Common use of Supra LHD Services Clause in Contracts

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services are provided across District/Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  Ensuring equitable access to Supra LHD Services will be a key focus. Supra LHD locations and service levels are as follows: Supra LHD Service Measurement Unit Locations Service Requirement Adult Intensive Care Unit Beds Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Units with new beds in 2018/19 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016 Severe Spinal Cord Injury Service Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (26) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Heart, Lung and Heart Lung Transplantation Access St Vincent's (96) To provide Heart, Lung and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. Neonatal Intensive Care Service Beds SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16) Liverpool (13) (1 new in 2018/19) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 Peritonectomy Number St Xxxxxx (116) Royal Xxxxxx Xxxxxx (60) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 4) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 15 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 17 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 18 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide for the purpose of providing an overview of recognised Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services are provided across District/Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support servicesorganisations;  Significant investment in infrastructure is required;  Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  Ensuring equitable access to Supra LHD Services will be a key focusfocus in 2017/18. Supra LHD locations and service levels are as follows: Supra LHD Service Measurement Unit Locations Service Requirement Adult Intensive Care Unit Beds Royal North Shore (38) Westmead (49) Nepean (2120 +1 new in 2017/18) Liverpool (34) (1 32 +1 new in 2018/192017/18) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/1923, including 4 paediatric intensive care cots) St Vincent’s (21) St Xxxxxx (3636 - corrected baseline including additional activity in 2017/18) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011PD2010_21. Units with new beds in 2018/19 2017/18 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable accessServices to be provided in accordance with the proposed Mental Health Intensive Care Referral Networks (Adult) Policy Directive. Supra LHD Service Measurement Unit Locations Service Requirement Units will need to demonstrate referral arrangements with identified networks. Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016 Severe Spinal Cord Injury Service Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 PD2010_21 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (26) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Randwick & Westmead Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011PD2010_21. Heart, Lung Supra LHD Service Measurement Unit Locations Service Requirement Heart and Heart Lung Transplantation Access St Vincent's (9695) To provide Heart, Lung Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. Neonatal Intensive Care Service Beds SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (1615 +1 new in 2017/18) Royal Hospital for Women (16) Liverpool (13) (1 new in 2018/1912) Xxxx Xxxxxx (1918 +1 new in 2017/18) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 Peritonectomy Number St Xxxxxx (116115) Royal Xxxxxx Xxxxxx (60) Provision of equitable Equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 4) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030PD2010_030 Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2010_21 and NSW Burn Transfer Guidelines (ACI 2014) and and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Sydney Dialysis Centre Access Royal North Shore In accordance with 2013 Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per “NSW Referral and Protocol for Haematopoietic Stem Cell Transplantation for Systemic Sclerosis” BMT Network, Agency for Clinical Innovation 2015. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice.

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Xxxxx 0 Xxxxx Xxxxxxxxx Care Unit Westmead (49) Nepean (21) Liverpool (37 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (23) Xxxx Xxxxxx (26) St Vincent’s (21) St Xxxxxx (36) NSW health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx Provision of equitable access. Care Hornsby - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service Access Prince of Wales Services to be provided in accordance Service (adult and Royal North Shore with Critical Care Tertiary Referral paediatric) Networks & Transfer of Care (Adults) and Critical Care Tertiary Referral Networks (Paediatrics) policies. Participation in the annual reporting process. Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Provision of equitable access Transplantation – Westmead (71) Allogeneic Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance Oxygenation Retrieval St Vincent's SCHN with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung Transplantation Transplants transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) Services to be provided in accordance Service SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Number of St Vincent's (10) Provision of equitable access for all Transplantation for Severe Transplants referrals as per NSW Protocol for Scleroderma Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services Access Royal Xxxxxx Xxxxxx As per the NSW Health strategic report endovascular clot retrieval Prince of Wales - Planning for NSW NI Services to 2031 for Acute Ischaemic Stroke Liverpool Xxxx Xxxxxx