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2:19PM Wednesday 03 December, 2008

Long wait at Nambour hospital 'the norm'

It was not uncommon for patients to have to wait up to eight hours for treatment at the Nambour General Hospital emergency department, a Sunshine Coast doctor said yesterday.

Australian Medical Association’s Wayne Herdy made the comment as state parliament exploded in fiery debate over the state’s health system.

Health minister Stephen Robertson avoided Maroochydore MP Fiona Simpson’s demands for him to explain why 24 emergency patients had been left waiting for a bed in Nambour hospital’s corridors on Tuesday.

Caloundra MP Mark McArdle said a further 22 patients had been kept waiting yesterday.

He said the routine hold-ups at Nambour were a daily crisis caused by the state government’s failure to responsibly cater for long-predicted population growth in the region.

Mr Robertson said the state government had recognised the need for more beds on the Coast by announcing the construction of a 96-bed ward at Nambour hospital within the next two years while the Coast waited for the $1.4 billion, 650-bed Kawana Hospital to be built.

But long-waiting times at Nambour were hardly a new phenomenon for regular visitors to the hospital, said Dr Herdy, the AMA’s Queensland North Coast branch councillor.

“The category four and five patients, which are not life threatening emergency patients, will not uncommonly have a wait in the emergency department at Nambour hospital of many hours,” he said.

“Numbers like four hours are extremely common, figures of eight hours are not uncommon and figures like 12 hours are not unheard of.

“There is a perception that the situation has become worse in the last couple of years,” he said.

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on 28 August, 2008 at 5:18 a.m. ( Suggest removal )
Ha, it's been like that for years. I broke my arm in 1991 at the age of 7 and was taken to Nambour Emergency department and had to wait for 8 hours with only an ice pack and a Panadol. I still have vivid memories of sitting there with my mum, crying and crying because I was in so much pain, and having nothing done.
on 28 August, 2008 at 6:25 a.m. ( Suggest removal )
Spot on. Tuesday night I was getting flashing lights in 1 eye, and being a diabetic, I knew there was a distinct possibility that something quite nasty could be happening to that eye. I went on the net to a site that will give you the symptoms and causes and when to seek treatment. My symptoms matched the possible detachment or a tear in the retina of my eye.

I contacted the 13nurse helpline and the nurse I spoke to advised me to go to Nambour Hospital. I do not have anyone I can ask to drive me from Mooloolaba to Nambour, and it costs more than I can afford in a taxi - even with half price fares to get there. I was told by the nurse to call an ambulance - which I did. I explained to the ambulance operator on the phone it was not an emergency as such. The ambo's arrived not too long after and we talked about it and they told me that there were a lot of people on trolleys in hallways etc, and I could be waiting hours and besides that I needed specialist treatment and that Nambour Hospital was not going to call in an eye specialist at night.

I opted to stay at home, be quiet, go to bed, and see an optometrist the next day who could make me an appt with the specialist at the eye care centre in Maroochydore. I did this and I see a specialist today who is an expert in diabetic problems of the eye and who also is an expert with laser treatments.

Yes, I very well could have a tear in my retina I was told yesterday but the optometrist I saw is not permitted to use the stronger drops in my eyes that a specialist may use, so he could not see all of my eye. A very dear friend in Canberra has offered to pay for the treatment and the visit. It's a bugger being poor I can tell you.
on 28 August, 2008 at 7:27 a.m. ( Suggest removal )
Well Dr Herdy does not say how long it takes a patient to get in to see their own Doctor - GP - around this Coast - often days sometimes a week.

It's seems fine for him to criticise Nambour Hospital, but let's make it clear where the real responsibility lays.

Both the Australian Govt. and the State Govt. for not supplying the funding not just to the Health System but also to the Universities for increased Medical Student numbers.

And I feel the Peak bodies within the Medical Profession can also take some responsibility for this situation occurring over a number of years. Did they not want to keep their numbers to a certain level to maintain their income, especially in the Specialty Areas?

It is now taking 10 years, yes folks, 10 years to train a Doctor - GP's included - before we see them.

