1

Public Accounts and Estimates Committee (Budget 2010-11)Hon Daniel Andrews MPMinister for Health12 May 2010

Health Portfolio

Putting Patients First

2More patients treated faster

� Performance compared to National Averages:� 100% of clinical urgency category 1 patients were

seen within recommended time – the best in Australia

� Lower average length of stay (6.3 days compared to Aust av. of 6.5 days) in public hospitals

� Consistently high performance despite pressures� Victoria’s above average annual and projected

population growth

� Changing demographics such as the ageing population

� More complex care needs

� New medical technologies

3Patients Admitted

� Growth in 2010-11 since 1999-2000 is expected to be high:� 41% more admissions

� 47% more emergency presentations

� 26% more specialist outpatient treatments

Total patients admitted to Victorian public hospita ls

1,042 1,0661,124

1,185 1,224 1,2601,312 1,356 1,393 1,421

1,468 1,500

-

200

400

600

800

1,000

1,200

1,400

1,600

1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10* 2010-11*

Tot

al h

ospi

tal s

epar

atio

ns (

'000

)

4Elective Surgery

� Shorter wait (median 33 days) for elective surgery (Aust. median 34 days).

� 30% growth in elective surgery admissions from 1999-2000 to 2008-09

Total elective surgery admissions

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09

Year

Adm

issi

ons

5Emergency Departments

� Victorians wait less (23 mins) than the national median wait time (24 mins)

� More Victorians (71%) are seen within the clinically recommended time than Australian average (69%).

Total patients attending emergency departments

9831,043

1,092

1,247

1,4201,3551,350 1,395

946

1,1131,156

1,303

-

200

400

600

800

1,000

1,200

1,400

1,600

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10*

2010-11*

Tot

al p

atie

nts

atte

ndin

g ('0

00)

6Complexity increased

� Change in presentations: � 25,000 more presentations expected in 2009-10 compared to 2008-09.

� Treating more complex patients

� Increase in trauma cases – 17% growth from 2005-06 to 08-09

� Increase in urgent cases� Increase of 274,000 urgent (category 1-3) presentations compared to

1999-2000

� Share of ED presentations

– note increase in Cat 1-3 from 32%

In 1999-2000 to 38% now:

62%38%2009/10 YTD

63%37%2008-09

68%32%1999/00

Cat 4-5Cat 1-3Year

7Services we expect to deliver in 2009-10

� 1.395 million emergency department presentations

� 1.468 million Admissions

� 1.308 million Specialist Outpatient appointments

� 453,800 Emergency patient transports

� 1.006 million screens for preventable illness

� 314,700 persons treated in dental health

� 982,000 service delivery hours in community health

8Our response: Strategic investment in our future

� 9% increase in health budget from last year

� 146% increase in health and aged care budget since 1999-2000

� 153% increase in acute health budget since 1999-2000

Health and Aged Care Budget Growth 1999-00 to 2010- 11

3,425 3,670 4,130 4,467 4,857 5,350 5,845 6,283 6,7107,268

7,8638,672

5,0085,382

5,9566,470

7,010

7,693

8,383

9,0629,729

10,487

11,314

12,335

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

$ million

Acute Health Total Health and Aged Care

9Building our workforce

� 50% increase in nurses since 1999-2000

� 75% Increase in doctors since 1999-2000

� 92% increase in paramedics since 1999-2000

Growth in medical workforce EFT, Victoria, 1999 to 2009

2,462

1,282

4,139

7,343

21,154

31,670

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

Jun-99 Jun-00 Jun-01 Jun-02 Jun-03 Jun-04 Jun-05 Jun-06 Jun-07 Jun-08 Jun-09

-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Paramedics Doctors Nurses

102010-11 Budget:Getting the basics right now to prepare for the future

�2010-11 Budget increases total output budget to $12.335 billion – a 9% increase

�$4 billion of health and hospital services, including capital improvements, through the 2010 State Budget and COAG agreement.

