Calvary Overview 2014-2015 28pp single v2

LITTLE COMPANY OF MARY HEALTH CARE LIMITED OVERVIEWContinuing the Mission of the Sisters of the Little Company of Mary 2015

More Fast Facts 4,864 babies delivered 396,780 assisted outpatients 112,972 emergency department presentations 111,231 surgical proceduresContentsExcellence in Care 2Clinical Governance 3Palliative Care 5Community Care 8End of Life Care 8Service Development& Innovation 8Innovations 9Hospital Developments 12Research 13Wise Stewardship 15A Year in Review 16Our Strategy 18Our Financial Results 19Our Services 21Contacts Back Cover

L-R Pauline Elloy, Leisure & Lifestyle, Volunteers and Palliative Care CalvaryCoordinator; with Layne Wong, who is 105 years young and a resident at Fast FactsCalvary St Joseph’s retirement Community. People: About Calvary 9,338Calvary is a charitable Catholic not-for-profit Employeesorganisation with more than 10,000 staff andvolunteers, 15 public and private hospitals, 14 3,639Retirement and Aged Care facilities, and 22 CommunityCare centres. We operate across six states and Nursing, Medical andterritories within Australia. Established in Sydney in Allied Health Employees1885, by the arrival of the Sisters of the Little Companyof Mary in Australia, our mission is to provide health 1,891care to the most vulnerable, including those reachingthe end of their life. We provide aged and community Community Care Workerscare, acute and sub-acute health care, specialistpalliative care and comprehensive care for people in 1,100the final year of their life. VolunteersFull details of our locations are on the back pageof this Review. Patient Care 143,177 W About our cover Private Hospital Admissions Margot Webbe 59,521 (30 Dec 1922 – 18 Aug 2014) Public Hospital Admissions LITTLE COMPANY OF MARY Our cover features the late Margot HEALTH CARE LIMITED Webbe, a former recipient of Home Retirement and Community Care (HACC) Services CommunitiesANNUAL REVIEW Victoria, a program of Calvary 981 Community Care. Margot, who has 25Continuing the Mission of the Sisters of the Little Company of Mary 2013/2014 direct descendants, visited Bali 34 times Beds in the last 29 years. Her last trip was at 90 years of age. 358 The scarf Margot is wearing was knitted Independent living units by her daughter not long before this photo was taken in August 2014 and Community Margot insisted on wearing it. Our Care warmest thanks to Margot’s family for 20,000 their permission to use this image. Clients 1,275,000 Hours of care [ 1 1]

Excellence in Care2

Clinical GovernanceCalvary is committed to • Compliance with legislative develop new, better-integratedcontinual improvement in order requirements, national policy approaches to service designto provide the best care to the and accreditation standards and delivery. Through ourpatients, residents and clients of regional alliances we focusedour services. Our goals are to Putting our patients, on improving the careput patients first, to ensure high residents and clients provided to people living inquality, safe care and to deliver at the centre our communities with Chronicinnovative and integrated care. Obstructive Pulmonary Disease, At the very centre of our Diabetes and those who maySafety and quality in the approach to care delivery is the be in the last year of theirdelivery of health, aged and commitment to place the person life. Senior medical, nursingcommunity services across at the centre of their own care, and allied health professionalsCalvary are underpinned by to deliver services that are across our health, aged andeffective systems of clinical responsive to their needs and community based servicesgovernance. Through these that involves them in setting have worked together withsystems our Board, executives, goals, planning care and making other regional partners tomanagers and clinicians share decisions about care, treatment explore barriers to integrationresponsibility and accountability and outcomes. All Calvary and design improvements infor continuously improving, services routinely seek feedback patient, resident and clientmonitoring risks and fostering from patients, residents or journeys and experience.an environment of excellence clients and use this informationin care. to improve their experience and Reliable, safe and care. Consumer participation effective careThe framework and focus occurs at many levels inof our clinical governance the organisation through This year we have reconfiguredsystems ensure: activities such as Community our clinical incident systems Advisory Committees, to provide more immediate,• A focus on patients, resident partnership on governance reliable reporting and data and client experience across and management committees on clinical risks across the the continuum of care and within improvement organisation. This information initiatives or clinical risk is fed back to front line clinical• Strong clinical leadership management activities. staff to ensure that we learn and ownership from errors that may occur and Feedback obtained from our that we work collaboratively• A high reliability culture that patient surveys in 2013-2014 and systematically to improve supports patient safety and helped us to understand the safety and quality of care. quality improvement initiatives things that mattered most to the people we cared for in terms of All services have a• Rigorous measurement of the quality of their experience. common set of Quality Key performance, including These were our willingness Performance Indicators reporting and review to listen and respond to their (KPIs) that have targets needs, to go out of our way to set against the established address those needs, to care industry benchmarks. The about them, and the extent KPIs include measurement to which we addressed their against each of the ten (10) emotional and spiritual needs. Australian Commission on Safety and Quality in Health Strong clinical Care’s (ACSQHC) National leadership and Safety and Quality Health ownership Service Standards. This year we have worked Based on our review with our clinical leaders to and analysis of reported clinical incidents three [ 33]

national targets have been with no outstanding non- working and communicating established for 2014/2015. conformances. All Calvary with people experiencing public and private hospitals grief and loss. Since March, These are: have now been accredited following a considerable effort against the ten National from staff across all services, • Reduction in patient/ Health Service Standards. approximately 8,000 staff resident falls and volunteers, or more than Calvary Community Care two-thirds of all our staff, have • Elimination of wrong and Calvary Retirement completed both modules. This site surgery Community are also accredited is a fantastic achievement! against relevant standards. • Reduction in hospital All services continue to work acquired infection. A focus on mission towards achieving Calvary’s Palliative and End of Life Care While we strive to provide Calvary health, aged and Strategic objectives as set out the safest care possible to community services have a in our 2011-2015 Strategic Plan. the people we care for, on particular mission to care for Supported by Calvary’s ‘4R’ occasions errors do occur – we those who are approaching Model of Care for Palliative acknowledge that and we are or reaching the end of life. and End of Life Care, services committed to learning and are implementing strategies improving. In the last year In March we launched the and tools to assist staff to: we are pleased to say that two Palliative and End of Life more than 99% of all clinical Care Foundation Modules – • Recognise people approaching incidents that occurred resulted “Understanding Loss and Grief” the end of their life in minimal or no harm. Less and “Communicating with than 0.3% of clinical incidents people experiencing grief and • Respond appropriately to were serious adverse events. loss” - on the Calvary eLearning their need platform. These modules Achieving accreditation were designed to provide all • Renegotiate their goals of care Calvary staff with a beginning All Calvary services hold understanding of our Palliative • Reinforce their primary care full three year accreditation and End of Life Care Strategy, supports and networks. with a nationally recognised with a particular focus on accreditation program,[44 ]

