Other financial and governance disclosures
Pricing policy
EMHS charges for goods and services rendered on a partial or full cost recovery basis and complies with the Health Insurance Act 1973, the Addendum to National Health Reform Agreement (NHRA) 2020-25, the Health Services Act 2016 (WA) (HSA 2016), and the WA Health Funding and Purchasing Guidelines 2017-18. These fees and charges are determined though the WA Health costing and pricing authorities and approved by the Minister for Health.
Guidelines for rules in relation to fees and charges are outlined in the WA Health Fees and Charges Manual. This is a mandatory document in the WA Health Financial Management Policy Framework and binding to all Health Service Providers (HSPs) under the HSA 2016.
Indemnity insurance
In 2023-24, the amount of the insurance premium paid to indemnify directors of the EMHS Board [with ‘director’ defined as per Part 3 of the Statutory Corporations (Liability of Directors) Act 1996 (WA)] against a liability incurred under sections 13 or 14 of that Act was $94,409.70 (including GST).
Employment and staff development
Worker’s compensation
Industrial relations
EMHS have engaged with the WA Health System in contributing to negotiations for new Industrial Agreements for 2024-25 including:
- WA Health System – Medical Practitioners – Australian Medical Association (AMA) Industrial Agreement 2022
- WA Health System – Medical Practitioners (Clinical Academics) – AMA Industrial Agreement 2022
- WA Health System – Australian Nursing Federation – Registered Nurses, Midwives, Enrolled (Mental Health) and Enrolled (Mothercraft) Nurses – Industrial Agreement 2022
- WA Health System – Health Services Union of WA (HSUWA) – PACTS Industrial Agreement 2022
- WA Health System – United Workers Union (WA) – Enrolled Nurses, Assistants in Nursing, Aboriginal and Ethnic Health Workers Industrial Agreement 2022
- WA Health System – United Workers Union (WA) – Health Support Workers Industrial Agreement 2022
- WA Health System Engineering and Building Services Agreement 2023.
Negotiations are continuing for a replacement WA Health System – Australian Nursing Federation – Registered Nurses, Midwives, Enrolled (Mental Health) and Enrolled (Mothercraft) Nurses – Industrial Agreement 2020, with key items such as nurse to patient ratios being progressed.
EMHS continued with its commitment to a permanent workforce and to reducing its reliance on agency workers and a casual workforce.
Major upgrade for Pharmacy Aseptic Compounding Unit
A multi-million-dollar upgrade to the Royal Perth Hospital (RPH) Aseptic Compounding Unit was practically completed in April 2024 and commenced full service from 18 June 2024.
The unit upgrade allows RPH Pharmacy staff to prepare individualised, high-quality pharmaceutical treatments in a safe and purpose-built environment, including all the chemotherapy for RPH patients.
The improvements were funded by the WA and Australian Governments and took 11 months to complete.
Sir Charles Gairdner Hospital helped with compounding pharmaceutical needs during that time by allowing RPH staff to use their facilities.
More than 20,000 treatments will be prepared in the unit each year.
Capital works
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Incomplete capital works (as at 30 June 2024)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
10,075
Estimated remaining cost to complete ($’000)
0
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
10,075
Explanation of variance ( ≥ 10%)
Expected year of completion
Ongoing
Reported in 2022-23 ($’000)
9,963
Estimated remaining cost to complete ($’000)
4,369
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
9,963
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
13,495
Estimated remaining cost to complete ($’000)
459
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
13,495
Explanation of variance ( ≥ 10%)
Expected year of completion
On hold
Reported in 2022-23 ($’000)
6,021
Estimated remaining cost to complete ($’000)
5,086
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
6,021
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
28,254
Estimated remaining cost to complete ($’000)
342
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
28,254
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
7,254
Estimated remaining cost to complete ($’000)
132
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
7,254
Explanation of variance ( ≥ 10%)
Expected year of completion
2028/29
Reported in 2022-23 ($’000)
7,000
Estimated remaining cost to complete ($’000)
2,443
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
7,000
Explanation of variance ( ≥ 10%)
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
8,739
Estimated remaining cost to complete ($’000)
400
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
8,739
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
1,838
Estimated remaining cost to complete ($’000)
0
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
1,838
Explanation of variance ( ≥ 10%)
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
10,640
Estimated remaining cost to complete ($’000)
0
Variance from previous financial year ($’000)
(8,332)
Estimated total cost of project in 2023-24 ($’000)
2,308
Explanation of variance ( ≥ 10%)
Approved reduction in capital funding.
