STATE BUDGET. Agency Statements. Volume 3. Budget Paper 4

Transcription

1 STATE BUDGET Paper 4 Agency Statements Volume 3

2 Papers Paper 1 Overview Paper 2 Speech Paper 3 Statement Paper 4 Agency Statements Volumes 1, 2, 3, 4 Paper 5 Measures Statement Acknowledgements Content from this publication may be reproduced with appropriate acknowledgement, as permitted under the Copyright Act Government of South Australia 2016 Published 7 July 2016 ISSN

3 Paper 4 Agency Statements Volume 3 Presented by The Honourable Tom Koutsantonis MP Treasurer of South Australia on the Occasion of the for

4 General enquiries regarding budget papers should be directed to: The Chief Executive Department of Treasury and Finance State Administration Centre 200 Victoria Square Adelaide SA 5000 Copies may be obtained from: SERVICE SA Government Legislation Outlet Ground Floor EDS Centre 108 North Terrace Adelaide SA 5000 Website:

5 Agency statements by volume Volume 1 Attorney-General Auditor-General Communities and Social Inclusion Correctional Services Courts Defence Volume 2 Education and Child Development Electoral Commission Emergency Services CFS Emergency Services MFS Emergency Services SAFECOM Emergency Services SES Environment Protection Authority Environment, Water and Natural Resources Volume 3 Green Industries Health and Ageing Planning, Transport and Infrastructure Police Premier and Cabinet Volume 4 Primary Industries and Regions State Development Tourism Treasury and Finance

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7 Volume 3 contents Introduction... 3 Green Industries... 9 Health and Ageing Planning, Transport and Infrastructure Police Premier and Cabinet Accounting Standards Agency Statements Volume 3 1

8 2 Agency Statements Volume 3

9 Introduction The Agency Statements outline financial and non-financial information about the services each agency provides to, and on behalf of, the South Australian community. The agency statements are presented in alphabetical order as indicated in the list below. Alphabetical list order Agency name Abbreviation Attorney-General Attorney-General s Department AGD Auditor-General Auditor-General s Department Communities and Social Inclusion Department for Communities and Social Inclusion DCSI Correctional Services Department for Correctional Services DCS Courts Courts Administration Authority CAA Defence SA Defence SA Education and Child Development Department for Education and Child Development DECD Electoral Commission Electoral Commission of South Australia ECSA Emergency Services CFS South Australian Country Fire Service CFS Emergency Services MFS South Australian Metropolitan Fire Service MFS Emergency Services SAFECOM South Australian Fire and Emergency Services Commission SAFECOM Emergency Services SES South Australian State Emergency Service SES Environment Protection Authority Environment Protection Authority EPA Environment, Water and Natural Resources Department of Environment, Water and Natural Resources DEWNR Green Industries Office of Green Industries SA GISA Health and Ageing Department for Health and Ageing DHA Planning, Transport and Infrastructure Department of Planning, Transport and Infrastructure DPTI Police South Australia Police SAPOL Premier and Cabinet Department of the Premier and Cabinet DPC Primary Industries and Regions Department of Primary Industries and Regions PIRSA State Development Department for State Development DSD Tourism South Australian Tourism Commission SATC Treasury and Finance Department of Treasury and Finance DTF Agency Statements Volume 3 3

10 Introduction Definitions Agency An agency is an administrative unit created under the Public Sector Act 2009 or a statutory authority that is accountable for the delivery of programs on behalf of the government. Programs and sub-programs A program is a group of related activities that contribute to achieving one of an agency s and, in turn, the government s objectives. Many programs are further divided into sub-programs with more specific objectives. Overview The agency statements outline projected agency activity and performance for. Each agency statement conforms to the following standard presentation structure: Objective outlines the agency s objectives Ministerial responsibilities identifies the minister responsible for each program/sub-program and identifies any items administered by the agency on behalf of the minister(s) Ministerial office resources details the resources provided to ministerial office(s) Workforce summary summarises the agency s workforce Program net cost of services summary summarises the net cost of agency programs Investing expenditure summary summarises investing expenditure for the agency Program/sub-program information for each agency program/sub-program, provides a description/objective, program summary (expenses, income and full-time equivalents), financial commentary, highlights and targets, performance and activity indicators Financial statements budgeted financial statements for controlled and administered items Summary of major variations commentary on variances and trends in the financial statements. Presentation of changes in program structures Where a program or function is transferred between agencies, program information for previous years is reflected in the current program structure of the receiving agency. In contrast, the agency financial statements line net cost of providing services in the statement of comprehensive income is based on the actual program structure for the agency as it operated or is expected to operate in each year. This distinction in treatment is drawn so that financial statements accurately reflect events while, at the same time, program information is comparable and not duplicated. Reconciliation of the financial statements to the current program structure is contained in the program net cost of services summary located at the beginning of each relevant agency section. On 21 June 2016, the government announced that Families SA will be established as a separate department. This is in response to Commissioner Nyland s interim recommendation as part of the Child Protection Systems Royal Commission. Due to the timing of this announcement, this is not reflected in the Agency Statements. 4 Agency Statements Volume 3

