annual report 2013 - children's healthcare australasia · officer’s report it is my pleasure...

Annual Report

2013

Association and Service Provider Details Children’s Healthcare Australasia Limited (ABN: 36 006 996 345)

Registered Office: 1 Napier Close, Deakin, ACT 2600, Australia

Postal Address: PO Box 50, Deakin West, ACT 2600, Australia

Telephone: +61 2 6175 1900

Facsimile: +61 2 6230 6699

Website: http://children,wcha.asn.au

Auditor: Kothes Chartered Accountants, 77 Main Street,

Merimbula NSW 2548 (www.kothes.com.au)

Solicitor: Meyer Vandenberg Lawyers, Level 2, 1 Farrell

Place, Canberra City 2601

Accountant: Joyce Dickson, PO Box 5443, Kingston ACT 2604

(www.joycedickson.com.au)

Banker: Commonwealth Bank of Australia

president’s report This year marks the 25th anniversary of the formation of CHA and its antecedents. There is much to be celebrated in

having maintained and developed our community of interest for this extended time.

During 2012-13, the Board and staff have continued to focus on CHA’s core mission: of supporting excellence in the

provision of healthcare by our members and advocating for the children’s health sector as a whole. The priorities of

the strategic plan, agreed with members in 2012, have continued to guide our work. This includes focusing on

advocacy; patient safety & quality of care; models of care and redesign; achieving patient and family centred

care; benchmarking performance; education and learning; and engagement with our members to better know

and respond to their needs and interests

Aligned with these strategic priorities, CHA facilitated throughout the year a wide range of networking opportunities

and events that enabled members to share information on issues of common interest. As detailed in this report,

participation in our Special Interest Groups by staff of member health services continued to be strong and

addressed a wide variety of topics and mutual concerns. Members with expertise in a range of specific areas

generously shared that expertise with others at Insight Forums on palliative care and infection control, at workshops

held alongside our conferences, and in on-line webinars on a number of common emergency paediatric

presentations.

The benchmarking program has also continued to develop, with new tailored individual activity and costing reports

using 2011-12 data being developed for the first time using a new template designed to make the plethora of data

more digestible. A benchmarking workshop held in May 2013 helped members take stock of trends across the

sector, as well as sharing ideas and plans on the development of appropriate measures of outpatient and

ambulatory activity.

Our advocacy during the year on behalf of members also continued to be strong. CHA organised several meetings

with the Independent Hospital Pricing Authority to advocate in support of a loading for paediatric care in both

specialist settings and paediatric units. CHA also continued its advocacy in support of a National Children’s Commis-

sioner for Australia, which is now legislated for. The National Casemix and Classification Review of the Diagnostic

Related Groups classification actively consulted with the expert group put forward by CHA. CHA representatives

successfully lobbied for the development of a national paediatric medications dosage resource for Australia (New

Zealand has already introduced one), to help reduce medications errors, and we have provided expert input to the

development of paediatric indicators by the Australian Council on Healthcare Standards.

Perhaps the highlight of the year in terms of networking was the CHA conference held in October 2012. This

conference brought together participants from a wide range of professional and practice backgrounds to network

and to share insights on the latest evidence of best practice. We were particularly delighted to welcome Stephen

Meuthing from Cincinnati Children’s in the US and Peter Lachman from Greater Ormond Street in the UK as

distinguished keynote speakers who shared their insights and strategies on quality improvement in children’s

healthcare services.

However, 2012/2013 has possibly been one of the most challenging years for our members, and with them, for CHA.

There are always opportunities to find efficiencies in what we do for children and young people, but in this year,

finding efficiencies has been top of the priority list by the decisions of governments in all jurisdictions to tighten

performance of hospitals, including children’s hospitals and paediatric units. Some of our members have had to go

beyond efficiencies, making the painful decision to disinvest in some services to reinvest where growth has occurred

to ensure a balance between acute care, chronic care and prevention.

These budgetary cutbacks have had a flow on affect to CHA. Regrettably, fewer people were able to partake in

the benefits offered by the conference program in October than were needed to cover costs. The conference

made a loss that has substantially reduced CHA’s equity for the current year, as you will see in the Auditor’s report.

The Board and staff responded to this circumstance very responsibly. The staffing in the office was reduced and all

other costs curtailed as far as practicable while continuing to deliver the services expected by members. Strategies

for recouping the lost equity in the next 2-3 years have also been identified and agreed by the Board.

All in all it’s been a busy, productive and interesting year. We received very positive feedback to our member’s

survey earlier this year to make sure we understand their needs and interests, and how CHA can best support them.

We are well prepared to respond and grow.

Thank you to all of you who help to make CHA the vibrant networking community that it is. I’d particularly like to

acknowledge the wisdom and generosity of my fellow Directors on the Board, who are listed on page four. I’d also

like to thank our CEO Barb Vernon and her team of highly capable and committed staff.

You can be assured that we at CHA are committed to the health of the children and young people and their

families in both Australia and New Zealand. We look forward to continuing to work closely with you in the coming

year.