Calvary National Directorof Clinical Services, SueHanson, has moved toease concerns about theprovision of palliativecare services in Wagga.Public palliative patients ‘wouldn’tbe turned away’The article below, published 18 June 2014, is reproduced courtesy ofThe Daily Advertiser, Wagga WaggaCalvary’s national director of Those beds cater for both One of the biggest concernsclinical services Sue Hanson public and private patients raised in recent weeks ishas moved to ease concerns under an agreement between whether private patients wouldabout the provision of palliative the hospital and Murrumbidgee be given priority access tocare services in Wagga. Local Health District (MLHD). palliative care, but Ms Hanson has insisted that is not the case.Public patients are at no Six hundred bed days per yeardisadvantage to their private are funded for public patients Referrals are based solelycounterparts when it comes and on any particular day all on patient needs and healthto palliative care treatment six beds could be filled by the insurance status is not taken intoin Wagga, according to the public system, Ms Hanson said. consideration, Ms Hanson said.national director of clinicalservices at Calvary Health Care. “If there was somebody “Public patients can get in need, we wouldn’t turn access to those beds basedSue Hanson has weighed in them away,” she said. on need,” she said.to the ongoing debate aboutthe provision of end-of- Ms Hanson also serves as co- “We have nothing in place thatlife care services in Wagga chair of the NSW Agency for gives priority to privately insuredfollowing sustained calls for Clinical Innovation’s Palliative patients to any of those beds.”the construction of a 10-bed Care Network and as an ex-public hospice in the city. officio member of the Wagga Once Wagga’s new 10-bed Palliative Care Alliance. palliative care unit is built, thePresently, the city’s palliative number of bed days availablecare needs are serviced by She admits palliative care to the public system will besix beds in Calvary Hospital’s is an “emotive” issue within reviewed, but Ms Hanson said itSt Anne’s East Ward. the community and that would be negotiated once every there has been significant 12 months with MLHD to ensure community anxiety about demand can be adequately met. access to care in Wagga. [ 55]

Calvary Community Care Right: Calvary Community Care Client Domenic Renye. This year has been one of outcomes, we launched a new About Calvary high activity, sustained integrated service package. Community Care growth and accelerated The Settle Me In program development as we is designed to provide a We provide services to continue to broaden our flexible model of care to suit support people to live service delivery to clients moving from acute to independently at home meet the diverse and community care as they return and actively participate changing needs of a home following a hospital in community life. growing client base. visit. Demand for this short term program is steadily Our services are available to Activities in this reporting growing, in part because anyone in the community, period have been underpinned it provides a customisable including, but not limited to, by a consolidated and and dynamic solution that those who strategic focus on ensuring adapts to meet the individual are eligible for government that the organisational needs of a broader range funded packages. structure, systems and of patients and clients. processes are optimised for Our services include service delivery under the We were very pleased to Home and Community National Disability Insurance receive a significant increase Care (HACC), Home Care Scheme (NDIS), Individual in Home and Community Packages, Veterans’ Home Support Packages (ISP) Care (HACC) funding Care (DVA), Respite Care and the imminent launch from the Commonwealth and Community Housing. of Consumer Directed Care Government, an input which (CDC). Rapid changes has allowed us to support a We provide services 7 days in government policy, greater number of people a week, 24 hours a day consumer expectations and to live independently in their within the six states and demographic considerations own home and community. territories listed below, co- within our sector have It was also exciting to open ordinated by local offices. provided a welcome new facilities in Port Augusta impetus to refine and adapt (SA) and Riverina (NSW) ACT: Bruce; NSW: Surry both the portfolio and under the National Respite Hills, Lambton, Taree, delivery of our services. Carers Program. These respite Wagga Wagga, Cooks Hill, cottages offer short-term, Lakelands, Forster; Northern In line with our focus on specialised 24 hour care Territory: Alice Springs, continuity of care, innovation and social support in a safe Darwin, Bathurst Island; and improved client home-like environment. South Australia: Adelaide, Port Augusta, Goolwa, Victor Harbor; Tasmania: Hobart, Launceston; Victoria: Ringwood, Mount Waverley, Keilor East, Morewell, Shepparton. Client Kate and Vidka Dean Cross (Calvary Community (Calvary Community Care). Care) and Client Peter Nicols.[66 ]

End of Life We are particularly fortunateCare in the to have local Tiwi people,Tiwi Islands featured in the images above and below, in key roles such as support workers, cleaners, recreational support, kitchen staff and gardeners. With their unique appreciation and understanding of local issues and the emotional, social and cultural support our residents need, they contribute enormously to our understanding of local cultural knowledge and provide a vital link between the multi- disciplinary health care team, the client and their family. The images are reproduced courtesy of Glenn Campbell. Left: Valma ApuatimiMulakunya is a flexible and a multi-disciplinary practices and Christianaged care service for Tiwi team including doctors and beliefs. Therefore CalvaryIslander people operated discharge planners from the offers a flexible approachby Calvary Community Royal Darwin Hospital, the to care that minimisesCare on remote Bathurst Bathurst Island renal clinic regimentation, maximisesIsland, 100 kilometres north and visiting allied health people’s freedom andof Darwin. The local Tiwi and medical specialists. community involvement andIslands population numbers embraces the involvementapproximately 3,000 Recognition of the of extended family andpeople with 87% made importance of kinship and ceremonial rituals to payup of Aboriginal people connection to country in respect to the person Tiwi culture and providing approaching end of life.Calvary provides palliative a culturally, spiritually andcare for Tiwi people who physically safe environment At Malakunya we feelare approaching the end is paramount in delivering privileged to be able to assistof life and wish to die in services to all Malakunya in the care of Tiwi people‘country’, close to their residents. The time before, approaching end of life,home and community. of and following death provide person-centred andWhen approaching death, involves a number of cultural culturally sensitive care andreturning to Tiwi and family is considerations, kinship to be the stewards of theprofoundly important. Using responsibilities and traditional heritage of compassionatea collaborative model of care rituals. Many residents are care begun by the Sisters ofCalvary works with residents also devout Catholics and the Little Company of Mary.together with their family combine their traditionalAbove: Daisy Tipiloura Above: Emily Veamatahua [ 77]

Service Development and Innovation8

InnovationsEnsuring we keep Muswellbrook, including 35 to information is a major enablerdoing what we do 40 independent living units, of good care. We’re working providing a Calvary hub for to improve Calvary’s networkOur financial performance the broader community. effectiveness with improvedis solid and keeps our story communication betweenalive through reinvestment Technology that hospitals, aged, community andin major projects such as cares and the primary care, particularly in theCalvary Lenah Valley Hospital’s capability to deliver complex area of chronic diseasetheatre development and management, so much a part ofnew endoscopy unit and We are investing heavily in palliative and end of life care.Calvary North Adelaide St. technology at Calvary withHelens Ward and maternity core systems that include Global research suggestsrefurbishment, day surgery electronic Health Fund that ‘coordinated care’, or theand additional theatre. claiming, an e-Admission active management of the Patient Portal and electronic relationships among multipleWe’ve also invested in our medication management. care providers, can bothability to be a source of healing improve health outcomeswith the completion of the We recently rolled out electronic and decrease costs.Calvary Central District Hospital medication dispensing toCancer Centre. Three other aged care and are also Strong leadership throughmajor projects are underway at looking to apply technology these changes and dynamicCalvary Riverina: a rural Wagga in service delivery, through times is key to our success.Wagga Clinical School, a new mobility, smart phones anddrug and alcohol rehabilitation tablet technology; application We are investing in a leadershipcentre, and specialist palliative integration, business intelligence capability framework, designedcare and rehabilitation units. application and Human to identify and develop our Resource information systems. leaders of tomorrow andWe’re also planning to build a nurture those characteristics$20 million, 60 bed retirement Electronic connectivity and that are necessary to beand aged care facility at its ability to exchange health a leader at Calvary. [ 99]

