Annual Report 2010 - Royal Australian and New Zealand College of
Transcription
Annual Report 2010 - Royal Australian and New Zealand College of
RANZCP ANNUAL REPORT & REVIEW 2010 working with the community RANZCP Code of Ethics CONTENTS Ethical Principles 2 2010 in Review 1. Psychiatrists shall respect the essential humanity and dignity of every patient. 8 Fellows Honoured 2. Psychiatrists shall not exploit patients. 10 Membership Statistics 12 President’s Report 3. Psychiatrists shall provide the best attainable psychiatric care for their patients. 13 Honorary Secretary’s Report 4. Psychiatrists shall strive to maintain confidentiality of patients and their families. 14 Treasurer’s Report 16 Chief Executive Officer’s Report 5. Psychiatrists shall seek valid consent from their patients before undertaking any procedure or treatment. 18 General Council 6. Psychiatrists shall not misuse their professional knowledge and skills. 22 Board of Practice and Partnerships 7. Psychiatrists involved in clinical research shall comply with ethical principles embodied in national and international guidelines. 24 Branches 8. Psychiatrists shall continue to develop, maintain, and share their professional knowledge and skills with medical colleagues, trainees and students, as well as with other relevant health professionals and patients and their families. 9. Psychiatrists have a duty to attend to the health and wellbeing of their colleagues, including trainees and students. 10.Psychiatrists shall uphold the integrity of the medical profession. 11.Psychiatrists shall work to improve mental health services and promote community awareness of mental illness and its treatment and prevention, and reduce the effects of stigma and discrimination. 20 Board of Education 33Faculty of Child and Adolescent Psychiatry Vision A fellowship of psychiatrists working with and for the general community to achieve the best attainable quality of psychiatric care and mental health. 34 Faculty of Psychiatry of Old Age 35 Sections 39 Special Interest Groups 41Committees Reporting to General Council 45 Secretariat 50 College Awards 53 New Fellows 2010 55Certificates of Advanced Training 2010 56 Financial Report 2010 The RANZCP updated its Code of Ethics in 2010, replacing the previous version published in 2004. The Code of Ethics is available on the College’s website at: http://www.ranzcp.org/resources/conduct-and-ethics.html The Royal Australian and New Zealand College of Psychiatrists (RANZCP) is the principal organisation representing the medical speciality of psychiatry in Australia and New Zealand and has responsibility for training, examining and awarding the qualification of Fellowship of the RANZCP to medical practitioners. 84 Directory Purpose The Royal Australian and New Zealand College of Psychiatrists is a collegial community of medical specialists and trainees committed to the following core purposes: •Preparation of medical specialists in the field of psychiatry. •Support and enhancement of clinical practice. •Influence and leadership across the mental health sector. The achievement of these purposes is supported by work on the following enablers: •Partnerships and collaboration. • Organisational effectiveness and performance. www.ranzcp.org The Royal Australian and New Zealand College of Psychiatrists ABN 68 000 439 047 RANZCP Annual Report & Review 2010 1 2010 in review Competency Based Fellowship Program website. Specialist Training Program Successful administration of the Specialist Training Program in Psychiatry for the Commonwealth government of Australia was undertaken by the RANZCP in 2010, enabling College trainees to be placed in expanded settings outside of traditional public teaching hospitals. Seventy-three (69 full-time equivalent) training positions were managed and the College also implemented a number of related support projects providing training and specialist international medical graduate up-skilling resources. Professor Patrick McGorry, 2010 Australian of the Year. Competency Based Fellowship Program The RANZCP continued to progress and enhance the development of its new training program, the Competency Based Fellowship Program (formerly Curriculum Improvement Project) to be implemented from December 2012. The redeveloped program aims to improve trainees’ educational journey and to incorporate international best practice in medical education to ensure new Fellows are fully equipped with the appropriate skills to serve the community with the best attainable quality of psychiatric care. Website: http://cbfp.ranzcp.org RANZCP Code of Ethics. Australian and New Zealand Journal of Psychiatry. New talking therapies guide for older adults. Australian of the Year Media publicity External relations College Fellow Professor Patrick McGorry was appointed Australian of the Year for 2010, providing an excellent profile for psychiatry in the media and community, and advocacy for improvement to mental health care in Australia. Media activity was significant in 2010 with RANZCP media releases produced to lobby the government for improved mental health services during the Australian government election campaign and about a variety of topics from Indigenous mental health to gambling, consumers and alcohol law reform, in addition to strong College journal and conference promotion. Developing and building relationships with various mental health organisations and government ministers and staff has been a key focus of the RANZCP during 2010. The Executive Officers and CEO met with ministers, shadow ministers, ministerial and shadow advisers, government and opposition representatives, political party representatives and key external stakeholders to position the RANZCP as a viable and respected member of the mental health arena which can influence mental health outcomes in our community. Governance review of General Council A review of General Council was agreed to in 2010 and will form a component of the overall review of College governance. Commencing in early 2011, the review will be undertaken by an external consultant. The review will be overseen by the Governance and Risk Committee and will occur in consultation with the entire membership. Website: http://www.ranzcp.org/media/ media-centre.html International Affairs Working Group established To develop and formalise existing links with nations in the Asia Pacific region and to enhance existing relationships with relevant international medical colleges, associations and societies, the RANZCP established an International Affairs Working Group in late 2010. Revised Code of Ethics The RANZCP Code of Ethics was revised and sent to all members in 2010. The Code is a distillation of current practice, moral codes, and patient preferences, designed to keep pace with a changing social environment. Website: http://www.ranzcp.org/ resources/conduct-and-ethics.html 2 RANZCP Annual Report & Review 2010 New Editor of the Australian and New Zealand Journal of Psychiatry After six successful years as Editor of the Australian and New Zealand Journal of Psychiatry, Professor Peter Joyce resigned from the role. During his time as Editor, Professor Joyce oversaw the continued growth and development of the journal, which now enjoys a strong international profile. Professor Gin Malhi was appointed the Editor of the Australian and New Zealand Journal of Psychiatry for a term of five years from January 2011. Talking therapies for older adults guide The RANZCP and Te Pou, New Zealand’s National Centre for Mental Health Research, Information and Workforce Development, developed a guide for the use of talking therapies with older people, ‘Talking Therapies for Older Adults: Best and promising practice guide for mental health and addiction services’. RANZCP Annual Report & Review 2010 3 2010 in review continued PREVENTION AND EARLY INTERVENTION OF MENTAL ILLNESS IN INFANTS, CHILDREN AND ADOLESCENTS PLANNING STRATEGIES FOR AUSTRALIA AND NEW ZEALAND Faculty of Child and Adolescent Psychiatry Professor Sandy Simpson, RANZCP Congress 2010 Convenor. Mr Jim Crowe, RANZCP Community Member Representative. RANZCP 2010 Congress in Auckland Over 800 delegates came together at the RANZCP 2010 Congress held in Auckland from 2 to 6 May 2010. With a theme of a shared endeavour, a field of eminent keynote speakers presented on a range of understandings of the human condition including Professor Vikram Patel, Mr Jim Crowe, Professor Sir Mason Durie, Professor Sheila Hollins, Professor Paul Appelbaum, Professor Dinesh Bhugra, Professor Richard Faull and Dr Nancy McWilliams. A diverse scientific program of over 168 presentations and 157 speakers offered the opportunity for attendees to explore ideas and challenge their perspectives. CPD@RANZCP Program Guide. Community representative appointed as observer on General Council In acknowledgement of the importance of consumer and carer involvement in mental health care and to assist consumer and carer integration into College activities, policies and processes, the RANZCP appointed a consumer and carer representative to General Council. Mr Jim Crowe was appointed as the College’s first Community Member Representative, and attended his first General Council meeting in November 2010. New Continuing Professional Development Program A new Continuing Professional Development Program, CPD@RANZCP, was implemented in January 2010. The new program represents current international best practice in adult lifelong learning principles and is flexible, straightforward and responsive to the needs and registration requirements of members. RANZCP CPD Online offers interactive learning modules to members. RANZCP CPD Online introduced RANZCP CPD Online, developed in partnership with The Royal College of Psychiatrists, was introduced in early 2010 to provide College members access to over 80 interactive learning modules and over 40 podcasts covering a wide range of topics relevant to the practice of psychiatry. Website: http://www.ranzcp.org/ fellowship/cpd-online-learning-hasarrived.html The Honourable Mark Butler, Australia’s Minister for Mental Health and Ageing, at the Faculty of Child and Adolescent Psychiatry Conference. Prevention and early intervention of mental illness in infants, children and adolescents: Planning strategies for Australia and New Zealand report. Successful Faculty and Section conferences At the Faculty of Child and Adolescent Psychiatry Conference in the Barossa Valley, the Faculty of Psychiatry of Old Age Conference in Hobart, the Section of Forensic Psychiatry Conference in Italy and the Section of Psychotherapy Conference in Sydney, members came together to explore and share ideas and knowledge in a relaxed collegial atmosphere. Notably, Australia’s new Minister for Mental Health and Ageing, the Honourable Mark Butler, presented to the Faculty of Child and Adolescent Psychiatry Conference shortly after his appointment. Chronic Condition Self-management website. Prevention and early intervention of mental illness in infants, children and adolescents report The RANZCP Faculty of Child and Adolescent Psychiatry published ‘Prevention and early intervention of mental illness in infants, children and adolescents: Planning strategies for Australia and New Zealand’, a report of its project to promote and develop cohesive evidence-based prevention and early intervention strategies with the aim of decreasing the prevalence and harmful impact of mental illness in infants, children and adolescents. Website: http://www.ranzcp.org/ fellowship/planning-early-interventionand-prevention-strategies.html Chronic Condition Selfmanagement project The Chronic Condition Selfmanagement project launched an education resource and website. This website contains a range of resources, including video vignettes, audio recordings and self-directed learning modules which can be used by psychiatrists for continuing professional development to enhance their understanding and capability to better work in collaboration with patients who have chronic mental illness and the patients’ families and/or carers. Website: http://chroniccondition. ranzcp.org/ Website: http://www.ranzcp.org/ fellowship/the-cpd-program-outline. html 4 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 5 2010 in review continued Victorian Bushfire Response project Establishment of new special interest groups As part of its response to the 2009 Victorian bushfires, the Commonwealth Department of Health and Ageing funded the RANZCP to facilitate up-skilling workshops for Victorian psychiatrists and to enhance the availability of referral information to improve mental health services for those individuals affected by the Victorian bushfires. A Special Interest Group in Psychiatry of Intellectual Disability and a Special Interest Group in Youth Mental Health were established in late 2010 following significant expressions of interest from the RANZCP membership. RANZCP joins Twitter The RANZCP launched its own Twitter page in 2010. Start following ‘RANZCP’ on Twitter today to receive regular College updates. Website: http://twitter.com/ranzcp Expanded online journal access As part of the RANZCP’s expansion of online learning resources and continuing medical education opportunities for all College members, access to two additional journals, Advances in Psychiatric Treatment and The Psychiatrist, was made available to members on the College website in early 2010. College members received continued access to the Harvard Review of Psychiatry, the International Journal of Psychiatry in Clinical Practice, the International Review of Psychiatry, and the Nordic Journal of Psychiatry. 6 RANZCP Annual Report & Review 2010 Pharmaceutical industry relationship and engagement consultation As part of RANZCP activity to review its relationship with pharmaceutical organisations, the College’s Pharmaceutical Industry Engagement Working Group met in September 2010 and developed suggested draft principles in regard to this relationship for member feedback. A formal College policy based on this review will be developed during 2011. Psychiatry workforce survey report To effectively advocate in the interests of RANZCP members and the mental health sector, RANZCP members are regularly surveyed to garner psychiatry workforce demographics, members’ current practice details and future plans of psychiatrists. The College published results of the 2008 workforce survey of RANZCP members in early 2010. MHPN contract extended Submissions to government Travelling Professor Program The Mental Health Professionals Network (MHPN) was granted an extension from the Australian government to continue to support interdisciplinary mental health networks until at least June 2011. The extension acknowledges the significant gains made by the project in promoting and supporting interdisciplinary mental health in rural, regional and metropolitan communities across Australia. To meet its strategic priority of influencing and providing leadership across the mental health sector in Australia and New Zealand, the RANZCP responds to requests for submissions and comment from external organisations to inform and influence mental health policy and service delivery across Australia and New Zealand. Key submissions were made in 2010 to government inquiries regarding caring for older Australians, COAG reforms relating to health and hospitals and youth suicide prevention, as well as state-based submissions about cannabis-related harm in Queensland and a review of the Victorian Mental Health Act. Annually the Travelling Professor Program enables a distinguished leader in psychiatry or one of the allied sciences to visit Australia and New Zealand to exchange ideas and information through educational activities and site visits. Funded by the HB Williams bequest in 2010 the Travelling Professor was Professor Gary Schoener (PhD), Executive Director, Walk-In Counseling Center, Minneapolis and expert in the field of boundary violations and in the rehabilitation of offenders. Professor Schoener presented to members in New South Wales, Victoria, South Australia and at the RANZCP Congress in Auckland in May 2010. Website: http://www.ranzcp.org/ publications/submissions-andreports.html Policy Development Working Group established Website: http://www.mhpn.org.au New statements A variety of new RANZCP position statements were created during 2010. New position statements include ‘Rural psychiatry’, ‘Sexual orientation therapies’, ‘Minimising the use of seclusion and restraint in people with mental illness’ and ‘Consumer and carer engagement’. Statements were also produced during the Australian federal election campaign to lobby for improved mental health services for all Australians, for older people and for children. Website: http://www.ranzcp.org/ resources/position-statements.html General Council established a Policy Development Working Group in late 2010 to provide an effective and efficient coordinated proactive approach for the College to respond to mental health issues as they arise. The Working Group appreciates suggestions regarding policies that members and committees believe the College should develop. Website: http://www.ranzcp.org/ publications/submissions-and-reports. html RANZCP Annual Report & Review 2010 7 Fellows Honoured Professor Patrick McGorry AO. Professor Sir Mason Durie KNZM. Dr David Leonard AM. Professor Philip Mitchell AM. Professor Ernest Hunter PSM. Dr Francis Agnew MNZM. Emeritus Professor Laurence Geffen AM. Professor Gordon Parker AO. Professor Geoffrey Riley AM. Professor Perminder Sachdev. The outstanding contributions and achievements of several RANZCP Fellows were publicly recognised in 2010 with formal honours and awards. On 25 January 2010, Melbourne Fellow Professor Patrick McGorry AO was named as the 2010 Australian of the Year in a ceremony at Parliament House, Canberra. Professor McGorry is Executive Director of Orygen Youth Health, a worldrenowned youth mental health service which has placed Australia at the forefront of innovation in the early intervention and treatment of mental illness. In announcing the award, the Prime Minister of Australia acknowledged Professor McGorry’s drive, compassion, and commitment to understanding and treating youth mental illness. He paid tribute to the profound effect of Professor McGorry’s work, which he noted had helped shape not only lives, 8 RANZCP Annual Report & Review 2010 but also Australia’s national approach to mental health intervention, prevention and treatment. Professor McGorry was also later appointed an Officer of the Order of Australia in the Queen’s Birthday Honours List, ‘for distinguished service to medicine, and to mental health as a leading clinician, researcher and scientist, through innovative reform of services, the development of national programs to support youth and raising public awareness’. For his significant services to Maori health and public health services in New Zealand, Professor Sir Mason Durie KNZM was made a Knights Companion of the New Zealand Order of Merit in New Zealand’s 2010 New Year’s Honours List. Professor Durie is Deputy ViceChancellor of Massey University and one of New Zealand’s most respected academics. He has been a Fellow of the Royal Society of New Zealand since 1995 and a Companion of the New Zealand Order of Merit since 2001. Professor Durie heads a government taskforce on improving outcomes for Maori whanau and is the chair or member of a wide range of tertiary, educational, health and social service boards. The honour recognises the contribution Professor Durie has made to communities, health and whanau at local, regional, national and international levels. Victorian Fellow, Dr David Leonard AM was appointed a Member of the Order of Australia in the Australia Day Honours List, ‘for service to psychiatric medicine as a practitioner, through contributions to public mental health services in Victoria, and through medical administration’. At the same time, Professor Philip Mitchell AM, of New South Wales, was also appointed a Member of the Order of Australia, ‘for service to medical education, particularly in the field of psychiatry, as an academic, researcher and practitioner, through contributions to the understanding, treatment and prevention of mental illnesses’. Professor Ernest Hunter PSM was awarded the Public Service Medal, ‘for outstanding public service to Queensland Health, particularly in the delivery of mental health initiatives in rural Queensland’. The Queen’s Birthday Honours Lists in both Australia and New Zealand saw several more College Fellows recognised for their achievements and contributions. Dr Francis Agnew MNZM was appointed a Member of the New Zealand Order of Merit, for services to the Pacific Islands community. Dr Agnew, one of two Pasifika psychiatrists working in New Zealand, was recognised for the provision of The outstanding contributions and achievements of several RANZCP Fellows were publicly recognised in 2010 with formal honours and awards mental health clinics in the Cook Islands and for helping to establish a similar service in Samoa. clinical practice, as an academic and administrator, and to professional organisations’. Queensland Fellow, Emeritus Professor Laurence Geffen AM was appointed a Member of the Order of Australia, ‘for service to neuroscience as a clinician and researcher, and to medical education’. Professor Perminder Sachdev, of New South Wales, was recognised for his considerable contribution to neuroscience when he received the NSW Scientist of the Year Award (Biomedical Science category) in September 2010. Professor Sachdev’s research is in the area of healthy brain ageing, vascular dementia, Alzheimer’s disease, neuropsychiatric aspects of dementia and treatment of an array of neurological conditions. Professor Gordon Parker AO, of New South Wales, was appointed an Officer of the Order of Australia, ‘for distinguished service to psychiatry as a clinician and researcher, particularly as a major contributor to the understanding and innovative treatment of mood disorders and as founder and Executive Director of the Black Dog Institute’. And Western Australian Fellow Professor Geoffrey Riley AM was appointed a Member of the Order of Australia, ‘for service to medical education, particularly to rural and These awards acknowledge the many contributions psychiatrists are making to mental health services in Australia and New Zealand, and the College hopes that this increased focus on mental health issues will assist in raising awareness, increasing knowledge and reducing stigma of mental illness. RANZCP Annual Report & Review 2010 9 Membership statistics Members of the RANZCP comprise Fellows, Associates (trainees) and Affiliates, and members are based throughout Australia and New Zealand, as well as in 16 countries worldwide. Membership numbers Member Type Fellow* Associate Member (Trainee) Affiliate Member Total NSW VIC QLD NZ SA WA TAS ACT NT Overseas Total 861 795 482 320 269 237 50 45 13 114 3,186 300 212 159 148 53 64 14 16 5 4 975 6 10 10 127 2 6 2 0 1 0 164 1,167 1,017 651 595 324 307 66 61 19 118 4,325 Note: Statistics current as at 31 December 2010. * The College membership includes a further 328 retired Fellow members, who are not included in this count. Key demographic points • Approximately 65% of the RANZCP’s 3,186 Fellows are male, and 35% are female. The gender balance is different amongst Associate Members (trainees), of whom approximately 55% are female. • At least 26% of RANZCP Fellows are over 60 years of age. This needs to be taken into consideration in workforce planning and recruitment of doctors into the specialty of psychiatry. • In the RANZCP’s most recent workforce survey (2008), 16% of Australian Fellows who responded indicated they spent time practising in rural areas. • The 2008 workforce survey also found that engaging in professional activities in both the public and private sectors was common for Australian respondents. The majority of New Zealand Fellows who responded to the survey were engaged in professional activities in public settings (87%). 