Queensland Health Right to Information request - RTI2022 ... · 7 A Gastrointestinal Endoscopy...

LNFORMATION CREATED FOR RTI 2022

The number of screens conducted by BreastScreen Queensland are as follows:

2010/11 - 220,380 women screened2011/12 - 228,733 women screened2012/13 - 232,991 women screened

Title - Transition of BreastScreen Queensland mobile screening units to HospitalHealth Services (HHSs).

Incoming SDLO request

What is the plan for transitioning BreastScreen mobile screening units to HHSs?

Timeframes for the transition?

What support will be available to HHSs from the system manager to plan in the short term?

Response for Deputy Director-General clearance

. Identification of strategies, risks and solutions associated with the transition of the mobiles,(including the relief radiographer support service) to HHSs has commenced.

. With the exception of the Children's HHS, screening locations are identified in all otherHHSs for the mobile screening units. Some of the larger HHSs have responsibility forgeographical coverage of smaller neighboring HHSs.

The current fleet of seven digital mobiles service over 170 locations across the State.

. Two new mobiles will be commissioned shortly - one in November 2012 and the other inFebruary/March 2013. One of the new mobiles will replace an existing mobile.

. Consultation will commence in the next few weeks with the 13 HHSs and the ten BSQServices impacted by the transitioning of the mobile services.

. The implementation of the roll out of state-of-the-art digital direct radiographymammography technology, including training, is due for completion December/January andis being taken into account as part of the transition planning.

. In addition, the new digital technology will enable the establishment of a state-wide readinghub to address the regional shortages of radiologists. This proposal will need to be includedin consultation with HHSs and in the transition planning.

Timeframes:

. The proposed timeframe for the transition of the mobile services is March-June 2013.

. This will enable the completion of the build and commissioning of the new mobiles and thetransition of the mobiles services and the finalisation of the implementation of new digitalmammography equipment statewide.

Support to HHSs from system manager:

. The current mobile screening schedule ends December 2012.

. The schedule is usually compiled in advance for a six month period.

. The mobile schedule for January to June 2013 is being drafted in consultation with theaffected HHSs.

In the mean time, support for BSQ Services and their respective HHSs, continues to beprovided by Cancer Screening Policy Team for the coordination of mobile services.

. The Preventive Health Unit staff will also continue to support BreastScreen QueenslandServices through the maintenance of the BreastScreen Queensland register and thedistribution of reminder letters to eligible women.

Input from:

Cleared by:

Cleared by:

Cleared by:

Leane Christie

Program Director Cancer Screening PolicyPreventive Health Unit

3328 945617 October 2012

Kaye PulsfordExecutive Director Preventive Health Unit

3328 983122 October 2012

Dr Jeannette YoungChief Health Officer

Chief Health Officer Branch32341137

October 2012

Dr Michael ClearyDeputy Director-General, Health Service and Clinical Innovation34056181

October 2012

Is Queensland Health "axing" BreastScreen Queensland?No. Queensland women will still be able to access the same world-class breastscreening services free of charge in more than 200 locations around the state.

Will I still receive my reminder letter as usual?Yes, Queensland women will still receive reminder letters.

What is changing?It is proposed that the coordination and management of BreastScreen Queenslandstate-wide mobile services (eight mobiles) and digital equipment for all BSQ serviceswill be transitioned to Hospital and Health Services (HHS) by June 2013.

BreastScreen Queensland radiography support service, including mobileradiographers and relief radiographers, will be transitioned to a host HHS.

Mobile services and relief radiographers will be managed by Hospital and HealthServices. Oversight of compliance with clinical guidelines and screening targetsremains the same.

State-wide function for breast programs in Queensland will be maintained throughthe system manager:

Quality monitoring and reporting of cancer screening services to ensure nationalscreening standards, clinical guidelines and national policies are met.

Will funding be cut?BreastScreen Queensland services are being funded through an output basedfunding model with agreed activity targets for each HHS.

This is the fourth and final year of the implementation of digital technology forBreastScreen Queensland under a National Partnership Agreement on HealthInfrastructure. A total of $26.719M in Commonwealth funding has been provided toQueensland.

This year we have also opened new services in Burleigh and Maroochydore. A newBreastScreen Queensland service is due to open in Gladstone by end August 2012.

Will regional communities still receive the same quality and level of service?Yes. Our mobile vans will continue to visit regional communities on a routineschedule.

Is Queensland Health committed to breast screening?Yes. It is the most effective way to detect breast cancer early. Queensland Health willcontinue to promote this vital service and is committed to providing ongoing fundingfor the BreastScreen Queensland program.

Do I need a breast screen?Breast cancer is the second highest cause of cancer-related death in Queenslandwomen and we urge women to be fully informed about the importance of earlydetection, particularly in relation to screening.

Queensland GOVERNMENT

Women aged between 50 and 69 years of age should have a breastscreen every twoyears. BreastScreen Queensland also provides free screening for women in their 40sand those aged over 70.Women who notice any changes in their breast tissue or the surrounding area shouldseek the advice of their GP.How do I organise a breastscreen?Women aged 50 to 69 years are encouraged to phone 13 20 50 to book a free breastscreen. Women over 40 and 70 are also eligible.

Where can I find out more?Visit the BreastScreen Queensland website or like Queensland Health on Face book!

Brisbane NorthBniBunc,

Cer -i

Te': 3624 1111Tri. 3000 914 8Te'i: 4150 2780Tei;432455S5

Tel: 1652 6000

Da'llng DownsGold CoastHeiveyBayLosan

'yworeton B<y

463198SS

418418003412193"4911 04003142 1800

Mo'jn*. Isa ar.dC.iif Tel: 4744 9100SouthWest Tel:Stins;~neCoas; T< 54096600Townn'ilie 47539000Vi tMoreton 131200

Department RecFind No:

File Ref No:

Page 1 of 4

CHOB

Briefing NoteChief Health Officer

Requested by: Senior Public Health Officer,Cancer Screening

Action requiredD For approvala For meeting

D With correspondence^ For Information

Date requested: 26 April 2013 Action required by: 10 May 2013

Other attachments for considerationD Speaking points D Ministerial StatementD Draft media release Q Question on Notice

D Cabinet related document

SUBJECT: Potential impacts of the loss of positions in Hospital & Health Services whichsupport implementation of population-based cancer screening programs in Queensland

ProposalThat the Chief Health Officer:

Note potential impacts of the loss of critical positions in Hospital & Health Services whichmanage the bowel and breast cancer screening programs in Queensland.

Urgency1. Routine - some announcements about positions to be abolished have already been made

by Hospital & Health Services.

Key issues

The_number of new cancer cases in Queensland are among the highest in the world. In2010 cancer was the leading cause of premature deaths in Queensland (39%). The?iu.î?Lf°r.b_et,te1^ he?ltf? car? in Quesnsland highlights the Government's role to keeppeople informed about what they can do to live longer, healthier lives, prevent ill-health andsupport preventative and intervention services.

3.

4.

5.

6.

As a result of Hospital & Health Service (HHS) restructuring, multiple positions thatILT?,?-.?er?t Preventive cancer screening programs in Queensland will potentially beab°llshed' Advice h_as been received to date that 2 gastroenterology nurse coordinator(GENC) positions, 5 health promotton officer (HPO)~positions and 1'clinical nurse whosupport either the bowel cancer screening or BreastScreen Queensland programs in 4separate HHSs are being abolished or altered significantly.

!L'!,ê!.y_!h.?t?dvice vfw be received from m°re HHSs of similar position losses as theyimplement their own structural changes, despite a commitment in the HHS ServiceAgreements to maintain these services.

The impacts of losing GENC positions will relate to extended colonoscopy waiting times forfollow-up of positive faecal occult blood test results and reduced or ceased ability to monitorand report on colonoscopy quality both nationally and locally.

The loss of HPO positions from both the bowel cancer screening and breast cancer!crên'rlg'A"l.l..significantly.impac? °.n the HHSs ability to meet screening participation targetsas these positions have a key role in local level health promotion activities with'bothcommunity members, and with local health professionals.

Department RecFind No:Page 2 of 4

Division/District CHOBFile Ref No:

7 A Gastrointestinal Endoscopy Access Action Plan 2013-2015 is under development by theClinical Access and Redesign Unit with the likely injection of additional funding forendoscopy procedures from this financial year. The Preventive Health Unit has providedinput and feedback in relation to the Action Plan including advice of the loss of GENC andHPO positions.

Background

8. The QBCSP Policy Manual states that at least one GENC and one HPO are to be based ineach catchment.

9. The 2012/13 Service Agreements with HHSs, which host positions funded to support thethree cancer screening programs in Queensland, include the following statements:

Bowe/ cancer screening - The HHS will continue to provide Queensland Bowel CancerScreening Program (QBCSP) services in accordance with the National Bowel CancerScreening Program policy documents and the QBCSP Policy Manual. Services are to beprovided across multiple HHS which make up the QBCSP catchment area.

Breast cancer screening -The HHS will continue to provide BreastScreen Quaenslandserv/'ce in accordance with the BreastScreen Australia National Accreditation Standards, theBreastScreen Queensland Standards, Policy and Protocols Manual and national policies.

10. The GENC positions have been established for over five years in 11 Hh4Ss as part of theinfrastructure to support implementation of the QBCSP. They have a key role in ensuringQBCSP participants with a positive faecal occult blood test (FOBT) result referred to aQueensland Health designated facility receive high quality and timely colonoscopy services.They also have a key role in providing critical data to Cancer Screening within thePreventive Health Unit for quality assurance of these clinical services.

11. The abolishment of any GENC role in the state will result in QBCSP participants with apositive FOBT result being added to general endoscopy waiting lists, which in many HHSsextend significantly beyond the recommended 30 day waiting time. The impact of this wasrecently highlighted to the Minister by Peter Wellington, MLA on behalf of a constituent whowas incorrectly advised by a GP that he had a 6 month waiting time for a colonoscopy inQueensland Health following his positive FOBT.

12. Without the network of GENCs, the Department of Health will lose the ability to measure theoutputs of services and outcomes of the QBCSP, as well as quality assurance data used forreporting to individual specialists, HHSs, and at a statewide level. Queensland is the onlyjurisdiction able to report on detailed clinical and quality outcomes from colonoscopiesprovided as part of the National Program because of the coordinated statewide approachwhich includes 12 GENCs. With the proposed changes it is unlikely that this data will beavailable for Cairns HHS in future, and the data from the Sunshine Coast HHS will beincomplete.

13. None of the position losses have been due to staff seeking voluntary redundancies.

Consultation

14. Not applicable

Department RecFind No:

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Page 3 of 4

CHOB

Financial implications

15. Since 2006 when the QBCSP commenced, the QBCSP State Coordination Unit (nowCancer Screening) provteted yearly allocations from its State budget to 1 1 host HealthService Districts (now 11 host HHSs) specifically for the labour and non labour costs of theQBCSP GENC and HPO positions, administrative support for these positions and forexpected colonoscopy activrty. The 11 host HHSs provide bowel cancer screening servicesacross the whole state of Queensland.

16. The total allocation for Health Service Districts in the 2011/12 financial year was $3,654,738($2,874,848 for labour and non labour costs of positrons, and $779,890 for colonoscopyprocedures)

17. As (rf this financial year, this funding has been taken out of the QBCSP stale budget andbuilt in recurrently into the HHS base budget altocations based on the 2011/2012allocations.

Legal implications

18. There are no legal implications.

Attachments

Attachment 1: Funding allocations - Queensland Bowel Cancer Screening Program 2011-2012

Department RecFind No:Page 4 of 4

Division/District CHOB

File Ref No:

RecommendationThat the Chief Health Officer:

Note potential impacts of the loss of positions in h4ospital & Health Services which supportimplementation of the bowel cancer screening and breast cancer screening programs inQueensland.

APPROVED/NOT APPROVED NOTED


/ /

Chief Health Officer comments

AuthorCatherine Spucches

Senior Public HealthOfficer

Cancer Screening

332S 945719 April 2013

Updated. 26 April 2013

Updated: 30 Apnl 2013for ED PHU

Cleared by: (SD/Dir)Craig Carey

Director

Preventive Health Unit

3328 900419 April 2013

Cleared by: (SD/Dir)Paul Vardon

A/Di rector

Cleared by: (SD/Dir)Kaye Pulsford

Executive Director

Preventive Health Unit Preventive HealthUnit

3328 9004 33 Updated. 26 April 2013

May 2013

Updated: 1 May 2013for ED PHUf

Title - HSCI Reporting Framework - BreastScreen targets and rate

Update

Budgeted activity targets as well as actual performance data for the 11 BreastScreenQueensland (BSQ) services are included in Table 1. These 11 BSQ Services providegeographical coverage across all Hospital and Health Services. Table 1 includes thescreening activity target and actual screenings undertaken and percentage of targetachieved for the 2012/13 financial year.

