Central Australia Health Service Deed of Amendment to the
2017‐18 Service Delivery Agreement
July 2018
Contents
1 Recitals ... 3
2 Force and effect ... 3
3 Variation ... 3
4 Execution ... 3
5 Appendices ... 4
Appendix 1 ‐ Service Delivery Agreement Date ... 4
Appendix 2 ‐ Schedule 2 (Activity and Funding) ... 5
Table 2.1 Activity and Finance ... 5
Table 2.2 Funding Sources ... 7
Appendix 3 ‐ Schedule 3 (Tied Funding) ... 8
Appendix 4 ‐ Schedule 5 (Key Performance Indicators) ... 10
Appendix 5 ‐ Schedule 7 (Support Services to Health Services) ... 11
1 Recitals
a) Pursuant to section 37 of the NT Heath Services Act 2014, on 13 July 2017 the Chief Executive Officer (CEO) and the Service Administrator, Central Australia Health Service, entered into the 2017‐18 Service Delivery Agreement.
b) Pursuant to section 44, of the NT Health Services Act 2014, the CEO and Service Administrator, Central Australia Health Service, (the parties) agree to amend the Service Delivery Agreement on the terms set out in this instrument.
2 Force and effect
Except as otherwise agreed in this instrument:
a) Nothing in this instrument is deemed to vary the Service Delivery Agreement, and b) The 2017‐18 Service Delivery Agreement remains in full force and effect.
c) All amendments to the Service Delivery Agreement set out in Clause 3 below will be effective from the date of signature of this agreement.
3 Variation
The parties agree to amend the Service Delivery Agreement as follows. An appendix for each proposed amendment is attached.
a) in the section ‘Term of this Service Delivery Agreement’ delete ’30 June 2018’ and replace with text in Appendix 1;
b) delete ‘Schedule 2 ‐Table 2.1 (Activity and Finance) and Table 2.2 (Funding Sources)’ and replace with tables in Appendix 2;
c) delete ‘Schedule 3 ‐Tied Funding Table’ and replace with table in Appendix 3;
d) delete ‘Schedule 5 ‐ Hearing health KPI description’ and replace it with text in Appendix 4, and;
e) delete ‘Schedule 7 – Support Services to Health Services’ and replace with Schedule 7 in Appendix 5.
4 Execution
The Parties acknowledge and agree that the Service Delivery Agreement, as amended, continues in full force on and from the date of signing of this Deed.
Central Australia Health Service
Executed as a Deed in the Northern Territory Signed by:
Prof Catherine Stoddart PSM
Chief Executive Officer, Department of Health for and on behalf of the Department of Health 25 July 2018
Dr Patricia Miller AO
Service Administrator, Central Australia Health Service for and on behalf of Central Australia Health Service 3 August 2018
5 Appendices
Appendix 1 ‐ Service Delivery Agreement Date
The end of the term date has been modified to reflect the extension of the SDA period from 12 months to 15 months (Page 9, 2017‐18 SDA).
Delete:
Term of this Service Delivery Agreement
This SDA will operate from 1 July 2017 to 30 June 2018. Review and negotiation of the next agreement will commence at least six months prior to the end of this term, as detailed in the Charter.
Insert:
Term of this Service Delivery Agreement
This SDA will operate from 1 July 2017 to 30 September 2018.
Appendix 2 ‐ Schedule 2 (Activity and Funding)
Delete:
Table 2.1 Activity and Finance
Funding Type Unit Activity Purchased ($)
($4,910 / WAU)
Activity Funded Services
Admitted Acute WAU 37,033 $181,830,564
Admitted Sub Acute WAU 1,480 $7,265,929
Admitted Mental Health WAU 1,226 $6,019,347
Emergency Department WAU 7,360 $36,137,927
Non‐admitted WAU 4,412 $21,661,710
Total Activity Funded Services WAU 51,510 $252,915,478
Block Funded Services
Commonwealth & NT Block Funded Hospital Services $56,715,888
Non Hospital Services1 $76,845,834
Aged Care Services OOS 3,800 $433,252
Community and Residential Mental Health $11,643,275
Primary Health Care Services $53,445,656
Alcohol and Other Drugs $4,626,501
Hearing Health OOS 2,400 $1,619,511
Oral Health OOS 13,500 $5,077,637
Total Block Funded1 $133,561,722
Efficiency Adjustment2 $3,706,801
TOTAL $390,184,000
WAU = Weighted Activity Unit OOS = Occasion of Service
Note1: Funding allocations for non‐hospital services are indicative only and will require recasting once the Health Service has loaded budgets into the Budget Forward Estimate System (BFES)
Note2: Efficiency Adjustment is pending final National Hospital Cost Data Collection Results for 2015/16.