Professor Trish Davidson MD FRACS FRCP FRCS - President

CHA Team 2012/2013 Dr. Barbara Vernon Chief Executive Officer 2011 - ongoing

Julie Hale Clinical Support Manager 2013 - ongoing

Fiona Hooke Clinical Support Manager 2012 - 2013

Gill McGaw Business Manager 2008 - ongoing

Anna Hoffman Benchmarking Officer 2010 - ongoing

Dr. Jane Thompson Senior Research Officer 2005 - 2012

Heather Artuso Member Liaison Manager 2012 - ongoing

Beth McGaw Membership & Communications 2010 - ongoing

Officer

Karen Carey Administration Assistant 2008 - 2012

Christine Jones Bookkeeper 2011 - ongoing

chief executive

officer’s report It is my pleasure to present members and other stakeholders of Children’s Healthcare Australasia with our 25th

Annual Report! It is testimony to the passion and commitment of many of you in the children’s healthcare sec-

tor that CHA has continued to grow and develop for so many years – and will no doubt continue to do so for

many more to come.

It has been a busy and successful year in many respects while at the same time being a challenging one. This

report summarises the many positive activities CHA has been involved in related to our long running core roles

in advocacy, benchmarking, member networking, innovation sharing and professional development. So I

shan’t repeat these details here.

Since joining CHA in 2011, I have continued to be inspired from meeting members as I travel around Australia

and New Zealand, learning about the challenges and successes you have, and working hard with my team to

support you to link up with peers and prosper from sharing information, resources and ideas. Those of you who

have worked in children’s healthcare for a long time may forget what a truly inspiring sector you belong to – full

of talented people striving for excellence despite the challenges, and bringing a truly multidisciplinary ap-

proach to your care of children and young people.

However, the team at CHA are also very mindful that there are some major and daunting challenges affecting

the sector at present. An ageing population pulls the attention of policy makers away from legitimate concerns

around the health and wellbeing of children and adolescents. Major restructuring of hospital funding and a cli-

mate of budget cutbacks creates uncertainty and affects service provision for our Australian members. New

national safety & quality standards are an awkward fit with the needs of paediatric patients and services, and

for many of you there has been the ‘pleasurable’ but significant challenge of relocating to new hospital prem-

ises.

CHA has been working hard to help members to adapt and respond to these pressures through collecting and

sharing benchmarking information, facilitating networking through dedicated Special Interest Groups, and

through hosting targeted education forums (face to face, and now on line). We have also endeavoured to

take the voice of the sector into key policy making forums. Our 2013 Members Survey certainly suggested that

many people value the things we are doing. But, like you, we are always striving for further improvement, and

welcome your feedback, requests and suggestions.

I would like to sincerely thank Trish Davidson, Peter Steer and the rest of the CHA Board of Directors. I have

worked with numerous not for profit Boards over the past 15 years and the CHA Board is one of the best it has

been my pleasure to work with. Their expert leadership has been invaluable to me and my team of staff, par-

ticularly in the face of decreasing equity on the back of the 2012 conference. Thanks go also to the CHA team.

I would achieve nothing without your skills, energy and enthusiasm for CHA and its work. It is truly my pleasure

to work with you.

Dr Barb Vernon - Chief Executive Officer

board of directors

CHA seeks to enhance the health and wellbeing of children

and young people by supporting children’s hospitals and

health services to achieve excellence in clinical care, through

benchmarking, advocacy, networking and knowledge

sharing.

President:

Professor Patricia Davidson, Director, Children, Young People & Families Services, Kalei-

doscope - Hunter New England Local Health District, NSW

Vice President:

Professor Peter Steer, Health Service Chief Executive, Royal Children’s Hospital Bris-

bane, QLD

Executive Board Members:

Ms Cath Byrne, Nurse Leader, Starship Children’s Hospital, NZ (retired November 2012)

Ms Fionnagh Dougan, Chief Executive Officer, Auckland District Health Board, NZ

Ms Joanna Ging, Staff Specialist. Children’s Hospital at Westmead, NSW (retired May

2012)

Ms Elizabeth Koff, Chief Executive Officer, Sydney Children's Hospital Network, NSW

Ms Anne Morgan, Service Manager, Child Health, Christchurch Hospital, NZ

A/Professor Graham Reynolds, Associate Dean (Admission), Department of Paediatrics

and Child Health, Centenary Hospital for Women & Children, ACT

Mr Philip Robinson, Executive Director, Corporate Services, Women's and Children's

Health Network, SA

Dr Carola Wittekind, Head, Department of Paediatrics, Royal North Shore Hospital,

Northern Sydney Local Health District, NSW

membership

Associate Membership Associate membership is open to organisations and individuals who support the objectives

and vision of CHA. Associate members receive discounted registration to events, e-news

and updates. Current associate member include:

Heartkids Australia

The Paediatric Society of New Zealand

South Australia

Lyell McEwin Hospital

Women’s & Children’s Health Network Tasmania

Tasmanian Health, including

Launceston General

North West Regional Hospital

Royal Hobart Hospital

Mersey Hospital Victoria

Royal Children’s Hospital Melbourne

Monash Health

Casey Hospital

Dandenong Hospital

Monash Medical Centre Western Australia

Princess Margaret Hospital

Northern & Remote Country Health

Service

Broome Hospital

Derby Hospital

Fitzroy Crossing Hospital

Halls Creek Hospital

Kununurra Hospital

Wyndham Hospital

Membership to CHA is open to any hospital or healthcare facility providing children and

young people’s health services. CHA members for the 2012/2013 period included a vast

range of healthcare services, including specialist paediatric hospitals and general hospitals

with paediatric wards. Members represented urban, regional and rural areas throughout

Australasia.

