all that’s holy

Annual Report 2005-2006

All that’s holy

Shireen Malamoo is a highly respected member of the Aboriginalcommunity. She is Aboriginal/ni-Vanuatu (slave trade) and was born in Ayr North Queensland. Shireen has always been interested in art in all its forms. She has been actively involved in Aboriginal affairs on a localand national level for most of her life. Shireen’s art depicts the politicaland spiritual experiences of her life.

Justice Health ABN 70 194 595 506 PO Box 150, Matraville NSW 2063Telephone: 02 9289 2977 Facsimile: 02 9311 3005 www.justicehealth.nsw.gov.au

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28 November 2006

The Hon. John Hatzistergos

Minister for Health

Governor Macquarie Tower

1 Farrer Place

SYDNEY NSW 2000

Dear Minister,

We are pleased to present the Annual Report of Justice Health for the year ended 30 June 2006 for tabling in theParliament of NSW. This report is consistent with the statutory requirements for annual reporting and complies with the provisions of the Accounts and Audit Determinations for Public Health Organisations.

The year saw Justice Health expanding its community forensic mental health services and providing specialist forensicmental health advice to Area Health Service Mental Health Services. Significant progress was made on the Forensicand Prison Hospitals Project, with contractual negotiations nearing completion and site preparation works commencingfor the two new hospitals at the Long Bay Complex.

With the ongoing support of our Board, Justice Health has continued to provide high quality health services within a growing and challenging environment. Thank you for continuing to support us in improving the health of the people of NSW through the health interventions we provide to those who come into contact with the NSW criminal justicesystem.

Yours sincerely

Professor Ronald Penny AO Dr Richard Matthews

Chairman Chief Executive

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Newcastle

Wollo(Kee

Liverpool

Penrith ParkleaNorm

ParramattaBlacktown

SilverwaterComplex**

St Marys(Cobham)

Emu Plains

John Morony I & IIand Dillwynia

Berrima

Su

Burwoo

Nowra

Campbelltown(Reiby)

Hunter/New England

NorthCoast

Greater Southern

Western Sydney

Sydney Area

SouthSydney

SouthWesternSydney

Greater Western

Dubbo(Orana)

TomagoCessnockWellington*

BathurstKirkconnell

LithgowOberon

Goulburn

Cooma

Mannus

Riverina

Junee

Brewarrina

Broken Hill

Ivanhoe

Lismore

Coffs Harbour

Moree

Glen Innes

Tamworth

Muswellbrook

Port Macquarie

Mid North Coast

Grafton (Acmena)

Correctional Centre

Periodic Detention Centre

Court & Police Complex

Court Liaison Service

Drug Court Service

Juvenile Detention Centre

Juvenile Correctional Centre

Community Forensic Mental Health

* Wellington opens 2007

** Silverwater Complex Dawn de Laos Metropolitan Remand & Reception Centre Mulawa correctional Centre for women Silverwater Correctional Centre

*** Long Bay Complex Long Bay Hospital Malabar Special Programs Centre Long Bay Hospital Outpatients Special Purpose Centre

# Tabulam Correctional Centre open 2007

#

tle

Wollongong(Keelong)

Liverpool

Penrith ParkleaNorma Parker

ParramattaBlacktown

SilverwaterComplex**

St Marys(Cobham)

Emu Plains

John Morony I & IIand Dillwynia

Gosford(Frank Baxter, Kariong)

Wyong

Berrima

Sutherland

Burwood

Long Bay Complex***SydneyManly

Nowra

Campbelltown(Reiby)

Western Sydney

North SydneyCentral Coast

Sydney Area

South EasternSydney/Illawarra

SouthWesternSydney

oCessnock

lbrook

Health Service Map

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Contents

Letter to Minister 1

Health Service Map 2

Chairman and Chief Executive’s Year in Review 4

Key Achievements and Highlights 5

Organisation – Profile, Structure, Purpose and GoalsJustice Health Profile 6Organisation Chart 8Mission, Goals, Values 9Goals and Achievements 2005/2006 10Corporate and Clinical Governance Statement 13

PerformanceMajor Achievements, Future Initiatives 17Selected Activity levels 18

Health ServicesHealthcare Services Planning 19Forensic and Prison Hospitals Project 20Clinical and Nursing Services 21Clinical Streams 21Adolescent Health 27Forensic Mental Health Services 28

Health Support ServicesCorporate Services and Finance 30Reports from each Service 31Executive Support and Planning Unit 32

Our PeopleExecutive Officer Reports 33Our People 34Teaching and Training Initiatives 36Official Overseas Travel 37

Our CommunityConsumer Participation 38

Freedom of Information 40

Executive Summary 42

Annual Accounts Justice Health 43

Annual Accounts Justice Health Special Purpose Entity 69

Appendices 75

Index 87

Abbreviations 88

Guide to photographs 88

2005/2006 was a year marked by expansion of adolescent and adult forensic mental health services into the community.The Adolescent Community Forensic Mental Health Servicecommenced in January 2006 with the first court diversion serviceoperating from Cobham Children’s Court. The Adult CommunityForensic Mental Health Service established in 2004/05completed a comprehensive review of high risk forensic and non-forensic individuals in the community, in hospital and incustody. The results of this review will be used to developcommunity based rehabilitation services in collaboration with AreaMental Health Services and the Probation and Parole Service.

Dr John Basson, Statewide Director Forensic Mental Health wasappointed the Chief Psychiatrist for NSW Health in April 2006.

There were some important changes to the Justice Healthservice profile with the opening of the Mental Health ScreeningUnit for men at the Silverwater Correctional Complex and theopening of the Mental Health Rehabilitation Hostel at the LongBay Correctional Complex. The opening of the Hostel is a majorstep in the move towards a rehabilitative approach to the care of the mentally ill in the criminal justice system.

During 2005/06, the Forensic & Prison Hospitals Project took shape with the signing of a Private Public PartnershipAgreement with PPP Solutions Consortium in January and thetransfer of patients from A Ward in Long Bay Hospital. Some ofthe patients from A Ward were the first residents in the MentalHealth Rehabilitation Hostel.

Justice Health’s workforce profile was reviewed to meet thechanging needs of our adolescent and adult community and torespond to health labour market changes. The development ofthe Justice Health Workforce Plan 2005 – 2010 and preliminarywork on new models of care by Clinical & Nursing Services areimportant steps in responding to these changes.

As part of NSW Health’s Integrated Corporate Strategic PlanningFramework, Justice Health completed its Corporate StrategicPlan for 2006 – 2010. The purpose of the Framework is todeliver a consistent approach to corporate strategic planningacross NSW Health by establishing an aligned set of strategicplans and an agreed set of strategic directions. Justice Healthhas aligned its Corporate Strategic Plan with the NSW Healthstrategic directions and has commenced work on the AreaHealthcare Services Plan 2006 – 2010.

In May, the Human Rights and Equal Opportunity Commission as part of their China-Australian Human Rights TechnicalCooperation Program invited representatives from Justice Healthand the Department of Corrective Services to participate in athree-day conference in China. The conference was for theChinese Ministry of Public Security, which is responsible fordetention facilities holding men and women on remand or shortcustodial sentences. Maureen Hanly Director Clinical & NursingServices and Gary Forrest Acting Director Population Health

travelled to Xiamen City to present health service provision in NSW correctional centres with a focus on public and sexualhealth and drug and alcohol services.

On the Corporate front, an updated Code of Conduct wasimplemented and a specific Justice Health identification card was introduced. The system for updating policies and procedureswas improved and Justice Health met the recommendation setby the Australian Council on Healthcare Standards for reviewingall non-clinical policies.

Financially, the service performed exceptionally well. For thetwelfth consecutive year Justice Health operated withinbudgetary allocation.

The 2005/06 year witnessed an increase in the work completedby the Centre for Health Research in Criminal Justice. Planningcontinued for full implementation of the tobacco intervention andthe sexual health studies. During the reporting period, the Centrewelcomed the new Professor of Nursing in Justice Health,Associate Professor Andrew Cashin, and appointed Dr MichaelLevy as Director.

Justice Health continued the tradition of success at the annualBaxter Health Awards (for quality) with three of our projectsbeing nominated for the finals which resulted in:• “Improving Access to Mental Health Services at the

Metropolitan Remand and Reception Centre” winning theEfficiency Award and the Minister’s Award

• “More Than Just a Number – Improving Systems of HealthAssessment for the Population Within NSW CorrectionalCentres” winning the Excellence Award

• “New Graduates, Support or Smother” was a finalist in theEducation & Training category.

Justice Health was also successful in achieving a four yearaccreditation from the Australian Council on Healthcare Standards.

In November 2006 the current Visiting Medical Officer (VMO)and Visiting Dental Officer (VDO) contract period ends. Inpreparation for the new contract period, Justice Health has made contact with all VMOs and VDOs and reviewed the serviceneeds for this very important group of clinicians. It is anticipatedthat there will be a seamless transition to the new contract period.

In summary, 2005/06 was a year of growth and sustainedperformance by Justice Health. We take this opportunity to thankall Justice Health staff for their work during the year. The deliveryof front line services could not happen without the excellentsupport of staff in Corporate Services and Finance – to them weextend our appreciation. The Justice Health Board and its sub-committees have again played an important role in providingexpert direction and advice to the governance of Justice Health.Finally, the Justice Health Executive team has providedleadership, wise counsel, and done a lot of sheer hard workthroughout the year.

Chairman and Chief Executive’s Year in Review

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Key Achievements and Highlights

Opening of the Mental Health Screening Unit on the Silverwater Correctional Complex and theestablishment of a mental health precinct at the Metropolitan Reception and Remand Centre

Signing the contract with PPP Solutions Consortium for the building of the new Forensic & Prison Hospitals

Closure of A Ward in Long Bay Hospital as the first stage of the redevelopment

Opening of the Mental Health Rehabilitation Hostel on the Long Bay Correctional Complex toreplace A Ward

Opening of the new health clinic at Kirkconnell Correctional Centre

Continuation of the Aboriginal Vascular Health Program with 443 Aboriginal men and womenaccessing the service

Winner of a Baxter Health Award, this project also won the Minister’s Award

Achievement of 4 year accreditation from the Australian Council on Healthcare Standards

Accreditation by the Royal Australian & New Zealand College of Psychiatrists to provide Advanced Training in Forensic Psychiatry

Commencement of the Adolescent Community Forensic Mental Health Service

Telehealth services commenced at Griffith Local Court

For the twelfth consecutive year Justice Health operated within budgetary allocation

Completed a review of the Medical Appointments Unit and the management of waiting lists

Completed planning for the establishment of the Strategic Information Management Unit

Created the Executive Support & Planning Unit

Commenced preparations for the re-contracting of Visiting Medical Officers and Visiting Dental Officers.

Justice Health Profile

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OVERVIEW

Justice Health is a Statutory Health Corporation establishedunder the Health Services Act (NSW) 1997 and is funded by NSW Health. Justice Health is a statewide serviceresponsible for the provision of health services to adult andjuvenile offenders in local courts, in custody and detention,and in the community. Justice Health also provides healthservices to adult offenders in police cells. There are over 800 employees working at locations across metropolitan,regional and remote NSW. Nursing staff, general practitioners,psychiatrists, dentists, medical specialists, allied healthprofessionals and administrative staff work together to deliver health services to approximately 9,200 inmates andapproximately 340 young people in juvenile justice centres.

The challenges that face Justice Health are many and includethe remote geographical location of some clinics, the frequentrelocation and movement of patients, and the need todevelop and provide appropriate services for long and shortstay inmates and detainees. Access to our patients remains a significant challenge.

MAJOR CLINICAL PROGRAMS

Ongoing healthcare is provided through six major clinicalprograms:

• Primary Health

• Population Health

• Mental Health

• Drug and Alcohol

• Women’s Health

• Aboriginal Health

• Adolescent Health.

Justice Health provides services to adults in:

• 31 correctional centres

• 11 periodic detention centres

• 10 police cell complexes

• 17 court complexes

• The adult drug court

• Long Bay maximum security forensic hospital

• The community through the community forensic mentalhealth service

• The community through the post-release treatmentprograms.

Justice Health provides services to young people in:

• 8 juvenile justice centres plus one juvenile detention centre

• The youth drug and alcohol court

• The community through the adolescent community forensicmental health service

• The community through the the Juvenile Justice CentreRelease Treatment Scheme.

POPULATION CHARACTERISTICS

Adults

• The daily average number of inmates in the correctionalsystem was 9,234 for the year ending June 2006

• The annual throughput of adults in the correctional systemwas approximately 18,000 in the year ending June 2006

• 27% of adult inmates stay in the correctional system forfewer than 8 days. 17% stay between 8 and 30 days,56% stay longer than 30 days, and only 10% stay longerthan 6 months.

Inmates generally have poor health status characterised by general neglect, substance abuse, and mental illness. The window of opportunity for Justice Health to providehealthcare to an individual is usually brief, with only 10%remaining in custody longer than six months. In addition,inmates rarely spend their entire stay within the samecorrectional centre. There are approximately 250,000movements between correctional centres, police cells and the court system annually. Justice Health works closely with the Department of Corrective Services to ensure continuity of care.

The adult inmate population has the following keycharacteristics as identified by the Inmate Health Survey(2001):

• Most are aged between 25 and 34 years

• The number of inmates aged over 45 years is continuing to increase

• The average age of male inmates is 33 years

• The average age of female inmates is 31 years

• 18% of males and 27% of females are Aboriginal andTorres Strait Islander, compared to 2% of the generalcommunity. The incarceration rate for indigenous offendersis ten times higher than for non-indigenous people

• 78% of males and 83% of females smoke compared to27% of men and 20% of women in the general community

6

• 21% of males and 44% of females have asthma

• 43% of females have abnormal PAP smears compared to 12% – 23% in the general community

• 28% of males and 31% of females have been exposed to Hepatitis B – 11% of males and 6% of females arecurrently infected

• 40% of males and 66% of females are Hepatitis Cpositive.

Young People

• The daily average number of young people in the juvenilejustice system was 340 for the year ended June 2006

• An estimate of the annual throughput of detainees in the juvenile justice system was 3,500 in the year ended June 2006

• 65% of young people are in the juvenile justice system forup to one week. Only 2.5% stay longer than six months.The average length of stay in detention is 23 days.

The Young People in Custody Health Survey (2003) indicatedthat for young people in custody at that time:

• 42% identify as Aboriginal or Torres Strait Islander

• 42% report having been physically abused, 10% sexuallyabused, 38% had experienced emotional neglect and 34% physical neglect

• 19% of males and 24% of females had seriouslyconsidered attempting suicide at some time in the past

• Overall, 28% of young men and 56% of young womenhave been diagnosed with asthma

• 32% of young men and 30% of young women have mildhearing loss

• 43% of participants have a history of parentalimprisonment and 11% had a parent who was currentlyincarcerated

• 17% of young men and 47% of young women hadinjected drugs in the twelve months prior to custody

• Almost 90% of all detainees have used cannabis and mostadolescents report having consumed alcohol and beingdrunk at some time in the past.

CURRENT PRESSURES AND FUTURECHALLENGES FOR JUSTICE HEALTH

• Providing health services to a population who generallyhave poor health status characterised by general neglect,substance abuse and mental illness

• Limited access to patients

• Small ‘window’ of opportunity to improve health status ofpatients as only 10% of adults stay more than 6 monthsand only 2.5% of young people who come into contactwith the criminal justice system stay for longer than 6 months

• Over representation of Aboriginal people (20%) comparedto the general community (2%)

• Provision of care for an increasing number of inmates over 45 years of age

• Meeting the health needs of female inmates, whosenumbers have increased by 45% since 1998

• Provision of services for an increasing number of youngpeople in custody

• Emerging mental illness in young people

• Availability of sufficient appropriately skilled staff workingwhere they are needed

• Commissioning the new Forensic and Prison Hospitals on the Long Bay site

• Increased knowledge and understanding of health servicesby patients placing demands on the type and quality ofservices available

• Increased importance of information management,performance reporting, and information security

• High demand and expectations for information technologyservices and equipment.

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LEGALADVISOR

CLINICALOPERATIONS

MANAGERADOLESCENT

HEALTH

CLINICALDIRECTOR

ADOLESCENTHEALTH &RESEARCH

HEALTHMINISTER

DIRECTORGENERAL

BOARD

CHIEFEXECUTIVE

DIRECTORCORPORATESERVICES &

FINANCE

MANAGEREMPLOYEESERVICES

MANAGERINFORMATION

SERVICES

DIRECTOROF TRAINING

MANAGERFORENSICEXECUTIVESUPPORT

UNIT

CLINICALDIRECTORMENTALHEALTH

MANAGERCFMH*

ADULT &ADOLESCENT

CLINICALDIRECTOR

ADOLESCENTMENTALHEALTH

DIRECTORADOLESCENT

HEALTH

DIRECTORCLINICAL &NURSINGSERVICES

MEDICALDIRECTOR

DIRECTORADULT

CLINICAL &NURSING

OPERATIONS

SERVICEDIRECTORWOMEN’SHEALTH

CLINICALSERVICESMANAGER

SERVICEDIRECTORPRIMARYHEALTH

SERVICEDIRECTOR

POPULATIONHEALTH

SERVICEDIRECTORDRUG &

ALCOHOL

MANAGERABORIGINAL

HEALTH

PROJECTDIRECTORFORENSIC& PRISON

HOSPITALS

DIRECTORCENTRE FOR HEALTH RES. IN CRIMINAL

JUSTICE

MANAGERRESEARCH

DIRECTORGOVERNANCE

UNIT

MANAGERPATIENT

SAFETY &QUALITY

MANAGERQUALITY

IMPROVEMENT& RISK

STATEWIDE DIRECTORFORENSICMENTALHEALTH

DIRECTORMENTAL HEALTH

CLINICALDIRECTOR

COURTLIAISON

CLINICALDIRECTOR

MHSU*

CLINICALDIRECTOR

CFMH*

PROFESSOROF NURSING

UTS DEAN OF FACULTY OF NURSING

NURSEMANAGER

ADOLESCENTHEALTH

DEPUTY CE

PROJECTOFFICER

FORENSIC& PRISON

HOSPITALS

MANAGER,EXECUTIVESUPPORT &

PLANNING UNIT

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Organisation Chart

* Mental Health Screening Unit** Community Forensic Mental Health

CORPORATEBUSINESSMANAGER

MANAGERFINANCE

MANAGERLEARNING &

DEVELOPMENT

MANAGERWORKFORCEPLANNING

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MissionAchieving measurable and sustained health care outcomes leading to international

best practice for those within the NSW Criminal Justice System.

Goals• To keep people healthy

• To provide the health care that people need

• To deliver high quality health services

• To manage health services well

• To build a sustainable workforce

• To develop the new Forensic and Prison Hospitals

Values• Equitable access

• Client centred services

• Professionalism

• Accountability and transparency

• Evidence based practice

• Collaboration

• Forward thinking Ju

stic

e H

ealth

Ann

ual R

epor

t 200

5-20

06

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TO KEEP PEOPLE HEALTHY

Major Achievements/Progress

• 100% of new patients coming into correctional centreswere maintained on existing pharmacotherapy treatmentregimes unless clinically contraindicated

• 100% of patients released who were eligible hadpharmacotherapy care arranged in the community

• Long Term Health Plans completed on 43% of patientswith a sentence of over 6 months – this is an increase of 17%

• 100% of female receptions aged 14 years and over wereoffered a pregnancy test within 24 hours of reception

• Increase in number of inmates and young people incustody who received influenza vaccination

• Structured smoking cessation programs were conductedfor eligible patients at John Morony, Dillwynia, Emu Plains,Grafton and Cooma correctional centres

• Rural Clinical Locum Program exceeded its performancetargets and provided dental services to an additional 2010people in rural communities who would otherwise have not received dental treatment

• Increased number of sites with access to InformationSystem for Oral Health (ISOH)

• Forensic Mental Health completed comprehensive riskassessments of 112 Forensic patients in the communityand in custody

• Conducted a pilot of two ultrasound clinics at Emu Plainsand Dillwynia correctional centres to improve access

• Trialled a Special Population Health & Fitness Program at Lithgow Correctional Centre

• Commenced the Adolescent Community Forensic MentalHealth Service at Cobham Children’s Court

• 60% of adolescents assessed by the court liaison clinicalnurse consultant at Cobham Children’s Court weresuccessfully diverted to appropriate services

• 66% of clients assessed by the adult court liaison servicewere diverted to treatment.

Future Initiatives

• Increase access to Hepatitis B vaccination

• Increase in number of inmates who participate in theInfluenza Vaccination Program

• Improve breast cancer and cervical screening rates

• Implement the Framework for the Care of PregnantWomen in Custody

• Expansion of the Adolescent Community Forensic MentalHealth Service to Bidura and Parramatta Children’s Courts.

TO PROVIDE THE HEALTHCARE THAT PEOPLE NEED


• Reduced average waiting time for outpatient appointmentsfor ophthalmology, pain management, and diabetes clinics

• Improved booking procedures resulted in a reduction in thenumber of outpatient cancellations

• Increased the number of correctional centres with healthservices provided by Aboriginal Community ControlledOrganisations

• Reduced length of stay including same day admissions for the medical ward of Long Bay Hospital

• Exceeded target for number of mental health ambulatorycontacts, acute inpatient separations, non-acute inpatientdays, and total mental health clinical staffing levels

• Increased number of sites at which Aboriginal VascularHealth Program is operating

• Expanded range of services provided by Public Health and Sexual Health Nurses

• Established Juvenile Justice Centre Release TreatmentScheme pilot at Orana Juvenile Justice Centre

• Expanded the adult Correctional Centre Release TreatmentScheme to the Hunter and Mid North Coast regions

• Opened the Mental Health Rehabilitation Hostel at Long Bay Correctional Complex

• Opened the Mental Health Screening Unit at theSilverwater Correctional Complex

• Commenced participation in the National Forensic MentalHealth Benchmarking Project

• Conducted a review of Hepatitis Services

• Conducted a review of Liver Biopsy Procedures.

Future Initiatives

• Continue improvement of health services to women withthe opening of the new Clinic and Mental Health ScreeningUnit at Mulawa Correctional Centre

• Public Health Outcome Funding Agreement to fundappointment of a midwife to develop practice improvementinitiatives around clinical pathways

• Develop shared care arrangements with Nepean Hospitalto improve pre and post natal care for women and babies

• Expand Adult and Adolescent Community Forensic MentalHealth Services with a focus on Aboriginal people

• Implement the Hepatitis Services Review recommendations

• Develop the forensic mental health benchmarks for servicedelivery.

Goals and Achievements 2005/2006

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TO DELIVER HIGH QUALITY HEALTHSERVICES


• Completed a comprehensive review of the MedicalAppointments Unit and the management of waiting lists

• Winner of a Baxter Health Award (in quality) which alsowon the Minister’s Award

• Achieved target for number of clinic audits conducted for infection control

• Regular consumer consultation was undertaken throughthe Consumer & Community Group and local InmateDevelopment Committees

• Developed a Clinical Audit Program

• Introduced electronic ordering of medications by clinics and an imprest system for medication stock

• Improved governance of medical services through theappointment of Medical Director

• Reviewed and developed Clinical & Nursing OperationsBusiness Plan.

Future initiatives

• Implement the National Inpatient Medication Chart

• Conduct a consumer survey

• Further develop a Quality & Safety Network

• Implement the recommendations from the MedicalAppointments Unit Review.

TO MANAGE HEALTH SERVICES WELL


• Operated within budgetary allocation for the twelfthconsecutive year

• Devolved budget responsibility to business units

• Met benchmark for payment of creditors

• Commenced a review of procurement and paymentprocesses

• Completed planning for the establishment of a StrategicInformation Management Unit

• Created the Executive Support & Planning Unit

• Developed the Justice Health Strategic Corporate Plan2006 – 2010.

Future initiatives

• Implement the Statewide Financial ManagementInformation System

• Introduce electronic ordering of goods and services

• Align corporate infrastructure with State Shared CareCorporate Services initiatives

• Implement the recommendations from the procurementand payment review

• Develop the Area Healthcare Services Plan and EnablingPlans.

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BUILD A SUSTAINABLE WORKFORCE


• Commenced a Management Development Program and a Mentoring Program

• Developed a Workforce Plan 2005 – 2010

• Commenced the process for the re-contracting VisitingMedical Officers and Visiting Dental Officers

• Conducted process mapping in several clinics to ascertainservice provision requirements and match with appropriateskill mix

• Developed a Post Graduate Masters in Forensic MentalHealth in collaboration with the University of NSW

• Held the Leadership and Management Forum in August2005 attended by over 120 managers from across theState

• Held the annual Justice Health Medical Conference inJune 2006

• Developed an Incentive Program for the recruitment andretention of employees

• Increased the number of nurses participating in the ClinicalSupervision Project

• Commenced work on new models of care to build asustainable health workforce

• Commenced undergraduate pharmacy placements.

Future Initiatives

• Develop a model of care for services in plannedcorrectional facilities at Wellington, Tabulam and the South Coast

• Develop a model of care to service new beds at Dawn de Laos, Cessnock and Lithgow Correctional Centres

• Recruit the first cohort of students for Post GraduateMasters in Forensic Mental Health

• Restructure workforce related functions in line with otherArea Health Services

• Continue process mapping and clinical re-design initiatives

• Commence undergraduate dental and physiotherapyplacements.

CONTINUE DEVELOPMENT OF THE NEWFORENSIC AND PRISON HOSPITALS


• Contract signed with PPP Solutions Consortium in Januaryfor construction of the new Forensic and Prison Hospitals and the new Operations Building

• Successful transfer of patients from A Ward to the Mental Health Rehabilitation Hostel and D and C Wards of Long Bay Hospital.

