DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK

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DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK

DIRECTOR PLANNING
NEPEAN BLUE MOUNTAINS LOCAL
HEALTH DISTRICT
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

TABLE OF
CONTENTS

Executive Summary                             3

Nepean Blue Mountains Local Health District   4

Director Planning                             7

Employment Terms & Conditions                 10

How to Apply                                  11

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Director Planning, NBMLHD

EXECUTIVE
SUMMARY
The Nepean Blue Mountains Local Health District (NBMLHD) provides world-class clinical care, research and
innovation, and is committed to providing a workplace culture that values and promotes the growth of high
performing teams and individuals. NBMLHD provides community health and hospital care for people living in
the Blue Mountains, Hawkesbury, Lithgow and Penrith Local Government Areas (LGAs) and tertiary care to
residents of the Greater Western Region.
The health service employs almost 5,800 staff; including 1,000 doctors and 3,000 nurses to deliver a
comprehensive range of leading-edge clinical services, as well as state-wide services including mental health,
aged care and rehabilitation beds and a range of community services.
The Director Planning will report directly to the Chief Executive and will lead a complex set of functions aimed
at providing strategic directions for service development and delivery for the organisation. The incoming
Director will need to be strong on service planning and project management with leadership capacity to drive
key relationships within the NBMLHD community as well community partners and government agencies.
The Director will work in a culture that fosters collaboration and continues to drive improvements, manage
and resolve complex strategic, policy and operational matters. You will join an experienced team and work
with clinicians and healthcare leaders to propel the organisation to deliver an ambitious but achievable growth
and leadership strategy.
To be the successful candidate you will be skilled in:
    •       Demonstrated ability to lead, initiate and achieve significant health services planning processes,
            preferably in a public health environment.
    •       Well-developed communication, interpersonal, problem solving and negotiation skills for
            balancing competing interests, and resolving conflicts
    •       Demonstrated experience in managing complex projects and initiatives.
    •       Demonstrated experience in managing organisational change
    •       Your senior management experience in a large, complex health service and a relevant qualification
            in health will be highly valued

  HardyGroup | IN CONFIDENCE                                                                                  3
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

NEPEAN BLUE MOUNTAINS LOCAL
HEALTH DISTRICT
                         Together Achieving Better Health
Nepean Blue Mountains Local Health District (NBMLHD) is responsible for providing community health and
hospital care for people living in the Blue Mountains, Hawkesbury, Lithgow and Penrith Local Government
Areas (LGAs) and tertiary care to residents of the Greater Western Region.

The Local Health District consists of both urban and
semi-rural areas, covering almost 9,179 square
kilometres and an estimated resident population
of almost 350,000 people.
The main hospitals in Nepean Blue Mountains
Local Health District are

    •   Nepean Hospital,
    •   Blue Mountains District ANZAC Memorial
        Hospital,
    •   Springwood Hospital,
    •   Lithgow Hospital and
    •   Portland Tabulam Health Centre.

Hawkesbury Hospital (for public patients) is operated under contract with Hawkesbury District Health Service,
as part of St John of God Health Care. Community Health Centres are located throughout the District.

Services based outside the Hospitals and Community Health Centres include Aboriginal Health, Allied Health,
Drug and Alcohol, Mental Health, Multicultural Health, Oral Health and Population Health

NBMLHD at a glance

          373,205                84,566 Hospital                  5711 staff                120,661 ED
        community                  Admissions                     members                  Presentations
         residents

  HardyGroup | IN CONFIDENCE                                                                               4
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
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Director Planning, NBMLHD

Strategic Plan 2018-2023
The Nepean Blue Mountains Local Health District Strategic Plan 2018-2023 has been developed with input
from our community and staff. It aligns with the NSW State Health Plan Towards 2021 and reflects the data
and population projections for our region.
The Plan outlines the way forward for the next five years and builds on the foundations delivered by the
previous Strategic Plan 2012-2017. Continuing to strive to deliver high quality, safe and efficient health
services to meet the needs of a diverse and rapidly growing population, within a context of ongoing reform.
Consultation for the Strategic Directions with our staff and the community identified five top health priorities
for our region.
The top five health priorities and challenges identified by our community are:
    • Mental Health
    • Hospital Care
    • Obesity
    • Drug & Alcohol Issues
    • Population Growth

The following strategic priorities have been identified to work hand in hand with the health priorities to
implement the Nepean Blue Mountains Local Health District Strategic Plan 2018-2023

  HardyGroup | IN CONFIDENCE                                                                                  5
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

Nepean Redevelopment

The NSW Government has committed at least $1 billion to the Nepean Redevelopment which will deliver a
major expansion and upgrade of Nepean
Hospital and our community-based health
services. It is an opportunity to design,
deliver and operate a truly world class
hospital that will allow us to provide new,
innovative models of care.

The NSW Government has committed $550
million to Stage 1 of the redevelopment
which is ongoing. A business plan for the
stage 2 re development is near completion.

This will deliver a range of services and
structures such as:
   •   A new clinical services block
   •   a new and expanded Emergency
       Department
   •   Expanded and upgraded medical imaging
   •   At least 12 new operating theatres
   •   18 birthing suites in new accommodation, an increase of ten
   •   A new Neonatal Intensive Care Unit
   •   More than 200 overnight beds in new accommodation
   •   A new helipad
   •   New community health services.

The Quarter Precinct
Nepean Blue Mountains Local Health District is at the heart of a new collaboration which promises to attract
leading clinicians, researchers and educators and accelerate innovations in patient care and treatment.

Launched in 2017, The Quarter formalises already well-established collaborations between the region’s major
healthcare providers, education institutions and Penrith City Council.