Members for 2012/2013 included: Australian Capital Territory

The Canberra Hospital New South Wales

Kaleidoscope Children’s Health Network

John Hunter Children’s Hospital

The Maitland Hospital

Manning River Referral Hospital

Tamworth Rural Referral Hospital

Armidale Rural Referral Hospital

Royal North Shore Hospital

Sydney Children’s Hospital Network

Children’s Hospital at Westmead

Sydney Children’s Hospital New Zealand

Christchurch Hospital

Starship Children’s Hospital Northern Territory

Alice Springs Hospital

Royal Darwin Hospital Queensland

Gold Coast Hospital

Mater Children’s Health Services

Nambour Hospital

Royal Children's Hospital Brisbane

The Townsville Hospital

Benchmarking is one of the most highly valued services CHA offers to members.

During the 2012/2013 period, members were able to benchmark against the Dashboard

Suite of Indicators and/or Activity & Costing data, both of which were published in a

de-identified report. Through CHA's benchmarking service, members were able to identify

how their service compares with similar sized services in Australia and New Zealand.

Participation also allowed members to identify areas where their service was doing well, as

well as areas where improvement may have been needed.

The Dashboard

This suite of indicators was developed in consultation with our members and other

agencies collecting paediatric health indicators. The Dashboard allows service managers

to pinpoint areas of their performance that may warrant investigation or action. The

2011/2012 report, which was produced during this financial year, had 24 participating

members.

Activity and Clinical Costing

Activity based funding is a key platform of national health reform in Australia. In New

Zealand a greater emphasis is placed on Population Based Funding, however

understanding costs and performance measurement are equally important. CHA’s Activity

and Costing Benchmarking program assists members to improve clinical care and costs by

identifying variation and sharing of innovation.

This year, CHA also provided tailored individual reports for each participating hospital, as

well as the annual Benchmarking in Children’s Hospitals and Paediatric Units report.

benchmarking

In May 2013 CHA held a benchmarking workshop for all CHA members. The focus of the

day was to explore key issues in paediatric healthcare, such as implementing Activity

based Funding; coast variation among participating health services; measuring emer-

gency and outpatient activity and costs and opportunities for classifications to better re-

flect paediatric care. The meeting was well received by participants, and allowed CHA to

showcase the benefits the benchmarking program provides.

Annual Benchmarking Workshop

One of the most valuable and important services CHA provides to members is

networking opportunities. CHA membership makes you part of an instant community of

colleagues who share a passion for excellence. We enable health professionals across

Australia and New Zealand to network with others in similar fields. These networks are

dynamic, solution focused, and typically multidisciplinary.

All Special Interest Groups (SIGs) are currently engaged in active teleconferences, corre-

spondence or both. A number of SIGs have participated in face-to-face meetings, either

in conjunction with other SIGs, or at the CHA conference. Networking opportunities are

open to all CHA member hospitals and healthcare services.

networking

Consumer Participation & Family Centred Care The Consumer Participation & Family Centred Care was established as a CHA SIG in 2006.

Chaired by Elizabeth Harnett (Children’s Hospital Westmead, NSW), the group spent

2012/2013 focusing on improving the involvement of children in decision making,

benchmarking complaints management and looking at areas for improvement from the

Child’s Rights assessment. Regular teleconferences was held throughout the year. The

group is looking to continue their discussions over the next year, and are also seeking to

hold a meeting where they can discuss the implementation of the Australian National

Standard 2.

Executives of Nursing The Executives of Nursing SIG provided a forum in which to discuss professional and work-

force issues, including national nursing initiatives and their impact, and state and local

initiatives. In addition, key challenges experienced by nurses within each CHA member

hospital and potential strategies that can be shared have been the focus over the

2012/2013 period.Chaired by Bernadette Twomey (Royal Children’s Hospital Melbourne,

VIC), the group has particularly focused on the nursing workforce model, NESTi and con-

tinual updates from each of the healthcare services represented in the group. The group

has a face to face meeting at the CHA Conference in 2012, and is looking to hold an-

other such meeting during the remainder of 2013. The group is also planning to continue

their discussions on professional and workforce issues.

Medication Safety The Medication Safety group has been involved in developing and progressing medica-

tion safety initiatives. Lead by SIG chair Sean Turner (Women’s and Children’s Health

Network, SA), members have spent time working on complex issues that have no easy

resolution, consistently making positive progress. Over the last year, the group has spent

time discussing labelling and identification of oral syringes, state IV fluid standards, the

Medication Safety Self Assessment tool, standard four of the Australian Commission on

Safety and Quality in Health Care and frequent updates form the healthcare services

represented within the group. Towards the future, the group plans to continue to focus

on these topics of discussion, and work towards excellence in medication safety.

Mental Health Chaired by David Dossetor (Children’s Hospital at Westmead, NSW) and Christine Walsh

(Women’s and Children’s Health Network, SA), the Mental Health SIG acknowledges that

there is a rising need for attention to mental health, particularly in children and

adolescents. Over the past year the group has networked mostly on an informal basis,

through email and circulation of publications of possible interest. The group has planned

to revive more formal networking processes, such as regular teleconferences, over the

next year. They have already made a step towards this by scheduling a teleconference

for late 2013.

