Central Queensland Hospital and Health Service
Service Agreement
2013/14 – 2015/16
Deed of Amendment
September 2016
Central Queensland HHS Service Agreement 2013/2014 – 2015/2016 Deed of
Amendment September 2016
Published by the State of Queensland (Queensland Health), September 2016
This document is licensed under a Creative Commons Attribution 3.0 Australia licence.
To view a copy of this licence, visit creativecommons.org/licenses/by/3.0/au
© State of Queensland (Queensland Health) 2016
You are free to copy, communicate and adapt the work, as long as you attribute the
State of Queensland (Queensland Health).
For more information contact:
Contracting and Performance Management Branch, Department of Health,
GPO Box 48, Brisbane QLD 4001,
email [email protected], phone (07) 3234 1472.
An electronic version of this document is available at
http://www.health.qld.gov.au/system-governance/health-system/managing/agreementsdeeds/default.asp
Disclaimer:
The content presented in this publication is distributed by the Queensland Government as an information source only.
The State of Queensland makes no statements, representations or warranties about the accuracy, completeness or
reliability of any information contained in this publication. The State of Queensland disclaims all responsibility and all
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incur as a result of the information being inaccurate or incomplete in any way, and for any reason reliance was placed
on such information.
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Contents
Introduction......................................................................................................... 1
Definitions........................................................................................................... 1
Interpretation ...................................................................................................... 1
General .............................................................................................................. 2
Amendments to Service Agreement, March 2016 Revision ............................... 3
Execution............................................................................................................ 6
Appendix 1: Table 2.3a Finance and Activity Schedule - Summary ................... 7
Appendix 2: Table 2.3b Non-ABF Summary....................................................... 8
Tables
Table 2.1 Public QWAU Target 2015/16 ..................................................................... 3
Table 2.4 Hospital and Health Service Funding Sources 2015/16 .............................. 4
Table 2.5 Hospital and Health Service Agreement and State Level Block
Payments to State Managed Funds from Commonwealth Payments
into National Funding Pool .......................................................................... 5
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Introduction
In accordance with section 35 of the Hospital and Health Boards Act 2011, a service
agreement is in place between the parties to this deed.
The service agreement is binding on the parties and can be amended in accordance
with section 39 of the Hospital and Health Boards Act 2011 and the terms of the
service agreement.
The parties have agreed to vary the terms of the service agreement on the terms of this
deed.
The amendments made by this deed will be published on the service agreements and
deeds of amendments website (www.health.qld.gov.au/system-governance/healthsystem/managing/agreements-deeds/default.asp) within 14 calendar days of the
effective
Definitions
In this deed:
Amendment Proposal means the written notice of a proposed amendment to the
terms of the service agreement by the Chief Executive (or Deputy Director-General) or
the Hospital and Health Service (HHS) to the other party, as required under section 39
of the Hospital and Health Boards Act 2011.
Chair means the Chair of the Hospital and Health Board.
Chief Executive means the Chief Executive of the department administering the
Hospital and Health Boards Act 2011.
Department of Health means Queensland Health, acting through the Chief Executive.
Deed of Amendment means the resolved amendment proposals.
Effective Date means the date the deed is executed (signed) by both parties.
Hospital and Health Board means the Hospital and Health Board appointed under
section 23 of the Hospital and Health Boards Act 2011.
Parties means the Chief Executive and the HHS to which the agreement applies.
Service Agreement means the service agreement between the Department of Health
and the HHS made in accordance with section 35 of the Hospital and Health Boards
Act 2011, including the schedules in annexures, as amended from time to time.
Interpretation
Unless expressed to the contrary, in this deed of amendment:
•
words in the singular include the plural and vice versa
•
any gender includes the other genders
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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•
if a word or phrase is defined its other grammatical forms have corresponding
meanings
•
“includes” and “including” are not terms of limitation
•
no rule of construction will apply to a clause to the disadvantage of a party
merely because that party put forward the clause or would otherwise benefit
from it
•
a reference to:
i.
a party is a reference to a party to this deed of amendment
ii.
a person includes a partnership, joint venture, unincorporated
association, corporation and a government or statutory body or authority
iii.
a person includes the person’s legal personal representatives,
successors, assigns and persons substituted by novation
•
any legislation includes subordinate legislation under it and includes that
legislation and subordinate legislation as modified or replaced
•
an obligation includes a warranty or representation and a reference to a failure
to comply with an obligation includes a breach of warranty or representation
•
headings do not affect the interpretation of this deed.