The Quarter covers a 300-hectare precinct between Penrith and St Marys. To learn more about the Quarter
precinct, please visit this link

  HardyGroup | IN CONFIDENCE                                                                              6
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

DIRECTOR PLANNING
POSITION PURPOSE
The Director, Planning Directorate-comprising of the Strategic Office and the Services Planning and
Development arm, leads a complex set of functions aimed at providing strategic directions for service
development and delivery for the organisation, supporting clinical services across the LHD, and planning for
the delivery of services to and within the NBMLHD community and beyond

KEY DUTIES AND RESPONSIBILITIES
The Director of Planning will
    •   Lead the development and review of strategic directions for the NBMLHD for clinical services
        development and planning at District, facility and service levels
    •   Lead the preparation of LHD frameworks and responses to major reforms at state and commonwealth
        levels such as in the non-government sector
    •   Lead collaborations with partner organisations to improve health service delivery across NBMLHD,
        such as with non-government organisations, collaborations with local Councils, Primary Health
        Network and other government agencies
    •   Lead, facilitate and negotiate change management processes in the context of clinical service
        developments across the LHD
    •   Lead and facilitate implementation of effective governance arrangements for strategic LHD service
        developments and proactively identify and manage risks
    •   Demonstrate superior management skills to direct, coordinate, and oversee staff within the area of
        responsibility as well as project staff/ consultants and others as required
    •   Facilitate and lead implementation of key initiatives as identified by the Chief Executive (CE), NBMLHD
        Executive and Board.
    •   Develop and maintain interpersonal relationships of a sensitive nature at very senior levels and
        successfully influence complex issues of a strategic, political and financial nature. Thereby requiring,
        exceptional interpersonal skills and high-level credibility
    •   Determine the scope, approaches and review of processes of major projects, initiatives within the
        portfolio.
    •   Approve recurrent expenditure within allocated budgets in accordance with Delegations Manual.
View the required skills, experience and knowledge in the Position Description.

  HardyGroup | IN CONFIDENCE                                                                                  7
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
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Director Planning, NBMLHD

SELECTION CRITERIA
Essential
    •   Demonstrated ability to lead, initiate and achieve significant health services planning processes,
        preferably in a public health environment.
    •   Well-developed communication (verbal and written), interpersonal, problem solving and negotiation
        skills for balancing competing interests, and resolving conflicts
    •   Demonstrated experience in managing complex projects and initiatives.
    •   Demonstrated experience in managing organisational change
    •   Demonstrated capacity to lead and manage staff.

Desirable
    •   Demonstrated understanding of public health service delivery, preferably in NSW context
    •   Demonstrated understanding of health service planning guidelines and policies in NSW and
        contemporary planning related issues and associated issues including finance

QUALIFICATIONS
The incumbent must possess:

    •   Appropriate tertiary qualifications, preferably at Masters level

CHALLENGES
Major challenges currently associated with the role include:
    •   Engaging and negotiating with a range of key stakeholders (clinicians, community, senior managers,
        partner organisations) to guide effective and efficient health service delivery to the community of
        NBMLHD and beyond
    •   Staying abreast of and negotiating reforms (at local, state, national and international levels), new
        developments, emerging service models and technologies, understanding their potential impact on
        service delivery and negotiating and communicating these into local service delivery improvements
    •   Delivering key outcomes in terms of progressing service delivery improvements across NBMLHD in the
        context of an array of competing priorities

REPORTING & KEY RELATIONSHIPS
The Director Planning reports directly to the Chief Executive of the Local Health District.

Reporting into the Director are 9 FTE working under the Planning Directorate.

  HardyGroup | IN CONFIDENCE                                                                              8
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

KEY DATA

Staffing                      Directorate: 9 FTE
                              LHD: 5711 FTE

Annual Budget                 Directorate budget: $1 million + contracts from NGO
                              partners

Service Location              Penrith

Useful Links                  Role Description
                              NBMLHD
                              Organisation Chart
                              Strategic Plan
                              Business Plan
                              Nepean Redevelopment
                              The Quarter Precinct

 HardyGroup | IN CONFIDENCE                                                         9
DIRECTOR PLANNING NEPEAN BLUE MOUNTAINS LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

EMPLOYMENT TERMS &
CONDITIONS
REMUNERATION                            To be discussed with the consultant

CLASSIFICATION                          Health Manager Level 6

PRE-EMPLOYMENT PROBITY CHECKS
Information on a person’s suitability for appointment is obtained for all appointments. Potential appointees
will be asked whether there are any reasons why they should not be appointed such as: Information on a
person’s criminal history and other associated probity checks will be sought from those candidates whose
application has progressed to shortlisting for interview.

Applicants unsure about the definition of disclosable criminal convictions or status of any criminal conviction
may wish to seek legal advice in responding to the probity check questions. (A ‘disclosable’ conviction is one
that is recorded by the court and has not been rehabilitated or spent under the Criminal Law (Rehabilitation
of Offenders) Act 1986 and, in the case of Commonwealth convictions, the Crimes Act 1914 (Commonwealth),
and does not breach the confidentiality provisions of the Youth Justice Act 1992.)

HardyGroup | IN CONFIDENCE                                                                                  10
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

HOW TO APPLY
The closing date for applications is Tuesday 26th February 2019
The reference number to include in your application is H19_2998

For a confidential discussion, please contact Principal Consultant, Rhodie Miller:

M:         +61 (0)422 816 557
E:         rmiller@hardygroupintl.com

Please submit application documentation to Search Coordinator, Kaavya Nithi:

T:         +61 (0)2 9900 0108
E:         knithi@hardygroupintl.com

It Is standard practice for HardyGroup to acknowledge receipt of your application no later than the next
business day. We request that if you do not receive the acknowledgement, you contact the search coordinator
listed above as soon as possible after the 24-hour business period and arrange to resend your application if
necessary.

