South East Regional Hospital Joint Consultative Committee 1614 Tathra Road Bega 23 November 2015 Chairperson: Kate Lyons, Executive Director Clinical Operations
1956 2016
INTRODUCTION
The opening of South East Regional Hospital (SERH) is both exciting and good news in terms of health services and employment in the Bega region. The $187 million South East Regional Hospital is on target to begin accepting patients in March next year Services to be provided include: an expanded emergency department, including an emergency medical unit more critical care services, incorporating intensive care, high dependency and cardio beds in the one unit
Surgical services acute medical, stroke, maternity and paediatric services Drug and Alcohol services Inpatient sub-acute care unit Palliative care services Inpatient mental health service with up to 20 beds
Community and primary health care services A range of clinical support services including medical imaging, pharmacy and pathology Medical record, information technology and tele-health infrastructure Teaching and training Car parking for 500 vehicles
Key Principles
There will be no loss of jobs SNSWLHD will continue to meet all award requirements including NHPPD SNSWLHD will work with all unions will be consulted on transition arrangements Consultation with staff and unions will continue with further meetings planned for 16 December 2015 and 20 January 2016 SNSWLHD through various forums will provide an update on progress over the coming 2 to 3 months a timetable for consultation will be developed and distributed
Staff currently working at Bega will move directly across to SERH Pambula staff will be provided with preference Pambula staff will have training needs assessed if moving to SERH
Pambula Health Service
Pambula District Hospital Current service 30 beds Emergency department (doctor led) Limited day surgery Proposed service 12 beds Assessment, Treatment & Care Centre (ATC) (nurse led) No surgical service
Pambula District Hospital Assessment, Treatment & Care Centre service Nurse-led Walk-in patients only No ambulance presentations Supported by telehealth from SERH In patient service Palliative Care Transfer from other hospitals short term management prior to discharge Critically ill or unstable patients transferred to SERH Diagnostics eg Point of Care testing Patient cohort adult and elderly
Community health services continue Mental Health and Drug & Alcohol outreach service Integrated and networked part of Bega Valley Health Service General Manager and Director Medical Services point of escalation
South East Regional Hospital (SERH)
SERH Maximum capacity to 2021 Service Current bed Capacity Proposed Bed Capacity Net Additional Capacity Acute Medical Inpatient 52 (+6 shelled) Acute Surgical Inpatient 30 24 46 (6 shelled) Surgical Extended Day Only 6 6 Integrated Intensive Care 6 10 4 Birthing Suite 3 2-1 Obstetric Beds 0 4 2 Paediatrics 7 4-3 Paediatric (Day only) 0 4 4 Sub Acute and Rehabilitation 0 20 20 Acute Mental Health (Adult) 6 12 6 Sub Acute Mental Health (Adult) 0 8 8 Total Beds 54 146 (6 shelled) 92
Service Current Bed Capacity Proposed Bed Capacity Net Additional Capacity Day Surgery spaces 5 8 3 Emergency Acute Bays 6 15 9 Emergency Fast Track 0 3 3 Emergency Medical Unit (23hr) 0 4 4 Renal Dialysis 4 8 4 Medical Oncology / Haematology 6 12 6 Oral Health 0 3 (1 shell) 3 (1 shell) Total Ambulatory Care Spaces 26 56 30 Operating Theatres 2 3 (+1 shell) 1 + shell Procedure room 0 1 1 Total Theatres / Procedure Rooms 2 4 (1 Shell) 2 (1 shell) Total All beds/ambulatory& Theatre 82 206 + shelled 124
Mental Health and Drug & Alcohol Service
Mental Health Community MHDA Currently: Based at Pambula; outreach to Bega & Eden March 2016: Based at SERH; outreach to Pambula & Eden No change to staff numbers or roles
Mental Health Inpatient Services Currently: 6 beds (4 acute, 2 HDU) SERH: 20 beds (6 acute, 6 HDU, 8 sub-acute) Phase 1 March 2016: 12 beds (6 acute, 6 HDU) Phase 2 to be confirmed
Mental Health Triage and Emergency Care Service (TECS) Currently: Based in MH unit Bega March 2016: Based in SERH in dedicated rooms adjacent to ED Work on sound proofing to be completed before March 2016 No change to staff numbers or roles
Mental Health Other SERH additions Safe assessment room and MHDA interview room in ED Rooms on Medical ward suitable for D&A detoxification Rooms on Paediatric ward suitable for appropriate CAMHS admissions Note: these additions will provide better facilities for activity already occurring, they will not result in new kinds of activity
Workforce Profiles
Hospital Services in the Bega Valley From 7 March 2016 SERH SERH PAMBULA 20 Bed Medical Ward 7 Bed Maternity Unit 12 Bed Inpatient Ward 16 Bed Surgical Ward 6 Bed Paediatric Unit Assessment, Treatment & Care Clinic 12 Bed Subacute Unit 6 Renal Dialysis Chairs 12 Bed Mental Health Unit 2 Operating Rooms & 1 Procedure Room 6 Bed HDU/ICU Emergency Department.
