Both Libs and Labor Promise a New Canberra Hospital
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CANBERRA Informing the Canberra Doctor medical community since 1988 AUGUST 2016 | Canberra Doctor is proudly brought to you by the AMA (ACT) Limited. Circulation: 1,900 in ACT & region Both Libs and Labor promise a new Canberra Hospital Both major parties have made significant commitments to redevelop Canberra Hospital should they be elected to govern the ACT on 15 October. While the Canberra Liberals have taken a further step in pledging two new “local hospitals” at Gungahlin and Tuggeranong, the Barr Labor team proposes a bigger spend at the Canberra Hospital and an all-new plan. The Liberals’ Plan “The $395 million new hospital First out of the blocks was the building at the Canberra Hospital Canberra Liberals with an an- site will be supported by $8 million nouncement that they will fund the for new nurses, doctors and other first stage of a redevelopment at staff.” Mr Hanson said. TCH. The promise, worth $395m, “The new hospital will also cater picks up the planning work done for a new 25 bed medical assess- by the previous Labor Government ment planning unit, 105 ambula- under former Chief Minister, now tory treatment spaces and a new Senator, Katy Gallagher. state of the art medical imaging The Canberra Liberals proposed redevelopment at Canberra Hospital unit. There will be a new admission Opposition Leader Jeremy Hanson foyer, sterilisation unit and new pa- plan as has Jenny Miragaya, Secre- said the new building would house AMA (ACT) tient and volunteer facilities. a 92-bed emergency department, welcomes the Liberals’ Plan tary of the Australian Nursing and 48 intensive care beds and capac- Jeremy Hanson, The new facility is planned to be AMA (ACT) President, Prof Steve Midwifery Federation, ACT Branch. ity for 20 new operating theatres. Leader of the Canberra Liberals operational by 2019. Robson, welcomed the Liberals’ Continued page 9... VOLUME 28, No. 6 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 Medical Musings WITH PRESIDENT, PROFESSOR STEVE ROBSON If the Federal election revealed one thing, it is probably elect of the Public Health Asso- that health is close to the top of the list of concerns for ciation of Australia, Mr David Tem- voters. This will not be news to the readers of Canberra pleman, has personally briefed the ACT AMA Board about alcohol-re- Doctor. When each of us sits down to help our patients lated harms and solutions. every working day, we see just how important health is to individuals, families, and the whole Canberra Unfortunately, the response from the Chief Minister Mr Barr has comm unity. been extremely disappointing. A multidisciplinary group met with Canberra is regularly named as for specialised services could be the Chief Minister recently, and one of the world’s most ‘liveable improved over current arrange- were appalled by his response to cities’ – much to the chagrin of the ments. Easy, intuitive on-line re- sensible suggestions and initia- leaders of other major Australian ferral systems where interaction tives that have broad support from cities. Canberrans, as a group, is with specialist staff, rather than Canberra’s families. We will keep have high levels of education hospital outpatient administration the pressure on Mr Barr, and look and tend to be very interested in staff, could be piloted. to him for the leadership Canber- health. There is ample opportunity I can imagine a system where rans expect on what is a critical is- for healthy exercise, and no short- GPs can have on-line ‘chats’ with sue for the community. age of healthy food options that specialist staff about patients most can afford. The Leader of the Opposition in they are considering referring to the ACT, Mr Hanson, has been just Yet waiting lists for elective sur- public hospital outpatient clinics. as recalcitrant. The AMA leader- gery tend to be long and tedious, The chats would be captured so ship has met with Mr Hanson and and access to specialist services there is no problem with recall of raised the issue. The Canberra through public hospitals is often conversations, yet allow GPs to Liberals’ ideas about a police solu- difficult. Many families will have to be guided and save patients long tion to alcohol-related violence and wait a long time to see their fam- waits. Or, appropriate investiga- harms are silly, and not supported ily doctor. Individuals in need face tions could be flagged and ar- by ACT Policing and other emer- barriers in accessing bulk-billing ranged in advance to minimise gency services groups. It is high services. delays in care at hospital level. time that ACT political leaders on GPs are key All of these ideas should be ex- both sides of the Assembly had a good hard think about how best to Last month saw the AMA’s annual plored by an innovative, expert serve their fellow