Showing posts with label Jillian Skinner. Show all posts
Showing posts with label Jillian Skinner. Show all posts

Tuesday, October 4, 2011

SWSLHD and Bowral's Health - 23

Doctors endorse patient allowance increase
28th September 2011
By: The Weekly

The Rural Doctors Association of NSW (RDA NSW) has thanked the NSW Government for increasing the assistance available to rural patients who have to travel for medical treatment.

RDA NSW president Dr Tilak Dissanayake of Coolah said the boost to the Isolated Patients Travel and Accommodation Assistance Scheme, worth $28 million over four years, was well overdue and will make a real difference to patients in the bush.

"The assistance that has been available to rural patients to help cover the expense of long journeys to access specialist care has been woeful," Dr Dissanayake said.
An increase in these allowances has been something that RDA NSW has campaigned for over many years and we thank NSW Health Minister, Jillian Skinner, for acting so quickly on this issue.

Dr Dissanayake said it was hard to believe that it is 11 years since there has been any increase in accommodation assistance payments, which will now be $43 for single accommodation (up from $33) and $60 for double accommodation (up from $46).
"The travel allowance has gone up from 15 cents per km to 19 cents per km and the funding for staying with relatives or friends has increased from a pitiful $30 to a more realistic $140 per week," he said.

"Possibly the best thing about this reform is that these subsidies will now be available to all rural patients who have to travel 200 km or more in one week for treatment previously they were available exclusively to patients undergoing renal dialysis." This latest policy announcement is the second election promise delivered in regards to rural health and Dr Dissanayake said that it was very encouraging to see the NSW Coalition, and in particular Mrs Skinner, responding so pro-actively to the concerns of rural doctors.

"There is much to be done to get the rural health system in NSW back on track but this is further evidence that work is being done to deliver a better healthcare deal for those living in the bush," he said.
"We thank the O’Farrell Government for listening to their rural constituents and increasing the help available to them while they are going through what is invariably a difficult time.

Sunday, March 27, 2011

SSWAHS = SWSLHN + SLHN and the NSW State Election - 2

What has the NSW Coalition promised for health?

"What will the change of Government mean for health in NSW?

"These are the headlines of what has been promised, according to the incoming Health Minister Jillian Skinner’s website.

• An extra 1,390 beds and 2,475 more nurses for the NSW health system. This includes 550 more beds and 275 more nurses over-and-above those currently promised by Labor at an additional cost of $340 million

• Increased funding for chronic disease management by $57 million to improve sufferers’ quality of life and drive down unnecessary hospital admissions.

• Establishment of a NSW Mental Health Commission, based on best practice models around the world, including the Western Australian Mental Health Commission. It will also provide quarantined and accountable funding for mental health expenditure; and establish three specialist units within the Mental Health Commission to better manage the experience of mental health patients and carers, divert mental health patients away from the prison system, and help ensure a smooth operation of the Mental Health Review Tribunal.

• Development of a state-wide NSW Pain Management Plan to ease the burden of suffers of chronic pain, improve their quality of life and help them re-enter the workforce. They will also maintain existing pain management and research programs across NSW.

• Establishment of an Office of Preventative Health. Located in South West Sydney, the office will have a state-wide focus and be established in partnership with the University of Western Sydney.

• A NSW Liberals & Nationals Government will fix hospitals (a promise that will no doubt come back to bite!) by investing over $3 billion in health infrastructure over the next term of government. The $3 billion investment includes an injection of an additional $885 million to fast track hospital upgrades, redevelopments and other health infrastructure priorities over the next four years, as well as the existing health infrastructure projects in the State Budget.

• A NSW Liberals & Nationals Government will appoint Peter Wills AC to help develop a 10-Year Medical Research Strategic Plan for NSW. They will also boost medical research in NSW by $20 million to drive innovation aimed at providing better patient care.

• A NSW Liberals & Nationals Government will commit $10 million to provide local health checks and improved management of chronic diseases is expected to dramatically improve the health of those at risk of, or who suffer from conditions such as diabetes, asthma, obesity and cardiovascular disease.

• A new Telehealth Technology Centre – devised and driven by doctors and their patients will be set up at Nepean Hospital under a Libnerals & Nationals Government in NSW.

• The NSW Liberals & Nationals have announced plans to increase funding for drug and alchol treatment – the first new money for respected bodies successfully treating addictions since the 1999 drug summit.

• The NSW Liberals & Nationals have released a policy outlining its intention to increase funding for the IPTAAS scheme by 50% – an extra $28million over four years.

• NSW Liberals & Nationals will deliver change to close the gap, an article Jillian wrote for the AMA’s medical journal. It was published in NSW Doctor in May 2010.

• A speech Jillian gave to the Australian Industry Information Association in April on e-health

• The Coalition’s plans to reform the management of the public health system are outlined in a document called ‘Making it Work’ released in March 2009.