Nursing Unit Managers This group has provided a forum in which members can discuss clinical nursing issues in a

collaborative manner. The networking support and sharing of knowledge provided

through this group is greatly valued by participants. Through frequent teleconferences,

email correspondence and an online forum, the group has shared information and

expertise on a variety of topics, including parent support, accreditation, rights of children,

falls risk assessment, internet access in wards, management of epidemic infection

outbreaks in wards and standardised care plans. The SIG will continue to utilise various

forms of networking in order to continue to explore issues faced by nursing staff regularly.

Prevention of Infection The Prevention of Infection SIG has actively engaged in networking with multiple queries

to which members respond. This has enabled members to constantly review and improve

their practice consistent with the best available evidence. Chaired by Andrew Daley and

Sue Scott (Royal Children’s Hospital Melbourne, VIC), the group have spent the last year

discussing a number of topics, including implementing the national standards from the

Australian Commission on Safety and Quality in Health Care, clostridium difficile testing

and management, surveillance data and antimicrobial stewardship programs. The SIG

were highly involved in the Infection Control workshop run by CHA in October of 2012,

and plan to continue their work surrounding preventing infection.

Coming Soon Given the positive feedback in relation to thevalue of this service,, CHA has committed to

extending the networking opportunities offered over the 2013/2014 period. A new special

interest group on education and training is planned to convene soon, which will allow

educators to share resources, events and training documentation with each other. CHA is

also planning to reconvene the Allied Health group, which has been inactive throughout

2012/2013. Allied health is an area of increased importance throughout children’s

healthcare, and there is great interest in reactivating this group. CHA

will continue to explore possibilities for additional networks, and is com-

mitted to continuing to support all the SIGs already established.

Patient Safety and Quality Care This is a newly established CHA SIG, which met for the first time at the end of June 2013.

The inaugural meeting was framed in the context of Accreditation against the National

Standards, and the broader quality agenda across Australia and New Zealand paediatric

services. Members of this group have started to collate a library of audit tools that may be

of interest to other services. All participants are enthusiastic about the future of the group.

events CHA organised a number of face-to-face and virtual events for

members and friends of the organisation over the 2012/2013 period.

Several Insight Forums were presented at the end of 2012. These fo-

rums were interactive workshops that aimed to bring together ex-

perts on a chosen subject in order to stimulate innovation and discussion. In October

2012, CHA hosted ‘Paediatric Palliative Care: Challenges and Emerging Ideas’, which

focused on best practice in palliative care of children and young people. Innovative

practices from Australia and New Zealand were highlighted and an interactive round

table discussion focused on ethical issues surrounding the topic. A few weeks later,

‘Infection Control in Children’s Health’ was hosted. This forum highlighted a multidiscipli-

nary approach to Infection Control, with current issues in managing complex infections

in paediatric settings discussed, and innovative models of best practice presented.

In 2013, CHA chose to move the Insight Forums online, thus creating Insight Webinars. The

first webinar, ’Asthma and Bronchiolitis Management’, was held in March 2013, and was

based on the latest research in the area. Following the success of this webinar, a second

was conducted in April (Gastroenteritis and Abdominal Pain), as well as another that

was help in collaboration with MIGA (Paediatric Issues and The Law: It’s All About Donald

- Or Is It?). All webinars were very successful and well attended. They allow participants

to access expertise and best practice right from the comfort of their own desk.

All previous webinars are available to be purchased on the CHA website.

Let’s Not Forget About the Kids: Measuring

Performance in Children’s Healthcare In September 2012, CHA facilitated a pre-conference workshop at The Quantum Leap

conference hosted by Australian Hospitals and Healthcare Association, How do we know

if our investments of resources and expertise are delivering the best possible healthcare

for our kids? The day sought to answer participants questions on measuring performance

in children’s healthcare, such as: how are we measuring performance in children’s

healthcare; what does this tell us about what we are doing well and what could be

done better? This dynamic workshop brought together leaders in children’s healthcare

management, delivery and measurement from across Australia to discuss and debate

how the performance of children’s healthcare services is best measured and reported

upon, and how the insights from performance measurement can best inform our efforts to

achieve excellence. The day was well received

by participants. Presentations from the day are available on

the CHA website.

The Journey: Towards Excellence in

Children’s Healthcare The inaugural biennial CHA Conference was successfully held on 22-24 October 2012.

With a wonderful selection of local and overseas keynote speakers, the program was

stimulating and informative. The preconference workshops on Monday were very

informative. Day 1 of conference was filled with engaging and informative presenters,

valuable concurrent streams and delicious catering. The opening was a stunning

performance, and the day ended with a masquerade cocktail party in the evening,

which included a photobooth for guest to make some interesting memories! Day 2

started with a challenging presentation from Dr. Peter Lachman and beautiful weather.

Delegates enjoyed the sunshine during morning tea and lunch, and utilised this time to

network. Our giveaways occurred at the end of the day,

and we heard some valuable presentations from Dr. Vic-

tor Nossar, Helen Barnacle and Dr. Robi Sondereggo. The

conference was a successful step in a new direction for

CHA meetings, and CHA is already enthused and inspired

for the 2014 conference.

what’s in store? CHA continues to be committed to enhancing the health and wellbeing of

children and young people through supporting children’s hospitals and health services

to achieve excellence in clinical care. By framing everything CHA does through the

board-endorsed strategic plan, the CHA team and Board have already begun planning

a number of new, improved and exciting services to be available for employees of CHA

member hospitals and healthcare services. By prioritising advocacy, benchmarking,

patient and family centred care, models of care, patient safety and quality of care and

education and learning, and moving to address these priorities in a current and

contemporary manner, CHA hope to continue providing essential and valuable services

to healthcare services throughout Australia and New Zealand.

