YEAR IN REVIEW 2020-21 - NSW Government
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We Acknowledge Western Sydney Local Health District acknowledges the first people of the land. The overarching Aboriginal nation in Western Sydney is the Darug nation. We pay our respect to Elders past, present and emerging. We acknowledge the significance of land, water, spirit, kinship and culture, and the importance that these elements have to the health, well-being and future of the Aboriginal community.
2019/20 WSLHD YEAR IN REVIEW Contents Our Board 6 Our Executive 7 Bright future at Westmead Health Precinct 8 Moving into Westmead’s 14-storey health tower 9 Building our staff culture 10 Our Staff 12 Vaccinating Western Sydney 14 01 OUR PEOPLE 16 Our Patients and Community 17 Staff Numbers 2020/21 18 02 WHAT WE DO 19 Our Health 20 Doing the numbers 22 District Achievements 24 03 OUR HOSPITALS 25 Westmead Hospital 26 Westmead Hospital Key Activities 27 2020/21 Auburn Hospital 28 Auburn Hospital Key Activities 2020/21 29 Blacktown and Mount Druitt Hospitals 30 Blacktown Hospital Key Activities 32 2020/21 Mount Druitt Hospital Key Activities 33 2020/21 04 OUR SPECIALTY SERVICES 34 Mental Health (Cumberland Hospital) 35 Drug Health 36 Oral Health 36 Allied Health 37 Aboriginal Health 38 Integrated and Community Health 39 Population Health Key Activities 2020/21 41 05 INNOVATION AND QUALITY 42 Digital Health and Patient Safety 43 Research and Education Network 44 Glossary and References 46 Artwork by Leanne Tobin. Leanne’s artwork reflects the vibrancy and transitional motions of the dragon-flies Opposite Local Mount Druitt Aboriginal Dancer group “Garabara” as they move through their journey of life. performing at NAIDOC week flag raising event. Held at Mount Druitt Hospital Aborginial Health Unit.
A word from the Chief Executive Above WSLHD Board Chair Richard Alcock AO and Chief Executive Graeme Loy at the official opening of the Central Acute Services Building. When 2020 came to a close, we thought it was a year never to be repeated. 2021 may have proved those predictions wrong but our health heroes stepped up again, this time to an even greater challenge. The unknowns of a global pandemic Frontline workers from across Western Thank you to every single frontline rivalled with the dedication and sacrifice Sydney worked exceptionally hard to worker who continually showed up to of our District; proof of what we were vaccinate Sydneysiders against a virus work in our hospitals, testing clinics and capable of in the most difficult that has claimed so many lives around vaccination centres during the height of circumstances. the world. Our incredible vaccination of the pandemic. These efforts, and clinics at Westmead and Blacktown the willingness of the Western Sydney Western Sydney was the epicentre of Hospitals were only the beginning, community, helped keep our community the Delta outbreak – a more devastating before Qudos Bank Arena Vaccination safe, control the spread of COVID-19, and virulent strain of the virus, which Centre, the biggest vaccination centre in and helped re-open our State. put subsequent pressure on our health the State, delivered over 360,000 doses. system like we have never seen before. At the same time, our resilience and On its busiest day, it administered an Our incredible staff tackled COVID-19 astonishing 26 doses per minute, versatility came to the fore as we – through testing, treating and helping contribute to our vaccination improved services, increased our vaccination. Public squares became milestones – both in Western Sydney commitment to research, looked after testing clinics, our hospitals transformed and across NSW. our staff, and planned for the future both wards and their models of care, and of healthcare. Our vaccination outreach program places – from community halls to concert We opened the Central Acute Services helped vaccinate vulnerable and arenas – became vaccination centres. Building as the development of the priority populations at churches, In the face of the most difficult temples, homeless shelters and even $1.1 billion Westmead Health Precinct circumstances, the Western Sydney meat processing facilities. We partnered continued. As part of the new building, community proved the doubters wrong with Kimberwalli, the Aboriginal Centre Westmead Hospital opened its elite – they stepped up, rolled up their sleeves for Excellence in Whalan, for Aboriginal trauma service – a dedicated ward and were vaccinated in astonishing and Torres Strait Islander people to to care for patients with multiple life- numbers to protect themselves, their get vaccinated in a culturally safe, threatening injuries. The new Cultural loved ones, and our entire community. welcoming place. Gathering Place was unveiled to local 4
A WORD FROM THE CHIEF EXECUTIVE Aboriginal and Torres Strait Islander Elders and the community alike. It’s a space designed in consultation “Thank you to every with local Aboriginal communities and Aboriginal Liaison officers to serve as a safe space for reflection single frontline worker and education for all hospital visitors. We unveiled a leisure and recreation hub for mental who continually health consumers at Cumberland Hospital along with the refurbished Merrylands HealthOne community showed up to work health centre. Work has commenced on significant upgrades to our mental health facilities at Blacktown in our hospitals, Hospital while construction is set to begin a purpose- built Mother and Baby Unit at Westmead Hospital testing clinics and – the second of its kind in the State for pregnant women and new mothers experiencing mental illness. vaccination centres At the heart of our District’s work is care. From assisting local residential aged care facilities with during the height of their COVID-19 response, to a ‘Share the Dignity’ vending machine in Auburn Hospital’s ED for women the pandemic.” experiencing period poverty, we are always there for the community when they need us most. Our commitment to research is stronger than ever with the appointment of our first District Director of Research, and successful grants covering every area of health from heart regeneration and liver cancer to parental health literacy and phage therapy. Seeing our researchers look to the future of medicine, locally and globally, is a testament to their brilliant minds and their desire to bring about breakthroughs which would otherwise be unimaginable. While our work may not stop, we can take the time to stop and reflect on those who have made our District as successful as we are. It’s one of the reasons I am proud we launched our culture program, ‘Our Place Our People’, along with the introduction of the ‘Years of Service’ awards. As we become a more inclusive and welcoming place to work, we will continue with change-making programs such as our Disability and Inclusion Action Plan and ‘Respect the Difference’ training. None of these achievements would be possible without the incredible work of the people who have made them happen. I could not be prouder of our staff and want to thank them for everything they do each day for the people of Western Sydney. 2021 has truly been a year like no other and while we can’t predict what 2022 will be like, I know Western Sydney Local Health District and its health heroes can manage, confront, and overcome any challenge we might be faced with. Above, from top Chief Executive Graeme Loy, Operations Manager COVID-19 Vaccination Clinic Bernadette Wykes, Physiotherapist Nerissa Grebert, Client Relations Management Officer Saskia Hartog, COVID-19 Graeme Loy Vaccination Program Admin Manager Louise Weston. Chief Executive Graeme Loy, Director Aboriginal Health Strategy Braiden Abala and Chief Executive Aboriginal Elder Uncle Wesley Marne at the Westmead Central Acute Western Sydney Local Health District Services Building smoke ceremony. 5
