Latest / 360 with Katie Woolf / Health Minister Natasha Fyles says staffing requirements in hospitals are being met, despite claims the public sector pay freeze is driving staff away from the NT
Transcript
- 0:00Speaker 1: Leave.
- 0:00Speaker 2: We've got the Health Minister Natasha Files on the line.
- 0:02Speaker 2: Good morning to your minister.
- 0:04Speaker 1: Good morning Katie, Good morning listeners.
- 0:06Speaker 2: We've got you excellent now, Minister, I do want to
- 0:09Speaker 2: start this morning by asking you about crime. I know
- 0:11Speaker 2: that you're not the police minister, but we have seen
- 0:14Speaker 2: a terrible few days when it comes to crime on
- 0:16Speaker 2: the streets of Darwin and indeed Palmerston. We had a
- 0:20Speaker 2: situation where a woman was raped in broad daylight in
- 0:22Speaker 2: the Northern suburbs. Late last week, a teenager assaulted and
- 0:26Speaker 2: robbed on a bus, police assaulted in the CBD, a
- 0:30Speaker 2: worker threatened with an edged weapon in Palmerston before having
- 0:34Speaker 2: money stolen.
- 0:35Speaker 3: Last night.
- 0:36Speaker 2: Well, we've started to receive some vision this morning from
- 0:39Speaker 2: Casarina where apparently there was kids throwing rocks at buses
- 0:44Speaker 2: and smashed the windows. Minister, are we in the midst
- 0:47Speaker 2: of a crime crisis?
- 0:50Speaker 1: So, Katie, just before a comment, I do need to
- 0:52Speaker 1: be careful of some of those matters are before the
- 0:53Speaker 1: courts and there were some very serious incidents that we
- 0:56Speaker 1: need to allow that court process to take place, but
- 0:58Speaker 1: they're unacceptable in terms of tackling these issues. There's a
- 1:01Speaker 1: range of measures that we're putting in place, and there's
- 1:03Speaker 1: some that are a short term and there's some that
- 1:05Speaker 1: are into the longer term, particularly around youth and making
- 1:09Speaker 1: sure that we have consequences for those youth offenders under
- 1:13Speaker 1: our new youth justice reforms.
- 1:15Speaker 2: Look, I understand that obviously, you know there's issues with
- 1:18Speaker 2: youth crime. There is issues at the moment as well though,
- 1:21Speaker 2: with what we are seeing with public drunkenness. So I
- 1:24Speaker 2: know that you and I have spoken about this on
- 1:26Speaker 2: a number of occasions, but are you able to tell
- 1:28Speaker 2: us this morning, because honestly, I feel like people have
- 1:31Speaker 2: reached their wits end. Is there any urgent work that's
- 1:35Speaker 2: going to get underway when it comes to the issues
- 1:38Speaker 2: that we're seeing right now with that public drunkenness, Katie?
- 1:42Speaker 1: So, we do know that alcohol is often one of
- 1:45Speaker 1: the root causes to crime and antisocial behavior, and we've
- 1:48Speaker 1: made some significant reforms in this space and we continue
- 1:50Speaker 1: to do so. We've given police more powers and ensuring
- 1:54Speaker 1: that when there is alcohol related time, they can stop
- 1:57Speaker 1: it before it happens. Around provide support to Laraikian nations.
- 2:02Speaker 1: We've done work around the Sobering Up Shelter and making
- 2:04Speaker 1: sure that there is a place if people are drinking
- 2:08Speaker 1: in public, if they're drunk, if their behavior is unacceptable,
- 2:11Speaker 1: but they're not breaking the law, but there is an
- 2:13Speaker 1: opportunity for Larochian Nation and police to take them to
- 2:16Speaker 1: a facility rather than just leaving them there to potentially
- 2:19Speaker 1: cause harm later on. But these are complex issues, but
- 2:21Speaker 1: they're certainly not acceptable by any them.
- 2:23Speaker 2: Do you feel as though those changes that are in
- 2:27Speaker 2: place at the moment, giving police more powers and also
- 2:30Speaker 2: the work that's happening with Larikia Nation, do you feel
- 2:33Speaker 2: as though it's enough at this point in time? Do
- 2:36Speaker 2: you are you accepting of what we're seeing on the
- 2:38Speaker 2: streets at the moment.