Canberrans. Family Doctor Week, with activities group convened and funded by and advocacy promoting Canber- the ACT Government. The group “Medical marijuana” ra’s wonderful General Practition- would include family doctors, hos- pital specialists, in a broad mul- Secondly, the ACT Government ers. As we all know, Canberra’s has announced plans to develop family doctors face many chal- tidisciplinary group dedicated to improving the patient journey. In a framework for use of ‘medical lenges in providing care. Unfor- marijuana’ in the ACT. Cannabi- tunately, with most funding for a university town like Canberra, it seems staggering that such ini- noids may have a role in manage- General Practice coming through ment of some difficult-to-manage the Federal Government MBS, is- tiatives have not been made by the ACT Government to date. conditions, such as chronic pain sues that would promote and as- and complications of cancer treat- sist Canberra’s family doctors are Alcohol fuelled violence ment. The evidence is, however, seen as ‘Federal issues’ by politi- Two major public health issues are medium-level at best. With the cians positioning themselves for of particular interest to Canberra’s potential for adverse effects, and the ACT election next month. medical community. The first – the the political sensationalism asso- This is not so. General practice introduction of responsible alcohol ciated with cannabis use, the Gov- in Canberra could benefit greatly laws – has been badly handled by ernment must tread with care. The from investment by an ACT Gov- both the ACT Government and Op- AMA are hoping to be involved in ernment. Practice infrastructure, a position. There is clear evidence assisting the expert group, as we major cost for GP practices, could of alcohol-related harm for Can- are well-placed to keep the broad be assisted by Government grants berra’s citizens, and equally clear community interest foremost. and investment. Nurses provid- evidence that Canberrans support The ACT election is looming, and ing emergency services could be sensible legislative change pro- there are promising signs that placed in General Practice settings moting responsible alcohol use. health will again play a prominent – something guaranteed to improve The ACT AMA has been working role in electors’ minds. Here at the continuity of care – with ACT fund- closely with the learned Colleges – AMA we will provide a voice for the ing. Transitions of care between the Colleges of Emergency Medi- doctors who strive to improve the community-based doctors and cine, Surgeons, and Obstetricians health, relationships, and quality Canberra’s public hospitals could and Gynaecologists – along with of life for the people of the ACT. be vastly improved with targeted FARE (the Foundation for Alcohol Now is the time for us to do this by ACT Government investment. Research and Education) to en- working with those who lead, and Importantly, systems allowing fam gage with the ACT Government seek to lead, the Government of ily doctors to refer their patients about these laws. The President- our community. [2] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 AUGUST 2016 Minister Corbell signs new VMO contract One of the last acts of outgoing Health Minister, Simon Corbell, prior to the start of the ACT Government’s caretaker period was to sign-off on the new Core Conditions for ACT VMOs. In brief the new contracts have given some new rights to ACT Health but largely maintained the current remuneration arrangements and indexed the rates by 2.5% p.a. Given the strained relationship between AMA (ACT), the Visit- ing Medical Officers Association (VMOA) and ACT Health at various stages including threats of litiga- tion, walk outs, media stories, Dr Peter Hughes, VMOA President accusations of bias and personal In brief, the new core condi- attacks, it was no surprise that tions will result in some greater precious little progress was made rights handed to ACT Health during the “negotiating” period. but overall not too much has changed. Notable matters in- Further, given that ACT Health’s relationship between the annual review. position as put to the arbitrator clude: VMO and ACT Health. Payment in lieu of notice on entailed unfettered termination VMOs are required to keep Rates for Fee for Service termination. rights, reversion to NSW rates Dr Elizabeth Gallagher, AMA (ACT) abreast of relevant policies and sessional contracts with little or no increase for the Immediate Past President and VMO Dispute resolution process including when contracted indexed by 2.5% p.a. FFS at life of the instrument, workload Negotiator may be used where at Calvary. ACT Health 125.06% of 1 July 2016 MBS changes on one month’s notice termination occurs. must establish proper / sessional at $309 per hour and a host of other detriments, Timeframes for dispute communications with from 1 July 2016.