Overview - NSW Health

Role and function ofNSW Health organisationsThe role and function of NSW Health organisationsare principally set out in two Acts, the HealthAdministration Act 1982 and the Health Services Act1997. This is complemented by a corporategovernance framework which distributes authorityand accountability through the public health system.NSW Ministry of HealthThe NSW Ministry of Health is a public serviceagency established under Section two and Scheduleone of the Government Sector Employment Act2013 to support relevant ministers to perform theirexecutive and statutory functions.Health Administration CorporationUnder the Health Administration Act 1982, theSecretary is given corporate status as the HealthAdministration Corporation for the purposeof exercising certain statutory functions. TheHealth Administration Corporation is used as thestatutory vehicle to provide ambulance servicesand support services to the health system.A number of entities have been established underthe Health Administration Corporation to providethese functions including:Health InfrastructureHealth Infrastructure is responsible for the deliveryof NSW Health’s major works hospital buildingprogram, under the auspices of a Board appointedby the Secretary.eHealth NSWeHealth NSW is responsible for providing directionand leadership in technology led improvementsin patient care across NSW Health in consultationwith local health districts and specialty networks.NSW AmbulanceNSW Ambulance is responsible for providingresponsive, high quality clinical care in emergencysituations, including pre-hospital care, rescueand retrieval.NSW Health PathologyNSW Health Pathology is responsible for providinghigh quality pathology services to the NSW Healthsystem through five clinical and scientific networks.Local health districtsLocal health districts were established as distinctcorporate entities under the Health Services Act 1997from 1 July 2011. They provide health services in awide range of settings, from primary care posts inthe remote outback to metropolitan tertiaryhealth centres. Eight districts cover the greaterSydney metropolitan region, and seven cover ruraland regional NSW.Statutory health corporationsUnder the Health Services Act 1997, there are threetypes of statutory health corporations subject tocontrol and direction of the Secretary and Ministerfor Health:1. Specialty Health Networks2. Board-governed organisationsHealth Protection NSW3. Chief Executive-governed organisations.Reporting to the Chief Health Officer, HealthProtection NSW is responsible for surveillance andpublic health response in NSW, including monitoringthe incidence of notifiable infectious diseasesand taking appropriate action to control the spreadof diseases. It also provides public health adviceand response to environmental issues affectinghuman health.During the reporting period, the following statutoryhealth corporations provided statewide or specialisthealth and health support services:HealthShare NSWHealthShare NSW provides a range of sharedservices to NSW public health organisations underthe auspices of a Board appointed by the HealthSecretary, including financial, human resources,procurement, linen, food services, disabilityequipment services managed by EnableNSW,and non-emergency patient transport services.Specialty Health NetworksThere are two specialist networks: The SydneyChildren’s Hospitals Network (Randwick andWestmead) and the Justice Health & Forensic MentalHealth Network.Agency for Clinical InnovationThe Agency for Clinical Innovation is a boardgoverned statutory health corporation responsible forengaging clinicians and designing and implementingbest practice models of care by working with doctors,nurses, allied health professionals, health managersand consumers.NSW HEALTHAnnual Report 2015–16Overview5

Bureau of Health InformationThe Bureau of Health Information is a board-governedstatutory health corporation responsible for providingindependent reports to government, the communityand healthcare professionals on the performance ofthe NSW public health system.Cancer Institute NSWThe NSW Cancer Institute is established underthe Cancer Institute (NSW) Act, 2003 and is deemedto be a statutory health corporation. The Institute isresponsible for improving the prevention andmanagement of cancer and improving the quality oflife for people with cancer and their carers.Clinical Excellence CommissionThe Clinical Excellence Commission is a boardgoverned statutory health corporation and isresponsible for building capacity and capability toimprove quality and safety within our health services.Health Education and Training InstituteThe Health Education and Training Institute is a chiefexecutive-governed statutory health corporation andis responsible for coordinating education and trainingfor NSW Health staff child from pre-conception to 24years. This includes reducing the health impact ofdomestic and family violence, child abuse and neglect.6NSW HEALTHAnnual Report 2015–16OverviewAffiliated health organisationsAt 30 June 2016, there were 15 affiliated healthorganisations in NSW managed by religious and/orcharitable groups operating 27 recognisedestablishments or services as part of the NSW publichealth system. These organisations are an importantpart of the public health system, providing a widerange of hospital and other health services.St Vincent’s Health NetworkSection 62B of the Health Services Act 1997 enablesan affiliated health organisation to be declared aNetwork for the purposes of national health funding.St Vincent’s Hospital, the Sacred Heart Health Serviceat Darlinghurst and St Joseph’s Hospital at Auburnhave been declared a NSW Health Network.