- 2:40Speaker 1: I think you can never stop working in this space,
- 2:42Speaker 1: and I think that it's unacceptable the incidents that you
- 2:44Speaker 1: just spoke of and what our community is feeling. So
- 2:47Speaker 1: for me, it's about working across the sobering up and
- 2:50Speaker 1: that detox and that sits within health, but there's licensing
- 2:54Speaker 1: to stop issues before they happen, but also police and
- 2:57Speaker 1: so I work across those three agencies. I met with
- 2:59Speaker 1: them last, if I meet with them regularly to make
- 3:01Speaker 1: sure that they've got all the tools in the toolbox
- 3:03Speaker 1: from a legislative point of view and from a policy
- 3:05Speaker 1: point of view that they need and do.
- 3:08Speaker 2: Do you feel as though they've got all the tools
- 3:10Speaker 2: in the toolbox right now to be able to do
- 3:12Speaker 2: their jobs, because I've got to tell you, like people
- 3:15Speaker 2: listening this morning, they are going to be thinking, it
- 3:17Speaker 2: doesn't sound as though there's anything new. It doesn't sound
- 3:21Speaker 2: as though there's anything urgent. It sounds as though it's
- 3:23Speaker 2: the same thing that we've all heard before.
- 3:26Speaker 1: It's o Katie, what we often see with alcohol policies.
- 3:28Speaker 1: If we address one area, we then see an issue
- 3:31Speaker 1: in another area. You know, the balloon pushes the other way.
- 3:35Speaker 1: And so that's why it's really important that those different
- 3:37Speaker 1: agencies are working across the board. We want to stop
- 3:39Speaker 1: police from having to deal with these issues, but then
- 3:41Speaker 1: we do need to make sure that they've got those
- 3:43Speaker 1: resources when the issues get to that point that these
- 3:46Speaker 1: are complex. As a government, we've done more in the
- 3:48Speaker 1: space of alcohol policy than any other government.
- 3:51Speaker 2: So right now, I mean, I know that you've said
- 3:54Speaker 2: that there is these longer term legislative changes. As I mentioned,
- 3:57Speaker 2: you and I have spoken on numerous occasions about this,
- 3:59Speaker 2: but you know when you look at what is going
- 4:01Speaker 2: on around the streets of Darwin and Palmerston at the moment,
- 4:05Speaker 2: are you happy with the way that things are, Katy,
- 4:09Speaker 2: we can't.
- 4:09Speaker 1: Stop working in this space. And I think that we
- 4:12Speaker 1: see each year there's some seasonal factors, but absolutely I
- 4:15Speaker 1: acknowledge that the behavior presently in our community is not
- 4:18Speaker 1: acceptable and we're working, as I said, to address that.
- 4:21Speaker 1: And it's complex in terms of alcohol. We've got obviously
- 4:25Speaker 1: changes coming forward around alcoholic communities and that responsibility coming
- 4:29Speaker 1: back to the territory government. So it is complex, but
- 4:32Speaker 1: we can never stop working.
- 4:33Speaker 3: Again.
- 4:34Speaker 2: I know that you're not the chief Minister. I know
- 4:36Speaker 2: that you're not the police minister. I do know that
- 4:38Speaker 2: you are obviously the minister that's responsible.
- 4:40Speaker 3: For alcohol policy.
- 4:42Speaker 2: But does the cabinet, does the Northern Territory government cabinet
- 4:46Speaker 2: right now realize that this is an issue that is
- 4:51Speaker 2: absolutely devastating people around the place. You know, they are
- 4:55Speaker 2: fed up, They've had enough of it. They want some work,
- 4:57Speaker 2: they want something urgently to change.
- 5:01Speaker 1: Katie. We're members of our community. We go to the
- 5:03Speaker 1: grocery store, we go for walks along the foreshore. We
- 5:05Speaker 1: see this behavior so absolutely, and I think that in
- 5:08Speaker 1: terms of making sure that the government agencies at both Council,
- 5:12Speaker 1: NTG and Commonwealth are aware of the issues, we do
- 5:15Speaker 1: that so we do understand these issues and as I
- 5:18Speaker 1: keep saying, they're difficult and complex, but we'll keep throwing
- 5:20Speaker 1: everything at them.
