❓ Analysis of cost savings and additional costs associated with the relocation of maternity services from Woodside to Kaleeya Hospital. The move resulted in overall savings, but also incurred additional expenses in various budget items.
AnsweredQoN 5657Legislative Council
QuestionView source ↗
(2) What were the overall savings in, -
(a) the first 12 months ending 1 April 2007; and
(b) in the 12 months ending 30 June 2007?
(3) I refer to the answers to (2)(a) and (2)(b), and ask, -
(a) in what budget items and areas were the savings achieved; and
(b) in what budget items and areas were additional costs incurred?
(4) What deficiencies, if any, were there in the feasibility study upon which the move was based?
(a) the first 12 months ending 1 April 2007; and
(b) in the 12 months ending 30 June 2007?
(3) I refer to the answers to (2)(a) and (2)(b), and ask, -
(a) in what budget items and areas were the savings achieved; and
(b) in what budget items and areas were additional costs incurred?
(4) What deficiencies, if any, were there in the feasibility study upon which the move was based?
AnswerView source ↗
Answered
18 February 2008
Responded by
Minister for Child Protection representing the Minister for Health
Response time
75 days
(1) - (4)
The decision to move maternity services from Woodside to Kaleeya Hospital was based on a feasibility study that clearly identified the cost savings Kaleeya Hospital would provide. There were no deficiencies identified in this feasibility study and the planned savings have been achieved. As a result of moving maternity services from Woodside Hospital to Kaleeya Hospital, the overall savings for the first 12 months ending 1 April 2007 was $855,437. In addition, the overall savings for the 12 months ending 30 June 2007 was $635,905.
Other non-financial benefits of the transfer include:
· Increased obstetric services at the Maternity Unit during the day with the appointment of an Obstetric Registrar to provide on site cover and commencement of an Antenatal Clinic providing Obstetric Consultant services;
· Increased paediatric services at the Maternity Unit with Paediatric Registrars from Fremantle Hospital providing a daily ward round and paediatric cover during the day, appointment of a sessional Paediatric Consultant and recruitment of additional Consultants to participate in the after hours on-call roster;
· Improving the skills of midwives and doctors with additional education and training in neonatal resuscitation and CTG monitoring;
· Providing greater opportunities for midwives to access training with the appointment of a dedicated staff development nurse for the Maternity Unit;
· Strengthened clinical and corporate governance of the Maternity Unit through incorporation into existing Kaleeya Hospital management structures;
· Better access for maternity patients to a range of support services such as pharmacy, phlebotomy, radiology and infection control, which are provided on-site at Kaleeya;
· Ability to support post-natal patients and their families in the community with the expansion of the visiting home midwifery service; and
· Improved security with the installation of CCTV on the surgical ward for maternity patients who are occasionally accommodated in this ward.
(a) Savings were achieved in a number of areas.
For the first 12 months ending 1 April 2007, savings were achieved in:
- operating costs;
- staff redeployment/resignation;
- medical salaries;
- other staffing costs;
- drug supplies; and
- revenue.
For the 12 months ending 30 June 2007, savings were achieved in:
- nursing salaries;
- administration salaries;
- medical salaries;
- other staffing costs;
- superannuation;
- food supplies;
- drug supplies;
- domestic charges; and
- revenue.
(b) Additional costs were incurred in some areas.
For the first 12 months ending 1 April 2007, additional costs were incurred in:
- nursing salaries;
- administration salaries;
- hotel services salaries;
- superannuation;
- food supplies;
- domestic charges;
- medical, surgical and diagnostic supplies;
- purchase of services;
- equipment (non capital);
- repairs and maintenance;
- other expenses;
- depreciation and amortisation expenses;
- energy and water; and
- laundry.
For the 12 months ending 30 June 2007, additional costs were incurred in:
- hotel services salaries;
- medical, surgical and diagnostic supplies;
- purchase of services;
- equipment (non capital);
- repairs and maintenance;
- other expenses ;
- depreciation and amortisation expenses;
- energy and water; and
- laundry.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
The decision to move maternity services from Woodside to Kaleeya Hospital was based on a feasibility study that clearly identified the cost savings Kaleeya Hospital would provide. There were no deficiencies identified in this feasibility study and the planned savings have been achieved. As a result of moving maternity services from Woodside Hospital to Kaleeya Hospital, the overall savings for the first 12 months ending 1 April 2007 was $855,437. In addition, the overall savings for the 12 months ending 30 June 2007 was $635,905.
Other non-financial benefits of the transfer include:
· Increased obstetric services at the Maternity Unit during the day with the appointment of an Obstetric Registrar to provide on site cover and commencement of an Antenatal Clinic providing Obstetric Consultant services;
· Increased paediatric services at the Maternity Unit with Paediatric Registrars from Fremantle Hospital providing a daily ward round and paediatric cover during the day, appointment of a sessional Paediatric Consultant and recruitment of additional Consultants to participate in the after hours on-call roster;
· Improving the skills of midwives and doctors with additional education and training in neonatal resuscitation and CTG monitoring;
· Providing greater opportunities for midwives to access training with the appointment of a dedicated staff development nurse for the Maternity Unit;
· Strengthened clinical and corporate governance of the Maternity Unit through incorporation into existing Kaleeya Hospital management structures;
· Better access for maternity patients to a range of support services such as pharmacy, phlebotomy, radiology and infection control, which are provided on-site at Kaleeya;
· Ability to support post-natal patients and their families in the community with the expansion of the visiting home midwifery service; and
· Improved security with the installation of CCTV on the surgical ward for maternity patients who are occasionally accommodated in this ward.
(a) Savings were achieved in a number of areas.
For the first 12 months ending 1 April 2007, savings were achieved in:
- operating costs;
- staff redeployment/resignation;
- medical salaries;
- other staffing costs;
- drug supplies; and
- revenue.
For the 12 months ending 30 June 2007, savings were achieved in:
- nursing salaries;
- administration salaries;
- medical salaries;
- other staffing costs;
- superannuation;
- food supplies;
- drug supplies;
- domestic charges; and
- revenue.
(b) Additional costs were incurred in some areas.
For the first 12 months ending 1 April 2007, additional costs were incurred in:
- nursing salaries;
- administration salaries;
- hotel services salaries;
- superannuation;
- food supplies;
- domestic charges;
- medical, surgical and diagnostic supplies;
- purchase of services;
- equipment (non capital);
- repairs and maintenance;
- other expenses;
- depreciation and amortisation expenses;
- energy and water; and
- laundry.
For the 12 months ending 30 June 2007, additional costs were incurred in:
- hotel services salaries;
- medical, surgical and diagnostic supplies;
- purchase of services;
- equipment (non capital);
- repairs and maintenance;
- other expenses ;
- depreciation and amortisation expenses;
- energy and water; and
- laundry.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
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