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Following fierce protests from the community, the State Government tossed aside its plans to privatise Wyong Hospital, a plan it attempted to put in place almost a year ago. More than 2,000 health workers and other community citizens gathered at Morrie Breen Oval at Kanwal in October following the announcement of a proposed public-private partnership dealing with the $200 million redevelopment of the existing Wyong Hospital. Gladys Berejiklian, Premier of New South Wales, was challenged by nurses and other medical personnel regarding the plan at a community cabinet meeting at Tumbi Umbi earlier this year. Brad Hazzard, Health Minister, revealed the Government will instead fully fund the hospital redevelopment, to the tune of over $200 million. Mr Hazzard said, “After careful assessment of expressions of interest from operators, the NSW Government has decided on a Government-led approach for this significant upgrade.” Scot MacDonald, Central Coast Parliamentary Secretary, said that early upgrade work on Wyong Hospital should begin by the end of the year. “It will be good for everyone to move on with certainty now,” he said. “There have been questions about why we didn’t upgrade both Wyong and Gosford hospitals at the same time, but it would have been very difficult in terms of the major clinical disruptions.” The Gosford Hospital revamping is due to be finished by next year, and the redevelopment will cost some $348 million. The decision to develop the two hospitals separately was intended to prevent overwhelming services at either facility. These upgrades at Wyong will include a new emergency department, more paediatric services, inpatient surgical beds, mental health services, and better parking facilities. According to Mr Hazzard, these upgrades will boost clinical care for patients and help to reduce pressure on the existing emergency department. “We are moving full steam ahead to deliver for the community,” he said. David Harris, Central Coast Opposition spokesman said the Government had “finally conceded to the will of the people.” “After nine long and uncertain months of a hard-fought community campaign, the Government has abandoned their unfair and unjustified plan to privatise our Wyong Hospital,” he said. “Wyong Hospital is held in high regard in our community and there is a deep sense of local ownership given the historical fundraising to secure the original hospital by the community. “In my entire life, I have never seen an issue which has galvanised our community so strongly. This is a win by our community, for our community,” Mr Harris said. Following fierce protests from the community, the State Government tossed aside its plans to privatise Wyong Hospital, a plan it attempted to put in place almost a year ago. More than 2,000 health workers and other community citizens gathered at Morrie Breen Oval at Kanwal in October following the announcement of a proposed public-private partnership dealing with the $200 million redevelopment of the existing Wyong Hospital. Gladys Berejiklian, Premier of New South Wales, was challenged by nurses and other medical personnel regarding the plan at a community cabinet meeting at Tumbi Umbi earlier this year. Brad Hazzard, Health Minister, revealed the Government will instead fully fund the hospital redevelopment, to the tune of over $200 million. Mr Hazzard said, “After careful assessment of expressions of interest from operators, the NSW Government has decided on a Government-led approach for this significant upgrade.” Scot MacDonald, Central Coast Parliamentary Secretary, said that early upgrade work on Wyong Hospital should begin by the end of the year. “It will be good for everyone to move on with certainty now,” he said. “There have been questions about why we didn’t upgrade both Wyong and Gosford hospitals at the same time, but it would have been very difficult in terms of the major clinical disruptions.” The Gosford Hospital revamping is due to be finished by next year, and the redevelopment will cost some $348 million. The decision to develop the two hospitals separately was intended to prevent overwhelming services at either facility. These upgrades at Wyong will include a new emergency department, more paediatric services, inpatient surgical beds, mental health services, and better parking facilities. According to Mr Hazzard, these upgrades will boost clinical care for patients and help to reduce pressure on the existing emergency department. “We are moving full steam ahead to deliver for the community,” he said. David Harris, Central Coast Opposition spokesman said the Government had “finally conceded to the will of the people.” “After nine long and uncertain months of a hard-fought community campaign, the Government has abandoned their unfair and unjustified plan to privatise our Wyong Hospital,” he said. “Wyong Hospital is held in high regard in our community and there is a deep sense of local ownership given the historical fundraising to secure the original hospital by the community. “In my entire life, I have never seen an issue which has galvanised our community so strongly. This is a win by our community, for our community,” Mr Harris said.
