balmoral bush nursing centre · 2015. 8. 18. · bbnc annual report 2014/2015 3 it is with pleasure...

ANNUAL REPORT 2014/15BALMORAL BUSH NURSING CENTRE

The Balmoral Bush Nursing Centre thanks the following for allowing their photographs to be reproduced:Clare Ryan: cover image of red gums, contents page image of livestock, donations page haystack.Karla Northcott: cover image of the Balmoral Community celebrating 90 years of Bush Nursing, Remote Area Nurses, Hazel Norris and baby Hazel Johns, Board members Bruce Laidlaw, Mardi Johns and Neville Trotman; back cover image of Sacha Laidlaw and Phoebe Russell. Karla’s photographs of staff and celebration shots also appear throughout this annual report.

Contents

Connecting people, promoting knowledge, investing in the health and wellbeing of

our community, for the future

Our BOard _______________________________ 2

President’s rePOrt _______________________ 3

Our VisiOn, Our Values ___________________ 4

BBnC COmmuniCatiOn /struCture _________ 5

Centre manager’s rePOrt ________________ 6

Key aChieVements ________________________ 7

Quality & risK rePOrt ____________________ 8

FinanCial PerFOrmanCe OVerView _______ 10

snaP shOts ______________________________ 12

CliniCal nursing rePOrt ________________ 14

Case management rePOrt _______________ 15

COmmunity serViCes _____________________ 16

stOries OF serViCe ______________________ 26

Our staFF _______________________________ 30

serViCes PrOVided _______________________ 32

dOCtOrs _________________________________ 33

Our histOry _____________________________ 34

dOnatiOns _______________________________ 36

Key Partners ____________________________ 37

BBNCAnnual Report 2014/2015 BBNC2

President Neville Trotman Bachelor of Commerce, Diploma of Education Former Principal

Elected: 2011Board Meetings Attended: 7/10

Vice PresidentBruce Laidlaw

Primary Producer

Elected: 2010Board Meetings Attended: 8/10

Assistant TreasurerDi Austin

Sales & Marketing Manager

Elected: 2013Board Meetings Attended 6/10

Mardi Johns

Solicitor


Geoff Barcham

Leading Senior Constable, Victoria Police


Georgie Leeming

Primary Producer

Elected 2011Board Meetings Attended: 9 /10

Treasurer Karen Rees

Primary ProducerDiploma of Business (Accounting)

Elected 2011Board Meetings Attended: 9/10

Dan Pekin

Master of Business Administration, Bachelor of Business, CPA, Member Australian Institute of Company Directors, General Manager/Director HTL Australia Pty Ltd

Elected 2012Board Meetings Attended: 9/10

oUR BoARD

Annual Report 2014/2015 3BBNC

It is with pleasure that I present my 2015 President’s report.

2015 marks the 90th year of Bush Nursing in Balmoral. Our celebration of this milestone provides opportunity for reflection. We are one of few continuing Bush nursing Centres in Victoria. Born out of a pioneering spirit, with donated land and building materials, volunteer construction and a self funded Committee of Management, our organisation has grown to be a vital and impressive `community member’.

The complex range of services provided by our staff and partner organisations make a resounding contribution to the health and wellbeing of our community.With clinical services, preventative health and well being programs, individual and community advocacy activities and a range of partnership support programs, ours is an organisation that our founding members could never have imagined and we as individuals are fortunate to have.

Our community owes a huge debt to the staff, volunteers and supporters who have worked over the past ninety years to build this service into the outstanding organisation that it is today.

Whilst governance issues for our Board cover a range of important areas, financial management and sustainability are always to the fore.

This year, cuts to Commonwealth funding have impacted significantly on our recurrent or normal operating funding. We have also been in limbo as we await clarification of new State and Federal Government funding arrangements.

There is no doubt that we must continue to adjust to a society where increasing levels of operational funding must come from user pays and local fundraising contributions. Government funding for operational costs will now move from Home & Community Care Commonwealth (HAAC) Funding to Rural & Regional Health services state funding. this will place us more clearly under the Department of Health & Human Services umbrella. We look forward to working with both the Commonwealth and State Governments as we progress our organisation.

In the other important area of government funding, that of capital works and specific project grants, we have fared well. Projects to refurbish the Men’s Shed and redevelop the Family Centre playground area are well advanced. Plans and funding provision for the relocation of Ambulance Victoria facilities to our site are also progressing. the Board appreciates the level of government support and philanthropic donations that ensure such improvements.

This year Karen Rees and Di Austin are retiring from the Board and I acknowledge their excellent contributions, as I thank all Board members for their support throughout the year. Thanks are also extended to Sabrina Watt for her outstanding support of the Board. In addition we are fortunate to be supported by a committed Centre Manager who demonstrates and champions a clear vision for the organisation. We thank and acknowledge Lisa Hutchins for her leadership skills and outstanding contribution.

PResIDent’s RePoRt

My personal thanks are also extended to all staff, volunteers and supporters who in a sense are the heartbeat that we must have to ensure

the achievements of the past ninety years continue into the future.

Neville Trotman,

President, Balmoral Bush Nursing Centre


We believe in equITABLe ACCeSS to health care of a standard equal to that of less isolated areas.

We are committed to service quALITy and actively encourage a culture of continuous improvement.

We maintain SAFeTy as a priority in all our workplace practices including the promotion of environmental safety.

We recognise our staff and our volunteers as being our most valuable asset and TeAMWORK is essential to our success.

In all interactions with our community, staff and volunteers, we ResPeCt their rights, dignity and beliefs regardless of their age, sex, cultural, spiritual or socio-economic background.

ADAPTABILITy is essential to ensure we continue to meet the needs of our community.

We are committed to proactivty in COMMuNITy DeVeLOPMeNT in order to positively influence the health of our district.

