SMH - Mark Metherell
October 7, 2010
The federal Treasury has signalled its unease with elements of the Rudd government's health reform plans that were supported by the Prime Minister, Julia Gillard.
In its ''red book'' of policy analyses presented to the incoming government, Treasury doubts whether the reforms can begin on schedule and whether the national hospital funding changes can proceed without Western Australia.
The WA government has shown no sign it is prepared to accept a central part of the plan that requires the states to give up a third of their GST revenue in return for the Commonwealth's 60 per cent funding of public hospitals.
Advertisement: Story continues below The document also warns that the federal and state governments will need to make ''intensive efforts'' to ensure the proposed transfer of primary care services from the states to Canberra begins on time in July.
The chapter of the red book dealing with the health reforms contains censored sections apparently dealing with the financing of the changes, and a paragraph on ''sensitivities'' of implementing the change.
It refers to two areas where Canberra would like to take over full funding control - mental health services and aged care - saying there were reform ''pressures'' which would add to the task of implementing changes.
As well, it points to delays in introducing uniform measures to gauge quality and safety in public hospitals and health services, saying the ''new national performance and accountability framework will be particularly important for system efficiency and sustainability''.
Wednesday, October 6, 2010
Thursday, September 30, 2010
HEAL Media Release - Local Health Networks
October 1st 2010
HEAL spokesperson, Janet Mays, has expressed cautious support for the Local Health Network (LHNs) structure recently announced by the NSW State Government, as part of the National Health Reform Agreement, saying that any move to deliver better patient care and strengthen local decision making must be applauded. However, HEAL is asking what has really changed for Mountains residents?
“Both Mountains hospitals have been included in the newly formed Nepean Blue Mountains network, which also comprises Nepean, Hawkesbury, Lithgow and Portland hospitals. This grouping makes geographic sense, but one has to ask how will service provision really change for Mountains residents?”
“A smaller bureaucracy is obviously good, but the hub and spoke model that requires Mountains residents to travel to Nepean hospital for so many services remains”.
HEAL is also concerned that both Blue Mountains hospitals are included in a greater Sydney metropolitan network, signalling no change to the rural classification issue that has been one of the major reasons cited for the inability to attract and retain clinicians at BMDAMH.
“We have been seeking rural classification for Blue Mountains hospital for a long time as a way of ensuring that higher entitlements are paid to clinicians. Higher pay structures would at least give our community a fighting chance in terms of recruiting much needed staff and delivering more services locally” she added.
The new networks will be established in January 2011, and the NSW Health system will progressively transition to the new structure over the following 6 to 12 months.
Ms Mays concluded “we look forward to understanding more about the new Local Health Network structure and its implications. HEAL’s focus will be on ensuring that Mountains residents get their fair share of funding for both of our hospitals and that Mountains residents are provided with equitable access to quality health care – in the community or in hospital”.
HEAL spokesperson, Janet Mays, has expressed cautious support for the Local Health Network (LHNs) structure recently announced by the NSW State Government, as part of the National Health Reform Agreement, saying that any move to deliver better patient care and strengthen local decision making must be applauded. However, HEAL is asking what has really changed for Mountains residents?
“Both Mountains hospitals have been included in the newly formed Nepean Blue Mountains network, which also comprises Nepean, Hawkesbury, Lithgow and Portland hospitals. This grouping makes geographic sense, but one has to ask how will service provision really change for Mountains residents?”
“A smaller bureaucracy is obviously good, but the hub and spoke model that requires Mountains residents to travel to Nepean hospital for so many services remains”.
HEAL is also concerned that both Blue Mountains hospitals are included in a greater Sydney metropolitan network, signalling no change to the rural classification issue that has been one of the major reasons cited for the inability to attract and retain clinicians at BMDAMH.
“We have been seeking rural classification for Blue Mountains hospital for a long time as a way of ensuring that higher entitlements are paid to clinicians. Higher pay structures would at least give our community a fighting chance in terms of recruiting much needed staff and delivering more services locally” she added.
The new networks will be established in January 2011, and the NSW Health system will progressively transition to the new structure over the following 6 to 12 months.
Ms Mays concluded “we look forward to understanding more about the new Local Health Network structure and its implications. HEAL’s focus will be on ensuring that Mountains residents get their fair share of funding for both of our hospitals and that Mountains residents are provided with equitable access to quality health care – in the community or in hospital”.
Sunday, August 15, 2010
Anger over lack of medical internships
SMH - Kate Benson
August 10, 2010
NSW medical students are demanding the federal government stop increasing university places after more than 100 graduates failed to get internships in public hospitals this week.
The crisis comes three years after the government increased university places to solve the state's crippling shortage of doctors, but failed to employ extra staff in NSW hospital to supervise interns.
About 115 international students, who each paid more than $200,000 for their degrees, were told yesterday they would have to wait until Friday for final offers but there was little chance they would be employed, forcing many of them to return home.