SCHN Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Access for St Vincent's Delivery of additional procedures, Aortic Valve Implantation patients at high Royal Xxxxxx Xxxxxx including targeted for patients from (TAVI) surgical risk regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 10 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Referral and Protocol for Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - – XxXxx East Xxxx Xxxxxxx - – Mental Health Intensive Care Unit Prince Of of Wales - – Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - – Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's ’s (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - ’s – to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's ’s SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra-LHD services are expected to establish efficient and effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD locations services and service levels are as follows: Nationally Funded Centres in NSW. Supra LHD Service service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 + 1/ 286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX Level 4 AICU services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit NSW health services and networks 2021–22 Service Agreement 10 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent Xxxxxxxxx on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (2639+8/103 NWAU21) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Xxxxxxx'x SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick NWAU XXXX Xxxxxxxx (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Referral and Protocol for Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx XXXX As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Xxxxxxxx Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targets for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services are provided across District/Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  Ensuring equitable access to Supra LHD Services will be a key focus. Supra LHD locations and service levels are as follows: Supra LHD Service Measurement Unit Locations Service Requirement Adult Intensive Care Unit Beds Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Units with new beds in 2018/19 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016 Severe Spinal Cord Injury Service Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (26) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Heart, Lung and Heart Lung Transplantation Access St Vincent's (96) To provide Heart, Lung and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. Neonatal Intensive Care Service Beds SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16) Liverpool (13) (1 new in 2018/19) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 Peritonectomy Number St Xxxxxx (116) Royal Xxxxxx Xxxxxx (60) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 4) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030PD2010_030 Supra LHD Service Measurement Unit Locations Service Requirement Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and NSW Burn Transfer Guidelines (ACI 2014) and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Sydney Dialysis Centre Access Royal North Shore In accordance with 2013 Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Referral and Protocol for Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Provision of equitable access for all referrals Nationally Funded Centres

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent Xxxxxxxxx on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Xxxxxxx'x SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick NWAU XXXX Xxxxxxxx (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx XXXX As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Xxxxxxxx Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  Services are provided from limited sites across NSW  Services are high cost with low-volume activity  Individual clinicians or teams in Supra LHD services have specialised skills  Provision of the service is dependent on highly specialised equipment and/or support services  Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be a key focus. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD locations Services and service levels are as follows: Nationally Funded Centres in NSW. Supra LHD Service Measurement Unit Locations Service Requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool Xxxxxxxxx (34) (1 new in 2018/1900+0/000 XXXX 2019/20) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/1900+0/000 XXXX 2019/20) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Units with new beds in 2018/19 2019/20 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016 Severe State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (26) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96+10/420 XXXX 0000/00) To provide Heart, Lung and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.1— April 2016May 2017. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16) Liverpool Xxxxxxxxx (13) (1 new in 2018/1900+0/000 XXXX 2019/20) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (60) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 4) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services are provided across District/Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  Ensuring equitable access to Supra LHD Services will be a key focus. Supra LHD locations and service levels are as follows: Supra LHD Service Measurement Unit Locations Service Requirement Adult Intensive Care Unit Beds Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Units with new beds in 2018/19 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016 Severe Spinal Cord Injury Service Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore (26) SCHN Randwick (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011. Heart, Lung Heart and Heart Lung Transplantation Access St Vincent's (96) To provide Heart, Lung Heart and Heart Lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.0— April 2016. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. Neonatal Intensive Care Service Beds SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16) Liverpool (13) (1 new in 2018/19) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 Peritonectomy Number St Xxxxxx (116) Royal Xxxxxx Xxxxxx (60) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 4) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030.

