Originally Posted by SHVC
(Post 11100747)
Well QLD and WA have gone to a new low with their political jargon. QLD closing to NSW, ACT and Vic due hotel quarantine issues, guess they’re not fit to cope with covid and WA canceling and not accepting any NSW residents on compassionate grounds. What a mess Australia is, Americans thought Trump was bad look at Aussie politicians.
I really wish NSW would open up internationally and leave QLD and WA behind to keep their own bubble. too true, we must look like a bunch of incompetent fools to the rest of the world having one snake with several heads that all need chopping off! |
The next emergency appears to the be NSW hospital system. Seems to be on borrowed time sadly. Might be the big story of Q4.
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Must be a very localised thing. A major Sydney hospital close to me had zero Covid patients as at yesterday arvo.
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Originally Posted by Keg
(Post 11101116)
Must be a very localised thing. A major Sydney hospital close to me had zero Covid patients as at yesterday arvo.
The figures I saw a few days ago which are all online at nsw health. They have about 800 ICU bed over the whole state. about 100 are being used for covid and 300 are being used non covid. Apparently its ambulances being hit more atm, the ambulances are having to park up wait for a hours to get the patients into the hospital At Concord Hospital last night, ambulances redirected from overflowing Westmead queued for hours. With no infrastructure to support COVID delays, Paramedics were given a choice–wait in the confined car space with a confirmed COVID-19 patient, or wait outside in the freezing rain |
First hand info; overnight Westmead, Napean, Concord and Blacktown were all turning away ambulances. 75% of Concord’s Covid patients arrived in the last 24 hours, all unvaccinated I might add. The dam is bursting. Get vaccinated to protect yourself and the entire health system is the message.
At this rate it won’t be long before we start hearing stories of people dying of other ailments because of not being able to be treated due to hospitals full of Covid patients. |
Originally Posted by machtuk
(Post 11101092)
too true, we must look like a bunch of incompetent fools to the rest of the world having one snake with several heads that all need chopping off!
If you need examples then please take a look at the individual states of the so-called USA or the provincial premiers of Canada. Or Boris and Nicola, or .............................. |
Originally Posted by turbantime
(Post 11101273)
First hand info; overnight Westmead, Napean, Concord and Blacktown were all turning away ambulances. 75% of Concord’s Covid patients arrived in the last 24 hours, all unvaccinated I might add. The dam is bursting. Get vaccinated to protect yourself and the entire health system is the message.
At this rate it won’t be long before we start hearing stories of people dying of other ailments because of not being able to be treated due to hospitals full of Covid patients. |
Queensland is going ahead and building a dedicated quarantine centre. I guess they are paying for it themselves as the feds have already said no to it.
oh, and the main reason Queensland is being so tough re border closures and are desperate to keep WuHu flu out is because their health system has been so badly managed and run down that if they had an outbreak like we have in nsw, their hospitals would already be overwhelmed. And not just some, the whole system. But don’t let the truth out. Shhhhh. |
too true, we must look like a bunch of incompetent fools to the rest of the world having one snake with several heads that all need chopping off! |
Originally Posted by SOPS
(Post 11101300)
Gold Standard….
You want to hate/dislike GB, I'll dislike intensely DA for his obvious contempt for the Westminster system and embedded Ministerial responsibility (under which Australia/Victoria operates and from which he receives his considerable stipend), anyone who thinks "creeping assumption" is an acceptable recognition or understanding of Ministerial responsibility should do the majority in Australia a favour and piss off to China where you can discuss controlling the peasants with Xi Jinping to your hearts content. Please don't return - and please take Chairman Dan with you.:ok: The Delta variant is obviously CV19 on steroids - yes GB stuffed up BUT if not her someone else would have, the Delta strain cannot be eliminated unless hermit states with absolutely zero travel are created....until that one infected person wanders over the border into the hermit state, coughs on someone and Delta takes hold. Whether the hermit state natives would accept becoming a hermit state - or for how long - be interesting to observe. If anything rather than dissing GB she should maybe be applauded - by stuffing up so badly she's forced the masses to decide whether ongoing, eternal lockdowns or vaccinations are the way to go. Gave the vaccine numbers/awarness the kick along it needed. Who knows - maybe a well deserved acknowledgement in the Christmas honours for services to Australia.:eek: :D Once all those who wish a vaccine are covered things will change, QF will have all staff vaccinated - and VA will have to follow or lose some market, ScoMo will win the election and use sticks/carrots to push forward the "re-opening" of Australia. The majority of Australians will increasingly question the need for lockdowns once everyone vaccinated, how individual states Premiers deal with the peasant's expectation of "living with covid" will be interesting to observe. Pleased to have straightened things out for the benefit of all Ppruners. No thanks required! ;) |
Originally Posted by SOPS
(Post 11101300)
Gold Standard….