Future Initiatives

• Construction to begin on the Long Bay site

• Appointment of Executive Director Forensic & PrisonHospitals

• Appointment of second tier positions – MedicalSuperintendent and Nurse Manager

• Development of an aggression management framework

• Development of policies and operational plans for the two new hospitals.

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Goals and Achievements 2005/2006

The Board is responsible for the corporate and clinicalgovernance of Justice Health. This statement sets out themain corporate governance responsibilities as per the HealthServices Act 1997, and the Area Health Services Model By-Laws.

The Board of Justice Health comprises twelve membersappointed by the NSW Minister for Health. The Departmentof Corrective Services nominates two Board members. NSW Health and the Department of Juvenile Justice eachnominate a Board member. In addition, a Board member is elected from the staff of Justice Health.

The Board has processes in place to ensure itsresponsibilities are fulfilled in relation to the following:

• Setting strategic direction

• Ensuring compliance with statutory requirements

• Monitoring performance of the health service

• Monitoring the quality of the health service

• Industrial relations and workforce development

• Monitoring clinical, consumer and community participation

• Ensuring ethical practice.

STRATEGIC DIRECTION

In July 2006 the Board held its annual education sessionwhich this year focussed on “early intervention” strategies and identifying the strategic directions for Justice Health over the next 5 years. This was also an opportunity to review theNSW Health Integrated Strategic Planning Framework andthe seven strategic directions, which have been formulatedfollowing extensive community consultation through theFutures Planning initiative. The main themes to emerge from the session were:

• Adolescents – Aboriginal and Non-Aboriginal

• Aboriginal population in general

• Mental illness

• Earlier identification of and intervention for health riskfactors that result in chronic diseases such as renal failure.

These themes have been incorporated in the Justice HealthCorporate Strategic Plan 2006 – 2010.

CODE OF CONDUCT

The Board is bound by the provisions in the CorporateGovernance and Accountability Compendium for NSW Health.

In October 2005 NSW Health updated the Code of Conduct1

which outlines the standards expected of staff within NSWHealth in relation to their conduct in employment. The JusticeHealth Code of Conduct was amended to incorporate NSWHealth’s policy requirements, and an additional section wasincluded to cover provisions specific to staff of JusticeHealth. The Board was provided with copies of the new Code of Conduct.

RISK MANAGEMENT

As per the Area Health Services Model By-laws, the Board has established two committees, the Audit and RiskManagement Committee and the Quality Council to provideadvice or other assistance in relation to risk management andquality assurance. The Board receives regular reports fromthese two committees as well as a report from the IncidentInformation Management System (IIMS), and the JusticeHealth OH&S Committee.

During the 2005/06 reporting year, three audits wereconducted by Justice Health contracted internal auditors,Sydney South West Area Health Service, and these were:

• Nurse initiated medication audit

• Consent for release of information audit

• Audit of registration of health professionals

In addition the Auditor-General’s office conducted anindependent audit of Justice Health’s financial position as at 30 June 2006

In July 2005, the Auditor-General conducted an audit of the Court Liaison Service. The focus of the audit was on“Agencies Working Together to Inprove Services”.

The Audit & Risk Management Committee oversees theorganisation’s audit activities and implementation of auditrecommendations are the responsibility of the GovernanceUnit.

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Corporate and Clinical Governance Statement

1NSW Health Policy Directive PD2005_262

BOARD MEMBERS

ChairmanProfessor Ronald Penny AO, D.Sc., MD, FRACP, FRCPA (attended 7/9 meetings)

Professor Penny is Senior Clinical Advisor, NSW Health andEmeritus Professor of Medicine at the University of NSW. He has been Chairman of the Corrections Health ServiceBoard since 1991. In 1993 Professor Penny was appointedan Officer in the General Division of the Order of Australia for services to medical research and education, particularly in the field of immunology.

Chief Executive Dr Richard Matthews, MBBS (attended 8/9 meetings)

Dr Matthews has extensive experience in general practicewith a special interest in drug and alcohol. He worked formany years at Rankin Court Methadone Maintenance Unitand began his association with Justice Health (formerlyCorrections Health Service) in 1992 when he assumedresponsibility for administration of the MethadoneMaintenance Program.

In 1993, he was appointed Director of Drug and AlcoholServices for Corrections Health Service and Director ofClinical Services in 1998.

Dr Matthews was appointed as Chief Executive of JusticeHealth in November 2000.

In November 2003, Dr Matthews was seconded to NSWHealth in the role of Acting Deputy-Director General StrategicDevelopment and appointed to this position in January 2006.

Ms Thea Rosenbaum LLB, ATCL, MBA, MAICD, FCIS(attended 6/9 meetings)

Ms Rosenbaum is the Company Secretary of the AustralianPrudential Regulation Authority and has had extensiveexperience in the public sector.

Her professional interest is in quality and risk managementand she has both an academic interest in, and practicalexperience of, outsourcing of professional services.

Ms Rosenbaum is Chair of the Justice Health Quality Council.

A/Professor Sandra Egge B Psych (Hons), BLegS, Ph.D.(attended 6/9 meetings)

Dr Egger is an Associate Professor in Law at the Universityof NSW, and specialises in criminal law. She has alongstanding interest in the NSW Criminal Justice Systemand has conducted research into AIDS in correctionalcentres. Dr Egger is Chair of the Human Research & Ethics Committee.

Ms Jennifer Mason B.A. (Hons) L. Soc. Wk (Hons)(attended 4/9 meetings)

Ms Mason is the Director General of the Department ofJuvenile Justice. Ms Mason is a member of the CorrectiveServices Board of Management, the Human Services CEO’S group and the Criminal Justice CEO’S group.

Mr Luke Grant

(attended 6/9 meetings)

Mr Grant is acting Deputy Commissioner OffenderManagement Operations, Department of Corrective Services.Mr Grant is a member of the DCS Board of Management,and Chairman of the Department’s Ethics Committee.

Ms Shireen Malamoo(attended 7/9 meetings)

Ms Malamoo has been involved in Aboriginal Affairs for more than 20 years particularly in Northern Queensland.

Ms Malamoo is currently a Director of the Aboriginal MedicalService – Redfern, Member of the Institute of Eye ResearchEthics Committee, and a member of the Centre for HealthResearch in Criminal Justice.

Mr Neil Wykes B. Comm. FCA, ACIS (attended 8/9 meetings)

Mr Wykes is a Senior Partner with Ernst & Young. He hasserved as Audit Partner and Advisor to a wide range of public and private health care organisations for the pasttwenty four years.

Mr Wykes is President of the Accounting Foundation atSydney University. He is Chair of the Finance Committee and also Chair of the Centre for Health Research in CriminalJustice.


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Mr Michael Taylor(attended 7/9 meetings)

Mr Taylor is the Associate Director of NSW Health’s Centre for Aboriginal Health and has extensive experience in Aboriginal health and public sector management at both a Commonwealth and State level.

Ms Naomi Steer B.A. (Hons. Political Science), LLB (attended 8/9 meetings)

Ms Steer is the National Director of Australia for UnitedNations Human Rights Commission (UNHCR), the nationalassociation for the United Nations (UN) Refugee Agency.She has a background in law, industrial relations, foreignaffairs, media and public affairs.

Ms Steer is Chair of the Audit Committee.

Mr David Farrell, Appointed 31st August 2004 (attended 7/9 meetings)

Mr Farrell is the Chief Superintendent – Centralised RosterSupport System.

He leads over 15 key directional committees and communityconsultation groups and leads a management team that hasestablished and modernised inmate management techniquesresulting in world best practice.

Mr Farrell has been highly decorated for performance and bravery.

BOARD COMMITTEE STRUCTURE

The Justice Health Board has a committee structure as perArea Health Services Model By-laws.These committees meetregularly and are chaired by Board members.

QUALITY COUNCIL

The Quality Council is chaired by Ms Thea Rosenbaum andmeets bimonthly.

The Quality Council’s Terms of Reference are to:

• Advise the Justice Health Board of Directors on issuesaffecting the quality of services

• Evaluate the effectiveness of the Area Quality structure bymeasuring achievement of timeframes and outcomes ofthe indicators against the Quality Action Plan and identifiedimprovement programs

• Oversee the progress of the Quality Action Plan

• Incorporate the Consumers perspective of quality health-care through the monitoring of significant Patient GeneratedIncidents (Complaints), which have organisation wideimpact (i.e. policy and/or systems change)

• Monitor the effectiveness of targeted Clinical PracticeImprovement initiatives, and resulting systems audits, and report performance to the Justice Health Board

• Refer identified risks (via Incident or Complaints Data) to the Audit and Risk Management Committee

• Review aggregate data of all incidents and refer for follow-up any significant risks to the appropriateCommittee and/or Directorate.

AUDIT AND RISK MANAGEMENT COMMITTEE

The Audit and Risk Management Committee is chaired by Ms Naomi Steer and meets four times per year.

The Committee’s Terms of Reference are to:

• Maintain an effective internal control framework

• Review and ensure the reliability and integrity ofmanagement and financial information systems

• Review and ensure the effectiveness of the internal andexternal audit functions

• Oversee the risk management functions andresponsibilities of the organisation.

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FINANCE COMMITTEE

The Finance Committee is chaired by Mr Neil Wykes andmeets monthly.

The Committee’s Terms of Reference are to:

• Examine budget allocations

• Monitor overall financial performance in accordance withallocated budget

• Monitor and oversee an efficient, cost effective financefunction and information systems

• Ensure appropriate delegated financial controls.

CONSUMER AND COMMUNITY GROUP

The Consumer and Community Group was chaired by Mr Brian Owens until 30 June 2006. The Group meetsbimonthly.

The Group’s Terms of Reference are to:

• Advocate for the rights of adult and juvenile offenders to receive health care of an equivalent standard to thatprovided in the general community

• Provide a forum for critical and emerging issues to beraised that relate to the provision of health services to adult and juvenile offenders

• Provide advice to the Quality Council on critical andemerging issues that will impact on the provision of health services to adult and juvenile offenders

• Provide information to adult and juvenile offenders about health services and health related issues

• Consult and empower inmates and detainees throughbroad based feedback, as well as providing an effectiveforum for consumer participation

• Identify new policies, procedures/guidelines, and changesin legislation that will/may impact on health services toadult and juvenile offenders

• Respond to feedback from local Inmate DevelopmentCommittees (IDC)

• Provide feedback to IDCs from the Consumer andCommunity Group meetings

• Convene ad hoc working parties as required

• Provide regular reports to the Quality Council.

HUMAN RESEARCH AND ETHICS COMMITTEE

The Human Research and Ethics Committee is chaired by Associate Professor Sandra Egger and meets five times a year.

The function of the committee is to:

• Consider the methodological and ethical implications of all proposed research projects

• Advise applicants of approval, rejection or recommendationsfor changes to research submissions

• Maintain surveillance of approved research

• Maintain a register of projects.

Key achievements

The Committee received 17 proposals between I July 2005and 30 June 2006. 14 proposals were approved, of theremainder one was considered as a quality assurance projectand two proposals were withdrawn by the applicants.

A Consumer Representative (female inmate from MulawaCorrectional Centre) was appointed to the Committee in May 2006.

CENTRE FOR HEALTH RESEARCH INCRIMINAL JUSTICE BOARD

The Centre for Health Research in Criminal Justice Board is chaired by Neil Wykes and meets six times a year.

The Board sets and reviews the strategic direction ofresearch in relation to the criminal justice system.

The function of the Board is to:

• Determine the policy of The Centre in relation to anymatter, and to control the affairs of The Centre

• Ensure that the policy of The Centre is directed towardsthe attainment of the objectives of The Centre

• Enter into a Memorandum of Understanding between TheCentre and any University, Faculty, School or Centre orother unit within a University, Health Service, other HealthService or any other organisation that the Board thinks fit

• Determine the terms and conditions of employment of any person employed by The Centre in consultation withthe Chair of the Board of Justice Health and the CE ofJustice Health

• Provide an annual report to the Board of Justice Health,the NSW Department of Health and each of theinstitutions with which The Centre has a Memorandum of Understanding

• Be accountable to the Board of Justice Health foradministrative and financial matters.

Key achievements

• The Memorandum of Understanding between The Centreand the University of Sydney was signed on 22 April 2006

• The Centre for Health Research in Criminal Justice wasaccepted as an Ordinary Member within the Sax Instituteon 10 April 2006.

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MAJOR ACHIEVEMENTS

To keep people healthy• Pharmacotherapy treatment – provided to 100% of

appropriate inmates

• Post release care – arranged for 100% eligible inmates

• Long Term Health Plan completed for inmates withsentences over 6 months – 43% compared to target of 30%

• Pregnancy tests – conducted on 100% of femalereceptions aged 14 years and over.

To provide health care people need• Internal appointments – average waiting time for

ophthalmology, pain clinics and diabetes clinics significantlyreduced

• Mental Health activity – all targets met or exceeded

• Aboriginal Vascular Health Program – exceeded targetfor inmates accessing the program

• Medical service provision with Aboriginal CommunityControlled Organisations (adults) – exceeded target.

To deliver high quality health services• The number of complaints per 1000 inmates received

annually on resources/service availability –was reduced.

To manage health services well• Overall Financial Assessment – satisfactory

• Nurses in Clinical Supervision Project target exceeded

• Oral Health (ISOH) triage system target met.

FUTURE INITIATIVES

• Targeted Screening Program for blood-borne virusesand sexually transmissible infections – working withDepartment of Corrective Services to improve patientaccess

• Breast and Cervical Cancer screening – patient accessto be improved, Women’s Health Nurse Practitionerappointed.

• Internal appointments – reduce average waiting time for Ear Nose and Throat (ENT) clinics, surgical review

• Outpatient cancellations – by patients and Department of Corrective Services to be reduced

“Why are they waiting? Access to plannedappointment by Justice Health Patients” –project recommendations being implemented

• Improve access to culturally specific services forAboriginal patients

• Develop medical service provision with AboriginalCommunity Controlled Organisations (juveniles)

• The number of complaints per 1000 inmates receivedannually on waiting lists, coordination of treatmentand inappropriate treatment. – “Why are they waiting?Access to planned appointment by Justice Health Patients”project recommendations being implemented.

• Nurse Practitioners being recruited

• Justice Health policies – review of policy developmentand review system to be undertaken in 06/07.

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Performance

Selected Activity levels

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Table 1: Selected Data for the Year ended June 2006

Inpatient Beds Bed Capacity Separations Total Bed Days Average Length Daily Averageof Stay (days) (adult patients)

Long Bay Hospital 116 373 39,103 104.83 107.13Mulawa 6 386 1,094 2.83 3.00Bathurst 6 522 1,158 2.22 3.17Grafton 4 338 1,134 3.36 3.11MRRC – DCU and MHSU 60 627 8,868 14.14 24.30

Total 192 2,246 51,357 22.87 140.70

Note: The MHSU opened in February 2006. This unit has 43 beds.

Table 2: Non-admitted Patient Occasions of Service

3,310,520

Table 3: Bed Occupancy by Ward

Ward Available Bed Days Occupied Bed Days (OBD) OBD rate (%)

A Ward 10,950 10,042 91.7%B Ward Medical 6,570 4,834 73.5%B Ward East 3,285 3,152 96.0%C Ward 10,950 10,938 99.9%D Ward 10,585 10,137 96.0%Mulawa 2,190 1,094 49.0%Bathurst 2,190 1,158 53.0%Grafton 1,460 1,134 77.7%DCU 6,205 3,850 62.0%MHSU – HDU 1,950 1,305 66.9%MHSU – Sub 1 2,250 1,843 81.9%MHSU – Sub 2 2,250 1,870 83.1%

Total 60,835 51,357 84.4%

Note: DCU – Drug Court Unit MHSU – Mental Health Screening Unit Prepared by: Manager, Strategic Information Management Unit Source: Vax DoHRS Date: 25th September 2006 g:\CSF\Information Management\Common\Reporting\2005-06\JH_Annual Report.xls

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Health Services

HEALTHCARE SERVICES PLANNINGIn February 2006, NSW Health released the Statement ofStrategic Direction 2006 – 2010 which identified a number of challenges for the system over the next three to five years,including the increasing impact of an ageing population andincreasing chronic disease, and that this impact needs to be better understood. Furthermore, a considerable investmentin infrastructure and resources is needed, and responding to increasing demand with finite resources will require a more strategic approach to investment and other policydecisions. The Statement highlighted the need for better data and evidence-based research to support these policy and investment decisions.

NSW Health identified seven strategic directions to meetcurrent and emerging patient needs and to position NSWHealth to respond to these challenges. These strategicdirections are aligned with the directions that have emergedfrom the Futures Planning consultations.

To assist Area Health Services align their planning documentswith the seven strategic directions, an “Integrated CorporateStrategic Planning Framework” was developed. In line withthe Framework, Justice Health is required to develop a suite of interlinked planning documents – the first of which is the Corporate Strategic Plan 2006 – 2010. The CorporateStrategic Plan is supported by the Area Healthcare ServicesPlan and Enabling Plans.

CORPORATE STRATEGIC PLAN 2006 – 2010

Justice Health commenced work on the Corporate StrategicPlan in June 2006, which was later than other Area HealthServices as Justice Health was not part of the Areaamalgamations that occurred in 2004.

Justice Health has completed the Corporate Strategic Plan(The Plan) and several revised versions have been submittedto the Department for evaluation.

STRATEGIC DIRECTIONS – CLINICAL

The Plan focuses the organisation on 7 key areas of clinicalperformance:

1. Risk assessment and early intervention

2. Prevention and early detection of health problems

3. Managing the top five chronic diseases – cardiovascular,chronic obstructive pulmonary disease, diabetes, renalfailure, and cancer

4. Community mental health services

5. Programs that divert mentally ill offenders to treatment

6. Managing our ageing patient population

7. Post release care – continuity of care to the community.

STRATEGIC DIRECTIONS – CORPORATE

The Plan will focus the organisation on five key areas ofcorporate performance:1. Workforce planning2. Sound financial management3. Forensic and Prison Hospitals Project4. Information management5. Information technology.

AREA HEALTHCARE SERVICES PLAN 2006 – 2010

The Area Healthcare Services Plan is an overarchingdocument identifying key strategic directions for JusticeHealth, for a defined period, providing detail for furtherplanning and operational decision making within the AreaHealth Service.

Development of the Justice Health Area Healthcare ServicesPlan 2006 – 2010 is progressing and the first draft is due for completion by October 2006.

ENABLING PLANS

Enabling plans are specific strategic level plans that underpinthe Justice Health Corporate Strategic Plan in specific areaswhere it is important to provide additional emphasis and/ormore specialised planning content to deliver on strategicoutcomes.

The suite of Enabling Plans comprises:

• Workforce Development Plan• Asset Strategic Plan• Procurement Plan• Information Management and Technology Plan• Research and Teaching Plan• Financial Management Plan• Risk Management Plan.

A Workforce Development Plan 2005 – 2010 had alreadybeen developed as part of the planning process for staffingthe new Forensic and Prison Hospitals, and new correctionalfacilities will be coming online over the next 2 years.

The Information Management and Technology Strategic Plan 2005 – 2008 is being updated and will be completed by December 2006.

Development of the other Enabling Plans is in the earlystages and scheduled for completion by December 2006.

FORENSIC AND PRISON HOSPITALSPROJECT

2005/06 saw the contract signed for the Forensic andPrison Hospitals and Justice Health Operations Building at the Long Bay Correctional Complex.

The numbers of forensic patients and mentally ill inmateshave been steadily increasing in recent years and the newhospitals will dramatically increase our capacity to introducebest practice models and proper clinical pathways for bothforensic and non-forensic patients.

The major benefits of the new hospitals are:

• More options for mentally ill inmates involving better clinical pathways

• Bed numbers will increase from 120 to 220 in the twonew hospitals.

• Those found not guilty by reason of mental illness (Section39 of the Mental Health Act 1990), those unfit to plead(Section 24 and 27) and seriously mentally ill inmates(Section 97) will be cared for in a healthcare setting ratherthan prison setting

• The Forensic and Prison Hospitals will introduce theinfrastructure we need to provide acute and rehabilitativecare for women, aged inmates, men, young people andcivilians

• 175 of the most difficult and challenging forensic patientsand mentally ill inmates will be cared for in a hospitalenvironment.

The project is being delivered as a Private Public Partnership(PPP) with the consortium PPP Solutions. The term of thePPP contract is to 19 July 2034. The consortium principlesare Babcock & Brown and Multiplex Infrastructure.

Individual consortium members include:

Multiplex Construction: Construction Contractor

Compass: Provider of support services, e.g. catering, cleaning, linen

Honeywell: Provider of perimeter and access security, building and maintenance services

HPI, Codd Stenders: Architects and Designers

Babcock and BrownMultiplex Infrastructure: Equity Finance

Commonwealth Bank Australia and Royal Bank Scotland: Debt Finance.

FORENSIC HOSPITAL

The 135-bed Forensic Hospital will be within a perimeter wallequal to that for a maximum-security correctional complex,but the internal environment will be a modern psychiatrichospital. The hospital will cater for adults and young peoplemale and female. It will principally focus on mentally illpatients within the criminal justice system, but it will also have capacity for mental health patients from around theState whose management requires a high level of securityand a high clinician to patient ratio.

The new Forensic Hospital will be built in part on the site of the existing Long Bay Hospital, which will be demolished.

PRISON HOSPITAL

The Prison Hospital will have clinical services provided byJustice Health with the custodial services provided by theDepartment of Corrective Services (DCS). The hospital willcater for aged and infirm inmates with physical and mentalillness problems, adult male and female inmates with surgicalor medical treatment issues and it will also have forty placesfor mentally ill inmates who require care and are compliantwith treatment.

The total number of beds will be 85, comprising of 30medical/surgical beds, 15 aged care/rehabilitation beds and two x 20 bed mental health step down units.

JUSTICE HEALTH OPERATIONS BUILDING

As the current Justice Health Area Administration building islocated within the Long Bay Hospital and will be demolishedto enable the construction of the new Forensic Hospital, anew Operations Building will be required. This presents anopportunity for Justice Health operational/administrative staffto be consolidated into one building, whilst also addressingthe functional deficiencies in the accommodation.

The new building will incorporate the Executive Office,Administrative and Management Functions, the Learning and Development Centre, Information Management andTechnology, Finance and Human Resources, Pharmacy and Stores.

Project Milestones

16 December 2005 PPP Solutions confirmed as Preferred Proponent

23 January 2006 Contract Signing

End January 2008 Construction finalised.

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CLINICAL & NURSING SERVICES

OVERVIEW

The Clinical and Nursing Service (C&NS) Directorate isresponsible for the coordination and planning of clinical andnursing services to adult patients in correctional centres andpolice cells across NSW. The Directorate is also responsiblefor strategic planning of the clinical services listed below.

Services are provided in both rural and metropolitan regionsthrough the following Clinical Service Streams:

• Medical Services

• Clinical and Nursing Operations

• Primary Health

• Population Health

• Drug & Alcohol

• Women’s Health

• Aboriginal Health.

The Directorate is also responsible for Oral Health Servicesand the following clinical support services:

• Pharmacy

• Physiotherapy

• Radiology

• Medical Records.

Major goals and outcomes

• Finalisation of the Medical Appointments Unit review andmanagement of waiting lists project

• Commencement of a major project to achieve sustainablemodels of care within the correctional environment andspecifically with the new Prison Hospital

• Continuation of phase two of the Clinical & NursingServices restructure

• Continued expansion of Clinical Pharmacy Services.

Future directions

• The commissioning and staffing of new correctionalcentres at Wellington, Tabulam and the proposed newcorrectional centre to be established on the South Coast of NSW

• Establish a continuum of care for the increasingly ageingand frail adult inmate population

• Workforce planning for the new Prison Hospital

• Continuation of the Management Development Programfor Nurse Managers.

REPORTS FROM EACH CLINICALSTREAM

MEDICAL SERVICES


• 2005/06 saw improved governance of medical servicesand the provision of strong medical leadership withinJustice Health through the appointment of a MedicalDirector in January 2005

• The process for re-contracting Visiting Medical Officers(VMO) and Visiting Dental Officers (VDO) has been thefocus for this reporting year and will be completed inNovember 2006. A statewide review was conducted tolook at the location and coverage of Visiting Medical andDental Officers with the aim of matching patient need with access

• A review of surgical services was also undertaken inassociation with the Prince of Wales Hospital, which will further improve tertiary surgical services

• Processes for credentialing and clinical privileging wereimplemented in line with new NSW Health PolicyDirectives

• The annual Justice Health Medical Conference was held in June 2006 and attended by 40 participants fromaround NSW. This provided an opportunity for colleaguesto network and attend lectures with a strong clinicalemphasis on emergency care and mental health

• A review of medical models of care is underway inpreparation for the new Prison Hospital which is scheduledto open in 2009. Preliminary work is already underway to trial a centralised in-hours on-call Medical Officer tocoordinate requests for medical assessment, and treatmentacross the State.

Future Directions

• Complete the VMO and VDO contracting process andapply principles of credentialing and privileging to staffmedical and dental officers

• Medical workforce planning for the new Prison Hospital

• Identify opportunities to engage medical staff in improvingthe quality of patient care through the performance reviewprocess

• Devise a program to create a generalist medicalprofessional group in corrections health care in accordancewith the skills required by the particular clinical contextincluding: Mental Health; Addiction Medicine; SportsMedicine and Trauma Care; Indigenous Health; PopulationHealth; and Medico-legal and Ethics.

