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Katie Woolf spoke with Health Minister Natasha Fyles · 360 with Katie Woolf

• 0:00
  Speaker 1: And we know that more than one hundred Australians have
• 0:02
  Speaker 1: been repatriated back to Australia this morning on another flight
• 0:06
  Speaker 1: from overseas. And joining me on the line to talk
• 0:08
  Speaker 1: more about this is the Health Minister Attasha Files.
• 0:11
  Speaker 2: Good morning to you. Minister.
• 0:13
  Speaker 3: Good morning Katie. I lost you there for a second.
• 0:15
  Speaker 1: Sorry if you've got me now though obviously wonderful, excellent. Now, Minister,
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  Speaker 1: how many arrived this morning on that repatriation flight and
• 0:24
  Speaker 1: where did they come from?
• 0:25
  Speaker 3: So, Katie, we're seeing the number of vulnerable Australians getting
• 0:29
  Speaker 3: home through our Howard Springs facility rising significantly this week.
• 0:33
  Speaker 3: We had one hundred and fifty people on that flight.
• 0:36
  Speaker 3: That was the figure that we're expecting. Of course, there's
• 0:38
  Speaker 3: always variation even as the gates people board at the
• 0:42
  Speaker 3: airport and the flight closes. But that flight came from
• 0:45
  Speaker 3: Chennai in India. We saw a flight arrive on Sunday
• 0:48
  Speaker 3: from Frankfort and we've got a flight this Thursday from Paris.
• 0:52
  Speaker 3: So the Australian government is working in partnership with us
• 0:55
  Speaker 3: on the team Ozmat team at Howard Springs to really
• 0:58
  Speaker 3: get these vulnerable of his home. They won't be home
• 1:00
  Speaker 3: for Christmas, but they certainly will be home for twenty
• 1:03
  Speaker 3: twenty one. And for some of these people, Katie, you know,
• 1:06
  Speaker 3: they've been away for many, many months. I know a
• 1:07
  Speaker 3: husband and wife that have been separated for twelve months.
• 1:10
  Speaker 3: You know, a young territory family just like us, went
• 1:14
  Speaker 3: back to see some relatives earlier in the year and
• 1:16
  Speaker 3: have just been trapped in Europe. So there's some really
• 1:20
  Speaker 3: stories of you know, really tragic stories and quite emotional.
• 1:24
  Speaker 3: But it's great to see these people getting home now, Minister.
• 1:27
  Speaker 1: I wasn't aware that we're actually going to be receiving
• 1:30
  Speaker 1: flights from places like Frankfurt and some well, one of
• 1:34
  Speaker 1: the other locations. I can't even remember where you said now,
• 1:36
  Speaker 1: but are we getting flights from sort of more, you know,
• 1:41
  Speaker 1: different locations than what we'd originally planned.
• 1:44
  Speaker 3: Yeah, Katie. So when we agreed to this program with
• 1:46
  Speaker 3: the Commonwealth Government, it was originally envisaged that the flights
• 1:49
  Speaker 3: would come from South Africa, India and out of London.
• 1:52
  Speaker 3: But through Foreign Affairs and defat the consular officials overseas,
• 1:57
  Speaker 3: decisions have been made to get those flights from other locations.
• 2:01
  Speaker 3: And this is about the numbers of vulnerable Australians. We've
• 2:03
  Speaker 3: seen that number of vulnerable Aussies. It was estimated to
• 2:06
  Speaker 3: be around thirty thousand and it's risen to around forty
• 2:08
  Speaker 3: thousand since this program started. And if we can get
• 2:12
  Speaker 3: people directly from the country or the closest port into Australia,
• 2:16
  Speaker 3: it saves them from having to go into another country
• 2:18
  Speaker 3: and potentially being trapped. So this is all based on
• 2:21
  Speaker 3: the evidence of those officials, based on the ground overseas
• 2:25
  Speaker 3: and working through with those vulnerable Australians.
• 2:27
  Speaker 1: All right, So obviously I know some people will be
• 2:30
  Speaker 1: thinking to themselves, will increase numbers could mean increase risk
• 2:33
  Speaker 1: to COVID getting out in the community. Thus far, though,
• 2:37
  Speaker 1: we've seen a really good job undertaken by the Ozmat
• 2:41
  Speaker 1: team out there at Howard Springs in terms of containing everything.