Our Vision, Our Values

Strategic themeS

Service Quality and Profiling: Prioritising quality and local access

Community Engagement: Effective consumer and community engagement

Effective Resourcing: Broad income base and effective business practice approach

connecting people, promoting knowledge, investing in the health and wellbeing of our community, for the future

Core Purpose & Our Passion

Connectedness, knowing our community, accessibility, effective teamwork & innovation


BBnC CoMMUnICAtIon/stRUCtURe

Balmoral Bush Nursing Centre Board

CeNtre MaNager Lisa Hutchins

Board SuB CoMMitteeS• EffectiveResourcing• CommunityEngagement• ServiceQuality

exeCutive adMiNSabrina Watt

Quality & riSkeNviroMeNtal

ServiCeSCoordiNatorAnita Weaver

adMiNiStratioNCoordiNatorJodie Russell

CliNiCalNurSiNg

CoordiNatorAnn Vaughan

CoMMuNityServiCeS

CoordiNatorLyn Iredell

eNviroMeNtal ServiCeS

Staff

Capital WorkS/ projeCt

MaNageMeNt

CaSeMaNageMeNt

diSaBility ServiCeS

Staff

MeN’S Shed

adMiNiStratioNStaff

NurSiNg Staff

reSpite & CoMMuNity

ServiCeSStaff


CeNTRe MANAGeR’S RePORTWelcome to the 2015 Annual report of the Balmoral Bush Nursing Centre Inc. This year the Centre celebrated 90 years of continuous service. The generations that have gone before were acknowledged and celebrated for having the enthusiasm and vision to develop a health service such as ours.

We have continued a sound tradition of delivering local accessible quality health and community services.

Our financial performance has again been sound in a very unpredictable and resource poor environment. We were thrilled to receive a number of very generous philanthropic donations and would particularly like to acknowledge Don and Jill Cant of Arundale Pastoral Company for providing a substantial cash donation to allow for upgrade of our cardiac monitor and emergency response equipment. Don and Jill have been friends of the Centre for many years now and their regular contributions are much appreciated.

The Coleraine branch of the Bendigo Bank provided a significant donation of $10,000.00 towards the Men’s Shed upgrade. We welcome them as key partners in local community projects and look forward to developing a positive partnership into the future.

Aside from the resource challenges, strategically our focus continues to be service quality, effective resourcing and community engagement.

This year we have completed a number of capital projects and have more in the wings. The Men’s Shed upgrade is currently underway and relocation of Ambulance Victoria to our site will commence later in the year. We are thankful for funding received from the Victorian Department of Health and Human Services for both projects.

Our community development work is specifically aimed at supporting other groups and clubs to achieve great things. Strong communities are healthy communities. Their needs may be of a governance education nature, or they may need help in building a facility or some equipment upgraded. We were thrilled to support the Development Associations’ Community Planning Process and the successful allocation of $160,000.00 from the Shire of Southern Grampians to build new public toilets in the town centre. By working together we can achieve great positive wins locally.

We don’t turn staff over very often, so it was sad to say goodbye to Heather Smith, our Community Services Coordinator assistant. We welcome Rebecca Kearns into the role and wish her the best moving forward. I thank the staff for the enthusiasm they contribute every day and for being so good at what they do. Our staff are the most important asset of this organisation and we look forward to offering opportunities for both individual and team growth and development into the future.

Finally, I would like to thank our President Neville Trotman and our innovative and enthusiastic Board who have supported me in my role and represented the community effectively and accountably. We look forward to the year ahead.

Lisa Hutchins

Centre Manager, Balmoral Bush Nursing Centre

This year the Centre celebrated 90 years of

continuous service. The generations that have gone before were acknowledged and celebrated for having the enthusiasm and vision to develop a health service

such as ours.


Key ACHIeVeMeNTSBalmoral BNc 2014/2015

Strategic PerformanceA review of the Centre’s Strategic Plan was undertaken by the

Board and the following priority areas were identified for action. Achievements within these priority areas are listed below:

Priority areas for action:

technology:• Delivery of Telehealth G.P. sessions and specialist appointments • Use of social media to engage the community and promote services and

programs• Website updates and promotion of services and programs• Continue to review options for electronic client management software

that integrates our clients regionally

Workforce:• Well qualified and appropriately allocated work force• Centre Manager successfully completed RIPeRn endorsement• One community services staff member completed Cert IV in Aged and

Community Care and Tai Chi Leaders course • seven nurses successfully completed annual RAn competency training• Commissioning of a nurse/centre manager honour board• Implementation of ReHSeN on line education package for all staff

Facility and Service Development:• Commenced planning for co-location of Ambulance Victoria to the

Balmoral BnC site• Secured Outreach Dental Services van from South West Health • Lobbied for continuity of visiting allied health services • Redevelopment of outside childcare play area• Purchase of new emergency response/district nursing vehicle

collective impact:• support for development of the Balmoral swimming Pool capital

redevelopment project• Administration and liaison support for Chameleon Arts Collective • Active participation and leadership within the Balmoral Community plan

project commissioned by the Shire of Southern Grampians• Integration of playgroup sessions with visits from Shire of Southern

Grampians Library van• Governance education and restructure support to the Harrow Balmoral

Football Netball Club• Balmoral Recreation Reserve Community Centre redevelopment

feasibility study participation and administration support• Implementation of our health promotion plan developed in response to

regional health promotion priorities and identified local need• Celebration and recognition of 90 years of Bush Nursing in Balmoral

Celebration and recognition of 90 years of Bush Nursing in Balmoral. Centre Manager Lisa Hutchins and Board President Neville Trotman with Regional Director Maree Roberts, Department of Health and Human Services.


quality and risk is a very diverse portfolio encompassing environmental Services. Often dismissed as a time consuming tangle of “red tape”, monitoring of each of these areas individually is essential to the effectiveness and longevity of any health service.

If I were asked to sum up what the Quality and Risk Coordinator or environmental Services Officers do in a single word, that word would be support. Our small team lends support to other BBNC staff and our visiting health professionals to enable them to focus on providing valuable health services through:

• Maintaining a clean and comfortable work environment

• Maintaining a safe work environment by conducting regular audits on the condition of the building and equipment

• encouraging and enabling staff to use safe work practices and report any potential or real safety issues

• Taking immediate actions to rectify any identified safety or risk matters

• Assisting with the coordination of special projects or events

This year has been a busy one for special projects. The Balmoral early Learning Centre minor capital works project was completed mid-year using funds from the Australian Government Department of Social Services sourced by childcare service provider Wimmera uniting Care (WuC). This funding was granted to WuC to enhance service delivery with an emphasis on improving the outdoor play space. It created an opportunity to address some issues concerning the comfort and safety of the children including the lack of shade during the hot months of the year and having no access to water in the yard. It also allowed us to work with WuC to improve the learning outcomes for the children in care at Balmoral early Learning Centre, bringing our Family Centre in line with the current push for providing open ended play opportunities.

