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Health Issues ...

This page provides an overview of some of the major health issues. There are numerous links to assist you move to specific pages for more details, or you can use the 'go' list above.

On this page you can view a summary of:

What is happening in Hospitals ....

Since the Labor Government has been in office there has been a much bigger increase in admissions to private hospitals than to public hospitals ; only 32% of registered and enrolled nurses and midwives in NSW are choosing to work in the public health system and there are around 2,500 fewer beds in public hospitals ...

Admissions to Hospital ....

The State Government's health department annual reports show that between 1994-95 and 2008-09

  • Total Admission to hospital rose by 42%
  • Total Admissions toNSW Public Hospitals rose by 22%
  • Total Admissions to Private Hospitals rose by 93%
Admissions to public hospitals increase marginally while private hospital admissions nearly double 
 
1994-95
2008-09
Change since 94-95 
% change
Total Admissions NSW Public Hospitals
1,273,963
1,555,480
281,517
22.1%
Total Admissions Private Hospitals
483,579
934,738
451,159
93.3%
Total Admissions (Public + Private)
1,757,542
2,490,218
732,676
41.7%
% of all admissions using private hospitals
27.5%
37.5%
10.0%
36.4%

Admissions to Government Hospitals ....

public admissions

Admissions to Private Hospitals ....

private admissions

Shortage of nurses....

... only 32% of the Registered Nurses and Enrolled nurses in NSW are choosing to work in our public hospital system according to the 2007-08 department of health annual report.

Number of Nurses and Midwives in NSW 2008-09
Registered Nurses 86,488
Registered Midwives 17,535
Enrolled Nurses 17,250
Authorised Nurse Practitioners 131
Authorised Midwife Practitioners 2
Total Nurses in NSW 119,290
Employed in the NSW Public Health System 39,142
% of Nurses in NSW employed in the NSW Public Health System 32%
Source: NSW Health Annual Report 07-08 pages 247 and 260

nurses

The government is advertising nursing vacancies on the NSW Health website, despite offering experienced front-line nurses voluntary redundancies. The figures below were downloaded on June 28 2009 from NSW Health website: http://www.health.nsw.gov.au/nursing/employment/dohrs.asp

Area Health Service: Positions being actively recruited (PAR)
November 2009
Area Health Service  Total PAR*
Children's Hospital at Westmead 2
Justice Health 47.3
Sydney South West 140.3
South Eastern Sydney/Illawarra 153.7
Sydney West 43.5
Northern Sydney/Central Coast 125.9
Metro AHS 512.7
Hunter/New England 101.3
North Coast 63.3
Greater Southern 116.7
Greater Western 117.3
Rural Total 399
STATE TOTAL 911

Note* RN, EN and other nursing positions being actively recruited.

Public hospital bed numbers cut ....

... hospital bed numbers have been cut by 2,599 since the Carr Government was elected in 1995.

Average Available Beds in NSW Public Hospitals
Year
No.
88/89 (first year of Coalition Government) [Source: NSW Health annual report1989] 20,867
94-95 23,910
Change 1988-98 to 1994-95 (Carr Government elected) 3,043
95-96 23,536
96-97 22,496
97-98 21,965
98-99 21,222
99-00 21,254
00-01 19,720
01-02 19,513
02-03* 19,147
03-04* 19,370
04-05* 20,472
05-06* 20,563
06-07* 21,050
07-08* 21,397
08-09* 21,311
Change 94-95 to 08-09 -2,599
Source:1994-95 to 2000-01 figs from NSW Health annual report 2001 page 93; 2001-02 to 2007-08 figs from 2008-09 annual report page 259
** cots and bassinettes were included from 1 July 2002. There are an estimated 1,000 cots and they have been subtracted from this data from this date to enable comparison.

beds

Emergency Departments .....

Ask anyone what they regard as the most important aspect of health care and they'll tell you the ability to get emergency treatment when they need it.

Yet our Emergency Departments are failing to cope, many of them being gridlocked. Critically ill people are waiting longer than they should to be seen by doctors (or even being taken off Ambulance trolleys), they are having to wait in corridors, they can't be admitted to hospital wards because there aren't enough beds and sometimes it takes days for medical treatment.

There has been a marked deterioration in Emergency Department benchmarks (the measures the government uses to see how they are performing) since the LaborGovernment came to office, not because medical staff are not doing their best, but primarily because of a shortage of ward beds to receive patients that must be admitted to hospital. (see Emergency Departments for details)

Waiting Lists ....

Record numbers of people are waiting for elective treatment in our hospitals despite the Labor Government being elected in the first place on a promise to half them. And even worse, there are many more people on those lists who have been waiting for more than a year. (see Waiting Lists for details of metropolitan, regional and rural waiting lists and waiting times)

Health Budget ....

Recurrent spending .....

