will be eligible to access subsidised basic
general dental care in either the private or public
dental sectors.
Prior to implementation in January 2014,
SA Dental Service will require substantial changes
to existing business and work practices as well
as the financial and budget model in the School
Dental Service.
Health Workforce Australia (HWA) Oral
Health Workforce 2025 Project
HWA commenced a new project considering
Australia s Future Oral Health Workforce
requirements through to 2025. In January 2013,
Geoff Franklin, General Manager of Statewide
Dental Services was invited to join the National
Project Advisory Group representing the State
Dental Directors and attended a number of
meetings. HWA are expected to release a report in
2013-14 detailing workforce supply and demand
projections for registered dental provider groups.
SA Dental Service Yearbook 2012-13Page 16
Scope of Practice Registration Standard for
Dental Providers
During the year key SA Dental Service staff attended
forum(s) and/or provided feedback to the Dental Board
of Australia (DBA) as part of its review of the Scope of
Practice Registration Standard. The Scope of Practice
Registration Standard is one of the regulatory drivers
which determine how the dental workforce is to be
utilised in the future. Providing feedback to the DBA is
an important step towards being able to optimise use
of the dental workforce. It is expected the Dental Board
consultation and review process will conclude in 2013-14.
Strategic Outcome 5
Health Promotion Practice Guidelines
Following the formal launch of the Health
Promotion Practice Guidelines (HPPG) in June 2012,
implementation of the guidelines across SA Dental
Service commenced. To support implementation,
all SWDS staff were invited to participate in health
promotion professional development training.
In 2012 13, 220 SWDS staff attended Health
Promotion in the Dental Clinic Setting training and
460 SWDS staff attended Motivational Interviewing
training. A range of resources were developed
to support both training programs. An external
facilitator, Dr Tom Nehmy, was contracted to deliver
the Motivational Interviewing training.
An internal and external evaluation of HPPG
training showed that staff found the sessions
extremely useful and beneficial to their daily clinical
work. Throughout the year, Health Promotion
introduced strategies, including refresher sessions,
regular clinic visits and newsletter updates
to encourage clinical staff to continue using
Motivational Interviewing and enhance their
understanding of effective oral health promotion.
Smoking Cessation
In line with oral health s integral role within general
health, a clinic based tobacco cessation program
for patients has been implemented in all CDS clinics
and continues to be rolled out in ADH. SDS staff
Population based health promotion
underpins all of SA Dental Service
Programs and clinical programs have
an increased focus on prevention and
early intervention.
attended youth focussed quitting workshops which
provided information and strategies to engage
with young people about smoking and tobacco
use. Health Promotion developed a suite of new
quitting resources with an oral focus to support staff
conversations with patients about smoking.
The program has resulted in significant increases
in the number of public dental patients receiving
short interventions for smoking cessation. 17,313
interventions have been recorded since 2006.
The program has resulted in significant increases
in the number of public dental patients receiving
short interventions for smoking cessation. Patients
interest in quitting is assessed and where appropriate
the person is linked to Quit SA.
A large number of SA Dental Service Aboriginal
clients are smokers. Health Promotion worked
with Drug and Alcohol Services SA (DASSA) and
Aboriginal people to
develop display material
and resources which aim
to make the waiting
room a more welcoming
space for Aboriginal
clients and to prepare
them for a
conversation
about their
smoking.
Child Recall
Intervals 2012/13
The reduction in
median actual recall
interval for children
treated in the School Dental
Service was sustained with a reduction to
SADS TOTAL Number of People Receiving Short
Intervention for Smoking Cessation (QUIT)
1000
3000
2000
4000
6000
5000
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
0
2011/12
2010/11
2009/10
2012/13
Aboriginal people to
develop display material
and resources which aim
to make the waiting
room a more welcoming
space for Aboriginal
clients and to prepare
treated in the School Dental
Service was sustained with a reduction to
SA Dental Service Yearbook 2012-13 Page 17
18.1 months or less, during 2012-13. This is well
below the target of 18.7 months and the lowest
levels since before 2005. Recent emphasis on
ensuring timely children s recalls, in particular for
high risk children, has started to show improvement
with a reduction on the total number of overdue
recalls. Significant improvements in actual recall
timeliness are anticipated to be delivered in 2013-
14 as a consequence of continuing strategies
implemented since 2011-12.
Preventive Care 2012/13
The delivery of preventive services per client
improved across all of SA Dental Service. Across the
School Dental Service the emphasis on providing
Fissure Sealants and the increased application of
Fluoride to the teeth of children assessed as being at
higher risk of caries was maintained. The outcomes
of this sustained increase in clinical prevention for
children can be seen in the Mean DMFT graph
on page 10 which shows the amount of dental
decay experience in 12 year old children attending
the School Dental Service fell for the fourth year in
succession.
