Interpret the budget and provide summary in 500 words by reflecting the understanding of budgeting principles. the summary needs to include comparison of 2019/20 to 2018/19 budget of blue mountains local health district. suggest areas where activity can be either increased or decreased with Rationale for recommended changes in expenditure is well-supported with evidence to better align the budget with current state and local health priorities.

   

 

Nepean Blue Mountains LHD - Budget 2018/19 201019 BUDGET Comparative Data D E G H Volume LHD/SHN 2017/18 Volume State Price Initial Budget Variance Initial and Annualised Target Valume (Admissions & Attendances) Indicative only 83,867 Projected per NWAUTE Average Cost 201a19 (S 000) per NWAUT8 Annualised Variance Forecast 2017/18 Budget ($ '000) $376.244 (NWAU18) (5 '000) (NWAU18) 83,170 Acute Admitted 85,479 $394,207 $75,388 $17,963 $3,508 54,713 $4,622 Emergency Department Non Admitted Patients (Including Dental) $71,880 $100.047 S558.071 16,348 130,484 15,890 $8,610 $30,001 25,717 406, 780 $118,558 24,310 Total 127,545 701,130 $588,153 5.4% 123,379 Sub-Acute Services - Admitted 9,610 3,180 $44,336 $42,517 $1,810 0,398 54,713 $4,622 Sub-Acute Services - Non Admined 631 $2,916 $2.855 S60 831 Total 10,241 3, 189 $47,252 S45.372 $1,679 41% 10,028 Mental Health - Admitted (Acute and Sub-Acute) 7,383 2,300 $34,067 $336 $27,890 $32619 $329 $26.668 $1,438 7,210 Mental Health - Block Funded Hospitals $7 $1,223 $4,713 $4,622 Mental Health - Non Admitted 4.650 106,436 4,408 Mental Health - Clasllication Adjustment $1,437 $1,408 $30 Total 12,033 108,832 S63,721 S61,023 $2,69 4.4% 11,708 Block Funding Allocation Block Funded Hosptals (Small Hospitals) Block Funded Servces in Scope - Teaching, Traning and Research $2,962 $2.901 $61 $20,829 $23,791 $20.307 $432 Total $23,290 $493 2.1% E State Only Biock Funded Services Total $61,709 S60,430 $1,279 2.1% Transition Grant (excluding Mental Health) and RSC G Gross-Up (Private Patient Service Adjustments) $15,409 $15.000 $310 2.1% Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project HAC Improvement Project Leading Better Value Care Program Support Transition Purchasing Adjustors (incl Hospital Acquired Complications) Health Share Accelerated Savings Program Election Commitment - Addtional Nursing, Midwitery and Support positions Electricity escalations ICT escalation (Intra Health) $750 $350 $250 -$973 $628 $355 $577 $1,507 New parents and chidren initiatives $334 Total $2,522 $2,522 I Restricted Financial Asset Expenses J Depreciation (General Funds anly) K Total Expenses (KAB-C+D+E F+G+Hel+J) L Other GainvLess en disposal ot assats ete $2,949 $2.949 $25,156 $25,156 $830,662 $791.390 $30,272 5.0% $524 $524 M LHD Revenue $813,742 S772.343 -$41,399 N Net Result (NKOLM) $17,445 $19.572 -$2,127 General Note: ABF growth is funded at 90% of the State Price for all "business as usual activity and new buids or new capacity has continued to be tunded at the full State Price PPart of the Acute, ED and Subacute Admitted transtion grant has been used to fund growth (see Schedule C glossary) Schedule C Part 1