The NSW government again painted a rosy picture for NSW Health following release of it's 2009 -10 budget on June 16th. But the reality is that although the budget increased by $1,337.2 million (10.2%) compared to the 08-09 budget, but  when the revised (blown-out) budget is taken into account it increased by only $690.6 million. And when a CPI rate of 3% is factored in the real increase over last year's budget is 7.2% and the actual increase over last year's revised budget is 1.8%.

DEPARTMENT OF HEALTH
2008-09 BUDGET
2008-09 REVISED
2009-10 BUDGET
VARIATION 2009-10 BUDGET FROM 2008-09 BUDGET (a)
REAL VARIATION TAKING INTO ACCOUNT 3%CPI
VARIATION 2009-10 BUDGET FROM 2008-09 REVISED (b)
REAL VARIATION TAKING INTO ACCOUNT 3%CPI
 
$m
$m
$m
$m
%
%
$m
%
%
Recurrent total in ("Total Expenses", BP3)
$13,150,697
$13,797,298
$14,487,880
$1,337,183
10.2
7.2
$690,582
4.8
1.8
Source: Budget Estimates 2009-10 p 13-30
(a) variation is 2009-1009 budget compared to 2008-09 budget
(b) variation is 2009-10 budget compared to 2008-09 revised budget. Ie how much extra money is allocated over what was spent last year

Surprisingly, when Health Minister John Della Bosca was asked by Andrew Moore on 2GB on June 17th about the health budget deficit:he described the $646.6 million Health budget expenses blowout as “pretty well in the black':

“I have to say I’m very proud of the fact that we’ve managed to land to health budget for this year in just 7 months at um, you know, pretty well in the black. So, look I’m pretty happy with that.”

The budget blow-out has meant hospitals haven't been able to pay bills on time, staff freezes are in place and hours of nurses, cleaners and other front-line staff have been cut.

DEPARTMENT OF HEALTH
2008-09 BUDGET
2008-09 REVISED
Variation
 
$m
$m
$m
%
Recurrent total in ("Total Expenses", BP3)
$13,150,697
$13,797,298
$646,601
4.9%

And according to Labor’s own budget papers, this health budget will result in worsening performance in our hospitals.

Performance measure

Result in 2006/07

Budget says in 2009/10 it will be worse…

Off-Stretcher Time (percentage of patients off loaded from ambulances in less than 30 minutes)

78%

75%

Triage 2 (percentage of patients treated within the required 10 minutes)

87%

82%

Triage 3 (percentage of patients treated within the required 30 minutes)

71%

69%

Triage 4 (percentage of patients treated within required 60 minutes)

74%

72%

Emergency Admission (also Access Block: percentage of patients admitted to ward bed in less than 8 hours)

78%

75%

(Source: Budget Paper No. 3, page 13 – 17)

This is because the increased cost of salaries and other health expenses will eat up nearly all of the additional funds allocated this year.

Investment in Infrastructure ....

A $236 million cut to health infrastructure spending headlines a disastrous budget for the NSW health and hospital system this year.

Health Minister Reba Meagher’s press release from last year’s budget trumpeted health infrastructure spending of $839.5 million, but current Minister John Della Bosca has cut health infrastructure spending to $603 million in this year’s budget. This is a $236.5 million cut, or a 28.2% reduction.

And despite being revised - with budget papers reporting a $779.5 million capital budget last year - even using that figure the money to redevelop and upgrade hospitals has dropped by 23%.

DEPARTMENT OF HEALTH 2008-09 BUDGET 2008-09 REVISED 2009-10 BUDGET VARIATION 2009-10 BUDGET FROM 2008-09 BUDGET (a) VARIATION 2009-10 BUDGET FROM 2008-09 REVISED (b)
 
$m
$m
$m
$m
%
$m
%
Capital Expenditure in (from BP4)
$779.5
$778.3
$602.9
-$176.6
-22.7
-$1.2
-0.2
Source: Budget Estimates 2009-10 p 13-30
(a) variation is 2009-1009 budget compared to 2008-09 budget
(b) variation is 2009-10 budget compared to 2008-09 revised budget. Ie how much extra money is allocated over what was spent last year

Health capital budget the lowest ever ....

This allocation accounts for 3.4% of the total state infrastructure budget - the lowest level ever.

caplow

 

Source: Infrastructure Statement 2009-10 page 1 - 8

The last time the NSW Liberal/Nationals were in government it was 11%.

Health’s percentage of the total State Budget infrastructure spend

94/95

03/04

04/05

05/06

06/07

07/08

08/09

09/10

11%

6.4%

8.1%

7.9%

5.8%

5.2%

5.6%

3.4%

“This massive cut in health infrastructure spending means communities all over NSW will miss out on promised hospital upgrades or rebuilds. Families in Tamworth, Dubbo, Wagga Wagga, Bega and the Northern Beaches, for example, will continue to wait.

 

 

 

 

 

3/40 Yeo Street, Neutral Bay 2089. Ph: 9909 2594 Fax: 9909 2654 Email: Jillian.Skinner@parliament.nsw.gov.au