Bowral And District Hospital
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Bowral and District Hospital is an
acute care Acute care is a branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery.Alberta Health ServicesAcute care.Acces ...
public
hospital A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
servicing the Southern Highlands region in
New South Wales ) , nickname = , image_map = New South Wales in Australia.svg , map_caption = Location of New South Wales in AustraliaCoordinates: , subdivision_type = Country , subdivision_name = Australia , established_title = Before federation , es ...
,
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
. The hospital is centrally located in the town of Bowral and is the only hospital operated outside the
Sydney Sydney ( ) is the capital city of the state of New South Wales, and the most populous city in both Australia and Oceania. Located on Australia's east coast, the metropolis surrounds Sydney Harbour and extends about towards the Blue Mountain ...
metropolitan area by the South Western Sydney Local Health District.


Services

Within the main building - the Milton Park Wing, Bowral and District Hospital provides a 24-hour
emergency department An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of pati ...
with 10 beds. A further 8 beds are allocated to a
high dependency unit A high-dependency unit is an area in a hospital, usually located close to the intensive care unit, where patients can be cared for more extensively than on a normal ward, but not to the point of intensive care. It is appropriate for patients who h ...
for patients with conditions that require continuous monitoring. The hospital has maintained a paediatric ward since 1935 and the current facility provides 8 beds supported by two full-time paediatricians. The hospital's
Obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
Department is centred on
maternity ] A mother is the female parent of a child. A woman may be considered a mother by virtue of having given birth, by raising a child who may or may not be her biological offspring, or by supplying her ovum for fertilisation in the case of gestati ...
ward providing 2 birthing rooms and 5
post-natal The postpartum (or postnatal) period begins after childbirth and is typically considered to end within 6 weeks as the mother's body, including hormone levels and uterus size, returns to a non-pregnant state. The terms puerperium, puerperal perio ...
beds. 36 general medical and surgical beds occupy the remainder of the building. The Cardiac Assessment Unit was established in 1985, providing
rehabilitation Rehabilitation or Rehab may refer to: Health * Rehabilitation (neuropsychology), therapy to regain or improve neurocognitive function that has been lost or diminished * Rehabilitation (wildlife), treatment of injured wildlife so they can be retur ...
and outpatient services for patients with heart conditions is located in a separate annex of the property known as the Watson Unit. This facility also provides a range of clinics and outpatient services.


Bowral Mental Health Service

The Bowral Mental Health Service provides an adolescent mental health facility at the hospital. This service caters for 12- to 17-year-old patients who experience mental health issues, offering assessment, counseling and support for clients. The hospital also acts as an after hours point of contact for mental health concerns for all ages and is able to coordinate care through a number of support programs offered by the service. Additionally the hospital has two dedicated beds for patients admitted for mental health reasons, and is regularly attended by visiting psychiatrists who are able to provide clinical consultations.


History

In the absence of a hospital between
Sydney Sydney ( ) is the capital city of the state of New South Wales, and the most populous city in both Australia and Oceania. Located on Australia's east coast, the metropolis surrounds Sydney Harbour and extends about towards the Blue Mountain ...
and Goulburn, community leaders identified the need to establish a local facility and the search began for an appropriate site in 1886. In March 1888 of land was purchased using funds raised from within the community. Construction of the building designed by architect H.C. Kent began the following January, opening on 4 September 1889 as the Berrima District Cottage Hospital. The first major expansion to the hospital was an operating theatre opened in 1898. The hospital was significantly upgraded in 1911, expanding the two bedroom nurses quarters which had been added in 1902 and increasing the capacity of the women's ward to 8 beds. As part of these works, Berrima District Hospital was connected to gas mains allowing kerosene lanterns to be replaced. In 1919, the hospital was renamed Berrimah District Hospital and had expanded to occupy . Electricity was connected to the facility in 1925. A significant boost in funding for the hospital was provided in March 1926, with the institution benefited from a legacy of £3 million from the will of a Miss C.B. Smith. An
isolation ward In hospitals and other medical facilities, an isolation ward is a separate ward used to isolate patients with infectious diseases. Several wards for individual patients are usually placed together in an isolation unit. Design In an isolation uni ...
followed in 1928. The following year an
ambulance An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport. Ambulances are used to respond to medi ...
service was established, cementing the hospital's role as a hub for healthcare in the region. The hospital had outgrown the original buildings by 1935 and was relocated to a modern complex taking advantages of advances in medicine. It was opened by Member for
Wollondilly Wollondilly Shire is a periurban local government area adjacent to the south-western fringe of Sydney, parts of which fall into the Macarthur, Blue Mountains and Central Tablelands regions in the state of New South Wales, Australia. Wollondil ...
Mark Morton and incorporated men's, women's and children's wards, operating theatres and dedicated areas housing
anesthesia Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), ...
and
X-ray An X-ray, or, much less commonly, X-radiation, is a penetrating form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 10  picometers to 10  nanometers, corresponding to frequencies in the range 30&nb ...
departments. The Milton Park Wing was developed in 1959 and remains as the main surgical ward. Further extension of the hospital facilities in the 1960s added a dedicated maternity ward and emergency department. Reflecting the growth of Bowral as the regional centre of the Southern Highlands, the hospital's name was changed to Bowral and District Hospital in 1968. Throughout the 1970s and 80s, the range of specialist services provided by the hospital was expanded, including the addition of rehabilitation and cardiac units. During the 1990s, the hospital sold undeveloped land on the north west of the site allowing the development of the Southern Highlands Private Hospital, which opened in 1996. In 1998, the hospital received additional funding allowing the allocation of two beds for patients with sub-acute mental illness, although the hospital does not maintain a full-time psychiatric capability. In 2017
NSW Health The New South Wales Ministry of Health, branded NSW Health, is a ministerial department of the New South Wales Government. NSW Health supports the executive and statutory roles of the Minister for Health, the Minister for Regional Health, an ...
announced that a $50 million upgrade of the hospital. As of 2021, this upgrade is now complete. The upgrade added new operating theatres, more birthing suites, more single rooms with ensuites. Additionally, the upgrades moved the main entrance of the hospital/emergency ward to the Western side of the facility adjacent to Mona Road.


Transport

Bowral and District Hospital is well serviced by public transport links provided by Berrima Buslines throughout the Southern Highlands. The hospital is served directly by local routes 811, 814 and 815 six days per week. Route 811 provides connections to
Bowral railway station Bowral railway station is located on the Main South line in New South Wales, Australia. It serves the town of Bowral opening on 1 March 1867. Platforms & services Bowral has two side platforms. It is serviced by NSW TrainLink Southern Highland ...
. Route 808 buses also stop at the hospital, providing links to the rural villages of Kangaloon and
Robertson Robertson may refer to: People * Robertson (surname) (includes a list of people with this name) * Robertson (given name) * Clan Robertson, a Scottish clan * Robertson, stage name of Belgian magician Étienne-Gaspard Robert (1763–1837) Places ...
.


Statistics

According to the Australian Government's My Hospital website Bowral and District Hospital performed 1,375 elective surgeries and handled 17,403 emergency department presentations in the 2011-2012 financial year. Emergency department waiting times were significantly shorter than national averages. This trend was also reflected in waiting times for elective surgeries, with all urgent procedures performed within clinically recommended timeframes. The hospital's 2010 operating budget was $22.57 million.


References

{{Authority control Hospital buildings completed in 1889 Hospital buildings completed in 1935 Hospitals in New South Wales Southern Highlands (New South Wales) Bowral Hospitals established in 1889 1889 establishments in Australia