''The intern year is a 12-month period of postgraduate training that is required for general medical registration,'' the president of the Sydney University Medical Society, Jon Noonan, said. ''Without it, a medical degree is not worth the paper it is printed on.
"At this point last year more than two-thirds of locally trained internationals had been offered an internship within NSW. The fact that none have been placed has come as a shock to our colleagues, who had been repeatedly reassured they would be taken care of,'' he said.
A spokeswoman for the Institute of Medical Education and Training, which allocates internships, said 747 positions were available this year, more than enough for the state's 685 graduates, but NSW had been swamped by applicants from other states.
Last year, when the same problem occurred, the government invoked a priority system because it did not have enough money to offer internships to all graduates wanting to work in NSW.
Under that system, international students trained in NSW are only offered positions once all Australians and New Zealanders trained in Australia and overseas-trained applicants are employed, a decision that has angered the Australian Medical Students Association.
''We have a government which provides huge incentives to get these doctors back once they have left [Australia] and it seems illogical to me to do so when we have people who've been trained here to our standards,'' its president, Ross Roberts-Thomson, said.
''A medical degree qualifies you for nothing but an internship. If you don't get an internship, you essentially have a piece of paper which allows you to drive a taxi - or not even that.''
Mr Noonan agreed, saying it defied logic that state and federal governments would shut the door on Australian-trained international students while relying on foreign-trained doctors to fill gaps in the health workforce.
Mr Noonan said his group wanted the state government to guarantee internships to all graduates in NSW and join with other states to adopt a consistent and co-ordinated framework for intern allocations.
Two years ago, the Minister for Health, Nicola Roxon, said she was aware clinical training places were ''a pressure point within the system'' but the government had no plans to cut university places for medical students.
''This was a crisis that was always going to happen,'' the former chief executive of the Australian Medical Association, Bill Coote, said yesterday.
''There has been very rapid growth in the number of medical schools and the expansion of existing schools - and there is the parallel issue of how medical schools have been allowed to attract full-fee paying students to subsidise their activities when we can't provide all graduates with appropriate training.''
August 10, 2010
NSW medical students are demanding the federal government stop increasing university places after more than 100 graduates failed to get internships in public hospitals this week.
The crisis comes three years after the government increased university places to solve the state's crippling shortage of doctors, but failed to employ extra staff in NSW hospital to supervise interns.
About 115 international students, who each paid more than $200,000 for their degrees, were told yesterday they would have to wait until Friday for final offers but there was little chance they would be employed, forcing many of them to return home.
''The intern year is a 12-month period of postgraduate training that is required for general medical registration,'' the president of the Sydney University Medical Society, Jon Noonan, said. ''Without it, a medical degree is not worth the paper it is printed on.
"At this point last year more than two-thirds of locally trained internationals had been offered an internship within NSW. The fact that none have been placed has come as a shock to our colleagues, who had been repeatedly reassured they would be taken care of,'' he said.
A spokeswoman for the Institute of Medical Education and Training, which allocates internships, said 747 positions were available this year, more than enough for the state's 685 graduates, but NSW had been swamped by applicants from other states.
Last year, when the same problem occurred, the government invoked a priority system because it did not have enough money to offer internships to all graduates wanting to work in NSW.
Under that system, international students trained in NSW are only offered positions once all Australians and New Zealanders trained in Australia and overseas-trained applicants are employed, a decision that has angered the Australian Medical Students Association.
''We have a government which provides huge incentives to get these doctors back once they have left [Australia] and it seems illogical to me to do so when we have people who've been trained here to our standards,'' its president, Ross Roberts-Thomson, said.
''A medical degree qualifies you for nothing but an internship. If you don't get an internship, you essentially have a piece of paper which allows you to drive a taxi - or not even that.''
Mr Noonan agreed, saying it defied logic that state and federal governments would shut the door on Australian-trained international students while relying on foreign-trained doctors to fill gaps in the health workforce.
Mr Noonan said his group wanted the state government to guarantee internships to all graduates in NSW and join with other states to adopt a consistent and co-ordinated framework for intern allocations.
Two years ago, the Minister for Health, Nicola Roxon, said she was aware clinical training places were ''a pressure point within the system'' but the government had no plans to cut university places for medical students.
''This was a crisis that was always going to happen,'' the former chief executive of the Australian Medical Association, Bill Coote, said yesterday.
''There has been very rapid growth in the number of medical schools and the expansion of existing schools - and there is the parallel issue of how medical schools have been allowed to attract full-fee paying students to subsidise their activities when we can't provide all graduates with appropriate training.''
Wednesday, August 4, 2010
Radical surgery for area health services
SMH - LOUISE HALL
August 5, 2010 - 10:36AM
The way healthcare is delivered to patients in NSW will change under a state government plan which aims to ensure hospitals can better respond to local needs.
Area health services, which now run NSW hospitals and have been criticised for red tape, will be broken up to help deliver that care.
Seventeen local health networks will replace the eight area health services.
The NSW government will this morning release a discussion paper detailing its response to the national health reforms proposed by the Council of Australian Governments in April.