Your application must include:

     1.   Completed HG Application Form
     2.   Cover letter addressed to the search consultant;
     3.   A written response addressing the key selection criteria, found on page 8; and
     4.   An up to date copy of your Curriculum Vitae

  HardyGroup | IN CONFIDENCE                                                                              11
CANDIDATE INFORMATION PACK
Director Planning, NBMLHD

REFEREES
You will need to provide details of three (3) professional referees. To do so, complete the relevant fields in
the Candidate Profile. You should carefully consider who you select to approach to provide reference advice.
Your current manager must be included. It is customary for referee reports to be requested after interview
and if you are the preferred candidate, your permission will be requested prior to contacting your referees.

PERSONAL INFORMATION
HG complies with the Privacy Act 1988 (Cth), all applications are treated by HG in strict confidence, however
in submitting an application you are extending permission to share your application with the Selection Panel.

Personal Information will be used to assess your suitability for appointment to this position. As part of the
selection process, personal information will be dealt with in accordance with HG’s Privacy Policy and the
Information Privacy Act 2009.

 HardyGroup | IN CONFIDENCE                                                                                12
POSITION DESCRIPTION
NBMLHD - Director - Planning
                        OUR CORE VALUES

          Collaboration Openness Respect Empowerment

CLASSIFICATION      Health Mgr Lvl 6

STATE AWARD         Health Managers (State) Award

PRIMARY PURPOSE
                            •   The Director, Planning Directorate leads a complex set of
                                functions aimed at providing strategic directions for
                                service development and delivery for the organisation,
                                supporting clinical services across the LHD, and planning
                                for the delivery of services to and within the NBMLHD
                                community and beyond
                            •   The Planning Directorate comprises:

                                        •   Strategic Office
                                        •   Services Planning and Development.

KEY
ACCOUNTABILITIES           1.   Lead the development and review of strategic directions
                                for the NBMLHD for clinical services development and
                                planning at District, facility and service levels
                           2.   Lead the development, review and implementation of
                                frameworks for District corporate and strategic planning
                                consistent with Ministry of Health corporate goals and
                                performance targets
                           3.   Facilitate delivery of high-quality information about
                                NBMLHD services and the population to inform service
                                and program delivery
                           4.   Lead the preparation of LHD frameworks and responses
                                to major reforms at state and commonwealth levels such
                                as in the non-government sector
                           5.   Lead collaborations with partner organisations to improve
                                health service delivery across NBMLHD, such as with
                                non-government organisations, collaborations with local
                                Councils, Primary Health Network and other government
                                agencies
                           6.   Lead the development and negotiation of service
                                enhancements in the context of Local Priorities of the
                                Annual Service Agreement with the Ministry of Health
                           7.   Lead, facilitate and negotiate change management
                                processes in the context of clinical service developments
                                across the LHD
                           8.   Lead and facilitate implementation of effective governance
                                arrangements for strategic LHD service developments and
                                proactively identify and manage risks

                                                                            PAGE 1 / 3
POSITION DESCRIPTION
NBMLHD - Director - Planning
                         9.    Demonstrate superior management skills to direct,
                               coordinate, and oversee staff within the area of
                               responsibility as well as project staff/ consultants and
                               others as required
                        10.    Facilitate and lead implementation of key initiatives as
                               identified by the Chief Executive (CE), NBMLHD
                               Executive and Board.
                        11.    Communication

                                       1.   Significant collaboration with the NBMLHD
                                            Executive, Board, senior managers and
                                            clinicians within the LHD
                                       2.   There will also be significant interaction with
                                            NBMLHD Directors and Managers of
                                            services and facilities, Total Asset
                                            Management, Information Management and
                                            Organisational Performance Unit, Finance
                                       3.   Relationships are also required with Ministry
                                            of Health and Health Infrastructure, as well
                                            as local councils, Primary Health Network,
                                            non-government agencies and other
                                            government agencies, as well as local
                                            communities
                                       4.   The Director is required to develop and
                                            maintain interpersonal relationships of a
                                            sensitive nature at very senior levels and
                                            successfully influence complex issues of a
                                            strategic, political and financial nature.
                                            Therefore, exceptional interpersonal skills
                                            and high-level credibility are required

                        12.    Decision making

                                       1.   The Director determines the scope,
                                            approaches and review of processes of major
                                            projects, initiatives within the portfolio.
                                       2.   The Director is able to approve recurrent
                                            expenditure within allocated budgets in
                                            accordance with Delegations Manual.
                                       3.   The Director can recruit to fill positions,
                                            except for Senior Medical Practitioners
                                            whose appointment procedures must be in
                                            accordance with District by-laws. The
                                            exercise of this delegated authority is in
                                            accordance with NBMLHD policy and
                                            procedures.

SELECTION CRITERIA ESSENTIAL
                         1.    Demonstrated ability to lead, initiate and achieve
                               significant health services planning processes, preferably
                               in a public health environment
                         2.    Well-developed communication (verbal and written),
                               interpersonal, problem solving and negotiation skills for
                               balancing competing interests, and resolving conflicts.
                         3.

                                                                              PAGE 2 / 3
POSITION DESCRIPTION
NBMLHD - Director - Planning
SELECTION CRITERIA
(contd.)                    3.   Demonstrated experience in managing complex projects
                                 and initiatives.
                            4.   Demonstrated experience in managing organisational
                                 change
                            5.   Demonstrated capacity to lead and manage staff

                     DESIRABLE

                            6.   Demonstrated understanding of public health service
                                 delivery, preferably in NSW context
                            7.   Demonstrated understanding of health service planning
                                 guidelines and policies in NSW and contemporary planning
                                 related issues and associated issues including finance
                            8.   Appropriate tertiary qualifications, preferably at Masters
                                 level.

