FINAL REPORT July 2010 to June 2015 Final Report July 2010 to June 2015 Final Report July 2010 to June 2015 Contents Foreword 3 Executive Summary 5 Section 1 - Response and Deployment 6 Section 2 - Field Hospital Development and Exercising 7 Section 3 - Royal Darwin Hospital (RDH) and the Trauma Service 8 Section 4 - Collaborative Relationships – Domestic Engagement 9 Section 5 - Collaborative Relationships – International Engagement 10 Section 6 - Education and Training 11 Section 7 - Research 12 © National Critical Care and Trauma Response Centre, Section 8 - NCCTRC Strategic Plan 2015 – 2019 13 Final Report July 2010 to June 2015, Australian Government Department of Health 2015. Annex A-B 14 This is a formal document that details the activities of the National Critical Care and Trauma Response Centre Annex A – Published Articles from July 2010 to June 2015 (Funding Period). Annex B – Performance against Key Performance Indicators (KPIs) This work is copyright. ISBN-10: 0994357400 ISBN-13: 978-0-9943574-0-3 More information is available from: National Critical Care and Trauma Response Centre Royal Darwin Hospital PO Box 41326 Casuarina NT 0811 Phone: +61 8 8922 6929 Fax: +61 8 8922 6966 Email: [email protected] www.nationaltraumacentre.nt.gov.au/ 2 Final Report July 2010 to June 2015 Final Report July 2010 to June 2015 Foreword Foreword ealth emergencies are a reality of Australian Medical Assistance Teams hen the 2002 Bali Bombing the NT Centres for Disease Control a everyday life; care providers and concept and provided a focal point for occurred the Royal Darwin group of AusMAT trained Territorians H policy makers spend much time and jurisdictions to engage in training and W Hospital was a generalist and colleagues from southern states effort in planning and preparing to prevent deployment of their clinical staff. The institution. It had a small emergency provided a mass trachoma treatment or to respond to such emergencies. From enhanced cooperation that has developed department, an 8 bed intensive care unit for an entire indigenous community. those directly affected, through to care in the time of this funding period had and no specialist burns service. Whilst it This deployment well-demonstrated the providers, through to policy makers, they its greatest success in the deployment lacked the ‘on paper’ capability to respond versatility and value of the NCCTRC in can have a powerful impact. Australians of a truly multi-jurisdictional team to to this tragic event, the individuals within providing healthcare across a variety of have the benefit of a world leading health Operation Philippines Assist in the wake the RDH and the institution itself had a domestic contexts. Along with our major system that supports the provision of high of Typhoon Haiyan, late 2013. To me, this remarkable capacity, a capacity that I overseas AusMAT deployments, to the quality, timely, urgent care. Each and deployment demonstrated a capacity have noted since moving to the Northern Solomon Islands dengue fever outbreak every jurisdiction in Australia has proven to work constructively with a number Territory some 30 years ago, to go above and to the Philippines, the period 2012 – its ability to deal with health emergencies, of Commonwealth, State and indeed and beyond when faced with an extreme 2014 has been a sustained period of activity pandemics or mass casualty events. international agencies to successfully emergency. To give some perspective on for the NCCTRC. As well as response the However, even the strongest of systems respond to a major international those terrible days, the reception of 12 value of preparedness is inestimable. I can be overwhelmed at times and for our emergency. I have experienced first-hand seriously burnt patients to a quaternary have observed firsthand the quality and near neighbours, many of whom are still the strength of the relationship between hospital following the Black Saturday attention to detail of the AusMAT training developing robust health systems, this the NCCTRC and my own office, the Office bushfires was lauded as an extraordinary packages – they are of international happens all too frequently. of Health Protection and the Australian event. The doctors, nurses and allied staff significance. AusMAT courses have seen Health Protection Principal Committee of RDH received, treated and repatriated 55 over 600 doctors, nurses and health Australia continues to develop a unique (AHPPC). In particular, the way in which Australians, without losing a single patient. logisticians across the nation trained to Dr Len Notaras AM Professor Chris Baggoley AO national asset to respond to overwhelming the Centre has led through facilitation a uniform standard as medical disaster Chief Executive of Northern