NSW Parliamentary Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales public hearings begin on 19 March in Sydney, with one hearing scheduled for the NSW North Coast at Lismore on 16 June 2021

 

A NSW Parliamentary Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales was established in September 2020.

Public hearings begin on 19 March in Sydney, with one hearing scheduled for the NSW North Coast at Lismore on 16 June 2021.

Submission excerpts as examples of what the Inquiry has heard thus far

“Increase in work load adding pressure to perform unreasonable duties on your shift, resulting in working past your finishing time to complete patient notes and not getting paid to stay back, missed morning teas and lunch breaks due to patient work loads, overtime due to staff calling in sick and staff leaving the service due to burn out and not getting replaced, bullying from senior management is rife, medication errors due to over worked and high stress levels all caused by management, staff are being put on performance management programs due to, not being able to perform duties on shift, due to patient work loads, morale is at its lowest, nurses victimised for complaining or putting in an imms, lack of recruitment and the process being very complex and sometimes taking over 3 months to recruit a single nurse, our patients deserve much better from the health system which is broken and putting nurses registration at risk, with no support from management” [Name Suppressed, Submission No.2 out of 703 submissions received by Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales]

“In November 2016 my mum had a fall and broke her pelvis. She was taken to Maitland Public hospital . She had suffered brain surgery and radiation treatment earlier in the year. She was 84. On the first day of her admission to hospital a resident doctor shocked both my father and myself telling us she would probably die not from the broken pelvis but from being in hospital. My dad and myself visited her every day for the next 8 weeks. She was sent to a neighbouring hospital at Kurri Kurri 3 times and returned twice with infections and delirious and we were never actually told why she was deteriorating so much. She would be very agitated saying she was not attended to when she wanted to go to the toilet. Then she was told she needed to try to walk and was using a walker, then all of a sudden that was taken away and a nurse said she was never supposed to start rehab yet. So much confusion and no one still explained to us exactly what would happen to her. No communications or accurate ones anyway.

And then it was Christmas we were going to try to get her home just for a couple of hours but on Christmas Eve she apparently had a stroke and was transferred close to a nurses station for observation her confusion level was beyond belief. On the day after Boxing Day I got a call from my dad very upset saying they were transferring mum back to Kurri hospital for rehab. I was very angry with this decision and went straight to Maitland hospital mum was screaming pleading not to be taken back there as she had already been there twice and sent back very sick both times. I argued with the nurse that it should not happen but she said there was no choice as it was about numbers. we were allowed to go in the ambulance with mum and she was crying all the way, even the ambulance drivers seemed upset. When we arrived at Kurri hospital we were met by a nurse who made a comment that surely someone else could have been transferred today.

Mum died two days later she was broken by this stage and made a comment to me that when you get to a certain age they don’t care about you any more. I said it wasn’t true at the time but ponder that question every day. Mum was a wonderful Wife, Mother, grandmother , great grandmother, sister and friend to many I miss her every day. My daughter sent a letter to Maitland Hospital and we did receive an apology for her treatment after an investigation.

Too late.”

[Name Supplied, Submission No.7 out of 703 submissions received by Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales]

“The Tweed Hospital is a Peer Group B hospital that currently has 255 beds and Level 5 emergency department.

Currently at Tweed Hospital, Nursing Hours Per Patient Day wards (Medical and Surgical) are funded at 5.5 hrs instead of the 6.0 hrs that Peer Group A hospitals receive.

At Tweed the Surgical and Medical Wards are no different to any other wards of a city hospitals. The same type of patients with the same level of acuity, but at Tweed Heads every patient receives 0.5 hrs less care due to their postcode.

Our Hospital routinely has between 95%-104% occupancy and 5.5 NHPPD has a huge impact on delivering safe patient care and nursing workload.