So the whole system is in a massive backlog not just Nambour Hospital.
on 28 August, 2008 at 8:24 a.m. ( Suggest removal )
Not only in Emergency. When a Specialist is at a meeting for over an hour, causing a patient to wait for a prescription, that a receptionist could hand over in five minutes and a Registered Sister could explain the ramifications of the medication. Particularly when the diagnosis is bad and the patient wants to get home to loved ones.
on 28 August, 2008 at 8:37 a.m. ( Suggest removal )
" Did they not want to keep their numbers to a certain level to maintain their income, especially in the Specialty Areas? "

Methinks you've hit the nail right on the head.

nell...I'm sorry to hear your story. Not a pleasant experience for a little one. Although, in 1992 my daughter, then 10, broke her wrist late one Sunday afternoon. We took her to an after hours GP who gave pain relief (pethadine I believe). We then took her to Nambour Hospital where she was seen to fairly quickly. The x-ray department was opened up to get her wrist x-rayed, and she was operated on around 11pm that night.
on 28 August, 2008 at 10:03 a.m. ( Suggest removal )
Ed, Having watched the news last night, again another typical response from a Health Minister who follows the same path as his predecessor - Wendy Edmonds. Having had a quick read through the Hansard transcript of the Queensland State Parliament's Question Time, I note this response from the health minister.

" Can I just deal with the issue of the Sunshine Coast. Those opposite asked me what I am doing about the Sunshine Coast. I told the House that we are building a new 650-bed tertiary hospital. We already delivered 30 new beds by June this year at Nambour. We are already delivering 30 additional beds at Caloundra by the end of this year, and we have recently announced a new 96-bed ward to be built at Nambour Hospital. That is our record. What was their record during the last election campaign?

If I recall correctly, the sole sum of their election commitments for the Sunshine Coast was 25 beds at Noosa. That was it. It is a bit rich for the member to come in here and suggest that we are not doing anything when their commitment was for 25 solitary beds in Noosa and to not doing anything about the rest of the Sunshine Coast while we get on with the job of delivering 30 extra beds at Nambour, 30 extra beds at Caloundra, another 96 beds at Nambour over the next couple of years and 650 beds at Kawana. That is in stark relief to what people can expect from the LNP when the next election comes around—chronic under performance".
on 28 August, 2008 at 10:22 a.m. ( Suggest removal )
I was recently referred to the Nambour Hospital by my GP,for an appointment with an Orthopedic surgeon.Referred on a Friday,contact and appointment made following Tuesday,seen about 8 days later and had MRI last week.Appointment and results given yesterday(7 days after MRI) All in all I was impressed with how things were dealt with for me at Nambour Hospital.I now am awaiting surgery.

Of course this is not in the Emergency Dept,but with 7 day medical centres available in a lot of areas,why would anyone sit in the emergency dept anyway? Unless bought there by ambulance after an accident or some other medical emergency.
on 28 August, 2008 at 10:47 a.m. ( Suggest removal )
The medical system in Queensland and the rest of Australia has been morally bankrupt for many years. I call on the media to focus more attention on this issue. Bring the contributing players out into the open and identify them.
on 28 August, 2008 at 1:40 p.m. ( Suggest removal )
We've been to Nambour emergency a few times, mostly with the kids. They've been excellent on every occasion.

I have a family member who works in Nambour's emergency department & they paint a different picture of people being left to wait because they've turned up with a hangover or some other non-emergency, whilst the staff focus on the most severe emergencies, often referring serious cases requiring specialist care to Brisbane.

I'm very pleased with the service at Nambour.
on 28 August, 2008 at 1:57 p.m. ( Suggest removal )
Yes lovethecoast like you I have only had excellent service from the Nambour Hospital emergency service. Like every emergency section they prioritize each case, if you go in with a sore throat expect to wait a lot longer than someone with a more severe injury. Far better to use the 7 Day Medical centres for the not so serious cases.
on 28 August, 2008 at 4:43 p.m. ( Suggest removal )
As a staff member of Nambour General, I can assure you that only a daily basis we assess our bed situation and on regular intervals throughout the day we monitor our bed situation and pray that we can accomondate those who need us. We do not take this at all lightly and staff are constantly under pressure to facilitate any bed movement possible to assure that an extra person can be admitted. We are constantly aware that this could be one of loved ones waiting for a bed and because of this we are really proactive with bed movements.

The one issue that is constantly adding to our bed pressure is the amount of private patients who are unable to be admitted to the private sector as they are either too sick, no beds for them or no specialist preapred to admit them but these people paying big bucks for their private cover (and are also paying medicare as well) are not aware of how hard it is to be admitted to a private hospital for anything other than Elective surgery....and I don't see the media making comment about this. Come to think about nor is Dr Herdy....and if you try to get into see your GP on the day that you REALLY need to then forget it, that is 2 -3 day wait!
on 28 August, 2008 at 4:58 p.m. ( Suggest removal )
"Prime Minister Kevin Rudd has warned teachers’ unions that the government is intent on lifting national education standards and they should get on board the 21st century."