General
This deed may only be varied or replaced by a document executed by the parties.
Each party must promptly do whatever any other party reasonably requires of it to give
effect to this deed and perform its obligations under it.
Unless expressly stated otherwise in this deed, each party must pay its own legal and
other costs and expenses of negotiating, preparing, executing and performing its
obligations under this deed.
This deed contains the entire understanding between the parties as to the subject
matter of this deed.
This deed supersedes all previous negotiations, understandings, representations,
memoranda or commitments concerning the subject matter contained within this deed.
No oral explanation or information provided by any party to another:
a) affects the meaning or interpretation of this deed; or
b) constitutes any collateral agreement, warranty or understanding between any of
the parties.
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Amendments to Service Agreement, March 2016
Revision
Schedule 2: Purchased Activity and Funding
Section 2.1: Funding where actual activity exceeds purchased
activity
A. The existing ‘Table 2.1 Public QWAU target 2015/16’ is replaced with the ‘Table
2.1 Public QWAU target 2015/16’ provided below:
Table 2.1
Public QWAU Target 2015/16
Service Stream
15/16 PQWAU target (PQ18)
Inpatient
27,188.8
Outpatient
5,828.6
Procedures & Interventions
4,455.2
Emergency Department
11,282.2
Sub & Non-Acute
4,377.2
Mental Health
2,795.2
TOTAL
55,927.3
Section 3: Specific Funding Commitments
B. The existing ‘Table 2.3a HHS Finance and Activity Schedule - Summary’ is
replaced with the ‘Table 2.3a HHS Finance and Activity Schedule - Summary’
provided at Appendix 1.
C. The existing ‘Table 2.3b Non-ABF Summary’ is replaced with the ‘Table 2.3b
Non-ABF Summary’ provided at Appendix 2.
Section 5: Funding Sources
D. The existing ‘Table 2.4 Hospital and Health Service Funding Sources 2015/16’
is replaced with the ‘Table 2.4 Hospital and Health Service Funding Sources
2015/16’ provided below:
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Table 2.4
Hospital and Health Service Funding Sources 2015/16
Funding Source
Value ($)
State and Commonwealth - ABF Funding
1
297,985,630
Activity Based Funding
Clinical Education & Training
2
-9,434,039
288,551,591
Pool Account – ABF Funding
State and Commonwealth - Block Funding
3
59,646,486
Block Funding
Clinical Education & Training
2
9,434,039
State Managed Fund – Block Funding
69,080,525
Locally Receipted Funding
16,232,720
Locally Receipted Own Source Revenue
Department of Health Funding
4
TOTAL
34,305,143
99,971,195
508,141,173
1
Pool Account - ABF Funding includes: Inpatient; Critical Care; Emergency Department; Mental Health;
and Outpatient each allocated a proportion of Other ABF Adjustments.
2
Clinical Education and Training (CET) is classified as Teaching, Training and Research Funding under
the National Model and funded as a Block Funded Service. Under the State Model, CET is included as
‘Other ABF’ and forms part of the ABF total. To comply with the requirements of the National Health
Reform Agreement, funding must be paid as it is received, therefore from a Funding Source perspective,
CET has been reclassified to Block Funding.
3
State Managed Fund - Block Funding includes: CSO Facilities; Primary Care Outpatient Centres; 29% of
Community Mental Health (estimate of Hospital Auspiced); Tertiary Mental Health; and Research/Training.
4
Department of Health Grants represents funding by the Department of Health for items not covered by
the National Health Reform Agreement including such items as: Primary Health Care; Prevention,
Promotion and Protection; and Depreciation.
