Peninsula Home Hospice

Annual Report 2017–2018

“ To improve is to change; to be perfect is to change often.”

Winston S. Churchill

Respect

Recognising the individual, welcoming diversity, supporting human rights, nurturing choice and acting ethically, honestly and fairly.

Inviting open, honest and real two-way communication.

Demonstrating genuine care and showing warmth,

understanding and sympathy.

Readily addressing and recognising the needs of others

Providing safe, accessible, helpful, understanding and reassuring care.

Our Core Values

Compassion Inclusion

Responsive Support

Peninsula Home Hospice (PHH) provides home based specialist palliative care that optimises quality of life and honours the hope for comfort, choice, dignity and peace.

2 Report from The Chair

4 CEO’s Message

7 What we do

8 Board of Directors

10 Clinical Report

15 Service Delivery

16 Volunteer program 2018

20 Our Community

24 Our People

28 Our donors & supporters

30 Financial Summary

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Peninsula Home Hospice Annual Report 2017/18 — Contents

Report from The Chair for 2018

It seems that events are moving so fast these days that, what in one moment seems impossible, the next is happening. At PHH, we are committed to meeting the tides of change, mindfully and effectively, whether it be Government legislated change like the upcoming Victorian Assisted Dying Bill or structural changes within organisations such as RDNS (who are now Bolton-Clarke). Being a relatively small organisation we can innovate and adapt quickly to maximise outcomes for our clients.

The PHH Board of Directors, ten widely experienced members, each contribute their various skills in financial management, business and legal expertise, medical and community involvement. They give generously of their knowledge to ensure that PHH runs sustainably now and into the future. Their work underpins the smooth functioning of the organisation. We are continually proactively anticipating the potential risks and challenges, and this leads to the very positive outcomes contained in this year’s annual report. I am immensely proud and honoured to have been their Chairperson once again this past year.

We have welcomed Mrs Vicky Sayers to the board of directors this year. Vicky is well known to many, having grown up on the Mornington Peninsula and brought up her own family here as well. Vicki also works locally in real estate and her background as a palliative care trained nurse informs her opinions.

There is no doubt that the bold move in 2016 to purchase the building in Main Street, Mornington has made PHH more efficient, practical and pleasant to work with. Its flexibility has already ensured that we can create additional workspaces for the increasing staff levels necessary to meet the growing demand for service within our community.

“ Time and tide wait for no man”

Geoffrey Chaucer

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To have a CEO of the calibre of Rachel Bovenizer makes our work on the Board so much easier. Rachel has achieved amazing results which you can read about further on in this report. We congratulate her and all the staff who make up the leadership team, the clinical staff, the administrative staff, and the volunteers for all their efforts to achieve our aim of Excellent Care for Every Client, Every Time.

The community support we get from our fundraisers is another vital factor in our success. Whether it be raising money through golf days, film nights, musical afternoons, lunches or dinners, our Auxiliaries entice their friends and acquaintances to attend and give generously. The combined efforts have a huge effect on the lives of those we care for. Funds go directly to enhance the service we can give to our clients. Not only do they raise money but also they are ambassadors for our cause of living well with a life challenging illness, at home, until the end, surrounded by family and friends.

In this day and age so many deserving causes are seeking support, it is heartening to have an increasing number of businesses partnering, and individuals joining in from our community, to enable PHH to not only continue our work but to increase the number of clients that we can assist.

Helen Fairlie — Peninsula Home Hospice Chair

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Peninsula Home Hospice Annual Report 2017/18 — Chair's Report

CEO’s Message

It has been another productive and rewarding year at PHH, focused on keeping up with the demand to support people with complex and chronic health conditions. We have enabled more people, at end- of-life, to be cared for at home and, overall, we have seen an increase in the number of clients meeting their preference to die at home.

The Clinical Team has grown to accommodate a new model of care; they have adapted well to the change and welcomed new members to the team. Looking ahead our strategies will create diverse opportunities for clients as the broad based skill mix in our team grows and develops. Volunteers remain an essential component of care to our clients and broadening ways to have volunteers involved in palliative care strengthens our offer.

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The Administrative Team have streamlined their work practices to include a range of shared responsibilities. This has created a more flexible work force with a nimble attitude to address the tasks at hand on a day-to-day basis. Our future depends on ensuring that our systems are as effective and efficient as possible.

It has been a busy and challenging year for the leadership team to keep up–to-date with change, lead in an environment of transformation, and to support and guide new staff to perform at their best.

It is with gratitude and pride that I work with such committed colleagues. My sincere appreciation goes to all who work at PHH for their big-hearted-ness and dedication to the work that we do.

We recognise that small changes can have a big impact and, in the past year, we helped others gain the confidence to have challenging conversations and make plans for end of life care. We want to encourage people to speak openly about death, dying and loss and see the cycle of life as relevant and normal.

Today, we increasingly understand that terminal illness means far more than just cancer. Therefore, in addition to looking after people with terminal cancer, our goal for the future is to expand on providing high-quality palliative care and support to people living with conditions such as Motor Neurone Disease, Lung Disease, Heart Disease and Parkinson’s. Our strong partnerships with generalist healthcare providers underpins well-coordinated care for this group of people.

In collaboration with Palliative Care Victoria and The Southern Metropolitan Palliative Care Consortium, information about palliative care has been instrumental in supporting many healthcare professionals to develop their skills and understanding about palliative and end- of-life care.