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Xxxxx 0 Xxxxx Xxxxxxxxx Care Unit Westmead (49) Nepean (21) Liverpool (37 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (23) Xxxx Xxxxxx (26) St Vincent’s (21) St Xxxxxx (36) NSW health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds NWAU SCHN Randwick (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx SCHN As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Westmead Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/1937 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (2223) Xxxx Xxxxxx (24) (1 new in 2018/1926) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Care Unit Xxxxx 0 Xxxxx Xxxxxxxxx Xxxx Xxxx XXX health services and networks 2021–22 Service Agreement 10 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent Xxxxxxxxx on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Xxxxxxx'x SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick NWAU XXXX Xxxxxxxx (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 12 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx XXXX As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Xxxxxxxx Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development

Supra LHD Services. The following information is included in all Service Agreements to provide an overview of recognised Under the NSW Framework for New Health Technologies and Specialised Services (GL2018_023), Supra LHD Services and Nationally Funded Centres in NSW. Supra LHD Services services are provided across District/District and Network boundaries and are characterised by a combination of the following factors:  Services are provided from limited sites across NSW;  Services are high cost with low-volume activity;  Individual clinicians or teams in Supra LHD services have specialised skills;  Provision of the service is dependent on highly specialised equipment and/or support services;  Significant investment in infrastructure is required;  • Services are provided on behalf of the State; that is, a significant proportion of service users are from outside the host District’s/Network’s catchment  • Services are provided from limited sites across NSW • Services are high cost with low-volume activity • Individual clinicians or teams in Supra LHD services have specialised skills • Provision of the service is dependent on highly specialised equipment and/or support services • Significant investment in infrastructure is required Ensuring equitable access to Supra LHD Services will be services is a key focus. Supra LHD locations services are expected to establish efficient and service levels effective referral networks to ensure all eligible patients in NSW have access regardless of their location. Annual reporting processes are as follows: being trialled with selected services in 2021-22. These reports are being developed in collaboration with clinical teams and host districts and networks to ensure they are tailored to the requirements of specific services. The following information is included in all Service Agreements to provide an overview of recognised Supra LHD Service services and Nationally Funded Centres in NSW. Supra LHD service Measurement Unit unit Locations Service Requirement requirement Adult Intensive Care Unit Beds Beds/NWAU Royal North Shore (38) Westmead (49) Nepean (21) Liverpool (34) (1 new in 2018/19) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (22) Xxxx Xxxxxx (24) (1 new in 2018/19) St Vincent’s (21) St Xxxxxx (36) Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011policy. Units with new beds in 2018/19 2020-21 will need to demonstrate networked arrangements with identified partner Xxxxx 0 XXXX services, in accordance with the recommended standards in the NSW Agency for Clinical Innovation’s Intensive Care Service Model: NSW Level 4 Adult Intensive Xxxxx 0 Xxxxx Xxxxxxxxx Care Unit Westmead (49) Nepean (21) Liverpool (37 +1/286 NWAU21) Royal Xxxxxx Xxxxxx (51) Concord (16) Prince of Wales (23) Xxxx Xxxxxx (26) St Vincent’s (21) St Xxxxxx (36) NSW health services and networks 2021–22 Service Agreement 11 Supra LHD service Measurement unit Locations Service requirement Mental Health Intensive Care Access Concord - XxXxx East Xxxx Xxxxxxx - Mental Health Intensive Care Unit Prince Of of Wales - Mental Health Intensive Care Unit Cumberland – Yaralla Xxxx Orange Health Service - Orange Lachlan ICU Intensive Care Unit Mater, Hunter New England – Psychiatric Intensive Care Unit Provision of equitable access. Supra LHD Service Measurement Unit Locations Service Requirement Adult Liver Transplant Access Royal Xxxxxx Xxxxxx Dependent Xxxxxxxxx on the availability of matched organs, in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016 Severe May 2021 State Spinal Cord Injury Service (adult and paediatric) Access Prince of Wales Royal North Shore Royal Rehabilitation Centre, Sydney SCHN – Westmead and Randwick Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults) PD2018_011 and Critical Care Tertiary Referral Networks (Paediatrics) PD2010_030 policies. Participation in the annual reporting process. Blood and Marrow Transplantation – Allogeneic Number St Vincent's (38) Westmead (71) Royal Xxxxxx Xxxxxx (26) Liverpool (18) Royal North Shore Xxxxx