09 Feb 2021 - Why ambulance ramping crisis is compromising patient safety 07 Mar 2021 - WA Election: AMA says WA's health system is heading towards crisis point 07 May 2021 - Another day of chaos at Perth hospitals as pressure in ED ramps up 05 July 2021 - Ambulance ramping leaves RFDS patients stuck in shed for hours 02 Aug 2021 - Ambulance ramping hits another high as unions slam government over hospital safety 05 Aug 2021 - Patient care threatened by ambulance ramping rise at Perth hospitals, paramedics claim Hell, even the WA Health department's own data show around only 75% of all Emergency "Triage 2" cases are seen within the recommended time of 10 minutes over the last year.bAnd that figure has been trending lower over the last several years, too, according to the Federal Government's AIHW dataset.... |
Originally Posted by 601
(Post 11101329)
At least we only have 7 as against the 52 in the un-United States.
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And that's because Australia has, for decades, relied on immigration to staff hospitals. A very (very) senior public servant then in the Commonwealth Department of Health and Ageing told me, a decade and a half ago, that without immigration Australia would not have a public hospital system.
The lazy way works until the source is closed off. There was a news story yesterday that said Victoria is bringing in 350 medical staff from overseas (through our 'closed' borders of course) to help remove pressure from its hospital system. |
Ambulance ramping and hospital bypass are common during peak periods in cities pre-covid. You can't just have a system that has capacity for extreme events and peaks on Fridays and weekends due to drunk idiots and thrill seekers, it would cost a fortune to maintain that over 365 days a year. Instead they share the load across a city with the triage system. Now covid presents extra problems in that processing inbound patients takes longer, due to having to quarantine them and make sure hospital staff and other patients are protected, therefore if a number of patients turn up at once, they will hold them on ramp while they process them in. This has knock on effects of taking ambulances off the road and tying up the ambulance system. Again proof that Covid imposes a lot of stress on the health system in all areas, even relatively small numbers.
One health official said earlier in the week, "if you ask the health minister if we have extra capacity the answer will always be yes". Why, because there is always capacity, it just might be eaten away if a sudden influx occurs in a short period of time and not enough staff are positioned for the event. |
Originally Posted by dr dre
(Post 11101351)
Every state has a problem with hospitals and ambulance ramping, every single one:
Brisbane hospital at 191 per cent capacity, wait times top several hours Statistics reveal thousands of hours lost to ramping outside SA hospitals Ambulance ramping at Royal Hobart Hospital hits nearly 10,000 hours in nine months NSW hospitals running a 'crisis medical service', parliamentary inquiry into regional health care hears Five-hour ambulance delays outside hospitals a ‘public health disaster’ (Victoria) WA ambulance ramping at 'troubling' levels Worsening situation at Royal Darwin Hospital For example, not once in the ABC NSW article you linked to, does the word "ramp" appear...It's also a bid disingenious to try to prove your point about ramping by linking to an article that discusses issues at Griffth hospital, which serves a catchment of around 35,000 in the local area or Wee Waa- that doesn't even have a hospital and instead relies on a GP as does the vast majority of other small, regional areas, and trying to compare them to major metropolitan Perth or other metropolitan hospitals that have a catchment of several hundred thousand to nearing the million mark... And in other news...We're over the 1,000 mark today, with 1,029 new cases... :* |
Originally Posted by Lead Balloon
(Post 11101359)
And that's because Australia has, for decades, relied on immigration to staff hospitals. A very (very) senior public servant then in the Commonwealth Department of Health and Ageing told me, a decade and a half ago, that without immigration Australia would not have a public hospital system.