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CLINICAL AND NURSING OPERATIONS


• A review of the structure and content of the NursingBusiness Plan was undertaken with the aim of increasingthe level of accountability for Nurse Managers to report on operational and financial activity against a standardisedset of indicators

• A priority within Nursing Services during 2005/06 was the promotion of a work culture that fosters behaviour inaccordance with the revised NSW Health Code of Conductand Zero Tolerance Framework. This initiative will beongoing in 2006/07

• Commencement of a 12-month ManagementDevelopment Program aimed at entry and mid-levelmanagers commenced in March 2006. The program is aimed at building and strengthening the skills andcompetencies of the Nursing Management team to enable them to lead and manage their respective teamsnow and in the future

• Successful recruitment strategies resulted in the number of vacant nursing positions falling from a monthly average51.8 FTE for July – Dec 05 to a monthly average of 30.8FTE for Jan – June 06.

Future Directions

• Development of procedures to ensure the most efficientand effective use of nursing resources includingappropriate use of overtime

• Development of an audit tool to monitor compliance with a set of clinical practice standards that are linked to theNursing Business Plan.

PRIMARY HEALTH

Major Goals and Outcomes

• Implementation of the NSW Health Framework for theIntegrated Support and Management of Older People in the NSW Health Care System 2004 – 2006. The interagency Aged Care Steering Committee was established to oversee this process and hasrepresentatives from Justice Health, Prince of WalesHospital, and the Department of Corrective Services.Steady progress has been made in implementing theFramework including the development of a screeningsystem to identify potential aged care clients on receptionin correctional centres, and 100% completion of LongTerm Health Plans for clients over 55 years of age

• A pilot program called the Special Population Health andFitness Program commenced at Lithgow Correctional

Centre in July 2005. The aim of the program is to improvethe quality of life for patients with a chronic illness. Theprogram is being evaluated in an ongoing research projectin conjunction with the Justice Health Professorial Unit

• The Diabetes Clinic at the Long Bay Outpatient Clinic wassuccessful in reducing the waiting list for diabetic patientsfrom eight months to zero over the year

• Long Term Health Planning is a system of identifying theongoing health needs of long stay inmates to facilitate the effective planning of care to monitor and improve theirhealth. During the reporting period, long term health planswere developed for 43% of the adult inmate populationwith a sentence over six months

• Computerised radiology and electronic archiving wasintroduced into the Long Bay Correctional Complex and Parklea Correctional Centre and the MetropolitanReception and Remand Centre. The result has beenimproved access to high-quality images and decreasedreporting times enabling a verbal report to be producedwithin 24 hours

• Improvements to the Pharmacy Service include directdelivery, electronic ordering of medications by clinics andthe development of an imprest system for medication stockstatewide was implemented during 2005/06. This hasresulted in improved service delivery and decreased costsfor the organisation

• The roll out of the Information System for Oral Health(ISOH) was completed during 2005/06 and has now been implemented at 29 adult centres and four AdolescentHealth sites. This system has improved the triaging ofdental care and improved access for people in custodythroughout the state

• The total number of oral health non-admitted patientoccasions of service in 2005/06 was 19,110 a figure thatexceeded targets by 104%. The total number of denturessupplied was 167, compared to 127 in the previousreporting year

• Oral Health has continued to participate in the RuralClinical Locum Program with Justice Health. During the 2005/06 period, Justice Health provided 143 days of leave coverage through the program which equates to 1528 non-admitted patient occasions of service. The success of this program means that people in thecommunity were provided with dental services that theywould otherwise have not received

• A review of the Medical Appointments Unit and themanagement of waiting lists was conducted through the

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Health Services

“Why are they waiting? Access to planned appointments by Justice Health patients” project which was completed inJune 2006. The Review made 27 recommendations whichhave been prioritised for implementation during 2006/07.

Future Directions

• Implementation of the recommendations from the “Why are they waiting” project in collaboration with DCS

• Establishment of undergraduate student placements in dentistry and physiotherapy

• Further exploration and trialing of Pharmacy Technicians

• Provision of radiology services to Mulawa and Mid West(Wellington) Correctional Centres. Refurbishment ofradiology facilities at the Goulburn Correctional Centreincluding the implementation of computerised radiology

• A Medical Records consultant has been engaged toundertake an external review of the Joint Records Centrein 2006/07 to ensure best practice in the management of clinical information

• In the 2006/07 responsibility for the Joint Records Centre will be transferred to the Corporate Services andFinance Directorate and will be part of the new StrategicInformation Management Unit.

POPULATION HEALTH


• Public and Sexual Health Nurses provide services relatingto blood-borne infections and sexually transmissibleinfections to centres across NSW. The range of theseservices continued to expand in 2005/06 with theinclusion of harm minimisation programs. Designated hoursfor Public/Sexual Health Nurses exist at 23 sites acrossthe state and are supported by specialist medical hepatitisservices provided by Visiting Medical Officers at 11 sites

• The Population Health Clinical Accreditation Program forScreening and Management of Blood Borne Viruses in theCorrectional Environment underwent review in 2005/06and was resubmitted to the University of TechnologySydney (UTS) for approval. At the end of 2005/06, there were 26 nurses accredited through the ClinicalAccreditation Program of which five successfully completedthe program this financial year. There are another 19nurses currently undertaking the course. The programprovides basic training in population health to promote a consistent standard of care to patients.

• Further developments in the model of care for hepatitisservices saw the establishment of a Clinical NurseConsultant position at Long Bay Correctional Complex

and specialised training in hepatitis management for thePublic/Sexual Health Nurses at Lithgow and GoulburnCorrectional Centres

• 10 correctional centres across the state underwentinfection control audits during the 2005/06. An externalInfection Control Audit was undertaken through theGovernance Unit in August 2005 with the ensuing actionplan detailing requirements for improvements in the area of infection control particularly in the area of cleaning ofclinics. A special Cleaning Steering Committee has beenconvened to oversee and monitor the process

• For the first time in 2005/06, environmental healthassessments to identify environmental health risks to staff and patients were conducted at Cooma, Parklea and Emu Plains Correctional Centres

• A Department of Corrective Services Officer at each of thefive correctional centres that have a private water supplyhave been trained in water monitoring and now monitorprivate water supplies in compliance with the AustralianDrinking Water Guidelines and water cooling/warm watersystems for the causative agent of Legionnaires’ Disease

• A series of interagency meetings was conductedthroughout 2005/06 in order to ensure Justice Health’s capacity to respond to an influenza pandemic.Representation at these meetings included DCS,Department of Juvenile Justice, NSW Police, Attorney-General’s Department and NSW Health. The aim of these consultations is to develop a joint pandemic influenza action plan

• NSW Health funded Justice Health’s Winter ImmunisationProgram in 2006. By the end of June 2006, over 3,300adult and adolescent patients had been vaccinated againstinfluenza with vaccination continuing until September. This is a significant increase to previous years and it isanticipated that 5,600 patients will be vaccinated in thisyear’s influenza immunisation program

• The Health Promotion in NSW Prisons and JuvenileJustice Centres Scoping Project was finalised in November2005 with a comprehensive report identifying andprioritising areas for action

• Structured smoking cessation programs were organised for eligible patients at John Morony, Dillwynia, Emu Plains,Grafton, and Cooma Correctional Centres. A total of 36 participants were enrolled in these programs during2005/06, of which twenty were abstinent by the 13thweek, as determined by periodic self-reports and review of participants’ commissary purchases.

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Surveillance data

The following data is the Notifiable Detected Diseases andthe Targeted Screening Program for the reporting period.

Table 4: Notifiable Detected Diseases for the PeriodJuly 2005 – June 2006Condition Number 04/05 Number 05/06

HIV antibody positive 0 3Hepatitis B surface antigen positive 55 34Hepatitis C antibody positive 618 469Syphilis marker(s) positive 7 7Chlamydia 87 69Gonorrhoea 4 2Pertussis (Whooping cough) 2 0Hepatitis D antibody positive 2 1Influenza 3 4Adverse reaction to immunisation 1 1Respiratory tuberculosis 1 0Meningococcal disease 0 1Salmonella 2 1Legionnaire’s disease 1 0

Total 783 592

While most notifiable diseases remained stable for thisfinancial year, there has been a significant decline in thenumbers of positive notifications for Hepatitis B surfaceantigen. This could be attributed to the Hepatitis Bvaccination program both within Justice Health and the wider

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Table 5: Hepatitis B Vaccination Profiles in Adult and Juvenile CentresCohort Period Doses Administered Courses Completed Vaccination Completion Rate

July – September 2005 500, of which 195 were 101 of patients given first 52%(adult centres) first doses dose completed three primary

doses over six months

July – September 2005 159, of which 72 were 22 of patients given first dose 31%(juvenile justice centres) first doses completed three primary doses

over six months

October – December 2005 627, of which 193 were 77 of patients given first dose 40%(adult centres) first doses completed three primary doses

over six months

October – December 2005 244, of which 111 were 36 of patients given first dose 36%(juvenile justice centres) first doses completed three primary doses

over six months

Total 1530, of which 571 were 236 of patients given first dose 41%first doses completed three primary doses

over six months

community as well as an increased awareness of safer sexand injecting practices through harm minimisation education.

Additionally, the decreased number of new notifications forHepatitis C reflected favourably on the provision of harmminimisation education regarding safer injecting practices and the success of the pharmacotherapies program withinJustice Health. This has occurred in the absence of a Needle Syringe Program within the NSW custodial system.

A successful Hepatitis B vaccination program continuedthroughout 2005/06 in both adult and adolescent centres.While the quarterly reports showed a slight decline in the vaccination completion rates for both the adult andadolescent centres, the overall vaccination completion rate was 41%.

Inmates introduced to the Justice Health Targeted ScreeningProgram for Blood Borne and Sexually TransmissibleInfections continued to decline, reflecting an overall decreasein the ability to access patients within the custodialenvironment.

Efforts were made to identify and immunise the Aboriginalpopulation with an increase in the number of Indigenouspatients receiving Hepatitis B vaccination and beingintroduced to the Targeted Screening Program for BloodBorne and Sexually Transmissible Infections.

Enhanced Chlamydia surveillance continued to show a higherprevalence of the disease than that in the wider community.

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Table 6: Targeted Screening Program (TSP) Profiles2003-04 2004-05 2005-06

Number of adult patients 7,241 9,693 6,707introduced to TSP

Among patients introduced, 5,140 (71%) 5,176 (67%) 4,298 (64%)number (%) tested as part of TSP

Newly detected adult patients with 93% 87% 88%Intravenous Drug Use (IVDU) as most likely risk factor for Hepatitis C Virus (HCV) infection

Hepatitis C prevalence among Not available 21% 17%adult patients not previously testedin NSW correctional centres.

Chlamydia prevalence among Not available 5% 5%adult patients not previously tested in NSW correctional centres

Proportion vaccinated against 10% 10% 15%Hepatitis B that identified as Aboriginal

Proportion introduced to TSP Not available Not available 25%that identified as Aboriginal

Future Directions

• Implement the recommendations of the Health Promotionin NSW Prisons and Juvenile Justice Centres ScopingProject report

• Implement tobacco screening and cessation programs for adolescent detainees

• Continue with the development of a joint pandemicinfluenza action plan

• Increase Targeted Screening Program for Blood Borne and Sexually Transmissible Infections.

DRUG AND ALCOHOL


• The number of ambulatory detoxification clients treatedincreased by 27%. Also, the number of inpatientdetoxification clients treated increased from 1,441 in 2004/05, to 2,534 in 2005/06

• During 2005/06 there was an average of 1,600 clients on pharmacotherapies at the end of each month and theseservices are available at 27 centres across NSW. The total number of clients on maintenance pharmacotherapyreleased from a correctional facility increased by 12%, from 1,423 in 2004/05, to 1,744 in 2005/06

• The Correctional Centre Release Treatment Scheme(CCRTS) assists the client post-release with reintegration

into the community, including assistance with housing,personal administration, employment, financial matters, and re-establishing relationships with family and significantothers. This year the project expanded to the Hunter and the Mid North Coast region in July 2005 and is now funded for 10.1 FTE positions across five differentgeographical areas in NSW. In 2005/06 there were a total of 112 clients participating in the CCRTS project, an increase of 72% from the previous year

• Management processes for the CCRTS scheme werereviewed this year and more efficient management andoversight systems implemented. As a result referrals to the scheme increased over the same period with monthlyreferrals for 2005/06 between 56 and 69 per monthcompared with 30 per month last year. In 2005/06 theproject resulted in 62 clients staying out of the correctionalsystem longer than previous, up from 41 in 2004/05

• The Inreach Project aims to achieve optimal post-releaseoutcomes for clients through the facilitation of post releasecare to pharmacotherapy treatment providers based in thecommunity. This is achieved through nine In each Projectworkers based in Area Health Services across the State.During 2005/06, 621 clients received post-release carewhich is an increase of 12% from 2004/05

• A total of 102 Justice Health staff attended one of thefour drug and alcohol core skills workshops in 2005/06.

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Table 7: Summary of Methadone and Buprenorphine Activity Data

No. clients on No. clients on No. clients No. clients Total no. clients Total no. clients who Methadone in Buprenorphine in commenced on commenced on who ceased ceased Buprenorphine Adult Correctional Adult Correctional Methadone by Buprenorphine Methadone in adult in adult correctional Centres Centres Justice Health by Justice Health correctional centres centres

2004/5 1,120 137 658 97 408 62

2005/6 1,231 149 1,016 195 410 96

Percent increase +10% +9% +54% +101% +1% +55%(+) or decrease (-)

These workshops were aimed at equipping staff with the clinical skills and knowledge required to manage thedrug and alcohol health needs of clients in a correctionalenvironment.

Future Directions

• Commencement of the Compulsory Drug TreatmentProgram (CDTP). The CDTP is an innovative abstinencebased program that will be commencing within the ParkleaCorrectional Centre in early 2006/07.The program willtarget up to 100 male offenders with long-term addictionwho have committed multiple offences over a long periodto support their addiction. The program is planned tooperate through the Drug Court based at Parramatta

• Implementation of Drug Summit 3 initiatives.

WOMEN’S HEALTH


• Completion of the Framework for the Care of PregnantWomen in Custody

• Clinical service planning with Nepean Hospital to improvethe delivery of care in the pre and postnatal period, andwith Westmead Hospital to accommodate pregnant womenfor timely prenatal ultrasound scans

• A pilot of two ultrasound clinics at Emu Plains andDillwynia Correctional Centres resulted in 10 women beingscreened. This eliminated the need for DCS escorts tolocal hospitals and is planned to be expanded in 2006/07to other centres and to include pelvic ultrasounds

• An improvement in the turnaround time for approvingprescriptions for women in Transitional Centres wasreduced from up to three days to less than four hours

• Construction of the new Clinic and Mental HealthScreening Unit at Mulawa Correctional Centre continued,with the transfer of the services to the new facilityscheduled for early 2006/07.

Future Directions

• Recruit a midwife to implement the Framework for the Care of Pregnant Women in Custody across all correctionalcentres that hold women

• Recruit a project officer for Women’s Health to assist inclinical services planning for the new clinic at Mulawa

• Commence a monthly colposcopy clinic at Mulawa todecrease the waiting times for women currently waiting for appointments at local hospitals

• Recruit a Nurse Practitioner for Women’s Health tomanage gender specific screening clinics and improvedelivery of health care to women in custody.

ABORIGINAL HEALTH

The function of the Aboriginal Health Unit is to establish,manage, monitor and evaluate existing and enhanced healthservice provision for Aboriginal people in custody in adultcorrectional centres and juvenile justice centres across theState. Health care services are developed collaboratively with both NSW and ACT Aboriginal Community Controlled Health Services.


• During 2005/06 Justice Health continued to have workingpartnerships with 14 Aboriginal Community ControlledHealth Services that provided services to 15 adult centresand one adolescent site. As a result, 38% of Aboriginalmen and 29% of Aboriginal women were able to accessdesignated health care services, including Medical Officersand Aboriginal Health Workers (generalist and specialist)whilst in custody

• The NSW Aboriginal Chronic Conditions Area HealthService Standards were released in June 2005 and JusticeHealth has been making steady progress towards enactingthe four standards which are aimed at improving Aboriginalhealth outcomes. As part of this exercise the Justice HealthAboriginal Chronic Care Working Party was established

• The Aboriginal Vascular Health Project “Tick on… Kickon…” was implemented by the Aboriginal Health Unit and

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is operational in eight correctional centres. The project has a focus on the cardiovascular health (including heartdisease, diabetes, circulatory disease, and renal disease) of incarcerated Aboriginal men and women.

• Clinical screening and follow up services for thoseparticipating are provided by health teams comprisingJustice Health Registered Nurses and Aboriginal HealthWorkers from partnering Aboriginal Medical Services.During 2005/06, 443 Aboriginal people accessed theservice, which included vascular health screening sessionsat a number of sites.

• During 2005/06 the Aboriginal Health Unit provided healthpromotion and education programs for Aboriginal men andwomen at a number of correctional centres statewide.Programs included:

Oral Health with 328 participants Disease Prevention with 288 participantsIndigenous games exercise activities with 190 participants Aboriginal Men’s Health with 194 participants.

Future Directions

• Increase access to culturally appropriate services throughAboriginal Medical Service Agreements

• Continue to implement the NSW Aboriginal ChronicConditions Area Health Service Standards

• As part of the models of care project explore theopportunities to increase the number of Aboriginal people employed in the Justice Health workforce

• Continue the partnership with the Aboriginal Health and Medical Research Council (AH&MRC).

ADOLESCENT HEALTHThrough research-based evidence Justice Health recognisesthat a reduction in recidivism rates amongst juvenile offendersis possible through intervention when offenders first come into contact with the criminal justice system. Research hasidentified that the younger a person is when first coming incontact with the courts the more likely they are to re-offend.In addition, virtually all indigenous males and a large majorityof indigenous females that appear before the courts asjuveniles will re-offend. Justice Health is actively dedicated to identifying the health drivers of recidivism and activelyworking to implement these interventions, as well as activelyevaluating their effectiveness.

Major Goals and Outcomes• Completion of a new Justice Health Clinic at Juniperina

Juvenile Justice Centre

• Completion of a new clinic at Kariong Juvenile CorrectionalCentre

• The Health Problem Notification and Escort Form hasbeen successfully trialed and implemented across JuvenileJustice centres. This form provides Juvenile Justice staffwith basic medical information, without compromisingpatient privacy, for non-nursing hours and escorts

• A new dental clinic in Cobham Juvenile Justice Centre has been built

• A dental therapist has been employed for AdolescentHealth and will treat patients at Frank Baxter, Reiby andJuniperina Juvenile Justice Centres as well as assistingwith overall strategic planning for dental services anddental health promotionin Adolescent Health

• A review of medication practices has been initiated

• Workforce development programs have been conductedfor Adolescent Health nursing staff. Clinical staff have also been provided with ongoing education

• A Clinical Audit tool has been developed for AdolescentHealth to ensure that clinics are meeting EQuIP standards.

• Introduction of Mental Health Outcomes Assessments Tool – Child & Adolescent to all Adolescent Health sites

• Establishment of a Joint Clinical Services Plan withDepartment of Juvenile Justice (DJJ)

• Establishment of a Joint Clinical Governance Frameworkwith DJJ

• Development of the Adolescent Community ForensicMental Health Service

• Juvenile Justice Centre Release Treatment Scheme(JJCRTS) pilot project is currently being conducted in the Orana region

• Partnership project on Young People on CommunityOrders Health Survey (YPOCHOS) Key Findings Reporthas been completed

• Clinical Director Adolescent Mental Health has beenrecruited and commenced service in May 2006

• Clinical Director Adolescent Health and Research has been recruited and commenced service in February 2006.

Future Directions

• Expansion of the Adolescent Community Forensic MentalHealth Service to Central Sydney is planned for the latterpart of 2006

• Evaluation of the Juvenile Justice Centre ReleaseTreatment Scheme

• Continuation of the Youth Drug & Alcohol Court (YDAC)program

• Standardisation of sexual health services acrossAdolescent health sites.

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FORENSIC MENTAL HEALTH SERVICES

The Statewide Forensic Mental Health Directorate(SWFMHD) is responsible for Mental Health Services tocourts, correctional centres, juvenile justice centres, LongBay Hospital and Forensic Community Mental Health.

The Forensic Executive Support Unit that assists the Ministerfor Health with the management of recommendations madeby the Mental Health Review Tribunal is part of the Directorate.

The Community Forensic Mental Health Team is a major newdevelopment that has expanded over the past twelve months.


• Developed a partnership with the Adolescent CommunityForensic Mental Health Service

• Opened the Mental Health Rehabilitation Hostel

• Opened the Mental Health Screening Unit and created the Mental Health Precinct at the Silverwater CorrectionalComplex

• Commenced workforce planning and development oftraining programs for the Forensic and Prison Hospitals

• The Community Forensic Mental Health Service has beennegotiating with the Department of Corrective ServicesProbation and Parole Service regarding a joint projectinvolving the management of sex offenders in the community

• Justice Health is representing NSW Health in a 15 monthbenchmarking project with forensic services in four otherStates.

Future Directions

• Development of a greater emphasis on Aboriginal MentalHealth as over 20% of prisoners are Aboriginal

• Commencement of the Masters in Forensic Mental HealthCourse

• Working in partnership with DCS in correctional facilitieswith a focus on the mental health needs of women

• Development of rehabilitation programs for mentally illoffenders

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• Development of models of care for the new ForensicHospital

• Establishment of scholarships for the Masters in ForensicMental Health.

LONG BAY HOSPITAL

There are currently 95 high security mental health beds atLong Bay Hospital. These are within a complex gazetted as both a prison and a hospital, and operated jointly by the Department of Corrective Services and Justice Health. The Hospital has a 29 bed acute ward for male patients, anine bed acute ward for female patients, a 30-bed sub-acuteward for male patients, and a recently opened a 27-bedMental Health Rehabilitation Hostel for male patients.


• The 27 rehabilitation beds were established in June 2006as the first stage of development of the new ForensicHospital. The hostel has a specific focus on rehabilitationand operates in line with the Framework for Rehabilitationfor Mental Health – NSW Health. It has a multidisciplinaryapproach to treatment and the team comprises nurses, anoccupational therapist, a diversional therapist, and medicalofficers. Psychology and education services continue to be provided by DCS

• Close working relationships have been developed betweenthe male acute ward and the Mental Health Screening Unit (MHSU) at the Metropolitan Reception and RemandCentre (MRRC) to ensure the most acute male patientshave access to in-patient care. A similar process operatesbetween the female acute ward at Mulawa CorrectionalCentre.

Future directions

• Continuation of planning for the new Forensic Hospitalincluding training and education in managing violence and aggression.

Table 8: Mental Health Activity Data

Client Related Provider Time Recorded Outcome Measures as % of ExpectedArea Actual hrs Expected hrs Amb.FTE Base* % Actual Expected %

Justice Health 43,233 580,649 87 7% 604 552 109%

NSW 896,937 4,903,154 2,465 18% 108,259 170,669 63%

* Ambulatory Full Time Equivilent Base

Health Services

STATEWIDE COMMUNITY & COURT LIAISONSERVICE (SCCLS)

The SCCLS currently operates in 17 local courts acrossMetropolitan and Rural NSW. In the 2005/06 financial yearSCCLS Clinical Nurse Consultants (CNC) screened 17,993clients for mental health problems in the court cells. Of thisnumber, 2,373 clients received a comprehensive mentalhealth assessment, which equates to 13% of the total courtthroughput. 84% of the 2,373 (ie 1,999) were found to be suffering from a severe mental illness, mental disorder or condition.

Of the 1,999 with mental health issues:

• 243 were diverted to hospital = 12 %

• 1,064 were diverted to community care = 53%

• 692 referred to custodial mental health services as per the Magistrates orders = 35%

• 65% of referrals diverted to the community (ie 1,307).


• In April 2006, SCCLS successfully opened the WaggaWagga Court Service. Since April, 723 clients have beenscreened for mental illness, 84 (11.5%) have received a comprehensive mental health assessment and 60 havebeen diverted to treatment in the community

• The telehealth pilot project commenced at Griffith LocalCourt in February 2006.

• In 2006 the NSW Auditor-General conducted an audit onthe SCCLS, which was tabled in Parliament. The focus ofthe audit was on “Agencies Working Together to ImproveServices”.

Future directions

• Planning for the expansion of SCCLS to include Katoomba,Mt Druitt, Downing Centre, Waverly, Newtown, Forster andTaree Courts. Provision of Telehealth facilities to Walget,Queanbeyan, Bateman’s Bay, and Bourke Courts.

MENTAL HEALTH PRECINCT SILVERWATERCORRECTIONAL COMPLEX

The Mental Health Precinct has a total of 160 beds andcomprises the Mental Health Screening Unit (for men) and the Metropolitan Remand and Reception Centre (MRRC). The major function of the Precinct is to provideaccommodation for mentally ill patients in a safe andtherapeutic environment and to “pathway” them to mentalhealth services within the system.

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MENTAL HEALTH SCREENING UNIT

Justice Health staff work closely with family and carers, DCS, and community mental health services to develop acomprehensive management plan to ensure continuity of care for patients post release. A comprehensive managementplan is also developed for patients being discharged from theUnit and returning to the custodial environment.


• The Mental Health Screening Unit commenced on 16 February 2006. Since February there have been over 400 admissions to the Unit

• The Unit was officially opened by the Governor, HerExcellency Marie Bashir on 29 March 2006

• The Unit has assisted in decreasing the waiting list for D Ward at Long Bay Hospital by instigating appropriatetreatment in a timely manner. Prior to the Unit beingavailable, patients with acute mental illness would have to wait for a bed in D Ward for appropriate management.

The Unit also works in partnership with the Department of Juvenile Justice to accept “difficult to manage” Juvenileoffenders.

METROPOLITAN REMAND & RECEPTION CENTRE

The Metropolitan Medical Transit Centre (MMTC) wastransferred to the MRRC in February 2006. The MRRCreceived mentally ill inmates from this service who were givenan in-depth mental health assessment from which appropriatemanagement plans were developed and placement within thecorrectional system.