• 2:45
  Speaker 1: Even as those numbers of COVID have increased, Katie, this.
• 2:49
  Speaker 3: Virus has certainly, you know, it has ruined twenty twenty
• 2:53
  Speaker 3: for many people around the world. Its unpredictability is something
• 2:57
  Speaker 3: that has caused you know, in terms of deal with
• 3:00
  Speaker 3: it and how we treat people with it. We've been
• 3:02
  Speaker 3: very fortunate here in the territory that we haven't seen
• 3:04
  Speaker 3: that community transmission. We haven't seen any COVID deaths, but
• 3:08
  Speaker 3: these cases, these are vulnerable Australians and the reason that
• 3:11
  Speaker 3: they are in quarantine is because of these case numbers
• 3:13
  Speaker 3: that we're seeing that territories need to be reassured. It
• 3:16
  Speaker 3: is the platinum standard that is being run at Howard Springs.
• 3:19
  Speaker 3: I've viewed from the perimeter of the facility. I've seen
• 3:23
  Speaker 3: how hard the OZMAT team work. Their safety and the
• 3:26
  Speaker 3: safety of the broader Darwin and top end community is
• 3:29
  Speaker 3: the absolute priority. And so we've had the reviews into
• 3:33
  Speaker 3: quarantining and it's been acknowledged that the program we run
• 3:36
  Speaker 3: through OSMAT is the best that is possible.
• 3:40
  Speaker 1: All right, minister, let's move along because yesterday we learned
• 3:42
  Speaker 1: that police are going to be taken off some of
• 3:44
  Speaker 1: those border locations around the territory. They're going to be
• 3:46
  Speaker 1: pulled from eight remote border entry points.
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  Speaker 2: Why was this decision made?
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  Speaker 3: So in terms of the virus within Australia, we've seen
• 3:55
  Speaker 3: it come under control and we don't have any community
• 3:58
  Speaker 3: transmission presently. Will still need to complete those border forms, Katie,
• 4:02
  Speaker 3: and there's now an online version for them. This is
• 4:05
  Speaker 3: about managing police resources. So this is a decision. The
• 4:09
  Speaker 3: Police Commissioner is also the territory controller, so this is
• 4:11
  Speaker 3: a decision about best allocating those resources right now. We
• 4:15
  Speaker 3: can always step them up if we need to, but
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  Speaker 3: it's also we're living with the virus and we will
• 4:21
  Speaker 3: have We've got the automatic number plate recognition in place
• 4:24
  Speaker 3: on these borders that aren't being utilized in high numbers,
• 4:28
  Speaker 3: and we will maintain that presence on those main roads.
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  Speaker 3: We can always step resources up and it would go
• 4:34
  Speaker 3: back Katie. Remember early on we saw the outbreak in
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  Speaker 3: the Kannanara Kimberley region and we made sure there was
• 4:39
  Speaker 3: resources there. So if we were to see an outbreak
• 4:41
  Speaker 3: in South Australia again, we would place resources on those
• 4:44
  Speaker 3: borders equally if it was in Western Australia. So this
• 4:47
  Speaker 3: is managing what has been a very long year. These
• 4:50
  Speaker 3: officers and the staff that have supported them from the AFP,
• 4:53
  Speaker 3: Defense and Public and Environmental Health have done an amazing job.
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  Speaker 3: But this is based on risk and the risk right
• 4:59
  Speaker 3: now with the virus under control in Australia is low
• 5:03
  Speaker 3: and so this is an operational decision.
• 5:04
  Speaker 1: Yeah, look, I actually think it's the right decision to
• 5:06
  Speaker 1: make At this point, we don't have those hard boarders
• 5:09
  Speaker 1: in place, and we're managing things quite well. But like
• 5:12
  Speaker 1: you said, if we do see a hot spot, or
• 5:13
  Speaker 1: if we see a situation where things start to amp up,
• 5:16
  Speaker 1: there is the opportunity to deploy the police and those
• 5:19
  Speaker 1: health workers to those locations. Minister, let's move along, because
• 5:24
  Speaker 1: plenty of people are this morning scratching their heads wondering
• 5:27
  Speaker 1: why on Earth five thousand dollars was spent by a
• 5:31
  Speaker 1: government department on a Christmas tree. Did the Department of
• 5:35
  Speaker 1: Health seek approval from you, as the minister before making
• 5:38
  Speaker 1: this decision?
