Friday, December 4, 2009

Our Letter to the NSW Minister for Health

At the completion of the walk, HEAL spokesperson and Blue Mountains Deputy Mayor, Janet Mays, handed the following Letter to representatives from the Sydney West Area Health Service. Now we await the reply!

November 29th 2009

The Hon. Carmel Tebbutt
Minister for Health
Governor Macquarie Tower Level 30
1 Farrer Place

Dear Minister

I write to you on behalf of Blue Mountains HEAL (Hospital Equity & Access Lobby) and the broader Blue Mountains community.

Blue Mountains District ANZAC Memorial Hospital (BMDAMH) is a cornerstone of our community and we need it to provide basic, primary healthcare services 24 hours a day, 7 days a week. Services such as emergency, maternity, paediatrics, orthopaedics and rehabilitation.

Sadly over the past 5 years, service provision has declined at our hospital and Blue Mountains residents are now routinely sent to Nepean hospital and beyond for services that were previously locally provided. This is simply not good enough when we have a refurbished hospital in our midst.

Mountains residents are routinely sent over 53kms down a busy highway for services such as x-rays, the treating of fractures and minor surgery. We are told that service interruptions and closures at BMDAMH are due to an inability to attract clinicians to our hospital and yet we regularly hear from clinicians who would willingly work at our hospital if the “conditions were right”.

Accordingly, we ask that the NSW State Government reclassifies BMDAMH as a rural hospital to enable the paying of higher entitlements to attract clinicians to the hospital. We also ask that the State Government directs Sydney West Area Health Service (SWAHS) to do everything in its power to re-open the 8 beds that remain closed in the Rehabilitation unit. These beds are desperately needed by our residents.

Minister, we are not asking for anything extraordinary. We are simply asking that our hospital be allowed to function and that the tax payer funded refurbishments completed in 2006 be fully utilised.

Nepean hospital is important for Mountains residents for more complex healthcare issues. We do however require a functioning, local hospital for less complex matters and for the practical reason that Nepean hospital is stretched to full capacity and we have an idle hospital in the Blue Mountains.

76,000 residents and 3million visitors per annum need BMDAMH. We ask that you seriously consider our request for rural classification and that the NSW State Government makes this change as soon as possible.

Yours sincerely

Janet Mays
for and on behalf of HEAL

cc: Mr P. Koperberg, Member for the Blue Mountains
cc: Mr K Hedge, Acting General Manager Nepean Hospital SWAHS

Tuesday, December 1, 2009

Walkers swear to continue Katoomba Hospital fight

by Michael Cleggett BMG

Mountains residents fed up with the decline in basic services at Katoomba Hospital turned out in force over the weekend for a 53km walk to express their anger.

In a rare show of cross-party unity, walkers were joined by Member for Blue Mountains Phil Koperberg and NSW opposition health spokesperson Jillian Skinner at Leura, who both vowed to fight for the hospital’s reclassification as rural.

A spokeswoman for walk organiser Hospital Equity and Access Lobby (HEAL), deputy mayor Janet Mays, said the joint commitment was a “major victory for the community”.

“Rural reclassification enables the paying of higher entitlements to clinicians,” said Clr Mays. “This would be a great step forward in our ability to attract doctors to our community” she said.

Walkers received encouragement from passing motorists who honked their support as the group endured the weekend’s warm conditions.

“Throughout the route people stopped to ask us questions and to lend their support to our cause,” said Clr Mays.

Read more:

Sunday, November 29, 2009

It's a Bl**dy Long Way to Nepean Hospital! walk - Media Release


Promises of rural reclassification for the Blue Mountains District ANZAC Memorial Hospital were made to walkers at the start of Saturday’s It’s a Bl**dy Long Way to Nepean Hospital! walk.

Over 100 red and white themed walkers took to road for the walk organised by HEAL (Hospital Equity & Access Lobby) to highlight the distance that Mountains residents are routinely required to travel for basic primary healthcare services.

Walkers were joined by the NSW Opposition Health Spokesperson Jillian Skinner, the Member for the Blue Mountains Phil Koperberg and several local Councillors.

HEAL spokesperson and Blue Mountains Deputy Mayor Janet Mays described the separate announcements made to walkers by Mrs Skinner and Mr Koperberg as significant and a potential major victory for the Blue Mountains community.

“Rural reclassification enables the paying of higher entitlements to clinicians. This would be a great step forward in our ability to attract doctors to our community” she said.

Walkers withstood hot temperatures as they made their way down to Nepean hospital over the 2 day weekend period.

“We were enthusiastically embraced by motorists along the way who honked their support for our cause” said Ms Mays.

“Throughout the route people stopped to ask us questions and to lend their support to our cause. The Northern Road in Penrith was particularly noisy with drivers showing their support because they recognise that Penrith residents are impacted by an additional 76,000 people being channelled into their local hospital”.

Eight tired and exhausted walkers and supporters reached Nepean Hospital at 3.00pm on Sunday and were met by Executives from the Sydney West Area Health Service.

HEAL presented a letter to the Minister for Health requesting that BMDAMH be reclassified as a rural hospital and that the 8 beds in the Rehabilitation unit at BMDAMH be re-opened.

“It truly is a bl**dy long way to Nepean Hospital said Clr Janet Mays at the completion of the 53km walk. It’s simply too far to travel for healthcare services by car and a very long way on foot!” she concluded.

Friday, November 27, 2009

BL**DY LONG WAY video Mk II: The Egyptian Reggae mix

The Egyptian Reggae mix of the first day of the HEAL march from Katoomba Hospital to Nepean Hospital in Penrith, to demonstrate what a bloody long way it is for the Blue Mountains community when services are not provided at Katoomba Hospital.
You can view video of the start of "It's A Bl**dy Long Way to Nepean" at:

Local MP Phil Koperberg with Blue Mountains Deputy Mayor Cr Janet Mays

On Saturday 28 November 2009 hundreds of Blue Mountains residents concerned about the future of Katoomba Hospital rallied for HEAL's two-day walk down to Nepean Hospital in Penrith. Called "It's a Bl**dy Long Way to Nepean Hospital" the demonstration's aim is to raise awareness about community concerns about the running down of services at Katoomba Hospital, and the fears of some that the state government might at some point close it entirely. It is intended to highlight just how far Blue Mountains residents have been expected to travel for treatment at Nepean, including some widely publicised cases of women in labour, some of whom have given birth by the side of the road on the way down. Among the marchers was 7 month old Adelaide Buttrose whose traumatic birth made the front page of the Sydney Morning Herald and the Gazette after her mother was first turned away by Katoomba Hospital and then sent in an ambulance to Nepean, and almost gave birth on the way down. State Opposition Health Spokesperson Jillian Skinner and local ALP member Phil Koperberg both attended the rally. HEAL organiser and Blue Mountains Deputy Mayor Councillor Janet Mays addressed the rally and led the marchers off on the 53 kilometre walk down to Penrith.

well-capped HEAL supporters

Belle Buttrose with Opposition Health spokesperson Jillian Skinner

Cr Janet Mays with supporters, from left: Leah and Jacob, Ada-Bella and Belle, Steve and Benjamin, Cr Janet Mays, Vanessa and Keira

Wednesday, November 18, 2009

Doctors sick of failure to fix ailing hospitals

November 19, 2009


DOCTORS are appalled by what they say is a complete failure to implement vital reforms in public hospitals recommended a year ago, according to a survey released exclusively to the Herald.

