Latest / 360 with Katie Woolf / Katie spoke with Nursing and Midwifery Federation Secretary Cath Hatcher for an update on Darwin's hospitals
Transcript
- 0:00Speaker 1: You're listening to mix one oh four point nine three sixty.
- 0:03Speaker 1: Now we've spoken a lot in recent weeks about the
- 0:06Speaker 1: well the state of the Northern Territory health system, and
- 0:10Speaker 1: in recent days we have spoken a lot about the
- 0:13Speaker 1: Northern Territory government's mandate for vaccinations, particularly for those who
- 0:18Speaker 1: are on the front line and coming into contact with
- 0:20Speaker 1: vulnerable people. Now, I think you'd have to say that
- 0:22Speaker 1: our nurses and midwives do that on a daily basis.
- 0:26Speaker 1: And joining me on the line right now from the
- 0:28Speaker 1: Australian Nursing and Midwiffree Federation's Northern Territory Branch, the Secretary
- 0:33Speaker 1: Kath Hatcher, Good morning to you, Cath.
- 0:36Speaker 2: Oh, good morning Katie and listeners.
- 0:38Speaker 1: Kath. Firstly, we have been speaking, as I said, quite
- 0:41Speaker 1: a bit this morning and in recent days about the
- 0:44Speaker 1: mandatory vaccine. How's that vaccine mandate been received by nurses
- 0:48Speaker 1: and midwives here in the territory.
- 0:53Speaker 2: Through the public sector of Northern Territory, it's been mandated
- 0:58Speaker 2: through their policy and guidelines that everyone needs to have
- 1:03Speaker 2: the vaccine, those existing stuff, those new potential signing up
- 1:09Speaker 2: a new contract. The stipulations are that by the time
- 1:13Speaker 2: they start in the clinical area they need to be
- 1:16Speaker 2: fully vaccinated with their COVID but also with their flu vaccine,
- 1:21Speaker 2: and in specific areas like pediatrics, then there's other specific
- 1:27Speaker 2: vaccines they need to also have. And if they do
- 1:32Speaker 2: not wish to get fully vaccinated for whatever reason in
- 1:36Speaker 2: any of the for either the COVID or the flu
- 1:40Speaker 2: vaccine or the other specific ones like hooping cough, hepatitis
- 1:48Speaker 2: A for the pediatric area, then they won't be employed
- 1:53Speaker 2: into the nt public sector. Those that existing that do
- 1:58Speaker 2: not wish to have their flu or for their COVID vaccinations,
- 2:04Speaker 2: they will be taken out of the higher risk areas
- 2:08Speaker 2: in the clinical space and put into the non clinical
- 2:12Speaker 2: or the low risk areas of Merping and Midwiffree.
- 2:16Speaker 1: Right, So, there are sort of other options for those
- 2:19Speaker 1: nurses if that's the choice that they make. But KAV
- 2:22Speaker 1: has there been very many from what you're aware of,
- 2:25Speaker 1: who are not keen to get that vaccine.
- 2:29Speaker 2: Yes, there is a small handful that has come to
- 2:32Speaker 2: our office over the last few months, and particularly a
- 2:36Speaker 2: couple this last week since mister Gunner's mandate announcement last Thursday.
- 2:43Speaker 1: Right, So, there are It does sound as though those
- 2:45Speaker 1: numbers are fairly small.
- 2:48Speaker 2: Yes, that's correct, and it does.
- 2:51Speaker 1: Sound also though that there are sort of other, you know,
- 2:54Speaker 1: other possibilities in terms of them moving into other areas.
- 3:00Speaker 2: Yes, absolutely so, there's other areas like contact tracing, non
- 3:06Speaker 2: clinical areas like outpatients departments and etc.
- 3:11Speaker 1: And kas I know this. We have obviously spoken a
- 3:14Speaker 1: lot in recent weeks about some of the issues that
- 3:16Speaker 1: we've got with shortages of nurses. Is this vaccine mandate
- 3:21Speaker 1: going to make much of an impact in that space
- 3:24Speaker 1: or are we talking quite low numbers here.
- 3:27Speaker 2: I think we are talking low numbers because majority of
- 3:30Speaker 2: nurses and midwives that I do talk to and our
- 3:33Speaker 2: staff talk to within the territory that there is only
- 3:38Speaker 2: a small cohort that wish, for various reasons not to
- 3:42Speaker 2: have the fluvacs or the COVID nineteen vaccination. We've always
- 3:49Speaker 2: had issues with recruiting and retaining staff within the territory,
- 3:54Speaker 2: particularly over the wet season. A lot of people come
- 3:58Speaker 2: from interstate from southern parts of Australia to work in
- 4:03Speaker 2: the remote and rural areas of the Northern Territory because
- 4:08Speaker 2: it's something completely different than they experience in their own states.
