Latest / 360 with Katie Woolf / Katie spoke with the AMA's Dr. Robert Parker about NT Health Annual Report reporting its first "preventable deaths"
Transcript
- 0:00Speaker 1: Now on the front page of the paper today, it
- 0:02Speaker 1: is being reported that the scale of the Northern Territori's
- 0:05Speaker 1: health crisis has been laid bare in a damning annual
- 0:09Speaker 1: report with anty Health recording the first preventable deaths or
- 0:13Speaker 1: serious injuries in at least two years. It is reported
- 0:17Speaker 1: that there were two sentinel events in the top end
- 0:20Speaker 1: in twenty twenty to twenty twenty one with the Federal government,
- 0:23Speaker 1: which the Federal government describes as being wholly preventable deaths
- 0:28Speaker 1: or serious harm events. So if not fatal sentinel events
- 0:32Speaker 1: result in ongoing health problems is what is being reported now.
- 0:36Speaker 1: Joining me on the line right now is doctor Robert Parker,
- 0:40Speaker 1: the head of the Australian Medical Association here in the
- 0:43Speaker 1: Northern Territory. Good morning to you.
- 0:45Speaker 2: Dr Parker, Morning Cody, Dr Parker.
- 0:49Speaker 1: I think I've sort of described there what a sentinel
- 0:52Speaker 1: event is, but can you lay it out for us
- 0:55Speaker 1: in Layman's terms.
- 0:58Speaker 2: Well, certain issues that the healthy've got to report against
- 1:03Speaker 2: and send thele events are the most serious in that
- 1:05Speaker 2: I mean, there are less serious ones, but send little
- 1:09Speaker 2: events are the ones that really cause a lot of
- 1:12Speaker 2: attention within the health system as to what happened and
- 1:15Speaker 2: what could have been prevented.
- 1:17Speaker 1: And in the latest AANUEL report, which was tabled earlier
- 1:20Speaker 1: in the week, it says that there were two of
- 1:22Speaker 1: these events in the top end and the federal government
- 1:27Speaker 1: describes them as being wholly preventable debts or serious harm events.
- 1:32Speaker 1: Doctor Parker, I know that you know that you're not
- 1:35Speaker 1: able to go into detail of this kind of thing.
- 1:38Speaker 1: But what does it mean you know for those listening
- 1:41Speaker 1: this morning when they hear that there has been these
- 1:43Speaker 1: two sentinel events so preventable deaths within our health system.
- 1:49Speaker 2: Well, o Katie, I mean health is often very complex
- 1:53Speaker 2: and decisions are made, sometimes things are missed. It's incredibly
- 1:59Speaker 2: sad obviously for the person and their families. Health is
- 2:03Speaker 2: always attuned to that. And I mean there's frequent reviews
- 2:07Speaker 2: on how things can always be done better. They're called
- 2:10Speaker 2: RCAs under actually identify if there has been a problem,
- 2:13Speaker 2: what might have contributed, how things can always be done better.
- 2:17Speaker 2: And doctor Fowl said, need is it does systems under pressure,
- 2:24Speaker 2: you know you're more likely to get more issues like this.
- 2:28Speaker 2: But again, I want to pay tribute to the collisions
- 2:32Speaker 2: and other staff in territory hospitals who basically manage things
- 2:35Speaker 2: from day to day so that most of these things
- 2:38Speaker 2: don't occur, you know, So they occur occasionly. It's incredibly
- 2:41Speaker 2: sad that they do. But the high quality of conditions
- 2:44Speaker 2: in territory hospitals indicate that on most occasions they don't,
- 2:47Speaker 2: you know. And it's a tribute to the staff working
- 2:50Speaker 2: in the hospital.
- 2:51Speaker 1: Absolutely, and we know that all of those staff work
- 2:53Speaker 1: incredibly hard and do all that they can to try
- 2:58Speaker 1: to make sure that Territorians receive the best possible care.
- 3:02Speaker 1: Does it though, I mean, does it demonstrate that we
- 3:04Speaker 1: are under resource within the Health Department.
- 3:08Speaker 2: Well, definitely. You know we've been telling the federal Minister
- 3:12Speaker 2: Hunt is about to retire that for a couple of years.
- 3:14Speaker 2: You know, nothing has really changed from the lever I
- 3:17Speaker 2: wrote to have a couple of years ago pointing out
- 3:20Speaker 2: the territory hospitals two to three times as business of
- 3:22Speaker 2: the hospitals in Australia. We've had no real increase in
- 3:25Speaker 2: funding to account for that.
- 3:27Speaker 1: What do we do here, doctor Parker? Because I know,
- 3:30Speaker 1: even for myself personally, I'm I'm very lucky and have
- 3:34Speaker 1: not had to present to the hospital for quite some time.
- 3:38Speaker 1: I have definitely, you know, had friends and family present
- 3:41Speaker 1: at the hospital and say that they've received fantastic treatment
- 3:45Speaker 1: from all of the healthcare professionals there. But but you know,
- 3:49Speaker 1: in some instances had great difficulty being able to see
- 3:53Speaker 1: a specialist required to you know, to look over scans
- 3:56Speaker 1: after being diagnosed with a blood clot and very other issues. So,
- 4:01Speaker 1: I mean, what needs to happen at the moment because
- 4:04Speaker 1: you and I have spoken on so many occasions. I
- 4:06Speaker 1: know that we've spoken to the Health Minister on so
- 4:09Speaker 1: many occasions, and we understand that our hospitals are busier
- 4:12Speaker 1: than anywhere else in Australia, But how do we really
- 4:15Speaker 1: advocate for that additional funding or to make sure that
- 4:18Speaker 1: we do get extra staff.
