Latest / 360 with Katie Woolf / Australian Nursing and Midwifery Federation’s Catch Hatcher says staff shortages at Alice Spring Hospital have gotten worse with 140 roles vacant, putting extra pressure on remaining staff
Transcript
- 0:00Speaker 1: We know that the Australian Nursing and midwiff Ree Federation
- 0:02Speaker 1: last month raised concerns on this show about a staff
- 0:06Speaker 1: shortage in Alie Springs and safety concerns at the hospital.
- 0:10Speaker 1: Now joining me on the show to give us a
- 0:12Speaker 1: bit of an update is Cap Hatcher from the Nursing
- 0:15Speaker 1: and midwiff Re Federation shares the branch secretary. Good morning
- 0:18Speaker 1: to you, Cas.
- 0:20Speaker 2: Good morning Katie and to your listeners.
- 0:22Speaker 1: Kat Has there been any improvement to the situation in
- 0:26Speaker 1: Alice Springs.
- 0:28Speaker 2: A little approvement where the presentations to the emergency department
- 0:35Speaker 2: over the last few weeks has fallen compared to the
- 0:39Speaker 2: previous eight weeks. So that's a little bit of a
- 0:43Speaker 2: reprieve with admissions into the hospital and presentations to the
- 0:49Speaker 2: emergency department. But apart from that, the asking of extra
- 0:57Speaker 2: staff on the ground with either nurses or patient care assistants.
- 1:05Speaker 2: That hasn't happened yet, but they're working very hard to facilitate.
- 1:10Speaker 1: That now, Kas, I understand you've obviously been in Alice
- 1:14Speaker 1: a couple on a couple of occasions recently. I understand
- 1:17Speaker 1: that the Chief Minister was there earlier this week as well,
- 1:22Speaker 1: were there any sort of significant movements or changes to
- 1:26Speaker 1: what the government is doing to really try to get
- 1:28Speaker 1: things moving to fill those jobs.
- 1:33Speaker 2: So when I was there about three half weeks ago,
- 1:38Speaker 2: the actual hospital had about one hundred and thirty full
- 1:42Speaker 2: time equivalent shortage of nurses and midwives and currently it's
- 1:47Speaker 2: now one hundred and forty four full time equivalent down,
- 1:51Speaker 2: which is a shocking figure. But there was others that
- 1:56Speaker 2: they did tell us back three four weeks ago that
- 1:58Speaker 2: they were in the process of leaving, so that was expected.
- 2:05Speaker 2: They're trying to get recruiting for permanent staff and they're
- 2:09Speaker 2: recruiting for agency staff to fill the vacancies as much
- 2:14Speaker 2: as they can. Yes, there is some coming and there
- 2:19Speaker 2: is some more new graduates starting shortly, so that is
- 2:23Speaker 2: going to put some more feed on the ground with
- 2:27Speaker 2: help clinically, and they are working with us. They are
- 2:34Speaker 2: working with the chief nurse and midwifree officer and now
- 2:38Speaker 2: the Health Minister to try and facilitate the recruitment process
- 2:43Speaker 2: in a much quicker format and getting people on the
- 2:47Speaker 2: ground asap. But the other issue is accommodation in tenant
- 2:54Speaker 2: in Alice Springs as well.
- 2:57Speaker 1: So Kat before I get to the accommodation. I do
- 2:59Speaker 1: just want to ask you, I mean, one hundred and
- 3:02Speaker 1: forty four full time equivalent staff down, how on earth
- 3:06Speaker 1: do you do your job day in and day out
- 3:08Speaker 1: when you are that volume of staff short?
- 3:14Speaker 2: Very difficult, and all the staff are doing you know,
- 3:18Speaker 2: three to four extra shifts per week, so they're working
- 3:22Speaker 2: on a full time scale plus they're also doing three
- 3:26Speaker 2: to four extra shifts a week, whether that's a full
- 3:30Speaker 2: shift or a six hour shift, but that is very tiring.
- 3:35Speaker 2: They've been doing that for twelve to fifteen months now,
- 3:38Speaker 2: and some of them told me on Monday that they'll
- 3:41Speaker 2: just have to try and cut back on that because
- 3:45Speaker 2: they are exhausted and they're wanting to, you know, save
- 3:51Speaker 2: their physical and mental well being and they're needing to
- 3:58Speaker 2: drop that, which some of the managers are making sure
- 4:02Speaker 2: that no one's doing any more of the one or
- 4:04Speaker 2: two extras a week because that's a long time to
- 4:08Speaker 2: be able to facilitate, you know, sixty seventy hours a
- 4:13Speaker 2: week of work for a long time.