10 RANZCP Annual Report & Review 2010 the best attainable quality of psychiatric care RANZCP Annual Report & Review 2010 11 Honorary Secretary’s Report President’s Report Name Dr Maria Tomasic, President. The RANZCP is first and foremost a membership organisation with a current membership of 4,325 in Australia, New Zealand and around the world. The College is delighted to record that 183 new Fellows were conferred Fellowship in 2010. Fellows, trainees and Affiliates work in an interesting, diverse and challenging field helping those suffering mental illness, and through their expertise and clinical experience have an understanding of the pain and distress that patients suffer and the resultant disability and impact on relationships, family and society. An awareness of the developmental, psychological, biological, social, environmental and spiritual and cultural factors that influence mental health has been the mainstay of psychiatric practice. However for many years psychiatrists have faced the situation of an under-resourced mental health system where the impact of mental illness is under-recognised as is the significant impact of mental illness on physical ill-health. The World Health Organization call of ‘No health without mental health’ is to be endorsed. As there is an increase in the community and government awareness of the impact of mental illness, there is also a changing mental health environment with increased diversity of organisations and mental health practitioners. The College and psychiatry needs to be part of this change while at the same time ensuring that the special skills and 12 RANZCP Annual Report & Review 2010 expertise of psychiatrists are known by the community, other professions and government. The College has as its major roles the training and assessing of psychiatrists, continuous professional development, enhancing clinical standards and involvement in health planning. Improving outcomes and advocacy for those suffering mental illness is the ultimate goal. Collaborative partnerships with consumers and carers, the community, other mental health professions and organisations and government are well established and continue to develop. The College has become increasingly inclusive with incorporation of trainee, Affiliate member, overseas trained psychiatrist and consumer and carer representation at both committee and General Council level. By communicating effectively and working together collaboratively there are benefits to all concerned and ultimately to the community awareness of mental illness, the provision of preventative mental health care and treatment of those suffering mental illness. A major revision of the training program to a competency-based system has involved a significant review of the curriculum, supervision, training and assessment. Increasing opportunities in expanded setting training positions is also progressing to provide trainees with enhanced training experience in the high Name Dr John Chalk, Honorary Secretary. prevalence disorders to better prepare them for their hopefully satisfying careers in psychiatry. New initiatives include a Policy Development Working Group to enable more proactive and timely responses to current mental health issues and an international initiative to increase our partnerships with international psychiatric organisations and systems. Collaborative partnerships with external parties have continued to grow. Working with consumer and carer groups is both an expression of respect and also mutually beneficial to enhancing advocacy for those suffering mental illness. Ongoing work with other organisations and government is important to ensure that the College has a voice and involvement in mental health planning. This report contains many contributions describing the good work being done within the College by so many members in the shared aim of continuing to grow and strengthen the role and aims of the College. These activities rely on the generous pro bono work of the membership and on an effective and skilled secretariat. Please join me in applauding their ongoing efforts. Dr Maria Tomasic President The annual report provides an opportunity to reflect upon the problems and issues that have emerged during 2010. It has been a very eventful year, during which a new Executive has taken office and a new Chief Executive Officer has been appointed. There have been momentous changes within the organisation though through all of this, the secretariat has provided unwavering support to the Executive Officer group and to the General Council. This has been greatly appreciated and certainly working relationships between all concerned have improved substantially during this time. The organisation moves forward with a degree of confidence because of this and simultaneously relationships between the RANZCP and key stakeholders have similarly undergone transformational change. At the same time General Council has been involved in reviewing all of the governance processes within the College. These have slowly been streamlined but as many will no doubt appreciate, this is a slow, laborious and painstaking task. Nevertheless, it is terribly important and the reorganisation of the boards has proceeded and has now been bedded down. Coupled with this, there is now the opportunity to review the structure and functioning of General Council. In order to do this an external review is in the process of being commissioned and a timeline has already been sent to members. There has been significant disquiet about this process and about the apparent length of time that it may take. However, changes of this sort need to be considered and methodically worked through. Certainly the experience of the reorganisation of the boards has served as an instructive lesson. That was successfully completed and included consultation with various stakeholders including community representatives. Similarly the reorganisation for General Council is an opportunity at this stage to mould the College into the next generation. It is an important change and there have been a variety of views expressed about how this should be done and what should be the ultimate outcome. All views in this process are appreciated, substantial changes will need to be submitted to the membership for their final say and it is understandable there is a degree of impatience with this process, particularly given the length of time it has been telegraphed. The College is a broad group of Fellows working in very different fields. It is important that General Council and the Executive group reflect the composition and the variety of opinion that is the broader group of the membership. However, it is only through members becoming involved through their state branches or sections or faculties that those voices, which may well be disparate, will be heard. It is important to acknowledge the passing of College members and recall their professional contributions. We have been informed of the deaths of: Dr Natalia Barrow, SA (2010) Dr Krishnaswamy Bhaskaran, India (2006) Dr Helen Connell, QLD (2010) Dr Vicki Degotardi, QLD (2010) Dr Graham Evans, NZ (2008) Dr Madhu Gowardman, NZ (2008) Dr Brian Henessy, ACT (2010) Dr Frank Lappin, UK (2010) Dr Dennis Maginn, VIC (2009) Dr Eva Mandel, NSW Dr Victor Matchett, QLD (2010) Dr Bertram Phillips, QLD (2010) Dr Alastair Reid, NSW (2004) Dr Baltazar Reyes Jnr, Phillipines (2010) Dr Rodney Seaborn, NSW (2008) Dr James Short, NZ (2010) Dr Griffith Spragg, NSW Dr Maxine Tennant, ACT (2009) Dr William Thompson, NSW (2009) Dr Ronald Vickery, NSW (2010) Dr Stephanie Winfield, NSW (2010) Dr John Chalk Honorary Secretary RANZCP Annual Report & Review 2010 13 Treasurer’s Report Name Dr Darryl Watson, Treasurer. The College remains in a healthy financial position during complicated economic times. Our financial position allows us to look at productive investments in a number of areas over coming years. This project work provides a positive contribution financially to the College. A significant proportion of the growth in total staff numbers and accommodation is required and funded through this process. reporting year as part of transparent accounting practice. From a business perspective these fluctuations are expected as part of a long term conservative portfolio containing equities. I am pleased to report a surplus for reporting year 2010 of $1.077 million. The highlight of the report is a substantial surplus in our operating budget showing the benefits of good cost control within expenditure. I am aware that many Fellows have wellfounded concerns about the growth of the College over the last decade. Our ability to manage expenditure effectively is one measure of the sustainability of the growth of the College. This also includes significant savings in various parts of our salaries and wages. Last year I reported on our move to be a fund holder for an Australian government project to support an expansion in psychiatry training positions. This has been managed effectively across this year. We now have a longer term commitment to provide the service for the next three years. We perform useful externally funded projects to support this work and this contract maintains this project focus into the future. Part of our defensive strategy over recent years has been to hold an increase in interest-bearing investments relative to our long term plan. Some of the income from these investments is separately reported under ‘interest received’ and is included as per Note 2 in the financial report. One area of change and growth is our established capacity to successfully complete funded projects on behalf of external providers. This work is principally being supported by the desire of national governments to utilise the College as a partner in improving mental health services and capacity. Much of this work has been devoted to capacity building within the medical workforce. We see this as a key area for our ongoing involvement. 14 RANZCP Annual Report & Review 2010 You will be aware of the volatile global investment market that has persisted throughout 2010. We have maintained our contract with JBWere to provide advice and management for our investment portfolio. This has proved to be a positive relationship during tricky economic times. I report a positive contribution from our investments of $259K for the year including dividend income, trust income as well as imputation credits. This also incorporates an unrealised loss of $210K within our current portfolio. I have previously discussed the need to report these changes in portfolio pricing at the end of each The College Treasurer chairs the Resource Management Committee and has responsibility for reporting the work of the subcommittees. I remain thankful for the committed work of this Committee. As I end my second term in this position I want to emphasise the work of College Fellows on the subcommittees. I have continued to be supported by the strong work of the Human Resources Subcommittee ably chaired by Dr Nick O’Connor. This Subcommittee has worked productively to review and improve the policy direction in this important area. The total number of people working for the College has increased from 43 in 2003 to our present 73 committed individuals. This requires high quality policy direction to maintain organisational effectiveness. Dr O’Connor and his team deserve our thanks for their work in this area. This Subcommittee also provides ongoing reports on staff turnover and related indicators. This information is reviewed by the Resource Management Committee and General Council. In 2010 we have underspent the allocation in this area which has contributed to the positive financial result. I am pleased that we have maintained our commitment and we have allocated further expenditure in 2011, consistent with this underspend, to continue this development. We have changed the reporting arrangements for the Information Communications and Technology Subcommittee. I am pleased that the Resource Management Committee has been able to support the approval of longer term plans in this area by General Council this year. Professor Greg Carter has had long-standing interest in this area and his ongoing commitment to chair this Subcommittee is greatly valued. Professor Carter tirelessly works across this portfolio; he can take great personal satisfaction in some of the areas of present improvement and look forward to future success given the current approved plan. The College is expanding its reach of influence. This includes topics such as internal and external policy development and our engagement with Asia and the Pacific. That my report will be considered at our first Congress in Darwin emphasises these changes. Our senior staffing structure has been reviewed in 2010 to better support these priorities. I know from your feedback that this work is greatly supported by the membership. The College has ambitious plans for the future. We are investing in an improved educational model recognising both the need for world-class postgraduate education to become a psychiatrist and the important area of ongoing professional development. Some of our accumulated savings will be spent on this work. I take this opportunity to thank our Chief Executive Officer, Mr Andrew Peters, for his work in 2010 and congratulate him on his well-deserved appointment. He understands the challenge of delivering on our high expectations while maintaining our strong economic position. I am sure he will build and lead an effective management team. I thank them for their ongoing commitment and hard work. Resource Management Committee Dr Darryl Watson (Chair) Dr David Alcorn Dr John Buchanan Dr John Chalk Dr Rosie Edwards Dr Nick O’Connor Mr Dennis O’Keeffe Dr Murray Patton Mr Andrew Peters Dr Rees Tapsell Dr Maria Tomasic Human Resources Subcommittee Dr Nick O’Connor (Chair) Dr Rosie Edwards Dr Mirco Kabat Dr Elizabeth Moore Mr Andrew Peters Information, Communications and Technology Subcommittee Prof Gregory Carter (Chair) Dr John Crawshaw Dr Andrew Gosbell Dr Kym Jenkins Dr Mirco Kabat Mr Roger Linney Dr Murray Patton Mr Andrew Peters A/Prof Geoff Smith Ms Teri Snowdon Dr Darryl Watson Overseas trained psychiatrist representative Trainee representative Dr Darryl Watson Treasurer RANZCP Annual Report & Review 2010 15 Chief Executive Officer’s Report Name Mr Andrew Peters, Chief Executive Officer. I am pleased to provide my first report as Chief Executive Officer and wish to acknowledge the support of General Council, Executive Officers, Fellows and staff in my new role. I am pleased to advise that the business and operations of the College proceeded smoothly in 2010 during challenging and changing times, which is testament to the commitment and work of College staff. Developing and enhancing the College’s internal and external relations has been a high priority, with a particular focus on improved communication and face-to-face meetings by Executive Officers and senior staff with branches, faculties, sections and College committees. I personally attended a number of Branch Committee meetings to further develop the communication links with Branch Chairs, committees and staff. These visits were very worthwhile, providing insight to the challenges and workings of branches and their members. 16 RANZCP Annual Report & Review 2010 In building external relations the College enhanced its media presence on relevant issues, specifically increasing media releases, and responding to more enquiries from media outlets. We improved our government relations capacity, and the President and I met with ministers, shadow ministers, ministerial and shadow advisers, government and opposition representatives, political party representatives and key external stakeholders throughout the year. It was pleasing to have the College well received by various government officials and bodies and there seems to be a genuine interest from the political parties to engage with the College, providing us with a number of opportunities upon which to develop our policies, funding strategies and relationship enhancement. To ensure a more effective management and operations structure, better reporting and information flow processes to Executive Officers and General Council were established, a review of processes for external projects undertaken, and Branch support enhanced through a closer relationship with the Membership Services Department. A key part of education strategy is the Competency Based Fellowship Program (CBFP). I am pleased to report that following an extensive review and changes to administration and governance, this vitally important part of College future training is now moving forward with key targets and initiatives being met. A consultation and communication presentation throughout Australia and New Zealand to clarify and address issues surrounding CBFP was also well received. Pleasingly the College was successful in negotiating an extension of its involvement in the Specialist Training Program for another three years which provides the College with the opportunity to initiate and focus on delivery of related projects that will provide benefit in the training, education and development areas of College activities. This extension is also a further sign of the positive relationship that exists between the College and the federal government via the Department of Health and Ageing. The College has also been involved in a number of key policy submissions, in particular youth suicide prevention and caring for older Australians. The work surrounding policy and practice is also being enhanced with the development of the Policy Development Working Group, an initiative that will see the College proactive in the mental health policy arena. As well there is a commitment from the College to ensure its role in the South East Asian region is more relevant and significant. The development of the International Affairs Working Group has provided a key platform for this as well as providing an appropriate forum and coordination point for assisting those psychiatrists interested in providing health services in the Pacific and Asian regions. College operations and infrastructure were reviewed with changes implemented to better reflect our governance structure and ongoing strategic direction. This has also ensured a more effective and efficient management and administration model. I would finally like to thank my management team and my direct office support for their dedicated work and assistance during the year. I look forward to working with all members of the College during 2011. Mr Andrew Peters Chief Executive Officer A half way report card on the College’s Strategic Plan 2009-2011 was submitted to General Council during the year which identified that the College was meeting its responsibilities in a number of key areas as defined in the Plan. Work and consultation with members will commence in 2011 in respect to a new plan from 2012. RANZCP Annual Report & Review 2010 17 general council General Council. General Council (GC) is the Board of Directors of the RANZCP and the overarching decision-making body of the organisation. The voting members of GC include Councillors who are elected by branches, the chairs of faculties and boards and the Executive Officers. Terms are for two years, up to a maximum of six years. Over the last several years non-voting members have been incorporated to add a more comprehensive voice to debate. These include Associate (trainee) and Affiliate representatives, and in the last year a consumer and carer representative. GC has six sitting days and meets four times a year, and increasingly with email communication in the periods between these meetings to enable continuity and prompt responsiveness to more urgent matters. At each meeting of GC there are reports from the President, Honorary Secretary, Treasurer and Chief Executive Officer, 18 RANZCP Annual Report & Review 2010 the New Zealand National Office, the Board of Education and Board of Practice and Partnerships, the Faculty of Child and Adolescent Psychiatry and the Faculty of Psychiatry of Old Age, the Trainee Representative Committee and Overseas Trained Psychiatrists’ Representative Committee. GC also receives reports from the Branch committees, sections, Congress reports, the special interest groups and the AMA. The role of GC is to maintain an overview of general business and College matters, amend and repeal regulations, deal with regulatory matters and external issues that impact on the College, and set strategic direction. The minutes of meetings are available to all members on the members’ only area of the College website, and members can make representation to Councillors on issues they wish to raise. The Governance and Risk Committee is a committee of GC with the role of coordinating ongoing review of governance structures of the College. One important current activity is an external independent review of General Council which will involve extensive member involvement and feedback leading up to the final postal ballot for constitutional change occurring in June 2012. The Executive Officers – the President, Honorary Secretary, Treasurer and President Elect – are delegated to monitor the day-to-day activities of the College with the assistance of the management and staff. Members of GC provide considerable time and effort to discuss and deliberate on a vast range of issues of importance to members, and I would like to formally recognise and thank Councillors and other members for their commitment to the College. I would also like to thank the highly skilled and dedicated management and staff in head office and the branches for their ongoing work for the College. Dr Michelle Atchison South Australia Dr Lyndy Matthews New Zealand Dr Phillip Brock Faculty of Child and Adolescent Psychiatry Dr Elizabeth Moore Western Australia Dr Maria Tomasic President A/Prof Gerard Byrne Faculty of Psychiatry of Old Age General Council (at 31 December 2010) Dr Maria Tomasic President Dr Murray Patton President Elect Dr John Chalk Honorary Secretary Dr Darryl Watson Treasurer Prof Ken Kirkby Immediate Past President Dr David Alcorn Queensland Dr John Crawshaw Board of Education Dr Rosemary Edwards New Zealand Dr Dennis Handrinos Victoria Dr Scott Harden Queensland Dr Peter Jenkins Victoria Dr Surinderjit Johl Tasmania Dr Adrian Keller New South Wales A/Prof Peter Norrie Australian Capital Territory Dr Nick O’Connor New South Wales Prof Helen Slattery Western Australia A/Prof Geoff Smith Board of Practice and Partnerships Dr Rees Tapsell New Zealand Dr Can Tuncer Victoria Dr Peter Tyllis South Australia Dr Richard White New South Wales RANZCP Annual Report & Review 2010 19 BOARD OF EDUCATION principles driving the initiative can be realised within Australian and New Zealand training programs. Implementation imperatives and timelines were also reviewed, in consultation with a range of key stakeholders. The CBFP is now scheduled to commence from December 2012 (New Zealand) and January 2013 (Australia), to enable sufficient time for consultation, feasibility studies and supervisor training. Dr John Crawshaw, Chair, Board of Education. Throughout the past year the Board of Education (BOE) has worked collaboratively with its six constituent committees and 18 subcommittees and a number of working groups to provide sustainable governance for RANZCP educational services and implement a range of education-related activities. During 2010, there has been a growing volume of education-related activities and developmental imperatives within the College. Competency Based Fellowship Program (CBFP) The Competency Based Fellowship Program (formerly the Curriculum Improvement Project) is a primary focus. The governance of this important initiative was addressed, during 2010, to facilitate organisational change and project management needs. This resulted in the formation of the CBFP Project Management Group, chaired by Dr Nigel Prior. This committee is overseeing the practical roll-out of the curriculum redevelopment, ensuring educational 20 RANZCP Annual Report & Review 2010 2009 The program framework, defined by the core Fellowship competencies, minimum training requirements and summative assessment program have been approved by Council. Working parties, overseen by the Project Management Group continue to progress a range of key content issues for the new training program. An important component of implementation is consultation with jurisdictions and health services regarding practical issues for the proposed training program across training settings in Australasia. An initial series of consultative visits to New Zealand and Australian states commenced in late 2010 and will continue as the initiative progresses. Specialist Training Program (STP) The Specialist Training Program is another substantial component of education developmental work. The RANZCP entered into an agreement with the Australian government whereby, in 2010, the College managed 69 (full-time equivalent) training positions in expanded settings (outside of major teaching hospitals) along with up-skilling funding for specialist international medical graduate (SIMG) resources to expedite progression to Fellowship and associated support projects. As a result of the College’s performance, the Australian government has extended the agreement to 2013 and increased the training posts managed by the College to 95.5 FTE. Additional SIMG up-skilling and support project funding has also been negotiated. Specialist International Medical Graduates (SIMGs) The Board, in addressing COAGinitiated guidelines for the classification and progression of SIMG applicants to Fellowship, developed procedures whereby substantially comparable SIMGs may attain Fellowship, including: • Criteria to assess overseas qualifications, associated clinical experience and contemporary registration. • Processes to determine substantially comparable qualifications. • Requirements of 12 months of peer reviewed practice, including workplace based assessments, to be completed by substantial comparable SIMGs prior to awarding Fellowship. Finally, the Board acknowledges the considerable contribution of Associate Professor Richard Newton, who completed his term as Chair of the Fellowship Attainment Committee and Deputy Chair of the Board during 2010. Richard’s hard work and commitment to fair and transparent processes are greatly appreciated. Dr John Crawshaw Chair, Board of Education Board of Education Dr John Crawshaw (Chair) A/Prof John Allan Prof Philip Boyce Dr Arran Culver Prof Phillipa Hay Dr Bradleigh Hayhow Dr Kym Jenkins Dr Stephen Jurd Dr William Kingswell Prof Daniel O’Connor Dr Anna Van Zeist Jongman Committees of the Board Committee for Continuing Medical Education Dr Arran Culver (Chair) Prof Philip Boyce Dr Lifeng Chen Dr Gemma Edwards-Smith A/Prof Richard Harvey A/Prof Jeffrey Looi Dr Allan Nelson Dr Krishna Pillai Dr Christopher Randall Dr Rosemary Schneider Dr Simon Stafrace Dr Robert Stone Dr Choong-Siew Yong Committee for Education Projects Prof Philip Boyce (Chair until November 2010) Prof Daniel O’Connor (Interim Chair from November 2010) Dr Anthony Harris Dr Roxana Irimia Dr Nicholas Kowalenko Dr Saretta Lee Dr Kathryn Turner Committee for Educational Quality and Reporting Committee for Specialist International Medical Graduate Education Prof Phillipa Hay (Chair) Dr John Crawshaw Dr Joanna MacDonald Dr Ian Munt A/Prof John Allan (Chair) Dr Sidney Cabral Dr Alan Faulkner Dr Diane Neill A/Prof Robert Parker Dr Andras Perenyi Dr Lynette Rose Dr Digant Roy Committee for Examinations Dr William Kingswell (Chair) Dr Agnew Alexander Dr Sanjib Baruah Prof Anne Buist Dr John Callary Dr Gary Cheung Dr Anand Choudhary Dr Anthony Cidoni Dr Taryn Cowain Dr Crawford Duncan Dr Mandy Evans Dr Leeanne Fisher Dr Paul Friend Dr Charis Gauvin Dr Curtis Gray Dr Shiva Gunapu Dr Satish Karunakaran Dr Jeffrey Kirwan A/Prof Beth Kotze Dr Lisa Lampe Dr Rohit Lodhi Dr Steven McLean Dr Elizabeth Moore Dr Vicki Naumann Dr Sean Ording-Jespersen Dr Victoria Pascu Dr Pamela Robinson Dr Ian Sale Dr Anoop Sankaranarayanan Dr Aletsa Stephan Dr Jonathon Symon Dr Marina Vamos Dr Antonella Ventura Dr Malgorzata Wojnarowska Committee for Training Dr Stephen Jurd (Chair) Dr Michelle Atchison Dr Andrew Carroll Dr Alice Chang Dr Neil Cock Dr Jimsie Cutbush Dr Wayne de Beer Dr Thomas Flewett Dr Teresa Foce Dr Andrew Gosbell Prof Philip Hazell Dr Kym Jenkins Dr Warren Kealy-Bateman Dr Frances Minson Dr Tricia Nagel Dr Anne Patton Dr Paul Pun Dr Sathya Rao Dr Christopher Ryan Dr Ian Sale Prof Helen Slattery Dr Douglas Subau Dr Diana Tracy Fellowship Attainment Committee A/Prof Richard Newton (Chair until May 2010) Dr Kym Jenkins (Chair from May 2010) A/Prof John Allan Dr John Crawshaw Dr Andrew Gosbell Dr Stephen Jurd Dr William Kingswell Dr Donovan Moncur Dr Digant Roy RANZCP Annual Report & Review 2010 21 Board of Practice and Partnerships • Promoting increased inclusion of cultural competency, for Maori and Aboriginal and Torres Strait Islander mental health, in training and continuing medical education. • Developing mechanisms to support colleagues who have had membership terminated as a result of mental illness. In 2010 key achievements included: • Revision and publication of 2010 Code of Ethics. Associate Professor Geoff Smith, Chair, Board of Practice and Partnerships. Since the Board of Practice and Partnerships was formed 18 months ago, the Board and its committees have focused on development of work programs. Key priorities identified include: • Developing strategies to increase knowledge and participation of trainees and psychiatrists in research. • Finding strategies for increasing community involvement in training and continuing medical education. • Promoting evidence-based practice and good professional practice. • Increasing the opportunities for promoting dialogue on topics and issues between the membership and the community, including Maori, Aboriginal and Torres Strait Islander peoples. 