• Expansion of the Hamden Mental Health Accommodationarea at the MRRC increased bed numbers from 35 to 120 in February 2006

• Successful diversion of mentally ill offenders through theCourts, Mental Health Review Tribunal, and Probation andParole Service.

Future directions

• To continue to develop the Unit’s mental health service andits integration with Area Community Mental Health Services

• To continue to develop the Unit’s ability to assist withdiverting mentally ill patients away from custody and intotreatment

• To work with Women’s Health for the future opening of the Mental Health Screening Unit at Mulawa CorrectionalCentre in 2006/07

• To assist with the statewide bench marking project.

Health Support Services

CORPORATE SERVICES & FINANCEOverview

The Corporate Services & Finance directorate providesJustice Health with a full range of corporate support services:

• Information Management and Technology

• Learning & Development

• Workforce Planning

• Business Services (Capital Works, Administrative Services,Commercial Services and Hotel Services).

• Finance (Finance, Purchasing and Supply)

• Employee Services, Payroll (reported under “Our People”)

Justice Health has continued to grow and expand servicesoutside of correctional environments and into the community.Along with service expansion has come the need to furtherdevelop and expand corporate support services. Particularattention was paid in 2005/06 to the development ofinformation management and technology infrastructure,improving financial reporting systems, and developing plans to meet the workforce needs associated with the newhospitals projects.

Justice Health continues to participate in the planning effortsfor the NSW Health Support model for shared corporateservices although no direct transfers of activity took place in 2005/06.


• Planning for the corporate support and infrastructurerequirements for the new Forensic and Prison Hospitalsand preparation of an operational plan for the developmentof services prior to commissioning the new facilities.

• First full year of implementation of the statewide UniquePatient Identifier (UPI) and Patient Administration System(PAS) has improved the continuity of care for patients

• Expanded computerised radiography to the MetropolitanReception and Remand Centre (MRRC), ParkleaCorrectional Centre and Long Bay Correctional Complex.This has resulted in reduced reporting times so thattreatment, if appropriate, can be commenced in a moretimely manner

• Completed the Information Management and relatedInformation Project which will streamline and improve the quality of corporate and clinical information systems

• Commenced a 12-month Management DevelopmentProgram in response to a needs analysis conducted toidentify current and future skills required by Justice Healthmanagers. The Program will be evaluated in 2006/07

• Introduced a Mentoring Program which will be evaluated in 2006/07

• Completed several capital works projects including the Mental Health Screening Unit at the MetropolitanRemand & Reception Centre and the new health clinic at Kirkconnell Correctional Centre

• Implemented a revised financial reporting system whichhas improved financial and budgetary monitoring at alllevels of the organisation.

Future directions

• Continue planning for the new Hospitals includingdevelopment of facility based training programs, workforceand recruitment activities and general infrastructureplanning

• Information technology enhancements involving Wide AreaNetwork upgrades and integration and deployment of astandard operating environment (SOE) across all sites

• Creation of a Strategic Information Management Unit

• Implementation of the recommendations from theInformation Management Strategic Plan

• Review of the Joint Records Centre and medical recordsmanagement functions across the organisation

• Planned restructure of all Justice Health workforce relatedfunctions (Employee Services, Workforce Planning andLearning & Development) into one service in line with thestructure in the other Area Health Services.

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REPORTS FROM EACH SERVICE

INFORMATION MANAGEMENT ANDTECHNOLOGY


• The UPI/PAS application has delivered significant benefitsto patient management and clinical care including theability to notify alerts and share information with theDepartment of Corrective Services

• With the expansion of computerised radiography toadditional sites Justice Health now has the capability of acquiring and storing digital medical images at mostsites where radiography services are present

• Two major IT capital works projects were successfullydelivered in 2005/06. The first was the decommissioningof all Netware Novell services to a fully integrated WindowsActive Directory environment. The second project rebuiltthe legacy Citrix server environment utilising updatedsoftware configuration, best practice design and replacingall hardware. The outcome of the combined projects wasgreatly enhanced security access levels, the standardisationof server and hardware configurations and performanceimprovements to end users of up to 44%

• Conducted a comprehensive review of all aspects ofinformation management within Justice Health. The threekey project deliverables were the Information ManagementStrategic Plan and the Data Collection Survey Report and a Data Collection Survey Register, all of which wereachieved.

Future Directions

• Participate in the review being conducted by NSW Healthof statewide Picture Archiving Computer System (PACS)and Radiology Information System (RIS) applications

• Further expansion of computerised radiography

• Implement Government Broadband Strategy (GBS) whichwill ultimately allow for the logical separation of technicalinfrastructure with our partner agencies – Department ofCorrective Services and Department of Juvenile Justice.This will improve future introduction of NSW Health IT initiatives.

LEARNING & DEVELOPMENT


• Expanded the range of course topics offered to staff by 13, with the emphasis on clinical practice

• Expanded the number of sites by 4 to provide clinicalplacement experience for undergraduate nursing students

• Expanded the New Graduate Program for Justice Healthwith a second intake during the year. Retention of theseparticipants remains in excess of 85%

• Developed a Zero Tolerance to Violence in the Workplaceand Security Awareness CD which has enabled access totraining updates at the local level

• The Clinical Supervision Program continued to expand withtraining opportunities offered in both individual and groupsupervision. The number of staff accessing clinicalsupervision exceeded the performance target by 28%

• The annual Leadership and Management Program wasattended by over 120 managers from around the State.

Future Directions

• Implementation of the final phase of the Zero Tolerance to Violence in the Workplace Program which involvestraining for managers

• Implementation of the Learning & Development databaseapplication known as Pathlore to provide an informationsystem to better manage learning and developmentactivities

• Expansion of clinical placement sites for undergraduatenursing and allied health students

• Continue expansion of the New Nursing Graduate Program

• Participation in research into the efficacy of the ClinicalSupervision Program

• Implementation of an education program to address thelearning needs of staff who will be working in the newForensic and Prison Hospitals.

WORKFORCE PLANNING


• The Justice Health Executive approved the WorkforceStrategic Plan 2005-2010

• Increased attendance at career forums, universityprofessional days, and nursing expos to promote JusticeHealth as an employer of choice. These strategies haveresulted in significantly reducing nursing vacancies from54.3 FTE in 2004/05 to 20.9 FTE in 2005/06

• Developed a Staff Recognition and Reward Program which will be implemented in 2006/07

• Developed an Incentive Program as a recruitment andretention strategy which will be implemented in 2006/07.

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Future Directions

• Implementation of the Staff Recognition and RewardProgram

• Implementation of the Incentive Program

• Development and implementation of Succession PlanningProgram

• Development of specific strategies to attract and retainyoung people and older workers.

• Expansion of the Mentoring Program.

BUSINESS SERVICES


During the year several capital works projects werecompleted:

• Parklea Drug Free Correctional Centre

• New clinic at the Metropolitan Special Protection Centre

• Extension and refurbishment to the Joint Records Centreat Silverwater Correctional Complex

• Westmead Transit Lounge.

Other Projects

• Corporate Services is involved in the Cleaning WorkingParty which has been reviewing and auditing the cleaningof clinics in correctional centres in readiness for introducingsystem improvements.

Future Directions

Complete the following capital works projects:

• Mental Health Screening Unit and Clinic at MulawaCorrectional Centre for Women

• New clinic at Reiby Juvenile Justice Centre

• New clinic at St Heliers Correctional Centre.

FINANCE


• A restructured and revised financial reporting system wascompleted and implemented during 2005/06

• Education sessions were held to provide finance educationto 50 clinical managers to improve their budgetmanagement skills

• Conducted a review of the cycle of procuring goods and services as a strategy to position Justice Health towork with NSW Health’s Health Support Model and inpreparation for the increase in activity associated with the new hospitals.

Future Directions

• Provision of financial reports in electronic format

• Continued devolution of financial accountability to the cost centre level

• Implementation of the recommendations of the review of the procurement cycle

• Evaluation of an electronic procurement model

• Continued financial education for clinical managers.

EXECUTIVE SUPPORT AND PLANNING UNIT

The Executive Support Unit was restructured in June 2006 to include the organisation’s strategic planning activities andmedia and communications to more effectively coordinatethese functions. One of the other key functions of theExecutive Support and Planning Unit is to prepare responsesto Ministerial briefing requests.

Key Achievements and Outcomes

• Responded to 116 Ministerial requests

• Developed the Justice Health Communications Plan

• Developed the Justice Health Corporate Strategic Plan2006-2010

• Commenced two new publications – Inside/Outside News and the Forensic and Prison Hospitals Bulletin

• Assumed responsibility for managing the Justice HealthIntranet and Internet sites.

Future Directions

• Complete the Area Healthcare Services Plan 2006-2010and the associated Enabling Plans.

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Health Support Services

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Our People

EXECUTIVE OFFICER REPORTSDr. Richard Matthews, Chief Executive Appointed: November 2000

Key responsibilities:Setting the strategic direction for the organisation, ensuringappropriate provision of governance and high quality servicefor the organisation. Directing the Adolescent Health Serviceand the Statewide Forensic Mental Health Service to ensurethe effective provision of health services to young people incustody and the community and the provision of appropriatemental health services to inmates/detainees who come intocontact with the criminal justice system.

The Chief Executive was appointed to the position of DeputyDirector-General, Strategic Development at NSW Health inJanuary 2006 and has responsibility for the followingBranches:

• Mental Health and Drug & Alcohol Programs• Statewide Services Development• Intergovernment and Funding Strategies• Primary Health and Community Partnerships• Community Drug Strategies.

Significant achievements during the reporting year:• Met budget• Significant service expansion in both the adult and

adolescent the forensic mental health areas • Led a strategic positioning exercise with corporate

strategic planning and key workforce appointments • As a member of the Interagency Forensic and Prison

Hospitals Steering Committee, led the strategic directionand negotiations for the award of the contract for the new hospitals.

Julie Babineau, Deputy Chief ExecutiveAppointed: February 2005

Key responsibilities:Overall responsibility for clinical functions in the adultcorrectional environment and non-clinical operations for the whole organisation. This position also provides the key leadership role in all the planning activities involved in the construction and functional requirements for the two new hospitals. In addition, the Deputy Chief Executive isresponsible for the Centre for Health Research in CriminalJustice, and media and public relations for the Service.

Significant achievements during the reporting year:• Achieved commercial and financial close for the delivery

of the Forensic and Prison Hospitals under a Public Private Partnership

• Established health services in two new sites • Established the Executive Support and Planning Unit.

Associate Professor John V Basson, Director Statewide Forensic Mental HealthAppointed: March 2004

Seconded to the position of Chief Psychiatrist (part time)NSW Health in April 2006

Key Responsibilities:The development and implementation of Statewide strategiesfor the provision of Forensic Mental Health Services formentally ill offenders in the Justice System and community.Direction of the Forensic Executive Support Unit in theprovision of specialist advice to the Minister assisting theMinister for Health, the Minister for Health and the MentalHealth Review Tribunal in the management of mentally illoffenders.

Directing the provision of high quality advice to Area MentalHealth Services on Services to mentally ill offenders.

Significant achievement during the reporting year:• Development of Forensic Community Mental Health

Service working closely with Area Mental Health Servicesand later in 2006 with Department of Corrective ServicesProbation & Parole Service

• Appointment of clinical staff to develop a Forensic Childand Adolescent Mental Health Service

• Development of a strategy for the provision of ForensicCommunity Child and Adolescent Service and inpatientservices

• Successful operation of the Mental Health Screening Unit at Silverwater Correctional Complex.

• Development of a training programme for risk assessmentof mentally ill patients who present a significant risk toothers. This is an ongoing process across the State.

Belinda Chaplin, Director Adolescent Health

Appointed: February 2003 (on leave from February 2006)

Cathrine Lynch, A/Director Adolescent HealthActing since February 2006

Key responsibilities:Managing the Justice Health Adolescent Health Service toensure the effective provision of health services to youngpeople in juvenile justice and juvenile correctional centres, the Youth Drug and Alcohol Court, and the AdolescentCommunity Forensic Mental Health Service.

Significant achievements during the reporting year:• Establishment of the Adolescent Community Forensic

Mental Health Service• Young Persons on Community Orders Health Survey

completed in partnership with the Department of JuvenileJustice and University of Sydney

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• Review of mental health service provision to juvenile justice and juvenile correctional centres undertaken

• Completion of joint Clinical Services Plan with theDepartment of Juvenile Justice and establishment of joint clinical governance process with the Department of Juvenile Justice

• Completion of new health clinics at Juniperina and KariongJuvenile Justice Centres and dental clinic at CobhamJuvenile Justice Centre.

John Hubby, Director Corporate Services and FinanceAppointed: June 2005

Key responsibilities:

Overall responsibility for Administrative Services, CapitalWorks, Commercial Services, Employee Services Finance,Learning and Development, and Workforce Planning.Additional responsibilities include: Policy Development andreview, investigation of staff, state records administration and a variety of other corporate projects.

Significant achievements during the reporting year:

• Completion of organisation wide Information Managementstrategic planning exercise resulting in an endorsedInformation Management Strategic Plan and theimplementation of a new Strategic InformationManagement Unit

• Implementation of a Management Development Programand mentoring Program for managers

• Implementation of a revised chart of accounts to support a more robust financial management and reporting system.This included enhanced financial management educationfor clinical managers

• Rebuilt significant component of IT infrastructure (Citrix environment)

• Development and implementation of mental health“Building Bridges” program for new nursing graduatesworking in a mental health setting.

Maureen Hanly, Director Clinical & Nursing Services Appointed: June 2005

Key Responsibilities:

Responsible for the overall senior level management, strategicplanning, co-ordination and review of all clinical servicesprovided within the directorate. Services include drug andalcohol, primary health, oral health, Aboriginal health, alliedhealth, women’s health, population health, nursing servicesand clinical operations within adult correctional facilities.

Significant achievements during the reporting year:

• Further expansion and success of the Rural Clinical Locum Program providing dental services to other AreaHealth Services

• Extensive review of Medical Appointments/Medical Escortsprovided to patients by or on behalf of Justice Health

• Influenza vaccination offered to all inmates and detaineesas part of NSW’s winter immunisation program

• Release of the Health Promotion in NSW Prisons andJuvenile Justice Centres Scoping Project report

• Strengthened leadership and management of Adult Clinicaland Nursing Operations.

Our People

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OUR PEOPLE

Justice Health is committed to maintaining a framework of human resources practices that provide staff with modern, proactive, equitable, safe and healthy workplaces. In addition to maintaining the existing framework (employeeservices, OHS, staff injury management, learning &development, EAP, effective industrial relations including the Joint Consultative Committee), the development and now ongoing implementation of the Workforce Plan is asignificant achievement.

The Workforce Plan is consistent with NSW Healthguidelines and has seven outcomes:

• Achieve self sufficiency in workforce supply

• Ensure workforce distribution matches community needs

• Become the industry employer of choice through effectiveleadership and governance

• Develop innovative approaches to health education and training

• Develop flexible approaches to the way in which care is delivered

• Employ best practice in workforce assessment and planning

• Work collaboratively at the local, state, national andinternational level.

Over the next 12 months we plan to:

• Continue with implementation of the Workforce Plan

• Review and updating a number of staff related policies

• Implement the staff smoking cessation program

• Review and renewing Visiting Medical Officer(VMO)/Visiting Dental Officer (VDO) contracts

• Conduct the annual OHS&R Numerical Profile audit.

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Table 9: Full Time Equivalent Staff (FTE) Employed in Justice Health as at June 2006

June 2003 June 2004 June 2005 June 2006Medical 23 23 26 30

Nursing 430 437 506 504

Allied Health 8 8 7 10

Other Professional & Para professionals 3 3 2 3

Oral Health Practitioners & Therapists 7 9 9 11

Corporate Services 44 56 65 51

Scientific & technical clinical support staff 3 3 8 8

Hotel Services 23 22 23 22

Hospital Support Workers 49 52 69 85

Other 2 – 1 1

Total 592 613 716 725

Medical, nursing, allied health, other health professionals & oral health practitioners as a proportion of all staff 79.5% 78.2% 76.8% 76.9%

EQUAL EMPLOYMENT OPPORTUNITY

Equity is facilitated through a range of initiatives including the Justice Health policy framework, Code of Conduct,management and staff meeting structures at all levels withinthe health service and compliance with NSW Health andpublic sector management practices.

Significant outcomes achieved included:

1. Revised Code of Conduct

2. Implementation of the Management Development Program

3. Continued implementation of Zero Tolerance to Violence in the Workplace

4. Continuing to allocate 2% of salary budget to staff training and education

5. Implementation of a service wide risk managementframework to improve workplace health and safety.

Table 10: Equal Employment Opportunity Data

Total Staff Respondents Men Women Aboriginal People from People whose People with People with2002/2003 People & Racial, Ethnic, language first a disability a disability

Torres Strait Ethno-religious spoken as requiring Islanders Minority a child was work-related

Groups not English adjustment

Permanent/ 888 685 183 502 14 85 86 38 13Temporary 77% 27% 73% 2% 12% 12% 6% 2%

Casual 350 245 44 201 1 19 25 3 070% 18% 82% 1% 8% 10% 1% 0%

Totals 1238 930 227 703 15 104 111 41 1375% 24% 76% 2% 11% 12% 4% 1%

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Table 11: Staff Injury by Type and Hours Lost

Injury 2002/2003 2003/2004 2004/2005 2005/2006Injury Type Hours Lost Injury Type Hours Lost Injury Type Hours Lost Injury Type Hours Lost

Body Stress 13 861 6 844 15 1229 11 884Exposure 11 8 11 0 9 0 6 0Fall/Slip 11 2127 6 149 19 1507 23 2058Mental Stress 5 1902 11 659 9 108 13 1374Objects – Hit 3 1064 4 199 2 820 3 0Objects _ Moving 6 40 1 8 1 16 7 172Vehicle 3 0 8 78 7 32 4 805Unknown 0 0 0 0 0 0 0 0Other 5 54 3 390 3 34 4 381Total 57 6,056 50 2,327 65 3,746 71 5,674

SOURCE: Figures in table 3 are obtained from NSW Self Insurance Corporation (SICorp).

OCCUPATIONAL HEALTH & SAFETYJustice Health is committed to providing a safe and healthywork environment for all employees, visitors, patients andcontractors. The health and safety of all persons employedwithin Justice Health and those visiting are considered to be of the utmost importance. Justice Health is continuallyreviewing and improving its occupational health and safetysystems to prevent work related injuries and illness.There have been no prosecutions against Justice Health underthe OHS Act. Table Three provides the workplace injury data.

With an average of 9.9 reported claims per 100 employees as at June 2006, Justice Health has experienced an increase

from previous years. This increase reflects the ongoing rise isstaff numbers. Average incurred cost per employee is $591.Both of these are higher than the previous year. These cannotbe compared to NSW Health, as SICorp statistical informationregarding reported claims per 100 employees and averageincurred costs per employee was not available for the periodJune 2006 (the above information was obtained from JusticeHealth data).

There has been an increase in the number of claims this year with particular concern being the areas of slips/falls andexposure to mental stress. These increases have resulted inincreased time lost and subsequently costs per claim have risen.

TEACHING AND TRAINING INITIATIVES

Justice Health provides a range of teaching and trainingprograms to clinical and non-clinical staff.

LEARNING & DEVELOPMENT CENTRE

The Learning & Development Centre coordinates and deliversa range of education and training activities for the Service.This year saw an increase in the number of courses offeredto staff with the emphasis on topics related to clinicalpractice. A Management Development Course was initiated in response to needs identified across the organisation.

Demand for nursing undergraduate clinical placements is high.This has led to an expansion in the number of sites facilitatingstudents. Placement opportunities include the areas of primaryhealth, women’s health, drug and alcohol management,community health and mental health placements.

A second intake during 2005/06 resulted in expansion of theNew Graduate program for Justice Health. Retention of theseparticipants remains in excess of 85%.

Development of a Zero Tolerance to Violence in the WorkplaceCD this year has enabled updates for this training initiative to be implemented at the local level.

The Clinical Supervision program continues to expand, withtraining opportunities offered in both individual and groupsupervision. The number of staff accessing clinical supervisionhas exceeded the established performance indicator.

A focus this year has been on providing educationalopportunities for administration staff and in April 2006 fourstaff commenced a 12-month Diploma of Business through a private training company.

THE CENTRE FOR HEALTH RESEARCH INCRIMINAL JUSTICEThe Centre participated in several initiatives contributing to medical education in the custodial setting including:• Medical students in 3rd year at the University of Sydney

visited several clinics as part of the Community and Doctor Theme tutorial on prisoner health needs

• Aboriginal Health Workers trained through the Departmentof Rural Health, Broken Hill undertook a module in “Healthin Confinement”

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OFFICIAL OVERSEAS TRAVELName and Title Countries Date, Duration and No of days No of days Total Cost Source of Fundsof Employee Visited Purpose of Travel on official on private

leave leave

Lynne MacDonald, New Zealand 22-26 September 2005 5 0 $738 General Clinical Supervision Attend clinical supervision training.Coordinator

Ms Maureen Hanly Xiamin, China 13 May 06 – 21 May 06. 5 0 Nil *HREOCDirector Clinical & Workshop presented to Chinese Nursing Services delegation on health care delivery in

correctional facilities on behalf of the Human Rights and Equal Opportunity Commission (HREOC) China.

Mr Gary Forrest Xiamin, China 13 May 06 – 21 May 06. 5 0 Nil *HREOCWorkshop presented to Chinese delegation on health care delivery in correctional facilities on behalf of the Human Rights and Equal OpportunityCommission China.

* Human Rights & Equal Opportunity Commission

• Medical graduates enrolled through the Monash UniversityCustodial Medicine Course undertook a one-year distancelearning program including a two-day residential.

ADVANCED TRAINING IN FORENSICPSYCHIATRY

Justice Health has been accredited by the Royal Australian & New Zealand College of Psychiatrists (RANZCP) to provideAdvanced Training in Forensic Psychiatry. Training is deliveredin accordance with the curriculum developed by the RANZCPSection of Forensic Psychiatry and is overseen by Dr AnthonySamuels, Director of Training for Justice Health as well as theNSW RANZCP Director of Advanced Forensic Psychiatry.

Advanced trainees are offered a wide range of experiences in inpatient forensic psychiatry, rehabilitation psychiatry,community psychiatry and working with female and adolescentoffenders. The Court Liaison Service has also been accreditedand we hope to place registrars within that service in the nearfuture as it offers a unique training opportunity.

There is a comprehensive teaching program with at least two educational sessions per week in which all consultantpsychiatrists are involved. Specific training is also provided toregistrars to help prepare for the RANZCP written and clinicalexaminations. These sessions are also popular with traineesfrom other training zones. Trainees are being encouraged toparticipate in research and to publish their findings.

There are currently 13 trainees within the program and it islikely that once the new hospitals open additional training

posts will become available. We continue to attract highquality trainees who are attracted to the teaching andresearch opportunities within Justice Health. In additionforensic psychiatry is presently seen as an attractive careerpathway for psychiatrists in training.

Links are being made with overseas training programs and we are regularly attracting trainees from the UK. A formalexchange program with the West London Forensic Psychiatrytraining program is being explored.

To date our training program has had excellent success in theRANZCP examinations and a number of our graduates arenow working within Justice Health as Consultant Psychiatrists.

THE JUSTICE HEALTH NURSINGPROFESSORIAL UNIT

The Professorial Unit has been involved in teaching andtraining initiatives within Justice Health, the University ofTechnology Sydney Faculty of Nursing Midwifery and Health(FNMH) and the broader nursing community. Within JusticeHealth in-service education and presentations at a range of forums have been conducted. Within UTS FNMH, theProfessorial Unit has provided teaching in postgraduatemental health and research subjects. Postgraduate researchdegree students have been supervised through the Unit.Teaching sessions have also been conducted through theAustralian College of Mental Health Nurses, the AustralianNurse Practitioners Association and in joint initiatives withNorthern Sydney and Central Coast Area Health Service.

CONSUMER PARTICIPATIONConsumer participation within Justice Health is providedprimarily through the Consumer & Community Group andthrough local Inmate Development Committees at individualcorrectional centres.

THE CONSUMER & COMMUNITY GROUP

The Consumer & Community Group is a sub-committee of the Justice Health Quality Council and aims to “1Openchannels of communication so that prisoner’s voices andthose of their support organisations are heard and theiridentities and concerns recognised in all their diversity”. The Group has representatives from prisoner support andadvocacy organisations, Justice Health, and one male and one female inmate who participate in the meetings viateleconference. The Group met six times in 2005/06. TheConsumer & Community Group receives feedback abouthealth care issues and concerns through the “Consumer &Community Group Feedback Form”. The forms are sent outto the Chairperson of each Inmate Development Committee

(IDC) at all 31 correctional centres following each bi-monthlyConsumer & Community Group meeting. During 2005/06,23 forms were received, and the table below shows thereporting location, and the type of concern/issue raised. Each issue or concern raised is addressed in writing to theChairperson of the relevant IDC. As can be seen from theTable 12, several IDC’s are regular respondents.

INMATE DEVELOPMENT COMMITTEES

Inmate Development Committees (IDC) are held at all adultcorrectional centres. Attendees include inmate representatives,the General Manager of the facility, senior Justice Healthnursing staff and depending on the facility, other Departmentof Corrective Services senior representatives. The committeesprovide a forum to discuss and resolve local issues relating to the treatment and care of inmates. The Justice Healthrepresentative on the committee is responsible for following-up health care related issues and concerns.