Wyong Hospital Upgrades Will Not Be Privatised
Robert Quinn spent 200 days in a hospital bed following his liver transplant. The reason? His medical staff needed to monitor his vital signs. But this time gave Quinn plenty of thinking time and sparked a new and exciting addition to his career. “I was just lying there, and I realized basically the only reason I was there is because they needed to monitor my vitals,” Quinn said. “It was extremely mentally taxing especially as I was a uni student at the time. Even one extra day out of the hospital would have meant the world to me.” Five years later, Quinn and his company co-founder Wei-Jien Tan are earning grants for Quinn’s idea, the vital signs monitoring patch, a device they hope will allow users to go home while still being medically monitored. Their latest grant, from St George’s Kick Start program, was for $40,000 and adds money to their base built on $25,000 from NSW, $40,000 from muru-D accelerator, and their own personal funds. “It’s exhilarating and stressful,” Quinn, who studied mechatronic engineering and biomedical science said. He started the company, Patch’d, in early 2017. “As I said to my mum it’s the best job I’ve ever had because this is an opportunity to do something I care about. I don’t mind that I’m up til 10 at night or working weekends.” Patch’d is currently testing their product, worn on the torso, on potential patients and searching for ways to get Patch’d in front of hospitals in Australia and insurance companies in America. In Australia, the patch might get marketed initially as a class 2 anxiety device. But in the U.S., where a single day’s hospital stay costs thousands, their efforts will focus on the insurance companies. “We need to figure out which pathway to take in terms of regulatory approach and that will determine whether we stay here or go to the American market.” Quinn admits there are other monitors on the market, the most popular being U.S.-based Fitbit. “I have a Fitbit,” Quinn said, “but I use it to read my text messages.” “The Fitbit heart rate monitor is somewhat prone to error. What we want is to be highly accurate and more of a clinical product rather than a fitness wearable.” Patch’d won the best business idea grant from St George Bank, but runner-up was a Canberra-based company called Goterra, who use modular mobile insect farms to turn food wastage into feed for livestock. Founder Olympia Yarger is developing a modular system that takes wasted food like restaurant leftovers and produces live crickets that can be fed to chickens, pigs, or pets. “Food miles are becoming less and less feasible. We see insect farming as an industrialized solution to an industrial issue,” said Yarger. “Consumers now want to know the story of their food and they want to fall in love with their food so farmers are starting to have to tell stories about their food. The insect feed gives the farmer a really great story to tell as well as a waste fix.”
Winners of Best Business Idea From St George's Bank
There’s a new women’s hospital coming next door to the Royal Adelaide Hospital in the north-west of the Adelaide CBD in South Australia. Jay Weatherill, South Australian Premier, said the $528 million facility will connect to the RAH and expects a completion date of sometime in 2024. “The new Adelaide women’s hospital, positioned next to the new Royal Adelaide Hospital, will be a modern, purpose-built facility that will care for women and newborns for many generations,” the Premier said. The South Australian Government proposed moving the Women’s and Children’s Hospital from North Adelaide closer to the city before the 2014 state’s elections. Though the new Adelaide women’s hospital announced for CBD, the Children’s has been delayed for a short time. The Government has also claimed a site for a new children’s hospital close to the other facilities would be identified by the end of 2019, offering what journalists call a “piecemeal approach”, with a multitude of services under one roof. According to Mr Weatherill, the Government was acting on the “basis of the best advice we have,” and that was to “do it in phases.” “Clinicians said the element that’s most important and should happen first is the bringing together of birthing services and the new Royal Adelaide Hospital, so if there’s complications, women can get that seamless set of services,” said Premier Weatherill. The SA budget will offer an additional $24 million throughout the next two years, with a goal of an over $64.4 million upgrade of the current Adelaide Women’s and Children’s Hospital. According to Health Minister Jack Snelling, there are numerous advantages to placing the two hospitals side-by-side. “Our doctors say this model will be of great benefit, in particular in situations where a mother may experience a difficult birth and require acute intensive care at the new Royal Adelaide Hospital,” the Minister said. This will allow rapid access to quality health care for both mother and newborn. “Having access to the new Royal Adelaide Hospital’s helipad will also significantly improve the timeliness of access to air services for high-risk maternal and neonate emergencies.” South Australia provided facts that the new women’s hospital will provide tertiary level maternity, neonatal and perinatal infant mental health services. “By co-locating with the new Royal Adelaide Hospital women with high-risk or emergency care needs will be able to receive timely and direct access to adult intensive and sub-specialty care,” the statement said. This way, doctors and staff could decide case-by-case where seriously ill newborns could be treated. The statement went on, “There will be some newborns that will need to be stabilised at the new Adelaide Women’s Hospital and transferred to the Adelaide Children’s Hospital for specialist paediatric care, including for example, where specialised surgery is required.” “How the care models will work at both sites will be developed by expert clinicians.” A number of staff members will be needed to work across from both the new women’s and children’s hospitals. Before the latest state budget, the Government announced upgrades to other Adelaide hospitals, including the Queen Elizabeth, Lyell McEwin, Modbury, and Flinders Medical Centre. Now, the staff at the current RAH are getting their final training before the state’s largest public hospital opening at their new premises on September 5, 2017. Opposition Leader Steven Marshall said the Liberals were committed to a single new Women’s and Children’s Hospital, but that the Labor Government had cut back services and that the project has been plagued by delays that “almost” caused an abandonment of the original health plans. Mr Marshall said, “The people of South Australia deserve the best health system in the country and only the Liberal Party will deliver that.”