11Right care, right place, right time

� Record investment of $760.1 million over five years to meet demands and cost pressures of a growing health system� $564.8 million over five years to

increase capacity and strengthen hospital performance

� $45 million to treat 9,000 elective surgery patients faster

� $150.3 million over three years to address cost pressures associated with delivering health services

12Capital investment

� Since 1999, $7.5 billion invested in health and aged care, including:� New Bendigo Hospital - $473m

� New Box Hill Hospital - $407.5m

� Sunshine Hospital expansion - $90.5m

� Barwon Health service capacity expansion - $33.6m

� Leongatha Hospital redevelopment -$25m

� Monash Children’s acute and intensive care services expansion - $11m

2010-11 State Budget commits

$2.3 billion to upgrade hospitals

13Capital building program

� This Government significantly increased capital expenditure

� The 2010-11 budget means a total $7.5 billion investment in capital infrastructure since 1999-2000

Asset Investment in Health and Aged Care1992-93 to 2010-11

0

500

1000

1500

2000

2500

92/9

319

93/9

419

94/9

519

95/9

619

96/9

719

97/9

819

98/9

919

99/0

020

00/0

120

01/0

220

02/0

320

03/0

420

04/0

520

05/0

620

06/0

720

07/0

820

08/0

920

09/1

020

10/1

1

Year

($M

)

Metro Rural Statewide

14Supporting Regional Victorians

� Victoria successfully protected small rural health service block funding method in COAG agreement

� Rural Access Package - $19.3 million over four years

� 1,733 emergency rotary wing transfers and 4,770 fixed wing transfers in 2008-09

� Improved access to dental care - $19.9 million over four years to improve access to dental care for all Victorians

� Maintain ambulance branch in Kinglake and upgrade Whittlesea - $5.2 million over four years

� Building programs:� New Bendigo Hospital - $473 million

� Ballarat Regional Integrated Cancer Centre - $13 million

� Barwon Health: Expanding health service capacity –

Geelong and its Southern Health Corridor - $33.6 million

� Coleraine Hospital redevelopment - $25.8 million

� Leongatha Hospital Redevelopment Stage 2 - $25 million

State-wide Rotary Wing Caseload

0

500

1,000

1,500

2,000

2,500

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

YTD09-10

HEMS 5

HEMS 4

HEMS 3

HEMS 2

HEMS 1

State-wide Fixed Wing Caseload

0

1,000

2,000

3,000

4,000

5,000

6,000

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

YTD09-10

Total (99-00 to 01-02)

Non-emerg

Emerg

15Victoria’s Cancer Action Plan

� Victorians continue to have access to world class cancer treatment facilities

� Over $1.2 billion for Cancer treatment in the 2010-11. This includes:� Development of a new comprehensive cancer centre in Parkville

in partnership with the Federal Government ($1.1b)

� Ballarat Regional Integrated Cancer Centre - $13 million State contribution to $55 million - state of the art facility in Ballarat

� Olivia Newton-John Cancer and Wellness Centre Stage 2a - $40 million

� Statewide enhancements to Regional Cancer Services (from CthRegional Cancer Centre Initiative)

� Research and treatment $28.9 million (from DIIRD)

� New Bendigo Hospital to include a radiotherapy bunker and an additional 18 day oncology chairs for chemotherapy patients

16Chronic and complex conditions

� $19.9 million over four years for dental services for an additional 12,000 eligible clients annually

� $20.1 million over four years for a range of programs that support chronic disease prevention and management.� $6.1 million for diabetes self management and syringes� $4.1 million for the Integrated

Hepatitis C Service Delivery Model

� $3.5 million for Quitline� $3.2 million for whooping cough

immunisation program� $3.2 million in 2010-11 for Go For

Your Life program

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Putting Patients First

Public Accounts and Estimates Committee (Budget 2010-11)Hon Daniel Andrews MPMinister for Health12 May 2010

Health Portfolio