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House of Assembly Thursday 30 April 2020

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House of Assembly Thursday 30 April 2020 THURSDAY 30 APRIL 2020 The Speaker, Ms Hickey, took the Chair at 10 a.m., acknowledged the Traditional People and read Prayers. MESSAGE FROM THE GOVERNOR Proclamation The Clerk read the following Message: WHEREAS the sittings of the House of Assembly and of the Legislative Council of the Parliament of Tasmania now stand adjourned until 18 August 2020 And whereas it is desirable that the said Parliament should be called together for the despatch of business before the expiration of such adjournment: Now therefore I, PROFESSOR THE HONOURABLE KATE WARNER, Companion of the Order of Australia, Governor in and over the State of Tasmania and its Dependencies in the Commonwealth of Australia, in pursuance of the power and authority vested in me by the Constitution Act 1934, do declare that the said Parliament shall meet for the despatch of business on 30 April 2020, at 10:00 am in the House of Assembly of the said Parliament, and at 2:30 pm in the Legislative Council of the said Parliament, situated in the City of Hobart, in Tasmania, and the Members of the said Parliament are hereby required to give their attendance at the time and place accordingly. GIVEN under my hand at Hobart in Tasmania on 21 April 2020. C. WARNER, Governor. By Her Excellency's Command, PETER GUTWEIN, Premier. QUESTIONS COVID-19 - North-West Outbreak - Preparedness of Hospital System Ms WHITE question to PREMIER, Mr GUTWEIN [10.04 a.m.] The preliminary report into the north-west COVID-19 outbreak paints a concerning picture of a hospital system that was underprepared and under-resourced to deal with the pandemic. On 17 March the Director of Public Health declared a public health emergency and stated that preparations for coronavirus began in early January. Yet, nearly three weeks later on 3 April, day 18 of the public health emergency, the first case in a staff member was detected at the North West Regional Hospital. To date, 146 people have contracted the virus linked to the north-west outbreak and, sadly, 11 of the 12 deaths in Tasmania have been linked to the north-west. It is clear that there were multiple systemic failures that led to this outbreak, including patients being transferred between the North West Regional Hospital and the Mersey Community Hospital Thursday 30 April 2020 – Part 1 1 despite the declaration by the health minister on 1 April that safeguards were in place to keep the Mersey free of COVID-19. Can you explain why hospitals in the north-west were unprepared and appear not to have activated their pandemic plan 18 days after the declaration of the public health emergency? ANSWER Madam Speaker, I thank the Leader of the Opposition for that question. I welcome all members back to the parliament. It is good to see everyone again. Regarding where you started with your question, one of my first acts as Treasurer was to bring down the mid-year financial report. As you will understand in that report, more than $600 million worth of additional funding was placed into Health. I outlined at that time that significantly more than 1000 people, in total about 1400 more people, have been employed over the term of this Government and both the previous terms as well. Regarding the health system, I reject the fact that it was not resourced or ready for this. Concerning the report that is being released this morning, I place very clearly on the record both mine and this parliament's sympathies to the 12 people who have lost their lives. Any life lost is a tragedy. I admit it has given me no pleasure each day to stand up and deliver that news. Behind every one of those deaths is a family who has been grieving. It has been difficult and I have not taken any pleasure at all from it. Regarding the report this morning, I committed to release the report in full at the earliest opportunity, which is what I have done. You need to be very cautious regarding the interpretation of this. At a high level, this report indicates that most likely the root cause, ground zero, of the outbreak on the north-west coast was the Ruby Princess. That is very clear in the report. I also made the point today that this is an incredibly infectious disease. It is an insidious disease and unfortunately it is lethal for older people. Concerning the circumstances the report outlines, I ask members to resist the opportunity to apportion blame to anyone as a result of this. The one thing that the report does indicate is that for many of the staff who were infectious, they would not have known about it. There was a small cohort of staff who actually turned up to work with some symptoms, and I suspect probably very mild symptoms. The salient message from this is that, regardless of what workplace you are in, this very infectious disease needs to be treated with the highest degree of caution; the highest degree of effort that can be made to protect yourself and other people around you. My understanding about our hospitals is that, with the declaration of the health emergency, they took all the necessary steps to ensure that they were ready to deal with the pandemic. However, what this demonstrates and I was very cautious this morning in the way I stepped through this, it appears we have had two cases from the Ruby Princess, staff who have been going about their work with an infectious disease and unfortunately, something has happened; not by design but by accident. Nobody would risk themselves to this disease. This very unfortunate set of circumstances has occurred where staff, doing their best for their patients have then, through their interactions with other health workers, allowed this outbreak to develop - all unbeknownst to them. Thursday 30 April 2020 – Part 1 2 We need to learn from this. What was said this morning - Dr Lawler said it and I am not certain whether after we had left Dr Veitch was asked a similar question - but my understanding is that it was not demonstrated that there was any failure of PPE. Both Dr Lawler and Dr Veitch made the point in their contributions that to actually pinpoint where this has occurred and the starting point of this, apart from the fact that we know we had two COVID-19 positive patients from the Ruby Princess in there, may never be possible. It might be that somebody sneezed onto a well-fitted mask and when taking that mask off perhaps their skin brushed against it. It may be that somebody scratched their eye or touched their forehead when they should not have done. We should be really cautious as to how we step through this because we are not the first place in the world that has an outbreak in a hospital and we will not be the last. As a government, when faced with recommendations by both Public Health and the THS, we supported extraordinary steps to quarantine, to close hospitals, and to do whatever we could to get on top of this and control it. I note that on the weekend a psychiatric hospital in Victoria was faced with a similar set of challenges. You only have to look at what has occurred in other parts of the world with some of the outbreaks and some of the unfortunate deaths of healthcare workers. This is an insidious, highly infectious disease. In terms of your question, my view would be that appropriate steps had been taken in the declaration of that health emergency and it is unfortunate that this circumstance has arisen. Whether we will ever be able to accurately point to where that transmission actually occurred, I think is highly unlikely. COVID-19 - North-West Outbreak - Preparedness of Hospital System Ms WHITE question to PREMIER, Mr GUTWEIN [10.12 a.m.] Ruby Princess passengers disembarked and went all over Australia, many spreading the virus with them. However, in Tasmania, we were the only place where two hospitals had to shut and the military had to be called in. There can be no doubt that Tasmania's ability to respond to the Ruby Princess cases put the healthcare setting under pressure, with the report identifying failures across infection control, movement of patients and staff. While the Ruby Princess could be linked to the Tasmanian outbreak, we agree that no-one should use this report to ascribe blame to any passenger or any health worker. However, will you and your Government take responsibility for the apparent lack of preparedness across the regional healthcare setting to adequately respond to this virus, which has had devastating consequences in the north-west, with 11 deaths linked to the region and widespread economic impacts? ANSWER Madam Speaker, I thank the Leader of the Opposition for that question. After my comments this morning regarding the unfortunate circumstances that have led to the outbreak in the north- west, it has taken you only one question to get to a point where you want to ascribe blame. It has taken one question to get there. As I have just outlined in my first answer, my understanding is that, upon the declaration of the health emergency, all appropriate steps were taken. In terms of the level of preparedness and the funding that was provided prior to even getting to the pandemic, in terms of the money that the state Thursday 30 April 2020 – Part 1 3 Government had put into our healthcare system and the significant increase in staff - nurses, doctors and allied health professionals, as a government our health system now employs more people than it has ever done before and has more funding than it has ever had before.
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