St Andrew’s Hospital acknowledges the Kaurna People of the Adelaide Plains on which land the Hospital resides. We respect their Native Title Right to Country. We recognise their strength and resilience and pay our respects to the Elders past, present and emerging.
Our Values
We Work Together, We Care for Others, We Deliver Excellence
Our Purpose Medical & Surgical Excellence
Our Vision
To be the leading private hospital in South Australia with a supportive culture where relationships matter, teamwork counts, and care exceeds expectations.
St Andrew’s Hospital is Australia’s largest stand-alone independent private hospital, providing compassionate care to over 40,000 patients a year. Established in 1936, the Hospital overlooks Adelaide’s south parklands and houses 240 patient beds and 12 state-of-the-art operating theatres. Our capacity includes a 28-bed cardiac unit, an 18-bed critical care unit, an emergency department including an after-hours chest pain service and South Australia’s most comprehensive private cancer-care facility.
At St Andrew’s Hospital, we know that people are our greatest strength. Our highly skilled, dedicated and caring staff are what make us an exemplary health service. We are committed to achieving outstanding healthcare outcomes through patientcentred care and excellent customer service.
From the Chair, Mr David Whitbread
Welcome to the Annual Report of St Andrew’s Hospital, 2023-2024. It has been our custom to combine the Chair and CEO Report, but this year will be Stephen Walker’s final report as CEO, and I would like to take the opportunity to highlight his tremendous contributions.
Stephen has been CEO of St Andrew’s Hospital for 23 years, and I have had the pleasure of working with him for the past six years. It has been a joy to see what he has achieved, how he interacts with visiting medical officers and staff, and how he just gets on with the job and makes things happen. The position that St Andrew’s holds in the community, its culture and its reputation are a credit to him and his Executive staff.
The structural transformation of the Hospital and its immediate precinct, with continued focus on clinical excellence, will probably be Stephen’s biggest legacy. Amongst the achievements over his tenure have been:
• Development of the St Andrew’s Medical Centre at 321 South Terrace
• Introduction of cardiothoracic surgery
• Introduction of robotic surgery
• Introduction of neurosurgery
• Operating theatre expansion (recovery area and theatres 8 and 9)
• Celebrating our 80th year in 2016
• Introduction of a fertility service (Genea Adelaide / formerly Fertility SA)
• Eastern Clinical Development (car park, procedural suite and cardiac ward)
• Winning a number of National Awards
• A significant number of successful community events
• Excellent relationships with all health insurance funds
• The beautiful community garden
• Development of the staff cafeteria and the coffee shop
• Introduction of a cardiac CT Service and after hours Chest Pain Unit
• The recent development of 337 South Terrace (Pathology, Radiotherapy, Imaging, Breast Centre, Waverley Vascular and the developing Wellbeing Centre).
Stephen retires having given his all to the institution. We are fortunate that he stayed on to navigate us through and beyond the worst of COVID. It is sad to see him retire but the time comes for everyone to finish and there is no doubt he finishes on a high.
On behalf of all the Board I wish Stephen the very best for a well-earned retirement.
Mr David Whitbread Chairman
From the CEO, Mr Stephen Walker
It was with mixed emotions that in June, I advised the Board of my decision to retire from my position as CEO of St Andrew’s Hospital. It has been a privilege and an honour to be the CEO of this wonderful organisation for the past 23 years and to have had the opportunity to work with all of the dedicated staff and visiting medical officers we have here. My successor, Eileen Sawyer, will be welcomed in January 2025 and we plan a generous handover period to provide a smooth transition.
Since I joined the Hospital in 2001, we have worked as a team to achieve a number of significant changes, all with a focus on delivering excellence. We are now the largest independent private hospital in Australia, and remain a true South Australian organisation.
I feel some disappointment to be finishing my career with St Andrew’s at a time when Australia’s private hospital sector is facing enormous financial challenges. Since the advent of COVID, costs of energy, freight, consumables and more have continued rising. We have seen changes in consumer behaviour as well as workforce challenges. St Andrew’s is actively involved with the Australian Private Hospitals Association in conversation with the Federal Government, seeking short and long term funding reform solutions for the sector.
Whilst these challenges are cause for concern for all private hospitals in Australia, I can assure you that St Andrew’s remains in an excellent position to confront them. We continue to navigate our way through this whilst maintaining outstanding quality and a strong financial position. We have exercised prudent financial management and unlike most private hospitals, we have no debt. Our organisational culture is a delight to be part of and we enjoy an exceptional reputation for delivering excellence in patient safety and quality. That is all down to the magnificent way we work as a team.
Retiring Visiting Medical Officers
This year we wish a healthy and happy retirement to four esteemed VMOs have had long and distinguished careers at St Andrew’s:
• Dr Andrew Lord, General Surgeon.
• Dr David Hall, Spinal Surgeon, retired from private practice. David had worked at St Andrew’s for over 20 years and was instrumental in the development and success of our spinal and neurosurgical services.
At this time we are more grateful than ever as a not-forprofit organisation to have the support of our incredible volunteers – this year contributing hours worth over $700,000 – and the St Andrew’s Hospital Foundation which, thanks to generous benefactors, contributes to vital equipment, education, and community events and facilities.
I take this opportunity to thank all of the dedicated nursing staff, support service personnel, visiting medical officers, volunteers, our Board and our Foundation, and our associates in clinical care, for your amazing support throughout my time with St Andrew’s. Together, I have no doubt you will all continue to embody the St Andrew’s values: We Work Together, We Care For Others, We Deliver Excellence.
Mr Stephen
Walker
Chief Executive Officer
• Dr Steve Petito, Anaesthetist, Stace Anaesthetics, previous chair of the Anaesthetics Committee, who has been a long term contributor at the Hospital.
• Mr David Walsh, General Surgeon, who worked at St Andrew’s for over 10 years and Member of the Credentials Committee.
30 Sixth Year Medical Student placements
19 Nurses completed their Graduate Year and continued employment at St Andrew’s
30 new Graduate Nurses came aboard
65 Clinical Trials conducted
New da Vinci Robotic Surgical System
Accredited Clinical Pastoral Education launched at St Andrew’s
150,000 hot meals served: “Best hospital meals I’ve ever had.”
24,000 barista-made coffees
CSSD sterilised over 140,000 instruments and trays
Over 15,000 hours of care by our Volunteers valued at almost $700,000
Recognised by Newsweek in Australia’s top 100 of ‘World’s Best Hospitals’ 2024, the highest ranked private hospital in South Australia
93% of patients ‘satisfied’ or ‘very satisfied’ with care
Nursing and Clinical Services
From Jacquie Wiley, Director Nursing and Clinical Services
These past 12 months have continued to present challenges and I am proud of everything the Nursing Division has delivered during this time. We continue to attract and retain high calibre Graduate Nurses. This cohort and the skilled and dedicated educators, management team and other personnel in clinical areas who support our new nursing staff are testament to the recruitment, retention and advancement that make St Andrew’s a sought-after workplace.
A vast range of clinical education has been both provided and enthusiastically attended by members of the Nursing Division, often in their own time. Their commitment to ensuring they are across best practice to provide the best outcomes is commendable.
The education program provided in our Critical Care Unit ensures patients who are high risk have staff with the skill set to support them in their recovery. The Perioperative Nursing Program, another quality initiative that has commenced in our theatre suite, has been a great success. We have made the decision to continue with this program in the coming year, providing further opportunities for skilled nursing staff to enter the theatre environment and upskill to support our high performing medical officers.
With the support of the St Andrew’s Hospital Foundation, this year has seen a larger number of nursing staff undertaking postgraduate qualifications, to ensure the care provided to patients across a vast array of specialties is of the highest calibre. We have also seen an expansion in research across the Nursing Division supported by Associate Professor Tamara Page. I look forward the ongoing expansion of our education program, research and high quality services for the patients who entrust us with their care in the coming year.
New da Vinci Robotic Surgical System
In June this year, St Andrew’s purchased a new Xi da Vinci robot in addition to a new surgical console. Both of these pieces of equipment were commissioned into our robotic theatre replacing our current 9 year old Xi da Vinci robot and console. This equipment replacement was due to a collaboration with Device Technologies and St Andrew’s and has ensured patients operated on at St Andrew’s have the latest and newest equipment available to undertake robotic surgery across multiple specialties, including Urology, Thoracic, ENT, Gynae, Colorectal and General surgeries and that St Andrew’s remains at the forefront of robotic surgery.
Nursing and Clinical Services (continued)
Clinical Trials
St Andrew’s Hospital continues to be a contributor of clinical trials. We adhere to National Health and Medical Research Council (NHMRC) Guidelines in the conduct of all research and projects.
Those granted operational approval at St Andrew’s over the last 12 months are:
GenesisCare Trials
A Phase 3, Randomized, Multi-center, Open-label Study of DB-1303 Versus Investigator’s Choice Chemotherapy in Human Epidermal Growth Factor Receptor 2 (HER2)-low, Hormone Receptor Positive (HR+) Metastatic Breast Cancer Patients whose Disease has Progressed on Endocrine Therapy (ET) (DYNASTY-Breast02).
Mahogany BGB-3111-308, A Phase 3 Randomized, OpenLabel, Multicenter Study of Zanubrutinib (BGB-3111) Plus Anti-CD20 Antibodies versus Lenalidomide Plus Rituximab in Patients with Relapsed/Refractory Follicular or Marginal Zone Lymphoma.