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Section 6: Funds Disbursement
H. The existing ‘Table 2.5 Hospital and Health Service Agreement and State Level
Block Payments to State Managed Funds from Commonwealth Payments into
National Funding Pool’ is replaced with the table below:
Table 2.5
Hospital and Health Service Agreement and State Level Block Payments
to State Managed Funds from Commonwealth Payments into National
Funding Pool
State:
QLD
Service agreement for financial year:
HHS
Central Queensland
Version for financial year:
HHS ID
2015/16
Version effective for payments from:
Version status:
23/08/2016
HHS ABF payment requirements:
National
efficient price
(NEP)
(as set by
IHPA)
Expected National Weighted Activity Unit (NWAU)
ABF Service group
Projected NWAU
Admitted acute public services
26,890
$4,971
Admitted acute private services
4,631
$4,971
Emergency department services
11,277
$4,971
Non-admitted services
7,278
$4,971
Mental health services
2,914
$4,971
Sub-acute services
3,455
$4,971
LHN ABF Total
56,445
Note: NWAU estimates do not take account of cross-border activity.
Reporting requirements by HHS - total block funding paid (including
Commonwealth) per HHS, as set out in service agreement:
Amount (Commonwealth and state) for each amount of block funding
from state managed fund to LHN:
Block funding component
Estimated Commonwealth and
state block funding contribution
(ex GST)
Block funded hospitals
$49,703,039
Community mental health services
$9,505,882
Teaching, Training and Research
$9,871,604
Other block funded services
Total block funding for LHN
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
$69,080,525
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Appendix 1: Table 2.3a Finance and Activity Schedule - Summary
2013/14
Q18
QWAU
23,929
5,739
3,704
9,971
4,141
2,634
50,119
0
0
0
50,119
Service Stream
Inpatients
Outpatients
Procedures & Interventions
Emergency Department
Sub & Non-Acute
Mental Health
Subtotal
Clinical Education & Training
Specified Grants
ABF Subsidy/(Contribution)
Total ABF Funding
2013/14 $
(Price: $4562)
$109,164,565
$26,181,206
$16,898,954
$45,485,536
$18,892,209
$12,018,347
$228,640,817
$8,804,477
$519,274
-$2,727,469
$235,237,099
2014/15
(W3)
Q18 QWAU
26,930
7,223
3,808
9,602
4,075
2,516
54,155
0
0
0
54,155
2014/15 $ (W3)
(Price: $4558)
$122,746,031
$32,924,579
$17,358,129
$43,766,277
$18,575,625
$11,468,620
$246,839,260
$8,812,774
$529,871
$7,299,794
$263,481,700
2015/16
Q18
QWAU
29,679
7,896
4,936
11,282
4,701
2,899
61,393
0
0
0
61,393
2015/16 $
(Price: $4597.05)
$136,434,690
$36,300,459
$22,690,501
$51,864,628
$21,612,248
$13,326,297
$282,228,823
$9,434,039
$540,685
$7,502,212
$299,705,760
Change
(14/15 to 15/16)
QWAU
2,749
673
1,128
1,680
626
383
7,238
0
0
0
7,238
Change
(14/15 to 15/16)
$ (Price: $4597.05)
$13,688,659
$3,375,880
$5,332,373
$8,098,351
$3,036,623
$1,857,677
$35,389,563
$621,265
$10,814
$202,418
$36,224,060
Change
(14/15 to 15/16)
QWAU
Change
(14/15 to 15/16)
$ (Price: $4597.05)
-3,946
0
0
0
-3,946
-$19,979,849
-$3,151,586
$389,376
$7,674,562
-$15,067,498
Change
(14/15 to 15/16)
QWAU
3,292
Change
(14/15 to 15/16)
$ (Price: $4597.05)
$21,156,562
#
Non-ABF
2013/14
Q18
QWAU
Category
NEC Block Funded Hospitals
Primary and Community Care
Third Party Funded Service
Other Non-ABF Funding
Total Non-ABF Funding
2013/14 $
(Price: $4562)
13,277
0
0
0
13,277
2013/14 $
(Price: $4562)
$459,358,632
2015/16 Minor
Capital/Equity
Total
#
2014/15 $ (W3)
(Price: $4558)
2015/16
Q18
QWAU
13,302
0
0
0
13,302
$71,457,416
$73,246,588
$31,652,500