Financial Reports

2012/2013

LIMITED

ABN: 36 006 996 345

(A Company Limited by Guarantee)

FINANCIAL REPORT FOR THE YEAR ENDED 30 JUNE 2013

CONTENTS

PAGE NO

Directors' Report .................................................................................... 2 - 3 Auditor’s Independence Declaration ......................................................... 4 Financial Statements:

Statement of Comprehensive Income ........................................... 5

Statement of Changes in Equity ..................................................... 5

Statement of Financial Position ...................................................... 6

Statement of Cash Flows ............................................................... 7

Notes to & Forming Part of the Financial Statements ................. 8 - 12 Directors' Declaration ............................................................................... 13 Independent Audit Report to the Members .............................................. 14 Supplementary Information .................................................................. 15 - 16

CHILDREN'S HEALTHCARE AUSTRALASIA LIMITED ABN: 36 006 996 345

2

DIRECTORS’ REPORT Your Directors present their report on the Company for the year ended 30 June 2013. Directors The following persons held office during or since the end of the financial year:

Prof Patricia Davidson Ms Carola Wittekind

Dr Peter Steer Ms Elizabeth Koff

Mr Philip Robinson Ms Anne Morgan

Ms Fionnah Dougan Ms Catherine Byrne

A/Prof Graham Reynolds

During the financial year, 7 meetings of directors were held. The number of meetings attended and number of meetings eligible to attend were:

Prof Patricia Davidson 7 out of 7 Ms Catherine Byrne 1 out of 2

Dr Peter Steer 5 out of 7 Mr Philip Robinson 7 out of 7

Ms Fionnah Dougan 2 out of 5

A/Prof Graham Reynolds 6 out of 7

Ms Carola Wittekind 7 out of 7

Ms Elizabeth Koff 7 out of 7

Ms Anne Morgan 7 out of 7

Current Directors Qualifications:

Professor Patricia Davidson MD FRACS FRCP FRCS Director Kaleidoscope, Director Children Young People and Families Services HNE LHD, Professor of Paediatric Surgery (cjt) University Newcastle. Company’s current President.

Dr Peter Steer, MBBS, FRACP, FRCPC, FAAP, GAICD, Chief Executive, Children's Health Queensland Hospital and Health Service. Company’s current Vice President.

Mr Philip Robinson, PSM, BA, Dip. App Psych, M Psych. Executive Director, Corporate Services, Women’s and Children’s Health Network, SA. Mr Philip Robinson is a company Vice President until November 2011.

Ms Fionnah Dougan BA(Hons) PG Dip Mgmt, RN, Director of Provider Services, Auckland District Health Board.

Associate Professor Graham Reynolds, MB BS, DCH, FRACP, MHP MHEd, Consultant Paediatrician Department of Paediatrics, Division of Women, Youth and Children, The Canberra Hospital. Associate Dean, ANU Medical School. Company President until November 2011

Dr Carola Wittekind, MBBS FRACP MHA GradCertMedEd, Lecturer University of Sydney, Northern Clinical School, Head Department of Paediatrics, Royal North Shore Hospital, Sydney, NSW

Ms Elizabeth Koff, BSc, Dip Nut&Diet, MPH, GAICD. Chief Executive Officer, Sydney Children’s Hospitals Network, NSW

Ms Catherine Byrne, Nurse Advisor, The Starship Children’s Hospital, Auckland, New Zealand

Ms Anne Morgan, RGON, RM, MA(Hsc), Service Manager - Child Health, Canterbury District Health Board, NZ

Principal Activities

The principal activities of the Company during the financial year are concerned with supporting children’s hospitals and health services to achieve excellence in clinical care through advocacy, networking and the sharing of knowledge and evidence underpinning best practice. Results and Review of Operations For the year ended 30 June 2013, the net result of operations was a deficit of $44,761 following a $3,114 deficit for the year ended 30 June 2012.

ABN 36 472 755 795

4

Offices located at: Our web site is http://www.kothes.com.au

BEGA 106 Auckland St BEGA NSW 2550 Ph (02) 6491 6491 Fax (02) 6491 6400

BERMAGUI Shop 4/2 Wallaga St BERMAGUI NSW 2546 Ph (02) 6493 4150

BOMBALA 75 Caveat St BOMBALA NSW 2632 Ph (02) 6458 3798

COOMA 57 Massie St COOMA NSW 2630 Ph (02) 6452 1797 Fax (02) 6452 1604

EDEN Suite 2, 161 Imlay St EDEN NSW 2551 Ph (02) 6496 8500 Fax (02) 6496 3250

JINDABYNE Nuggets Crossing JINDABYNE NSW 2627 Ph (02) 6456 2477

MERIMBULA 77 Main St MERIMBULA NSW 2548 Ph (02) 6499 8300 Fax (02) 6495 3388

Liability limited by a

scheme approved under Professional

Standards Legislation

AUDITOR’S INDEPENDENCE DECLARATION UNDER SECTION 307C

OF THE CORPORATIONS ACT 2001 TO THE DIRECTORS OF CHILDREN’S HEALTHCARE AUSTRALASIA LIMITED

As auditor of Children’s Healthcare Australasia Limited for the year ended 30 June 2013, I declare that, to the best of my knowledge and belief, there have been: (a) No contraventions of the auditor independence requirements as set out in the Corporations

Act 2001 (Cth) in relation to the audit; and (b) No contraventions of any applicable code of professional conduct in relation to the audit.