It comes as an independent audit of the reforms released by the state Health Minister said hospitals were finding it increasingly difficult to provide quality patient care.

Three-quarters of doctors believe the state's public hospitals have not become a better place to work in the past six months and 71 per cent say the health service has cut clinical staff, according to the survey of 510 doctors.

Since Peter Garling, SC, handed down his landmark report a year ago, calling for an urgent overhaul of the state's hospital system, little has changed on the ground, the survey conducted for the Australian Medical Association and the Australian Salaried Medical Officers, concludes.

Doctors were overwhelmingly negative about the lack of improvement and many said the only obvious reform was identification badges. One said: ''It's been mainly pictures on the wall and new badges - nothing that's going to change clinical care.''

Read more

Thursday, November 12, 2009

It's a Bl**dy Long Way to Nepean Hospital! Walk - Information

Please come along and support us. Walk 1km or 50kms!

Walk Start Date: Saturday, November 28th 2009

Walk Start: Blue Mountains District Anzac Memorial Hospital

Walk Registration: from 8.00am

Walk Commencement: 8.30am

DAY 1 - Saturday, November 28th 2009

Stage 1: BMDAMHWentworth Falls Commuter Car Park 5.8kms

- Registration for walkers from 8.00am

- Walk Commencement at 8.30am

- Walk from BMDAMH to Wentworth Falls via Leura

- Break at Wentworth Falls Commuter Car Par (toilets available)

Stage 2: Wentworth Falls to Woodford Post Office (GWH, Woodford) 15.3kms

- Walk to Tablelands Road, Wentworth Falls

- Walkers will be driven from Tablelands Road, Wentworth Falls to Genevieve Road, Bullaburra due to an inability to access safe footpaths/walking tracks for this part of the journey

- Walk from Bullaburra to the Woodford Post Office (toilets at Lawson)

- Walkers will then be driven from Woodford Post Office to the Gallery Tearooms (The Old Block Factory) on the GWH at Faulconbridge due to an inability to access safe footpaths/walking tracks for this part of the journey

- Break at Gallery/Tearooms at Faulconbridge (toilets in the gallery)

Stage 3: Faulconbridge to Springwood Neighbourhood Centre (Macquarie Road, Springwood) 5.4kms

- Walk from Faulconbridge to Springwood village

- Finish day 1 at the Springwood Neighbourhood Centre – cuppa and a chat with Phil Koperberg, MP for the Blue Mountains (toilets in the neighbourhood centre).

DAY 2 - Sunday, November 29th 2009

Stage 1: Jim Aitken Real Estate, 7 Great Western Highway, Valley Heights to Blaxland Shops 7.1kms

- Registration for Day 2 walkers from 8.00am

- Walk Commencement at 8.30am

- Walk from Valley Heights to Blaxland Shops

- Break at Blaxland shops (toilets available)

Stage 2: Blaxland Shops to Glenbrook Visitor Information Centre 3.2kms

- Break at Visitor Information Centre (toilets available)

Stage 3: Glenbrook Visitor Information Centre to Nepean Hospital

- Walkers will be driven from the Visitor Information Centre at Glenbrook to Caltex Station on cnr of Russell Street and Great Western Highway (GWH) at Emu Plains due to an inability to access safe footpaths/walking tracks for this part of the journey.

- Walk from Caltex Emu Plains to Nepean Hospital via Shopping Centre in Penrith (toilets available). Break point will be agreed.

Wednesday, November 4, 2009

Defining Primary Health Care

"The importance of primary health as being the foundation of a strong health service is widely accepted." (John Menadue, 2003)

  • Primary Health Care Philosophy
    - holistic understanding of health
    - recognition of multiple determinants of health
    - community control over health services
    - health promotion and disease prevention
    - equity in health care
    - research-based methods
    - accessible, acceptable, affordable technology

  • Primary Health Care Strategies
    - needs-based planning
    - decentralised management
    - education
    - intersectoral coordination and cooperation
    - balance between health promotion, prevention and treatment
    - multi-disciplinary health workers

  • Primary Health Care Services
    - locally based
    - affordable and accessible
    - well integrated
    - health care teams
    - health promotion
    - disease prevention
    - illness treatment
    - rehabilitation services

Source: Centre for Health Equity Training, Research &Evaluation (CHETRE) 2003-2004

It's a Bl**dy Long Way to Nepean Hospital! Walk - Information Session

If you are participating in the It’s a Bl**dy Long Way to Nepean Hospital! walk on Saturday, November 28th or Sunday, November 29th, please attend the information session at 7.00pm on Thursday, November 12th at the Alex hotel in Leura.

If you are unable to attend this meeting and require further information, please email

Sunday, November 1, 2009

HEAL Media Release - HEAL Applauds Bipartisan Approach to Maternity Service at BMDAMH

HEAL has applauded the combined efforts of Jillian Skinner, the NSW Shadow Minister for Health and Blue Mountains MP, Phil Koperberg for delivering a strongly worded Motion in the NSW Parliament concerning the provision of maternity services at Blue Mountains District Anzac Memorial Hospital (BMDAMH).

“Mrs Skinner placed the original Motion before the NSW Parliament in October 2008 and it has taken a full year to have the Motion debated” said HEAL spokesperson, Janet Mays.

“Phil Koperberg, with the agreement of the Opposition, then amended the original Motion to acknowledge current concerns regarding staff recruitment at BMDAMH. The end result was a strongly worded Motion that was unanimously passed in the Legislative Assembly.

“We really appreciate the efforts of both Mrs Skinner and Mr Koperberg in bringing this Motion before the Parliament.

“We especially acknowledge the amendment from Phil Koperberg which calls upon the Government to direct the Sydney West Area Health Service to do all that is necessary to permanently maintain services at Blue Mountains District ANZAC Memorial Hospital” said Ms Mays.

Jillian Skinner has advised that she will participate in HEAL’s It’s a Bl**dy Long Way to Nepean Hospital! walk on Saturday November 28th. Mrs Skinner will walk stage 1 from BMDAMH to Wentworth Falls. Phil Koperberg will then meet the walkers at his Springwood office at the completion of the first day.

The It’s a Bl**dy Long Way to Nepean Hospital! walk is intended to underscore the distance that Mountains residents are routinely required to travel for basic primary healthcare services.

HEAL is hopeful of meeting the NSW Minister for Health at the completion of the walk to hand her a letter requesting that BMDAMH be reclassified as a rural hospital and that current service/bed closures be prioritised for re-opening.