New Women's Hospital Announced in Adelaide, Children's Delayed
If your child is staying overnight or longer at a hospital, it may be a stressful experience for them and you. Hospitalization involves a disruption of routine, separation from loved ones and an invasion of perceived privacy. As a parent, you may be unsure how to talk to them about their stay or what to say to prepare them. You may be concerned with how much information is too much or too little. Fortunately, this is a subject of study for many medical and mental health providers that care for children specifically. Mitigating stress and anxiety Telling your child what to expect in a specific and age-appropriate manner can help reduce their anxiety and stress. Correcting misconceptions can aid in a positive hospital experience by increasing confidence in themselves and the process. That can result in better sleep and less general distress. To do this, encourage them to ask questions. Determine what their preconceptions are. The goal is to discover how curious your child is and what they need to know to remain calm. Have a discussion and request they repeat information back to you. If it's negative, help them find a more positive or balanced view. Be sure to maintain a calm tone throughout the conversation. With younger children, reading books to them about going to the hospital can be helpful. When talking about their stay, explain what they will experience directly. What will they see, feel, smell and hear at different points of their hospitalization? You can take them to the hospital and talk to them about what you see. This familiarization aids them the child knowing what to expect and makes them feel better prepared. Remaining truthful throughout your explanation will help avoid a rose-tinted perspective that may be damaged during the stay. Early experiences tend to shape future perspectives and a realistic view is less likely to develop a phobia. Try not to state what "will" happen, but what "may" happen. Create realistic expectations and maintain your calm and non-threatening tone throughout. Trust your child With realistic expectations and a positive outlook, your child stands to have a far less stressful experience in the hospital. Remind them a caretaker or you will see them as often as possible. If they're very young or you'd like to go the extra mile, give them a reminder of home such as a picture or stuffed animal to help them feel comfortable.
Prepping Your Child for a Hospital Stay
Kardinia Health has three Physiotherapists who can treat sports injuries as well as general physical illness. Ben Bisset, Allied Health Coordinator and Physiotherapist, spoke about the types of sports injuries commonly seen in Geelong, and about his time as a competing national-level triathlete. According to Ben Bisset, who worked for two years within the acute and rehabilitation hospital sector at Epworth Richmond before making the move into private practice, prevention is better than treatment and recovery is probably more important than the actual exercise. It’s something physiotherapists try to teach all their patients. That and the ability to listen to one’s body to accept one’s fitness level. Physiotherapists work with coaches and patients to customise the individual recovery times. If the patient doesn’t have their own coach, then Kardinia Health physiotherapists will act as a coach to help minimise risk and maximise performance. What to do if you’re injured? When you suffer an injury, you should get it checked out as soon as possible. Management of a sports injury within the first 48 hours will have an impact on your recovery. How significant will be the impact of seeking medical treatment? If poorly managed in the early stages, an acute 3-week injury could potentially drag out to 6 weeks or more. Measures to manage the injury might include controlling swelling and support of the affected area along with other general health tips. Furthermore, the injury’s diagnosis is more accurate when the injury is new. Kardinia Health also has the advantage of Dr. Robert Brzozek, a musculoskeletal doctor who is qualified to offer other treatments such as cortisone injections, which often require more than one visit to be an effective treatment. When asked, Ben Bisset said he’d had every injury imaginable when he competed as a triathlete and long-distance runner. With a touch of humour, he says it came in handy since he was already studying to be a physio and that experience was the best teacher.  But, he did say he wished he knew more about injury prevention and how to increase muscle mass during his time as an athlete. Ben still exercises every day, whether it’s surfing, running, or at the gym, and he says he’s less competitive than he used to be. He holds his health as a priority over performance and allows more of the recovery time mentioned above. Because of this, he experiences less sports-related injury. With Kardinia Health, Ben will treat spinal, upper and lower limb injuries, dry needling and exercise therapies, and clinical Pilates.