- 4:13Speaker 2: Particularly with our First Nations people and their higher risk
- 4:18Speaker 2: with their medical conditions. So they come for three to
- 4:23Speaker 2: six months, they experience the dry season, they experience the
- 4:27Speaker 2: different types of nursing, and then they usually go back
- 4:32Speaker 2: to their state, back to their nominal job. We are
- 4:40Speaker 2: experiencing great staff shortages right around Australia, and not just
- 4:45Speaker 2: within the Northern Territory, but nurses are being stretched through
- 4:49Speaker 2: to the COVID vaccination hubs, to the swabbing hubs, to
- 4:54Speaker 2: the contact tracing areas and also the how with springs
- 5:00Speaker 2: and other springs quarantine facilities. So this is not something
- 5:05Speaker 2: that we're unique to that within the territory. The rest
- 5:08Speaker 2: of the states are in the same boat. And I
- 5:11Speaker 2: do know that Victoria has something like two thousand nurses
- 5:15Speaker 2: and midwives that they're short of. Now we don't have
- 5:18Speaker 2: that extent of numbers within the territory, but we do
- 5:22Speaker 2: probably have a couple of hundred that is impacting in
- 5:27Speaker 2: the shortages within the territory and it is getting the
- 5:34Speaker 2: staff within their areas, doing over time and double shifts, etc.
- 5:39Speaker 2: Within their work areas.
- 5:41Speaker 1: And cas I know that obviously the Health Minister had
- 5:44Speaker 1: announced on the show a couple of weeks ago that
- 5:46Speaker 1: there's going to be an additional forty nurses starting across
- 5:50Speaker 1: the major hospitals. Well what she'd said. Over the next
- 5:53Speaker 1: couple of weeks. Has there been much happen in that
- 5:57Speaker 1: space from what you're aware of?
- 6:01Speaker 2: I do know that it's either this week or next week.
- 6:04Speaker 2: There's an extra sixteen agency staff starting within the Royal
- 6:09Speaker 2: Dahalen Hospital emergency department. I'm not too sure where the
- 6:14Speaker 2: other cohort of nurses are going. Hopefully it's going to
- 6:18Speaker 2: the other areas like mental health and theater and surgical
- 6:23Speaker 2: areas because that's where the shortage most of the areas
- 6:26Speaker 2: of shortage there. But all areas and units work units
- 6:30Speaker 2: have some degree of shortness. But there's four main areas
- 6:34Speaker 2: the emergency department, mental health, theater and surgical area that
- 6:39Speaker 2: are really struggling within the top end of Northern.
- 6:45Speaker 1: Territories and CASS when we talk more generally, I guess
- 6:49Speaker 1: about those emergency wards within Royal Darwin Hospital and also
- 6:53Speaker 1: Palmerston Hospital. Has there been much improvement from your perspective
- 6:58Speaker 1: or are things fairly much at status squad?
- 7:03Speaker 2: I did really, I do know that about two weeks
- 7:08Speaker 2: ago the previous four to six weeks there was a
- 7:12Speaker 2: good cohort of nurses starting in the emergency department of
- 7:16Speaker 2: Royal Dalen Hospital, which was still leaving them twenty two
- 7:21Speaker 2: full time equivalent nurses down still and across the whole
- 7:29Speaker 2: of Royal Dale and Hospital. When I last heard a
- 7:31Speaker 2: couple of weeks ago, it was about eighty seventy five
- 7:35Speaker 2: to eighty full time equivalent staff down. So that's just nursing.
- 7:41Speaker 2: Guessing there's other areas like cleaners, patient care assistants, etc.
- 7:46Speaker 2: They would also be struggling in all areas of their departments,
- 7:50Speaker 2: not just the nursing and midwire free and kas.
- 7:54Speaker 1: I know that, I know that you obviously mentioned just
- 7:57Speaker 1: a short time ago that over the wet season it
- 7:59Speaker 1: is traditionally at a time when you do see nurses
- 8:02Speaker 1: move or travel into state. I know it's quite a
- 8:04Speaker 1: transient sort of job. I'm assuming if you are a
- 8:07Speaker 1: nurse who's able to move around and COVID is making
- 8:12Speaker 1: things a little bit more difficult. But are you expecting
- 8:14Speaker 1: that we're going to actually see more nurses leave the
- 8:17Speaker 1: Northern Territory this wet season.