Inmate Development Committees are also held as part of theBoard’s activities when the meeting is off-site. Board visits

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1 Brown, D and Wilkie, (2002) Prisoners as Citizens: Human Rights in Australian Prisons, the Federation Press, Sydney

Table 12: Feedback from Inmate Development CommitteesReporting location Number received Issue/s Comments

Lithgow 5 Medication administration IDC commended Justice Health staff for Waiting time to see doctor their service. Dental services continued to

improve and the ISOH Hotline was rated as “Excellent”

Glen Innes 1 Access to nicobate patchesMannus 3 No concerns “Excellent service”Junee 1 Removal of bleach from common areasBerrima 1 No concerns “Excellent service”Broken Hill 1 Dental waiting times

Health education on Hepatitis and HIV/AIDS

Goulburn 1 Inequity in charging for Nicorette patchesMetropolitan Special 2 Medication administrationPurpose Centre Area 3Bathurst 1 Medication administration

Access hours to clinicSpecial Purpose Centre 2 No concerns “Staff extremely helpful and supportive”John Morony 1 2 “This centre provides consistently good

service”Oberon 1 Dental and Optometrist waiting listsEmu Plains 1 Dental waiting listsKirkconnell 1 Dental waiting lists

Access to Aboriginal Medical Services

to Juvenile Justice Centres also include a meeting with arepresentative group of young people. During 2005/06, the Board visited Juniperina and Cobham Juvenile JusticeCentres and Junee Correctional Centre.

In 2006, the Deputy Chief Executive commenced a series ofmeetings with Area Health Service Executive teams acrossNSW which were combined with visits to local correctionalcentres where Inmate Development Committee meetingswere held. During 2005/06, IDC meetings were held atCessnock and Mid North Coast Correctional Centres.

COMPLAINTS MANAGEMENT

To ensure Justice Health becomes aware of complaints and concerns there are several ways that consumers canraise these issues with the organisation. The Client LiaisonOfficer is an important point of contact for an inmate, familymember, government and non-government organisationswhen wishing to make a complaint or raise a concern aboutthe service provided by Justice Health. Irrespective of howthe complaint or concern is received, all matters are dealtwith in an appropriate manner commensurate with theseverity or significance of the issue. Apart from dealing withthe individual issue, the nature of a complaint is analysed toidentify any systemic and/or resource deficiency in order toimprove and plan health services better and according to thehealth needs of inmates. During the 2005/06 year a total of 548 complaints were brought to the attention of JusticeHealth, representing an increase of 20% from the number ofcomplaints received in 2004/05. The top five complaints in2005/06 were related to: medication; inadequate treatment;waiting lists; delay in admission or treatment; and refusal toadmit or treat. Of these, an average of 78% were resolvedwithin a 35-day period – the second highest percentagewhen compared with other Area Health Services. This scorealso compares favourably with the state average of 65%.

The table of complaints for 2005/06 can be found in theAppendices to this report.

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Personal Other Total2004/05 2005/06 2004/05 2005/06 2004/05 2005/06

NUMBERS OF NEW FOI REQUESTS

FOI Requests

New (incl transferred in) 34 37 4 8 38 45Brought forward 1 1 0 0 1 1Total to be processed 35 38 4 8 39 46Completed 34 35 4 7 38 42Transferred Out 0 1 0 1 0 2Withdrawn 0 2 0 0 0 2Total processed 34 38 4 8 38 46Unfinished (carried forward) 1 0 0 0 1 0

RESULTS OF REQUESTS

Granted in full 21 8 1 4 22 12Granted in part 8 9 1 1 9 10Refused 5 18 2 2 7 20Deferred 0 0 0 0 0 0Completed 34 35 4 7 38 42

MINISTERIAL CERTIFICATES ISSUED

Ministerial certificates issued 0 0 0 0 0 0

FORMAL CONSULTATIONS

Number of requests requiring formal consultation(s) 0 0 0 0 0 0

AMENDMENTS OF PERSONAL RECORDS

Result of amendment – agreed 0 0 0 0 0 0Result of amendment – refused 0 0 0 0 0 0Total 0 0 0 0 0 0

NOTATION OF PERSONAL RECORDS

Number of requests for notation 0 0 0 0 0 0

FOI REQUESTS GRANTED IN PART OR REFUSED

Section 19 (application incomplete, wrongly addressed) 4 18 1 0 5 18Section 22 (deposit not paid) 0 0 0 0 0 0Section 25 (1) (a1) (diversion of resources) 0 0 0 0 0 0Section 25 (1) (a) (exempt) 0 0 0 0 0 0Section 25 (1) (b), (c), (d) (otherwise available) 0 0 1 2 1 2Section 28 (1) (b) (documents not held) 1 0 0 0 1 0Section 24 (2) (deemed refused, over 21 days) 4 18 1 0 5 18Section 31 (4) (released to Medical Practitioners) 0 0 0 0 0 0Total 9 36 3 2 12 38

COSTS AND FEES OF REQUESTS PROCESSEDFOI Fees received

Assessed costsAll completed requests $12,915 $1,570

Freedom of Information

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Personal Other Total2004/05 2005/06 2004/05 2005/06 2004/05 2005/06

DISCOUNTS ALLOWED

Public Interest 0 0 0 0 0 0Financial hardship – pensioner/child 12 5 1 1 13 6Financial hardship – non profit organisation 0 0 0 0 0 0Totals 12 5 1 1 13 6Significant correction of personal records 0 0 0 0 0 0

DAYS TO PROCESS

0 - 21 days 34 28 4 7 38 3522 - 35 days 0 7 0 0 0 7Over 35 days 0 0 0 0 0 0Total 34 35 4 7 38 42

PROCESSING TIME

0 - 10 hours 33 29 4 7 37 3611 - 20 hours 0 3 0 0 0 321 - 40 hours 0 1 0 0 0 1Over 40 hours 1 2 0 0 1 2Total 34 35 4 7 38 42

2004/05 2005/06

REVIEWS AND APPEALS

Number of internal reviews finalised 1 2Number of Ombudsman reviews finalised 0 2Number of District Court appeals finalised 0 0

Details of Internal Review Results – Bases of internal review grounds on which internal review requested

Personal OtherUpheld* Varied* Upheld* Varied*

2004/05 2005/06 2004/05 2005/06 2004/05 2005/06 2004/05 2005/06

Access refused 0 0 0 0 0 1 0 0Deferred 0 0 0 0 0 0 0 0Exempt matter 0 2 0 0 0 0 0 0Unreasonable charges 0 0 0 0 0 0 0 0Charge unreasonably incurred 0 0 0 0 0 0 0 0Amendment refused 0 0 0 0 0 0 0 0Total 0 2 0 0 0 1 0 0

* Note: relates to whether or not the original agency decision was upheld or varied by the internal review.

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The audited financial statements presented for Justice Healthfor the 2005/06 financial year report a Net Cost of ServicesBudget of $82.432 million against which audited actuals of$82.413 million were expended. The variation against budgetrepresents a favourable variance of 0.02%. This was thetwelfth consecutive year that Justice Health operated within its budget allocation.

In achieving the above result Justice Health is satisfied that it has operated within allocated government cash paymentsand managed its operating costs to the budget available. Ithas also ensured that general creditors are managed suchthat at any given month end there are no creditors outsidethe parameters agreed with the NSW Department of Health.

Operating expenditure for the year totalled $83.9 million, an increase of $12.9 million when compared with 2004/05expenditure of $71.0 million. A component of the increase in expenditure is staff costs with full time equivalent staffnumbers increasing from 717 in June 2005 to 725 in June 2006.

Additional funding was provided during the 2005/06 financialyear for;

• State Mental Health community• State Mental Health Growth• Nursing Strategies Allocation• Superannuation expense for staff• Award increases for all staff• Treasury Managed Fund adjustment.

Justice Health’s overall asset base increased by $2.89 million, when compared to 2004/05 assets. Theincrease was primarily due to capital expenditure on thePrison/Forensic hospitals project, leasehold improvements,and purchase of plant and equipment.

Justice Health’s liabilities also increase due to the impact of award increases in employee leave provision accounts. The impact of these resulted in an increase in liabilities of$1.83 million when compared to 2004/05. Overall themovements in assets and liabilities resulted in an increase in Justice Health’s equity of $1.06 million.

Executive Summary

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Table 13: Comparisons of actual performance

2005/2006 2004/2005 Movement

$000 $000 $000 %

Expenses excluding losses

Operating Expenses

Employee Related 64,865 54,097 10,768 19.9%

Visiting Medical Officers 4,167 3,851 316 8.2%

Other Operating Expenses 13,769 12,765 1,004 7.9%

Depreciation and Amortisation 438 305 133 43.6%

Grants and Subsidies 618 – 618 >100%

Total Expenses excluding losses 83,857 71,018 12,839 18.1%

Retained Revenue

Sale of Goods and Services 1,178 1,123 55 4.9%

Investment Income 155 168 (13) -8%

Grants and Contributions – 166 (166) -100.0%

Other Revenue 219 990 (771) -77.9%

Total Retained Revenue 1,552 2,447 (895) -36.6%

Gain/(Loss) on Disposal (59) (92) 33 -35.9%

Other gains/(losses) (49) – (49) >100

Net Cost of Services 82,413 68,663 13,750 20.0%

PROGRAM REPORTING

Justice Health program reporting is consistent with the ten programs of health care delivery utilised across NSW Health andsatisfies the methodology for apportionment advised by the NSW Department of Health.

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Annual AccountsJustice Health

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Auditor’s Opinion Letter

GPO Box 12

Sydney NSW 2001

INDEPENDENT AUDIT REPORTJustice Health Service

To Members of the NSW South Wales Parliament

Audit OpinionIn my opinion, the financial report of Justice Health Service (the Service):• presents fairly the Service’s financial position as at 30 June 2006 and its performance for the year ended on that date, in accordance

with Accounting Standards and other mandatory financial reporting requirements in Australia, and• complies with section 45E of the Public Finance and Audit Act 1983 (the Act) and the Public Finance and Audit Regulation 2005.My opinion should be read in conjunction with the rest of this report.

ScopeThe Financial Report and the Directors of Justice Health Service’s ResponsibilityThe financial report comprises the operating statement, statement of changes in equity, balance sheet, cash flow statement – expenses and revenues and accompanying notes to the financial statements for the Service, for the year ended 30 June 2006.The Board of the Justice Health Service is responsible for the preparation and true and fair presentation of the financial report in accordancewith the Act. This includes responsibility for the maintenance of adequate accounting records and internal controls that are designed toprevent and detect fraud and error, and for the accounting policies and accounting estimates inherent in the financial report.

Audit ApproachI conducted an independent audit in order to express an opinion on the financial report. My audit provides reasonable assurance to Membersof the New South Wales Parliament that the financial report is free of material misstatement.My Audit accorded with Australian Auditing Standards and statutory requirements, and I:• assessed the appropriateness of the accounting policies and disclosures used and the reasonableness of significant accounting estimates

made by the Board of the Justice Health Service in preparing the financial report, and • examined a sample of the evidence that supports the amounts and disclosures in the financial report.An Audit does not guarantee that every amount and disclosure in the financial report is error free. The terms ‘reasonable assurance’ and‘material’ recognise that an audit does not examine all evidence and transactions. However, the audit procedures used should identifyerrors or omissions significant enough to adversely affect decisions made by users of the financial report or indicate that the Board of the Justice Health Service had not fulfilled their reporting obligations.My opinion does not provide assurance:• about the future viability of the Service• that it carried out its activities effectively, efficiently and economically,• about the effectiveness of its internal controls, or• on the assumptions used in formulating the budget figures disclosed in the financial report.

Audit Independence The Audit Office complies with all applicable independence requirements of Australian professional ethical pronouncements. The Act furtherpromotes independence by:• providing that only Parliament, and not the executive government, can remove an Auditor-General, and• mandating the Auditor-General as auditor of public sector agencies but precluding the provision of non-audit services, thus ensuring the

Auditor-General and the Audit Office are not compromised in their role by the possibility of losing clients or income.

David Jones, FCADirector, Financial Audit Services

SYDNEY20 October 2006

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CERTIFICATION OF PARENT/CONSOLIDATED FINANCIAL STATEMENTS

for Period Ended 30 June 2006

The attached financial statements of Justice Health for the year ended 30 June 2006:

i) Have been prepared in accordance with the requirements of applicable Australian Accounting Standards which includeAustralian equivalents to International Financial Reporting Standards (AEIFRS), the requirements of the Public Financeand Audit Act 1983 and its regulations, the Health Services Act 1997 and its regulations, the Accounts and AuditDetermination and the Accounting Manual for Area Health Services and Public Hospitals;

ii) Present fairly the financial position and transactions of Justice Health;

iii) Have no circumstances, which would render any particulars in the financial statements to be misleading or inaccurate;

iv) The provision of the Charitable Fundraising Act 1991, regulations under the Act and the conditions attached to thefundraising authority have been complied with by Justice Health.

Prof Ron Penny

Chairperson of the Board

Justice Health

18 October 2006

Dr Richard Matthews John Hubby

Chief Executive Director of Corporate Services

Justice Health and Finance

18 October 2006 18 October 2006

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PARENT CONSOLIDATED

Actual Budget Actual Notes Actual Budget Actual2006 2006 2005 2006 2006 2005$000 $000 $000 $000 $000 $000

Expenses excluding lossesOperating Expenses

46,054 45,586 54,097 Employee Related 3 64,865 64,206 54,09718,811 18,620 – Personnel Services 4 – – –

4,167 3,812 3,851 Visiting Medical Officers 4,167 3,812 3,85113,769 14,593 12,765 Other Operating Expenses 5 13,769 14,593 12,765

438 458 305 Depreciation and Amortisation 2(j), 6 438 458 305618 618 – Grants and Subsidies 7 618 618 –

83,857 83,687 71,018 Total Expenses excluding losses 83,857 83,687 71,018

Retained Revenue1,178 1,168 1,123 Sale of Goods and Services 8 1,178 1,168 1,123

155 126 168 Investment Income 9 155 126 168125 – 166 Grants and Contributions 10 – – 166219 179 990 Other Revenue 11 219 179 990

1,677 1,473 2,447 Total Retained Revenue 1,552 1,473 2,447

(59) (218) (92) Gain/(Loss) on Disposal 12 (59) (218) (92)(49) – – Other gains/(losses) 13 (49) – –

82,288 82,432 68,663 Net Cost of Services 25 82,413 82,432 68,663

Government ContributionsNSW Health Department

(79,208) (79,208) (65,435) Recurrent Allocations 2(d) (79,208) (79,208) (65,435)NSW Health Department

(3,837) (3,837) (2,853) Capital Allocations 2(d) (3,837) (3,837) (2,853)Acceptance by the Crown Entity of

(305) (430) (2,448) Employee superannuation benefits 2(a) (430) (430) (2,448)

(83,350) (83,475) (70,736) Total Government Contributions (83,475) (83,475) (70,736)

1,062 (1,043) 2,073 RESULT FOR THE YEAR 1,062 (1,043) 2,073

The accompanying notes form part of these Financial Statements

Operating Statementfor the year ended 30 June 2006

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TOTAL INCOME AND EXPENSE RECOGNISED– – – DIRECTLY IN EQUITY (a) – – –

1,062 1,043 2,073 Result for the Year 1,062 1,043 2,073

TOTAL INCOME AND EXPENSE1,062 1,043 2,073 RECOGNISED FOR THE YEAR 1,062 1,043 2,073

EFFECT OF CHANGES IN ACCOUNTING POLICY AND CORRECTIONS OF ERRORS

– – – Accumulated Funds – – –– – – Reserves – – –

(a) there were no income and expense directly recognised in equity

(b) there were no effect of changes in accounting policy and corrections of errors.

Statement of Changes in Equityfor the year ended 30 June 2006

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PARENT CONSOLIDATED


ASSETSCurrent Assets

1,101 3,279 2,968 Cash and Cash Equivalents 15 1,101 3,279 2,9687,241 1,945 2,014 Receivables 16 3,735 1,945 2,014

297 133 133 Inventories 17 297 133 133

8,639 5,357 5,115 Total Current Assets 5,133 5,357 5,115

Non-Current AssetsProperty, Plant and Equipment

4,373 4,998 2,135 – Land and Buildings 18 4,373 4,998 2,1353,513 3,031 2,881 – Plant and Equipment 18 3,513 3,031 2,881

7,886 8,029 5,016 Total Property, Plant and Equipment 7,886 8,029 5,016

7,886 8,029 5,016 Total Non-Current Assets 7,886 8,029 5,016

16,525 13,386 10,131 Total Assets 13,019 13,386 10,131

LIABILITIESCurrent Liabilities

4,888 4,310 3,954 Payables 19 2,876 4,310 3,95415,357 5,922 10,899 Provisions 20 13,961 5,922 10,899

99 – 144 Other 21 99 – 144

20,344 10,232 14,997 Total Current Liabilities 16,936 10,232 14,997

Non-CurrentLiabilities

1,078 8,071 1,093 Provisions 20 980 8,071 1,093

1,078 8,071 1,093 Total Non-Current Liabilities 980 8,071 1,093

21,422 18,303 16,090 Total Liabilities 17,916 18,303 16,090

(4,897) (4,917) (5,959) Net Liabilities (4,897) (4,917) (5,959)

EQUITY(4,897) (4,917) (5,959) Accumulated Funds 22 (4,897) (4,917) (5,959)

(4,897) (4,917) (5,959) Total Equity (4,897) (4,917) (5,959)

Balance SheetAs at June 2006

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PARENT CONSOLIDATED


CASH FLOWS FROM OPERATING ACTIVITIESPayments

(43,653) (44,016) (49,596) Employee Related (61,483) (61,995) (49,596)(618) (618) – Grants and Subsidies (618) (618) –

(39,702) (35,627) (17,954) Other (21,872) (17,648) (17,954)

(83,973) (80,261) (67,550) Total Payments (83,973) (80,261) (67,550)

Receipts152 948 342 Sale of Goods and Services 152 948 342155 126 168 Interest Received 155 126 168

2,120 178 3,219 Other 2,12 178 3,219

2,427 1,252 3,729 Total Receipts 2,427 1,252 3,729

Cash Flows From Government79,208 79,208 65,435 NSW Health Department Recurrent Allocations 79,208 79,208 65,435

3,837 3,837 2,853 NSW Health Department Capital Allocations 3,837 3,837 2,853

83,045 83,045 68,288 Net Cash Flows from Government 83,045 83,045 68,288

NET CASH FLOWS FROM OPERATING1,499 4,036 4,467 ACTIVITIES 25 1,499 4,036 4,467

CASH FLOWS FROM INVESTING ACTIVITIES239 307 411 Proceeds from Sale of Plant and Equipment 239 307 411

(3,605) (4,323) (3,951) Purchases of Plant and Equipment (3,605) (4,323) (3,951)

(3,366) (4,016) (3,540) NET CASH FLOWS FROM INVESTING ACTIVITIES (3,366) (4,016) (3,540)

(1,867) 20 927 NET INCREASE/(DECREASE) IN CASH (1,867) 20 9272,968 2,968 2,041 Opening Cash and Cash Equivalents 2,968 2,968 2,041

1,101 2,988 2,968 CLOSING CASH AND CASH EQUIVALENTS 15 1,101 2,988 2,968


Cash Flow Statementfor the year ended 30 June 2006

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Service’s Expenses Program Program Program Program Program Program Program Total

and Revenues 1.1* 1.2* 1.3* 2.2* 3.1* 5.1* 6.1*

2006 2005 2006 2005 2006 2005 2006 2005 2006 2005 2006 2005 2006 2005 2006 2005

$000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000

Expenses excluding losses

Operating Expenses

Employee Related 7,860 3,836 454 355 32,507 30,241 1,150 2,000 20,081 15,343 2,056 1,996 757 326 64,865 54,097

Visiting Medical Officers 203 259 57 58 1,207 689 – 17 2,641 2,679 57 149 2 – 4,167 3,851

Goods and Services 993 806 172 198 8,983 5,693 141 626 2,304 4,149 130 971 159 60 12,882 12,503

Maintenance 170 14 3 1 375 22 10 11 305 198 14 15 10 1 887 262

Depreciation and

Amortisation 48 – 2 13 244 182 6 5 122 94 12 11 4 – 438 305

Grants and Subsidies 618 – – – – – – – – – – – – – 618 –

Total Expenses excluding losses 9,892 4,915 688 625 43,316 36,827 1,307 2,659 25,453 22,463 2,269 3,142 932 387 83,857 71,018

Revenue

Sale of Goods

and Services 362 – 6 – 508 677 14 – 253 440 25 – 10 6 1,178 1,123

Investment Income 16 – – – 87 103 2 – 43 65 5 – 2 – 155 168

Grants and Contributions – – – – – 39 – 36 – 1 – – – 90 – 166

Other Revenue 26 67 – 8 120 518 4 40 58 309 7 43 4 5 219 990

Total Revenue 404 67 6 8 715 1,337 20 76 354 815 37 43 16 101 1,552 2,447

Gain/(Loss) on Disposal (18) – – – (25) (92) (1) – (13) – (1) – (1) (59) (92)

Other Gains/(Losses) (15) – – – (21) – (1) – (11) – (1) – – (49) –

Net Cost of Services 9,521 4,848 682 617 42,647 35,582 1,289 2,583 25,123 21,648 2,234 3,099 917 286 82,413 68,663

* The name and purpose of each program is summarised in Note 14.

The program statement uses statistical data to 31 December 2005 to allocate the current period’s financial information to each program.

No changes have occurred during the period between 1 January 2006 and 30 June 2006 which would materially impact this allocation.

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Program Statement Expenses and Revenues for the year ended 30 June 2006

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1 THE HEALTH SERVICE REPORTING ENTITY

The Justice Health is a statutory Health Corporationestablished under Section 41 of the Health Services Act 1997.

Justice Health, as a reporting entity, comprises all theoperating activities of the facilities and Centres under itscontrol, provides services mainly to the Department ofCorrective Services (DCS).

With effect from 17 March 2006 fundamental changes tothe employment arrangements of Health Services weremade through amendment to the Public Sector Employmentand Management Act 2002 and other Acts including theHealth Services Act 1997. The status of the previousemployees of Justice Health changed from that date. They are now employees of the Government of New SouthWales in the service of the Crown rather than employees of the Justice Health. Employees of the Government areemployed in Divisions of the Government Service.

In accordance with Accounting Standards these Divisionsare regarded as special purpose entities that must beconsolidated with the financial report of the related HealthService. This is because the Divisions were established to provide personnel services to enable Justice Health to exercise its functions.

As a consequence the values in the annual financialstatements presented herein consist of Justice Health (as the parent entity), the financial report of the specialpurpose entity Division and the consolidated financial report for the economic entity. Notes 3, 4, 10, 19 and 20 have been extended to capture both the Parent andConsolidated values.

In the process of preparing the consolidated financialstatements for the economic entity consisting of the controlling and controlled entities, all inter-entitytransactions and balances have been eliminated.

The reporting entity is consolidated as part of the NSWTotal State Sector Accounts, through the Department of Health.

These financial statements have been authorised for issue by the Chief Executive on 18 October 2006.

2 SUMMARY OF SIGNIFICANT ACCOUNTINGPOLICIES

The Health Service’s financial statements are a generalpurpose financial report which has been prepared inaccordance with applicable Australian AccountingStandards (which include Australian equivalents to

International Financial Reporting Standards (AEIFRS), the requirements of the Health Services Act 1997 and its regulations including observation of the Accounts and Audit Determination for Area Health Services andPublic Hospitals.

Justice Health is a statutory Health corporation itsoperations are controlled by Department of Health (DOH).Hence the financial statements have been prepared inaccordance with DOH guidelines as a budget dependententity.

Funding for Justice Health is provided by Governmentthrough DOH. The DOH has agreed to provide necessaryfunding to meet the financial obligations and commitmentsof Justice Health for the year ending 30 June 2007.

Property, plant and equipment, are measured at fair value. Other financial statements items are prepared inaccordance with the historical cost convention. All amountsare rounded to the nearest one thousand dollars and areexpressed in Australian currency.

Judgements, key assumptions and estimations made bymanagement are disclosed in the relevant notes to thefinancial statements.

The financial statements and notes comply with AustralianAccounting Standards which include AEIFRS. This is the first financial report prepared based on AEIFRS andcomparatives for the year ended 30 June 2005 have been restated accordingly, except as stated below.

In accordance with AASB1 First-time Adoption ofAustralian Equivalents to International Financial ReportingStandards and Treasury Mandates, the date of transition to AASB132 Financial Instruments: Disclosure andPresentation and AASB139 Financial Instruments:Recognition and Measurement was deferred to 1 July2005. As a result, comparative information for these two Standards is presented under the previous AustralianAccounting Standards which applied to the year ended 30 June 2005. The basis used to prepare the 2004/05comparative information for financial instruments underprevious Australian Accounting Standards is discussed in Note 2(s).

Reconciliations of AEIFRS equity and surplus or deficit for30 June 2005 to the balances reported in the previousAGAAP 2004/05 financial report are detailed in Note 2aa.This note also includes separate disclosure of the 1 July2005 equity adjustments arising from the adoption ofAASB132 and AASB139.

Notesfor the year ended 30 June 2006

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The following Accounting Standards are being earlyadopted from 1 July 2005:

– AASB 2005-04 regarding the revised AAS139 fair value option;

– UIG 9 regarding the reassessment of embedded derivatives; and

– AASB 2005-06, which excludes from the scope of AASB3, business combinations involving entities or businesses under common control.

Any initial impacts on first time adoption are discussed as part of AEIFRS first time adoption note disclosure (refer Note 2aa) along with other AEIFRS impacts

Other significant accounting policies used in thepreparation of these financial statements are as follows:

a) Employee Benefits and Other Provisions

i) Salaries & Wages, Current Annual Leave, Sick Leave and On Costs (including non-monetary benefits)

At the consolidated level of reporting liabilities for salaries and wages (including non monetary benefits), annual leave and paid sick leave that fall wholly within 12 months of the reporting date are recognised and measured in respect of employees’ services up to the reporting date at undiscounted amounts based on the amounts expected to be paid when the liabilities are settled.