11 Introduction Financial statements The estimated financial statements included in the Agency Statements are special purpose financial statements and include, for each agency, a statement of comprehensive income, a statement of financial position and a statement of cash flows. The format of these estimated financial statements is consistent with the model financial statements (prepared by the Department of Treasury and Finance for statutory reporting requirements) and is consistent with the requirements of AASB 101 Presentation of Financial Statements and AASB 107 Statement of Cash Flows. Estimates in these financial statements have been prepared: on a basis that is consistent with Australian Accounting Standards (Australian Accounting Standards and/or interpretations that have been issued or amended but are not yet effective have not been adopted early) on an accrual basis, except for the statement of cash flows which has been derived from the statement of comprehensive income and statement of financial position to reflect cash payments and receipts using historical cost convention, except for certain assets and liabilities that are valued in accordance with the valuation policy applicable. Consistent with Australian Accounting Standards, estimated transactions and balances that are controlled are budgeted for, and reported on, separately to estimated transactions and balances which are administered but not controlled by the agency. Agency Statements Volume 3 5

12 Introduction Ministerial responsibilities The ministerial responsibilities table provides a comprehensive list of the agencies and programs which fall under the responsibility of each minister, and is presented in Ministerial Order of Precedence. Minister Agency Programs The Hon. J Weatherill Premier The Hon. JR Rau Deputy Premier Attorney-General Minister for Justice Reform Minister for Planning Minister for Industrial Relations Minister for Child Protection Reform Minister for the Public Sector Minister for Consumer and Business Services Minister for the City of Adelaide The Hon. KJ Maher Minister for Employment Minister for Aboriginal Affairs and Reconciliation Minister for Manufacturing and Innovation Minister for Automotive Transformation Minister for Science and Information Economy The Hon. JJ Snelling Minister for Health Minister for the Arts Minister for Health Industries Department of the Premier and Cabinet 1. Premier and Cabinet Policy and Support 2. Strategic Engagement and Communications 3. Agent General 4. State Coordinator General 5. Support Services and Community Programs 6. Office for Digital Government Department of State Development 1. Office of the Economic Development Board Department of the Premier and Cabinet 7. Government Services 8. Public Sector Performance Attorney-General s Department 1. Legal and Justice Services 2. Consumer and Business Services 3. Advocacy and Guardianship Services 4. Equal Opportunity 5. Police Ombudsman 6. Ombudsman 7. Industrial Relations 8. Fines Enforcement and Recovery 9. State Records 10. Child Protection Systems Royal Commission Response Unit Courts Administration Authority 1. Court and Tribunal Case Resolution Services 2. Alternative Dispute Resolution Services Electoral Commission of South Australia 1. Electoral Services Department of Planning Transport and 1. Land Use Planning Infrastructure Department of Treasury and Finance 1. Gambling Policy Department of State Development 2. Industry and Innovation 3. Aboriginal Affairs and Reconciliation 4. Science, Technology and Information Economy Department of Health and Ageing 1. Policy, Clinical Services, System Transformation and Administration 2. Health Services Department of State Development 5. Arts South Australia 6. Health Industries 6 Agency Statements Volume 3

13 Introduction Minister Agency Programs The Hon. T Koutsantonis Treasurer Minister for Finance Minister for State Development Minister for Mineral Resources and Energy The Hon. IK Hunter Minister for Sustainability, Environment and Conservation Minister for Water and the River Murray Minister for Climate Change The Hon. LWK Bignell Minister for Agriculture, Food and Fisheries Minister for Forests Minister for Tourism Minister for Recreation and Sport Minister for Racing The Hon. MLJ Hamilton-Smith Minister for Investment and Trade Minister for Small Business Minister for Defence Industries Minister for Veterans' Affairs The Hon. GG Brock Minister for Regional Development Minister for Local Government The Hon. ZL Bettison Minister for Communities and Social Inclusion Minister for Social Housing Minister for the Status of Women Minister for Ageing Minister for Multicultural Affairs Minister for Youth Minister for Volunteers The Hon. SE Close Minister for Education and Child Development Minister for Higher Education and Skills The Hon. SC Mullighan Minister for Transport and Infrastructure Minister for Housing and Urban Development The Hon. LA Vlahos Minister for Disabilities Minister for Mental Health and Substance Abuse Department of Treasury and Finance 2. Accountability for Public Sector Resources 3. Treasury Services 4. Financial Services Provisions Department of State Development 7. Mineral Resources and Energy Department of Environment, Water and Natural Resources 1. Sustainability 2. Water 3. Parks and Public Assets Environment Protection Authority 1. Environment and Radiation Protection Department of State Development 8. Water Industry Technical and Safety Regulation Office of Green Industries 1. Waste Reduction and Resource Recovery Department of Primary Industries and 1. Agriculture, Food and Fisheries Regions 2. Forestry Policy South Australian Tourism Commission 1. Tourism Development 2. Tourism Events 3. Tourism Marketing Department of Planning, Transport and 3. Recreation, Sport and Racing Infrastructure Department of State Development 9. Growing Small Business 10. Globally Integrating the SA Economy Defence SA 1. Defence Industry Development 2. Techport Australia Department of Treasury and Finance 5. Veterans' Affairs Department of Planning, Transport and 4. Office of Local Government Infrastructure Department of Primary Industries and 3. Regional Development Regions Department for Communities and Social Inclusion 1. Thriving Communities 2. Domiciliary and Community Care Services 3. Social Housing Department for Education and Child 1. Early Childhood Development Development 2. School Education 3. Care and Protection Department of State Development 11. Employment and Skills Formation Department of Planning, Transport and Infrastructure Department for Communities and Social Inclusion 5. Roads and Marine 6. Public Transport 7. Infrastructure Planning and Management 4. Disability SA 5. Disability Services 6. NDIS and Service Reform Agency Statements Volume 3 7

