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Playford Health Precinct A vision in the making
Playford Health Precinct | A vision in the making
Executive summary
Playford Health Precinct – the vision
Leveraging the Lyell McEwin Hospital The Playford Health Precinct is an There is an opportunity for the Playford Health Precinct to be Developing the vision
The City of Playford recognises that there is a unique recognised as a leader in the treatment and delivery of health This document represents an important step in the journey to
opportunity to develop the area surrounding the Lyell McEwin opportunity to continue the northern services by developing a specialist focus concentrated around: establishing the Playford Health Precinct.
Hospital (LMH) into an integrated world-class health precinct suburbs economic transition, and • Chronic diseases associated with socioeconomic
– to be known as the Playford Health Precinct. Based around For the precinct to succeed, however, more work is needed.
the LMH – one of Adelaide’s major tertiary public hospitals, and to expand the breadth of the area’s disadvantage – diabetes, obesity, and cardiovascular
While the City of Playford is providing the vision and acting as a
disease
the centrepiece of metropolitan Adelaide’s northern health industrial diversity. catalyst for the precinct, it cannot achieve this alone. It will likely
network – the vision for this precinct is to build upon the $336 • Acute care services – urgent medical and surgical require close collaboration and support from the South Australian
million investment made by the South Australian Government Health gateway treatment and short-term care and Commonwealth Governments, engagement from university
in the LMH over the last 15 years. Geographically, the Playford Health Precinct is strategically institutions, and, most importantly, private-sector investment.
• Conditions and illnesses associated with ageing –
situated to serve as a health gateway to the regional gerontology and geriatric medicine
Realising the full potential of the precinct ecosystem will require
Located at the heart of Adelaide’s population well beyond Adelaide’s northern suburbs.
• Longer term health care and recovery services – aged dedication, strong leadership, as well as appropriate planning and
northern suburbs, the Playford Situated along key transport corridors connecting the and disability care coordination. This needs to be built around:
Health Precinct is uniquely placed for Adelaide metro area to the greater northern region of South • Allied health and social assistance services. • a strong evidence base gained from detailed and rigorous
Australia, the Playford Health Precinct and the LMH is the economic analyses
development and expansion. nearest full-service tertiary public hospital for an additional
• an appropriate governance structure to build collaborative
A new model for economic growth
160,000 people living across country South Australia. The Playford Health Precinct is well relationships and to take a coordinated view of the development
Future investment at the LMH site has the potential to generate These areas include: positioned to embrace shifting local and and investment in the site.
further economic growth, creating new jobs and skilled
employment opportunities in the health, aged-care, and social • Port Pirie in the north national trends, and to develop into an The City of Playford is committed to acting as a catalyst to facilitate
assistance sectors for residents of Adelaide’s northern suburbs. • Kadina-Moonta-Wallaroo on the Yorke Peninsula integrated world-class health precinct. public and private investment to achieve this goal. Playford is
looking to bring together key stakeholders and interested parties
The City of Playford, along with Adelaide’s other northern most • the Riverland towns of Berri, Loxton and Renmark What needs to be done? to help support and facilitate the development of the precinct.
areas - City of Salisbury, City of Tea Tree Gully, and Town of • the Barossa and Clare Valley wine and tourism regions. Continued government commitment and investment in the
Gawler - are home to 360,000 people or about 21 per cent of LMH has the potential to sustain and grow private-sector and
South Australia’s population. This area is projected to grow to non-government interest and investment around the health
Together, in a precinct environment, the
Currently, these areas have limited public health and hospital
454,000 people by 2036. This region has recently undergone services, as well as a complete absence of adequate private precinct. sum of these parts will make for something
significant economic structural change with the demise of
the automotive manufacturing industry in Australia. Where
hospital services.
Leveraging the State Government’s recent $336 million
much greater.
manufacturing once dominated the economic landscape, investment to expand the LMH, there are opportunities for:
industries such as defence, health, retail, and education now The Playford Health Precinct sits as a
• Expanded and improved health, medical and care
provide a breadth of diversity in Adelaide’s north. health gateway, strategically placed to services – including private hospital services, allied health
Based on the Innovation Districts model that has proved take advantage of the increasing health and additional aged and disability care services.
successful both overseas and interstate, the Playford Health needs of a large and growing regional • University education, training and research facilities
Precinct represents a place for leading-edge health and medical
institutions, education and training institutions, and private population. • Improved retail, hospitality, accommodation and
transport offerings.
companies to come together, cluster and connect.
A future leader in health services
Local and national trends mean that the future of health
services is rapidly evolving and that there are numerous
potential opportunities to integrate medical services and
health care with education, research, as well as commercial
development.