quALITy & RISK RePORT

Carey Covers workers Graeme Fox (wheelbarrow) and Robert Carey working

on the Balmoral early Learning Centre outdoor play space area


quALITy & RISK RePORTIn March 2014 we were fortunate to apply for and receive funding from the Victorian Government Department of Human Services to complete improvements at the Balmoral Men’s shed in partnership with the Balmoral & District Angling Club. Currently underway, this redevelopment will provide delivery access to the workshop, improved storage for the Angling Club, a new disabled access toilet, renovated and enlarged kitchen and some much needed roof repairs to the entire building. This project is due for completion in August 2015.

encouraging the professional development of staff has been a focus this year. In November 2014 we launched an online learning portal for all BBNC staff. Victorian Regional Health Service elearning Network (ReHSeN) has allowed our organization to link into their portal which offers access to in excess of 110 online courses. I am pleased to say this was well received by staff. Course topics we have covered this year have included but not been limited to:

• Manual tasks for workers

• Lone workers

• Driver safety

• Infection control

• Assisting clients with medication

• Hand hygiene

Projects in the pipeline for the coming year include developing ways to better capture and use performance data, expanding the online learning opportunities for staff and the Ambulance Victoria Co-location project. We look forward to the challenges these projects will present.

Anita Weaver

Quality and Risk Coordinator, Balmoral Bush Nursing Centre

Key achievements for 2014-2015

1. Completion of the Balmoral early Learning Centre playground upgrade

2. Implementation of staff online training through e-Learning

3. Implementation of Preferred Supplier process and contractor inductions

Challenges for 2014-2015

1. Growth in visiting service providers has again increased demand for workspaces and storage within the Centre

2. Continually assessing and improving the facility, equipment and procedures to be equal to or better than industry best practice

3. sourcing the funding to achieve the improvements needed to maintain best practice

Balmoral early Learning Centre outdoor play space area completed


FINANCIAL PeRFORMANCe OVeRVIeWThe BBNC strives to deliver and maintain a diverse and extensive range of services in a remote locality. A combination of less than CPI adjustments aligned with increasing delivery and compliance expectations highlights the need for astute financial performance. We are in a period of significant geopolitical change. Whilst health and related services are still largely government funded, there is a continual movement to increase the proportion of funding from local fundraising and user pays contributions.

to remain sustainable we must not only ensure that our present revenue and cost bases are very carefully managed, but also that we as a community and as individuals adapt to a new culture where local financial input is increasingly important. To this end we express our sincere appreciation to those community members who have made donations to our service this year.

For the current year we are pleased to report a surplus Net Result Prior to Depreciation & Capital Projects of $3203 (*see explanation below).

*The Centre’s normal operating performance is best measured on the basis of its Net Result Prior to Depreciation & Capital Projects. This is for the following reasons:

1. Depreciation is included in our books for corporate audit purposes. In practice though, when we replace a significant depreciable asset it is usually funded by a one off capital grant or donation. As the funds to replace the asset do not come from our normal operating revenue we would be overstating our losses if we charged the depreciation cost against our normal operating revenue.

2. Capital works projects are also funded by single one off grants. By considering these one off activities as separate from our normal operations we are better placed to assess our financial performance in terms of everyday operations.

FINANCIAL OPERATING PERFORMANCE - for the year ended 30.06.2015

OPeRATING ReVeNue Clinical services $ 512,409Community services $ 292,965

TOTAL OPERATING REVENUE $ 805,374 $ 805,374LeSS OPeRATING eXPeNDITuRe Clinical services $457,874

Community services $ 169,133shared expenditures $181,644

TOTAL OPERATING EXPENDITURE $ 802,171 $ 802,171NeT OPeRATING SuRPLuS PRIOR TO DePReCIATION AND CAPITAL WORKS PROJeCTS* $ 3203

LeSS eSTIMATeD DePReCIATION PeNDING FINAL AuDIT $ 69,018NeT eXPeCTeD DeFICIT PeNDING FINAL AuDIT ($ 65,815)

Operating Expenditure 2014-15

employee related costs make up the service’s largest category of operating expenditure.

BuILDINGS/OCCuPANCy

3%

MOTOR VeHICLeS4%

seRVICe Costs7%

ACCoUntAnt1%

ADMInIstRAtIon3%

PAyROLL /on Costs

77%

INFORMATION TeCHNOLOGy

5%

MeMBeRSHIPS 2%

InteRest4%

GOVeRNMeNT FuNDING

74%

LyNDOCH LIVING9 %

CLIeNT SeRVICeS & NDIS7 %

CLIeNT FeeS1 %

COMMuNITytRAnsPoRt

3 %

Operating Income 2014-15

the following chart shows the major sources of total operating income by percentage with Government funding being the largest provider.


FINANCIAL PeRFORMANCe OVeRVIeWFINANCIAL PERFORMANCE FOR CAPITAL WORKS, PROJECTS & RESERVES- for the year ended 30.06.2015

ReVenUe Reserves & Provisions $ 481,357Accrued Capital Works $ 209,373

Current year Capital Works Grants & Donations $ 72,157LeSS eXPeNDITuRe TO DATe $ 19,915

SuRPLuS $ 742,972

BALANCE SHEET SUMMARY - The table below shows the Centre’s major Balance Sheet categories in the past four years. (** Pending audit)

2012 2013 2014 2015 **

Current Assets 795,324 765,225 839,303 841,665

Fixed Assets 923,727 940,919 1,013,243 1,041,191

Current Liabilities (130,966) (147,416) (375,482) (352,172)

Non Current Liabilities (9,127) (22,924) (37,069) (37,069)

Net Assets/equity 1,578,958 1,535,804 1,439,995 1,493,616

Please note that all figures in this financial overview are reported for the purpose of presenting this Annual Report. As such they are reported prior to and subject to, the completion of our auditor’s report. Full copies of the Annual Audited Financial Reports will be presented and available at the AGM.

AV CO LOCATION PROJeCT25%

MeN’S SHeD PROJeCT3%

CAPITAL & SPeCIALPROJeCTS

6%

STRATeGIC & SeRVICeDeVeLOPMeNT

2%

DISABILITy (AIDS equIPMeNT)

1%

SICK LeAVe3%

LONG SeRVICe LeAVe13%

VeHICLe CHANGeOVeR4%

WORKING FuNDS12%

ReSeRVe FuNDS31%

Cash Holdings Allocation at 30th June 2015

Neville Trotman,

President, Balmoral Bush Nursing Centre

Karen Rees,

Treasurer, Balmoral Bush Nursing Centre

Board members Bruce Laidlaw and Mardi Johns with Board President Neville Trotman

To understand this surplus please consider the cash holdings allocations graph below.

