Question
(mental health wards)
What is the breakdown of all mental health wards at the (a) Canberra Hospital (b) Calvary Public Hospital, including (a) a brief description of the ward, (b) how many beds in each ward, (c) how many treatment spaces in each ward, (d) how many staff scheduled for each ward including job title and classification for (i) morning, (ii) afternoon and (iii) night shift, (e) how many patients have been admitted to each ward in the last financial year, (f) how many patients have been discharged from each ward in the last financial year, (g) how many staff (headcount) have been recruited for each ward in the last financial year, (h) how many staff (headcount) have separated from each ward in the last financial year, (i) what was the budget allocated for each ward in the last financial year, (j) how much was spent by each ward in the last financial year and (k) what is the average length of stay for a patient in each ward.
Answer
a) b) c)
| Name of Ward | Description | # Beds |
| Adult Mental Health Unit (AMHU) | Provides voluntary and involuntary psychiatric care and treatment for people with a mental health illness who require hospitalisation. AMHU has a Low and High Dependency Unit (LDU and HDU). The units provide short term specialised acute clinical intervention, treatment and care for persons experiencing moderate to severe mental illness or mental dysfunction where less restrictive options have been deemed unsuitable or unavailable. | 40 |
| Mental Health Short Stay Unit (MHSSU) | Provides voluntary and involuntary psychiatric care and treatment for people with a mental health illness who require hospitalisation. The unit provides an opportunity for extended clinical observation, crisis stabilisation, mental health assessment and intervention for people admitted from the Emergency Department. | 6 |
| Ward 12B | The unit provides assessment, treatment, and therapeutic intervention for persons with mental health presentations requiring inpatient care with a lower risk of behavioural disturbance, vulnerability, or other issues than persons requiring the more restrictive environment of the AMHU HDU. | 10 |
| Adult Mental Health Rehabilitation Unit (AMHRU) | The purpose of a specialist mental health rehabilitation service is to deliver effective, interdisciplinary and recovery-based treatment and rehabilitation to people whose needs cannot be met by less intensive community based mental health services. The focus for an admission to AMHRU is on people with moderate to severe mental illness who face challenges living more independently in the community. Priority is given therefore to those who will benefit from rehabilitation services such as people exhibiting signs and symptoms of a First Episode Psychosis and people in the early stage of their illness. | 20 |
| Dhulwa Mental Health Unit (Dhulwa) | Dhulwa supports a person’s treatment, care and recovery by responding to the needs of people with moderate to severe mental illness who are or are likely to become involved with the criminal justice system and for those civilian people who cannot be treated in a less restrictive environment. | 17 |
| Gawanggal Mental Health Unit (Gawanggal) | Gawanggal Mental Health Unit provides medium term, forensic, residential style care for consumers with complex and enduring mental health issues and who require assistance to transition into the community setting. | 10 |
a,b,c
| Calvary Public Hospital Bruce | ||
| Name of Ward | Description | Number of beds* |
| Acacia Ward | The Acacia ward provides care for patients in an acute stage of mental illness and/or psychological distress, across the psychiatric diagnostic spectrum. Patients are predominantly in the 18–65 year-old age range, however the unit will manage patients outside of this age range if appropriate and there is a lack of capacity to be managed elsewhere. The unit is gazetted under the Mental Health Act 2015 and can accept patients who are detained under the Act. The unit is an open environment and as such does not have a de-escalation suite or a high dependency environment. Any admission is risk assessed for safety and suitability to be managed within the unit environment. Patients not meeting the above criteria are assessed on an individual case basis to ensure a safe patient journey and person-centred care is provided.