22 RANZCP Annual Report & Review 2010 2009 • Publication of overarching position paper ‘Improving Mental Health in Australia and New Zealand’. • Publication of position statements on minimising the use of seclusion and restraint, consumer and carer engagement, and sexual orientation therapies. • Recognition of the need to support community participation in College activities through policies implemented to: allow all community members sitting on the Board and associated committees to attend Congress; formalise community member remuneration; and appoint a community representative observer on General Council. • Funding secured for establishment of web portal for clinical guidelines aimed at increasing the uptake of evidence-based practice. The Board has actively worked to encourage genuine community engagement whereby the needs, perspectives, concerns and values of consumers, their carers and families help influence clinical practice, College activity and government policy. The Board has developed its role in assisting General Council, various College bodies, and the broader membership in responding to some of the major changes in policy and practice across Australia and New Zealand. This includes submissions to government on the ‘recovery movement’, patient-centred care, and the way that governments resource and deliver mental health care. The strong community voice within the College has greatly strengthened the response to these issues. The Board is uniquely placed to act as the ‘conduit’ between the internal environment (the membership and its various groups) and the external environment (community groups, professional groups and governments). During 2011 the Board will be looking to develop a more inclusive approach that can ensure the views of all groups, particularly the broader College membership, are heard. Acknowledgement and appreciation is extended to all members of the Board and committees for their work, and to the staff of the Practice, Policy and Projects Unit for their continued support and input. Associate Professor Geoff Smith Chair, Board of Practice and Partnerships Board of Practice and Partnerships Community Collaboration Committee Dr Murray Patton (Chair until August 2010) A/Prof Geoff Smith (Chair from October 2010) Prof Phillipa Hay (Deputy Chair) Mr Jim Crowe Dr Lawrence Dadd Dr Simon Hatcher Dr Michael Jordan Dr Nicholas Judson Dr Cameron Lacey A/Prof Jeffrey Looi Ms Janne McMahon Dr Wayne Miles Dr Christopher Randall Dr Wayne Miles (Chair) Dr Josephine Anderson Mr Evan Bichara Ms Ruth Carson Mr Jim Crowe Ms Florence Leota Ms Janne McMahon Dr Robert Miller Ms Kaliope Paxinos Mr Graham Roper A/Prof Geoff Smith Committees of the Board Partnerships and External Relations Portfolio A/Prof Geoff Smith (Deputy Chair until October 2010) Aboriginal and Torres Strait Islander Mental Health Committee Dr Lawrence Dadd (Chair) Dr Emma Adams Dr David Cutts Mr Charlie Dhamarrandji Ms Joan Dhamarrandji Dr David Hartman Prof Ernest Hunter Dr Sally Lambert A/Prof Geoff Smith Ms Ivy Trevallion Dr Marshall Watson Dr Susan Weigall Te Kaunihera Dr Cameron Lacey (Chair) Dr Hinemoa Elder Ms Moe Milne Dr Claire Paterson Mr Arama Pirika A/Prof Geoff Smith Ms Ana Sokratov Ms Phyllis Tangitu Dr Rees Tapsell Dr Sylvia Van Altvorst Committee for Research A/Prof Jeffrey Looi (Chair) Ms Ruth Carson Dr Alice Dwyer Prof Cherrie Galletly Prof Phillipa Hay A/Prof Malcolm Hopwood Prof Stephen Kisely A/Prof Stephen MacFarlane A/Prof Sally Merry Dr Robert Miller A/Prof Geoff Smith Committee for Therapeutic Interventions and Evidence-Based Practice Dr Simon Hatcher (Chair) A/Prof Gerard Byrne Prof Kit Carson Prof Phillipa Hay Prof Mark Oakley Browne Mr Graham Roper A/Prof Geoff Smith Dr Fiona Wagg The Practitioner and the Profession Portfolio Prof Phillipa Hay (Deputy Chair) Committee for Professional Practice Dr Nicholas Judson (Chair) Mr Evan Bichara Prof Brian Draper Dr Scott Harden Prof Phillipa Hay Dr Lana Kossoff Ms Florence Leota Dr Peri Renison A/Prof Geoff Smith RANZCP Annual Report & Review 2010 23 BRANCHes Australian Capital Territory Vision statement for RANZCP ACT Branch Dr Len Lambeth, Chair, Australian Capital Territory Branch. The ACT Branch will pursue the ideals of professionalism, integrity and collegiality A professional body dedicated to providing services to those with mental disorders or mental dysfunction in a spirit of care, evidence-based practice and collaboration with allied health professionals and consumers. The ACT Branch will pursue the ideals of professionalism, integrity and collegiality. The ACT Branch will support the training and education of junior mental health professionals and maintain an apolitical stance while advocating for optimal mental health care for our consumers. The Australian Capital Territory is a small community with a growing population of 350,000 and a Branch membership of 52 RANZCP Fellows and 19 trainees. The local Branch is served by a part-time Administrative Officer, Ms Isabel Fleitas, who provides much appreciated assistance and coordination with head office. Her cheerful and timely replies to the many and varied enquiries received by the ACT Branch provides a valuable service to our Fellows and trainees. The Branch office and Administrative Officer perform an invaluable role in coordinating local activities and sharing information locally amongst members. Adjacent to our office at Alia House in Deakin is the Mental Health Council of Australia. The Branch has continued its involvement in the review advisory group overseeing the review of the ACT’s mental health (treatment and care) legislation. This will continue through 2011. 24 RANZCP Annual Report & Review 2010 2009 New South Wales The Branch continues to support our trainees and our Director of Training has expressed appreciation for the continued interest and involvement of local Fellows in the ongoing development of our trainees. The Branch has continued its support for the development of private sector training for advanced trainees. The 2010 Annual Scientific Meeting in March was well attended, well organised and successful. The Scientific Meeting is an important Branch activity, and planning for the 2011 event has commenced. The Branch offers an annual branch prize to the most meritorious presentation by a registrar or junior doctor in psychiatry at this Scientific Meeting. This is an event which has proved to be popular in past years and is highly valued by Fellows and trainees for the sharing of local expertise, research and intellectual interests. Dr Len Lambeth Chair, Australian Capital Territory Branch Australian Capital Territory Branch Committee Dr Len Lambeth (Chair) Dr Jeffrey Cubis Dr Rhonda Dotson A/Prof Jeffrey Looi A/Prof Peter Norrie Dr Denise Riordan Dr Edirimuni Kalyana Rodrigo Dr Diana Tracy Dr Adrian Keller, Chair, New South Wales Branch. We emphasised that it is vital for community and inpatient mental health services to remain integrated With the forthcoming state election in March 2011, the Branch Chair and a number of senior delegates met with senior bureaucrats from the Department of Health as well as the Opposition Spokesperson for Mental Health. We provided advice on the governance structures for public mental health services in New South Wales, in the context of Local Hospital Networks being established, as well as outlining the service enhancement priorities for the next five years. We emphasised that it is vital for community and inpatient mental health services to remain integrated, and that the operating budget for mental health must be ‘ring-fenced’ and managed by a Director of Mental Health. We stressed that substantial new funds are required, with a strong focus on strengthening community mental health services, which have been sadly neglected for the best part of two decades. A large number of archived individual patient medical records from mental health services across various Area Health Services are now being destroyed due to the inherent problems and costs associated with storage, whereas psychiatry records were previously retained indefinitely. The Branch Committee raised a number of significant concerns with the Health Minister, highlighting the clinical, research, historical and cultural importance of retaining mental health records for longer periods, and arguing that the early onset, often lifelong nature of many mental illnesses necessitates the maintenance of records for far longer than the minimum statutory period of 15 years. A number of New South Wales Fellows were honoured with awards during 2010: • Member Order of Australia (AM) – Professor Philip Mitchell. • Officer of the Order of Australia (AO) – Professor Gordon Parker. • Corresponding Life Fellow of the American Academy of Child and Adolescent Psychiatry – Professor Florence Levy. • 2010 New South Wales Branch Meritorious Service Award – Dr Ron Spielman. • NSW Scientist of the Year Award (Biomedical Science category) – Professor Perminder Sachdev. The Branch held an extremely successful annual dinner and continuing medical education evening in August, with over 120 Fellows, trainees and international medical graduate psychiatrists, as well as new Fellows, attending. Dr Adrian Keller Chair, New South Wales Branch New South Wales Branch Committee Dr Adrian Keller (Chair) Dr Christopher Blackwell Dr Prachi Brahmbhatt Dr Scott Clark Dr Tristram Duncan Dr Gary Galambos Dr Vikas Garg Dr Ralf Ilchef Dr Warren Kealy-Bateman A/Prof Beth Kotze Dr Rajesh Maheshwari Dr Nicholas O’Connor Dr Michael Paton Dr Yvonne Skinner Dr Antonella Ventura Dr Richard White Dr Choong-Siew Yong RANZCP Annual Report & Review 2010 2009 25 BRANCHes continued New Zealand 2010 has been a diverse and busy year in New Zealand with reconfiguration of key national health structures, a reiteration of the mental health and addiction plan and challenges to the way psychiatrists work in a predominantly public mental health system. Dr Lyndy Matthews, Chair, New Zealand National Committee. Sustained recruitment of local graduates into psychiatry remains a critical issue for New Zealand We have been building relationships with new government agencies and responding to proposed changes to accident compensation entitlements, alcohol law reform and workforce projections. This has occurred alongside business as usual, drawing on the expertise, time and goodwill of Fellows and Affiliates around New Zealand. We have met regularly with the Minister for Mental Health and were invited to contribute to several initiatives including a Mental Health Services Review, the interview panel for the new Mental Health Commission Chair, the ACC Review Panel and a seminar defining the ‘Role of the Doctor’. We have appreciated support from Australian colleagues, the Executive Officers and the CEO, as exemplified by the Canterbury earthquakes, which necessitated moving the Christchurch clinical exams back to Melbourne at short notice. The New Zealand Conference took a break in 2010, due to Auckland hosting the RANZCP Congress in May. We congratulate our Kaumatua, Mr Arama Pirika, on receiving the Mark Sheldon Award and extend warm thanks to Convenor Professor Sandy Simpson and the Organising Committee for creating a highly successful Congress. 26 RANZCP Annual Report & Review 2010 2009 Northern Territory Sustained recruitment of local graduates into psychiatry remains a critical issue for New Zealand. A business case to develop a web resource to attract junior doctors into psychiatry training, showcase our training programs and provide clear College branding has been prepared. Work on securing funding and developing this resource will be a focus for 2011. The New Zealand National Committee sincerely thanks Ms Audrey Holmes, Ms Katherine Minett and Ms Marion Hughes at the New Zealand office, and all those who gave their time and energy to making 2010 a successful year, and look forward to a busy 2011. Dr Lyndy Matthews Chair, New Zealand National Committee New Zealand National Committee Dr Lyndy Matthews (Chair) Dr Caleb Armstrong Dr Arran Culver Dr Wayne de Beer Dr Rosemary Edwards Dr Mark Huthwaite Dr Nicholas Judson Dr Cameron Lacey A/Prof David Menkes Dr Murray Patton Mr Arama Pirika Dr Rees Tapsell Dr Paul Vroegop The Northern Territory Committee has been focused on the creation of a memorable RANZCP Congress in Darwin in 2011. The recent cyclone has washed all impediments away for the Committee and so we look forward to welcoming our colleagues from all over the world to share the beauty of the Top End. Dr Marcus Tabart, Chair, Northern Territory Committee. One of the issues that was a recurring theme throughout our year was the lack of a systematic program for the provision of child psychiatric services in the Northern Territory One of the issues that was a recurring theme throughout our year was the lack of a systematic program for the provision of child psychiatric services in the Northern Territory. The College was approached by the federal government to provide child and adolescent services to remote Aboriginal communities using the MSOAP model. As the Indigenous Reference Group is currently not in operation this request was referred to the Faculty of Child and Adolescent Psychiatry. Associate Professor Rob Parker was part of a group that included Professor Louise Newman and Dr Phillip Brock, who considered the matter and agreed that unless services were associated within a community development framework that included training and education, mentoring and supervisory structures that would be put in place for local service systems and community organisations, such a model could well be unsustainable and non-therapeutic. The College’s Policy Director Ms Teri Snowden crafted a well-researched response that relied heavily upon the Billard Communique July 2009. There were discussions with and advice given to the Northern Territory government’s ‘Secure Care’ initiatives that are designed to provide a greater profundity of care for children and adolescents with mental illness with the provision of extra beds in the adult psychiatric units in both Alice Springs and Darwin, but also provisions to provide custodial care arrangements for more disturbed children and adolescents who would not ordinarily be admitted to psychiatric units. Such an ambitious enterprise also required a legislative frame. Discussions were held with the Department of Health and Faculty of Child and Adolescent Psychiatry Chair Dr Phillip Brock. An entity called ‘complex mental disturbance’ was proposed by the Department of Health which did not garner uniform support and indeed seemed to be a worrying trend towards detention of difficult children under a dubious mental health category. Suffice to say this is an area that the College and its practitioners will watch expectantly for further developments. Dr Marcus Tabart Chair, Northern Territory Committee Northern Territory Committee Dr Marcus Tabart (Chair) Dr Prosper Abusah Dr Sharon Crabbe Dr David Cutts Dr Trish Nagel A/Prof Rob Parker Dr Anne Patton Dr Jill Pettigrew Dr Kevin Smith RANZCP Annual Report & Review 2010 2009 27 BRANCHes continued Queensland It was a very busy year for the Queensland Branch which culminated in the recent flood. Our very vibrant Branch Committee has been engaged with a number of issues including the lobbying for bipartisan support for the second stage of the mental health plan which should see a significant investment in mental health services across the state (albeit from a comparatively low base). Dr Daniel Varghese, Chair, Queensland Branch. Many new Fellows expressed an interest in involving themselves further in College activities, which bodes well for the future of our organisation We have also established a mental health stakeholders network which brings together all mental health professionals as well as consumer organisations in Queensland with the aim of providing a united front wherever possible on matters of mutual interest. We are also planning a state-based continuing medical education weekend which should allow Fellows from across the state to engage with their colleagues as well as the College in a more meaningful way. The Annual Bostock Oration was very successful this year with many new Fellows in attendance. Many new Fellows expressed an interest in involving themselves further in College activities, which bodes well for the future of our organisation. The Branch also experienced the leaving of long time staff member Ms Kathy Burkett which left us somewhat organisationally challenged for a significant period of the year, however thankfully we have welcomed Ms Vicki Willis to the role and she is already contributing greatly to the smooth running of Branch activities. 28 RANZCP Annual Report & Review 2010 2009 The flood in Queensland has obviously had a major impact on the state and has personally affected a number of our Fellows as well as patients. (The Branch office itself was marooned for a period of time!) One suspects that the medium to long term effects of this event will be felt for some time on a variety of levels. One particular challenge will be convincing government that now is not the time to be delaying expansion of mental health services although I suspect the financial strain on government coffers may override this need if we are not careful. Finally I would like to thank all our colleagues bi-nationally for their messages of support and offers of assistance during this difficult time, as well as the support from head office. The response has certainly been heartening and I am hopeful that the Branch will be able to vigorously attend to the needs of our Fellows and patients with the support of our colleagues. Dr Daniel Varghese Chair, Queensland Branch Queensland Branch Committee Dr Daniel Varghese (Chair) Dr David Alcorn Dr Sanjib Baruah Dr John Chalk Dr Lifeng Chen Dr William Emmerson Dr Jagmohan Gilhotra Dr Scott Harden Dr Peter Kennedy Dr William Kingswell Dr Vicki Naumann Dr Steve Prowacki Dr Paul Pun Dr Pamela Robinson Dr Dan Siskind Dr Geevarghese Vayalirakkathu Dr Ian Wilson effective closure of the state’s only inpatient eating disorder unit at Flinders Medical Centre. Dr Kate Jarvis, Chair, South Australian Branch. South Australia The South Australian Branch of the College has continued to engage with the government particularly in light of ongoing reforms to mental health service delivery in this state. Limited resources continue to impact on the capacity of the workforce to implement change, even when it is clearly indicated. After the state election in March a new Minister for Mental Health was appointed and the South Australian Branch met with him on two occasions in 2010. Issues that were addressed included the outsourcing of clinical care in four community rehabilitation centres which had been purpose built to address the closure of long stay beds at Glenside Hospital. The Branch in collaboration with several other agencies including the state branch of the AMA and the College of Mental Health Nurses wrote a letter to the Minister expressing concern about this decision which was announced in the state budget. More recently the Branch has been working with Fellows with regard to the Several very experienced Fellows were newly appointed to the South Australian Branch in 2010 and have already made valuable contributions. We have an active ECT Subcommittee in South Australia and two wellattended educational meetings were held. One workshop was for psychiatrists wishing to return to ECT practice and the other was a weekend retreat for established clinicians wishing to update their knowledge and maintain professional standards. The retreat was attended by 22 delegates and sessions included the new Mental Health Act, EEG interpretations and ultra brief ECT. A new Chair of the Curriculum Subcommittee of the SAPTC, Dr Maura Kenny has been reviewing the curriculum with the Subcommittee in order to prepare South Australia for the forthcoming Competency Based Fellowship Program. South Australian Branch Committee Dr Kate Jarvis (Chair) Dr Jacob Alexander Dr Michelle Atchison Dr Andrea Baas Dr Tarun Bastiampillai Dr Paul Dignam Dr Anthony Dinesh Dr Stephanie Fryar-Williams Dr Paul Furst Prof Cherrie Galletly Dr Charis Gauvin Dr Marco Giardini Dr Shane Gill Dr Aarti Goel Prof Robert Goldney Dr Catherine Houen Dr James Hundertmark Dr Allan Nelson Dr Kenneth O’Brien Dr Sally Rischbieth Dr Ute Rozenbilds Dr Maria Tomasic Dr Peter Tyllis Dr Darryl Watson Other local news included the appointment of Professor Bernhard Baune to the Chair of Psychiatry at The University of Adelaide. Ms Francis Nelson QC gave the Annual Barton Pope Lecture and presented a stimulating talk about the interface between mental health and forensic services based on her years of experience working as the head of the Parole Board in South Australia. Finally at the general meeting in 2010 a Meritorious Service Award was presented to Dr Ute Rozenbilds in recognition of her highly valued contribution to psychiatry and to the RANZCP South Australian Branch throughout her career. Dr Kate Jarvis Chair, South Australian Branch RANZCP Annual Report & Review 2010 2009 29 BRANCHes continued Tasmania An important new task for Tasmanian Fellows has been to prepare for the 2012 RANZCP Congress. For a small Branch this can be a challenge. Fortunately, willing and capable colleagues have stepped up to assist by establishing an Organising Committee and a Scientific Program Committee. No doubt the pace of preparation will accelerate during 2011 and 2012. Dr Ian Sale, Chair, Tasmanian Branch. An important new task for Tasmanian Fellows has been to prepare for the 2012 RANZCP Congress The Tasmanian Branch has been in discussions with state pharmaceutical services concerning the prescription of psycho-stimulants, particularly to adults. There has been a steady increase in the number of prescriptions of methylphenidate and dexamphetamine, largely for Adult ADHD. To enhance understanding of this issue it is planned to hold a continuing medical education session, hopefully also involving the Pharmaceutical Services Branch, Drug and Alcohol Services, and paediatricians. Our 2009 report made references to Fellows being involved in the drafting of a new Mental Health Act. Unfortunately, we still await a draft of this legislation, which seems to be having a protracted gestation. Hopefully the Branch can advise further by the time of our next annual report. Victoria A concern for several Fellows has been the sharing of patient information within state services without patient consent or knowledge. While the Branch supports a