2
Playford Health Precinct | A vision in the making
Scale of the opportunity
The value proposition of the site
Northern Adelaide Greater North
Population Health services Economic growth Population Health Gateway
Home to 21% of SA’s population Home to one of SA’s largest Home to 14,500 health jobs Home to another 162,000 Limited private health services
(360,000 people) public hospitals, the Lyell (15% of employment) people (10% of SA’s pop.) No private hospital services,
McEwin despite 34% of people having
private health cover
Growing rapidly Limited availability of health Diverse economy Greying population
• Experienced the largest services locally 8,750 additional jobs created The region is popular with older
population growth in SA 39% of residents travel outside in health, education, retail and people and retirees Health outcomes
(added 24,000 people the region for health services defence industries between
• 19% of adults smoke
between 2011 & 2016) 2011 & 2016
Modest travel times • 37% of adults are obese
• Projected to grow to 454,000
by 2036 Limited private hospital Within 2.3 hours drive of
• 67% of adults are at risk of
services Proximity to SA’s Defence the Playford Health Precinct
developing a chronic disease
Youthful industry (adequate travel time from
• One small private hospital
One-third of the population is 6,400 people work at many regional towns) • 17% of adults drink to excess
locally (
Playford Health Precinct | A vision in the making
Contents
Context
A unique opportunity
Playford’s commitment
The City of Playford is committed to acting as a catalyst to
A short history 05
The City of Playford recognises that there is a unique facilitate public and private investment to achieve its vision, and
opportunity to develop the area surrounding the Lyell McEwin is looking to bring together key stakeholders and interested
The Playford Health Precinct 07
Hospital (LMH) into an integrated world-class health precinct – parties to help support and facilitate the development of the
to be known as the Playford Health Precinct. precinct. The Lyell McEwin Hospital (LMH) 08
Located at the heart of Adelaide’s northern suburbs – some Building on a track-record of investment Northern Adelaide today 09
20-30 kilometres from Adelaide’s CBD – the Playford Health The vision for this precinct is to build upon the continued
Precinct is uniquely placed for development and expansion. The success of the existing LMH, which has seen more than $336 Health gateway 12
strength of the health services delivered at the LMH, combined million in government investment over the last 15 years to
with its proximity to a large and growing population, as well as expand its facilities and health offerings. Continued government Drivers of growth for health services 14
its relatively central position within the urban landscape, are all commitment and investment in the LMH has the potential to
contributing factors that enhance the value proposition of the
Playford Health Precinct.
sustain and grow private-sector and non-government interest
and investment around the health precinct.
Opportunities for change 15
There is a unique opportunity for Proximity to South Australia’s defence industry
Playford’s commitment 20
Located some 7 kilometres from the Edinburgh Defence
the Playford Health Precinct to be Precinct, the epicentre of South Australia’s growing defence Delivering on a precinct vision 21
recognised as a leader in the treatment industry. The close proximity of the health precint presents
and delivery of health services. opportunities for knowledge spillovers involving specialist Case studies from around Australia 23
health research focusing on defence, and to provide health and
medical services specific to these workers and their families.
Positioned as a ‘health gateway’
Geographically, the health precinct sits as a health gateway,
strategically situated to serve the increasing health needs of
a large regional population. The health precinct sits along key
transport corridors connecting the Adelaide metro area to the
greater northern region of South Australia. Currently, these
areas have limited public health and hospital services, as well as
a complete absence of adequate private hospital services.
The next step in a long and industrious history
Playford, along with Adelaide’s other northern most areas – the
City of Salisbury, the City of Tea Tree Gully, and the Town of
Gawler – have a proud and industrious history built on the hard
work of generations of migrants. At the forefront of Australia’s
golden age of manufacturing following World War II, these areas
were defined for many years by the automotive manufacturing
industry. Manufacturing sustained the economic welfare of the
region for three generations, and provided good jobs for many
new Australians.
Since 2006, however, the economic composition of Adelaide’s
northern suburbs has undergone significant structural change.
Following the decline of Australia’s automotive manufacturing
industry, the area is now in a period of economic renewal.
4
Playford Health Precinct | A vision in the making
A short history of the Lyell McEwin Hospital
Playford Health Precinct
1959 2010 2017
The LMH is opened as a 2005 Stage C of the LMH Development of the
A new opportunity
small 45-bed hospital by Opening of six new redevelopment updated version of the
the then Health Minister, 2002 operating theatres, commences, and 2013 Health Precinct Master
Sir Lyell McEwin Commencement of a a new emergency includes a multi-level Development Plan Plan
three part car park as well as 96 Amendment (DPA) to
The future
department, new
re-development of medical imaging additional beds change the zoning of the 2017
the LMH land around the precinct State Government
facilities, and a womens
health consulting and 2010 announces plans to
Feasibility study into expand the emergency
treatment facility
creating a health department of the LMH
precinct undertaken
2016 2018
The City of Playford
Tennis court site
holds a health forum to
2008 purchased by ACH for
encourage engagement
Opening of three the development of the
and gauge potential
2011 Healthia and ViTA North
1997 new areas of the
The development of the allied health and aged
interest in the precinct
The cities of Elizabeth hospital inlcuding new
Lyell McEwin Health care facility
and Munno Para merge 2003 pathology, oncology and 2018
Precinct Master Plan
to combine the City of Opening of a state-of-the-art gastocenterology units 2016 Concept plans
Playford maternity, obstetrics and Council undertakes completed for
gynecology wards, as well as the strategic analysis of streetscape upgrades
new women’s and children’s area property within and in within the precinct and
close proximity to precinct John Rice Avenue
LMH in 1961 LMH in 1968 LMH in 1970 LMH in 2018
5
Playford Health Precinct | A vision in the making
ACH Group Healthia and Residential land retained
Edinburgh Defence Elizabeth Vale Industrial land zoned for
The Lyell McEwin Hospital ViTA North aged care and for long term hospital Fluid Solar building
Precinct Shopping Centre future health facilities
allied health development expansion
6
Playford Health Precinct | A vision in the making
The Playford Health Precinct
Current and future economic uses
About
Located in the heart of Adelaide’s northern
suburbs, the Playford Health Precinct involves
the clustering and expansion of the health and
medical facilities currently located around the
LMH. Anticipated to cover 198,000m2 of the
5
surrounding area, it will also encompass allied
health services and retail services, as well as
Oldha
drive the urban revitalisation of the area. m Ro
ad
1. The current LMH site
8
2. The Elizabeth Vale Shopping Centre – a 4
17,000m2 retail precinct
1
3. The Fluid Solar building – housing offices
Haydown road
and consulting rooms
4. The former Bicentennial tennis court site
– this site was recently sold by the City of
Playford to the ACH Group to develop an
$80 million aged-care and allied health
facility 3
5. Rezoned land – current privately held
residential land rezoned for commercial Tre
development mb 2
oad
ath
Ro
6. Residential land - currently privately held
ad
Philip Highway
rk R
(33 allotments) retained for long term
hospital expansion
Ma
Coglin Road
7. Vacant land – two ‘greenfield’ sites, 7
currently owned by the City of Playford,
intended for future development related
to health and hospital services or tertiary
education 6
nue
8. Industrial land – potential area for future Ave
development related to health and medical
n Rice
education and research, or health and Joh
medical manufacturing
7
7
Playford Health Precinct | A vision in the making
The Lyell McEwin Hospital
Located approximately 24 kilometres north Investing in world-class facilities
of Adelaide’s CBD and 4 kilometres from the Over the last 17 years, the LMH has seen more
Elizabeth city centre, the Lyell McEwin, or ‘Lyell than $336 million in government investment
Mac’ as it is affectionately known by locals, is and has undergone three stages of major
one of three major public tertiary hospitals redevelopment and rezoning programs3,
located across metropolitan Adelaide. transforming it into a world-class facility, with
increased hospital beds, operating theatres and
an expanded range of specialist services. The
Founded as a small country final round of upgrades increased the number
hospital in 1959, the LMH is now of beds at the facility by 96, introduced a women
and children’s hub and incorporated a helipad
a global health facility providing into the sites facilities.