WSLHD Board* The members of the WSLHD Board are appointed by the NSW Minister for Health and Medical Research for a term of up to four years. Mr Richard Alcock AO Ms Loretta Di Mento Ms Narelle Bell Mr Andrew Bernard (Chair) (Deputy Chair) Professor Michael Edye Professor Donald Professor Diana Dr Keith Hartman AM Nutbeam O’Halloran AO MB, BS, (Syd), FRCOG, FRANZCOG EX OFFICIO The following ex-officio Board members participate in agenda items relating to their areas of expertise: Mr Graeme Loy Mr Barry Mitrevski Dr Mark Priestley Adjunct Professor Adjunct Professor Dr Emma McCahon Debra Thoms Michael (Mick) Reid AM Ms Caroline Farmer Ms Alison Derrett RESPONSIBILITIES OF OUR BOARD AND CHIEF EXECUTIVE INCLUDE: • Improving local patient and population • Ensuring services are provided health outcomes and responding efficiently and responsibly; to issues; • Production of annual reports • Delivering services and monitoring that are subject to state financial the performance of WSLHD against accountability and audit frameworks; measures in the local health district • Maintaining effective communication service agreement including an agreed with local and state public health budget based on annual strategic and stakeholders. operating plans; 6 *As at November 16 2021
OUR BOARD AND EXECUTIVE Executive Leadership Team The members of the Executive Leadership Team support the Chief Executive to lead, direct and coordinate the operations and performance of WSLHD. Director People and Culture Executive Director Operations General Manager Integrated & Luci Caswell Alison Derrett Community Health Jasmin Ellis DipAppSc (Nursing), GradCert BSocWk MBA (HlthServMgt) BSc, BHlthSc (Paramedicine) (Emergency Nursing), MHA Chief Digital Health Officer Director Allied Health A/General Manager Auburn Hospital Dr Christina Igasto Jacqueline Dominish Amanda Green MSc, PhLic, PhD CompSc BAppSC (Occupational Therapy), BNg, EMPA, DipHlthServMgt, (Healthcare) Cert IV (Education and Training), DipHlthSysMgt MHM General Manager Oral Health General Manager Blacktown and Brad Ceely Director Office of the Chief Executive Mount Druitt Hospitals Ned Katrib BNg, MNg Tiffany Sly BBus (Hons), MPA BAppPsych, MAppAnth Chief Executive Graeme Loy Executive Director Medical Services MBA (Hlth) Director Corporate Communications Dr Emma McCahon Sia Anthopoulos Director Aboriginal Health Strategy MBBS, FRACP (Paed), MBA BComn (Public Relations) Braiden Abala Director Finance Barry Mitrevski B/BehSc, MHealth, IntDevel A/General Manager Westmead Hospital BComm (Econ), DipAcc, MBA, CPA Jenelle Matic Director Redevelopment and BNg (Hons), Grad Cert (Critical Care Executive Director Mental Health Services Infrastructure Matt Sydenham Nursing) MBA Professor Vlasios (Bill) Brakoulias MBA (SGSM), DipBA (WSU), MB BS (Hons), MPsychiatry, FRANZCP, DipASc (USyd) Cert Psychotherapies, PhD Director Nursing & Midwifery, and Addiction Staff Specialist and Service Clinical Governance Caroline Farmer Director Robert Graham RN, Cert Coronary Care, BHlthSc, MB BS (USyd) FAChAM MHlthServMgt, EMPA, GAICD 7
2020/2021 WESTMEAD HEALTH PRECINCT Key Stats With a current workforce of 20,000, the Westmead Health Precinct is destined to be one of the largest health precincts in the world, employing 50,000 health professionals and researchers by 2036, making it an economic powerhouse and a key provider of jobs for the Western Sydney region. Western Sydney is one of the State’s fastest growing areas with more than 1.3 million residents estimated by 2031. Westmead Health Precinct comprises over 400,000m² of high end health related developments, including four major hospitals, five world leading medical research institutes, two university campuses and the largest research intensive pathology service in New South Wales. Westmead has the second Above The new Westmead Hospital Central Acute highest percentage of residents with a Services Building. postgraduate degree in Sydney, at 26.3%. Bright Future 2000+ research projects each year 1500+ research personnel (researchers, staff & at Westmead students) across the precinct $155M+ in grant funding 2019/2020 FY up to 1000 clinical trials taking place at one time. Health Precinct Our vision for the Westmead Health Precinct is to bring together global innovators united in a common purpose to harness world leading services, research and innovation and achieve life changing health outcomes. 3000+ active clinical trials over 30 patents in therapeutics, medical devices and diagnostics The Westmead Health Precinct is one of the largest health, contract clinical trials active for 100+ industry education, research and training precincts in Australia and a key provider of jobs for the greater Parramatta and Western partners $28M+ in shared research equipment. Sydney region. Our mission is to transform health outcomes for everyone through cutting edge innovation, progressive research and collaborative partnerships with real impact. Westmead Health Precinct delivers over Westmead is a flagship for highly specialised and integrated $1.9 billion in public healthcare to 946,000 health, research, education and innovation and a major lever people across more than 120 suburbs for economic stimulus. spanning 780 square kilometres. This year a governance committee was established across the Precinct partners Western Sydney Local Health District, Sydney Children’s Hospital Network, Children’s Medical Research Institute and the Westmead Institute for Medical 85,531 annual admissions 3000 daily Research) with Office of Health and Medical Research and non admitted patient occasions of service Health Infrastructure as key partners. This group provides 32,767 annual surgeries 128,307 annual the strategy and alignment for the precinct and how it emergency department presentations. aligns with the broader government agenda. 8