***

"Meanwhile, we shall wait to see the implications for national health reform. No doubt some senior health bureaucrats are also wondering about their jobs…"

These promises seem very promising but, as far as the Southern Highlands community is concerned, they are short on detail as how these promises will result in improved health services and provide a more substantial, new and enhanced public hospital to meet the needs of our expanding and ageing population. Unfortunately, we may have to wait another four years to find out.


Wednesday, February 23, 2011

SSWAHS = SWSLHN + SLHN and the NSW State Election - 1

It looks as though the owner of that smiling face on the election posters popping up around the Southern Highlands is not prepared to commit herself, her Party or their proposed health policy to the people of the Southern Highlands. Here is her comment to a forum held at the Moss Vale TAFE on Monday February 21st and reported in the SHN by Ben McLellan today:

Goulburn Liberal MP Pru Goward could only point to her party's strategic land use policy, which she claims will stop mining in the Highlands, as the only real indication the electorate is on the Coalition's radar.

The opposition is pledging money for hospitals in marginal seats like Tamworth and Dubbo plus $133 million for Illawarra hospitals but not a single cent to improve waiting times or facilities at Bowral Hospital.

Ms Goward said mining not health was the main priority of the electorate.

"I think we have delivered a very good coal mining policy and my impression is that was the number one issue of concern here," she said.

"When it comes to Bowral Hospital there is a huge list of hospitals more run down than ours and I have to accept and Bowral has to accept that."

She said the Coalition's promise of more nurses would benefit Highlands residents.

"We are going to offer more nurses. A lot of the problem at that hospital (Bowral) is administration, not the building of the hospital itself," she said.

"It's the administration and the maintenance of the hospital. Those things will be addressed."

Oh dear! The electorate of Goulburn has just two public hospitals - Goulburn Base and Bowral Hospital. Neither of these hospitals, to my knowledge, has had any major capital upgrade that can increase their capacity to deal with their growing populations. Bowral Hospital's lifts have recently been fixed, Medical Records and Emergency Department have been given a tweak and a tuck here and there. But the Children's Ward and the Renal Unit are the product of some very serious fundraising work by the local community members, service clubs and businesses.

There have been no additional beds added to Bowral Hospital for more than a decade or two even though our population is not only growing as quickly as anywhere else, but also the number of seniors is increasing at a greater rate than the metropolitan and regional areas in NSW. The 72, or so, beds in the Bowral Hospital are expected to cater for maternity, medical and surgical, young children, aged care, intensive care, day surgery, and mental health patients.

Regional hospitals like Tamworth and Dubbo are important hubs for the medical and surgical needs of their regions. One would not deny that they may have a need for funding. However, there is some hint of pork-barrelling with those two hospitals when one considers that they are spoken of as being "marginal seats". And the Illawarra is already very resource-rich but clearly, the electorates down there could also fall into the category of being "marginal seats".

Does it follow then, that the Liberal Party, and Ms Skinner and Ms Goward, see the electorate of Goulburn as such a "safe seat" that they can afford to ignore what they have been told and what they have seen. Not all that long ago Pru Goward wheeled in Jillian Skinner to rouse the community about the delay in surgical cases. She also conducted a forum on what people wanted to see improved in the local health services. Were those meetings just for show? Where is the additional funding for the surgical waiting list? Where are the additional services for Bowral Hospital that local people are now expected to travel to the northern LHN hospitals to be able to access essential and life-saving health services?

So, what are we in the Southern Highlands being offered? More nurses and a change in administrative practices. Well Ms Goward what incentive is the Liberal Party going to offer those nurses to come to work at Bowral Hospital. The nurses are there - coming out of the universities every year. But given a choice almost every one of them will prefer to go to one of the metropolitan hospitals to work. Why? Because those hospitals have modern facilities and have a comprehensive range of specialties to offer those new graduates the experience they need to complement their academic training and future career path.

Are all the problems evident in Bowral Hospital attributable to poor management. You bet! But not necessarily with the Bowral Hospital management. As has been described many times in previous posts on this blog - Bowral Hospital was (and still is) the boil on the butt of a very large milk cow. The old SSWAHS Executive had a very hard job to remember it was there unless they sat down, or unless the residents in the local community stirred the pot a lot. Money was reluctantly thrown at Bowral Hospital only when there was a significant amount of pain being felt by the SSWAHS Executive.

The current General Manager and his Deputy have done their utmost to deliver the already limited health services required by the community, health services limited by the instruction, lack of funding, and insistence of the Executive of the old SSWAHS. To give them due credit the Bowral Hospital managers have been the most amicable of messengers asked to do the bidding of SSWAHS executives who, if they planned a visit, appeared to have great difficulty even finding Bowral Hospital. This is clearly a case of, Ms Goward, "Don't shoot the messenger".

Perhaps, our current serving Liberal member needs to become more of an advocate for her electorate prior to this March election. Ms Goward, be proactive and insist that the promises made previously to the Southern Highlands community are fully funded in this term of parliament rather than in the "second term" for which you wish us to vote for you.