Thursday, October 29, 2009

Hansard - NSW Parliament October 29th 2009

It has taken a year but here is the agreed Motion from yesterday's NSW Parliament...........

That this House calls on the Government to honour its commitment to the member for Blue Mountains and local residents that the maternity unit at Blue Mountains hospital will remain open permanently and that this House acknowledges current concerns regarding staff recruitment and calls upon the Government to direct the Sydney West Area Health Service to do all that is necessary to permanently maintain services at Blue Mountains District ANZAC Memorial Hospital.

The Debate:


Mrs JILLIAN SKINNER (North Shore—Deputy Leader of the Opposition) [12.37 p.m.]: I move:

That this House calls on the Government to honour its commitment to the member for Blue Mountains and local residents that the maternity unit at Blue Mountains hospital will remain open permanently.

I gave notice of this motion in October last year. Members may recall that I sought to have the motion debated the day after I gave notice because of the great anxiety among residents of the Blue Mountains about the on-again, off-again nature of maternity services provided at Blue Mountains District Anzac Memorial Hospital. Unfortunately, the Government would not allow the motion to be debated at that time. As a consequence, there has been no pressure on the Government to fix this problem once and for all. I sincerely hope that debate on the motion at this time provides an opportunity for every member of the House, including crossbenchers, to support the motion and call on the Government to honour its commitment to the member for Blue Mountains and local residents in relation to the maternity unit at the Blue Mountains hospital remaining open permanently. The member for Blue Mountains intends to move an amendment, which the Opposition will support.

I will provide the House with a potted history of this issue. The maternity unit has been upgraded. It is a beautiful suite of rooms. I visited the hospital recently and spoke to extremely competent and committed staff—the doctors, midwives, nurses and others—who have been providing services, when they are able to, at the maternity unit. When the maternity unit suffered a shortage of expert staff, such as obstetricians and anaesthetists, it was closed on 21 July 2008.<17>There was a public outcry. After a rally and after the anger expressed by the people of the Blue Mountains the maternity unit reopened on 1 September. The then Minister, Reba Meagher, said:

Congratulations, you won … this won't happen again.

The member for Blue Mountains also said that the maternity unit was "there to stay". Although the member's intention is that the maternity unit will stay open permanently, the reality is that the unit has been closed many, many times since then. Indeed, I have been told that it has been closed 36 times in the past year because it does not have the staff necessary to guarantee the safety of mothers giving birth. Blue Mountains hospital is a distance from alternatives for expectant mums. People who have been to the Blue Mountains—I think everybody in the State visits the Blue Mountains, because it is such a fantastic part of the State—know that the road is appalling, particularly in bad weather and when traffic is heavy. It can take a long time for people to travel down the mountain to Nepean Hospital, which is the alternative.

As I predicted at the time, we have had examples of babies being born in the back of ambulances because the mothers could not be brought down to Nepean Hospital in time to deliver. It is only good fortune that a tragedy has not occurred because the ambulance did not have the equipment or resources, despite the fantastic work of paramedics to ensure the safety of mothers and their babies. I found it extraordinary when the next Minister for Health, John Della Bosca—we have had many changes in health Minister, and they all seem to fob this off to the next one—claimed that mothers were safer in the back of an ambulance. Clearly, he has never given birth. Babies need to be born in the comfort of a proper facility with appropriate staff, including skilled midwives, as they are at the Blue Mountains hospital, but with the backup of paediatricians, obstetricians and anaesthetists should something go wrong. It is no secret that the maternity unit has been closed many times; that has not been denied. After all this brouhaha, and when the unit was supposed to stay open permanently, the closure of the unit was confirmed to me in a leaked memorandum dated 23 September 2008 from the Sydney West Area Health Service, which stated:

No anaesthetic cover … Due to circumstances beyond our control, there will be no anaesthetic cover for the following periods.It then has a list of dates.

The memorandum then stated:
During this period the following action will be taken :-· Transfer of all women in labour to Nepean Hospital for the duration of the period of no anaesthetic coverage.

Unfortunately that is the standard response of the Sydney West Area Health Service. It does not matter what we say or what amendments we put forward, that will always be the standard response. I do not believe that the Government or the area health service is serious about recruiting the necessary staff at this hospital to guarantee that the maternity unit stays open permanently. Not one honest member of this House truly believes that that is the case. People have talked about changing the status of Blue Mountains hospital to that of a designated rural hospital so that additional incentives can be offered to attract staff, but the Government has dismissed that suggestion. The Parliamentary Secretary for Health, who is a good winker, just winked.

Mr Phil Koperberg: Not another winking incident.

Mrs JILLIAN SKINNER: A winking Parliamentary Secretary for Health. He winked because he agrees that Blue Mountains hospital should be designated as a rural hospital.

Mr Paul McLeay: He was winking at me.

Mrs JILLIAN SKINNER: It is funny that the member for Heathcote is standing there and I am here, and the Parliamentary Secretary for Health is looking at me. Members may laugh, but the reality is that expectant mothers are saddened, upset and worried about whether they will be able to deliver their babies at Blue Mountains hospital. There have been some plaintive letters to the local paper with stories about what has happened. One story that struck me was that of Larry and Belle Buttrose, whose daughter Adelaide was born at Nepean Hospital. The article in the Sydney Morning Herald stated:

A first-time mother endured a traumatic ambulance transfer after Katoomba Hospital, where she was booked to have her baby failed to warn her of the imminent closure of its birth unit during a conversation only hours before she went into labour.

Can we trust the Sydney West Area Health Service to do something about recruiting and retaining staff? I have spoken to doctors working in the Blue Mountains, as has my colleague the member for Hornsby, and they love Blue Mountains hospital. They want to work there, but they are not provided with any incentives to do so. The irony is that the Government plays games with the member for Blue Mountains. He sent a letter to local residents dated September 2009 in which he referred to all the terrific things that would happen, because he had been told they would happen, including maternity services, the appointment of new people and so on. However, the fact is that the maternity unit had no obstetrician and no anaesthetic cover overnight on 7 September, just after the letter was sent to residents. I believe the hospital was closed on 7 and 8 September, after the letter was received by local residents.

An article in the Blue Mountains Gazette on 5 August was headed:
Minister hails new hospital appointment.

It is the same old story. The Government pretends that it has addressed the issue but the reality is that it is not serious about doing so. A group of people who have been actively defending the hospital and pressuring the Government to do something received more than 9,000 signatures on a petition in just nine days. I went to the Blue Mountains to receive the petition. The group is concerned that expectant mothers will not be able to deliver their babies locally, as they had been led to believe. Also, expectant mothers being sent down the mountain to Nepean Hospital are in a quandary because of staff cuts at Nepean Hospital. Indeed, the Government has offered voluntary redundancies to nurses, for example, in the emergency department. For goodness sake! How can the Government be serious when a hospital that is already struggling to cope with one of the biggest waiting lists and one of the worst-performing emergency departments in the State, despite the fantastic work of the doctors, cannot cope with extra demand? I hope that the Government will take this matter seriously, support the motion, and join me on 28 November on the walk in the Blue Mountains in support of this hospital.