SDS Median RECALL (months)
20.5
20.0
19.5
19.0
18.5
18.0
17.5
17.0
M
on
th
s
A
pr
-J
un
05
O
ct
-D
ec
05
O
ct
-D
ec
06
O
ct
-D
ec
07
O
ct
-D
ec
08
O
ct
-D
ec
09
O
ct
-D
ec
10
O
ct
-D
ec
11
A
pr
-J
un
06
A
pr
-J
un
07
A
pr
-J
un
08
A
pr
-J
un
09
A
pr
-J
un
10
A
pr
-J
un
11
A
pr
-J
un
12
A
pr
-J
un
13
O
ct
-D
ec
12
16.5
18.4 18.5
18.9 18.818.7
18.0 18.0
18.2 18.2
17.7
17.9
18.018.1
18.4 18.4 18.418.418.4
19.1 19.1
19.2
19.4 19.519.5 19.5
19.3 19.3 19.319.3
20.0
19.0
18.6 18.5
Reduced emergencies 2012/13
Dental emergencies treated in 2012-13 were
26,065, an increase of 1,558 or 6% on 2011 12. For
the first three months of 2012-13 the number
of emergencies was reducing. However since
the announcement of the cessation of the
Commonwealth s Medicare Chronic Disease Dental
Scheme (MCDDS) in late August 2012, there has
been significantly increased demand for both
emergency (+13%) and general services on the state
public system. An additional 2,300 more emergency
patients were seen in the last nine-months, after the
MCDDS closure, compared with the same period of
the year before.
The proportion of clients receiving non-emergency
care improved to 69.9%, an increase from the
2011-12 result of 68.6%. The computer assisted
Relative Needs Index triage tool continues to deliver
consistent assessment of the clinical and social
indicators for genuine emergency care for adults.
The endorsement of the implementation plan for the
National Partnership on Treating More Public Dental
Patients from mid-May 2013, allowed for more
general dental care clients to be seen over the last
six weeks of the financial year, with 3,837 additional
non-emergency patients seen in 2012-13 than the
previous year.
Waiting Lists 2012/13
Waiting lists for general and denture public dental
care reduced in 2012-13 as shown in the graphs
below. The average waiting time for patients
removed from routine care waiting lists reduced to
11.5 months at June 2013 compared with
16 months at June 2012. The weighted mean
waiting time for patients being removed from
denture waiting lists was 11.4 months at June 2012
compared with 14.8 months at June 2012.
Clinical Prevention Services
Rate per 100 Consenting Patients
350
250
200
300
150
100
50
2006/2007 2007/2008 2086/2009 2009/2010 2010/2011 2011/2012 2012/2013
0
Topical Fluoride
Fissure Sealant
Conc Fluoride (Teeth treated)
Dental Emergency Courses of Care
commenced per annum
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
55,000
2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13
SA Dental Service Yearbook 2012-13Page 18
However, difficulty attracting dentists to some
country areas and limited treatment of public
patients by private practices has maintained a wide
gap in average waiting times between the Adelaide
metropolitan area and several country areas of at
least one year longer wait.
The combined average waiting time for Specialist
Services at the Adelaide Dental Hospital increased
slightly from 14.4 months in June 2012 to 15.6
months by June 2013, continuing a long term trend
evident since March 2011.
Dental Wait Lists (Months)
36
30
24
18
12
6
Ju
n-
10
Se
p-
10
Specialist
Denture
General Restorative
D
ec
-1
0
M
ar
-1
1
Ju
n-
11
Se
p-
11
D
ec
-1
1
Ju
n-
12
M
ar
-1
2
Se
p-
12
D
ec
-1
2
M
ar
-1
3
Ju
n-
13
0
Strategic Outcome 6
Quality of Care & Clinical Indicators
The SA Dental Service participates in the national
quality clinical indicators program managed by
the Australian Council on Healthcare Standards
(ACHS). From 2012, the ACHS released a new and
refined suite of Clinical Indicators for Oral Health
services, reducing the number of indicators from 23
to 10 measures. The main oral health care clinical
indicators focus on monitoring and minimising
returns for repeated care, usually on the same tooth
also known as retreatment rates, or unplanned
return visits for adult dental services (restorations,
extractions and dentures), endodontics and
children s dental care (restorations, pulpotomy and
fissure sealants).
2012/13 ACHS Quality Clinical Indicators (Oral Health)
results:
The SA Dental Service achieved statistically significantly
better than peer aggregate results for low rates of
adult restoration retreatment on the same tooth within
6 months in the first half of 2012, and for denture
remakes within 12 months. For the remaining seven
clinical indicator areas both the School and Community
Dental Services achieved mostly better than peer
average rates, all within the peer norm range.
For the June 2013 ACHS indicator report, covering
the second half of 2012, plus six-month lag for return
events, SA Dental Service achieved statistically equal
to national peer aggregate results in all nine of the
indicators areas submitted. There were no outliers.
Accreditation
In second half of 2012 SA Dental Service completed
a Periodic Review against the EQuIP5 framework
with Australian Council on Health Care Standards
(ACHS). SA Dental Service maintained its accredited
status and received excellent results.
In January 2013 SA Dental Service transitioned
from the EQuIP5 framework developed by ACHS to
the Australian Commission on Safety and Quality
in Health Care National Safety and Quality Health
Service (NSQHS) Standards for Accreditation.
SA Health mandated that all health care services
would be accredited against the NSQHS standards
from 2013 onwards which follows endorsement of
these by Australian Health Ministers in 2011.
Transitioning to the NSQHS standards involved
a review of our contract with ACHS and the
opportunity to select a new provider. The program
for NSQHS altered the accreditation cycle from
4 years to 3 years. Following an extensive review of
Client focused quality systems drive
improved clinical and non-clinical
services which are demonstrably
efficient and effective.