The Herald understands the following hospitals will be "paired", to share resources and equipment, under new local health network boundaries:
- Campbelltown and Liverpool
- Concord and Royal Prince Alfred
- Blacktown and Westmead
- Nepean and Blue Mountains and Lithgow
- Bathurst and Orange
Hunter New England Area Health Service, which includes John Hunter Hospital, will remain with the same boundaries.
The Premier, Kristina Keneally, and the Minister for Health, Carmel Tebbutt, are releasing the discussion paper at Royal Prince Alfred.
Ms Keneally said the changes would deliver an extra $1.2 billion in funding to the NSW health system over four years and lead to 488 beds being opened in 2010/11.
August 5, 2010 - 10:36AM
The way healthcare is delivered to patients in NSW will change under a state government plan which aims to ensure hospitals can better respond to local needs.
Area health services, which now run NSW hospitals and have been criticised for red tape, will be broken up to help deliver that care.
Seventeen local health networks will replace the eight area health services.
The NSW government will this morning release a discussion paper detailing its response to the national health reforms proposed by the Council of Australian Governments in April.
The Herald understands the following hospitals will be "paired", to share resources and equipment, under new local health network boundaries:
- Campbelltown and Liverpool
- Concord and Royal Prince Alfred
- Blacktown and Westmead
- Nepean and Blue Mountains and Lithgow
- Bathurst and Orange
Hunter New England Area Health Service, which includes John Hunter Hospital, will remain with the same boundaries.
The Premier, Kristina Keneally, and the Minister for Health, Carmel Tebbutt, are releasing the discussion paper at Royal Prince Alfred.
Ms Keneally said the changes would deliver an extra $1.2 billion in funding to the NSW health system over four years and lead to 488 beds being opened in 2010/11.
Saturday, July 31, 2010
Invitation to Public Health Forum - August 10th 2010
Sydney West Area Health Advisory Council is holding a community forum about public health services in the Blue Mountains Local Government Area and Western Sydney.
The forum is an opportunity for anyone who would like to talk about health services in the Blue Mountains and western Sydney.
When: Tuesday, August 10th 2010
Venue: BMDAMH Conference Room, Education Unit
Time 6.00pm - 7.00pm
Everyone is welcome
The forum is an opportunity for anyone who would like to talk about health services in the Blue Mountains and western Sydney.
When: Tuesday, August 10th 2010
Venue: BMDAMH Conference Room, Education Unit
Time 6.00pm - 7.00pm
Everyone is welcome
Thursday, July 29, 2010
Hospital's CT scanner breaks again
SMH - AMY CORDEROY
July 30, 2010
Patients at Blue Mountains hospital have been put at risk after vital scanning equipment broke down, doctors say.
The computed tomography (CT) scanner - used to diagnose everything from fractures to cancer - was broken for more than a week. Doctors at the Katoomba hospital said the scanner was so old it had been considered obsolete since 2008, and it had broken down more than once.
While it was broken doctors had to transfer patients - potentially including emergency patients - to Nepean Hospital, an hour's drive away in Penrith. But a spokeswoman for the Sydney West Area Health Service said only four people had been transferred to Nepean and none were emergency patients.
A visiting medical officer at the hospital, who did not wish to be named, said the broken CT scanner delayed patient diagnoses: ''It affects patient management and safety.'' The chairman of AMA NSW's hospital practice committee, Brian Owler, said it should be replaced immediately.
Some staff and some in the community have criticised Blue Mountains hospital saying it is not given resources to function fully.
The Blue Mountains deputy mayor, Janet Mays, said the hospital was ''being downgraded essentially to a first-aid post''.
The area health spokeswoman said there were plans to replace the scanner by the end of the year.
July 30, 2010
Patients at Blue Mountains hospital have been put at risk after vital scanning equipment broke down, doctors say.
The computed tomography (CT) scanner - used to diagnose everything from fractures to cancer - was broken for more than a week. Doctors at the Katoomba hospital said the scanner was so old it had been considered obsolete since 2008, and it had broken down more than once.
While it was broken doctors had to transfer patients - potentially including emergency patients - to Nepean Hospital, an hour's drive away in Penrith. But a spokeswoman for the Sydney West Area Health Service said only four people had been transferred to Nepean and none were emergency patients.
A visiting medical officer at the hospital, who did not wish to be named, said the broken CT scanner delayed patient diagnoses: ''It affects patient management and safety.'' The chairman of AMA NSW's hospital practice committee, Brian Owler, said it should be replaced immediately.
Some staff and some in the community have criticised Blue Mountains hospital saying it is not given resources to function fully.
The Blue Mountains deputy mayor, Janet Mays, said the hospital was ''being downgraded essentially to a first-aid post''.
The area health spokeswoman said there were plans to replace the scanner by the end of the year.
Monday, May 10, 2010
Controversial Sydney West Area Health chief resigns
Parramatta Advertiser
May 4th 2010
SYDNEY West Area Health Service chief executive Prof Steven Boyages resigned last week amid controversy over his handling of the job.