If we are to meet the growing demand to have people cared for in their homes, community palliative care must be visible. This year we have striven to keep palliative care firmly on the political agenda by, attending government consultations and meetings, distributing briefings, and meeting with local government representatives. Palliative care is an integral part of Australian healthcare and seen as a core element of end-of-life care. I would like to acknowledge the ongoing commitment from Department of Health & Human Services (DHHS) and the work of the Palliative Care Team.

It is incomprehensible to imagine PHH without the backing of our community and the many people who open their gardens, buy raffle tickets attend our functions, donate or leave a gift in their Will. The level of care that our clients deserve is dependent on this support, not only to help raise funds but to be our advocates and promote palliative care. During the year, we have spent the money raised, thoughtfully and wisely.

On behalf of the staff, I extend my gratitude to the Board for their sound governance, counsel and support. We are so fortunate to have a volunteer Board of Directors with the skills, commitment and passion to guide PHH. We have much to be proud of and ambitious about the future.

In the wise words of Mother Theresa, “I alone cannot change the world, but I can cast a stone across the waters to create many ripples”

PHH strives to ensure that life is valued and the quality of life honoured.

Rachel Bovenizer — Chief Executive Officer

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Peninsula Home Hospice Annual Report 2017/18 — CEO's Message

Our goal is to do whatever we can to enhance their quality of life.

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Our aim is to provide specialist palliative care and support to those living with a life threatening illness so that they may be cared for in the comfort of their own homes, as well as providing support for their families and carers.

In supporting the goals and preferences of clients and families, we uphold the dignity and integrity of each unique person.

We provide this through our team of 41 staff. This comprises Specialist Palliative Nurses, Counsellor/caseworkers, Allied Health plus Administration and our team of over 100 Volunteers.

Our volunteers come in three guises: — client care volunteers who go through a 9 week training course— administration volunteers that help out by working in our office when staff are on leave— our fundraising volunteers in the form of our Auxiliaries – over 100 members working

tirelessly in our community to raise awareness of our service as well as funds

GeographyIn the last 12 months we have looked after over 800 people and their families with

a service that is provided to local government areas of the Mornington Peninsula Shire from Portsea through to the City of Frankston and up as far as Mordialloc Creek in the City of Kingston. It is a community in excess of a third of a million people.

Our clients are of all ages, with our current oldest client being 100 years of age and our youngest being just 3.

To be able to maintain quality palliative care with no additional cost to our clients, we rely on fundraising, so thank you for choosing to support us.

“ You can’t go back and change the beginning, but you can start where you are and change the ending.”

C.S. Lewis

What we do

Peninsula Home Hospice Annual Report 2017/18

7

Board of Directors

Helen Fairlie — ChairDirector since November 2008, Chair since November 2011

— Arts Nepean Sub Committee Chair 2009 – 2011— Sorrento Portsea Chamber of Commerce

Committee 2000 – 2011— Women of Action Fundraising for PHH 1997 – 2011— School Council for Sorrento Primary School,

Committee member and Chair 1990 – 1998— Committee member and Chair of Sorrento

Pre School 1986 – 1990— Special responsibilities: Member of the Audit

and Finance Committee; Governance and Risk Committee; Fundraising Committee

Kath Ferry — DirectorDirector since October 2016

Kath has extensive management experience and knowledge of the not for profit and government sectors, and currently works in the disability field. She holds executive positions on the Boards and Committees of Frankston Business Network, Emerge Australia and Australian Institute of Company Directors.— Special responsibilities: Member of the

Audit and Finance Committee

Richard LindnerDirector since October 2016

Richard was a Chartered Accountant in public practice for over 30 years. His clients included organisations in community services, health, emergency services and local amenities sectors. His particular professional interest in these sectors has been governance and the financial sustainability of their operations.— Special responsibilities: Member of the

Audit and Finance Committee

Dr Nicola MartinDirector since October 2013

General Practitioner since 1985, Medical Educator with Eastern Victoria General Practice Training Program, Clinical teacher Monash University Medical School, visiting Medical Officer Peninsula Health and past Board Chair of Toorak College.— Special responsibilities: Member of the

Governance and Risk Committee

Celestine Moon — Vice ChairDirector since October 2011

Celestine has 30 years experience in the hotel industry, 15 years employment as a Solicitor both in a private practice and as a community lawyer.— Special responsibilities: Member of the

Governance and Risk Committee

Michael Pollard – TreasurerDirector since October 2011, Treasurer since October 2016

Managing Director of Port Phillip Group Chartered Accountants and Financial Planners since 1993.— Special responsibilities: Chair of the Audit

and Finance Committee

Dan RomanisDirector since February 2016 and also November 2000 to November 2012

Over 40 years experience in the non-profit sector including CEO of Royal District Nursing Service for 17 years. Currently CEO of Marriott Support Services, a leading disability services provider. Ministerial appointee to Victoria’s Health Services Review Council 2012-2016. Member BGKLLEN Committee of Management.— Special responsibilities: Member of the

Governance and Risk Committee

Mark SmithDirector since October 2013, Chair of Governance and Risk Committee since November 2016

Qualifications: MBA, Grad Dip Nursing Admin, BN. FACN, AFAIM, MAICD. Experienced healthcare executive with a particular interest in community and primary health care.— Special responsibilities: Chair of the

