PRIVATE DAY HOSPITAL FACILITIES

HOSPITALS

There were 326 private Free-standing day hospitals operating in Australia in 2013-14, up from 319 in 2012-13. More than half of the private Free-standing day hospitals were located in New South Wales and Victoria, with those states accounting for 31.3% and 26.4% of all hospitals respectively.

Table 3.1 PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Australia—Selected years
	2003-04	2009-10	2010-11	2011-12	2012-13	2013-14
New South Wales	93	92	97	96	100	102
Victoria	54	83	88	85	87	86
Queensland	46	53	53	53	52	52
South Australia	22	25	26	26	27	27
Western Australia	11	35	35	35	36	40
Tasmania, Northern Territory and Australian Capital Territory (a)	8	14	15	16	17	19
Australia	234	302	314	311	319	326
(a) 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 2,977 beds and chairs available in private Free-standing day hospital facilities, up 1.3% from 2012-13 and up 52.9% from 2003-04.

The number of separations in 2013-14 was 1,124,200, an increase of 3.5% compared with 2012-13 and 2.2 times more than 2003-04.

The number of operating theatres increased from 325 in 2012-13 to 351 in 2013-14. In 2003-04, there were 220 operating theatres. The number of procedure rooms increased from 260 to 549 between 2012-13 and 2013-14 - see Explanatory Note 40 for further information on a change in reporting for procedure rooms.

There were 4,243 full-time equivalent (FTE) staff employed in Australian private Free-standing day hospital facilities in 2013-14, an increase of 4.2% from 2012-13, and 108.2% from 2003-04. Over the last decade, the number of full-time equivalent staff per thousand separations has decreased from 4.0 in 2003-04 to 3.8 in 2013-14.

Free-standing day hospitals in Australia received total income of $990.9 million during 2013-14, an increase of 4.7% from 2012-13. Total income is now 2.9 times what it was in 2003-04. Patient revenue accounted for 95.7% of all income generated by Free-standing day hospitals in 2013-14.

Recurrent expenditure for Free-standing day hospitals for the 2013-14 cycle amounted to $815.2 million, an increase of 5.9% from 2012-13, and 2.9 times that of 2003-04.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 41.9% of recurrent expenditure in 2013-14, compared to 41.4% in 2012-13 and 39.2% in 2003-04.

The average expenditure per separation was $725 in 2013-14 compared with $709 in 2012-13 and $558 in 2003-04.

TABLE 3.2: PRIVATE FREE-STANDING DAY HOSPITAL FACILITIES, Australia—Selected years
		2003-04	2009-10	2010-11	2011-12	2012-13	2013-14
Hospitals by type (no.) (a)
	Specialist Endoscopy	75	77	78	na	na	na
	Gastroenterology	na	na	na	81	84	80
	Ophthalmic surgery	51	53	56	65	64	74
	Plastic and cosmetic surgery	27	33	35	32	34	36
	Gynaecology, Fertility treatment and Family Planning	na	na	33	32	32	31
	Other (b)	na	na	112	101	105	105
	Total (c)	234	302	314	311	319	326
Beds/Chairs (no.) (d)		1,947	2,822	2,957	2,973	2,938	2,977
Separations ('000)		505.6	860.3	885.2	934.1	1086.4	1,124.2
Operating Theatres (e) (no.)		220	295	329	321	325	351
Procedure rooms (e)(f) (no.)		178	258	256	260	260	549
Full-time equivalent staff (no.) (g)		2,038	3,185	3,395	3,645	4,070	4,243
Income (h)
	Total ($'000)	340,730	746,273	811,851	875,578	946,584	990,904
	Patient income (%)	95	96.4	94.9	95.7	95.0	95.7
Expenditure (i)
	Total ($'000)	282,401	592,261	661,090	704,001	769,822	815,164
	Wages and salaries, including on-costs, as a proportion of total expenditure (%)	39.2	41.1	38.6	41.3	41.4	41.9
	Per Separation ($)	558	688	747	754	709	725
	Gross Capital expenditure ($'000) (j)	21,695	43,136	50,254	31,339	49,321	47,020
na not available (a) See Explanatory Note 25 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) Available beds/chairs (average for the year). (e) Details are for the last week of the pay period ending on or before 30 June. (f) See Explanatory Note 40 for further information on the change in reporting on procedure rooms. (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. 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.

In 2013-14, most private Gastroenterology hospitals were located in Victoria (34) and New South Wales (25) while most private Ophthalmic surgery hospitals were in New South Wales (36) and Queensland (17).

Private Free-standing day hospital facilities classified as Ophthalmic and those classified as Other recorded the highest average number of sessions per theatre (5.1 and 6.0 respectively). Gastroenterology hospitals reported the longest average time per theatre and procedure room per week, at 25.4 hours. Hospitals classified as Other recorded the highest number of beds and chairs (1,144) as well as the highest average number of separations per bed/chair over the year (1961.9).

Table 3.3 PRIVATE FREE-STANDING DAY HOSPITALS, Type of centre(a) —States and territories—2013-14
		Gastroenterology (b)	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, Fertility treatment and Family Planning	Other (c)	Total (d)
Hospitals (no.)
	New South Wales	25	36	5	7	29	102
	Victoria	34	11	11	6	24	86
	Queensland	12	17	3	10	10	52
	South Australia	3	3	np	np	11	27
	Western Australia	3	3	6	5	23	40
	Tasmania, Northern Territory and Australian Capital Territory (e)	3	4	np	np	8	19
	Australia	80	74	36	31	105	326
Operating theatres (no.)(f)		54	139	54	33	71	351
Procedure rooms (no.)(f)		82	37	19	44	367	549
Average number of sessions (g)		5.0	5.1	3.7	3.1	6.0	5.2
Average time used (hours)(g)		25.4	20.1	16.5	14.5	17.1	18.7
Beds/chairs (no.)(h)		697	680	195	261	1,144	2,977
Separations ('000)		252.8	230.5	39.2	86.2	515.5	1124.2
Avg number of separations per bed/chair		362.6	339.0	201.2	717.8	1,961.9	377.6
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 2013. (g) Per operating theatre and procedure room per week. (h) Available beds/chairs (average for the year).