Staffing retention is also an issue here at Tweed Heads due to our proximity to the Queensland Border, nurses no longer must put up with the horrendous workload, risks to their registration or their ability to deliver safe patient care. Many nurses have left the NSW system preferring to work in Queensland at the University Hospital 20 minutes up the highway:

They have Ratios 1:4

Education Allowance of $1800 per year

100% Salary Sacrifice

Higher pay rate by $3,000 per year

Higher penalty rates on Night Duty”

[Name Supplied, Submission No. 178 out of 703 submissions received by Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales]

“In March 2012 the LHD announced it would develop a Clinical Services Plan for Coraki and surrounds to assess the health needs of the area and make recommendations on how those needs could best be met. That Plan was completed, with community input, in August 2012. It recommended the adoption of a 'HealthOne Model of Care' - bringing together Commonwealth- funded general practice and state-funded primary and community health services in the one facility. After considerable lobbying by the Reference Group the NSW Government allocated $4 million for the construction of the HealthOne in 2016 and the facility was opened in May 2017.

According to various publications by NSW Health the key features of the HealthOne model that distinguishes it from other primary and community health services are integrated care provided by co-located general practice and community health services; organised multidisciplinary team care; care across a spectrum of needs from prevention to continuing care; and client and community involvement. In Coraki we now have an impressive new HealthOne which has consulting rooms for two GPs and houses a variety of community health practitioners. Regrettably, since its opening it has not been possible to attract a single GP to the purpose-built facilities. We feel we have a HealthOne without a heart.

We are aware the lack of a GP is not unique to Coraki and that it is shared by many rural and regional communities across NSW. We are hoping this inquiry will shine a light on this problem and spur governments, both State and Commonwealth, to come up with solutions.

In Coraki's case a possible solution might be to expand the HealthOne into a Multi-Purpose Service. There is a 49-bed aged care facility adjacent to the HealthOne (operated by Baptist Care) and the future expansion of the HealthOne was allowed for in its planning and design. The Reference Group notes that a recent Commonwealth Government Report (Review of the Multi-Purpose Services Program - 2019), which was done in consultation with state and territory governments, found that the MPS is a sound model for delivering integrated health and aged care services in rural and remote communities and made recommendations, which have in large part been accepted by the Commonwealth Government, to strengthen and expand the MPS program. An MPS in Coraki, with its expanded range of health services and clients, would enhance the attractiveness of Coraki for prospective GPs.

Finally, we wish to draw the Committee's attention to the lack of an ambulance in Coraki. While ambulances are available from Casino, Evans Head and Lismore, the extra half hour they take to reach Coraki can be critical….” [Name Supplied, Submission No. 179 out of 703 submissions received by Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales]

 

“To support our submission we would like to highlight anecdotal evidence of an issue that is raised time and time again – The need for increased funding for public health professionals working across the cancer care coordination/ social work areas to be more available to patients.

We have heard of many case studies from patients across the Northern Rivers and Far North Coast, ranging from private and public treatment centres about such barriers to better health outcomes.

One case study – a gentleman with Basal Cell Carcinoma of the outer nose, lost most of the features of his nose after surgery. This patient continued about his daily life with social anxiety, unable to go back to a normal daily life. Until one day, quite simply he was asked by a fellow patient to the reasons why he had not considered a prosthetic nose free of charge through a charitable support scheme. His heartbreaking response “I never had knowledge of such option, or service available to someone like me with limited financial means”. Please conceive, if only this patient had been linked to an appropriate cancer care coordinator or social worker, his burden could have been lifted much sooner and thus contributing to better outcomes. How many more patients are currently in the same position?

Another case study we would like to highlight is of a female who had undergone lumpectomy just over the border in Queensland. A breast cancer nurse who happened to be on shift advised - as this patient was living in New South Wales and not Queensland, she was not eligible to any support services. Therefore she was advised to go home to Byron Hospital and request community social work support. Once at Byron Bay Hospital, she was told that the hospital was only issued with two community social worker services per week, and that as it was now Thursday, they had already been handed out for the week. This patient was left alone at home, without support and in pain, not even able to slice a tomato for a salad. She was not even given a phone number to contact. With so many questions and with no one to turn to, she was left overwhelmed, scared and unsupported.