| 21 |
| Older Persons Mental Health Unit (OPMHU) | The patient group serviced by the Older Persons Mental Health Unit (OPMHU) are generally persons aged over 65 years, and for Aboriginal and Torres Strait Islander people aged over 50 years, who may be experiencing issues with mental health. This may be a longstanding mental illness complicated by issues of aging (e.g., multiple medical problems, physical disability, or significant cognitive impairment), or recent onset of mental illness. Those patients with behavioural disturbances related to delirium are transferred to a medical inpatient setting for appropriate general medical care. The unit is gazetted under the Mental Health Act 2015 and includes a high dependency area.
| 15 |
*Average number of beds operated throughout the year. Some wards may have a higher number of physical beds available for use to meet increased demand as required.
d)
| Ward | Classifications | Morning Shift | Afternoon Shift Indirect staff until 1600hrs | Night shift |
AMHU MHSSU 12B
| Medical
| Consultants x 6 Registrars x 6 Junior Medical Officer (JMO) x 6 | Consultants x 6 Registrars x 6 JMO x 6 | On call psychiatrist On call registrar |
Nursing
| Assistant Director of Nursing (ADON) x 1 Nursing Unit Manager (NUM) x 1 Clinical Nurse Educator (CNE) x 1 Electroconvulsive Therapy (ECT) coordinator x 1 Clinical Development Nurse (CDN) x 2 Clinical Nurse Consultant (CNC) x 3 Nurses x 14 Assistant In Nursing (AIN) x 3
| ADON x 1 NUM x 1 CNE x 1 ECT coordinator x 1 CND x 2 CNC x 3 Nurses x 14 AIN x 3
|
Nurses x 10 AIN x 3 | |
| Allied Health | Allied Health Manager x 1 Allied Health x 9 AIN x 3 | Allied Health Manager x 1 Allied Health x 9 AIN x 3 |
| |
| Administration | Office Manager x 1 Facilities Manager x 1 Reception x 4 | Reception x 1 until 8pm |
| |
| Wardsperson | x 3 | x 3 | x 1 | |
| Security | x 2 | x 2 | x 2 | |
| Health Services Officer | x 1 | x 1 | ||
AMHRU | Medical
| Consultant x 1 Registrar x 1 JMO x 1
| Consultant x 1 Registrar x 1 JMO x 1
| On call Psychiatrist On call Registrar |
Nursing
| ADON x 1 CNC x 1 Nursing x 4 | ADON x 1 CNC x 1 Nursing x 4 |
Nursing x 2 | |
Allied Health
| Allied Health x 6.4
| Allied Health x 6.4
|
| |
Administration
| x 1
| x 1 until 4.20pm
|
| |
Security
| On site | On site | On site | |
Dhulwa | Medical
| Consultant x 2 Registrar x 2 JMO x 1
| Consultant x 2 Registrar x 2 JMO x 1
|
|
Nursing
| Nursing x 9
| Nursing x 9
| Nursing x 8
| |
Allied Health
| Allied Health x 4
AIN x 5 | Allied Health x 4
AIN x 5 | ||
| Security | x 5 | x 5 | x 5 | |
Gawanggal | Medical
| Consultant x 2 Registrar x 2 JMO x 1 | Consultant x 2 Registrar x 2 JMO x 1 |
|
Nursing
| CNC x 1 Nurses x 4
| CNC x 1 Nurses x 2
|
Nurses x 2
| |
Health Services Officers
| x 1
| x 1
| x 1
| |
Allied Health
| Provided by Dhulwa |
| ||
| Administration | x 1 | x 1 |
|
| Calvary Public Hospital Bruce | ||
| Name of Ward | Staff (FTE) scheduled to each ward – Morning Shift /Afternoon Shift | Staff (FTE) scheduled to each ward – Night Duty |
| Acacia Ward |
|
|
| Older Persons Mental Health Unit (OPMHU) |
|
|
e) f)
| CHS | |||
| Financial Year | Ward Name | Admissions | Discharges |
| 2021-2022 ** | AMHRU | 80 | 80 |
| 2021-2022 ** | Dhulwa | 6 | 16 |
| 2021-2022 ** | Gawanggal | 2 | 4 |