With total assets of $1,882,857, asset management forms an important part of our financial operations. Of all the asset categories, cash and investments are the most liquid and require special consideration. The table and graph below show comparative cash and investment holdings for the past four years and the designated purpose for which current cash and investments are held.

CASH AND INVESTMENTS2012 2013 2014 2015

total Assets 1,719,051 1,706,144 1,852,546 1,882,857

Cash & Investments 769,876 738,383 824,464 830,523


Connecting people,

170Immunisations

1294 Vital sign

assessments

1324 Occasions of

client advocacy and support

939 GP Visits

347Wound care assessments

1211 Occasions of

individual healthpromotion

investing in the health and wellbeing


promoting knowledge,

74 Telehealth GP

appointments

62 Emergency Response

Calls

359 Pathology

Clients

1 Only Bush Nursing Centre in Victoria

to offer onsite childcare

1791 Clinical

Presentations

2216 BBNC

Website Hits

of our community for the future


The Nursing staff at Balmoral Bush Nursing Centre aim to provide quality care in a rural area. The staff link closely with the community and have strong awareness of individual needs. through this we are able to assist the individual to develop health goals, liaise with speciality services and access support where and when they need it.

The nursing staff is highly skilled in many areas including wound care, continence care, domiciliary care, suturing, ear syringing and immunisation. All seven nurses attend annual competency based training through Ambulance Victoria to maintain their skills as Remote Area Nurses. Through staff flexibility and experience our nursing staff can cater to the needs of the community.

Our Centre Manager Lisa Hutchins has successfully completed a RIPeRN endorsement this year. We look forward to the improved health care options this scope of practice will provide to our community.

Balmoral Bush nurses work in partnership with the client, the client’s family and other service providers to achieve the best possible health outcome. An example of this is the provision of telehealth services to GP clinics or other specialist services. Telehealth provides a unique form of consultation that allows collaboration between the client, family members, nurse and specialist without the extra cost demands of travel.

At the Bush Nursing Centre we have worked hard to secure visiting services such as the Diabetes educator, Psychologist, Podiatrist, Maternal and Child Health and Continence Nurse. The addition of these services has complemented the total care package at the Centre. We continue to have the support of Western District Health Service, Wimmera Health Service, Medicare Local, Coleraine/Casterton and Hamilton Medical Centres in providing valued visiting services.

We look forward to the opportunities arising from the implementation of the newly established Primary Health Networks.

We regularly deliver health promotion activities such as school health talks, screening clinics, first aid courses and other public health activities. These activities are directly linked to the Victorian Public Health and Wellbeing Plan for 2011 -2015 as well as subregional goals based on our population needs and assessed risk areas.

“Our Nursing staff find it most rewarding to work closely with people and help them achieve their individual health care goals.”

CLINICAL NuRSING RePORT


1. Continued expansion of the telehealth model providing access to specialty services and equity to all clients

2. Ongoing staff education ensuring quality of care

3. Secured continuity of visiting services though Barwon Health for podiatry, psychology and diabetes care providers


1. ensuring changing community health needs are met in a rural setting

2. Limitations on funding

3. expansion of allied health services though Primary Health Networks (PHNs)

Clinical Activity 2014-15

CLINICAL PReSeNTATIONS21%

eMeRGeNCy PResentAtIons

1%

HeALTH PRoMotIon

33%

POST HOSPITIAL CARe 2%

PATHOLOGy4%

PHARMACy SuPPLy7%

PHARMACy COLLeCTION11%

ADVOCACy & SuPPORT16%

TeLeHeALTH1%

IMMUnIsAtIon2%

PRACtICe nURse sUPPoRt

2%


Case Management involves being a central point for all parties involved in a client’s care to allow easier communication and coordination of services. This process results in identified client needs being met by the most appropriate carer or service. Local access and coordination ensures the best outcome for our community.

Our staff has a strong local knowledge and is well equipped to assist the client with their choice of care support. We work as a multi discipline team relying on the expertise of speciality services such as physiotherapy, occupational therapy and speech therapy to ensure that the right care is provided.

We act as a point of coordination between services and provide advocacy for the client to ensure they receive an optimal care package.

our partner services for case management include: • Lyndoch Living• Southern Grampians Shire Council• Barwon Health Carer Respite Services

the services provided to clients include: • Home Care• Personal Care• Advocacy• Home Maintenance• Meals on Wheels• Respite services• Personal Alert Alarms• Personal Health and equipment Supplies

Via thorough assessment, identification of specific needs and coordinated service provision based on Active Service Model principles, we assist clients to maintain independent and rewarding lives.

“The Bush Nursing Centre advocates for clients, assisting them through the network of health services.”

CASe MANAGeMeNT RePORT

Peg Foley with her personal alarm


1. Continued strong partnerships with Lyndoch Living and the Southern Grampians Shire Council to ensure clients are able to access quality care

2. Advocating for clients as they journey through the health care system

3. ensuring clients are informed and have a say in their care to enhance their ability to remain independently living at home


1. ensuring all client needs are met

2. Assisting clients to navigate the Aged Care system

3. Advocating for clients accessing the nDIs program

Ann Vaughan

Clinical Nurse Coordinator, Balmoral Bush Nursing Centre


COMMuNITy SeRVICeS

Community Services Staff

Responsibilities:

• Provide a local contact for carers and clients to access support

• Ensure clients have a say in their care

• Assess activity needs and preferences of clients and carers

• Network with best practice service providers

• Assist with referral to other services if required

• Assist with transport

• Respect the independence, privacy and confidentiality of clients

• Ensure health and safety requirements are met for clients and staff

Funding Partners:

• National Respite for Carers Program - Lyndoch Living brokered

• Home and Community Care (HAAC) respite (direct funded)

• Linkages - Lyndoch Living brokered

• Community Aged Care Packages - Lyndoch Living brokered

• Individual Support Packages - DHS direct funded

Key achievements for 2014 - 2015

1. A holistic person-centred approach

to care, promoting wellness and

individual goal setting

2. Delivering flexible services that

respond to a person and their needs

3. Maintaining Respite staffing levels,

competence and qualifications

Challenges or Impacts on Capacity:

1. Continuing to provide a diverse service

focused on community needs within

resource constraints.

2. Transport costs and distance of travel

to specialist appointments

3. Meeting the increasing demand for

service in the community


The Respite Program offers support to carers, provides transport to medical appointments and assists frail older clients and people of any age with a disability to remain living independently in their own home, or with family, for as long as possible.