Releasing time to Care – The eClinical Record The digital or eClinical Record experience at Calvary Health Care Bethlehem was to have the same “look” as a paper record but with Calvary Nurse Brad Orszaczki and patient Bernard Harty using eClincal records. the added advantages of: The integration and sharing of to a digital format to create • inbuilt safety features patient information over the care the eClinical Record. Calvary continuum (primary, inpatient partnered with Irish company • the ability to be used on and ambulatory care settings) is Slainte to use their product, different electronic devices increasingly reliant upon digital Vitro, to make this idea a reality. including computers on channels to store and share that wheels; laptops and tablets information. In addition to this, Calvary Health Care Bethlehem clinicians in this modern health was selected as the preferred • mobile devices, meaning care age frequently comment on site for the implementation of devices can be used closer how their time is taken up with the new technology, following to the patient and enabling tasks that take them away from the successful deployment the patient to check and sign the bedside. Chasing referrals, of the electronic medication documents at their bedside locating clinical records, management system, Medchart entering the same information and the implementation of • integrating with our on multiple paper charts or a new model of care. The established electronic waiting for someone to “finish decision was also influenced medications management with the notes” are all frequently by the diversity of the care system and our patient expressed frustrations. Calvary Health Care Bethlehem administration system provides, with patients Calvary sought to solve this commonly accessing services All leading to: modern day dilemma with a across inpatient, community modern day solution….convert and ambulatory care settings. • improved processes and our paper clinical records efficiencies that release time for clinicians to provide extra Clinical Record’s Dashboard. patient care at the bedside = Releasing time to care • incorporate and harness the efficiencies that digital technology can deliver in terms of improving patient safety and outcomes = Increased Safety • the ability to differentiate the Calvary Health Care service offering from other health care providers = Recognising our difference • minimising the duplication of patient information = Improved efficiency • the ability of the one record to be accessed by multiple staff in multiple settings at the same time; and = Improved Access • developing the internal capability to scale the initiative to a national level = Increased capability The overall vision of the Organisation is to use the learning and experience from this implementation to roll out to other Calvary Health Care sites across Australia.1[ 010 ]

Calvary Home-Like Model of Care At Calvary, we believe that home = self.At Calvary Retirement Communities, we believe that home = self.The experience of many ‘traditional nursing How have we achieved this so far? • Created ‘Assistants of Daily Living’ as opposed to clinical AIN – Qualified Carer home’ residents can be alarmingly similar to the – Infection Control (Cleaning) – Food Safe CertifiedThe euxnpdeerriepnricvieleogfedm—aniynv‘otrlvaidnigtiolancaklonfuprrsivinagcyh, olomsse’ – Medication administration Certified similar residents can be alarmingly– Skilled at cards/chess/games etc – Food Safe CertifiedtpaooswtphaeeccdoTrlaefhueeripinssedfeods,einnnrwendert‘tesiepustenasyrrln,icrfvaeay’cinn.ltcreodBdergeausdfeattehetedewiisnpnli—hganeeeng.naniTsndeshwvnoepovifnesailpcrcvpionoeyirnnw.aftmgWocuetrerrlihalcnn‘esecetsecknswlprfne’eowhetrafesosetsrpoeespnarshitn-rvihacandaeeneccn.tyeitcr,neelvodipsrosenrosm•••fotNctMHohaLuieinrtneMreidrisraOeCthvn-hsaCeiegarfclteuthtfnrpneaaaeclsriiamwnttttninoiposnibnotgtshotateaeyfserossneeurttd,eChpiaaoeroplalld)minoresrmtcnMtaliuaftecfthdns,nelikhottaseywr.eyfeNr’sstieuoedHresiwneen,erhtsaiu,lwtcroiechnxhrsciyseeesgloafp-iftatnasrNctahtenuergesayodfeloid:srfedohmen(caal’itovtcirhehvraeiemeivnvegae etinisg be yourself.conversation centred around the question: ‘what makes yousimplynu‘hrsoinmgeh’:oampelaiscseimtopllyiv‘eho, tmoee’:najopylafcreeetodolivme, atond to feel most at home?’ – Physical environment experienced with all five senses enjoy freedom, and to be yourself.The staff at Calvary Haydon Retirement Community – Emotions, activity/occupation, people and relationships Model were trained in the Home-Like– Feeling safe, loved, and respected • HLMOC training incorporated as a mandatory component ofof CaRrees(uHltLsMthOaCt )s.peTahkrefoermthoenmthseslvlaetse.rWthitehyinrtehpreoerted significant changes.orientation/induction for employees, volunteers & students • Lively strengths-focussed activities program/philosophy: months of staff at Calvary Haydon Retirement – ‘I can’t find my mum/dad’: that’s because they’re enjoying life in one of our many activities! Community (CHRC) being trained in Home-Like – Families/visitors now look for a copy of the month’s activity calendar, so that they can rearrange their visits to suit the Model of Care (HLMOC), they had this to show: resident’s life – Family/visitors are welcome to join in the activities, and staff bring their children to programs involving youth 88% Staff said:level of enjoyment felt by staff Residents and Staff– The Activities Calendar is generated through discussion at 82%of residents rating CHRC as a the Residents Council, which is attended by an average of 25% of all residents (excluding those in the Memory Support Before, residents would take twogreat place to live Survey ResultsHouseholds). The recognition of ‘Elders in the Driver’s Seat’ Staff say: becomes a reality through this Council. Before, I wouldn’t want to live here. Carers as Assistants of Daily Living? What about: Now, yes, I would! 88%• Diversional Therapists vs Rehabilitative Therapists Before, residents would take two months or more to settle in. Now it – Not about distraction therapy to reduce certain ‘behaviours’.. – But emphasising activities that will maintain function (cognitive 86%months or moreotnoly tsaeketstalreouinnd.twNoowweekist. Relationship is important. Because or plheyvsiceall) boutfaelsonbjroingyjomy aendnmteafneinlgt byto life staff residents know the staff, they feel safe to verbalise their needs. • Task-Oriented Carers vs Occupational Supporters only takes around two weeks.of residents rating CHRC as a 82%– Not about task completion (eg ‘they need to get fed’)... great place to receive care – But emphasising resident experience (eg ‘I want to have 91% Relationship is imRawepsaiyodefrrnottmsaantchtteu.iarBl‘lhyoedmocena’’.t.u.wifsatnehtetyohbaeve to lunch and enjoy it’) go to hospital, once they are back, they say they are very happy to be home. • Clinical Interactions vs Therapeutic Engagement residents know the staff, they feelof residents who would of residents rating Calvary Haydon– Not just asking ‘Do you have any pain?’, ‘What can I get you?’... recommend CHRC to others – But rather: ‘How are your kids? Grandkids?’, ‘I love to see the safe to verbalise their needs. asflowers ian spgrinrge—awthpat’lsayocuer fatvoourlitievfleower?’ etc. Residents actually don’t want to be 86% Hospitality away from their ‘home’... if they have of residents rating CalvarHyeHalainygdon to go to hospital, once they are back, they say they are very as a great place to reScteeiwveardcsahriep happy to be home. Respect 91% of residents who would recommend Calvary Haydon to others [ 1111]