KOTHES

Chartered Accountants

S.N. BYRNE Partner CANBERRA, 11 September 2013


5

STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 30 JUNE 2013

2013

2012

Note

$

$

Revenue 2

460,533

371,313

Accountancy expenses

(3,900)

(5,001)

Advertising expenses

(525)

(750)

Auditors' remuneration

(3,100)

(2,651)

Benchmarking expenses

(12,000)

(11,220)

Computer expenses (35,792) (12,565)

Conference expenses

(164,975)

(10,719)

Amortisation expense

(3,877)

(3,877)

Secretariat expenses

(248,272)

(251,832)

Meeting expenses (21,607) (24,948)

Other expenses

(11,246)

(50,864)

(Deficit) for the year before income tax

(44,761)

(3,114)

Income tax expense 1 -- --

(Deficit) for the year after income tax

(44,761)

(3,114)

Other Comprehensive income -- --

Total comprehensive deficit attributable to members of the entity

(44,761)

(3,114)

The above statement should be read in conjunction with the accompanying notes

STATEMENT OF CHANGES IN EQUITY

FOR THE YEAR ENDED 30 JUNE 2013

Retained earnings

Total

$

$

Balance at 1 July 2011

99,055

99,055

(Deficit) attributable to members

(3,114)

(3,114)

Balance at 30 June 2012

95,941

95,941

(Deficit) attributable to members

(44,761)

(44,761)

Balance at 30 June 2013

51,180

51,180



6

STATEMENT OF FINANCIAL POSITION

AS AT 30 JUNE 2013

2013

2012

Note

$

$

ASSETS

CURRENT ASSETS

Cash and cash equivalents 3

44,477

50,160

Trade and other receivables 4

6,644

8,189

Other current assets 5

2,180

55,510

TOTAL CURRENT ASSETS

53,301

113,859

NON-CURRENT ASSETS

Intangible assets 6

3,876

7,753

TOTAL NON-CURRENT ASSETS

3,876

7,753

TOTAL ASSETS

57,177

121,612

LIABILITIES

CURRENT LIABILITIES

Trade and Other Payables 7

3,911

2,733

Borrowings 8

2,086

425

Other current liabilities 9

-

22,513

TOTAL CURRENT LIABILITIES

5,997

25,671

TOTAL LIABILITIES

5,997

25,671

NET ASSETS

51,180

95,941

EQUITY

Retained surplus

51,180

95,941

TOTAL EQUITY

51,180

95,941



7

STATEMENT OF CASH FLOWS


Note 2013

2012

$

$

Cash flows from / (to) operating activities Receipts from members, trade and other debtors

476,212

377,178

Payments to suppliers and employees

(491,661)

(443,333)

Interest received

3,429

10,043

Net GST remitted to ATO

4,676

-

Net cash flows from operating activities

(7,344)

(56,112)

Cash flows from investing activities Purchase of property, plant and equipment

-

(12,793)

Net cash flows from investing activities

-

(12,793)

Cash flows from financing activities Repayment of loans

granted

1,661

(882)

Net cash flows from financing activities

1,661

(882)

Net increase in cash and cash equivalents

(5,683)

(69,787)

Cash and cash equivalents at beginning of period

50,160

119,947

Cash and cash equivalents at end of period 3 44,477

50,160



8

NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2013

1 Statement of Significant Accounting Policies

The financial statements cover Children's Healthcare Australasia Limited as an individual entity. Children's Healthcare Australasia Limited is a company limited by guarantee, incorporated and domiciled in Australia. The principal place of business and registered office of the company is 1 Napier Close, Deakin, ACT, 2600.

Basis of Preparation

The financial statements are general purpose financial statements that have been prepared in accordance with Australian Accounting Standards – Reduced Disclosure Requirements and the Corporations Act 2001. The company is a not-for-profit entity for financial reporting purposes under Australian Accounting Standards.

Australian Accounting Standards set out accounting policies that the AASB has concluded would result in financial statements containing relevant and reliable information about transactions, events and conditions. Material accounting policies adopted in the preparation of these financial statements are presented below and have been consistently applied unless stated otherwise.

The financial statements, except for the cash flow information, have been prepared on an accruals basis and are based on historical costs, modified, where applicable, by the measurement at fair value of selected non-current assets, financial assets and financial liabilities. The amounts presented in the financial statements have been rounded to the nearest dollar. The financial statements were authorised for issue on 11 September, 2013 by the directors of the company.

Accounting Policies

Income Tax The Company has reviewed its income tax status and have assessed the Association to be exempt from income tax under section 50-10 of the Income Tax Assessment Act, 1997. Consequently, no provision for taxation has been made in the financial statements.