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  Speaker 3: So, Katie, I wasn't aware of this decision until earlier
• 5:44
  Speaker 3: this week or over the weekend. I should say, no
• 5:47
  Speaker 3: one wants to be the Grinch at Christmas, but for me,
• 5:49
  Speaker 3: I would have preferred to see that money spent elsewhere.
• 5:51
  Speaker 3: We have had the health budget impacted by coronavirus, and
• 5:55
  Speaker 3: I've spoken with the chief executive, Katie, and she's acknowledged
• 5:58
  Speaker 3: it came from a good place about a gift giving program,
• 6:01
  Speaker 3: but it was a poor decision to pay that much
• 6:03
  Speaker 3: money for a Christmas tree. So I apologize as the
• 6:05
  Speaker 3: Minister for Health to Territorians. We of course acknowledge the
• 6:09
  Speaker 3: spirit at Christmas, but this is not a good use
• 6:11
  Speaker 3: of taxpayer dollars.
• 6:12
  Speaker 1: I mean, are you annoyed that you're having to apologize
• 6:15
  Speaker 1: for something though that wasn't your decision. It was the
• 6:18
  Speaker 1: department's decision and clearly money not very well spent. I mean,
• 6:24
  Speaker 1: if you want to raise money for charity, there's other
• 6:26
  Speaker 1: ways that it can be done, Katie.
• 6:28
  Speaker 3: The design behind the tree was that there would be
• 6:30
  Speaker 3: a gift giving program to three local charities, food Banks
• 6:33
  Speaker 3: of Vincent, De Paul and RSPCAS. I understand, but yes,
• 6:37
  Speaker 3: I would have expected smarter decisions to be made. Don't
• 6:39
  Speaker 3: want to be that Christmas grnch but to me, it's
• 6:41
  Speaker 3: not how we should be spending territory tax pay dollars
• 6:44
  Speaker 3: within the Health Department.
• 6:45
  Speaker 1: Well, and it really sort of goes to the line
• 6:48
  Speaker 1: that the opposition keeps running that the government is wasteful, Katie.
• 6:54
  Speaker 3: It came from a good place, is what I can
• 6:56
  Speaker 3: say to Territorians, but it is not in line with
• 6:59
  Speaker 3: community expectation. The chief executive, as I said, I've spoken
• 7:02
  Speaker 3: to her. She is very apologetic around this and sincerely
• 7:07
  Speaker 3: apologizes to the community as well.
• 7:09
  Speaker 2: So it's not going to be taken down though.
• 7:10
  Speaker 1: I mean, obviously that would not save the money, is
• 7:12
  Speaker 1: my guess, Katie.
• 7:15
  Speaker 3: I haven't asked for that. My understanding is that that
• 7:18
  Speaker 3: is in place, and that wouldn't rectify this situation. I
• 7:21
  Speaker 3: think we just need to acknowledge that it doesn't meet
• 7:23
  Speaker 3: community expectations and we won't see it again in the future.
• 7:26
  Speaker 2: Yeah, it really doesn't.
• 7:27
  Speaker 1: I mean, we've got people messaging through already about this
• 7:29
  Speaker 1: who are pretty annoyed.
• 7:30
  Speaker 2: There's no doubt about it, you know.
• 7:32
  Speaker 1: I've got one here that says, regarding the five thousand
• 7:35
  Speaker 1: dollar tree, makes me think of who signs off on
• 7:37
  Speaker 1: the purchase orders that they didn't think that that was
• 7:39
  Speaker 1: an exorbitant amount of money if they must use five
• 7:43
  Speaker 1: thousand dollars of taxpayers money in brackets, which should be
• 7:46
  Speaker 1: for the benefit of the community. I would have preferred
• 7:48
  Speaker 1: a competition for schools from low socioeconomic areas. They could
• 7:52
  Speaker 1: all make a Christmas tree, each using only found or
• 7:56
  Speaker 1: secondhand recycled objects, and then the best five schools get
• 8:00
  Speaker 1: a donation of one thousand dollars each to go towards
• 8:02
  Speaker 1: their library. I mean I think we could all come
• 8:04
  Speaker 1: up with better ways that five thousand dollars could be used.