- 4:16Speaker 1: I reckon, honestly, it would be so tough. Cas Now,
- 4:21Speaker 1: talk me through the calls that you've made. When it
- 4:24Speaker 1: does come to accommodation in Alae Springs.
- 4:29Speaker 2: So it was alarmed to me three to four weeks
- 4:33Speaker 2: ago when I was there that it's really easy to
- 4:36Speaker 2: buy a home in Ala Springs. Yep, there would be
- 4:40Speaker 2: about two hundred houses that are up for sale at
- 4:44Speaker 2: the moment, but none of them, if all. Sorry I
- 4:49Speaker 2: say that again, there is probably none available for renting
- 4:54Speaker 2: in Ala Springs currently, so that's a real problem. And
- 4:58Speaker 2: I know the accommodation A new accommodation block is almost
- 5:02Speaker 2: about to be completed over the next couple of months.
- 5:07Speaker 2: That will help relieve some of the short term situation
- 5:11Speaker 2: of getting staff to come and putting them up anywhere
- 5:14Speaker 2: from a month to six or twelve months. But also
- 5:19Speaker 2: the facility that accommodates the doctors and the nurses, or
- 5:23Speaker 2: more so the doctors on campus needs renovating when they've
- 5:29Speaker 2: perhaps transferred those doctors to the new accommodation, so it's
- 5:34Speaker 2: kind of catch twenty two. There's a new building being
- 5:37Speaker 2: built and those doctors will go over to the new building,
- 5:42Speaker 2: but the one that they're currently living in apparently needs
- 5:45Speaker 2: some renovations, and hopefully that will be done as soon
- 5:50Speaker 2: as possible, so there will be some relief, but I
- 5:55Speaker 2: feel that the government probably need to buy a good
- 5:59Speaker 2: dozen how houses that can accommodate three staff in any
- 6:04Speaker 2: one time, that can share a house and share share
- 6:08Speaker 2: a communal kitchen to be able to get the staff
- 6:12Speaker 2: to come and work in Alice Springs.
- 6:14Speaker 1: Absolutely, I mean there needs to actually there needs to
- 6:17Speaker 1: be accommodation. They need to feel safe. I know that
- 6:21Speaker 1: the Chief Minister had told nine News earlier in the
- 6:23Speaker 1: week that there was a number of factors contributing to
- 6:25Speaker 1: staff shortages and that COVID was one of them. Kath,
- 6:30Speaker 1: would you say, when it comes to the staff shortage
- 6:32Speaker 1: that's being experienced right now at the Alic Springs Hospital,
- 6:35Speaker 1: would you say COVID is the main factory. Would you
- 6:38Speaker 1: say that personal safety and the concerns around safety have
- 6:41Speaker 1: been the major factor.
- 6:43Speaker 2: I think it's a multi factoral problem. So if you
- 6:46Speaker 2: go back to twenty nineteen, the shortage of staff in
- 6:51Speaker 2: Alice Springs Hospital just for nurses and midwives were sitting
- 6:54Speaker 2: around three to five percent vacancy rate, and they had
- 6:58Speaker 2: been really well in twenty plus years. Are not relying
- 7:03Speaker 2: on many agencies up to that point, and then you've
- 7:06Speaker 2: got twenty twenty twenty twenty one and twenty twenty two
- 7:10Speaker 2: with COVID. Now, they did increase a little bit in
- 7:14Speaker 2: that first year to two and they percentage of vacancies
- 7:18Speaker 2: went up to eight percent initially and then fifteen percent.