Expected year of completion
2027/28
Reported in 2022-23 ($’000)
39,222
Estimated remaining cost to complete ($’000)
55,084
Variance from previous financial year ($’000)
17,418
Estimated total cost of project in 2023-24 ($’000)
56,640
Explanation of variance ( ≥ 10%)
Approved injection of additional capital funding.
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
3,898
Estimated remaining cost to complete ($’000)
634
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
3,898
Explanation of variance ( ≥ 10%)
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
22,892
Estimated remaining cost to complete ($’000)
3,499
Variance from previous financial year ($’000)
1
Estimated total cost of project in 2023-24 ($’000)
22,893
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
11,128
Estimated remaining cost to complete ($’000)
0
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
11,128
Explanation of variance ( ≥ 10%)
Expected year of completion
2027/28
Reported in 2022-23 ($’000)
15,766
Estimated remaining cost to complete ($’000)
14,786
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
15,766
Explanation of variance ( ≥ 10%)
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
3,200
Estimated remaining cost to complete ($’000)
3,288
Variance from previous financial year ($’000)
9,158
Estimated total cost of project in 2023-24 ($’000)
12,358
Explanation of variance ( ≥ 10%)
Approved injection of additional capital funding.
Expected year of completion
2027/28
Reported in 2022-23 ($’000)
42,150
Estimated remaining cost to complete ($’000)
41,282
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
42,150
Explanation of variance ( ≥ 10%)
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
5,000
Estimated remaining cost to complete ($’000)
598
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
5,000
Explanation of variance ( ≥ 10%)
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
80,259
Variance from previous financial year ($’000)
81,059
Estimated total cost of project in 2023-24 ($’000)
81,059
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
2029/30
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
166,702
Variance from previous financial year ($’000)
167,002
Estimated total cost of project in 2023-24 ($’000)
167,002
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
2025/26
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
2,062
Variance from previous financial year ($’000)
7,000
Estimated total cost of project in 2023-24 ($’000)
7,000
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
Ongoing
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
5,242
Variance from previous financial year ($’000)
5,242
Estimated total cost of project in 2023-24 ($’000)
5,242
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
2026/27
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
1,500
Variance from previous financial year ($’000)
1,500
Estimated total cost of project in 2023-24 ($’000)
1,500
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
2026/27
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
3,000
Variance from previous financial year ($’000)
3,000
Estimated total cost of project in 2023-24 ($’000)
3,000
Explanation of variance ( ≥ 10%)
New project.
Expected year of completion
2024/25
Reported in 2022-23 ($’000)
0
Estimated remaining cost to complete ($’000)
3,000
Variance from previous financial year ($’000)
3,000
Estimated total cost of project in 2023-24 ($’000)
3,000
Explanation of variance ( ≥ 10%)
New project.
Capital works completed in 2023-24
Estimated total cost of project in 2023-24 ($’000)
9,350
Explanation of variance ( ≥ 10%)
Reported in 2022-23 ($’000)
9,350
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
6,805
Explanation of variance ( ≥ 10%)
Reported in 2022-23 ($’000)
6,805
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
2,794
Explanation of variance ( ≥ 10%)
Approved injection of additional capital funding.
Reported in 2022-23 ($’000)
2,299
Variance from previous financial year ($’000)
495
Estimated total cost of project in 2023-24 ($’000)
1,600
Explanation of variance ( ≥ 10%)
Reported in 2022-23 ($’000)
1,600
Variance from previous financial year ($’000)
0
Estimated total cost of project in 2023-24 ($’000)
900
Explanation of variance ( ≥ 10%)
Reported in 2022-23 ($’000)
900
Variance from previous financial year ($’000)
0
Notes:
- The above information is based upon the:
- 2022–23 EMHS published annual report
- 2024−25 published State Budget Papers and 2024-25 Service Agreement for EMHS.
- Completion timeframes are based upon a combination of the approved delivery schedule, scope, and budget at the time of reporting and reflect the financial completion of the project.
- Only capital projects that were administered by EMHS are reflected in the table.
- Incomplete capital works is defined to be financially incomplete projects and completed is defined to be financially completed or fully expended projects.
- Estimated total cost of project and estimated remaining cost to complete are reflected as per the 2024-25 Service Agreement and are subject to changes following outcomes of future mid-year review and budget process.
- Variance represents the difference between the estimated total cost of the project in the 2024-25 published Budget Papers in comparison to the total cost or estimated total cost of the project as reported in the 2022–23 EMHS Annual Report. An explanation is provided where a variance is greater than or equal to 10 per cent.