Recovery as a Simple Tip for Avoiding Sports Injuries
Immunisation should be an important part of any child’s health care. Royal Children’s Hospital Melbourne (RCH) staff member Sonja Elia is now an endorsed nurse practitioner with a specialization in immunisation. She is one of only three nurse practitioners in the field of immunisation in Australia, and this is a first for the RCH immunisation team. Sonja can now give special risk vaccines to patients without the need for other medical staff to write the prescription for her. These special risk vaccines include Meningococcal ACWY, Hepatitis A, and Meningococcal B. This endorsement allows the immunisation team at RCH to deliver services to patients more quickly and offer a better continuity of care for their patients. “This will have a hugely positive effect on our service, particularly for our special risk patients, so we are very excited,” Sonja said. “Immunisation is an ideal area to have a nurse practitioner as it is becoming more complex and the number of special risk vaccines we offer continues to increase. “It’s going to make a really positive difference to the way we care for our patients.” The immunisation service at the Royal Children’s Hospital was established in March of 2001. They provide regular vaccines such as the 2017 Influenza Vaccine, including one for patients under the age of three years. Nurse Practitioner Sonja Elia is the Manager of the program. Why is Immunisation So Important? Vaccinating your child is an excellent way to protect them from diseases that could lead to serious complications. These complications can include leg or arm paralysis, hearing loss, convulsion, brain damage, or death. Diseases that we can prevent with vaccines, like measles, mumps, and whooping cough, are still a threat all over the world. Outbreaks of these diseases can occur when parents don’t vaccinate their children. And people in other countries who travel to Australia can pose a threat if they’re not vaccinated against preventable diseases. Even if your child doesn’t travel outside the country, they could still become infected if they come into contact with someone who is traveling. The top preventable diseases also include poliomyelitis, Hepatitis B, Tetanus, Diphtheria, chicken pox, pneumonia, meningitis, smallpox, and human papillomavirus. Even though vaccination does come with some minor risks, these risks are considered far less dangerous than the conditions produced by these diseases. Some side effects of vaccination might include redness or swelling at the injection site, low-grade fever, or just feeling poorly. Any other adverse effects should be reported to the health care provider who gave the vaccine. Again, congratulations to Sonja Elia, who just received her endorsement in the field of immunisation. She is an excellent asset to the RCH health care team.
The Next Level for the RCH Immunisation Team
The migration of doctors and healthcare workers worldwide isn’t a new issue, but it has garnered attention recently because it might lead to shortages of skilled workers in certain locations, especially in still-developing countries that already deal with workforce shortages. The World Health Assembly adopted the Global Code of Practice on the International Recruitment of Health Personnel in May of 2010 to respond to these concerns. This model promotes more ethical recruitment of health care workers and encourages countries to gain better self-sufficiency in training of these workers. At the same time, it recognises the human right to migrate enjoyed by everyone.  One of the major concerns of health care workers is the need to relocate and find suitable yet well priced accommodation, hospital accommodation websites like Hospital Stays have helped with reducing the stress of this relocation. There are considerable differences across OECD countries in the number of doctors trained abroad. In 2013, doctors who trained in foreign countries ranged from less than 3% in countries like Turkey, Poland, Estonia, The Netherlands and the Czech Republic to more than 40% in Israel and New Zealand. The high number in Israel reflects immigration to that country as well as the large number of licensees born in Israel but trained elsewhere. Norway, Ireland and Australia also have high numbers of foreign-schooled doctors. In Norway almost half of all doctors who were born in the country travelled outside the country for school. In countries like the United Kingdom, U.S., Switzerland, Sweden and Canada, the number of foreign-trained doctors ranges from 23% to 30%. Since the year 2000, the number of these foreign-schooled doctors in many OECD countries has been on the increase, contributing to the addition in number of doctors. In the United