Prof Boyages had been in the top job of the area health service, which includes Westmead and Auburn hospitals, for 10 years.
His tenure was dogged by controversy over debts to suppliers and by dissent among senior doctors and nurses over his management style.
Prof Boyages was not available for comment before the Advertiser’s deadline but it has been reported he will transfer to the newly created NSW Clinical Education and Training Institute.
The Advertiser had been told by senior clinicians in recent times that Prof Boyages, an endocrinologist, was not considered a good manager.
“He’s a brilliant clinician but not such a good administrator,’’ one senior specialist told the Advertiser.
Prof Boyages was still working as an endocrinologist while running the area health service.
NSW Health director general Debora Picone has been quoted as saying that Prof Boyages had ``as many supporters as detractors’’
May 4th 2010
SYDNEY West Area Health Service chief executive Prof Steven Boyages resigned last week amid controversy over his handling of the job.
Prof Boyages had been in the top job of the area health service, which includes Westmead and Auburn hospitals, for 10 years.
His tenure was dogged by controversy over debts to suppliers and by dissent among senior doctors and nurses over his management style.
Prof Boyages was not available for comment before the Advertiser’s deadline but it has been reported he will transfer to the newly created NSW Clinical Education and Training Institute.
The Advertiser had been told by senior clinicians in recent times that Prof Boyages, an endocrinologist, was not considered a good manager.
“He’s a brilliant clinician but not such a good administrator,’’ one senior specialist told the Advertiser.
Prof Boyages was still working as an endocrinologist while running the area health service.
NSW Health director general Debora Picone has been quoted as saying that Prof Boyages had ``as many supporters as detractors’’
Thursday, March 18, 2010
Hospitals in city's west fear Rudd's changes
SMH
JULIE ROBOTHAM AND KATE BENSON March 19, 2010
STRUGGLING western Sydney hospitals, already among the most cash-strapped in the state, could stand to lose about $130 million in funding under the Prime Minister's hospital reform plan, NSW Health Department analysis suggests.
The area's high and growing population, combined with its relatively lower per-capita provision of hospital beds and services, would mean that it would be disadvantaged under such a formula, according to figures circulated to doctors.
As nurses from the Sydney West Area Health Service yesterday demonstrated against long-term staff freezes which they say are compromising patient care, the departmental calculations show that any shift to so-called activity-based funding could force the area's hospitals to take a further hit.
Under the modelling - based on the 2008-09 financial year and conducted to predict the consequences of activity-based funding - Westmead Hospital, the state's largest, would be worst affected, losing $83 million a year.
The formula sets a fixed price for individual types of treatment and that fee is paid for every patient actually treated. Under the version proposed by the federal government - about which the Premier, Kristina Keneally, has expressed the strongest doubts of any state leader - a uniform "efficient price" would be set nationwide, and Canberra would provide 60 per cent of this directly. Hospitals are now funded mainly under block grants negotiated with NSW Health.
But Patrick Cregan, the chairman of NSW Health's Surgical Services Taskforce, said the concept was inherently prejudiced against hospitals serving larger populations, because emergencies represented a higher proportion of their work. This in turn meant they could not perform elective procedures in sufficiently high numbers to reap economies of scale that would allow them to reduce their costs.
Hospitals that treat patients more cheaply benefit under the model, because they can keep and reinvest the difference between their own expenditure and the higher fee reimbursed by government.
Dr Cregan said this would entrench the position of well-resourced centres of excellence in affluent areas, and further reduce hospital access in western Sydney. "That sort of inequity is going to be locked in," he told the Herald.
"You can't gear up [to do large numbers of elective procedures]. Hospitals are going to lose money, and potentially lots of money."
More than 800 nurses rallied outside seven hospitals in western Sydney yesterday to protest against unsafe staffing levels, including one maternity unit which cannot find midwives for more than 420 shifts this month.
Nepean Hospital, where about 4300 babies are born each year, needs another 20 full-time midwives to fill shifts on the antenatal, postnatal and delivery wards, and in the neonatal intensive care unit. ''We will have a death there soon because it is hugely unsafe,'' said Sally Tracy, a professor of midwifery research at the University of Sydney. ''There is huge dissatisfaction. Midwives do not want to work there.''
More than 120 people at the Lithgow rally were told about half its hospital beds were shut due to staffing shortages.
''I've been in the health system for 30 years and this is the worst I have ever seen it,'' said union representative Marny Thomas. The opposition health spokeswoman, Jillian Skinner, said ''nurses were fed up to the back teeth''. The rally at Nepean Hospital was told there were about 30 nurse vacancies but the NSW Health website admitted to only three, she said.
JULIE ROBOTHAM AND KATE BENSON March 19, 2010
STRUGGLING western Sydney hospitals, already among the most cash-strapped in the state, could stand to lose about $130 million in funding under the Prime Minister's hospital reform plan, NSW Health Department analysis suggests.