The Active Service Model (ASM) assists people to live in the community as independently and autonomously as possible. Person centred care planning is a key feature to our services and programs.

COMMuNITy SeRVICeS

Respite & Disability

Kate Mutch with tallie tallay

Rebecca Kearns and Lyn Iredell, Community services Coordinators

“Programs are designed specifically for individual need and are flexible in nature to continually adapt to revised goals of care.”


COMMuNITy SeRVICeS

BALMORAL PLANNED ACTIVITY GROUP (BPAG)

The Balmoral Planned Activity Group (BPAG) assists people to live in their homes and community as independently and as long as possible. Independence refers to the capacity of people to manage their day-to-day activities and make decisions. This year BPAG had 45 individual clients who experienced 32 external trips, six guest speakers and involvement in six community projects.

In the past year, BPAG provided 469 individual meals at the Bush Nursing Centre. Specific men’s trips accounted for eight trips during the year. Another four sessions provided interaction with students at the Balmoral Community College.

BPAG provides programs and activities that ensure clients are able to gain the greatest level of independence possible. equally, they must be as actively involved in decision making. Such decisions include the type of events they wish to attend, guest speakers on a wide range of subjects and visiting varied locations in the area. The wide range of events support and enrich the lives of those who attend.

“ .. the great thing in this world is not so much where we stand ,as in

what direction we are moving..”

Oliver Wendell Holmes, Sr


1. Working within the funding constraints of current allocations

2. Continuing to strengthen social support opportunities

3. Providing a timely and flexible service


1. Connecting clients with new interests and social opportunities

2. Support clients to achieve goals and be involved with activities that are important to them

3. Helping clients to stay active/connected and involved in the local community

JUL OCTAUG NOVSEP DEC

• Goroke “Lost in the Bush” 150 years celebration

• PAC Hamilton “Delltones”

• Purple Sheep Woolley West Fest

• Sheepvention Hamilton

• Annual trip away to Ballarat

• Final of footy tipping

• Craft Day

• Picnic Lunch out and about

• Men’s Shed Funding Announcement

• Melbourne Cup Sweep

• Trip to Byaduk & Macarthur

• Party with the Ponies

• Christmas break up and luncheon


COMMuNITy SeRVICeS

ANNUAL BPAG Trip in 2014

JAN APRFEB MAYMAR JUN

• Arnotts Biscuits 150th Anniversary

• Fire Safety talk

• Commence water exercise program at Balmoral and District Swimming Pool

• 2015 BPAG welcome back

• Chinese New Year

• Pancake making day

• Wimmera Machinery Field Days trip

• Visit Balmoral Community College

• Attend local bull sale

• Portland Cruise Ship “Pacific Pearl”

• Tai Chi exercises

• Monks of Tibet Sand Mandala

• Casterton jewellery making

• Miga Lake Native Flowers

BPAG DAIRY: Two Night Stay in Ballarat“Bags packed we headed to Ballarat Monday 1st September, first stop Lake Bolac. A cuppa and guided tour around the lake, Lake Bolac homestead and the town. This was of great interest to everyone who for years had just driven straight through the town.

Arrived in Ballarat in time for lunch and then a guided tour of Ballarat which was very informative. Our guides from Go2000 were very passionate about Ballarat and surrounds. On day two of our stay we headed to Gail’s Patchwork Emporium, with a few keen to return and spend a little longer. We then went to the Wildlife Park and had a great walk around and tour.

Our days were filled with so much to see and do, not a spare moment. Day three we packed to return home via Creswick Woollen Mills.”

Community Services Assistant Heather Smith at the Ballarat Wildlife Park

BPAG group stops in Dunkeld on their return from the Ballarat trip


COMMuNITy SeRVICeS

Lyn Iredell and Rebecca Kearns

BBNC

Transport

the goal of the Community transport Program is to provide transport for eligible clients in the Balmoral area within constraints of available funding.

Fortnightly trips to Hamilton and Horsham have continued in 2014- 2015 with 20 trips in total.

77 clients used the service in the past year.

BBnC buses have been hired to the wider community, providing transport for larger groups, to travel together and to share the cost of transport .


1. Increasing youth transport needs

2. Lack of recurrent funding for the expanding needs for transport for our ageing population

3. Recruiting volunteers

4. No access to public transport for Balmoral and District residents


1. 68,890kms of safe and comfortable transport

provided to BBNC clients

2. Regular trips to Horsham and Hamilton

3. Continuing to partner with the Balmoral Community

College to provide transport for VET students

Aileen Cantwell


COMMuNITy SeRVICeS

“My son is currently studying VeT Certificate II in Agriculture at Longerenong College. The BBNC Vet bus provides our family with a vital means of transportation, reducing the distance I need to drive from a 250km round trip to only 40km. Without the bus, studying at Longerenong College would not be possible.”

From left: Riley Kearns, Nick Driver, Pat SullivanJasper Bowman, Tom Hutchins, Tom Jagger

VET

“Getting Them There”

Project

A demand for youth transport was identified by the Balmoral Bush nursing Centre and the Balmoral Community College to transport students to regular classes in Horsham for their VeT Courses.

This year, nine students have travelled to Horsham each Wednesday to attend classes.

The project is jointly funded by the Balmoral Community College, the Balmoral Bush nursing Centre and an individual student fee. the program is grateful for the support from the BBnC Respite Staff who make themselves available each Wednesday morning to meet students at the Centre ready to travel to Horsham. These students are collected at the end of the day to return to Balmoral.

Centre Manager Lisa Hutchins reiterates the importance of the program, “With no accessible public transport, the services provided by the BBnC are critical to the district. We continue to advocate for improved transport options for rural remote communities such as ours.”

Jane Sullivan is the mother of VeT student Patrick. Patrick is transported from Balmoral to Horsham once a week, overall a distance of more than 150kms. “My son is currently studying VeT Certificate II in Agriculture at Longerenong College. the BBnC Vet bus provides our family with a vital means of transportation, reducing the distance I need to drive from a 250km round trip to only 40km. Without the bus, studying at Longerenong College would not be possible.”


COMMuNITy SeRVICeS

“The Balmoral Men’s Shed is an important community hub

providing local men the chance to get together, work on valuable community projects, learn new

skills and about health and wellbeing issues and importantly providing a sense of community

involvement.”

While Community Sheds are now common, the Balmoral program was one of the first in Western Victoria, starting in 2006 as an avenue to enhance the Planned Activity Group. The program numbers have increased each year. Since that time membership has doubled and included women.