XL092-304, A Randomized Open-Label Phase 3 Study of XL092 + Nivolumab vs Sunitinib in Subjects with Advanced or Metastatic Non-Clear Cell Renal Cell Carcinoma.
A phase 1b/3 double-blind, randomized, active-controlled, 3-stage, biomarker adaptive study of tazemetostat or placebo in combination with lenalidomide plus rituximab in subjects with relapsed/refractory follicular lymphoma.
Cancer Research SA
First-in-Human, Phase 1 Study of AMT-151, an Anti-Folate Receptor Alpha Antibody-Drug Conjugate, in Patients with Selected Advanced Solid Tumours.
Safety, Pharmacokinetics (PK), and Efficacy of AI-061, A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC-392 (Anti-CTLA-4) Antibodies in Advanced Solid Tumors: An Open-Label Phase I Study.
ARCUS – EDGE LUNG – A Phase II, Open-label, Platform Study, to evaluate Immunotherapy-based combinations in participants with advanced Non-Small Cell Lung Cancer.
A Randomized, Phase 2, Open-label, Multi-arm Study of Tislelizumab in Combination with Investigational Agents as First-Line Treatment in Patients with Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma.
Spargo – A Phase I/IIa, dose escalation and dose expansion, first-in-human, open-label, multicenter, single arm study evaluating the safety, tolerability and early efficacy of [177Lu]Lu-SN201 in participants with progressive or treatment-refractory locally advanced unresectable, metastatic or recurrent solid tumors.
DF6215-001 – A Phase 1/1b, First-In-Human, Multi-Part, Open-Label Study to Investigate the Safety, Tolerability, Pharmacokinetics, Biological and Clinical Activity of DF6215 in Patients With Advanced (Unresectable, Recurrent, or Metastatic) Solid Tumors.
VERASTEM – A Phase 3, Randomized, Open-Label Study of Combination Therapy with Avutometinib plus Defactinib Versus Investigator’s Choice of Treatment in Patients with Recurrent Low-Grade Serous Ovarian Cancer (LGSOC).
A Phase 1 First-in-Human Study of the Safety and Efficacy of IMC-P115C as a Single Agent and in Combination with Standard of Care Agents in HLA-A*02:01 Positive Participants with Advanced PRAME Positive Cancers.
Others
Spine Registry, Charis Brown
ATX-101-TKA-003: A Phase 2B, Randomized, Double Blind, Active Comparator, Multicenter, Safety, and Efficacy Trial of ATX-101 in Subjects Undergoing Total Knee Arthroplasty (SPARK) – Dr Andrew Kurmis.
A Prospective, Blinded, Controlled, Dose-Randomized Clinical Investigation of OsteoAdapt SP In Single-level Transforaminal Lumbar Interbody Fusion (TLIF) For The Treatment Of Symptomatic Degenerative Disease Of The Lumbosacral Spine – Dr Yun-Hom Yau.
Australasian Pelvic Floor Procedure Registry (APFPR) –Dr Rick Feilke.
Establishing an autologous stool bank for the longitudinal analysis of faecal microbiome composition during cancer treatment and the restoration of gut microbiome following conditioning chemotherapy – Dr Rohit Joshi.
The ex vivo expansion of human skin cells for the generation of a composite cultured skin (CCS) for burn patients. Short title: The development of skin substitutes for burn patients – Dr Marcus Wagstaff.
An exploration of the effects of diabetes on the biomechanical and structural properties of intervertebral discs and annulus fibrosis in the adult human lumbar and cervical spine. Collection of tissue biospecimens following disc surgery (Adelaide University HREC H-2023-370) –Professor Ian Roger Whittle.
Central Sterile Supply Department (CSSD)
The St Andrew’s Hospital CSSD is a critical element in delivering excellence in patient safety. In our CSSD, re-usable medical equipment is meticulously cleaned, disinfected, sterilised and prepared for use by surgeons and clinical staff.
In the past financial year, the St Andrew’s CSSD sterilised over 140,000 instruments and trays, including processing over 9,000 loan kit trays for specific procedures for patients. A new Steelco washer-disinfector was installed to replace older equipment.
Two new junior staff have been welcomed to the department and are undertaking comprehensive training, while other staff members are advancing their skills with Certificate 3 and 4 Sterilisation Services qualifications. Long-serving staff are a cornerstone of the department, with service milestones of 10 years (three staff), 15 years and 25 years celebrated this year.
Clinical Education
St Andrew’s recognises that attracting and retaining top quality nursing staff is crucial to delivering excellence in care. Clinical education, from student placements and the Graduate Nursing Program right through to ongoing professional development and Preceptor training, means St Andrew’s is consistently ‘growing its own’ highly skilled and motivated staff and encouraging learning at every opportunity.
The Education team explores new ways to deliver education and engage with staff, as well as ensuring that hands-on education and mentoring occurs during shifts. Nurses are encouraged to identify their own areas for improvement, and to develop the skill of ongoing learning. Some of our greatest education assets are our Clinical Managers and Clinical Nurses; expert, senior staff with valuable qualifications and experience to pass on. The entire clinical team works together with the Education team to ensure that St Andrew’s has the best nurses possible.
Graduate Nursing Program
New Program Co-ordinator
In May 2024 Kerry Holm retired after a dedicated 33 years at St Andrew’s, including 15 years as our Graduate Nurse Coordinator. Frances Peters was subsequently welcomed to the position. Frances was a St Andrew’s Graduate Nurse herself in 2015. She went on to gain qualifications in ICU and Midwifery and is currently studying her Master’s in Clinical Education. An Education team survey of university nursing students identified that they were primarily seeking a highly supportive environment in their first working year. Frances is focusing on this as a priority in her new role.
2023 cohort graduation
In March 2024, 19 nurses celebrated the completion of their Graduate year at St Andrew’s with an event including families, friends and St Andrew’s management, in the function room at 321 South Terrace. Pleasingly, all 19 nurses remain employed at the Hospital and provide mentorship for the current group.
2024 cohort
30 new Graduate Nurses came on board at the beginning of 2024. Each is gaining experience across two specialty areas in six-month blocks, according to their preferences. Many of the Graduate program applicants had experienced student placements at the Hospital and were keen to return. Comments from the nurses on choosing the Graduate Program at St Andrew’s included:
“I really loved my placement here and the people who work here reflect the same values as mine. I felt that I would be very well looked after and have lots of people willing to teach and help me.”
“I knew that it would be an enjoyable workplace with many opportunities to grow.”
“
It offered me a great program with lots of support. I liked the idea that it felt like a community rather than a huge, overwhelming hospital where I’d be just another number in the system.
”
Perioperative Nursing Program launched
In 2024, the Hospital began a Perioperative Nursing Program to educate nurses who are already experienced in other clinical areas, to pursue careers in the specialist area of the operating theatre. Three applicants are undertaking an intensive, hands-on 12 months of education, first learning Scout Nurse skills and then procedure Scrub Nursing. This is in addition to three Graduate nurses also undertaking practical skills in the Perioperative area. The success of this pilot program has initiated further support to repeat the program this year.
“I knew I wanted a new career challenge, and the PONP was a unique and rare opportunity. It is so different from any other nursing, and I know I will always be learning and growing, which is exciting.” – PONP participant.
Preceptor Workshops
Preceptors are senior staff who provide mentorship and support to junior nurses and other new staff. In particular, education is provided each year to allow for two or three Preceptors per Graduate Nurse, to cover all shifts and areas, and fulfil our promise of a truly supportive environment.
Continued Professional Development Education
Nurses are required to undertake a minimum of 20 hours of continued professional development per year. St Andrew’s provides an education program including workshops, online, bedside skills development and evening sessions taught by specialists and clinical experts.
Education
evenings provided in 2023/24:
• Haematology – a specialist Haematologist provided education on anaemia, current treatment and care required.
• Voluntary Assisted Dying – nursing roles and responsibilities.
• Inadvertent Perioperative Hypothermia – a study initiated at St Andrew’s in 2020 identified that perioperative hypothermia increased the need for blood transfusions. This year, the project has come to fruition with education sessions for staff and communications to patients to raise awareness of staying warm prior to surgery.
• VAC negative pressure dressings.
• Sepsis – one in every five deaths worldwide is associated with sepsis. The session included a survivor’s patient experience, and how nurses are crucial in escalating care when sepsis is suspected.
• Vascular & Urology – a Vascular Surgeon and Urologist increased the nurses’ knowledge on a range of procedures commonly performed at St Andrew’s.
• Hernia – a specialist General Surgeon spoke about the different types of hernias, treatment for each and how nurses can assist patients in their recovery.
Intensive Care education
Duncan Bamford retired in 2023 and Sue Buckby was welcomed to this education position. In 2023 our Advanced Life Support training focused on sepsis and in 2024 on paediatrics. Advances in standards of care and end-of-life decisions have meant that nurses today encounter fewer occurrences of critical deterioration in patients. Now, sophisticated simulations are used to ensure all staff are prepared with appropriate skills such as transcutaneous pacing.
Clinical Postgraduate Scholarships
The St Andrew’s Foundation financially supports staff to further their education in areas of specialty. These nurses are able to share the latest evidence-based practice with their workplace colleagues, helping ensure that St Andrew’s delivers medical and surgical excellence. Scholarships were granted in these areas of Postgraduate study in 2023/2024:
• Oncology
• Critical Care
• Orthopaedics
• Cardiology
• Recovery
• Anaesthetics
• Emergency Nursing.
