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4390.0 - Private Hospitals, Australia, 2010-11 Quality Declaration 
Previous ISSUE Released at 11:30 AM (CANBERRA TIME) 07/09/2012   
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Contents >> Private Acute and Psychiatric Hospitals >> Acute & Psychiatric Hospital Summary

HOSPITALS

The number of private Acute and psychiatric hospitals across Australia remained at 279 in 2010-11, the same number as in 2008-09 and 2009-10, although there have been some small fluctuations in state totals in this time. More than half of the Australian private Acute and psychiatric hospitals are in New South Wales (31%) or Victoria (28%), with the balance in Queensland (19%), South Australia (11%), Western Australia (8%) and remainder of the states and territories (3%).

In the last 10 years, the number of private Acute and psychiatric hospitals across Australia has fallen to 279, from 299 in 2000-01, with the largest losses in Western Australia (7) and Victoria (6).

TABLE 2.1: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Australia—Selected years
2000-01
2005-06
2006-07
2007-08(a)
2008-09
2009-10
2010-11
New South Wales
87
85
85
na
85
87
86
Victoria
85
83
82
na
77
78
79
Queensland
54
56
57
na
54
53
54
South Australia
32
31
30
na
30
30
30
Western Australia
28
24
23
na
21
22
21
Tasmania, Northern Territory and Australian Capital Territory (b)
13
12
12
na
12
9
9
Australia
299
291
289
na
279
279
279

na not available

(a) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information.
(b) Tasmania, Northern Territory and Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories.


Of Australia's 279 private Acute and psychiatric hospitals, 209 (74.9%) are located in a metropolitan area, and 183 (65.6%) are located within a Capital City Statistical Division.

There were 25,394 beds and chairs available in Acute and psychiatric hospitals during 2010-11, 1.9% higher than in 2009-10.

Capital City Statistical Divisions accounted for 74.7% of all available beds and chairs in Acute and psychiatric hospitals in Australia in 2010-11, slightly higher than in 2009-10 (74.5%) and up from 72.9% in 2000-01. Since the 2009-10 cycle, there has been an increase in the number of beds and chairs available in Capital City Statistical Divisions by 403 (2.2%), while the number of beds and chairs in the rest of Australia increased by 65 (1.0%). Since 2000-01, the number of beds and chairs in Capital City Statistical Divisions has increased by 6.3%, while the number in the rest of Australia has fallen by 3.0%, resulting in a net change of 3.8% across Australia.

Metropolitan areas contained 84.9% of all available beds and chairs in Acute and psychiatric hospitals, with Rural areas containing the remaining 15.1% of the beds and chairs in Australia in 2010-11.

In 2010-11, 1.6 million separations (57.8% of all Acute and psychiatric hospital separations) were for same day patients, with the remaining separations (almost 1.2 million) relating to overnight-stay patients. The proportion of all separations from Acute and psychiatric hospitals resulting from same-day patients has been increasing over the past 10 years, from 48.8% in 2000-01, to 57.2% in 2009-10, to 57.8% in 2010-11.

The average length of stay for overnight-stay patients increased to 5.3 days in 2010-11 from 5.1 days in 2009-10, while the average length of stay for all patients remained at 2.8 days. In 2000-01, overnight-stay patients stayed an average of 5.6 days, while the average length of stay for all patients was 3.3 days.

The bed occupancy rates in Acute and psychiatric hospitals have been increasing over the past 10 years. For 2010-11, the bed occupancy rate was 85.9% for all patients, compared with 83.3% in 2009-10 and 73.1% in 2000-01. The occupancy rate for overnight-stay patients was 68.4% in 2010-11, up from 66.2% in 2009-10 and 62.4% in 2000-01.

The number of full-time equivalent staff employed in Australia's Acute and psychiatric hospitals increased in 2010-11 to 55,053. This is up 3.1% from 2009-10, and up 23.1% from 2000-01.

Acute and psychiatric hospitals in Australia received a total income of $9,838 million during 2010-11, an increase of 8.8% over 2009-10. Total income is now 118% higher than in 2000-01, an average yearly increase of 8.1%. When income is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($6,089 million) to 2010-11 ($9,705 million) was 4.8%. For further information on the use of chain volume measures to adjust income and expenditure, see Explanatory Note 25. Patient revenue accounted for 95.5% of all income generated by Acute and psychiatric hospitals in 2010-11.