The lazy way works until the source is closed off. There was a news story yesterday that said Victoria is bringing in 350 medical staff from overseas (through our 'closed' borders of course) to help remove pressure from its hospital system. |
Originally Posted by galdian
(Post 11101334)
OK get it, some people will always hate regardless, last year NSW was largely open and free whilst VIC was largely closed, I would have thought a good effort - apparently not for some. The Delta variant is obviously CV19 on steroids - yes GB stuffed up BUT if not her someone else would have, the Delta strain cannot be eliminated
VIC should have been the last event of that magnitude in Australia. It isn't because not only did NSW fail to learn those lessons it thumbed its nose at them and rolled out the Gold Standard. In fairness I think it was scomo that labelled that. We need a vaccine that works, lasts more than the current 5 months, prevents infection and therefore spread. I don't believe it's unreasonable for the other states to take all reasonable steps to remain Covid free at this time under the current circumstances, until at very least we are all vaccinated. To not do so means 15% longcovid with severe side effects and 30% with concerning side effects among the unvaccinated. a very big price to pay. |
Yes. That's true as well (ruprecht re aged care).
You can't just have a system that has capacity for extreme events and peaks on Fridays and weekends due to drunk idiots and thrill seekers, it would cost a fortune to maintain that over 365 days a year. We're over 365 days into a pandemic, we need the extra capacity for at least another 365 days, and since when has spending a "fortune" been any impediment to the response to the pandemic? |
It's not that hard to get into healthcare and start work, thing is, do you have the stomach to stay in the work, get abused and clean up **** daily for your job. Australia gets immigrants for hospital work, mostly because locals don't want to do it. The real issue is not immigrants but casualised workforce that are forced to work across multiple sites as they can't get enough livable hours on one facility, which from a healthcare point of view is just inviting the spread of disease like Covid.
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RFDSWO rotary wing fleet should be unveiled soon.
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We're over 365 days into a pandemic, we need the extra capacity for at least another 365 days, and since when has spending a "fortune" been any impediment to the response to the pandemic? Shout out to all the ambulance staff out there, I know a few are ex aviators, Keep up the amazing work! |
The WA health department has refused to offer permanent contracts to 1000’s of nursing graduates in the last 18months. If WACHS and WA health refuse to offer permanent contracts trained personnel will move interstate.
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Originally Posted by KRviator
(Post 11101339)
I'm pretty sure that the only thing stopping him from stepping up as the next rising WA Liberal star is the dilemma of a potential loss of revenue. The comments from the AMA have been much less acerbic since Dr Omar Khorshid took the reins. |
Originally Posted by 43Inches
(Post 11101366)
It's not that hard to get into healthcare and start work, thing is, do you have the stomach to stay in the work, get abused and clean up **** daily for your job. Australia gets immigrants for hospital work, mostly because locals don't want to do it. The real issue is not immigrants but casualised workforce that are forced to work across multiple sites as they can't get enough livable hours on one facility, which from a healthcare point of view is just inviting the spread of disease like Covid.
Maybe - and I know I'm off with the fairies here - Australia should learn a lesson and focus on developing greater capacity to train doctors and health care staff locally, and pay them properly. |
Originally Posted by WingNut60
(Post 11101374)
Not saying that the WA hospital situation is beyond criticism but in March the AMA was being headed up by Andrew Miller who seemed to have a very political drum to beat.
I'm pretty sure that the only thing stopping him from stepping up as the next rising WA Liberal star is the dilemma of a potential loss of revenue. |
Maybe - and I know I'm off with the fairies here - Australia should learn a lesson and focus on developing greater capacity to train doctors and health care staff locally, and pay them properly. |
Originally Posted by 43Inches
(Post 11101380)
Could not agree more, same as teachers etc, but health care and training are considered cost burdens to business and community. The casualised nature of the Aged care workforce was one area that should have been cleaned up as soon as covid hit. Most are working fulltime hours across several facilities, it would be easy to offer them full time work in single facilities and have the same workforce. But, like supermarkets and such, casual workforce are easier to manage and control. The government could easily fix this by mandating % of workforce be permanent to ensure casuals are only a small part, but they wont do this as it would piss off Coles and Woolies and many other government backers in big business.
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Originally Posted by 43Inches
(Post 11101380)
... The casualised nature of the Aged care workforce ...