Supporting newly arrived international nurses
Nurses who come from overseas and join St Andrew’s as their first Australian workplace often experience significant transition stresses. In 2023, the Hospital organised a panel of experienced international staff members to discover how new arrivals could be better supported, professionally and personally. A Study Day was held for senior nursing staff across all Hospital areas to increase understanding and supportive skills.
Clinical Education (continued)
Clinical Placement Program for Medical Students
St Andrew’s has hosted Medical Students from the University of Adelaide for clinical placements since 2009. In the 2024 academic year, 28 students are filling 30 placements, with two students taking cardiology as their second placement.
4-week placements for 6th year students are available in three specialist areas:
• Breast Endocrine, Supervised by Dr Melissa Bochner.
• Urology, Supervised by Dr John Bolt with Dr Rajinder Singh-Rai, Dr Richard Wells and Dr Arman Kahokehr.
• Cardiology, Supervised by Dr Peter Sage.
In addition to learning with the supervising Consultant specialists, students also benefit tremendously from the generosity of knowledge shared by all associated staff and services, including anaesthetists, surgical assistants, nursing, and administrative staff. Day-to-day observations are complemented by special sessions on topics including stomal therapy, breast care nursing, robotic surgery, pastoral care, and ICU.
Thank you to our patients
St Andrew’s patients are aware at admission the Hospital partners with the University sector and that medical students may be part of their hospital stay. We are immensely grateful to our patients who, by their willingness to participate, contribute to the learning of medical students and the future medical workforce.
Thanks to our partner care providers
St Andrew’s is grateful for the partnership of associated healthcare services within the South Terrace precinct. Their involvement in the Clinical Placement Program means students gain insight into the full private healthcare patient experience through diagnosis and treatment, as well as an understanding of the various workplaces for practitioners. Thanks to the following for their ongoing involvement:
• Clinpath
• Advara HeartCare
• Jones Radiology
• GenesisCare Radiation Therapy
• South Terrace Oncology
• GenesisCare Adelaide Oncology and Haematology
• Genea Adelaide (formerly Fertility SA)
• Social Show.
Compulsory Professional Development (CPD) hours tracking
St Andrew’s has implemented a timesheet database for students to enter the hours they have spent with each Consultant. This now allows the Hospital to present each Consultant with a statement of clinical teaching hours at the end of the academic year, which counts towards their own CPD.
Interventional Radiology
Another addition to options for medical students is a session with Dr Will Thompson, Radiologist, who performs x-ray guided procedures including biopsies of the liver and lungs.
IVF egg retrieval
This year, for the first time, students with an interest in women’s health have been able to observe an oocyte retrieval procedure in theatre. They then accompany the Scientific Officer with the oocytes to the laboratory and observe the next steps of the care process. Fertility patients are approached with particular personal care to ensure they are comfortable with involvement in the teaching before they are observed.
Social Media
At the conclusion of each placement the students are now invited to attend a short, filmed exit interview where they discuss the experience of their Clinical placement. This footage is then available for the St Andrew’s Hospital Instagram, Facebook & LinkedIn social media. This initiative provides insight for current University of Adelaide 5th Year medical students deciding on their placement opportunities for the following year.
University Placement Officers visit
Heather Crosby, St Andrew’s Clinical Placement Facilitator, paid a visit to the University of Adelaide’s medical teaching facilities late in 2023, to nurture the relationship between our organisations and better understand the students’ needs. In return, University Placement Officers Belen Dominguez and Kylie Pepper visited St Andrew’s to learn more about what their students experience at the Hospital, first-hand.
Andrew’s Hospital
Associate Professor Tamara Page
“
” I liked the variety of surgeries I was able to attend and the clear messages that allowed me to sufficiently prepare, which meant I got more out of the surgeries I saw.
Supervisor and mentor retirements
Breast Endocrine Consultant specialist Dr Melissa Bochner has announced her intention to retire from private practice and medical student supervision at St Andrew’s at the end of 2024. We are glad to still benefit from her expertise for the current year, and also pleased that Dr Janne Bingham has accepted the responsibility to supervise Breast Endocrine students from 2025.
Dr Randell Brown, Consultant radiologist, has mentored students through the radiological path that patients experience at Jones Radiology. He retired from practice at the end of June 2024. Many past students were grateful to experience his mentorship.
Excellent student feedback
Placements at St Andrew’s continue to be very popular, and student feedback consistently praises the variety and quality of experiences as well as the orientation, communication and support that helps them gain the most from the experience.
“I liked the variety of surgeries I was able to attend and the clear messages that allowed me to sufficiently prepare, which meant I got more out of the surgeries I saw.”
“The nurses in particular were so lovely and always helped me in theatre, when I got lost, etc!”
“An amazing job of accommodating our preferences. If you put in the effort, you can definitely get a LOT out of this placement.”
Consultant Medical Officers
The success and continuation of the clinical placement program for medical students relies heavily on the ongoing generosity of our medical community. Their willingness to share both specialised and general healthcare knowledge is invaluable to the training of future medical professionals. St Andrew’s Hospital remains grateful to all our clinical teaching medical officers for their contributions.
Dr James Aspinall
Dr Anthony Barnard
Dr Janne Bingham
Dr Melissa Bochner
Dr John Bolt
Dr Julie Bradley
Dr Randell Brown
Dr Oscar Brumby-Rendell
Dr Catherine Cartwright
Dr Rick Catterwell
Dr Daniel Cehic
Dr Gregory Chacko
Dr Jonathan Cho
Dr Trevor Collinson
Dr Rod Cooter
Dr Sommitt Dan
Dr James Dickson
Dr Patrick Disney
Dr James Dowling
Dr Steven Due
Dr Jonathan Dutt-Gupta
Dr Nick Edwards
Dr Michael Farquharson
Dr Mary-Ann Fox
Dr Jon Frazer
Dr Andrew Fuller
Dr Kate Gowling
Dr Anurag Gupta
Dr Jack Harbison
Dr Tom Jaensch
Dr Melissa Jusaitis
Dr Arman Kahokehr
Dr Harsh Kanhere
Dr David King
Dr Steve Kinnear
Dr James Kollias
Dr Andrew Kurmis
Dr Quoc Lam
Dr Sonja Latzel
Dr Jerrett Lau
Dr Matthew Lawrence
Dr Mark Lewis
Dr Gayle Lim
Dr Caroline Marlow
Dr William McLeay
Dr Joe Montarello
Dr Jamie Morton
Dr David Munday
Dr Nick Murray
Dr Kurian Mylankal
Dr Anand Nathan
Dr Victoria Nisenblat
Dr Martin Oehler
Dr Bruno Radesic
Dr Anu Raju
Dr Ben Reddi
Dr Tony Russell
Dr Peter Sage
Dr Luay Samaraie
Dr Tarik Sammour
Dr Simon Sandler
Dr Michael Sandow
Dr Maria Santos
Dr Tom Savvoulidis
Dr Jodie Semmler
Dr Rajinder Singh Rai
Dr Richard Smith
Dr Nick Solanki
Dr Luigi Sposato
Dr Govindarajan Srinivasan
Dr Peter Steele
Dr Karen Teo
Dr Michelle Thomas
Dr Sarah Thompson
Dr Will Thompson
Dr Charles Tie
Dr Markus Trochsler
Dr Arthur Turow
Dr Paul Van Minnen
Dr Paul Varley
Dr Ryash Vather
Dr Tom Vaughan
Dr Fabiano Viana
Dr Marcus Wagstaff
Dr David Walters
Dr Darren Waters
Dr Suranga Weerasooriya
Dr Adam Wells
Dr Richard Wells
Dr Mary White
Dr Michael Whitehead
Dr Robert Whitfield
Dr Roger Woods
Dr Phillip Worley
Dr Michael Worthington
Dr Alex Wurm
Dr Glenn Young
Patient Safety and Quality
At St Andrew’s, safety and quality are measured and monitored in clinical statistics and auditing of standards, which are of course vitally important. But they are also measured in true patient-centred care.
Above (better than) the national benchmark of 80%. High hand hygiene rates help reduce Staphylococcus aureus bacteria (SAB) rate.
We are continually seeking to advance and innovate, encouraging all staff to help identify and drive our quality improvements. Beyond clinical outcomes, we focus on individual care to help patients achieve personal goals related to their procedures.
Aureus Bacteraemia rate: 0.92 Falls rate: 0.121% 93% of patients ‘satisfied’ or ‘very satisfied’ with care.
Significantly below (better than) the ACHS Private National Average of 0.233%.
Below (better than) the Australian Standard of 1.00 cases per 10,000 bed days of patient care.
Post-care patient feedback results.
Our patient feedback provided positive comments about staff, recognising them as welcoming, caring, cheerful, friendly, efficient, helpful and professional, truly reflecting the St Andrew’s values.
“Your level of customer service is outstanding and I would definitely recommend St Andrew’s to anyone who needed a procedure.”
“Each person that I had interaction with was extremely competent, professional, friendly and genuine in their caring.”
“From the moment I arrived at admissions to the time I was discharged I felt valued and well cared for.”
“Staff were respectful, kind, friendly and professional. I was very impressed by their care.”
“I can’t thank the nursing staff enough in particular. They all took the time to make me feel welcome and to really make sure I was taken good care of.”