Governance and Risk Committee

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Back row — Richard Lindner, Michael Pollard (Treasurer), Dan Romanis, Mark Smith, Tony Vaughan Front row — Vicki Sayers, Celestine Moon, Kath Ferry, Helen Fairlie (Chair), Dr Nicky Martin

Tony VaughanDirector since October 2013

Experience at senior executive level in both public and private sector. Specialist in business development and strategic planning in property and asset management.— Special responsibilities: Building and

Maintenance Committee

Vicki SayersDirector since October 2017

Vicki was born and raised on the Mornington Peninsula and has previously worked as a Palliative Care Nurse and is now a Licensed Real Estate Agent. Community and connection are important to her.— Special responsibilities: Fundraising Committee

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Peninsula Home Hospice Annual Report 2017/18 — Board of Directors

Clinical ReportInge McGinn — Manager, Clinical Services

Changes to the way that the clinical team work

During the past 12 months, the clinical team have moved through intense change as we have adapted to a new model of care. The impetus for the change was in response to the Federal Government National Health Reform and the State Government introduction of the End of Life and Palliative Care Framework. This change has influenced how we provide Specialist Palliative Care to our clients and how we work in partnership with generalist community nursing services.

Our nursing team moved from a specialist assessment model of care to now providing assessment and specialist ongoing care, whilst working closely with community nursing services who provide generalist nursing.

This has meant an increase in staff, changes in roles, and greater need for resources and infrastructure internally. How we work with services externally has also necessitated high negotiation to develop effective partnerships to get the best outcomes for clients in a changing environment. This has had benefits for both staff and clients.

We have maintained the diverse skills of the clinical team which includes counselling, spiritual care, art therapy and music therapy.

Client benefits:— One phone number to call 24 hrs 7 days a week— Improved continuity of care for clients— Regular visits from nurses with specialist

palliative care skills — Improved response to unscheduled calls

during business hours — Improved communication with other

members of the team

Organisational benefits:— Higher work satisfaction — Greater interdisciplinary team work and support— Improved data accuracy — The organisation being viewed by the

community as a service in its own right— Improved profile for our service as indicated

by the increase in community education (with 18 presentations by clinical staff over the previous year)

50% Male 50% Female

A Profile of Clients Receiving Palliative Care Peninsula Home Hospice — January–June 2018

Average age malesClient demographics Average age females

18818869.9 years

73.7 years

10

ModeratePain

SeverePain

19

112

56

50

50

100

150

200Clients

279

53

241

106

435

112

Family/CarerProblems

BreathingProblems

Fatigue

0

100

200

300

400

500Clients

What does the data show

The following data highlights some trends influenced by the changes. The data measure outcomes for clients in key symptom areas.

These graphs demonstrate that fewer people experienced unpleasant symptoms after our palliative care intervention. January–June 2017

January–June 2018

PHH recognises, promotes and values the role of carers

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Peninsula Home Hospice Annual Report 2017/18 — Clinical Report

Tree legacy

On Sunday 17th June 2018 PHH in partnership with The Briars in Mt Martha hosted our fifth annual Tree Legacy Event. This is an event for families that we support and who have been bereaved in the past 12 months. They are invited to plant a tree in memory of the person who has died.

In spite of the wet conditions 134 people attended and planted 52 trees. A variety of native plants were available for planting as well as small copper tags to engrave personal messages and a memory book for written reflections. Afterwards there was time for a shared cuppa, sausage sizzle and time to talk together.

“ Thank you for being so very thoughtful nurturing and considerate Peninsula Home Hospice, it means a lot to so many people. My husband and family included. You offered wonderful support during his last days. Many thanks again.”

“ Thank you so much, everyone involved. Amazing idea, fantastic opportunity to provide a sacred space in such a beautiful environment.”

After hours support

Bolton Clarke (formerly RDNS) continue to provide after hours phone support and home visits.

The data shows a decrease in need for after hours support by 21% from July–December 2016 compared to July–December 2017.

The implication of this change is, that the advanced care that our clients are receiving during the day and the increase in confidence that carers have built has decreased their need to call after hours.

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Carers

Over the past year our Carer Education Course has changed format, in an effort to respond to Carers’ preference for a one day program.

Our Carer Day Program includes input from all specialist palliative care staff including Counsellor/caseworkers, Specialist Palliative Care Nurse, Palliative Care Doctor, Occupational Therapist and Client Resource Advocate. This year we also included the Peninsula Health Advanced Care Planning Team Advisor in the program. Two programs held in October 2017 and May 2018, were also supported and aided by our volunteers who provided transport and respite for carers wanting to attend.

Our carers received an invitation to come for a 2 hour morning session, which focused on “Caring for a Person When Death is approaching”. Feedback from carers indicate that this session, whilst challenging, is most useful in helping to acknowledge their own needs while providing care at such a critical time.

It provides a forum for information on services, medications, equipment access, whilst providing support for the emotional and often anxious responses.