Updating of the efficiency adjustment will occur at mid‐year review NWAU Version 17
Total SDA funding value excludes Capital Acquisition Program
Insert:
Table 2.1 Activity and Finance
Funding Type Unit Activity Purchased ($)
($4,910 / WAU)
Activity Funded Services
Admitted Acute WAU 37,033 $181,832,030
Admitted Sub Acute WAU 1,226 $6,019,660
Admitted Mental Health WAU 1,480 $7,266,800
Emergency Department /Emergency Services WAU 7,360 $36,137,600
Non‐admitted WAU 4,412 $21,662,920
Activity Funded Services WAU 51,511 $252,919,010
Efficiency Adjustment ‐ $793,883
Total Activity Funded Services $252,125,127
Block Funded Services
Commonwealth & NT Block Funded Hospital Services $5,309,933
Teaching, training and research $5,309,933
NT Only Block Funded ‐Hospital Services
$33,156,262
Out of Scope PATS $9,678,624
NT Block Funded Services $23,477,638
Tied Funding $28,935,000
NT Only Block Funded – Non Hospital Services $93,899,678
Aged Care Services $1,105,478
Community and Residential Mental Health $8,525,526
Primary Health Care Services 1 $57,500,454
Alcohol and Other Drugs $6,075,072
Breast Screening
Oral Health $5,077,637
Hearing Health
New Decisions ‐ NT Health Budget Pressure $1,619,511
$13,996,000
Total Block Funded $161,300,873
TOTAL2 $413,426,000
WAU = Weighted Activity Unit OOS = Occasion of Service NWAU Version 17
Notes:
1 1,697 NWAU at the national efficient price have been funded on an activity basis
2 Total SDA funding value excludes Capital Acquisition Program
Delete:
Table 2.2 Funding Sources
Funding Source Value ($)
Commonwealth NHFB Hospital Funding 75,340,979
Commonwealth NHFB Hospital Block Funding 3,279,455
Commonwealth NHFB Public Health Funding 310,000
NT Hospital & Block Funding 257,316,859
Health Service Generated Revenue 30,222,000
Commonwealth and other Tied Funding 23,714,707
TOTAL $390,184,000
Insert:
Table 2.2 Funding Sources
Funding Source Value ($)
Commonwealth NHFB Hospital Funding 77,061,000
Capital and other Balance Sheet items Budget ‐ 486,000
Commonwealth NHFB Hospital Block Funding 3,533,000
Commonwealth NHFB Public Health Funding 308,072
NT Hospital & Block Funding 273,418,000
Health Service Generated Revenue 30,222,000
Commonwealth and other Tied Funding 28,883,758
TOTAL $412,939,830
Appendix 3 ‐ Schedule 3 (Tied Funding)
Delete:
Schedule 3: Tied Funding
Agreement Name Expiry Value ($)
Aged Care Assessment Program 30/06/2018 $ 449,455 Australian Government ‐ National Intravenous Drug Strategy B $ 310,000
Flinders University 31/12/2017 $ 491,000
Baker IDI Fellowship* $ ‐
Community and Home Support 30/06/2018 $ 400,591 Fred Hollows ‐ ACW Eye Health Support & Training Project 31/12/2017 $ 42,550 Highly Specialised Drugs 30/06/2018 $ 2,969,000 Indigenous Australians' Health Programme Multiple Schedule
Funding ‐ Overall 30/06/2018 $ 13,204,000
Indigenous Australians' Health Programme Multiple Schedule Funding ‐ Chronic
Disease $ 246,600 Indigenous Australians' Health Programme Multiple Schedule Funding ‐ Maternal
and Child Health $ 663,336 Indigenous Australians' Health Programme Multiple Schedule Funding ‐ Primary
Health Care (PHC) $ 7,836,469 Indigenous Australians' Health Programme Multiple Schedule Funding ‐ Stronger
Futures Primary Health Care (SFNT PHC) $ 4,057,594 Indigenous Australians' Health Programme Primary Health Care (New Directions)
Schedule 3 $ 400,000
Oral, Hearing Health and Cancer Services 30/06/2022 $ 1,315,390
NPA Remote Aboriginal Investment ‐ Oral Health $ 692,690 NPA Remote Aboriginal Investment ‐ Hearing Health $ 378,709 Healthy Ears‐Better Hearing, Better Listening 30/06/2020 $ 243,991
Remote Aboriginal Investment ‐ Schedule 1: Alcohol 30/06/2022 $ 3,520,000 STP ‐ Specialist Training Programs 31/12/2017 $ 1,050,000 STP‐ EMET Emergency Medical Education & Training (CAHS) 30/12/2017 $ 272,726
TOTAL $ 24,024,711
* ‐ Agreements have yet to be confirmed.