services to over 65,000 patients
a year.1 A further $52.5 million expansion of
the LMH’s emergency department
A full-service hospital
The LMH provides a 24/7 emergency is planned.4
department as well as twenty-four hours a day
access to orthopaedic surgery. The hospital Growing demand for health services
also hosts a number of locally focused clinical Since its redevelopment and expansion, the
research programs aimed at tackling chronic LMH has seen continual growth in inpatient
diseases prevalent in the local community. admissions. Emergency service admissions,
These include research in areas such as aged in particular, increased from 17,000 in 2011 to
care, diabetes, heart disease and speech 23,000 in 2016. In total, the hospital recorded
therapy. It is also the premier maternity hospital over 47,000 inpatients in 2016, up from around
for the north of Adelaide. 42,000 in 2011.5
A generator of local employment A centre of future economic growth
The LMH is a major employer of residents from The LMH sits at the centre of a shifting health
Adelaide’s northern suburbs. landscape driven by the socio-economic profile
of the northern suburbs. The hospital is ideally
placed to play a pivotal role in shaping the
In 2016, 3,100 people worked in economic future of the surrounding region.
and around the LMH site, of which
Future investment at the LMH site has the
2,100 lived within the northern potential to generate further economic growth,
suburbs.2 creating new jobs and skilled employment
opportunities in the health, aged-care, and
social assistance sectors for the residents of
Adelaide’s northern suburbs.
8
Playford Health Precinct | A vision in the making
Northern Adelaide today
Trends in population
Adelaide’s northern suburbs comprise the local government areas of: A growing population Chart 1: Population growth (indexed %) (2006-2036)
Adelaide’s northern suburbs are among the fastest
• City of Playford 160
growing population areas in South Australia. In recent
• City of Salisbury years, more people have chosen to call Adelaide’s northern 150
suburbs home than any other area in South Australia. 140
• City of Tea Tree Gully
Population growth %
From 2011 to 2016, an additional 24,000 residents chose to
(index, 100=2006)
130
• Town of Gawler live in the area.8
Looking forward, rapid population growth in Adelaide’s 120
Together, these areas take in a diverse demographic cross-section of South Australia’s population – ranging from north is forecast to continue and to outpace the state 110
prosperous and comfortable middle-class households, at one end of the spectrum, to poor socioeconomic and severely more broadly – illustrated in Chart 1.
100
disadvantaged households, at the other.
90
However, the demographics of the northern suburbs are changing rapidly as it’s population grows and the local economy 200
6
201
1
201
6
202
1
202
6
203
1
203
6
undergoes a period of transition and renewal.
South Australia Adelaide’s northern suburbs City of Playford
Source: Deloitte Access Economics 9
Today, Adelaide’s northern suburbs are home to some 360,000
people, representing 21 per cent of the state’s population.6 A young population Chart 2: Age distribution (2016)
An increase in the youthfulness of the area has accompanied
70%
the population boom. Adelaide’s northern suburbs now
have a higher proportion of young people (aged 0-24 years) 60%
than South Australia more broadly, as well as a lower share
50%
Figure 2: Key local government areas that comprise Adelaide’s northern suburbs of older people and those most likely to be retired (aged 65
Share of population
years or more) – illustrated in Chart 2. 40%
30%
20%
10%
0%
Town of Gawler 0-24 years 25-64 years 65+ years
23,500 people South Australia Adelaide’s northern suburbs City of Playford
(1.4% of SA’s population) Source: ABS10
City of Playford
Ageing quickly Chart 3: Population size by age cohort (indexed %)
92,200 people
While the northern suburbs are expected to continue to (2006-2036)
(5.3% of SA’s population) grow, its population is also expected to age at a faster
Playford Health Precinct 200
rate than the state as a whole. Based on current trends,
City of Salisbury the gap between young and old in the area is anticipated 180
142,000 people to narrow over the next 20-30 years, as the number of
160
(8.2% of SA’s population) people aged 55 years and above grow to equal people
aged 0-24 years – illustrated in Chart 3
Population (‘000)
140
City of Tea Tree Gully 120
99,800 people 100
(5.8% of SA’s population) 80
60
6 1 6 1 6 1 6
200 201 201 202 202 203 203
Adelaide CBD
0-24 years 25-54 years 55+ years
Source: Deloitte Access Economics11
Source: ABS7 9
Playford Health Precinct | A vision in the making
Northern Adelaide today
An economy in transition Working locally
Once the beating heart of Australia’s manufacturing sector, Combined, these industries approximately added an additional While the economic transition of Adelaide’s northern suburbs Transportation barriers
the economic landscape of Adelaide’s northern suburbs for 8,750 jobs to the northern suburbs economies between 2006 presents a number of challenges, it is important to note that the Despite the close proximity of many workers at the LMH to their
decades was determined by the automotive manufacturing and 2016 – more than compensating for the net loss of 5,500 demand for skills by businesses and employers at and around the homes, 96 per cent indicated that they travelled to work by
industry. Since 2006, however, the economic composition manufacturing jobs.12 LMH are currently met largely at the local level. Figure 3 shows that car.15 This equates to about 2,400 cars travelling to the site on a
of the northern suburbs, particularly the cities of Playford the majority of people who work in and around the LMH live within daily basis, and highlights that there are serious transport and
and Salisbury, have undergone significant structural change the boundaries of Adelaide’s northern suburbs. connectivity issues that need to be addressed as the precinct
following the decline of manufacturing in Australia.