Had there been a dedicated cancer care coordinator available to both patients as highlighted in our case studies, they would have received the appropriate care deserved and thus better health outcomes.

We passionately could continue highlighting similar case studies as of the two above, however we hope these testimonies clearly demonstrate the priority need for increased funding for socio/emotional support during and after treatment.” [Name Supplied, Submission No. 184 out of 703 submissions received by Inquiry Into Health Outcomes And Access To Health And Hospital Services In Rural, Regional And Remote New South Wales]

All written submission made to the Inquiry can be found at 

https://www.parliament.nsw.gov.au/committees/inquiries/Pages/inquiry-details.aspx?pk=2615#tab-submissions

A little ray of sunshine out Casino way

 

Richmond River Times, 3 March 2021

A 52 ha mixed soybean, corn and cane farm on the Casino Coraki Road in the NSW Northern Rivers plants sunflowers as a rotation crop.

When the sunflowers are in full bloom in the roadside paddocks the mass effect attracts both locals and tourists. Photos with the crop in the background seem to be the order of the day.

This year cut sunflowers blooms were available at the roadside for a donation via a secure charity box to allow visitors depart with a handful of sunshine. 

All money raised went to the Casino Cancer Group.

Hopefully sunflowers will be a crop visible from the road again next year.

On Wednesday 3 March 2021, Australian of the Year, 26 year-old Grace Tame gave a televised National Press Club of Australia Address

 

Grace Tame
Australian of the Year 2021
Image: australianoftheyear.org.au

On Wednesday 3 March 2021, Australian of the Year, 26 year-old Grace Tame gave a televised National Press Club of Australia Address.

This is the news.com.au published transcript of that address. It does not include the question and answer period at the end of the address:

“In April of 2010, I was battling severe anorexia. Truth be told, I still am.

“This illness had nearly taken my life the year prior, and seen me hospitalised twice. Bone thin and downed in fine down hairs from malnourishment, I was picked on for the way I looked. My mum was eight months pregnant at 45. I was a 15-year-old student at a private girls’ school in Hobart.

“I arrived later to discover the rest of my Year 10 classmates were attending a driving lesson off campus I had completely forgotten about. Lapses like this weren’t uncommon – I was barely there. One of the senior teachers saw me walking around aimlessly in the courtyard. He was very well respected, the head of maths and science at the school for nearly 20 years. He taught me in Year 9. I thought he was funny. He told me he had a free period and asked me to chat with him in his office. He asked me about my illness, I talked, he listened. He promised to help me, to guide me in my recovery.

“As a teenager with no frame of reference, and thinking nothing odd of this, I told my mother about the conversation. My parents had a meeting with the school principal, requesting the teacher stay away from me. In (a) meeting I then had, I think to apologise to him for putting him in this position in front of the principal. I was told I had done something wrong.

“Thus, the first seeds of terror, confusion, and self-doubt were sewn in my mind. Indeed, it didn’t make sense. In secret, he was adamant I still come to see him. To talk. My parents were against me, he insisted. I was not to tell them because they wouldn’t understand. Pregnant women, he said, were full of hormones. That must be why my mother and I were arguing.

“He gave me a key in his office, where it was always music playing, and the same music always, Simon and Garfunkel. Over a period of months he made me feel safe. I was sexually abused as a six-year-old by an older child who told me to undress in a closet before molesting me. He told me he would never hurt me. Until he did. By way of a masterful re-enactment I didn’t see coming. With a closet. And an instruction to undress.

“Most of you know the story from there. That is, how I lost my virginity to a 58-year-old paedophile and spent the next six months being raped by him at school nearly every day on the floor of his office. When I reported him to police, he found 28 multimedia files of child pornography on his computer. As per the lasting impact of and manipulative grooming and a four months after the abuse, I effectively defended him in my statement. I was terrified he would find out I betrayed him and he would kill me. He was two years in jail for maintaining a sexual relationship with a person under the age of 17.

