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.

(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 Endoscopy	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, 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 Endoscopy	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, 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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