Where manufacturing used to dominate develops.
the economic landscape of Adelaide’s In 2016, the average distance travelled by
Economic diversification Playford is currently working with the South Australian Department
While the decline of manufacturing jobs from the northern
north, industries such as health, retail, those working at the LMH site of Transport and Infrastructure to develop of a bus ‘super stop’ at
suburbs dealt a blow to the region, much of this loss has education, and defence now provide a was 15.3 kilometres.14 the LMH.
since been made up for by the growth of other industries,
specifically:
breadth of economic diversity. There has been considerable success around other precincts in
• Health care and social assistance relation to their integration with public transport networks – both
This is not to say that manufacturing is no longer important.
road and rail. This integration will be crucial to the growth and
• Education and training On the contrary, it continues to remain a key industry in
attractiveness of a precinct.
Adelaide’s north accounting for 14 per cent of employment –
• Construction
illustrated in Chart 4.
• Accommodation and food services
• Public administration and safety
• Transport, postal and warehousing.
Chart 4: Share of employment by industry: Adelaide’s northern suburbs, 2006 and 2016 Figure 3: Where workers live
2016 2006
Health Care and Social Assistance
Retail Trade
Manufacturing
Education and Training
Public Adminstration and Safety
Accommodation and Food Services
Construction
Transport, Postal and Warehousing
All other industries
0% 5% 10% 15% 20% 25%
Share of employment (%)
Source: ABS13 Source: Deloitte Access Economics, ABS16
10Playford Health Precinct | A vision in the making
Northern Adelaide today
Health and socioeconomic indicators
Chart 5: Selected health measures City of Playford Adelaide’s nothern suburbs Greater nothern region South Australia Adelaide’s northern suburbs, particularly A spectrum of disadvantage
Playford, perform poorly on a range of health and According to the ABS SEIFA index of relative
socioeconomic indicators when compared against socioeconomic advantage, Playford ranks in the
Excessive alcohol South Australia more broadly – as illustrated in Chart 5. bottom decile.19, 20 By contrast, the neighbouring local
consumption government areas – Salisbury, Gawler and Tea Tree
Combined, these factors present a risk to the social Gully – rank in the third, fourth and ninth deciles,
Lead indicators of poor
and economic future of Adelaide’s northern suburbs, respectively.
health outcomes
but also provide a strong indicator of the need for the
Smoke provision of quality health services in the north.
Typically, people who live in areas
Poor health outcomes coupled with with poorer socioeconomic
Obese
poor social outcomes entail a higher conditions tend to have worse
burden for the provision of health health outcomes than people from
At risk of developing
care services, particularly publicly less disadvantaged areas.21
a chronic disease
funded services, right across the In need of assistance
A high proportion of adults with a severe disability, as
0% 10% 20% 30% 40% 50% 60% 70%
spectrum – from prevention, to well as those in need of assistance undertaking daily
Share of population (%)
treatment, and palliation. activities, also live in Adelaide’s northern suburbs.
The share of residents holding a Commonwealth
Health challenges Government Health Care Card or receiving a Disability
Need assistance with Adelaide’s northern suburbs are home to a Support Pension is also higher than the state average.
core activities disproportionate number of adults who smoke
and are obese. Both of these are lead indicators for Demand for private health services
Indicators of disability
cancer and heart disease. A disproportionate share of While private health coverage in certain parts of
residents are also at an increased risk of developing a Adelaide’s northern suburbs are exceptionally low, on
chronic disease. the whole, a sizeable minority of adults have private
Severe diability
health insurance – approximately 42 per cent. We
In addition to indicating poor health outcomes of the explore the implications of this later.
resident population, these also indicate high levels of
socio-economic disadvantage.
Recipient of a Disability
Support Pension
0% 2% 4% 6% 8% 10% 12%
Share of population (%)
Indicators of demand for
Health Care Card
Holder
health services
Private insurance
coverage
0% 10% 20% 30% 40% 50% 60%
Share of population (%)
Source: ABS17, PHIDU18
11Playford Health Precinct | A vision in the making
Health gateway to South Australia’s greater northern region
Pondalowie Bay on the Yorke peninsula.22 Sevenhill Cellars in the Clare Valley.23 Big Bend, Murray River.24
Table 1: Top 10 regional centres SA’s greater northern region Health gateway
Home to about 162,000 people (10 per cent of the state’s The Playford Health Precinct sits along the key transport corridors
population), this vast area stretches across South Australia’s connecting the Adelaide metro area to the greater northern region
Population centre Population size % of SA pop.
northern agricultural regions and takes in major population of South Australia. For the 162,000 people living in the region, the
centres, including: LMH is the nearest full-service tertiary public hospital.
Port Pirie 13,743 8.5%
• Port Pirie to the north
Nuriootpa 5,685 3.5% • Kadina-Moonta-Wallaroo to the north-west on the Yorke
Geographically, the Playford Health Precinct
Peninsula is strategically situated to serve as a health
Renmark 4,638 2.9%
• the north-east riverland towns of Berri, Loxton and Renmark. gateway to a regional population well
Kadina 4,583 2.8%
It also includes major townships in the prosperous Barossa and
beyond Adelaide’s northern suburbs.