WESTMEAD HEALTH PRECINCT AND MOVE TO THE CASB Honouring Our Ancestors at Westmead Local Aboriginal and Torres Strait Islander Elders caught their first glimpse of Westmead Health Precinct’s new Cultural Gathering Place. Welcomed to inspect the forecourt gardens of the Central Acute Services Building (CASB) by Western Sydney Local WSLHD Aboriginal Health Strategy Director Braiden Abala, the Elders felt an instant sense of belonging and connection to culture in the hospital environment. Designed to ensure a safe and welcoming place for all people, Country and kinship, the space features four art projects – Tools of Knowledge, All That Remains, Mudinga and Sound of Water. The art infuses the garden with sight and sound direct from Parramatta River to help celebrate Aboriginal and Torres Strait Islander culture and its connection to land and water. An adjacent room also offers a quiet space for family and friends of patients. WSLHD Aboriginal Health Strategy Director Braiden Abala said Aboriginal and Torres Strait Islander patients were five times more likely to discharge themselves against medical advice than other patients and hopes the Cultural Gathering Place will help reduce this statistic. Right, from top Aboriginal Elder Aunty Stella Cunningham. Aboriginal Liaison Officer Narelle Holden, Red Cross Aboriginal Torres Strait Islander Social Support Worker Vicki Lonsdale- Micallef and Aboriginal Elder Pauline Stockham visiting the Cultural Gathering Place. Above, from left NSW Health Secretary Elizabeth Koff and WSLHD Chief Executive Graeme Loy at the opening of the new Westmead Hospital Central Acute Services Building. The official opening included a tour of the new 14-storey building. Moving into Westmead’s 14-storey Health Tower Staff and services began relocating to the new Central More operating theatres, patient rooms and Acute Services Building in February with both the adult and world-class services, including two new emergency children’s emergency departments now open and combined departments, are all part of the clinical tower that officially as the largest emergency services hub in NSW. opened in March this year. It is the highest health building in Australia and is the stunning centrepiece of the more Western Sydney Local Health District (WSLHD) Chief than $1 billion Westmead Health Precinct redevelopment. Executive Graeme Loy said the opening of the building was The building at the centre of the Precinct was awarded the a proud day for Western Sydney, saying it was an exciting 2020 Health Project of The Year at the annual Boomtown! step in the evolution of Westmead Health Precinct. The Property & Infrastructure Summit at the International official opening included the unveiling of an official building Convention Centre, Darling Harbour in December 2020. plaque and a tour of the new 14-storey building for members Key features of the new Central Acute Services Building of the NSW Government. NSW Minister for Health and include: Two new emergency departments — one for adults Medical Research, Brad Hazzard said the collaboration and one for children; 25 digital operating theatres; more than between Westmead Hospital, The Children’s Hospital at 300 patient overnight beds; and 1.5 floors for the University Westmead and the University of Sydney meant patients of Sydney to further integrate education, research, and would receive cutting-edge treatment and care. health services. 9
Above WSLHD Multicultural Health Community Educator Officer Ngatho Mugo. Building Our Staff Culture Amidst all the pandemic activity, our Culture A Flexible Working Policy has been released team has enjoyed a positive year with many to support our employees. WSLHD promotes positive changes. flexible working, acknowledging the different needs and preferences employees may have We successfully launched the WSLHD Culture with respect to how they work. Statement ‘Our Place Our People’ this year, with immediate priorities in the areas of Our People and Culture team supported Leadership, Behaviours and Communication, significant resourcing changes in the which was supported by a communication COVID-19 response including establishing pack and associated branding. and resourcing testing clinics, entry screening stations, managing temporary service We started to develop a district wide closures and the effective redeployment of reward and recognition framework as well, staff, surge planning, red and amber wards, commencing with the launch of our ‘Years new COVID-in-the-community services, of Service’ recognition award, and the vulnerable healthcare worker risk assessments, subsequent recognition of over 10,000 staff. working from home arrangements and We continued our work in the areas of COVID-19 workforce advice. cultural capability, with the Disability and The WSLHD Organisational Restructure Inclusion Action Plan developed ready for was also completed in early 2021. Successful launch. We implemented new processes consultation with staff and unions led for self-reporting, and commenced a new to the implementation of a district wide program called ‘Ask the Question’ to help Clinical Network structure supporting the staff engage with the Aboriginal Community development of clinical specialties, while on their personal preferences on service allowing each facility or service to remain needs. We also continued our ‘Respect the focussed on the operational aspects of Difference’ training across the district. healthcare delivery. 10
BUILDING OUR STAFF CULTURE Above, from left Deputy Director of Emergency Medicine Dr Kavita Varshney. Reg Nurse Eric Vuong. Patient Services Assistant Ravi Kulathilaka. Colorectal Surgeon Dr Toufic El-Khoury. Paediatric Fellow Dr Neela Sitaram. Hospital Assistant Eloisa Catingub. Hospital Assistant Megha Patel. Nurse Unit Manager Vinka Vargas. Medical Officer Rashmi Weeraratne. Security Officer Jason Noonan. Medical Officer Dr Roberto Gennari. Acting Nurse Unit Manager Christine Hutabarat. 11
Our Staff WSLHD Staff were provided with a rostered Above Surgeon Dr Amy Hort, Senior Transplant and Hepatobiliary Surgeon Professor Henry Pleass, 2-hour leave window to allow them to get Surgeon Dr Peter Yoon and Surgeon Dr Taina Lee. their vaccinations during work hours to meet COVID-19 Vaccination Compliance. A Wellness Hub Portal was also launched to support staff. The Hub includes a curated list of resources around key topics like resilience, guided mindfulness meditation, practical team wellness sessions, staying connected, keeping active, Below, from top Director People and Culture Luci Caswell at stress and anxiety, and positive relationships. the Westmead Vaccination Hub. General Services Staff Cleaner Codie Fuller, Porter Darrin Smith and Cleaner Jade Hookey. We have 30 trained staff in Mental Health First Aid who formed a network to support staff across the District and RUOK Day activities were also promoted across the hospitals. 2020/2021 KEY STATS 30 STAFF TRAINED IN MENTAL HEALTH FIRST AID 1325 PATIENTS RECIEVE ANNUAL CHECK-UPS 12