- 4:21Speaker 2: Well, this constantly reminding anti cabinet because in the end
- 4:24Speaker 2: it's cabinets who make the decision about how the cake
- 4:28Speaker 2: is cut with the budget, about the need for health dollars,
- 4:32Speaker 2: and constantly putting pressure onto the federal government in respect
- 4:38Speaker 2: to hospital funding. And I think I think it's been
- 4:40Speaker 2: recently rob Prime Minister Morrison has recently reflected that public
- 4:46Speaker 2: hospitals don't need more money in Australia. It wasn't just
- 4:49Speaker 2: the territory who's had problems. Apparently other It's recognized now
- 4:53Speaker 2: that there's major problems with public hospital systems throughout Australia
- 4:58Speaker 2: and it needs a significant injection of funds to make
- 5:02Speaker 2: our hospitals work.
- 5:03Speaker 1: So obviously, like you said, they're a closer look at
- 5:07Speaker 1: how that money is going into or how the budget
- 5:10Speaker 1: is being sort of you know, allocated and ensuring that
- 5:13Speaker 1: it is going into into those specific areas within the
- 5:17Speaker 1: health department, i e. The hospitals. How are our hospitals
- 5:21Speaker 1: going at the moment.
- 5:24Speaker 2: Well, again, there are always very high acuity level four
- 5:29Speaker 2: occasionally code yellow. You know, they're under pressure and it's
- 5:34Speaker 2: we made that point so that they're still under significant pressure.
- 5:38Speaker 2: But it is a tribute to again the doctors, nurses, ots,
- 5:43Speaker 2: physio social workers, cleaners, cooks, but the whole thing works,
- 5:46Speaker 2: you know, for ninety five ninety sercent of the time.
- 5:51Speaker 1: This document also reported that top end health failed against
- 5:55Speaker 1: some key benchmarks, including emergency clearance rates, elective surgery waight time.
- 6:00Speaker 1: Apparently on the sixty two percent of emergency department admissions
- 6:04Speaker 1: departed within four hours, that fails the nt HEALTHS target
- 6:08Speaker 1: of seventy eight percent. But again I guess that really
- 6:11Speaker 1: does demonstrate that we know that our emergency ward is
- 6:14Speaker 1: incredibly stretched.
- 6:17Speaker 2: That's right. It just demonstrates the pressure on the ED
- 6:21Speaker 2: Department being able to operate within these national benchmars just
- 6:24Speaker 2: by the number of people within the number of patients
- 6:27Speaker 2: within the ED, which is all which has been well
- 6:30Speaker 2: publicized recently. And of course the Level four and CO
- 6:35Speaker 2: yellow restrictions obviously do affect surgical waiting. Liss and I'll
- 6:39Speaker 2: bring deatas have to close so the beds are available
- 6:42Speaker 2: for the people in the ED, So you know that
- 6:45Speaker 2: will affect waiting times, surgical waiting lies.
- 6:47Speaker 1: And you've spoken I know with those you know, with
- 6:50Speaker 1: the elective surgeries for example, or requiring to have surgery.
- 6:53Speaker 1: Some it says here on the sixty eight percent of
- 6:55Speaker 1: patients who were required to have surgery within thirty days
- 6:59Speaker 1: were admitted on time. You and I have spoken before
- 7:02Speaker 1: about some of those delays with surgery. Has there been
- 7:05Speaker 1: much movement in terms of the additional nursing stuff, you know,
- 7:10Speaker 1: getting in there and being able to you know, to
- 7:13Speaker 1: be there in theater and in those different areas where they're.
- 7:16Speaker 2: Required Okatie, I'm not quite sure about nursing recruitment, to
- 7:20Speaker 2: be frank, I know that I'm working very hard to
- 7:24Speaker 2: get the nurses required to make the theaters work another
- 7:27Speaker 2: the hospital as well, but I can't give a specific
- 7:29Speaker 2: comment on that. No.
- 7:30Speaker 1: From your perspective, I mean, as the head of the AMA,
- 7:34Speaker 1: the Australian Medical Association, how how are the likes of
- 7:38Speaker 1: our doctors feeling working in what is incredibly an incredibly
- 7:43Speaker 1: busy system, Okatie.
- 7:46Speaker 2: I'm regularly around the wards in the hospital with my
- 7:48Speaker 2: normal day job as the psychiatrist, and I'm just constantly
- 7:52Speaker 2: inspired by the young people I'm working with, by the consultants,
- 7:55Speaker 2: by the registrars and residents who are just doing a
- 7:58Speaker 2: great job, you know, looking after pays. So you know,
- 8:01Speaker 2: even with the pressures, they're optimistic, they're they're they're interested
- 8:05Speaker 2: in what they're doing and I continue to be inspired
- 8:08Speaker 2: by their attitude and the work that they're doing well.
- 8:12Speaker 1: Doctor Robert Parker, the head of the Australian Medical Association
- 8:16Speaker 1: here in the Northern Territory, always appreciate your time. Thanks
- 8:19Speaker 1: for having a chat with us today.
- 8:21Speaker 2: Thanks very much, Cobie.
- 8:22Speaker 1: Thank you