ACHS Clinical Indicators
Restoration Retreatment (6mths)
Cl1.1 (adult) Cl3.1 (child)
1%
2%
4%
3%
6%
5%
2010_H2 2011_H1 2011_H2 2012_H1 2012_H2 2013_H1
0%
Peer Adult Peer Child
Reporting Period (allow for lag for return services)
Adult Child
SA Dental Service Yearbook 2012-13 Page 19
400
350
300
250
200
150
100
50
0
Ju
l-
11
Ju
l-
12
A
u
g
-1
2
Se
p
-1
2
O
ct
-1
2
N
o
v-
12
D
ec
-1
2
Ja
n
-1
3
Fe
b
-1
3
M
ar
-1
3
A
p
r-
13
M
ay
-1
3
Ju
n
-1
3
A
u
g
-1
1
Se
p
-1
1
O
ct
-1
1
N
o
v-
11
D
ec
-1
1
Ja
n
-1
2
Fe
b
-1
2
M
ar
-1
2
A
p
r-
12
M
ay
-1
2
Ju
n
-1
2
scheme introduced
the providers it was decided by SA Dental Service Executive
to continue our contract with ACHS until 2016.
There are 10 NSQHS standards, but Dental
Services are only reviewed against 6 of these as
the remaining 4 are determined by the Australian
Commission on Safety and Quality in Health Care
National Safety to be non applicable.
The 6 NSQHS standards for Dental Services are:
> Governance for Safety and Quality in Health
Service Organisations
> Partnering with Consumers
> Preventing and Controlling Healthcare Associated
Infections
> Medication Safety
> Patient Identification and Procedure Matching
> Clinical Handover.
A series of workshops were attended by SA Dental
staff from January to June to ensure familiarity with
the new standards and their application to SA Dental
Service in preparation for the first organisation
wide survey in August 2013 utilising the NSQHS
Standards.
Op Plan 6.1 CDS Clinical KPIs
The original 10 Adult (CDS) Clinical KPIs have
been reviewed; two KPIs (Bitewing radiographs at
first General Course of Care examination and the
provision of preventive advice at an emergency
appointment) will continue to be recorded on a
rolling 3-monthly basis with the remaining 8 Clinical
KPIs recorded 6-monthly. A new Clinical KPI will be
introduced to monitor the prescription of antibiotics
by dentists in SWDS.
In line with the CDS Clinical KPIs the School Dental
Service Clinical KPIs have also been reviewed
reduced to a rolling 3-monthly report with an
emphasis on prevention (fluoride application,
fissure-sealant provision and bitewing radiograph
diagnosis).
The revised Clinical KPIs will continue to be
evaluated by both the clinical leadership team and
Executive to determine clinical performance and
compliance and the suitability of the revisions.
Specialist Schemes
During 2012/13 the Adelaide Dental Hospital
(ADH) commenced development of private dental
schemes similar to the General and Emergency
Dental Schemes to enable public patients waiting
on long dental specialist lists at the ADH to access
their care earlier. The first such scheme to be rolled
out is the Specialist Dental Scheme (Endodontics).
This commenced in February 2013, with all private
endodontists in SA agreeing to participate. The
scheme allows for referral of suitable complex
endodontic cases to the private sector for treatment,
thus reducing the SRU waiting list for specialist
endodontic treatment. Feedback from the private
practices and patients has been very positive. The
endodontists report that the cases being referred are
truly complex, which is a reflection of appropriate
case appraisal and selection by SRU. The private
specialist practices also report that the processes
are working smoothly and efficiently, and patient
and provider expectations are being met as a result
of clearly communicated procedures. Since the
introduction of the scheme, the number of patients
on the SRU endodontics waiting list has reduced to
68 by end June 2013.
Corporate Services Developments
SA Health continues to review non-clinical services
and implement consolidated services to achieve
improved efficiencies through economies of scale.
For SA Dental Service this saw the closure of the SA
Dental Service stores warehouse in Hindmarsh which
housed and delivered dental supplies to all clinics for
more than 10 years. From July 2012, all clinical and
non-clinical supplies were ordered and distributed
through the SA Health Distribution Centre at
Camden Park. After some initial teething problems,
the new arrangement was effective and resulted in
the larger clinics receiving deliveries more regularly
which was of benefit for stock management.
In addition, SA Biomedical Engineering was officially
formed which saw the transition of the SA Dental
SA Dental Service Yearbook 2012-13Page 20
Service biomedical engineering technicians to work
under a centralised model in SA Health. The new
division now manages all biomedical equipment
across the state. Technicians remain allocated to
SA Dental Service to support dental equipment
maintenance.
Strategic Outcome 7
Credentialling and Scope of Practice
During the year SA Dental Service Credentialing
Committee maintained the credentialing status
of over 500 Dental Practitioners, this includes all
non-SA Dental Service employees who provide and
or supervise the provision of dental care within SA
Dental Service (eg University Tutors).
The Credentialing Committee continued to refine
the processes for documenting the scope of
clinical practice of credentialed dental practitioners
employed by SA Dental Service, a similar process
has been commenced for non-SA Dental Service
employees.
Staff Biennial Conference
In June 2012 over 540 SA Dental Service staff
attended the organisation s Biennial Conference.
Themed Excellence in Action , the program
included presentations by staff and invited speakers.
Feedback from attendees indicated the contribution
made by guest speakers and staff about their
projects and activities were well received.
SA Dental Service acknowledged the outstanding
achievements of a number of its Unsung Heroes
those staff who made a significant contribution
to improving oral health outcomes for South
Australians Badges acknowledging 30 and 40 years
of service were presented to staff in recognition of
their contribution to the organisation. Conference
day also provided an opportunity for staff to network
with colleagues from other sites across the state.
Teaching on the Run
In October 2012, Workforce Development Unit staff
completed facilitator training for the Teaching on
the Run program. This course had been identified
SA Dental Service is an employer of
choice, has sufficient skilled clinical and
non clinical workforce and is making
full and flexible use of its capabilities.
by the Dental Board of Australia as being particularly
relevant for staff involved with clinical tutoring.