“I couldn’t have asked for better care and service.”
“All incredibly helpful and engaging.”
“Faultless experience, I’m very grateful for the outstanding care.”
I can’t thank the nursing staff enough in particular. They all took the time to make me feel welcome and to really make sure I was taken good care of. “
”
Patient Safety and Quality (continued)
Quality improvement projects
CICO Kit Implementation
An airway management training session identified that many staff lacked confidence in managing the rare airway emergency, Cannot Intubate/Cannot Oxygenate (CICO), given that most patients are successfully intubated on the first attempt. CICO Kits, containing various pieces of equipment to manage this airway emergency, were purchased for the Critical Care Unit. Online plus hands-on training was provided to staff. Staff feedback after training was positive and the majority reported feeling confident in providing appropriate care during these rare occurrences.
Management of Paracentesis Patients
Patients who undergo a day paracentesis procedure occasionally spend a prolonged time in the procedural suite. Some of these patients have provided feedback to staff that this is not the most suitable area to spend their day. Data indicated that 13% of patients booked as a day paracentesis ended up staying overnight and the average length of stay for day paracentesis patients was 6.7 hours. A decision was made to routinely admit all paracentesis patients to a ward bed, offering increased privacy and comfort.
Clinical Handover in CCU
Improvements have been made in early-to-late shift clinical handover in the CCU. The revised process streamlines and improves communication, flags jobs to prepare bays and equipment, and reduces the number of staff leaving shifts late due to prolonged handovers.
Massive Transfusion Fluid Balance Record
A Massive Transfusion Protocol (MTP) review noted inconsistent capture of product information, creating challenges for timely clinical handover and potential product traceability issues. A new Massive Transfusion Fluid Balance Record has been designed, with extensive consultation and testing across relevant teams including CCU and anaesthetics nurses, and anaesthetists. The final version is to be implemented with supporting education across relevant clinical areas. It has also been shared with another private hospital following a request through Lifeblood, with positive feedback.
Best Care orientation sessions
St Andrew’s incorporates this important session into orientation for all new clinical staff. It involves imagining the sort of ‘best care’ one would wish for a loved one who is far away and needs sudden medical attention. This is then related to National Safety and Quality Health Service Standards, to bring to life the importance of the Standards and the desire to go above and beyond these.
The success of this program has led to Dr Tamara Page introducing it in her work at the University of Adelaide, teaching undergraduate nursing students across all three years.
Consumer Co-design
Patients, their families and carers are intrinsically involved in the ongoing development of high quality care and facilities at St Andrew’s Hospital. Patient feedback, consumer forums of specific patient cohorts, and a formal Consumer Reference Group all provide input to ensure the consumer voice is considered from the outset. The Consumer Reference Group has five members from a range of nonmedical perspectives and backgrounds, and meets four times a year to consult on performance indicators, policies, procedures, strategic planning and current projects, as they relate to the consumer experience. Additionally, a consumer representative sits on the Hospital’s Patient Safety and Quality Committee, which reports to the Board.
Keeping what little independence I have left, and holding onto the little things. “ ”
What Matters To You? Day
Each year St Andrew’s recognises this international event. It’s a celebration and a reminder for healthcare workers of the importance of asking patients “what matters to you?”. We use this question to identify personal goals that each patient would like to achieve from their healthcare. The St Andrew’s Graduate Nurses were ambassadors throughout the Hospital on the day on June 6, distributing information and starting the “what matters to you?” conversation with patients, and encouraging their colleagues to do the same. They invited patients to fill out leaf-shaped feedback forms that were collected on a display ‘tree’, for staff to read and develop a deeper understanding of the importance of these meaningful conversations with patients and their families and carers.
What matters to our patients is very individual:
“Keeping what little independence I have left, and holding onto the little things.”
“It’s important to me to stay healthy for my family, and be my best self.”
“Going home and knowing what my plan is, feeling comfortable.”
Publications and Conferences
Humphries K, Page T, Donaldson T, Blaney S. Inadvertent perioperative hypothermia prevention strategies for urology surgical patients who received a blood transfusion: A retrospective analysis. J Perioper Pract. 2024 Jul-Aug;34(7-8):212-218. doi: 10.1177/17504589231215940. Epub 2024 Jan 11. PMID: 38205579.
Two posters showcasing recent projects were presented at the International Forum on Quality & Safety in Melbourne Oct/Nov 2023.
Inadvertent Perioperative Hypothermia Prevention and Lost specimens and lost confidence: a multidisciplinary review of processes in a private hospital.
Reconciliation Action Plan (RAP)
The reconciliation journey of St Andrew’s is an ongoing process to improve our relationship with Aboriginal and Torres Strait Islander peoples. Now that the Hospital has its first stage ‘Reflect’ RAP in place, our RAP Working Group has progressed with further action within the Hospital’s surrounds, activities and processes.
During NAIDOC Week July 2023 a language challenge encouraged staff to use Kaurna greetings, and our Dietary Services team incorporated Indigenous ingredients into morning teas. The RAP is consistently on the agenda at regular clinical team meetings, and an ongoing process of Policy review is taking place to ensure culturally appropriate treatment of patients and staff. Whilst St Andrew’s has included a question about cultural identification on admissions forms for a long time, we have noted an increase in the number of patients identifying themselves as Aboriginal and/or Torres Strait Islander since 2021.
In June 2024 a significant exhibition of 12 artworks opened, in conjunction with the Glenelg Art Gallery. Curated by gallery director Rowena Brown and titled Ancient Knowledge, Modern Reflections, the works by seven female Aboriginal artists feature stories of art, care, and country. They are on display and available for sale throughout the Hospital, including the entrance foyer and Coffee Shop.
St Andrew’s is grateful for the support and consultation provided by Kaurna Elder Uncle Tamaru and Reconciliation Australia during our RAP process.
Human Resources
Human Resources
St Andrew’s strives to be an employer of choice, promoting a positive internal culture, a safe working environment, employee benefits and regular opportunities for recognition.
Senior staff appointments
HR Director Caroline Handley came on board in August 2023 and Amber Sheedy, HR Manager, in September.
Staff newsletter launched
A monthly email newsletter was launched to communicate about Hospital happenings in a fun and positive manner. Included are new staff appointments, promotions and farewells, positions available, event news and photos, reminders and updates about leave and pay entitlements and more.
Two EBAs completed
HR together with staff committees successfully completed negotiation of three enterprise bargaining agreements, two of which were certified and commenced operationally in FY 23/24:
• St Andrew’s Hospital Clerks Enterprise Agreement 2023-2025
• St Andrew’s Hospital Health Services Enterprise Agreement 2023-2025.
“
” Kellie stands out in any role she performs: a fair team leader, compassionate co-worker, approachable acting clinical manager and very knowledgeable hospital coordinator.
Standout Program a continued success
Our employee recognition program has been warmly embraced for a second year. Employees nominate a colleague who demonstrates the St Andrew’s Values of ‘We work together, We care for others, We deliver excellence’ for this monthly award. A winner is drawn at random from the monthly nominations, and receives a gift voucher. Some lovely quotes from nominations included:
“Exceptional care as an anaesthetic nurse. Of particular note is how she makes balloon art for each of the children on the paediatric operation list when she is working on that day to make them feel more comfortable.”
“His outstanding polite and genuine demeanour sends a very strong message to all us all. Even on a bad day, you can’t help but smile back and say hello to Dharmesh!”
“Michelle continually provides friendly support to her work colleagues. She arranges all the morning teas on the ward and brings us altogether to celebrate life’s milestones.”
“Kellie stands out in any role she performs: a fair team leader, compassionate co-worker, approachable acting clinical manager and very knowledgeable hospital coordinator.”
“Quan comes to work consistently, regularly and dependably with a smile, a hello and a friendliness which makes you want to be at work!”
“Aine is a dedicate and hardworking member of our team. She is extremely adaptable, conscientious, kind, thoughtful and a pleasure to work with. She always goes the extra mile.”
Improved Salary Packaging
St Andrew’s sought an improved Private Tax Ruling with the ATO, and after an extensive application process, was pleased to receive a salary packaging cap increase from $9,010 to $15,900 p.a. effective 1 April 2024.
AHPRA: new nursing registration portal
This new online portal makes a once highly manual process automatic, improves processes and reduces risks.
Parental Leave policy updates
The Hospital’s Parental Leave policy has been improved to make all language gender neutral, and with miscarriage and stillbirth leave added to support employees in these difficult circumstances.
Snap Comms uptake increased
HR encouraged a greater uptake of the Hospital’s internal communication tool, enabling better leveraging of this facility to get information to the right people at the right time.
Staff photos added to internal phone directory
Clear headshot photos help staff identify colleagues across different departments and foster a collaborative and connected working environment.
Fun Scrub Fridays introduced
In March 2024 HR initiated this weekly occasion where clinical staff are encouraged to wear bright and fun patterned scrubs. This has been enjoyed by staff and received great feedback from patients.
Celebrations and events
• RUOK Day
• Patient Experience Week – celebrating all Hospital staff and their impact on patient experience.
• Harmony Week – 18–22 March, celebrating the diversity of Australians with inclusivity and respect.
• Reconciliation Week – partnered with Glenelg Art Gallery to feature the works of seven female Aboriginal artists throughout the Hospital.