Men’s shed is a weekly program where men and women in the district, gather, socialise, build, upholster, paint and repair.

With the exception of coordinator wages, the Men’s Shed program is self- funded by donations from community members.

The Men’s Shed

Funding Announcement

In October 2014 Member for Lowan, Hugh Delahunty announced that the BBnC had received funding of $30,000 towards the refurbishment of the Balmoral Men’s Shed through the Victorian Government’s Strengthening Men’s sheds Program. Mr Delahunty said that the grant was received in recognition that

“The Balmoral Men’s Shed is an important community hub providing local men the chance to get together, work on valuable community projects, learn new skills and about health and wellbeing issues and importantly providing a sense of community involvement.”

Balmoral Bush Nursing Centre, in conjunction with the Balmoral and District Angling Club, will refurbish the facility to allow improved access and upgrades to the building to ensure we meet health and safety and disability guidelines.

We aim to ensure the facility continues to be a building that provides safe access and quality facilities for both groups into the future.

neville trotman, neville Merryfull and Bob Paterson at the Men’s shed

Hugh Delahunty, Len Thompson, Ivan Harris and emma Kealy


COMMuNITy SeRVICeS

“Collectively we can do what no person can do singly.”

Leland Kaiser


1. Limitations of existing physical space

2. Access to a quiet room and meals area to support individual goals

3. Funding for equipment and storage space


1. Creating opportunities and activities that enable

socialisation and an active life.

2. Making projects for the community and display of

goods for sale at the Balmoral Community Store

3. Regular social interaction, learning new skills,

promoting mateship

Men’s Shed Wins Giraffe Award

In March 2015 the Men’s shed were presented with the Giraffe Award. The Balmoral P. & A. Society award is bestowed on a local group for “sticking their neck out for the Balmoral and district community.” The annual award commended the Men’s shed program for “Building a better Balmoral.”

Ivan Harris and Arthur Hole with the Giraffe Award

october 2014 Men’s shed funding announcement


COMMuNITy SeRVICeS

Volunteer Betty Weaver assists with BPAG craft activities

Volunteers

Balmoral Planned Activity Group (BPAG)

Without the many volunteers who help out each week with the Balmoral Planned Activity Group, we would not be able to offer the large range of activities which clients have come to enjoy on a regular basis. Volunteers provide ideas, afternoon tea, companionship, laughs and always a helping hand.

A Farewell

After 15 years of service to the Balmoral Bush Nursing Centre, Community Services Coordinator Heather Smith resigned in June of 2015.

Heather was farewelled at both a BPAG luncheon and a staff morning tea.


COMMuNITy SeRVICeS

Volunteers Beth smith and nancye Merryfull

Volunteer Betty Weaver assists with BPAG craft activities

Volunteers

A Thank You at Christmas

the support of all volunteers who contribute and help out at the Centre is greatly appreciated.

Volunteer hours for 2014-2015 totalled 3430 across the organisation.

one way the Bush nursing Centre thanks those who help throughout the year is the annual Christmas party. This event is held to thank all staff, volunteers and people involved with the Centre over the year. this important occasion gets the community together and to say thank you for the myriad of contributions that go into making the BBNC the place it is.

Drivers

Volunteers continue to drive the Community Bus on regular trips to Hamilton and Horsham. This helps to make the Community Bus a far more cost effective program.

Lyn Iredell

Community Service Coordinator, Balmoral Bush Nursing Centre


stories of our service

An initiative to draw the already tightly connected Balmoral Bush Nursing service and the local ambulance service even closer has been conceived, funded and to be up and running in late 2016.

The project relocates the ambulance to a purpose built area at the Balmoral Bush Nursing Centre. $209,000 has been allocated to the project by the Department of Health and Human Services and the green light given by Ambulance Victoria. the Balmoral Bush nursing Centre contributes the space, project management skills and resources of seven Remote Area Nurses.

The project’s key aim is to further integrate emergency care in the Balmoral community, reduce response times and improve the quality of emergency services available.

“It’s not about just sharing space - it’s about sharing education, local knowledge and skill sets,’’ said Centre Manager Lisa Hutchins.

Tony Oxford, Group Manager of Ambulance Victoria is equally enthusiastic about the outcomes “I am very excited about the development and co-location of the ambulance and our ACO’s into the Bush Nursing Centre. The relationships between the ACO’s and RANs has always been very positive and by the nature of our work, the ACo’s are engaged more with the RAns than with the other services that they are currently located with. the move I believe will bring a greater synergy with the shared goal of providing improved care to the Balmoral community. ”

The co-location project also improves the scope of emergency equipment available and the recruitment of ambulance staff by providing a conduit for Ambulance Victoria to connect locally.

“I am very excited about the development and co-location of

the ambulance and our ACO’s into the Bush Nursing Centre.”

Tony Oxford, Ambulance Victoria

Ambulance Community Officer (ACO) Hamish Griffiths and Remote Area Nurse Kim Dufty

Lisa Hutchins meets with Tony Walker, CeO (Acting) Ambulance Victoria.

Co-location of

Ambulance Victoria

at the Balmoral Bush

Nursing Centre



“Their professionalism and “can do” attitude is a credit to themselves and the BBNC.”

Remote Area Nurses Kim Dufty, Ann Vaughan and Diane McLean

Balmoral and Harrow Bush Nursing Remote Area Nurses complete 2015 training From left: Sarah Roberts , Ann Vaughan, Tony Ginis, Lisa McClure, Carolyn Middleton and Gill Hair

Remote Area Nurses, Prized Contributors

to Emergency Care in the Bush

Nurses are especially prized in rural areas, and the Balmoral Bush nursing Centre is proud of having seven RAns—Remote Area nurses.

Remote Area nurses have skills similar to those of Advanced Life Support Paramedics. Special legislation now allows these nurses to administer some medications in an emergency without a doctor’s order.

RAns are only employed by Bush nursing Centres in Victoria and work in rural and isolated conditions.

they work closely with emergency services, such as police, SeS and ambulance. Frequently they are first responders to road accidents, cardiac incidents, farm or sporting injuries.

The RAN training is rigorous, and qualifications and clinical competencies must be updated annually. In 2015 Balmoral’s seven RAns undertook three days of training in Melbourne from Ambulance Victoria and midwives from The Women’s Hospital, Melbourne.

Leading Senior Constable Geoff Barcham frequently works with RAns in his role as a Victorian policeman.