The area's high and growing population, combined with its relatively lower per-capita provision of hospital beds and services, would mean that it would be disadvantaged under such a formula, according to figures circulated to doctors.
As nurses from the Sydney West Area Health Service yesterday demonstrated against long-term staff freezes which they say are compromising patient care, the departmental calculations show that any shift to so-called activity-based funding could force the area's hospitals to take a further hit.
Under the modelling - based on the 2008-09 financial year and conducted to predict the consequences of activity-based funding - Westmead Hospital, the state's largest, would be worst affected, losing $83 million a year.
The formula sets a fixed price for individual types of treatment and that fee is paid for every patient actually treated. Under the version proposed by the federal government - about which the Premier, Kristina Keneally, has expressed the strongest doubts of any state leader - a uniform "efficient price" would be set nationwide, and Canberra would provide 60 per cent of this directly. Hospitals are now funded mainly under block grants negotiated with NSW Health.
But Patrick Cregan, the chairman of NSW Health's Surgical Services Taskforce, said the concept was inherently prejudiced against hospitals serving larger populations, because emergencies represented a higher proportion of their work. This in turn meant they could not perform elective procedures in sufficiently high numbers to reap economies of scale that would allow them to reduce their costs.
Hospitals that treat patients more cheaply benefit under the model, because they can keep and reinvest the difference between their own expenditure and the higher fee reimbursed by government.
Dr Cregan said this would entrench the position of well-resourced centres of excellence in affluent areas, and further reduce hospital access in western Sydney. "That sort of inequity is going to be locked in," he told the Herald.
"You can't gear up [to do large numbers of elective procedures]. Hospitals are going to lose money, and potentially lots of money."
More than 800 nurses rallied outside seven hospitals in western Sydney yesterday to protest against unsafe staffing levels, including one maternity unit which cannot find midwives for more than 420 shifts this month.
Nepean Hospital, where about 4300 babies are born each year, needs another 20 full-time midwives to fill shifts on the antenatal, postnatal and delivery wards, and in the neonatal intensive care unit. ''We will have a death there soon because it is hugely unsafe,'' said Sally Tracy, a professor of midwifery research at the University of Sydney. ''There is huge dissatisfaction. Midwives do not want to work there.''
More than 120 people at the Lithgow rally were told about half its hospital beds were shut due to staffing shortages.
''I've been in the health system for 30 years and this is the worst I have ever seen it,'' said union representative Marny Thomas. The opposition health spokeswoman, Jillian Skinner, said ''nurses were fed up to the back teeth''. The rally at Nepean Hospital was told there were about 30 nurse vacancies but the NSW Health website admitted to only three, she said.
Wednesday, March 3, 2010
The death knell for small hospitals
By Simon Benson and Sue Dunlevy
From: The Daily Telegraph
March 04, 2010 12:00AM
NSW Health officials warned that as many as 100 smaller community hospitals may become financially unviable under a new payment-per-service model unveiled in Prime Minister Kevin Rudd's hospital reform plan yesterday.
Professor Bob Farnsworth, chair of the Sydney Illawarra Area Health Service's health advisory council, said Mr Rudd's reforms were "appalling" and "potentially a disaster" for NSW.
"It is taking healthcare in NSW back 20 years," said Professor Farnsworth, who is also the director of surgery at Prince of Wales Hospital.
"This was a great opportunity to come up with a logical, efficient and effective single-funding system for healthcare. Some of our hospitals will struggle to operate under case mix funding. All our small regional hospitals are very much at risk."
Senior NSW Government sources said as many as 100 regional and rural hospitals could become unviable.
Under what Mr Rudd described as the biggest change to Australian healthcare since Medicare, the Federal Government will become the major funder of hospital services, which will be run by local managers.
The Commonwealth will take $90 billion over five years - $50 billion over the first three - in GST revenue from the states to fund a new National Health and Hospital network.
Mr Rudd will no longer provide states with money to run their hospitals, instead he will directly fund the local hospital networks, boosting the Commonwealth's share from 35 per cent to 60 per cent.
The new funding system will remove the current caps placed on hospital budgets. A price will be set for each service, with the Federal Government paying 60 per cent of that.
This price will cover the "efficient" cost of hospital services and states such as NSW, which provide inefficient services, will have to subsidise those extra costs from state budgets.
"The Australian Government's decision to take on the dominant funding role for the entire public hospital system is designed to end the blame game, to eliminate waste and to shoulder the funding burden of the rapidly rising health costs of the future," Mr Rudd said yesterday.
Senior NSW Government sources said the plan would not put any more money into the health system.
They said the 100 hospitals across regional and rural NSW would be financially unviable under the casemix system, which allocated funding on a per-procedure basis, because the volume of medical procedures in small hospitals was too low.
"The State Government will have to make a decision as to whether it can continue to subsidise these hospitals or close them," they said.
Greater Western Area Health Service health advisory chair Dr Steve Fleckhoe fears for the future of 44 hospitals in his western NSW region.
"I am absolutely sure that the small hospitals . . . could not possibly fit into a casemixed model," he said. "It worries the heck out of me. The worry was always that an efficiency model would be applied that didn't take into account other circumstances."
