WA Health Infrastructure Development
Overview
The final report of the Health Reform Committee (HRC) ‘A Healthy Future for Western Australians’ (PDF 2MB) (commonly referred to as the Reid Report) was released in March 2004.
The Report for the first time provided a long-term vision for the future of health care in Western Australia and sets out a plan for major health reform. It recommended a fundamental reconfiguration of the State's health system during the next 10 to 15 years.
The Health Reform Implementation Taskforce (HRIT) commenced operations on 2 August 2004 with the challenging task of driving the health reform changes by implementing the recommendations of the Reid Report.
In response to the recommendations made in the Reid Report and the Clinical Services Consultation 2005 undertaken earlier this year, WA Health has developed its strategic overview for clinical services in this State.
The WA Clinical Services Framework 2005-2015 (PDF 1.63MB) has been finalised following an intense period of consultation during which time a wealth of information, recommendations and suggestions were gathered, reviewed and used to inform the final decision-making process.
Significant elements of the final WA Health Clinical Services Framework 2005-2015 include:
- Clear role delineation for each health service and care facility;
- A description of the bed numbers planned for the metropolitan region;
- Location of the central tertiary hospital site at the QEII Medical Centre;
- New southern tertiary hospital to be developed as a collaborative initiative between Fremantle Hospital and Royal Perth Hospital;
- Building up the general hospitals;
- Investment in education and research;
- A foreshadowing of work on models of care with a greater emphasis on prevention, primary care and providing care in the most appropriate setting; and
- Advancement of country health service role delineation in alignment with metropolitan plans.
WA Health Clinical Services Framework 2005-2015 is subject to regular review. A number of other frameworks were developed to inform and support the final WA Health Clinical Services Framework 2005-2015 as outlined in the below diagram.
As a major component of the implementation of the infrastructure framework, the Metropolitan Infrastructure Development Plan (MIDP) was developed at the same time as the WA Health Clinical Services Framework 2005-2015 to detail the expected non-recurrent cost of infrastructure and to document the process and basis for determining these costs.
The MIDP provides an initial analysis of the infrastructure implications that will likely flow from the WA Health Clinical Services Framework 2005-2015, including details of:
Infrastructure requirements
- Demand modelling
- Bed framework
- Bed strategy
- Facility strategy
- Functional area analysis
Cost analysis
- Capital cost
- Cash flow
- Preliminary recurrent cost indications
- Reconciliation with Reid costing
The MIDP focuses principally on those metropolitan processes identified by Reid for change/development to 2013/14 but, out of necessity, also includes analysis of the subsequent stages of work through to approximately 2020.
WA Country Health Service (WACHS) has embarked on the development of a service plan for its service network that will describe strategic actions and plans that WACHS is taking to meet the needs of communities, staff and other key stakeholders over the next three to five years. This document will be known as Foundations for Country Health Services. It will guide operational planning and activity in the areas of service planning, leadership and governance, resources, workforce, transport, infrastructure (including facilities and equipment), information and communication technology, and operational systems. Key areas for service development have been identified as emergency services, Aboriginal health, aged care and mental health.
The following sections have been developed to give an overview of how WA Health will manage this significant infrastructure program:
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