Financial Instruments

- Initial Recognition and Measurement

Financial assets and financial liabilities are recognised when the entity becomes a party to the contractual provisions to the instrument. For financial assets, this is equivalent to the date that the company commits itself to either purchase or sell the asset (i.e. trade date accounting adopted). Financial instruments are initially measured at fair value plus transactions costs except where the instrument is classified 'at fair value through profit or loss', in which case transaction costs are expensed to profit or loss immediately.

Impairment of Assets

At the end of each reporting period, the company assesses whether there is any indication that an asset may be impaired. The assessment will include considering external and internal sources of information, including dividends received from subsidiaries, associates or jointly controlled entities deemed to be out of pre-acquisition profits. If such an indication exists, an impairment test is carried out on the asset by comparing the recoverable amount of the asset, being the higher of the asset's fair value less costs to sell and value in use to the asset's carrying amount. Any excess of the asset's carrying amount over its recoverable amount is recognised immediately in profit or loss unless the asset is carried at a revalued amount in accordance with another Standard (e.g. in accordance with the revaluation model in AASB 116). Any impairment loss of a revalued asset is treated as a revaluation decrease in accordance with that Standard. Where it is not possible to estimate the recoverable amount of an individual asset, the company estimates the recoverable amount of the cash-generating unit to which the asset belongs. Impairment testing is performed annually for goodwill and intangible assets with indefinite lives.


9

NOTES TO AND FORMING PART OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2013 (Continued)

1 Statement of Significant Accounting Policies (Continued) Cash and Cash Equivalents

Cash and cash equivalents include cash on hand, deposits held at call with banks, other short-term highly liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within short-term borrowings in current liabilities on the statement of financial position.

Revenue and Other Income

Revenue is measured at the fair value of the consideration received or receivable after taking into account any trade discounts and volume rebates allowed. For this purpose, deferred consideration is not discounted to present values when recognising revenue.

Interest revenue is recognised using the effective interest rate method, which for floating rate financial assets is the rate inherent in the instrument.

Revenue recognition relating to the provision of services is determined with reference to the stage of completion of the transaction at the end of the reporting period and where outcome of the contract can be estimated reliably. Stage of completion is determined with reference to the services performed to date as a percentage of total anticipated services to be performed. Where the outcome cannot be estimated reliably, revenue is recognised only to the extent that related expenditure is recoverable.

All revenue is stated net of the amount of goods and services tax (GST). Trade and Other Payables

Trade and other payables represent the liabilities at the end of the reporting period for goods and services received by the company that remain unpaid. Trade payables are recognised at their transaction price. Trade payables are obligations on the basis of normal credit terms.

Goods and Services Tax (GST)

Revenues, expenses and assets are recognised net of the amount of GST, except where the amount of GST incurred is not recoverable from the Australian Tax Office (ATO). Receivables and payables are stated inclusive of the amount of GST receivable or payable. The net amount of GST recoverable from, or payable to, the ATO is included with other receivables or payables in the statement of financial position.

Comparative Figures

When required by Accounting Standards, comparative figures have been adjusted to conform to changes in presentation for the current financial year. Critical Accounting Estimates The preparation of financial statements in conformity with Australian Accounting Standards – Reduced Disclosure Requirements requires the use of certain critical accounting estimates. It also requires management to exercise its judgement in the process of applying the Company’s accounting policies. There are no areas that involve a higher degree of judgement or complexity, or areas where assumptions and estimates are significant to the financial statements other than those described in the above accounting policies.


10


2013

2012

$

$

2 Revenue and Other Income

Revenue

Sales revenue:

Rendering of services

455,104

361,161

Other revenue:

Interest received

3,429

10,152

Other revenue

2,000

-

5,429

10,152

Total revenue

460,533

371,313

3 Cash and Cash Equivalents Cash at Bank 12,218 21,651

Short Term Deposits 32,259 28,509

44,477 50,160

4 Trade and Other Receivables

Current

Input Tax Credits

6,644

8,189

The company does not hold any financial assets whose terms have been renegotiated, but which would otherwise be past due or impaired.

5 Other Current Assets

Current

Accrued Income

-

352

Prepayments

2,180

55,158

2,180

55,510

6 Intangible Assets

Website

11,630

11,630

Accumulated Amortisation

(7,754)

(3,877)

Total

3,876

7,753

Reconciliation of Intangible Assets

Opening Balance

7,753

11,630

Amortisation for the year

(3,877)

(3,877)

Closing carrying value at 30 June 2013

3,876

7,753


11


2013

2012

$

$

7 Trade and Other Payables

Current

Other Creditors

129

233

Other Current Payables

2,500

2,500

GST Payable

1,282

-

3,911

2,733

8 Borrowings

Current

Loans - Related Parties

2,086

425

9 Other Liabilities

Current

Income in Advance

-

22,513

10 Financial Risk Management

The company's financial instruments consist mainly of deposits with banks and payable, loans to and from subsidiaries, bills and leases.

The totals for each category of financial instruments, measured in accordance with AASB 139 as detailed in the accounting policies to these financial statements are as follows:

Financial Assets

Cash and cash equivalents 44,477 50,160

Total Financial Assets 44,477 50,160

Financial Liabilities

Financial liabilities at amortised cost

- Other Creditors 129 233

- Loans - Related Parties 2,086 425

Total Financial Liabilities 2,215 658

Finance Facilities The Company has two credit cards with the Commonwealth Bank. This includes a joint credit card with WHA. Consequently, the Company has a credit facility of $10,000 being a $5,000 corporate credit card facility and a $5,000 facility held jointly by WHA and the Company.