Xxxxx Xxxxx (2600+0/000 XXXX00) SCHN Randwick XXXX Xxxxxxxx (26) SCHN Westmead (26) Provision of equitable access Blood and Marrow Transplant Laboratory Access St Vincent's - to Gosford Westmead – to Nepean, Wollongong, SCHN at Westmead Provision of equitable access Complex Epilepsy Access Westmead Royal Prince Xxxxxx Xxxxxx of Wales SCHN Provision of equitable access. Extracorporeal Membrane Oxygenation Retrieval Access Royal Xxxxxx Xxxxxx St Vincent's Xxxxxxx'x SCHN Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer the NSW Agency for Clinical Innovation’s ECMO services – Adult patients: Organisational Model of Care (Adults) PD2018_011. and ECMO retrieval services – Neonatal and paediatric patients: Organisational Model of Care NSW health services and networks Supra LHD service Measurement unit Locations Service requirement Heart, Lung and Heart Lung Transplantation Access Number of Transplants St Vincent's (96106) To provide Heartheart, Lung lung and Heart Lung heart lung transplantation services at a level where all available donor organs with matched recipients are transplanted. These services will be available equitably to all referrals. Dependent on the availability of matched organs in accordance with The Transplantation Society of Australia and New Zealand, Clinical Guidelines for Organ Transplantation from Deceased Donors, Version 1.01.6— April 2016May 2021. High Risk Maternity Access Royal Xxxxxx Xxxxxx Royal North Shore Royal Hospital for Women Liverpool Xxxx Xxxxxx Nepean Westmead Access for all women with high risk pregnancies, in accordance with NSW Critical Care Networks (Perinatal) PD2010_069. policy Neonatal Intensive Care Service Beds Beds/NWAU SCHN Randwick (4) SCHN Westmead (23) Royal Xxxxxx Xxxxxx (22) Royal North Shore (16) Royal Hospital for Women (16+1/323 NWAU21) Liverpool (13) (1 new in 2018/1915+1/323 NWAU21) Xxxx Xxxxxx (19) Nepean (12) Westmead (24) Services to be provided in accordance with NSW Critical Care Networks (Perinatal) PD2010_069 policy Peritonectomy Number NWAU St Xxxxxx (116) Royal Xxxxxx Xxxxxx (6068) Provision of equitable access for referrals as per agreed protocols Paediatric Intensive Care Beds SCHN Randwick NWAU XXXX Xxxxxxxx (13) SCHN Westmead (22) Xxxx Xxxxxx (up to 45) Services to be provided in accordance with NSW Critical Care Networks (Paediatrics) PD2010_030policy Severe Burn Service Access Concord Royal North Shore SCHN Westmead Services to be provided in accordance with Critical Care Tertiary Referral Networks & Transfer of Care (Adults), Critical Care Tertiary Referral Networks (Paediatrics) policies and the NSW Agency for Clinical Innovation’s NSW Burn Transfer Guidelines. Sydney Dialysis Centre Access Royal North Shore In accordance with the Sydney Dialysis Centre funding agreement with Northern Sydney Local Health District NSW health services and networks 2021–22 Service Agreement 13 Supra LHD service Measurement unit Locations Service requirement Hyperbaric Medicine Access Prince of Wales Provision of equitable access to hyperbaric services. Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's (10) Provision of equitable access for all referrals as per NSW Protocol for Autologous Haematopoietic Stem Cell Transplantation for Systemic Sclerosis, BMT Network, Agency for Clinical Innovation, 2016. Participation in the annual reporting process. Neurointervention Services endovascular clot retrieval for Acute Ischaemic Stroke Access Royal Prince Xxxxxx Xxxxxx of Wales Liverpool Xxxx Xxxxxx XXXX As per the NSW Health strategic report - Planning for NSW NI Services to 2031 Participation in annual reporting process. Participation in the annual reporting process. Organ Retrieval Services Access St Vincent’s Royal Xxxxxx Xxxxxx Xxxxxxxx Services are to be provided in line with the clinical service plan for organ retrieval. Services should focus on a model which is safe, sustainable and meets donor family needs, clinical needs and reflects best practice. Xxxxxxx Procedure for Hypoplastic Left Heart Syndrome (HLHS) Access SCHN Westmead Provision of equitable access for all referrals Telestroke Access for up to 23 referring sites in rural and regional NSW Prince of Wales As per individual service agreements Participation in annual reporting process. Participation in the annual reporting process. NSW health services and networks 2021–22 Service Agreement 14 Supra LHD service Measurement unit Locations Service requirement High risk Transcatheter Aortic Valve Implantation (TAVI) Access for patients at high surgical risk St Vincent's Royal Xxxxxx Xxxxxx Royal North Shore SESLHD Xxxx Xxxxxx Liverpool Westmead Delivery of additional procedures, including targeted for patients from regional or rural NSW in line with correspondence from NSW Ministry of Health All services must: • Be accredited through Cardiac Accreditation Services Limited, including accreditation of the hospital and clinicians. • Establish referral pathways to ensure statewide equity of access • Include high risk TAVI patients in surgical waitlists • Undertake data collection as required by the ACOR registry and collect patient-reported outcomes and experience • Participate in the annual reporting and any required evaluation activities CAR T-cell therapy: • Acute lymphoblastic leukaemia (ALL) for children and young adults: • Adult diffuse large B- cell lymphoma (DLBCL) Access Sydney Children’s Hospital, Randwick Royal Xxxxxx Xxxxxx Hospital Royal Xxxxxx Xxxxxx Hospital Westmead hospital As per individual CAR T cell therapy service agreements. Compliance with the annual reporting process. Gene therapy for inherited retinal blindness Access SCHN As per individual service delivery agreement currently in development Gene therapy for paediatric spinal muscular atrophy Access SCHN Randwick As per individual service delivery agreement currently in development