OUR STAFF Professor Jacob George. Image: Cancer Council NSW. Renowned Liver Physician Professor Jacob George was named as the third recipient of the illustrious Sally Crossing AM Award in April from the Cancer Council NSW for his work studying liver disease and liver cancer. The Sally Crossing AM Award recognises outstanding achievement in cancer research, particularly research Above Nurse Sharon Hausler working at C3C COVID-19 that includes consumer involvement. ward Westmead Hospital. Prof George is a world leader in hepatology and continues to run significant research projects into With the emergence of global infectious diseases fatty liver disease and liver cancer. He is also a leading such as COVID-19, there is a need for health mind in Westmead Health Precinct as Head of the workers to be able to work safely and be well Westmead Hospital Department of Gastroenterology protected against the exposure of airborne and Hepatology, Chair of Hepatic Medicine at Sydney infectious agents. Medical School, and Director of the Storr Liver Centre at the Westmead Institute for Medical Research. We have implemented a robust Respiratory Protection Program across the District’s hospitals Liver cancer is one of the top 10 causes of cancer and speciality services as part of the larger statewide death in Australia, with a low survival rate and high Respiratory Protection Program lead by the Clinical rate of recurrence. Excellence Commission. Prof George’s work aims to understand what drives Our facilities have established ongoing respirator fit liver disease and liver cancer to develop preventative testing provisions for our health workers. strategies or treatments that cure the disease. What began at Westmead Hospital now involves 40 The fit testing method determines the brand, size and academic institutions in 15 countries around the world. type of respirator that achieves an adequate seal on an individual’s face, protecting our health workers who Australia is on track to eliminate Hepatitis C by perform their roles in high-risk patient care areas or 2030, and Hepatitis B is now treatable. Thanks to where suspected or confirmed COVID-19 or airborne the achievements of Prof. George and his team, 1,325 precautions are required. patients receive annual check-ups, which has led to the earlier detection of 106 cancers so far. This has contributed greatly to the ongoing improvements in the safe use of respirator masks and 487 patients with Hepatitis B are part of the nurse- their management, resulting in health workers that are led GP program, delivering optimal and convenient well protected and feel protected as they provide safe treatment while reducing the burden on the and quality care to our patients. hospital system. 13
50,000+ doses of the Pfizer COVID-19 vaccine were administered across the Westmead and Blacktown Hospital Clinics in May 49,000 vaccinations made avaliable to eligible Vaccinating Western Sydney authorised workers from Western and South Western Sydney in mid-to-late August We responded rapidly to the 2021 COVID-19 outbreak, opening vaccination clinics at Westmead and Blacktown Hospital and shortly afterwards, at Qudos Bank Arena. 15,390 year 12 students given first dose A streamlined recruitment process took place thanks to tireless commitment from staff and partnerships with Randstad Source Right recruitment agency, The Health Education and Training Institute (HETI) and Qantas, screening and onboarding over 2200 staff to the Qudos facility. January 24 marked the 1st Anniversary since the first patient was treated for COVID-19 at Westmead Hospital. Since then, some monumental milestones have been achieved. 41 Aged Care and Disability Westmead Hospital was one of the first vaccination clinics to Home outbreaks managed open in NSW when the vaccine rollout for frontline workers in Western Sydney from began in February 2021. 29 June to 28 October 2021 We then opened a second vaccination clinic at Blacktown Hospital as the district continued to vaccinate tens of thousands of eligible people. With the addition of the Qudos Arena Vaccination Hub, an 31+ additional 120,000 doses of the Pfizer COVID-19 vaccine COVID-19 testing were administered later in the year. clinics open in Western Sydney during the Prior to the Delta wave, Residential Aged Care Facilities and 2020-21 financial year Disability Group Homes in Western Sydney had not had a COVID-19 outbreak. Our support to Residential Aged Care Facilities and Disability Group Homes during COVID-19 outbreaks included daily governance meetings with the facilities, NSW Health, 400,000+ Commonwealth Aged Care, and Australian Quality and Safety Commission; on-site infection prevention control assessments; rapid delivery of personal protective equipment (PPE); coordination of on-site COVID-19 testing of residents and COVID-19 tests performed in community staff; the deployment of nursing staff to fill roster vacancies; clinics across Western Sydney contact tracing and case interviews; and on site vaccinations in conjunction with support from the Commonwealth. Medical specialists from our District who supported COVID-19 outbreaks at Residential Aged Care Facilities and Disability Group Homes included geriatric, palliative care, renal medicine 500,000+ and infectious disease experts. Residential Aged Care Facilities were further supported to reduce COVID-19 impacts by the running of weekly Public Health COVID-19 vaccinations delivered by WSLHD webinars, including “Lessons Learnt” webinars, which included 14
VACCINATING WESTERN SYDNEY Westmead welcomed local celebrity Kyle Sandilands to receive his vaccinations and launch #GetVaxxedBaby #1 FM breakfast radio host Kyle Sandilands received his first COVID-19 vaccination at the Westmead Hospital Vaccination Clinic in June this year as eligible people across Western Sydney and NSW received their vaccination doses. He also rolled up his sleeve again for his 2nd vaccination, with the hope that the publicity would encourage eligible adults to #GetVaxxedBaby. Above, from left WSLHD Outreach COVID-19 Vaccination Clinic Gallipoli Mosque Auburn. Patient Athar Gohar and Medical Officer Dr Zarza Rashidi at WSLHD Outreach COVID-19 Vaccination Clinic Gallipoli Mosque Auburn. Reg Nurse Shirin Al Rabii and Patient Hacer Korkut at WSLHD Outreach COVID-19 Vaccination Clinic Gallipoli Mosque Auburn. presentations from staff of Residential Aged Care Facilities Western Sydney Local Health District COVID-19 Outreach who had just experienced an outbreak. Vaccination Team provided COVID-19 vaccinations to vulnerable and priority populations across Western Sydney. Aged Care and Hospital In The Home COVID-19 Programs were rolled out to care for our most vulnerable members Amongst many community events, our Outreach teams visited of the community. the Auburn Gallipoli Mosque in June 2021, and the Kimberwalli Vaccination Centre opened its doors to the Aboriginal and In August 2020, we formed a Residential Aged Care Facility Torres Strait Islander community in September 2021. COVID-19 Outbreak Preparedness Taskforce to review and assess the Outbreak Management Plans of all facilities within The WSLHD COVID-19 Outreach Vaccination Team returned Western Sydney. This included site visits to 62 Residential to the Auburn Gallipoli Mosque in July for recipients in the Aged Care Facilities across the district to review current Turkish-Australian community to get their second dose of the outbreak management processes and plans. Formal COVID-19 vaccine, which included refugee groups, culturally feedback was given to the facilities to support their and linguistically diverse communities, people with a disability outbreak management processes. and people experiencing, or at risk of, homelessness. Integrated & Community Health developed a comprehensive The Kimberwalli Vaccination Centre ensured priority groups model of care for COVID-19 positive patients in the community had access to COVID-19 vaccination in culturally appropriate in December 2020. Four GP sites were commissioned through settings and was open to eligible Aboriginal and Torres Strait the Primary Health Network to support patients in the model. Islander people from Western Sydney and their families and The model allowed for Hospital in the Home care of patients, household members, aged 12 and up. A Yarning space was supported by the Clinical Referral Service who called patients available to guide people through the consent process and to check in daily. The model allowed for the safe transfer of staff who identified as Aboriginal or Torres Strait Islander care of low risk COVID-19 patients into a GP model, alleviating provided information about vaccination. inpatient bed demands on the district. 15