- 8:22Speaker 2: I would expect yes, because that's the usual situation. So
- 8:29Speaker 2: the movement within staff within Australia and overseas nurses that
- 8:35Speaker 2: normally would come across into Australia. So we have a
- 8:38Speaker 2: big cohort of New Zealand nurses that go to Central Australia,
- 8:43Speaker 2: not just Sallie Springs Hospital, but the rural and remote
- 8:46Speaker 2: areas around Central Australia. They are the nurses that have
- 8:52Speaker 2: stayed put in New Zealand because if they come across
- 8:55Speaker 2: and work in the Central Australia, they know that they
- 8:59Speaker 2: might not be able to get back at all if
- 9:01Speaker 2: their loved ones become unwell, so they've stayed put within
- 9:06Speaker 2: New Zealand. So that's been a big impact on Central Australia,
- 9:11Speaker 2: but also within Australia itself. There may have been nurses
- 9:14Speaker 2: that could have come from Victoria or New South Wales
- 9:18Speaker 2: and there definitely has been some movement and the government
- 9:22Speaker 2: is paying for their quarantine facility and depending on where
- 9:29Speaker 2: they're going, they may have paid for their removalists to
- 9:33Speaker 2: come to the Northern Territory as well. And I do
- 9:36Speaker 2: know that they're looking at some others coming from overseas
- 9:40Speaker 2: on maybe twelve or two year contracts and paying for
- 9:44Speaker 2: their quarantine facility and finding them somewhere to live, and
- 9:51Speaker 2: their cost of removal as well. So for us to
- 9:56Speaker 2: help retain and keep staff within the territory longer than
- 10:02Speaker 2: just through the dry season, we need to have some
- 10:05Speaker 2: incentives for those that are already here, perhaps thinking about
- 10:10Speaker 2: going home to their normal state where they come from.
- 10:15Speaker 2: We need to look at some incentives, perhaps looking at
- 10:21Speaker 2: for their removal costs to come to the territory to
- 10:24Speaker 2: stay here, and signing a contract for at least two
- 10:28Speaker 2: to three years for them to stay here.
- 10:30Speaker 1: And Kathy, it does sound as though you know, something
- 10:33Speaker 1: like that may be needed at this point in time
- 10:35Speaker 1: in an effort to try to get more nurses here
- 10:38Speaker 1: in the territory, but not just get them here, but
- 10:40Speaker 1: get them to stay exactly.
- 10:43Speaker 2: And if we have the wage freeze that mister Gunner
- 10:47Speaker 2: put on us twelve months ago for the whole NTI
- 10:50Speaker 2: public sector, they're not going to want to stay. So
- 10:53Speaker 2: we've done some statistics of late within the office here
- 10:57Speaker 2: and we're sitting at the moment with the pace scale,
- 11:00Speaker 2: we're sitting in the top two and some areas in
- 11:05Speaker 2: the top three. So if we are unable to fight
- 11:10Speaker 2: the battle with the Gunma government. With this one thousand
- 11:14Speaker 2: dollars taxable non accumulative payoff for the next three to
- 11:20Speaker 2: four years, then we're going to drop below the top three.
- 11:24Speaker 2: And also our nurse to patient ratios are much higher
- 11:30Speaker 2: within the territory. So if you work somewhere like Victoria,
- 11:35Speaker 2: you have very mandated nurse to patient ratios and you
- 11:41Speaker 2: cannot work above those ratios. So why would you come
- 11:46Speaker 2: to the territory when the pay scale is just as equal.
- 11:50Speaker 2: You've got better work life and workforce and workloads within
- 11:57Speaker 2: your unit and ward. And why would you come to
- 12:00Speaker 2: the Northern Territory when you're getting the same pay and
- 12:04Speaker 2: you're going to get absolutely flogged to death every shift
- 12:09Speaker 2: with the patient ratio that we have in the territory currently.
- 12:13Speaker 1: Kath, we are going to have to wrap up. But
- 12:15Speaker 1: I know that the Health Minister has told the paper
- 12:18Speaker 1: today in a report there about this very issue that
- 12:22Speaker 1: it will allow us to keep staff. We don't want
- 12:25Speaker 1: to be in a position where we have to sack staff,
- 12:29Speaker 1: that is in relation to that pay freeze. What would
- 12:32Speaker 1: you say in response to that.
- 12:36Speaker 2: Well, the Gunner government needs to stop this one thousand
- 12:40Speaker 2: non accumulative taxable pay per year. They need to give
- 12:46Speaker 2: us a proper percentage. For the last four years, the
- 12:49Speaker 2: nurses have got two point five percent accumulative pay rise
- 12:54Speaker 2: each year. Our CPI is more than two point five
- 12:58Speaker 2: percent at the moment, So we need to keep up
- 13:02Speaker 2: with the CPI at least, and we aren't going to
- 13:07Speaker 2: attract and retain and recruit staff to come to the territory.
- 13:11Speaker 2: If we can't keep up with the CPI and if
- 13:15Speaker 2: we can't keep good workload balances within the work force,
- 13:21Speaker 2: then we're not going to keep staff that are already here.
- 13:24Speaker 2: They will leave also.
- 13:26Speaker 1: Well, Hatcha the Australian Nursing and we're Free Federation's NT
- 13:31Speaker 1: Branch secretary. We always appreciate your time. Thank you very
- 13:34Speaker 1: much for having a chat with us this morning.
- 13:37Speaker 2: My pleasure. Thank you, Katie.
- 13:38Speaker 1: Thank you. You are listening to mix one oh four
- 13:41Speaker 1: point nine now if you are keen to call through
- 13:43Speaker 1: today eight nine one O four nine