Feedback from clients include:

“Comprehensive and insightful – thank you”

“Excellent coverage of topics – has allowed me to self-examine my own experiences and redirect my future support as a carer”

“As a carer it highlights issues which you may think are unique to yourself, but relate to all carers”

“Confronting, and I would recommend it for other carers”

“I would recommend this course to other carers – Involvements during modules is by choice and very supportive team”

“It’s always good to listen to speakers who know what’s out there to help people”

2

4

6

8

1095+

90-94

85-89

80-84

75-79

70-74

65-69

60-64

55-59

50-54

45-49

40-44

35-39

Under 35

Male% Female%

Percentage of clients by sex & age group

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Peninsula Home Hospice Annual Report 2017/18 — Clinical Report Continued

HIV/AIDSDiabetes and its complications

SepsisMultiple organ failure

StrokeOther dementia

Alzheimer's dementiaEnd stage liver diseaseOther non-malignancyCardiovascular disease

Other neurological diseaseMalignant - not further defined

Non-malignant - not further definedEnd stage kidney disease

Motor Neurone DiseaseBone and soft tissue

Head and NeckUnknown primary malignancy

SkinOther primary malignancy

CNSOther UrologicalHaematological

GynecologicalRespiratory Failure

PancreasOther GIProstate

BreastColorectal

Lung

Clients (%)0 5 10 15 20

Palliative care supports people with a range of different illnesses

Diagnosis January – June 2018

Malignant Non-malignant

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Occupational Therapy

Recognising the important role occupational therapy plays in providing optimal care for people with palliative care needs, we created a new position in our Clinical Team for an Occupational Therapist at the beginning of 2018 and recruited Denise Rogers for this role.

This new initiative has already had positive outcomes for clients, carers and families. As part of our specialist multidisciplinary team Denise is able to assist clients with daily activities that are important to them, often allowing them to have some control when there is so much change.

This includes:— Choosing and accessing appropriate equipment to improve people’s mobility

and ability to be independent— Reducing the risk of falls or pressure injuries— Alleviating pain and discomfort, providing practical advice and training— Assisting with strategies for managing fatigue— 97 clients have benefited from the Occupational Therapy within a 5 month period.

We talk a lot about service delivery from the perspective of our wonderful clinical and counselling staff and our volunteer service, but there is another service we offer that adds huge value for our clients and their families from a very tangible standpoint. This is the work done by our very productive Client Resource Advocate, Catherine Davies.

The Client Resource Advocate’s role is quite diverse, including streamlining and coordinating all the practical needs of the client and carer in the home. This encourages effective working relationships with external service providers. These external organisations include bodies such as Centrelink, National Disability Insurance Scheme (NDIS), Aged Care Assessment Service (ACAS) and Local Council Regional Assessment Services (RAS) to name a few.

Catherine’s extensive understanding of criteria and eligibilities in applications is imperative, and she is quick to appeal a decision, for example from Centrelink, that has been declined for a carer or client in need. Applying for grants and funding through agencies like Motor Neurone Disease (MND) Association, Cancer Council and Bendigo Bank’s Extra Time Appeal is all part of the service, which means working closely with the client. Catherine also manages a discretionary fund for clients experiencing financial hardship.

There are many agencies out there and being able to tap into those services ensures smooth pathways for not only our clients, but the rest of the team here at PHH, ensuring we have up to date resources and information. Advocating for our clients is a passion, which has seen Catherine assist clients with early release Superannuation applications, funding for wellbeing and quality of life services.

Catherine also coordinates the Sunrise Program for recently bereaved partners, and works closely with the Counsellor/Caseworker to help navigate the systems whether it be government, disability or carer related.

Service Delivery

Catherine Davies — Client Resource Advocate

“ Love is not what others feel about you ... it’s what feeling you share with others.”

Swavin Joysury

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Peninsula Home Hospice Annual Report 2017/18

Volunteer program 2018Greg Roberts — Manager of Volunteers

It was with great pleasure and enthusiasm that I joined the team at PHH in August 2017. I was fortunate to be able to spend some time with the retiring Manager of Client Care Volunteers, Marcella Ferrier, before she left the service and am thankful for all the wonderful work she has done to build such an effective and well supported volunteer program.

I am also thankful for the warm welcome that I received from the volunteers and staff and continue to feel the privilege of being part of an organisation that offers high quality and caring support to the community. I particularly want to thank Vicki Brown (Volunteer Co-ordinator and Admin Support), who works alongside me in the Volunteers office. Vicki has welcomed me and supported me in orienting myself to this role and I experience, on a daily basis, how her tireless work ensures that together we keep our volunteers, staff and clients connected and supported to the best of our ability.

The volunteer program continues to be a vital part of the caring and support which is offered by PHH to clients who are living with a life limiting illness and the volunteers also play a key role in supporting families and carers through respite care. The focus of the volunteer program is on enabling clients and their families to engage with life as fully as possible, both within their home environment and also with their community.

I want to sincerely thank all of our volunteers for consistently responding to the needs of the clients and their families with respect, deep care and appreciation of all the little things in life that can add up to making a big difference. At any given time, the volunteer program is supporting between 40 to 50 individuals and their carers. Our volunteers usually visit weekly and their visit/support is offered for an average of 2.5 hours each week with some visits lasting up to 4 hours where needed. This means that each week our volunteers are contributing well over 100 hours of care and support to people out in our community. The chart right shows the types of support volunteers’ offer.

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Age range of volunteers

Peninsula Home Hospice has continued to settle into its new building and we are seeing the benefit of having the whole team together in one building. Volunteers now have the opportunity for contact with staff when they come to training and Peer Group Meetings each month and this fosters a sense of being part of a holistic team supporting clients and their families.

