THE IDENTIFIED NEED
The
Daily Examiner,
31
July 2018, p.1:
Grafton
Base Hospital will offer inpatient mental health services when a
$263.8million redevelopment is funded.
For
the first time the Northern NSW Local Health District has made the
hospital its number one priority in its Asset Strategic Plan for
2018/19.
The
Daily Examiner,
20 October 2018, p.4:
In
July the Northern NSW Local Health District made a rebuild of the
hospital its top priority for the coming year at a cost of
$263.8million.
It’s
report on the priority listing noted the hospital was close to
capacity with inpatient beds, emergency, renal dialysis and
chemotherapy infrastructure expected to reach capacity by 2022 and
infrastructure for ambulatory care services was to reach capacity in
2020.
It
also noted the construction of Australia’s largest jail, due for
completion south of Grafton at the end of 2020, would also place
stresses on the region’s health services.
The
Daily Examiner,
22 November 2018, p.5:
Clarence
Valley Council has also thrown its support behind the redevelopment
of the Grafton Base Hospital.
It
will write to the premier, deputy premier, minister for health, and
member for Clarence Chris Gulaptis expressing its support for the
$263.8m redevelopment.
THE HALF-PROMISES BEGIN
The
Daily Examiner, 8 December 2018, p.22:
More
hospital funding remains in his sights with the potential $268
million rebuild of the tired piece of infrastructure.
The
Daily Examiner, 19 December 2018, p. 9:
Mr
Gulaptis said he was continuing to pressure the government to
allocate the $268 million funding for the hospital…..
THE REPETITIVE PROMISES
Clarence
Valley Independent, 13 March 2019:
Gulaptis
promise of $263m Grafton Hospital overhaul
The
Daily Examiner, 21 June 2019, p.3:
The $263 million
commitment to the Grafton Base Hospital redevelopment was made in the
final weeks of the campaign in March and is just one of many major
infrastructure promises outlined in the 2019-20 Budget Papers.
However, there there was no specific line item in the 2019-20 Budget
and Nationals MP Chris Gulaptis was quick to point out it would take
time.”
The
Daily Mercury, 31 July 2020:
HEALTH NEEDS CONTINUE UNMET
North
Coast Voices,
21 February 2021:
PUBLIC
HOSPITAL ELECTIVE SURGERY MEDIAN WAITING TIMES IN NORTH-EAST NSW......
Grafton
Base Hospital:
Hip
replacement
- the median wait was 6 days in 2011-12 and blew out to 77 days by
2017-18 and latest figures for 2019-20 stand at 67 days.
Total
knee replacement
- the median wait was 10 days in 2011-12 and blew out to 145 days by
2017-18 and latest figures for 2019-20 stand at 135 days.
Shoulder
joint replacement
- the wait was 8 days in 2016-17 and blew out to 11 days by 2017-18
and latest figures for 2019-20 stand at less than 5 days.
Ophthalmology
- the median wait was 285 days in 2011-12 and latest figures for
2019-20 stand at 326 days, the highest median waiting time in the
last nine financial years.
Between
July and September 2020 a total of 652 unspecified elective surgery
procedures were performed.
Clarence Valley Independent, 10 August 2022:
The
Clarence Valley Independent hit the streets last week and asked
members of the public to share their thoughts after the Northern NSW
Local Health District (NNSWLHD) revealed Grafton Base Hospital (GBH)
had no on-site obstetrician, or available locums to cover shortages,
and subsequently, expectant and birthing mothers were being referred
to Lismore Base Hospital and Coffs Harbour Health Campus.
The
NNSWLHD released a second statement two days later, announcing staff
had altered their rosters to ensure previously advised gaps in
specialist obstetrician cover were filled.....
THE PROMISES CONTINUE AND SO DO THE PROBLEMS
NSW
Nationals,
media
release,
25 January 2023:
Regional
Health and Mental Health Minister Bronnie Taylor, Nationals’ Member
for Clarence Chris Gulaptis, and Nationals’ candidate for Clarence
Richie Williamson have announced a major step forward in the $264
million Grafton Base Hospital redevelopment.
ABC
News, 25 January 2023:
After
her knee replacement surgery was cancelled twice last year, Yamba
woman Rosalind Walsh could not bear to think it might happen again.
The
72-year-old was scheduled this week for orthopaedic work at Grafton
Base Hospital in northern New South Wales, but was called on the day
by hospital management asking her to stay home.
"They
just said, 'We don't have a bed'," Ms Walsh said.
"They
said, 'We can't do the surgery, but you're still booked in'."
Anaesthetist
& former Grafton Medical Staff Council chair Allan Tyson said
there were real repercussions for people who missed out.
"It
is common," he said.
"We
have to say, 'Sorry, you have to go home because the surgery can't be
done'.
"It's
not just elective surgery, if you can't walk."
Dr
Tyson said the Grafton hospital was operating well beyond its
capacity.
"We've
got 18 patients in a ward today that is funded for eight patients,"
he said.
"Last
week our fly-in surgeon missed out on three or four joint surgeries
that we should have done, but didn't have the bed space.
"In
the end, it's our patients that miss out."
For
Rosalind Walsh, however, a long wait outside the hospital was worth
it.
The
ABC understands hospital management was able to redirect patients
from the emergency department, resulting in a spare bed so Ms Walsh
could have her knee surgery & recover in hospital.
Paid
doctors with nowhere to work
Northern
NSW Local Health District chief executive Wayne Jones said surgeons,
including those flying in to regional hospitals to help reduce
elective surgery waitlists, were at times unable to operate.
"As
chief executive it hurts to the bone to pay money I'm not getting a
return on," he said.
"The
reality is at times you can't avoid that.
"There
is [an] unprecedented bed block that we're experiencing."
Mr
Jones said administrators were planning as much as they could.
"It
is worth noting that we're seeing a real decline in those overdue
waits, over the last four or five months, as we're starting to
develop more models of care," he said.
"We're
doing surgery in our smaller facilities, we're freeing up beds &
facilities in places like Grafton, so we are getting through more."
NSW
Regional Health Minister Bronnie Taylor visited the hospital this
week to commit to a new $274-million new hospital in Grafton — a
similar pledge to a 2019 state election promise…...