• 8:08
  Speaker 3: I think you'll see that next Christmas. And that was
• 8:10
  Speaker 3: a great idea that was just suggested by your listener.
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  Speaker 3: And as I said, not being that Christmas Grench. I
• 8:15
  Speaker 3: love Christmas. I love celebrating it. And there's other ways
• 8:17
  Speaker 3: in which this can come across that meets the community expectations.
• 8:21
  Speaker 3: Because clearly five thousand dollars on a Christmas treat does
• 8:23
  Speaker 3: not meet our community expectation.
• 8:25
  Speaker 2: No, it certainly doesn't. Minister.
• 8:27
  Speaker 1: Let's move along because I want to ask you about
• 8:29
  Speaker 1: some issues which have been raised with us about pain
• 8:32
  Speaker 1: management by our listeners last week. I just want you
• 8:35
  Speaker 1: to take a listen to Andrew. He got in contact
• 8:38
  Speaker 1: with us last week to talk about the issues that
• 8:40
  Speaker 1: he's having. Was seeing a pain specialist.
• 8:44
  Speaker 4: Before the operation.
• 8:45
  Speaker 5: I saw the emenstist and they said, have you ever had
• 8:48
  Speaker 5: administrating more theme pump? I said I have, but I'm
• 8:50
  Speaker 5: allergic for more scenes. They're going to get a sentinel
• 8:53
  Speaker 5: pump and put it on me, and this is done
• 8:55
  Speaker 5: by the pain team immediately following the operation. Anyway, this
• 8:58
  Speaker 5: didn't happen and sent home and within twelve hours my
• 9:03
  Speaker 5: wife had to ring an ambulance and I was back
• 9:04
  Speaker 5: in the hospital getting said it again because I was
• 9:07
  Speaker 5: in so much pain, and the hospital managed to get
• 9:09
  Speaker 5: it under control again, and they wrote a letter to
• 9:12
  Speaker 5: my private GP to really up the analgesia that he's
• 9:15
  Speaker 5: given me until I get to see the pain team. Meanwhile,
• 9:17
  Speaker 5: they had requested the paint team several times to come
• 9:20
  Speaker 5: and see me, which I didn't see them. So now
• 9:23
  Speaker 5: I'm out of hospital and it's been eleven weeks now
• 9:26
  Speaker 5: and I still haven't got an appointment with the pain team.
• 9:29
  Speaker 5: Three and a half weeks ago, they said, well, you
• 9:31
  Speaker 5: haven't filled in the form.
• 9:32
  Speaker 2: Oh, come on, I said what form?
• 9:35
  Speaker 4: And they said, there's a questionnaire you've got to fill
• 9:37
  Speaker 4: in before you can see us. I said, well, I
• 9:39
  Speaker 4: haven't even made advised to that. Yeah, and the doctor
• 9:42
  Speaker 4: keeps telling me I can't keep prescribing you this heavy analgesia.
• 9:46
  Speaker 4: And I've been ringing the paint team and they said
• 9:48
  Speaker 4: it's a matter of three hours. We haven't read your paperwork,
• 9:51
  Speaker 4: so we don't know how urgent yours.
• 9:52
  Speaker 2: Is yet, Minister.
• 9:54
  Speaker 1: Unfortunately, Andrew's call wasn't the only one we took.
• 9:58
  Speaker 2: We had several other people call to talk about.
• 10:01
  Speaker 1: The different issues that they've had in terms of being
• 10:03
  Speaker 1: able to get in to see the pain management team.
• 10:07
  Speaker 1: Have we got some kind of shortage here with that
• 10:09
  Speaker 1: pain management team?
• 10:11
  Speaker 3: So Katie, in terms of Andrew, I apologize for what
• 10:14
  Speaker 3: he's gone through and I'd be happy if his details
• 10:16
  Speaker 3: were passed on to us the department to look into that,
• 10:19
  Speaker 3: and equally for anyone that feels that the health system
• 10:21
  Speaker 3: has let them down, there is processes within it for
• 10:24
  Speaker 3: them to make complaint. Pain management clinic is complex. It's
• 10:28
  Speaker 3: not about some pun at all for a broken leg.