Hospital Developments Calvary North Adelaide Calvary is committed to enhancing its patient care facilities Hospital Opening through a program of expansion and continual facilities’ improvement. During the year the Board approved several Day Procedure Suite major redevelopment projects to meet existing and new and Operating Theatre demand for services within the group. On 3 June, 2014, Archbishop Calvary Bruce Private Hospital Philip Wilson officially opened and blessed the new This project will see the construction of a stand-alone Private Hospital Day Procedure Suite and on Calvary’s Bruce Campus to replace the existing Private Hospital Operating Theatre at Calvary located on Level 6 of the Xavier Building. A 10-bed extension to the North Adelaide Hospital. existing Hyson Green Mental Health Unit also forms part of this $65M project, which was Board approved in August 2013. The reception, admission, recovery and discharge areas Detailed planning is currently underway for the new 124 bed hospital of the Day Procedure Suite which is expected to open in 2017. The new hospital will enable have been completely rebuilt, Calvary to significantly increase its inpatient and Day Only beds to ensuring continuous patient service the growing northern suburbs of Canberra. Calvary continues flow and a clean, refreshed to work closely with its supportive Visiting Medical Officers and ACT aesthetic, with new and updated planning and health authorities to ensure the new hospital will meet equipment. Patient comfort has the needs of the community for many years to come. been enhanced by new interview rooms with greater privacy, Artist’s Impression of the new Calvary Bruce Private Hospital. as well as extra toilet facilities and individual televisions for Calvary Lenah 30 April 2014. The Tasmanian each patient in our discharge Valley Hobart Spine Service clinic operates area. An increased number within Calvary Lenah Valley of beds enable us to service Theatre upgrade & Expansion Hospital under consultant more patients on a daily basis. neurosurgeon Mr Andrew Further to the Hobart Calvary Hunn and his team, specialising In addition, a brand new theatre Lenah Valley Endoscopy in coordinated care for all with state-of-the-art equipment refurbishment completed conditions affecting the spine. facilitates the provision of top FY13, a 2015 development level care by our doctors and application is in progress nursing staff. There are new for the theatre upgrades for change areas for staff as well as Lenah Valley and St Johns a new reception area and a tea hospitals in Hobart, Tasmania. room that is used for dining as well as education and meeting Tasmanian Spine Artist’s Impression of Calvary Lenah purposes. A lounge area for Service Opening Valley Hobart Theater upgrade. patients and their families has also been incorporated The Hon Michael Ferguson into the overall design. MP, Tasmanian Minister for Health, officially opened the Hospital CEO, Ms. Sue Imgraben Lenah Valley Spine Service on said the redevelopment was much needed and demonstrated the Little Company of Mary Health Care’s commitment to reinvesting in our private hospitals. Father Ian Waters, Director of Calvary Ministries, said the legacy of Mary Potter, who founded the Sisters of the Little Company of Mary, was integral to the care provided by the hospital. The liturgy featured the lighting of the Mary Potter candle and a delightful musical contribution by the Kyrie choir from St Gabriel’s School, Enfield.[1212 ]

ResearchThe Calvary Mater Newcastle Research Team. Research TypesCalvary Mater Newcastle’s World • Clinical TrialsClass Research Centre • Laboratory Research • Survey / Observational ResearchAt Calvary Mater Newcastle (CMN), the pursuit • Dissemination / Implementation Researchof scientific excellence takes an interdisciplinaryapproach. Our researchers adopt a cooperative Research Areasand collaborative spirit, allowing a stimulating andeffective research culture to be embraced by all. • Diagnostics / ScreeningIn addition to the vast number of clinical trials • Geneticsavailable to patients throughout the hospital, • Health Promotionthere are also dedicated research laboratories • Health Services Researchlocated in the departments of Medical Oncology, • Therapy and TreatmentHaematology and Toxicology, as well as a state-of- • Population Healththe-art dosimetry and computing facility located in • Social needsRadiation Oncology / Medical Physics. Types andcore areas of research conducted at Calvary Mater Our researchers are grateful for the supportNewcastle include: they receive from the public and groups like the Coalfields Cancer Support group, who onceThe research website features the biographies of over again raised an incredible $30,000 for research40 researchers, regularly updated with research stories, equipment this year.grant outcomes, and highlights. Visit http://research.calvarymater.org.au/ to find out more. Medical Research Week (June 2-6) was celebrated for the first time this year at CMN, with 30 researchers from 9 different departments showcased in the main foyer over an entire week. Staff and visitors had the opportunity to ‘meet a researcher’ and participate in a jelly bean guessing competition with all proceeds going towards research at the hospital. [ 1313]

This year CMN signed an agreement with Jane Reid Harle Memorial Grant Fund Newcastle Innovation, who are now available to provide a range of services to Mater Medical Oncology: New drug combination researchers, including guidance on the direction strategies for the treatment of breast cancer of projects, patents and research with a view to commercialisation and industry collaboration. James Lawrie Grant Fund CMN was proud to support the fourth HMRI Cancer Consultation-Liaison Psychiatry: Improving Conference (Oct 23-25, 2013) and the Translational Radiotherapy outcomes with smoking cessation: Cancer Research Unit in their successful bid to Pilot trial in head and neck cancer patients the NSW Cancer Institute to be recognised as a ‘Centre’. This comes with substantial funding and is Coalfields Cancer Support Group part of a long term goal towards building a ‘Cancer Equipment Grant Fund Institute’ at the Calvary Mater. Medical Oncology: Screening platform for the The CMN Research Committee acts as a identification and development of novel small representative of all CMN researchers, providing a molecules for the treatment of cancer means of disseminating information and offering support for research activities. The committee Haematology: Nanosight technology to visualise awarded the following Project and Equipment and evaluate circulating Microparticles Grants in 2013-2014: Margaret Mitchell Grant Fund Radiation Oncology: Multi-parametic MRI as an outcome predictor for cervical cancer treated with radiotherapy Bequests Many of our supporters choose to leave a bequest to us in their will. Your bequest helps us continue our work to provide care for patients. Areas of benefit include: general medicine, oncology, research, alcohol and drug services, palliative care and to assist with the promotion of positive community attitudes towards the necessity and desire of quality health care. Your contribution will go on helping us through the 21st century. Your contribution can be a fixed amount or a percentage of your estate. You can nominate to assist in the general provision of our services or your bequest can be directed towards a specific unit, project or type of service. How to make a bequest To assist in the preparation of a bequest may we advise the following wording: I (name), give ($amount) free of all duties and testamentary expense to Calvary (name of Calvary facility) for the purpose of patient care/service development, and I direct that the receipt of the Chief Executive Officer shall be sufficient discharge of my executors for this bequest. If you would like more information about services and how best your intended bequest coud be used, please do not hesitate to contact Mark Green, National Director of Mission. P: 02 9258 1733 | E: [email protected][1414 ]

WiseStewardship 15

A year in review Little Company of Mary Health Care Limited Mr Mark Doran National Chief Executive Officer As Pope Francis encourages The 2014 Calvary Review helps to inform you of our charitable mission us in Evangelii Gaudium works, but also celebrates our major achievements over the last twelve (#238-258), We must be months. During this past year, Calvary has diligently pursued our outward looking and not strategic objectives, without losing sight of our purpose and identity. closed in on itself and be Our purpose continues to be the maintenance or enhancement of the a joyful announcer of the overall quality of life, dignity and well being of every individual Gospel and be an active needing care, particularly in the most vulnerable times of their life. player in the society and engaged in being an effective We have been heartened by Pope Francis’s view that, as a work of presence in all aspects of the Church, Calvary must be ‘outward looking and not closed in on society. To have dialogue itself and be a joyful announcer of the Gospel’ and he encourages with the world, with the us be an ‘active player in the society’ and to be ‘engaged in being State, with the sciences and an effective presence in all aspects of society. To have dialogue with with people of other faiths. the world, with the State, with the sciences and with people of other faiths.’ I trust you will see from this publication and our work we are attempting to engage in ways with health systems to improve care in our communities. Our people, particularly our leaders, are the key to our success in delivery of our mission. To that end, the focus of Calvary’s formation is to help leaders tap into the power of ‘why’ as core to the identity and purpose of the organisation. This assists individuals, no matter what their beliefs, to articulate their calling to the care ministry. It’s therefore not about just our work, but helping them to be better people, understanding their own meaning and spirituality. That allows them to understand that with increasing numbers of older people with multiple chronic diseases we have an increasingly larger and arguably more vulnerable element in our society – people increasingly marginalised by illness, loneliness and/or social and religious stigma. When in their last year of life, the potential for this alienation is heightened. However, Calvary recognises how difficult this will be to improve – known by sociologists as a ‘wicked problem’. In response, Calvary has fostered a culture that’s passionate about what we do. An organisation that is agile and responds to changed circumstance and need. We have attempted to empower our services to be very close to the communities they serve and have processes and solutions designed from the stakeholders’ perspective through a focus on solutions... centred on the patient, client or resident and their families. The hallmark being simplicity and flexibility, seeking to ultimately achieve integration across health network segments or streams and where possible partnering to meet community need – hence1[ 616 ]