We are fortunate to have 59 volunteers currently. Palliative Care Victoria notes that the average male to female ratio for Palliative Care Volunteers in Victoria is 80% Female and 20% Male and our service has that exact ratio.

We warmly welcome our new volunteers - Kit Bailey, Norm Cutbush, Tessa Du Toit, Anne Hammond, Victoria Hammond, Rosalie Isokangas, Danielle Jacobs, Amanda Johnson, Lesley Kennedy, Ann McVey, Andrew Morse, Jennifer Nielsen, Paula Nihill and Geraldine Preece.

We wish to congratulate Pauline McLaughlin who this year received an OAM for her role as a palliative care volunteer. Pauline began volunteering with Peninsula Home Hospice in 1985 and we sincerely thank her and celebrate her well-deserved award.

Types of support volunteers offer

Respite for Carer Respite and social support Social support in the home Social support — community access Shopping assistance Practical support Transport

30 – 55 years 55 – 75 years 75 and over

Left — Greg Roberts & Vicki Brown

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Peninsula Home Hospice Annual Report 2017/18 — Volunteer program 2018

Referrals to PHH Volunteer Program

Jun 18

May 18

Apr 18

Mar 18

Feb 18Jan 18

Dec 17

Nov 17Oct 17

Sep 17

Aug 17Jul 17

0

2

4

6

8

10

12

We offer heartfelt thanks to the following volunteers who have been part of the volunteer program over a number of years and to whom we said a fond goodbye to – Joan Handel, Patricia McMillan, Keith Pocklington, Claudia Siggs, Mary Smith, Rachel Urbaniak.

One hundred and thirteen new clients were referred for volunteer support over the last 12 months, and volunteers travelled over 40,000 kms around our catchment area supporting clients and their families. This means that our Client Care Volunteers collectively travel an average of 770 kms each week, with, and on behalf of, our clients.

Our Client Care Volunteers continued their ongoing training through the year, including a session called ‘Together we are greater than the sum of our parts’, which allowed our volunteers to hear first-hand how the multi-disciplinary team at PHH works together to support individuals and their carers in our community. This was particularly relevant given that our model of service had recently changed, particularly from a nursing perspective.

In early March 2018 we held a combined volunteer and staff training on the ‘Medical Treatment Planning and Decision Making Act’ that was implemented in Victoria in March 2018. Volunteers also attended training on Centrelink support services in March 2018. A large group of volunteers and some staff attended training in Grief and Bereavement Support in May 2018.

“ The meaning of life is to find your gift. The purpose of life is to give it away”

Pablo PicassoRight —

Volunteer graduates

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A small group of our volunteers attended the Annual Palliative Care Victoria Volunteers Conference in Melbourne and were kindly transported there and back with the support of Peninsula Transport Assist and one of their volunteer drivers. Those who attended found the day informative and useful, especially being able to hear about what other palliative care programs are doing in other parts of Victoria. I had the privilege of presenting a short session at the conference on the topic of ‘Support, love and connection to clients: A place for palliative care volunteers as part of a community of care’, which was well received by those in attendance.

Our monthly Peer Groups provide a valuable space for support, conversation and information sharing in relation to the clients that volunteers are seeing currently. We continue to have good attendance at these groups, which have different discussion topics each month. The Peer Group Facilitators – Don George, Ros George, Mickey Knudson and Val James continue to offer their wisdom and support to these groups and I would like to thank them all.

I constantly feel a sense of pride and gratitude in being able to work alongside such a dedicated and caring group of volunteers who regularly go ‘above and beyond’ to support our clients. We should never underestimate the importance of having these incredibly generous people from our community offering to go into people’s homes to offer them some moments of “precious normality” (to quote Michael Barbato) at such a challenging time in their lives. Thank you to everyone - Auxiliary members, Board members, Management Team and all staff members, who each contribute to the ongoing success of our Volunteer Program.

Greg Roberts — Manager of Volunteers.

Meet Henry!Welcome to our newest volunteer recruit — Henry (the chocolate Labrador).

Henry and his owner, Danielle Jacobs, joined the PHH Volunteers Team this year. They are bringing joy and comfort to the patients in the Peninsula Health Palliative Care Unit (PCU), generally on Friday afternoons. Henry is a fully qualified Delta Therapy dog and an experienced professional, having worked at aged care facilities. We suspect Henry enjoys visiting the PCU as much as the patients and staff enjoy having him with them.

Keep up your good work Henry!

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Peninsula Home Hospice Annual Report 2017/18 — Volunteer program 2018 Continued

Our Community

This year, PHH community fundraisers generated more than $290,000 in gross funding to support our home based palliative care service.

Once again the power of our community shone through with more than 100 community members contributing to our fundraising total. Sincere thanks are extended to the Red Hill Opportunity Shop, Red Hill Auxiliary (The Caring Caterers), Mornington Auxiliary, Nepean Friends of Hospice, Fundraising Friends of Hospice and Westernport Mah-jong groups.