Clare Valley wine and tourism regions. The location and sizes of the
Tanunda 4,325 2.7% Limited local health services
townships are further explored on the next page.
Although there are many health services and hospital services
Moonta 4,175 2.6% dotted across the greater northern region, these are all small
Home to a greying population
public facilities that offer a very limited number of services. The
Adelaide’s greater northern region is particularly popular with
Berri 4,086 2.5% majority of the health facilities across the region have fewer than
older people and retirees. While the population growth of this
50 beds, and offer limited emergency services and no significant
area is considerably slower than in Adelaide’s northern suburbs,
Wallaroo 3,988 2.5% surgical services.26
these regional areas are ageing at a faster rate because population
centres, such as Kadina and Wallaroo on the Yorke Peninsula, are
Loxton 3,843 2.4% attracting older retirees. There is also a complete absence of private
hospital services in the region.
Greater northern region 162,258 9.7%
An increasing number of people who
The estimated maximum drive travel time to the LMH from
Source: ABS 25
choose to live in regional SA are at the the furthest location in the region, Renmark, is 2 hours and 33
stage in life when access to health services minutes.27
becomes increasingly important.
12Playford Health Precinct | A vision in the making
Jamestown Hospital
Map of health and hospital services
Laura & Districts H
H H & Health Service
Hospital
Port Pirie Regional
across the greater northern region
Health Service 2.4 hours
2.4 hours 2.3 hours
Crystal Brook &
H
District Hospital
Legend
2 hours Public health and hospital facilities28
HPlayford Health Precinct | A vision in the making
Drivers of growth for health services
Increasing survivorship
Population growth Australian research shows that patients are increasingly surviving risky clinical episodes that they would otherwise
Adelaide’s northern suburbs are home to some of South Australia’s fastest growing populations. It have not in years past.33 Older Australians are also living longer than previous generations. Data from the World
is predicted that a quarter of the state’s population will live in northern metropolitan Adelaide by Health Organisation reveals that life expectancy in Australia has increased in recent decades, increasing from 79.5
2026.30 This growth is expected to increase the demand for healthcare and medical services at the years in 2000 to 82.8 years in 2015.34 While this is positive, an ageing population and increased ‘survivorship’ adds
LMH and the Playford Health Precinct. complexity to the healthcare system, and are likely to drive demand for gerontological related medical services, such
as orthopaedic and cardiac surgery, as well as demand for recovery and support services following surgery.
Economic benefits from health and medical research
National trends There is growing evidence to indicate that health and medial research can also
deliver significant economic benefits, as well as lifesaving treatments. Deloitte
• Increasing
Access Economics recently reported that $1 invested by the National Health
survivorship
Poor self-sufficiency in public health services & Medical Research Council into research, for example, yielded a broader
Despite the growing need for health services in Adelaide’s economic return of $3.20.35 Developing a health and medical research industry
northern suburbs, currently only 61 per cent of these at the Playford Health Precinct has the potential to further diversify and
• Medical and
needs are met locally (within the Northern Adelaide strengthen the northern suburb’s economy.
research outcomes
Local Health Network (NALHN) catchment). This is well Local trends
below the levels of self-sufficiency in Adelaide’s other • Population growth and increases
metropolitan health networks, which range between in patient demand Health and medical education
85-90 per cent.31 The delivery of public health services As demand for health and medical services grow, so to does the demand for suitably
in Adelaide’s north require greater investment and a • Self sufficiency of the NALHN
skilled doctors, nurses, and allied health professionals. South Australia already leads
realignment to better meet the health needs of the local catchment • Health education the nation in international higher education enrolments for health related studies
community. • Ageing population and chronic (12% versus 7% nationally).36 Students also usually live locally and close to where they
disease study, train and research. The co-location of health and medical training facilities
alongside the LMH could further grow the state’s international education sector, as
• Defence industries
well as attract people to live close to the Playford Health Precinct.
• Increased
customer
expectations Increased customer expectations for quality healthcare
Ageing population and chronic disease
Consumer expectations for quality health and medical services continue to rise. As a
As we identified earlier, Adelaide’s northern suburbs are
result, patient satisfaction levels have trended downward as providers have struggled
ageing at a much faster rate than South Australia as a whole,
• NDIS to meet consumers’ demands for increased quality of service, price transparency, and
while the state’s greater northern region is already greying.
awareness of choice.37 These trends present a growth opportunity for the Playford
Coupled with the high levels of disadvantage in the northern
Health Precinct to provide world-class healthcare, particularly private healthcare, that
suburbs, the risks of disease associated with chronic health
better utilises technology, fosters coordination and offers innovative services to improve
and ageing are elevated.
customers interactions.
Rollout of the National Disability Insurance Scheme (NDIS)
Defence Industries
The introduction of the NDIS is transforming the way disability and aged care services are delivered in South Australia.
More than 85 per cent of Adelaide’s defence industry employment is concentrated in the northern
Given the high proportion of severely disabled people and those in need of assistance living in Adelaide’s northern
suburbs. Much of this activity is generated by the Edinburgh Defence Precinct, located some 7
suburbs, the NDIS is likely to be a demand driver for healthcare and support services at the Playford Health Precinct.
kilometres from the LMH. In 2016, the Edinburgh Defence Precinct generated some 6,400 jobs,
It also presents the unique opportunity to generate employment opportunities in the northern suburbs for suitably
with most of these workers and their families living in the northern suburbs.32
qualified workers, such as nurses, care and support workers.