the formal Alliances with Local Health Districts, platform called Calvary Connect, coupled withMedicare Locals, funders, other stakeholders to a further roll out of an organisational e-time andoffer seamless services that improve ‘health’ in attendance system and e-dispensing system incommunities we serve – even beyond the ‘sickness’ aged care amongst the some 200 projects. Boardparadigm. Whilst still very much a work-in- support has been given for a more rapid andprogress, the eventual outcome should have a extensive deployment, that has significant positiveprofound effect on how health care is delivered in implications going forward.the future, particularly the sharing of patient clinicalinformation across each area/stream and outside It was a year not without its travails, frustrations andCalvary to provider partners. uncertainties. What overcomes this is the knowledge that Calvary has, through the expression of itsTo sustain our works into the future we require mission, a unique value proposition in caring for thea strong financial base and, in keeping with our communities it serves and is capable of playing avalue of wise stewardship, we have improved our pivotal role in care industry transformation.financial performance markedly once again. Whilstseeking reasonable funding, we haven’t lost sight In the coming year, Calvary will continue toof the need to be efficient. Certainty of outcome foster a distributed sense of responsibility andand transparency in our performance metrics is accountability for safety across the organizationcentral to delivering our mission. Over the last in the quest to become what is referred to astwelve months we have advanced significantly on a High Reliability Organisation. Our efforts toa number of technology and data management date have been very satisfying, however we willenhancement platforms. More importantly, this continue to produce checks and counter checks asdata is transformed into knowledge, providing a precaution against potential mistakes along withclarity on our progress, and most importantly, how engendering the sense of vulnerability acrosswe can be more efficient and safer in delivering the organisation.the compassionate care you can expect fromCalvary services. Finally the direction, wise counsel and support from those who provide our governance, the LittleHighlights include pilots of an e-clinical record, Company of Mary Health Care Board and trustees,e-medications management, e-admissions Calvary Ministries, is very much appreciated but it’sportal, an e-business intelligence system and the the ultimately the trust, dedication and exceptionalconstruction of a health information exchange, caring of our staff and volunteers that deliver thealong with an organisation wide communication mission to whom I extend the thanks of the entire leadership team. Organisation Structure Little Company of Mary Health Care Limited National Director of Calvary Ministries - Trustees National Chief Finance Officer Private Hospitals Chair - Mr Bill d’Apice David Bergman Arthur Yannakou Little Company of Mary Health Care Limited National Director of Mission National Director of National Board Chair – Hon. John Watkins Leo Tucker (resigned May 2014) Public Hospitals Brenda Ainsworth National Chief Executive Officer National Director of Mark Doran Clinical Services National Director Sue Hanson Community Care Cheryl De Zilwa National Director of People & Organisational Development National DirectorRetirement Communities Sandra Clubb Paul Bradley National Director, Legal, Governance & Risk Philip Maloney LCM Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Calvary Health Care Private Mater Health Care Health Care Health Care Health Care Health Care Retirement Retirement Retirement Home CareHealth Care Health Care Newcastle Bethlehem Community Communities Community Holdings ACT Ltd Canberra Kogarah Adelaide Riverina Tasmania Ltd (public Ltd Ltd Ltd Ltd Ryde Ltd Hunter- CanberraAsset Holding Bruce John James hospitals) -North Manning Ltd Ltd (28 Company (public Adelaide Wagga Melbourne Hobart locations) (private (private hospitals) -Wakefield Wagga - Lenah Valley (13 locations) and public hospitals) -Central (public hospitals) Districts (private hospitals) - St John’s hospitals) Launceston -Rehab - St Luke’s -St Vincent’s (public hospitals) (private hospitals) CEO CEO CEO CEO CEOs CEO CEO CEO General General General CEO Ray Dennis Shaune Greg Flint Karen Harold Kok Joanne Dr Jane Cheryl Gillespie Edwards Jennifer Jelcic Williams Fisher Hobart: Manager Manager Manager De Zilwa Kathryn Mary Karen Best Deborah Berry Molyneux Booth Launceston: Grant Musgrave [ 1717]

Our Strategy A plan of action A look at our strategic aims and our future Hospitality Over the past five years Calvary has been on a journey of recovery Healing and foundation building. I am pleased to say we are now in a strong position and looking at a brighter future. That’s come about thanks to Stewardship great people, a lot of hard work and good leadership. It means we can Respect invest in upgrading facilities and services to deliver on our mission of providing the best possible care for our patients, clients and residents. Continuing the Mission of the Sisters of the Little Company of Mary That said, health care in Australia faces challenges and uncertainty Health Care in Australia due to our aging population and the introduction of recent reforms. faces challenges and As an organisation, we need to be ready to take up opportunities by uncertainty due to our being aware, flexible and willing to explore different paths. We need to aging population and the be on the front foot, as they say. introduction of recent reforms. As an organisation, That’s the spirit of the Sisters of the Little Company of Mary. They too we need to be ready to take adapted to change and took on new challenges as they arose. up opportunities by being aware, flexible, and willing to Calvary is in a unique position — with strong market position, core explore different paths. We systems and capabilities, a clear Mission, Vision and Values and need to be on the front foot, strategic aims supported by a plan to continue to make a difference as they say. in the communities we serve. That’s the spirit of the Sisters Calvary believes that Australian society is best served by a single of the Little Company of health care system where the public and private sectors play Mary. They too adapted to complementary roles in delivering high quality, responsive and change and took on new compassionate hospital, community and aged care services. challenges as they arose. End of life care, chronic disease management, access to health services and skills shortage are all issues increasingly impacting Australian communities and these all factor in our plans for the future. I wouldn’t say these are simple problems that will be easy to fix. They are complex issues that will require us to continue to stay focussed on delivering quality care whilst also looking into the future and working collaboratively within Calvary and the communities we serve. For more information download “A Plan of Action – a look at our strategic aims and our future” at www.calvarycare.org.au1[ 818 ]

Our Financial ResultsFor the year ended 30 June 2014The principal activities of generating activities, along increased during the reportingCalvary during the period with an increasing focus on period, with total staff of 6,724were the provision of acute strict cost management. Where full time equivalents as at 30health services by private necessary, ancillary services June 2014 (2013: 6,673).and public hospital facilities, have been outsourced andsub acute services, palliative non performing aspects of our Significant eventscare, residential aged care, services have been subject to after year endindependent living units, stringent review. The privatecommunity and home hospital sector continues to There is a substantial processcare services. seek improved health fund of regulatory and policy change rates, especially in South impacting on the health andResults Australia where they are below related sectors. These changes national averages. The aged arise from reviews undertakenA surplus of $55.8M was care and home care sectors by the Productivity Commission,achieved for the financial year are significantly funded by the potential revisions to legislationended 30 June 2014 (2013: Commonwealth government, and health fund rebatessurplus $56.5M). where rate increases are below eligibility. No provision has the rate of inflation. been included in the financialAt balance date, total assets statements for the potentialexceeded total liabilities Revenues impacts of these changes dueby $597.1M, with current to the material uncertainty as toliabilities exceeding current Calvary’s revenue from their timing and impact.assets by $15.2M. However, operating activities totalledwhen entry contributions $1,066.0M (2013: $1,019.6M). (Continued next page)and accommodation bonds Grants and subsidies fromfor Retirement Communities Government for hospital andare excluded from current aged care operations totalledliabilities (notwithstanding the $444.4M (2013: $429.2M).fact they are in fact current Grants and subsidies representliabilities pursuant to the 42% (2013: 42%) of revenuerequirements of the Australian from operating activities.Accounting Standards)current assets exceed current Revenue from operations forliabilities by $173.7M. As the the year ended 30 June 2014Calvary experience is that included $8.8M (2013: $8.7M)only approximately 30% resources received free of(approximately $57.2M) of charge - revenue relating to theresident contributions and Public Private Partnership (PPP)accommodation bonds are arrangements and recognitionlikely to be repaid in the coming of state government funding of12 months, the Directors superannuation contributionsbelieve the resultant adjusted for employees who areworking capital position, members of various definedprima facie considered an benefit contribution schemes.industry “norm”, is such thatit is manageable pursuant Expensesto the generally acceptedgoing concern concepts. Calvary’s expenses from operating activities totalledIn overview, the continuing $1,053.8M (2013: $1,000.5M).improved operating Expenses on personnel costsperformance and cash position represent 61% (2013: 61%) ofis a result of a focus across all total operating expense. Staffingservices on the core revenue levels for clinical services have [ 1919]