NSW Ministry of HealthThe Ministry of Health supports the Secretary, theNSW Minister for Health who is the Health ClusterMinister, and the Minister for Mental Health, Ministerfor Medical Research, Assistant Minister for Health,Minister for Women and Minister for the Prevention ofDomestic Violence and Sexual Assault to performtheir executive government and statutory functions.This includes promoting, protecting, developing,maintaining and improving the health and well-beingof the people of NSW, while considering the needs ofthe State and the finances and resources available.The NSW Ministry of Health also has the role ofsystem manager in relation to the NSW public healthsystem.Organisation structure – NSW Ministry of HealthCLUSTER MINISTER: The Hon Jillian Skinner MP Minister for HealthPORTFOLIO MINISTER: The Hon Pru Goward MPMinister for Mental HealthMinister for Medical ResearchAssistant Minister for HealthMinister for WomenMinister for the Prevention of Domestic Violence and Sexual AssaultSecretary, NSW HealthMs Elizabeth KoffOffice for Healthand Medical ResearchOffice of the SecretaryPublic Affairs UnitInternal Audit BranchChief Health OfficerDeputy SecretaryPopulation and Public HealthDr Kerry Chant PSMAboriginal HealthChief Financial OfficerDeputy SecretaryFinanceMr John Roach PSMFinanceEpidemiology and EvidenceOffice of the ChiefHealth OfficerOral Health StrategyPopulation HealthDeputy SecretaryGovernance, Workforceand CorporateMs Karen Crawshaw PSMDeputy SecretarySystem Purchasingand PerformanceMs Susan PearceBusiness and Asset Services– Chief Procurement OfficerHealth System Informationand Performance ReportingLegal and RegulatoryServices – General CounselSystem ManagementNursing and Midwifery– Chief Nursing andMidwifery OfficerSystem PurchasingHealthProtection NSWStrategic Relationsand CommunicationsGovernment RelationsHealth System Planningand InvestmentHealth and SocialPolicy BranchMental HealthWomen NSWWorkplace RelationsWorkforce Planningand DevelopmentDeputy SecretaryStrategy and ResourcesDr Nigel Lyons*System PerformanceSupportABFTaskforce*During the reporting period the Deputy Secretary Strategy and Resourcesrole was held by Ms Elizabeth Koff from 1 July 2015 to 3 April 2016. Ms Cathryn Coxwas acting in this role from 4 April 2016 to 4 October 2016. Dr Nigel Lyons wasappointed on 5 October 2016.NSW HEALTHAnnual Report 2015–16Overview7

NSW Health executive teamChief executives of local health districts, specialtynetworks, statutory health corporations and theHealth Administration Corporation form theNSW Health executive team. The roles andresponsibilities of chief executives are set outin the Health Services Act.Local Health districtsChief executives of local health districts and specialtynetworks are employed in the Health ExecutiveService (part of the NSW Health Service) by theSecretary under Section 116 of the Health Services Acton behalf of the NSW Government.The role of the chief executive is set out in section 24of the Health Services Act. The Chief Executivemanages and controls the affairs of the local healthdistrict. The Chief Executive can commit the districtcontractually and legally and is the employer delegatefor all staff working in the organisation. Chiefexecutives are, in the exercise of their functions,accountable to their Board.8NSW HEALTHAnnual Report 2015–16OverviewStatutory health corporationsUnder section 51 of the Health Services Act, the chiefexecutive manages the affairs of a board governedstatutory health corporation, and is, in the exercise ofhis or her functions, subject to the direction andcontrol of the organisation’s board. As with localhealth districts and specialty networks, the ChiefExecutive is also the employer delegate for staffworking at the organisation.Senior Executive ForumThe NSW Health Senior Executive Forum bringstogether Chief Executives from across the healthsystem to consider health issues of system-wideinterest, including the NSW Health budget,development and implementation of health policy andmonitoring of health system performance.