- 5:21Speaker 2: And so right now, for people listening this morning who
- 5:24Speaker 2: are thinking it doesn't seem as though anything's changing, they're
- 5:27Speaker 2: not hearing from you that there's sort of urgent work
- 5:29Speaker 2: going on. Are there steps happening behind the scenes to
- 5:33Speaker 2: urgently try and address what is happening at the moment.
- 5:36Speaker 1: Yeah, Katie, So we're looking at the factor as why
- 5:39Speaker 1: and I know the Chief Minister's spoken to you about
- 5:41Speaker 1: why there's the numbers of people in du and why
- 5:43Speaker 1: they hear what we can do to support them. The
- 5:45Speaker 1: information coming is that we do have short term accommodation
- 5:48Speaker 1: and there is capacity. There is capacity within those so
- 5:51Speaker 1: bring up shelters. So there is certainly work across government
- 5:54Speaker 1: in an urgent scent looking at these issues right now
- 5:56Speaker 1: that our community is facing.
- 5:57Speaker 2: And do you think from your perspective alcohol policy perspective,
- 6:01Speaker 2: is there something that needs to change or is there
- 6:04Speaker 2: something that you need to look at to review, because
- 6:06Speaker 2: there will be people listening this morning thinking, how is.
- 6:09Speaker 3: It okay that we've just got people that.
- 6:11Speaker 2: Are drinking in the you know, in the city, in
- 6:14Speaker 2: parks all hours of the day and night, and it's
- 6:17Speaker 2: and it's deemed okay.
- 6:19Speaker 1: That's why, Katie, we've put in place measures to stop
- 6:22Speaker 1: the GRD getting into the hands of people that do
- 6:23Speaker 1: the wrong thing with it. It's always a balance, but
- 6:25Speaker 1: we're certainly looking at those policies that we've got and
- 6:28Speaker 1: how we can strengthen them to keep the community safe.
- 6:31Speaker 1: But it is a legal product commodity alcohol, and so
- 6:34Speaker 1: we do need to balance that.
- 6:36Speaker 2: So we spoke to the police yesterday morning after that
- 6:39Speaker 2: horrendous situation had unfolded in Casarina last week.
- 6:43Speaker 3: What the police had.
- 6:44Speaker 2: Said is that there were you know, and obviously it
- 6:48Speaker 2: isn't matter that's that's before the courts. So, like you said,
- 6:50Speaker 2: from the get go, I want to be careful about
- 6:52Speaker 2: what I say, but we're we are of the understanding
- 6:55Speaker 2: that there were groups of people who were drinking and
- 6:58Speaker 2: then this terrible event has unfolded. I think what we
- 7:02Speaker 2: are seeing around the place right now is that people
- 7:04Speaker 2: aren't just drinking and you know, and then behaving themselves.
- 7:08Speaker 2: We are seeing the flow on effect of some pretty
- 7:10Speaker 2: horrendous criminal behavior afterwards.
- 7:13Speaker 3: And that is what I'm trying to get to the
- 7:15Speaker 3: bottom of.
- 7:16Speaker 2: How we're i able to work on that so we
- 7:18Speaker 2: do not have a situation where there are members of
- 7:20Speaker 2: the public who.
- 7:21Speaker 3: Or at risk.
- 7:23Speaker 1: So, Katie, in terms of alcohol, we've got measures to
- 7:25Speaker 1: stop the supply. I've go to those that cause harme.
- 7:27Speaker 1: We strengthen secondary supply, both the legislation and the resources
- 7:30Speaker 1: to police, because we often know when something's restricted legally
- 7:33Speaker 1: that there is a bounce back in that secondary supply,
- 7:36Speaker 1: so we've put in place those resources. We've also got
- 7:39Speaker 1: the therapeutic options for people. We know that some people
- 7:42Speaker 1: struggle with alcohol, and so it's putting in place a
- 7:45Speaker 1: range of measures and making sure that police have the
- 7:47Speaker 1: tools to do their job. There's more police, more CCTV,
- 7:51Speaker 1: and as I just pointed to, those alcohol policies and
- 7:54Speaker 1: legislations have been strengthened so that they can when people
- 7:57Speaker 1: do the wrong thing, they can be penalized and they
- 7:59Speaker 1: can face the consequences to their behavior.
- 8:01Speaker 2: Have we seen last a couple of weeks ago, the
- 8:04Speaker 2: Chief Minister said that around four hundred people had gone home.