KEY CHALLENGES
                             •   Engaging and negotiating with a range of key
                                 stakeholders (clinicians, community, senior managers,
                                 partner organisations) to guide effective and efficient
                                 health service delivery to the community of NBMLHD and
                                 beyond
                             •   Staying abreast of and negotiating reforms (at local, state,
                                 national and international levels), new developments,
                                 emerging service models and technologies, understanding
                                 their potential impact on service delivery and negotiating
                                 and communicating these into local service delivery
                                 improvements
                             •   Delivering key outcomes in terms of progressing service
                                 delivery improvements across NBMLHD in the context of
                                 an array of competing priorities

KEY RELATIONSHIPS                WHO                                  WHY
                     Chief Executive, NBMLHD          Plan and negotiate service delivery
                     Executive and General            improvements and reforms
                     Managers and Senior
                     Clinicians from NBMLHD
                     Services and Facilities

                     Senior Clinicians, NBMLHD        Plan and negotiate service delivery
                     Services and Facilities          improvements and reforms

                     NBMLHD Corporate Services        Plan and negotiate service delivery
                     including Finance, Information   improvements and reforms
                     Management and
                     Organisational Performance,
                     Workforce, Total Asset
                     Management

                                                                               PAGE 3 / 3
Director, Planning
                                                   Vacant

                         Executive Assistant to
                           Director Planning
                             Kathryn Ross

                       Administrative Assistant
                        to Manager, Services
                      Development and Planning
                           Margaret Martin

                        Administrative Assistant
                         to Manager, Strategic
                                Office
                            Michael Estevez

        Manager, Services                                                 Manager, Strategic Office
    Development and Planning
                                                                            Phillippa Venn - Brown
          Alison Tidbury

Senior Health Service                                       Joint PHN / LHD Senior
       Planner                                              Health Service Planner
                                                                    Vacant
 Joanne Fernyhough

Senior Health Service                                         NGO Coordinator
       Planner
                                                                Susan Crosbie
  Jennifer Conquest

Senior Health Service                                        Senior Health Service
       Planner                                                      Planner
   Sharon Peters                                               Candice Johnston

Senior Epidemiologist/
Health Service Planner
   Christine Dwyer
Together Achieving Better Health

Strategic Plan
2018-2023

      N B M L H D
       Together Achieving Better Health
2018
 Contents

-2023

 Chair’s Foreword                                        2

 Our values and vision                                   4

 Our priorities                                          5

 Our changing community                                  6

 Nepean Redevelopment                                    9

 Our staff and their impact                              10

 Our 2018 – 2023 Strategic Directions                    12

   +	 Healthy people and communities                    14

   +	 Better patient and consumer experience            16

   +	 Talented, happy and engaged workforce             18

   +	 Responsible governance and financial management   20

   + Hub for research and innovation                     22

 The Quarter                                             24
Chair’s Foreword

Chair’s Foreword
The Board of Directors of the Nepean Blue                                                              The importance of innovation in healthcare cannot be

Mountains Local Health District and I, as                                                              overstated. Our Local Health District has shown that it can be a
                                                                                                       force to be reckoned with in this area and will continue to build
Chairman, welcome this Strategic Plan for
                                                                                                       on its well-deserved reputation of being at the forefront of
2018-2023.                                                                                             healthcare. We will harness technology and research to develop
                                                                                                       better and more efficient ways to deliver health services for the
The next five years will be exciting within the District with                                          community, working with our partners to make healthcare as
growth in not only our population, but also our infrastructure.                                        seamless as possible.
First among the expansion of our infrastructure is Stage 1 of the
Integrated Nepean Hospital and Community Based Services                                                To assist the District to achieve this goal the recognition of The
Redevelopment (Nepean Redevelopment), valued at $550                                                   Quarter, Penrith (Health and Education Precinct), by the NSW
million. Work has already begun and will continue throughout                                           government and the Greater Sydney Commission is highly
the lifespan of this document.                                                                         significant. The Quarter, Penrith, is a partnership which brings
                                                                                                       together the health sector, universities, TAFE, private
With the implementation of integrated care comes a tranche
                                                                                                       enterprise and local Council to do what Western Sydney has
of HealthOne initiatives including the refurbishment and
                                                                                                       always done so well, grow and develop our own. This
expansion of St Clair Community Health Centre, a new centre
                                                                                                       partnership will help to meet our future staffing needs with our
at Orchard Hills and an ICT solution for Jordan Springs and
                                                                                                       own people, trained locally, and with an understanding of the
Lithgow to support the delivery of primary care and community
                                                                                                       needs of our community.
health in those areas.

                                                                                                       The Local Health District will also take advantage of the
                                                                                                       opportunity that the City Deal for Western Sydney (the local
                                                                                                       government areas of the Blue Mountains, Hawkesbury, Penrith,
                                                                                                       Camden, Campbelltown, Fairfield, Liverpool and Wollondilly)
                                                                                                       brings. This is a collaboration between Commonwealth, State
                                                                                                       and Local government with one of the benefits being greater
                                    The next five years                                                sharing of strategies and initiatives to benefit the health and

                                    will be exciting within                                            well-being of our communities.

                                    the District with
                                    growth in not only our                                             The Hon. Peter Collins, AM QC
                                                                                                                                                                            Look out for key insights

                                    population, but also                                               Board Chair, Nepean Blue Mountains Local Health District             from our Chief Executive
                                                                                                                                                                            Kay Hyman throughout
                                    our infrastructure.                                                                                                                     this document.

