HOSPITALS

There were 311 private Free-standing day hospitals operating in Australia in 2011-12, down from 314 in 2010-11. More than half of the private Free-standing day hospitals were located in New South Wales and Victoria (30.9% and 27.3% respectively), mirroring the proportions of Acute and psychiatric hospitals in those states.

Table 3.1 PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Australia—Selected years.
	2001-02	2007-08 (a)	2008-09	2009-10	2010-11	2011-12
New South Wales	93	na	91	92	97	96
Victoria	52	na	75	83	88	85
Queensland	47	na	52	53	53	53
South Australia	23	na	24	25	26	26
Western Australia	12	na	29	35	35	35
Tasmania, Northern Territory and Australian Capital Territory (b)	9	na	14	14	15	16
Australia	236	na	285	302	314	311
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 2,973 beds and chairs available in private Free-standing day hospital facilities, up 0.5% from 2010-11 and up 68.5% from 2001-02.

The number of separations in 2011-12 was 934,061, an increase of 5.5% compared with 2010-11, and 115.6% higher than in 2001-02.

The number of operating theatres decreased from 329 in 2010-11 to 321 in 2011-12. In 2001-02, there were 215 operating theatres. Between 2010-11 and 2011-12, the number of procedure rooms increased by 4 to 260.

There were 3,645 full-time equivalent (FTE) staff employed in Australian private Free-standing day hospital facilities in 2011-12, up 7.4% from 2010-11, and up 102.8% from 2001-02. Over the last decade, the number of full-time equivalent staff per thousand separations has decreased from 4.1 in 2001-02 to 3.9 in 2011-12.

Free-standing day hospitals in Australia received total income of $876 million during 2011-12, an increase of 7.8% over 2010-11. Total income is now 234.2% higher than in 2001-02. Patient revenue accounted for 95.7% of all income generated by Free-standing day hospitals in 2011-12.

Recurrent expenditure for Free-standing day hospitals for the 2011-12 cycle amounted to $704 million, an increase of 6.5% from 2010-11. Recurrent expenditure is now 221.3% higher than in 2001-02.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 41.3% of recurrent expenditure in 2011-12, compared to 38.6% in 2010-11 and 42.1% in 2001-02.

The average expenditure per separation was $754 in 2011-12 compared with $747 in 2010-11 and $506 in 2001-02.

TABLE 3.2: PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Summary—2011–12
		2001-02	2007-08(a)	2008-09	2009-10	2010-11	2011-12
Hospitals by type (no.) (b)
	Specialist Endoscopy	71	na	74	77	78	na
	Gastroenterology	na	na	na	na	na	81
	Ophthalmic surgery	52	na	61	53	56	65
	Plastic and cosmetic surgery	31	na	34	33	35	32
	Gynaecology, Fertility treatment and Family Planning	na	na	na	na	33	32
	Other (c)	64	na	na	na	112	101
	Total (d)	236	na	285	302	314	311
Beds/Chairs (no.) (e)		1 764	na	2 495	2 822	2 957	2 973
Separations ('000)		433.3	na	765.3	860.3	885.2	934.1
Operating Theatres (f) (no.)		215	na	280	295	329	321
Procedure rooms (f) (no.)		179	na	235	258	256	260
Full-time equivalent staff (no.) (g)		1 797	na	2 700	3 185	3 395	3 645
Income (h)
	Total ($'000)	262 028	na	628 494	746 273	811 851	875 578
	Patient income (%)	96.3	na	96.9	96.4	94.9	95.7
Expenditure (i)
	Total ($'000)	219 091	na	505 431	592 261	661 090	704 001
	Labour costs, including on-costs (%)	42.1	na	39.6	41.1	38.6	41.3
	Per Separation ($)	506	na	660	688	747	754
	Gross Capital expenditure ($'000) (j)	27 285	na	48 301	43 136	50 254	np
na not available np not available for publication but included in totals where applicable, unless otherwise indicated (a) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information. (b) See Explanatory Note 25 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 2012. (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 gross and net capital expenditure has not been published for 2011-12. See Explanatory Note 40 for further information.

Victoria (32) and New South Wales (25) had the most Gastroenterology hospitals, while New South Wales (32) and Queensland (14) had the most Ophthalmic surgery hospitals.