Recurrent expenditure for Acute and psychiatric hospitals for the 2010-11 cycle amounted to $8,949 million, a increase of 7.1% over the previous cycle. Recurrent expenditure is now 109% higher than in 2000-01, an average yearly increase of 7.6%. When recurrent expenditure is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($5,775 million) to 2010-11 ($8,828 million) was 4.3%.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 50.6% of recurrent expenditure in 2010-11, compared to 51.6% in 2009-10 and 55.6% in 2000-01.

The average expenditure per patient day was $1,123 in 2010-11 compared with $1,102 in 2009-10 and $657 in 2000-01. When average expenditure per patient day is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($886) to 2010-11 ($1,108) was 2.3%.

TABLE 2.2: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Summary—2010–11
2000-01
2005-06
2006-07
2007-08(a)
2008-09
2009-10
2010-11
Hospitals (no.)
Capital City Statistical Divisions
197
187
185
na
184
183
183
Rest of Australia
102
104
104
na
95
96
96
Total
299
291
289
na
279
279
279
Metropolitan (b)
na
na
na
na
na
na
209
Rural (b)
na
na
na
na
na
na
70
Total
299
291
289
na
279
279
279
Beds/Chairs (no.) (c)
Capital City Statistical Divisions
17 837
17 685
18 095
na
18 408
18 559
18 962
Rest of Australia
6 628
6 428
6 332
na
6 277
6 367
6 432
Total
24 465
24 113
24 427
na
24 685
24 926
25 394
Metropolitan (b)
na
na
na
na
na
na
21 563
Rural (b)
na
na
na
na
na
na
3 831
Total
24 465
24 113
24 427
na
24 685
24 926
25 394

Separations ('000)
Same-day patient
956
1 269
1 323
na
1 482
1 561
1 630
Overnight-stay patient
1 003
1 076
1 096
na
1 118
1 170
1 192
Total (d)
1 959
2 345
2 420
na
2 600
2 731
2 822
Patient days ('000)
Same-day patient (e)
956
1 269
1 323
na
1 482
1 561
1 630
Overnight-stay patient
5 569
5 624
5 714
na
5 892
6 019
6 336
Total
6 526
6 893
7 037
na
7 374
7 580
7 966
Average length of stay (no.)
Overnight-stay patients
5.6
5.2
5.2
na
5.3
5.1
5.3
All patients
3.3
2.9
2.9
na
2.8
2.8
2.8
Bed occupancy rate (%) (f)
Overnight-stay patients
62.4
63.9
64.1
na
65.4
66.2
68.4
All patients
73.1
78.3
78.9
na
81.8
83.3
85.9

Full-time equivalent staff (no.) (g)
44 720
47 770
46 718
na
49 415
53 375
55 053
Income (h)
Total ($'000)
4 517 550
6 591 077
7 082 477
na
8 353 310
9 043 615
9 837 799
Patient income (%) (i)
92.7
95.6
96.2
na
95.1
96
95.5
Expenditure (j)
Total ($'000)
4 284 272
6 159 509
6 581 711
na
7 631 728
8 354 222
8 948 902
Labour costs, including on-costs (%)
55.6
51.8
51.7
na
51.4
51.6
50.6
Per patient day ($)
657
894
935
na
1 035
1 102
1 123
Gross Capital expenditure ($'000) (k)
426 087
370 132
439 718
na
588 772
695 066
788 319

na not available

(a) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information.
(b) Metropolitan and Rural are two classifications included in the new Australian Statistical Geography Standard (ASGS). See Glossary for further information.
(c) Available beds/chairs (average for the year).
(d) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.
(e) Same-day patients are counted as having a stay of one day.
(f) Calculated by dividing patient days by the product of average number of beds and the number of days in the year and expressed as a percentage. See Glossary for further information.
(g) Staff represented are typical full-time equivalent numbers for the year. Full-time equivalent represents the sum of full-time staff and full-time equivalent of part-time staff. Includes nursing staff contracted for supply of labour through agency. See Explanatory Note 40 for further information.
(h) Income includes income from patients, recoveries and other income such as investment income and income from charities, bequests, meals and accommodation but excludes income payments from state and territory governments. See Glossary for further information.
(i) Includes income received by, and due to, the hospital in respect of patient liability for accommodation and other fees. See Glossary for further information.
(j) Expenditure refers to expenditure on goods and services, which does not result in the creation or acquisition of fixed assets (new or second-hand). See Glossary for further information.
(k) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information.


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