The actual number of women screened for the 2012/13 financial year was 232,991 whichrepresents 98.9% of the screening target (235,651 women screened). The actual numberof women screened in 2012/1 3 was 2,660 below this target.

The number of women screened in 2012/13 represented an increase of 4,258 womenscreened compared to 2011/12 (228,733 women screened).

Of the 11 BSQ Services, five Services exceeded 2012/13 screening targets (Gold Coast(101.4%); Townsville (100.7%); Ipswich (100.3%); Brisbane Northside (100.2%); SunshineCoast (100.1%). An additional three BSQ Services achieved an activity level greater than98% of the target (the 'green light' level set for the 2013/14 HHS Key PerformanceIndicator 2.16 Equity and Effectiveness - Access) as follows: Wide Bay (99.4%);Toowoomba (98.5%); Rockhampton (98.1%).

The BSQ participation rate for the target cohort (i.e 50-69 year olds) is 57.6%. Asparticipation rates are only released annually, this rate will not change between quarterlyreporting periods. The national BreastScreen Australia participation rate is 54.6%.

Contentious Issues

The screening activity levels for two BSQ Services were 96-97.9% of target (the 'amberlight' level) as follows:

. Mackay 97,4%

. Cairns 96.4%

The screening activity level for one BSQ Service was categorised as red (<96%):' Brisbane Southside 95.7%

Great state. Great opportunity.QueenslandGovernment

Following the commencement of the 2012/13 financial year, Healthcare Purchasing,Funding and Performance Management Branch increased funding and screening targetsfor seven of the 1 1 BSQ services so that funding levels and screening targets were equalto or higher than the previous financial year for all services.

The mid financial year increase to targets by Healthcare Purchasing, Funding andPerformance Management Branch in 2012/13 impacted significantly on the end of yearposition for the BSQ Cairns Service (target was increased by 1,300 screens or 9.2%) andthe BSQ Brisbane Southside Service (target was increased by 1,136 screens or 2.5%). Atthe time of the allocation of additional funding, accompanied by an increased activitytarget, both services indicated that the revised targets would not be able to be met, takinginto account service capacity and service demands.

Table 1: BreastScreen Queensland screening targets and actuals

BreastScreen Sen/fce 2012/13 Target 2012/13 Actual

Brisbane Northside 38,500 Screened 38,567

% of target 100.2%

Gold Coast Screened 29,404

% of target 101.4%

Townsville 14,765 Screened 14,871

% of target 100.7%

Rockhampton 11,707 11,481

% of target

Toowoomba 17,945 Screened 17,682

% of target 98.5%

Sunshine Coast 30,878 30,908

% of target 100.1%

Brisbane Southside 46,136 Screened 44,159

% of target 95.7%

Wide Bay 13,000 Screened 12,927

% of target 99.4%

Mackay 8,000 Screened 7,793

% of target 97.4%

Cairns

Total

10,320

15,400

235,651

% of target

Screened

% of target

Screened

% of target

10,351

100.3%

14,848

96.4%

232,991

Comments from DDG HSCI:

Author:

Cleared by:

Cleared by:

Cleared by:

Craig CareyDirector

Preventive Health Unit3328 900415 July 2013

Kaye PulsfordExecutive Director

Preventive Health unit

3328 908315 July 2013

Dr Stephen LambertA/Chief Health OfficerChief Health Officer Branch

3234113716 July 2013

Dr Michael ClearyDeputy Director-GeneralHealth Service and Clinical Innovation

3405 6181July 2013

QueenslandGovernment

Enquiries to:

Telephone:Facsimile;File Ref:

Mr Cralg CareyDirectorPreventive Health Unit33ZS B0043328 8296CH009Z67

DrRichardAshbyChief RxecutiveMetro South Hospital and Health ServicePrincess Alexandra Hospital199 Ipswich RoadWOOLLOONGABBA QLD 4102

Dear Dr Ashby

To assist you with managing the agreed activity targets for breastscreen, I will be writing to youeach month advising you of your monthly data on the number of women screened In your Hospitaland Health Sgrvice. As you are aware, the agreed activity targets and funding levels for' theprovision of BreastScreen Queenstand (BSQ) services are detailed In the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for Metro South Hospital and Health Service is 46,136 women scFeehed.The year to date activity level as at 30 April 2013 is 35,968 women screened which is 78% of the

full year target.

I would like to work with you to actively manage activity targets for Metro South Hospital andKealth Servico and therefore more broadly, contribute to greater reductions In mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that'couldincrease activity prior to the end of the fmancial year and Into the future include: promotion ofavailable appolrtiments/BSQ servioes through local media/advertislng efforts; provision of after-hours appointments and assoeiated Fostering arrangements and fllling/backfilling of any vacantradiographer posttions,

I look forward to working with you and your staff in achieving future activity targets and improvingthe health and well-being of Queensland women,

Should you or your staff require further information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Your^ since rely

YoungChief Health OfficerA'^1 05 ,2013

OfficeLevel 7147-183 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneOPO Box 48 32341138BRISBANE OLD 4001

Fax323S 9673


Enquiries to;

Telephone:Facsimile:File Ref:

Mr Crarg CareyDirectorPrevanlire Health Unit33ZS 90043328 9296CH009267

Ms Julia SquireChief ExecutiveTownsville Hospital and Kealth ServicoPO Box 670TOWNSVILLE QLD 4810

Dear Ms Squire

To assist you with managing the agreed activity targets for breastscreen, I will be writing to youeach month advising you of your monthly data on the number of women screened in your Hospitaland Health Service. As you are aware, the agreed activity targets and funding levels for'theprovision of BreastSeroen Queensland (8SQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for TownsvNle Hospital and Health Service is 14,765 women screened.The year to date activity level as at 30 April 2013 is 11,590 women screened which is 78.5% of thefull year target.

l^would like to work with you to actively manage acUvity targets for Townsvilte Hospital and HealthService and therefore more broadty.contrlbute to greater reductions in mortality and morbidityfrom breast cancer in Queensland. Factors you might like to consider that could increase activityprior to the end of the financial year and into the future include- promotion of avallaUeappointments/BSQ servicss through local media/advertlsing efforts; provision of after-hoursappcfintments and associated rostering arrangements and filling/backfilllng of any vacantradiagrapher postttons.

look forward to working with you and your staff in achieving future activity targets and improvingthe health andwell-being ofQusensland women.

Should you or your staff require further Information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

/.Yours ^in?erely

./.'i '^v.^ <u-^,

\,.Dr'Jeannette^i'oungChief Health Officer

,t>y/ 05 ,2013

OfficeLevel 7147-163 Charlotte StreetQueanslahff Health BuildingBRISBANE OLD 400Q

Postal PhoneOPO Box 48 32341138BRISBANE QLD 4001

Fax3236 9573

CfueensiandGovanimeiil

Enquiries fo;

Telephone:Faesimile:File Ref:

Mr Craig CareyDirectorPreventive Health Unit3328 88043328 9299CH009287

Mr Kevin HegartyChief ExecutiveSunshine Coast Hospital and Health ServiceNambour General 1-lospitalPO Box 547NAMBOUft QLD 4560

DearMrHsgarty

To assist you with managing the agreed activity targets for breastscreen, I will be writing to youeach month advising you of your monthly data on the number of women screened in your Hospitaland Health Service. As you are aware, the agreed activity targets and funding levels for theprovision of BreastSoreen Queensland (BSQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for Sunshine Coast Hospital and Health Service is 30,878 women screened.The year to date activity level as at 30 April 2013 Is 25,066 women screened which is 81.2% of thefull year target.

would like to work with you to actively manage activity targets for Sunshine Coast Hospital andHeaRh Service and therefore more broadly, contribute to greater reductions in mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that'couldincrease activity prior to the end of the financial year and Into the future include: promotion ofavailable appolnfments/BSQ services through local media/advertis'tng efforts; provision ofafter-hours appointments and associated rostering arrangaments and 'filllng/backfl'lling of anyvacant radiographer positions.

I look forward to working withyou and your staff In achieving future activity targets and improvingthe health and well-being ofQusensland women.

Should you or your staff requiro further informafton, plaase contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

slpcerely

-&..;->

^ .zDr Jeannette YoungChief Health Officer

^<-I / 05 ,2013OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QU3 4000

Postal Phone<3POBox48 32341138BRISBANE QLD 4001

Fax32359573

Queensland(iovernment

Enquiries to:

Tdaphone:Facsimile:File Ref:

Mr Cralg CareyDirectorPreventive Health Unll3328 90043S28 B296CH609267

Ms Kerri MahonA/Chief ExecutiveMetro North Hospital and Health ServicePO Box 150RBWH Post OfficeHERSTON QLD 4029

Dear Ms Mahon

To assist you with managing the agreed activity targets for breastscreen, I will be writing to youeach month advising you of your rtonthly data on the number of women screened in your Hospitaland Health Service. As you are aware, tho agreed activity targets and funding levels for theprovision of BreastScreen QuBensland (BSQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and hlealth Services.

The activity target for Metro North Hospital and Health Service is 38,500 women screened,The year to date activity level as at 30 April 2013 is 32,581 women screened which is 84.6% of thefull year target.

I would like to work with you to actively manage acthflty targsts for Metro North Hospital andhlealth Service and therefore more broadly, contribute to greater reductions In mortality andmorbidity from breast cancer in Queensland, Factors you might like to consider that couldincrease aGtivity prior to the end of the financial year and Into (he future include: promotion ofavailable appoinlments/BSQ ssrvtoes through local media/advertising efforts; provision of after-hours appointments and associated rtistering amngements and filling/backfltling of any vacantradlographer positions.

I look forward to working with you and your staff in achieving futurs activity targets and improvingthe health and well-being of Queensland women.


Dr JeannBtte YoungChief Health Officer^'ft 05 ,2013

OfficeLevel 7.147-163 Charlotls StiwetQueansland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 32341138BRISBANE QLD 4001

Fax32359573

.SS^l

Queenslandtiovcniment

Enquiries to:

Telephone:Facsimile:File Ref-

Mr Kerry McGovernChief ExecutiveMacKay Hospital and Itealth ServicePO 80x5581Maokay Mail CentreMACKAY OLD 4741

Mr Cralg CareyDirectorPreventive Health Unit3328 90043»28 9298CHOOa267

Dear Mr MeGovern

To assist you with managing the agreed activity targets for breastsereen, I will be writing to youeach month advising you of your montWy data on the number of women screened in yourHospteland Health Service. As you are aware, ths agreed act'ivity targets and funding levels for theprovision of BreastScreen Queensland (BSQ) services are detailed In the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for Mackay Hospital and Health Service is 8,000 women screened. The year todate activity level as at 30 April 2013 is 6,724 women screened which is 84.1% of the full yeartarget.

l^would like to work with you to actively manage activity targets for Mackay Hospital and HealthService and therefore more broadly, oontribute to greater reductfons !o mortality and morbkfityfrom breast cancw in Queensland. Factors you might like to consider that could increase activityprior to the end of the firancial year and into the future include: promotfon of availableappotatments/BSQ services through local media/advertising efforts; provision of aftar-hoursappointments and associated Fostering arrangements and filllng/bacltfilling of any vacantradiographer positions.

l^look forwar^to working with you and your staff In achieving future activity targets and improvingthe haalth and Well-being of Queensland womon.

Should you or your staff require further information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.--''"

'Your^ sipcerely

'S-'^. ^-. -.f

y\7DrJeannefte YoungChief Haalth Officer

o/l/ 05 ,2013

OfficeLevaf7147.163 Charlotte StreetQuBensland Health BuildtngBRISBANE QtD 4000

Postal PhoneGPQ Box 48 32341 138BRISBANE QLD 40B1

Fax323S8B73

QucenslantlGuveFnmcnt

Enquitiesto:

Telephone:Facsimile:FiteRef:


Mr Rob CalvertChief ExecutiveGold Coast Hospital and Health SorvlceGold Coast Hospital108 Nerang StreetSOUTHPORT QLD 4215

Dear Mr Calvert

T°-ass'sly°u w,ith mana9in8 ths agreed activity targets for breastscreen, I will be wrtBng to youeach month advising you of your monthly data on the number of women screened In your Hospitaland Health ^Servico_ As you are awaro, the agreed activity targets and funding teveis for theprovision of ^BreastScreen Queensland (BSQ) services are detailed in the 2012/13 ServteeAgreement with Hospital and Health Services.