The purpose of the program was to:
> Help clinical tutors plan for, and recognise
opportunities for teaching in the clinical setting
> Help clinicians provide effective feedback
> Provide strategies supporting good supervision
and learner support
> Build clinicians confidence in their ability as
teachers
> Encourage sharing of ideas and networking
among clinical teachers to enhance their practice.
Voluntary Dentist Graduate Year Program
An initiative of the Commonwealth Government
Dental Reform Package is the Voluntary Graduate
Year Program (VDGYP). Under this program new
dental graduates work in the public sector providing
treatment to eligible patients as well as undertaking
a structured educational program to enhance their
clinical practice.
SA Dental Service was allocated funding and
recruited one Graduate for the 2013 calendar year
and expects to increase these numbers slightly in the
coming years. The graduate was based at the Marion
and Noarlunga GP plus Community clinics and did
rotations through a number of the clinical units of
the Adelaide Dental Hospital.
The cost of the graduate salaries and clinical mentor
time is included in the Commonwealth funding.
The VDGPY Program also incorporates allocation of
capital funding of $1.9 million to provide space to
support the VDGYP placements. SA Dental Service
is looking to establish a new 6 chair clinic in the
western metropolitan area with this funding.
Strategic Outcome 8
Collaborative Partnership with the Australian
Research Centre for Population Oral Health
(ARCPOH)
Research Agenda 2012/13
SA Dental Service has a long, well established and
successful relationship with the Australian Research
SA Dental Service is an active partner
with the dental tertiary education and
research sectors.
SA Dental Service Yearbook 2012-13 Page 21
Centre for Population Oral Health (ARCPOH).
Research topics currently underway include:
> Adult recall intervals and services in a course of
care
> Risk assessment and effective preventive
interventions among adults
> Review and update of child caries risk assessment
tool
> Focus Group testing Aboriginal clients about
barriers to care that influence attendance patterns
> Improve access to oral health care for people
experiencing disabilities
> Assess the long term outcomes of improved
access to dental care for older people.
Research activities range from relatively short
duration literature reviews to clinical trials taking
place over several years. The research results and
findings will be used to inform broad policy decisions
and clinical service provision in future years.
National Child Oral Health Survey 2012/13
The National Child Oral Health Survey being
conducted by SA Dental Service in conjunction with
ARCPOH has been extended to the end of 2013.
The enrolment of participating schools has proven to
be more difficult than expected. The survey includes
a questionnaire for parents to complete as well
as dental examinations of children included in the
survey by a small team of SA Dental Service staff.
The quality of the questionnaire returns seems high,
with little missing data. The oral epidemiological
examinations have been progressing smoothly and
examination teams have completed about 700
examinations during visits to about a third of the
participating schools.
Public dental infrastructure supports the
provision of contemporary public dental
services and is integrated with other
health services wherever possible.
Strategic Outcome 9
During the year there were further significant steps
forward in improving public dental infrastructure
across the State.
Infrastructure Improvements in Country Areas
SA Dental Service staff have continued to be heavily
involved with Architects and Engineering consultants
developing detailed plans on major projects for
Wallaroo, Port Lincoln and Mount Gambier.
It was very exciting to see building works
commencing with Wallaroo starting in October
2012 following the tender process that saw GC&J
Constructions appointed as the builder.
Mossop Group Pty Ltd were appointed to build the
Port Lincoln Hospital development including the 7 chair
clinic for SA Dental Service and commenced onsite
in April 2013. Built Environs were appointed for the
Mount Gambier Hospital development that includes
a 6 chair extension to the SA Dental Service together
with a minor refurbishment of the existing clinic.
This year also saw work commence on the new 6
chair Murray Bridge clinic with architects appointed
and concept planning beginning after delays in sign
off on funding agreements.
SA Dental Service Yearbook 2012-13Page 22
Other Infrastructure Projects
The new 6 chair Aged Care Clinic was built in
the Adelaide Dental Hospital. This proved to be
a challenging project due to existing building
conditions and the tight timeframes required to
reduce impact on students, which resulted in the
General Practice Offices being moved and refitted.
The final result was extremely pleasing and included
an inbuilt wheelchair lifter and 2 portable lifters that
will assist staff and patients.
The Prison clinics at the Adelaide Remand Centre
and the Women s Prison were approved for upgrade.
The Mitcham School Dental Clinic was extended and
completely refurbished.
Freedom of Information
2012/13
Information Statement
The Freedom of Information Act 1991 gives
members of the public a legally enforceable right
to access information held by the South Australian
Government, subject to certain restrictions.
Functions of SA Dental Service directly impacts
on the public
The work of SA Dental Service directly impacts on
the public as a result of providing public dental
services to eligible South Australians who hold
current Centrelink Pensioner Concession Cards or
Health Care Cards.
Public participation
The public can contribute to policy development
within SA Dental Service in a number of ways.
SA Dental Service accesses external expertise and
policy advice through statutory and non-statutory
advisory committees such as the Consumer Advisory
Panel, which are comprised of both government
and non-government representatives. SA Dental
Service consults with major consumer groups,
circulates discussion papers, calls for submissions
on particular topics, and convenes public meetings
in metropolitan and country areas. It also fosters
a culture of inclusion of communities and service
providers in planning, development and evaluation
of services. These processes ultimately facilitate the
community s access to services and their informed
decision making about service options and program
developments.