• National Volunteer Week – St Andrew’s volunteers were recognised for significant milestone years of service at a Reception at Government House, including Ros Griffiths for an amazing 30 years of volunteering.
Patient Services
Patient Services
St Andrew’s bid a fond farewell to Patient Services Manager Maureen Westo, who retired at the end of June 2024 after 15 years with the Hospital. Brianna Clark, two-time recipient of the St Andrew’s Emerging Leader Scholarship, has been promoted from within to fill the role.
Over the past year, Patient Services has received consistently positive feedback for service, from the warm welcome provided by our concierge team to the dedicated efforts of our admissions and reception teams. Our Help Desk has guided many patients through the online admission process, while clerical support teams in the Chemotherapy Suite and Emergency Department ensure that our patients receive excellence in care from the moment they walk through our doors.
This year, Patient Services has completed several process improvements, transforming workflows to boost efficiency and across various tasks. The Medical Record Department has streamlined work practices to minimise double handling, significantly reducing waste and error rates.
Employee Service Awards
On St Andrew’s Day, Thursday 30th November 2023, we celebrated our annual Employee Service Awards to recognise the loyalty of our staff members.
CEO Stephen Walker, Director Human Resources
Caroline Handley, and Director of Nursing Jacquie Wiley were in attendance to present awards and congratulate our valued employees.
Congratulations to the following 2022 Employee Service Award recipients
Special mention to Liz Knight who retired after an amazing 52 years of dedicated work at St Andrew’s.
40 years
Mrs Jennifer Duurland
Mrs Elizabeth Howard
35 years
Mrs Marie Beard
Mrs Christine Cunnew
Mrs Francine Murphy
30 years
Mrs Ann Gibbons
Mrs Karen Turrell
25 years
Mrs Jodie Bowering
Mrs Joanna Breese
Mrs Rachel Caudoux
Mrs Tania Concannon
Mrs Marelle Jackson
Mrs Sharon Maslen
Mrs Louise Norrie
20 years
Miss Amanda Adams
Mrs Marisa Belperio
Mrs Bronwen Burnett-Spooner
Ms Coula Cokkinos
Ms Heather Crosby
Dr Julie Downie
Ms Kerie Hawkes
Mrs Melanie Law
Ms Renee McHugh
15 years
Ms Emma Baker
Ms Silvana Bonin
Mrs Claire Brigham
Miss Michelle Brunt
Mr Robert Doherty
Miss Emily Hector
Ms Tiffany Heinrich
Mrs Chris Herbert
Mr Andrew Hodge
Mrs Lisa-Marie Martyniuk
Mrs Teresa Mead
Mrs Sarah Mortimer
Mrs Rosa Neto
Mr Jason Potts
Mrs Iolanda Scalzi
Mrs Meredith Skoravic
10 years
Mr Jose Achandy
Mrs Kellie Cheers
Mr Jamie Crinson
Ms Melissa Dryden
Mr Andrew Gill
Miss Samantha Gill
Mrs Elizabeth Hamra
Miss Rebecca Keong
5 years
Mrs Sarah Adams
Mrs Anitha Adolfus
Mrs Annie Allan
Miss Teresa Amato
Ms Kimberly Appleby
Miss Gemma Atherton
Mrs Bec Baker
Mrs Chris Brown
Mrs Sharon Burns
Mrs Regan Butt
Mrs Barb Copus
Miss Nikki Crowhurst
Mr Geoff Dunk
Mrs Ainslee Edson
Mrs Helen Gregson
Ms Kathy Humphries
Mrs Selma Jahic
Ms Jojjy Joseph
Mrs Alison Kelly
Ms Glenda Krollig
Ms Angeline Koe
Mrs Brydie Milligan
Miss Evelyn Munoz
Mrs Joyce Restell
Mrs Anita Ritzau
Ms Liliana Santos
Ms Cathryn Tang
Mrs Anisha Kurian
Mrs Carly Leaker
Miss Kyara Linke
Mrs Maddy Luke
Mrs Suzannah Marshall
Dr Abby McArthur
Miss Charlotte Mchaffie
Mrs Karen Meredith
Mrs Robyn Murray
Miss Georgia Ortenstein
Ms Heather Rintoule
Mrs Ellen Steele
Miss Skye Stoyanoff
Mrs Sally Tabios
Mrs Sharon Thacker
Mrs Yuling Wang
Miss Isabella Ward
Miss Bryden Weston
Mrs Helena Wild
Mr Matthew Worley
Workplace Health & Safety
30% reduction in lost time injury frequency rate (LTIFR)
This pleasing result is largely due to ongoing actioning of our Work Health and Safety Improvement Plan. St Andrew’s continues to support injured staff members to recover and successfully return to work, with all employees who suffered an injury this year returning to their pre-injury roles.
15% reduction in manual handling incidents
Our Manual Handling program, in partnership with Pinnacle Workplace Consultants, has seen pleasing results. Representatives from ward and procedural areas have been trained to coach staff within their areas, elevating manual handling skills throughout the Hospital.
Hazard reporting
A strong focus on hazard reporting culture has allowed the WHS team to identify trending hazards and incidents and plan improvements. The Waste Management System in particular has seen multiple improvements across the year including new PPE requirements, work instructions, training and processes.
New Psychosocial Policy and Procedure
The WHS and HR teams have worked together to create and roll out the Hospital’s Psychosocial Policy and Procedure, in response to recent policy changes and recognition of the importance of psychosocial wellbeing. We look forward to continuing to support employees in this aspect of a healthy workplace.
Pastoral Care
At St Andrew’s Hospital, pastoral care is an important facet of our motto ‘Where Care Matters Most’. Our Co-ordinating Chaplain and the pastoral care team are trained to provide attentive and grounded emotional and spiritual support to patients, relatives and staff. In July 2023 St Andrew’s welcomed aboard Co-ordinating Chaplain Jenski (Rev Leanne Jenski), after the departure of the long-serving Rev Peter Morel.
Clinical Pastoral Education
St Andrew’s is now a Clinical Pastoral Education (CPE) Centre, with Jenski an Accredited Educator. This program enhances the skills of people involved in contexts where they offer spiritual or pastoral care, such as Hospitals, Prisons, Schools, Defence Force, Emergency Services, Aged Care, or faith communities. Including supervised practical experience around the Hospital, participants explore how to be present to others who are experiencing distress and how to offer grounded spiritual interventions informed by self-awareness and best practices.
Our Chapel welcomes all Welcoming signage and open pathways are directing and inviting more patients, families and staff to visit the Chapel as an inclusive space, where people of all faith or no faith can find peaceful retreat and time for reflection.
Annual Memorial Service
This was held in May 2024, and is an opportunity for families, staff and volunteers to remember loved ones who have passed away during the previous year.
Palliative care information
In development is a Palliative Care Nurture Pack, including key information to assist patients and families with the practical, emotional and spiritual considerations of the final phases of life.
Pastoral care education
Jenski held education sessions with the 6th Year Medical Students on placement, and the Graduate Nursing program participants, developing their skills in holistic care of the patient, ways to be present in situations of grief, trauma and loss, as well as self-care. Sessions were also provided for Clinical Nurses and select Volunteers in skills of listening and responding to strong emotions.
Supply Department
The St Andrew’s Supply team currently employs 13 personne l in a mix of permanent and casual positions, managing the supply and delivery of all consumables across the organisation. Our Supply Officers are active across all main areas of the Hospital each day, responsible for keeping these areas stocked with their dedicated consumable items to meet daily needs. Our Purchasing Officers manage the ongoing challenges of supply chain pressures, maintaining regular and direct communication with all those impacted to ensure reliable supply, and management of shortages.
Cross training of staff across multiple areas
In the 2023/24 financial year, there has been a concerted effort to train all staff for increased capability across multiple areas, so they can confidently move between responsibilities and back up areas as required. This has created greater resilience within the team and staff have been empowered by the opportunity to learn and stretch their skills.
The Supply Officers are responsible for 33 warehouses across the Hospital, with more than 6000 bin locations containing consumables that need regular scanning and resupply.
This year we farewelled Andrew Hodge who was the Warehouse Team Lead and has moved on to a well-earned retirement after 16 years at St Andrew’s.
Major inventory database overhaul
St Andrew’s has over 4,000 individual items in its Supply inventory, with a current spend of around $15M annually. In the past year James Blair, who was appointed to the new Inventory Controller role in early 2023, has completed a major overhaul and control of our product database. Naming conventions, duplication, obsolete products, purification of supplier pricelists and a reduction in excess and slow moving stock are examples of focus and achievement. This has put us in a great position moving forward to look at improved efficiencies through better data analysis and expanding our internal system capabilities.
Supply and cost challenges
The 2023/24 financial year has seen some ongoing challenges affecting the availability and price of various items. Continuing effects of Brexit on UK-manufactured products and re-registration through the Therapeutic Goods Administration (TGA), the war in Ukraine where many raw materials are sourced, global shipping delays and costs, and other factors have led to discontinued items, shortages and price rises. It’s not just medical consumables that can stop a hospital – there was even a gherkin shortage affecting patient-favourite cheese and pickle sandwiches!
Despite prices rising by up to 20% over the past three years, hard work by the Supply team has actually driven the Hospital’s expenditure down. This focus has seen our total value of inventory reduce, with no impact on our service level.