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What leads you to believe that the aged care workforce is 'casualised'? The data that I've seen shows the opposite, that the aged care workforce is largely made up of permanent full-time and part-time employees - around 75 percent - with the number of casual and contract arrangements shrinking over the past decade. |
The government could easily fix this by mandating % of workforce be permanent to ensure casuals are only a small part, but they wont do this as it would piss off Coles and Woolies and many other government backers in big business. Similar situation in hospitality. Alot of people don't want the full time work and be forced to work. Plenty of staff with side gigs or other responsibilities/interests. I would be curious in health how many of the casuals would take the full time work with the associated lower pay rate. I'm guessing they can work across a few hospitals and get paid more. |
Similar situation in hospitality. Alot of people don't want the full time work and be forced to work. Plenty of staff with side gigs or other responsibilities. When Coles offered to take aviation employees on they also dropped the hours on many others working for the company significantly, which being a major casual employer they can do without reason. |
Originally Posted by 43Inches
(Post 11101392)
Might depend on your state, Victoria is still very casualised.
You sure you're not confusing 'casual' with 'part-time' ? There's no dispute that the bulk of the aged care workforce is employed as permanent part-time. |
Really? Do you have any data to support that contention? You sure you're not confusing 'casual' with 'part-time' ? There's no dispute that the bulk of the aged care workforce is employed as permanent part-time. 26th Aug 2021 12:30 You could say a Supermarket has 30% full time staff, but, everyone on the shop floor will be casual or limited part time. You are right I probably am including part time in those figures, but they are the same issue, just less spread of workplaces. |
Originally Posted by Lead Balloon
(Post 11101375)
Maybe - and I know I'm off with the fairies here - Australia should learn a lesson and focus on developing greater capacity to train doctors and health care staff locally, and pay them properly.
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Originally Posted by MickG0105
(Post 11101377)
Pretty sure that Dr Andrew Miller was courted as a potential candidate by the Labor Party in WA.
AMA WA President Dr Andrew Miller has rejected rumours that he will be turning his hand to politics ahead of the upcoming 2021 state election. The rumours were broadcasted this morning on 6PR radio, tipping WA’s top doctor Andrew Miller has been approached to run as the Labor Candidate for Cockburn. Dr Miller has laughed hysterically when he was asked to confirm whether the rumour is true or not. “Not true,” Dr Miller replied to WAMN News. |
Originally Posted by 43Inches
(Post 11101399)
Not sure what you are arguing here, of course they are, if you add in administration and those running the show. The main issue is the general staff, which of that possibly the figure is up to 40%. They are the ones changing the bedding and cleaning toilets, and if they get covid, they pass it on to the whole facility in quick time. The Karens that run the facilities and their buddies are all on good full time packages, as well as team leaders and medical staff etc.
You could say a Supermarket has 30% full time staff, but, everyone on the shop floor will be casual or limited part time. You are right I probably am including part time in those figures, but they are the same issue, just less spread of workplaces. That is most assuredly not the case in the aged care workforce. The National Institute of Labour Studies at Flinders University conducts the National Aged Care Workforce Census every four years so there is an excellent dataset for that workforce. Due to collection issues with the 2020 census, the 2016 census provides the most recent data. The data shows that the trend in the aged care workforce has been away from casual employment; between 2012 and 2016 permanent full-time employment in the sector increased, permanent part-time employment also increased and casual employment decreased by almost half. That is the opposite of a casualised workforce. |
And do the data to which you referred distinguish between the workers who spend most of their time in contact with and moving among the aged in their care, on the one hand, and the 'administrators' - for want of a better term - on the other?
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Again just an argument in semantics.
The problem with aged care is the casualised part of their workforce. The cleaners, cooks, casual carers, etc. These are the ones that travel between sites and move around the entire facility, and are most likely the lowest paid and lowest education level, coming from backgrounds with other casual working family members that congregate in numbers. The professional workforce, ie nurses, doctors, specialists, accountants, marketing, liaisons and management are most likely full or part time and are not the issue. Again even if its just 25% of your workforce is casual and travelling between multiple sites, that's still too much. The facility is only as secure as its weakest link. I don't know why I needed 4 posts to explain that a Aged care facility is not just a bunch of nurses, I thought that would be obvious. |
Originally Posted by 43Inches
(Post 11101417)
I don't know why I needed 4 posts to explain that a Aged care facility is not just a bunch of nurses, I thought that would be obvious.
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