Mr PHIL KOPERBERG (Blue Mountains—Parliamentary Secretary) [12.47 p.m.]: I thank the Deputy Leader of the Opposition and shadow Minister for Health for bringing this important matter to the attention of the House. Notwithstanding the levity attached to the second winking incident in this House in a month, this matter is serious. As the member said, I foreshadow an amendment to the motion, and I am grateful for her indication of support for it. I tend to be a little more optimistic about the situation in Katoomba than some others perhaps. I guess that is because I am cognisant on a daily basis of the efforts being made to recruit clinicians, whether they be obstetricians, anaesthetists or paediatricians. I am also cognisant of the fact that, worldwide, challenges are confronting health care providers in the recruitment of qualified clinicians across the range, from nurses to surgeons, doctors and other clinicians.

The Deputy Leader of the Opposition has sighted the wonderful facility that is the maternity unit at Blue Mountains hospital, which was recently rejuvenated and rebuilt. Much can be said of that hospital in those terms across the spectrum.<18>The hospital was founded in 1923 as the Blue Mountains District ANZAC Memorial Hospital and thus takes its place amongst iconic hospitals and healthcare facilities in this State which ought to be maintained. Over the years it is has undergone many improvements. In 2003 a $12.5 million rejuvenation and redevelopment project was introduced which improved, for argument's sake, the emergency department which included an additional procedure room, three new clinic rooms and a doubling of emergency department bed numbers, hydrotherapy pools providing about 3,000 pool therapy sessions for local patients each year, a new health unit for women and children, a new dental clinic, a new hospital kitchen, a 15 bed mental health unit, a swing ward, a state-of-the-art helipad, and the list goes on. So significant improvement has been made to the evolution of that hospital.

But the Deputy Leader of the Opposition is right inasmuch as there have been unacceptable interruptions to the services provided at Katoomba hospital, particularly in the area of maternity and birthing. It is true that the challenge is for hospital administrators in the area health systems to recruit sufficient qualified clinicians to ensure that not only Katoomba hospital but other health facilities are able to discharge the functions for which they were originally designed. What makes Katoomba so important to residents in the Blue Mountains is its geographic uniqueness. We have one egress, one access, that is, the Great Western Highway. Much of the upgrading of the highway has been completed. Residents of the Blue Mountains will appreciate the three or four lane good road from Emu Plains through to Katoomba when it is completed. I commend the Government for its ongoing commitment to provide a good thoroughfare through those many suburbs.

The reality is that due to circumstances such as the potential for bushfires, storm damage, trees falling across the road and so forth, always present is the very real danger of our not being able to transport people from the Katoomba hospital to another hospital, whether it be Lithgow or the very fine hospital at Nepean. Blue Mountains hospital is not a western Sydney hospital. The Blue Mountains are not part of the western suburbs; they are a unique—and geographically unique—location within New South Wales and are deserving of health and other facilities which are present in similar locations elsewhere. The efforts being made, for argument's sake, by the very competent staff at Blue Mountains hospital to recruit clinicians, particularly anaesthetists, obstetricians and paediatricians, is appreciated but we need to get on with the job.

I am encouraged, having met as recently as yesterday with the Deputy Premier, and Minister for Health, by her concern to have these issues rectified for once and for all. The reality is that if people do not want to work at the Blue Mountains, for whatever reason, they do not. The challenge is to find out why they do not want to work there and fix whatever problems there are. It is incumbent upon us to do precisely that. I am confident that the Minister, with whom I have had a frank discussion, a discussion in which she was very receptive, will address these issues as soon as she possibly can.

I foreshadow I will move an amendment to the motion but I do not take away, in any shape or form, from the veracity of the motion moved by the Deputy Leader of the Opposition, because it is an important issue that needs to be addressed. Residents of the Blue Mountains need to feel confident that in most scenarios they will be able to call upon the facilities provided by Blue Mountains hospital and know that they are going to be delivered. A situation will arise, as certain as I stand here, that one day in the future when the prospect of transporting, either by air or road, patients needing urgent attention to an alternative hospital that will not be available due to whatever circumstances might prevail. Accordingly, I move:

That the motion be amended by adding after the word "permanently":

and that this House acknowledges current concerns regarding staff recruitment and calls upon the Government to direct the Sydney West Area Health Service to do all that is necessary to permanently maintain services at Blue Mountains District ANZAC Memorial Hospital.

Mrs JUDY HOPWOOD (Hornsby) [12.55 p.m.]: I support the important motion moved by the Deputy Leader of the Opposition that has taken a year to be debated in this House but its intent and content has not gone unnoticed in that time. Sadly, when the Deputy Leader of the Opposition put the motion on the Notice Paper the Government could not see its way to clear to allow debate, much to the disappointment of members of the Opposition but also to the member for Blue Mountains and members of the local community of the Blue Mountains. It is ridiculous to have to debate this motion today. The member for Blue Mountains stated that the area has only one egress and one access, which is very dangerous at times with the possibility of a major traffic accident or fires. He also said that the hospital is unique and different from other places for health treatment in the western suburbs, something with which members of the Opposition agree.

That alone—and local people who love their hospital, want to live in the area, deliver their babies and have their healthcare services delivered by the local hospital—is reason to support the provision of services, including maternity services, at Blue Mountains hospital. I have spoken to a number of health professionals in relation to the maternity and other areas of this hospital. The clinicians are clearly appalled at the on/off type of arrangement with the maternity unit and its provision of maternity services to the community. This Government has had 14 years to look at staffing issues at Blue Mountains hospital and many others but has failed dismally. Despite many promises and lies this hospital has a huge question mark over it.

The Deputy Leader of the Opposition said that this hospital has been closed 36 times and that sort of uncertainty is not acceptable. It is appalling that pregnant women do not know whether they will be able to deliver at the Blue Mountains maternity unit, particularly in light of the example to which the Deputy Leader of the Opposition referred, when a first-time mother endured a traumatic—<19>

Mr Phil Koperberg: Point of order: With due respect to the member for Hornsby, she cited the hospital as having been closed on 36 occasions. That is not quite correct. That would give the impression that the totality of services of the hospital were not available to the public. There have been many occasions on which the birthing unit has been closed, but to suggest that the hospital was closed on 36 occasions is incorrect.

ACTING-SPEAKER (Ms Diane Beamer): Order! There is no point of order.

Mrs JUDY HOPWOOD: In response to that point of order, I point out that on 12 May 2009 the Sydney Morning Herald, referring to staffing, stated:

Some have left the system and others are travelling to the Royal Hospital for Women, in Randwick, rather than work at the Blue Mountains birth unit after it was shut at short notice for a quarter of last year and 36 times this year because anaesthetists and obstetricians could not be found to fill the roster.