“Repairing myself in the aftermath of all this was not a simple, linear undertaking. For every step forward, there were steps back and to the side, and some almost off the edge. I saw counsellor after counsellor. But I also abused drugs, drank, moved overseas, cut myself, threw myself into study, dyed my hair, made amazing friendships, got ugly tattoos, worked for my childhood hero, found myself in violent relationships, practised yoga, even became a yoga teacher.

“I starved, I binged, and I starved again. One of the toughest challenges on my road to recovery was trying to speak about something we were taught is unspeakable. I felt completely disconnected from myself and everyone around me. Many people didn’t know how to respond. That said, the ones who listened, the ones who were eager to understand, even when they couldn’t, made all the difference.

“Still, the doubt lingered. How could I have been so stupid, as to not see what this man was doing from the outset? Was it my fault? Should I have known it was a lie when he said he learned more from me than any of his other students? Maybe I should have been more alarmed when he asked me if I knew where my clitoris was. It was when the perpetrator was released after serving 19 months for abusing me, correction, maintaining a sexual relationship with me as a 15-year-old, and then spoke freely to the media about how awesome it was, I realised we had this all around the wrong way.

“Add the fact this man was awarded a federally funded PhD scholarship to the only university in my state. My mother was studying there. She soon dropped out because of his presence. In fact, he was put in student accommodation. Despite multiple reports to police by fellow students of his predatory behaviour, and once again convicted and jailed for his vulgar public comments during his PhD tenure, he was eventually awarded a doctorate.

“After all this, it became quite obvious to me why child sex abuse remains ubiquitous in our society, while predators retain the power to get what they want, to objectify their targets through free speech, the innocent, survivors and bystanders alike, are burdened by a shame-induced silence.

“I connected with groundbreaking fellow survivor and journalist, Nina Funnell. I needed to raise awareness and educate others about sexual abuse and the prolonged psychological manipulation that belies it. After months of recounting, retraumatising details, tearfully transposed by Nina, we discovered we were barred by section 194k of Tasmania’s evidence act, that made it illegal for survivors of child sexual abuse to be identified by the media, even after turning 18, even with their consent. Nina created the Let Her Speak campaign to reform this law. We were then joined by 16 other brave survivors who lent their stories to the cause. The law was officially changed in April last year, almost 10 years to the day from the beginning of my story.

“It is so important for our nation, the whole world, in fact, to listen to survivors’ stories. “Whilst they’re disturbing to hear, the reality of what goes on behind closed doors is more so. And the more details we omit for fear of disturbance, the more we soften these crimes. The more we shield perpetrators from the shame that is resultedly misdirected to their targets. “When we share, we heal, reconnect, and grow. Both as individuals and as a united strengthened collective. History, lived experience, the whole truth, unsanitised, and unedited, is our greatest learning resource. It is what informs social and structural change. The upshot of allowing predators a voice but not survivors encourages the criminal behaviour.

“Through working with Nina, finally winning the right to speak, and talking with fellow campaign survivors and countless other women and men who have since come forward, it has become clear that there is the potential to do so much more to support survivors of child sexual abuse to thrive in life, beyond their trauma. And more so, to end child sexual abuse. It is my mission to do so. And it begins right now. As a fortunate nation, we have a particular obligation to protect our most vulnerable. Our innocent children, and especially those further disadvantaged through circumstance, being part of a minority group, or geographical location. And there are three key areas that we can focus on to achieve this.

“Number one, how we invite, listen, and accept the conversation, and lived experience of child sexual abuse survivors. You have heard me say it before, it all starts with conversation. Number two, what we do to expand our understanding of this heinous crime, in particular, the grooming process, through both formal and informal education. Number three, how we provide a consistent national framework that supports survivors and their loved ones, not just in their recovery, but also to disempower and deter predators from action.