The activity target for Gold Coast Hospital and Health Service is 29,000 women screened.The year to date activity level as at 30 April 2013 is 23,729 women screened which is 81.8% of thefull year target.

^would like to work with you to actively manage aetivity targets for Gold Coast Hospital and Healthfarvteewa 'lhwefwernw» broadly, coi\ ute to greater reductions in mortality and morbidityfrom breast caneor in Queensland. Factors you might like to consider that could increase activityprior to the end^ of the financial year and into e future include: promQtion of availabteappointments/BSQ services through tacal mGdia/adverttsing efforts; provision of after-hoursappointments and aasociated rostering arrangements and fflltng/backfilling of any vacantradiographer positions.

L?^k-5lward,to^'?rl<1"9 wtltt?you and sfQur staff in schieving future activity targets and Improvingthe health and well-being of Queensland women.

Should you ^or^your staff requlro further information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004. ' ~-" ---"-..--'

,/i''oin-s]kii5cei'ely

Or Jeannette YoungChief Health OfficerJl I 05 ,2013

OfficeLevel 7147-183 Chartotte StreetQueensland Health BuildingBRISBANE OLD 4000

Postal PhonsGPO Box 48 3234 1138BRISBANE QLD 4001

Fax32368573


Enquiries to:

Telephone-Facstmite:File Ref:

Mr Cralg CareyDire^orPrerentive Haalth Unit3328 900433289298CHD6S287

Ms Maree GeraghtyChief ExecutiveCentral Queensland Hospital and Health ServiceLevel 236 East StreetROCKhlAMPTON QLD 4700

Dear Ms Geraghity

To assist you with managing the agreed activity targets for breastscrew, I will be writing to youeach^ month advising you of your monthly data on th® number of women scraened in your Hospitaland Health Servioe. As you are aware, the agreed activity targets and funding levels for theprovision of BreastScreen Quesnsland (BSQ) services are detailed In the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for Central Queensland Hospital and Health Service Is 11,707 women screened.The year to date activity level as at 30 April 2013 is 8,827 women screened which is 75.4% of thefull year target.

I would like to work with you to actively manage activity targets for Central Queensland Hospitaland Health Service and therefore more broadly, contribute to greater reductions In mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that couldincrease activity prior to the end of the financial year and Into the future inolude: promotion ofavailable appofntments/BSQ. services through local media/advertising efforts; provision ofafter-hours appolntmsnts and associated rosterlng arrangements and filling/backfilling of anyvacant radiographer positions.

1^ look forward to working with you and your staff in achieving future activity targets and improvingthe health and well-being of Queensland women,

Should you or your staff require further information, please contact Mr Craig Carey, Director,Preventive Haalth Unit on telephone (07) 3328 9004.


(7?'»7 05 ,2013OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE OLD 4000


Fax3235 9573

Queenslandcovcrnment

Enquiries to:

Telephone-Facsimile:File Ref:

Mr Craig GareyDlreGtorPrevenlivs Haalth Unit3328 90043328 829BCH008287

Ms Julie Hartley-JonesChief ExecutiveCairns and Hinterland Hospital and Health SsrvlceCalms Base HospitalThe EspfanadeCAIRNS OLD 4870

Dear Ms Hartley-Jones

To assist you with managing the agreed activity targets for breastscreen, I will be writing to youeach month advising you of your monthly data on the number of women screened in your Hospitaland Health Service.^ As you are aware, the agreed activity targets and funding levels for theprovision of BreastSereen Queensland (BSQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and Health Services.

The ac(iyity_targ6t for Cairns and Hinterland Hospital and Health Service is 15,400 womenscreened. The year to date activity lavel as at 30 April 2013 is 12,506 women screened which is81.2% of (he full year target,

I would like to work with you to actively manage activity targets for Cairns and Hlnterland Hospitala" ,.^??1(^ 3®rY e and thel'efore more broadly, contribute to greater reductions in mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that Goutdincrease activity prior to the end of the flnancial year and into the future include: promotion ofavatlablB appomtmflnts/BSQ services through local media/advertising efforts; provision ofafter-hours appointments and associated rostsring arrangemente and filling/baokfilllng ofvacant radlographer positions.

lJ?<?k-f<?f?*'ard.t° ^°rkin9with you and your staff i" achisving future aclivity targets and improvingthe health and well-being of Quaenslancf women.

Should you ^or your staff require further information, please contact Mr Craig Carey, Director,Pm/entive Health Unit on telephone (07) 3328 9004.

Dr Jeannette YoungChief Health Offlcwc^i/ 05 ,2013

OfficeLevel 7147-183 Charlotte StreetQueensland Health BuildingBRISBANE QLO 4000

Postal PhoneGPO Box 48 3234 1 138BRISBANE QLD 4001

Fax32368673

Sovenimcnl

Enquiries to:

Telephone;Facshnlle:File Ref:


Ms Lesley DwyerChief ExwutiveWest Moreton Hospital and Health ServicePO Box 73IPSWICH Ql.D 4305

Dear Ms Dwyer

To assist you with managing the agreed activity targets for brsastscreen, . will be writing to youeach month advising you of your monthly data an the number of women scresned in your Hospitaland 1-lealth ^Service. As you are aware, the agreed activity targets and funding levels for'theprovision of BreastScreen Queensfand (BSQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for West Moreton Hospital and Health Service is 10,320 women screened.The year to date activity level as at 30 April 2013 is 8,028 women sereeried which Is 77.8% of the

full year target.

I would -9 to work with you to actively manage activity targets for West Moreton Hospital andHealth Service and therefore more broadly, contribute to greater reductions in mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that couldincrease activity prior to the end of the financial year and into the future include: promotion ofavailable appointments/BSQ services through Jocal medta/advertising efforts; 'provisfonofafter-hours appointments and associated rostering arrafigemeftts and filling/bacWing of anyvacant radiographer poaitlona

look forward to working with you and your staff in achieving future activity targets and improvingthe health and well-being of Queensland women.

Should you or your staff require further information, please contact Mr Graig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004,

)cereJy

.^ x_..lrt:..X>-l . .^~-'

"yDr Jeannette YoungChief Health Officery',1 OS ,2013

OfficeLevel 7147-163 Chariofte StreetQueensland Health BuildingBRISBANE OLD 4000

Postal PhoneGPO Box 48 32341136BRISBANE OLD 4001

Fax3236 9673

^S<^?^£

}s^f^v/ QueenslandGovernment

Enquiries to: Dr Peter BristowTelephone: (61 7) 4699 8412Facsimile: (81 7) 4699 8400OurRef: HSCE 141-13

Dr Jeannette YoungChief Health OfficerDepartment of HealthGPO Box 48BRISBANE QLD 4001

Office of Chief Executive

Darling Downs Hospitaland Health Service

Dear Dr Young

Thank you for your recent correspondence regarding Darling Downs Hospital and HealthService's (DDHHS) performance against its agreed activity targets for the provision ofBreastScreen Queensland (BSQ) services as detailed in our 2012/13 Service Agreement.

Our service Is cognisant of our full year activity target of 17,945 women screened, a numberwhich was increased by 945 screens through the course of the prolonged negotiations whichextended into the 2013/13 financial year to avoid a reduction in funding for this program.

Further to the target attainment cited in your correspondence, I can confirm that the servicehas reached 89.4% of Its full year target by the end of May (16,044 screens). Modelling forthe remaining month suggests the service will have provided 17,500 screens by June 30,placing it within 2% of its activity target.

Whilst acknowledging that the service may experience a shortfall of up to 500 screensagainst target, I would highlight the following mitigating factors in assessing its performance:

2012/13 has coincided with the year in our two year travel cycle which Involves moreremote travel, which naturally detracts from time available for screening. By way ofcomparison, the service's previous screening peak in an equivalent year was 17,009screens in 2008/09, which was not sustained in 2010/11, when 16,838 screens wereprovided;DDHHS supported the transition to PACS (Picture Archiving CommunicationsSystem) in December, 2012, with a three week changeover and training period whichresulted in a loss of approximately 175 screening appointments. In light of recentmedia coverage of the impact of the transition from analogue to digital screening inSouth Australia, I believe the caution shown in planning and implementing thischange was warranted;The service also underwent NQMC reaccreditation in February 2013, which, I ampleased to advise, resulted in accreditation for the maximum period of four years;

Office of Chief Executive

CnrHogg and Tor StreetsPO Box 405 ToowoombaQueensland 4350 AustraliaTeEephone +<l ? 4699 8888Facsimils +61 / ^699 8933www.dartingdowns.hea lth.qld.gov.au

ABN 64 109 Sid i^i

The Darling Downs were affected by two significant weather events in early 2013,which resulted in widespread flooding affecting travel throughout the region. Ourestimates suggest 50 screening appointments were lost as a direct result of theseevents; and

n The service has continued to support a Radiographer who commenced an extendedperiod of leave due to illness in August 2012. Whilst locum coverage has beensecured for the majority of this time, this role was vacant for a six week period inFebruary and March, representing a loss of approximately 600 screens.

Further to the suggestions in your letter regarding promotion of the availability of BSQservices, I would also highlight that the continuing restrictions on advertising are cited as alimiting factor by our service, particularly given the intsr/als between visits by our mobileservice to rural and remote communities.' The service is clearly making effective use of localmedia channels, given demonstrated growth in all the rural centres where screening hasbeen completed to date; but we would, none the less, express a preference for having a fullspectrum of operational choices open to us locally.

In closing, the DDHHS will continue to ensure capacity to perform at a level commensuratewith the obligations of our Service Agreement and our commitment to Improving the healthand well being of Queensland women.

Should you or your staff require further information, please contact Ms Megan Morse,Executive Director, Allied Health on (07) 4699 8061.

YQU.CS sincerely

Dr Peter Bristow FRACP FCICM FRACMA GCM GAICDChief ExecutiveDarling Downs Hospital and Health Service

r L/ '3 ,2013

Cc MrCraig CareyMegan Morse

QiicansteiidGovernment

Enquiries to:

Telephone:Facsimile;File Ret

Mr Craig CareyDirectorPraventlve Health Unit3328 900433289298CH009267

Dr Peter BristowChief ExecutiveDarling Downs Hospital and Health ServiceLevel 2, Cossart House, Toowoomba HospitalPechey StreetTOOWOOMBA QLD 4350

Dear Dr Bristow

To assist you with managing the agreed activity targets for breastscresn, I will be writing to youeach month advising you of your monthly data on the number of women screened in yourl-fospitaland Health Swvice.^ As you are aware, ths agreed activity targets and funding levels for' theprovision of BrsastScreen Queensland (BSQ) services are detailed in the 2012/13 ServiceAgreement with Hospital and Health Services.

The activity target for Darling Downs Hospital and Health Service te 17,945 women screened. Theyear to date activity level as at 30 April 2013 is 14,271 women screened which Is 79.5% of the fullyear target.

would like to work with you to activafy manage activity targets for Darling Downs Hospital ancfHealth Service and therefore more broadly, contribute to greater reductions in mortality andmorbidity from breast cancer in Queensland. Factors you might like to consider that couldincrease activity prior to the end of the financial year and into the future Include: promotion ofavailable appointments/BSQ services through iocal media/advertising efforts; provision ofafter-hours appointments and associated rostering arrangements and "filltng/backfilling ofvacant radiographer positions.

look forward to working with you and your staff in achievrng future gotivity targets and improvingthe health and well-being ofQuaensland women.

Should you or your staff require further information, please contact Mr Craig Caray, Director,Preventive Health Unit on telephone (07) 3328 &004.

'ours ^ir]cerely

{ X^'\./" ..<~:^Dr Jeannette YoungChlftf Health Offlcsr

^t, I 08 ,2013OfficeLevel 7147-T® Chartotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 32341138BRISBANE QLD 40OT

Fax3235 8573

QueeiKlamlGovernffiertt

Department of Health

Enquiries to;

Telephone:Faralmlte;File Ref:

Mr Cralg CareyDirectorPreventh/e Hearth Unit3328 90043328 9296CH008326

Ms Julie Hartley-JonssChief Executive

Cairns and Hinterland Hospital and Health ServiceCairns Base HospitalThe EsplanadeCAIRNS QLD 4870

DearMs Hartley-Jones

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancer Screening, within the Chief Health Officer BranGh's Preventive Health Unit, will continue toprovide BreastScreen activity information to HHSs on a monthly basis to assist services m meetingcontracted performance targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Current breastscrasn acthrity - Cairns and Hinterland HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)

15,400 screens13,711 screens

Should you or your staff require further information, please contact Mr Craig Carey, Director,Preventive HeaKh Unit on telephone (07) 3328 9004.