That is one opinion about whether the birthing unit has been shut or unavailable to provide maternity services. In conclusion, I support the motion moved by the Deputy Leader of the Opposition. Again, I note that the member for Blue Mountains would like his Government to provide more assurances in staffing to keep the maternity unit and other services open. The Blue Mountains community love their hospital and they want those services to be open and available, they do not want to have to travel too far for those services.

Dr ANDREW McDONALD (Macquarie Fields—Parliamentary Secretary) [1.00 p.m.]:

I thank members on both sides of the House for their good sense in supporting both the motion and the amendment, because this is an opportunity to sensibly debate this difficult issue in a less adversarial way to find a way forward for those who mean so much to us—the people of the Blue Mountains. A global shortage of anaesthetists, obstetricians and midwives is creating challenges for many regional hospitals, including the Blue Mountains District Anzac Memorial Hospital. This world-wide shortage of physicians is a subject of editorials in many global medical journals.

I assure the House that this shortage of physicians in Australia will not last. Currently a significantly greater number of medical students are undertaking training.I assure members and everyone in the Blue Mountains community that every effort is being made to ensure that the maternity services at the hospital are fully functional, properly staffed and supported in the long term. My report on this hospital of December 2008 restated the Government's commitment to maternity services in the Blue Mountains in the long term. I repeat that today: the Government is committed to the long-term future of maternity services in the Blue Mountains. The hospital's new maternity unit was opened in November 2005 and provides, as the member for Hornsby said, high-quality accommodation with eight single rooms, all with en suites. I have visited the unit on more than one occasion and spoken to the staff. I take this opportunity to pay tribute to the staff; they are highly, multi-skilled midwives who are totally committed to the welfare of the community.

The unit has a philosophy of women-centred care to ensure a positive birthing experience, which includes the family unit. The highest priority must be given to ensuring the highest level of clinical safety is provided to every birthing mother and every infant in all hospitals. I repeat: in modern health care, safety is everything. The challenge for governments, regardless of who is in government, is to attract qualified, experienced and skilled staff in adequate numbers from urban centres to regional and rural communities to support populations living outside Sydney.

This is not a simple task. It requires sustained commitment. Considerable planning and effort has been invested into improving the sustainability of maternity services at the Blue Mountains hospital. Firstly, Dr Tait, a senior staff specialist in obstetrics and gynaecology, a highly experienced and motivated clinician, was recruited and commenced at the hospital in January 2009. I have met Dr Tait, he is a very impressive individual. The role of that position has been enhanced further by the introduction of a training program for career medical officers in obstetrics that commenced at Nepean Hospital in 2008. In 2009 one obstetric career medical officer commenced the on-call rotation at Blue Mountains hospital to be followed by another two on completion of their training. I take this opportunity to pay tribute to Dr Henry Murray from Nepean Hospital, who has been instrumental in that improvement.

That addition reflects the enormous commitment to the future of obstetric services at the Blue Mountains District Anzac Memorial Hospital, and is one of the key building blocks to maternity services at that hospital. The Blue Mountains hospital has continued to recruit anaesthetists. Interviews for their recruitment were held in late June, resulting in the successful recruitment of one anaesthetist, and another has returned from maternity leave. Further advertising has resulted in the recruitment of an additional specialist anaesthetist who will commence in January 2010. In addition, the training program established for obstetrics was also extended to anaesthetics in 2008. An anaesthetic career medical officer will become available for the rotating roster at the hospital on the completion of specialist training.

The Blue Mountains hospital has also appointed Alison Zilko, an experienced midwife, to the position of Midwifery Unit Manager. The hospital has continued recruitment to midwifery positions, further demonstrating the Government's commitment to midwifery, which includes caseload midwifery, the modern form of midwifery care. One major difficulty since June 2009 has been the resignation of a paediatrician. Paediatric cover has since been maintained and recruitment has progressed with three interviews being held for replacement of the permanent paediatrician position. Currently that unit has been covered by locums.

The Sydney West Area Health Service and the Blue Mountains hospital remain committed to a sustainable birthing service, without interruptions, in the long term. The number of births continues to rise. A Birthing Services Community Consultation Group commenced in August 2008. It has held nine meetings and is an important part of the improvement of birthing services in the Blue Mountains.

Mrs JILLIAN SKINNER (North Shore—Deputy Leader of the Opposition) [1.07 p.m.], in reply: I thank members who contributed to the debate. I will address the amendment moved by the member for Blue Mountains and the comments of the member for Macquarie Fields regarding staff recruitment. I note that the amendment acknowledges current concerns regarding staff recruitment. I make it clear that it is not enough to simply say that there is a world-wide shortage of staff and suggest that somehow that is the reason why staff cannot be recruited to the Blue Mountains hospital. I do not believe it, and neither does the local member of Parliament.

More nurses are graduating from universities now, and they cannot get places because the Government has put a freeze on recruitment. Only 39 per cent of registered and enrolled nurses in New South Wales work in the public health system. A new crop of doctors will come from the universities, and they will need to be provided with clinical training places in our hospitals. It is a simple, easy fob off to suggest that there is a world-wide shortage of medical staff. If the Government were serious about attracting staff to the Blue Mountains hospital there is much more that it could do. It could declare the hospital as a rural hospital for the purposes of attracting doctors and others by way of incentives. The Government could do much more to provide rotation through other hospitals.

Although I have agreed to accept the amendment, it is by no means a fob off from my point of view. The community will be informed that if there is one closure, questions will be asked about the seriousness of the Government in trying to recruit staff. I spoke to some specialists when the unit was first closed. I was told that the maternity unit was closed because someone was on leave—the local obstetrician said that no-one had contacted him about the intention of closing the maternity services when he went on leave. It was news to him. The closure was brought on because, frankly, it was a money-saving effort by the Government because it did not want to invest its effort and resources into providing a continuing maternity service at the Blue Mountains District Anzac Memorial Hospital.

I note also that these promises have been made before. Government members talk about recruiting doctors, but why in hell's name is the hospital's maternity unit still closed on occasions? If the Government has been so successful, I ask the Government to answer that question. The reality is that despite the recruitment of some specialists, that is not adequate to provide permanent cover.<20>

I hate to think of it but one day somebody who desperately needs to be transported down the mountain to Nepean Hospital will not make it and there could be a big tragedy. It will be nothing to do with the wonderful staff at Blue Mountains hospital. I agree with the comments of members opposite. I have visited the hospital and the staff are wonderful. I also agree with the Parliamentary Secretary about the value to women of having the continuous care of a midwifery team. It is a wonderful way to be involved as a mum or as somebody who knows women who are having babies, particularly their own daughters. That does not mean the hospital can operate without the backup of specialists, in case things go wrong. The member for Macquarie Fields knows that very well.

Dr Andrew McDonald: I have said that in my report, Jillian.

Mrs JILLIAN SKINNER: Yes, but there are others on your side of the House who would promote a different view. For that reason, while I very much respect the midwives, they cannot be left alone without backup support.