For over 20 years, our auxiliaries and community groups have supported PHH by organising unique and entertaining fundraising events. 2017/2018 has been no exception. From street stalls of delicious jam and baked goods in Balnarring, tropical garden parties in Portsea, singing events at the bowls club in Mt Martha, to an ‘Old Bags’ silent auction of pre-loved handbags. Golf events in Yarrawonga and Frankston, fish ‘n film movie nights in Sorrento, fashion parades in Mornington and engaging speakers across a number of very special Mornington Peninsula luncheon venues. Not to mention our dedicated Caring Caterers events and Opportunity Shop proceeds by our very special friends in Red Hill. We are incredibly grateful to our auxiliary and supporter groups, as well as our valuable Fundraising Committee members Annette McKeand, Vicki Sayers, Catherine Norman, Stuart Nussey, Helen Fairlie and Marilyn Cunnington for their time, investment, dedication and commitment to PHH and palliative care. Genuine and heartfelt thanks are also extended to those in our community who attended the events, Opportunity Shopped, played Mah-jong, utilised the catering services and in turn then donated to PHH. We sincerely appreciate your support.

Here are just a few of the wonderful events and activities that have taken place this year, all thanks to our dedicated fundraising volunteers.

Red Hill Opportunity Shop

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Old Bags Event

Mt Martha Bowls Entertainment event

Mt Martha Bowls Entertainment event Old Bags Event

Bendigo Bank fundraisers — Mornington Racing Club Peninsula Cup

Mornington Medical Centre staff wearing Jojo bows as a fundraising initiative for PHH. Old Bags Event

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Peninsula Home Hospice Annual Report 2017/18 — Our CommunityPeninsula Home Hospice Annual Report 2017/18 — Our Community Continued

Mornington Auxiliary volunteers Volunteers – Tessa & Dee

Cam Begg – Fundraising event

What wonderful advocates for our organisation. Sincere thanks to each and every one of you.

Auxiliary Appreciation Tea at PHH Offices

Right — Rachel Bovenizer enjoying a chat and a cuppa with our wonderful fundraising supporters.

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Following our move into the premises at Main Street, Mornington in October 2016, PHH were approached by the Rotary Club of Frankston with an offer to landscape the grounds around the building.

In collaboration with Tony Vaughan, one of our Board of Directors and a member of our Building and Maintenance Committee, Grahame Gordon, President of Rotary Club of Frankston and Ken Rowe, another Rotarian, the project was commenced. They organised for Beverage Williams’ designer, Nicole Faulkner, to prepare a landscape design including a suggested plant list. Once finalised, this was the cue for the dedicated Rotarians to jump into action, sourcing everything needed for this project, including a much-needed storage shed.

Over several weekends, these selfless workers turned up with their tools and worked tirelessly putting in pathways, planting shrubs and building our shed.

Wally Terrossi did the earthworks to prepare the grounds in the first instance and Terry Saxon created a special feature for the garden just outside our reception area.

The landscaping project is almost complete and we can proudly say that all concerned have done a magnificent job. Our new garden has provided us with a lovely outlook and ambiance around the building. PHH staff and visitors will enjoy this feature well into the future thanks to the Rotary Club of Frankston.

“ Community is much more than belonging to something, it’s about doing something together that makes belonging matter”

Brian Solis

Community spirit in action

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Peninsula Home Hospice Annual Report 2017/18 — Our Community Continued

Our People

AdministrationBarnes, Wendy — Human Resource Officer

Blackwell, Kerri-Ann — Executive Admin Officer

Bovenizer, Rachel — Chief Executive Officer

Brown, Annabel — Quality and Information Systems Officer

Brown, Vicki — Volunteers Co-ordinator

D’Arcy, Fiona — Business Support Officer

Johnson, Amanda — Fundraising Officer

Nolan, Donna — Business Support Manager

Roberts, Greg — Volunteers Manager

Russ, Cara — Clinical Admin Officer

Spalding, Margaret — Casual Admin Officer

Stampe-Knox, Jenny — Clinical Admin Officer

Wright, Mary — Marketing & Communications Officer

Counselling and Allied HealthDavies, Catherine — Client Resource Officer

Jeremiah, Anne — Counsellor/Caseworker

Karanikolos, Angela — Counsellor/Caseworker

Kenna, Ann — Counsellor/Caseworker

Lin, Natasha — Music Therapist

Maclean, Yvonne — Art Therapist

McGinn, Inge — Clinical Services Manager

Murphy, Andrea — Family Support Team Leader

Olerhead, Jenny — Spiritual Support Worker

Patrick, Anna — Counsellor/Caseworker

Pedley, Chris — Counsellor/Caseworker

Rogers, Denise — Occupational Therapist

Street, Paula — Counsellor/Caseworker

Taylor, Jacqueline — Counsellor/Caseworker

2017

2016

454035302520151050

2018

Staff breakdown Full time Part time Casual

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NursingAlexander, Melanie — Specialist Palliative Care Nurse

Betts, Janette — Specialist Palliative Care Nurse

DeRoche, Monique — Specialist Palliative Care Nurse

Edwards, Lyn — Specialist Palliative Care Nurse

Eva, Janette — Specialist Palliative Care Nurse

Firth, Amanda — Specialist Palliative Care Nurse

Grant, Nicole — Specialist Palliative Care Nurse

Holden, Gillian — Specialist Palliative Care Nurse

Hosking, Pam — Specialist Palliative Care Nurse

Jenkins Niki — Clinical Nurse Consultant

Keogh, Chris — Specialist Palliative Care Nurse

O’Toole, Clare — Specialist Palliative Care Nurse

Quigley, Kylie — Specialist Palliative Care Nurse

Sariego, Karen — Specialist Palliative Care Nurse

Williams, Deb — Specialist Palliative Care Nurse

Staff Function

As at 30 June 2018

Nursing & Medical Counselling & Allied Health Administration

31% 36%

33%

Medical (contracted)

