Annual Report 2003
caring for doctors by doctors since 1896

Up Annual Appeal 2003

 

President's Report

3 November 2003

Ladies and Gentlemen

I have much pleasure in presenting this report.  It addresses your Association's activities during the year to 30th June last, the Council's evaluation of the challenges that lie ahead and how we propose to deal with them.

Two hundred and forty seven doctors and family members are currently being assisted.  One hundred and forty six of these are adults, eighty-three are student dependents of doctors and eighteen are preschoolers.  The causes of their distress include all the health and personal misfortunes that could befall any individual or family.

What are the challenges that face us?  We must make sure that doctors realise that the Association belongs to them, that they are not alone in their troubles and that confidential, non-judgmental help is always available.  We have to ensure that we can provide professional social work counselling whenever it is needed.  We must be confident that we have the funds to continue this successful model of helping doctors with counselling and donations.  We have to remain aware that our work is performed in an increasingly regulated environment.  I believe that, for the most part, these regulations are desirable but they do impose penalties for organisations that do not comply and personal risks for directors who fail in their duty.

We continue to try to bring our services to the notice of the profession.  Mrs Doughty, our social worker, actively seeks invitations to speak to groups and organisations.  Our Honorary Secretary, Dr David Chen, writes to the same bodies every year and encloses a copy of our annual report.  Dr Gary Galambos was invited to be the Association’s representative on the committee for the 3rd National Doctors’ Health Conference.  He assisted the organisation of this very successful conference and made a presentation.

Gary also generously devotes time and energy to maintaining the Association’s website.  This is continually being updated.  The AMA (NSW) kindly publicises our name and contact details in each edition of NSW Doctor.  Despite these efforts we fear that we are not doing enough to ensure that doctors and others know about the Association’s services and availability.  The publicity activities of the Royal Medical Benevolent Fund in the United Kingdom have been brought to our attention and we have resolved to emulate their example as far as possible.

Our task might appear simple.  We collect money from donors and investments.  We spend it on beneficiaries by provision of social work counselling and gifts.  If only it really were that simple.  When we approach potential donors we are competing with experienced organisations that employ professional fundraising and have fundraising budgets greater than this Association’s net worth.  When we raise and spend money on behalf of beneficiaries it is done in a complex legal environment.  Inadequate performance in this area could jeopardise the Association’s corporate existence and tax-deductible status, as well as risk the financial and professional standing of individual directors.

Giving is not an easy task, either.  Our valuable tax-deductible status could be lost if we act imprudently here.  This happened to an organisation similar to us in another state.  Yet another interstate medical benevolent organisation is having problems gaining tax-deductible status.  You can be assured that every cent expended on donations and administration is subject to rigorous examination.  Every director can and does contribute to these discussions, which occasionally even become debates.

You are probably aware that the Australian Government has drafted a definition of charities for tax purposes.  I believe that our activities fall within that definition.  This should mean that our Association will continue to receive the benefit of important concessions.  The concessions relevant to us include exemption from paying income tax on our investments, deductible gift recipient status and refund of imputation credits.

What can I report about our management of these challenges?  I am happy to announce another year of successful collecting and giving.  We have met all the legislated requirements of which we are aware.  Our donations from individual doctors are markedly down but our financial health has been maintained by gifts from medical organisations, by a substantial bequest and by the performance of our investment portfolio that was better than average for conservative investments in the difficult conditions of the year.  We are able to continue to operate at our present level indefinitely.  Our greatest source of unease is the well founded suspicion that there remains considerable suffering in the medical community that could be alleviated if only our role and availability were better known.  The Association’s Council accepts that its most pressing challenge is the need to let doctors and their families know that we are here and we can help.

The Association’s work is made immensely more easy by the moral and material support of many.  I refer to the medical organisations that contribute financially, many of them year after year.  Their donations are accompanied by encouraging letters that affirm the value of our work.  The AMA (NSW) Branch contributes to our productivity and our finances by provision of a meeting room and office facilities as well as reminding their members of our need for donations.  The NSW Medical Board donates generously.

Our relationship with these bodies does not impair the strictly confidential relationship we have with our beneficiaries.  We maintain great interest in and admiration for the work of the Doctors Health Advisory Service of NSW and encourage them to refer doctors to us.

It is almost forty years since the Medical Benevolent Association chose Mary Doughty to be its interface with beneficiaries.  Her role became much more comprehensive than that simple description.  Our success is due in great part to her selfless dedication and professional skills.  Many of the beneficiaries who write to thank us for our help actually express their gratitude to Mrs Doughty because the support they received came from her counsel rather than our money.  I must also thank the Directors of the Association.  This Association cannot function without your time and wisdom.  You carry great responsibility for the governance of a public charity and the stewardship of a venerable institution.  Your work here costs you time from your practices and families.  For me, one of the rewards of my position is working with you.

Particular mention must be made of Dr Joy Vautin who retires as a director after twenty-two years.  She has been particularly valuable as a Councillor because her expertise as a psychiatrist has had increasing relevance due our changing caseload.  She has selflessly made herself available more than any other director during my time on this Council.  On behalf of all present I thank Joy for her wonderful contribution to doctors and their families.

 

Richard F Herlihy

President

 

 

Treasurer's Report

3 November 2003

Mr President, Ladies and Gentlemen

I have pleasure in presenting the audited financial statements for the year ended 30 June 2003.