All Annual Leave employee benefits are reported as “Current” as there is an unconditional right to payment. Current liabilities are then further classified as “Short Term” or “Long Term” based on past trends and known resignations and retirements. Anticipated payments to be made in the next twelve months are reported as “Short Term”.

Unused non-vesting sick leave does not give rise to a liability as it is not considered probable that sick leave taken in the future will be greater than the benefits accrued in the future.

The outstanding amounts of workers’ compensation insurance premiums and fringe benefits which are consequential to employment, are recognised as liabilities and expenses where the employee benefits to which they relate have been recognised.

Consequential to the legislative changes of 17 March 2006 no salary costs or provisions are recognised by the Parent Health Service beyond that date.

ii) Long Service Leave and Superannuation Benefits

At the consolidated level of reporting Long Service Leave employee leave entitlements are dissected as “Current” if there is an unconditional right to payment and “Non Current” if the entitlements are conditional. Current entitlements are further dissected between “Short Term” and “Long Term” on the basis of anticipated payments for the next twelve months. This in turn is based on past trends and known resignations and retirements.

Long Service Leave provisions are measured on a short hand basis at an escalated rate of 17.4% for short term entitlements and 7.6% for long term entitlements above the salary rates immediately payable at 30 June 2006 for all employees with five or more years of service. Actuarial assessment has found that this measurement technique produces results not materially different from the estimate determined by using the present value basis of measurement.

The Health Service’s liability for the closed superannuation pool schemes (State Authorities Superannuation Scheme and State Superannuation Scheme) is assumed by the Crown Entity. Justice Health accounts for the liability as having been extinguished resulting in the amount assumed being shown as part of the non-monetary revenue item described as “Acceptance by the Crown Entity of Employee Benefits”. Any liability attached to Superannuation Guarantee Charge cover is reported in Note 19, “Payables”.

The superannuation expense for the financial year is determined by using the formulae specified by the NSW Health Department. The expense for certain superannuation schemes (i.e. Basic Benefit and First State Super) is calculated as a percentage of the employees’ salary. For other superannuation schemes (i.e. State Superannuation Scheme and State Authorities Superannuation Scheme), the expense is calculated as a multiple of the employees’ superannuation contributions.

Consequential to the legislative changes of 17 March 2006 no salary costs or provisions are recognised by the Parent entity beyond that date.

iii) Other Provisions

Other provisions exist when: the agency has a present legal or constructive obligation as a result of a past

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event; it is probable that an outflow of resources will be required to settle the obligation; and a reliable estimate can be made of the amount of the obligation.

These provisions are recognised when it is probable that a future sacrifice of economic benefits will be required and the amount can be measured reliably.

b) Insurance

Justice Health’s insurance activities are conducted through the NSW Treasury Managed Fund Scheme of self insurance for Government Agencies. The expense (premium) is determined by the Fund Manager based on past experience.

c) Borrowing Costs

Justice Health has no borrowing costs.

d) Income Recognition

Income is measured at the fair value of the consideration or contribution received or receivable. Additional comments regarding the accounting policies for the recognition of revenue are discussed below.

Sale of Goods and Services

Revenue from the sale of goods and services comprises revenue from the provision of products or services, ie user charges. User charges are recognised as revenue when the service is provided or by reference to the stage of completion.

Investment Income

Interest revenue is recognised using the effective interest method as set out in AASB139, “Financial Instruments: Recognition and Measurement”.

Grants and Contributions

Grants and Contributions are generally recognised as revenues when the Justice Health obtains control over the assets comprising the contributions. Control over contributions is normally obtained upon the receipt of cash.

Justice Health, as a not-for-profit entity has applied the requirements in AASB 1004 Contributions regarding contributions of assets (including grants) and forgiveness of liabilities. There are no differences in the recognition requirements between the new AASB 1004 and the previous AASB 1004. However, the new AASB 1004 may be amended by proposals in Exposure Draft ED 125 Financial Reporting by Local Governments and ED 147 Revenue from Non-Exchange Transactions (Including Taxes and Transfers). If the ED 125 and

ED 147 approach is applied, revenue and/or expense recognition will not occur until either Justice Health supplies the related goods and services (where grants are in-substance agreements for the provision of goods and services) or until conditions are satisfied. ED 125 and ED 147 may therefore delay revenue recognition compared with AASB 1004, where grants are recognised when controlled. However, at this stage, the timing and dollar impact of these amendments is uncertain.

NSW Health Department Allocations

Payments are made by the NSW Health Department on the basis of the allocation for Justice Health as adjustedfor approved supplementations mostly for salary agreements and approved enhancement projects. This allocation is included in the Operating Statement before arriving at the “Result for the Year” on the basis that the allocation is earned in return for the health services provided on behalf of the Department. Allocations are normally recognised upon the receipt of Cash.

e) Goods & Services Tax (GST)

Revenues, expenses and assets are recognised net of the amount of GST, except:

• the amount of GST incurred by Justice Health as a purchaser that is not recoverable from the Australian Taxation Office is recognised as part of the cost of acquisition of an asset or as part of an item of expense;

• receivables and payables are stated with the amount of GST included.

f) Acquisition of Assets

The cost method of accounting is used for the initial recording of all acquisitions of assets controlled by Justice Health. Cost is the amount of cash or cash equivalents paid or the fair value of the other consideration given to acquire the asset at the time of its acquisition or construction or, where applicable, the amount attributed to that asset when initially recognised in accordance with the specific requirements of other Australian Accounting Standards.

Assets acquired at no cost, or for nominal consideration,are initially recognised as assets and revenues at their fair value at the date of acquisition except for assets transferred as a result of an administrative restructure.

Fair value means the amount for which an asset could be exchanged between knowledgeable, willing parties in an arm’s length transaction.

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Fair value of property, plant and equipment is determined based on the best available market evidence, including current market selling prices for the same or similar assets. Where there is no available market evidence the asset’s fair value is measured at its market buying price, the best indicator of which is depreciated replacement cost.

Non-specialised generalised assets with short useful lives are measured at depreciated historical cost, as a surrogate for fair value.

When revaluing non-current assets by reference to current prices for assets newer than those being revalued (adjusted to reflect the present condition of the assets), the gross amount and the related accumulated depreciation are separately restated.

For other assets, any balances of accumulated depreciation existing at the revaluation date in respect of those assets are credited to the asset accounts to which they relate. The net asset accounts are then increased or decreased by the revaluation increments or decrements.

Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an increment reverses a revaluation decrement in respect of that class of asset previously recognised as an expense in the Result for the Year from Ordinary Activities, the increment is recognised immediately as revenue in the Result for the Year from Ordinary Activities.

Revaluation decrements are recognised immediately as expenses in the Result for the Year from Ordinary Activities, except that, to the extent that a credit balance exists in the asset revaluation reserve in respect of the same class of assets, they are debited directly to the asset revaluation reserve.

As a not-for-profit entity, revaluation increments and decrements are offset against one another within a class of non-current assets, but not otherwise.

Where an asset that has previously been revalued is disposed of, any balance remaining in the asset revaluation reserve in respect of that asset is transferred to accumulated funds.

j) Impairment of Property, Plant and Equipment

As a not-for-profit entity with no cash generating units, Justice Health is effectively exempted from AASB 136 Impairment of Assets and impairment testing. This is because AASB136 modifies the recoverable amount

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Where settlement of any part of cash consideration is deferred beyond normal credit terms, its cost is the cash price equivalent, i.e. the deferred payment amount is effectively discounted at an asset-specific rate.

g) Plant & Equipment and Infrastructure Systems

Individual items of property, plant & equipment costing $5,000 and above are capitalised.

“Infrastructure Systems” means assets that comprise public facilities and which provide essential services and enhance the productive capacity of the economy including roads, bridges, water infrastructure and distribution works, sewerage treatment plants, seawalls and water reticulation systems.

h) Depreciation

Depreciation is provided for on a straight line basis for all depreciable assets so as to write off the depreciable amount of each asset as it is consumed over its useful life to the Health Service. Land is not a depreciable asset.

Details of depreciation rates initially applied for major asset categories are as follows:

Buildings 2.5%Electro Medical Equipment– Costing less than $200,000 10.0%– Costing more than or equal to $200,000 12.5%Computer Equipment 20.0%Infrastructure Systems 2.5%Office Equipment 10.0%Plant and Machinery 10.0%Linen 20.0%Furniture, Fittings and Furnishings 5.0%

Depreciation rates are subsequently varied where changes occur in the assessment of the remaining useful life of the assets reported.

i) Revaluation of Non Current Assets

Physical non-current assets are valued in accordance with the NSW Health Department’s “Valuation of Physical Non-Current Assets at Fair Value”. This policy adopts fair value in accordance with AASB116, “Property, Plant & Equipment” and AASB140, “Investment Property”.

Property, plant and equipment is measured on an existing use basis, where there are no feasible alternative uses in the existing natural, legal, financial and socio-political environment. However, in the limited circumstances where there are feasible alternative uses, assets are valued at their highest and best use.


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test to the higher of fair value less costs to sell and depreciated replacement cost. This means that, for an asset already measured at fair value, impairment can only arise if selling costs are regarded as material. Selling costs are regarded as immaterial.

k) Restoration Costs

The estimated cost of dismantling and removing an asset and restoring the site is included in the cost of an asset, to the extent it is recognised as a liability.

l) Non Current Assets (or disposal groups) Held for Sale

Justice Health has no non current assets or disposal groups held for sale.

m) Intangible Assets

Justice Health has no intangible assets.

n) Maintenance and Repairs

The costs of maintenance are charged as expenses as incurred, except where they relate to the replacement of a component of an asset in which case the costs are capitalised and depreciated.

o) Leased Assets

Justice Health has no leased assets.

p) Inventories

Inventories are stated at cost. Costs are assigned to individual items of stock mainly on the basis of weighted average costs.

Obsolete items are disposed of in accordance with instructions issued by the NSW Health Department.

q) Other Financial Assets

Justice Health has no other financial assets.

r) Equity Transfers

Justice Health reports no transfers due to administrative restructures in 2005/06 or in 2004/05.

The Statement of Changes in Equity does NOT reflect the Net Assets or change in equity in accordance with AASB 101 Clause 97.

s) Financial Instruments

Financial instruments give rise to positions that are a financial asset of Justice Health or its counter party and a financial liability (or equity instrument) of the other party. For Justice Health these include cash at bank, receivables, other financial assets and payables.

In accordance with Australian Accounting Standard AASB39, “Financial Instruments: Recognition and Measurement” disclosure of the carrying amounts

for each of the AASB139 categories of financial instruments is disclosed in Note 27. The specific accounting policy in respect of each class of such financial instrument is stated hereunder.

Classes of instruments recorded and their terms and conditions measured in accordance with AASB139 are as follows:

Cash

Accounting Policies – Cash is carried at nominal values reconcilable to monies on hand and independent bank statements.

Terms and Conditions – Monies on deposit attract an effective interest rate of approximately 5.5% as compared to 5.0% in the previous year.

Loans and Receivables

Loans and receivables are recognised initially at fair value, usually based on the transaction cost or face value. Subsequent measurement is at amortised cost using the effective interest method, less an allowance for any impairment of receivables. Short-term receivables with no stated interest rate are measured at the original invoice amount where the effect of discounting is immaterial. An allowance for impairment of receivables is established when there is objective evidence that the entity will not be able to collect all amounts due. The amount of the allowance is the difference between the asset’s carrying amount and the present value of estimated future cash flows, discounted at the effective interest rate. Bad debts are written off as incurred.

Terms and Conditions – Accounts are generally issued on 30-day terms.

Low or zero interest loans are recorded at fair value on inception and amortised cost thereafter. In 2005/06 this has involved the recognition of grant expense on either 1 July 2005 or a subsequent date if the loan was initiated after this date. Revenue is then raised throughout the life of the loan.

Trade and Other Payables

Accounting Policies – These amounts represent liabilities for goods and services provided to the Health Service and other amounts, including interest. Payables are recognised initially at fair value, usually based on the transaction cost or face value. Subsequent measurement is at amortised cost using the effective interest method. Short-term payables with no stated interest rate are measured at the original invoice amount

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where the effect of discounting is immaterial. Payables are recognised for amounts to be paid in the future for goods and services received, whether or not billed to the Health Service.

Terms and Conditions – Trade liabilities are settled within any terms specified. If no terms are specified, payment is made by the end of the month following the month in which the invoice is received.

Borrowings

Justice Health has no borrowings.

t) Payables

These amounts represent liabilities for goods and services provided to the Health Service and other amounts, including interest.

Payables are recognised initially at fair value, usually based on the transaction cost or face value. Subsequent measurement is at amortised cost using the effective interest method. Short-term payables with no stated interest rate are measured at the original invoice amount where the effect of discounting is immaterial.

u) Budgeted Amounts

The budgeted amounts are drawn from the budgets agreed with the NSW Health Department at the beginning of the financial reporting period and with any adjustments for the effects of additional supplementation provided.

aa) The Financial Impact Of Adopting Australian Equivalents To International Financial Reporting Standards (AEIFRS)

Justice Health has applied the AEIFRS for the first time in the 2005/06 financial report. The key areas where changes in accounting policies have impacted the financial report are disclosed below. Some of these impacts arise because AEIFRS requirements are different from previous AASB requirements (AGAAP). Other impacts arise from options in AEIFRS that were not available or not applied under previous AGAAP. Justice Health has adopted the options mandated by NSW Treasury for all NSW public sector agencies. The impacts below reflect Treasury’s mandates and policy decisions.

The impacts of adopting AEIFRS on total equity and the Result for the Year from Ordinary Activities as reported under previous AGAAP are shown below. There are no material impacts on the Justice Health’s cash flows.

a) Reconciliation of key aggregates

Reconciliation of equity under existing Standards (AGAAP) to equity under AEIFRS:

30 June 2005** 1 July 2004*$000 $000

Total equity under AGAAP (5,959) (8,032)

Adjustments to accumulated funds as a result of application of AEIFRS – –

Accumulated Funds

Total Equity under AEIFRS (5,959) (8,032)

Reconciliation of Result for the Year from Ordinary Activities under AGAAP to Net Cost of Service

(Revenue) under AEIFRS

Results for the Year from Ordinary Activities

Net Expenditure for the Year ended 30 June 2005

Notes $000

Result for the year from Ordinary Activities 2,073

Effects of Adoption of AEIFRS –

Result for the Year from Ordinary Activities 2,073

In determining the impact of AEIFRS on the “Result for the Year from Ordinary Activities” consideration has been given to the following:

1. AASB 116 requires the cost and fair value of property, plant and equipment to be increased to include the estimated restoration costs, where restoration provisions are recognised under AASB 137 Provisions, Contingent Liabilities and Contingent Assets.These restoration costs must be depreciated and the unwinding of the restoration provision must be recognised as a finance expense. This treatment was not required under previous AGAAP. Area assessments indicated nil effect for 2004/05.

2. AASB 138 Intangible Assets requires all research costs to be expensed and restricts the capitalisation of development costs. Previous AGAAP permitted some research and development costs to be capitalised when certain criteria were met.

The adoption of AASB 138 also resulted in certain reclassifications from property, plant and equipment to intangible assets (eg computer software). However nil impact occurred affecting the Operating Statement as amortisation has replaced the previous depreciation expense raised on these assets.

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3. Previous AGAAP required borrowing costs directly attributable to the acquisition, construction or production of a qualifying asset to be capitalised and other borrowing costs to be expensed. AASB 123 BorrowingCosts provides the option to expense or capitalise borrowing costs. NSW Treasury’s mandate requires all General Government Sector agencies to expense all borrowing costs to harmonise with Government Finance Statistics reporting.

4. AASB 119 requires present value measurement for all long-term employee benefits. Previous AGAAP provided that wages, salaries, annual leave and sick leave were measured at nominal value in all circumstances. The Department has actuarial advice that indicates immaterial difference between the Standards for annual leave liabilities so nominal values are shown.

5. AASB 5 Non-current Assets Held for Sale and Discontinued Operations requires non current assets classified as ‘held for sale’ to be reclassified as current and recognised at the lower of the carrying amount and the fair value less costs to sell. Unlike previous AGAAP, ‘held for sale’ assets are not depreciated, thereby reducing depreciation. However, as the majority of the reclassified asset constituted “Land” the effect of reducing depreciation charges was nil.

b) Financial Instruments

In accordance with NSW Treasury’s mandates, the NSW Health Department has applied the exemption provided in AASB 1. First-time Adoption of AustralianEquivalents to International Financial ReportingStandards not to apply the requirements of AASB 132Financial Instruments; Presentation and Disclosures andAASB 139 Financial Instruments: Recognition andMeasurement for the 2004/05 comparative information.Therefore the comparative information for 2004/05 forfinancial instruments has been presented in accordancewith previous AGAAP. These standards have beenapplied from 1 July 2005.

c) Grant recognition for not-for-profit entities

Justice Health has applied the requirements in AASB 1004 Contributions regarding contribution of assets (including grants) and forgiveness of liabilities. There are no differences in the recognition requirements between the new AASB 1004 and the previous AASB 1004. However, the new AASB 1004 may be amended by proposals in Exposure Draft (ED) 125 FinancialReporting by Local Governments. If the ED 125 approach is applied, revenue and/or expense recognition will not occur until either the Department supplies the related goods and services (where grants are in-substance agreements for the provision of goods and services) or until conditions are satisfied. ED 125 may therefore delay revenue recognition compared with AASB 1004, where grants are recognised when controlled. However, at this stage, the timing and dollar impact of these amendments is uncertain.

Accordingly, the 1 July 2005 AEIFRS opening equity adjustment for the adoption of AASB 139 follows:

Note Accumulated Other TotalFunds Reserves$000 $000 $000

Total opening equity 1 July 2005 (5,959) – (5,959)

Restated opening equity 1 July 2005 (5,959) – (5,959)

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

3. EMPLOYEE RELATED

Employee related expenses comprise the following:

32,899 40,898 Salaries and Wages 46,336 40,8981,353 1,355 Awards 1,906 1,355

305 629 Superannuation [see note 2(a)] – defined benefit plans 430 6292,799 1,818 Superannuation [see note 2(a)] – defined contributions 3,942 1,8181,529 1,043 Long Service Leave [see note 2(a)] 2,153 1,0433,662 3,761 Annual Leave [see note 2(a)] 5,158 3,761

875 1,036 Sick Leave and Other Leave 1,233 1,036879 1,352 Nursing Agency Payments 1,238 1,352657 844 Other Agency Payments 925 844

1,096 1,361 Workers Compensation Insurance 1,544 1,361

46,054 54,097 64,865 54,097

The following additional information is provided:

Employee Related Expenses capitalised –Land and Buildings 359 259

Note 1 addresses the changes in employment status effective from 17 March 2006

4. PERSONNEL SERVICES

Personnel Services comprise the purchase of the following:

13,437 – Salaries and Wages – –553 – Awards – –125 – Superannuation [see note 2(a)] – defined benefit plans – –

1,143 – Superannuation [see note 2(a)] – defined contributions – –624 – Long Service Leave [see note 2(a)] – –

1,496 – Annual Leave [see note 2(a)] – –358 – Sick Leave and Other Leave – –359 – Nursing Agency Payments – –268 – Other Agency Payments – –448 – Workers Compensation Insurance – –

18,811 – – –

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

5. OTHER OPERATING EXPENSES

185 151 Domestic Supplies and Services 185 1516,138 6,026 Drug Supplies 6,138 6,026

411 385 Food Supplies 411 3851,554 1,450 General Expenses see (a) below 1,554 1,450

71 90 Insurance 71 90Maintenance

14 20 Maintenance Contracts 14 20793 160 New/Replacement Equipment under $5,000 793 16031 13 Repairs 31 1334 26 Maintenance/Non Contract 34 2615 43 Other 15 43

523 803 Medical and Surgical Supplies 523 803347 482 Postal and Telephone Costs 347 482755 1,074 Printing and Stationery 755 1,07427 7 Rates and Charges 27 7

187 227 Rental 187 2271,054 854 Special Service Departments 1,054 854

698 425 Staff Related Costs 698 425932 529 Travel Related Costs 932 529

13,769 12,765 13,769 12,765

(a) General Expenses include:303 178 Advertising 303 17826 73 Books, Magazines and Journals 26 73

Consultancies86 114 – Operating Activities 86 114

160 144 Courier and Freight 160 14438 26 Auditor’s Remuneration – Audit of financial reports 38 26

– 26 Auditor’s Remuneration – Other Services – 2627 15 Legal Services 27 1529 15 Translator Services 29 1520 20 Quality Assurance/Accreditation 20 20

788 782 Computer expenses 788 78277 57 Other 77 57

1,554 1,450 1,554 1,450

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

6. DEPRECIATION AND AMORTISATION

18 – Depreciation – Building Improvements 18 –420 305 Depreciation – Plant and Equipment 420 305

438 305 438 305

7. GRANTS AND SUBSIDIES

618 – Non Government Voluntary Organisations 618 –

618 – 618 –

8. SALE OF GOODS AND SERVICES

Sale of Goods comprise the following:30 208 Fees for Medical Records 30 208

1,148 872 Services Provided to Non NSW Health Organisations 1,148 872– 43 Other – 43

1,178 1,123 1,178 1,123

9. INVESTMENT INCOME

155 168 Interest 155 168

155 168 155 168

10. GRANTS AND CONTRIBUTIONS

– 126 Research grants – 126– 40 Other grants – 40

125 – Personnel Services – Superannuation Defined Benefits – –

125 166 – 166

11. OTHER REVENUE

Other Revenue comprises the following:

2 3 Commissions 2 3

143 912 Treasury Managed Fund Hindsight Adjustment 143 912

74 75 Other 74 75

219 990 219 990

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

12. GAIN/(LOSS) ON DISPOSAL OF NON CURRENT ASSETS

356 595 Property Plant and Equipment 356 595

58 92 Less Accumulated Depreciation 58 92

298 503 Written Down Value 298 503

239 411 Less Proceeds from Disposal 239 411

Gain/(Loss) on Disposal of(59) (92) Property Plant and Equipment (59) (92)

Total Gain/(Loss) on Disposal (59) (92)

13. OTHER GAINS/(LOSSES)

49 – Impairment of Receivables 49 –

49 – 49 –

14. PROGRAMS/ACTIVITIES OF THE HEALTH SERVICE

Program 1.1 Primary and Community Based ServicesObjective: To improve, maintain or restore health through health promotion, early intervention, assessment, therapy

and treatment services for clients in a home or community setting.

Program 1.2 Aboriginal Health ServicesObjective: To raise the health status of Aborigines and to promote a healthy life style.

Program 1.3 Outpatient ServicesObjective: To improve, maintain or restore health through diagnosis, therapy, education and treatment services

for ambulant patients in a hospital setting.

Program 2.2 Overnight Acute Inpatient ServicesObjective: To restore or improve health and manage risks of illness, injury and childbirth through diagnosis and

treatment for people intended to be admitted to hospital on an overnight basis.

Program 3.1 Mental Health Services Objective: To improve the health, well being and social functioning of people with disabling mental disorders and

to reduce the incidence of suicide, mental health problems and mental disorders in the community.

Program 5.1 Population Health Services Objective: To promote health and reduce the incidence of preventable disease and disability by improving access

to opportunities and prerequisites for good health.

Program 6.1 Teaching and ResearchObjective: To develop the skills and knowledge of the health workforce to support patient care and population health.

To extend knowledge through scientific enquiry and applied research aimed at improving the health and well being of the people of New South Wales.

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

15. CURRENT ASSETS – CASH AND CASH EQUIVALENTS

1,101 2,968 Cash at bank and on hand 1,101 2,968

1,101 2,968 1,101 2,968

Cash assets recognised in the Balance Sheet are reconciled to cash at the end of the financial year as shown in the Cash Flow Statement as follows:

1,101 2,968 Cash and cash equivalents (per Balance Sheet) 1,101 2,968

Closing Cash and Cash Equivalents 1,101 2,968 (per Cash Flow Statement) 1,101 2,968

16. CURRENT/NON CURRENT RECEIVABLES

Current789 230 (a) Sale of Goods and Services 789 230

378 306 Leave Mobility 378 306100 806 NSW Health Department 100 806

1,994 248 Other Debtors 1,994 2483,912 414 Goods and Services Tax 406 414

7,173 2,004 Sub Total 3,667 2,004

(1) (1) Less Allowance for impairment (1) (1)

7,172 2,003 Sub Total 3,666 2,003

117 11 Prepayments 117 11

7,289 2,014 3,783 2,014

(48) – (b) Impairment of Receivables during the year (48) –

7,241 2,014 3,735 2,014

17. INVENTORIES

Current – at cost230 133 Drugs 230 133

21 – Medical and Surgical Supplies 21 –

46 – Other including Goods in Transit 46 –

297 133 297 133

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

18. PROPERTY, PLANT AND EQUIPMENT

Work in Progress3,140 1,487 Gross carrying amount 3,140 1,487

Less Accumulated depreciation– – and impairment – –

3,140 1,487 3,140 1,487

Building Improvements1,250 648 Gross carrying amount 1,250 648

Less Accumulated depreciation17 – and impairment 17 –

1,233 648 1,233 648

Plant and Equipment5,070 4,076 Gross carrying amount 5,070 4,076

Less Accumulated depreciation1,557 1,195 and impairment 1,557 1,195

3,513 2,881 3,513 2,881

Total Property, Plant and Equipment7,886 5,016 At Net Carrying Value – at fair value 7,886 5,016

18. PROPERTY, PLANT AND EQUIPMENT - RECONCILIATIONSPARENT CONSOLIDATED

Work in Building Plant and TotalProgress Improvements Equipment

$000 $000 $000 $000

2006

Carrying amount at start of year 1,487 648 2,881 5,016Additions 1,652 603 1,350 3,605Disposals – – (298) (298)Depreciation expense – (17) (420) (437)

Carrying amount at end of year 3,139 1,234 3,513 7,886

2005

Carrying amount at start of year – – 1,874 1,874Additions 1,487 648 1,815 3,950Disposals – – (503) (503)Depreciation expense – – (305) (305)

Carrying amount at end of year 1,487 648 2,881 5,016

Justice Health does not own any land. Building improvements have been capitalised pending the formalisation of an agreementwith the Department of Corrective Services regarding the tenure of Justice Health clinics at correctional facilities. It is expected that a formal agreement will be established in 2006/07.