14 Introduction Minister Agency Programs The Hon. P Malinauskas Minister for Police Minister for Correctional Services Minister for Emergency Services Minister for Road Safety South Australian Police 1. Public Safety 2. Crime and Criminal Justice Services 3. Road Safety South Australian Country Fire Service 1. Country Fire Service South Australian Metropolitan Fire Service 1. South Australian Metropolitan Fire Service South Australian Fire and Emergency Services Commission South Australian State Emergency Service 1. Fire and Emergency Services Strategic Services and Business Support 1. State Emergency Service Department for Correctional Services 1. Rehabilitation and Reparation 2. Custodial Services 3. Community Based Services Department of Planning, Transport and Infrastructure 2. Road Safety 8 Agency Statements Volume 3

15 Agency: Office of Green Industries SA Minister for Sustainability, Environment and Conservation Agency Statements Volume 3 9

16 Green Industries 10 Agency Statements Volume 3

17 Green Industries Contents Overview Ministerial responsibilities Workforce summary Program net cost of services summary Program 1: Waste Reduction and Resource Recovery Financial statements Summary of major variations Agency Statements Volume 3 11

18 Green Industries Overview The Office of Green Industries SA, transitioned from the Office of Zero Waste SA, was established by proclamation from 1 July Legislation has been developed to establish the new statutory authority Green Industries SA. The Zero Waste SA Act 2004 remains operational, along with Zero Waste SA, the Board, and the Chief Executive until the legislation is passed. Green Industries SA will build on the many successes of Zero Waste SA, with a focus on: leading the nation in waste management encouraging innovation and economic growth through the green economy helping businesses to find new markets for their waste management knowledge and skills assisting businesses to reduce their costs through more efficient use of raw materials, water and energy administering grants to local government and industries reporting against waste to landfill targets. Ministerial responsibilities Minister Programs Sub-programs The Hon. IK Hunter Minister for Sustainability, Environment and Conservation 1. Waste Reduction and Resource Recovery Nil Statutes The Department of the Premier and Cabinet maintains a list of statutes applicable to ministers. Workforce summary FTEs as at 30 June Agency (a) (b) Office of Green Industries SA Total (a) (b) The and reflect the established FTE caps. Data published by the Office for the Public Sector (Department of the Premier and Cabinet). 12 Agency Statements Volume 3

19 Green Industries Program net cost of services summary Net cost of services Program $000 $000 $000 $ Waste Reduction and Resource Recovery Total Agency Statements Volume 3 13

20 Green Industries Program 1: Waste Reduction and Resource Recovery Description/objective To eliminate waste or its consignment to landfill and advance the development of resource recovery and recycling based on an integrated strategy for the state. Program summary expenses, income and FTEs $000 $000 $000 $000 Expenses Employee benefit expenses Supplies and services Depreciation and amortisation expenses Grants and subsidies Intra-government transfers Other expenses Total expenses Income Intra-government transfers Interest revenue Total income Net cost of providing services FTEs as at 30 June (No.) Financial commentary / The $5.0 million increase in expenses is primarily due to: additional expenditure authority allocated to new grant programs primarily relating to Waste Infrastructure, Investment and Innovation, and Local Government Waste and Resource Recovery programs ($2.9 million) increased intra-government transfer expenditure associated with a series of climate change programs ($2.7 million). The $5.9 million increase in income is primarily due to: intra-government transfers from the Environment Protection Authority for higher solid waste levy receipts ($5.3 million) increased interest revenue resulting from a higher cash balance ($0.6 million). / The $2.8 million increase in expenses is primarily due to: increased expenditure relating to the Trade Waste initiative ($2.1 million) carryover of expenditure for the Metropolitan Infrastructure and Regional Implementation grant programs and the dob-in-a-litterer program from to ($0.6 million). 14 Agency Statements Volume 3