Benson, Melanie — Palliative Care Consultant

Bhagat, Sandeep — Director Palliative Medicine

2016

32

2017

33

2018

42

Staff numbers

2015

30

2014

28

25

Peninsula Home Hospice Annual Report 2017/18 — Our People

26

Staff SurveyIn July 2017, Honeylight Enterprises Pty Ltd were commissioned to carry out an employee

engagement survey to include both employees and volunteers.The survey was conducted from 1-22 August 2017 and attained a 92% response rate. Survey

questions were linked to PHH’s core values to correlate alignment between PHH core values and the way PHH people work.

Core Value Demonstrated by

Respect Recognising the individual, welcoming diversity, supporting human rights, nurturing choice and acting ethically, honestly and fairly

Inclusion Being inviting and open to honest and real two-way communication

Support Providing safe, accessible, helpful, understanding and reassuring care

Responsive Readily addressing and recognising the needs of others

Compassion Demonstrating genuine care and showing warmth, understanding and empathy

Summarised results:

Respect, Support, Compassion

— 96% of employees and 86% of volunteers strongly agreed that as a compassionate organisation, PHH values and supports its people.

Inclusive and Responsive

— 100% of employees and 98% of volunteers strongly agreed that they were committed to ensure that PHH’s clients are well served and satisfied

— 96% of employees and 97% of volunteers strongly agreed that they get a feeling of accomplishment from their jobs at PHH.

Goals clarity – analysis— 96% of employees and 92% of volunteers

think there is a clearly defined and shared view of PHH’s goals

— 74% of employees and 87% of volunteers feel the Leadership Group have set a clear direction for PHH

— 78% of employees and 82% of volunteers see the Leadership Group as good role models for PHH

— 74% of employees and 81% of volunteers think the Leadership Group keep people informed of what is going on at PHH.

Questions were grouped under the following core value themes:— Respect, support, compassion — Inclusive and responsive

“ Be the change that you wish to see in the world.”

Mahatma Gandhi

“ I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.”

Mary Angelou

27

Peninsula Home Hospice Annual Report 2017/18 — Our People Continued

Our donors & supportersWe thank you most sincerely.

DonorsJuanita Aitken

Ray Allnutt

Joan Anderson

Christine Andrews

Joan Antonie

Aspendale Senior Citizens Club

Balnarring Senior Citizens Club Inc

Wendy Batty

Jennifer Beach

Helen Begg

Judy Begg

Bendigo Bank

Penelope Blazey

Blue Mini

June Burrows Fund Raising Shop

Gwen Buxton

Glythyn Campbell

Chelsea Uniting Church Parish Opportunity Shop

Marg Clark

Dawn Colquhoun

G & M Cormack

Val Cross

Margaret Crowder

John Cullinan

Ian Daly

Suzanne Darcy

Susan Diamond

Lilma Dikker

Jill Dunn

V Dunsmore

Janet Earle

Judith Elphee

Equity Trustees

Sally Evans

Amanda Firth

Flinders District Lions Club

Jill Florrimell

Eliza Foster

Frankston Business Network

Tamie Fraser

June Freeman

Freemasons Baxter

Fundraising Friends of Hospice

Margaret Fuller

Joy Gamble

Elizabeth Gillingham

Giving Hope Pty Ltd

Grill’d

Grosvenor Foundation

Will Hanson

Carole Hart

Dorothy Hickey

Liz Hogan

Shirley Hoole

Ishikawa Prefectual Nursing University (Japan)

Val James

Richard & Elaine Johnson

Joan Joyce

Bernadette Kelly

G Kemp

R & D Kempster

Joy L Kitch

Kathleen Konstantinov

Valerie Lardy

Lateoba Pty Ltd

J & R Law

Liberty International Inc

Elizabeth Linton

Sophie Lockyer

Dorothy Lyons

Macartan Club

MBA Business Solutions

Margery Manchester

Nicola Martin

Judith Maxwell

Graham McCall

Susan McCarthy

Wendy McMaster

Jan McNulty

Peter Meggyesy

Meg Merton OAM

Virginia Mock

Celestine Moon

Trevor Morgan

Mornington Auxiliary

Mornington Medical Group

Mornington Village Pharmacy

Mt Martha Bowls & Social Club Inc

Nepean Friends of Hospice

28

Rosemary O’Collins

Albert Parsons

J & H Pearse

Rosemary Peisley

Bunty Penman

Port Phillip Group

Terry Porter

Robin Portway

D & R Ray

Robina Redman

Rosemary Redston

Red Hill Auxiliary (The Caring Caterers)

Red Hill Opportunity Shop

Ritchies Stores Pty Ltd

Frank Roberts OAM

Margaret Robinson

Maeve Rodseth

Margaret Ross AM

Edna Runciman

Joan Ryan

Rye R.S.L.

