Tuesday, October 18, 2011

GP Super Clinics - Is there ever anything for nothing - 8 ?!

Super clinic collapse warning went unheeded



HEALTH Minister Nicola Roxon’s office was warned 14 months ago that the Sorell GP super clinic would collapse without extra funding but promised to “make a priority of sorting this immediately post election”, MO can reveal.

But rather than give a $1.5 million lifeline as requested by its operators, the Department of Health and Ageing asked the clinic owner after the 2010 election to cut costs by substituting curtains for walls between doctors’ rooms, lowering the entire building, and relying on “natural ventilation” instead of toilet exhaust systems.

Edward Gauden, CEO of Sorell Integrated Healthcare (SIH), which was to operate the Sorrel super clinic, refused these requests but, encouraged by Ms Roxon’s office, was holding out for other commonwealth funding when he learned on the evening news this month that the minister had scrapped the project.

Emails between the offices of Ms Roxon and local Labor MP Dick Adams, the department and Mr Gauden, obtained by MO, confirm Mr Gauden’s claims that he had long warned the government that the super clinic – which had support among local doctors – could not be built for the allotted $2.5 million, and that he was repeatedly assured the government would step in to save it.

On 12 August 2010, with the federal election less than two weeks away, Mr Adams’s electorate officer Dee Alty wrote to the minister warning that if a funding solution could not be found that same day, SIH would be “announcing publicly tomorrow that they will not be going ahead as they do not have the funding… It is just insufficient”.

The email also questioned “why the Sorell super clinic is not being seen as a proper super clinic which should like the others attract the $5 million”.

Ms Roxon’s chief of staff Angela Pratt responded that the government was in caretaker mode and could not commit new money, but advised that Mr Adams “should say [to Mr Gauden] that he has spoken to the minister’s office and been given an assurance that we will look at the issue post election if Labor is returned, to get the clinic back on track”.

Ms Alty pressed further, writing the next day that Mr Gauden needed assurance the building would be finished by the end of 2010. Ms Pratt replied: “We will make a priority of sorting this immediately post election… Obviously we don’t want it to fall over either!”

Ms Roxon announced on 7 October 2011 the clinic would not go ahead. Three days later the government committed another $3.2 million to the troubled Redcliffe super clinic in Queensland, on top of an existing $10 million outlay. A spokesperson for Ms Roxon said the department met with SIH “on numerous occasions to assist them in reworking their proposal but unfortunately we have recently been made aware that they will not proceed on this original basis”.

Mr Adams said his office had pressed for more funds, but Mr Gauden should have been able to build the clinic for $2.5 million.


Comments

DrPhil
18th Oct 2011
3:27pm
curtains not walls between consulting rooms???? is this 1948 or what????
Limmie
18th Oct 2011
4:08pm
I wonder if Roxon will be happy to see her doctor if the doctor were consulting in a space that is partitioned off with a curtain rather than sound dampened or sound proof walls? How ridiculous is this Minister? I bet, if MO asked her directly, she will vow that she was not aware of the machinations going on with the SIH. Once again, we see evidence that decisions about superclinics have been political rather than business-based. The waste of tax payers money by this Labor government is the same as the days of Whitlam's largess. This spend-a-thon has to stop. As taxpayers, we are not getting value for money.
I don't know the medical manpower supply for Sorell nor whether there is indeed a need for same. It seems the support of local GPs made no difference to the decisions made by the Minister. I wonder, if the local GPs were vociferous in condemning the superclinic, the Minister might consider the request for further funds for the SIH as worthy of supporting. Hasn't that been the pattern of her behaviour. Anything she can do to get stuck into medical practitioners, she will do. Add this to the insult to the Medicare rebate for non-VR doctors now becoming lower than that of "Noctors", can we call this style of governance fair and equitable?