“So, what is it that we must do? First and foremost, let’s keep talking about it. It’s that simple. Let’s start by opening up. It is up it us as a community, as a country, to create a space, a national movement where survivors feel supported and free to share their truths. Let’s drive a paradigm shift of shame away from those who have been abused and onto abusive behaviour. Let’s share the platform to remind all survivors that their individual voice matters amongst the collective. Every story is imbued with unique catalytic educative potential that can only be told by the subject. Let us genuinely listen, actively, without judgment, and without advice to demonstrate empathy and reinsure it never was our fault. Further to this point, while I must express my unflinching gratitude for this new-found platform, I would like to take this particular opportunity to directly address the media with a constructive reminder – the need for which has become starkly apparent to me this past month.

“Hosts, reporters, journalists, I say to you – listening to survivors is one thing – repeatedly expecting people to relive their trauma on your terms, without our consent, without prior warning, is another. It’s sensation. It’s commodification of our pain. It’s exploitation. It’s the same abuse. Of all the many forms of trauma, rape has the highest rate of PTSD. Healing from trauma does not mean it’s forgotten, nor the symptoms never felt again. Trauma lives on in ourselves. Our unconscious bodies are steps ahead of our conscious minds. When we’re triggered, we’re at the mercy of our emotional brain. In this state, it’s impossible to discern between past and present. Such is retraumatisation.

“I cried more than once while writing this. Just because I’m been recognised for my story doesn’t mean it’s fair game anywhere, any time. It doesn’t get any easier to tell. I may be strong, but I’m human, just like everyone else. By definition, truths cannot be forced. So grant us the respect and patience to share them on our own terms, rather than barking instructions like take us back to your darkest moment, and ‘tell us about being raped’. The cycle of abuse cannot be broken simply by replaying case histories, we cannot afford to back track. Else, we’ll go around in circles, trapped in a painful narrative, and we’ll all get tired, both as speakers and listeners. We’ll want to switch off and give up. And retreat once more into silence.

“On average, it takes 23.9 years for survivors of child sexual abuse to be able to speak about their experiences. Such is the success of predators at instilling fear and self-doubt in the minds of their targets. More so than they are masters of destroying our trust in others, perpetrators are masters of destroying our trust in our own judgment. In ourselves. Such is the power of shame. A power, though, that is no match for love. When I disclosed my abuse to another of my teachers, Dr William Simon, his absolute belief in me was the only assurance I needed to tell the police. It helped me recover a little of my lost faith in humanity. There certainly isn’t a single rigid solution. Solutions will naturally come in due course by allowing and enabling voices to be heard.

“Certainly, talking about child sexual abuse won’t eradicate it, but we can’t fix a problem we don’t discuss, so it begins with conversation. Which brings me to my second point: from there, we need to expand the conversation to create more awareness and education. Particularly around the process of grooming.

“Grooming – it’s a concept that makes us wince and shudder and as such, we rarely hear about it. To the benefit of perpetrators. While it haunts us, and we avoid properly breaking it down, the complexity and secrecy of this criminal behaviour is what predators thrive on. In turn, we enable them to charm and manipulate not just their targets, but all of us at once, family, friends, colleagues and community members, and this must stop. Our discomfort, our fear, and resulting ignorance needs to stop giving perpetrators the power and confidence that allows them to operate.