Types of documents held by SA Dental Service
SA Dental Service holds various hard copy and/
or electronic oral health publications in addition to
administrative and client files. These include books,
reports, reviews, serial publications, pamphlets,
information sheets, codes of practice, surveys,
guidelines, policies, procedures, programs, strategies,
directories and evaluations.
Arrangements and procedures for seeking
access to documents
Application forms for access to documents can be
downloaded from the SA Dental Service website,
obtained through any clinic or provided by the
Client Relations Unit. The Client Relations Unit is
responsible for processing FOI requests and is able to
assist with any FOI related enquiries.
SA Dental Service Yearbook 2012-13 Page 23
Applications for Access (2012-13)
Details of Applications Personal Non Personal Total
New applications for the year 37 0 37
Applications brought forward from previous year 0 0 0
Total to be processed 37 0 37
Determined 36 0 36
Transferred in full 0 0 0
Withdrawn 0 0 0
Totally actually processed 36 0 36
Unfinished 1 0 1
Outcomes of Access Applications (2012-13)
Outcome description Personal Non Personal Total
Full Release 36 0 36
Partial Release 0 0 0
Refused access 0 0 0
Total 36 0 36
Applications for Amendment (2012-13)
Personal Non Personal Total
New Amendment applications 1 0 1
Outcome description
Determined 1 0 1
Notation added to record 1 0 1
Total 1 0 1
Applications and Outcomes for Internal Reviews (2012-13)
Personal Non Personal Total
New Internal Review applications 0 0 0
Outcome description
Determined 0 0 0
Decision confirmed 0 0 0
Total 0 0 0
SA Dental Service Yearbook 2012-13Page 24
Adelaide Dental Hospital Statistics
Treatment Statistics
2009/2010 2010/2011 2 011/2012 2012/2013
Patients 20,883 21,276 21,527 22,096
Attendances 68,293 69,600 75,531 77,174
Diagnostic / Preventive
Examinations 11,844 13,306 14,506 13,455
Consultations 11,784 12,010 11,487 12,238
Radiographs 28,263 29,680 28,739 27,830
Periodontal treatment
dental health education
14,798 16,701 18,741 18,551
Conservative Dentistry
Temporary restorations 1,418 1,469 1,939 1,915
Plastic restoratio
(amalgam, GIC & resin) 13,515 12,612 14,219 14,708
Complex restorations 1,029 982 1,032 943
Root canal treatment 1,061 928 883 947
Prosthetic Dentistry
Full dentures 642 548 495 498
Part dentures 689 633 692 834
Denture relines / re-bases 167 156 173 186
Denture repairs 174 196 211 194
Denture adjustments 1,166 982 935 1,056
Oral Surgery
Simple extractions 13,145 12,348 12,084 12,280
Surgical extractions 2,413 1,907 2,101 2,863
Orthodontics
Removable appliances** 790 791 942 982
Fixed appliances
(Arches) 890 1,220 1,125 1,134
SA Dental Service Yearbook 2012-13 Page 25
Adelaide Dental Hospital Statistics (cont.)
Waiting Lists
Number of people on waiting lists
Patient Visits seeing a dental student
02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Orthodontics 1,782 2,481 2,791 3,120 1,249 1,222 1,165 708 626 1,210 1,710
Oral Surgery 885 1,092 1,141 1,008 1,125 819 765 494 721 895 898
500
0
02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 12/1311/12
1,000
1,500
2,000
2,500
3,000
3,500
Adelaide Dental Hospital Specialist Waiting Lists
Number of persons Waiting at 30th June
Oral Surgery
Orthodontics
5000
0
05/06 06/07 07/08 08/09 09/10 10/11 12/1311/12
10000
15000
20000
25000
30000
35000
40000
45000
Total Number of BDS Student Patient Visits per year
CDS-BDS5
SDS-BDS4
ADH
TOTAL
05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Adelaide Dental Hospital 21198 22978 26426 25816 26003 27272 29707 29193
Community- BDS5 2495 2816 2934 6978 9716 7990 7386 9272
School Dental/Pedo BDS4 1826 1677 1807 1242 1539 1296 1982 2163
All 25519 27471 31167 34036 37258 36558 39075 40628
SA Dental Service Yearbook 2012-13Page 26
School Dental Service Statistics
Children under care (consents)
In 2012/13, the School Dental Service cared for 135,012 registered children; 110,829 pre-school and primary
school children (-937) and 24,183 (-545) secondary school students. The number of patients under care is
1,482 fewer than the 2011/12 total, but 762 children more than in 2010/11.
Slightly fewer secondary school children enrolled in SDS (-2%), continues the year-on-year trend observed
since 1999.
The Medicare Teen Dental Plan voucher scheme for diagnositc and preventive dental services, allows the SDS
to offer free dental care to many non-cardholder children aged 12 to 17 years, covered under Family Tax
Benefit A entitlements.
The number of children under care by the School Dental Service since 1972 is shown below:
> Note: lower secondary school participation since 1995, associated with an annual secondary school
subscription.
> Note: Copayments were introduced for Primary (& some Preschool) children after first Free course of care
for non-cardholders from January 2007.
> Pre-school aged children are now free of copayments for school dental service care.
> The Medicare Teen Dental Plan voucher scheme introduced from July 2008, also now allows non-carholders to
receive free SDS care in exchange for the voucher.
