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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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HOSPITALS

There were 314 private Free-standing day hospitals operating in Australia in 2010-11, up from 302 in 2009-10. More than half of the private Free-standing day hospitals were located in New South Wales (31%) and Victoria (28%), mirroring the proportions of Acute and psychiatric hospitals in those states. New South Wales, and Victoria both gained 5 Free-standing day hospital facilities in 2010-11.

Table 3.1 PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Australia—Selected years.
2000-01
2005-06
2006-07
2007-08 (a)
2008-09
2009-10
2010-11

New South Wales
89
93
90
na
91
92
97
Victoria
51
63
73
na
75
83
88
Queensland
36
52
52
na
52
53
53
South Australia
19
25
24
na
24
25
26
Western Australia
13
13
17
na
29
35
35
Tasmania, Northern Territory and Australian Capital Territory (b)
9
10
12
na
14
14
15
Australia
217
256
268
na
285
302
314

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.


There were 2,957 beds and chairs available in private Free-standing day hospital facilities, up 4.8% from 2009-10 and up 75.2% from 2000-01.

The number of separations increased by 2.9% to 885,200 in 2010-11, to be 124.8% higher than in 2000-01.

The number of operating theatres increased from 295 in 2009-10 to 329 in 2010-11. In 2000-01, there were 202 operating theatres. Between 2009-10 and 2010-11, the number of procedure rooms fell by 2 to 256.

There were 3,395 full-time equivalent (FTE) staff employed in Australian private Free-standing day hospital facilities in 2010-11, up 6.6% from 2009-10, and up 113% from 2000-01, an average annual increase of 7.9%. Over the last ten years, the number of full-time equivalent staff per thousand separations has fallen from 4.0 in 2000-01 to 3.8 in 2010-11.

Free-standing day hospitals in Australia received total income of $812 million during 2010-11, an increase of 8.8% over 2009-10. Total income is now 262.0% higher than in 2000-01, an average yearly increase of 13.7%. 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 ($302 million) to 2010-11 ($801 million) was 10.2%. For further information on the use of chain volume measures to adjust income and expenditure, see Explanatory Note 25. Patient revenue accounted for 94.9% of all income generated by Free-standing day hospitals in 2010-11.

Recurrent expenditure for Free-standing day hospitals for the 2010-11 cycle amounted to $672 million, a increase of 11.6% from 2009-10. Recurrent expenditure is now 261% higher than in 2000-01, an average yearly increase of 13.7%. 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 ($247 million) to 2010-11 ($652 million) was 10.2%.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 38.6% of recurrent expenditure in 2010-11, compared to 41.1% in 2009-10 and 42.3% in 2000-01.

The average expenditure per separation was $747 in 2010-11 compared with $688 in 2009-10 and $465 in 2000-01. When average expenditure per separation is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($627) to 2010-11 ($737) was 1.6%.

Gross capital expenditure has increased 16.5% in 2010-11 to $50 million. This is 90.5% higher than in 2000-01.

Private Free-standing Day Hospital Facilities, Real income and expenditure(a) 2006-07 to 2010-11(b)
Private Free-standing Day Hospital Facilities, Real income and expenditure(a) 2006-07 to 2010-11(b)

(a) Laspeyres input cost index was used to provide real income and expenditure. See Explanatory Note 25 for further information.
(b) Data for 2007–08 reference year are not available. See Explanatory Note 4 for further information.

TABLE 3.2: PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Summary—2010–11
2000-01
2005-06
2006-07
2007-08(a)
2008-09
2009-10
2010-11

Hospitals by type (no.) (b)
Specialist Endoscopy
62
71
76
na
74
77
78
Ophthalmic surgery
46
57
57
na
61
53
56
Plastic and cosmetic surgery
27
33
28
na
34
33
35
Gynaecology, Fertility treatment and Family Planning
na
na
na
na
na
na
33
Other (c)
na
na
na
na
na
na
112
Total (d)
217
256
268
na
285
302
314

Beds/Chairs (no.) (e)
1 688
2 114
2 251
na
2 495
2 822
2 957
Separations ('000)
393.8
579.9
631.3
na
765.3
860.3
885.2
Operating Theatres (f) (no.)
202
245
264
na
280
295
329
Procedure rooms (f) (no.)
180
200
205
na
235
258
256
Full-time equivalent staff (no.) (g)
1 594
2 231
2 385
na
2 700
3 185
3 395
Income (h)
Total ($'000)
224 239
410 036
456 937
na
628 494
746 273
811 851
Patient income (%) (i)
95.9
95.9
96.3
na
96.9
96.4
94.9
Expenditure (j)
Total ($'000)
183 115
338 421
384 986
na
505 431
592 261
661 090
Labour costs, including on-costs (%)
42.3
39.1
40.2
na
39.6
41.1
38.6
Per Separation ($)
465
584
610
na
660
688
746.9
Gross Capital expenditure ($'000) (l)
26 380
17 235
35 225
na
48 301
43 136
50 254

na not available

(a) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information.
(b) See Explanatory Note 24 for further information on categories.
(c) Including Dental Oral Maxillofacial surgery, Dialysis, Oncology, General surgery, sleep disorders clinic and other types of centre.
(d) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.
(e) Available beds/chairs (average for the year).
(f) Details are for the last week of the pay period ending on or before 30 June 2011.
(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 Glossary 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) 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.
(j) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information. Note that 2010-11 is the first year the ABS has had gross and net capital expenditure available for publication.