2     nbmlhd.health.nsw.gov.au                                      Together Achieving Better Health                                                                           Strategic Plan 2018—2023       3
Our values and vision                                                                                                                                                                                        Our priorities

Our vision                                                                                                                  Our priorities
Together                                           We will drive innovation and
                                                   excellence in health service delivery                                    FROM THE                                  Consultation for the Strategic Directions

Achieving                                          and provide safe, equitable, high quality,                               CHIEF EXECUTIVE                           with our staff and the community
                                                   accessible, timely and efficient services                                                                          identified five top health priorities for
Better Health
                                                                                                                            We continue to innovate in the priority
                                                   that are responsive to the needs of                                      areas for health in our region and in
                                                                                                                                                                      our region. The top five health priorities

                                                   patients and the community.                                              2017 we built on our commitment to:
                                                                                                                                                                      and challenges identified by our
                                                                                                                                                                      community are:
                                                                                                                            better managing overweight and obesity

Our values
                                                                                                                            issues; improving access and timeliness
                                                                                                                            to elective surgery and emergency care;
                                                                                                                            and using technology to improve access                       Mental health
Our values support our vision, shape our culture and                                                                        to healthcare, and raise awareness
reflect our principles and beliefs. We pride ourselves                                                                      about preventative healthcare.

on working within two sets of values.                                                                                       We look forward to working closely with
                                                                                                                            our staff and partners to implement
                                                                                                                            this new Strategic Plan for 2018-2023,
                                               Health CORE Value
                                           NSW                  s                                                           continuing to harness opportunities                 Hospital care
                                                                                                                            provided by Australian health reforms.
         04                                                                                                01               We would like to thank everybody who

Empowerment                                                                                         Collaboration           contributed for their valuable input.

                                                         S
                                                         Safety
                                                                                                                                                                                                 Obesity

                                       R
                                    Resource
                                   effectiveness         District
                                                         SAFER
                                                         Values
                                                                            A
                                                                           Agility and
                                                                        responsiveness

                                                                                                                                                                          Drug and alcohol
                                                                                                                                                          RESIDENT
                                                                                                                                                                               issues

                                              E
                                            Excellence
                                                                     F
                                                                    Fairness
                                                                    and equity
                                                                                                                                           Creating a
                                                                                                                                   health district for the                                 Population
         03                                                                                                02                     future as the population                                  growth
                                                                                                                                    is going to grow.
     Respect                                                                                           Openness

4       nbmlhd.health.nsw.gov.au                                                         Together Achieving Better Health                                                                Strategic Plan 2018—2023        5
Our changing community

Our changing
community
                                                                                                                             FROM THE                                         PROJECTED POPULATION
                                                                                                                             CHIEF EXECUTIVE                                  BY REGION IN 2036
                                                                                                                             A lot has changed since
                                                                                                                             the development of the                                                                            BLUE
                                                                                                                             2012-2017 Strategic Plan.
                                                                                                                                                                                      PENRITH                                MOUNTAINS
                                                                                                                             The announcement of the
                                                                                                                             second Sydney Airport at
                                                                                                                             Badgerys Creek has been
                                                                                                                                                                               269,046                                      90,089
                                                                                                                             made and the Greater
                                                                                                                                                                                     from 203,100                                from 81,616
                                                                                                                             Sydney Commission has
                               Lithgow                                                                                       recognised Western
                                                                                                                                                                                       in 2016                                     in 2016
                                                                                Hawkesbury                                  Sydney, incorporating
                                                                                                                             Penrith, the new Airport                           HAWKESBURY                                      LITHGOW
                                                                                                                             area and Liverpool, as the

                                                                                                                                                                                  84,477                                    20,460
                Portland Tabulam Health Centre

                                                                                                                             third city of Sydney. With
                                                                                                                             this has come dedicated
                                                                                                                             planning for the Western
                                                                                            Hawkesbury
                                                                                                                                                                                      from 67,462                                from 21,027
            Lithgow Hospital                                                                                                 City and an opportunity
                                                                                           District Health                                                                              in 2016                                    in 2016
                                                                                                                             for us to be part of that
                                                   Blue
                                                                                              Service

                                                                                                                             planning.
                                                 Mountains                                                                                                                    Source: Population estimates downloaded from Health Activity Projections

                                                                                                    Penrith                                                                   Platform and Analytics in CaSPA on 9/8/17.

                                          Blue Mountains District   Springwood
                                         Anzac Memorial Hospital     Hospital

                                                                                 Nepean Hospital
                                                                                                                             Significant Facts

                               OUR CHANGING COMMUNITY                                                                        11,900                               23%              of
                                                                                                                                                                                                  * 166%                            * 250%
                                                                                                                             ABORIGINAL                        POPULATION                        PREDICTED                          PREDICTED

                               373,205 464,072                                                                               POPULATION
                                                                                                                             3.1% of the Local Health
                                                                                                                                District population,
                                                                                                                               3.4% in Penrith LGA
                                                                                                                                                                  BORN
                                                                                                                                                                OVERSEAS
                                                                                                                                                               Compared with 31% of
                                                                                                                                                                                                  INCREASE
                                                                                                                                                                                                   of residents in the

                                                                                                                                                                                                       70-84
                                                                                                                                                                                                                                     INCREASE
                                                                                                                                                                                                                                         of residents

                                                                                                                                                                                                                                            85+
                                                                                                                                                                 NSW population                        age group                        from 2011-2036
                                   residents in 2016                             residents in 2036                                                                                                  from 2011-2036

                                                                                                                        *Source: Population estimates downloaded from Health Activity Projections Platform and Analytics, CaSPA on 17/8/2017.

6   nbmlhd.health.nsw.gov.au                                                         Together Achieving Better Health                                                                                                       Strategic Plan 2018—2023          7
Our changing community

                                     PROJECTED POPULATION GROWTH BY AGE
                                     GROUP IN OUR DISTRICT AND NSW BY 2036

                Projected Growth in                                                    Projected Growth in
                our District by 2036                                                      NSW by 2036
                       0-4 Age Group                                                         0-4 Age Group
                             21%                                                                    27%
             29,712 in 2036 up from 24,464 in 2011.                                    Average annual growth rate 0.96
                Average annual growth rate 0.78

                       5-15 Age Group                                                        5-15 Age Group
                             27%                                                                    34%
             60,375 in 2036 up from 47,723 in 2011.                                    Average annual growth rate 1.18
                Average annual growth rate 0.95

                     16-44 Age Group                                                        16-44 Age Group

                             17%                                                                    24%
                                                                                       Average annual growth rate 0.85
            168,123 in 2036 up from 144,237 in 2011.
                Average annual growth rate 0.61

                     45-69 Age Group                                                       45-69 Age Group