| 2021-2022 ** | 12B | 200 | 283 |
| 2021-2022 ** | MHSSU Surge Unit | 9 | 59 |
| 2021-2022 ** | AMHU – High Dependency Unit | 314 | 137 |
| 2021-2022 ** | AMHU – Low Dependency Unit | 583 | 747 |
| 2021-2022 ** | MHSSU | 366 | 383 |
| 2021-2022 ** | AMHRU | 80 | 80 |
| 2021-2022 ** | Dhulwa | 6 | 16 |
| 2021-2022 ** | Gawanggal | 2 | 4 |
| ** From 1 July 2021 to 15 June 2022 |
| Excludes Statistical Admissions to Wards |
| Excludes Statistical Discharges from Wards |
Calvary Public Hospital Bruce 01/07/2020 – 30/06/2021 | |||
| Financial Year | Ward Name | Admissions | Discharges |
| 2020-21 | Acacia ward | 485 | 476 |
| 2020-21 | Older Persons Mental Health Unit | 253 | 252 |
g) h)
CHS is unable to report at the ward level. Data has been provided detailing the paid headcount on 24 June 2020 and corresponding headcount paid on 23 June 2021 (Closest end pay period to FY).
| AREA | Headcount at 24 June 2020 | Headcount at 23 June 21 | Difference Headcount |
| AMHU | 89 | 97 | 8 |
| MHSSU | 14 | 15 | 1 |
| Acute MHS | 4 | 6 | 2 |
| Gawanggal | 31 | 25 | -6 |
| Dhulwa | 72 | 72 | 0 |
| Allied Health Secure Mental Health | 15 | 11 | -4 |
| Forensic MH | 6 | 2 | -4 |
| AMHRU | 27 | 31 | 4 |
| UCH | 8 | 9 | 1 |
| Total | 266 | 268 | 2 |
Calvary Public Hospital Bruce 01/07/2020 – 30/06/2021 | |||
| Financial Year | Ward Name | Recruited staff headcount | Separated staff headcount |
| 2020-21 | Acacia Ward |
|
|
| 2020-21 | Older Persons Mental Health Unit |
|
|
i) CHS does not report Budget allocations at the Ward level. The total output cost for Mental Health, Justice Health, and Alcohol and Drug Services is outlined on pages 40 of Budget Paper C –https://www.treasury.act.gov.au/__data/assets/pdf_file/0020/1870220/2021-22-Health-Directorate-Budget-Statements.pdf
Calvary Public Hospital Bruce do not report budget allocation at the Ward level, internal budgets are not representative of the costs as there are different treatments between hospitals as to the allocation of direct and indirect costs. NWAU costs per mental health patient episode are available through the Independent Hospital Pricing Authority (IHPA) benchmarking portal, the latest data publicly available is 2019/20 - https://benchmarking.ihpa.gov.au/extensions/ihpanbp/index.html#/periodic-insights/overview
j) CHS does not report expenditure at the Ward level. CHS’ 2021-22 Annual Report has yet to be finalised, however a recent comparison of CHS’ financial position can be found within CHS’ 2020-21 Annual report – https://www.canberrahealthservices.act.gov.au/__data/assets/file/0009/1933191/CHS-2021-Annual-Report_DigitalFA_LR-1.pdf
See response at question i) for Calvary Public Hospital Bruce
k) CHS does not report Average Length of Stay (ALOS) for overnight patients by ward, however for Quarter 2 2021-22 CHS’ ALOS for the Mental Health care type is 17.6 days. Further performance information is available via the ACT Public Health Services Quarterly Performance Report https://www.health.act.gov.au/sites/default/files/2022-05/Att%20A%20-%20QPR%20Q2%202021-22_Addendum%20Edit.pdf
For CPHB data refer to ACT Health Quarterly Performance Report, Quarter 2, for the overnight mental health care type, results are presented at a Territory wide level and also broken down by hospital.