Yours sincersly

^k-^^Dr Stephen LambertA/Chief Health OfRcer

,/ 08 ,2013

OfficeLevel 7147-183 Charioite StreatQueensland Health BuildingBRISBANE QLD 4000

Postal Phonef3POBOx48 32341138BRISBANE OLD 4001

Fax

323S9873

Enquiries to:

Telephone:Facgimife:File Ref:

Government

Department of HeaUh

Mr Cralg CereyDirectorPrBventive Health Unit3328 900433289296CH009»2S

Mr Rod BoddiceA/Chtef Executwe

Central Queensland Hospital and Health ServiceLevel 236 East StreetROCKHAMPTON QLD 4700

Dear Mr Boddlce

As you are aware, the agreed activity targets and funding levels for the provision of BrsastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancer Scrsening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScreen activity information to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting these pertormance targets will contribute to reducingmortality and roprbtd)^ from :broast cancer in Queaisland.

Current breastscnBerl activity- Cantral Qussnahuid HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff require further Information, please contact Mr Cralg Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

^u^^Dr Stephen LambertA/Chtef Health Officer

,/ 06 ,2013

OfficeLevel?147- Ohartotte StreetQusBnsland Health BulldtngBRISBANE OLD 4000

Postal PhonaGPO Box 48 32341138BRIS8ANE OLD 4001

Fax3235 9573

Government

&epartm«nt of Health

Enquiries to;

Telephone;Facsimile:File Ref:

Mr Craig CareyDirectorPreventive Health Unit3328 9004332B 8296CH009326

Dr Peter BrlstowChief ExecutiveDarilng Downs HospitBl and Health ServiceLevel 2, Cossart House, Toowoomba HospitalPechey StreetTOOWOOMBA QLD 4350

Dear Dr Bristow

As you are aware, the agreed activity targets and funding levels for the provision of Breas-tScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancer Soreaning, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScreen activity information to HHSs on a monthly basis to assist sefvicss in meetingcontracted performancs targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Current breastscreen actMty - Darling Downs HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff roquire further information, ptease contact Mr Cralg Carey, Director,Preventive Health Unit on tetephone (07) 3328 9004.

Yours sincerely

^UA^'

Dr Stephen LambertA/ChW Health Officer

,/ 06 ,2013

OfflceLevel?147-163 Chariotta StreetQueensland Healtfi BuildingBRISBANE QLD 4000

PostalSPO Box 48BRISBANE OLD 4001

Phone3234 1138

Fax32359573

QueenshnilGovernment


Enquiries to: Mr Cralg CareyBtrectorPrevantlva Health Unit

Telephone: 33288004Facsimile: 3328 9298File Ref: CH009326

Mr Rob CalverfChief ExecutiveGold Coaat Hospital and Health S&rviceGold Coast 1-lospttal108 Nerang StrestSOUTHPOItr OLD 4215

Dsar Mr Calvsrt

As you are aware, the agreed activity targets and funding levels for the provision of BraastScreenQusensland (BSQ) services are detailed in the 2012/13 Servics Agreement with Hospital andHealth Services (HHSs).

Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit, will eontinue toprovide BreastScreen activity information to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting these performance targets will contflbuta to reducingmortality and morbidity from breast cancer in Queensland.

Current breactscreen activity - Gold Coast HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)

29,000 screens26,562 scresns

Should you or your staff require further information, please contact MC Craig Carey, DirectQr,Preventh/e Health Unit on telephone (07) 3328 9004.

Your? sincerety

Dr Stephen LambertA/Chief Health Officer

06 ,20132.f

omceLevel?147-163 Charlotte StreetQueen^and Health BuildingBRISBANE QLD 4000


Fax3235 9673

ttueeiistondGovernment


Enquiries to:

TefBptone;Facsimile:File Ref:

MrCralg CareyDirectorPmvenUve Health Unit3328 90043326 9296CH009326

Mr Kerry McOovarnChief ExecutiveMackay Hospital and Health SsrvicePO Box 5581Mackay Mail CentreMACKAY QLD 4741

Dear Mr MoGovem

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueansland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScreen activity information to HHSs on a monthly basis to assist ssrvlcea in meetingcontracted performance targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Current breastscrBen activity - IWackay HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff require further information, please contact Mr Gralg Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

^f^Dr Stephen LambertWChiaf tiaatth OCTcar

/ 06 ,2013^

OfficeLevel 7147-183 CharioUeStfeetQueensland Health BuildingBRISBANE QLD 4000

Postal PhonaOPO Box 48 32341138BRISBANE QLD 4001

Fax3235 9573


OepartmentBf Health

Elnqyrrtes to:

Telephons:Facsimile:Flto Ref:

Nr Ci-alg CanyDirectorPrauehthe Haalth Unit3328 900433Z8 9296CH008326

Ms Julia SquireChief Executive

Townsville Hospital and Hsalth ServicePO Box 670TOWNSVILLE QLO 4810

Dear Ms Squire

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs),

Cancer Screerong, within the Chief Health Officer Branch's Preventive Haalth Unit, will continue toprovide BreastScreeh activity Information to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting ttese performancs targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Current breastscreen activity - Townsvllle HH!2012/13 contracteri activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff require further information, please contact Mr Cralg Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

^^Dr Stephen LambertA/Chlof 1-tealth Officer

/ 06 ,2013^

OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE OLD 4000


REUC3238 9573


Bepartment of Health

Enquiries to: Mr Gralg CareyDimctorPre»eMve Health Unit

Tdephone: 33288004Facslmila: 3328 9298Plte Ref: CH009326

Ms Lesley DwyerChief Executive

West Moreton Hospital and Health ServicePO Box73IPSWICH OLD 4305

Dear Ms Dwyer

As you are aware, the agreed activity targets and funding levels for the provision of BmastScreenQueensland (BSQ) services are detailed in the 2012/13 Servtee Agreement with Hospital andHealth Services (HHSs).

Cancer ScreQning, within (he Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreaslScrsen activity Information to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting these performance targets will contribute to reducingmortalityand morbidity from breast cancer In Que&nsland.

Current breastscrean activity - West Moreton HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)



Yours sincerely

fN^K

Or Stephen LambertA/Chlef Health Officer

/ 06 ,2013^

OffteeLevel 7147-1fi3ChartottaStreetQueensland Health BuildingBRISBANE QLD 4000


Fax3235 9573

OueenslandGovernment


Enquiries to:


Mr Cralg GareyDirectorPreventive Health Unit3328 90043328 9296CH009326

Mr Adrian PennlngtonChief ExecutiveWide Bay Hospital and Health ServicePO Box 341BUNDABERG QLD 4670

Dear Mr Pennlngton

As you are aware, the agreed activity targets and funding tsvels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancar Screening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScmen activity information to HHSs on a monthly basis to assist services In meetingcontracted perfomianoe targats. Mseting these pefformance targets will contribute to reducingmortellty and mprbidtty from breast canoer In Queenstand.

Current breastacreen activity - Wide Bay HHS2012/13 contracted activity target2012/13yearto date acth/fty (to 31 May 2013)

13,000 screens11,973 $creens

Should you or your staff require further information, please contact Mr Graig Carey, Director,Preventive Health UnHon telephone (07) 3328 9004.

Yours sincerely

^kfl^Dr Stephen LambertA/CMef Health Officer

06 ,2013v\'

OfficeLevel 7147-183 ehariotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 S2341136BRISBANE OLD 4001

Fax32359573

QueBBslanilGovemmenS


Enquiries to;

TelBphone:Faeslniile:File Ref:

Mr Craig CareyDfnectorPreventive Health Unft,332890043328 9296CH009326

Ms Kerri MahonA/Chief B<ecutiveMetro North Hospital and HeaKh ServicePO Box 150RBWH Post OfficeHERSTON QLD 4029

Dear Ms Mahon

As you are aware, the agreed activity taigets and funding levels for the provision of BreastScreenQueeroland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth ServiC8s (HHSs).

Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScreen activity Information to HHSs on a monthly basis to asstst services In meetingcontracted performance targets. Meeting these performance taigets will contribute to reducingmortality and »nort>idity from breast canoer in Queensland.

Cyrrant breastscreen activity - Biiatro Worth 1-IHS2012/13 contraoted activity target2012/13year to date activity (to 31 May 2013)



Yours sfncerely

y^^Dr Stephen LambertATChief Health Officer

/ 06 ,2013^

OfficeLevel?147-1B3 CharlottB StreetQaeanslarwl Hsalth BijildingBRISBANE QLD 4000

Postal PhoneSPO Box 48 32341138BRISBANE OLD 4:001

Fax32359673

QueanshndGovcnimetit

Oepartment of Health

Efiqulries to:

Tetef^one:Facsimile:File Ref:

Mr Cralg GareyDlrscterPreveRtlve Health Unit332890043328 9286CN009328

Dr Richard AshbyChief Executive

Metro South Hospital and Health ServicePrincess Alexandra Hospital.1991pswlch RoadWOOLLOONGA8BA QLD 4102

Dear Dr Ashby


Cancer Screening, within (he Chief Health Offiear Branch's Preventive Health Unit, win continue toprovide BreastScreen activity infomiatlon to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Cuwent brsastscresn activity - Metro South HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your steff require further information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

fpA4-

Dr Stephen LambertA/Chlef Health Officer

06 ,2013T^

OfficeLevel?147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 3234 1T38BRISBANE OLD 4001

Fax3236 9S73



Enquirtes to:

Telaphpne:Faeslmlle:File Ref:

Mr Ctaig CareyDirectorPravenflve Health Unit332880043328 9298CH 009326

Mr Kevin HagartyChief Executive

Sunshine Coast Hospital and Health ServiceNambour General HospitalPO Box 547NAMBOUR QLD 4560

Dear Mr Hegarty

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Ssrvioe Agreement with Hospital andHealth Services (HHSs).

Cancer ScFeening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovidB Bi'eastScreen aetivjty inforOTation to HHSs on a monthly basis to assist services In meetingcontractad performance targets. Meeting these performance targets will contribute to rsducingmortality and morMdity from breast cancer in Queensland.

Current breastscreen activity - Sunshine Coast I !HS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff require further information, please contact Mr Cralg Carey, Dlreotor,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

(p^-^Dr Stephen LambertA/Chief Health Officer

06 ,2013^/

OfficeLevel 7147-183 Charlotte StreetQueenslaind hteatth BuNingBRISBANE OLD 4000


Fax3ZS5 9573


Enquiries to; Mr Craig CareyTelephone: 3328 S004Facsimile: 3328 9296File Ref: CH009398

Ms Julie Hartley-JonesChief ExecutiveCairns and Hinterland Hospital and Health ServicePO Box 902CAIRNS QLD 4870

Dear Ms Hartley-Jones

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs in relation to the level of BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Cairns and Hinterland HHS2012/13 contracted activity target - 15,400 screens2012/13 year to date activity (to 30 June 2013) - 14,848 screens

Consistent with the Hospital and Health Service Performance Management Framework, thaDepartment of Health has considered the option to withdraw allocated funding on a pro rata basiswith respect to the Isvel of under delivery. The breastscraen activity shortfall of 552 screens in2012/13 equates to funding of $99,912 given your HHS's 2012/13 screening unit cost of$181/screen. On this occasion the Department has decided to not seek the reimbursement of thisfunding.

In the 2013/14-2015/16 Service Agreements, BSQ screening activity has been induded as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscreen activity information to HHSs on a monthly pro rata basis toassist services in meeting contracted psrformanca targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.

Should you or your staff require further information, please do not hesitate to contactMr Craig Carey, Director, Preventive Health Unit on telephone (07) 3328 9004.

Dr Jeannette YoungChief Health Officer^/<(?/2013

OfficeLevel 7147-163 Charlotte StreatQueensland HeaBh BuildingBRISBANE QLD 4000

Postal PhoneOPO Box 48 32341138BRISBANE QLD 4001

Fax3235 8573


Enquiries to: Mr Craig CareyTelephone: 3328 B004Facsimile: 3328 8298File Ref: CH009396

Mr Rod BoddiceA/Chief Executive

Central Queensland Hospital and Health ServicePO BOX 871ROCKHAMPTON QLD 4700

Dear Mr Boddice

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs in ralation to the level of BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Central Queensland HHS2012/13 contracted activity target - 11,707 screens2012/13 year to date activity (to 30 June 2013) - 11,481 screens

Consistent with the Hospital and Health Service Performance Management Framework, theDapartment of Health has considered the option to withdraw allocated funding on a pro rata basiswith respect to the level of under delivery. The breastscreen activity shortfall of 228 screens in2012/13 equates to funding of $40,228 given your HHS's 2012/13 screening unit cost of$178/screen. On this occasion the Department has decided to not seek the reimbursement of thisfunding.