                             27%                                                                    34%
            133,196 in 2036 up from 104,846 in 2011.
                Average annual growth rate 0.96
                                                                                       Average annual growth rate 1.18
                                                                                                                                               $550 MILLION FOR
                     70-84 Age Group                                                       70-84 Age Group                                     NEPEAN REDEVELOPMENT
                            166%                                                                  105%                                         The NSW Government committed $550 million                                  THE FIRST PHASE OF THE
             56,650 in 2036 up from 21,269 in 2011.
                                                                                       Average annual growth rate 2.92                         for Stage 1 of the Nepean Hospital Redevelopment                           REDEVELOPMENT INCLUDES:
                Average annual growth rate 4.00                                                                                                in 2016.                                                                   • a new clinical services block
                       85+ Age Group                                                         85+ Age Group                                                                                                                •	
                                                                                                                                                                                                                            a new and expanded Emergency
                                                                                                                                               Construction of the redevelopment is ongoing and will occur over             Department
                            250%                                                                  160%                                         the lifespan of this document. Upon its expected completion in 2021,
                                                                                                                                               it will deliver Penrith and its surrounding areas with contemporary,
                                                                                                                                                                                                                          •	
                                                                                                                                                                                                                            expanded and upgraded medical
                                                                                                                                                                                                                            imaging
                                                                                       Average annual growth rate 3.9                          integrated clinical and community-based health services that meet the
              16,016 in 2036 up from 4,573 in 2011.                                                                                                                                                                       •	
                                                                                                                                                                                                                            at least 12 new operating theatres
                                                                                                                                               communities’ needs well into the future. It will also help to strengthen
                Average annual growth rate 5.14
                                                                                                                                                                                                                          •	
                                                                                                                                                                                                                            18 birthing suites in new
                                                                                                                                               Nepean Hospital’s position as a leading tertiary, teaching, research and     accommodation, an increase of ten
                                                                                                                                               referral hospital in NSW.                                                  •	
                     Total in NBMLHD                                                           Total in NSW                                                                                                                 a new Neonatal Intensive Care Unit

                             34%                                                                                                                                                                                          •	
                                                                                                                                                                                                                            more than 200 overnight beds in
                                                                                                    37%                                                                                                                     new accommodation
                                                                                                                                                                                                                          •	
                                                                                                                                                                                                                            a new helipad
           464,072 in 2036 up from 347,112 in 2011.                                    Average annual growth rate 1.28
               Average annual growth rate 1.17
                                                                                                                                                                                                                          •	
                                                                                                                                                                                                                            new community health services.

*Source: Population estimates downloaded from Health Activity Projections Platform and Analytics, CaSPA on 17/8/2017. Note: AAGR = average
annual growth rate; number refers to the change in the number of people from 2011 to 2036; % refers to the overall growth from 2011 to 2036.

8       nbmlhd.health.nsw.gov.au                                                                      Together Achieving Better Health
Our staff

Our staff and
their impact
A SNAPSHOT FROM 2016-2017
Most of our 5,711 strong staff (77%) reside
locally, either within the Local Health District or
surrounding postcodes. In fact, we employ 2.2% of

                                                                                                                                                                             2,729
all people of employment age residing within the
four local government areas of the District.                                                                                                                                                                              5,195
                                                                                                                                                                                                                            Babies
                                                                                                                                                                                                                             born
                                                                                                                                                                         Nursing and Midwifery Staff

                                                                                                                                             11,079
                                                                                                                                               Elective
                                                                                                                                              surgeries
                                                                                                                                                                                  811
                                                                                                                                                                                  Medical Staff
                                                                                                                                                                                                                                     8,339

     5,711 4,225 1,486
                                                                                                                                                                                                                               Emergency surgical

                                                                                                                                                                                  632
                                                                                                                                                                                                                                  procedures

                 Total Staff                                    Female Staff                                     Male Staff
                                                                                                                                                                               Allied Health Staff

                                                                                                                                                                                     90
                                                                                                                                                       84,566
                                                                             FROM THE

                     77%
                                                                                                                                                       Admissions
                                                                             CHIEF EXECUTIVE                                                           to hospital                                                        1 mil+
                                                                                                                                                                                                                       Community and
                                                                             In 2016-2017 we delivered a range                                                                  Oral Health Staff                    outpatient occasions
                                                                             of services to meet the needs of our                                                                                                         of service
                  How many staff reside locally

                                                                                                                                                                             1,429
                                                                             community. Based on population
                                                                             projections the need for these services

                   2.2%
                                                                             is expected to increase.
                                                                                                                                                                     Clinical Support, Administration, Management
                                                                                                                                                                               and Miscellaneous Staff
                                                                                                                                            120,661
                                                                                                                                                                                                                                       99

                                                                                                                                                                                     20
               The amount of people we employ of                                                                                           Presentations to
         employment age residing within the four local                                                                                       Emergency                                                                               Research
                 government areas of the District.                                                                                           Department                                                                              proposals

     *A full range of statistics is available in the NBMLHD 2016-2017 Year in Review and can be accessed on our website.
                                                                                                                                                                        Research and Academic Staff

10      nbmlhd.health.nsw.gov.au                                                                        Together Achieving Better Health                                                                            Strategic Plan 2018—2023      11
Our strategic directions

Our 2018-2023
Strategic Directions
     FROM THE
     CHIEF EXECUTIVE                 You’ve told us
                                     your concerns...
     The Nepean Blue Mountains                                                              Hospital care
     Local Health District
                                                                                                                       Obesity
     Strategic Plan 2018-2023
     has been developed with
     input from our community                                        Mental health
     and staff. It aligns with the                                                                  Drug and alcohol                 Population
     NSW State Health Plan                                                                               issues                       growth
     Towards 2021, and reflects
     the data and population
     projections for our region.
     The Plan outlines the way
     forward for the next five
     years and builds on the
     foundations delivered by
     the previous Strategic Plan
     2012-2017.

