❓ Details hospital services, levels, and scope as defined in the Clinical Services Framework 2010-2020, referencing specific matrices and role delineation levels. Work is underway to update role delineations.
AnsweredQoN 7724Legislative Assembly
QuestionView source ↗
I refer to the Clinical Services Framework (CSF) 2012–20, and I ask, for each hospital in the CSF will the Minister detail, the services provided, the level and scope of those services provided by that hospital and a comparison of these services with the planned services and a comparison of level and scope of those planned services as detailed in the Clinical Services Framework 2010–20?
AnswerView source ↗
Answered
1 May 2012
Responded by
Minister for Health
Response time
33 days
The services provided by each hospital in the WA Health Clinical Services Framework 2010-2020 (CSF 2010) and the level and scope of these services compared with the level and scope of planned services is detailed in role delineation matrices as published in the CSF 2010 document:
http://www.health.wa.gov.au/publications/documents/CLINICAL_SERVICES_FRAMEWORK_WEB.pdf
The level and scope of metropolitan hospital services is outlined in the Metropolitan Hospital Clinical Services Framework matrix (CSF 2010, p.21-22) and the level and scope of country and regional hospital services is outlined in the WA Country Health Service (WACHS) Hospital Services Framework matrix (CFS 2010, p.23-25).
The degree of complexity of services is designated by role delineation levels which range from Level 1 to Level 6. Level 1 generally refers to basic service capabilities often provided in nursing posts or community clinics and Level 6 indicates tertiary/quaternary hospital capabilities. The exact scope of each service level is specific to each clinical specialty.
Metropolitan hospital services are separated into tertiary hospitals, general hospitals and specialist hospitals, which can be characterised as follows:
- Tertiary hospitals provide services requiring highly specialised skills, technology and support to the rest of the state and may typically include centres of excellence, research and development and provide a leadership role for integrated clinical services. These hospitals provide services at a level 6 according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
Currently, the tertiary hospital sites are Royal Perth Hospital (Wellington Street and Shenton Park Campuses), Sir Charles Gairdner Hospital, Fremantle Hospital, Princess Margaret Hospital, King Edward Memorial Hospital and Graylands Selby-Lemnos and Special Care Health Service.
- General hospitals provide hospital services with a focus on the broader health needs of the community it serves, rather than a concentration on purely clinical aspects of health care. A general hospital will have resident specialists, some visiting sub-specialists and junior medical staff and will provide services at a level 4 or 5 according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
General hospitals in the CSF 2010 include Joondalup Health Campus, Swan District Hospital, Armadale Kelmscott Memorial Hospital, Rockingham General Hospital (including Murray Districts Hospital) and Peel Health Campus.
- By 2014, specialist hospitals may provide general hospital services but predominantly focus on mental health, aged care, rehabilitation services and elective surgery. Specialist hospitals in the metropolitan area include Osborne Park Hospital, Bentley Hospital and Fremantle Hospital.
These hospitals will provide services at a level 4-5 in their specialty according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
Although not listed within one of these categories, Kalamunda District Community Hospital focuses on primary care, general procedures, aged care, subacute care and low acuity maternity care.
Across regional Western Australia (WA), there are six Regional Resource Centres that form the hub of WA Country Health Service (WACHS) hospital services.
- The Regional Resource Centres are the base for region-wide services and are the six regional hospitals, located at Albany, Broome, Bunbury, Geraldton, Kalgoorlie and Port Hedland.
- The Integrated District Health Services incorporate 15 medium sized hospitals and district-wide health services.
The Regional Resource Centres, along with the 15 hospitals incorporated in the Integrated District Health Services provide the level of service in the country communities as outlined in the WACHS Hospital Services Framework matrix in the CSF 2010.
Work is currently underway to update role delineations for hospital sites across WA. These updates are taking into account, changes in population demographics, progress in medical technology and advancements in best practice models of care provision that have occurred since the CSF 2010 was released. An updated document will be produced as soon as this work is completed.
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
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http://www.health.wa.gov.au/publications/documents/CLINICAL_SERVICES_FRAMEWORK_WEB.pdf
The level and scope of metropolitan hospital services is outlined in the Metropolitan Hospital Clinical Services Framework matrix (CSF 2010, p.21-22) and the level and scope of country and regional hospital services is outlined in the WA Country Health Service (WACHS) Hospital Services Framework matrix (CFS 2010, p.23-25).
The degree of complexity of services is designated by role delineation levels which range from Level 1 to Level 6. Level 1 generally refers to basic service capabilities often provided in nursing posts or community clinics and Level 6 indicates tertiary/quaternary hospital capabilities. The exact scope of each service level is specific to each clinical specialty.
Metropolitan hospital services are separated into tertiary hospitals, general hospitals and specialist hospitals, which can be characterised as follows:
- Tertiary hospitals provide services requiring highly specialised skills, technology and support to the rest of the state and may typically include centres of excellence, research and development and provide a leadership role for integrated clinical services. These hospitals provide services at a level 6 according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
Currently, the tertiary hospital sites are Royal Perth Hospital (Wellington Street and Shenton Park Campuses), Sir Charles Gairdner Hospital, Fremantle Hospital, Princess Margaret Hospital, King Edward Memorial Hospital and Graylands Selby-Lemnos and Special Care Health Service.
- General hospitals provide hospital services with a focus on the broader health needs of the community it serves, rather than a concentration on purely clinical aspects of health care. A general hospital will have resident specialists, some visiting sub-specialists and junior medical staff and will provide services at a level 4 or 5 according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
General hospitals in the CSF 2010 include Joondalup Health Campus, Swan District Hospital, Armadale Kelmscott Memorial Hospital, Rockingham General Hospital (including Murray Districts Hospital) and Peel Health Campus.
- By 2014, specialist hospitals may provide general hospital services but predominantly focus on mental health, aged care, rehabilitation services and elective surgery. Specialist hospitals in the metropolitan area include Osborne Park Hospital, Bentley Hospital and Fremantle Hospital.
These hospitals will provide services at a level 4-5 in their specialty according to the clinical services role delineation definitions (refer to CSF 2010, Appendix 2).
Although not listed within one of these categories, Kalamunda District Community Hospital focuses on primary care, general procedures, aged care, subacute care and low acuity maternity care.
Across regional Western Australia (WA), there are six Regional Resource Centres that form the hub of WA Country Health Service (WACHS) hospital services.
- The Regional Resource Centres are the base for region-wide services and are the six regional hospitals, located at Albany, Broome, Bunbury, Geraldton, Kalgoorlie and Port Hedland.
- The Integrated District Health Services incorporate 15 medium sized hospitals and district-wide health services.
The Regional Resource Centres, along with the 15 hospitals incorporated in the Integrated District Health Services provide the level of service in the country communities as outlined in the WACHS Hospital Services Framework matrix in the CSF 2010.
Work is currently underway to update role delineations for hospital sites across WA. These updates are taking into account, changes in population demographics, progress in medical technology and advancements in best practice models of care provision that have occurred since the CSF 2010 was released. An updated document will be produced as soon as this work is completed.
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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