- 8:07Speaker 2: We have about two thousand, two thousand, five hundred, as
- 8:10Speaker 2: I understand in from other communities at the moment he
- 8:13Speaker 2: said about four hundred had gone home.
- 8:15Speaker 3: Have those numbers been updated, Katy.
- 8:19Speaker 1: I don't have those figures, but I'm certainly happy to
- 8:20Speaker 1: ask them and provide them through.
- 8:22Speaker 3: Yeah, I'd be keen to try and find out.
- 8:24Speaker 2: Look, I am going to move along because there is
- 8:26Speaker 2: a lot on the agenda this morning, and we know
- 8:27Speaker 2: that the Australian Salary Medical Officers NT President Tom Fowls
- 8:32Speaker 2: had told the Northern Territory News Well that doctors NT
- 8:37Speaker 2: doctors have voted no to this four year pay freeze
- 8:40Speaker 2: offer by the government. Ninety point four percent of medical
- 8:44Speaker 2: officers rejected the offer, with forty three point nine two
- 8:47Speaker 2: percent turning out to have their say. Minister, are you
- 8:51Speaker 2: concerned that this proposed pay freeze is going to make
- 8:53Speaker 2: it difficult to recruit doctors to the Northern Territory?
- 8:58Speaker 1: So, Katie, we respect our hardware medical offices and will
- 9:01Speaker 1: continue to negotiate in good faith with them. We do
- 9:04Speaker 1: see the enterprise bargaining agreements every few years and miss
- 9:07Speaker 1: about every four come around, and so we're presently in
- 9:10Speaker 1: those negotiations and we'll continue in good faith respecting how
- 9:14Speaker 1: hard they work and the roles they play in our community.
- 9:16Speaker 2: So my understanding is that they are after a pay
- 9:18Speaker 2: increase which is in line with inflation. So I think
- 9:21Speaker 2: it's three point five percent. Do you think that's fair enough?
- 9:26Speaker 1: So, Katie, we need to balance our budget situation here
- 9:30Speaker 1: in the territory, and I would argue that our health
- 9:32Speaker 1: workers are some of the most vital and deserve that.
- 9:35Speaker 1: But we have a policy where we don't want to
- 9:38Speaker 1: have to have job cuts, so we're working within those confines,
- 9:41Speaker 1: and the Minister for Public Employment is certainly making sure
- 9:44Speaker 1: that the Commissioner for Public Employment is negotiating. But I
- 9:47Speaker 1: can absolutely assure our doctors and our medical staff across
- 9:50Speaker 1: the board that it's within good faith.
- 9:51Speaker 2: Mister Fowles has said it was a surprise that the
- 9:54Speaker 2: offer was even on the table given the state of
- 9:56Speaker 2: the health system in Australia at the moment amid the
- 9:58Speaker 2: global pandemic. He said that fewer doctors means longer waiting
- 10:02Speaker 2: lists and more over crowded emergency departments. I mean, can
- 10:06Speaker 2: we really afford to shortchange doctors right now when we
- 10:09Speaker 2: do have weight lists that have blown out and we've
- 10:11Speaker 2: had several months of staff shortages in various areas within
- 10:15Speaker 2: the Northern Territories health system.
- 10:19Speaker 1: So, Katie, when you talk about fewer doctors, that would
- 10:21Speaker 1: be if we don't manage our budgets, then we would
- 10:24Speaker 1: have to be in the position that we couldn't recruit
- 10:25Speaker 1: to So what we're trying to find is that balance
- 10:27Speaker 1: between recruiting the most doctors but also acknowledging that work
- 10:31Speaker 1: they do so away we're going to.
- 10:32Speaker 2: Recruit them if they get paid less than what they
- 10:34Speaker 2: are in other states.
- 10:36Speaker 1: So, Katie, what you see particularly across the medical professionals.
- 10:40Speaker 1: Did you see different jurisdictions go in and negotiate those EBAs.
- 10:44Speaker 1: We've got our wages policy set, we saw the General
- 10:46Speaker 1: Anti Public Service wrote that up. We will continue to
- 10:49Speaker 1: negotiate in good faith and take on board all the
- 10:51Speaker 1: points that they raise.
- 10:52Speaker 3: But are you worried at this point in time?