need for integration of hospital and community-based services, the approach adopted by mental health services was problematic in relation to patient privacy and confidentiality. The Branch was successful in persuading mental health services to suspend this practice until a more suitable means is devised. Finally, the Branch would like to pay tribute to Dr Russell Pargiter who, after many years of clinical practice, decided to lay down his tools and retire from practice. Dr Pargiter recently completed 50 years of College membership, is a Past President, and has made many contributions to the College and public life. The Branch hopes to continue to benefit from Dr Pargiter’s participation in continuing professional development activities. Dr Ian Sale Chair, Tasmanian Branch Tasmanian Branch Committee Dr Ian Sale (Chair) Dr Nicolle Ait Khelifa Dr Stephane Auchincloss Dr Joanna Bakas Dr Surinderjit Johl Dr Milford McArthur Dr Eric Ratcliff Dr Benjamin Sketcher Associate Professor Malcolm Hopwood, Chair, Victorian Branch. Throughout 2010, the Victorian Branch continued to engage strongly with the Mental Health Act review process The Victorian Branch has had a significant 2010 with changes to its accommodation, and strong educational and policy activity. During early 2010, the Victorian Branch was able to negotiate an office move to the former library area on the first floor of 309 La Trobe Street. The location offers a completely separated Victorian Branch area with three separate work areas for the Branch Administration Officer, Policy Officer, an extra working area for Committee members and a small meeting space. Its position also offers great access to the nearby major meeting rooms. The Victorian Branch’s major educational meeting in 2010 was the inaugural Victorian Branch Weekend Conference in November. We were fortunate to attract an exciting group of speakers, complemented by an active social program in a wonderful setting. I was extremely grateful for the assistance of Ms Jacki Lindsay from our Branch office, Ms Lisa Murphy (RANZCP Conference Manager), Ms Valerie Lifook (RANZCP Communications and Events Administration Officer), and Dr Jeremy Stone and Dr Alan Jager from our Committee for their assistance in bringing the event together. I believe it was a great opportunity for Victorian Fellows to meet, eat and learn in a sponsorshipfree environment, and the level of interest will hopefully influence our capacity to continue this event for future years. Throughout 2010, the Victorian Branch continued to engage strongly with the Mental Health Act review process. In 30 RANZCP Annual Report & Review 2010 2009 March, the Branch held a workshop attended by more than 60 Fellows and trainees, as well as the Department of Health legislative branch. The aim of the workshop was to ensure that the drafters of the Bill were made aware of members’ views regarding key changes under consideration. In September an Exposure Draft Mental Health Bill was released. The College prepared a response on input from the Victorian Branch Committee and the Victorian Faculty Chairs. In November a change of government occurred. The new Mental Health Minister has asked for additional submissions for further revision of the Exposure Draft. Following through from 2010, the Victorian Branch is also currently in negotiation with the Office of the Senior Practitioner within Disability Services to lead a process examining utilisation of guidelines to facilitate quality use of psychotropic medications in individuals with an intellectual disability. I undertake to report to you further as this area progresses. Associate Professor Malcolm Hopwood Chair, Victorian Branch Victorian Branch Committee A/Prof Malcolm Hopwood (Chair) Prof Graham Burrows A/Prof Saji Damodaran Dr Dennis Handrinos Dr Alan Jager Dr Peter Jenkins Prof George Mendelson Dr Sathya Rao Dr Digant Roy Dr Simon Stafrace Dr Jeremy Stone Dr Can Tuncer RANZCP Annual Report & Review 2010 2009 31 BRANCHes continued Faculty of Child and Adolescent Psychiatry this statement needs to be made, however there have been indications that the Commission is interested in purchasing substantial services from non-government organisations, and our Branch is looking forward to determining how standards of care will be maintained. Dr Alexandra Welborn, Chair, Western Australian Branch. Western Australia The mental health landscape in Western Australia is changing as a result of the state government creating two key new positions – the first being a Minister of Mental Health and the second being a Commissioner of Mental Health. The WA Branch has been working on developing good working relationships with both of the new key positions. Our approach to these relationships has been in keeping with the vision of our College, in that we are attempting to work with the community to achieve the best attainable quality of psychiatric care. The WA Branch is promulgating the message that psychiatrists, as the medically trained specialists in the system, are uniquely placed to have an overview of the mental health landscape. It may seem surprising that 32 RANZCP Annual Report & Review 2010 2009 We are thus pleased that Ms Helen Morton, Honourable Minister for Mental Health, has accepted an invitation to address the Fellowship at our state annual general meeting on 17 February 2011. Ms Morton brings a breadth of experience to her role, and she will speak to us on the ‘Changing mental health landscape in WA’. During 2010 the WA Branch welcomed our new Administrative Officer, Ms Stephanie Thomas. Stephanie is settling in to the complexity of Branch life well. In WA, the Branch has traditionally operated with one Administrative Assistant with the office located in a building in the grounds of historic Graylands Hospital. We can certainly see a time ahead where we may need more administrative assistance, especially with the introduction of a new examination paradigm for our trainees. The Continuing Medical Education (CME) Subcommittee has maintained an active presence during 2010, with monthly meetings well attended by Fellows, trainees, international medical graduates and medical officers. A successful weekend meeting was hosted by the Section for Cultural and Addiction Psychiatry. will meet in March 2011 and be addressed by the Minister for Mental Health and Ageing, the Honourable Mark Butler. A project addressing the emotional needs of siblings with a family member having a disability has attracted enthusiastic involvement from many professional groups. Following the recent AGM, a taskforce has been organised to address the work of members involved in Indigenous populations to formulate an approach to the mental health needs of Indigenous children and youth. The WA Branch Training Committee has recruited a good cohort of trainees during 2010, and these young doctors will commence their specialist training in 2011. At our annual dinner, the WA Branch was pleased to award the Meritorious Service Award to Dr Helen Ward, who has inspired many during her long and continuing career in public sector community psychiatry. I would like to extend thanks to the members of the Branch Committee, the Branch Training Committee and the CME Subcommittee who volunteer their time to participate in College events in WA. Dr Alexandra Welborn Chair, Western Australian Branch Western Australian Branch Committee Dr Alexandra Welborn (Chair) Dr Gary Budrikis Dr Russell Date Dr Nathan Gibson Dr Aleksandra Jaworska Dr Oleh Kay Dr Elizabeth Moore Dr John Penman Prof Helen Slattery A/Prof Geoff Smith Dr Ann Solar Dr Malgorzata Wojnarowska Dr Phillip Brock, Chair, Faculty of Child and Adolescent Psychiatry. The Faculty of Child and Adolescent Psychiatry (FCAP) has had another busy year. The membership continues to actively engage in activities of the broader College and specific projects focusing on developmental psychiatry and psychology and their relationship to the broader community. The expert reference group completed its report on improving the mental health of infants, children and adolescents. A document was published entitled ‘Prevention and early intervention of mental illness in infants, children and adolescents: Planning strategies for Australia and New Zealand’. The Faculty acknowledges the support of College administrative and project staff in this achievement. The strategy of an expert group from FCAP working with project expertise and consultation within College headquarters has been a successful model to date. The Faculty has taken a lead role in facilitating the Mental Health Coalition for Children which The Faculty’s Annual Scientific Conference was held in the Barossa Valley, South Australia, and attended by 137 delegates. Dr Steve Ward convened a very enjoyable meeting and the Scientific Committee provided a high-quality program. Our keynote speakers from overseas, Professor Dan Hughes and Professor Jeremy Holmes, conducted workshops for registrants and registrars and provided knowledgeable lectures and seminars. Dr Sarah Mares was the Julian Katz Orator and there were contributions from Professor Louise Newman, Professor Dorothy Scott and Dr Roz Powrie. The Conference was privileged to welcome the Honourable Mark Butler, Minister for Mental Health and Ageing, who addressed delegates and met Faculty members during lunch. Other guests included Professor Larry Greenhill, President of the American Academy of Child and Adolescent Psychiatry. An innovation for 2010 was the organisation of a lecture/workshop tour for Professor Hughes through some capital cities in Australia and New Zealand. The logistics were considerable and marketing less than ideal, but it offered the opportunity for colleagues and other professionals to benefit from the contact. In May 2011 the Faculty will hold a joint conference with the Australian Association for Infant Mental Health in Perth. The Faculty is sponsoring Professor Robin Murray as a keynote speaker both in Perth and at the College Congress in Darwin in June. Professor Murray will be visiting research colleagues in Brisbane, Wollongong and Melbourne and has agreed to conduct workshops in these cities. The Faculty is also represented on the expert reference group for services to abused Indigenous children in remote communities of Northern Territory and the Child Mental Health Stakeholder Forum of the Commonwealth government. Dr Phillip Brock Chair, Faculty of Child and Adolescent Psychiatry Faculty of Child and Adolescent Psychiatry Committee Dr Phillip Brock (Chair) Dr Josephine Anderson Dr Simon Baxter Dr Benjamin Goodfellow Dr Caroline Goossens Dr Scott Harden Prof Philip Hazell Dr Peter Jenkins A/Prof Sally Merry Prof Louise Newman Prof Joseph Rey Dr Denise Riordan Dr James Scott Dr Fiona Wagg RANZCP Annual Report & Review 2010 2009 33 Faculty of Psychiatry of Old Age service-related issues. New Zealand faces substantial workforce challenges and funding constraints, but the goodwill and determination of Faculty members was clearly evident during my visit. I would like to thank Dr Chris Collins and his colleagues for their excellent hospitality. I am looking forward to returning to Christchurch for the 2011 FPOA Annual Scientific Meeting, which is being convened by Dr Matthew Croucher and will feature prominent US geriatric psychiatrist, Professor Dilip Jeste. Associate Professor Gerard Byrne, Chair, Faculty of Psychiatry of Old Age. The Faculty of Psychiatry of Old Age (FPOA) had another busy year in 2010. The FPOA Annual Scientific Meeting, ably convened by Dr Martin Morrissey, was held at the University of Tasmania’s Sandy Bay campus during November. There was a diverse program, which included presentations on neuropathology, neuroimaging, psychopharmacology, medicolegal issues, service delivery and the implications of proposed diagnostic changes in DSM-5. A well-attended educational session for advanced trainees was held on the Saturday following the main FPOA meeting. I was privileged also to attend a meeting of the New Zealand Branch of the Faculty in Christchurch in April. The friendly atmosphere allowed for frank discussion of both scientific and 34 RANZCP Annual Report & Review 2010 2009 Dr Doug Subau is about to retire from his position as Director of Advanced Training in Psychiatry of Old Age and I thank him on behalf of the Faculty for his sterling work in spearheading the advanced training program over many years. Faculty members contributed to a detailed submission that the College made to the Productivity Commission’s public inquiry into Australia’s aged care system, which was submitted in July. The submission is available on the College website. A further submission will be made in response to the Commission’s draft report. I congratulate Faculty member Professor Nicola Lautenschlager who has recently taken over the editorship of the journal International Psychogeriatrics from another longserving Faculty member, Professor David Ames. I think this seamless transition reflects the very healthy state of old age psychiatry in Australia and New Zealand. On behalf of Faculty sections members, I thank Professor Ames for the superb job he has done with this journal over many years. Planning has begun for a combined FPOA/International Psychogeriatric Association (IPA) regional meeting in Australia, which will be convened by Faculty member and IPA Secretary, Professor Daniel O’Connor. This meeting will be held in Cairns in 2012. Previous highly successful IPA meetings have been held in Sydney, Lorne and Rotorua, so this will be the fourth Australasian combined FPOA/IPA meeting. At a time when our thoughts go out to all those affected by devastating natural disasters in both Australia and New Zealand, I thank all members of the Faculty for their active contributions during 2010. Associate Professor Gerard Byrne Chair, Faculty of Psychiatry of Old Age Faculty of Psychiatry of Old Age Committee A/Prof Gerard Byrne (Chair) Dr Jane Casey Dr Matthew Croucher Prof Brian Draper Dr Fiona Krantz A/Prof Stephen MacFarlane Dr Judith Martin Dr Helen McGowan Dr Roderick McKay Dr Martin Morrissey Prof Daniel O’Connor Dr Jill Pettigrew Dr Douglas Subau Dr Maria Tsanglis Dr Raluca Tudor Dr Prasanna Wijeratne Section of Addiction Psychiatry A major initiative over the past year has been the organisation of the inaugural Medicine in Addiction Conference to be held in Melbourne in early 2011. This Conference, co-hosted with the Royal Australian College of General Practitioners and the Chapter of Addiction Medicine, seeks to bring together medical specialists and allied staff from across Australasia interested in improving their addiction knowledge and skills. The program has been designed to be highly practical, and includes sessions on acute and chronic pain, addiction psychiatry, prescription drug misuse, medical complications associated with alcohol and drug use, new treatments and managing complex presentations. There are also workshops on psychiatric approaches to pain management, motivational interviewing and managing comorbid personality disorders, as well as a debate regarding involuntary treatment of alcohol and drug disorders. We are hoping that the Conference will become a regular biannual event. In terms of other highlights, the Committee continues to publish a quarterly Section newsletter, edited by Dr Lisa Juckes, outlining current clinical and research highlights within the addiction psychiatry field, as well as a list of local meetings and presentations. We have also worked closely with the policy and media areas of the College on a range of policy issues and public comment, including the College’s response to the Severe Substance Dependence Treatment Act in Victoria, the Joint Select Committee on Gambling Reform and the Queensland government inquiry into reducing cannabis-related harm. Finally, the Subcommittee for Advanced Training in Addiction Psychiatry, led by Dr Tom Flewett, is continuing to develop a competency-based addiction training program for both basic and advanced trainees, which will also create opportunities for a range of postgraduate addiction training for existing Fellows. Section of Consultation-Liaison Psychiatry Professor Dan Lubman Chair, Section of Addiction Psychiatry This year saw further work on the core competencies for consultationliaison. A face-to-face meeting saw the initial drafting of competencies in the CanMeds format. A second meeting was dedicated to the development of competency-based assessment tasks for the basic training term in consultation-liaison psychiatry. Section of Addiction Psychiatry Committee Prof Dan Lubman (Chair) Dr Clive Allcock A/Prof Michael Baigent Dr Amit Banerjee Dr Enrico Cementon Dr Grant Christie Dr Thomas Flewett Dr Bernard Hickey Dr Lisa Juckes Prof Helen Slattery The Section of Consultation-Liaison Psychiatry has had a productive year in the areas of training, curriculum development and education with 26 advanced trainees across Australasia – 11 in Victoria, seven in New South Wales, five in New Zealand, two in Queensland and one in the Australian Capital Territory. The intensive course in consultation-liaison, available to all trainees, was organised by the Queensland Branch and held in September, and we are hopeful that next year’s course will be hosted by Victoria. A medical-psychiatric seminar was conducted on the Tuesday afternoon of the College Congress in Auckland. The format saw a physician give an update on a medical topic, complemented by a consultationliaison psychiatrist talking on developments related to this topic. The seminar was well received, especially updates on advances in medical treatments, and it has been proposed that it become a regular contribution to the Congress. Another successful event was the ‘Body in Mind’ event held at Alfred Health in October with a focus on clinical updates, new models of care, and current controversies. RANZCP Annual Report & Review 2010 2009 35 sections continued The Section of Consultation-Liaison Psychiatry advocates for the comprehensive management of patients with medical-psychiatric comorbidity. Section members are especially active in the growing area of psycho-oncology, as well as Hepatitis C, HIV, physical injury and pain. The Section is keen to link individual practitioners with special interests and facilitate the development of specialist services. We are grateful to all the members who have been most generous with their time in conducting the range of Section activities and look forward to further activity in 2011. Dr Alex Holmes Chair, Section of Consultation-Liaison Psychiatry Section of Consultation-Liaison Psychiatry Committee Dr Alex Holmes (Chair) Dr Charles Hornabrook Dr Ralf Ilchef Dr Chris Ryan State-based activities have continued with their usual enthusiasm and it is important to acknowledge the efforts of those state-based coordinators who had been instrumental in the life of the Section of Forensic Psychiatry. The 2011 Conference will be held in Wellington in conjunction with the Australian and New Zealand Association of Psychiatry, Psychology and Law. This is another significant milestone in the life of the Section. 2012 promises to be an even busier year with the Conference planned for Hong Kong, the theme of which will centre around dissociative disorders and their relevance to both civil and criminal forensic psychiatry. I would like to take this opportunity to thank members of the Committee and those involved in the life of this Section as it has progressed towards Faculty status within the College. Dr John Chalk Chair, Section of Forensic Psychiatry Section of Forensic Psychiatry Committee Section of Forensic Psychiatry 2010 was a busy year in the life of the Section of Forensic Psychiatry. The major event of the year was the Conference in Prato – ‘Justice and Risk’. This was a great success as indicated by the nearly 200 people who attended with registrations from all over the world. The principal participants were from Australia and New Zealand though there was significant interest from the United Kingdom, the United States and Canada. 36 RANZCP Annual Report & Review 2010 2009 Dr John Chalk (Chair) Dr David Alcorn Dr Justin Barry-Walsh Dr Andrew Carroll Dr Gemma Edwards-Smith Dr Elizabeth McVie Dr Carol Newlands Dr Yvonne Skinner Section of Neuropsychiatry I am honoured to have taken over the Chair of the Section of Neuropsychiatry from Professor Perminder Sachdev who guided us through many RANZCP Congress meetings and dinners as we grew from a special interest group to a section. Since the Section was formed Perminder’s leadership and representation have seen us build a strong foundation of support and membership. We are now faced with the challenge of ensuring that we continue to build on these foundations and move the Section forward. One of the difficult issues faced by our Section has been the limited number of neuropsychiatry trainee positions and the uneven access to clinical neuropsychiatry experiences across Australia and New Zealand. We have a neuropsychiatry curriculum which sets out core competencies for neuropsychiatric training but cannot provide the full breadth of training experiences. A key goal for our Section over the next 12 months is to address this issue of advanced training in neuropsychiatry, develop a curriculum and provide clearer guidance to those who ask, “How do I become a neuropsychiatrist?”. Dr Dennis Velakoulis Chair, Section of Neuropsychiatry Section of Neuropsychiatry Committee Dr Dennis Velakoulis (Chair) Dr Jean Allet Dr Gregory Finucane Dr Stephanie Fryar-Williams Prof Cherrie Galletly A/Prof Malcolm Hopwood A/Prof Jeffrey Looi Dr Ramon Mocellin Prof Philip Morris Dr Guillaume Newburn Dr Steven Prowacki Prof Perminder Sachdev Dr Sergio Starkstein Dr Julian Trollor Section of Psychotherapy The 2010 Section of Psychotherapy Conference in Sydney attracted 224 registrants – a successful conference. Dr Nancy McWilliams, the psychotherapy keynote at the RANZCP 2010 Auckland Congress was well received. The Section also ran two major scientific meetings: a Sydney meeting with Dr Nancy McWilliams attracted 151 attendees, and 174 colleagues attended a Melbourne workshop with Dr Norman Doidge. The Section newsletter is sent out quarterly by email. Dr Jeff Streimer from New South Wales has set up a new ‘Psychotherapies’ website (www.psychotherapies.org.au). One hundred and seventy-six subscribers took advantage of the RANZCP group subscription to PEP-WEB which gives access to a vast body of literature online. The newly established Psychotherapy Section Essay Prize was awarded for the first time this year. The Section supported the various psychotherapy training courses, and was also involved in two new developments; the Specialist Training Program in Psychiatry – helping to set up placements in private settings allowing trainees to work with patients suffering from common conditions – as well as the Competency Based Fellowship Program. The Section provided advice to General Council and the Trainee Representative Committee (TRC) about the TRC proposal to uncouple the psychotherapy long case from the Trainee Clinical Exam. The Section fielded a representative on the Private Practitioners Network, contributed to the Pharmaceutical Industry Relationship and Engagement Consultation Paper and (with the Committee for Training) the College guidelines for the psychotherapy long case, and cooperated with the Governance and Risk Committee’s review of Section regulations. Dr Jenny Randles Chair, Section of Psychotherapy Section of Psychotherapy Committee Dr Jenny Randles (Chair) Dr Richard Benjamin Dr Rowan Davidson Dr Paul Foulkes Dr Ann Harrison Dr Melinda Hill Dr Alyosha Jacobson Dr Charles Le Feuvre Dr Andrew Leggett Dr Frances Minson Dr Gary Morris Dr Ilana Nayman Dr Matthew Ritson Dr Jeffrey Streimer Dr Brett Wilson Dr Kathleen Wood Section of Social and Cultural Psychiatry In 2010 the Section of Social and Cultural Psychiatry (SSCP), with the assistance of Mr Jon Cullum, RANZCP Membership Services, finalised and submitted the Section’s regulations to the Governance and Risk Committee of General Council for consideration. It is proposed that once the Section’s regulations are finalised, a formal call for nominations for the SSCP Committee will be issued. The annual general meeting of the SSCP was held at the RANZCP Congress in May 2010. The draft regulations were discussed at this meeting. Additional feedback was received and then incorporated into the regulations, regarding the Section’s roles and responsibilities with regards to developing links with psychiatry associations in the Asia Pacific region. It was also discussed that ongoing communication with the RANZCP Indigenous mental health groups would benefit the psychiatry profession in Australia and New Zealand, including the Aboriginal and Torres Strait Islander Mental Health Committee and Te Kaunihera mo te Hauora Hinengaro. In 2008 an online survey was sent to all RANZCP Fellows and Affiliates, seeking the views of the College membership on the future role and activities of SCCP. One hundred and sixty-nine responses were received. A report based on this survey entitled ‘The Section of Social and Cultural Psychiatry: scope and priorities’, authored by Associate Professor Harry Minas, Dr Prem Chopra, Associate Professor Sunny Collings, Associate Professor Carol Harvey, and Ms Nandika Currey, has RANZCP Annual Report & Review 2010 2009 37 sections continued been accepted for publication in Australasian Psychiatry as a Letter to the Editor. Key areas to emerge from the survey of relevance