In the 2013/14-2015/16 Service Agreements, ESQ screening activity has been included as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscreen activity information to HHSs on a monthly basis to assistservices in meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.

Should you or your staff require further information, please do not hesitate to contactMr Craig Carsy, Director, Preventive Health Unit on telephone (07) 3328 9004.

icerely

Or Jeannette YoungChief Health OfficerU / <P ,2013



Fax3235 9573


Enquiries to: Mr Craig CareyTelephone: 3328 9004Facsimile: 3328 8286File Ref: CH009396

Dr Peter BristowChief ExecutiveDarling Downs Hospital and Health ServicePO Box 405TOOWOOMBA QLD 4350

Dear Dr Bristow

Thank you for your letter of 5 June 2013 advising of the environmental and operational issues affectingthe BreastScreen Queensland (BSQ) Toowoomba service in the 2012/13 financial year. I acknowledgethe setbacks that the service faced and appreciate the efforts made by staff members to strive to reachthe activity targst.

As you are aware, the agreed activity targets and funding levels for the provision of BSQ serolces weredetailed in tha 2012/13 Service Agreement with Hospital and Health Services (HHSs). It is timely toprowde final advice to HHSs in relation to the level of BSQ screens provided in ths 2012/13 financialyear.

Breastscreen activity as at 30 June 2013 - Darling Downs HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


Consistent with the Hospital and Health ssrvlce Performance Management Framework, theDepartment of Health has considered the option to withdraw allocated funding on a pro rata basis withrespect to the level of under delivery. The breastscreen activity shortfall of 263 screens in 2012/13equates to funding of $40,239 given your HHS's 2012/13 screening unit cost of $153/screen. On thisoccasion the Department has decided to not seek the reimbursement of this funding.

In the 2013/14-2015/16 Service Agreements, BSQ screening activity has been included as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activity levelachieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit, willcontinue to provide breastscreen activity information to HHSs on a monthly basis to assist services inmeeting contracted performance targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.


Dr Jeannette YoungChief Health Officer12 I J> ,2013

OfflceLevel 7147-183 Charlotte StreetQueensland Health BuildingBRISBANE OLD 4000


Fax3236 9573


Enquiries to: Mr Craig CareyTelephone: 3328 9004Facelmite: 3328 6293File Ref: CHOOB398

Mr Ron CalvertChief ExecutiveGold Coast Hospital and Health ServiceGold Coast Hospital108 Nerang StreetSOUTHPORT QLD 4215

Dear Mr Calvert

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs in relation to the level of BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Gold Coast HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


This level of performance surpasses the contracted and funded activity level. I would like toacknowledge and recognise the hard work and commitment of the BSQ staff members in yourHHS in achieving this outcome In 2012/13.

In the 2013/14-2015/16 Service Agreements, BSQ screening activity has been included as KsyPeri'ormance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscreen activity information to HHSs on a monthly basis to assistservices in meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.


rS^incerely

Dr Jeannette YoungChief Health Officer'<.'/ <^ ,2013OfflceLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000


Fax3235 9573



Mr Kerry McGovernChief Executive

Mackay Hospital and Health ServicePO Box 5580Mackay Mail CentreMACKAY QLD 4741

Dear Mr McGovern

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs in relation to the level of BSQscreens provided in the 2012/13 finandal year.

Breastscregn activity as at 30 Juna 2013 - Mackay HHS2012/13 contracted activity target 8,000 screens2012/13 year to date activity (to 30 June 2013) - 7,793 screens

Consistent with the Hospital and Health Service Performance Management Framework, theDepartment of Health has considered the option to withdraw allocated funding on a pro rata basiswith respect to the level of under delivery. The breastscreen activity shortfall of 207 screens in2012/13 equates to funding of $39,330 given your HHS's 2012/13 screening unit cost of$190/screen. On this occasion the Department has decided to not sesk the reimbursement of thisfunding.

In the 2013/14-2015/16 Service Agreements, BSQ screening activity has been induded as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscreen activity information to HHSs on a monthly pro rata basis toassist services in meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.


Dr Jeannette YoungChief Health Officer'.»/ <P ,2013



Fax32359573


Enquiries to: Mr Craig CareyTelephone: 3328 B004Facsimile: 3328 928BFile Ref: CH009368

Mr Malcolm StampChief ExecutiveMetro North Hospital and Health ServicePO Box 150RBWH Post OfficeHERSTON QLD 4029

Dear Mr Stamp

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQusensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs In relation to the level of BSQscreens provided in ths 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Metro North HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


This level of performance surpasses the contracted and funded activity level. I would like toacknowledge and recognise the hard work and commitment of the BSQ staff members in yourHHS in achieving this outcome in 2012/13.

In the 2013/14-2015/16 Service Agreements, BSQ screening activity has been included as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within ths Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscreen activity information to HHSs on a monthly basis to assistservices In meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.


sincerely

>C^2L^.

Dr Jeannette YoungChief Health Officer12 / J» ,2013OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhonoGPO Box 48 32341138BRISBANE QLD 4001

Fax3235 9673

QueenslandGowrnment

Enquiries to: Mr Craig CareyTelephone: 3328 9004Facsimile: 3328 9296File Ref: CH0093B8

Dr Richard AshbyChief ExecutiveMetro South Hospital and Health ServicePO Box 4043EIGHT MILE PLAINS QLD 4113

DearDrAshby

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs In relation to the level of BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Metro South HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


Consistent with the Hospital and Health Service Performance Management Framework, theDepartment of Health has considered the option to withdraw allocated funding on a pro rata basiswith respect to (he level of under delivery. The breastscreen activity shortfall of 1,977 screens in2012/13 equates to funding of $247,125 given your HHS's 2012/13 screening unit cost of$125/screen. On this occasion the Department has decided to not seek the reimbursement of thisfunding.

In the 2013/14-2015/16 Service Agreements, BSQ screening acfivlty has been included as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health Unit,will continue to provide breastscraen activity information to HHSs on a monthly pro rata basis toassist services In meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer In Queensland.


sincerely

Dr Jeannette YoungChief Health Officer12 / ^ ,2013OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000


Fax3235 9573



Mr Kevin HegartyChief ExecutiveSunshine Coast Hospital and Health ServiceNambour General HospitalPO Box 547NAMBOUR QLD 4560

Dear Mr Hegarty

As you are aw^re, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs). It is timely to provide final advice to HHSs in'relation to the leveFof BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Sunshine Coast HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


This level of psrformance surpasses the contracted and funded activity level. I would like toacknowledge and recognise the hard work and commitment of the BSQ staff members inHHS in achieving this outcome in 2012/13.

I"-?®-2013714"201.57'16 .serv.ice A9J881nsnts, BSQ screening activity has been included as Key!!erf?rlTI,?nce jndicatc"'2'16 with a 98% tarsst for tha proportion of the annual breastscreen activitylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive Health'Urii'Lwill continue to provide breastscreen activity information to HHSs on a monthly basis to assistservices In meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from'breast cancenn Queensland.


Yotfre^incerely

't7Dr Jeannette YoungChief Health Officer11- / ^ ,2013OfflceLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal phonaGPO Box 48 32341138BRISBANE QLD 4001

Fax3235 9673


Enquiries to: Mr Craig CareyTelephone: 3328 S004Facsimile: 3328 8298File Ref; CHOOeSBS

Ms Julia SquireChief ExecutiveTownsvllle Hospital and Health ServicePO Box 670TOWNSVILLE QLD 4810

Dear Ms Squire

As you are avrare, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services were detailed In the 2012/13 Service Agreement with "Hospital'andHealth Services (HHSs). It is timely to provide final advice to HHSs in relation to the levelof BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - Townsvllle HHS2012/13 contracted activity target - 14,765 screens2012/13 yearto date activity (to 30 June 2013) - 14^871 screens

This level of psrformance surpasses the contracted and funded activity level. I would like toacknowtedge and recognise the hard work and commitment of the BSQ staff members iriHHS in achieving this outcome in 2012/13.

n-.i^6-^^'1^0^671?^8"".?6 /SLS-'?.9ments--BSQ scre8ni"g activity has been included as KeyPerformance Indicator 2.16 with a 98% target for the proportion of the annual breastscreen acUvitlevel achieved. Cancer Screening, within (he Chief Health Officer Branch's Preventive'Hea'lth'Oni't'.will continue to provide breastscreen activity information to HHSs on a monthly basis to assistservices^ In meeting contracted performance targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from'breast cancenn Queensland.

Should you or your staff require further information, please do not hesitate to contactMr Cralg Carey, Director, Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

CAt7Dr Jeannette YoungChief Health Officerlil f ,2013OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000


Fax3235 9573


Enquiries to: Mr Cralg CareyTelephone: 3328 9004Facsimile; 3328 6296File Ref: CH009396

Ms Lesley DwyerChief ExecutiveWest Moreton Hospital and Health ServicePO Box 73IPSWICH QLD 4305

Dear Ms Dwyer

As you are avrare; the agreed activity targets and funding levels for the provision of BreastScreenQuee"sland,-(BSQ),servi(:es were. detailed in the 2012/13 Service Agreement with "Hospital'andHealth Services (HHSs)_ It is timely to provide final advice to HHSs in relation to the levelofBSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 - West Moreton HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


This level of performance surpasses the contracted and funded activity level. I would like toacknowtedge and recognise the hard work and commitment of the BSQ staff members iriHHS in achieving this outcome in 2012/13.

^'-S.e.^?^^01.s/1^ ^.erv.i.?e /^.r.e.ements'-BSQ screening activity has been included as KeyPerformance Indicator 2,16 with a 98% target for the proportion of the'annual breastscreen activii'level achieved. Cancer Screening, within the Chief Health Officer Branch's preventive Health Unit.wllcontinue to provide breasts°rss" activity information to HHSs on a monthly basis to assistservlce.s_"1-meeti"3 contracted PerfOTmar'ce targets. Meeting these performance targets willcontribute to reducing mortality and morbidity from breast cancer in Queensland.

Should you or_your staff require further information, please do not hesitate to contactMrCraig Carey, Director, Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

-2L-y

\^/ L^Dr Jeannette YoungChief Health Officert^ / f ,2013OfficeLevel 7147-163 Charlotte StreetQueansland Health BuildingBRISBANE OLD 4000


Fax3236 9673


Enquiries to: Mr Cialg CareyTelephone: 3328 9004Facsimile; 3328 9288File Ref: CH009388

Mr Adrian PenningtonChief ExecutiveWide Bay Hospital and Health ServicePO Box 34BUNDABERG QLD 4670

Dear Mr Pennington

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQuee,"sland,(BSQ}. .servic?s were detailed In the 2012/13 Service Agreement with Hospital'andHealth Services (HHSs). It is timely to provide final advice to HHSs in'relation fo the levetof BSQscreens provided in the 2012/13 financial year.

Breastscreen activity as at 30 June 2013 -Wide Bay HHS2012/13 contracted activity target2012/13 year to date activity (to 30 June 2013)


Consistent with the Hospital and Health Service Performance Management Framework, theDepartment.°f H8alth has co"s'dsred the option to withdraw allocated funding on a pro rata basiswlth-respect to the Iev.91 of unde1' delivery. The breastscreen activity shortfall of 73 screBns in2?.I2/13 equate5..t° fundin9 of $10,147 given your HHS's 2012/13 screening unit cost'of$139/screen. On this occasion the Department has decided to not seek the reimbursement of thisfunding.

ln-the.2013/14-20'l5/16 serv.'ce '^reemente, BSQ screening activity has been included as Key^e.?^^TJ"dJ.<:atOT 2»16 witf?a 98^? .tal?et !?r the Proportion of the annual braastscreen activiiylevel achieved. Cancer Screening, within the Chief Health Officer Branch's Preventive" Health'Uni't.will continue to provide breasfscreen activity information to HHSs on a monthly basis"to assist!?^'.?.es._"?.me?t"^9 contract8d performance targets. Mseting these performance targets willcontribute to reducing mortality and morbidity from'breast cancenn Queensland.


l;s sincerely

^Dr Jeannette YoungChief Health OfficerIt- I f ,2013

OfficeQueensland HealthLevel 16, Charlotte StreetBRISBANE OLD 4000


Fax3235 9573

QueanshndGovcnimetit

Oepartment of Health

Efiqulries to:

Tetef^one:Facsimile:File Ref:

Mr Cralg GareyDlrscterPreveRtlve Health Unit332890043328 9286CN009328

Dr Richard AshbyChief Executive

Metro South Hospital and Health ServicePrincess Alexandra Hospital.1991pswlch RoadWOOLLOONGA8BA QLD 4102

Dear Dr Ashby


Cancer Screening, within (he Chief Health Offiear Branch's Preventive Health Unit, win continue toprovide BreastScreen activity infomiatlon to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting these performance targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Cuwent brsastscresn activity - Metro South HHS2012/13 contracted activity target2012/13 year to date activity (to 31 May 2013)


Should you or your steff require further information, please contact Mr Craig Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

fpA4-

Dr Stephen LambertA/Chlef Health Officer

06 ,2013T^

OfficeLevel?147-163 Charlotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 3234 1T38BRISBANE OLD 4001

Fax3236 9S73


OepartmentBf Health

Elnqyrrtes to:

Telephons:Facsimile:Flto Ref:

Nr Ci-alg CanyDirectorPrauehthe Haalth Unit3328 900433Z8 9296CH008326

Ms Julia SquireChief Executive

Townsville Hospital and Hsalth ServicePO Box 670TOWNSVILLE QLO 4810

Dear Ms Squire

As you are aware, the agreed activity targets and funding levels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs),

Cancer Screerong, within the Chief Health Officer Branch's Preventive Haalth Unit, will continue toprovide BreastScreeh activity Information to HHSs on a monthly basis to assist services in meetingcontracted performance targets. Meeting ttese performancs targets will contribute to reducingmortality and morbidity from breast cancer in Queensland.