     We continue to strive to
     deliver high quality, safe

                                                              1                             2                3             4             5
     and efficient health services
                                     We’ve listened
     to meet the needs of our
     diverse and rapidly growing
                                     to these concerns
     population, within a context
                                     and made plans
     of ongoing reform.
                                     for the future           HEALTHY                       BETTER           TALENTED,     RESPONSIBLE   HUB FOR
                                                              PEOPLE AND                    PATIENT AND      HAPPY AND     GOVERNANCE    RESEARCH
                                                              COMMUNITIES                   CONSUMER         ENGAGED       AND           AND
                                                                                            EXPERIENCES      WORKFORCE     FINANCIAL     INNOVATION
                                                                                                                           MANAGEMENT

12     nbmlhd.health.nsw.gov.au                          Together Achieving Better Health                                           Strategic Plan 2018—2023        13
Our strategic directions

     Strategic Direction

     1                                                                WE WILL:
                                                                        	Deliver innovative health and wellbeing promotion and protection initiatives for mental
                                                                         health, obesity, drug and alcohol and other lifestyle factors

                                                                        	Deliver initiatives that address health disparities experienced by our Aboriginal and
                                                                         Torres Strait Islander communities

                                                                        	Provide initiatives that promote the health of our Culturally and Linguistically Diverse

     HEALTHY                                                             (CALD) Population

     PEOPLE AND
                                                                        	Strengthen partnerships and networks for service delivery including key partnerships
                                                                         with Nepean Blue Mountains Primary Health Network, St John of God Healthcare, Local

     COMMUNITIES
                                                                         Councils and Non-Government Organisations

                                                                        	Investigate and promote opportunities to incorporate Arts and Health initiatives into
                                                                         Local Health District facilities and services, including the redevelopment of Nepean
                                                                         Hospital Stage 1

                                                                        	Embrace technology for health literacy, health management, support and coordination
                                                                         of care.

                                                                                                    STAFF                                                  RESIDENT

                                                                            Working with partners                                  More interagency
                                                                        to prevent chronic disease                           communication happening
                                                                            and reduce hospital                                between the hospital
                                                                             presentations.                                  and providers, particularly
                                                                                                                                  in aged care.

                                                                   FROM THE CHIEF EXECUTIVE
                                                                   The challenges that an increasing population place on the Local Health
                                                                   District places increasing importance to the partnerships we have built
                                                                   with the Nepean Blue Mountains Primary Health Network, local Councils,
                                                                   other agencies and non-government organisations. These partnerships are
                                                                   vital as we deliver services and extend our health and well-being activities
                                                                   and programs to realise our first Strategic Direction of healthy people and
                                                                   communities.

14   nbmlhd.health.nsw.gov.au   Together Achieving Better Health                                                                         Strategic Plan 2018—2023         15
Our strategic directions

     Strategic Direction

     2                                                               WE WILL:
                                                                        	Provide person-centred care that is integrated between hospital, community health,
                                                                         general practice, private specialists and our partners
                                                                        	Deliver high quality, safe and culturally appropriate health services for the residents of
                                                                         the Local Health District and for NSW residents through a network of tertiary referral and
                                                                         district level hospitals and community health centres
                                                                        	Provide world-leading clinical care within hospitals that are fit for purpose, consistent

     BETTER                                                              with the NSW State Health Plan Towards 2021 and the Premier’s Priorities
                                                                        	Continue to nurture consumer engagement and participation

     PATIENT AND                                                        	Complete the important Stage 1 of the Nepean Redevelopment
                                                                        	Continue to advocate for Nepean Redevelopment Stage 2 to support the provision of

     CONSUMER                                                            world-class clinical care in hospitals that are fit for purpose
                                                                        	Continue to advocate for a new, single Hospital in the Blue Mountains with a clinical school

     EXPERIENCES                                                         to expand clinical experience options to develop the next cohort of clinical leaders
                                                                        	Deliver new and expanded Community Health Centres at Penrith and at Orchard Hills
                                                                         and St Clair (HealthOne initiatives) to support integrated care from acute facility,
                                                                         through community-based care and return to primary care
                                                                        	Continue to advocate for new Community Health Centres in Penrith and Blue Mountains
                                                                         LGAs, to meet the needs of the growing population and provide joined up services as
                                                                         close to the patient’s home as practicable.

                                                                                                     STAFF                                                  RESIDENT

                                                                         More respectful engagement                                 Better integration
                                                                        with patients and families,                                 between health
                                                                     especially those who need to use                           system components.
                                                                     services frequently (for example
                                                                        those with a disability).

                                                                   FROM THE CHIEF EXECUTIVE
                                                                   Greater integration of the healthcare system, including General
                                                                   Practitioners, private Allied Health providers and Non-Government
                                                                   Organisations, will help us deliver our second strategic direction of better
                                                                   patient and consumer experiences. It will support the delivery of the
                                                                   most appropriate services close to the patient’s home, matching need to
                                                                   delivery method. Doing this in a way that is connected, easy to navigate and
                                                                   responsive to the individual will enhance consumer experience and help
                                                                   improve health literacy in our population.

16   nbmlhd.health.nsw.gov.au   Together Achieving Better Health                                                                           Strategic Plan 2018—2023        17
Our strategic directions

     Strategic Direction

     3                                                                WE WILL:
                                                                        	Embed patient safety, respectful culture and service excellence throughout the
                                                                         organisation

                                                                        	Build a high performing culture that fosters proficiency and develops our talent

                                                                        	Attract, recruit and retain high quality staff to achieve self-sufficiency in service
                                                                         capability and provide world-class clinical care

     TALENTED,                                                          	Plan and recruit appropriate staffing that is aligned with all redevelopments and capital

     HAPPY AND
                                                                         works

                                                                        	Work with our partners in the Quarter, Penrith (Health and Education Precinct) to

     ENGAGED                                                             develop a workforce, locally grown, for all Local Health District services for now and for
                                                                         the future

     WORKFORCE                                                          	Employ innovative technology systems for recruitment, training, rostering and staff
                                                                         management

                                                                        	Be a white ribbon accredited workplace.