• 10:30
  Speaker 3: It's long term chronic pain and these are serious drugs
• 10:33
  Speaker 3: that are being issued and there has to be a
• 10:35
  Speaker 3: strict process. I did speak with the department around this,
• 10:38
  Speaker 3: and it's something where they use both psychological and neurological
• 10:41
  Speaker 3: support and the anethetists are involved in this, but we
• 10:44
  Speaker 3: do rely on a pain specialist from Interstate, and so
• 10:48
  Speaker 3: I've asked the department to look into this issue and
• 10:51
  Speaker 3: to see if there's a way, particularly using telehealth, that
• 10:54
  Speaker 3: we can help escalate some of these cases where it
• 10:58
  Speaker 3: sounds like Territorians really need access to that. We need
• 11:01
  Speaker 3: to be careful. These are schedulate drugs. These are a
• 11:03
  Speaker 3: drugs that in the wrong hands, could cause quite a
• 11:05
  Speaker 3: lot of damage in our community. And so I've asked
• 11:08
  Speaker 3: them to look into that issue around wait times for
• 11:11
  Speaker 3: territories and what they can do to resolve that so
• 11:14
  Speaker 3: they can manage their pain through the Christmas period, but
• 11:16
  Speaker 3: at the same time make sure the broader community is protected.
• 11:19
  Speaker 1: Do you have any idea what the average weight time
• 11:22
  Speaker 1: is for people being able to get into that pain
• 11:26
  Speaker 1: management clinic, Katie.
• 11:29
  Speaker 3: They're triarged and so it might be an individual that's
• 11:31
  Speaker 3: having an operation that might need drugs to then manage
• 11:34
  Speaker 3: themselves post that, or it might be someone that's got
• 11:36
  Speaker 3: a long term health condition that needs drugs. I don't
• 11:39
  Speaker 3: have the specifics around the weight list times and they
• 11:42
  Speaker 3: would vary as their triarge which brings me back to
• 11:44
  Speaker 3: another important point for people. If they are weightlisted not
• 11:48
  Speaker 3: only for pain management clinic but for other health services,
• 11:51
  Speaker 3: they can always go back to their GP and explain
• 11:54
  Speaker 3: that their condition they believe is worsening and it can
• 11:56
  Speaker 3: be triarged up by health. So certainly, in terms of
• 12:00
  Speaker 3: this specific issue, it does rely on a pain specialist
• 12:03
  Speaker 3: and specialists from the state, and so I've asked the
• 12:06
  Speaker 3: department of course that's been impacted with COVID, what they
• 12:09
  Speaker 3: can do to help deal with some of these people
• 12:12
  Speaker 3: that are waiting.
• 12:13
  Speaker 1: Yeah, because I thought, you know, certainly from the calls
• 12:16
  Speaker 1: that we've had, and we have had quite a few.
• 12:18
  Speaker 1: From the calls that we've had, people are quite understanding
• 12:21
  Speaker 1: of the fact that they know that they're quite heavy drugs,
• 12:23
  Speaker 1: that you know, that they're having to be prescribed. They
• 12:27
  Speaker 1: understand that side of things, but it hasn't been the
• 12:30
  Speaker 1: issue of being able to actually get that prescription.
• 12:32
  Speaker 2: Their GP or their you.
• 12:35
  Speaker 1: Know, their surgeon has then given them the letter obviously
• 12:39
  Speaker 1: to refer them to the pain specialist, but the wait
• 12:42
  Speaker 1: list has been so long that, as you've heard there
• 12:45
  Speaker 1: from Andrew, in some cases they're having to be taken
• 12:47
  Speaker 1: to the hospital in the ambulance.
• 12:50
  Speaker 3: Yeah, Katie, And this is, as I said, highly complex.
• 12:53
  Speaker 3: It uses a number of supports, psychological, neurological. It's it's
• 12:57
  Speaker 3: quite a complex process to relieve someone of that pain,
• 13:00
  Speaker 3: long term chronic pain. We're not just talking about someone
• 13:03
  Speaker 3: you know that's injured themselves and need some pun at
• 13:05
  Speaker 3: all to tie them over till it heels. So I've
• 13:07
  Speaker 3: asked a department, based on this feedback to provide some
• 13:10
  Speaker 3: options to these people so that we can ensure that
• 13:13
  Speaker 3: they receive the care that they need, whilst at the
• 13:15
  Speaker 3: same time protecting the community potentially from the misuse of
• 13:18
  Speaker 3: those drugs and to get people off this medicine. I mean,
• 13:20
  Speaker 3: no one wants to be on long term medication. They
• 13:22
  Speaker 3: want to resolve their issue and they want to be
• 13:24
  Speaker 3: a part of our community, happy and healthy.