12


11 Events After Balance Sheet Date

There has not been any matter or circumstance that has arisen since the end of the financial year which has significantly affected, or may significantly affect, the operations of the Company or the results of those operations, or the state of the Company in future years.

12 Commitments

The Company does not have any Lease or other similar commitments.

13 Member Funds

The Company is limited by guarantee. In the event of winding-up, the Company Constitution states that each member is required to contribute a maximum of $200.00 towards meeting any outstanding obligations of the Company.

14 Related Party Transactions

The directors receive no remuneration from the company in respect of the management of the company other than reimbursement for expenses incurred and per diem allowances for attending directors meetings. Transactions between related parties are on normal commercial terms and conditions no more favourable than those available to other persons unless otherwise stated.

14












INDEPENDENT AUDIT REPORT TO THE MEMBERS OF CHILDREN’S HEALTHCARE AUSTRALASIA LIMITED

We have audited the accompanying financial statements of Children’s Healthcare Australasia Limited, which comprises the statement of financial position sheet as at 30 June 2013, and the statement of comprehensive income, statement of changes in equity and statement of cash flows for the year ended that date, a summary of significant accounting policies, other explanatory notes and the directors' declaration.

Directors' Responsibility for the Financial Statements The directors of the Company are responsible for the preparation and fair presentation of the financial report in accordance with Australian Accounting Standards – Reduced Disclosure Requirements as per Note 1 to the financial statements and the Corporations Act 2001. This responsibility includes: designing, implementing and maintaining internal control relevant to the preparation and fair presentation of the financial statements that is free from material misstatement, whether due to fraud or error; selecting and applying appropriate accounting policies; and making accounting estimates that are reasonable in the circumstances.

Auditor's Responsibility Our responsibility is to express an opinion on the financial statements based on our audit. We conducted our audit in accordance with Australian Auditing Standards. These Auditing Standards require that we comply with relevant ethical requirements relating to audit engagements and plan and perform the audit to obtain reasonable assurance whether the financial statements is free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the Company's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the directors, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

Independence In conducting our audit, we have complied with the independence requirements of the Corporations Act 2001.

Electronic Presentation of Audited Financial Report This auditor’s report relates to the financial report of Children’s Healthcare Australasia Limited for the year ended 30 June 2013 that may be included on the Company’s website. The auditor’s report refers only to that financial report and it does not provide an opinion on any other information which may have been hyperlinked to/from these statements. If users of this report are concerned with the inherent risks arising from electronic data communications they are advised to refer to the hard copy of the audited financial report to confirm the information included in the audited financial report. Auditor's Opinion In our opinion the financial statements of Children’s Healthcare Australasia Limited is in accordance with the Corporations Act 2001, including:

(a) giving a true and fair view of the Company’s financial position as at 30 June 2013 and of its performance for the year ended on that date; and

(b) complying with Australian Accounting Standards – Reduced Disclosure Requirements as per Note 1 to the financial statements and the Corporations Regulations 2001.

KOTHES

Chartered Accountants

S.N. BYRNE Partner CANBERRA, 11 September 2013

15












SUPPLEMENTARY INFORMATION

30 JUNE 2013 The additional financial data presented on the following page is in accordance with the books and records of the Children’s Healthcare Australasia Limited which have been subjected to the auditing procedures applied in our statutory audit of the company for the year ended 30 June 2013. It will be appreciated that our statutory audit did not cover all details of the additional financial data. Accordingly, we do not express an opinion on such financial data and no warranty of accuracy or reliability is given. In accordance with our firm’s policy, we advise that neither the firm nor any member or employee of the firm undertakes responsibility arising in any way whatsoever to any person (other than the company) in respect of such data, including any errors or omissions therein, arising through negligence or otherwise however caused. KOTHES Chartered Accountants

S.N. BYRNE CANBERRA, 11 September 2013


16

PROFIT AND LOSS STATEMENT


2013

2012

$

$

INCOME

Membership Fees

337,451

326,822

Sponsorship

47,409

-

Conference Income

66,699

16,404

Scientific Meetings

3,545

17,935

455,104

361,161

OTHER INCOME

Interest Received

3,429

10,152

Other Revenue

2,000

-

5,429

10,152

460,533

371,313

EXPENSES

Accountancy Fees

3,900

5,001

Advertising

525

750

Auditing

3,100

2,651

A & C Benchmarking

12,000

11,220

Bank Charges

2,369

1,023

Computer Costs

11,066

12,565

Conference Expenses

164,975

10,719

Consultancy Fees

-

6,000

Depreciation

3,877

3,877

Electricity

1,609

1,270

Insurance

2,526

3,155

Legal Costs

724

397

Meeting Expenses

21,607

24,948

Office Expenses

1,933

2,776

Postage

2,712

1,483

Printing & Stationery

10,043

14,343

Secretariat Costs

248,272

251,832

Subscriptions

901

1,298

Sundry Expenses

-

107

Telephone

4,234

4,753

Travelling Expenses

5,989

14,193

Website

2,932

66

505,294

374,427

(Deficit) before income tax

(44,761)

(3,114)

annual report 2013 - children's healthcare australasia · officer’s report it is my pleasure...

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