I am glad this motion has now been accepted. I find it extraordinary that in October last year, when I first gave notice, Mr Aquilina was vociferous in his opposition to it being brought on. There has been an about-face and I am grateful for that because it allows the people of the Blue Mountains to have a guarantee. They know that somebody will be held to account and somebody will pay the price, politically most likely, if these services are not provided on a continuous basis. I thank members for their support,

Question—That the amendment be agreed to—put and resolved in the affirmative.

Amendment agreed to.

Motion as amended agreed to.

Tuesday, October 27, 2009

Katoomba Hospital clinic may close

Blue Mountains Gazette
by Shane Desiatnik
October 28th 2009

Health bureaucrats have ordered a review of a Katoomba Hospital clinic that at least 57 Blue Mountains residents rely on for regular life-saving treatment of blood disorders.

An internal Sydney West Area Health Service (SWAHS) email between managers in its Western Pathology Cluster dated October 12 requested the clinic be shut down by the end of the month because it was not within the scope or service provision of the pathology division, despite being open for the last 13 years.

The email recommended other arrangements will need to be made for the provision of the service by SWAHS management as a matter of priority “due to the timeframe for cessation”.

Upon inquiry by the Gazette last week, a SWAHS spokesperson said the clinic will remain open while a review of the service is done by the end of November, but could not guarantee the clinic will remain open in the long term.

“That email (requesting the closure of the clinic) is incorrect — it was not an official SWAHS email,” the spokesperson said.

“We will be writing to patients that the clinic is not closing at the end of October.

“The results of the review will be known at the end of November and if the end result recommends any changes we will notify and talk to the patients.

“I can’t say there won’t be any changes.”

The Gazette understands staff and senior managers based at Katoomba Hospital have requested an urgent meeting with SWAHS decision-makers to discuss the matter.

The venesection clinic provides treatment for blood disorders including Haemochromatosis, a hereditary disorder that affects one-in-300 Australians.

Iron levels in the blood can rise by up to 10 times over the normal range due to the illness and if left untreated can cause permanent damage to the liver, heart and other major organs and even death.

To normalise blood iron levels and stop any organ damage, half a litre of blood must be removed by a specialist through a venesection procedure, usually once or twice a week in the most severe stage of the disease and then three or four times per year.

Seventy-year-old Blackheath resident Michael Eastland told the Gazette he “doesn’t have a clue” what he’d do if the clinic closed at Katoomba Hospital.

“I think it’s intrinsically wrong to withdraw this service — it is not available anywhere else in the Blue Mountains and I understand a considerable number of people rely on it.

“The people working at Katoomba Hospital are fantastic and all medical services (there) should be geared to the patient.

“But it’s getting to the point where the services are for the benefit of the area health management and this matter is a prime example.”

HEAL Media Release - It’s a Bl**dy Long Way to Nepean Hospital! Walk

HEAL supporters discussing logistics for the big walk in November

In a bid to underscore the distance that Mountains residents are routinely required to travel for basic, primary healthcare services, HEAL (Hospital Equity & Access Lobby) has announced a supporter’s walk from Blue Mountains District Anzac Memorial Hospital (BMDAMH) to Nepean Hospital on the weekend of November 28th & 29th 2009.

At the completion of the walk, HEAL is hoping to present the NSW Minister for Health with a letter requesting that the Blue Mountains hospital be reclassified as a rural hospital and that the Minister prioritises the re-opening of beds and services currently closed at the hospital.

HEAL spokesperson, Janet Mays said that staffing shortages at Blue Mountains hospital mean that many hospital services are now temporarily or permanently provided off Mountain at Nepean hospital. “Whilst we understand that there have been staffing shortages at the hospital, we don’t understand why Blue Mountains hospital can’t be reclassified as a rural hospital which will help to both attract and retain clinicians; why a job freeze remains in place and why all staff were recently offered voluntary redundancies”.

“It would be easy to just sit back and accept the decline in locally provided services as a sign of the times, but we can’t do that” said Ms Mays. “With a local population of 76,000 people, close to 3 million visitors per annum and the North West subregional strategy detailing an additional 7,000 houses for the Blue Mountains by 2031, we absolutely need a local hospital that delivers basic, primary healthcare services 24 hours a day/7 days a week”.

“Our hospital is a vital part of the social and economic fabric of our community and through our walk we hope to keep the need for locally provided hospital services top of mind for our State decision makers” said Mays.

The It’s a Bl**dy Long Way to Nepean Hospital! walk will commence at 8.30am on Saturday November 28th and conclude at Nepean Hospital at 4.00pm on Sunday November 29th.

Residents interested in joining the walk for some or all of the way or providing support to the walkers are invited to an information meeting to be held at the Alex hotel in Leura at 7.00pm on Thursday, November 12th 2009. Alternatively contact HEAL on 0417 979 578 or via email at

Wednesday, October 14, 2009

At Last - Some Recognition of the Problem! We won't disagree with you Mr Rudd.

Hospitals are Sick: Rudd
October 14, 2009 - 3:46PM

Prime Minister Kevin Rudd says he agrees with a "universally bleak" report into Australia's public hospital system.

The Australian Medical Association today released its report card, saying many hospitals failed to reach performance benchmarks.

"I basically agree with them," Mr Rudd told reporters in Murray Bridge, east of Adelaide.

"There is a real problem out there.

"And therefore, the Australian Government, rather than simply pushing this problem under the carpet, believe it's time we have a fully fledged national debate about how we fix this system for the long term.

"It is root and branch reform that is necessary."

Mr Rudd was in Murray Bridge for a health forum as part of the Government's consultation over proposed health reforms.

The Prime Minister said his Government would hold state and territories to account over their public hospital systems, and the data used to measure their performance benchmarks.

"We intend to hold the states and territories accountable against that data, that is why we are in the reform business," he said.

"This is tough - and remember we are also dealing with a history of the previous Australian government pulling $1 billion out of the Australian public hospitals system, we are reinvesting back in.

"We will take a very dim view indeed of any attempt by any State Government, whatever their political persuasion, of somehow being cute with critical data on emergency surgery, on elective surgery, or emergency department presentations.

"We want real data, we want to know the absolute facts of what is happening out there.

"We are in the long term reform business but to perform that, you need to have absolute confidence in the data, that is why we agreed on those performance benchmarks.

"We will take a very dim view indeed of any data that is cooked by anybody."


Wednesday, October 7, 2009

Wednesday, September 30, 2009

The Current State of BMDAMH - October 1st 2009

Did you know:

  1. The recently opened Breast Screening Clinic will close during October and November due to no female radiographer being available.
  2. The hospital kiosk will close on October 11th 2009. An interim kiosk will be run from the staff dining room!
  3. Five (5) beds remain closed in the Mental Health Unit (closed since May 2009) and no after hours admissions are permissible.
  4. Eight (8) beds remain closed in the Rehabilitation Unit.

When our hospital is allowed to service the local community, it does a brilliant job. Why are services at our local hospital being strangled?