- 7:23Speaker 2: And then when about twelve fifteen months ago, the whole
- 7:28Speaker 2: of Australia opened up and it was much easier to
- 7:32Speaker 2: be able to go back into state where you've come from,
- 7:34Speaker 2: or back overseas, and for those staff that haven't been
- 7:39Speaker 2: back home to their country or the interstate to their
- 7:43Speaker 2: home for the past two or three years, they were
- 7:46Speaker 2: able to facilitate that easily, and they did and they
- 7:50Speaker 2: worried about not being able to get through COVID without
- 7:55Speaker 2: going to six family, et cetera. So a lot of
- 7:58Speaker 2: movement in that space happened, and that increase that to
- 8:03Speaker 2: you know, fifty sixty percent, sorry, not fifty sixty percent,
- 8:07Speaker 2: more like twenty to thirty percent, and then then it's
- 8:11Speaker 2: jumped up in the last fifteen months more so to
- 8:15Speaker 2: the nearly fifty percent now, which is what we're experiencing,
- 8:20Speaker 2: and that is due to perhaps the enterprise agreement that
- 8:27Speaker 2: we're still on the table with the Commissioner there's no
- 8:30Speaker 2: finalization of that yet. Other states are offering bonuses to
- 8:34Speaker 2: come and sign on, will give you ten thousand dollar bonus,
- 8:38Speaker 2: and then stay another year, will give you another bonus.
- 8:42Speaker 2: So those types of attractions have happened as well.
- 8:47Speaker 1: And then you don't have an impact.
- 8:49Speaker 2: Yeah, and then you've got the violence and whatever else
- 8:53Speaker 2: is happening within the town of Alice Springs, and you know,
- 8:57Speaker 2: the drinking, etcetera. And the increased work of the hospital.
- 9:01Speaker 2: They've become fatigued. There hasn't been in any leeway, so
- 9:05Speaker 2: they know that they can get extra money into state,
- 9:09Speaker 2: so they've gone as well.
- 9:10Speaker 1: Kat, I am running out of time, but I want
- 9:12Speaker 1: to ask you. I know you've said the one hundred
- 9:15Speaker 1: and forty four full time staff equivalent down in Alice Springs.
- 9:18Speaker 1: How are we tracking here at the Royal Darwin Hospital.
- 9:23Speaker 2: About two weeks ago, the executive director of nursing said
- 9:27Speaker 2: about fifteen percent. But I want to know what that
- 9:31Speaker 2: fifteen percent looks like in full time equivalents. And I
- 9:35Speaker 2: haven't looked at that, yeah, right, that answer yet. So
- 9:40Speaker 2: I do know that some areas are really struggling, like
- 9:43Speaker 2: maternity and renal areas and some other areas are doing okay,
- 9:49Speaker 2: but yes they are struggling, but not to the extent
- 9:52Speaker 2: that Alice Springs is at the moment.
- 9:55Speaker 1: KAT just a very quick one. I know that there
- 9:57Speaker 1: had been a worry in back in Alice Spring Rings
- 10:00Speaker 1: as well about not being able to get cleaners at
- 10:04Speaker 1: the hospital, and as we know, that can actually have
- 10:07Speaker 1: ramifications in a lot of different ways when you are
- 10:10Speaker 1: working in clinical settings. Has that been raised with you
- 10:13Speaker 1: or is it still an issue.
- 10:16Speaker 2: I haven't had that specific point raised to me, but
- 10:19Speaker 2: I do know that they are down in all type
- 10:22Speaker 2: of extra areas like Allied Health, and I would say
- 10:29Speaker 2: in the cleaners and kitchen staff and store stuff as well.
- 10:35Speaker 2: I do know the stores are low in numbers as well,
- 10:39Speaker 2: so that's impacting the nurses needing to unpack stock in
- 10:43Speaker 2: their own awards. Normally it's the store people that do that,
- 10:49Speaker 2: so it's fallen back onto the nurses. And there is
- 10:52Speaker 2: a lack of social workers, physiotherapists, etc. So some of
- 10:57Speaker 2: that work then falls back onto the nurses to try
- 11:00Speaker 2: and facilitate that as well. So it's really a whole
- 11:05Speaker 2: compounding problem.
- 11:07Speaker 1: It's a big job. It is a massive job. For
- 11:09Speaker 1: our wonderful Northern Territory nurses and all of those health
- 11:13Speaker 1: staff and the support staff as well. Kath Hatcher, I
- 11:17Speaker 1: really appreciate you having a chat with us this morning.
- 11:19Speaker 1: No doubt we'll talk again in the very near future.
- 11:22Speaker 1: Thank you for coming on the show.
- 11:24Speaker 2: You're very welcome. Thank you, Katie, thank you.