1 OUR PEOPLE WSLHD YEAR IN REVIEW Our People
OUR PEOPLE Our Patients & Community COVID-19 patient David urges Our selfless, tireless Volunteers As he left Sydney to get vaccinated after marathon 399-day National Volunteers Week was celebrated in May 2021 and Western Sydney Local Health hospital, stay at Westmead District (WSLHD) recognised the hundreds of David also volunteers who have dedicated time, service David’s long journey began when he was and care to our hospitals and patients. made an admitted to Westmead Hospital suffering from COVID-19 on July 29, 2020. WSLHD Executive Director of Operations, impassioned He spent seven weeks in intensive care Alison Derrett said the volunteers had been greatly missed since their absence from the plea for before eventually being well enough to be transferred to the respiratory observation hospitals last year due to COVID-19. people to get unit in September last year. This year’s theme for National Volunteer vaccinated for Week was Recognise. Reconnect. With the help of the medical, nursing, Reimagine. COVID-19 physiotherapy and speech pathology teams, David slowly regained his strength as part of his long recovery. Kimberwalli Outreach The hardest part was removing his Aboriginal and Torres Strait Islander people tracheostomy tube, which was finally from Western Sydney aged 12 years and successfully taken out on August 10, 2021 over were urged to book their Pfizer – after more than a year of being unable COVID-19 vaccination at the Kimberwalli to breathe independently or talk. Outreach Centre. Finally, after a 399-day admission, David’s Staff who identified as Aboriginal or journey is continuing with ongoing Torres Strait Islander provided information rehabilitation beyond Westmead Hospital. about vaccination and helped administer the vaccinations. Respiratory Observation Unit Manager Trudy Darling said the staff were extremely A yarning space was available to guide proud to see David overcome the odds. people through the consent process and Above Westmead Long farewell packs were provided. Term COVID-19 Patient As he left hospital, David also made David Avila Mellado was an impassioned plea for people to get The vaccination centre was opened to ensure admitted for 399 days vaccinated for COVID-19 and prevent people have access to COVID-19 vaccination at Westmead Hospital. them from ending up in hospital. in culturally appropriate settings. We have released the Community and Consumer Partnership Framework 2021-2025 Developed in partnership with consumer representatives, the framework aims to help us deliver better services and quality of care in the community. Visit https://www. wslhd.health.nsw. gov.au/Consumer- Partnership/All- about-consumer- engagement for more information. Opposite Intensive Care Service Nurse Rachel Stuart. Above, from left David Avila Mellado was clapped out by scores of hospital staff in September 2021. Mount Druitt Palliative Care Volunteers Mary Vincent and Maria Greenwood. Aunty Jenny Ebsworth receives her COVID-19 vaccination as part of WSLHD’s Vaccination Outreach Program. 17
1 OUR PEOPLE WSLHD YEAR IN REVIEW 2020/2021 WSLHD YEAR IN REVIEW Staff Numbers 1774 1339 MEDICAL STAFF ALLIED HEALTH STAFF 5924 719 PROF. & PARA NURSING STAFF PROFESSIONALS & SUPPORT STAFF 1 488 SCIENTIFIC & TECHNICAL CLINICAL STAFF 307 ORAL HEALTH PRACTITIONERS 2 3 2274 53 CORPORATE MAINTENANCE SERVICES & TRADES 554 TOTAL HOTEL SERVICES 13,491 4 1 Senior Resident Medical Officer Dr Shruti Sarkar. 2 Left to right: Reg Midwife Nursing Clare Digirolamo, Orderly Robert Digirolamo. 3 Westmead switchboard staff Karen Edwards. 4 Blacktown Hospital COVID-19 health screener Joseph Nacua. Opposite Westmead Renal Physician Dr Richard 18 Phoon and Patient Rezek Nametaalla.
WHAT WE DO WSLHD YEAR IN REVIEW 2 What We Do
2 WHAT WE DO WSLHD YEAR IN REVIEW Our Health COVID-19 Community Response In response to the COVID-19 pandemic, the WSLHD COVID-19 Protection Unit (CPU) was established to support rapid COVID-19 testing especially for vulnerable communities including people from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander communities and socioeconomically disadvantaged communities. Hospital In The Home facilitated access to support COVID-19 swabbing and serology in the home for people unable to attend a clinic. The Public Health Unit conducted a total of 1034 COVID-19 safety inspections at the end of June 2021. Businesses were assessed across five critical compliance areas: COVID-19 safety plan; wellbeing of staff and customers; physical distancing; hygiene and cleaning; and record keeping. An interagency Microsoft Teams site was established as a central repository for COVID-19 resources, Public Health Orders, and complaint follow-up and inspection outcomes and reporting. The site was accessible to Local Councils, NSW Police, Liquor and Gaming NSW and Nepean Blue Mountains Local Health District. 2020/2021 KEY STAT 1034 COVID-19 SAFETY INSPECTIONS CONDUCTED BY THE PUBLIC HEALTH UNIT AT THE END OF JUNE 2021 Right, from top First patient to get the COVID-19 vaccination in Western Sydney Emergency Department Nurse Unit Manager Dante Canete and Reg Nurse Carly Hanington at the Westmead Vaccination Hub. Dekota German having her COVID-19 vaccination at Mount Druitt Aboriginal Health Hub family vaccination day. Deputy Director Centre for Population Health Western Christine Newman and Reg Nurse Andrew Frageskides at the Blacktown Vaccination Hub. 20
