HOSPITALS


There were 319 private Day hospital facilities operating in Australia in 2012-13, up from 311 in 2011-12. More than half of the Day hospital facilities were located in New South Wales and Victoria (31.3% and 27.3% respectively), similar to the proportions of Acute and psychiatric hospitals in those states.

Table 3.1 PRIVATE DAY HOSPITAL FACILITIES, Australia—Selected years
	2002-03	2008-09	2009-10	2010-11	2011-12	2012-13
New South Wales	98	91	92	97	96	100
Victoria	56	75	83	88	85	87
Queensland	44	52	53	53	53	52
South Australia	23	24	25	26	26	27
Western Australia	12	29	35	35	35	36
Tasmania, Northern Territory and Australian Capital Territory(a)	7	14	14	15	16	17
Australia	240	285	302	314	311	319
(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 2,938 beds and chairs available in private Day hospital facilities, down 1.2% from 2011-12 and up 53.8% from 2002-03.

The number of separations in 2012-13 was 1,086,400, an increase of 16.3% compared with 2011-12 and 2.3 times more than 2002-03.

The number of operating theatres increased from 321 in 2011-12 to 325 in 2012-13. In 2002-03, there were 217 operating theatres. Between 2011-12 and 2012-13, the number of procedure rooms remained unchanged at 260.

There were 4,070 full-time equivalent (FTE) staff employed in Australian private Day hospital facilities in 2012-13, an increase of 11.7% from 2011-12, and 108.2% from 2002-03. Over the last decade, the number of full-time equivalent staff per thousand separations has decreased from 4.1 in 2002-03 to 3.8 in 2012-13.

Day hospitals in Australia received total income of $946.6 million during 2012-13, an increase of 8.1% from 2011-12. Total income is now over 3 times what it was in 2002-03. Patient revenue accounted for 95.0% of all income generated by Day hospitals in 2012-13.

Recurrent expenditure for Day hospitals for the 2012-13 cycle amounted to $769.8 million, an increase of 9.3% from 2011-12, and over 3 times that of 2002-03.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 41.4% of recurrent expenditure in 2012-13, compared with 41.3% in 2011-12 and 41.1% in 2002-03.

The average expenditure per separation was $709 in 2012-13 compared with $754 in 2011-12 and $539 in 2002-03.

TABLE 3.2: PRIVATE DAY HOSPITAL FACILITIES, Australia—Selected years
		2002-03	2008-09	2009-10	2010-11	2011-12	2012-13
Hospitals by type (no.)(a)
	Specialist Endoscopy	76	74	77	78	na	na
	Gastroenterology	na	na	na	na	81	84
	Ophthalmic surgery	52	61	53	56	65	64
	Plastic and cosmetic surgery	29	34	33	35	32	34
	Gynaecology, Fertility treatment and Family Planning	na	na	na	33	32	32
	Other(b)	83	na	na	112	101	105
	Total(c)	240	285	302	314	311	319
Beds/Chairs (no.)(d)		1,910	2,495	2,822	2,957	2,973	2,938
Separations ('000)		471.7	765.3	860.3	885.2	934.1	1086.4
Operating Theatres (no.)(e)		217	280	295	329	321	325
Procedure rooms (no.)(e)		188	235	258	256	260	260
Full-time equivalent staff (no.)(f)		1,955	2,700	3,185	3,395	3,645	4,070
Income(g)
	Total ($'000)	301,080	628,494	746,273	811,851	875,578	946,584
	Patient income (%)	95.7	96.9	96.4	94.9	95.7	95.0
Expenditure(h)
	Total ($'000)	254,024	505,431	592,261	661,090	704,001	769,822
	Wages and salaries, including on-costs, as a proportion of total expenditure (%)	41.1	39.6	41.1	38.6	41.3	41.4
	Per Separation ($)	539	660	688	747	754	709
	Gross Capital expenditure ($'000)(i)	23,533	48,301	43,136	50,254	31,339	49,321
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 2013. (f) 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. (g) 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. (h) 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. (i) 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 2012-13 Victoria (34) and New South Wales (27) had the most Gastroenterology hospitals, while New South Wales (30) and Queensland (14) had the most Ophthalmic surgery hospitals.