Strategies have included the work by our Inventory Controller as well as the Purchasing team’s initiatives to renegotiate pricing. In 2023/24 around $150,000 was saved by nurturing supplier relationships and identifying alternatives, to continue reliable supplies at reasonable costs. The consolidation of multiple small purchase orders into fewer, larger deliveries is creating efficiencies in freight and environmental impact.
Backorder Bulletin
Instigated in 2022, the Backorder Bulletin emails have become a much-appreciated communication tool, updating clinical areas with information including supply issues and alternate products.
Reducing expired stock
Supply has been fortunate to have a Volunteer allocated via the St Andrew’s Foundation. Our Volunteer spends one day per week meticulously working in dedicated key areas in the Hospital to remove expired items, rotate stock and label items that should be used first. The goal is for every bin to be checked bi-annually, and to reduce waste by lowering the amount of stock that expires before use.
Many medical items that have expired are still fit for use, and are collected to be used at the University of Adelaide Roseworthy Veterinary Hospital. Many of the items are used to make disaster relief packs ready to deploy at short notice. We have also connected with OpBlue, an organisation started by two young South Australians to initiate lifechanging impact across the globe. We have donated surgical gowns that were bought during COVID that could not be used within the Hospital.
Engineering and Support Services
Across the 2023/24 financial year, this department faced ongoing financial pressures that have been affecting the Australian private health sector as a whole. These challenges have been met with close reviews of expenditure, creative solutions and an increased focus on efficiencies across the board. Delivering excellence in Engineering and Support Services generally means flying under the radar, so that the Hospital runs with flawless, uninterrupted precision.
Property Lease Management
E&SS manages the documentation of the Hospital’s property leases in the full South Terrace precinct, including:
• Hospital campus tenancies.
• St Andrew’s Medical Centre, 321 South Terrace (subleases).
• Waverley House tenancies.
Service Level Agreements (SLAs)
Ongoing:
• Negotiation and management of service agreements for all Hospital plant and medical equipment.
• Purchase of electricity, water and gas.
Building Management System (BMS)
This year we have been pleased to extend the development of the new BMS, which provides real-time data on Hospital plant and equipment performance and enables potential faults to be identified and remedied at an early stage.
Warning devices are connected to all equipment such as boilers, chillers and generators, and information is clearly visible on a large monitor in the department. Early warnings are raised if any item is approaching fault status, for timely responses. The BMS is connected to a phone app so staff can check in at any time or place, view warnings and diagnostics, and if necessary, brief a technician remotely about the fault and fix required.
Engineering Services Master Plan
2023/24 marked Year 9 of the St Andrew’s 10 year ESMP to manage the servicing, upgrading and replacement of major equipment in a timely and efficient manner.
All targets of the ESMP have been achieved so far.
Year 9 works included:
• Bedroom and ensuite upgrades, ongoing.
• Hydraulic Stack – waste branch connection to new stack and decommissioning of aging stack.
• Water Reticulation – extending replacement of hot-and cold-water services (ongoing).
• Building Management System – upgrade.
• Fire Protection – compartment barriers, fire doors and frames, sprinklers and dampers, addressable heads (ongoing).
Biomedical Engineering (BME)
The Hospital’s robotic surgical, clinical and patient interface equipment is attended to by our in-house Biomedical Engineering team, to ensure maximum safe and efficient performance. This year the Hospital acquired new equipment including upgraded patient beds designed and commissioned by the BME team. Engineer Maged Shenouda accepted the additional position of EPAAccredited Radiation Safety Officer, following changes to the EPA requirements.
Security Guard Services
Since 2021 St Andrew’s has employed a small team of in-house security guards, which continues to be very successful for the Hospital. Guards are on site 24/7 and clearly uniformed, creating a secure presence.
Cleaning Services
Supportive and responsive, high quality cleaning services continue to be provided across the Hospital by ISS.
Dietary Services
St Andrew’s enjoys a reputation for delivering excellence in an area that may be unexpected during a hospital stay: our patient meals. We understand the comfort that a tasty meal can provide to people who are away from home and experiencing health challenges. The kitchen team takes great pride in producing food that is both nutritious and delicious.
More than 150,000 hot meals a year
St Andrew’s produces well over 100,000 hot meals per year for patients, as well as more than 50,000 for the popular Cafeteria, where sales have pleasingly returned to pre-pandemic levels. Between meals for inpatients and day patients, hundreds of snacks and sandwiches also leave the kitchen each day.
The ground floor Cafeteria has recently been renovated and the Hospital kitchen supplies it with a variety of hot and cold dishes in a buffet service. The Cafeteria is welcoming environment that offers respite for staff, visitors and patient families.
Dietary Services prides itself on supporting South Australian suppliers and businesses where possible. We have long partnerships with local companies including Nippy’s, Golden North, Marriot Meats, Dominant and Solar Eggs.
St Andrew’s has held the internationally recognised, Food Safety HACCP Accreditation consistently since 2005. All objectives of the recent 2024 SAI Global Recertification Audit were fulfilled with no nonconformances, and the auditor recommended that our CODEX HACCP be recertified for a further 3 years.
“
” To all kitchen staff, I am leaving today but wanted to congratulate you all on your meals.
Consistently excellent patient feedback on meals
“Great flavours, fresh vegetables, best hospital meals I’ve ever had.”
“Perfect amount of tasty beef lasagne, delicious fresh salad and fruit salad. Thanks for the olives!”
“To all kitchen staff, I am leaving today but wanted to congratulate you all on your meals.”
“I have loved every meal! Thank you.”
“The food is amazing, the staff and hospital are brilliant.”
Vale Belinda Heading
The Dietary Services team was extremely saddened by the loss of Belinda Heading, who passed away in April 2024 at the age of 49. Belinda started with St Andrew’s in 2000 as a Dietary Services Assistant and
progressed to working as a respected Shift Leader. She was a highly experienced, dedicated and beloved member of the team. Belinda is survived by her husband Mark and two young sons, Cooper and Jaxon.
Clinical Information Services (CIS)
Power Billing and Revenue Collection (PBRC)
Under the Private Health Insurance Act 2007, it is a mandatory requirement to report all hospital admitted episodes of care. This is achieved by converting written clinical statements into coded data, which the St Andrew’s CIS team does via the newly implemented billing system, PBRC. The reporting process is now more efficient, with streamlined processes reducing the overall time needed to manage data reporting.
The service manages all clinical coding responsibilities and throughout the year has consistently met monthly coding deadlines. Staffing has remained stable, demonstrating efficient and effective work practices, with coders averaging 3201 coded episodes per month.
Clinical Documentation Improvement Program (CDIP)
This has been a resounding success, significantly enhancing quality and completeness of information. With a major focus to improve patient care and the patient experience, the program has exceeded all KPIs. Led by the Clinical Documentation Specialist and supported by the Audit Coordinator, the program has strengthened rapport with clinicians by educating them on streamlining their documentation without compromising thoroughness. Improved documentation more effectively demonstrates the complexity and intensity of the care St Andrew’s provides to patients.
The implementation of the Coding Audit Plan has additionally improved the overall quality of coded data, ensuring confidence in capturing an accurate patient clinical profile. The coding team’s commitment and compliance with national coding standards, guidelines and coding updates has increased their accuracy rate, now well above the industry standard of 95%.
To further support the integrity, accuracy and efficiency of clinical documentation, CIS took over management of the Medical Record forms, for standardisation in accordance with Standards Australia AS 2828. This is to ensure the patient health record is fit for purpose, easy to use, and meets legal, safety and quality requirements. Additionally, in preparedness for the future, all medical record forms will have configuration barcodes applied for seamless transition into an electronic environment.
Patient Billing
The Patient Billing and Funding department has had a productive year, focusing on ensuring efficient billing and funding processes, timely collections, and accurate quotations.
Key highlights include implementing new automated billing software, allowing for real time billing and payment processing, and improved billing cycle times, leading to faster invoice generation and payment collections and streamlining billing and funding processes.
Future initiatives include continuing to further streamline and increase accuracy in the billing and eligibility processes, and improvement of team efficiency and response times by implementing cross-training within billing and funding teams. Overall, the department remains committed to delivering high-quality service, ensuring accurate billing, and maintaining transparency in funding, contributing to the organisation’s financial stability.
Clinical Costing Analyst – Finance and Administration
Clinical costing is the process of matching financial expenditure to clinical activity within the Hospital. This information, matched against revenue received from health fund payors, provides an understanding of the costs and profitability associated with the range of clinical services provided at St Andrew’s Hospital.
The Clinical Costing Analyst provides Executive and management staff with costing and activity information to analyse and aid in decision making and strategic planning. The role also provides advice on the impacts of changes to activity volumes and case mix, health fund models and pricing, prosthetics and high cost consumables.
Clinical costing data plays a critical role in developing an understanding of the cost and mix of patient activity, and price setting within the private health sector nationally. St Andrew’s contributes to this through participation in the annual National Hospital Cost Data Collection for the Private Sector, with the government agency Independent Health and Aged Care Pricing Authority (IHACPA).
Payroll
As of end of June 2024, St Andrew’s headcount had increased to 835. The successful implementation of the St Andrew’s Hospital Support Services and St Andrew’s Hospital Clerical Enterprise Agreement 2023-2025 resulted in a significant workload for the Payroll team during the second and third quarters. This was compounded by an even busier fourth quarter due to the successful negotiation of the St Andrew’s Inc. Nursing Enterprise & ANMF Agreement 2024-2026.