Significant events Operating Revenue excluding Prostheses ($’ M) after year end 1,200 (Continued from page 19) $ Mill$ioMinl$sliMoilnlis$onMsillions 11,,020000 In 2014 our One Calvary initiative 11,0,82000000 consolidated a diverse range of businesses and business 11,,268000000000 systems. Becoming One Calvary has included a re-brand to unify 1,046800000000 our business, the introduction of an organisation wide intranet, 842600000000 FY 08 FY 09 FY 10 1,200 FY 13 FY 14 and the appointment of a Non- 624000000- FY1,01100 FY 12 Clinical Procurement Manager, Peter Wong. 420000- FY66018 F6Y9089 F7Y4310 $ MillionsF8Y2581100 F8Y9612 F9Y4913 F9Y9124 200- Non-Clinical Procurement is Opera- tinF6gY601E8arnF6Yi9n80g9s BFe7Y4f3o10re InF8Y2t65e101r0estF8,Y9T61a2 x, DF9Y4e91p3recF9iYa92-14 looking beyond cost and rebates tion7a0ndFYA660m18 orFtY6is90a89tionFY7(41$30’ M)F8Y2415100 F8Y9162 F9Y4193 FY99124 to work with suppliers to deliver 60 greater efficiencies and deeper 570 661 698 743 825200 896 949 992 supplier relationships. Two key elements underpin our Non- $ Mill$ioMinl$sliMoilnlis$onMsillions 46700 - FY 10 FY 11 FY 12 FY 13 FY 14 Clinical procurement strategy: FY 08 FY 09 743 825 896 949 992 463542733522461352111000000000000000000--- 1. procurement policies and - 661 698 FY 12 FY 13 FY 1 guidelines to consolidate and 56 66 66 provide direction for a whole FY 08 FY 09 FY 10 $ MillionsFY 11 FY 12 FY 13 FY 14 of organisation approach 70 FY 13 FY 14 with the introduction FY 088 FY2089 FY3170 FY5612 FY6613 FY6614 949 992 of Policies, Processes, FY 808 FY2809 FY3710 FY45161 0 FY5612 FY6613 FY6614 Procedures and F4Y5145100 2012/13 2013/ Preferred Suppliers 21 35 1,200 FY 088 FY 2089 FY3170 FY415130 FY5162 FY6163 FY6164 18 11 2. a strong commitment to 39 46 sourcing suppliers that share Op11,,02e00r00ating8Reven28ue exc37luding45P21r00osth5e6 ses (6$6’ M) 66 the same values and have the capacity to partner $ Mill$ioMinl$sliMoilnlis$onMsillions 11,0,82000000 - FY 11 with a large and diverse FY 08 FY 09 FY 10 organisation such as Calvary. 11,,2680000000 8 28 37 45 Changing the way an organisation approaches our 1,0468000000 non-clinical procurement has provided some challenges and 8426000000 1,200 the positive feedback from our staff is acknowledgement of 624000000- FY 08 FY 09 FY 10 FY1,0101 0 FY 12 FY 13 FY 14 the hard work of many of our 420000- suppliers to make these changes 200- FY66018 F6Y9089 F7Y4130 $ MillionsF8Y285101 0 F8Y9612 F9Y4913 F9Y9214 a success. F6Y601 8 F6Y9089 F7Y4310 F8Y2651010 F8Y9612 F9Y4913 F9Y9214 - FY60618 FY69089 FY74130 F8Y241501 0 F8Y9162 F9Y4193 F9Y9124 If you require a set of our 100 financial statements for the year ended 30 June 2014, email 90 661 698 743 822500 896 949 992 [email protected] Ca1p109870i00000tal Expenditure Routine and- Developemental ($’ M)2[ 200 ] $ Mill$ioMinl$sliMoilnlis$onMsillions 10689000 FY 08 FY 09 FY 10 FY 11 FY 12 896 9578000 661 698 743 825 2011/12 8467000 29 7356000 100 6425000 90 5341000 80 423000- 70 321000 2007/08 2008/09 2009/10 $ Millions2010/11 2011/12 60 2012/13 2013/14 2100- 15 15 23 29 21 35 10- 2007/08 2008/09 2009/10 2010/5101 2011/12 2013/14 2007/08 2001558/09 20101569/10 202713204/011 20211091/12 2012/13 20311531 /14 20211821 /13 - 200372/08 200281505/09 2003116951/10 2097120523/3101 203121099/12 2031122891/13 2041313615/14 333222DRRToooetvuuaettliilnnoCee22p12a55005mCCp0iaaetppanliitttaEaalxll CpEE1313aexx35161p16npp1ideetainntldduEriittexuuprr2997eee973525n52d21i00t-ure2023031310997909/08 DReovuetlionpemCeanptiatal lCEaxppiteanldEitxupreenditure 321918 345161 2010/11 23 1389 4116 2008/09 2009/10 39 46 15 15 Please note: RTDooeutvatelinlCoeapCpmaitepanilttEaaxll EpCxeapnpdeitniatdul irEteuxrpeenditure 5 16 72 10 (a) PCaarlvtnaeryrsMhiaptD.eTAeorvtsNeaslleeoCwtpsamcpoaeifstnat$tllea8El9PxCMpraievphnaiatdtaveitleuPErbxuepebeelinncditure 32 20 31 95 39 excluded asTtohtaelpCraopjeitcatl Eisxfpuelnlydfituunrde ed by the government. Routine Capital Expenditure (b) The acquisition of CCA Aged Care and Developmental Capital Expenditure Home Care have not been excluded in Total Capital Expenditure FY10/11 as $80M cash was paid.