50,000
0
19
72
19
74
19
76
19
78
19
80
19
82
19
84
19
86
19
88
19
90
19
92
19
94
19
96
19
98
20
00
20
02
/0
3
20
04
/0
5
20
06
/0
7
20
08
/0
9
20
10
/1
1
20
12
/1
3
100,000
150,000
200,000
250,000
SDS Number of Children Enrolled
Total Number of Children
Pre & Primary
Secondary & Tertiary
SA Dental Service Yearbook 2012-13 Page 27
School Dental Service Statistics (cont.)
Dental caries experience
A patient s DMF(T) index is the total number of decayed, missing or filled permanent teeth and is a measure of
decay experience. The mean DMF(T) for 12 year old children is presented below for years since 1977. The oral
health of 12 year old SDS patients is represented by a mean DMFTscore of 0.91 in 2013. While there had been
noticable deterioration in children s oral health over approximately the decade leading up to 2006, this had
stabilised at about DMFT = 1.0 for about four years, and improved annually between 2009 and 2012.
1.0
0.5
0.0
1976 1979 1980 1983 1984 1986 1989 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
SA School Dental Service DMFT 12 year olds
SA Dental Service Yearbook 2012-13Page 28
School Dental Service Statistics (cont.)
Annual services per 100 children under care (registered consents)
2009/10 2010/11 2011/12 2012/13
Freq Per 100 Freq Per 100 Freq Per 100 Freq Per100
Consents Consents Consents Consents
Patients 81,491 79,829 84,380 84,975
Attendances 166,698 164,742 173,208 184,509
Examinations 79,652 57.1 75,860 56.5 81,013 59.4 83,967 62.2
Radiographs 72,810 52.2 78,817 58.7 88,971 65.2 92,273 68.3
Prophylaxis 14,708 10.5 14,211 10.6 14,592 10.7 15,390 11.4
Topical Fluoride 19,191 13.8 20,349 1 5.2 19,836 14.5 20,235 15.0
#Conc Fluoride (Teeth treated) 199,610 143.2 302,324 225.2 354,336 259.6 413,611 306.4
Filling (primary + permanent) 50,199 36.0 45,859 34.2 46,758 34.3 44,544 33.0
Pulpotomy (Primary) 2,708 1.9 2,447 1.8 2,350 1.7 2,207 1.6
Root Canal Treatment 236 0.2 197 0.1 251 0.2 285 0.2
Extractions
Simple (primary+perm) 15,907 11.4 15,791 11.8 15,925 11.7 15,872 11.8
Temporary dressing 4,032 2.9 3,308 2.5 2,585 1.9 2,617 1.9
Orthodontics
Active appliance 367 0.3 294 0.2 280 0.2 331 0.2
Referral 3,695 2.6 3,892 2.9 4,512 3.3 4,916 3.6
Mouthguard 822 0.6 811 0.6 853 0.6 933 0.7
Fissure sealant
and surface protection 86,643 62.1 76,606 57.1 79,767 58.4 80,479 59.6
Dental Health Education
Child-individual* 52,491 37.6 57,899 43.1 60,256 44.1 65,018 48.2
small group* 641 0.5 1,555 1.2 1,343 1.0 804 0.6
Parent-individual* 83,145 59.6 80,587 60.0 82,073 60.1 84,325 62.5
-group** 248 0.2 318 0.2 133 0.1 124 0.1
* Estimated 5 minute time unit
** Estimated 15 minute time unit
SA Dental Service Yearbook 2012-13 Page 29
Community Dental Service Statistics
Treatment Statistics (Community Dental Clinics and Private Sector Schemes)
Number of services provided 2012/2013
CDS Contracted Privately Total 2012/2013
Freq Per 100 Freq Per 100 Freq Per 100
Patients Patients Patients
Number of patients 36,096 20,910 53,846
Patient attendances 86,902 44,488 131,350
Examinations 33,927 94.0 15,011 71.8 48,938 90.9
Radiographs 37,045 102.6 18,607 89.0 55,652 103.4
Periodontal treatment /
36,111 100.0 11,772 56.3 47,883 88.9
dental health education
Temporary restorations 2,714 7.5 362 1.7 3,076 5.7
Plastic restorations
37,782 104.7 21,418 102.4 59,200 109.9
(amalgam, GIC & resin)
Complex restorations 22 0.1 0 0.0 22 0.0
Root canal treatments 950 2.6 170 0.8 1,120 2.1
Denture units 1,669 4.6 4,427 21.2 6,096 11.3
Denture relines / rebases 201 0.6 237 1.1 438 0.8
Denture repairs 183 0.5 5,774 27.6 5,957 11.1
Denture adjustments 1,517 4.2 71 0.3 1,588 2.9
Simple extractions 18,301 50.7 5,383 25.7 23,684 44.0
Surgical extractions 127 0.4 1,144 5.5 1,271 2.4
SA Dental Service Yearbook 2012-13Page 30
Community Dental Service Statistics (cont.)