Mr Rudd's office said the reforms would not force any hospitals to close.
His office guaranteed that medical services to regional hospitals in NSW would be retained and assessed by the proposed new independent umpire.
"There will be loadings to recognise the needs of people in regional Australia," a spokesman said.
Mr Rudd will also move to take over from the states' primary care services, such as community health centres, mother and baby clinics, drug and alcohol services and community based mental health services.
The changes will start to be introduced in 2011 but voters will have to re-elect Mr Rudd twice before the new system takes full effect in 2013-14.
"There is a lot in these proposals that has the potential to significantly improve our hospital services," said Australian Medical Association president Andrew Pesce, but he said NSW hospitals might lose if the payment-per-service system did not take into account care and training costs.
From: The Daily Telegraph
March 04, 2010 12:00AM
NSW Health officials warned that as many as 100 smaller community hospitals may become financially unviable under a new payment-per-service model unveiled in Prime Minister Kevin Rudd's hospital reform plan yesterday.
Professor Bob Farnsworth, chair of the Sydney Illawarra Area Health Service's health advisory council, said Mr Rudd's reforms were "appalling" and "potentially a disaster" for NSW.
"It is taking healthcare in NSW back 20 years," said Professor Farnsworth, who is also the director of surgery at Prince of Wales Hospital.
"This was a great opportunity to come up with a logical, efficient and effective single-funding system for healthcare. Some of our hospitals will struggle to operate under case mix funding. All our small regional hospitals are very much at risk."
Senior NSW Government sources said as many as 100 regional and rural hospitals could become unviable.
Under what Mr Rudd described as the biggest change to Australian healthcare since Medicare, the Federal Government will become the major funder of hospital services, which will be run by local managers.
The Commonwealth will take $90 billion over five years - $50 billion over the first three - in GST revenue from the states to fund a new National Health and Hospital network.
Mr Rudd will no longer provide states with money to run their hospitals, instead he will directly fund the local hospital networks, boosting the Commonwealth's share from 35 per cent to 60 per cent.
The new funding system will remove the current caps placed on hospital budgets. A price will be set for each service, with the Federal Government paying 60 per cent of that.
This price will cover the "efficient" cost of hospital services and states such as NSW, which provide inefficient services, will have to subsidise those extra costs from state budgets.
"The Australian Government's decision to take on the dominant funding role for the entire public hospital system is designed to end the blame game, to eliminate waste and to shoulder the funding burden of the rapidly rising health costs of the future," Mr Rudd said yesterday.
Senior NSW Government sources said the plan would not put any more money into the health system.
They said the 100 hospitals across regional and rural NSW would be financially unviable under the casemix system, which allocated funding on a per-procedure basis, because the volume of medical procedures in small hospitals was too low.
"The State Government will have to make a decision as to whether it can continue to subsidise these hospitals or close them," they said.
Greater Western Area Health Service health advisory chair Dr Steve Fleckhoe fears for the future of 44 hospitals in his western NSW region.
"I am absolutely sure that the small hospitals . . . could not possibly fit into a casemixed model," he said. "It worries the heck out of me. The worry was always that an efficiency model would be applied that didn't take into account other circumstances."
Mr Rudd's office said the reforms would not force any hospitals to close.
His office guaranteed that medical services to regional hospitals in NSW would be retained and assessed by the proposed new independent umpire.
"There will be loadings to recognise the needs of people in regional Australia," a spokesman said.
Mr Rudd will also move to take over from the states' primary care services, such as community health centres, mother and baby clinics, drug and alcohol services and community based mental health services.
The changes will start to be introduced in 2011 but voters will have to re-elect Mr Rudd twice before the new system takes full effect in 2013-14.
"There is a lot in these proposals that has the potential to significantly improve our hospital services," said Australian Medical Association president Andrew Pesce, but he said NSW hospitals might lose if the payment-per-service system did not take into account care and training costs.
Thursday, February 18, 2010
Yes Minister!
Feb 19th 2010
Carmel Tebbutt, the NSW Minister for Health, penned an article for yesterday's SMH attacking Tony Abbott's local Health Boards proposal.
I was pleased to see the article from the Minster for two reasons.
Firstly, it confirms the existence of the Minister. I had started to wonder because she has never responded to a single piece of correspondence from HEAL.
And secondly, she shares HEAL's view on healthcare! Perhaps she has been reading our correspondence after all.
For instance, the Minster states:
"We must focus on providing patients with the right care, in the most appropriate setting and in cost-effective ways. The system should be easy to navigate and equitable".
She goes on to say that:
"We must also better distribute health professionals so people can get treatment irrespective of where they live".
That's right Carmel - equitable healthcare, people receiving treatment irrespective of where they live and care in the most appropriate setting. That resonates for HEAL, so what exactly are you doing about BMDAMH? Why do service levels continue to decline and why do you fail to respond to taxpayers about this matter?