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PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

19. PAYABLES

Current– 1,052 Accrued Salaries and Wages 644 1,052– 590 Payroll Deductions 659 590

3,315 – Accrued Liability Purchase of Personnel Services – –327 1,778 Creditors – Trade 327 1,778

Other Creditors250 341 – Capital Works 250 341996 193 Other 996 193

4,888 3,954 2,876 3,954

20. PROVISIONSCurrent Employee benefits and related on-costs

- 2,995 Employee Annual Leave – Short Term Benefit 3,285 2,995- 2,394 Employee Annual Leave – Long Term Benefit 2,995 2,394- 634 Employee Long Service Leave – Short Term Benefit 476 634- 4,876 Employee Long Service Leave – Long Term Benefit 7,205 4,876

Other15,357 – Provision for Personnel Services Liability – –

15,357 10,899 Total Current Provisions 13,961 10,899

Non Current Employee benefits and related on-costs– 1,093 Employee Long Service Leave – Conditional 980 1,093

1,078 – Provision for Personnel Services Liability – –

1,078 1,093 Total Non Current Provisions 980 1,093

Aggregate Employee Benefits and Related On-costs– 10,899 Provisions – current 13,961 10,899– 1,093 Provisions – non-current 980 1,093– 1,052 Accrued Salaries and Wages and on costs (Note 19) 644 1,052

17,079 – Accrued Liability – Purchase of Personnel Services – –

17,079 13,044 15,585 13,044

21. OTHER LIABILITIES

Current99 144 Income in Advance 99 144

99 144 99 144

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PARENT CONSOLIDATED

Accumulated Funds Total Equity2006 2005 2006 2005 2006 2005$000 $000 $000 $000 $000 $000

22. EQUITY

Balance at the beginning of the (5,959) (8,032) financial reporting period (5,959) (8,032) (5,959) (8,032)

(5,959) (8,032) Restated Opening Balance (5,959) (8,032) (5,959) (8,032)

Changes in equity – transactions with owners as owners

(5,959) (8,032) Total (5,959) (8,032) (5,959) (8,032)

Changes in equity – other than transactions with owners as owners

1,062 2,073 Result for the year 1,062 2,073 1,062 2,073

1,062 2,073 Total 1,062 2,073 1,062 2,073

Balance at the end of financial(4,897) (5,959) reporting period (4,897) (5,959) (4,897) (5,959)

PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

23. COMMITMENTS FOR EXPENDITURE

(a) Capital CommitmentsAggregate capital expenditure contracted for at balance date but not provided for in the accounts:

– 1,310 Not later than one year – 1,310– – Later than one year and not later than five years – –

– 1,310 Total Capital Expenditure Commitments (including GST) – 1,310

(b) Contingent Asset related to Commitments for ExpenditureThe total of “Commitments for Expenditure” above includes input tax credits of $nil ($216k) that are expected to be recoverable from the Australian Taxation Office.

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24. CONTINGENT LIABILITIES AND ASSETS

a) Claims on Managed Fund

Justice Health is a member of the NSW Treasury Managed Fund. The Fund will pay to or on behalf of Justice Health all sums which it shall become legally liable to pay by way of compensation or legal liability if sued except for employment related,discrimination and harassment claims that do not have statewide implications. The costs relating to such exceptions are to be absorbed by the Justice Health. As such, no contingent liabilities exist in respect of liability claims against Justice Health.

b) Workers Compensation Hindsight Adjustment

Treasury Managed Fund normally calculates hindsight premiums each year. However, in regard to workers compensation the finalhindsight adjustment for the 1999/2000 fund year and an interim adjustment for the 2001/2002 fund year were not calculateduntil 2005/06. As a result, the 2000/2001 final and 2002/03 interim hindsight calculations will be paid in 2006/07.

c) Justice Health has no other contingent assets other than those stated in note 23.

PARENT CONSOLIDATED

2006 2005 2006 2005$000 $000 $000 $000

25. RECONCILIATION OF NET COST OF SERVICES TO NET CASH FLOWS FROM OPERATING ACTIVITIES

1,499 4,467 Net Cash Flows from Operating Activities 1,499 4,467(437) (305) Depreciation (437) (305)(48) – Provision for Doubtful Debts (48) –

Acceptance by the Crown Entity of Employee (305) (2,448) Superannuation Benefits (430) (2,448)

(2,949) (1,741) (Increase)/Decrease in Provisions (2,949) (1,741)1,586 1,150 Increase/(Decrease) in Prepayments and Other Assets 1,711 1,1501,345 (1,406) (Increase)/Decrease in Creditors 1,345 (1,406)

(59) (92) Net Gain/(Loss) on Sale of Property, Plant and Equipment (59) (92)(79,208) (65,435) (NSW Health Department Recurrent Allocations) (79,208) (65,435)(3,837) (2,853) (NSW Health Department Capital Allocations) (3,837) (2,853)

(82,413) (68,663) Net Cost of Services (82,413) (68,663)

26. UNCLAIMED MONEYS

Unclaimed salaries and wages are paid to the credit of the Department of Industrial Relations and Employment in accordance with the provisions of the Industrial Arbitration Act, 1940, as amended.All money and personal effects of patients which are leftin the custody of Justice Health by any patient who is discharged or dies in the hospital and which are not claimed by the personlawfully entitled thereto within a period of twelve months are recognised as the property of Justice Health.

All such money and the proceeds of the realisation of any personal effects are lodged to the credit of the Samaritan Fund whichis used specifically for the benefit of necessitous patients or necessitous outgoing patients.

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27. BUDGET REVIEW

Net Cost of Services

The actual Net Cost of Services was on budget with a minor favourable variance of $19K reported which represents a 0.02%variance against budget.

Assets and Liabilities

Current assets are less than budget due to lower than expected cash being received during the year. Non Current Assets arelower than budget due to lower than expected capital expenditure on the Forensic Hospital. Current Liabilities are higher thanbudgeted due to the reclassification of leave provisions as a result of AEIFRS which resulted in the majority of leave provisionsbeing categorised in the current category. Similarly Non current liabilities are less than budget due to the restatement of Noncurrent leave provisions under AEIFRS which has resulted in higher current liabilities.

Cash Flows

Cash flows from operating activities are $2,537 lower than budget. The variances are mainly due to the settlement of creditorsand the increase in debtors. Cash flows from investing activities are $650K less than budget due to the lower than expected levels of capital expenditure.

Movements in the level of the NSW Health Department Recurrent Allocation that have occurred since the time of the initialallocation on 16 July 2005 are as follows:

‘$000

Initial Allocation, 16/7/05 71,211

Award Increases 230

State Mental Health Growth 400

State Mental Health Community 2,100

Compulsory Drug Treatment 786

Superannuation Adjustment 3,999

Treasury Managed Fund Adjustment 503

Nursing Strategies Allocation 198

Adjustment to Nurse’s qualification allowance (470)

Other 251

Balance as per Operating Statement 79,208

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28. FINANCIAL INSTRUMENTS

a) Interest Rate Risk

Interest rate risk, is the risk that the value of the financial instrument will fluctuate due to changes in market interest rates.

Justice Healths exposure to interest rate risks and the effective interest rates of financial assets and liabilities, both recognisedand unrecognised, at the (consolidated) Balance Sheet date are as follows:Financial Instruments Floating interest rate Non-interest bearing Total carrying amount as Weighted average

per the Balance Sheet effective interest rate*

2006 2005 2006 2005 2006 2005 2006 2005$000 $000 $000 $000 $000 $000 % %

Financial Assets

Cash 1,092 2,961 8 7 1,100 2,968 5.5 5.0

Receivables – – 3,735 2,003 3,735 2,003 – –

Total Financial Assets 1,092 2,961 3,743 2,010 4,835 4,971 5.5 5.0

Financial Liabilities

Payables – – 2,876 3,954 2,876 3,954 – –

Total Financial Liabilities – – 2,876 3,954 2,876 3,954 – –

* Weighted average effective interest rate was computed on a semi-annual basis.It is not applicable for non-interest bearing financial instruments.

b) Credit Risk

Credit risk is the risk of financial loss arising from another party to a contract/or financial position failing to discharge a financialobligation thereunder. Justice Healths maximum exposure to credit risk is represented by the carrying amounts of the financialassets included in the consolidated Balance Sheet.

Credit Risk by classification of counterparty.Governments Banks Other Total

2006 2005 2006 2005 2006 2005 2006 2005$000 $000 $000 $000 $000 $000 $000 $000

Financial Assets

Cash – – 1,093 2,961 8 7 1,101 2,968Receivables 3,581 1,508 19 – 135 495 3,735 2,003

Total Financial Assets 3,581 1,508 1,112 2,961 143 502 4,836 4,971

c) Derivative Financial Instruments

Justice Health holds no Derivative Financial Instruments.

29. LONG BAY FORENSIC AND PRISON HOSPITALS PPP –AS EVENTS AFTER THE BALANCE SHEET DATE

In 2005-06 a private sector company PPP Solutions (Long Bay) Pty Ltd, was engaged to finance, design, construct and maintaina prison, forensic hospital and operations building at Long Bay. At 30 June 2006 one contractual condition precedent remainedunfulfilled but it has since been satisfied. The PPP Project Deed became effective on 19 July 2006.

Under the arrangement Justice Health is obligated to make payments commencing in 2008-09 until the end of the contract termin July 2034. When construction is completed, the hospital will be recognised by Justice Health as an asset and liability with aninitial value of $86M for the Forensic Hospital and Operations Building and $61M for the Prison Hospital. The cost of the servicesto be provided over the term of the arrangement cannot be estimated at present as they are dependent on uncertain future events.

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Annual AccountsJustice Health

Special Purpose Entity

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GPO Box 12

Sydney NSW 2001

INDEPENDENT AUDIT REPORTJustice Health Special Purpose Entity

To Members of the NSW South Wales Parliament

Audit OpinionIn my opinion, the financial report of the Office of the Justice Health Special Purpose Entity (the Entity):• presents fairly the Entity’s financial position as at 30 June 2006 and its performance for the period ended on that date, in accordance

with Accounting Standards and other mandatory financial reporting requirements in Australia, and• complies with section 41B of the Public Finance and Audit Act 1983 (the Act) and the Public Finance and Audit Regulation 2005.My opinion should be read in conjunction with the rest of this report.

ScopeThe Financial Report and the Chief Executive’s ResponsibilityThe financial report comprises the balance sheet, income statement, statement of changes in equity, cash flow statement and accompanyingnotes to the financial statements for the Entity, for the period ended 30 June 2006.The Chief Executive of the Entity is responsible for the preparation and true and fair presentation of the financial report in accordance withthe Act. This includes responsibility for the maintenance of adequate accounting records and internal controls that are designed to preventand detect fraud and error, and for the accounting policies and accounting estimates inherent in the financial report.

Audit ApproachI conducted an independent audit in order to express an opinion on the financial report. My audit provides reasonable assurance to Membersof the New South Wales Parliament that the financial report is free of material misstatement.My Audit accorded with Australian Auditing Standards and statutory requirements, and I:• assessed the appropriateness of the accounting policies and disclosures used and the reasonableness of significant accounting estimates

made by the Chief Executive in preparing the financial report, and • examined a sample of evidence that supports the amounts and disclosures in the financial report.An Audit does not guarantee that every amount and disclosure in the financial report is error free. The terms ‘reasonable assurance’ and‘material’ recognise that an audit does not examine all evidence and transactions. However, the audit procedures used should identifyerrors or omissions significant enough to adversely affect decisions made by users of the financial report or indicate that the Chief Executivehad not fulfilled his reporting obligations.My opinion does not provide assurance:• about the future viability of the Entity• that it carried out its activities effectively, efficiently and economically, or• about the effectiveness of its internal controls.Audit Independence The Audit Office complies with all applicable independence requirements of Australian professional ethical pronouncements. The Act furtherpromotes independence by:• providing that only Parliament, and not the executive government, can remove an Auditor-General, and• mandating the Auditor-General as auditor of public sector agencies but precluding the provision of non-audit services, thus ensuring the

Auditor-General and the Audit Office are not compromised in their role by the possibility of losing clients or income.

David Jones, FCADirector, Financial Audit Services

SYDNEY20 October 2006

Auditor’s Opinion Letter

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CERTIFICATION OF SPECIAL PURPOSE ENTITY

for Period Ended 30 June 2006

The attached financial statements of Justice Health Special Purpose Entity for the year ended 30 June 2006:

i) Have been prepared in accordance with the requirements of applicable Australian Accounting Standards which includeAustralian equivalents to International Financial Reporting Standards (AEIFRS), the requirements of the Public Financeand Audit Act 1983 and its regulations, the Health Services Act 1997 and its regulations, the Accounts and AuditDetermination and the Accounting Manual for Area Health Services and Public Hospitals;

ii) Present fairly the financial position and transactions of Justice Health Service; and

iii) Have no circumstances, which would render any particulars in the financial statements to be misleading or inaccurate;

Prof Ron Penny

Chairperson of the Board

Justice Health

18 October 2006

Dr Richard Matthews John Hubby

Chief Executive Director of Corporate Services

Justice Health and Finance

18 October 2006 18 October 2006

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INCOME STATEMENT OF THE JUSTICEHEALTH SPECIAL PURPOSE ENTITY

for the period ended 30 June 2006

17 March 2006 to 30 June 2006

$000

Income

Personnel services 18,811Crown Acceptance 125

Total income 18,936

Expenses

Salaries & Wages 13,437Awards 553Superannuation – defined benefit plans 125Superannuation – defined contributions 1,143Long Service Leave 624Annual Leave 1,496Sick leave and other leave 358Nursing Agency Payments 359Other Agency Payments 268Workers Compensation Insurance 448Grants and Subsidies 125

Total expenses 18,936

Operating Result –

STATEMENT OF CHANGES IN EQUITY FOR THEJUSTICE HEALTH SPECIAL PURPOSE ENTITYyear ended 30 June 2006

17 March 2006 to 30 June 2006

$000

Directly in Equity –

Result for the Year –

Total Income and ExpenseRecognised for the Year –

Effect of Changes in AccountingPolicy and Corrections of ErrorsAccumulated Funds –

Reserves –

72

Justice Health Special Purpose Entityfor the period ended 30 June 2006

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STATEMENT OF CASH FLOWS OF THE JUSTICE HEALTH SPECIAL PURPOSE ENTITY as at 30 June 2006

17 March 2006 to 30 June 2006

$000

CASH FLOWS FROM OPERATING ACTIVITIES

PaymentsEmployee Related –

Total Payments –

ReceiptsSale of Goods and Services –Interest Received –Other –

Total Receipts –

Cash Flows From Justice HealthNSW Health Department Recurrent Allocations –NSW Health Department Capital Allocations –Cash advances from Justice Health –

Net Cash Flows from Government –

NET CASH FLOWS FROM OPERATING ACTIVITIES –

CASH FLOWS FROM INVESTING ACTIVITIESProceeds from Sale of Land and Buildings, Plant and Equipment and Infrastructure Systems –

Purchases of Land and Buildings, Plant and Equipment and Infrastructure Systems –

NET CASH FLOWS FROM INVESTING ACTIVITIES –

NET INCREASE/(DECREASE) IN CASH –Opening Cash and Cash Equivalents –

CLOSING CASH AND CASH EQUIVALENTS –

BALANCE SHEET OF THE JUSTICE HEALTHSPECIAL PURPOSE SERVICE ENTITY as at 30 June 2006

17 March 2006 to 30 June 2006

$000

Assets

Receivables –Current 38,560

Total assets 38,560

Liabilities

PayablesCurrent 23,619

ProvisionsCurrent 13,961Non current 980

Total liabilities 38,560

Net assets# –

EquityAccumulated funds –

Total equity –

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Summary of Significant Accounting Policies(a) Reporting EntityJustice Health is a Division of the Government Service,established pursuant to Part 2 of Schedule 1 to the Public SectorEmployment and Management Act 2002 and amend-ment of theHealth Services Act 1997. It is a not-for-profit entity as profit isnot its principal objective. It is consolidated as part of the NSWTotal State Sector Accounts. It is domiciled in Australia and itsprincipal office is at the Long Bay Correctional Centre Malabar.The Service’s objective is to provide personnel services to JusticeHealth.The Service commenced operations on 17 March 2006 when itassumed responsibility for the employees and employee-relatedliabilities of Justice Health. The assumed liabilities were recognisedon 17 March 2006 together with an off-setting receivablerepresenting the related funding due from the former employer.The financial report was authorised for issue by the ChiefExecutive on 18 October 2006. The report will not be amendedand reissued as it has been audited.(b) Basis of preparationThis is a general purpose financial report prepared in accordancewith the requirements of Australian Accounting Standards, therequirements of the Health Services Act 1997 and its regulationsincluding observation of the Accounts and Audit Determination for Area Health Services and Public Hospitals.This is the first financial report prepared on the basis of Australianequivalents to International Financial Reporting Standards.Generally, the historical cost basis of accounting has beenadopted and the financial report does not take into accountchanging money values or current valuations. The accrual basis of accounting has been adopted in thepreparation of the financial report, except for cash flow information.Management’s judgements, key assumptions and estimates aredisclosed in the relevant notes to the financial report.All amounts are rounded to the nearest one thousand dollars and are expressed in Australian currency.(c) Comparative informationAs this is the Service’s first financial report, comparativeinformation for the previous year is not provided.(d) IncomeIncome is measured at the fair value of the consideration receivedor receivable. Revenue from the rendering of personnel servicesis recognised when the service is provided and only to the extentthat the associated recoverable expenses are recognised.(e) ReceivablesA receivable is recognised when it is probable that the future cashinflows associated with it will be realised and it has a value thatcan be measured reliably. It is derecognised when the contractualor other rights to future cash flows from it expire or are transferred.A receivable is measured initially at fair value and subsequently at amortised cost using the effective interest rate method, lessany allowance for doubtful debts. A short-term receivable with no stated interest rate is measured at the original invoice amountwhere the effect of discounting is immaterial. An invoicedreceivable is due for settlement within thirty days of invoicing.

If there is objective evidence at year-end that a receivable may not be collectable, its carrying amount is reduced by meansof an allowance for doubtful debts and the resulting loss isrecognised in the income statement. Receivables are monitoredduring the year and bad debts are written off against theallowance when they are determined to be irrecoverable. Anyother loss or gain arising when a receivable is derecognised is also recognised in the income statement.(f) PayablesPayables include accrued wages, salaries, and related on costs (such as payroll tax, fringe benefits tax and workers’compensation insurance) where there is certainty as to theamount and timing of settlement. A payable is recognised when a present obligation arises under a contract or otherwise. It is derecognised when the obligationexpires or is discharged, cancelled or substituted.A short-term payable with no stated interest rate is measured at historical cost if the effect of discounting is immaterial.(g) Employee benefit provisions and expensesProvisions are made for liabilities of uncertain amount oruncertain timing of settlement.Employee benefit provisions represent expected amounts payablein the future in respect of unused entitlements accumulated as at the reporting date. Liabilities associated with, but that are not,employee benefits (such as fringe benefits tax) are recognisedseparately.Superannuation and leave liabilities are recognised as expensesand provisions when the obligations arise, which is usuallythrough the rendering of service by employees.Long-term Long Service Leave (i.e. that is not expected to betaken within twelve months) is measured on a short hand basis at an escalated rate of 17.4% for short-term entitlements and 7.6% for long-term entitlements above the salary ratesimmediately payable at 30 June 2006 for all employees with five or more years of service.Actuarial assessment has found that this measurement techniqueproduces results not materially different from the estimatedetermined by using the present value basis of measurement. The superannuation expense for the financial year is determinedby using the formulae specified by the NSW Health Department.The expense for certain superannuation schemes (i.e. BasicBenefit and First State Super) is calculated as a percentage of the employees’ salary. For other superannuation schemes (i.e. State Superannuation Scheme and State AuthoritiesSuperannuation Scheme), the expense is calculated as a multiple of the employees’ superannuation contributions.Consequential to the legislative changes of 17 March 2006 nosalary costs or provisions are recognised by the Parent HealthService beyond that date.(h) Accounting standards issued but not yet effectiveThe following Accounting Standards are being early adopted from 1 July 2005:– AASB 2005-4 regarding the revised AAS139 fair value option;– UIG 9 regarding the reassessment of embedded derivatives; and– AASB 2005-06, which excludes from the scope of AASB3,

business combinations involving entities or businesses under common control.

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Appendices

Appendices

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Table 15: Complaints Report 2005-2006

Element Total %Medication 116 21.2%Inadequate treatment 111 20.3%Waiting lists 81 14.8%Delay in admission or treatment 61 11.1%Refusal to admit or treat 36 6.6%Other 24 4.4%Coordination of treatment 22 4.0%Attitude 21 3.8%Resources/Service availability 11 2.0%Withdrawal/denial of treatment 8 1.5%Wrong/inappropriate treatment 7 1.3%Medical records 5 0.9%Certificates/Reports 5 0.9%Wrong/misleading information 4 0.7%Hygiene/Environmental standards 4 0.7%Diagnosis 3 0.5%Negligent treatment 3 0.5%Discharge or Transfer Arrangements 3 0.5%Referral 3 0.5%Hotel services 2 0.4%Sexual misconduct 2 0.4%Privacy/confidentiality 2 0.4%Transport 2 0.4%Client/patient behaviour 1 0.2%Billing practices 1 0.2%Government subsidies 1 0.2%Reprisal/retaliation 1 0.2%Accuracy/inadequate records 1 0.2%Assault 1 0.2%Competence 1 0.2%Character 1 0.2%Access to records 1 0.2%Attendance 1 0.2%Infection Control 1 0.2%Consent not obtained 1 0.2%Grand Total 548 100%PurposePurpose

Table 14: Total Number of Young People in JuvenileJustice Centres as at Midnight 30 June 2005

Number % of population

Total number in custody 305 100%Total number on remand 148 48.5%Total number on control – S10 1 0.3%Total number on control order 107 35.1%Total number on control order – S19 32 10.5%Total number on appeal 8 2.6%Total number on appeal – S19 8 2.6%Legal status uncoded 1 0.3%Total number of males 290 95.1%Total number of females 15 4.9%Total number of Aboriginal 138 45.2%or Torres Strait IslanderTotal number of Neither Aboriginal 158 51.8%nor Torres Strait IslanderIndigenous status uncoded 9 2.9%Total number of Australian, 244 80.0%including Aboriginal, backgroundTotal number of East Asian background 13 4.3%Total number of Middle Eastern 16 5.2%backgroundTotal number of NZ and Maori 6 2.0%backgroundTotal number of South American 1 0.3%backgroundTotal number of African background 2 0.7%Total number of Pacific Islander 22 7.2%backgroundTotal number of Other European 1 0.3%backgroundTotal number aged 12 1 0.3%Total number aged 13 4 1.3%Total number aged 14 17 5.6%Total number aged 15 40 13.1%Total number aged 16 60 19.7%Total number aged 17 68 22.3%Total number aged 18 74 24.3%Total number aged 19 26 8.5%Total number aged 20 13 4.3%Total number aged 21 2 0.7%

Source: Department of Juvenile Justice, CIMS Standard Statistical ReportingDatabase, extracted 24 August 2006. Figures do not include young people in custody at Kariong Juvenile Correctional Centre under the administration of the Department of Corrective Services.

Note: S19 refers to juveniles for whom there are restrictions on eligibility toserve a sentence of imprisonment as a juvenile offender in accordance withSection 19 of the Children (Criminal Proceedings) Act 1987.

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Table 16: Total Number of Deaths of Inmates in NSW Correctional Centres 1996/97 – 2005/06

Cause of Death 1996/97 1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06No % No % No % No % No % No % No % No % No % No %

Natural causes 13 45 7 26 5 19 4 19 5 32 7 44 8 47 4 31 9 53 5 45Suicide 10 35 11 41 11 42 11 52 9 56 5 31 7 41 7 54 8 47 5 45Overdose 5 17 4 15 4 16 3 14 1 6 1 6 0 0 1 8 0 0 1 9Murder 1 3 5 19 6 23 3 14 1 6 3 19 1 6 1 8 0 0 0 0Accidental 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 0 0 0 0 0

Total 29 100 27 100 26 100 21 100 16 100 16 100 17 100 13 100 17 100 11 100

Inmate Population 6,411 6,475 7,242 7,330 7,752 8,235 8,173 8,659 9,056 9,225(08/10/06)Rate/1000 4.5 4.1 3.6 2.9 2.0 1.9 2.1 1.5 1.9 1.2(Annualised)

Table 17: Deaths of Aboriginal Inmates in NSW Correctional Centres 1996/97 – 2005/06 – Aboriginal Deaths are included in top table

Cause of Death 1996/97 1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 2005/06No. No. No. No. No. No. No. No. No. No.