Treatment statistics (Community Dental Clinics and Private Sector Schemes combined)
Number of services provided most recent four years
2009/2010 2010/2011 2011/2012 2012/2013
Freq Rate Freq Rate Freq Rate Freq Rate
Per 100 Per 100 Per 100 Per 100
Patients Patients Patients Patients
Number of patients 54,825 48,635 45,997 53,846
Patient attendances 117,518 108,823 107,543 131,350
Examinations 45,247 82.5 41,961 86.3 4 0,251 87.5 48,938 90.9
Radiographs 42,199 77.0 40,056 82.4 41,200 89.6 55,652 103.4
Periodontal treatment /
dental health education
25,529 46.6 26,365 54.2 33,394 72.6 47,883 88.9
Temporary restorations 2,086 3.8 2,486 5.1 2,318 5.0 3,076 5.7
Plastic restorations
(amalgam, GIC & resin) 47,013 85.8 43,419 89.3 42,677 92.8 59,200 109.9
Complex restorations 4 0.0 0 0.0 1 0.0 22 0.0
Root canal treatments 685 1.2 623 1.3 821 1.8 1,120 2.1
Denture units 6,834 12.5 5,695 11.7 5,549 12.1 6,096 11.3
Denture relines / rebases 559 1.0 410 0.8 358 0.8 438 0.8
Denture repairs 6,738 12.3 5,866 12.1 5,151 11.2 5,967 11.1
Denture adjustments 1,566 2.9 1,214 2.5 1,551 3.4 1,588 2.9
Simple extractions 24,290 44.3 22,613 46.5 21,953 47.7 23,684 44.0
Surgical extractions 1,159 2.1 944 1.9 1,022 2.2 1,271 2.4
SA Dental Service Yearbook 2012-13 Page 31
Community Dental Service Statistics (cont.)
State Adult Dental Waiting Lists
Waiting lists at Community Dental Service Clinics adult dental services
State Average Waiting Time (months) at Community Dental Service Clinics
02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Prosthetic Waiting Lists 7,611 6,331 6,177 6,119 6,378 6,075 3,776 3,043 1,615 927 429
Conservative Waiting Lists 58,417 63,876 58,121 57,969 42,051 32,429 31,289 28,143 23,951 21,373 13,473
02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
Prosthetic Waiting Lists 37.9 34.0 34.2 37.5 40.6 38.7 27.8 28.6 16.6 14.8 11.4
Conservative Waiting Lists 31.6 34.8 28.7 26.0 22.6 19.1 17.3 17.7 16.8 16.0 11.5
10,000
02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12 12/13
20,000
30,000
40,000
50,000
60,000
70,000
CDS State Total Waiting Lists Restorative and Prosthetic
Numbers of Persons Names on Waiting Lists
Prosthetic Waiting List
Restorative Waiting List
SA Dental Service Yearbook 2012-13Page 32
Aboriginal Dental Scheme Statistics
Treatment Provided 2007/2008 2012/2013
Aboriginal Liaison Project Statistics
2007/2008 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013
Practices participating 46 45 46 55 56 32
Claims submitted 1,096 969 917 847 611 566
Examinations 858 758 775 723 503 519
Dental prevention 148 72 71 91 57 54
Restorations 611 359 300 272 222 185
Endodontics 3 2 1 3 1 2
Radiographs 581 368 396 370 235 379
Extractions 633 567 521 408 275 244
Surgical extractions / oral surgery 60 49 69 75 82 85
Relief of pain / Temporary filling 17 27 15 11 9 11
Dentures units 75 61 47 46 29 5
Repairs / maintenance to Dentures 20 35 16 15 16 11
Adjustments or relines 7 4 3 3 5 2
2007/2008 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013
Number of patients 183 688 1,351 1,840 2,216 2,500
Patient attendances 359 1,750 3,679 4,625 5,557 6,322
Courses of care 189 727 1,425 1,951 2,352 2,690
Examinations 196 861 1,511 2,108 2,442 2,767
Dental prevention /
periodontal treatment 91 412 909 1,189 2,197 2,898
Restorations 141 743 1,792 2,147 2,616 3,289
Endodontics 0 2 15 25 28 48
Radiographs 199 822 1,534 2,151 2,756 3,307
Extractions 172 766 1,506 1,812 2,338 2,518
Surgical extractions / oral surgery 0 1 7 10 5 12
Relief of pain / temporary filling 7 37 75 149 129 213
Dentures units 5 53 129 100 139 86
Repairs / maintenance to dentures 1 0 15 8 12 11
Adjustments or relines 2 21 53 52 75 71
SA Dental Service Yearbook 2012-13 Page 33
Human Resources Statistics
Number of Employees by Salary Bracket
Status of Employees in Current Position
Number of Executives by Status in Current Position, Gender and Classification
Agency DSSA
Persons 885
FTE s 671.5
Number of Persons Separated from the agency
during the last 12 months 90
Number of Persons Recruited to the agency
during the 12/13 financial year 124
Number of Persons Recruited to the agency during the 12/13
financial year AND who were active/paid at June 2013 97
Number of Persons on Leave without Pay at 30 June 2013 35
Male 16.27 16.76
Female 83.73 83.24
Gender % Persons %FTE
EXEC0A 1 1 1 33 1 33 2
EXEC0C 1 0 1 33 0 0 1
Total 2 1 2 67 1 33 3
Classification Term Untenured Total
% of total % of total
Male Female Male Execs Female Execs Total
Male 83.39 21.88 2 5.25 112.52
Female 480.23 63.97 1 13.78 558.98
Total 563.62 85.85 3 19.03 671.50
Male 98 25 2 19 144
Female 622 78 1 40 741
Total 720 103 3 59 885
FTEs Gender Ongoing Short-term Contract Long-term Contract Casual Total
Persons Gender Ongoing Short-term Contract Long-term Contract Casual Total
0 - $54,799 10 417 427
$54,800 to $69,699 35 186 221
$69,700 to $89,199 16 56 72
$89,200 to $112,599 20 33 53
$112,600 Plus 63 49 112
Total 144 741 885
Salary Bracket Male Female Total
SA Dental Service Yearbook 2012-13Page 34
Human Resources Statistics (cont.)
