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Opinions on Ministerial Notifications

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Appendix 1: Transcripts of questions and responses

In Parliament on 8 May 2018, the Hon Martin Aldridge MLC, asked the Parliamentary Secretary to the Minister for Health about the business case for the Geraldton Health Campus redevelopment in Question on Notice 1189:

I refer to the article published in the Geraldton Guardian on 1 May 2018, Hospital wait times doubled, and I ask:

(a) what elective surgery is available at the Geraldton Regional Hospital and any by agreement with St John of God Hospital Geraldton as a public patient;

(b) of those services identified in (a), how many services are provided by surgeon’s resident in the Mid west region versus visiting surgeons;

(c) what is driving the increased waiting time for elective surgery in Geraldton; and

(d) will the Minister please advise if the business case to redevelop the Geraldton Regional Hospital is complete and, if not, when it will be complete and will he table the business case?

On 21 May 2018, the Hon Martin Aldridge MLC asked questions 1 and 9 in the Legislative Council’s Estimates and Financial Operations Committee hearing:

1)    I refer to Budget Paper 2 Vol 1, page 250, ensuring a better health care experience for regional patients, including $73.3 million for Geraldton Health Campus and I ask;

a) Please provide the scope of works and related documents that have informed the $73.3 million project cost;

Answer:

Geraldton Health Campus Redevelopment Stage one scope has been defined as:

o   An expanded Emergency/Critical Care aligning with projected service need to 2024

o   Acute Psychiatric Unit

o   Mental Health Short Stay Unit and;

o   Essential engineering service upgrade including the replacement of the chillers.

This scope was informed by the WA Health Clinical Services Framework (CSF) 2014-2024, Geraldton Health Campus WACHS Midwest Service Plan 2010-2020 and Midwest Regional Blueprint (2015).

b) Please provide the business case that supports the investment of $73.3 million into the project;

Answer:

WA Health is reviewing the business case to ensure that release of this document does not impact and/or disadvantage Government (WA Health) through the sharing of this material with the market (i.e. tender process). WA Health will advise the outcome of this review in due course.

c) Has the business case been completed and has it been approved by cabinet;

Answer:

Yes.

The Business Case for Stage One redevelopment of the Geraldton Health Campus was submitted to government in January 2018. It was announced on 10 May 2018 in the 2018-19 WA State Budget Papers that the WA State Government is investing $73.3 million over five years for the Stage 1 redevelopment of Geraldton Health Campus.

d) If no to (c) when will the business case be completed for consideration of cabinet;

Answer:

Not applicable.

e) Please provide a copy of the Midwest Health and Wellbeing Report which focuses on the redevelopment of the hospital;

Answer:

The Midwest Health and Wellbeing Report was developed in collaboration with the Midwest Development Commission, this document was not endorsed by the previous government and was not approved for public circulation.

f) Please provide a full expenditure profile for the project including years beyond the forward estimates;

Answer:

Estimated Total Cost 2018-19 Budget Estimate 2019-20 Forward Estimate 2020-21 Forward Estimate 2021-22 Forward Estimate 2022-23* Forward Estimate
$’000 $’000 $’000 $’000 $’000 $’000
73,336 1,792 2,224 36,654 32,666

*Forward Estimates not included in budget paper

g) Please identify sources of funding for the project;

Answer:

Royalties for Regions.

h) What is the expected timeframe for works commencing and concluding on the project; and

Answer:

It is anticipated construction will commence May 2020, with completion expected March 2022.

i) What additional recurrent expenditure has been allocated per year in the budget and forward estimates for service provision at the redeveloped health campus?

Answer:

Recurrent costs for services for Geraldton Health Campus will be managed to the activity targets allocated in line with the WA Health Clinical Services Framework (2014-2024), provided through the Activity Based Funding model.