WHAT WE DO Western Sydney Diabetes Western Sydney Diabetes (WSD) rapidly adapted to the COVID-19 pandemic with the establishment of ‘WSD Virtual Care’ with telehealth and cloud based digital solutions, replacing face to face consultations. WSD’s educational forums and events were held virtually including a 2020 Masterclass Series that ran over 10 weeks to provide support and education to health care professionals on evidence-based practice for the management of type 2 diabetes. In addition, more than 10 forums were held during this financial year targeting both health professionals and consumers respectively, and covering topics such as diabetes and mental health, childhood obesity, and eating well. WSD’s community engagement continues to thrive with Healthy Living Toongabbie and the support of a new Filipino Leaders Group. Patient Reported Experience Measures (PREMs) and Patient Reported Outcome Measures (PROMs) Above, from top Westmead Patient Experience Officers - Kerrie Lloyd, Karren Hay, Hind Patient-Reported Outcome Abdel Halim, Sandra Byrne, Guneet Dhillon, Katherine Mason, Christine Fryer. Blacktown Community Diabetes Nurses Theresa Tang, Sharon McClelland, Sian Bramwell. Measures (PROMs) capture patients’ perspectives on how illness or care impact their health and wellbeing. Patient-Reported Experience Measures (PREMs) Residential Aged Care Facilities assess the patient’s experience (RACF) across western Sydney in and perception of their healthcare. COVID-19 readiness. There were 876 PROM and 827 Collaborative engagement allowed PREMS collected during 2020/2021. the sharing of expertise including Patient-Reported The program aims to enable patients to provide direct, timely infection prevention and control Outcome principles, PPE education, and feedback about their health-related clinical advice from infectious Measures (PROMs) outcomes and experiences to drive improvement and integration of diseases, geriatrics, palliative care, and public health. capture patients’ healthcare across NSW. Continued engagement through perspectives on Residential Aged Care an Advisory Council, Steering how illness or care Committee, and weekly webinars Facilities COVID-19 enabled a desktop COVID-19 impact their health Response outbreak scenario to facilitate a safe simulation and testing and wellbeing. Integrated and Community Health (ICH) leveraged the existing of interagency responsiveness relationships through the Public between the RACF, WSLHD and the Health Unit, to engage the 64 PHN and lines of communication. 21
2 WHAT WE DO WSLHD YEAR IN REVIEW Doing the Numbers Amidst the ongoing impact of the pandemic, we continued the trend from last year of achieving commendable savings through better management of employee-related costs, and improved savings in purchasing supplies and services. This financial year, we achieved a total of more than Dealing with the COVID-19 pandemic added additional $4 million in additional savings in purchasing clinical and pressure to staff and services across the District. The medical supplies as well as sourcing of corporate services. impact was managed through good planning and great This represents a continuing trend from our previous year. teamwork. An additional $143.68m was invested by the NSW Government into managing the health and safety The total of WSLHD’s expenditure for 2020/21 was $2.101 of our staff and residents during the pandemic. billion. Employee Related Expenses made up for 66.8% of that total. Our staff continue to be the backstay of our Own-source revenue contributed $204 million towards service provision, although partnering with private health funding health services. This is a slight increase to previous providers was significant during 2020/21 in efforts to year ($203m). The COVID-19 impact on revenue from manage surgical wait lists. patient fees, car parking and commercial returns continues to be significant. REVENUE EXPENDITURE 65.6% Sales of Goods 66.8% Employee Related Expenses and Services 26.6% Other Operating Expenses 34.4% Other Revenue 3.8% Depreciation and Amortisation 2.3% VMOs 0.5% Grants and Affiliated Health Organisations FINANCE STATISTICS 2020/21 $2.101b WSLHD EXPENDITURE $204m OWN-SOURCE REVENUE CONTRIBUTED TO FUNDING HEALTH SERVICES Met Expenses DELIVERED SERVICES WITHIN ALLOCATED Budget Targets EXPENSES BUDGET FOR 20/21 WSLHD COST PER NWAU VS STATE FOR 2021-2022 IN DOLLARS (NSW AVERAGE AND WSLHD AVERAGE) In terms of Activity Based Funding (ABF) efficiency, the District Draft 2021/22 ABF price is assessed at $4,858 per NWAU. The State Draft Efficient Price is $4,931 per NWAU, indicating the WSLHD is operating in an efficient manner. ABF cost per NWAU for 2020/21 financial year is dependent on finalising impact of COVID-19 on activity and expenses. 22
WHAT WE DO Annual Finance Highlights 01 Completion of $1b Westmead Hospital 02 Managing the response to the COVID-19 Redevelopment pandemic (preparation, including delivery of diagnosis, treatment, and a brand new 14 floor vaccination of COVID-19 Central Acute Services patients), the District Building (CASB)*. expended an additional $143.68m during 2020/21. 1 03 The District achieved it’s 2020/21 Activity Based Funding (ABF) activity target within its budgeted expenses allocation. 2 3 04 Close to $4m in additional savings 05 Continued to manage an affordable bed in procurement base with improved of clinical and management of beds medical supplies. and rostering practices. 4 *emergency departments for WSLHD and Sydney Children’s Hospital - Westmead, hybrid and digital operating theatres, day surgery, inpatient beds, and National Infectious Diseases Unit (NIDU). Overall footprint includes University of Sydney and Innovation Centre areas. 1 Central Acute Services Building. 2 Westmead Oncology Car T Cell Transplant Patient Sandra Lee Austen. 3 Settlement Services International Staff member Geena Rekhi having her COVID-19 vacination. 4 Westmead Intensive Care Staff Specialist Dr Hemal Vachharajani. 23
2 WHAT WE DO WSLHD YEAR IN REVIEW District Achievements Western Sydney team Futuristic, lifesaving investigate airborne heart research given COVID-19 spread in $5 million boost in world-leading Westmead Health research Precinct 1 The “Quadpill”: Westmead Health Precinct heart research finds more effective treatment for high blood pressure 2 3 Westmead Hospital’s New unit provides new dedicated trauma mother and baby unit for severely mental health support injured patients to Western Sydney 4 1 Director of Western Sydney Local Health District’s Public Health Unit Dr Shopna Bag led the contact tracing efforts at the district. 2 Westmead Hospital Cardiologist Professor Clara Chow led a study which found that high blood pressure can be safely and more effectively controlled using a combination of four different existing medications in a ‘quadpill’. 3 Westmead Hospital Interventional Cardiologist Associate Professor James Chong’s team’s futuristic research involves growing new cardiomyocytes – heart muscle cells that are predominantly responsible for the pump function of the heart. 4 Nurse Unit Manager Britney Raj working in the new Westmead Hospital Central Acute Services Building Trauma Ward. Opposite Westmead Breast Cancer Institute Director Associate Professor Nirmala Pathmanathan. 24
OUR HOSPITALS WSLHD YEAR IN REVIEW 3 Our Hospitals