Hospitals classified as Gastroenterology and those classified as Other recorded the highest average number of sessions per theatre (5.5 and 6.5 respectively). Gastroenterology hospitals used the longest average time per theatre and procedure room per week, at 25.7 hours. Hospitals classified as Other recorded the highest number of beds and chairs (1109) as well as the highest average number of separations per bed/chair over the year (452.9).

Table 3.3 PRIVATE DAY HOSPITAL FACILITIES, Type of centre(a) —States and territories—2012–13
		Gastroenterology(b)	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, Fertility treatment and Family Planning	Other(c)	Total(d)
Hospitals (no.)
	New South Wales	27	30	6	7	30	100
	Victoria	34	11	9	6	27	87
	Queensland	13	14	4	10	11	52
	South Australia	3	3	np	np	12	27
	Western Australia	4	3	5	6	18	36
	Tasmania, Northern Territory and Australian Capital Territory(e)	3	3	np	np	7	17
	Australia	84	64	34	32	105	319
Operating theatres (no.)(f)		53	107	50	33	82	325
Procedure rooms (no.)(f)		83	26	13	33	105	260
Average number of sessions (g)		5.5	4.5	5.4	4.1	6.5	5.4
Average time used (hours)(g)		25.7	18.6	25.3	19.0	24.2	22.8
Beds/chairs (no.)(h)		753	598	219	259	1,109	2,938
Separations ('000)		270.7	179.1	53.1	81.2	502.3	1,086.4
Avg number of separations per bed/chair		359.5	299.5	242.4	313.7	452.9	369.8
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).

STAFF

In 2012-13, 52.5% of total FTE staff were nurses, down from 54.2% in 2011-12. Across different types of centres, the proportion of nurses ranged from 61.5% of total staff in the
Ophthalmic surgery category to 45.1% of total staff in the Other category.

Table 3.4 PRIVATE DAY HOSPITAL FACILITIES, Full-time equivalent staff(a)—Type of centre(b)—2012–13(c)
	Gastroenterology(d)	Ophthalmic surgery	Plastic and cosmetic surgery	Gynaecology, Fertility treatment and Family Planning	Other(e)	Total(f)
Salaried medical staff	11	12	5	10	118	155
Diagnostic and allied health	np	13	np	np	169	202
Full-time equivalent nursing staff	520	478	174	198	765	2,135
Clinical support staff	67	57	13	18	183	338
Administrative and clerical staff	320	199	83	100	365	1,067
Domestic and other staff	np	19	np	np	80	174
Total(f)	954	777	297	363	1,679	4,070
np not available for publication but included in totals where applicable, unless otherwise indicated. (a) 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. (b) See Explanatory Note 25 for further information on categories. (c) See Explanatory Note 41 for further information pertaining to data collection in 2012-13. (d) Gastroenterology, including endoscopy. (e) Including Dental Oral Maxillofacial surgery, Dialysis, Oncology, General surgery, sleep disorders clinic and other types of centre. (f) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.

In 2012-13, private Day hospital facilities in all states and territories showed increases in FTE staff levels with the largest increases occurring in Victoria (up 21.1%), Tasmania, the Northern Territory and the Australian Capital Territory (up 17.5%) and Western Australia (up 10.6%).

There were slightly fewer FTE nursing staff in Day hospital facilities in New South Wales in 2012-13 (626) than there were in 2011-12 (633), while the number of nurses in the other states and territories increased. The increases ranged from 26.1% in Tasmania, the Northern Territory and the Australian Capital Territory to 3.9% in Queensland. Victoria had the lowest proportion of nurses, at 45.2%, while Queensland had the highest proportion at 62.1%.

Table 3.5 PRIVATE DAY HOSPITAL FACILITIES, Staffing—States and territories—2012–13(a)
		NSW	Vic.	Qld	SA	WA	Tas., NT & ACT(b)	Aus.
Full-time equivalent staff (no.)(c)
	Salaried medical staff	54	74	7	9	np	np	155
	Diagnostic and allied health	90	85	np	5	17	np	202
	Nursing staff	626	482	481	140	256	150	2,135
	Clinical support staff	103	120	40	10	49	16	338
	Administrative and clerical staff	332	266	211	112	83	63	1,067
	Domestic and other staff	51	44	np	26	np	np	174
	Total(d)	1,256	1,071	774	302	426	242	4,070
np not available for publication but included in totals where applicable, unless otherwise indicated (a) See Explanatory Note 41 for further information pertaining to data collection in 2012-13. (b) 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. (c) 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. (d) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.

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