Current breastscreen activity - Townsvllle HH!2012/13 contracteri activity target2012/13 year to date activity (to 31 May 2013)


Should you or your staff require further information, please contact Mr Cralg Carey, Director,Preventive Health Unit on telephone (07) 3328 9004.

Yours sincerely

^^Dr Stephen LambertA/Chlof 1-tealth Officer

/ 06 ,2013^

OfficeLevel 7147-163 Charlotte StreetQueensland Health BuildingBRISBANE OLD 4000


REUC3238 9573

OueenslandGovernment


Enquiries to:


Mr Cralg GareyDirectorPreventive Health Unit3328 90043328 9296CH009326

Mr Adrian PennlngtonChief ExecutiveWide Bay Hospital and Health ServicePO Box 341BUNDABERG QLD 4670

Dear Mr Pennlngton

As you are aware, the agreed activity targets and funding tsvels for the provision of BreastScreenQueensland (BSQ) services are detailed in the 2012/13 Service Agreement with Hospital andHealth Services (HHSs).

Cancar Screening, within the Chief Health Officer Branch's Preventive Health Unit, will continue toprovide BreastScmen activity information to HHSs on a monthly basis to assist services In meetingcontracted perfomianoe targats. Mseting these pefformance targets will contribute to reducingmortellty and mprbidtty from breast canoer In Queenstand.

Current breastacreen activity - Wide Bay HHS2012/13 contracted activity target2012/13yearto date acth/fty (to 31 May 2013)

13,000 screens11,973 $creens

Should you or your staff require further information, please contact Mr Graig Carey, Director,Preventive Health UnHon telephone (07) 3328 9004.

Yours sincerely

^kfl^Dr Stephen LambertA/CMef Health Officer

06 ,2013v\'

OfficeLevel 7147-183 ehariotte StreetQueensland Health BuildingBRISBANE QLD 4000

Postal PhoneGPO Box 48 S2341136BRISBANE OLD 4001

Fax32359573

BreastScreen Queensland and the role of the State Co-ordination unit

Prepared by Dr. Christine Galbraith, Clinical Director, BreastScreen QueenslandBrisbane Southside Service

16th August, 2012

Overview

Breastscreen Queensland is a jointly Commonwealth / State funded populationbased mammography screening program and is part of the BreastScreenAustralia program.

Private mammographic screening does not attract a Medicare item number. Alleligible women need to be able to access BreastScreen services.

The BreastScreen Queensland program is co-ordinated through the State Co-ordination unit, providing support to the eleven screening and assessment units.Considerable work over the years has enabled the Queensland program todeliver high quality services to all women of the state, and the integrated statesystem is considered one of the very best in the world.

The State co-ordination unit has been criUcal in developing this situation, and indoing so, has introduced numerous efficiencies.

The BreastScreen Australia program requires that all services are accredited bythe National Quality Management Committee of BreastScreen Australia.

Critical Aims of BreastScreen Queensland

1. To identify breast cancers at an early stage when treatment is morestraight forward and effective

2. To decrease the number of women dying from breast cancer [consideringassociated personal, social and health care costs)

3. To deliver equitable access to services to eligible women throughoutQueensland

4. To deliver equitable quality of service to women throughout Queensland

5. To attract and maintain high quality breast radiologists, mammographersand film readers

6. To avoid any adverse outcomes (and subsequent medico-legal issues)

Particular challenges in the delivery of a high quality breast screening service tothe women of Queensland

1. GeographicalFilm taking - at over 200 sites across the state

Assessment services. Currently at 11 sites in the state, toenable all women to have reasonable access, but ofnecessity, this means that many services are quite smallwith limited personnel resources.

Staffing (attracting, training, monitoring and retaining ahighly skilled professional workforce)

Provision of training, monitoring and feedback

2. Breast imaging requires very specific specialist skills. Professional skillsrequired for a screening program are not part of standard professionaltraining - breast imaging radiologists / radiographers / breast physiciansand nurses need specific training, The skills are not likely to exist withinthe wider medical community. Many of the smaller services have requiredongoing or intermittent support from the larger services, particularly inrelation to film reading and assessment services.

3. Recruitment and retention of radiologists. Radiologists, particularly inregional areas, have many commitments, and working in BreastScreen isoften not high priority. To encourage them to work in the program,radiologists need to be well supported with training, feedback and asense of medical indemnity and medico-legal back up.

4. Development of a centralized reading model, so that all women havetimely reads, including at least one of the reads being performed by a veryexperienced reader. (This should be in place statewide by the end of2012.) A centralized reading system means that individual services willnot have control over their cancer detection rates or recall to assessment

rates (critical clinical and accreditation issues), and a high level of clinicalgovernance and feedback will need to be co-ordinated centrally.

Use of standardized processes, so that each service does not need todevelop its own. Service funding per woman screened has not increasedsignificantly over 20 years, despite an approximate doubling of salariesover that time. An increasing number of tasks have been centrally (andefficiently) organized and funded (see below).

Some processes through which Services are supported centrally bv the Statelyordination unit

. Standardized letters, information sheets, consent forms (after input fromclinicians, legal departments and consumer reference groups)

. Mail house letters generated as indicated (prompted by BSQR status).These include - well women letter after screening and assessment visits,screening invitations, assessment appointment confirmation letters,follow up letters after missed appointments.

. Development and management of the Electoral Roll strategy, whereby allwomen turning 50 are invited to join the program.

. Agreement on processes and documentation

a Standard consent forms to support same

. State contracts for radiologist readers

Performance monitoring and feedback. When centralized reading systemcommences, readers from a given service will read films from all over thestate, and a service will have most of its films read by readers from othercentres. Reports and feedback will need to be at a much more detailedlevel than at present where reads are basically service based and followup is at service level.

Review and management of all medico-legal and potential medico-legalcases

Arrange tender processes for all new imaging equipment, with carefulreview of all applicant products

Review imaging quality and image taking settings to ensure consistencyof images across the state.

Obtain clarity from QH re medico-legal liability of employees and ensureall concerned are made aware of this

Review research applications

Provide reports on specific data / performance queries as requested

Rationalization of mobile screening units, with radiographers employedto work on a specific unit. [No small service which employs perhaps threeradiographers can have two away on the mobile unit at once and stillcover services at the base unit. Therefore, services previously sent oneradiographer from the base unit, or employed a locum. In either case, the

mobile units would only have one radiographer screening at a time, onlyutilising half the screening capacity of the expensive mobile units.)

. Deal with media enquiries

. Give guidance to services re appropriate media articles and otherpublicity

. Design and obtain funding for media campaigns

. Help services prepare for accreditation and organized accreditation sitevisits and follow up

Note - all these functions are important, and should be continued if a highquality, consistent Queensland service is to continue.

Risks associated with reallocating tasks and roles currently co-ordinated andgenerated through the State Co-ordination Unit of BreastScreen Queensland toHospital and Health Services

1. The current SCU responsibilities which are to be taken up at Hospital andHealth services level will require significant increase in staffing levels andexpertise at local level. This would entail a significant increase in localexpenditure, and cannot be met from within existing budgets.

2. Any of the current SCU responsibilities which are not to be continuedcentrally and are not to be taken up at district level [i.e. not to becontinues at all) would cause a diminution in the quality and efficacy oflocal services, with political and medico-legal implications

3. Potential decreased screening capacity if extra tasks need to be providedat local level without an appropriate increase in funding - political andclinical implications

4. Decreased number of breast cancers identified at an early stage whenmanagement is much more straight forward (and less costly)

5. Lack of equity of access to quality health care delivery - political andclinical implications

6. Decrease in standards of film reading if there is decreased infrastructureto provide feedback to readers - political and clinical implications relatedto missed cancers

7. Decrease in training opportunities for high quality film taking and filmreading, and decreased assessment and monitoring of skills required forfilm taking and films reading - political and clinical implications

8. Medico-legal implications / cost to Queensland HealA of missed cancers

9. Potential medico-Iegal cases more likely to come to court / settlementwithout the skilled central unit to deal with possible issues.

10. Difficulty in attracting good breast radiologists if they feel there is not acentral unit to support them

Summary

I have considerable longterm experience in the BreastScreen program, havingworked at and supported several services across the state.The State Co-ordination Unit ofBreastScreen Queensland has developed andprovided several support roles, which have enabled local services to functionmuch more efficiently.Several functions which are currently performed and funded through SCU wouldbe less efficiently and more expensively performed at Hospital and HealthService level.

There are significant social, political and medico-legal and cost implications ofmoving away from the current centralized program.

Note - this document addresses only the direct operational effects of a change inorganizational structure. It does not consider the service and quality issues asdefined by the BreastScreen Australia program. Any proposed program changeswithin Queensland should be discussed with the national body to confirm thatthe changes would be consistent with national standards.

'$2^09/201 S^RTI-Pnvat^-T^e: follow-up psaGif

From: Anna HansonTo: Renee ViellarisDate: 1/08/20122:21 PMSubject: Re: follow-up

Renee, I have no further information than what was in the response I sent you.

>» "Viellaris, Renee" [email protected]> 8/1/2012 2:09 pm »(mailto:[email protected]>)

Q. I've also head that BSQ will be broken up and pushed back into the networks and that publichealth campaigns will also be devolved and split.Can you please comment on both.

Renee Viellaris | National Affairs Reporter

The Sunday MailBowen Hills 4006Direct 0736666830 Fax 0736666787Email viellarisrOanD.newsltd.com.au

News Limited is committed to making a long-term positive impact on climate change.Please considerour environment before printing this email. For details on what you can do, go towww.1denree.net.au ( htto://www.1 dearee.net.au/).

From:Anna Hanson FmailtoAnna HansonOhealth.ald.aov.aulSent: Wednesday, 1 August 2012 1:54 PMTo: Viellaris, ReneeSubject: Qld Health statement - public health services

Hi Renee

A statement in response to your questions is attached.

Regards

Anna

Anna HansonMedia ManagerMedia Unit

Integrated Communications | Queensland Health

PO Box 48 BRISBANE QLD 4000P: 07 3234 1734 M:

1T8SWS0135 RT]=Pri¥ass¥ - %5: ftillcsw-up

E: anna hanson0.health.ald.aov.auW: httD://vmw.health.ald.aov.au ( httD://www.health.ald.aov.au/)

Queensland Health staff can visit the Integrated CommunicationsQHEPS site at: httD://aheDs.health.ald.aov.au/intearated communications(mailto:anna hansonOhealth.ald.aov.au)********************************************************************************

This email, including any attachments sent with it, is confidential and for the sole use of the intendedrecipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intendedrecipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disdosure, distribution or review of this email is strictly prohibited.The information contained in this email, including any attachment sent with it, may be subject to astatutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked toimmediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email.You should also delete this email, and any copies, from your computer system network and destroyany hard copies produced.If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relieson it; any form of disclosure, modification, distribution and/or publication of this email is alsoprohibited.Although Queensland Health takes all reasonable steps to ensure this email does not containmalicious software, Queensland Health does not accept responsibility for the consequences if anyperson's computer inadvertently suffers any disruption to services, loss of information, harm or isinfected with a virus, other malicious computer programme or code that may occur as a consequenceof receiving this email.Unless stated otherwise, this email represents only the views of the sender and not the views of theQueensland Government.