Total Days Leave Taken Needs to be divided by average FTE figure for the financial year for per FTE figure
Number of Aboriginal and/or Torres Strait Islander Employees
Number of Employees by Age Bracket by Gender
Cultural and Linguistic Diversity
Total Number of Employees with Disabilities (according to Commonwealth definition)
0 - $54,799 3 427 0.70
$54,800 to $69,699 1 221 0.45
$69,700 to $89,199 3 72 4.17
$89,200 to $112,599 1 53 1.89
$112,600 Plus 0 112 0.00
Total 8 885 0.90
1) Sick Leave Taken 5925.49
2) Family Carer s Leave Taken 451.6
3) Miscellaneous Special Leave 456.75
Leave Type 2012/13
Number of Employees born overseas 48 144 192 21.69
Number of Employees who speak
language(s) other than English at home
11 30 41 4.63
1 7 8 0.9
Name Male Female Total % of Agency
Male Female Total % of Agency
Salary Bracket Aboriginal Employees Total Employees % Aboriginal Employees
15 - 19 18 0 18 2.03
20 - 24 81 6 87 9.83
25 - 29 67 9 76 8.59
30 - 34 64 24 88 9.94
35 - 39 57 17 74 8.36
40 - 44 71 11 82 9.27
45 - 49 97 13 110 12.43
50 - 54 114 15 129 14.58
55 - 59 119 24 143 16.16
60 - 64 51 17 68 7.68
65+ 2 8 10 1.13
Total 741 144 885 100
Age Bracket Female Male Total % of Total
SA Dental Service Yearbook 2012-13 Page 35
Human Resources Statistics (cont.)
Types of Disability (where specified)
Number of Employees using Voluntary Flexible Working Arrangements by Gender
Documented Review of Individual Performance Management
Leadership and Management Training Expenditure
Disability Requiring Workplace Adaptation 1 7 8 0.9
Physical 0 0 0 0.0
Intellectual 0 0 0 0.0
Sensory 0 0 0 0.0
Psychological/Psychiatric 0 0 0 0.0
Disability Male Female Total % ofTotal
Purchased Leave 0 0 0
Flexitime 10 16 26
Compressed Weeks 6 34 40
Part-time 68 505 573
Job Share 0 0 0
Working from Home 1 1 2
% Reviewed within the last 12 months 0.23
% review older than 12 months 60.34
% Not reviewed 39.44
Total training and development manual calculation
expenditure $0.00 consult Circular 13
Total Leadership and Management manual calculation
Development $0.00 consult Circular 13
Leave Type Male Female Total
Documented Review of Individual
Performance Management
Total
Training and Development Total Cost % of Total Salary Expenditure
SA Dental Service Yearbook 2012-13Page 36
Financial Statements
SA Dental Service Financial Report as at 30 June 2013
Revenue YTD Actuals YTD Budget YTD Variance
Patient/Client Fees -6,169,508 -5,954,236 215,272
Goods and Services Recharge / Recoveries -86,407 -143,157 -56,750
Recharges - Employee Related Cost -1,246,010 -506,361 739,649
Grants, Donations & Subsidies -1,368,393 -91,518 1,276,875
User Fees and Charges Revenue -313,998 -119,297 194,701
Investment Income & Other Revenue -758,534 -2,578,236 -1,819,702
Revenue Total -9,942,851 -9,392,805 550,046
Expense
Employee Related Expenses
Salaries and Wages - Nursing 520,685 429,866 -90,819
Salaries and Wages - Medical Officers 514,027 497,437 -16,590
Salaries and Wages - Weekly Paid 376,197 356,088 -20,109
Salaries and Wages - Clinical Academics 62,412 0 -62,412
Salaries and Wages - Salaried Employees 43,866,278 44,919,424 1,053,146
Other Employee Related Expenses 6,341,864 6,400,182 58,318
Employee Related Expenses Total 51,681,464 52,602,997 921,533
Non Employee Related Expenses
Agency Staffing 85,029 59,425 -25,604
Food Supplies 45,283 16,717 -28,566
Drug supplies 95,869 4,633 -91,236
Medical, Para Med & Laboratory Supplies 4,261,774 3,893,646 -368,128
Outside Pathology Charges 2,539 1,901 -638
Housekeeping 463,939 274,519 -189,420
Linen Services 9,088 2,535 -6,553
Electricity, Gas, Fuel 653,745 649,834 -3,911
Minor Equipment 244,739 339,111 94,372
Repairs & Maintenance 1,037,993 1,122,089 84,096
Fee for Service 7,103,956 5,064,566 -2,039,390
Other Supplies & Services 6,320,249 8,536,786 2,216,537
Patient/Client Transport Assistance 24,591 23,076 -1,515
S & W Purchased Staff from Other SA Health Regions 869,147 0 -869,147
Grants and Subsidies 48,719 0 -48,719
Non Employee Related Expenses Total 21,266,659 19,988,838 -1,277,821
Expenses Total 72,948,123 72,591,835 -356,288
Capital Revenue / Expense
Cost or Valuation of Assets Disposed 1,473,833 0 -1,473,833
Accum Depreciation of Assets Disposed -40,300 0 40,300
Appropriations and SA Government Revenue -1,296,079 -1,871,000 -574,921
Financial and Investment Losses -20,063 0 20,063
Depreciation & Amortisation 2,319,047 621,681 -1,697,366
Capital Revenue / Expense Total 2,436,438 -1,249,319 -3,685,757
Grand Total 65,441,711 61,949,711 -3,492,000
For more information
SA Dental Service
GPO Box 864
Adelaide SA 5001
Telephone: 8222 8222
www.sahealth.sa.gov.au/sadental
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