• 13:26
  Speaker 1: Well, what we might do is we might get the
• 13:29
  Speaker 1: details of those callers across to your office so that
• 13:33
  Speaker 1: you know, so that they know that it is being
• 13:35
  Speaker 1: looked into. We all know it's really complex. But then
• 13:38
  Speaker 1: we'll also talk to you again I reckon down the
• 13:40
  Speaker 1: track to find out sort of where things are at
• 13:42
  Speaker 1: with the pain management in terms of that clinic and
• 13:46
  Speaker 1: whether there is some changes that could come into play
• 13:48
  Speaker 1: to ensure that territorianes are able to see someone more quickly,
• 13:52
  Speaker 1: of course.
• 13:52
  Speaker 3: Katie, and just to provide some information to your listeners.
• 13:56
  Speaker 3: I mean that we don't look. We love to answer
• 13:57
  Speaker 3: your calls and have a chat, and of course we'll
• 13:59
  Speaker 3: always do that, but there are processes for them. So,
• 14:01
  Speaker 3: as I mentioned, if someone feels that their condition, no
• 14:04
  Speaker 3: matter what it is, has deteriorated. Of course, if it's
• 14:06
  Speaker 3: in an emergency, they call trip below, but their GP
• 14:09
  Speaker 3: can help them escalate whatever specialist appointment they need, and
• 14:12
  Speaker 3: we have seen significant interruption to specialist appointments. The patient
• 14:16
  Speaker 3: advocate at the hospital is also a point of call.
• 14:18
  Speaker 3: If you're really frustrated with the clinicians and you feel
• 14:20
  Speaker 3: that your message isn't getting through, you can ask for
• 14:22
  Speaker 3: a patient advocate at any point and explain to them
• 14:25
  Speaker 3: the frustration and their job is to try and help
• 14:27
  Speaker 3: resolve that. And if you know all of that doesn't work,
• 14:30
  Speaker 3: we have the Health Complaints Commissioner. So even if you
• 14:33
  Speaker 3: have something and we've got wonderful health staff Katie, there
• 14:36
  Speaker 3: are greater sasset and they've worked so tirelessly this year,
• 14:38
  Speaker 3: but sometimes things go wrong. It's a busy system. If
• 14:42
  Speaker 3: you have received the care but you think there could
• 14:44
  Speaker 3: be improvements, the Health Complaints Commissioner looks for systemic issues,
• 14:48
  Speaker 3: and so it might be that your personal issue has
• 14:51
  Speaker 3: been resolved, but you'd still like to voice that and
• 14:53
  Speaker 3: you can just visit their website and Steve Dunam, the
• 14:56
  Speaker 3: Health Complaints Commissioner, looks into a variety of issues, publishes
• 14:58
  Speaker 3: an annual report provides advice to the Department of Health.
• 15:02
  Speaker 1: Yeah, well, look, you know, from all accounts, what we've
• 15:04
  Speaker 1: heard from those listeners is with all of them, they've
• 15:06
  Speaker 1: actually been referred to a couple of times by their GPS
• 15:10
  Speaker 1: and they've still had to wait incredibly long periods of
• 15:13
  Speaker 1: time to be able to get in for what they've
• 15:15
  Speaker 1: described as chronic pain. So look, I think that this
• 15:18
  Speaker 1: gives us a bit further information. Hopefully we're able to
• 15:21
  Speaker 1: get some help for those territories, because like you said,
• 15:24
  Speaker 1: you know, we don't want to be in a situation
• 15:25
  Speaker 1: where anybody is suffering in pain for a long period
• 15:29
  Speaker 1: of time. Of course, Katie Well, Minister for Health, Natasha Files,
• 15:33
  Speaker 1: we are going to have to leave it there. Appreciate
• 15:35
  Speaker 1: your time this morning. Thank you very much for speaking
• 15:37
  Speaker 1: with us.
• 15:37
  Speaker 3: Thank you