21 Green Industries / The Office of Green Industries SA was established by proclamation from 1 July Highlights Released South Australia s Waste Strategy following public consultation, which aims to maximise and realise the economic potential from innovative new technology and the trend towards re-manufacturing to build a resource efficient economy in the state. Completed the first phase of a disaster waste management scoping study. This was the first of its kind in Australia. Invited by the United Nations Centre for Regional Development to host the Seventh Regional 3R Forum in the Asia and Pacific. The event is an opportunity for South Australia to showcase the state s reputation for being a clean green state, in addition to showcasing its expertise in the green economy and demonstrating how resource efficiency is a driver for economic success. Initiated a trade waste initiative aimed at helping South Australian food and beverage producers reduce costs and improve environmental outcomes through better management of trade waste. Assisted businesses to increase recycling and resource recovery of materials and reduce the amount of waste sent to landfill. Targets Develop a statewide Waste and Resource Recovery Infrastructure Plan to provide a roadmap to guide future public/private investment in waste and resource recovery infrastructure that supports a resource efficient economy in South Australia. Deliver the government s Trade Waste Initiative by providing support and grant funding to assist SA Water trade waste customers and other trade waste-producing businesses to improve operating costs and environmental outcomes. Support/facilitate waste infrastructure investment and innovation realising the economic potential of the sector. Provide financial support to local government waste and resource recovery programs enhancing its waste management capacity and capability. Continue to support South Australian businesses and industry sectors to make improvements in waste management, waste avoidance and resource efficiency. In partnership with the United Nations Centre for Regional Development, host the 7th Regional 3R Forum in Asia and the Pacific, in recognition of South Australia s global leadership in recycling and resource recovery. Investigate the potential benefits of the circular economy to South Australia. Continue to build the state s capability and resilience in the area of disaster waste management. Performance indicators Target Target Reduction of waste to landfill The decrease in tonnes reduction from the to the reflects a transitioning economy resulting in less waste generated by businesses and the community, people's behaviour towards reducing municipal solid waste and concurrently a higher rate of recycling of waste materials. Note that tonnes shown excludes disposal of contaminated soil to landfill which is reported separately in the agency annual report tonnes reduction tonnes reduction tonnes reduction Agency Statements Volume 3 15

22 Green Industries Office of Green Industries SA Statement of comprehensive income $000 $000 $000 $000 Expenses Employee benefit expenses Salaries, wages, annual and sick leave Long service leave Payroll tax Superannuation Other Supplies and services General supplies and services Consultancy expenses Depreciation and amortisation Grants and subsidies Intra government transfers Other expenses Total expenses Income Intra-government transfers Interest revenues Total income Total comprehensive result Agency Statements Volume 3

23 Green Industries Office of Green Industries SA Statement of financial position Assets Current assets $000 $000 $000 $000 Cash and cash equivalents Receivables Other current assets Total current assets Non current assets Land and improvements Plant and equipment Total non-current assets Total assets Liabilities Current liabilities Payables Employee Benefits Salaries and wages Annual leave Long service leave Other Short-term provisions Other current liabilities Total current liabilities Non current liabilities Long service leave Long-term provisions Other non-current liabilities Total non-current liabilities Total liabilities Net assets Equity Retained earnings Total equity Balances as at 30 June end of period. Agency Statements Volume 3 17

24 Green Industries Office of Green Industries SA Statement of cash flows Operating activities $000 $000 $000 $000 Cash outflows Employee benefit payments Payments for supplies and services Grants and subsidies Intra-government transfers Other payments Cash used in operations Cash inflows Intra-government transfers Interest received Cash generated from operations Net cash provided by (+)/used in (-) operating activities Investing activities Cash outflows Purchase of property, plant and equipment Cash used in investing activities 417 Net cash provided by (+)/used in (-) investing activities -417 Financing activities Cash inflows Cash transfers from restructuring activities Cash generated from financing activities Net cash provided by (+)/used in (-) financing activities Net increase (+)/decrease (-) in cash equivalents Cash and cash equivalents at the start of the period Cash and cash equivalents at the end of the period Agency Statements Volume 3

25 Green Industries Summary of major variations The following commentary relates to variations between the and the. Statement of comprehensive income controlled Expenses The $5.0 million increase in expenses is primarily due to: additional expenditure authority allocated to new programs primarily relating to Waste Infrastructure, Investment and Innovation, and Local Government Waste and Resource Recovery programs ($2.9 million) increased intra-government transfer expenditure associated with a series of climate change programs ($2.7 million). Income The $5.9 million increase in income is primarily due to: intra-government transfers from the Environment Protection Authority for higher solid waste levy receipts ($5.3 million) increased interest revenue resulting from a higher solid waste levy cash balance ($0.6 million). Statement of financial position controlled The $18.0 million increase in net assets is primarily due to the increase in cash deposits in the Waste to Resources Fund. Statement of cash flows controlled The movements in cash outflows and inflows are generally consistent with the changes discussed above under the statement of comprehensive income and the statement of financial position. Agency Statements Volume 3 19

26 Green Industries 20 Agency Statements Volume 3

27 Agency: Department for Health and Ageing Minister for Health Minister for Mental Health and Substance Abuse Minister for Ageing Agency Statements Volume 3 21

28 Health and Ageing 22 Agency Statements Volume 3

29 Health and Ageing Contents Objective Ministerial responsibilities Ministerial office resources Workforce summary Program net cost of services summary Investing expenditure summary Program 1: Policy, Clinical Services, System Transformation and Administration Program 2: Health Services Financial statements Summary of major variations Additional information for administered items Agency Statements Volume 3 23