Natural Causes 0 0 1 2 2 0 1 0 1 0Suicide 2 1 1 1 3 1 1 0 3 0Overdose 1 0 1 1 0 0 0 0 0 0Murder 0 1 0 1 0 0 0 0 0 0Accidental 0 0 0 0 0 0 0 0 0 0

Total 3 2 3 5 5 1 2 0 4 0

Indigenous Population 912 986 1,182 1,166 1,244 1,390 1,480 1,618 1,747 1,899(08/10/06)Rate/1000 3.3 2.0 2.5 4.3 4.0 0.7 1.3 0.0 2.3 0.0(Annualised)

Table 18: Court Liaison Activity2003/04 2004/05 2005/06

Number Percentage Number Percentage Number Percentage

Clients screened 18,902 100% 18,059 100% 17,993 100%

Numbers referred for assessment 1,945 10% 2,177 12% 2,373 13%

Numbers assessed who were identified 1,413 73% 1,794 82% 1,999 84%with a serious mental illness

Numbers with mental illness 204 14% 249 14% 243 12%diverted to hospital

Numbers with mental illness 701 50% 880 49% 1064 53%diverted to community care

Facility Contact Details Capacity Security Level Reception Patient Services& Description Assessment

Bathurst PO Box 166 445 Medium and Minimum Yes Mental Health(Cnr Browning St Drug & Alcohol& Brookmore Ave) Public Health Bathurst NSW 2795 PsychiatryTel: (02) 6338 3268 Oral HealthFax: (02) 9332 1505 General Practice

OptometryAboriginal Health

Berrima Argyle Street 60 Female Industry No Public Health Berrima NSW 2577 Oral HealthTel: (02) 4860 2507 General PracticeFax: (02) 4860 2513 Optometry

Broken Hill 109 Gossan Street 50 Minimum and Medium. No Drug & AlcoholBroken Hill NSW 2880 Females, Periodic Primary Health Tel: (08) 8087 3025 Detention, Cultural Public Health Fax: (08) 8087 9893 Link Program. Oral Health

General PracticeOptometry

Brewarrina Yetta Dhinnakkal Centre 70 Minimum No Registered NursePO Box 192 Training, skills based Far West Health (Coolibah Road) work centre Service Provides:Brewarrina NSW 2839 Mental HealthTel: (02) 6874 4717 Sexual Health Fax: (02) 6874 4721 Physiotherapy

Accident & Emergency

Cooma Locked Mail Bag 7 140 Minimum No Registered Nurse(1 Vale Street) Special Protection, Public Health Cooma NSW 2630 Witness Protection Psychiatry

Oral Health General PracticeOptometry

Cessnock PO Box 32 474 Maximum and minimum Yes Registered Nurse(Off Lindsay Street) Mental HealthCessnock NSW 2325 Drug & AlcoholTel: (02) 4993 2220 Primary Health Fax: (02) 4991 1872 Oral Health

General PracticeOptometry

Dawn de Laos Locked Mail Bag 130 68-72 Minimum No Registered NurseHolker St Primary Health Silverwater, NSW 1811 Public Health Tel: (02) 9289 5241/ Psychiatry9289 5380 Oral Health Fax: (02) 9289 5196/ General Practice9289 5359 Optometry

Public Health Aboriginal HealthMental Health

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Appendices


Dillwynia Locked Mail Bag 654 200 Minimum No Registered NurseThe Northern Rd Women’s Health South Windsor NSW 2756 Public Health Tel: (02) 4582 2552 PsychiatryFax: (02) 4582 2532 Oral Health

General Practice Optometry

Emu Plains Old Bathurst Rd 210 Minimum No Registered NurseEmu Plains NSW 2750 Female, farm & camp Women’s Health Tel: (02) 4735 0200 Public Health Fax: (02) 4735 6257 Psychiatry

Oral HealthGeneral Practice OptometryLiver Clinic

Glen Innes Gwydir Highway 120 Minimum No Registered NurseGlen Innes NSW 2370 Forestation Camp Mental HealthTel: (02) 6733 5766 & Farm Area Primary HealthFax: (02) 6733 5702 Public Health

General Practice

Goulburn PO Box 264 568 Maximum and Minimum Yes Registered NurseMaud Street Regional Reception Centre Mental Health Goulburn NSW 2580 Drug & AlcoholTel: (02 4827 2292 Primary HealthFax: (02) 4827 2407 Public Health

PsychiatryOral Health General PracticeOptometryAboriginal Health

Grafton 170 Hoof Street 273 Medium and Minimum Yes AVHP*Grafton NSW 2460 Reception/Remand, Womens Health GPTel: (02) 6642 0336 Industrial Drug & AlcoholTel: (02) 6642 0331 Primary health Fax: (02) 6642 3122 Public Health

Nurse PractitionerPsychiatryOral Health General PracticeOptometry

Ivanhoe Rail Town 70 Minimum No Registered NurseIvanhoe NSW 2878 Work Camp Oral HealthTel: (02) 6995 1133 General PracticeFax: (02) 6995 1304 Optometry

Physiotherapy

John Morony I Locked Mail Bag 654 250 Medium No Registered Nurses(The Northern Road) Service/Industries PsychiatrySouth Windsor Oral HealthNSW 2756 General PracticeTel: (02) 4582 2200 Optometry

Podiatry

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* Aboriginal Vascular Health Program


John Morony II Locked Mail Bag 654 300 Minimum No as above(The Northern Road) IndustriesSouth Windsor NSW 2756Tel: (02) 4582 2316Fax: (02) 4582 2351

Kirkconnell PO Box 266 210 Minimum No Registered NurseBathurst NSW 2795 Industries/Forestry Nurse PractitionerTel: (02) 6337 5219 Public Health Fax: (02) 6337 5148 Psychiatry

Oral HealthGeneral PracticeOptometry

Lithgow PO Box 666 337 Maximum No Registered Nurse(Gt Western Hwy) Industries Drug and AlcoholLithgow NSW 2790 Public Health(Marrangoo via Lithgow) PsychiatristTel: (02) 6350 2209 Oral HealthFax: (02) 6353 1162 General Practice

OptometristAboriginal Vascular Health,Program

Mental Health Long Bay Correctional Complex 30 Maximum No Registered NurseRehabilitation Anzac Parade Remand & Sentenced Mental HealthHostel PO Box 150 but not guilty due to Psychiatry

NSW 2036 mental illness Oral HealthTel: (02) 9289 2975 General PracticeFax: (02) 9289 2957 Optometry

PhysiotherapyArt TherapyOccupational TherapyDiversional Therapy

Long Bay Long Bay Correctional Complex 30 Maximum No Registered NursesHospital Anzac Parade Medical and post surgical PhysiotherapyB Ward PO Box 150 Matraville ward General Practice

NSW 2036 General SurgeryTel: (02) 9289 2921 PsychiatryFax: (02) 9311 7021 Public Health

Oral Health OptometryDay SurgeryPost operative care

Long Bay Long Bay Correctional Complex 30 Maximum No Registered NurseHospital Anzac Parade Sub acute psychiatric Mental HealthC Ward PO Box 150 Matraville rehabilitation Psychiatry

NSW 2036 Oral HealthTel: (02) 9289 2935 General PracticeFax: (02) 9311 7865 Optometry

Physiotherapy

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Long Bay Long Bay Correctional Complex 30 Maximum No Registered NurseHospital Anzac Parade Acute psychiatric care Mental Health D Ward PO Box 150 Matraville Drug & Alcohol

NSW 2036 Primary HealthTel: (02) 9289 2992 PsychiatryFax: (02) 9311 1167 Oral Health

General PracticeOptometryPhysiotherapy

Long Bay Hospital Long Bay Correctional Complex Maximum No Registered NurseOutpatients Clinic Anzac Parade Public Health

PO Box 150 Matraville PsychiatryNSW 2036 Oral HealthTel: (02) 9289 2406 OptometryFax: (02) 9311 3908 Podiatry

Liver ClinicsPain ClinicRadiographyPhysiotherapyENT Clinic

Malabar Special Long Bay Correctional Complex 830 Minimum and maximum No Registered NursePrograms Centre Anzac Parade Mental Health

PO Box 150 Matraville Public Health NSW 2036 PsychiatricTel: (02) 9289 2338 General PracticeFax: (02) 9311 2362 Aboriginal Health

Optometry

Mannus Linden Roth Drive 164 Minimum No Registered NurseMannus Via Tumbarumba Primary Health NSW 2653 Public Health Tel: (02) 6941 033 General PracticeFax: (02) 6948 5229

Metropolitan Private Mail Bag 144 883 Maximum Yes Registered NurseReception and Silverwater NSW 1811 Mental HealthRemand Centre Tel: (02) 9289 5879 Detox

Fax: (02) 9289 5988 Primary HealthPublic Health PsychiatryOral HealthGeneral PracticeOptometry

Mid North Coast P O Box 567 Medium and Maximum No Registered NurseCorrectional West Kempsey NSW 2440 Public HealthCentre Tel: (02) 6560 2709 Psychiatry

Fax: (02) 6560 2747 Oral Health General PracticeOptometryAboriginal Health

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Mulawa Locked Mail Bag 130 300 Female – All Classifications. Yes Registered NurseAust Post Business Centre Work and Industry Mental Health Silverwater NSW 1811 Womens Health

Public Health PsychiatricOral HealthOptometryPhysiotherapy

Oberon Locked Mail Bag 2 100 Minimum No Registered Nurse(Via Shooters Hill Rd) Forestation Camp Public HealthOberon NSW 2787 Young Offenders Oral Health Tel: (02) 6335 5248 General PracticeFax: (02) 6335 5281 Optometry

Parklea P O Box 1648 469 Minimum and Maximum Yes Registered Nurse(500 Sunnyholt Rd) Mental HealthBlacktown NSW 2148 D&ATel: (02) 9289 5241) Primary Health Fax: (02) 9626 5712 Public Health

PsychiatryOral Health General PracticeOptometry

Parramatta Locked Mail Bag 2 402 Minimum No Registered Nurse(Cnr O’Connell & Transit & Remand Public HealthDunlop Streets) PsychiatryNorth Parramatta Oral Health NSW 2151 General PracticeTel: (02) 9683 0211 OptometryFax: (02) 9630 3552 Aboriginal Health

Silverwater Locked Mail Bag 115 350 Minimum No Registered NurseAust Post Business Centre Periodic Detention Primary Health(Hoker St) and Transit Public Health Silverwater NSW 1811 PsychiatryTel: (02) 9289 5241 Oral HealthFax: (02) 9289 5196 General Practice

OptometryPublic Health Aboriginal Health

St Heliers PO Box 597 256 Minimum Yes Registered Nurse(McGullys Gap) Farm and Industries Mental Health Muswellbrook NSW 2333 Primary Health Tel: (02) 6543 1166 Public Health Fax: (02) 6542 5815 Psychiatry

Oral Health General PractitionerOptometryPhysiotherapy

Tamworth PO Box 537 94 Minimum and Maximum Yes Registered Nurse(Cnr Dean & Johnson Sts) Mental HealthTamworth NSW 2340 General PractitionerTel: (02) 6764 5315 OptometryFax: (02) 6764 5309 PhysiotherapyJu

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Acmena Lot 57, Swallow Road 30 Long Term Control Yes Registered NursePO Box 542 Mainly Aboriginal detainees, PsychiatrySouth Grafton NSW 2460 also male and female young Oral Health

people on short term remand General PracticeOptometry

Frank Baxter Pacific Highway 105 Long Term Control Yes Registered NurseKariong NSW 2250 over 16 yrs, also male young Psychiatry

people on short/long term Oral Health remand.can also take female General Practitioneron short term remand Optometry

Cobham Cnr Great Western 90 Mostly, male young people Yes Registered NurseHighway & Water Street over 16yrs on remand however PsychiatryPO Box 539 can also take female young Oral Health St Marys NSW 2760 people over 16 on remand General Practice

Optometry

Keelong Staff Road 30 Short Term control, Yes Registered NurseUndanderra NSW 2250 and short term remand, Psychiatry

can also accommodate females Oral Healthon short term remand General Practitioner

Optometry

Orana Westview Street 30 Remand or control orders, Yes Registered NursePO Box 1047 mostly male however can also PsychiatryDubbo NSW 2830 accommodate females(for up Oral Health

to 5days) on short term remand General PracticeOptometry

Reiby 20 Briar road 60 Control &Remand Orders Yes Registered NurseAirds NSW 2560 Young Males under 16 yrs, Psychiatry

can also accommodate females Oral Healthfor up to 5 days General Practice

Optometry

Riverina Cnr Fernleigh & 30 Long and short term Yes Registered NurseGlenfield Roads control & remand orders, PsychiatryPO Box 7255 also females for up to Oral HealthWagga Wagga NSW 2650 5 days on remand General Practice

Optometry

Juniperina 169 Joseph Street 48 Minimum to Maximum Yes Registered NurseLidcombe NSW 2141 Females, all ages on remand Women’s Health

and control PsychiatryOral HealthGeneral PracticeOptometry Ju

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Kariong Pacific Highway 45 Maximum Yes Registered NurseKariong NSW 2250 Serious or violent offenders. Psychiatry

On remand or control Oral Health over 16 yrs General Practice

Optometry

JUVENILE CORRECTIONAL CENTRE

JUVENILE JUSTICE CENTRES All Juvenile Justice Centres can be remand and control, and all can have females for up to 5 days (Not including Juniperina)

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JUVENILE JUSTICE CENTRES Continued


Broken Hill 146 Chloride Street 8 Short term accommodation, Yes Registered Nurse Broken Hill 2880 Male & female all ages on on call from the

remand Broken Hill Correctional Centre

Facility Contact Details Security Level Reception Patient Services& Description Assessment

Dubbo Police Brisbane Street Maximum Yes Registered NurseCells Dubbo NSW 2830

Tel: (02) 6884 7702Fax: (02) 6884 7703

Lismore Police C/- Lismore Police Station, Maximum Yes Registered NurseCells 36-40 Molesworth Street

Lismore NSW 2480 Tel: 6622 5717

Moree Police Cells 60-62 Frome Street Maximum Yes Registered NurseMoree NSW 2400Tel: (02) 6751 1532Fax: (02) 6751 1471

Newcastle Police Watt Street Maximum Yes Registered NurseCells Newcastle NSW 2300

Tel: (02) 4925 2250Fax: (02) 4925 2749

Campbelltown C/- Campbelltown Maximum Yes Registered NursePolice Cells Police Station,

65 Queen StreetCampbelltown NSW 2560

Penrith Police C/- Penrith Police Station Maximum Yes Registered NurseCells 317 High Street

Penrith NSW 2750Tel: 4721 9423

Parramatta Cnr George & Marsden Streets Maximum Yes Registered NursePolice Cells Parramatta NSW 2150

Tel: (02) 9687 2425Fax: (02) 9687 2481

Port Macquarie 2 Hay Street Maximum Yes Registered NursePolice Cells Port Macquarie NSW 2444

Tel: (02) 6583 2145Fax: (02) 6583 2493

Wollongong c/- Wollongong Police Station Maximum Yes Registered NursePolice Cells Market Street

Wollongong NSW 2500Tel: (02) 4227 6014 Fax: (02) 4227 6015

Sydney Police Goulburn Street Maximum Yes Registered NurseCells Darlinghurst NSW 2010

Tel: (02) 9256 4040Fax: (02) 9281 0622+

POLICE CELL COMPLEXES

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Facility Contact Details Patient Services

Blacktown Local Court Blacktown Court House Mental Health Assessment1 Kilcare Road, Blacktown, NSW 2148Ph/Fax: 9672 2647

Burwood Local Court Burwood Court House Mental Health AssessmentBelmore Street, Burwood, NSW 2134 Ph: 9744 4186Fax: 9744 4190

Campbelltown Local Court Campbelltown Court House Mental Health AssessmentRailway Street, Campbelltown, NSW 2560Ph: 4629 9775

Coffs Harbour Local Court Coffs Harbour Court House Mental Health AssessmentMoonee Street, Coffs Harbour NSW 2450Ph/Fax: 6650 0351

Dubbo Local Court Dubbo Court House Mental Health AssessmentBrisbane Street, Dubbo, NSW 2830Ph: 6885 7675Fax: 6885 3403

Gosford Local Court Gosford Court House Mental Health AssessmentCnr Donnison Street & Henry Perry Drive Gosford, NSW 2250Ph: 4304 6930

Lismore Local Court Lismore Court House Mental Health Assessment9-11 Zadoc Street, Lismore, NSW 2480Ph/Fax: 6622 8918

Liverpool Local Court Liverpool Court House Mental Health Assessment150 George Street, Liverpool, NSW 2170Ph: 9600 9316

Manly Local Court Manly Court House Mental Health Assessment2 Belgrave Street, Manly 2095Ph/Fax: 9934 4505

Nowra Local Court Nowra Court House Mental Health AssessmentPlunkett Street, Nowra 2540Ph/Fax: 4421 4361

Parramatta Local Court Parramatta Court House Mental Health AssessmentCnr George & Marsden Streets, Parramatta, NSW 2150Ph: 9895 4218Fax: 9687 1468

Penrith Court Penrith Court House Mental Health Assessment64-72 Henry Street, Penrith, NSW 2750Ph/Fax: 4720 1574

Sutherland Local Court Sutherland Court House Mental Health AssessmentCnr Flora & Belmont Streets, Sutherland, NSW 2232.Ph/Fax: 9545 5439

Sydney Central Local Court Central Local Court Mental Health Assessment98 Liverpool Street, Sydney South, NSW 2000Ph: 9289 0131Fax: 9287 0155

Tamworth Local Court Tamworth Court House Mental Health AssessmentCnr Marius & Fitzroy Streets, Tamworth, NSW 2340Ph: 6764 5747

COURT LIAISON CENTRES


Teleheath Teleheath Mental Health AssessmentLevel 7, Suite 702, 491 Kent Street, Sydney, NSW 2000Ph: 8295 7000Fax: 8295 7099

Wagga Wagga Local Court Wagga Wagga Court House Mental Health Assessment49 Fitzmaurice Street, Wagga Wagga, NSW 2650Ph/Fax: 6922 0934

Wyong Local Court Wyong Court House Mental Health AssessmentCnr Hely & Anzac Streets, Wyong, NSW 2259Ph/Fax: 4353 5486


Surry Hills Central Sydney Adolescent Community Community forensic mental healthForensic Mental Health ServiceLevel 1, 64-76 Kippax Street, Surry Hills, NSW 2010Ph: 9288 9010

North Parramatta Western Sydney Adolescent Community Forensic Community forensic mental healthMental Health Service7 Fleet Street, North Parramatta, NSW 2150Ph: 8838 6290

North Parramatta Adult Community Forensic Mental Health Service Community forensic mental health(Statewide)7 Fleet Street, North Parramatta, NSW 2150


CCRTS Administration McGeechin Cottage Post release D&A Justice HealthLong Bay Hospital, Anzac Parade, MalabarPO Box 150 Matraville, NSW 2036Ph: (02) 9289 2986Fax: (02) 9289 2494

Wellington/Dubbo C/- Wellington Local Court Post release D&ACnr Maughan & Arthur Streets, Wellington, NSW 2820Ph: (02) 6845 3250Fax: (02) 6845 2180

Community Western Sydney/ C/- Probation & Parole Post release D&ACentral Sydney 9 Second Avenue, Blacktown, NSW 2148

Ph: (02) 9671 4266Fax: (02) 9831 7189

Central Sydney C/- Probation & Parole Post release D&A(Aboriginal Clients only) 93-99 King Street, Newtown, NSW 2042

Ph: (02) 9550 4056Fax: (02) 9550 4086

Western Sydney C/- Probation & Parole Post release D&A9 Second Avenue, Blacktown, NSW 2148Ph: (02) 9671 4266Fax: (02) 9831 7189Ju

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COURT LIAISON CENTRES

COMMUNITY FORENSIC MENTAL HEALTH

CORRECTIONAL CENTRE RELEASE TREATMENT SCHEME

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Index

AAboriginal Health 26Adolescent Health 27Auditor’s Opinion Letter – Justice Health 44Auditor’s Opinion Letter – Special Purpose Entity 70BBalance Sheet – Justice Health 48Balance Sheet – Special Purpose Entity 73Board Members 14CCash Flow Statement 49Certification of Financial Statements – Justice Health 45Certification of Special Purpose Entity 71Chairman and Chief Executive’s Year in Review 4Clinical and Nursing Services 21Community Forensic Mental Health 86Corporate & Clinical Governance Statement 14Corporate Services and Finance 30Correctional Centre Release Treatment Scheme 86Correctional Centres 78Court Liaison Centres 85DDrug and Alcohol 25EEEO 35Executive Officer Reports 33Executive Summary 42Executive Support & Planning Unit 32FForensic and Prison Hospitals Project 20Forensic Mental Health Services 28Freedom of Information 40GGoals and Achievements 10HHealth Service map 2Healthcare Services Planning 19IIncome Statement – Special Purpose Entity 72JJustice Health Profile 6Juvenile Correctional Centres 83Juvenile Justice Centres 83KKey Achievements and Highlights 5LLetter to Minister 1MMission, Goals, Values 9NNotes – Justice Health 51Notes – Special Purpose Entity 74

OOfficial Overseas Travel 37OH&S 36Operating Statement 46Organisation Chart 8Our Community 38Our People 34PPerformance 17Police Cell Complexes 84Population Health 23Primary Health 22Program Statement 50RReports from each Clinical Stream 21Reports from each Service 31SSelected Activity Levels 18 Statement of Cash Flow– Special Purpose Entity 73Statement of Changes in Equity – Justice Health 47Statement of Changes in Equity– Special Purpose Entity 72TTeaching & Training Initiatives 36WWomen’s Health 26

Table 1: Selected Data for the Year Ended June 2006 8Table 2: Non-admitted Patient Occasions of Service 18Table 3: Bed Occupancy by Ward 18Table 4: Notifiable Detected Diseases for the Period

July 2005 – June 2006 24Table 5: Hepatitis B Vaccination Profiles in Adult and

Juvenile Centres 24Table 6: Targeted Screening Program (TSP) Profiles 25Table 7: Summary of Methadone and Buprenorphine

Activity Data 26Table 8: Mental Health Activity Data 28Table 9: Full Time Equivalent Staff (FTE) Employed

in Justice Health as at June 2006 35Table 10: Equal Employment Opportunity Data 35Table 11: Staff Injury by Type and Hours Lost 36Table 12: Feedback from Inmate Development

Committees 38Table 13: Comparisons of actual performance 42Table 14: Total Number of Young People in Juvenile Justice

Centres as at Midnight 30 June 2005 76Table 15: Complaints Report 2005-2006 76Table 16: Total Number of Deaths of Inmates in NSW

Correctional Centres 1996/97 – 2005/06 76Table 17: Deaths of Aboriginal Inmates in NSW Correctional

Centres 1996/97 – 2005/06 – Aboriginal Deaths are included in top table 76

Table 18: Court Liaison Activity 76

Abbreviations

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ACHS The Australian Council on Healthcare Standards

AVHP Aboriginal Vascular Health Program

CCLS Community & Court Liaison Service

DCS Department of Corrective Services

DCU Drug Court Unit

DJJ Department of Juvenile Justice

EQuIP Evaluation and Quality Improvement Program

HCV Hepatitis C Virus

HREOC Human Rights & Equal Opportunity Commission

IDC Inmate Development Committee

ISOH Information System for Oral Health

IT Information Technology

IVDU Intravenous Drug User

MADAAC Medical and Dental Appointment Advisory Committee

MHRH Mental Health Rehabilitation Hostel

MHSU Mental Health Screening Unit

MRRC Metropolitan Remand and Reception Centre

NUM Nursing Unit Manager

PAS Patient Administration System

PPP Public/Private Partnership

RANZCP Royal Australian & New Zealand College of Psychiatrists

RCA Root Cause Analysis

SPC Special Purpose Centre

UPI Unique Patient Identifier

VDO Visiting Dental Officer

VMO Visiting Medical Officer

Guide to photos

CoverCobham Juvenile Justice Centre Clinic, Michelle ArnoldRegistered Nurse attending to a young person

Page 7Minister Hatzistergos presenting the Baxter Health Awards,Minister’s Award to Rosemary Terry After Hours Inmate FlowManager and Chris Muller Acting Safety and Clinical Risk Manager

Page 15Aboriginal Health Team (L-R) Libby Johns Aboriginal VascularHealth Coordinator, Bev Spiers Aboriginal Health EducationOfficer, and Elizabeth McEntyre Manager Aboriginal Health

Page 21Delegation to China (L-R) Marilyn Wright DCS, Kim BlinkhornDCS, Gary Forrest Acting Director Population Health, VanessaJackson Human Rights and Equal Opportunity Commission, and Maureen Hanly Director Clinical and Nursing Services

Page 23Broken Hill Clinic, Kathy Prime Nurse Unit Manager and Gillian Lambert Registered Nurse

Page 25Drug Court Clinical Nurse Consultants, Sue Jefferies and Sharon Barton

Page 27Cobham Juvenile Justice Centre Clinic, Michelle ArnoldRegistered Nurse attending to a young person

Page 29Opening of the Mental Health Screening Unit by the Governor of NSW Her Excellency Professor Marie Bashir with Tony KellyMinister for Justice, and Cherie Burton Minister assisting theMinister for Health (Mental Health)

Page 35Preparing lunch in the Long Bay Hospital Kitchen, Nola VelthuysPatient Services Assistant

Page 37Long Bay Hospital, Janet Hinde Registered Nurse with aForensic patient

Page 39Surry Hills Police Cells, Liz Angel Registered Nurse assessing an inmate

Project Manager and Writer: Alex WarnerDesign and Artwork: Jan Harper350 copies produced at $23.76 per copyWe wish to thank all Justice Health staff who assisted in the preparation of the report.

Justice Health ABN 70 194 595 506PO Box 150, Matraville NSW 2063Telephone: 02 9289 2977 Facsimile: 02 9311 3005www.justicehealth.nsw.gov.au

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