14Playford Health Precinct | A vision in the making
Opportunities for change
Building a precinct eco system
A new model for economic growth Embracing a changing environment to develop a Vision of the Playford Health Precinct eco system
The concept of a precinct acting as driver of local world-class health precinct
Existing precinct drivers
economic development was posited in the 2014 Local and national trends mean that the future
Current development
Brookings Institute paper, The Rise of Innovation of health services are rapidly evolving. There are
Districts.38 This paper considered precincts, or numerous potential opportunities to integrate Future opportunities
Innovation Districts, as geographically compact medical services and health care with education, 13% of northern Adelaide
areas where leading-edge anchor institutions and research, and commercial development. Health service residents are university
companies cluster and connect.
catchment of qualified, compared to a
Further opportunities exist around the site to 523,000 state average of 20%
leverage the past success of the LMH and the
Innovation Districts are more than $336 million in government investment
the hospital has received over the last 15 years,
integrated environments that and also to leverage future investments, such as
create a mutually beneficial the soon to be established ACH facility and the
2.3ha of
$52.5 million expansion of the LMH’s emergency 77,000 new
eco system to increase the department. There is potential for private and non- residents to
residential land Health
surrounding LMH education
likelihood of knowledge spillovers, government businesses and industries to benefit northern rezoned for commercial is the 3rd
Ed
from the continued investment and commitment by Adelaide
new product development and development most popular
uc
government to sustain and grow the economic activity by 2036
field with
ati
s
Tertiary
innovation, which drive around the hospital.
ice
Allied Education 4.3ha of international
on
health
serv
and training
economic growth. greenfield students
and
As the demand drivers around the site grow, there are
land zoned for in SA
an increasing number of prospective
Health
Health
future
training
manufacturing
opportunities for: Home to International
and
education development
Innovation Districts represent an intentional an ageing ACH Healthia business
effort for the establishment of new products and Vita Playford Health
• Expanded hospital services – especially private and greying Precinct
and services, the bringing together of new population North Facility Health &
hospital services Defence
technologies, as well as market-based medical
Health research
solutions through the convergence of • Expanded and improved health, medical and care
numerous, sometimes disparate, sectors and services – particularly relating to the treatment of
specialisations. chronic disease and conditions associated with Private
ageing hospital
Innovation Districts emphasise geographic Low Limited
• University education, training and research
compactness, accessible and walkable spaces, self-sufficiency health &
facilities – particularly relating to allied health,
of public medical
and a digitally connected urban environment that aged and disability care, as well as Defence $53m of planned 5ha of residential
health education and
combines commercial, retail and residential to health. government land rezoned for
services research
generate complementary economic activity. investment at LMH future hospital
facilities
development
Hospital ser vices
$336m recently Limited private
invested at LMH hospital services in
by government northern Adelaide
(one small private
hospital)
Diagram is provided for conceptual purposes only and includes selected anchor institutions, networks and local drivers for the Playford Health Precinct
eco system
15Playford Health Precinct | A vision in the making
Hospital services
Building a reputation as a leader in the treatment of chronic diseases, acute care and geriatric medicine
Based on the health and medical services already provided The development of a private hospital at the Playford Health
at the precinct, combined with current and expected health Precinct could leverage off the adjacent LMH by establishing
needs of those living within the precinct catchment, there is specialist centres focusing on the delivery of medical and care
an opportunity for the Playford Health Precinct to develop services complementary to those already delivered at the LMH.
a specialist focus and to build a reputation as a leader in the These services could include:
treatment and delivery of certain health services. These could
• Cardiothoracic surgery
include:
• Ear, nose and throat surgery
• Chronic diseases associated with socioeconomic
disadvantage – diabetes, obesity, and cardiovascular disease • General surgery
• Acute care services – urgent medical and surgical treatment • Maternity services
and short-term care
• Orthopaedic surgery
• Conditions and illnesses associated with ageing –
• Paediatric surgery
gerontology and geriatric medicine
• Vascular surgery.
• Longer term health care and recovery services – aged and
disability care This relationship between private and public hospital services
at the Playford Health Precinct could reduce the pressure on
• Allied health and social assistance services.
the LMH and free up resources, which are only likely to increase
Private hospitals as the population and health demands grow.
There are limited private hospital facilities servicing the
A private hospital at the Playford Health Precinct could also
populations of Adelaide’s northern suburbs. As a result,
complement and help to improve services at the LMH by
residents are forced to travel long distances to utilise private
attracting a greater number and range of medical specialists
health facilities around Adelaide’s CBD. Not only does this
and professionals.
adversely affect those living in Playford, Salisbury and Tea
Tree Gully, but also those living in regional areas such as The Lyell McEwin Hospital (LMH)
the Barossa and Clare Valleys, as well as those choosing As reported earlier, the LMH has seen significant investment
retirement hotspots, such as Kadina and Moonta on the Yorke over the last decade. There is an opportunity for the Playford
Peninsula, or Berri along the Murray River. Health Precinct to further capitalise on this investment and
leverage the State Government’s commitment to the LMH by
concentrating future development at the precinct around the
Despite 42 per cent of the population treatment of, for example:
in Adelaide’s northern suburbs having • chronic illnesses
private health coverage, there is only one • acute care
small-scale private hospital facility within • geriatric medicine.
close proximity to the LMH. Further,
there are no private hospital facilities
located across the greater
northern region.
16Playford Health Precinct | A vision in the making
Aged care, allied health and other health services
Servicing local health needs
Aged care Defence Health
As already identified, a rapidly ageing population in Adelaide’s The proximity of the Edinburgh Defence Precinct to the
northern suburbs is likely to place increasing pressure on Playford Health Precinct presents a unique opportunity
health services in the region. This will likely increase the to cater to the specialist health needs of the large defence
demand for: workforce, serving Australian Defence Force (ADF) personnel
and their families, as well as those transitioning out of the ADF
• acute medical and recovery services and veterans. This could include niche services such as:
• specialist medical gerontology services • Specialist general practice medicine and allied health services
• residential aged care facilities. • Mental health and specialist psychological services in the
treatment of depression or post-traumatic stress
Already, the development of the ACH Healthia and ViTA
North aged-care and allied health facility at the precinct is a • Treatment and rehabilitation services for physical trauma.
significant step. The planned capacity of this facility, however,
accounts for a fraction of what is likely to be required in the There is also scope for these services to be integrated
future. with institutes for defence health research at the precinct.