                                                                                                     STAFF                                                   RESIDENT

                                                                            The most effective way to                                  I think staff care
                                                                       reducing costs and improving                               should be your focus –
                                                                   efficiency and patient care is through                        look after them and they
                                                                    happy, engaged staff. This initiative                          will look after us.
                                                                       is likely to have an initial cost,
                                                                         but long term benefit...

                                                                   FROM THE CHIEF EXECUTIVE
                                                                   Stage 1 of the Nepean Redevelopment has commenced. This significant
                                                                   development makes it even more crucial that we grow our workforce to
                                                                   be ready for the future and the exciting opportunities for innovation that
                                                                   it holds. Developing a high performing culture where staff are encouraged
                                                                   to grow and innovate is vital to delivering our third Strategic Direction of
                                                                   maintaining a talented, happy and engaged workforce.

18   nbmlhd.health.nsw.gov.au   Together Achieving Better Health                                                                         Strategic Plan 2018—2023           19
Our strategic directions

     Strategic Direction

     4                                                               WE WILL:
                                                                        	Embed a culture of strong financial governance

                                                                        	Continue to maintain and refine robust governance, quality and safety systems

                                                                        	Develop and implement outcome-based budgeting and reporting

                                                                        	Promote workforce innovation to support living within our means

     RESPONSIBLE                                                        	Secure recurrent funding for staffing and service delivery consistent with all
                                                                         redevelopments and capital works

     GOVERNANCE                                                         	Refine the performance reporting framework

     AND                                                                	Collaborate with a range of partners to share knowledge, best practice systems,
                                                                         processes and tools

     FINANCIAL                                                          	Maintain Accreditation under National Safety and Quality Health Care Standards.

     MANAGEMENT

                                                                                                    STAFF                                                  RESIDENT

                                                                            Streamlining systems                                      Adapting and
                                                                         and processes so that we                                innovating around
                                                                        can operate in an effective                             political decisions.
                                                                          and agile manner.

                                                                   FROM THE CHIEF EXECUTIVE
                                                                   Maintaining and refining the principles of sound stewardship will allow
                                                                   us to deliver our fourth Strategic Direction of responsible governance and
                                                                   financial management. We will continue to improve financial management
                                                                   through diligence, upgrading our systems and technology and perfecting
                                                                   our collection and management of data. Our staff will be enabled with the
                                                                   tools, skills and knowledge they need to make informed decisions and
                                                                   assist managing our business.

20   nbmlhd.health.nsw.gov.au   Together Achieving Better Health                                                                      Strategic Plan 2018—2023           21
Our strategic directions

     Strategic Direction

     5                                                                WE WILL:
                                                                        	Nurture a culture of leading-edge translational research and innovation including bench
                                                                         to bedside implementation

                                                                        	Support staff capacity in research

                                                                        	Sustain the culture of reviewing and evaluating programs and quality improvement
                                                                         initiatives

     HUB FOR                                                            	Deliver all redevelopments and capital works utilising innovative, best practice design

     RESEARCH
                                                                         and technology

                                                                        	Support best practice by embracing new technologies and tools

     AND                                                                	Encourage the opportunities for partnership with Sydney University, Western Sydney

     INNOVATION
                                                                         University, TAFE and the Sydney University Clinical School at Nepean Hospital to
                                                                         support research and innovation to benefit the health of the population

                                                                        	Establish the Nepean Research Institute

                                                                                                    STAFF                                                RESIDENT

                                                                          Research encouraged and                                    Keeping up
                                                                       embraced – to the point that                         with technology especially
                                                                     NBMLHD is regarded as a leader                               around getting
                                                                      in the field across all strata of                        the data connectivity
                                                                       health care within NSW.                                and security right.

                                                                   FROM THE CHIEF EXECUTIVE
                                                                   Our Local Health District will continue to nurture research across the
                                                                   organisation. We will support translational research, taking discoveries
                                                                   from the laboratory to the bedside. Our leadership in the area of telehealth
                                                                   has led to the expansion of service delivery, embracing technology,
                                                                   enhancing data and harnessing innovation to support our patients’
                                                                   journeys. Building on these achievements will enable our District to strive
                                                                   boldly to achieve our fifth Strategic Direction to be recognised as a hub for
                                                                   research and innovation.

22   nbmlhd.health.nsw.gov.au   Together Achieving Better Health                                                                     Strategic Plan 2018—2023           23
Nepean Blue Mountains Local Health District is at the heart of a new
collaboration which promises to attract leading clinicians, researchers and
educators and accelerate innovations in patient care and treatment.

Launched in 2017, The Quarter formalises already well-established
collaborations between the region’s major healthcare providers, education
institutions and Penrith City Council.

The Quarter covers a 300 hectare precinct between Penrith and St Marys.
Nepean Hospital, already one of NSW’s leading teaching hospitals and
undergoing a $550 million redevelopment, is an integral part of The Quarter.

The Quarter will provide an additional 6,000 jobs along with new housing,
green spaces, sporting amenities and cafes, shaping a community centred on
innovation and collaboration.

The Quarter’s Strategic Action Plan lays the foundation for the partnerships
to deepen and investment in The Quarter to grow.

  www.thequarter.org.au

                                             PARTNERS:
Nepean Blue Mountains
Local Health District
PO Box 63
Penrith NSW 2751
Telephone: (02) 4734 2000
Fax: (02) 4734 3737

Web: www.nbmlhd.health.nsw.gov.au
Email: NBMLHD-mail@health.nsw.gov.au
Facebook: www.facebook.com/NBMLHD
Twitter: @NBMLHD
YouTube: Nepean Blue Mountains Local Health District

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