This message and its attachments may contain legally privileged or confidential information. It isintended solely for the named addressee. If you are not the addressee indicated in this message orresponsible for delivery of the message to the addressee, you may not copy or deliver this messageor its attachments to anyone. Rather, you should permanently delete this message and itsattachments and kindly notify the sender by reply e-mail. Any content of this message and itsattachments which does not relate to the official business of the sending company must be taken notto have been sent or endorsed by that company or any of its related entities. No warranty is made thatthe e-mail or attachments are free from computer virus or other defect.

;^2^)9Q0113)^n-Pnyacy;;ADDmONAL UNES^^PPROWL^oyRlEFtMAIL^ T?

From:To:

Subject:

Naomi FordHSCI_Corro; Jeannette Young; Michael Cleary2/08/2012 2:49 PMADDITIONAL LINES: APPROVAL: COURIER MAIL - BreastScreen

extra lines re; campaigns for review also:

This Queensland Government is committed to reducing the burden of chronic disease, but we mustfirst concentrate on focussing resources on frontline services. We must revitalise our healthcareservices and improve access to healthcare for all Queenslanders. We will continue to invest in healthawareness and prevention campaigns but we must ensure that our health dollars are wisely spent.For too long, there has been wasteful expenditure.

Naomi Ford

A/Director

Media & Communications

QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: 07 3234 1368M:

E: naomi fordfiihealth.ald.aov.au

www.health.ald.aov.au (htto://www.health.ald.aov.au/)

Are you following us on Twitter or Facebook?httDS://twitter.com/aldhealthnewshttDS://www.facebook.com/QLDHealth

>» Naomi Ford 8/2/2012 2:29 pm >»Please attribute the following to Deputy Director General Health Service and ClinicalInnovation Division Professor Michael Cleary:

As I advised yesterday, Queensland Health is considering devolving public health functions (includingprovision of BreastScreen services) to Hospital and Health Services, however these deliberations areat a very early stage.

Queensland Health continues to implement organisation changes as part of the Government's healthreforms.

We have already seen a new organisational structure for Corporate Office, which has reduced thenumber of Divisions from nine to three (with two Commercialised Business Units).

As part of this process, Queensland Health is currently reviewing the management of public health

]^reôT3® "nvacYÂDDlTrONALUINESÂPPROVAL^COURJEiyM^ 'PaJe'2]

services (including BreastScreen Services) across the state and consultation on this has begun.

A final decision will be made once consultation has been finalised. Unions and staff will be advised inaccordance with Queensland Health's industrial obligations.

This is consistent with this Government's approach that local decisions can be better made in localsettings, not in centralised arrangements.

ENDS

Naomi Ford

A/Director


Queensland Health

Po Box48

BRISBANE QLD 4000

P: 07 3234 1368M:

E: naomi fordOhealth.ald.aov.au

www.health.ald.aov.au (httD://www.health.ald.aov.au/)


»> "Viellaris, Renee" <ViellarisR(a.anD.newsltd.com.au> 8/2/2012 2:18 pm >»

Q. I've head that BreastScreen Queensland will be broken up and pushed back into the networks andthat public health campaigns will also be devolved and split.Can you please comment on both.r


The Sunday MailBowen Hills 4006Direct 07 3666 6830 Fax 07 3666 6787Email [email protected] Limited is committed to making a long-term positive impact on climate change.Please considerour environment before printing this email. For details on what you can do, go to

J25i'09^13lFrT rjvacyÂDDITI(ÂLLINESÂPPRQ

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: (25/0972013) R"ri:PriyacY-Rerphonec'afr'''

From: Naomi FordTo: Michael ClearyDate: 11/08/201210:11 AMSubject: Re: Phone call

Sun Mail will be about Jennifer, breastscreen decentralisation, long wait lists for reconstructivesurgery.

Yep next week is going to be difficult.

CheersNaomi

Naomi FordA/Director MediaQueensland Health

-Original Message-From: Michael ClearyTo: Naomi Ford <[email protected]>

Sent: 11/08/2012 09:50:41Subject: Re: Phone call

Hi.

Tricky week with the staff being upset about Job security and the Jennifer issue.

Interesting about the CM. Suspect it will be something for the future.

Wonder what the Sunday media will be like.

Next week could be tricky.

Kind RegardsMichael

Dr Michael ClearyDeputy Director-GeneralPoli resourcing Queensland Healthm: -Original Message-From: Naomi FordTo: Michael Cleary <[email protected]>

Sent: 11/08/201208:49:20Subject: Re: Phone call

No worries. How did your week pan out?Sun Mail never sent through the question re you in the end. I think the Jennifer Muller story took over

CheersNaomi


B^^SSI!|JB!J;2K£JTSSL51S£!Sl 'PW»Z\

-Original Message-From: Michael ClearyTo: Naomi Ford <[email protected]>

Sent: 11/08/2012 08:47:57Subject: Re: Phone call

Hi.Yes all good.Half just to say hello.

Kind RegardsMichael

Dr Michael ClearyDeputy Director-GeneralPol resourcing Queensland Healthm:

-Original Message-From: Naomi FordTo: Michael Cleary <[email protected]>

Sent: 11,08/2012 07:54:23Subject: Phone call

Sorry I missed your call last. Everything OK?

CheersNaomi


^25ib^2013}^^!va^^[(tiHTLYAMENDED'SUNDAy'raA^ Page1

From: Naomi FordTo: Michael ClearyDate: 10/08/20124:11 PMSubject: SLIGHTLY AMENDED SUNDAY MAIL - OK?

P/ease attribute the following to Queensland Health's Deputy Direcfor-General Health Service andClinical Information DMslon, Professor Michael Clear/:

"Queensland Health continues with its corporate restructure program in line with the national healthreform process. As part of this process, the contracts of seven Executive Directors have ended.These Executive Directors were located in a range of units across Queensland Health's corporateofnce - BreastScreen Queensland is just one of those units. This has nothing to do with previousclaims BreastScreen Queensland would cease to exist. A central coordination role for BreastScreenQueensland is continuing."

ENDS

>» Michael Cleary <clearvm0.health.ald.aov.au> 8/10/2012 3:23 pm >»Hi,OK with me.

Kind regards

Michael

Dr Michael ClearyDeputy Director-GeneralHealth Service and Clinical Innovation DivisionQueensland Healthm:

Sent from my iPad

On 10/08/2012, at 3:13 PM, "Naomi Ford" <Naomi [email protected]> wrote:

in your name?

>» Michael Cleary <[email protected]> 8/10/2012 3:08 pm >»Hi,I support this.

Kind regards

Michael

Dr Michael ClearyDeputy Director-GeneralHealth Service and Clinical Innovation DivisionQueensland Healthm:

Sent from my iPad

F^®0®2013)'RTl^Pnvaw^SLIGWTYAM¥NDEDS-UNDAYMAlL^OK7 " ~~~_~ ~^^^^LT*"~ --T -i-/--^--»--r _ ._.n-» -^* - -T^-BT-F-.-' -?-t^7T - - r-t - -

On 10/08/2012, at 2:56 PM, "Naomi Ford" <Naomi Ford(ahealth.ald.aov.au> wrote:

OK with you Michael?

Naomi Ford

A/Director


QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: M:

E: naomi [email protected]


Are you following us on Twitter or Facebook?httDS://twitter.com/aldhealthnewshttos://www.facebook.com/QLDHealth

>» Jeannette Young 8/10/2012 2:55 pm >»Yes thank you-Original Message-From: Naomi FordCc: Dan Harradine <Dan.Harradine®.health.ald.aov.au>To: Jeannette Young <Jeannette YounQ(a!health.ald.aov.au>To: Michael Cleary <ClearvM(ahealth.ald.aov.au>Cc: Anna Hanson <Anna [email protected]>

Sent: 10/08/2012 14:53:27Subject: Fwd: media

further to my previous email - here's the journo's question

is the response something along the lines of:

"QH continues with its corporate restructure program in line with the national health reformprocess. I can confirm that this staff member's contract will expire on 7 September. This hasnothing to do with previous claims BreastScreen Queensland would cease to exist. A centralcoordination role for BreastScreen Queensland is continuing."

lf2% 20l3rRT!-Privacy--SLIG"HTLYAMERGED-SONDAY'i6lA[L-OK?--^-l-^~: -_-^-.-^^-^--^r---^T- -^ -------^--^---ira'-?-- ^-_-^ ^.-^. ,_ --^-:-_^"^^-"-----:--^>^:^;^---^J--_'-;^-^._'_I.L-^-.-_T -.--r\--^r.

v

Naomi Ford

A/Director


QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: 07 3234 1368M:

E: naomi [email protected]

www.health.ald.aov.au (httD:/AOTVw.health.ald.aov.au/)

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>» 'Viellaris, Renee" <ViellarisR(aanD.newsltd.com.au> 8/10/2012 2:43 pm >»

I understand Jennifer Mullerwill be leaving BreastScreen Queensland and it is "a great shock" tostaff

Email sendt to staff.She will not return from leave before her contract with Queensland Health formally ends

September 7. Cralg Carey, who is the head of the Chronic Disease Branch in the Health Servicesand Clinical Innovation Division, will act in the role in an interim capacity .while the future of theState Coordination Unit for the cancer screening programs and the structure of the cervical andbowel programs are decided by executive management.

Can you please comment on why her contract will no be renewed and why it has come as a greatshock to staff

Renee Viellaris National Affairs Reporter

The Sunday MailBowen Hills 4006Direct 07 3666 6830 Fax 07 3666 6787Email viellarisrOanp.newsltd.com.auNews Limited is committed to making a long-term positive impact on climate change.Please

consider our environment before printing this email. For details on what you can do, go towww.1dearee.net.au (httD://www.1dearee.net.au/).

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This message and its anacnments may contain legally privileged or comiaentiai information. It isintended solely for the named addresses. If you are not the addresses indicated in this message orresponsible for delivery of the message to the addresses, you may not copy or deliver this messageor its attachments to anyone. Rather, you should permanently delete this message and itsattachments and kindly notify the sender by reply e-mail. Any content of this message and itsattachments which does not relate to the official business of the sending company must be takennot to have been sent or endorsed by that company or any of its related entities. No warranty ismade that the e-mail or attachments are free from computer virus or other defect.

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From:To:Date:Subject:

Anna Hanson

[email protected], Cleary, Michael, [email protected]/08/2012 5:37 AMShock as LNP government winds up iconic statewide cancer service BreastScreen

Shock as LNP government winds up iconic statewide cancer service BreastScreenRenee Viellaris From: The Sunday Mail (Qld) August 05, 2012 12:OOAM

Cancer survivorDianne Lewis is distressed by changes to Breast Screen Queensland. Picture: LukeMarsden Source: The Sunday Mail (Qld)BREASTSCREEN Queensland - the iconic statewide cancer service credited with saving thousandsof lives - will be dismantled by the Newman Government.

The plan to break up the service, as well as bowel and cervical cancer programs, has shocked theQueensland Cancer Council, which now fears lives will be put at risk.

The state's 17 hospital and health boards will be given responsibility to co-ordinate and planmammograms and other cancer tests.

They will be given a budget to provide services and set their own priorities for patient care. Boardmembers will include clinicians, academics, small business owners and local identities.

t means BreastScreen Queensland, which has been operating for more than 20 years and last yearhad a budget of almost $44 million, will no longer centrally control mobile breast screening vans or''adiographer staff relief pools. A spokesman for Health Minister Lawrence Springborg said servicesshould be provided locally.

Cancer Council spokeswoman Anne Savage said the decision could compromise the effectivedelivery of a vital service for women.

It is unclear whether the devolution of public health functions to hospital and health services couldresult in discretionary decision-making that doesn't conform to clinical guidelines and evidence-basedscreening practices," she said.

Breast cancer survivor Dianne Lewis, when told of the plan, had a simple message for Mr Newman:"Don't change the system that saved my life."

Today, Mrs Lewis, 50, has outlined her case in a letter to Mr Newman, whose Government plans todismantle BreastScreen Queensland and devolve its functions to 17 new hospital and health boards.

The mother of three has penned a letter to Mr Newman.

Please, please, please I am begging you on behalf of all Queenslandere do not make anychanges...the system works how it is," she said

I am living proof of that and by making changes you are putting peoples life's at risk."

It was BreastScreen Queensland that sent Mrs Lewis a letter in 2006 to remind her she was due for aroutine check-up.

Shortly after her visit, she received a follow-up call asking her to come back. That was when thecancer was detected.

Chief Health Officer Jeannette Young said no patient would be worse off and that mammograms werealready provided in regional areas. She said patients would not notice any difference.