3 OUR HOSPITALS WSLHD YEAR IN REVIEW Westmead Hospital Westmead received The simulation happens in real-time so said the relocation to the 14-level CASB every decision must be made quickly. was designed to offer an even better a $50,000 grant from service for its communities, offering new gaming giant for heart This support could significantly expand treatment spaces and equipment, and the capabilities of the training program, attack simulator according to Nathan Moore – Digital providing patients and carers with easier Innovation Lead at Western Sydney access and drop-off. The engine behind action scenes in The Mandalorian and blockbuster video Local Health District’s Research and Centrally located in the precinct, the games including Rocket League is Education Network. relocation moves us one step closer to throwing its weight behind an The program was developed by the full opening of the Central Acute innovative health training program Nathan Moore and Martin Brown from Services Building. at Westmead Hospital. the University of Sydney’s Westmead Westmead Hospital General Manager Initiative. The pair have also worked Rebecca Tyson said the relocation Advanced Life Support (ALS) Sim-VR together on other virtual reality training marked an important piece of history in – a virtual reality program designed programs including Code Black, which healthcare and was a credit to all staff, to train nurses and doctors in critical trains frontline workers in de-escalation because of the years of planning and all decisions – is the recipient of an Epic techniques with agitated patients MegaGrant from Epic Games. the hard work that had been done. and visitors. And it didn’t take long before months ALS is a set of skills needed in any The team is working on other training of staff training, simulations and tests hospital setting to save someone applications for the futuristic technology, to gauge equipment and new spaces suffering cardiac arrest. including areas such as clinical handover turned to reality when the first patient The ‘player’ must control a virtual team and undergraduate education. – 96-year-old George Nicholas from trying to assist a patient suffering from Bossley Park – was assisted through cardiac arrest. Westmead Emergency the doors by son Marcel. The virtual reality program allows people opens new era for Western In a series of milestone moments, 8.10am to pull on a headset in the location of Sydney healthcare marked the first ambulance to arrive at their choice and practice their skills in A 42-year service closed its doors the new ED and 11.15am signalled the last real time, making quick decisions to this morning then instantly re-opened of the test choppers to land on the 14th- ultimately save a patient’s life. a new era as Westmead Hospital’s level helipad. The American company behind Emergency Department relocated The centrepiece of the $1 billion-plus incredibly successful Unreal Engine and to its new high-tech home. Westmead Redevelopment, the CASB video games including Rocket League As the clock ticked 8am on the 17th will provide Western Sydney with have fronted up US$50,000 for the of February, 2021, sliding doors to the high-quality healthcare, research and team at Westmead. emergency department (ED) met for the educational facilities for decades last time and marked the next chapter to come. “The simulation for staff and almost two million patients The new hospital will feature two new since it first opened in 1979. emergency departments – one for happens in real-time so Three hundred metres away at the adults, one for children – more than every decision must be centre of Westmead Health Precinct, 300 patient rooms, 25 digital operating made quickly.” the new state-of-the-art unit in the theatres and a suite of other features. Central Acute Services Building (CASB) The grant also provides money-can’t- simultaneously welcomed Western For a full list of services, visit buy access to Epic Games’ team of Sydney to healthcare’s future. www.wslhd.health.nsw.gov.au/ programmers, engineers and designers Western Sydney Local Health District Westmead-Hospital/Our-Services for troubleshooting and development. (WSLHD) Chief Executive Graeme Loy Above, from left WSLHD Lead for Educational Innovation and Technology Nathan Moore with the Westmead REN Simlab Virtual Reality equipment. Westmead emergency department staff specialist team prepare to start work at the new Westmead emergency department. 26
OUR HOSPITALS 2020/2021 WESTMEAD HOSPITAL Key Activities 75,675 5253 ED PRESENTATIONS TOTAL BIRTHS 1 24,636 AMBULANCE PRESENTATIONS 2 3 17,361 735 SURGERIES DAILY AVERAGE AVAILABLE BEDS 4 1 Westmead Radiographer Fazrieh Nabizadeh. 2 Westmead Cardiology Researcher A/Professor Sarah Zaman. 3 Westmead Medical Officer Dr Caroline Tyers at the ED Doctors podcast recording studio. 4 Cardiologist Dr Peter Fahmy has performed the first watchman FLX device procedure at Westmead Hospital. 27
3 OUR HOSPITALS WSLHD YEAR IN REVIEW Above from left Auburn Hospital Quality and Accreditation Manager Sally Henderson in front of the Share the Dignity vending machine holding period pack. Social Worker Jemima Gaunt holding period pack. Auburn Hospital Auburn Hospital first in NSW to ensuring women have access to regardless of background, language, basic sanitary items during their or any social disadvantage, can to install ‘Share the Dignity’ menstrual cycle – particularly women be supported. vending machine for free experiencing period poverty. Auburn Hospital Social Worker pads and tampons. The vending machine was Jemima Gaunt said by providing arranged by Auburn Hospital the community with access to free Auburn Hospital was the first public Quality and Accreditation Manager period products, they aim to maintain hospital in NSW to install a Share Sally Henderson, who has been the dignity in every woman’s life. the Dignity vending machine, which volunteering for Share the Dignity dispenses a period pack with six The service would be appreciated by tampons and two pads at the press for 18 months. many women who receive support of a button. The packs are designed to provide 24 through the hospital. Free feminine hygiene products hours of access to sanitary products, The vending machine is located are now available for members of with no questions asked and no within the baby change room in the public and staff 24 hours a day, limit per person. It was placed in the the emergency department and is 365 days a year in the emergency emergency department to ensure accessed simply by pressing the department at Auburn Hospital. there is 24-hour public access. green button. There is a 10-minute Founded in 2015, Share the Dignity This is another way that all women’s delay between dispensing packs to is an Australian charity dedicated dignity in the Auburn community, protect against misuse. Auburn Hospital was also a collection point for the March Dignity Drive, where members of the public were Founded in 2015, Share the Dignity is an encouraged to donate pads, tampons, period underwear, incontinence pads, Australian charity dedicated to ensuring menstrual cups and other sanitary items. women have access to basic sanitary items For a full list of services, visit during their menstrual cycle – particularly www.wslhd.health.nsw.gov.au/ women experiencing period poverty. Auburn-Hospital/Our-Services 28
OUR HOSPITALS 2020/2021 AUBURN HOSPITAL Key Activities 29,881 1316 ED PRESENTATIONS TOTAL BIRTHS 1 5076 AMBULANCE PRESENTATIONS 2 3 7667 173 SURGERIES DAILY AVERAGE AVAILABLE BEDS 4 1 Auburn NUM Renal Nelson Ubera and Patient Sonia Shalala. 2 Auburn REACH program launch. Clerical Services Sharon Busuttil. 3 Auburn Community Health Multicultural Officer Fouzia Hamdard wearing traditional Afghan coat. 4 Auburn patient Bert Le-Merton at 101 years old. 29