“As a start, we should all be aware of what has been identified as the six phases of grooming, that certainly ring true in my experience. Number one, targeting. That is, identifying a vulnerable individual. In my case, I was an innocent child, but I was anorexic, with significant change happening at home. Number two, gaining trust. That is, establishing a friendship and falsely lulling the target into a sense of security, by empathising and assuring safety. For me, that is what I thought was listening to my challenges. Empathising with my situation, and providing me a safe space to retreat to when I needed it. Number three, filling a need. That is, playing the person that fills the gap in a target’s mental and emotional support. In my case, although I was surrounded by an incredibly attentive family and team of medical professionals, most of their support came in the form of tough love. The teacher thus assumed the role of sympathiser, telling me what I wanted to hear. Number four, isolating, driving wedges between the target and their genuine supporters. This involves pushing certain people away, but exploiting others. I remember studying the film Iron Jawed Angels in history. The main character is force fed, much like I had been. Aware of my distress upon seeing this, my history teacher quietly led me out of the classroom. I said nothing. But she took me straight to his office. Where she left me with him. Panicked, in tears. It wasn’t until many years later I questioned why she and other staff would take me to him when I was upset. Staff he privately mocked and referred to as ‘the menopausal virgins club’. He must have told them. Number five, sexualising. That is, gradually introducing sexual content as to normalise it. In my case, in conjunction with subtly explicit conversation, I was carefully exposed to material that glorified relationships between characters with significant age differences. There was one film in particular he made me watch, called The Prime of Miss Jean Brodie, the last line of which, ‘Give me a girl at an impressible age, and she is mine for life’.

“And remember how I said Simon and Garfunkel was always playing? Their music was the soundtrack to The Graduate. He made me watch that too. It was, both literally and figuratively, The Sound of Silence. You know the lyrics. The vision that was planted in my brain, still remains, within The Sound of Silence. Number six, maintaining control. That is, striking a perfect balance between causing pain and providing relief from that pain. To condition the target to feel guilt at the thought of exposing a person that also appears to care for them. Abusers scare you into silent submission. At over six foot, he towered above me. He once told me a story about a friend of his who sought revenge on a woman by digging her eyes out with a spoon. He told me he killed people as a soldier. He’d also sit outside on my street at night in his car, to watch me undress through the window. I was already embarrassed by my shape as a young teenager in eating disorder recovery. I remember standing naked behind his desk after he had just raped me, and asking him if he thought I was fat. He looked me up and down and said, ‘You could do with some more exercise’. Like I was a dog. But he also told me I was beautiful. See, how it is all stiflingly, painfully complex?

“But as we talk more about child sexual abuse, our lived experiences and what we know, our understanding of this premeditated evil will continue to develop. We need to warn our children, age appropriately, of the signs and characteristic behaviours, while educating how to report it, should it happen to them, or to those around them. This is a serious enough topic, unfortunately too common in occurrence for us to hope that kids know this. So I challenge our education system to look for ways to more formally educate our children. Because we know that education is our primary means of prevention.

“And finally, to my third point, we need structural change. A national system that supports and protects survivors and deals with crimes in proportion to their severity. Let’s start by considering the implications of linguistics related to offences. Through Let Her Speak campaign efforts, we saw the wording of my abuser’s charge officially changed from maintaining a sexual relationship to a person under 17, to the persistent sexual abuse of a child. Think about the difference in the crime according to the language of both of these. Think about the message it sends to the community. Think about the message it sends survivors. Where empathy is placed, where blame is placed, and how punishment is then given. We need to protect our children not just from the physical, mental, and emotional pain of these hideous crimes, but from the long lasting sometimes lifelong trauma that accompanies it. Whilst national structural change is no small feat, nor is educating our children on the dangers and the complexities of grooming, it is work that needs to be done and we need to start somewhere.

“Let’s start by reviewing our linguistics and agreeing between ourselves. We have eight different state and territory jurisdictions and eight different definitions of consent. We need to agree on something as absolute as what consent is. We need a uniform, state and federal, national standard definition of consent. Only then can we effectively teach this fundamentally important principle consistently around Australia.

“Since I was announced as Australian of the Year just over a month ago, hundreds of fellow child sexual abuse survivors have reached out to me to tell their stories. To cry with me. Stories they thought they would take with them to the grave, out of shame for being subjected to something that was not their fault. Stories of a kind of suffering they had previously never been able to explain. Stories of grooming. I am one of the luckiest ones. Who survived, who was believed, who was surrounded by love.