B ‐ Block Funded Public Health ($0.310 million)
Insert:
Schedule 3: Tied Funding
Agreement Name Expiry Total 17‐18 Funding
Aged Care Assessment Program 30/06/2018 $400,000
Australian Government ‐ National Intravenous Drug Strategy B $308,000
Flinders University 31/12/2017 $491,000
Baker IDI Fellowship* $ ‐
Community and Home Support 30/06/2018 $270,000
Fred Hollows ‐ ACW Eye Health Support & Training Project 31/12/2017 $43,000
Fred Hollows ‐ ophthalmology Project 1/01/2018 $102,000
Highly Specialised Drugs 30/06/2018 $4,969,000
Indigenous Australians' Health Programme Multiple Schedule Funding
‐ Overall 30/06/2018 $13,278,000
Indigenous Australians' Health Programme Multiple Schedule Funding ‐
Chronic Disease $250,000
Indigenous Australians' Health Programme Multiple Schedule Funding ‐
Maternal and Child Health $673,000
Indigenous Australians' Health Programme Multiple Schedule Funding ‐
Primary Health Care (PHC) $7,001,000
Indigenous Australians' Health Programme Multiple Schedule Funding ‐
Stronger Futures Primary Health Care (SFNT PHC) $4,954,000
Indigenous Australians' Health Programme Primary Health Care (New
Directions) Schedule 3 $400,000
Indexation increase to IAHP 30/06/2018
McGrath Foundation Breastscreen Nurses 31/12/2018 $103,000 Oral, Hearing Health and Cancer Services 30/06/2022 $1,964,000
NPA Remote Aboriginal Investment ‐ Oral Health $725,000
NPA Remote Aboriginal Investment ‐ Hearing Health $544,000
Adult Public Dental Service 30/06/2022 $425,000
Healthy Ears‐Better Hearing, Better Listening 30/06/2020 $270,000
NTGPE ‐ Alice Springs Hospital 30/06/2018 $358,000
Primary Health Network NT * $1,200,000
Remote Aboriginal Investment ‐ Schedule 1: Alcohol 30/06/2022 $3,520,000
STP ‐ Specialist Training Programs 31/12/2017 $1,531,000
STP‐ EMET Emergency Medical Education & Training (CAHS) 30/12/2017 $281,000
TCH Anyingini Barkly Region MGP Agreement * $130,000
TOTAL $28,948,000
B ‐ Block Funded Public Health ($0.308 million)
*‐ Agreements have yet to be confirmed.
Appendix 4 ‐ Schedule 5 (Key Performance Indicators)
Delete: Early detection of conductive hearing loss in remote Aboriginal communities Insert: Early intervention of conductive hearing loss in remote Aboriginal communities
Appendix 5 ‐ Schedule 7 (Support Services to Health Services)
Narrative updated to reflect the Department of Health restructure and redistribution of corporate services. (Page 38).