States and United Kingdom, this number has remained stable, but the number of doctors trained abroad continues to rise at the same rate. Sweden has seen an increase in the number of foreign-schooled doctors, the majority of them coming from Germany, Poland and Iraq. Doctors from schools outside the country have also grown in number in France and Germany, though at a lesser pace. In France, some of this stems from doctors moving into the country, primarily from Romania. The United States has the highest number of foreign-school doctors at more than 200,000 in 2013. Next on the list is the United Kingdom with more than 48,000 foreign-trained doctors in 2014. This migration flow depends on many factors, including migratory ties (family in other countries), language and recognition of qualifications (by the other country). Almost half of foreign-trained doctors in the United States come from Asian countries, while the largest number of migratory doctors are from India, the Philippines and Pakistan. More than 10% were trained in the Caribbean, but most of these were U.S. students who went abroad to study and then returned for post-graduate work. In the U.K., most foreign doctors came from Asian countries, but India also claims a large margin of these doctors. But a growing number of workers are now migrating from other EU countries. If smaller countries in Africa, Asia, or Europe lose only a small number of doctors to migration, this may still have a huge impact on their health care systems. There’s a growing awareness that OECD countries should stay away from actively recruiting doctors from countries experiencing a shortage of health care workers.
Growing Shortage of Doctors in Some OECD Countries
You’ve probably seen the ads on television talking about Hepatitis C. The World Health Organization estimates over 71 million people globally have Hep C and that 95% of those patients can be cured using expensive antiviral medications. Now, the more than 200,000 people in Australia who suffer from Hep C might be able to afford a brand-new and effective treatment. Health Minister Greg Hunt announces that starting August 1, the Turnbull government plans to subsidise this new drug, called Epclusa. This medication combines the antivirals sofosbuvir and velpatasvir. Because this new drug is part of the Pharmaceutical Benefits Scheme (PBS), patients can expect to pay up to $38.80 a month ($6.30 for concession patients) for this combination drug, which would normally cost over $20,000 for a single treatment. Health Minister Hunt says that about 800 Australians die each year from Hep C and that “our investment in this drug is aimed at reversing this unacceptable statistic.” Results from clinical trials of Epclusa show a cure rate of around 90 percent and an added benefit is that this medication can be used to treat patients with any of the Hep C genotypes. The six subtypes of Hep C make it difficult for GPs to identify and treat the correct disease. Putting Epclusa on the PBS list makes it easier for doctors to prescribe the drug and Minister Hunt expects it to increase uptake rates, especially for patients who live in rural areas. An estimated 227,000 Australians lived with Hepatitis C in 2015. Australia was one of the first countries to subsidise drugs for patients over the age of 18 who suffer from chronic Hepatitis C. The Kirby Institute data shows nearly 40,000 people have already taken advantage of the subsidies. The government has set aside more than $1 billion for this drug over the next 5 years. Epclusa is the first medication considered pan-genotypic, meaning the drug is effective against all subtypes of Hepatitis C. Right now, the appropriate treatment for Hep C depends upon which genotype the patient has. Epclusa will make it easier for GPs to prescribe medication for their patients with Hep C. In most cases, treatment consists of one pill a day for 12 weeks. The drug’s subsidies are only part of the attempt to eliminate Hep C. Other interventions include prevention, early detection of the disease, and eliminating the stigma surrounding Hep C infections; 80 percent of cases occur by sharing paraphernalia to inject drugs. Around 18 percent of the Australian people don’t even know they have the disease. Along with the push to eliminate Hepatitis C, the federal government also funds a program through the National Immunisation Program to vaccinate again Hepatitis B. Because of this program, over 96 percent of all two-year-old children have been vaccinated. There’s no vaccine for Hepatitis C, but the new drug Epclusa is a step in the right direction to offer a permanent cure for patients who live with the struggle of Hepatitis C. Australia hopes to eradicate Hepatitis C by the year 2020.