$47,146,407
$223,502,911
9,356
0
0
0
9,356
$68,858,734
$73,441,460
$29,887,321
$51,934,018
$224,121,533
2013/14
Q18
QWAU
63,395
Grand Total
2014/15
(W3)
Q18 QWAU
2014/15
(W3)
Q18 QWAU
67,457
2013/14 $
-
-
2014/15 $ (W3)
(Price: $4558)
$486,984,611
2015/16
Q18
QWAU
70,750
2014/15 $
-
$2,274,000
2015/16 $
(Price: $4597.05)
$51,477,567
$70,095,002
$32,041,875
$54,820,969
$208,435,413
2015/16 $
(Price: $4597.05)
$508,141,173
Change
(14/15 to 15/16)
2015/16 $
-
$2,274,000
-
$0
For details see Table 2.3b Other Non-ABF Funding
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016 Deed of Amendment September 2016
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Appendix 2: Table 2.3b Non-ABF Summary
NEC Block Funded Hospitals
Category
2015/16
Activity
Units
NEC Block Funded Hospitals
Subtotal
9,356
9,356
2015/16
Baseline $
$51,391,379
$51,391,379
2015/16
Growth $
$0
$0
2015/16
Amendments
$
$86,187
$86,187
2015/16
$
$51,477,567
$51,477,567
Primary and Community
Healthcare Services
Category
Alcohol, Tobacco and Other Drugs
Breastscreen
Community Mental Health
Consumer Information Services
Disability Residential Care Services
Environmental Health
Home and Community Medical
Aids & Appliances
Offender Health Services
Oral Health
Other Community Services
Primary Health Care
Subtotal
0
12,162
0
0
0
0
$3,744,243
$2,171,000
$22,552,274
$0
$3,646,829
$918,457
$0
$16,700
$0
$0
$0
$0
2015/16
Amendments
$
$0
($156,646)
$1,890,352
$0
$0
$0
0
601
235,624
0
0
$0
$2,365,730
$11,765,904
$13,527,695
$2,452,947
$63,145,079
$0
$1,391,008
$739,806
$0
$0
$2,147,514
$0
$0
$1,175,855
$1,744,848
$148,000
$4,802,409
2015/16
Baseline $
2015/16
Growth $
2015/16
Activity
Units
Screens
Prisoners
WOOS
-
2015/16
Baseline $
2015/16
Growth $
2015/16
$
$3,744,243
$2,031,054
$24,442,626
$0
$3,646,829
$918,457
$0
$3,756,738
$13,681,565
$15,272,543
$2,600,947
$70,095,002
Third Party Funded Health Services
Category
Units
Aged Care Assessment Program
Home and Community Care (HACC)
Program
Community Care Programs
Home Care Packages
Multi-Purpose Health Services
Residential Aged Care
Transition Care
Subtotal
0
$736,482
$0
2015/16
Amendments
$
$67,175
0
0
0
0
0
0
0
$40,707
$474,553
$209,130
$3,707,508
$24,103,599
$2,589,508
$31,861,487
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$130,053
($16,840)
$0
$180,388
2015/16
Activity
2015/16
$
$803,657
$40,707
$474,553
$209,130
$3,837,561
$24,086,759
$2,589,508
$32,041,875
PY Services moved to ABF
Category
ABF Equivalent Activity delivered
by Outsourced Provider
IHPA Block Funded Services - TPN,
HEN, HV
Subtotal
Units
2015/16
Activity
2015/16
Baseline $
2015/16
Growth $
2015/16
Amendments
$
2015/16
$
0
$0
$0
$0
$0
0
0
$0
$0
$0
$0
$0
$0
$0
$0
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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Other Non-ABF Funding
Category
Commercial Activities
Depreciation
Interstate Patients
Patient Transport
Research
Specific Allocations
State-Wide Functions
Subtotal
Units
2015/16
Activity
0
0
0
0
0
0
0
0
2015/16
Baseline $
$1,617,830
$26,359,025
$1,854,452
$22,603,972
$246,716
$0
$130,427
$52,812,422
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
2015/16
Growth $
$0
$0
$0
$0
$0
$0
$0
$0
2015/16
Amendments
$
$0
$0
$0
$0
$53,000
$1,890,047
$65,500
$2,008,547
2015/16
$
$1,617,830
$26,359,025
$1,854,452
$22,603,972
$299,716
$1,890,047
$195,927
$54,820,969
-9-
Department of Health
www.health.qld.gov.au
Central Queensland HHS Service Agreement 2013/2014 - 2015/2016
Deed of Amendment September 2016
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