Additionally, the Payroll team is managing the transition from Roster On and Preceda, with both systems scheduled as reaching end-of-life in the first half of calendar year 2026.
Information Systems
New patient billing application
During this past year St Andrew’s has implemented a new Patient Billing application in consultation with PowerHealth Solutions. This purpose-built solution focuses on the automation of previously repetitive manual tasks, efficient workflows, secure electronic transmission of patient invoices to Medicare and Health Funds, and a vastly improved end-user interface.
TrakCare
The TrakCare system KPI measured a commendable 99.8 scheduled availability for our end-users. There was one significant outage due to an unsuccessful upgrade. InterSystems have since rectified this database issue, and discussions have commenced regarding the St Andrew’s 24/25 TrakCare upgrade project.
Digital Health Record link
St Andrew’s has successfully trialed and subsequently implemented a communications link through to the Australian Government’s My Health Record System. Work continues to explore the expansion of these quality systems and assessments.
Integration of core systems reduces duplication of tasks
Communication between the Hospital Patient Administration System (PAS) and two new clinical systems has been implemented, to reduce time spent on administrative tasks.
Continuing network infrastructure upgrade
The Hospital’s network infrastructure has continued to be refreshed as part of an extensive and ongoing plan. This year we have upgraded the DR communications cabinet and the network switching.
Security of IT Systems
Additional resources have been allocated to the IT Security function. The Hospital Firewall systems have been upgraded to the latest technologies. Backup and Recovery planning has been prioritised and is now continually reviewed/ updated as an ongoing operational project.
Financial Report
Statement of Financial Position as at 30 June 2023 (Extract from audited accounts)
Organisational Structure
Director Nursing and Clinical Services
Ms Jacquie Wiley
Associate Director Nursing – Wards
Ms Lisa Walter
Associate Director Nursing – Theatres and Procedural Areas
Mr Dale Broomfield
Clinical Documentation Specialist
Mr Adrian Saunders
Clinical Manager Theatre
Ms Renee McHugh / Ms Leandra Spencer
Clinical Manager Recovery/ Anaesthetics
Ms Sharon Blaney
Clinical Manager/Procedural Suite
Ms Sharon Maslen
Clinical Manager – 2nd Floor
Ms Liz Knight (to April 2024)
Ms Heather Grady
Clinical Manager – 3rd Floor
Ms Donna King
Clinical Manager – Cardiac Ward
Ms Carly Omand
Clinical Manager – 4th Floor
Ms Jan Hannigan
Clinical Manager – Angiography Suite
Ms Joyce Restell
Clinical Manager – Critical Care Unit
Ms Emma Baker / Ms Elise Boase
Clinical Manager – Emergency Service
Ms Carla Zampatti (to Dec 2023)
Ms Tanya Richardson (from Apr 2024)
Clinical Manager – Day Chemotherapy
Suite
Ms Lisa Mucklow
Bookings Manager
Ms Julie Arthur
Quality and Risk Manager
Ms Tina Donaldson
Hospital Coordinators
Ms Caroline Guest / Ms Sarah Myers
Night Duty Coordinators 2023
Ms Anitha Adolfus (to June 2023)
Ms Jojjy Joseph
Mr Damir Sarovovic
Case Manager
Ms Elizabeth Jones
Pre Admission Coordinator
Infection Control Coordinator
Ms Linda Jarratt
Clinical Educator Recovery
Ms Kathryn Humphries
Clinical Educator Anaesthetics
Ms Jenny Slade
Clinical Education Coordinator
Ms Alison Sarles
Graduate Nurse Coordinator
Ms Kerry Holm (to May 2024)
Ms Frances Peters (from June 2024)
Clinical Educator, Theatre
Ms Naomi Kingscott
Clinical Educator, CCU
Mr Duncan Bamford (to Oct 2023)
Ms Sue Buckby (from Jun 2024)
Chief Financial Officer
Mr Garry Crispin (to Apr 2024)
Mr Sam Pafumi (from May 2024)
Financial Accountant
Mr Stuart Campbell (to Apr 2024)
Ms Gishara Dias (acting from April 2024)
Management Accountant
Mr Jon Goldsmith
Payroll Manager
Ms Sue Redden
Senior Manager, Clinical Costing
Ms Amanda Frankham
Supply Manager
Ms Jules Jardine
Health Information Manager
Ms Terry Seery
Manager, Business Systems
Ms Tracy Willacey (to June 2024)
Mr Martin Noblet (from Aug 2024)
Director of Human Resources
Ms Rachel Stephenson (to July 2023)
Ms Caroline Handley (from August 2023)
HR Manager
Ms Alina Gerhardy (to July 2023)
Ms Amber Sheedy (from Sept 2023)
Safety & Wellbeing Manager
Ms Carly Leaker
Patient Services Manager
Ms Maureen Westo (to June 2024)
Ms Brianna Clark (from June 2024)
Director of Engineering and Support Services
Mr Peter Cooper
Maintenance Controller
Mr James Crinson (to Mar 2024)
Dietary Services Manager
Mr Paul Smith
Biomedical Engineer
Mr Maged Shenouda
Director of Medical Services
Dr Paul Gaetjens
Director of Information Systems
Mr Greg Laing
Director of Critical Care Unit
Dr Jonathan Fraser (from Nov 2023)
Coordinating Chaplain
Rev Peter Morel (to May 2023)
Rev Leanne Jenski (from July 2023)
Chief Executive Officer
Mr Stephen Walker
Hospital Foundation Executive Director
Ms Jenny Parsons
Café & Gift Shop Manager
Ms Sandra Millar
Volunteer Manager
Ms Karen Buenger (from May 2024)
Board Sub Committees
Board Sub Committees
We thank our Board Sub Committee members, many of whom are currently visiting medical officers at St Andrew’s who volunteer their time.
Board Sub Committees are made up of the following committee members. The committees provide recommendations for action to the Board of Governors.
Patient Safety & Quality Committee
Dr
Mr
Mr
Ms
Mr
Ms
Mr
Ms
Dr
Dr
Peer Review Committee
Dr Rod Cooter (Chair)
Mr
Dr
Dr
Dr
Dr
Dr
Ms
Finance & Audit Committee
Ms
Mr
Mr
Dr
Dr
Mr
Ms
Ms
Medical Advisory Committee
Dr
Mr
Ms
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Risk Management Committee
Ms
Mr
Ms
Mr
Mr
Ms
Ms
Mr
Ms
Capital & Development Committee
Mr
Mr
Ms
Mr
Mr
Mr
Mr
Ms
WHS Committee
Ms
Mr
Mr
Mr
Mr
Credentials Committee
Dr Daniel Cehic (Chair)
Mr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Ms
Dr
Dr
Board of Governors Chair
Mr David Whitbread
BEc, FCA, FAICD
Deputy Chair
Dr Jim Sweeney
MBBS, FRACS
Board Members
Dr Daniel Cehic
MBBS, FRACP, FCSANZ
Ms Susy Daw
GAICD, FGLF (03)
Ms Sonya Furey
BEc (Acc), LLB (Hons), LLM, FCA, GAICD
Ms Natalie Kelly
BCom (Honours), MCom, GAICD
Mr Trevor Lambert
BE (Civil), MEnvSt, GradDip BusMgt
Dr David Walters
MBBS, FAICD, FRACS
Ex Officio Member
Rev Richard Miller
Min.Dip., Grad.Dip.Ed.
The Moderators Alternate, SA Synod Uniting Church in Australia
Rear (L-R): David Walters, Susy Daw, Jacquie Wiley, Trevor Lambert, Daniel Cehic.
Front (L-R): Richard Miller, Sonya Furey, Stephen Walker, David Whitbread, Natalie Kelly, Garry Crispin. Absent: Jim Sweeney.
St Andrew’s Hospital Foundation
St Andrew’s Hospital and Foundation, working together to deliver excellence
As we reflect on another remarkable year for St Andrew’s Hospital Foundation, we are filled with immense gratitude and pride in the progress we have made together. The past year has been one of innovation, resilience, and unwavering commitment to our mission of supporting the community of Australia’s largest independent private hospital.
The Trustees of the Foundation have committed to finding new and effective ways to support the Hospital through these very difficult times in the private hospital sector. St Andrew’s Hospital continues to provide excellence in this environment. This is, in part, through the Foundation programs that support patient care, staff learning and the best environment for clinicians.
Our volunteers continue to be the backbone of our Foundation. Whether it’s in our much-loved Coffee Shop, supporting special events, providing comfort to patients, or assisting with administrative tasks, our volunteers embody the spirit of compassion and service. This year we have welcomed the addition of volunteer gardeners, restoring our rooftop garden, tending our rose garden and helping make more beautiful spaces for patients and families to connect with nature.
One of the highlights of this year has been our commitment to system innovations that directly enhance our partnership with St Andrew’s Hospital. These advancements are not just about embracing technology; they are about ensuring that St Andrew’s is fully supported now, and into the future, by a Foundation that is responsive, efficient, and forward-thinking.
This year has also been marked by the strengthening of our close partnership with St Andrew’s Hospital. The collaborative efforts between the Hospital and the Foundation have been instrumental in identifying critical needs and mobilizing resources to meet them. Together, we have funded vital projects, secured essential equipment, and supported clinical education that will benefit patients for years to come.