to the activities of SSCP include: Indigenous mental health; mental health of individuals of culturally and linguistically diverse backgrounds; rehabilitation psychiatry and recovery focused mental health; advocacy and mental health reform in our region; and the importance of education and training in social and cultural psychiatry. This feedback has been incorporated into the SSCP regulations. The Creating Futures Conference was held in Cairns during September 2010. Members of SSCP were encouraged to attend and support this conference. The Section is currently in discussion around the possibility of formally sponsoring this event in future years. The Section also supported the seventh International Mental Health System Development Conference, ‘Mental Health in Sri Lanka’, in Melbourne in October. This conference, which examined mental health needs and strategies for services in Sri Lanka, will hopefully lead to a number of practical outcomes in relation to future development work. SPECIAL INTEREST GROUPS A dialogue was also held with the RANZCP 2011 Congress Scientific Committee regarding SSCP’s involvement in the Congress. The SSCP membership has been encouraged to attend and present at the 2011 Congress in Darwin, which will hold a specific stream for social and cultural psychiatry. It is anticipated that a similar stream will be supported by SSCP in forthcoming congresses. We would like to acknowledge the excellent work of Mr Jon Cullum, Manager, Membership Services, in continuing to facilitate the redevelopment of the SSCP. Associate Professor Harry Minas Chair, Section of Social and Cultural Psychiatry Section of Social and Cultural Psychiatry Committee A/Prof Harry Minas (Chair) Dr Julian Boulnois Dr Prem Chopra Dr Sunny Collings Prof Diego De Leo Dr Carol Harvey Dr Andrew Leggett Dr Manjula O’Connor A/Prof Geoff Smith Special Interest Group in History and Philosophy of Psychiatry The Bi-national Committee now consists of Drs Allen Fraser (NZ), Michael Robertson (NSW), Stephen Rosenman (NSW), Hans Pols (NSW) and Richard White (NSW). We have re-established our connection with the International Network for Philosophy and Psychiatry and updated our place on their website. Since our AGM at the Auckland RANZCP Congress in May 2010 the Committee members have been communicating via the internet and telephone, but have organised few formal presentation lectures at Maddison House. We made representation to the College that a History of Psychiatry Fund should be created. This Fund is intended to attract funds to assist researchers working on the collection, storage and publication of material of historical relevance. This proposal is being considered by the College’s Committee for Research. Drs Fraser, Rosenman and White met informally in Sydney late in 2010 when Dr Fraser was in Sydney. Dr White also recently met twice with Associate Professor Mal Hopwood, the Chair of the 2011 Congress Scientific Program Committee, and canvassed the strong likelihood of a history or a philosophy session during the Darwin Congress. Two lecture presentations are planned for mid-year at Maddison House. Looking to the future, the Committee is hoping to press the case that a philosopher or historian of psychiatry should be a principal keynote speaker of the RANZCP Congress in Sydney during May 2013. Dr Richard White Chair, Special Interest Group in History and Philosophy of Psychiatry 38 RANZCP Annual Report & Review 2010 2009 Special Interest Group in History and Philosophy of Psychiatry Committee Dr Richard White (Chair) Dr Allen Fraser Dr Hans Pols Dr Michael Robertson Dr Stephen Rosenman Special Interest Group in Leadership and Management The Special Interest Group in Leadership and Management remains a diffuse presence across our two nations: much important work being done quietly at a local level. This year such endeavours have included: the Rural Psychiatry Project in New South Wales, led by Dr Scott Clark, which includes a mentorship program for emerging clinical leaders; mentorship of clinical leaders in Queensland; two day workshops for advanced trainees in leadership and management run by Associate Professor Harry Minas and Dr Prem Chopra in Victoria; and a series of leadership and management forums in partnership with Comprehensive Area Service Psychiatrists (CASP) in New South Wales. The jointly planned and delivered sessions on leadership and management topics at the Auckland Congress were very successful and it is planned to repeat this at the Darwin Congress. Dr Nick O’Connor Chair, Special Interest Group in Leadership and Management Special Interest Group in Leadership and Management Committee Dr Nick O’Connor (Chair) Dr Richard Benjamin Dr Margaret Honeyman A/Prof Beth Kotze Dr Peter McGeorge A/Prof Harry Minas Dr Elizabeth Moore Prof Mark Oakley Browne Dr Rajiv Singh Dr Willem Van Wyk Dr Ruth Vine Dr Angelo Virgona Special Interest Group in Rural Psychiatry Membership of the Rural Special Interest Group (RSIG) is open to all those who are interested in rural psychiatry and the group aims to be a support network for its members. The RSIG Committee met bi-monthly, via teleconference, during 2010 and all Australian states (except Victoria) and territories, and New Zealand, continue to be represented by Committee members, including an inaugural trainee rural representative. The most noteworthy achievement for 2010 was the ratification of the ‘Rural Psychiatry Position Statement’ by General Council and this document is now available on both the main College and Rural Station websites. The 2010 College Congress hosted a number of successful rural events for the RSIG, including a rural symposium, a rural stand in conjunction with the NSW Rural Psychiatry Project, an evening AGM during which a new Chair was appointed and a breakfast meeting for the new RSIG Committee. RANZCP Annual Report & Review 2010 39 SPECIAL INTEREST GROUPS continued The RSIG continues to support the continuing professional development of psychiatrists practising in rural and remote Australia and links with the Committee for Continuing Medical Education were reinvigorated during 2010. The RSIG was involved in the delivery of the Round 8 Support Scheme for Rural Specialists (SSRS) project entitled ‘Peer review generated education seminars for rural psychiatry’. The project supported sub-specialty focused rural peer review groups to meet on a monthly basis via videoconferencing or teleconferencing, and delivered six online education seminars. The Rural Health Continuing Education Sub-Program (RHCE) – Stream One is a new initiative funded by the Department of Health and Ageing which has effectively replaced the SSRS program. The RSIG was involved in developing a number of project proposals and late in 2010 was informed that the project entitled ‘Practice visits coordination’ has been awarded funding under the new scheme for a three year period. The RSIG membership database was incorporated within the College’s database during 2010 and remains an important tool for communicating with the wider rural membership. The Rural Station website was updated throughout 2010 and continues to be a useful resource for rural psychiatrists. Submissions to the rural news section of Australasian Psychiatry have continued during 2010, showcasing aspects of rural psychiatry throughout Australia and New Zealand. The RSIG also provided feedback to the rural working party for the Committee for Training throughout 2010. Committees reporting to General Council Special Interest Group in Rural Psychiatry Committee Dr Kenneth Fielke (Chair) Dr Manoj Baruah Dr Karen Cairns Dr Murray Chapman Dr Scott Clark Dr Lawrence Dadd Dr Anthony Dinesh Dr Joanne Holdaway Dr Tricia Nagel Dr Peter O’Brien Dr Prudence Stone Dr Marcus Tabart Dr Jennifer Tudehope Dr Richard Zimmerman Dr Nick O’Connor, Chair, Governance and Risk Committee. Work commenced on a review of General Council and governance within the College Governance and Risk Committee Governance and Risk Committee The Governance and Risk Committee was formed in July 2009, and 2010 was the first full calendar year of operation. During this period a huge amount of work has been undertaken by the Committee very capably supported by Ms Louise Hain from the Governance Unit. Terms of reference and committee position descriptions have been reviewed and revised for faculties, sections, special interest groups and branches. Someone described this as the mental equivalent of herding and shearing a thousand sheep: tedious, hard work, the occasional nick, but hopefully no blood on the floor. Dr Nick O’Connor (Chair) Dr David Alcorn Dr John Crawshaw Dr Peter Jenkins Dr Lyndy Matthews Dr Murray Patton Mr Andrew Peters The second major area of work has been on risk management. Policy and procedures have been developed to ensure good communication of risk and its management to the General Council. This will be an area of further development during 2011. Finally and most importantly, work commenced on a review of General Council and governance within the College. While this initiative commenced prior to the resignations of the two Presidents, those events made this work all the more important. The Committee has proposed a timetable and process for this review to be undertaken and the recommendations implemented over the next two years. Dr Nick O’Connor Chair, Governance and Risk Committee Dr Kenneth Fielke Chair, Special Interest Group in Rural Psychiatry 40 RANZCP Annual Report & Review 2010 2009 RANZCP Annual Report & Review 2010 2009 41 Committees reporting to General Council continued Overseas Trained Psychiatrists’ Representative Committee Dr Vikas Garg, Chair, Overseas Trained Psychiatrists’ Representative Committee. The OTP Committee is committed to working in close partnership with the College through its membership on various boards and committees This year the Overseas Trained Psychiatrists’ (OTP) Representative Committee saw a change in its membership and leadership. Dr Mimoza Trenceva, Dr Anna Van Zeist Jongman, Dr Peri Renison, Dr Digant Roy, Dr Anthony Dinesh and Dr Rohit Lodhi replaced the outgoing members Dr Soman Elangovan, Dr Ashok Abhyankar, Dr Sanjeev Sharma and Dr Mark Hurthwaite. Dr Jacqueline Short continued as a co-opted member. Membership from Western Australia, Northern Territory and Canberra was still vacant. The OTP Committee is committed to working in close partnership with the College through its membership on various boards and committees including the Board of Practice and Partnerships, the Board of Education, the Committee for Specialist International Medical Graduate Education, the Fellowship Attainment Committee, the Information, Communication and Technology Subcommittee, the Committee for Examinations, and Branch Committees for New Zealand, Victoria, New South Wales and Queensland. At the Auckland Congress, we had a successful networking lunch supported by members of the General Council. The findings of the ‘Pathways to Practice’ project were presented at the OTP symposium with a good attendance and great discussion. The findings will be published soon. The key issues that the OTP Committee addressed this year were: 42 RANZCP Annual Report & Review 2010 2009 Publications Committee • We were invited to join the Substantial Comparability Working Party that worked through the issues around comparability pathways for OTPs. The new comparability assessment will soon begin for OTPs. The Publications Committee had two main focuses in 2010: the appointment of a new Editor of the Australian and New Zealand Journal of Psychiatry and preparation for a new publishing agreement for the two College journals. • A submission to the House of Representatives Standing Committee on Health and Ageing regarding the registration, accreditation and support processes for overseas trained doctors in the context of new registration guidelines formulated by AHPRA. • International medical graduate issues addressing the complexity of the Australasian system involving AMC, RANZCP, medical boards, health agencies, Medicare, immigration and suggestion of ways to remove impediments and promote pathways for overseas trained doctors to achieve full Australian qualification. The important challenge for the future is to attract OTP Fellows and Affiliates to participate in College activities. I would like to acknowledge the administrative support of College staff, particularly Mr Jon Cullum. Dr Vikas Garg Chair, Overseas Trained Psychiatrists’ Representative Committee Overseas Trained Psychiatrists’ Representative Committee Dr Vikas Garg (Chair) Dr Anthony Dinesh Dr Michael Jordan Dr Rohit Lodhi A/Prof Peter Norrie Dr Peri Renison Dr Digant Roy Dr Jacqueline Short A/Prof Geoff Smith Dr Mimoza Trenceva Dr Anna Van Zeist Jongman Professor Ken Kirkby, Chair, Publications Committee. The RANZCP has reviewed expressions of interest from publishers who wish to be considered for the College’s journal publishing activities from 2012 After six successful years as Editor of the Australian and New Zealand Journal of Psychiatry, Professor Peter Joyce resigned from the role. During his time as Editor, Professor Joyce oversaw the continued growth and development of the journal, which now enjoys a strong international profile and is a publication of which the College can be very proud. The College expresses sincere appreciation to Professor Joyce for the hard work, commitment and dedication he showed in editing the journal. A rigorous process was undertaken to appoint a new Editor involving the review and redevelopment of a detailed position description, call for applications advertised to all Fellows, the appointment of a selection panel by College Executive Officers, and a short-listing, interview and selection phase. The other College journal Australasian Psychiatry, enthusiastically and ably edited by Professor Garry Walter, continues to make an excellent contribution to the psychiatry literature. The RANZCP receives publishing, distribution and marketing services for its two psychiatry journals from a third-party publisher. At present, the journals are published by Informa Healthcare, under a five-year publishing agreement which expires in December 2011. The RANZCP has reviewed expressions of interest from publishers who wish to be considered for the College’s journal publishing activities from 2012. The Publications Committee reviewed these in late 2010, ahead of a planned tender process which will occur in 2011. Professor Ken Kirkby Chair, Publications Committee Publications Committee Prof Ken Kirkby (Chair) Dr John Chalk Dr Arran Culver Prof Phillipa Hay Prof Peter Joyce Prof Garry Walter Professor Gin Malhi was appointed to the role of Editor of the Australian and New Zealand Journal of Psychiatry for an initial term of five years. Professor Malhi is currently the Head, Discipline of Psychiatry at the University of Sydney and was previously the Editor-in-Chief of Acta Neurospsychiatrica. RANZCP Annual Report & Review 2010 2009 43 Committees reporting to General Council continued Trainee Representative Committee Dr Benjamin Sketcher, Chair, Trainee Representative Committee. We have begun a dialogue with our counterpart committee in The Royal College of Psychiatrists The Trainee Representative Committee (TRC) had several achievements in 2010, including successfully proposing the removal of the psychotherapy requirements of basic training being a prerequisite to sitting the Trainee Clinical Examination, a robust contribution to the Committee for Examinations’ discussion of future changes to Trainee Written and Clinical Examinations, and the establishment of online publication of its discussion papers, which include papers on mandatory research in training, exam remediation and evidence-based medicine. 2010 saw the establishment of a TRC Project Officer on College staff, and the reorganisation of TRC’s secretariat support to be in the Practice, Policy and Projects Unit. This has been a helpful change, and has facilitated more rapid and detailed research on which to base our written submissions. It has also facilitated greater efficiency, with liaison with similar projects elsewhere in the College and in other medical colleges. We have begun a dialogue with our counterpart committee in The Royal College of Psychiatrists. Membership of the (UK) Psychiatrists in Training Council (PTC) is seen as a significant career move, and is closely contested. The PTC, and indeed many committees of the RCPsych, conducts most of its discussions in private online wikis. TRC is in discussions with the ICT department of our College regarding a pilot of a similar system when it becomes available. 44 RANZCP Annual Report & Review 2010 2009 SECRETARIAT Almost all College committees seek trainee input and membership; due to the competing priorities of work, personal lives, and training, only a minority of these can be fielded by TRC members. Recruitment of trainees to participate in such activities as a detailed development of the new training program will be a focus in the coming year. Dr Benjamin Sketcher Chair, Trainee Representative Committee Caption Trainee Representative Committee Dr Benjamin Sketcher (Chair) Dr Caleb Armstrong Dr Alice Chang Dr Rhonda Dotson Dr Alice Dwyer Dr Charis Gauvin Dr Andrew Gleason Dr Bradleigh Hayhow Dr Roxana Irima Dr Verushka Krigovsky Dr Donovan Moncur A/Prof Alex Sergejew Dr Andrew Turbott RANZCP Directors Dr Andrew Gosbell and Dr Mirco Kabat with RANZCP Chief Executive Officer Mr Andrew Peters (centre). Education Training environment The RANZCP Education Unit continued to work collaboratively with the Board of Education and its constituent committees to maintain and further develop all aspects of the College’s training, assessment and education programs. During 2010, the Education Unit supported the College’s 1,073 trainees, 153 Fellows undertaking subspecialty advanced training and 297 specialist international medical graduate (SIMG) exemption candidates, along with 3,249 continuing professional development (CPD) participants. In addition, a range of externally funded projects were progressed to improve educational services provided to the College membership. These included the Competency Based Fellowship Program (CBFP), the Specialist Training Program (STP) and the Chronic Condition Self-management (CCSM) project. College management of 69 (full-time equivalent) expanded settings training posts and associated support projects through the STP has contributed to enhancing the training experience. In addition, significant progress was made in planning and development of resources for the implementation of CBFP in 2013. Examinations The sustainability of the College examinations, improved outcomes and increased candidate throughput was an ongoing focus. Structural and methodological improvements to the written and clinical exams, informed by the 2009 external review of the College examinations, continued to enhance the reliability, validity and feasibility of the assessment program. More than 410 candidates participated in clinical exams in 2010, with the number of SIMGs sitting the Exemption Candidate Exam (ECE), 214, now exceeding trainees sitting the Trainee Clinical Exam (TCE). Changes to the Clinical Exam, criteria marking for the Observed Clinical Interview (OCI) and decoupling exam components, while resulting in lower overall pass rates per exam than previous years, enabled candidates to carry forward a pass in the Objective Structured Clinical Exam (OSCE) so pass rates by second attempt (82% TCE and 63% ECE) were comparable to previous years. Two hundred and fifty-five candidates sat the Written Exam in 2010, with a 79% pass rate similar to 2009 and sustaining improvement from 2008 and 2007 outcomes. Two hundred and ninety-one Case History submissions were assessed in 2010, with the 74% pass rate similar to previous years. Specialist international medical graduate (SIMG) education The College’s dual pathway process, combining procedures for assessing RANZCP Annual Report & Review 2010 45 SECRETARIAT continued overseas specialists for Fellowship (exemptions) with suitability for Area of Need posts, was introduced in late 2009. Thirty-four Fellows, participating in state-based panels, assessed 76 applications during 2010. Based on feedback from Fellows and applicants, dual pathway procedures will be streamlined in 2011. In 2010, Council approved that SIMGs considered substantially comparable to RANZCP Fellows may attain Fellowship following 12 months of peer-reviewed practice and successful completion of workplace based assessments. Phase one will be implemented from July 2011 enabling an initial cohort of SIMGs, with overseas specialist qualifications and clinical experience deemed as substantially comparable, to access this pathway. Continuing medical education (CME) The redeveloped RANZCP CPD Program was introduced in January 2010, with positive feedback from participants. The redeveloped program emphasises professional development planning and educational activities that improve clinical practice. The program, supported by the Medical Council of New Zealand and the Australian Medical Council, meets registration requirements in Australia and New Zealand. RANZCP CPD Online, developed in partnership with The Royal College of Psychiatrists, was introduced in 2010. More than 1,500 members have accessed the free interactive learning modules, podcasts and CPD journal. The CCSM project launched, at 2010 Congress, a series of CPD resources to assist psychiatrists to support patients and carers with self-management of chronic mental illness. Dr Andrew Gosbell Corporate Development Events The Corporate Development Unit aimed to enhance membership experience in 2010 with the provision of quality membership services, events, communications and governance structures. 