30 Health and Ageing Objective For the purpose of this statement, the Department for Health and Ageing comprises the Department for Health and Ageing, Central Adelaide Local Health Network, Northern Adelaide Local Health Network, Southern Adelaide Local Health Network, Women s and Children s Health Network, Country Health SA Local Health Network and SA Ambulance Service, with transactions occurring between these entities. The program structure in the Agency Statements reflects the governance arrangements within the Department for Health and Ageing as at 30 June The current local health network structure is responsible for the provision of health services in accordance with the Health Care Act 2008 and performance agreements. Ministerial responsibilities Minister Programs Sub-programs The Hon. JJ Snelling Minister for Health 1. Policy, Clinical Services, System Transformation and Administration 1.1 System Performance and Service Delivery 1.2 Finance and Corporate Services 1.3 Transforming Health 2. Health Services 2.1 Central Adelaide Local Health Network 2.2 Northern Adelaide Local Health Network 2.3 Southern Adelaide Local Health Network 2.4 Women s and Children s Health Network 2.5 Country Health SA Local Health Network 2.6 SA Ambulance Service The Hon. ZL Bettison Minister for Ageing (a) The Hon. L Vlahos Minister for Mental Health and Substance Abuse (b) (a) (b) The Minister for Ageing s salary and office resources are not administered within this agency, however her responsibilities as Minister for Ageing form part of sub-program 1.2 Finance and Corporate Services. The Minister for Mental Health and Substance Abuse s salary and office resources are not administered within this agency, however her responsibilities as Minister for Mental Health and Substance Abuse form part of both programs 1 and 2. Administered items In addition to the above responsibilities, the agency administers the following items on behalf of the minister: Health and Community Services Complaints Commissioner s salary Health and Medical Research Fund Minister for Health s salary 24 Agency Statements Volume 3

31 Health and Ageing Statutes The Department of the Premier and Cabinet maintains a list of statutes applicable to ministers. Ministerial office resources Cost of provision Minister $000 FTE The Hon. JJ Snelling Workforce summary Agency (a) FTEs as at 30 June (a) (b) Department for Health and Ageing Administered items for the Department for Health and Ageing Total (a) (b) The and the reflect the established FTE cap. The (excluding administrative items) reflects data published by the Office for the Public Sector (Department of the Premier and Cabinet). Note: Administered items for the Department for Health and Ageing include the Minister and the Health and Community Services Complaints Commissioner. Program net cost of services summary Net cost of services Program $000 $000 $000 $ Policy, Clinical Services, System Transformation and Administration (a) Health Services (a) Total Reconciliation to agency net cost of providing services Add: Net costs transferred out: Health and Medical Research Fund to the Department of Health and Ageing Administered Items in Equals: Net cost of providing services (as per agency statement of comprehensive income) (a) This reconciliation shows the difference between the program notes and the financial statements. Agency Statements Volume 3 25

32 Health and Ageing Investing expenditure summary The investment program is $3.187 billion. The program represents ongoing strong investment in health infrastructure through the Transforming Health initiative to improve the state health care system s safety, efficiency and effectiveness ensuring all South Australians have access to the right care in the right place at the right time. The program will continue the implementation of Transforming Health investing initiatives at Flinders Medical Centre, Modbury Hospital, Noarlunga Health Service, The Queen Elizabeth Hospital and the establishment of a Veterans Mental Health Precinct at Glenside. In addition to the Transforming Health initiatives, an upgrade of the Neonatal Unit at Flinders Medical Centre will commence and a second Cardiovascular Intervention Suite at the Lyell McEwin Hospital Redevelopment will be completed. Investment in SA Ambulance infrastructure will continue. The program will commence a Rescue Retrieval and Aviation Services Base, continue the stretcher replacement program, and construction of new ambulance stations at Noarlunga and Seaford. A number of key initiatives including the new Royal Adelaide Hospital and the implementation of an enterprise pathology information system will also be completed. The investing program includes the recognition of the finance lease associated with the new Royal Adelaide Hospital. completion Total project cost Investments Quarter $000 $000 $000 $000 New projects Lyell McEwin Hospital Second Cardiovascular Intervention Suite (CVIS) and expanded patient holding bay... Jun Qtr Rescue, Retrieval and Aviation Services Base... Jun Qtr Sale of the Repatriation General Hospital Site (disposal costs)... Jun Qtr Total new projects Existing projects Enterprise Pathology Laboratory Information System (a)... Jun Qtr Enterprise Patient Administration System (b)... Jun Qtr Flinders Medical Centre Neonatal Unit Jun Qtr New Royal Adelaide Hospital Site Works (c)... Jun Qtr SA Ambulance Service Stretcher Replacement Program (d)... Jun Qtr SA Health Supply Distribution Centre (e)... Jun Qtr Transforming Health Flinders Medical Centre (f)... Jun Qtr Transforming Health Modbury Hospital... Jun Qtr Agency Statements Volume 3