As we look ahead, we are excited about the opportunities that the future holds. Next year will see the exciting development of the St Andrew’s Wellbeing Centre to support our patients with pre and post-operative consultative support, adding another layer to the patient experience at St Andrew’s Hospital as a destination of excellence.
I love the friendships I’ve formed across the years of volunteering together at St Andrew’s, it’s like a second home to me.
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Thank you for being a part of our journey. Together, we are making a lasting difference in the lives of those who rely on St Andrew’s Hospital for their care.
Jenny Parsons Executive Director
Eric Granger, FUniSA FAICD Chairman
Our Impact
Volunteer Service
The dedicated volunteers at St Andrew’s Hospital have made a remarkable impact, contributing approximately 15,000 hours of service, valued at nearly $700,000 (per Volunteering Australia). Their commitment plays a crucial role in supporting the Hospital’s operations and enhancing patient care. Volunteers are active across various areas, including:
• Welcoming and escorting patients, ensuring they feel comfortable and supported upon arrival into the Hospital and in the wards.
• The Coffee Shop, offering refreshments to patients, visitors, and staff.
• Supporting administration and supply, helping maintain smooth operational functions.
• Assisting at events, contributing to community outreach and Hospital fundraising efforts.
These volunteers are an integral part of the Hospital’s community, enhancing the patient experience and ensuring day-to-day activities run efficiently.
St Andrew’s Wellbeing Centre
A key highlight of the Foundation’s work this year has been the planning and development of the Wellbeing Centre in the new building at 337 South Terrace. Located on the third floor with views of the parklands, this space is being designed to offer patients and their loved ones a calm, non-medical environment where they can relax, find helpful information, and access a variety of health and wellbeing services. The Wellbeing Centre will provide:
• A welcoming atmosphere for patients and families to decompress away from clinical settings.
• Health and wellbeing sessions aimed at promoting physical and mental health.
• Access to information and services, helping patients and families navigate their care journey.
What sets this initiative apart is the lived-experience panel of current and former patients who have contributed to the centre’s design, furnishings and programming. This ensures that the Wellbeing Centre truly reflects the needs and preferences of the patients it aims to serve.
Major Equipment
The Foundation’s collaboration with St Andrew’s Hospital has been instrumental in addressing critical needs and enhancing patient care. In 2023/24, the Foundation funded several key acquisitions, including:
• A Navigator Gamma machine and probe for the Breast Care Team, improving precision in breast cancer treatments.
• Two ventilators for the Critical Care Unit, essential for life-saving respiratory support.
• A McGRATH MAC video laryngoscope for the Critical Care Unit, enabling better visualisation during airway management procedures.
These investments reflect the Foundation’s commitment to supporting advanced medical care and ensuring the Hospital’s ability to provide cutting-edge treatments.
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” The volunteers are always cheerful, helpful and kind. They are greatly appreciated.
Quality and Safety
Throughout the year, the Foundation has extended its support to several vital initiatives aimed at enhancing clinical care, education, and innovation at St Andrew’s Hospital. These include:
• The Clinical Education Appeal, ensuring ongoing professional development for healthcare staff.
• Janet Hay Clinical Scholarships, which provide funding for advanced training and education for clinical staff.
• Support for Dr. Tamara Page, Associate Professor of Nursing, Innovations in Quality & Safety, in a joint position with the University of Adelaide.
• The creation of a new position in 2024 for a Breast Care Liaison Nurse in the Chemotherapy Suite, enhancing patient support and care. This position is funded by the Pink & Blue Swim.
• Donations towards Innovations in Quality and Safety, driving advancements in patient safety and care quality at the Hospital.
These initiatives highlight the Foundation’s commitment to fostering excellence in clinical care and supporting the Hospital’s future growth and innovation.
Community
The Foundation played a key role in supporting several important community activities throughout the year, fostering a sense of connection and celebration within the St Andrew’s Hospital community. These events include:
• Operating the Coffee and Gift Shop in St Andrew’s Hospital, a safe and welcoming oasis for patients, visitors, and staff that embraces SA food, art and giftware.
• The St Andrew’s Breast Care Luncheon, promoting awareness and support for breast care and cancer treatment.
• The Graduate Nursing Program Graduation Event, celebrating the achievements of newly graduated nurses entering the workforce.
• The Random Acts of Kindness program, which spreads goodwill and appreciation within the Hospital and local community.
• St Andrew’s Classic Golf Day, a fundraising and networking event.
• International Nurses Day promotions, recognising the contributions of nurses and celebrating their vital role in healthcare.
• The St Andrew’s Memorial Service, honouring the memory of loved ones and offering support to those who have lost someone.
These events not only support healthcare initiatives but also strengthen community ties and uplift staff and patients.
Thank you
Foundation Patron
Mrs Lan Le
Foundation Board
Mr Eric Granger, Chairman
Ms Susy Daw, Board of Governors
Mr William Esau
Dr Tabitha Healey
Ms Kristen Raison
Ms Jennifer Rees
Bequests
The Estate of Ms Gail Emma Bradwell
The Estate of Mr Rudolf Grilz
The Estate of Ms Claudia Kolcas
Donors
Mr Robert Adey
Mr James Arsenikakis
Mr John Berryman
Mr Steven Bing
Mr John Bishop
Mr Jaime Byrne
Ms Lesley Catford
Mr Brian Chapman
Mrs Marion Chapman
Ms Julianne Chinner
Ms Pauline Craven
Ms Maureen Currie
Mr John Dearman
Mrs Susan Dearman
Mr Earnest J Eastman
Ms Margarete Ehrhardt
D Fabbian
Mr Robert Fraser
Mr Jon Goldsmith
Mr Andrew Griffiths
Mr Ian Hale
Ms Dianne Hall
Mr Richard Haynes
Mr Geoffrey Hennig
Mr David Holbourn
D Jaeschke
Dr Michael Jay
Mr Richard Johnson
Mr Michael Kitchener
Mr Garry Lea
Ms Audrey Leske
Mr David Lockett
Mr Cristiano Luisotti
Ms Ann Marsh
Mr Johnathon Matthews
Mr Patricia Matulick
Mr George Mavromatis
Mr Anthony McDonald
Ms Sally Mead
Ms Jennifer Morgan
Kym Morkunas
Ms Suzanne Nagel
Mr John Olsson
Mr Costanzo Pannozzo
Ms Kerena Phillips
Ms Karen Saywalker
Mr Barry Sherifan
Mr Peter Shilt
Mr Ron Shipp
Ms Carol-Ann Singleton
Ms Jill Slay
Ms Maureen Steinborner
Ms Kym Stone
Mr Steve Swartz
Mrs Bev Swartz
Ms Di Trethewie
Mrs Ros Tucker
Mr Zen Vasilikiotis
Ms Jacqueline Weddi
Mr Barry Worrall
Volunteers
Ms Sharon Bernhardt
Ms Ann Boehm
Mrs Caroline Bryant
Mr Garry Burchell
Ms Fiona Chan
Mrs Marisa Cheese
Ms Rita Chow
Mrs Colleen Cleland
Ms Susie Coles
Mrs Adrienne Coombe
Mrs Denise Cotterill
Mrs Jennifer Coulls
Mrs Kaye Darcy
Miss Victoria DiSisto
Mrs Barbara Dunstan
Mrs Anne Eastwood
Ms Alison Evans
Miss Tara Evans
Mrs Tatiana Ezhlova
Mrs Lynlee Fox
Mr Stephen Fox
Mr Mark Fullerton
Mrs Jennifer Gilliland
Ms Cecelia Greve
Mr William Grierson
Mrs Ros Griffiths
Mrs Monica Gualberto
Ms Natalia Gunadi
Mr Geof Gutte
Mrs Eleanor Harding
Ms Jill Highett
Ms Sarah Hill
Ms Pamela Hughes
Mrs Marcia Hyde
Ms Yeshe Jamso
Ms Garima Kamboj
Ms Deepti Khambete
Ms Elaine Kling
Mr Alan Kohler
Mrs Brenda Kroning
Mr Geoffrey Lake
Mrs Anna Lawrence
Mr Neville Lawrence
Mrs Sandra Lindop
Ms Susana Macaya
Mrs Robyn Macpherson
Mrs Joanna Maddern
Mrs Margaret Marslen
Mr Adrian Mazzachi
Mrs Kristin McKay
Mr Aidan Mogie
Mr Robert Morgan
Mrs Suzanne Moyle
Ms Trooky Nguyen
Mrs Judi Noblet
Mrs Kathleen O’Connell
Ms Robyn Octoman
Mrs Susan Oke
Ms Jessica Ortega Villafranca
Mr Henry Pead-Ferenczi
Mrs Shirley Pearce
Ms Penny Piper
Mrs Rebecca Poon
Ms Maureen Potter
Mrs Delma Reed
Mrs Barbara Richards
Mrs Heather Roach
Mr John Roach
Miss Cheryl Russell
Mrs Reena Sharma
Ms Robyn Shilcock
Ms Lyn Stunden
Miss Mary Sullivan
Ms Margaret Sutherland
Ms Carol Swarbrick
Ms Hui Tao
Mrs Raelene Thorpe
Ms Wallis Tsai
Mrs Valerie Turnbull
Mrs Lorraine Venn
Mr Michael Venning
Ms Liz Rodriguez
Ms Rosanne Walston-Leo
Mrs Mary Withers
Ms Lexi Zhang
Sincere thanks to these volunteers who retired this year