❓ Mr Cook questions the omission of projected bed numbers in the latest Clinical Services Framework (CSF) document and requests this information, broken down by hospital. The Minister explains the rationale for the omission and provides metropolitan bed projections, while WACHS projections are still under analysis due to various influencing factors.
AnsweredQoN 4560Legislative Assembly
QuestionView source ↗
I refer to the latest Clinical Services Framework (CSF) and note previous CSF documents provided a breakdown of current and projected bed numbers, listed by hospital, for the entire State. The latest CSF document does not, accordingly I ask: (a) why have projected bed numbers for the entire CSF period not been included in the latest CSF document, especially when previous CSF frameworks have provided this information; and (b) will you provide me with this information, listing current and projected bed numbers broken down by each hospital in the State for the entire CSF period (2014-24)?
AnswerView source ↗
Answered
20 October 2015
Responded by
Minister for Health
Response time
34 days
(a) The Clinical Services Framework (CSF) provides a framework for service capability across the State and it is designed to focus the attention of those who use it on the speciality elements required to meet the outlined service level delineations.
The bed numbers in the CSF were meant to serve as a guide to requirements rather than as a binding parameter to service capability delineation.
With previous iterations of the CSF, the inclusion of bed numbers resulted in the numbers becoming the primary focus of attention, resulting in less consideration of changes in the models of care, enhancements to medical technology, developments in clinical best practice, and importantly, alterations in service modalities that mean lengths of stay and therefore bed requirements shift over the life of the CSF.
(b) [See tabled paper no] for current and future bed projections for the Metropolitan area. WA Country Health Service (WACHS) current beds numbers are only available as the projections are undergoing analysis as the result of a number of factors impacting the service capabilities out to 2024/25. These factors include the changing population profile strongly influencing demand for services; changes in economic circumstances that impact the affordability of the cost of providing health services; the need for financial sustainability of the WA health system with increasing efficiency and convergence towards national efficient price, in an activity based funding framework; and re-estimates of health activity types and volumes in regional and remote Western Australia.
The bed numbers in the CSF were meant to serve as a guide to requirements rather than as a binding parameter to service capability delineation.
With previous iterations of the CSF, the inclusion of bed numbers resulted in the numbers becoming the primary focus of attention, resulting in less consideration of changes in the models of care, enhancements to medical technology, developments in clinical best practice, and importantly, alterations in service modalities that mean lengths of stay and therefore bed requirements shift over the life of the CSF.
(b) [See tabled paper no] for current and future bed projections for the Metropolitan area. WA Country Health Service (WACHS) current beds numbers are only available as the projections are undergoing analysis as the result of a number of factors impacting the service capabilities out to 2024/25. These factors include the changing population profile strongly influencing demand for services; changes in economic circumstances that impact the affordability of the cost of providing health services; the need for financial sustainability of the WA health system with increasing efficiency and convergence towards national efficient price, in an activity based funding framework; and re-estimates of health activity types and volumes in regional and remote Western Australia.
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