These research institutes could focus on understanding and
developing better health treatments, particularly in mental
Establishing a cluster of health and care health, for defence personnel and veterans of conflict. This
services targeting an ageing population could involve the development of digital technologies, such
as virtual reality, or innovations involving the advanced
could also provide the ‘critical mass’ manufacture of artificial body parts and prostheses. The roll-
necessary to help attract training out of GigCity, for example, is likely to enhance these sort of
developments.
providers specialising in aged-care and
the development of education facilities Other health business
There is potential for the precinct to go beyond education and
at the precinct. research and participate more actively in the development,
commercialisation and manufacture of health innovations.
Allied health
The recent launch and rollout of the NDIS is expected to
increase the demand for allied health workers with specialist The precinct could serve as a ‘test
skills, such as: bed’ for the trial of new health and
• physiotherapists medical technologies as part of the
• speech pathologists commercialisation process.
• occupational therapists
There is also the potential for a range of other health services
• social workers. at the precinct, including:
In addition, the new scheme is also expected to generate • Dental services
demand for workers in support roles – such as, nursing and • Radiology services
direct care workers, as well as administrative workers with
knowledge of clinical health services.39 Growing this workforce • Specialist consulting rooms
to meet anticipated demand will require expanding education • Audiology services
and training facilities.
• Counselling services.
Further, the population of Playford has a much higher
proportion of those with a severe disability than the state Further, the precinct could attract auxiliary services whose
average. This presents an opportunity for the precinct to business it is to support the activities of health and hospital
capture the demand for these services due to the high services, including:
incidence of disability in the northern suburbs. • Pharmaceutical services
• Pathology services
There is an opportunity for the Playford
• Optometry services
Health Precinct to meet the increasing
• Natural therapy services
demand for both allied health services
• Health and medical equipment suppliers.
and workers.
17Playford Health Precinct | A vision in the making
Education, training and research
Growing a greater university presence and creating a medical research community
While there are tertiary education institutions located around International education
Adelaide’s northern suburbs, the presence of these facilities Demand from overseas students wanting to study at Australian
is limited and none have a health or medical focus. Further, universities is expected to continue to increase.41 To capitalise
the northern suburbs have some of the lowest per capita on international education and attract overseas students
densities of university education in South Australia.40 to live and study at the precinct, there are opportunities to
establish high quality teaching and research facilities at the
The Playford Health Precinct has the potential to grow the precinct. These include:
presence of university level education in Adelaide’s north, as
• Digitally enabled teaching and conference spaces
well as broaden the courses and qualifications offered. This
could include both TAFE and vocational education as well • State-of-the-art simulation facilities for practical learning,
as university institutions. Co-locating one or more tertiary particularly in acute, aged and disability care
education institutions at the health precinct would create
• Well-equipped laboratories suitable for clinical research and
a complementary mix of students, researchers, academic
testing.
leaders, medical professionals and industry.
In addition, international education also presents an
The co-location of university education opportunity for a range of accommodation facilities, sporting
and research facilities alongside hospital and recreation facilities, as well as a range of culturally diverse
retail and food outlets that are likely to appeal to overseas
and healthcare facilities could help students to be established at the precinct.
to promote innovation and creativity
within the health precinct, as well as Growth in international education
provide the sorts of high-skill education presents an opportunity to develop
opportunities to those living in Adelaide’s university education and training facilities
north that are likely to drive future at the health precinct, as well as attract
economic growth and fuel employment students from overseas to study in one
demand. of the precinct’s potential specialist
health areas.
Tertiary education and training
The Playford Health Precinct presents opportunities to Health and medical research
integrate the delivery of medical and healthcare services with As we reported earlier, health and medical research can be a
education and training, and research concentrated around significant driver of economic growth. Several fields of health
the precinct’s potential specialist health areas, including: research – such as, those related to ageing, gerontology and
geriatric medicine – are increasing in significance and are
• Acute and aged care
the same areas of health that align with the Playford Health
• Chronic diseases Precinct’s strengths.
• Allied health
• Social assistance and disability care.
Co-locating health research with clinical
facilities and teaching activities has the
In partnership with the health precinct, research institutes
could assist in training medical students and improve the
potential to result in knowledge spillovers
skills base of the local workforce. and generate innovation.
There is potential to train students at the Growing the research profile at the precinct also has the
potential to create a focus for new private sector investment
Playford Health Precinct and contribute that further attracts skilled workers to the area.
to creating a skilled workforce in the
northern suburbs.
18Playford Health Precinct | A vision in the making
Title
Subtitle
19Playford Health Precinct | A vision in the making
Playford’s commitment
To support and complement the
expansion of the area surrounding the
LMH, Playford is committing $144,000 The City of Playford rezoned 9.5 hectares
to upgrade streetscapes and signage of residential and council land surrounding
as part of it’s Asset Management Plan. the LMH site, in 2013, for the purpose of
These upgrades are expected to begin future commercial development. There
in 2018 and include new landscaping, are also plans to rezone additional land
footpaths, streetlights, curb and road surrounding the precinct for the purpose
seal replacement, and smart city of future expansion.44
infrastructure.42
gr ga e
up sin cap
ad ge
d ts
Rez uture t
es
dev
for opme
an ree
oni
el
St
f
ng
n
Within the
precinct
Digital
infrastructure
An expanded Playford Health Precinct has the potential to reinvigorate
the surrounding areas and create an environment where doctors, health
researchers and students choose to live, not just work. The council is exploring the option of expanding its dark fibre
optic network cable into the health precinct to help promote
A clear urban structure and coordinated layout will make living and working around the Playford Health Precinct investment, connectivity and research capabilities at the site.