Finally, An Affordable Cure for Hepatitis C
An estimated 2.5 million Australians suffer from asthma, many of them children. But it’s a difficult condition to diagnose in young children. Joanne Grindlay, deputy director of Royal Children’s Hospital Melbourne (RCH) Emergency Department, says, “Most children have what we call viral-induced wheeze. Some of those children go on to have asthma and lots of them don’t.” The ins and outs of asthma can be difficult to understand. Exactly When is it Asthma? A child can only be diagnosed with asthma after presenting with wheezing more than once, and most importantly, this must be when the child does not have a virus. If the child has a family history of asthma or allergies or has eczema, they are more at risk to have asthma. “If they’re exercising or if they’re exposed to pollens or they’re doing other things and wheezing, then it’s probably asthma,” said Joanne. “They need to get it when they don’t have a cold, and it’s got to be recurrent.” Asthma triggers include, but aren’t limited to, dust mites and mould spores, cigarette smoke, cold air, pollens from grasses, trees, and flowers, and some medications.   Thunderstorm Asthma and Hay Fever Many children suffer from Hay Fever, and these kids have a higher risk for asthma, and Joanne recommends having a reliever medication at all times. This is especially important for people affected by Melbourne’s ‘thunderstorm asthma’ event. “Thunderstorm asthma will reoccur,” she said. “Thunderstorm asthma affects people who have hay fever and who may not have had asthma before, but suddenly get severe asthma.” Reliever medications are available over-the-counter, but Joanne stresses how important it is to be seen and evaluated by a GP before giving any medication to your child.   Treatment of Asthma When your child has been diagnosed with asthma, it’s important to have an asthma management plan. Joanne is concerned at the number of patients suffering from asthma who don’t have an adequate plan to deal with sudden attacks. Usually, a combination of treatments is required for the best results, including a medication to prevent attacks and relieve them, usually administered with a spacer. The spacer is an important addition to the inhaler because it allows the inhaled medication to reach the deeper parts of the lungs where the medicine is more effective. “Older children don’t bother using their spacers because they think they’re coordinated enough to not need them,” Joanne said. “Everyone always needs to use a spacer—it’s very hard to be coordinated enough to get the medicine to go down to the deep parts of the lung where you need it. If you’re using just an inhaler, you are just spraying into your mouth, with little effect.” Asthma is an often inherited disease, affecting more boys than girls during their childhood years.
Ins and Outs of Asthma
Kardinia Health has three Physiotherapists who can treat sports injuries as well as general physical illness. Ben Bisset, Allied Health Coordinator and Physiotherapist, spoke about the types of sports injuries commonly seen in Geelong, and about his time as a competing national-level triathlete. According to Ben Bisset, who worked for two years within the acute and rehabilitation hospital sector at Epworth Richmond before making the move into private practice, prevention is better than treatment and recovery is probably more important than the actual exercise. It’s something physiotherapists try to teach all their patients. That and the ability to listen to one’s body to accept one’s fitness level. Physiotherapists work with coaches and patients to customise the individual recovery times. If the patient doesn’t have their own coach, then Kardinia Health physiotherapists will act as a coach to help minimise risk and maximise performance. What to do if you’re injured? When you suffer an injury, you should get it checked out as soon as possible. Management of a sports injury within the first 48 hours will have an impact on your recovery. How significant will be the impact of seeking medical treatment? If poorly managed in the early stages, an acute 3-week injury could potentially drag out to 6 weeks or more. Measures to manage the injury might include controlling swelling and support of the affected area along with other general health tips. Furthermore, the injury’s diagnosis is more accurate when the injury is new. Kardinia Health also has the advantage of Dr. Robert Brzozek, a musculoskeletal doctor who is qualified to offer other treatments such as cortisone injections, which often require more than one visit to be an effective treatment. When asked, Ben Bisset said he’d had every injury imaginable when he competed as a triathlete and long-distance runner. With a touch of humour, he says it came in handy since he was already studying to be a physio and that experience was the best teacher.  But, he did say he wished he knew more about injury prevention and how to increase muscle mass during his time as an athlete. Ben still exercises every day, whether it’s surfing, running, or at the gym, and he says he’s less competitive than he used to be. He holds his health as a priority over performance and allows more of the recovery time mentioned above. Because of this, he experiences less sports-related injury. With Kardinia Health, Ben will treat spinal, upper and lower limb injuries, dry needling and exercise therapies, and clinical Pilates.
Recovery as a Simple Tip for Avoiding Sports Injuries