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Legislative Assembly 14763 LEGISLATIVE ASSEMBLY Tuesday 19 June 2001 ______ Mr Speaker (The Hon. John Henry Murray) took the chair at 2.15 p.m. Mr Speaker offered the Prayer. Mr SPEAKER: Order! I have advice from the Leader of the House that some members are having difficulty attending the Parliament. I shall leave the Chair until the ringing of one long bell. [The House resumed at 5.16 p.m.] QUESTIONS WITHOUT NOTICE _________ WORKERS COMPENSATION LEGISLATION Mrs CHIKAROVSKI: My question is to the Premier. How does the Premier explain that after weeks of negotiations the latest version of his workers compensation legislation has been described as worse than the original bill that the Premier backed down on by none other than the Hon. Jeff Shaw, the man the Premier has described as the best Attorney General in the history of New South Wales? Mr CARR: First of all, it is not what he said. Mr SPEAKER: Order! I call the honourable member for Hornsby to order. I call the honourable member for Bega to order. I call the Leader of the National Party to order. I call the honourable member for Hornsby to order for the second time. Mr CARR: And, second, what does the Leader of the Opposition say about the approach of the Coalition to the clear, inherited vulnerabilities of the workers compensation scheme that now exist in New South Wales? Would she propose, for example, that in response to the blow-out in the deficit, New South Wales does what Victoria did under Jeff Kennett—that is, abolish all common law rights? Under the Coalition in Victoria, there was an abolition of all common law rights; they were done away with. Let me put the Leader of the Opposition on notice. Is that what she would propose in this State? What Jeff Kennett did is clearly and transparently not what we are doing. Mr SPEAKER: Order! I call the honourable member for North Shore to order. Mr CARR: It is clear to anyone who looks at our legislation that it is not what we are doing. It is, however, what a Coalition Government did in Victoria. Mr SPEAKER: Order! I call the honourable member for Oxley to order. I call the honourable member for Wakehurst to order. Mr CARR: Imagine the situation of a coalition government in New South Wales, years from now, facing a blow-out in the deficit, the deficit being $4 billion or $5 billion. How would that coalition government respond? It is as plain as a pikestaff: it would abolish common law rights as Kennett did in Victoria. Mr SPEAKER: Order! The Premier's reply has taken about three minutes. Five members have been called to order, and one member has been called to order twice. I warn members that the patience of the Chair is being rapidly eroded. NEW SOUTH WALES AMBULANCE SERVICE Mr ANDERSON: My question without notice is directed to the Minister for Health. What improvements have been made to the New South Wales Ambulance Service since the release of the Auditor- General's report earlier this year? 14764 LEGISLATIVE ASSEMBLY 19 June 2001 Mr SPEAKER: Order! I call the honourable member for Coffs Harbour to order. Mr KNOWLES: I thank the honourable member for Londonderry for his interest in this area. I can report to the House that the important changes to the Ambulance Service that were commenced in March this year are slowly beginning to produce change and improvement. At that time I supported the Auditor-General's view that reform was necessary, and of course reform is under way. At the outset I stress that the improvements that are now occurring in the Ambulance Service are only in their early stages. I do not want to pretend to the honourable member or to the Parliament that they are likely to continue without the ongoing attention of management and the co-operation of the unions. It would be easy to see the strides and gains that we have made in the last three months disappear, and the Government does not intend to allow that to happen. I can report that over the past three months there has been real effort to improve communication at all levels of the service. I particularly place on record my congratulations to the on-road staff, the men and women of the Ambulance Service, for taking on the issues raised by the Auditor-General. It is a measure of their skill and professionalism that they have chosen to work with, rather than against, the reform process. For example, I can inform the House that at the end of the first quarter of this year emergency response times improved in both metropolitan and rural New South Wales. Of particular note, recent response time performance improved by almost 24 per cent in the Sydney metropolitan area. For example, in April last year 34 per cent of vehicles arrived on the scene within eight minutes, whereas in April this year that figure improved to 43 per cent. The reason for that improvement is a commonsense approach and a commonsense program conducted by the ambulance officers in identifying local issues, working collaboratively, sharing information among their colleagues, and creating a culture of improvement. Those changes have been underpinned by further improvements. A rapid responder program means that ambulance officers at supervisor level now have greater involvement in day-to-day patient care. This means the first response to an urgent call may well be a senior officer, who will provide emergency life-saving treatment while the ambulance is on its way. This innovation, derived from the ambulance officers themselves, not only provides ambulance officers with 24-hour support and supervision if it is needed but also provides a better service to the public. The past three months have also seen a better delineation of non-urgent ambulance transport services and what we call the 000 emergency calls. The Ambulance Service, after many years of debate industrially about this issue, will shortly establish a dedicated patient transport service for planned non-emergency cases, that is, the transport of individuals to their regular treatment, such as dialysis and that sort of thing. The New South Wales Patient Transport Service will formally commence its operations on 11 August this year following the completion of training of an additional 37 patient transport officers in Sydney. This will enable up to 32 dedicated Patient Transport Service vehicles to be available at the busiest times, and for the hours of operation of the service to be expanded. This will free up our ambulance officers to do what they should be doing—that is, responding to more urgent and emergency-type calls. The changes in management, which were largely brought in just prior to the Auditor- General's Report was tabled, consolidate a range of management functions under the General Manager of Operations, a position occupied now by Mr Steve Winfield, who has been brought in from the United Kingdom. That has been done with the agreement and support of the staff. I understand Mr Winfield is conducting a major statewide tour and has been well received by the officers on the ground. Ambulance area boundaries have been realigned to more closely match area health service boundaries and we are beginning to reduce the weight on operational management. There are real efforts to devolve accountability closer to station level. We are also moving to increase the skills of ordinary ambulance officers to better incorporate and expand their roles in delivering services to the community. This is particularly important in the context of the metro plan announced last week, and the comments by the Auditor General about better integrating the New South Wales Ambulance Service with the area health services to ensure smooth throughput between the Ambulance Service and the acute care system. The highly contentious roster trial at three ambulance stations—Ryde, Naremburn and Wahroonga— has now been completed. Honourable members might recall that in this House I reported 17 trips to the Industrial Commission attempting to get that trial established in three stations out of the State's 228 stations. The trial was aimed at achieving greater flexibility around rosters and overtime requirements by introducing two new staggered 12-hour shifts, one beginning at 7.00 a.m. and the other at midday. I can inform the House that despite the difficulty in establishing that three-station trial the preliminary results indicate an improvement of about 30 per cent in response times. Even better news is that ambulance officers are beginning to come up with their own 19 June 2001 LEGISLATIVE ASSEMBLY 14765 suggestions about rosters. That is a creative response. Something that we were told during our 17 trips to the Industrial Commission would never occur has occurred, and on preliminary results there has been a substantial improvement in response times. More power to the officers who have worked on that trial. None of those changes could have occurred without the partnership of the ambulance work force. The Health and Research Employees Association has developed solid structures— Mr Hartcher: Point of order: The point of order concerns the running of this House. It has come to the attention of honourable members that members of the community outside, members of the construction union, wish to gain access to the public gallery of Parliament as members of the public so they can hear the parliamentary debate. Their access is being denied. I ask on behalf of the members of this House that you allow the citizens of New South Wales access to Parliament. That is a decision of yours, Mr Speaker, and we are asking that you direct the authorities to allow members of the public access to the public gallery.
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