increasingly attractive. In the future, this will likely make it easier for workers, visitors, as well as potential students The Dark Fibre network currently links the Playford CBD to
and residents to access the precinct’s many facilities. At a street level, there are opportunities for activation at the operations at Davoren Park, offering new tenancies internet
precinct to further enhance the appeal of the urban space, as well as better connect the precinct to its surrounds. speeds of up to 10 gigabits.43
20Playford Health Precinct | A vision in the making
Delivering on a precinct vision
The creation of a thriving and inclusive precinct Planning and regulatory levers
eco system requires buy-in from both public Future planning frameworks established for the
and private sector partners and stakeholders. City of Playford need to emphasise the high priority
While the City of Playford is providing the vision of the Playford Health Precinct and encourage uses
for the Playford Health Precinct and acting as consistent with the vision.
a catalyst for change, it cannot (nor should be
expected to) build an eco system alone. A unified voice for the health precinct across
all planning and investment decisions by the
Governance City of Playford will signal the importance of the
A collaborative precinct governance and precinct and council’s commitment to state and
leadership model that engages influential commonwealth governments, as well as potential
representatives from community, business and private-sector investors.
community development sectors is a proven
method for making things happen. Monitoring progress
An engaged Precinct Management Alliance
What gets measured, improves.
(PMA) will create a neutral, open and inclusive
Establishing targets for the precinct and setting
forum for stakeholders to share ideas, develop
goals will be crucial to the development of the
policy and projects that advance the precinct.
Playford Health Precinct, and another reason in
A good PMA would be a continuation and
support of the establishment of a PMA.
expansion of existing stakeholders in the
precinct to include prospective commercial
Next steps
stakeholders and community interests.
This document is an important step along the
journey in the establishment of the Playford Health
Securing Government support
Precinct. However, it does not take the place of nor
Government involvement and leadership across
fulfill the requirements of the rigorous economic
all levels of government is required. The key
analyses required by prospective stakeholders,
role of government in the development of the
particularly the State and Commonwealth
precinct is to facilitate and support private
Governments, before making serious and firm
sector development and to deliver the public
commitments.
infrastructure necessary to attract investment.
These types of studies include:
Investment attraction
New models of partnership between the public • cost-benefit analyses
and private sectors need to be established.
• economic feasibility studies
Strong private sector involvement in a PMA is an
important part of this. However, to strengthen • economic impact and contribution studies.
collaboration, the public-sector needs to ensure
that opportunities for private sector investment Furthermore, business cases for the involvement
exist. This could involve: for each prospective stakeholder would need to be
made. These should align with the singular unified
• Public sector involvement in the delivery of
vision of the precinct. Ensuring this process is
public projects
undertaken and evaluated should form part of the
• Joint public-private funding of new research PMA’s mandate.
and health promotion programs.
21Playford Health Precinct | A vision in the making
Title
Subtitle
22Playford Health Precinct | A vision in the making
Case studies from around Australia
In Australia, the economic benefits of precincts are being recognised, and numerous precinct developments focusing on health, education, science and innovation have
been established by state and local governments. Deloitte has extensive experience in examining a variety of precinct developments across Australia, and quantifying their
contributions to the local and state economies.
These include:
• The Westmead Innovation Precinct in Western Sydney
• The Prince Charles Hospital Campus in Brisbane
• The Campbelltown Health and Education Precinct in Western Sydney.
These precincts are featured as case studies to provide examples of what precincts can look like, as well as the economic benefits that they are delivering to their
local communities.
Westmead’s composition and growth has allowed
Westmead Innovation Precinct,
it to capture increasing demand for medical care,
Western Sydney
education and commercially integrated research,
Located in the heart of Western Sydney, about
driven by the meteoric growth of Western Sydney’s
25 kilometres from Sydney’s CBD, Westmead
population and growing demand from Asia.
has grown from humble beginnings to become
Alongside this, it is playing a pivotal role in the
Australia’s largest health services precinct.
economic transformation of the Western Sydney
Situated in an area with a rapidly growing
area, helping to tackle the range of social and
population and unique health challenges, the
economic challenges faced by Western Sydney.
precinct now employs 18,000 people and
provides essential health services to almost 10
In 2016, Westmead contributed over $1.9 billion, or
per cent of Australia’s population.45 In addition,
1.6 per cent, to Western Sydney’s local economy.47
the precinct provides education services to
Furthermore, Westmead continues to be a
over 3,400 students from pre-schoolers to PhD
destination for public and private investment.
candidates.46
In the last four years alone, over $1.5 billion
was committed by government and universities
Originally home to a dusty showground on
to upgrade the precinct, with $950 million of
the outskirts of Sydney, today Westmead
this contributing toward a facility capable of
is a national and international leader in
accommodating 9,000 students.48 In the near
health delivery, research, education and
future, upgrades to commercial amenity are
commercialisation. The precinct is home to a
anticipated to accompany university expansion,
range of complementary institutions, with major
with $3.4 billion worth of capital currently
tenants of the precinct including the University
mobilising within the precinct.49
of Sydney, Western Sydney University, the
Children’s Hospital, Westmead Hospital and
Children’s Medical Research Institute. The focus
of Westmead is on integrating both research Lessons for Playford
and education with clinical care. The precinct
• A model for how a successful innovation
has a distinct position within the research areas
and health precinct can be developed and
of cell biology, cancer genomics, bioinformatics
governed
and diagnostic sciences. In addition, the
paediatric capabilities of the precinct are • The economic impact that precincts can
world class. bring to a local economy
• How a precinct can attract public and
private investment
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