2010 was a most successful year for conferences and saw a series of well attended events. April marked the official opening of the conference year, bringing with it the annual College Congress. The Congress in Auckland was well attended and received very positive feedback, including many comments referencing the scientific program, the keynote speakers and the involvement of the Indigenous community. Communications Media activity was significant in 2010 with media releases produced across a variety of subjects and to lobby the government for improved mental health services and reform during the Australian government election campaign. Strong media coverage resulted regarding Indigenous mental health, children’s mental health, New Zealand alcohol reform and online sports gambling. Television, radio, press and internet coverage in New Zealand and Australia was received for the RANZCP Congress 2010 and articles in the College journals received consistent coverage. The RANZCP’s new visual identity continued to be implemented; new corporate and Branch banners were produced, Faculty and Section sub-brand logos created, a visual identity policy finalised and the College member publication Psych-e Bulletin was redesigned. The RANZCP entered the social media space with the establishment of a Twitter page which currently has over 150 followers. The look and feel of the RANZCP website was refreshed with a new colour scheme and banners, improved drop down menus and a latest news feature added to the home page. Strategic communications advice was regularly provided to all areas of the College and a new Editor for the Australian and New Zealand Journal of Psychiatry was appointed. The year also brought us a number of Faculty, Section and Branch conferences including the Faculty of Child and Adolescent Psychiatry Conference in the Barossa Valley, the Faculty of Psychiatry of Old Age Conference in Hobart and the inaugural Victorian Branch Conference which was deemed a success. Preparations for 2011 also continued for what is shaping up to be a busy conference year, including the first ever College Congress to be held in Darwin and the inaugural staging of the Medicine in Addiction Conference. Governance In consultation with the Governance and Risk Committee, governance support was provided to a number of College committees including General Council. Key governance activities undertaken included: review and drafting of new Faculty and Section regulations; development of a guideline for sections wishing to apply for Faculty status; redrafting the Deed of Undertaking in Relation to Confidentiality and Conflict of Interest; developing regulations for Branch committees and the New Zealand National Committee; and developing a risk management policy and position descriptions for College committees. The election processes for all College committees were managed, a briefing paper for the consideration of General Council regarding the review of General Council prepared and administrative support provided to the Advisory Panel established by General Council to review the circumstances surrounding the premature resignation of two consecutive Presidents. Membership services The Membership Services department was central to a number of new developments and initiatives in 2010, in addition to the management of key ongoing membership support activities. In March, the RANZCP CPD Online website was launched, giving College members access to over 80 interactive learning modules and 40 podcasts. Accompanying this expansion of online learning resources, access to The Royal College of Psychiatrists’ journals The Psychiatrist and Advances in Psychiatric Treatment was introduced to the College website, enhancing the suite of international full-text journals available to members via the website and the College’s PEP-WEB (Psychoanalytic Electronic Publishing) journal subscription. Significant work occurred on ‘behind the scenes’ improvement of member data storage, paving the way for improved access to Fellows’ referral information by GPs and others, as well as increased web-based services to members being rolled out in 2011. The Membership Services department in Melbourne has continued its role as an important liaison and support point for the College’s branches, faculties, sections and special interest groups, plus trainee and overseas trained psychiatrist representative groups. Corporate Services Finance The RANZCP produced a net surplus of $1.077 million for 2010. Of this $0.2 million related to unrealised losses of our investment portfolio. The mix of our portfolio, 65% in equities and 35% in cash and fixed, has assisted in our outperformance of relevant benchmarks. The acquisition of externally funded money for the Specialist Training Program (STP) has ensured RANZCP is operating with a strong working capital. Though this funding is specifically used for the STP project, the holding of surplus funds has allowed for strong interest earning potential as well as easing cash flow pressures. The College has also maintained good expense controls mainly through operational expenditure with reductions across all major expense codes. We have also recognised strong internal recoveries that have resulted as a direct correlation of our external funding, predominantly STP. The new business information platform was fully operational in 2010 and though there were a few teething issues in the first half of the year the general ledger and project module are being effectively utilised. Human Resources Salary benchmarking The 2009 November salary reviews were postponed until March 2010 to enable a detailed salary benchmarking exercise to take place. This was undertaken in March and later in November for all levels of staff. Comparative data was benchmarked against four other Colleges and three reputable external salary survey reports. A report detailing the findings, recommendations and data was then externally audited by independent consultants and found to be consistent with best practice. Employee categories and definitions were identified and developed with increases based on survey recommendations. Staff movements A total of 20 employees left the College in 2010 which is the second lowest recorded annual turnover since 2003. Continued unavoidable factors will always ensure turnover exists and these include new career opportunities, relocation, personal family reasons and internal staff review and reorganisation. The Human Resources Department will continue to work with all staff and senior management to endeavour to make the College a best practice and enjoyable workplace. Legislative changes A large number of human resources policies and procedures were both reviewed and developed in accordance with legislative requirements and process improvement initiatives. All staff were transitioned to new employment agreements to ensure legislative and award compliancy for both employer and employees. Staff development Staff personal development plans were completed and reviewed bi-annually which set out performance targets for staff which are consistent with the College’s objectives. All performance agreements also include a learning and development plan designed to assist staff in enhancing their competencies and skills. The College provides staff with the opportunity to participate in learning and development programs including Mr Andrew Peters 46 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 47 SECRETARIAT continued seminars, conferences, performing higher duties and undertaking external and internal training courses. On average each staff member attended two external and two internal training sessions during the course of the year. The College also provides support with obtaining and/or developing formal qualifications by providing study and examination leave and subsidised financial assistance. Risk identification A human resources risk register was developed to identify critical risks and mitigating factors. This remains a high priority for the following years. Reporting Additional reports have been developed to understand and maximise workforce effectiveness and delivery including, but not limited to, unplanned absenteeism, reasons for departure and average length of tenure. Employee Assistance Program The College has renewed its annual agreement with Davidson Trahaire Corp-psych to provide fully funded confidential professional counselling services for both staff and their families. 2010 resulted in approximately a 14% utilisation rate for counselling services which included areas of family/personal issues, grief and loss, personal stress and work/vocational concerns. Occupational health and safety The College continues to deliver the initiatives identified in its Occupational Health, Safety and Risk Management Plan to assist the College in providing a safe and secure environment for its staff and Fellows. 2010 resulted in no occupational health and safety accidents or claims. 48 RANZCP Annual Report & Review 2010 Workplace Development Group The Workplace Development Group organised a number of successful group activities during the course of the year which financially contributed to a number of charities as well as enhanced team building, staff morale and physical and mental health and fitness education. Key initiatives for 2011 are: • HR/system database implementation. • Management development program. • Staff training. • Performance development initiatives. • Improved business efficiencies through revised and/or new policies and processes. • Workforce analysis through comprehensive reporting. Information Communications and Technology (ICT) 2010 was the first full year of the new ICT Subcommittee structure which now reports through the Resource Management Committee (RMC) to General Council. The IT team, via the ICT Subcommittee, submitted a three year plan (20102012) to RMC and this was ratified by General Council in 2010. This plan incorporates all the work required over the next three years to improve the College IT systems, to develop new services and to maintain existing systems. As with previous years, the main focus for the IT team has been a phased remediation of the College membership management system with the end goal being web-based services for all members. This remediation program forms a significant component of the three year IT plan and in 2010 this involved re-architecting the application and implementing the financial component to enable web-based services. Work is now underway to implement iMIS online in 2011. This will include bringing the referral databases into iMIS and providing online access. Throughout 2010 the IT team has been working closely with the Education Unit to assist in the process of migrating the stand alone examination management system into iMIS. The aim of this development is to decommission the current system and centralise the data into a single repository. Also in 2010 the infrastructure team rolled out new services in the New South Wales Branch office which entailed wireless internet, audio/video presentation suites and a new internet connection. The New South Wales configuration will be used as a blueprint for all Branch offices and the New Zealand office in 2011. Other notable IT achievements in 2010 include: • Full disaster recovery process undertaken and documented. • Significant new partnership between AARNet and the RANZCP for high speed internet services to enable new web-based services and video conferencing. • iMIS financial module (AR Cash) implemented. • College reporting services upgraded to the latest version. • IT Security Policy drafted and ratified by General Council. • Dual Fellowship process migrated into iMIS. Dr Mirco Kabat Practice, Policy and Projects The role of the Practice, Policy and Projects (PPP) Unit is to conduct activities that establish and maintain an environment in which psychiatrists can deliver high quality mental health care. The work of the Unit is performed along three streams; health system, practice support and clinical development. During 2010 the Unit has worked with the Board of Practice and Partnerships and its constituent committees, and with other units in the College, to deliver policies and projects to expand and enhance the College’s capacity to inform and influence mental health policy and service delivery across Australia and New Zealand. Health care system support and development State and federal governments, medical organisations and other peak bodies were provided with expert information and advice in order to create legislation, financing and other models that produce a high quality system. In 2010, the PPP Unit’s work covered system and College wide policy and advocacy issues such as: • COAG reforms relating to health and hospitals. • Caring for older Australians. • Prevention and early intervention in mental illness in infants, children and adolescents. Practice support and development A health service, private practice or hospital must be equipped with information, tools and processes that enable workforce planning and the delivery of high quality care. In 2010 the Unit supported psychiatrists in their setting of care, through delivery of a range of activities such as: • Reports on the psychiatry workforce in Australia. • The expansion and support of the Private Practitioners Network. • Extended provision of expanded settings training. • Advocating for the needs of mental health professionals through continued involvement with the Mental Health Professionals Association. • Supporting collaborative mental health care through participation in activities of the Mental Health Practitioners Network. Clinical support and development A psychiatrist must have the clinical information, skills and other resources/ tools that enable the provision of best care possible for a given patient. The PPP Unit conducts work that is concerned with clinical practice and implementation of resources. Work for 2010 covered issues and projects, such as: • The development of a consumer resource outlining the use of routine outcome measures in clinical care in collaboration with the Australian Mental Health Outcomes and Classification Network. • The coordination and roll out of the Victorian bushfire up-skilling response. • The conceptual development of a guidelines portal, to be developed and rolled out in 2011. The Unit looks forward to building on this work during 2011 to support the delivery of high quality, accessible and best practice mental health services. Ms Felicity Kenn, Ms Jane London and Ms Anna Stitzel RANZCP Annual Report & Review 2010 49 COLLEGE AWARDS Professor Graham Burrows, College Medal of Honour recipient and Professor Louise Newman. RANZCP awards acknowledge outstanding achievements and contributions to psychiatry, the community and the College. They also recognise excellence in psychiatric research and training, encourage emerging researchers, and provide professional development opportunities. A variety of awards, grants and prizes were presented in 2010 as part of the RANZCP’s annual awards program. Dr Cristea Mileshkin, Ian Simpson Award recipient, and Professor Helen Herrman, College Citation recipient. disorders, chronic pain and psychosomatics, and hypnosis, and has been a prolific contributor to the psychiatric literature in Australia and overseas. Since 1970, Professor Burrows has provided energetic and sustained contributions to the College, including as a General Councillor and inaugural Chair of the Board of Research, and as a long-serving member of the Victorian Branch Committee. The Ian Simpson Award The College Medal of Honour The College Medal of Honour is presented for distinguished and meritorious service to the College. The 2010 College Medal of Honour was awarded to Professor Graham Burrows, of Victoria. Professor Burrows was recognised for his outstanding contributions to the College, the community, and the profession of psychiatry both nationally and internationally. He has a richly-deserved international reputation in diverse research areas including the mood and anxiety 50 RANZCP Annual Report & Review 2010 The Ian Simpson Award acknowledges outstanding contributions to clinical psychiatry, as assessed through service to patients and to the community. The 2010 Ian Simpson Award was presented to Dr Cristea Mileshkin, of Victoria. Over a career spanning four decades, Dr Mileshkin demonstrated a commitment to clinical excellence, service development and innovation, and has exemplified the skill, integrity, compassion, empathy and fortitude of a model senior public psychiatrist and teacher. Dr Mileshkin was central to the establishment and development of Spectrum, a unique personality disorders treatment service, and at St Vincent’s Mental Health Service was closely involved in the development of one of Victoria’s early Crisis Assessment and Treatment Teams. The College Citation The College Citation recognises special service to the RANZCP or to psychiatry, and in 2010 was awarded to Professor Helen Herrman, of Victoria. Professor Herrman is an internationallyrecognised expert in the field of mental health promotion, and has demonstrated exemplary clinical and academic leadership throughout her career. Professor Herrman has established partnerships and activities to benefit psychiatry both in the Asia Pacific region and globally, and has had extensive involvement in bodies including the World Health Organization, the World Psychiatric Association and the World Federation for Mental Health over a period of more than 20 years. Professor Bryan Mowry and Professor Ashley Bush, Schering-Plough Senior Research Award recipients. The Maddison Medallion Named after a former RANZCP President, Professor David Maddison, the Medallion is awarded to the candidate who has performed most meritoriously throughout the RANZCP Fellowship training and examination process in the preceding 12 months. The 2010 Maddison Medallion was awarded to Dr Sumitra Shankar from New South Wales, who was admitted to Fellowship of the College in August 2009. The Margaret Tobin Award The Margaret Tobin Award was established in 2003 in honour of the memory of Dr Margaret Tobin, and is made to the Fellow who has made the most significant contribution to administrative psychiatry in Australia or New Zealand over the preceding five years. Associate Professor Beth Kotze received the Margaret Tobin Award, and delivered the annual Margaret Tobin Oration during the Auckland Congress. The Schering-Plough Senior Research Award The Schering-Plough Senior Research Award was conferred jointly in 2010, to Professor Ashley Bush of the Mental Health Research Institute in Melbourne and Professor Bryan Mowry of the Queensland Brain Institute. The award recognises the Fellow or Fellows who have made the most significant contributions to psychiatric research in Australia and New Zealand over the past five years. The Schering-Plough Young Psychiatrist Award Dr Simon Jones of Victoria received the Schering-Plough Young Psychiatrist Award, which is given annually to encourage excellence in research amongst trainees and recent Fellows. The RANZCP thanks Schering-Plough for its valuable financial support of psychiatric research in Australia and New Zealand, via the Senior Research and Young Psychiatrist awards. The Mark Sheldon Prize The Mark Sheldon Prize honours the memory of the late Dr Mark Sheldon, and recognises continuing and outstanding contributions to Indigenous mental health research or service provision in either Australia or New Zealand. The 2010 Prize was awarded to Mr Arama Pirika, of New Zealand, for his tireless work with Maori with mental illness, and for his leadership and guidance in relation to appropriate service provision to Maori. The Section of Psychotherapy Essay Prize A new award in 2010, the Section of Psychotherapy Essay Prize is awarded for the best essay submitted by a psychiatry trainee or recent Fellow on a psychotherapy topic. Dr Tram Nguyen, of Victoria, was the inaugural recipient of the Prize. RANZCP Annual Report & Review 2010 51 COLLEGE AWARDS continued New Fellows 2010 During 2010, 183 candidates were admitted to Fellowship of the RANZCP. Australia Australian Capital Territory Dr Marni Austin Dr Edward Wims New South Wales Dr Simon Jones, Schering-Plough Young Psychiatrist Award recipient and Associate Professor Beth Kotze, Margaret Tobin Award recipient. The Howard Cooper Travelling Fellowship in Child and Adolescent Psychiatry The Howard Cooper Travelling Fellowship enables a trainee psychiatrist or psychiatrist from the Asia Pacific region to gain experience in child and adolescent psychiatry in Australia and New Zealand. The 2010 Fellowship was awarded to Dr Nurulwafa Hussain of Malaysia. The Connell Werry Prize Dr George Liangas of New South Wales and Dr Mohammed Usman of South Australia were jointly awarded the Connell Werry Prize, for the most outstanding paper or poster presented at the annual meeting of the Faculty of Child and Adolescent Psychiatry by an advanced trainee in child and adolescent psychiatry. The Pfizer Congress Awards South Australian Fellow Dr Melanie Turner received the 2010 Pfizer Congress Presentation Award, for the best oral presentation made by a trainee or recent Fellow at Congress in the category of new research. 52 RANZCP Annual Report & Review 2010 Mr Arama Pirika, Mark Sheldon Prize recipient. Dr Chris Plakiotis received the Pfizer Congress Poster Award for the best poster presentation. The RANZCP thanks Pfizer for its valuable financial support of psychiatric research in Australia and New Zealand, via the Congress Presentation Award. RANZCP Branch Awards Anne E Loughlin Memorial Prize (SA) – Dr Stephen Ward RANZCP Medical Student Prizes CB Kidd Memorial Prize, Arch Ellis Memorial Prize (WA) – Dr Courtney Majda John Bostock Prize (QLD) – Mr Michael Tuppin John Cade Medal (VIC) – Dr Yvonne Chow Mark Rooney Memorial Prize (WA) – Dr Melissa Russell Dawn Short Trust Award (NZ) – Dr Susanna Every-Palmer The Mental Health Year 5 Prize, James Cook University (QLD) – Dr Lee Williams New South Wales Branch Meritorious Service Award – Dr Ronald Spielman Awards Committee South Australian Branch Meritorious Service Award – Dr Ute Rozenbilds Victorian Branch Meritorious Service Award – Professor Bruce Tonge Western Australian Branch Meritorious Service Award – Dr Helen Ward Prof Kenneth Kirkby (Chair) Dr John Chalk Dr John Crawshaw A/Prof Mal Hopwood A/Prof Jeffrey Looi Dr Murray Patton A/Prof Geoff Smith Dr Maria Tomasic Dr Farideh Absalan Dr Tanveer Ahmed Dr Sandip Anand Dr David Bell Dr Subhra Bhattacharyya Dr Mitali Bhuyan Dr Lisa Blackwell Dr Prachi Brahmbhatt Dr Anchin Chan Dr Ghanashyam Chapagain Dr Geeta Chaudhary Dr Sally Cleworth Dr Dean Creado Dr Dombawalage Anton Irosh P Fernando Dr Christopher French Dr Shulamit Futeran Dr Kannan Ganeshan Kallapiran Dr Frances Herron Dr Russell Hinton Dr Mona Idris Dr Alyosha Jacobson Dr Errol Jacobson Dr Artin Jebejian Dr Carolyn Jones Dr Lahvinya Kulaendra Prof Rhoshel Lenroot Dr Hassan Mehdi Dr Angela Pahuja Dr Narinder Panesar Dr Matthew Paradise Dr Honor Pennington Dr Ashraf Philips Dr Kumudu Rathnayaka Dr George Sliwinski Dr Rameswaran Vannitamby Dr Anne Wand Queensland South Australia Dr Jagannathan Alagarsamy Dr Adetokunbo Alege Dr Michael Breakspear Dr Sara Burton Dr Suneel Chamoli Dr Manish Chauhan Dr Daniel Dagge Dr Mark Daglish Dr Satya Haritha Devineni Dr Gordon Faulds Dr Sharon Foley Dr Jennifer Galstuch Leon Dr Ashwani Garg Dr Victoria Gladwell Dr Brenda Graham Dr Sean Hatherill Dr Brendan Hughes Dr Naeem Jhetam Dr Brit Lindgren Dr Harry McConnell Dr Kristina McLennan Dr Maya Menon Dr Natalie Mills Dr Shanmugam Mohan Dr Adrian Morris Dr Fawaz Mufti Dr Megan Nitz Dr Michael O’Sullivan Dr Subramanian Purushothaman Dr Bhargavaraman Ramanathapura Parthasarathy Dr Ravi Rawlley Dr Kelly Schilling Dr Veronica Stanganelli Dr Lynne Steele Dr Andrea Stimming Dr Jennifer Taggart Dr Evelyn Timmins Dr Peter Wheatley Dr Edward Foo Dr Paul Furst Dr Arun Gupta Dr Dheeraji Guterres Dr Krishna Manepalli Dr Elizabeth Markwick Dr Titus Mohan Dr Roman Onilov Dr Sanmuganatham Sujeeve Dr Abdulghani Usman Dr Raghunandan Venkatanarasimhacharya GP Dr Catherine Ye Tasmania Dr Michael Evenhuis Dr Matthew Fasnacht Dr Ulla Jonsson Dr Benjamin Sketcher Victoria Dr Akinsola Akinbiyi Dr Seyed Assadi Dr Richard Barnes Dr Leela Baswa Dr Edwina Brennan Dr Hania Butt Dr Andrew Cheong Dr Ling-Ern Chua Dr Sunethradevi De Alwis Dr Samson Emmanuel Prof Ian Everall Dr Dielle Felman Dr Brendan Flynn Dr Rosaria Forlano Dr Rebecca Fraser Dr Karen Gwee Dr Sachin Jindal Dr Gregory Keane Dr Brett Cameron Kennedy Dr Maria Kiang Dr Michelle Knuckey Dr Uday Kolur Dr Sashin Kumar Dr Angela Lee Dr Rohit Lodhi Dr Juliana Loming Dr Catherine Maud RANZCP Annual Report & Review 2010 53 New Fellows 2010 continued Dr Kirsty McIntyre Dr Manisha Mishra Dr Indra Mohan Dr Ashish Mordia Dr Paul Ng Dr Paul Northway Dr Adegoke Okedara Dr Hemlata Ranga Dr Suzanne Redston Dr Katherine Roberts Dr Amy Rooke Dr Digant Roy Dr Helen Schultz Dr Meenakshi Shanmugam Dr Sonia Sharma Ghai Dr Matthew Shaw Dr Colin Singam Dr Evan Symons Dr Tennent Tampiyappa Dr Rajul Tandon Dr Tejraj Tawde Dr Krisztina Tibad Dr Astha Tomar Dr Christopher Turnbull Dr Annabel Wyburn Western Australia Dr Fariba Ahmadi Dr Sophie Davison Dr Hector Divinagracia Dr Julia Feutrill Dr Fraun Flerchinger Dr Sapna George Dr Vinnie Hoe Dr Francois Hugo Dr Mohan Kalathil Isaac Dr Solomon Ong Dr Edward Petch Dr Haroon Riaz Dr Sunny Tony Varghese New Zealand Dr Simon Bainbridge Dr Karen Cairns Dr James Cavney Dr Robyn Charlton Dr Carin Conaghan Dr Pamela Darling Dr Rutger De Ridder Dr Chintanie De Silva Devadithya Dr Sangeeta Dey Dr James Gardiner Dr Jacqui Gore Dr Alastair Howie Dr Mark Lawrence Dr Frances Murdoch Dr Peter Newton-Howes Dr Julie Norris Dr Dhammika Pitigala Dr Eric Pushparajah Dr Praveen Ravindranath Dr Katherine Ritchie Dr Emile Touma Dr Andrew Tucker Dr Penelope Woods Dr Elsa Yeung United Kingdom Dr Duncan Taylor Certificates of Advanced Training 2010 During 2010, 32 Fellows were awarded RANZCP Certificates of Advanced Training. Forensic Psychiatry Addiction Psychiatry Psychiatry of Old Age Dr Sam McBride Dr Peter Devadason Dr Prakriti Gopinathan Dr Jennifer Jordan Dr Gail Riccitelli Adult Psychiatry Dr Julia Feutrill Dr Jeyanathan Jeyaranjan Dr Robert Moore Child and Adolescent Psychiatry Dr Salvatore Catania Dr Carin Conaghan Dr Geraldine Dyer Dr Jacques Esterhuizen Dr Gerda Halstead Dr Deeta Kimber Dr Michelle Knuckey Dr Balkrishna Nagarsekar Dr Samuel Robson Dr Michelle Trowse Dr Melanie Turner Dr Susanna Every-Palmer Dr Jillian Spencer Psychotherapies Dr Jatinder Bains Dr Paul Cammell Dr John Cottrell-Dormer Dr Chris Haslett Dr David Lienert Consultation–Liaison Psychiatry Dr Gabriella Berce Dr Benjamin Duke Dr Justin Dwyer Dr Linton Meagher Dr Tadeusz Tietze Dr Anne Wand India Dr Rajesh Gopalakrishnan 54 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 55 Councillors’ REPORT The Councillors have pleasure in presenting their report on the results of the College for the year ended 31 December 2010 and the state of affairs of the College at that date. RANZCP Directors’ Attendance at General Council Meetings – 1 January to 31 December 2010 Eligible to Attend Attended President (resigned 5 August 2010) 2 2 Dr Maria Tomasic President Elect (ceased 5 August 2010) 2 2 Dr Maria Tomasic President (appointed 5 August 2010) 2 2 Dr Murray Patton President Elect (casual vacancy appointment – appointed 28 August 2010) 2 2 Dr John Chalk Honorary Secretary 4 4 Dr Darryl Watson Treasurer 4 4 Prof Ken Kirkby Immediate Past President 4 3 Dr John Crawshaw Chair, Board of Education 4 4 Dr Murray Patton Chair, Board of Practice and Partnerships (ceased 28 August 2010) 2 2 A/Prof Geoff Smith Chair, Board of Practice and Partnerships (casual vacancy appointment – appointed 7 October 2010) 1 1 financial report 2010 Dr Dennis Handrinos Victoria Councillor (casual vacancy appointment – appointed 5 May 2010) 2 2 Dr Peter Jenkins Victoria Councillor 4 4 Dr Can Tuncer Victoria Councillor 4 4 Dr Adrian Keller New South Wales Councillor 4 4 Dr Nick O’Connor New South Wales Councillor 4 4 Dr Richard White New South Wales Councillor 4 4 Dr David Alcorn Queensland Councillor 4 3 Dr Scott Harden Queensland Councillor (casual vacancy appointment – appointed 30 January 2010) 4 4 Dr Ute Rozenbilds South Australia Councillor (ceased 5 May 2010) 2 2 57 62 63 64 65 66 67 68 69 Dr Peter Tyllis South Australia Councillor (appointed 5 May 2010) 2 2 Dr Michelle Atchison South Australia Councillor 4 4 Dr Lynda Matthews New Zealand Councillor 4 4 Dr Rosemary Edwards New Zealand Councillor 4 4 Dr Rees Tapsell New Zealand Councillor 4 3 Dr Surinderjit Johl Tasmania Councillor 4 4 A/Prof Peter Norrie Australian Capital Territory Councillor 4 4 Dr Elizabeth Moore Western Australia Councillor 4 4 A/Prof Geoff Smith Western Australia Councillor (ceased 7 October 2010) 3 3 Prof Helen Slattery Western Australia Councillor (casual vacancy appointment – appointed 4 November 2010) 1 1 A/Prof Gerard Byrne Chair, Faculty of Psychiatry of Old Age 4 4 Dr Phillip Brock Chair, Faculty of Child and Adolescent Psychiatry 4 4 Councillors’ Report Auditor’s Independence Declaration Independent Auditor’s Report Councillors’ Declaration Statement of