“Their professionalism and ‘can do’ attitude is a credit to themselves and the BBnC.

on many occasions incidents have occurred late at night, in miserable conditions and some less than safe locations. I have seen RAns crawl into cabins of motor vehicles at accident scenes to administer aid to an injured driver or passenger. I have spoken to many an injured person who has been administered aid by the RAns from the BBnC, and they can’t speak highly enough of the care and attention that they have received, ” said Constable Barcham.



In 2015 Matthew Carr, 27, moved to the Balmoral District from Geelong. Matthew and his family were concerned the move would jeopardise the services had been receiving in Geelong as a blind autistic client with the National Disability Insurance Service (NDIS).

NDIS is a nationally funded program that supports people with a disability on a personalised level. the nDIs aims to ensure that Australians with disability – and their families – enjoy far greater choice and control over all necessary services and supports.

Fortunately, the Balmoral Bush Nursing Centre was able to work with the Carrs to negotiate a service tailored to Matthew’s needs in his new, more remote residence of Rocklands.

“We are really pleased and blessed that the transition has taken place so smoothly—it’s taken hard work and effort from everyone involved,” said Tony Carr who approached the Centre on his son’s behalf.

For Matthew that means he is able access services that suit him. Among them are music therapy, socialisation activities, and one-on-one education sessions with a trained teacher.

The NDIS matches clients with best practice partners. In Matthew’s case, this results in Vision Australia providing recommendations, equipment, and funding to the BBnC.

Centre Manager Lisa Hutchins is excited that the Balmoral Bush Nursing Centre had the opportunity to be the first service outside the pilot area in the Western Region to implement the new national disability care model.

We aim to be ‘response ready’ so when opportunities arise we are positioned well to respond to individual client need. As we were already a registered Disability Services Provider , the transition was relatively smooth. We received great support from Barwon NDIS staff.

Alex Mason works with Matthew in her role as BBNC Community Services Project Officer. As a primary trained teacher Alex assists Matthew with literacy and numeracy skills and relates them to daily tasks. She said, “The NDIS makes a huge difference to Matthew’s life. He’s independent, but his visual impairment necessitates help with daily tasks.”

“The NDIS makes a huge difference to Matthew’s life. He’s independent, but his visual impairment necessitates help with daily tasks.”

Matthew Carr with Alex Mason, BBNC Community Services Project Officer

NDIS, Flexible Care and Innovation



The Balmoral Bush Nursing Centre is always on hand to provide a Remote Area Nurse in case of a

medical emergency. Remote Area Nurses, due to the isolated nature of our community, may be the only available health care professionals

to provide first line emergency care and stabilisation in the event

of a medical emergency.

Strategically Advocating For the Arts

the BBnC has strategically targeted social connectedness and shared priorities as key community needs, and three years ago the Bush Nursing Centre created a formal partnership with the local Chameleon Arts Collective. The arts-health partnership advances this strategy, enhances the efforts of Chameleon Arts and improves community wellbeing.

This relationship recognises that a community’s wellbeing and liveability improve where art, music, and creative outlets exist.

The Balmoral Bush Nursing Centre fulfilled the partnership by supporting funding applications, donating administrative time and participating in Chameleon Arts events. Key arts-health achievements in 2014-2015 include:

• supported the Chameleon Arts Music night 2014, one of the larger community events in the Balmoral township

• Through our community services and creative programs, linked Balmoral with the regional and highly successful Woolly West Fest at Sheepvention 2014

• Promoted outreach theatre performance in Balmoral by hosting Unpack this - a comedy tackling male anger management

Chameleon Arts President Clare Ryan said, “Chameleon Arts Collective holds at least one major event each year, and the safety of our community and all those who attend, is paramount.

the Balmoral Bush nursing Centre is always on hand to provide a Remote Area nurse in case of a medical emergency. Remote Area nurses, due to the isolated nature of our community, may be the only available health care professionals to provide first line emergency care and stabilisation in the event of a medical emergency.

Chameleon Arts is always confident that with the support of the Balmoral Bush nursing Centre and our Ambulance Victoria volunteers, we have the interests of our audiences at heart.”

Joy Brody transports community knitted ‘ewina’ to the Woolly West Fest at Sheepvention 2014

Remote Area Nurse (RAN) presence at Chameleon Art’s Music night 2014


Manager 1

Area Coordinators 4

Nursing 5

Community Services 8

Administration 2

Environmental Services 2

Project 1

Our Staff

Jodie Russell and Lauren Mason


Centre Manager Lisa HutchinsRN Div 1 Dip App Sc (Nsg), VRAN, RIPRENDip. Business (Human Resources)

Clinical Nursing CoordinatorAnn VaughanRN Div 1, BN.VRAN Adv Dip. Management, Cert IV Workplace Training and AssessmentNurse Immuniser

Nursing StaffDiane McLean: RN Div1, VRANGillian Hair: RN Div 1, RM, VRAN Kim Dufty: RN Div 1, BN, RM, VRAN, Nurse ImmuniserSarah Roberts: RN Div 1, BN, VRANLisa McClure: RN Div 1, BN, VRAN

Community Services Coordinator Lyn Iredell: RN Div 2, Cert III Home & Community CareLevel II First Aid

Community Services Assistant Heather Smith: Cert IV Home & Community CareCert III Fitness, Level II First Aid (Resigned 5/6/2015)Rebecca Kearns: Appointed 23/6/2015

Administration CoordinatorJodie Russell: Associate Dip App Sci (Farm Management), Associate Dip App Sci (Wool and Fibre Marketing), Level II First Aid

Administration StaffLauren Mason: Level II First AidFiona Jagger: Level II First Aid

Executive Administration OfficerSabrina Watt: BA (Journalism and History), Level II First Aid

Respite& Disability CarersLana Howman: B Sc (Teaching) PCA Certificate, Level II First AidJoy Brody: Cert III Home & Community Care, Level II First AidLauris Logan: Cert III Home & Community Care, Level II First AidRebecca Kearns: Cert III Home & Community Care, Level II First AidJanette Matthews: RN Div 2, Level II First AidKaren Davis: Cert III Home & Community Care, Cert III Aged Care, Level II First Aid (Resigned 8/1/2015) TallieTalay: Cert III Fitness, Level II First Aid, Cert III Home & Community Care, Cert III in Aged CareAlex Mason: BA Education (Primary), Level II First Aid

Live ActiveTallie Talay: Cert III Fitness, Level II First Aid, Cert III Home & Community Care, Cert III Aged Care