33 Health and Ageing completion Total project cost Investments Quarter $000 $000 $000 $000 Transforming Health Noarlunga Health Service (g)... Jun Qtr Transforming Health SA Ambulance Service... Jun Qtr Transforming Health The Queen Elizabeth Hospital... Jun Qtr Veterans' Mental Health Precinct... Jun Qtr Women s and Children s Hospital Upgrade... Jun Qtr Small projects Total existing projects Annual programs Bio-Medical Equipment... n.a. n.a Compliance Program... n.a. n.a Hospitals and Health Units Minor Works... n.a. n.a Purchases from Special Purpose Funds... n.a. n.a SA Ambulance Service Vehicle Replacement... n.a. n.a Small Programs... n.a. n.a Total annual programs Public private partnership New Royal Adelaide Hospital... n.a Total public private partnerships Total investing expenditure (h) (a) (b) (c) (d) (e) (f) (g) (h) The total project cost including operating expenses for Enterprise Pathology Laboratory Information System is $29.6 million. The total project cost approved including project operating expenses for Enterprise Patient Administration System is $179.2 million. The total project cost includes approved budget held in central contingencies as approved by Cabinet. The total project cost including operating project expenses for new Royal Adelaide Hospital Site Works is $463.6 million. The total project cost including operating project expenses for Stretcher Replacement Program is $15.5 million. The total project cost including operating project expenses for SA Health Supply Distribution Centre is $10 million. The total project cost including operating project expenses for Flinders Medical Centre Transforming Health is $170.5 million. The total project cost including operating project expenses for Noarlunga Health Service Transforming Health Redevelopment is $12.4 million. The difference between the total investing expenditure and the total investing payments contained in the statement of cash flows relates to the recognition of the finance lease associated with the new Royal Adelaide Hospital. Agency Statements Volume 3 27

34 Health and Ageing Program 1: Policy, Clinical Services, System Transformation and Administration Description/objective Responsible for health policy and promotion, clinical services and administration associated with the provision of health services across South Australia. Sub-programs 1.1 System Performance and Service Delivery 1.2 Finance and Corporate Services 1.3 Transforming Health Program summary expenses, income and FTEs $000 $000 $000 $000 Expenses Employee benefit expenses Supplies and services Depreciation and amortisation expenses Borrowing costs Grants and subsidies Intra-government transfers Other expenses Total expenses Income Commonwealth revenue Fees, fines and penalties Sales of goods and services Interest revenues Net gain or loss from disposal of assets Resources received free of charge Other income Total income Net cost of providing services FTEs as at 30 June (No.) (a) (a) The reduction in FTE in, with offsetting increases in program 2, is primarily associated with the de-centralisation of corporate functions largely relating to human resources and finance services. 28 Agency Statements Volume 3

35 Health and Ageing Sub-program 1.1: System Performance and Service Delivery Description/objective Responsible for the coordination of operational health service delivery and clinical support service reform strategies across the state, including the coordination of aboriginal health, mental health, drug and alcohol services, public health and clinical systems services $000 $000 $000 $000 Expenses Income Net cost of sub-program FTEs as at 30 June (No.) (a) (a) The reduction in FTE in, with offsetting increases in program 2, is primarily associated with the de-centralisation of corporate functions relating to human resources. Financial commentary / The $0.9 million increase in expenses is primarily due to: annual indexation including enterprise agreements ($4.2 million) partially offset by growth in savings targets as part of previous state budgets ($3.3 million). The $7.9 million decrease in income is primarily due to reduced contributed asset revenue from the Commonwealth Government for Essential Vaccines ($8.8 million). / The $22.6 million increase in expenses is primarily due to additional expenditure from activities associated with supporting the delivery of health services ($18.9 million). The $12.2 million increase in income is primarily due to additional contributed asset revenue from the Commonwealth Government for Essential Vaccines ($8.0 million). / The $13.2 million decrease in expenses is primarily due to: reduced expenditure, with offsetting increases in program 2, associated with the decentralisation of corporate functions primarily relating to human resources ($23.3 million) growth in savings targets approved as part of previous state budgets ($16.2 million) partially offset by additional expenditure from activities associated with supporting the delivery of health services ($18.9 million) annual indexation including enterprise agreements ($6.6 million). Agency Statements Volume 3 29