3 OUR HOSPITALS WSLHD YEAR IN REVIEW Blacktown and Mount Druitt Hospitals Blacktown Hospital expanded The NCU works closely with the Unit hope the gym will motivate patients care for premature babies in Neonatal Intensive Care Unit (NICU) at to change any unhealthy lifestyles. Westmead Hospital to treat babies from Western Sydney If you or anyone you know are surrounding areas in Western Sydney. experiencing mental health issues, please As Western Sydney continues to grow, contact your GP. The expansion of the NCU was part of so has Blacktown Hospital’s Newborn Stage 2 of the Blacktown and Mount For mental health support 24 hours Care Unit (NCU) – expanding its Druitt Hospitals (BMDH) Expansion a day, 7 days a week, please contact: capacity to care for 18 premature, small, Project to accommodate the growing or sick babies and their families. Lifeline on 13 11 14 population of Western Sydney. The NCU consists of a dedicated team Mental Health Line on 1800 011 511 Blacktown Hospital’s Newborn Care Unit Kids Helpline on 1800 55 1800 of doctors, nurses and allied health can be contacted on 02 9881 8000. professionals that nurtures small, growing babies and those with health BMDH expansion completed problems requiring specialist care. A new gym for the Melaleuca Unit The $700 million expansion of Nurse Unit Manager Terry Freeman said Blacktown and Mount Druitt Hospitals additional cots will help meet the needs The Melaleuca Unit is a specialised is complete with the official opening of of the community and deliver high- rehabilitation unit that helps mental the multi-award-winning acute services quality clinical care for families. health patients who have been treated building held in April. Babies that require extra care are for serious conditions transition back Health Minister Brad Hazzard was joined admitted to the Newborn Care Unit from into the community. by local MPs Mark Taylor and Kevin the Birthing and Maternity Units, from Staff specialist Dr Anoop Conolly for the plaque unveiling at home or other hospitals in NSW. The Sankaranarayanan said people with Blacktown Hospital campus, to celebrate staff provide high quality specialised serious mental illnesses are more likely to the completed works. care in a safe, supportive environment. gain weight and develop complications The new emergency department was The NCU is equipped with humidicribs such as type 2 diabetes. the result of years of careful planning which are used to treat sick or small The Melaleuca Unit has transformed and was co-designed with community babies, to keep the babies warm, and a space into a fit-for-purpose gym members, staff, patients and carers. The allow the parents to always see them complete with a strength machine, nine-storey acute services building has any time. The spacious rooms allow CrossFit walking machine, punching bag, set new benchmarks for clinical design parents to recline next to the baby’s cot basketball ring and Bluetooth wireless and innovation. or humidicrib, and there is a mothers- headsets so patients can listen to music only expressing room for privacy. Parent The new ED includes acute care, urgent or podcasts while working out. accommodation rooms help parents care, short stay, bedside imaging, and transition from hospital to home and The new equipment is part of a program has a dedicated section for mental the unit is also equipped with a parent’s that aims to provide holistic care to health emergencies, while the new retreat with a kitchen available for use at patients and promote recovery in a intensive care unit provides more any time and a play area for siblings. healthier way. The staff at the Melaleuca spacious patient rooms and overnight Above, from left Member for Parramatta Mark Taylor, ICU NUM Paul Goudie, ICU Director Blacktown Hospital Associate Professor Graham Reece, WSLHD Director of Nursing and Midwifery Carol Farmer, Member for Riverstone Kevin Conolly, NSW Minister of Health Brad Hazzard, Blacktown Hospital General Manager Ned Katrib, WSLHD Board Chair Richard Alcock AO. 30
OUR HOSPITALS family rooms for relatives. There is also a drop-off area at the door and dedicated parking. “Blacktown and Mount Druitt The NSW Government has committed Hospitals have volunteers who a further $10.7 billion on health infrastructure projects over the next provide more than 15 programs to four years, with two-thirds of those in rural and regional areas. the wards and departments.” Volunteers returned to service Volunteers returned to work after hospitals, send an email to Sotrovimab was provisionally a year’s absence due to the colin.dent@health.nsw.gov.au. approved by the Therapeutic Goods COVID-19 outbreak. Administration (TGA) in August this Mount Druitt Hospital’s Kiosk and Gift Ground breaking antibody year. NSW Health worked with the Shop volunteers – just some of the 120 treatment delivered at Commonwealth to access some supply strong volunteer workforce – were back Mount Druitt Hospital of this ground-breaking drug for at the hospital in March, ready to serve NSW patients. and sustain the local community. A key international trial of a monoclonal antibody treatment has shown a The STOPS Clinic offers Western Sydney Wayfinding, Pink Ladies, ward helpers, a new way of treating COVID-19 for the reduction in hospitalisation in adults with courtesy desk, therapy dogs, cardiology mild-to-moderate COVID-19, who are at most vulnerable in the community, which and intensive care volunteers arrived in risk of developing severe COVID-19. is vital for keeping at-risk COVID-19 scheduled intervals throughout March to Mount Druitt Hospital is one of the patients off ventilators and out of our ensure a COVID-19 Safe return to service. locations this year that started delivering hospitals. Aboriginal and Torres Strait Twelve volunteers help run the hospital Islander people with COVID-19 aged the new treatment, Sotrovimab, for Kiosk and all proceeds made from sales people with COVID-19, who are at the 35 or older are also eligible. COVID-19 are returned to the hospital to purchase greatest risk of severe illness. patients are triaged by nurses based on medical equipment. The Sotrovimab Treatment in an clinical need after their diagnosis. Blacktown and Mount Druitt Hospitals Outpatient Setting (STOPS) clinic is have volunteers who provide more for COVID-19 patients who have had a For a full list of services, visit than 15 programs to the wards and positive COVID-19 test within the last www.wslhd.health.nsw.gov.au/ departments. All volunteers undertake 5 days, are aged over 55, have one Blacktown-Mount-Druitt-Hospital/ a safety and wellbeing check, and or more risk factors such as diabetes, Our-Services COVID-19 safety plans are followed. obesity, or moderate-to-severe If you are interested in volunteering asthma and are being managed at Blacktown or Mount Druitt in the community by WSLHD. Above, from left Mount Druitt Supportive and Palliative Care Unit Garden Maintenance Group with Bunnings Minchinbury Activities Organiser Narelle Hunt and Palliative Care Nursing Unit Manager Trish Dalgleish in front. Mount Druitt Hospital Auxiliary Volunteers Treasurer Dulci Harrison, Secretary Janice Graham and President Jean Hitches. 31
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