Comprehensive Income Statement of Financial Position Statement of Changes in Equity Statement of Cash Flows Notes to the Financial Statements The Royal Australian and New Zealand College of Psychiatrists Director Position Prof Louise Newman ABN 68 000 439 047 56 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 57 Councillors’ REPORT continued Principal activities Subsequent events The principal activities of the College during the year were to promote the study of psychiatry and investigation and research in psychiatry, to bring together psychiatrists for their common benefit and for scientific discussion, to disseminate knowledge of the principles of psychiatry and to conduct examinations for qualifying for membership of the College. The Specialist Training Program has been extended for three years from 2011 to 2013. This equates to an additional $35,268,000 (GST inclusive) over a three year period. Of this amount $28,800,000 is registrar support costs (payable to employers) and $6,468,000 is administration and support costs. The phasing of this across the years is yet to be decided. There was no significant change in the nature of these activities during 2010. There are no commitments or contingencies known to the Councillors that would materially affect the state of affairs of the College. State of affairs There was no significant change in the state of affairs of the College during the year. Likely developments Operations and results The total surplus for the College for the financial year amounted to $1,077,333 (2009: a surplus of $2,458,446). Apart from the above mentioned Specialist Training Program funding there are no other likely developments in the operations of the College and no significant change is expected in the result of core operations in subsequent financial years upon which the Councillors consider there is a need to comment at this time. The movement in the fair value of the investment portfolio is an unrealised loss of $210,990. Councillors’ benefits As at 31 December 2010 the value of the College investment portfolio with JBWere was $7,876,416. This includes $534,069 in a cash management trust account. The difference ($1,722,361 in 2009) in cash balances between 2010 and 2009 was due to Specialist Training Program (STP) funding. $6 million current surplus cash in relation to payment for registrar support costs is isolated in an individual term deposit with Westpac. The 2010 unrealised loss of $210,990 on a portfolio value of over $7 million indicated a 2.42% drop in capital for 2010, which was offset by 4.7% income in the form of interest and dividends. This gave the portfolio a return of 2.28% which is higher than the ASX 200 Accumulation Index of 1.57%. In 2010 RANZCP undertook the Specialist Training Program that provided specialist psychiatry training in a range of public and private expanded settings. The support projects developed and delivered support infrastructure in order to ensure the sustainability of the expanded training setting posts and provide appropriate support for international medical graduates on the pathway to Fellowship of the RANZCP, including their passage through a range of expanded training settings. The financial impact was Specialist Training Program revenue of $6,715,773 and project expenditure of $6,632,304. Dividends Since the end of the previous financial year no Councillor has received or become entitled to receive any benefits (other than a benefit included in the aggregate amount of emoluments received or due and receivable shown in this report) by reason of a contract made by the College with the Councillor or with a firm of which the Councillor is a member, or with a company in which the Councillor has a substantial financial interest. Councillors are required to pay membership subscriptions at the rates applying to other members and are entitled to discounts only when such discounts are available to all members. Key objectives and strategic priorities overview The RANZCP is a Fellowship of psychiatrists working with and for the general community to achieve the best possible quality of psychiatric care and mental health. 1. Preparation of medical specialists in the field of psychiatry A major focus of the College is to attract an increased number of medical graduates to the specialty of psychiatry and increasing the number of graduates successfully completing psychiatry training and entering practice. There are increased trends in the intake to Fellowship training as well as in the number of new Fellows admitted (41% increase in new Fellows in 2009 compared with 2005). The Constitution of the College prohibits it from paying dividends. Indemnities and insurances No indemnities have been given or insurance premium paid, during or since the end of the financial year, for any person who is or has been an auditor of the College. College insurance cover covers staff and Fellows undertaking activities under College business. Proceedings on behalf of the company No person has applied for leave of court to bring proceedings on behalf of the College or intervene in any proceedings to which the College is a party for the purpose of taking responsibility on behalf of the College for all or any part of those proceedings. The Trainee Representative Committee (TRC) input into RANZCP decision making has been strengthened. Progressing curriculum improvement (the CBFP – Competency Based Fellowship Program) is a major College undertaking and the roll out of the new Competency Based Fellowship Program is planned for 2012. The College has also enhanced its provision of a broader range of training positions, with the Specialist Training Program contract secured with the Department of Health and Ageing enabling it to manage 96 FTE per year expanded training posts and a range of support project activities. The RANZCP continues to maintain full Australian Medical Council (AMC) and Medical Council of New Zealand (MCNZ) accreditation. The College was not a party to any such proceedings during the year. 58 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 59 Councillors’ REPORT continued 2. Support and enhancement of clinical practice Members liability The RANZCP sets and accredits standards of psychiatric training practice and provides a broad range of membership support services. Capital capable of being called up in the event of and for the purpose of winding-up The redeveloped Continuing Professional Development (CPD) Program was launched in January 2010 and the CPD Online website, developed in partnership with The Royal College of Psychiatrists, was launched in February 2010. There is an overall trend increase in participation in the College CPD program. Conference and events functionality is now embedded in the College structure to ensure ongoing management of College Congresses and support a range of additional faculty, section or branch conference activities. Outcomes related to research, practice standards and professional and community relations have been enhanced with the establishment of the new Board of Practice and Partnerships (BoPP). The College strives to promote growth and provide increased support to RANZCP Affiliates and enhance pathways to Fellowship. COAG guidelines on Specialist Assessment Pathways have been implemented for combined specialist assessment, Area of Need (AON) and specialist training. The pathway for substantially comparable Specialist International Medical Graduates (SIMGs) is agreed in principle and is being finalised. 2010 2009 2,881 2,796 $57,620 $55,920 is no more than $20 per member - Total paying members - Members @ $20 per member Environmental issues The College is committed to reducing its carbon footprint. The 2010 annual report will be distributed to members electronically; all papers for the weekly Executive Committee meeting and Branch newsletters were distributed electronically in 2010. Committees were encouraged to replace face-to-face meetings where appropriate with teleconferences to reduce air travel. Auditor’s independence declaration A copy of the Auditor’s independence declaration as required under Section 307C of the Corporations Act 2001 is set out on page 62. Signed on behalf of the Councillors: 3. Influence and leadership across the mental health sector The College undertakes a leading role in the evolution of mental health policy, practice and administration. It also provides informed input in workforce development, distribution, role evolution, regulation and accreditation, and publishes leading edge mental health journals. The RANZCP advocates strongly for mental health outlays commensurate with the burden of disease due to mental illness and actively engages the media with a view to enhance public perception and understanding of psychiatrists and psychiatry practice. Dr John Chalk Honorary Secretary The College is actively engaged with the Australian and New Zealand governments, a number of other Australian, New Zealand and international mental health organisations and consumer and carer organisations. 4. Organisational effectiveness and performance The RANZCP continually strives to achieve standards of organisational excellence with respect to organisational governance, culture, systems, employment and calibre of staff. There is ongoing development of governance training of Directors, and an external review of the Board is currently underway. Dr Darryl Watson Treasurer 21 March 2011 A Business Information Platform (BIP) (Great Plains) has been implemented to provide an integrated financial reporting solution, and the main membership application (iMIS) is being upgraded to provide a platform to enable the delivery of online services to members. The College maintains a strong program of continued secretariat development and support. 60 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 61 Auditor’s independence declaration 62 RANZCP Annual Report & Review 2010 Independent auditor’s report RANZCP Annual Report & Review 2010 63 Councillors’ declaration Statement of comprehensive income The Councillors of the College declare that: Revenue from continuing activities Notes 2010 $ 2009 $ Operating revenue Subscriptions Training and exam fees Branches, faculties and sections Projects Publications Other Total revenue from operating activities 4,946,507 3,721,147 287,392 8,119,394 90,036 440,777 17,605,253 4,480,041 3,358,223 647,456 2,103,696 190,410 462,379 11,242,205 Non-operating revenue Investments 2 Total revenue from non-operating activities Total revenue from continuing activities 472,225 472,225 18,077,478 1,887,394 1,887,394 13,129,599 Expenses for continuing activities 3 Operating expenditure Secretariat – salaries and wages Secretariat – other expenses Branches, faculties and sections Projects Publications General Council and boards Total expenses from continuing activities Net surplus/(deficit) from continuing activities Profit/(loss) attributable to members of the College Other comprehensive income Gain on revaluation of property, plant and equipment 4,700,886 2,961,362 1,637,499 6,848,070 55,306 797,022 17,000,145 1,077,333 1,077,333 4,330,142 2,892,174 1,691,789 1,304,468 (4,636) 457,216 10,671,153 2,458,446 2,458,446 - 1,260,355 Total comprehensive income for the period 1,077,333 3,718,801 1. The financial statements and notes as set out in pages 65-83, are in accordance with the Corporations Act 2001: (a) comply with Accounting Standards and the Corporations Regulations 2001; and (b) give a true and fair view of the College’s financial position as at 31 December 2010 and of its performance for the year ended on that date. 2. In the Councillors’ opinion there are reasonable grounds to believe that the College will be able to pay its debts as and when they become due and payable. This declaration is made on behalf of the Councillors: Dr John Chalk Honorary Secretary Dr Darryl Watson Treasurer 21 March 2011 For the year ended 31 December 2010 This Statement of comprehensive income should be read in conjunction with the accompanying notes. 64 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 65 Statement of financial position Statement of changes in equity As at 31 December 2010 For the year ended 31 December 2010 Assets Notes 2010 $ 2009 $ Current assets Cash and cash equivalents 4 Trade and other receivables 5 Other assets 6 Other financial assets 7 Financial assets held for trading 7 Total current assets 9,354,546 124,818 284,705 2,325,498 7,342,347 19,431,914 2,558,142 196,830 322,612 2,585,598 8,519,357 14,182,539 Non-current assets Property, plant and equipment 8 Total non-current assets Total assets 6,329,465 6,329,465 25,761,379 6,495,531 6,495,531 20,678,070 Liabilities Current liabilities Trade and other payables 9 Provisions 11 Total current liabilities 9,130,372 334,901 9,465,273 5,040,668 413,175 5,453,843 Non-current liabilities Financial liabilities 10 Provisions 11 Total non-current liabilities Total liabilities Net assets 35,140 129,804 164,944 9,630,217 16,131,162 34,140 136,258 170,398 5,624,241 15,053,829 Equity 12 Reserves: Kinsman Bequest AMC accreditation reserve Retained surpluses Foundation fund Asset revaluation reserve Total equity 638,541 200,000 5,568,518 6,473,913 3,250,190 16,131,162 663,541 200,000 4,466,185 6,473,913 3,250,190 15,053,829 Retained Foundation earnings fund Asset revaluation $ $ $ Balance at 1 January 2009 1,982,739 Comprehensive income for the period 2,458,446 Transfer to/(from) 6,473,913 Total Kinsman $ AMC $ $ 688,541 200,000 11,335,028 1,260,355 3,718,801 1,989,835 25,000 200,000 15,053,829 Comprehensive income for the period 1,077,333 1,077,333 25,000 5,568,518 6,473,913 3,250,190 663,541 - 4,466,185 Balance at 31 December 2010 3,250,190 (25,000) Balance as 31 December 2009 Transfer to/(from) 6,473,913 Reserves (25,000) 638,541 200,000 16,131,162 The Statement of changes in equity should be read in conjunction with the accompanying notes. The Statement of financial position should be read in conjunction with the accompanying notes. 66 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 67 Statement of cash flows Notes to the financial statements For the year ended 31 December 2010 For the year ended 31 December 2010 Cash flows from operating activities Notes 2010 $ 2009 $ Receipts from members and others Payments to suppliers and employees Dividends and distributions received Interest received Net cash provided by operating activities 14 21,278,743 (16,174,275) 563,564 232,304 5,900,336 15,976,134 (11,364,657) 458,636 117,970 5,188,083 Cash flows from investing activities Payment for property, plant and equipment Payments for investments Receipts from trading in investments Net cash provided by/(used in) investing activities Net increase in cash held (223,286) (1,864,604) 2,983,958 896,068 6,796,404 (265,527) (6,003,999) 2,537,532 (3,731,994) 1,456,089 Cash and cash equivalents at the beginning of the financial year 2,558,142 1,102,053 Cash and cash equivalents at the end of the financial year 9,354,546 2,558,142 4 The Statement of cash flows should be read in conjunction with the accompanying notes. Note 1. Statement of significant accounting policies The financial report is a general-purpose financial report that has been prepared in accordance with the requirements of the Corporations Act 2001, Australian Accounting Standards, and other authoritative pronouncements including Australian Accounting Interpretations of the Australian Accounting Standards Board. The financial report covers The Royal Australian and New Zealand College of Psychiatrists (‘the College’) as an individual entity. The Royal Australian and New Zealand College of Psychiatrists is a company limited by guarantee, incorporated and domiciled in Australia. The operations of the College are to promote the study of psychiatry and investigation and research in psychiatry, to bring together psychiatrists for their common benefit and for scientific discussion, to disseminate knowledge of the principles of psychiatry and to conduct examinations for qualifying for membership of the College. The registered office of the College is 309 La Trobe Street Melbourne 3000. Accounting Standards include Australian equivalents to International Financial Reporting Standards. A statement of compliance with International Financial Reporting Standards cannot be made as the College is considered to be a not-for-profit entity and has prepared the financial statements in accordance with the requirements regarding not-for-profit entities as contained in Australian Accounting Standards. The financial report was authorised for issue by the Councillors on the date of the Councillors’ declaration. The following is a summary of the material accounting policies adopted by the entity in the preparation of the financial report. The accounting policies have been consistently applied, unless otherwise stated. Basis of preparation The accounting policies set out below have been consistently applied to all years presented. Reporting basis The financial report has been prepared on an accruals basis and is based on historical costs modified by the revaluation of selected non-current assets, and financial assets for which fair value basis of accounting has been applied. The financial report is presented in Australian dollars. Accounting policies (a) Company limited by guarantee In the event of the College being wound up, where the assets are insufficient to meet the liabilities, each member of the College is liable to contribute no more than $20. (b) Critical accounting estimates and judgements The Directors evaluate estimates and judgements incorporated into the financial report based on historical knowledge and best available current information. Estimates assume reasonable expectation of future events and are based on current trends and economic data, obtained both externally and from within the College. Key estimates – impairment The College assesses impairment at each reporting date by evaluating conditions specific to the College that may lead to impairment of assets. Where impairment triggers exist, the recoverable amount of the asset is determined using value-in-use calculations. 68 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 69 Notes to the financial statements continued For the year ended 31 December 2010 (c) Comparatives Where necessary, comparatives have been reclassified and repositioned for consistency with current year disclosures. (d) Foreign currencies Amounts received in foreign currency are translated at a predetermined spot rate, the balances of foreign currency denominated accounts (GBP and NZD) are accounted for at the rate on 31 December 2010. (e) Taxes Income taxes No income tax is payable on the net income for the period as outlined in section 50-5 of the Income Tax Assessment Act 1997 (section 23(g)(ii) of the ITAA 1936) and supported by a ruling given by the Deputy Commissioner. Projects Project income is recognised when the relevant expenditure has been made and the income is no longer repayable. When recognising income each project is looked at on its own merit, and income phased using the percentage of completion method. Income that is specifically tied to a milestone is recorded once the milestone is complete. Expenses are recognised when incurred. This is consistent with the method adopted in prior years. Specialist Training Program registrar support costs Revenue is recognised as soon as claims are paid out to participants that have claims approved. The net effect on RANZCP surplus/(deficit) for registrar support costs will always be zero. Contract administration, support projects and IMG associated income are recognised consistent with our project revenue recognition methodology. As the College is exempt from income tax the requirements of Australian Accounting Standards in relation to income tax do not apply. Exam fees Exam fees are recognised when the exam has taken place and the results distributed. Exam revenue received in advance is treated as income in advance until the exam has taken place. Goods and Services Tax (GST) Revenue and expenses and assets are recognised net of the amount of GST except: Interest Control of the right to receive the interest payment. • where the GST incurred on a purchase of goods and services is not recoverable from the taxation authority, in which case the GST is recognised as part of the cost of acquisition of the asset or as part of the expense item as applicable; and • receivables and payables are stated with the amount of GST included. The net amount of GST recoverable from, or payable to, the taxation authority is included as part of receivables or payables in the Statement of financial position. Cash flows are included in the Statement of cash flows on a gross basis and the GST component of cash flows arising from investing and financing activities, which is recoverable from, or payable to, the taxation authority, are classified as operating cash flows. Dividends and distributions Control of the right to receive the dividend or distribution payments. (g) Cash and cash equivalents Cash and cash equivalents include cash on hand, deposits held at call with banks, other short term highly liquid investments with original maturities of three months or less, and bank overdrafts. (h) Trade and other receivables Trade and other receivables are recognised and carried at original invoice amount less a provision for any uncollectible debts. An estimate for doubtful debts is made when collection of the full amount is no longer probable. Bad debts are written-off as incurred. Commitments and contingencies are disclosed net of the amount of GST recoverable from, or payable to, the taxation authority. (f) Revenue recognition Revenue is recognised to the extent that it is probable that the economic benefits will flow to the entity and the revenue can be reliably measured. The following specific recognition criteria must also be met before revenue is recognised: Rendering of services Where the contract outcome can be reliably measured, control of the right to be compensated for the services and the stage of completion can also be reliably measured. Stage of completion is measured by reference to the total expenditure incurred to date as a percentage of total estimated expenditure. Where the contract outcome cannot be reliably measured, revenue is recognised only to the extent that costs have been incurred. Subscriptions and training fees Subscription and training revenue are recognised for the period for which the member has subscribed. The subscription and training fee is payable annually for the period 1 January to 31 December. 