Hospitals classified as 'Other' and Gynaecology, fertility treatment and family planning hospitals recorded the highest average number of sessions per theatre (5.9 and 5.8 respectively). Gastroenterology hospitals used the longest average time per theatre and procedure room per week, at 27 hours as well as the highest average number of separations per bed/chair over the year (345.6).

Table 3.3 PRIVATE FREE-STANDING DAY HOSPITALS, Type of centre(a) —States and territories - 2011-12
		Gastroenterology (b)	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, Fertility treatment and Family Planning	Other(c)	Total(d)
Hospitals (no.)
	New South Wales	25	32	3	7	29	96
	Victoria	32	11	9	6	27	85
	Queensland	14	14	4	10	11	53
	South Australia	3	np	10	np	9	26
	Western Australia	np	np	np	6	18	35
	Tasmania, Northern Territory and Australian Capital Territory (e)	np	3	np	np	7	16
	Australia	81	65	32	32	101	311
Operating theatres (no.)(f)		48	110	46	33	84	321
Procedure rooms (no.)(f)		76	22	12	31	119	260
Average number of sessions (f)		5.4	4.5	4.3	5.8	5.9	5.3
Average time used (hours)(g)		27.0	19.6	20.5	14.6	21.4	21.4
Beds/chairs (no.)(h)		712	640	188	284	1 149	2 973
Separations ('000)		246.1	179.4	50.9	78.6	379.1	934.1
Avg number of separations per bed/chair		345.6	280.3	270.7	276.8	329.9	314.2
np not available for publication but included in totals where applicable, unless otherwise indicated (a) See Explanatory Note 25 for further information on categories. (b) Gastroenterology, including endoscopy. (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) 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. (f) Details are for the last week of the pay period ending on or before 30 June 2012. (g) Per operating theatre and procedure room per week. (h) Available beds/chairs (average for the year).

STAFF

More than half (54.2%) of all FTE staff were nurses, down from 56.1% in 2010-11. Across different types of centres the percentage of nurses ranged from 47.4% of staff in Gynaecology, fertility treatment and family planning centres, to 58.5% of staff in Plastic and cosmetic surgery hospitals.

Table 3.4 PRIVATE FREE-STANDING DAY HOSPITALS, Full-time equivalent staff(a)—Type of centre (b) - 2011-12
	Gastroenterology (c)	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, Fertility treatment and Family Planning	Other(d)	Total(e)
Salaried medical staff	9	17	4	15	44	89
Diagnostic and allied health	6	18	3	16	74	117
Full-time equivalent nursing staff	483	457	145	180	708	1 974
Clinical support staff	50	38	3	20	200	311
Administrative and clerical staff	288	208	74	113	280	964
Domestic and other staff	35	49	20	35	55	192
Total (e)	872	787	248	380	1 359	3 645
(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 25 for further information on categories. (c) Gastroenterology, including endoscopy. (d) Including Dental Oral Maxillofacial surgery, Dialysis, Oncology, General surgery, sleep disorders clinic and other types of centre (e) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.

In 2011-12, the largest increases in private Free-standing day hospital FTE staff levels occurred in Victoria (up 21.6%), the three smaller states (up 16.4%) and New South Wales (up 11.2%). Queensland and Western Australia were the only states to decrease staffing levels from 2010-11, falling 6.3% and 4.7% respectively.

There were 10.1% more nursing staff in New South Wales in 2011-12 than there were in 2010-11, while the number of nurses in South Australian private Free-standing day hospitals increased by 11.6%. Western Australia nursing staff decreased in 2011-12 by 12.5%. South Australia has the lowest proportion of FTE staff who are nurses, at 44.6%, while Queensland has the highest proportion at 63.5%.

Table 3.5 PRIVATE FREE-STANDING DAY HOSPITALS, Staffing—States and territories - 2011-12
		NSW	Vic.	Qld	SA	WA	Tas., NT & ACT(a)	Aus.
Number of Full Time Equivalent Staff(b)
	Salaried medical staff	23	25	10	13	7	11	89
	Diagnostic and allied health	71	17	5	np	20	np	117
	Full-time equivalent nursing staff	633	411	463	125	223	119	1 974
	Clinical support staff	62	142	48	10	34	15	311
	Administrative and clerical staff	315	240	167	106	79	56	964
	Domestic and other staff	64	42	36	np	22	np	192
	Total (c)	1 168	877	729	280	385	206	3 645
(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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