Delete:
The Chief Executive of the Department will be responsible for providing specific areas of corporate support to the Health Services. This will principally be through the Corporate Services Bureau and the Office of the Chief Executive/Executive Services.
Services to be provided by the Corporate Services Bureau will include:
Financial Services, providing financial information and forecast to support Service Delivery Agreements, establishment and oversight, accounting, revenue, budget and financial policy development on behalf of NT Health
Infrastructure Services, providing strategic advice and program oversight of the capital works program, capital equipment program, strategic asset planning, lease management, and facilities management to non‐hospital properties as requested on behalf of the Department of Health
Corporate Services providing travel, transport and general services to staff and contractors.
Human Resource Services:
o Human Resource Management and Industrial Relations, including policy and system framework advice and quality assurance, strategic work health and safety, and specialised career development.
o Learning and Development, through traditional and eLearning mechanisms grows and builds corporate capability and skills of employees.
Information Systems and Services, developing Northern Territory Health (NT Health) policy, strategies, services and standards for the use of information and communications
technology (ICT) through:
o Acute Care Information Services o Community Care Information Services o Health Interoperability Services o Health Services Information Systems o ICT Infrastructure
o Strategic eHealth Services
Provision of corporate information services (including records management) and Library Services.
Data Management and System Reporting, providing the source of health information to support evidence‐based decision making to improve health outcomes, performance monitoring, service planning and policy development, including:
Provision of validation reports to enable the Health Service to confirm the data is in accordance with national standards on a monthly basis.
Procurement and Contract Services, providing the development, management and governance of NT Health’s procurement policies and procedures, and a range of procurement and contract management services
Services to be provided by the Office of the Chief Executive/Executive Services will include:
strategic media and corporate communications services
legal services
disaster coordination
ministerial liaison services
risk and assurance services.
Service Standards between branches of the Department and TEHS have been put in place to clearly establish the scope and quality of services to be provided. Other services will be developed as required.
Insert:
The Chief Executive of the Department will be responsible for providing specific areas of corporate support to the Health Services. This will principally be through the following divisions: Governance and Business Services, Finance, People and Organisational Capacity and the Office of the Chief Executive.
Services to be provided by the Governance and Business Services will include:
Infrastructure Services, providing strategic advice and program oversight of the capital works program, capital equipment program, strategic asset planning, and lease management.
Corporate Services providing travel, transport and general services to staff
Information Systems and Services, developing policy, strategies, services and standards for the use of information and communications technology (ICT) through:
o Acute Care Information Services o Community Care Information Services o Health Interoperability Services o Health Services Information Systems o ICT Infrastructure
o Strategic eHealth Services
Provision of corporate information services (including records management) and Library Services.
Data Management and System Reporting, providing the source of health information to support evidence‐based decision making to improve health outcomes, performance monitoring, service planning and policy development, including the provision of validation reports to enable the Health Service to confirm the data is in accordance with national standards on a monthly basis.
Procurement and Contract Services, providing the development, management and governance of NT Health’s procurement policies and procedures, and a range of procurement and contract management services.
Grants administration and management services through:
o Providing support and advice in the administration of service agreements with external service providers and Non‐Government Organisations (NGOS) o Management of databases and systems that administer grants and funding
arrangements
o Processing grant payments, system administration and reporting
o Business improvement and quality control to ensure compliance with NT Government policies relating to Grants.
Services to be provided by Finance will include:
Financial Services, providing financial information and forecasts to support Service Delivery
Ready access to the information and tools required to successfully implement activity based funding and related activities.
Services to be provided by People and Organisational Capability will include:
Human Resource Management and Industrial Relations, including policy and system framework advice and quality assurance, strategic work health and safety, and specialised career development
Learning and Development, through traditional and eLearning mechanisms to grow and build corporate capability and skills of employees
Work health and safety.
Services to be provided by the Office of the Chief Executive will include:
Strategic media and corporate communications services
Legal services
Freedom of information and information privacy services
Disaster coordination
Ministerial liaison services
Risk and assurance services.
Service Standards between branches of the Department and TEHS/CAHS have been put in place to clearly establish the scope and quality of services to be provided. Refinements to the provision of corporate support services may occur as recommendations from the Corporate Services Review are implemented.