NSW Ministry of Healthexecutive teamSecretaryMs Elizabeth Koff, Secretary, NSW HealthBSc,Dip Nut&Diet (USyd), MPH(Monash), GAICDElizabeth commenced her career as an allied healthprofessional working in a range of clinical settingsboth in NSW and Victoria before undertaking furtherqualifications in public health and health policy.Elizabeth has held a number of senior executiveplanning and operational roles within the NSW healthsystem, including Chief Executive of The SydneyChildren’s Hospitals Network, Director, ClinicalOperations, South Eastern Sydney Illawarra AreaHealth Service and Director, Population HealthPlanning and Performance, South Eastern SydneyIllawarra Area Health ServiceIn February 2015, Elizabeth commenced in the role ofDeputy Secretary, Strategy and Resources at theNSW Ministry of Health where she was responsible forstrategic health policy development, interjurisdictional negotiations, system-wide planning ofhealth services, and setting the strategic direction forwhole of government responses to many intractablesocial problems.In May 2016, Elizabeth was appointed Secretary, NSWHealth. As Secretary, Elizabeth is committed tostrategically re-shaping health services to providebetter value care and improved patient outcomes,ensuring NSW continues to lead the nation indelivering high quality care to its communities.Elizabeth Koff was appointed to the role of Secretaryon 6 May 2016.During the reporting period the role of Secretary washeld by Dr Mary Foley from 1 July 2015 until 3 April2016. Ms Elizabeth Koff acted in the role of Secretaryfrom 4 April to 5 May 2016 before being appointed.OverviewThe Secretary has overall responsibility for themanagement and oversight of NSW Health, withprimary powers and responsibilities under theHealth Administration Act 1982 and the HealthServices Act 1997.In support of these system responsibilities theSecretary convenes key leadership and managementforums. These include the NSW Health SeniorExecutive Forum which brings together chiefexecutives from across the health system for thepurposes of strategy and performance management.NSW Health’s executive leadership team, left to right: Nigel Lyons, Daniel Hunter, Amanda Larkin, Michael Brydon, Anthony Schembri, Wayne Jones, Jean-Frederic Levesque, Karen Crawshaw,Teresa Anderson, Stewart Dowrick, Elizabeth Koff, Tracey McCosker, Sam Sangster, Janet Compton, Annette Solmon, John Roach, Kerry Chant, Scott McLachlan, Carrie Marr, Stuart Riley, GerryMarr, Dominic Morgan, Kerry Stevenson*, Margot Mains, Zoran Bolevich, Danny O’Connor. Absent: David Currow, Michael DiRienzo, Gary Forrest, Kay Hyman, Jill Ludford, Donald MacLellan,Andrew Montague, Vicky Taylor. *Acting for Andrew Montague.NSW HEALTHAnnual Report 2015–16Overview9

Population and Public HealthFinanceDr Kerry Chant PSM, Chief Health Officer andDeputy Secretary, Population and Public Health,NSW Ministry of Health MBBS, FAFPHM, MHA, MPHMr John Roach PSM, Chief Financial Officer,Deputy Secretary Finance, NSW Ministry ofHealth B Bus (Acc), FCPAKerry is a public health physician. Prior to herappointment as Chief Health Officer and DeputySecretary of Population Health, Kerry was Director ofHealth Protection and Deputy Chief Health Officer.Kerry has extensive public health experience havingheld a range of senior positions in NSW public healthunits since 1991. Kerry has a particular interest inblood borne virus infections, communicable diseasesprevention and control and Aboriginal health.Kerry was first appointed to the role of Chief HealthOfficer on 1 February 2009.Division overviewThe Population and Public Health Division leads thestrategic direction, planning, monitoring andperformance of population health services across theState. Strategic areas of focus include tobaccocontrol, reduction of risk drinking, overweight andobesity, HIV and viral hepatitis, end of life care andorgan donation.The Chief Health Officer works closely with the Officefor Health and Medical Research on the State’sstrategic priorities for health and medical research.Health Protection NSW reports to the Chief HealthOfficer and coordinates activities to prevent andcontrol threats to health from communicable diseasesand the environment.The Division responds to the public health aspects ofmajor incidents and disasters in NSW and supportspopulation health services to create social andphysical environments that promote health; it alsomonitors public health, identifies trends, evaluates theimpact of health services and improves health throughreducing health inequity via measures that preventdisease and injury.John has over 30 years’ experience within the NSWPublic Service. John was appointed to the ChiefFinancial Officer role at NSW Health at a time ofchange that included the introduction of newreporting systems, the adoption of statewidestandards and a focus on internal reforms required tobetter manage the financial position and results ofNSW Health and its controlled entities.John has held a number of senior executive roleswithin the NSW health system, including ChiefExecutive Officer of Health Support Services (NSWHealth) and Director Financial & Corporate Services ofSouth Eastern Sydney Illawarra Area Health Service.John is interested in improving financial managementat an operational and executive level and developingcommercially focused approaches to the delivery ofcorporate services and public infrastructure.John was first Appointed Chief Financial Officer(now Chief Financial Officer and Deputy Secretary)in July 2009.Division overviewThe Finance Division has the lead role in managingand monitoring the financial performance of the NSWpublic health system within the NSW HealthPerformance Framework.The Division is responsible for monitoring recurrentand capital expenditure against the annual budgetallocation an reporting on NSW Health’s financialperformance to the Ministry of Health executive andto the government. The branch is also responsible forpreparing NSW Health’s consolidated annual financialstatements in accordance with statutory requirementsand timeframes. Supports sustainable resourceallocation within the NSW public health system tosupport the delivery of patient care; and assists healthdecision makers to make the right financial decision atthe right time.The key functions of the division include financialaccounting, financial performance and reporting,funds management and reporting, insurance and riskmanagement, revenue and financial services andTreasury reporting.The key priority areas for the Division include: buildinga sustainable health funding model; improvingperformance management of expenses and revenueby partnering with local health districts and supportorganisations; improving budget management withinthe NSW Ministry of Health; reducing reporting delaysto ensure timely access to financial information;improving budget accuracy by linking financialreporting systems; improving NSW Health financepolicies and procedures; improving accuracy offinancial information by refining the Chart ofAccounts.10NSW HEALTHAnnual Report 2015–16Overview

