Question - ACT Health


Question

Number
830
Subject
ACT Health
(mental health wards)
Asked by
Castley, Leanne
Directed to
Minister for Mental Health
Question asked on
10 June 2022
Answer due on
Question asked

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

Answer Published
05 September 2022
Answered by
Minister for Mental Health
Answer

a) b) c)

Name of WardDescription # 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 WardDescription 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

 

 

Wardspersonx 3x 3                                 x 1
Securityx 2x 2x 2
Health Services Officerx 1x 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 siteOn siteOn 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 5x 5x 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

 

 

 
Administrationx 1x 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
  • Registered Nurse L2 x1, 
  • Registered Nurse L1 x4, 
  • Enrolled Nurse x1
  • Psychiatrist 2.2 
  • Resident Medical Officer x1 
  • Psychologist x 1
  • Social Work x 1
  • Occupational Therapy x 1
  • Registered Nurse L2 x1, 
  • Registered Nurse L1 x2, 
  • Enrolled Nurse x1
  • Medical staff for night duty are covered through the ACT Mental Health crisis service
Older Persons 
Mental Health Unit (OPMHU)
  • Registered Nurse L2 x1, 
  • Registered Nurse L1 x2, 
  • Enrolled Nurse x1
  • Psychiatrist 1.6 
  • Registrar x 1 
  • Resident Medical Officer x 1
  • Psychologist x 1
  • Social Work x 1
  • Occupational Therapy x 1
  • Registered Nurse L2 x1, 
  • Registered Nurse L1 x1, 
  • Enrolled Nurse x1
  • Medical staff for night duty are covered through the ACT Mental Health crisis service

 

e) f)

CHS
Financial YearWard NameAdmissionsDischarges
2021-2022 **AMHRU8080
2021-2022 **Dhulwa616
2021-2022 **Gawanggal24
2021-2022 **12B200283
2021-2022 **MHSSU Surge Unit959
2021-2022 **AMHU – High Dependency Unit 314137
2021-2022 **AMHU – Low Dependency Unit 583747
2021-2022 **MHSSU366383
2021-2022 **AMHRU8080
2021-2022 **Dhulwa616
2021-2022 **Gawanggal24
** 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 YearWard NameAdmissionsDischarges
2020-21Acacia ward485476
2020-21Older Persons Mental Health Unit253252

 

 

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).

AREAHeadcount at 24 June 2020Headcount at 23 June 21Difference Headcount
AMHU89978
MHSSU14151
Acute MHS462
Gawanggal3125-6
Dhulwa72720
Allied Health Secure Mental Health1511-4
Forensic MH62-4
AMHRU27314
UCH891
Total2662682
    
    

 

Calvary Public Hospital Bruce 

01/07/2020 – 30/06/2021

Financial YearWard NameRecruited staff headcountSeparated staff headcount
2020-21Acacia Ward
  • 8 Registered Nurses
  • 2 Enrolled Nurses
  • 7 Registered Nurses
  • 2 Enrolled Nurses
2020-21Older Persons Mental Health Unit
  • 8 Registered Nurses
  • 1 Enrolled Nurses
  • 3 Registered Nurses
  • 1 Enrolled Nurses

 

 

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.