ANMF Australian Nursing and Midwifery Federation Journal, 1 September 2021:
The Australian Nursing and Midwifery Federation (ANMF) has written to Prime Minister Scott Morrison to outline its significant concerns regarding the government’s national plan to re-open Australia and transition the country’s pandemic response based on the Doherty Institute’s COVID-19 modelling and the Commonwealth Department of Treasury’s economic analysis.
In the letter, the union requests that more detailed modelling and analysis be undertaken and considered by National Cabinet before it takes any further steps to re-open the country.
“As you are aware, the nursing and midwifery workforces, as the largest and best distributed components of the health workforce, are fundamental to ensuring that the Australian community remains safe and healthy both during COVID outbreaks and as we seek to gradually move the nation beyond the current ‘suppression phase’ of the COVID-19 response,” ANMF Federal Secretary Annie Butler wrote.
“This means that the impacts of re-opening and transitioning the country’s national COVID-19 response prematurely without adequate planning or sufficient resourcing will disproportionately affect nurses and midwives and their capacity for ongoing delivery of quality care.”
Ms Butler argued the Doherty modelling, which currently underpins the government’s proposed re-opening plan, fails to take into account all the factors affecting this capacity.
Specifically, the ANMF has called on the government to consider the following factors before re-opening:
Current health system demand capacity, including expansion capacity, both critical care and general, and management of non COVID health demand
Assessment of safe vaccination targets, which include the entire population, not just those currently eligible
Vaccination rates needed for vulnerable populations, including those aged over 70 and other high-risk groups
Management of anticipated vaccination rollout channels for boosters, once recommended
The impact of the Delta and future variants, including on children, particularly in the context of uncontrolled community transmission, as is currently occurring in NSW
How the test-trace-isolate-quarantine TTIQ workforce will be fully resourced and maintained without impacting the nursing and midwifery workforces
How to ensure all communities across Australia will have equal access to safe healthcare as we progress through the pandemic
Like all Australians, Ms Butler said the ANMF was keen to transition the country’s COVID-19 response from one of strict virus suppression to more relaxed restrictions. However, it cannot happen without first addressing critical concerns, she warned.
“We cannot overstate the importance of ensuring that we do not make this transition until we can guarantee that vaccination rates and appropriate public health measures are sufficient to allow the health and aged care systems and their workforces to be able to continue to deliver best practice care to all those requiring it.”
AMA calls for stronger quarantine model – a need to move away from temporary measures and introduce permanent quarantine solutions
Australian Medical Association, 2 September 2021:
The AMA has called for an urgent stocktake of potential quarantine sites around Australia in a submission to the Chair of National Review of Hotel Quarantine, Ms Jane Halton AO PSM. Ms Halton invited the AMA to provide this submission as part of her further review into Australia’s quarantine arrangements.
Australia’s current hotel quarantine has resulted in over 30 breaches, one of which has led to the third wave of infections. Australia needs to move away from this temporary measure and introduce permanent quarantine solutions.
The AMA has welcomed the announcement of the three quarantine facilities announced in recent weeks, however the facilities will take months to complete. The AMA is also concerned about the lack of engagement with the local medical communities in the vicinity of these facilities.
The submission also calls for further examination of the options for expanding home quarantine for fully vaccinated people arriving from lower risk locations. This would alleviate some of the burden on quarantine facilities.
AMA President Dr Omar Khorshid will meet with Ms Halton in the coming weeks to further detail the AMA’s priorities in ensuring Australia has a robust quarantine regime. Underpinning the AMA’s position are two goals: To prevent COVID-19 originating overseas from spreading through Australia, and to ensure that Australians can continue to return here from overseas, ideally in increased numbers.
National Cabinet needs to look at the whole Australian hospital system, not just ICU beds
Doorstop interview, 2 September 2021:
DR OMAR KHORSHID: The AMA is today calling on National Cabinet to look at the capacity of our hospital system, not just ICU beds, but our whole hospital system, to make sure that once we open up, we don’t see a disastrous reduction in the care available to Australians who are sick simply as a result of increase in the risk of COVID in the community from opening up. And of the hospitals having to pivot towards treating COVID without treating all those other conditions that people currently present with.
The reality in public hospitals in Australia right now is that they are full, they are always full, and there are ambulances parked outside, too many of them as we speak, simply because the hospitals don't have the capacity to look after the healthcare needs of Australians. That's before COVID. And we know that as soon as COVID comes into the community, hospitals will have to stop doing elective surgery. They will have to turn their ICUs into COVID ICUs. And that means people not being able to access lifesaving cancer surgery, lifesaving heart surgery, because the ICUs will have very sick COVID patients to look after, patients who stay in the ICUs for weeks and weeks.
Now, we are not worried that our system will fail to look after COVID patients. We think the planning has been done, but we are worried about Australians who get heart attacks, who need surgery, who have a sore hip, who are going to miss out on care if we don't get the planning right. Our hospitals are starting from a position of being completely overloaded, and adding more to that load is only going to make things worse. So we're asking National Cabinet to take that into account with their planning. Is it right to open up at 70 or 80 percent if the hospitals are going to predictably fail within weeks? Which will, of course, send us straight back into lockdowns, which would be extremely disappointing for all Australians or is there a better way to plan to use our system, to make sure that the resources that we do have, limited as they are, can be best pointed towards the most efficient care possible?
Now, we're asking for planning not just around ICU beds, but around all the processes, the staffing, how we deal with COVID in hospitals, how we run our primary healthcare sector, so that we've got the best chance that when Australia does open up to the rest of the world, when we do open up our interstate borders, that we have a healthcare system available to everybody who needs it. It’s a pretty simple ask, but it's a complex task. And we believe that we must use the available weeks and months that we have, to get that planning done so that the healthcare system doesn't become the handbrake on Australia's economy and our ability to open up…...