Other Service Changes AREA Pharmacy Allied Health Pre-admission Clinic Medical Records HASA/Wardsmen Stores Community Health Pathology NATURE OF CHANGE Enhanced Service Enhanced Service Enhanced Service Enhanced Service Restructure/Replacement of Contract Security Enhanced Service No Change No Change
Summary of Changes: Med/Surg/Subacute/Pambula Current Situation Bed Numbers Productive FTE Total FTE Current Bega Medical Ward 22 18.8 22.1 Current Bega Surgical Ward 18 16.6 19.4 Current Pambula Ward 20 18.1 21.3 Total 60 53.5 62.7 SERH Medical/Surgical/Subacute & Pambula Bed Numbers Bed Numbers Productive FTE Total FTE SERH Medical Ward 20 18.4 21.5 SERH Surgical Ward 16 15.1 17.6 SERH Subacute Unit 12 19.5 22.6 Pambula Bed Ward 12 12.1 14.2 Total 60 65.0 76.0 Net Change 0 11.5 13.2
SERH Medical Ward: Specific changes Staff Change FTE RN 1.74 EN -2.49 NUM L2 0.23 Total -.52
SERH Surgical Ward: Specific changes Staff Change FTE EN -1.74 Total -1.74
Pambula Ward: Specific changes Staff Change FTE RN -2.05 EN -5.66 NUM L3 0.13 AO3 0.89 AO2-0.42 Total -7.11
SERH Subacute Unit: Specific changes Staff Change FTE RN 5.66 EN 5.66 NUM L2 1.13 CNE 0.45 AO3 Ward Clerk 1.19 Senior Staff Specialist 0.48 Physiotherapist L3 1.19 Physiotherapist L2 0.48 Occupational Therapist L3 1.19 Speech Pathologist L2 0.60 Dietician L2 0.48 Social Worker L2 1.19 Pharmacist G2 0.56 Technical Assistant Grade 1 2.36 Total 22.62
Summary of Changes: Operating Rooms(OR) Productive FTE Total FTE Current Total Bega and Pambula ORs 26.2 30.6 SERH OR CSSD Changes 5.5 6.5 SERH 12 hrs Increased OR Time 5.1 6.0 Total Increase 10.6 12.5
OR Staff: Specific changes Staff Change FTE RN 3.20 EN 0.37 AO5 Senior Wait List Clerk 1.19 CSSD Manager HSM 1 1.19 CSSD Technician 5.27 Operating Room Assistant 1.24 Total 12.48
Summary of changes: Emergency Departments Productive FTE Total FTE Current Bega ED 10.5 12.3 Current Pambula ED 5.2 6.2 Current Total ED 15.7 18.5 Productive FTE Total FTE SERH ED 15.5 18.2 Pambula ATC 2.9 3.5 Total Post March 2016 18.4 21.7 Total Net change 2.7 3.18
Pambula ED to ATC: Specific changes Staff Change FTE RN -2.67 Total -2.67
Bega to SERH ED: Specific changes Staff Change FTE RN 3.92 NUM L2 0.63 AO3 1.31 Total 5.85
Summary of Change: ICU Bed Numbers Productive FTE Total FTE Bega ICU 6 16.4 19.2 SERH ICU 6 17.0 19.9 Increase 0 0.6 0.6 Staff Change FTE NUM.63 P/T Director of ICU VMO
Summary of change: Maternity Bed Numbers Productive FTE Total FTE Current Bega Maternity Unit 5 9.4 10.9 SERH Maternity 7 11.2 13.1 Increase (2 nd Midwife on ND) 2 1.84 2.18
Summary of Changes: Paediatrics Bed Numbers Productive FTE Total FTE Current Bega Paediatrics 7 5.0 5.9 SERH Paediatrics 6 9.6 11.3 Increase -1 4.6 5.43 Staff Change FTE RN Y1 4.42 NUM L1 1.01
Summary of Initial Changes: Mental Health Bed Numbers Productive FTE Total FTE Current Bega Unit 6 15.9 18.7 SERH Unit 12 27.7 34.1 Increase 6 11.8 15.4
Specific Initial Changes: Mental Health Staff Change FTE RN 11.32 EN -3.48 AO3 0.48 Social Worker L2 1.19 HASA 5.22 CMO G2 Y2 0.71 Total 15.44