Tuesday, September 22, 2009

We are not Alone!

Rural babies at risk - the human face of health-care cuts

If you missed the 7.30 Report on ABC TV last night (Sept 21st), you can read a transcript of the item entitled "Rural babies at risk - the human face of health-care cuts" at

The report focussed on Pambula Hospital, which is located on the far South Coast of NSW. Sadly, it was an all too familiar story.

To learn more about the fight to save Pambula Hospital visit their website

Sunday, September 20, 2009

Unions say 1000 jobs to go in hospital purge

Source SMH - NATASHA WALLACE September 21, 2009

THE Health Department's voluntary redundancy program for public hospital workers is shaping up to be the state's largest purge of nurses, therapists and other health workers, with about 1000 jobs expected to go, unions say.

Despite severe workforce shortages, the department has been calling for massive redundancies to compensate for its $646.6 million budget blowout.

The Sydney West Area Health Service, which includes Nepean, Westmead and Blue Mountains hospitals, is most affected, with more than 500 health workers and 300 nurses wanting redundancy, the Health Services Union and NSW Nurses Association say.

So far, 240 nurses, social workers, dental assistants, psychologists, occupational therapists, and other health workers and support staff have been offered redundancy, according to union figures.

A NSW Nurses Association manager, Susan Pearce, said Sydney's west was losing critical frontline staff. ''We were absolutely shocked … We are very concerned about the people remaining in the system because of the workload pressure, and that workload flows directly into patient safety care,'' she said.

''I've been working in the system for 20 years and I don't recall anything like this.'' An area spokeswoman denied the figures were that high, saying 77 redundancies had been offered so far.

The North Coast Area Health Service was hoping to shed 400 health jobs, according to the general secretary of the NSW Nurses Association, Brett Holmes.

''We can't see how they can get more out of nursing without major cuts to services,'' he said. The area had already lost 100 full-time equivalent nurse positions through piecemeal trimming.
The health service said only 20 staff had been made redundant and the 400-jobs target was a result of such ''efficiency measures'' as cutting back on overtime and agency staff.

The cuts come after the Garling inquiry last year called NSW's nurse shortage a looming ''major crisis'' and recognised shortages of therapists.

Jillian Skinner said it was the ''biggest cutback in frontline staff'' she had seen since becoming Opposition health spokeswoman in 1995.

''It's massive,'' she said. ''I've already had it confirmed that some of the people that have accepted redundancies are emergency department nurses at Nepean. That's the hospital with the worst record of [emergency department] performance in the state.''

The Health Minister, Carmel Tebbutt, defended the department, saying ''growing demand means we need to … manage the health budget wisely, while meeting patient needs''.

The Health Department has refused to reveal the total number of staff to be made redundant, saying: ''There is no statewide voluntary redundancy program. ''Area health services would be very unlikely to approve applications from staff working in essential clinical roles.'' It also said there was ''not a statewide shortage of staff''.

The general secretary of the Health Services Union, Michael Williamson, said Greater Western Area Health Service has called for 100 HSU positions to be cut, but had said But the area said only 21 administration staff had taken redundancy.

South Eastern Sydney and Illawarra Area Health Service had targeted 120 HSU positions, 85 per cent of which were taken, Mr Williamson said. Area management said 85 staff over two years had taken redundancy but they were not clinicians.

Tuesday, September 15, 2009

Video of handover of the HEAL petition to Shadow Health Minister Jillian Skinner at Katoomba Hospital on 5 August 2009. The speakers are Blue Mountains Deputy Mayor Janet Mays, Jillian Skinner and HEAL members and supporters.

Wednesday, August 26, 2009

Caring Together - The Health Action Plan for NSW Website

This website outlines the NSW Government's response to the recommendations made by Mr Peter Garling SC following his Inquiry into acute care services in NSW public hospitals. It's worth a look see.

Wednesday, July 29, 2009

Cr Janet Mays letter BMG 29.7.9

Larry Buttrose letter BMG 29.7.9

BMG: HEAL at Winter Magic

HEAL Concerned by Job Cuts at Nepean Hospital

July 26th 2009

HEAL spokesperson, Janet Mays, has expressed concern at reports that 155 jobs will be cut at Nepean hospital.

“The cuts announced to staff two weeks ago, mean that further strain will be placed on a system that is already at breaking point” said Ms Mays.

“Sydney West Area Health Service has said that the job cuts will not include front line staff, but any job cuts will clearly have an impact on service delivery. If administrative and support staff are the targets of these job cuts, who will do their work”?

“You can’t keep gutting a system and expect first rate health outcomes. I feel for the staff at Nepean hospital, one of the busiest hospitals in the state, who are constantly expected to do more with less” she added.

“For Mountains residents who are routinely shipped to Nepean hospital for basic, primary health care services, job cuts at Nepean hospital will mean longer wait times, quicker stays and less satisfactory outcomes. This is just another reason why BMDAMH must be allowed to reinstate the services that it has surrendered to Nepean hospital in recent years. Services such as general surgery and orthopaedics”.

“These job cuts, coupled with a staffing freeze, job vacancies and a voluntary redundancy program reek of the corporate bean counters at work. When will sanity prevail and the clinicians be put back in charge of our public hospitals”? said Ms Mays.

Sydney Morning Herald: Follow-up Story Birth Trauma

Friday, July 24, 2009

HEAL and its Efforts to Ensure Services at BMDAMH

Many community groups have asked about HEAL and the efforts to ensure services at Blue Mountains Hospital. Janet Mays, BMCC Deputy Mayor and HEAL spokesperson talks about Blue Mountains District Anzac Memorial Hospital and why the HEAL group is working so hard to keep the issues at the hospital in the public eye.

In July 2007, I was ambulanced for a 2nd time to Nepean Hospital with suspected appendicitis. After a 6 hour wait at Nepean hospital, I was finally attended to and 27 hours after my ordeal began at Katoomba hospital, I was finally operated on. My post operative care was poor, due to inadequate staffing levels and a post operative infection topped off a frightening and totally unsatisfactory experience.

I launched HEAL (Hospital Equity & Access Lobby) following my hospital experience and quickly learnt that my experience was not unique. I met many Mountains residents with similar stories and who like me, believed that our local hospital could provide the services for which we had each been sent to Nepean hospital.

We then started to question why Mountains residents are routinely shipped to Nepean hospital and beyond for basic, primary health care services that were once available at Katoomba hospital. Services such as general surgery, orthopaedics, gynaecology and urology. Where had the services gone to and why hadn’t the community been told of their departure?

Meetings with Sydney West Area Health Service management were generally frosty and our questions were met with either indignation or responses such as “we will get back to you”. We are still waiting for answers to many of our questions!

In the midst of all of this, the maternity service at Katoomba hospital began to again experience regular closures. Further, residents began ringing HEAL members with stories about the paediatrics unit being closed for regular periods.