OurServices 21

Our Services Address and contact details are on the back page. Calvary Public Hospital, ACT Chief Executive Officer Ray Dennis 275 bed public hospital comprising two campuses, being the Bruce 256 bed Calvary Hospital acute and sub-acute services and the Acton 19 bed Clare Holland House public Hospice and specialist Palliative Care Service. Services: Actively participates in the Territory’s surgical services, emergency and critical care services, and mental health services network; and is recognised as the leader of Palliative Care services and research in the ACT. Calvary Public Hospital and the Australian Catholic University collaborate in education and research through the Calvary Clinical School and Calvary Centre for Palliative Care Research located at the Bruce and Acton campuses respectively. It is a teaching hospital with associations to the University of Sydney, Australian National University and University of Canberra; and assists the education and training of medical, nursing, midwifery and allied health professionals. Calvary Private Hospital, ACT Chief Executive Officer Ray Dennis 73 bed private hospital, including the 15 bed Women’s Health Unit and three bed Calvary Private Sleep Study Service and Hyson Green Mental Health Unit. Services: Orthopaedics, urology, general surgery, plastics, gastroenterology, ophthalmology, general medical. Hyson Green Mental Health Unit is the only private mental health unit in the ACT offering inpatient, day patient and holistic programs. The Women’s Health Unit is a 15 bed post natal and women’s health unit. The Day Surgery Unit includes a post operative recovery area and patient discharge lounge. Calvary John James Hospital, ACT Chief Executive Officer Shaune Gillespie 155 bed private hospital in the ACT, including a 20 bed rehabilitation unit, seven theatres, one procedure room and a Bariatric Centre of Excellence. Services: Extensive range of general medical, general surgery, vascular, gynaecology, paediatrics, orthopaedics, urology, gastroenterology, thoracic, vascular, plastic, dental, ENT, intensive care unit, maternity unit with level 2 special care nursery. Rehabilitation unit with day programs servicing on average 35 to 40 patients a day including post joint surgery, medical reconditioning and falls prevention programs to reduce readmission to hospital. It is Is the only Private Hospital in the ACT with a hydrotherapy pool. Calvary North Adelaide Hospital, South Australia Chief Executive Officer Sue Imgraben 153 bed private hospital including 16 bed Mary Potter Hospice. Services: Inpatient care, general medical and surgical, oncology, day chemotherapy, critical/intensive care, maternity and the Mary Potter Hospice. Calvary Wakefield Hospital, Adelaide, South Australia Chief Executive Officer Harold Kok / Rob Wise 180 high technology acute private hospital beds, 24/7 emergency centre and Wakefield Surgicentre Day Surgery. Services: A major tertiary hospital with a strong focus on neurosurgery, cardiac services and orthopaedic surgery. Consulting suites, 24 hour private emergency centre, level 3 ICU, CCU, angiography suite, high dependency unit and the free standing Wakefield Surgicentre Day Surgery make up this comprehensive precinct.2[ 22 ]

Calvary Rehabilitation Hospital, Adelaide, South AustraliaChief Executive Officer Kris Salisbury65 bed private rehabilitation hospital with day and outpatient programs.Services: Inpatient and day patient rehabilitation services including cardiac,orthopaedic, neurological (including stroke), multi-trauma, falls prevention, geriatricassessment, pulmonary and reconditioning and is committed to restoring an individual’squality of life to its optimal level.Calvary Central Districts Hospital, South AustraliaChief Executive Officer Sharon KendallA modern 76 bed private hospital.Services: Medical and surgical services, including comprehensive cancer care servicesand specialist consulting suites on site. Located north of the city, the hospital providesvaluable support to the Barossa Valley and Northern Yorke Peninsula regions.Calvary Lenah Valley Hospital, Hobart, TasmaniaChief Executive Officer Kathryn Berry181 beds including emergency services, critical care, obstetrics, orthopaedics& neurosurgery.Services: General medical and surgical services, critical care, maternityand neurosurgery.Calvary St John’s Hospital, Hobart, TasmaniaChief Executive Officer Kathryn Berry108 bed private hospital.Services: palliative care, general medical and surgical services, day surgery, oncology,ENT and paediatric surgery, inpatient rehabilitation and pain management services.Calvary St Luke’s Hospital, Launceston, TasmaniaChief Executive Officer Grant Musgrave73 bed private hospital.Services: palliative care, orthopaedics, ENT surgery, dental surgery, general medicalservices, chemotherapy and mental health care.Calvary St Vincent’s Hospital, Launceston, TasmaniaChief Executive Officer Grant Musgrave75 bed private hospital.Services: urology, general surgery, colorectal surgery, plastic surgery, gynaecologysurgery, oral and maxillofacial surgery, high dependency, lithotripsy, gastroenterology,post natal care, general medical services and rehabilitation.Calvary Riverina, Wagga Wagga, New South WalesChief Executive Officer Joanne Williams104 bed private hospital, stand alone Surgicentre for day procedures and a 32 bed Drugand Alcohol withdrawal management and rehabilitation unit.Services: palliative care, general medicine, cardiology, respiratory, sleep studies,orthopaedics, general and bariatric surgery, colorectal, breast surgery, ENT, paediatricsurgery, urology, ophthalmology, obstetrics and gynaecology, oral and maxiofacial,plastics, intensive/coronary care, maternity and special care nursery, and day procedures.On site services include cardiovascular laboratory, medical imaging, pathology, cancercare centre and Breastscreen NSW. [ 2233]

Calvary Mater Newcastle, New South Wales Chief Executive Officer Greg Flint 195 bed public teaching hospital and major research centre. Services: Palliative care services, district and tertiary, emergency, clinical toxicology, coronary care, intensive care, drug and alcohol, general medicine, general surgery, haematology, radiation oncology and medical oncology. In excess of 340,000 outpatient treatments per year. Provides ambulatory care and inpatient services to the Hunter-Manning and New England areas. A major research facility with affiliations with universities and colleges, particularly the University of Newcastle. Calvary Kogarah, Sydney, New South Wales Chief Executive Officer Karen Edwards 95 bed sub-acute public hospital. Services: Comprehensive range of multidisciplinary sub-acute inpatient, day-only, outpatient and community based Palliative Care, rehabilitation and aged care and Dementia services. Community services include multidisciplinary palliative care and rehabilitation teams, aged care assessment team, transitional aged care program, equipment loan pool and a range of Home and Community Care (HACC) funded programs. A teaching hospital with the University of NSW and partners with Notre Dame University as a member of the Cunningham Centre for Palliative Care Research as well as providing multi-disciplinary clinical placements in under-graduate and post- graduate programs for a number of NSW Universities. Calvary Bethlehem, Melbourne, Victoria Chief Executive Officer Dr Jane Fischer 60 bed sub-acute public hospital. Services: A leading Victorian specialist palliative care service with a state wide role in caring for those with a progressive neurological disease such as Motor Neurone Disease, Multiple Sclerosis and Huntington’s Disease. The service is complemented by ambulatory services which are provided to patients in their home or residential facility or through centre based services such as clinics and day centre for those people who are more mobile. Supports over 4,000 patients and their families each year. We are currently working to develop a range of affiliations with universities that will support our specialist role in education, training and research. Calvary Community Care National Director, Cheryl De Zilwa Assists 10,000 clients each month across 22 locations in NSW; Australian Capital Territory, South Australia, Tasmania; Victoria; Northern Territory and Tiwi Islands. Services: Formerly known as Calvary Silver Circle, the name change to Calvary Community Care better reflects the range of services provided to support people to live independently at home and in their communities. Calvary Community Care supports older people, carers, people with a disability and provides assistance after hospitalisation or illness. Services include personal care, social support, community access, transport, respite care, community nursing, return from hospital support, domestic assistance, emergency monitoring services, home repairs, maintenance and modifications. Calvary Ryde Retirement Community, Sydney, New South Wales General Manager Mary Molyneux The manicured grounds at Calvary Retirement Community Ryde are home to a historic residential aged care facility with 115 beds and 122 independent living units. Calvary Ryde also offers respite accommodation and dementia-specific care to residents.[2244 ]