Victoria (33) and New South Wales (23) contain the most specialist endoscopy hospitals, while New South Wales (27) and Queensland (12) had the most opthalmic surgery hospitals.

Gynaecology, Fertility treatment and Family Planning hospitals recorded the highest average number of sessions per theatre (6.8), while Specialist Endoscopy hospitals used the longest average time per theatre and procedure room per week, at 37.4 hours, as well as the highest average number of separations per bed/chair over the year (364.4).


Table 3.3 PRIVATE FREE-STANDING DAY HOSPITALS, Type of centre(a) —States and territories - 2010-11
Specialist EndoscopyOphthalmic surgeryPlastic and cosmetic surgeryGynaecology, Fertility treatment and Family Planning
Other(b)
Total(c)

Hospitals (no.)
New South Wales
23
27
5
7
35
97
Victoria
33
9
10
9
27
88
Queensland
14
12
4
8
15
53
South Australia
np
3
10
np
10
26
Western Australia
4
np
np
6
19
35
Tasmania, Northern Territory and Australian Capital Territory (d)
np
np
np
np
6
15
Australia
78
56
35
33
112
314

Operating theatres (no.)(e)
40
89
49
36
115
329
Procedure rooms (no.)(e)
73
21
14
18
130
256
Average number of sessions (e)
5.9
4.3
4.5
6.8
6.2
5.7
Average time used (hours)(f)
37.4
34.5
17.8
14.7
20.9
25.7
Beds/chairs (no.)(g)
666
497
204
300
1 290
2 957
Separations ('000)
242.7
130.6
53.9
81.5
376.4
885.2
Avg number of separations per bed/chair
364.4
262.8
264.3
271.7
291.8
299.3

np not available for publication but included in totals where applicable, unless otherwise indicated

(a) See Explanatory Note 24 for further information on categories.
(b) Including Dental Oral Maxillofacial surgery, Dialysis, Oncology, General surgery, sleep disorders clinic and other types of centre.
(c) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.
(d) Tasmania, the Northern Territory and the Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories.
(e) Details are for the last week of the pay period ending on or before 30 June 2011.
(f) Per operating theatre and procedure room per week.
(g) Available beds/chairs (average for the year).


Staff


While the total number of full-time equivalent staff increased by 6.6% between 2009-10 and 2010-11, by type of centre the results varied considerably. Australia's Specialist endoscopy centres employed 14.6% more FTE staff in 2010-11 than in 2009-10, and there were 41.3% more FTE staff in Plastic and cosmetic surgery hospitals. There was a 2.7% increase in FTE staff working in Opthalmology centres, over the same period.

More than half (56.1%) of all FTE staff were nurses, up from 54.9% in 2009-10. This percentage ranged from 48% of staff in Gynaecology, fertility treatment and family planning hospitals to 62.4% of staff in Plastic and cosmetic surgery hospitals. The proportion of FTE staff who were administrative are clerical roles fell from 29.1% in 2009-10 to 27.3% in 2010-11. Over a third (34.3%) of FTE staff in Specialist endoscopy centres were employed in administrative and clerical roles.

Table 3.4 PRIVATE FREE-STANDING DAY HOSPITALS, Full-time equivalent staff(a)—Type of centre (b) - 2010-11
Specialist EndoscopyOphthalmic surgeryPlastic and cosmetic surgeryGynaecology, Fertility treatment and Family Planning
Other(c)
Total(d)

Salaried medical staff
14
11
3
16
23
66
Diagnostic and allied health
10
17
np
13
np
82
Full-time equivalent nursing staff
417
343
169
185
790
1 904
Clinical support staff
41
44
13
29
112
239
Administrative and clerical staff
267
180
76
103
299
926
Domestic
23
17
5
10
37
92
Other
8
5
np
29
np
85
Total (d)
780
616
271
386
1 342
3 395

(a) Full-time equivalent represents the sum of full-time staff and the full-time equivalent of part-time staff. See Glossary for further information.
(b) See Explanatory Note 24 for further information on categories.
(c) Including Dental Oral Maxillofacial surgery, Dialysis, Oncology, General surgery, sleep disorders clinic and other types of centre
(d) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.

The largest increases in private Free-standing day hospital FTE staff levels occurred in the three smallest states and territories (up 25.3% from 2009-10) and New South Wales (up 11.3%). Victoria was the only state to decrease its staffing levels from 2009-10, falling 1.4%.

There were 43.9% more nursing staff in the three smallest states than there were in 2009-10, while the number of nurses in South Australian private Free-standing day hospitals fell by 5.6%. South Australia has the lowest proportion of FTE staff who are nurses, at 42.3%, while Western Australia has the highest proportion at 63.3%.

Table 3.5 PRIVATE FREE-STANDING DAY HOSPITALS, Staffing—States and territories - 2010-11
NSW
Vic.
Qld
SA
WA
Tas., NT & ACT(a)
Aus.

Number of Full Time Equivalent Staff(b)
Salaried medical staff
22
22
10
8
3
3
66
Diagnostic and allied health
38
21
7
np
np
np
82
Full-time equivalent nursing staff
575
399
465
112
255
96
1 904
Clinical support staff
70
49
48
15
42
15
239
Administrative and clerical staff
295
187
221
102
68
54
926
Domestic
28
30
15
3
12
4
92
Other
23
13
13
np
np
np
85
Total (c)
1 050
721
778
265
404
177
3 395

(a) Tasmania, the Northern Territory and the Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories.
(b) Full-time equivalent represents the sum of full-time staff and the full-time equivalent of part-time staff. See Glossary for further information.
(c) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.


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