- 10:54Speaker 2: I mean, have we got the number of doctors that
- 10:57Speaker 2: we need here in the Northern Territory at this point?
- 11:01Speaker 1: So this year we've welcomed almost three hundred and fifty
- 11:03Speaker 1: new junior doctors, nurses, midwives is a part of all
- 11:06Speaker 1: of our anti health training programs. We've also got two
- 11:09Speaker 1: hundred and fifty four junior doctors who've commenced working in
- 11:12Speaker 1: our hospital. So we have a program of making sure
- 11:16Speaker 1: that we support and we need absolutely those experienced doctors
- 11:20Speaker 1: and nurses and midwives within our system. We have strong
- 11:23Speaker 1: training programs. So we certainly have welcomed a number of
- 11:26Speaker 1: staff and will continue to work not only to make
- 11:29Speaker 1: sure that they have accessibility to the training programs, but
- 11:31Speaker 1: that also we negotiate this EBA and good faith to
- 11:34Speaker 1: have the professionals in place.
- 11:36Speaker 2: So right now, have we got enough experienced doctors here
- 11:40Speaker 2: in the Northern Territory?
- 11:42Speaker 1: So, Katie, the way the health system is set up
- 11:44Speaker 1: is you have structures within each division of medicine and
- 11:48Speaker 1: they have to have certain criteria met so that we
- 11:51Speaker 1: can provide those services. And we've been meeting all of
- 11:54Speaker 1: those compliance checks and accreditation that we go through within health.
- 11:57Speaker 3: So I would say yes, so we're meeting those clients checks.
- 12:00Speaker 3: Have we got enough surgeons?
- 12:02Speaker 2: Are we in a situation where we have these all
- 12:04Speaker 2: of these positions filled? Because what I'm getting to is,
- 12:07Speaker 2: you know, if we're not actually prepared to put the
- 12:09Speaker 2: level of pay on the table that they would get
- 12:11Speaker 2: in another state, how can we expect to fill those jobs?
- 12:15Speaker 1: The Katie. Within the health structures, as I was just outlining,
- 12:17Speaker 1: you have to have a number of positions and you
- 12:19Speaker 1: have to have the seniority and the levels of those positions.
- 12:21Speaker 1: We then get order to touot out and get our accreditation.
- 12:24Speaker 1: So we've been meeting those requirements. They're regularly undertaken. And
- 12:28Speaker 1: in terms of you know, you raise the specifics around surgeons,
- 12:31Speaker 1: we do have positions. It's a big agency, there's over
- 12:34Speaker 1: seven thousand staff within health. Then you will have positions
- 12:36Speaker 1: from time to time, but I'm not advised in any
- 12:38Speaker 1: specific areas that we're drastically under that that accreditation would
- 12:42Speaker 1: be perhaps being considered.
- 12:44Speaker 2: And so, are you confident that the negotiations at the
- 12:47Speaker 2: Northern Territory government and then are underway at the moment
- 12:50Speaker 2: with our medical professionals, specifically our doctors. Are you confident
- 12:53Speaker 2: that they're not going to have an impact when it
- 12:56Speaker 2: comes to trying to fill some of those jobs in
- 12:58Speaker 2: the territory.
- 13:00Speaker 1: The Kadie it's going through an enterprise bargaining agreement and
- 13:02Speaker 1: I have to respect that process with fair Work Australia.
- 13:05Speaker 1: But the Commissioner for Public Employment and the Government certainly
- 13:08Speaker 1: making it clear that we're negotiating in good faith and
- 13:10Speaker 1: revalue our medical staff.
- 13:12Speaker 2: All right. Just finally this morning, we know that nationally
- 13:15Speaker 2: there is now a discussion about the classification of close contacts.
- 13:18Speaker 2: So quarantine for close contacts of COVID nineteen cases could
- 13:22Speaker 2: be removed all together, is what is being reported nationally
- 13:25Speaker 2: if a recommendation by Australia's top public health officers is adopted.
- 13:29Speaker 3: By state and territory governments.
- 13:31Speaker 2: So a statement was released over the weekend by the
- 13:34Speaker 2: Australian Health Protection Principal Committee the AHPPC over the weekend
- 13:39Speaker 2: and it said that quarantine could be replaced with other
- 13:41Speaker 2: risk mitigation measures for close contacts once the peak of
- 13:45Speaker 2: the current wave of BA two omicron subvariant is over. Minister,
- 13:51Speaker 2: is this something that we're going to be looking at
- 13:53Speaker 2: in the Northern Territory as well.