Calvary Haydon Retirement Community, ACT General Manager Deborah Booth Calvary Haydon Retirement Community features 100 state-of-the-art residential aged care beds and 78 independent living units. Calvary Haydon also provides quality care and support for general and dementia-specific residents within the home. Calvary Cessnock Retirement Community, Hunter Valley, New South Wales General Manager Kristin Smith Set amongst the Hunter Valley wine country, Calvary Retirement Community Cessnock features 296 residential aged care beds and, like all Calvary Retirement Communities, promotes ageing in place. Calvary Cessnock also provides respite accommodation and secure dementia-specific care to residents. Calvary Retirement Communities Hunter, New South Wales General Manager Karen Best Calvary St Joseph’s Calvary Cooinda Calvary Tanilba Shores Manager Helen Gayner Manager Alexandra Shine Manager Lindy Farrelly Calvary St Joseph’s at Sandgate is Located in the heart of the beautiful Calvary Tanilba Shores is home home to 135 residents and offers Upper Hunter and overlooking the to 41 residents and offers respite a dementia secure unit, respite Singleton Showground, Calvary accommodation and specialist accommodation services and Cooinda is home to 34 residents dementia services within Tanilba ageing in place. The site also and offers residential care, a day Bay. The site also includes 16 includes 18 independent living units. respite program and overnight independent living units. respite accommodation. Calvary Mt Carmel Calvary Ephesus Calvary St Francis Independent Living Units Manager Maree Gibbs Manager Susan Waters Comprising of eight independent Located in the heart of Maitland living units in Lambton. with stunning rural views, Calvary Situated in the beautiful Lake Mt Carmel provides quality care Macquarie, Calvary St Francis Calvary St Luke’s for 41 residents including respite in Eleebana is home to 52 Independent Living Units accommodation and secure residents and offers respite dementia units. The village also accommodation and a dementia- Comprising of six independent includes 14 independent living units specific unit. The site also includes living units in Cooks Hill. offering privacy and lifestyle 30 independent living units in a relaxed secure environment. offering privacy and lifestyle in Calvary Tours Terrace a relaxed, secure environment. Independent Living Units Calvary Nazareth Calvary St Martin de Porres Comprising of six independent Manager Beryl Dollin living units in Hamilton South. Manager Maureen Kiss Located in the coastal lakeside community of Belmont North, Calvary St Martin de Porres at Calvary Nazareth provides quality Waratah provides quality care to 41 care and support to 50 residents residents in a home-like environment including a dementia secure unit including respite accommodation and respite accommodation. and specialist dementia services. The site also includes 18 Calvary St Martin’s offers a diverse independent living units. range of lifestyle options. Calvary Mt Providence Calvary St Paul’s Calvary Cessnock Retirement Community. Manager Suzette Connolley Manager Karen McDonald Calvary Mt Providence is located Calvary St Paul’s is located in in Muswellbrook and home a tranquil rural setting on the to 35 residents. The home banks of the Manning River at offers quality care and respite Cundletown and is home to accommodation. The site also 40 residents and offers respite includes 14 independent living units. accommodation services.[ 25 ] [ 2255]

National Office Calvary St Luke’s Hospital, TAS Calvary Cooinda 24 Lyttleton Street, Retirement CommunityLittle Company of East Launceston TAS 7250 42 Bathurst Street,Mary Health Care Limited Ph: 03 6335 3333 Singleton NSW 2330Level 12, 135 King Street, www.calvarystlukes.org.au Ph: 02 6572 1537Sydney NSW 2000Ph: 02 9258 1700 Calvary St Vincent’s Hospital, TAS Calvary Mt Carmelwww.calvarycare.org.au 5 Frederick Street, Retirement Community Launceston TAS 7250 9 Dwyer Street,Calvary Community Care Ph: 03 6332 4999 Maitland NSW 2320 www.calvarystvincents.org.au Ph: 02 4932 0350Operates in Victoria, New SouthWales, ACT, South Australia, Tasmania, Calvary Riverina, NSW Calvary Mt ProvidenceNorthern Territory and Tiwi Islands Hardy Av, Retirement CommunityHead Office: 551 Blackburn Road, Wagga Wagga NSW 2650 59 Tindale Street,Mt Waverley VIC 3149 Ph: 02 6925 3055 Muswellbrook NSW 2333Ph: 03 9577 3333 www.calvary-wagga.com.au Ph: 02 6543 2053www.calvarycommunitycare.org.au Calvary Mater Newcastle, NSW Calvary NazarethHospitals Edith Street, Retirement Community Waratah NSW 2298 Vincent Street,Calvary Public Hospital, ACT Ph: 02 4921 1211 Belmont North NSW 2880Corner of Belconnen Way and www.calvarymater.org.au Ph: 02 4947 0047Haydon Drive, Bruce, ACT 2617Ph: 02 6201 6111 Calvary Kogarah, NSW Calvary St Franciswww.calvary-act.com.au 99-111 Rocky Point Road, Retirement Community Kogarah, NSW 2217 Gleeson Crescent,Calvary Private Hospital, ACT Ph: 02 9553 3111 Eleebana NSW 2282Corner of Belconnen Way www.calvary-sydney.org.au Ph: 02 4942 7477and Haydon Drive, Bruce ACT 2617Ph: 02 6201 6111 Calvary Bethlehem, VIC Calvary St Martin de Porreswww.calvaryactprivate.org.au 476 Kooyong Road, Retirement Community South Caulfield VIC 3162 26 Lorna Street,Calvary John James Hospital, ACT Ph: 03 9596 2853 Waratah, NSW 2298173 Strickland Crescent, www.bethlehem.org.au Ph: 02 4968 2244Deakin ACT 2600Ph: 02 6281 8100 Calvary Retirement Calvary St Paul’swww.calvaryjohnjames.com.au Communities Retirement Community 54 River Street,Calvary North Adelaide Hospital www.calvarycare.org.au Cundletown NSW 243089 Strangways Terrace, Ph: 02 6553 9219North Adelaide SA 5006 Calvary RydePh: 08 8239 9100 Retirement Community Calvary Tanilba Shoreswww.calvarynorthadelaide.org.au 678 Victoria Road, Retirement Community Ryde NSW 2112 74 Tanilba Avenue,Calvary Wakefield Hospital, Adelaide Ph: 02 8878 1400 Tanilba Bay NSW 2319300 Wakefield Street, Ph: 02 4984 5922Adelaide SA 5000 Calvary HaydonPh: 08 8405 3333 Retirement Community Calvary Ephesuswww.calvarywakefield.org.au 2 Jaeger Circuit, Retirement Community Bruce ACT 2617 88 Dickson Street,Calvary Rehabilitation Hospital, Ph: 02 6264 7400 Lambton NSW 2299Adelaide Ph: 1800 222 00018 North East Road, Calvary CessnockWalkerville SA 5081 Retirement Community Calvary St Luke’sPh: 08 8165 5700 19 Wine Country Drive, Retirement Communitywww.calvaryrehabsa.org.au Cessnock NSW 2325 204-206 Darby Street, Ph: 02 4993 9000 Cooks Hill NSW 2300Calvary Central Districts Hospital, SA Ph: 1800 222 00025-37 Jarvis Road, Calvary RetirementElizabeth Vale SA 5112 Communities Hunter Calvary Tours TerracePh: 08 8250 4111 Retirement Communitywww.calvarycentraldistricts.org.au Hunter Regional Ofiice 242 Lawson Street, Hamilton South 240 Maitland Road, NSW 2303Calvary Lenah Valley Hospital, TAS Sandgate NSW 2304 Ph: 1800 222 00049 Augusta Road, Ph: 02 4967 0600Lenah Valley TAS 7008 Calvary RetirementPh: 03 6278 5333 Calvary St Joseph’s Communities Shared Serviceswww.calvarylenahvalley.org.au Retirement Community Level 1, 342-344 Main Road Cardiff 240 Maitland Road, NSW 2285Calvary St John’s Hospital, TAS Sandgate NSW 2304 Ph: 02 4954 180030 Cascade Road, Ph: 02 4967 0600South Hobart TAS 7004Ph: 03 6223 7444www.calvarystjohns.org.au