Territory health emergencies domestically and and coordination has marked its From this tragedy arose the concept of responders. The NCCTRC has developed a BVSc (Hons), BM BS, BSocAdmin, FACEM, Department of Health abroad. During the past three years I maturation into an effective operational the National Critical Care and Trauma 100 bed mobile field hospital equipped with FRACMA, DUniv(Flin) have observed the National Critical Care asset for the nation. Response Centre, and an enduring operating theatres, resuscitation suites, Australian Government Chief and Trauma Response Centre (NCCTRC), partnership between Northern Territory wards and an emergency department. Medical Officer based in Darwin, undergoing a period There is little doubt that health Health and the Commonwealth that It has taken the lead in international Department of Health of substantial growth in fulfilment of its emergencies, be they a result of natural or capitalises on the regional advantage of disaster response standards through the mandate to provide enhanced medical man-made calamity, will continue to affect Darwin and its proximity to one of the secondment of Dr Ian Norton to the World response capacity across the Top End of our region. The Commonwealth is well- world’s most disaster prone areas, and the Health Organisation. Australia as well as overseas. Building on served in having a major health response known capacity of Territorians to respond Australia’s strong tradition of humanitarian asset in the NCCTRC, and I look forward to to disaster. The NCCTRC celebrated its 10 Ultimately the NCCTRC has been able to assistance and government sponsored watching its development into the future. year anniversary in 2014. In that time it has combine local relevance with international civilian medical teams; the NCCTRC has become a unique feature in the Territory excellence and will continue to do so into been a driver of the development of the and Australian health landscape. The the future. I am committed to the ongoing Centre serves and indeed achieves the dual relationship with the Commonwealth and purpose of preparing the Royal Darwin NT Health that is the NCCTRC and the Hospital to receive Australian victims of custodianship of this vital national asset. disaster and as an overseas response asset for disaster healthcare offshore. As the Chief Executive of NT Health and before that the Executive Director of the NCCTRC, I have been immensely proud to see the Centre at the forefront of such a variety of health emergencies assisting such a broad range of patients in need. One of the lesser known deployments of the NCCTRC, and one of which I was particularly proud, was the 2012 deployment to Maningrida, in Arnhem Land. In partnership with 3 4 Final Report July 2010 to June 2015 Final Report July 2010 to June 2015 Section 1 Executive Summary Response and Deployment ver the past five years the National his visit to Darwin, President Barack Highlights Medical Team arrivals. The AusMAT sent Critical Care and Trauma Response Obama met with the Executive Director of as part of Operation Philippines Assist » Operation Pakistan Assist II – Pakistan Centre has matured into a unique the NCCTRC, Dr Len Notaras. In 2012 we represented a substantial achievement in O Floods August - October 2010. 11375 and critical disaster response asset for were fortunate to host former Australian the deployment of the full field hospital patients treated during a seven week Australia. The growth and development of Prime Minister Gillard and former capability of AusMAT. During 23 days of civil-military deployment the NCCTRC has been enabled in no small Indonesian President Susilo Bambang operational activity, 2734 patients were part by its capacity to form sustaining Yudhoyono who viewed the field hospital » Dengue Fever outbreak – Solomon seen, 238 operations were performed relationships with a variety of key partners on full display. Islands April - May 2013. Infectious of which 90 were considered major in the sector. Of these the relationship Disease health emergency response to procedures. The AusMAT hospital was with the Commonwealth Department of Our unique education and training the Solomon Islands considered a critical hub in the overall Health has been the most critical. This packages focus on simulated emergency health response to the disaster. » Operation Philippines Assist – Tacloban funding period has shown that the environments to complement classroom City November – December 2013. relationship is more than that of a teaching. Through our partners we Philippines Assist was the first deployment deployment of the full field hospital in purchaser and provider, it is a true access world-leading educators of the of an AusMAT under the new Foreign the wake of