- 13:55Speaker 1: So the Chief Health Office and I've spoken about these
- 13:58Speaker 1: changes that have occurred being discussed nationally. We of course
- 14:02Speaker 1: take on board all that national information we have to
- 14:04Speaker 1: overlay in the territory's context, and you're absolutely correct. We
- 14:07Speaker 1: are seeing a slight increase in those numbers presently, but
- 14:10Speaker 1: we're hoping that eases soon. So this is as we
- 14:14Speaker 1: change from the pandemic to an endemic. These are the
- 14:17Speaker 1: sorts of changes that will be discussed, and we'll make
- 14:19Speaker 1: sure that the territory is context that goes through that
- 14:21Speaker 1: sensive process with the advice of our chief Health.
- 14:23Speaker 2: Officer for US, but no urgent changes at this point
- 14:26Speaker 2: in TIMEE.
- 14:28Speaker 1: COVID is very fast moving, so you know, we could
- 14:30Speaker 1: be discussing this and I can genuinely say exposn to
- 14:32Speaker 1: the trow about it being absolutely no decisions, and then
- 14:35Speaker 1: you know tomorrow there could be a SENSEI called and
- 14:37Speaker 1: that could change. We saw this early on with changes
- 14:40Speaker 1: of measures of protection brought in, and we've seen those
- 14:43Speaker 1: changes as we step out. But that is where it
- 14:45Speaker 1: is presently at it it's a discussion nationally. Our show
- 14:48Speaker 1: will take that advice plus the territory's context, and we'll
- 14:50Speaker 1: make those decisions to the territory. But I can assure
- 14:53Speaker 1: people that we're moving from that pandemic to an endemic.
- 14:55Speaker 1: I know, people want it to hurry up. They want
- 14:57Speaker 1: that bright light of COVID to be over quickly, and
- 14:59Speaker 1: we're trying with that health advice to get there.
- 15:02Speaker 3: Minister.
- 15:02Speaker 2: I've just had a question come through on the techt line.
- 15:05Speaker 2: It says a question for the Minister if I, as
- 15:08Speaker 2: a regular member on a nightly basis, drank near a
- 15:11Speaker 2: bottle shop and conducted myself in the same way as
- 15:14Speaker 2: some itinerant people are right now, how long would it
- 15:17Speaker 2: take until I was arrested?
- 15:20Speaker 1: Okay, that's an operational question for police who enforce the law.
- 15:23Speaker 1: There is strong laws around ourcohol policy. There's a two
- 15:25Speaker 1: kilometer law in the Northern Territory where you can't drink
- 15:28Speaker 1: within a license premise. So our police then respond to
- 15:31Speaker 1: the situations that are at hand, I guess.
- 15:32Speaker 2: So it does point to the sentiment at the moment
- 15:35Speaker 2: that you know, there is this feeling that we are
- 15:37Speaker 2: just turning a blind eye to people drinking, to their
- 15:40Speaker 2: being domestic violence on the streets, to their being criminal
- 15:44Speaker 2: behavior in some cases on the streets.
- 15:46Speaker 1: Right now, Katie, we're not turning a blind eye to this,
- 15:49Speaker 1: and there's a number of measures that I can point
- 15:52Speaker 1: to the investment in domestic violence, the resources that we're getting,
- 15:56Speaker 1: police worker not turning a blind eye to this behavior.
- 15:58Speaker 2: All right, we are going to have to leave it there,
- 16:00Speaker 2: Minister Files. We always appreciate your time. Thank you for
- 16:03Speaker 2: speaking with us this morning.
- 16:05Speaker 1: Thanks Katine. I won't be on week it was, but
- 16:07Speaker 1: wishing all your listeners are happy Easter and I hope
- 16:09Speaker 1: they get some time with them.
- 16:10Speaker 2: Well, we're all having this Friday off, so you'll be
- 16:12Speaker 2: all right. We'll have you back on very soon. Thank
- 16:15Speaker 2: you for your time today.
- 16:17Speaker 1: Take care.
- 16:17Speaker 3: Thank you,