We rallied and held public meetings and the maternity unit was again re-opened in July 2008. Although, recent stories of rushed trips to Nepean hospital and near births on the highway, clearly demonstrate that the service is far from stable and cannot be relied upon. The erratic nature of this service is a constant worry for expectant mums and dads.

Mountains residents are now part of the “spoke and hub” hospital model favoured by the NSW State Government. This model means that Blue Mountains residents (spoke) are required to be “fed” into Nepean hospital (hub) and beyond (Westmead) for basic, primary health care services. So the mystery is solved - this is where our services have gone to!

Sadly, the recent Federal budget supported this model by providing $96.4 million over five years, starting in 2008-09, to expand Nepean hospital’s infrastructure. In a media release announcing the Rudd Government funding for Nepean hospital, the Federal Health Minister, Nicola Roxon, said “that an expanded Nepean Hospital will benefit people living in the outer Western Sydney areas of Penrith, Blacktown, the Blue Mountains and Hawkesbury”.

So it has finally been said! The Blue Mountains is seen by the Federal Government and presumably its NSW State counterpart, as outer Western Sydney and we can travel for hospital services. Not good enough Mr Rudd and Mr Rees!

In June this year, HEAL launched a petition to ask the NSW State Government to

· Guarantee the future of BMDAMH and re-instate services that have been systematically downgraded or removed from the hospital such as general surgery;

· Guarantee the future of maternity and paediatric services at BMDAMH;

· Re-classify BMDAMH as a rural hospital.

We are seeking 10,000 signatures to send a very clear message to the State Government that Mountains residents will not tolerate the continued decline in the provision of local, primary basic health care services. Simply, Mountains residents deserve better!

Katoomba hospital is a cornerstone of our community; a major local employer and an essential service. We should not have to continually fight for its existence, but we will!

Most recently, 5 beds in the acute mental health unit at Katoomba hospital (opened in 2007) were permanently closed. The need for these beds hasn’t dissipated, just the service. And, for some in our community, this can truly mean the difference between life and death.

HEAL was formed to champion the case for the continuation of locally provided primary basic health care services in the Blue Mountains.

We believe that it is unjust that Mountains residents are not provided these services in their own geographic area; that our elderly population is disadvantaged by having to travel long distances for medical treatment and that Mountains residents are placed at an economic and social disadvantage by having to travel to Nepean hospital and beyond for hospital services.

Friday, July 17, 2009

HEAL Condemns Voluntary Redundancy Program for Sydney West Area Health Staff

June 30th 2009

HEAL spokesperson, Janet Mays, has branded as outrageous a voluntary redundancy program available to all Sydney West Area Health Service staff.

“It is beyond belief that when we know there are job vacancies at BMDAMH and at Nepean hospital where Mountains residents are routinely shipped for services, that SWAHS could even contemplate a voluntary redundancy program” said Ms Mays.

“The community is constantly told that SWAHS is unable to attract staff to work at BMDAMH and here we have a program that is encouraging people to leave. This is absolutely insane and another example of appalling management practice from the SWAHS executive”.

The SWAHS voluntary redundancy program opened on June 29th and closes on July 17th 2009. Whilst the program stipulates that local management will be consulted to see if a person’s role is surplus to requirement before a voluntary redundancy is accepted, Ms Mays said that this sort of program absolutely sends the wrong message to the community. “If there are in fact staff that are surplus to requirements, re-training and redeployment should be the first options, not redundancies” she said.

“We need more doctors, nurses and health professionals, not fewer” said Ms Mays. “Anyone who has waited the obligatory 7 or 8 hours at Nepean hospital (for attention) will attest to that”.

“Sadly, this action appears to be more about budget balancing than providing enough people to adequately staff our hospitals. You wouldn’t blame any health professional for accepting a voluntary redundancy as they are already stretched to the limit. Clearly SWAHS management is focussed on the business of hospitals, not on providing the right resources to meet community needs”.

Friday, July 10, 2009

Take a Ride Nicola...?

Belle Buttrose Marching at the WinterFest 09

Thursday, July 9, 2009

HEAL PETITION (please click on it to enlarge and print your copy)

People Power... to make a difference we need 10,000 signatures!!!

If you haven't already, please sign the petition, get your friends and family to sign it. If we don't act now basic, primary healthcare services will continue to be reduced at our hospital and we will be forced to travel to Penrith for more & more services.

Please help me to save our hospital

Dear Friends

The battle to both save and fully re-establish Blue Mountains District Anzac Memorial Hospital (BMDAMH) has moved to a new level.

With a State election 12-18 months away, it is imperative that Mountains residents send a clear message to both the Liberal and Labor parties that we require a Mountains hospital that provides basic, primary health care services to residents.

This includes a functioning accident & emergency department; general surgery; a maternity unit; a paediatrics unit; rehabilitation services; geriatrics and palliative care; a mental health unit and general medicine.

Each of the services listed above has or is in the process of being systematically downgraded. Most recently, 5 of the 15 beds in the mental health unit have closed. These beds have always been full and are desperately needed in our community.

The argument presented by local hospital management and the Sydney West Area Health Service that they are unable to attract suitably qualified staff to our hospital and therefore can’t safely offer 24/7 services, is only partially true.
The “hub and spoke” hospital model favoured by the State Government means that Blue Mountains residents (spoke) are required to be “fed” into Nepean Hospital (hub) and beyond (Westmead) for services. The recent Federal budget supported this model by providing $96.4 million over five years, starting in 2008-09, to expand Nepean hospital’s infrastructure.
In a media release announcing the Rudd Govt funding for Nepean hospital, Nicola Roxon said “that an expanded Nepean Hospital will benefit people living in the outer Western Sydney areas of Penrith, Blacktown, the Blue Mountains and Hawkesbury”.
The Blue Mountains - outer Western Sydney? I don’t think so! We are the Blue Mountains and Mountains residents deserve better. Our hospital is a cornerstone of our community, a major local employer and an essential service.
If we sit back, our hospital will go, the signs are very clear. I am privately advised that the recent closures of the maternity unit are a test to see if Mountains residents will “jack up”. I am also advised that this is a serious election issue for the Mountains and both parties are watching to see what Mountains residents will do.
For me, this is not a political football to be tossed around. We are talking about our hospital – an essential service for 80,000 residents and the 3 million tourists who visit the Mountains on an annual basis.
Please help me to save our hospital. Join HEAL in the Winter Magic Parade on Saturday, June 20th (the parade organisers want to focus on the hospital issue and have asked us to be up front). We will meet at 10.30am outside the vet in Waratah Street.
You can also sign the HEAL petition which can be found in shops in Leura, Wentworth Falls and Katoomba and is also attached to this email. On Friday, in Leura alone, we collected over 600 signatures. The petition will be presented to the NSW Parliament and we want 10,000 signatures to send the clear message “hands off our hospital”.
People have said to me this is a losing battle. I don’t agree. We are a marginal seat for the State election and our actions can make a difference.
Please send this email to your friends, join me on June 20th, sign the petition and help to save our hospital.