To read the full article go to our Media section. The Minister's article is entitled "Health fix needs a lot more than local boards".
Carmel Tebbutt, the NSW Minister for Health, penned an article for yesterday's SMH attacking Tony Abbott's local Health Boards proposal.
I was pleased to see the article from the Minster for two reasons.
Firstly, it confirms the existence of the Minister. I had started to wonder because she has never responded to a single piece of correspondence from HEAL.
And secondly, she shares HEAL's view on healthcare! Perhaps she has been reading our correspondence after all.
For instance, the Minster states:
"We must focus on providing patients with the right care, in the most appropriate setting and in cost-effective ways. The system should be easy to navigate and equitable".
She goes on to say that:
"We must also better distribute health professionals so people can get treatment irrespective of where they live".
That's right Carmel - equitable healthcare, people receiving treatment irrespective of where they live and care in the most appropriate setting. That resonates for HEAL, so what exactly are you doing about BMDAMH? Why do service levels continue to decline and why do you fail to respond to taxpayers about this matter?
To read the full article go to our Media section. The Minister's article is entitled "Health fix needs a lot more than local boards".
Tuesday, February 16, 2010
An all too familiar story..................
NSW Health apologises to Blue Mountains mothers
BY SHANE DESIATNIK
17 Feb, 2010 09:47 AM
NSW Health has apologised to expectant mothers for not notifying them in advance of temporary closures of Katoomba Hospital’s maternity unit and advised “occasional” closures will continue to occur due to a shortage of medical specialists.
Birthing services at the hospital were shut down on January 15, January 20 and for an extended period between January 26 and February 1 due to an anaesthetist and/or paediatrician shortage.
Sydney West Area Health Service (SWAHS) western cluster general manager Kevin Hedge told the Gazette on Monday “unfortunately, it would appear that not all women (due to give birth in mid to late January) received advanced notice of the disruptions to birthing services (at Katoomba Hospital)”.
“This is unacceptable and the hospital would like to sincerely apologise for any distress that this has caused.
“Hospital staff will ensure that communication is improved and that women are advised in advance in the event of any future disruptions to birthing services,” he said.
“In the event of any disruptions to birthing services, (Katoomba) Hospital staff will facilitate safe transfer to birthing services at Nepean or Lithgow hospitals, in consultation with prospective mothers, to ensure safe care for them and their babies.”
Last October an anaesthetist and nine supporting medical staff were recruited at Katoomba Hospital after the hospital’s maternity ward was closed for one quarter of all days in the first four months of 2009.
Mr Hedge said the hospital continues to do all it can to minimise any disruptions to birthing services, but added “the global shortage of some medical specialists, including anaesthetists, continues to pose a challenge in staffing the hospital’s maternity services consistently”.
Blue Mountains Hospital Equity and Access Lobby (HEAL) spokesperson Janet Mays expressed concern at the maternity unit closures and a recent spate of bed closures at Katoomba Hospital.
“We understand three beds were closed in the hospital’s mental health unit since December 29, eight beds remain closed in the rehabilitation unit and a further eight beds are closed in the children’s ward,” said Ms Mays.
“The hospital is a vital part of the social and economic fabric of our community and HEAL will keep highlighting these issues to help ensure the need for locally provided basic primary healthcare services remains top of mind for our State decision makers.”
BY SHANE DESIATNIK
17 Feb, 2010 09:47 AM
NSW Health has apologised to expectant mothers for not notifying them in advance of temporary closures of Katoomba Hospital’s maternity unit and advised “occasional” closures will continue to occur due to a shortage of medical specialists.
Birthing services at the hospital were shut down on January 15, January 20 and for an extended period between January 26 and February 1 due to an anaesthetist and/or paediatrician shortage.
Sydney West Area Health Service (SWAHS) western cluster general manager Kevin Hedge told the Gazette on Monday “unfortunately, it would appear that not all women (due to give birth in mid to late January) received advanced notice of the disruptions to birthing services (at Katoomba Hospital)”.
“This is unacceptable and the hospital would like to sincerely apologise for any distress that this has caused.
“Hospital staff will ensure that communication is improved and that women are advised in advance in the event of any future disruptions to birthing services,” he said.
“In the event of any disruptions to birthing services, (Katoomba) Hospital staff will facilitate safe transfer to birthing services at Nepean or Lithgow hospitals, in consultation with prospective mothers, to ensure safe care for them and their babies.”
Last October an anaesthetist and nine supporting medical staff were recruited at Katoomba Hospital after the hospital’s maternity ward was closed for one quarter of all days in the first four months of 2009.
Mr Hedge said the hospital continues to do all it can to minimise any disruptions to birthing services, but added “the global shortage of some medical specialists, including anaesthetists, continues to pose a challenge in staffing the hospital’s maternity services consistently”.
Blue Mountains Hospital Equity and Access Lobby (HEAL) spokesperson Janet Mays expressed concern at the maternity unit closures and a recent spate of bed closures at Katoomba Hospital.