Governance, Workforce and CorporateSystem Purchasing and PerformanceMs Karen Crawshaw PSM, Deputy Secretary,Governance, Workforce and Corporate, NSWMinistry of Health BA (USyd), LLB (UNSW), PSM,Ms Susan PearceDeputy Secretary, System Purchasing andPerformance, NSW Ministry of HealthGAICDB App Sci (Nursing)Karen holds Bachelor degrees in Arts and Law. Shewas admitted to the NSW Supreme Court in 1979 andsubsequently to the High Court. Karen holds anunrestricted practising certificate from the LawSociety of NSW.Karen has held legal positions in the State CrownSolicitor’s Office and the Premier’s Department.Karen undertook the role of Director Legal andGeneral Counsel for NSW Health from 1990 to 2007,with her role expanded to include employee relationsin 2004.Karen was first Appointed Deputy Director General(now Deputy Secretary) in October 2007.Division overviewThe Governance, Workforce and Corporate Divisionundertakes a range of functions for the effectiveadministration of NSW Health. This coverscomprehensive corporate governance frameworksand policy for the health system, and a comprehensiverange of legal and legislative services. The Divisionalso undertakes regulatory activities including thelicensing and inspection of private health facilities,regulation of the supply and administration oftherapeutic goods, and prosecution of offences underhealth legislation.Commencing her career as a nurse, Susan hasextensive experience in senior leadership roles at ahospital, district, pillar and Ministry level, giving hersound operational and policy experience at all levelsof NSW Health.Susan has been fundamental in deliveringtransformational change within NSW Health andcontinues to build on the critical partnershipsbetween all elements of our health system toensure strong performance and accountability.Susan was first appointed Deputy Secretary on 20November 2015.During the reporting period, Mr Stewart Dowrick actedin the role from 1 July to 5 October 2015. Ms SusanPearce acted in the role of Deputy Secretary, SystemPurchasing and Performance from 6 October to 19November 2015.Division overviewThe System Purchasing and Performance Divisionprovides the front end of ‘system management’, andacts as an important interface with local healthdistricts, specialty health networks, the pillars andother health organisations to support and monitoroverall system performance.The Division’s portfolio also includes NSW Healthproperty services; statewide asset, procurement andbusiness policy; services to support Ministerial,Parliamentary and Cabinet processes, issuesmanagement and communications advice andassistance for the NSW Ministry of Health.It also coordinates purchasing arrangements with thedistricts and networks.The Division supports and manages the Secretary’sacc

allows the Government to measure and deliver projects that create a stronger, healthier and safer NSW. . 4 NS EALTH Annual Report 015-1 Overview NSW Health organisation structure NSW Health comprises both the NSW Ministry of Health (a public service department under the . with local health districts and specialty networks.