9)    I refer to the capital grant of $0.5 million allocated for the upgrade of the Valley View Residential Aged Care Facility in Collie and I ask:

a) What is the scope of works for the project;

Answer:

The scope of works for this project includes asset replacement, environmental upgrades costs and routine scheduled maintenance:

o   Installation of security gates, and access control.

o   Replacement of phone system including portable phones.

o   Painting the interior and exterior and replacement of floorcoverings.

o   Installation of energy efficient lighting.

o   New Shade Sails and establishment of a café area.

o   An equipment upgrade for the main kitchen, replacement of hot and cold water systems (to six areas), essential clinical equipment and therapy equipment.

o   Replacement of furnishings in bedrooms and communal areas.

o   Various equipment repairs.

b) How was the project identified for funding;

Answer:

A Grievance to the Minister for Health 20 August 2015 highlighted a lack of aged care beds in Collie, and specifically refers to issues at Valley View.

Valley View board communicated in February 2016 (in local media, the Collie Mail) they would be applying for Government grant money.

The election commitment of $500,000 to upgrade outdated facilities at Valley View Residence in Collie aligned with the Government commitment to upgrade and repurpose existing aged care facilities.

c) What is the source of funding for the project; and

Answer:

Royalties for Regions.

d) Please provide a copy of the project business case and financial assistance or grant agreement if executed?

Answer:

WA Health is reviewing the business case to ensure that release of this document does not impact and/or disadvantage Government (WA Health) through the sharing of this material with the market (i.e. tender process). WA Health will advise the outcome of this review in due course.

The Grant agreement is yet to be executed.

On 26 June 2018, the Parliamentary Secretary to the Minister for Health provided a response to Question on Notice 1189:

I am advised that:

(a) Elective Orthopaedic, Gynaecological, General, Vascular, Ear Nose and Throat, Urological and Dental Surgery are performed at Geraldton Hospital. Elective Orthopaedic and Ophthalmology Surgery for public patients are contracted to St John of God Geraldton Hospital.

(b) Services provided by resident surgeons include Orthopaedic, Ophthalmology, Gynaecological, General and Dental Surgery. Surgical services provided by visiting surgeons include Orthopaedic, Vascular, Ear Nose and Throat, Urological and Dental Surgery.

(c) Waiting times within each category are influenced by available theatre time, bed availability, priority of non-elective surgeries and visiting schedule for non-resident specialists. Geraldton Hospital is meeting all target waiting times for elective surgeries across all urgency categories.

(d) The business case for Stage One redevelopment of the Geraldton Health Campus was submitted to Government in January 2018. It was announced on
11 May 2018 in the 2018-19 WA State Budget Papers that the WA State Government is investing $73.3 million over five years for the Stage One redevelopment of Geraldton Health Campus. The business case is an internal working document and is not written for public release.

In Parliament on 28 June 2018, the Hon Martin Aldridge MLC, asked the Parliamentary Secretary to the Minister for Health Question on Notice 1438.

I refer to Legislative Council question on Notice No. 1189, in relation to the Geraldton Regional Hospital, and the Minister’s decision to refuse access to the business case relating to the redevelopment of the Hospital, and I ask, when does the Minister intend to satisfy his obligations under Section 82 of the Financial Management Act 2006?

On 30 August 2018, the Parliamentary Secretary to the Minister provided a response to Question on Notice 1438:

I am advised that:

This matter remains subject to legal advice. A response will be provided to the Member in due course.

On 29 November 2018, the Parliamentary Secretary to the Minister for Health tabled in the Legislative Council redacted versions of the business cases for the Geraldton Health Campus and the Valley View Residential Aged Care Facility:

On behalf of the Minister for Health, I would like to provide additional information to the answers provided to questions on notice 1189 and 1438, and in response to Legislative Council Standing Committee on Estimates and Financial Operations questions 1(b) and 9(d) dated
22 June 2018 from Hon Martin Aldridge, MLC. It is now deemed reasonable and appropriate to provide a redacted version of the Geraldton Health Campus redevelopment project, stage 1, and the community mental health step-up, step-down service business case on the basis that the information that has been redacted is commercially sensitive information.

I advise that the report is now tabled.

Page last updated: June 19, 2019
 

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