70 RANZCP Annual Report & Review 2010 (i) Financial assets Financial assets are recognised on the Statement of financial position when the College becomes party to contractual provisions of the financial instrument. A financial asset is derecognised when the contractual rights to the cash flows from the financial assets expire or are transferred and no longer controlled by the entity. All financial assets are initially recognised at cost, being the fair value of the consideration given and including acquisition charges associated with the investments. After initial recognition a financial asset designated as held for trading, is measured at fair value through profit and loss as doing so results in more relevant information. This is because the group of financial assets is managed and its performance is evaluated on a fair value basis, in accordance with a documented risk management or investment strategy, and information about the group is provided internally on that basis to key management personnel. A gain or loss arising from a change in fair value of a financial asset or financial liability classified at fair value through profit and loss is recognised in profit and loss. RANZCP Annual Report & Review 2010 71 Notes to the financial statements continued For the year ended 31 December 2010 For financial assets that are actively traded in organised financial markets, fair value is determined by reference to Stock Exchange quoted market bid prices at the close of business on the Statement of financial position date. An asset’s carrying amount is written down immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount. For investments where there is no quoted market price, fair value is determined by reference to the current market value of another instrument which is substantially the same or is calculated based on expected cash flows of the underlying net asset base of the investment. Gains and losses on disposals are determined by comparing proceeds with the carrying amount. These gains or losses are included in the Statement of comprehensive income. When revalue assets are sold, amounts included in the revaluation reserve relating to that asset are transferred to retained earnings. Purchases and sales of financial assets that require delivery of assets within the time frame generally established by regulation or convention in the market place are recognised on the trade date, i.e. the date that the College commits to purchase the asset. (k) Impairment of assets At each reporting date, the College reviews the carrying values of its assets to determine whether there is any indication that those assets have been impaired. If such an indication exists, the recoverable amount of the asset, being the higher of the asset’s fair value less costs to sell and value in use, is compared to the asset carrying value. Any excess of the asset carrying value over its recoverable amount is expensed to the Statement of comprehensive income. (j) Property, plant and equipment Each class of property, plant and equipment is carried at cost or fair value less, where applicable, any accumulated depreciation and impairment losses. Land and buildings Freehold land and buildings are shown at their deemed cost, less subsequent depreciation for buildings. Any accumulated depreciation at the date of revaluation is eliminated against the gross carrying amount of the asset and the net amount is restated to the revalued amount of the asset. Increases in the carrying amount arising on revaluation of land and buildings are credited to a revaluation reserve in equity. Decreases that offset previous increases of the same asset are charged against fair value reserves directly in equity, all other decreases are charged to the Statement of comprehensive income. Revaluation – Land and buildings Revaluation was done in 2009. Office equipment, furniture and fittings and art collection Office equipment, furniture and fittings and the art collection are measured on the cost basis less depreciation and impairment losses. The carrying amount of office equipment, furniture and fittings and the art collection is reviewed annually to ensure it is not in excess of the recoverable amount from these assets. Depreciation The depreciable amount of all fixed assets including buildings, but excluding freehold land, is depreciated on a straight line basis over their useful lives to the entity commencing from the time the asset is held ready for use. The depreciation rates used for each class of asset are: Buildings Furniture and fittings Office equipment Sculpture 2.5-10% 10-20% 20-33% 0% The assets’ residual values and useful lives are reviewed, and adjusted if appropriate, at each Statement of financial position date. 72 RANZCP Annual Report & Review 2010 (l) Trades and other payables Liabilities for creditors and other amounts are carried at cost which is the fair value of the consideration to be paid in the future for goods and services received, whether or not billed to the College. (m) Revenue in advance – projects Any difference between amounts received for projects at any time and revenue recognised under the College’s revenue recognition policy for services rendered is classified as ‘Unearned income – projects’ and recognised as a liability of the College. (n) Employee benefits Provision is made for the company’s liability for employee benefits arising from services rendered by employees to balance date. Employee benefits that are expected to be settled within one year have been measured at the amounts expected to be paid when the liability is settled, plus related on-costs. Employee benefits payable later than one year have been measured at the present value of estimated future cash outflows to be made for those benefits. Employee entitlements include provisions for the payment of recreation leave, long service leave and superannuation contributions which have accrued to staff members, to which they are presently entitled or are likely to become entitled. (o) Leases Lease payments for operating leases, where substantially all the risks and benefits remain with the lessor, are charged as expenses in the periods in which they occur. (p) New accounting standards and Australian Accounting Interpretations All the new and revised accounting standards issued by the Australian Accounting Standards Board (‘AASB’) that are relevant and effective for the annual reporting period beginning on 1 January 2010 have been adopted by the College. Note 2. Revenue from continuing activities Investments Interest - From other persons (Westpac Banking Corporation) Dividends and distributions - From other corporations (JBWere Investment Portfolio) Unrealised change in market value of investments held for trading Realised change in market value of investments held for trading Total investment revenue 2010 $ 2009 $ 155,009 117,970 571,397 (210,990) (43,191) 472,225 458,636 962,680 348,108 1,887,394 RANZCP Annual Report & Review 2010 73 Notes to the financial statements continued For the year ended 31 December 2010 Note 3. Expenses and losses/(gains) Depreciation of non-current assets Buildings Furniture and fittings Office equipment Total depreciation of non-current assets Auditor’s remuneration: Auditing services – audit of financial report Other assurance services Total audit expenses Employee entitlements: Annual leave Long service leave Total employee entitlements Change in provision for doubtful debts Operating lease/rental Foreign currency exchange differences Employment benefit expenses Superannuation/defined contribution expenses 2010 $ 2009 $ 177,918 17,537 276,663 472,118 147,164 13,874 234,966 396,004 32,000 15,400 47,400 31,000 12,650 43,650 (77,558) (7,169) (84,727) 34,777 56,289 41,352 5,989,178 457,794 109,543 25,409 134,952 35,481 59,437 44,907 5,501,388 439,751 5,879 5,256 16,969 1,327,906 8,003,792 9,354,546 (41,891) 865,369 1,729,408 2,558,142 112,650 94,215 58,013 264,878 (140,060) 124,818 118,186 78,147 105,780 302,113 (105,283) 196,830 Note 5. Trade and other receivables Members and trainee subscriptions Investments Other Provision for doubtful debts Total receivables (a) Allowance for impairment loss Trade receivables are non-interest bearing and are generally on 30-90 day terms. A provision for impairment loss is recognised when there is objective evidence that an individual trade receivable is impaired. An impairment loss of $34,777 (2009: $35,480) has been recognised by RANZCP for the current year. 74 RANZCP Annual Report & Review 2010 2010 $ 2009 $ Opening balance Additional provision Amounts recovered Closing balance 105,283 123,213 (88,436) 140,060 69,803 96,133 (60,653) 105,283 Ageing analysis 0-30 Days 31-60 Days 61-90 Days 90+ Days 90+ Days (Allowance) Total receivables 7,377 2,445 7,155 153,686 (140,060) 30,603 38,855 826 2,425 181,860 (105,283) 118,683 Note 6. Other assets Prepayments Advances Accrued revenue Total current other assets 72,028 191,223 21,454 284,705 178,135 144,477 322,612 1,149,258 1,136,679 39,561 2,325,498 2,367,377 4,974,970 7,342,347 9,667,845 608,852 1,976,746 2,585,598 3,424,069 5,095,288 8,519,357 11,104,955 6,161,644 (236,596) 5,925,048 6,093,967 (58,678) 6,035,289 Note 7. Other financial assets Note 4. Cash and cash equivalents Cash and amounts on hand Cash at bank: General accounts Branch, faculty and section accounts Project accounts Total cash Movements in the provision for impairment losses were as follows: Current Short term deposits – branches, faculties and sections Cash management accounts Bank guarantee Fixed interest securities – held for trading Shares – held for trading Total other financial assets Note 8. Property, plant and equipment Freehold land and buildings at fair value Accumulated depreciation Land and buildings were revalued to current market value during the 2009 year by the Councillors after consideration of an independent valuation by registered valuers. Fitzroys valued the offices at Level 1 and 2 309 La Trobe Street Melbourne at $2,500,000 and Level 12 313 La Trobe Street Melbourne at $1,350,000. Cushman and Wakefield valued the property at 761 Darling Street Rozelle at $1,700,000. The aforementioned valuations were not sworn valuations. RANZCP Annual Report & Review 2010 75 Notes to the financial statements continued For the year ended 31 December 2010 A property at 17 Bowen Bridge Road Brisbane (Suite 24) was purchased during 2005 and the consideration paid for this property has been deemed by the Councillors to be its appropriate market value. 2010 $ 2009 $ 461,424 467,404 171,594 25,000 285,566 7,614,474 104,910 9,130,372 185,061 80,700 320,483 413,295 3,977,996 63,133 5,040,668 Reconciliations Non-current Unsecured Mark Sheldon Prize funds 12,741 John Bostock Bequest 18,769 Margaret Tobin Award 3,630 35,140 11,741 18,769 3,630 34,140 Movement in the carrying amounts for each class of property, plant and equipment between the beginning and the end of the current financial year. Note 11. Provisions Property at 17 Bowen Bridge Road, Herston QLD 4006, Suite 25 was purchased on 28 February 2008 for $280,000 and has also been deemed by the Councillors to be at its appropriate market value. 2010 2009 $ $ Furniture and fittings at cost Accumulated depreciation Office equipment at cost Accumulated depreciation Art collections Total property, plant and equipment 1,508,028 (1,401,091) 106,937 2,201,472 (1,920,994) 280,478 17,002 17,002 6,329,465 1,488,825 (1,389,133) 99,692 2,095,567 (1,746,979) 348,588 11,962 11,962 6,495,531 In the opinion of the Councillors, assets are recorded at amounts that do not exceed their recoverable values. 76 Note 9. Trade and other payables Land and Furniture and buildings fittings 2010 $ $ Balance at the beginning of the year 6,035,289 99,692 Additions 67,677 25,065 Disposals - (283) Asset revaluation increments/(decrements) - Depreciation expense (177,918) (17,537) Carrying amount at the end of the year 5,925,048 106,937 Office equipment $ 348,588 214,917 (6,364) - (276,663) 280,478 Sculpture $ 11,962 5,040 - - - 17,002 Total $ 6,495,531 312,699 (6,647) (472,118) 6,329,465 2009 Balance at the beginning of the year Additions Disposals Asset revaluation increments/(decrements) Depreciation expense Carrying amount at the end of the year Office equipment $ 457,523 161,253 (35,222) - (234,966) 348,588 Sculpture $ 11,962 - - - - 11,962 Total $ 5,400,875 265,527 (35,222) 1,260,355 (396,004) 6,495,531 RANZCP Annual Report & Review 2010 Land and Furniture and buildings fittings $ $ 4,880,557 50,833 41,541 62,733 - - 1,260,355 - (147,164) (13,874) 6,035,289 99,692 Unsecured Creditors Accrued expenses Salaries and wages Revenue received in advance – general Revenue received in advance – exams Revenue received in advance – projects Donations Note 10. Financial liabilities Current Employee benefits Non-current Employee benefits Aggregate employee benefits 334,901 413,175 129,804 464,705 136,258 549,433 549,433 533,340 (618,067) 464,706 414,480 509,554 (374,601) 549,433 Movement in employee provisions Opening balance Additional provisions Charges against provision Closing balance RANZCP Annual Report & Review 2010 77 Notes to the financial statements continued For the year ended 31 December 2010 Note 12. Equity Note 14. Statement of cash flows reconciliation The Foundation Fund was established in 1984 as an amalgamation of a number of College funds. Reconciliation of net cash (used in)/provided by operating activities to operating surplus/(deficit): The AMC Accreditation reserve was established in 2001 to cover anticipated costs of preparing for the Australian Medical Council specialist medical college accreditation process, in conjunction with implementing new training and assessment and continuing medical education regulations. The asset revaluation reserve was created in 2005 and further increased in the 2009 financial year as a result of the revaluation of the College’s land and buildings. The Kinsman Bequest reserve was established in 1997 and is used to award the Kinsman Research Scholarship every two years. This is paid out of the Kinsman Bequest by the RANZCP to the scholarship recipient’s institution under which the research is being conducted. Note 13. Related party transactions and Councillors’ remuneration Key management personnel compensation Key management personnel comprise Directors and other persons having authority and responsibility for planning, directing and controlling the activities of the College. The values below include payments in the form of employee benefits and superannuation contributions. 2010 2009 $ $ Short term employee benefits Post-employment benefits Other long term benefits Termination benefits Total 1,390,981 80,720 - 38,848 1,510,549 1,184,931 110,924 1,295,855 Directors of the College The Directors of the College during the accounting period are included in the Councillors’ report. Other key management personnel of the College Name Andrew Peters (Chief Executive Officer) Andrew Peters (Acting Chief Executive Officer/Director – Corporate Development) Mirco Kabat (Director – Corporate Services and Deputy CEO) Andrew Gosbell (Director – Education) Sharon Brownie (Chief Executive Officer) Dennis O’Keeffe (Chief Financial Officer) Teri Snowdon (Director – Practice, Policy and Projects) Operating surplus/(deficit) Adjustments for non-cash items: (Gain)/loss on sale of property plant and equipment (Gain)/loss on revaluation of property plant and equipment (Gain)/loss on disposal of shares and investments Depreciation of non-current assets Increase in doubtful debts Net cash provided before changes in assets and liabilities Changes in net assets and liabilities: (Increase)/decrease in assets: Trade and other receivables Other assets Prepayments Increase/(decrease) in liabilities: Trade and other payables Employee provisions Net cash provided by operating activities 2010 $ 2009 $ 1,077,333 3,718,801 6,254 - 210,990 472,118 34,777 724,139 1,801,472 (1,260,355) (962,680) 396,004 35,481 (1,791,550) 1,927,251 37,235 (49,454) 106,107 166,932 144,643 (72,677) 4,089,704 (84,728) 4,098,864 5,900,336 2,886,981 134,953 3,260,832 5,188,083 Note 15. Expenditure commitments Operating leases, non-cancellable Minimum lease payments: Not later than one year Later than one year but not later than five years 38,902 29,469 68,371 37,455 53,061 90,516 Date of appointment or resignation if position was not occupied for entire period Appointed 1 August 2010 Ceased 1 August 2010 Resigned 31 March 2010 Position redundant 9 November 2010 Resigned 16 November 2010 Transactions between related parties There were no transactions between Directors or other key management personnel in 2010 other than an honorarium totalling $54,055 (2009: $55,617) granted to mentors for the provision of face-to-face mentoring to exemption candidates to assist them with exam preparations and the specialist international medical graduates program. 78 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 79 Notes to the financial statements continued For the year ended 31 December 2010 Note 16. Financial instruments (b) Net fair values (a) Interest rate risk Fixed interest 2010 2009 Floating interest 2010 2009 Non-interest bearing 2010 2009 (i) Financial assets Cash - - 9,348,667 2,552,886 5,879 5,256 Short term deposits and bank bills - - 2,325,498 2,585,598 - Trade and other receivables - - - - 124,818 196,830 Fixed interest securities 2,367,377 3,424,069 Listed shares, income securities and unit trusts - - - - 4,974,970 5,095,288 Total financial assets 2,367,377 3,424,069 11,674,165 5,138,484 5,105,667 5,297,374 (ii) Financial liabilities Trade and other payables - - - - 9,130,372 5,040,668 Non-current financial liabilities - - - - 35,140 34,140 Total financial liabilities - - - - 9,165,512 5,074,808 Total as per the Statement of financial position (i) Financial assets Cash Short term deposits and bank bills Trade and other receivables Fixed interest securities Listed shares, income securities and unit trusts Total financial assets 2010 $ 2009 $ 9,354,546 2,558,142 2,325,498 2,585,598 124,818 196,830 2,367,377 3,424,069 4,974,970 5,095,288 19,147,209 13,859,927 The aggregate net fair values of financial assets and financial liabilities, both recognised and unrecognised, at balance date are as follows: Total carrying amount as per the Statement of financial position 2010 2009 $ $ Aggregate net fair value(i) 2010 2009 $ $ Financial assets Cash 9,354,546 2,558,142 9,354,546 2,558,142 Trade and other receivables 124,818 196,830 124,818 196,830 Short term deposits and bank bills 2,325,498 2,585,598 2,325,498 2,585,598 Fixed interest securities 2,367,377 3,424,069 2,367,377 3,424,069 Listed shares, income securities and unit trusts 4,974,970 5,095,288 4,974,970 5,095,288 Total financial assets 19,147,209 13,859,927 19,147,209 13,859,927 Financial liabilities Trade and other payables 9,130,372 5,040,668 9,130,372 5,040,668 Total financial liabilities 9,130,372 5,040,668 9,130,372 5,040,668 The maximum credit of current assets and liabilities is represented by carrying amounts recognised above. (i) The following methods and assumptions are used to determine the net fair values of financial assets and liabilities: Recognised financial instruments Cash and cash equivalents: The carrying amount approximates fair value because of their short term to maturity. Trade receivables and payables: The carrying amount approximates fair value. Non-current investments/securities: For financial instruments traded in organised financial markets, fair value is the current quoted market bid price for an asset or offer price for a liability, adjusted for transaction costs necessary to realise the asset or settle the liability. Note 17. Financial risk management (ii) Financial liabilities Trade and other payables Non-current financial liabilities Total financial liabilities The Company has exposure to the following risks from use of financial instruments: 9,130,372 5,040,668 35,140 34,140 9,165,512 5,074,808 Cash on hand of $9,354,546 is predominantly held with Westpac relating to Specialist Training Program funding. This money is specifically to be used for the payment of registrar support costs as well as support activities and administration of the program. If a sensitivity analysis of a loss of 10% is applied, RANZCP would need to fund the shortfall out of operational generated funds. The risk of this happening is extremely minimal and would be subject to Westpac being unable to fulfil its obligations of providing the College access to its money. - Credit risk - Liquidity risk - Market risk This note represents the company’s exposure to the following risks, and processes and policies for managing this risk. Credit risk Credit risk is the risk of financial loss to the College if a customer or counterparty to a financial instrument fails to meet its contractual obligations, and arises principally from the College’s receivables from customers and project activities. The College has two main receivables: (a) paying members and (b) government funding. (a) Annual fees earned from paying members (subscribers) are billed at the beginning of the financial year. More than 85% of the College’s members have been paying fees for four years with no credit issues. New members are only raised when they pay their dues and College membership criteria are met. Non payment may lead to suspension from the College’s membership base. Any outstanding fees not recoverable are recorded as doubtful debts at year end. In 2010 this was less than 2% of total membership fees. Overdue fees (subscriptions, trainees, affiliates and CPD) at year end were $105,650 (2009: $105,283). The full amount for 2010 has been raised as a provision for doubtful debts. The College is confident of recovering the majority of these outstanding debts in 2010. Any bad debts are written off as incurred. 80 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 81 Notes to the financial statements continued For the year ended 31 December 2010 Note 18. Company limited by guarantee (b) Government funding relates to deliverables in relation to College projects. All funding is receivable provided the criteria associated with the deliverables are achieved and debtor invoices are raised at the time all criteria are met. The risk of not receiving outstanding government funds is considered to be minimal provided all outcomes as per project deliverables are fulfilled. Capital capable of being called up in the event ofand for the purpose of winding-up - Total paying members - Members @ $20 per member 2010 $ 2009 $ 2,881 57,620 2,796 55,920 Liquidity risk Liquidity risk is the risk that the group will not be able to meet its financial obligations as they fall due. The College’s approach to managing liquidity is to ensure, as far as possible, that it will always have sufficient short term funding to meet its liabilities when due, under both normal and stressed conditions. The risk of incurring losses large enough to cause major impact on business is considered to be minimal. All payments due are considered to be more than adequately covered. Typically the College ensures that it has sufficient cash on demand to meet expected operational expenses when they fall due. The College was not in a situation in 2010 whereby an overdraft facility was required to adequately cover liabilities and is not expected to be in 2011. Note 19. Subsequent events The Specialist Training Program has been extended for three years from 2011 to 2013. This equates to an additional $35,268,000 (GST inclusive) over a three year period. Of this amount $28,800,000 is registrar support costs (payable to employers) and $6,468,000 is administration and support costs. The phasing of this across the years is yet to be decided. There are no commitments or contingencies known to the Councillors that would materially affect the state of affairs of the College. Market risk Market risk is the risk that changes in market prices, such as foreign exchange rates, interest rates and equity prices will affect the College’s income or the value of its holdings of financial instruments. The objective of market risk management is to manage and control market risk exposures within acceptable parameters, while optimising the return. The primary goal of the College’s investment strategy is to maximise investment returns in order to partially meet the funding obligations to run the College operations. Management is assisted by external advisors in this regard. In accordance with this strategy, investments are carried at fair value through profit or loss because their performance is actively monitored and they are managed on a fair value basis. The College market risk is consistent with the overall risk of the performance of the share market. In order to minimise investment value fluctuations the Board has taken a conservative approach where 37% of the College’s portfolio is held in cash and fixed interest securities. A further 58% is invested in domestic equities that are considered to be ‘blue chip’ equities held in publicly traded entities and the remaining 5% in international shares. This reduces the College’s exposure to market risk associated with stock market fluctuations. The College also holds just under $7 million in term deposits with Westpac, predominantly STP related funding. Sensitivity analysis – equity price risk All of the College’s equity investments are listed on the Australian Securities Exchange. For such investments classified as fair value through profit and loss, the impact on profit or loss would have been an increase or decrease of $734,235 either way, with no effect on RANZCP cash flow. The use of 10% is based on a conservative approach and RANZCP has adequate liquidity to cover any sensitivity greater than 10%. There will be no requirement to sell any of the College’s devalued holdings in order to continue operations. Dividends forecast in 2011 have been as per recommendations by the College’s advisors JBWere and a conservative view has been taken. As the College is a tax exempt organisation no tax or capital gains is paid on these gains at point of sale, and any sensitivity is impacted on the full movement with no tax consequences. 82 RANZCP Annual Report & Review 2010 RANZCP Annual Report & Review 2010 83 Directory RANZCP Head Office New Zealand Tasmania The Royal Australian and New Zealand College of Psychiatrists Level 4, Gleneagles Building 69-71 The Terrace Wellington 6011 New Zealand Discipline of Psychiatry University of Tasmania Royal Hobart Hospital Lower Ground Floor 28 Campbell Street Hobart TAS 7000 Australia ABN 68 000 439 047 (A company limited by guarantee incorporated in Australia) 309 La Trobe Street Melbourne VIC 3000 Australia Telephone: +61 3 9640 0646 Toll free:1800 337 448 (for Australian residents) Toll free: 0800 443 827 (for New Zealand residents) Fax: +61 3 9642 5652 Email: ranzcp@ranzcp.org Membership Services email: membership@ranzcp.org Australian Capital Territory c/- Mental Health Council 1st Floor, Alia House 9-11 Napier Close Deakin ACT 2600 Australia PO Box 152 Deakin West ACT 2600 Australia Telephone: +61 2 6285 0899 Fax: +61 2 6285 2166 Email: ranzcp.act@ranzcp.org New South Wales 761 Darling Street Rozelle NSW 2039 Australia PO Box 280 Rozelle NSW 2039 Australia Telephone: +61 2 9352 3600 Fax: +61 2 9810 5073 Email: ranzcp.nsw@ranzcp.org 84 RANZCP Annual Report & Review 2010 PO Box 10669 Wellington 6143 New Zealand Telephone: +64 4 472 7247 Fax: +64 4 472 7246 Email: ranzcp.nz@ranzcp.org Queensland Unit 24, Level 3, Royal Brisbane Place 17 Bowen Bridge Road Herston QLD 4006 Australia PO Box 261 RBH Post Office Herston QLD 4029 Australia Telephone: +61 7 3852 2977 Fax: +61 7 3852 2199 Email: ranzcp.qld@ranzcp.org South Australia 51-54 Palmer Place North Adelaide SA 5006 Australia PO Box 603 North Adelaide SA 5006 Australia Telephone: +61 8 8239 2911 Fax: +61 8 8239 2910 Email: ranzcp.sa@ranzcp.org RANZCP Tasmanian Branch Discipline of Psychiatry University of Tasmania Private Bag 27 Hobart TAS 7001 Australia Telephone: +61 3 6226 4885 Fax: +61 3 6226 4777 Email: ranzcp.tas@ranzcp.org Victoria Level 1, 309 La Trobe Street Melbourne VIC 3000 Australia Telephone: +61 3 9601 4924 Fax: +61 3 9600 4281 Email: vicbranch@ranzcp.org Western Australia Gascoyne House Graylands Hospital Brockway Road Mt Claremont WA 6010 Australia RANCZP WA Branch Graylands Hospital Private Bag 1 Claremont WA 6910 Australia Telephone: +61 8 9284 2138 Fax: +61 8 9347 6560 Email: ranzcp.wa@ranzcp.org www.ranzcp.org
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