36 Health and Ageing The $8.4 million decrease in income is primarily due to: net reduction in Commonwealth Government funding associated with various initiatives ($16.4 million) partially offset by additional contributed asset revenue from the Commonwealth Government for Essential Vaccines ($8.0 million). Highlights Implemented the Same Day Surgery Policy Directive. Developed a consistent process for the transfer of patients requiring urgent surgery or surgical assessment. Developed the SA Medical Workforce strategy guiding the development of the future medical workforce. Developed a workforce strategy for delivering Transforming Health. Commissioned the online management system permitting the completion of the Aboriginal Health Impact Statement online enabling the monitoring and review of Aboriginal outcomes in health system initiatives. Developed and monitored SA Health local implementation plans for the National HIV and Hepatitis C strategies. Implemented a Hepatitis B training program for general practitioners, in partnership with the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine. Developed and implemented the SA Health Emergency Management System (SAHEMS) in response to the January 2015 Sampson Flat bushfire. Targets Facilitate the transition of relevant clients onto National Disability Insurance Scheme through support of development of Local Health Network Work Plans aligned to Department of Communities and Social Inclusion Operational Plan. Complete the Department of Health and Ageing s Disability Access and Inclusion Plan (DAIP) and support local health networks to complete Network level DAIP. Align the draft Acute and Aged Care Taskforce model of care framework to inform Transforming Health s Frailty in Older People model of care. Implement Leadership Development program across SA Health. Renewal of SA Health Cultural Respect Framework and SA Health Aboriginal Health Care Plan Build capacity of general practitioners in South Australia to treat hepatitis C infection using newly PBS listed direct acting agents within a coordinated statewide model of care, thereby increasing the number of people receiving hepatitis C treatment by 50 per cent to meet the National Hepatitis C strategy treatment target. Double the number of councils engaged in the Food Safety Rating Scheme and in doing so, capture over 50 per cent of high risk food businesses in the state. Develop and implement a centralised statewide trauma registry. Embed healthy lifestyle behaviours into workplace culture across the civil construction, manufacturing, apprenticeships and defence related industries through the men s health strategy state government election commitment. 30 Agency Statements Volume 3

37 Health and Ageing Performance indicators No. of intern placements The Target has been set in line with service needs and ability to provide appropriate supervision. South Australia s Strategic Plan targets: T26 Early childhood birth weight low birth weight: Target Target total population <6.5% 6.5% <6.5% 6.5% Aboriginal and/or Torres Strait Islander Source: SA Health, Pregnancy Outcomes Unit. The is based on 2014 provisional data. T53 Aboriginal employees % of Aboriginal employees in the Department for Health and Ageing Source: SA Health Workforce Reporting. The is based on employee data as at 30 June The is based on employee data as at December T80 Smoking prevalence <6.5% 13.3% <6.5% 13.3% 2% 1% 2% 1% Daily Smoking Prevalence % 13.7% 12.2% 14.2% Daily Smoking Prevalence 15+ Source: South Australian Health and Medical Research Institute. This target is measured on three year averages is the three year average of the prevalence recorded in 2013, 2014 and Aboriginal Daily Smoking Prevalence 18+ Aboriginal Daily Smoking Prevalence 18+ Source: COAG Reform Council 2010, National Indigenous Reform Agreement: Baseline performance report for (Australian Bureau of Statistics, National Aboriginal and Torres Strait Islander Social Survey (NATSISS) 2008) state level data from the National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) will be available mid % n.a. 30.6% n.a. T81 Alcohol consumption risky alcohol consumption 23.8% 26.3% 24.4% 27.2% T82 Healthy weight Adults 40.6% 36.8% 41.1% 39.3% children 78.2% 76.1% 77.3% 74.0% Source: SA Health, South Australian Monitoring and Surveillance System. The is based on the 2014 calendar year and the relates to the 2015 calendar year. Children are defined as 5 to 17 years old. T84 Health service standard 90.0% 66.0% 90.0% 64.0% By 2016, 90 per cent of patients presenting to a public hospital emergency department will be seen, treated, and either discharged or admitted to hospital within four hours. and source: Health Information Portal (Emergency Department Data Collection). T85 Chronic diseases people living with chronic 77.6% 72.3% 77.6% 71.6% disease who self-assess their health status as good, very good, or excellent. Source: SA Health. South Australian Monitoring and Surveillance System. The is based on 2014 calendar year data. The is based on 2015 calendar year data. The Target reflects performance to 31 December 2016 only. T86 Psychological wellbeing psychological distress <10.8% 11.3% <10.8% 11.3% Source: Australian Bureau of Statistics Australian Health Survey (AHS). The and are based on ABS AHS data. The Target reflects performance to 31 December 2016 only. % of children fully immunised at age 12 months 95% 92% 95% 92% Target is set at 95 per cent as this is the percentage coverage that is often required to interrupt transmission of disease and this target is nominated in the National Partnership Agreement. % of children fully immunised at age two years 92% 90% 90% 88% Agency Statements Volume 3 31