“We understand three beds were closed in the hospital’s mental health unit since December 29, eight beds remain closed in the rehabilitation unit and a further eight beds are closed in the children’s ward,” said Ms Mays.
“The hospital is a vital part of the social and economic fabric of our community and HEAL will keep highlighting these issues to help ensure the need for locally provided basic primary healthcare services remains top of mind for our State decision makers.”
Thursday, February 11, 2010
HEAL Media Release - Hospital Bed Closures Cause Concern
February 11th 2010
HEAL spokesperson, Janet Mays has expressed concern at the recent spate of bed closures at Blue Mountains District Anzac Memorial Hospital (BMDAMH).
“We understand that 3 beds have been closed in the Mental Health Unit since December 29th, 8 beds remain closed in the Rehabilitation Unit and a further 8 beds are closed in the Children’s Ward”.
“We are further concerned by reports that the switchboard and administrative functions at Springwood hospital have been closed and moved to Katoomba hospital and by the fact that maternity services have again been interrupted at BMDAMH. Whichever way you spin it, we are witnessing the decline of hospital services in the Blue Mountains”.
Ms Mays said that she was delighted to see a recent letter to the Gazette praising the staff and service provided by BMDAMH. “HEAL has always maintained that our hospital, if allowed to function, is fabulous. The described level of service (in the letter) needs however to be made available to all Blue Mountains residents. Sadly, for many Blue Mountains families, local hospital care is a thing of the past due to the nature of the health condition or the time of day that they require treatment.”
HEAL has requested a meeting with Sydney West Area Health Service (SWAHS) representatives to discuss the current bed closures. “We keenly await advice from SWAHS regarding a meeting time and date. Our message to SWAHS is please work with the community and tell us what is happening at the hospital” said Ms Mays.
“BMDAMH is a vital part of the social and economic fabric of our community. HEAL will keep highlighting the issues at BMDAMH to help ensure that the need for locally provided basic primary healthcare services remains top of mind for our State decision makers”.
HEAL spokesperson, Janet Mays has expressed concern at the recent spate of bed closures at Blue Mountains District Anzac Memorial Hospital (BMDAMH).
“We understand that 3 beds have been closed in the Mental Health Unit since December 29th, 8 beds remain closed in the Rehabilitation Unit and a further 8 beds are closed in the Children’s Ward”.
“We are further concerned by reports that the switchboard and administrative functions at Springwood hospital have been closed and moved to Katoomba hospital and by the fact that maternity services have again been interrupted at BMDAMH. Whichever way you spin it, we are witnessing the decline of hospital services in the Blue Mountains”.
Ms Mays said that she was delighted to see a recent letter to the Gazette praising the staff and service provided by BMDAMH. “HEAL has always maintained that our hospital, if allowed to function, is fabulous. The described level of service (in the letter) needs however to be made available to all Blue Mountains residents. Sadly, for many Blue Mountains families, local hospital care is a thing of the past due to the nature of the health condition or the time of day that they require treatment.”
HEAL has requested a meeting with Sydney West Area Health Service (SWAHS) representatives to discuss the current bed closures. “We keenly await advice from SWAHS regarding a meeting time and date. Our message to SWAHS is please work with the community and tell us what is happening at the hospital” said Ms Mays.
“BMDAMH is a vital part of the social and economic fabric of our community. HEAL will keep highlighting the issues at BMDAMH to help ensure that the need for locally provided basic primary healthcare services remains top of mind for our State decision makers”.
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
SYDNEY NSW 2000
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
November 29th 2009
The Hon. Carmel Tebbutt
Minister for Health
Governor Macquarie Tower Level 30
1 Farrer Place
SYDNEY NSW 2000
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
,+HEAL+spokeswoman+Janet+Mays+and+State+opposition+health+spokesperson+Jillian+Skinner+at+the+walk+on+Saturday..jpg)
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: http://www.bluemountainsgazette.com.au/news/local/news/general/walkers-swear-to-continue-katoomba-hospital-fight/1693757.aspx
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: http://www.bluemountainsgazette.com.au/news/local/news/general/walkers-swear-to-continue-katoomba-hospital-fight/1693757.aspx
Sunday, November 29, 2009
It's a Bl**dy Long Way to Nepean Hospital! walk - Media Release
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.
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
SMH
NATASHA WALLACE
November 19, 2009
EXCLUSIVE
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 http://www.smh.com.au/national/doctors-sick-of-failure-to-fix-ailing-hospitals-20091118-imjr.html
NATASHA WALLACE
November 19, 2009
EXCLUSIVE
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 http://www.smh.com.au/national/doctors-sick-of-failure-to-fix-ailing-hospitals-20091118-imjr.html
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: BMDAMH – Wentworth 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
13.1kms
- 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.
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: BMDAMH – Wentworth 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
13.1kms
- 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
Subscribe to:
Posts (Atom)
,+HEAL+spokeswoman+Janet+Mays+and+State+opposition+health+spokesperson+Jillian+Skinner+at+the+walk+on+Saturday..jpg){kind=link}