Rosemary Savanah

Judith Shelley

Carmel Simon-Whelan

Mark Smith

Mary Strange

Barbara Tenner

The Dunes Golf Links

Mano Thevathasan

Heather Thevathasan

Lynne Thornber

Sonia Troy

Joyce Turner

Kathleen Turner

Colin & Janis Turpie

Tony Vaughan

Elaine Walters Foundation

Westernport Mahjong Group

Barb Williams

Enid Williams

Bruce Wilson

Jack Wilson

Jean Wilson

Bette Wood

SupportersBakers Delight, Bentons Square

Balnarring Bakehouse/Cafe

Balnarring Village Dispensary

Bembridge Golf Club

Blairgowrie Yacht Squadron

Briars

Brumby’s Bakery Mt Eliza

Bunnings Mornington

Cafe Euro

Chemist Discount Centre, Bentons Square

Chemist Discount Centre, Peninsula Home Centre

D’Alias Bakery & Cafe

Flower Girls and Co

Frankston Golf Club

Golden Star Bakery

Infinity Group

John Cleary

Lindens Meat Supply

Mail Pro Australia

Mornington Peninsula Shire

Mornington Yacht Club

Mt Martha Village Clinic 2

Pattersons Bakery

Portsea Golf Club

Realty Writers

Rotary Club of Frankston

Snowball Flowers

Sober Mule Cafe

Stringers Stores

Wally Terossi

Terry Bateman Pharmacy

Barbara Torokfalvy

Underground Wines

Vicinity Centres (Shopping Centres)

We would also like to thank and acknowledge all the sponsors, supporters and participants involved in the fundraising events held by our fundraising auxiliaries throughout the year. Your contribution is greatly appreciated.

Peninsula Home Hospice Annual Report 2017/18 — Our donors & supporters

29

Financial Summary

PHH’s financial stewardship and management is focused on the ongoing delivery of services to the community. It strives to maintain financial sustainability, which translates, in practical terms, as the ability to absorb short-term fluctuations in revenues and costs without interruption to the quality or quantity of services.

The financial results for the year reflect an increase in the scale of services and a change in the mix of direct employment and contracted services. An overall increase of approximately 22% in expenditure on direct service delivery occurred during the year.

Contribution to these costs by the community collectively through the arm of government and more directly by our many local supporters also increased during the year.

A surplus of income over expenditure occurred which will allow PHH to continue to build on its capacity to provide services and to secure its financial sustainability by further redeeming debt.

I am extremely thankful to our Government, Volunteers, Auxiliaries, Staff, Board and Finance Committee for their contributions to the work of PHH. The focus and expertise of our CEO and Manager of Business Services, Rachel and Donna, are evident in the results and the financial position of PHH.

All of the detailed financial information can easily be obtained in the Financial Report.

Michael Pollard — Treasurer

Treasurer’s Report

3,500,000

3,000,000

2,500,000

2,000,000

1,500,000

1,000,000

500,000

0

2018 2017 2016 2015 2014 2013

Total Expenditure

Finance Infrastructure &

Accommodation Communication Travel Costs Support Services Direct Service

Provision Costs

30

For the Year Ended 30th June 2018

$ $ 2018 2017

Net Cash Increase of the Year 180,252 61,159

Recurrent Government Funding 3,174,780 2,584,994

PHH Fundraising 296,016 296,346

Employee Expenses 2,618,350 2,033,431

Capital Improvements and Fixed Asset Purchases 134,268 963,547

Key Financial Data

2018 2017 2016 2015 2014 2013

1,000,000

2,000,000

3,000,000

4,000,000

0

5,000,000

Income Analysis

Membership Finance Services Rendered Capital Fundraising Fundraising Department Funding

31

Peninsula Home Hospice Annual Report 2017/18 — Financial Summary & Treasurer's Report

“ Change may not always bring growth, but there is no growth without change.”

Roy T. Bennett, The Light in the Heart

Significant Events

In 2009, PHH celebrated 25 years of home based palliative care in the community and this was illustrated in the form of a timeline in our Annual Report, highlighting key milestones along the way. It is now time to note the key milestones since then and celebrate our achievements.

2009/10

Peninsula Home Hospice wins best Australian Poster out of 260 entrants at the Palliative Care Conference in Perth.

2011/12

Change of name from Frankston/Mornington Peninsula Hospice Service to Peninsula Home Hospice and status changed from an Association to a Company Limited by Guarantee.

2011/12

First Tree Legacy at Briars.

2012/13

Our Patron, Dame Elisabeth Murdoch dies on 5 December 2012 aged 103. She is remembered as one of Australia’s most generous philanthropists and a much-loved public figure.

2016/17

Moved to current premises in Main Street, Mornington. Adopted new logo and launched new website.

2017/18

First Occupational Therapist (Denise Rogers) employed.

2017/18

Changes in the Specialist Palliative Care Nursing Model increased the size of the nursing team to 11.

2017/18

Change of Government policy to have an end of life care and palliative care framework.

Peninsula Home Hospice

Peninsula Home Hospice Ltd ABN 28 520 756 548 ACN 153 071 928 Auditors McLean Delmo Bentleys Audit Pty Ltd Hon.Solicitors White Cleland Pty Ltd

327-331 Main Street Mornington VIC 3931

Phone 03 5973 2400 Fax 03 5973 2444 admin@peninsulahospice.com.au

peninsulahospice.com.au

FIA

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