The head of Public Health and Social Work at Queensland University of Technology, MaryLouFleming, said the model could fail because some health boards might not provide the same servicesor have the same priorities.

t2^9^^RT17PnvacY^-'Sh6ck^asLN^governmenfwind^^J^icst^^^^ ~Pa^2\

What do you think? Email [email protected] or write to us at GPO Box 130,Brisbane, 4001. [email protected]

(25709/2Q13) Rj\-Pnv^f~-Jf}ree urgent qyestiqns^

From: Dan HarradineTo: Michael Cleary; Rebecca WellsDate: 10/08/2012 12:12 PMSubject: Three urgent questions

How many people in BreastScreen have been made surplus?How many people In BreastScreen have been told no more contract (I assume just Jennifer Muller)?Can you call me urgently about your level 3 meeting?

l^/Oa^13)^-PnvacY^ HEADS UP:JBreastScreeh[ ^ _ ^ ~ ." . ^ -^^1 " °^^ ^-^-^.""'-'--=r" -~"^:>?£@11 u~ '^i

From: Naomi Ford

To: Jeannette Young; Michael ClearyCC: Dan HarradineDate: 10/08/2012 2:46 PMSubject: HEADS UP: BreastScreen

FT! - Jennifer Muller just phoned to advise a staff member had been contacted by Renee at theSunday Mail for comment re: BreastScreen and also to confirm Jennifer Muller's contracted had beenterminated. No response was provided to the joumo. Jennifer did advise however, that she would beemailing her stakeholders to let them know that today was her last day.

;(2&W2013),RT^Prjya(^:Fwari^&What'KC!ueenyan a^ ^,

From: Jeannette YoungTo: Michael Cleary; Naomi FordCC: Anna HansonDate: 3/08/2012 4:16 PMSubject: Fwd: RE: Q. What is Queensland's annual contribution to BreastScreenQueensland?

yes it is thanks

Dr. Jeannette YoungChief Health OfficerLevel 16Queensland Health Building147-163 Charlotte StBrisbane QLD 4000Phone: 07 3234 1137Fax: 07 3221 7535E-mail: Jeannette YounaOhealth.ald.gov.au

>» Naomi Ford 3/08/2012 4:12 pm »>Is the response,

"These services are also part of the consultation process have previously mentioned."

Naomi Ford

A/Director


QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: M:

E: naomi fordfflhealth.qld.flov.au


Are you following us on Twitter or Facebook?httos://twitter.com/aldhealthnewshttDS://www.facebook.com/QLDHealth

>» Anna Caldwell 8/3/2012 4:05 pm >»

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»> "Viellaris, Renee" <ViellarisR(aanD.newsltd.com.au> 8/3/2012 4:03 pm >»

Is that Queensland's contribution?

And This has just come through:

State Coordination for the three population screening programs- breast, bowel and cervicalwill be devolved.

Can you please get a comment for me. I have your comment on breast, but not for bowel andcervival.


The Sunday MailBowen Hills 4006Direct 07 3666 6830 Fax 07 3666 6787Email viellarisr0.anD.newsltd.com.auNews Limited is committed to making a long-term positive impact on climate change.Please considerour environment before printing this email. For details on what you can do, go towww.1dearee.net.au (httD://www.1dearee.net,au/).

From:Anna Caldwell rmailto:Anna Caldwell(aihealth.ald.aov.au1Sent: Friday, 3 August 2012 4:01 PMTo: Viellaris, ReneeSubject: Re: Q. What is Queensland's annual contribution to BreastScreen Queensland?

Hi Renee,

BreastScreen Queensland operating expenditure for 2011/12 was $43.84 million.

Thanks

Anna

Anna Caldwell

Senior Media Advisor

Media and Communication Queensland Health

PO Box 48 BRISBANE QLD 4000(07) 3405 3465 Ext:35465

Anna CaldwelllShealth.ald.aov.auhealth.qld.gov.au (httD://www.health.ald.aov.au/)

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»> 'Viellaris, Renee" <[email protected]> 8/3/2012 12:55 pm >»

Q. What is Queensland's annual contribution to BreastScreen Queensland?


The Sunday MailBowen Hills 4006Direct 0736666830 Fax 0736666787Email viellarisrfiianD.newsltd.com.auNews Limited is committed to making a long-term positive impact on dimate change.Please considerour environment before printing this email. For details on what you can do, go towww.1denree.net.au (http://www.1denree.net.au/).

This message and its attachments may contain legally privileged or confidential information. It isintended solely for the named addresses. If you are not the addressee indicated in this message orresponsible for delivery of the message to the addressee, you may not copy or deliver this messageor its attachments to anyone. Rather, you should permanently delete this message and itsattachments and kindly notify the sender by reply e-mail. Any content of this message and itsattachments which does not relate to the official business of the sending company must be taken notto have been sent or endorsed by that company or any of its related entities. No warranty is made thatthe e-mail or attachments are free from computer vims or other defect.

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This email, including any attachments sent with it, is confidential and for the sole use of the intendedrecipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intendedrecipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited.The information contained in this email, including any attachment sent with it, may be subject to astatutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked toimmediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email.You should also delete this email, and any copies, from your computer system network and destroyany hard copies produced.If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relieson it; any form of disclosure, modification, distribution and/or publication of this email is alsoprohibited.Although Queensland Health takes all reasonable steps to ensure this email does not containmalicious software, Queensland Health does not accept responsibility for the consequences if anyperson's computer inadvertently suffers any disruption to services, loss of information, harm or isinfected with a virus, other malicious computer programme or code that may occur as a consequenceof receiving this email.Unless stated otherwise, this email represents only the views of the sender and not the views of theQueensland Government.*ii*lt***ltiiiiit*******ii****#**1e**ii*****li*ltlilt*lt****lilililililili*lilt****1t1t**it1t1t**1rlt1t******1i*li*

T2S09/20T3TRTr-Priva:y--Qld Health reipon^e-^BreastScreen^~ ~_^^Z^_~^Z^^-^^ ^^^' ^--^ -^ ^pggejj

From:To:Date:Subject:

Hi Renee

Naomi FordRenee Viellaris2/08/2012 5:29 PMQld Health response - BreastScreen

Please find our response below re: BreastScreen. I understand the Minister's office will also beproviding you with a statement.

Please attribute the following to Deputy Director General Health Service and ClinicalInnovation Division Professor Michael Cleary:

"As I advised yesterday, Queensland Health is considering devolving public health functions (Includingprovision of BreastScreen services) to Hospital and Health Services, however these deliberations areat a very early stage.

"Queensland Health continues to implement organisation changes as part of the Government's healthreforms.

"We have already seen a new organisational structure for Corporate Office, which has reduced thenumber of Divisions from nine to three (with two Commercialised Business Units).

"As part of this process, Queensland Health is currently reviewing the management of public healthservices (including BreastScreen Services) across the state and consultation on this has begun.

"A final decision will be made once consultation has been finalised. Unions and staff will be advised inaccordance with Queensland Health's industrial obligations.

"This is consistent with this Government's approach that local decisions can be better made in localsettings, not in centralised arrangements."

ENDS

Naomi Ford

A/Director


QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: M:

E: naomi fordfiihealth.ald.aov.au

ii (25/09/2013) RTI-Privacy - Qld Health response - BreastScreen^_3-



»> 'Viellaris, Renee" <ViellarisRfi)anD.newsltd.com.au> 8/2/2012 2:18 pm >»

Q. I've head that BreastScreen Queensland will be broken up and pushed back into the nehworks andthat public health campaigns will also be devolved and split.Can you please comment on both.r

Renee Viellaris ] National Affairs Reporter

The Sunday MailBowen Hills 4006Direct 07 3666 6830 Fax 07 3666 6787Email [email protected] Limited is committed to making a long-term positive impact on climate change.Please considerour environment before printing this email. For details on what you can do, go towww.1dearee.net.au (htto://www.1 dearee.net.au/).

This message and its attachments may contain legally privileged or confidential Information. It isintended solely for the named addresses. If you are not the addressee indicated in this message orresponsible for delivery of the message to the addresses, you may not copy or deliver this messageor its attachments to anyone. Rather, you should permanently delete this message and itsattachments and kindly notify the sender by reply e-mail. Any content of this message and itsattachments which does not relate to the official business of the sending company must be taken notto have been sent or endorsed by that company or any of its related entities. No warranty is made thatthe e-mail or attachments are free from computer virus or other defect.

j2^ o-i3}RT!-Pn^c0^e: ACOiTlt)NALtjNES^APPR6VALTC»irFilERl\/JAi^

From: Naomi FordTo: Jeannette Young, Naomi FordCC: Michael ClearyDate: 2/08/2012 3:29 PMSubject: Re: ADDITIONAL LINES: APPROVAL: COURIER MAIL

Happy to omit that last line

BreastScreen

CheersNaomi


-Original Message-From: Jeannette YoungCc: Michael Cleary <[email protected]>To: Naomi Ford <[email protected]>

Sent: 02/08/2012 15:23:33Subject: Re: ADDITIONAL LINES: APPROVAL: COURIER MAIL - BreastScreen

Dear Naomi

I would argue that the expenditure was not wasteful, eg As a result of the QUIT smoking campaign weknow that there are hundreds of thousands of Qlders who have not developed smoking relateddiseases. If that last sentence could be omitted I would be grateful but of course do understand if itnesds to remainregardsJeannette

Dr. Jeannette YoungChief Health OfficerLevel 16Queensland Health Building147-163ChariotteStBrisbane QLD 4000Phone: 07 3234 1137Fax: 07 3221 7535E-mail: [email protected]

>» Naomi Ford 2/08/2012 2:49 pm >»extra lines re; campaigns for review also:

This Queensland Government is committed to reducing the burden of chronic disease, but we mustfirst concentrate on focussing resources on frontline services. We must revitalise our healthcareservices and improve access to healthcare for all Queenslanders. We will continue to invest in healthawareness and prevention campaigns but we must ensure that our health dollars are wisely spent.For too long, there has been wasteful expenditure.

Naomi Ford

A/Director


g^09T20T3)^f r!v^YT5|!^^[fJON^L^ Pafie?!

QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: M:

E: [email protected]

www.health.qld.gov.au (http://www.health.qld.gov.au/)

Are you following us on Twitter or Facebook?https://hvitter.com/qldhealthnewshttps://www.facebook.com/QLDHealth

>» Naomi Ford 8/2/2012 2:29 pm >»Please attribute the following to Deputy Director General Health Service and ClinicalInnovation Division Professor Michael Cleary:

As I advised yesterday, Queensland Health is considering devolving public health functions (includingprovision of BreastScreen services) to Hospital and Health Services, however these deliberations areat a very early stage.

Queensland Health continues to implement organisation changes as part of the Government's healthreforms.

We have already seen a new organisational structure for Corporate Office, which has reduced thenumber of Divisions from nine to three (with two Commercialised Business Units).

As part of this process, Queensland Health is currently reviewing the management of public healthservices (including BreastScreen Services) across the state and consultation on this has begun.

A final decision will be made once consultation has been finalised. Unions and staff will be advised inaccordance with Queensland Health's industrial obligations.

This is consistent with this Government's approach that local decisions can be better made in localsettings, not in centralised arrangements.

ENDS

Naomi Ford

A/Director


(25^/2gj31RTI-piva^_-Re:-ADD7TIONALLrNES: APPROVAL COURrERMAC^^^ Page 3^Q'T]

QueenslandHealth

Po Box48

BRISBANE QLD 4000

P: 07 3234 1368M:

E: [email protected]

www.health.qld.gov.au (http://www.health.qld.gov.au/)

Are you following us on Twitter or Facebook?https://twitter.com/qldhealthnewshttps:/Avww.facebook.com/QLDHealth

>»"Viellaris, Renee" <[email protected]> 8/2/2012 2:18 pm >»

Q. I've head that BreastScreen Queensland will be broken up and pushed back into the networks andthat public health campaigns will also be devolved and split.Can you please comment on both.


The Sunday MailBowen Hills 4006Direct 0736666830 Fax [email protected] Limited is committed to making a long-term positive impact on dimate change.Please considerour environment before printing this email. For details on what you can do, go to www.1degree.net.au(http://www.1degree.net.au/).

This message and its anacnments may contain legally privileged or confidential information. It isintended solely for the named addresses. If you are not the addressee indicated in this message orresponsible for delivery of the message to the addresses, you may not copy or deliver this messageor its attachments to anyone. Rather, you should permanently delete this message and itsattachments and kindly notify the sender by reply e-mail. Any content of this message and itsattachments which does not relate to the official business of the sending company must be taken notto have been sent or endorsed by that company or any of its related entities. No warranty is made thatthe e-mail or attachments are free from computer virus or other defect.

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