38 Health and Ageing % of food businesses in compliance with food safety standards The is due to the focus on Priority Risk Classification, requiring Environmental Health Officers to identify intrinsic risks in food and food processing. It also indicates confidence to use enforcement actions. The relies upon consistent application of food premises inspections by 68 councils and food businesses being able to respond with acceptable food safety improvements within a fixed timeframe. No. of expiation notices served under Tobacco Products Regulation Act 1997 High level compliance resulted in lower than expected expiation notices served in. No. of premises inspected for compliance with the Tobacco Products Regulation Act 1997 % compliance with legislative standards for tobacco: Target Target % 87% 95% 87% metropolitan 90% 90% 90% 85% country The Target has been rebased as a result of the change in the screening and compliance assessments using the new collection system (Public Health Management System). % of initial health risk assessments provided to the Environment Protection Authority within two months of receipt of soil contamination data 90% 90% 90% 85% 100% 100% 100% 100% No. of red blood cell packs issued to South Australia No. of vaccines dispensed No. of providers participating in the Australian Childhood Immunisation Register No. of food samples analysed The number of samples taken each year is made up of planned surveys and outbreak investigation samples. No. of food inspections conducted in areas not covered by local governments There are currently approximately 150 food businesses in unincorporated areas and all high and medium risk premises will be visited at least once per reporting year. % of water quality Type 1 incidents that were actioned within 24 hours % 100% 100% 100% No. of women screened for cervical cancer % of women screened for cervical cancer in target population (aged years) every 24 months The Target has been rebased to reflect a consistent calculation methodology with ABS population data. 55% 56% 56% 58% Average time for blood lead level results to be available 1 week 1 week 1 week 1 week % of Aboriginal mothers who smoke during pregnancy The reflects 2014 calendar year provisional data. Data for was not available at the time of publication. % Aboriginal women who gave birth and reported to have made 7 or more antenatal visits The reflects 2014 calendar year provisional data. Data for was not available at the time of publication. % of Aboriginal mothers whose first antenatal care session occurred in the first trimester (<14 weeks) The reflects 2014 calendar year provisional data. Data for was not available at the time of publication. The expansion of the Aboriginal Maternal Infant Care Program through the COAG investment has improved Aboriginal families access to services that improve birthing outcomes. 40% n.a. 40% 49% 80% n.a. 80% 70% 80% n.a. 80% 62% 32 Agency Statements Volume 3

39 Health and Ageing Activity indicators % of children tested for blood lead levels in Port Pirie The for is lower than the projection due to greater improvements in lead exposure than predicted leading to children at low risk with low blood lead levels withdrawing from the program at 3 years of age as well as children moving away from Port Pirie. Aboriginal employment activities implemented: Projection Projection % 74% 79% 74% no. of new recipients no. of scholarship graduates no. of Aboriginal employees n.a The number of Aboriginal employees is based on data as at 30 June This indicator will no longer be reported as it is recognised separately above as T53 Aboriginal employees % of Aboriginal employees in the Department for Health and Ageing no. of Aboriginal scholarship participants Aboriginal adult and child health checks per 1000 people % Aboriginal people who leave hospital against medical advice or are discharged at their own risk <5.0% 5.0% 5.8% 5.7% Drug and Alcohol Services South Australia: no. of in-patient separations (non-hospital) This indicator includes clients accessing withdrawal services and residential rehabilitation. no. of outpatients attendances This indicator reflects those clients registered with Drug and Alcohol Services South Australia as receiving outpatient counselling or Medication Assisted Treatment for Opioid Dependence. This indicator includes attendances across metropolitan and country services Sub-program 1.2: Finance and Corporate Services Description/objective Responsible for delivery of services related to finance, procurement and supply, legal and policy, intergovernmental relations, aged care, media and communications, infrastructure, and information technology $000 $000 $000 $000 Expenses Income Net cost of sub-program FTEs as at 30 June (No.) (a) (a) The reduction in FTE in, with offsetting increases in program 2, is primarily associated with the de-centralisation of corporate functions largely relating to finance services. Agency Statements Volume 3 33

40 Health and Ageing Financial commentary / The $19.5 million increase in expenses is primarily due to: reclassification of investing expenditure into operating expenditure and other costs associated with the implementation of the Enterprise Patient Administration System (EPAS) ($18.9 million) annual indexation including enterprise agreements ($7.4 million) partially offset by growth in savings targets approved as part of previous state budgets ($5.6 million). / The $65.9 million increase in expenses is primarily due to: additional expenditure associated with the implementation of EPAS, predominantly at the new Royal Adelaide Hospital and The Queen Elizabeth Hospital ($34.8 million) additional expenditure from activities associated with supporting the delivery of health services ($27.3 million) net increase in depreciation and amortisation expense associated with various projects ($2.4 million). / The $25.2 million decrease in expenses is primarily due to: higher than budgeted inventory costs in related to cost of goods sold associated with the Distribution Centre and net write off of obsolete vaccines ($23.3 million) higher than budgeted revaluation of insurance claim provisions in following an independent actuarial assessment of the current liabilities ($19.3 million) reduced expenditure in, with offsetting increases in program 2, associated with the decentralisation of corporate functions primarily relating to finance services ($14.7 million) growth in savings targets approved as part of previous state budgets ($8.8 million) partially offset by additional expenditure from activities associated with supporting the delivery of health services ($27.3 million) re-profiling of expenses associated with the delivery of the EPAS ($7.0 million) annual indexation including enterprise agreements ($5.7 million). The $2.7 million decrease in income is primarily due to: higher than budgeted interest revenue earned on cash balances ($3.9 million) partially offset by annual indexation on provision of services revenue ($0.7 million). Highlights Completed the implementation of a new Enterprise Systems for Medical Imaging (ESMI) to the Royal Adelaide Hospital, Repatriation General Hospital, and Flinders Medical Centre. 34 Agency Statements Volume 3