Aged & Community CareJannette Tinning: Cert III Fitness, Level II First Aid

Quality and Risk CoordinatorAnita Weaver: Cert III Retail Pharmacy, Worksafe approved Health and Safety Representative OHS training course, Level II First Aid

Environmental Services StaffMargaret (Louise) GuthrieRebecca Kearns: Cert III Home & Community Care, Level II First Aid

connecting people, promoting knowledge, investing in the health and wellbeing of our community, for the future

Our Staff


Clinical Services: • District Nursing• Accident & Emergency Nursing• Palliative Care• Post Acute Care• Hospital in the Home• Collection of Pathology Specimens• Continence Care & Advice• Access to Medications & Pharmacy Services• Wound Care• Domiciliary Midwifery• Community Nursing – DVA• Immunisation

Allied Health Services:• Maternal & Child Health Nurse• Podiatry Service• Optometrist• Diabetes Educator• Community Health Days• Fitness Programs• Virtual Services• Masseur• Hearing Services• WDHS Psychologist

Community Services:• Respite Program• Planned Activity Group Program• Case Management• Community and Youth Transport Services• Volunteer Program• Health Promotion• Disability Services• The Men’s Shed• Live Active• National Disability Insurance Scheme (NDIS)

Referral Services:• A wide range of referral services

seRVICes PRoVIDeD

Anne Paterson with Podiatrist Phuong Huynh

Mary and Trevor Bloomfield with WDHS Diabetes educator Megan McLeish

Men’s Shed workers John Rees and Len Thompson


DoCtoRs

Dr Brian S Coulson MBBS Dip RACOG, FACRRM, practises with Coleraine/Casterton Medical Clinic and visits Balmoral every second Tuesday. Dr Coulson has been with the practice since 1982. He graduated from Adelaide in 1978. His special interests are dermatology, psychiatry and infectious disease.

Dr Jan SlabbertMB ChB FRACGP, practises with Hamilton Medical Group and in the past has consulted at the Balmoral Bush Nursing Centre. While obstetric commitments in Hamilton have required him to discontinue his visits to Balmoral, the BBNC offers video consultations between Dr. Slabbert and his Balmoral patients to ensure continuity of care.

Dr Greta ProzeskyMBChB, FRACGP, practises with Coleraine/Casterton Medical Clinic and visits Balmoral every alternate Tuesday afternoon. Dr Greta graduated in South Africa, working in Britain and Bahrain before joining the practice at the end of 2000. Her interests are paediatrics, female health, psychiatry and alternative medicine.

Dr Coulson with patient Chrissy Flavel

Dr slabbert consults via video link as RAn Ann Vaughan facilitates

Dr Greta Prozesky with Hanieh Langroodi and Intern Dr James Connell. Dr Connell is a participant in Royal Adelaide university’s Prevocation GP Placement Program


1989 OUR HISTORYJuly 2015 marked 90 years of Bush Nursing in Balmoral. This milestone was marked by a community celebration which recognised the efforts of the Balmoral district to create, maintain, and grow the Balmoral Bush nursing Centre since 1925.

Former bush nurses, past members of the management committee, current board members, employees, patients, and friends of the Centre joined the festivities and reminisced.

the service of nurses who served as Bush nurses were commemorated by the unveiling of an honour board. the early names on this board are of women who served their isolated community on their own. Often they were on call seven days a week.

“The generation who have gone before are to be celebrated for having the enthusiasm and vision to develop a health service such as ours. We have continued a sound tradition. It’s a tradition of

which we are very proud and will continue to build upon.”

2015

1970s

1928

2012

1990


the community especially paid tribute to these women and celebrated the care they gave. In researching the earliest of these bush nurses, often even the oldest community members couldn’t recall the first names. As one octogenarian said, “They were a big part of the community and highly respected but we never called them by their first name. They were simply “sister”.

The Balmoral Bush Nursing Centre commenced on July 4, 1925. Mrs ethel Wood and Lady Smythe were the inaugural executive and faced many challenges establishing the service. Throughout the first year the Bush Nursing Centre provided 447 visits, 81 days in residence, 10 all night sittings and 11 maternity cases.

Volunteers built the original Centre in 1928 on land donated by Mr A J Walter. The current site, 26 Bell Street, was purchased in December 1970, and opened in 1972. As the service expanded the residence was converted to make way for increased services. In 1994 a Commonwealth funded Respite Program commenced. In 1997 a capital redevelopment resulted in a function room, which provided the physical capacity for modern service delivery.

As the Centre grew, governance needs changed. The Committee of Management became a board. Community members from all walks of life gave their time as volunteers to better the service. In 2006 a major facility redevelopment was completed. The present Centre Manager Lisa Hutchins said, “The generation who have gone before are to be celebrated for having the enthusiasm and vision to develop a health service such as ours. We have continued a sound tradition. It’s a tradition of which we are very proud and will continue to build upon.”

Centre Manager Lisa Hutchins with former Bush Nursing Charge Sisters Marilyn Boyce Skews, Patricia Watt, Diane McLean and Peter Williams (son of Sister Rene Williams) unveil the Charge Sister/Centre Manager honour board


Don & Jill Cant

Carol Seymour

John & Ellen Staude

Geno & Ruth Fatone

Martin Rowe & Jocelyn Lord

Southern Grampians Wilderness Resort

Kay Dixon & Lorna Fulton

Gary & Margaret Mutch

Gary Wilson

Simon & Danni Smith

Ian Grigg

Derek & Trish Brody

Balmoral & District Lions Club

Adele Brown & Andrew Tweedly

Anthony & Claire Ferguson

John & Hazel Norris

Brian & Coralie Coulson

Coleraine Casterton Medical Group

Grey Family

Pigeon Ponds Social Club

Balmoral Op Shop

Donations

The Balmoral Bush Nursing Centre

recognises the financial donations provided

by our community. The Centre is grateful to

each person or business who has donated.


The Balmoral Bush Nursing Centre continues to formalise and integrate planning with key partners.

Darcy Penrose - Mooree Remedial Massage

Department of

Human ServicesDepartment of

Health

Balmoral and DistrictRecreation Reserve

Coleraine Casterton Medical

Balmoral and District Development Association

Coleraine & District Community Bank®Branch

Key Partners

Annual Report 2014/2015 BBNC38

Connecting people, promoting knowledge, investing in the health and wellbeing of our community, for the future

connecting peopleBalmoral Bush Nursing Centre

Ph: (03) 5570 1304F: (03) 5570 1482

E: [email protected]

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