Why not rate hospitals, waiting lists, and secret lists to get on waiting lists while you're at it Kevvie ?

Bring on the Health Revolution !
on 28 August, 2008 at 5:16 p.m. ( Suggest removal )
On that note. It might be even more difficult for private cover patients to get a bed as the private hospitals have entered in to agreements with the Health Department to take on the overload priority patients from the public system. I don't know if provision is made for the private health fund payers to get priority over the public patient overload.
on 28 August, 2008 at 6:42 p.m. ( Suggest removal )
JustThinking I have worked for 10 years in the private system in senior nursing management and now at the public system and I know that the public system bed managers ring the private hospitals every day on the coast and are told that they will have available beds but none of the specialists are admitting at the moment, or we are told they are overly full with medical patients or that the patients are too sick or too complex, which is not at all the agreement you are talking about.......the private system does not have the same scrutiny or pressure placed on them by the public to provide a service that people are paying big dollars for.
on 28 August, 2008 at 7:26 p.m. ( Suggest removal )
I work at one of the local private hospitals. The specialists are admitting. The surgery lists are about the same as usual...getting that bit busier every year as expected. But yes, we're always quite full with both medical and surgical patients but there still a lot of patients admitted by the specialists throughout the day and evening for various illnesses/accidents. We get a reasonable amount of transfers from the public hospitals...mainly the elderly.
on 28 August, 2008 at 7:41 p.m. ( Suggest removal )
In responding further to the above story, there are some excellent responses from those readers who feel passionate (perhaps) about the state of our hospital system. This afternoon, the Queensland Health Minister was again interviewed on a local radio station here in Brisbane and said that there were cranes on virtually every hospital in this state engaging in upgrades.

I also note a report where the population projection for the Sunshine Coast for the next few years has been down-graded and across other areas of this state. As this will be good news for those living on the Sunshine Coast, there's no excuse for a government department getting staff and more importantly, doctors off-side. Didn't the Health Minister over the 2 years that he has been in the job, made the call that 'we've turned the corner" and that things were improving?

Didn't the minister also say that the demand on hour hospitals was because of people with the flu? Even at the local hospital where I live, I know that the staff are under increasing pressure and even my wife and another lady missed out on a meal for nearly 24 hours because - perhaps, the proper checking wasn't carried out. It just highlights that there's a shortage of staff.
on 28 August, 2008 at 8 p.m. ( Suggest removal )
I think it’s about time the running of Australia’s hospitals was handed over to the Federal Government. The money that is spent on all the useless projects by all governments, state and federal would be much better spent on Australia’s hospital system. After all if you don’t have your health you don’t have a life.
on 28 August, 2008 at 8:54 p.m. ( Suggest removal )
Sorry JustThinking but my knowledge is very different from yours..perhaps you will discover for yourself if you or one of your loned ones requires hospitalisation via DEM of Nambour General, if you have private medical cover. As a manager of a Medical ward at a private hospital here for many years here on the coast, we routinely couldn't accept admissions of complicated social admissions or very sick patients as we did not have the ability or resources to care for these patients and the specialists were not willing to take on such ill people rather leaving these complicated cases for the public system to 'sort' out with the use of social workers and community planning nurses ect..that is why I eventually got jack and moved from the private sector to the public. The surgical admissions into the private system are different...this is all 'case payed' and attracts a much better revenue maker than what is clogging up the public system during an usual winter.
on 28 August, 2008 at 9:57 p.m. ( Suggest removal )
i dont blame the staff as they do a good job. Blame the government . Those gutless wonders need to have one of their family injured before they wake up to the problem.Buti bet they wiil pass the buck as usual
on 28 August, 2008 at 10:39 p.m. ( Suggest removal )
Certainly not disagreeing with you that certain cases aren't accepted in to the private hospital as they don't have the facilities for appropriate care. And also I think the public hospital staff do an amazing job with what they're given to deal with. As far as bill paying goes too, if a patient is in a private hospital long-term then the fund pays less. Which I guess makes that patient 'unattractive' to the private hospitals.

We have private cover, and even though I'm past 'having babies' stage, if I had my time over I still would have my babies in a public hospital due to better facilities in an emergency situation.
on 29 August, 2008 at 8:25 a.m. ( Suggest removal )
Alcoholics and chronic smokers are a huge burden on our health care system, including the expensive critical care areas.
on 29 August, 2008 at 10:08 a.m. ( Suggest removal )
Agree flip. But so are the sun lovers with their sun cancers and associated medical problems, and the ever-increasing amount of overweight people with their myriad of health problems that involves expensive critical care.

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