Further New Staff in Mental Health Staff Type FTE Recruitment By SERH Mental Health OT 1.13 Jul-16 SERH Mental Health CNC 1.13 Jul-16 SERH Mental Health Pharmacist 0.45 Jul-16 SERH Mental Health CNE 0.57 Jan-17 SERH Mental Health Psychologist 1.13 Jan-17 SERH Mental Health Consumer Advocate Total Increase 4.61 0.2 Jan-17
HASA & Wardsmen Productive FTE Total FTE Current Bega & Pambula HASA & Wardsmen 8.7 10.3 SERH & Pambula HASA & Wardsmen 15.4 18.1 Total Net Change 6.7 7.85 Staff Change FTE Manager Patient Support HSM1 1.19 HASA 12.19 Wardsmen -5.54 Total 7.85
Specific Changes: Other Areas Area Staff Change FTE Cluster Management Hospital Assistant G3 Stores 0.65 SERH Pre-admission Clinic RN 0.89 SERH Pre-admission Clinic AO3 0.48 SERH Renal Unit RN 0.75 SERH Med Records & Clin Info AO6 Senior Coder 1.13 Pambula General Admin Exec AO3-1.66 Total 2.23
Human Resources
Staff Consultation Workplace Consultative Committees bi-monthly agenda (minutes available) A number of the WCC meetings scheduled were not held due to no staff attendance Staff meetings monthly Bega & Pambula Department Managers Meetings monthly Verification visits to site Change Management workshops Models of Care
Staff Forums Let s get moving how to ensure departments and units are ready to move Planning Change management Decluttering Managing the move Human resources Communication - staff newsletters Information (ICT) Commissioning Move readiness Move plans
Change Management Change management meetings monthly Change readiness survey 8 September 2015 Departmental Change Management plans Scheduled Departmental & interdisciplinary meetings ICT workshops Steri-health clinical waste trial
Administration Change Management Workshop
Human Resource Planning Annual leave management plan Maximum staff on duty for transition Training timetable Move roster Orientation timetable Post move process for staff
Move Readiness
Move readiness Move readiness survey Departmental readiness survey ICT Open Forum 17 November 2015 (Q & A) Communications Workshop 24 November 2015 Order of March Workshop 25 November 2015 Move & logistics Plan Gantt Chart
Issues raised with SNSWLHD
Potential excess staff at Pambula how will this be dealt with? If there are more staff from Pambula wishing to move to SERH than can be accommodated, how will SNSWLHD manage this? Skill mix changes what are the changes for staff? Rotation of staff across SERH and Pambula District Hospital to maintain staff skills HASA/security roles Management structure IT and new systems
Plans
Helipad Ambulance Site Bega Tathra
Overall Floor Plan
Overall Floor Plan (Level 2)
Overall Floor Plan (Level 3)
Further Information Further information regarding SERH and photographs are available at: http://www.snswlhd.health.nsw.gov.au/ Further information regarding Pambula Health Service Community Engagement Committee (PHSCEC) is available at: http://www.snswlhd.health.nsw.gov.au/community-engagement /page