It is very satisfying to report that, during the current financial year, the Association incurred a surplus (after payment to beneficiaries) of $71,419 compared with a deficit of $1,088 last year.  This is despite a significant reduction in donations received.  The improved result is due to a better return on our investments and reduced payments to beneficiaries.  General expenses were almost identical to last year.

We believe that the reduced payments to beneficiaries are not due to a reduction in the needs of the medical community or to a mean attitude on the part of the Council.  Rather, the reduced need to make financial gifts is thought to be a reflection of the changing trend in the type of help that the Association is giving.  For several years now we have been observing that the emotional pressures of modern medical practice have led increasingly to individual and marital distress rather than financial problems.  These issues of personal distress are helped by social work counselling rather than financial gifts.

We also like to think that social work counselling provided in the early stages of personal distress prevents progression to the stage where professional practice is disrupted, causing consequent financial problems.

Perhaps the money we are spending on our social worker is saving us the greater expense of helping families where the doctor breadwinner has become incapacitated.

On the income side, donations received from all sources of $162,729 was $38,661 less than the previous year.  Our investment income of $197,249 was a $49,740 improvement on the previous year.  Against this, total expenditure of $288,559, which includes gifts to beneficiaries, was $46,680 less than last year.

Our investment portfolio managed by Westpac Investment Management Limited also returned to positive territory this year.  The annualised rate of return of 1.37% was gratifying in the prevailing market conditions.

I wish to record my thanks to Gary Scarr of Westpac Investment Management and to Dennis Mattiske and Bill Nussbaum of HLB Mann Judd for their professional assistance to the Association and to me personally since I became Honorary Treasurer.

Mr President, I put this report to you and move its adoption.

 

Antonio Di Dio

Honorary Treasurer

 

 

Social Worker's Report

November 2003

Twenty-five new referrals to the MBA of NSW between January and October this year but a decrease in the amount of money gifted to beneficiaries points to the increasing use of the social worker as a counsellor and the need for such a confidential source of advice and support for the profession.

The presenting problems are always varied - initially they often point to financial need but eventually many are the result of psychiatric problems and the stress that is prevalent across all sections of the profession at the present time.  A major factor continues to be the impairment of relationships where both spouses are trying to hold down a full time job, do postgraduate studies and bring up a family. The situation has probably been aggravated by the length of time it takes to complete the postgraduate medical degree, although the benefit of the latter is that tertiary students have more time to look at medicine as a career before entering the medical school.

The capability of a member of any of the profession to borrow freely from financial institutions remains a serious problem and, again, the council of the Association has had cases presented to it which are caused entirely by over borrowing and overspending on credit. Only recently a young doctor stated that the lending institution had not gone into his financial position thoroughly but had assumed he could carry the debt because he was a doctor. This young man is facing bankruptcy - a problem which continues to grow in our society.

During the third National Conference on the health on doctors held recently in Sydney I had the opportunity to speak with medical practitioners from various areas of medicine in other states and all are impressed with the way the MBA of NSW uses its social worker and the wide variety of financial assistance it provides to those in need and to assist with tertiary education for the families of deceased doctors.

Some other associations are concerned that the number of presenting problems may grow so much that they cannot handle the cases. The Association in NSW has been able to be available to all who ask for its help and, with great investment foresight. has been able to assist financially.  It considers each case very carefully so that it is not just 'giving money' but providing the advice and support which is needed for it to be used wisely and well.  This often means helping people over a period of time to accept a different lifestyle and way of living.

My role as chairman of the Order of Australia Association in NSW has proved most useful in speaking about the Association and its work.  During the past three years I have attended functions in the major areas of NSW and have always been able to comment on the work of the Association and the stress of being a doctor in today’s community.

I want to thank Mr Laurie Pincott and all the staff at the NSW branch of the AMA for their always warm welcome, advice and assistance when required. I look on this office as part of my work area and always feel at home here.

 

Mary Doughty AM

Social Worker/Executive Secretary

 

Councillors:

Dr Richard Herlihy (President)
Dr Furio Virant (Vice President)
Dr Andrew Wines (Vice President)
Dr David Chen (Secretary)
Dr Christopher Dalton (Treasurer)
Dr Peter Duke
Dr Joy Vautin
Dr Antonio Di Dio
Dr L Pfitzner
Dr Stella Dalton
Dr Gavin Frost
Dr Gary Galambos
Dr Stephen Green
Dr John Harrington
Dr Clement Loy
Dr John Newlinds OAM
Dr Norma Stephens
Dr Vincent Wong

Composition of Council: 

General Practice: 3

Psychiatry: 3

Ophthalmology: 1

ENT: 1

Salaried: 2

Hospital: 2

Urology: 1

O&G: 1

Surgery: 1

Retired: 2

Social Worker

Mary Doughty AM

Chartered Accountants

HLB Mann Judd

Independent auditor

HLB Mann Judd

Investment advisors

BT Financial Group

 

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Copyright © 1998-2004.
Medical Benevolent Association of New South Wales. All rights reserved.

Citation suggestion: Medical Benevolent Association of NSW, Annual Report 2002-3 (http://www.dmh.org.au/mba/report_2003.htm) [date accessed]

Last revised: 25 February 2007 21:10