“And what this shows me is that despite this problem still existing, and despite a personal history of trauma that is still ongoing, it is possible to heal, to thrive, and live a wonderful life. It is my mission and my duty as a survivor and as a survivor with a voice to continue working towards eradicating child sexual abuse. I won’t stop until it does.

“And so, I leave you with these three messages – number one, to our government – our decision-makers, and our policymakers – we need reform on a national scale. Both in policy and education. To address these heinous crimes so they are no longer enabled to be perpetrated. Number two, to my nation, the wonderful people of Australia – we need to be open, to embrace the conversation, new information, and take guidance from our experiences so we can inform change. So we can heal and prevent this happening to future generations.

“Number three, and finally, to my fellow survivors – it is our time. We need to take this opportunity. We need to be bold and courageous. Recognise that we have a platform on which I stand with you in solidarity and support. Share your truth. It is your power. One voice, your voice, and our collective voices can make a difference. We are on the precipice of a revolution whose call to action needs to be heard loud and clear. That’s right. You got it. Let’s keep making noise, Australia.”

International Women's Day Australia, 8 March 2021

 

Australia 2021
Based on a 2018 Chronicle Herald editorial cartoon, via @Bloss55

Morrison government is facing growing backlash from the disability community over a plan to introduce “independent assessments” to the national disability insurance scheme by the middle of this year

These are the private assessors that the Morrison Government announced it has contracted eight companies to do ‘independent' assessments on people who are current participants or applying to enter into the National Disability Insurance Scheme.

Having supplied little more than business names for these independent assessors, this is the scant information I have collected since reading The Guardian news article of 7 March 2021.

1. Outlook Matters Psychology, Innovative Rehab, Pain NT - business names for Victorian for profit company Outlook Matters Pty Ltd offering Therapeutic Supports and Early Intervention Supports for Early Childhood (deafness & mental health).

2. Konekt Limited – a company listed on the stock exchange has 9 for profit subsidiaries. Provides organisational health and risk management solutions. Its 4 directors have backgrounds in banking, accounting, marketing, financial services, health insurance and one was formerly a senior executive in Rupert Murdoch’s infamous London-based News International PLC and currently chairs a data centre company, NEXTDC Limited.

3. Rehab Management (Aust) Pty Ltd – occupational rehabilitation and corporate health services provider. One of 5 for profit subsidiaries belonging to Arriba Group Pty Ltd. It has offices in all states and territories

4. Access Care Network Australia Pty Ltd – registered as a charity this WA company provides advice, support and referral to enable people to remain living in their own homes.

5. IPAR Rehabilitation – for profit provider of injury prevention, occupational rehabilitation and return to work services in Australia, with offices in every state and territory.

6. Advanced Personnel Management (APM) – member of the multinational APM Group, acts as a for profit employment agency for people with illness, injury or disability.

7. HealthStrong Pty Ltd - a for profit residential aged care and home care provider owned by Australia’s second largest health insurance company Medicare Private Limited.

8. Allied Care Group – a subsidiary of Zenitas Healthcare Ltd, a for profit home care provider listed on the Australian Stock Exchange (formerly known as Zenitas Healthcare Limited, BGD Corporation Ltd, Boulder Steel Ltd, Boulder Group Nl, Boulder Gold N.L).

This panel will be in place for three years, with the option for the National Disability Agency (NDIA) to extend it for two more years.

BACKGROUND

The Guardian, 7 March 2021:

The Morrison government is facing growing backlash from the disability community over a plan to introduce “independent assessments” to the national disability insurance scheme by the middle of the year.

Under the current process, applicants submit evidence from experts, including their specialists, and these reports are evaluated by the National Disability Insurance Agency.

From mid-2021 they will undergo an “independent assessment” by an allied health professional employed by one of eight contracted providers paid by the government.

The changes have sparked widespread backlash, including from a coalition of 25 disability advocacy groups which this week called for the plan to be scrapped.

They said their clients had expressed “acute fears regarding the risks to their health, wellbeing and access to reasonable and necessary supports”.

Labor, the Greens, and the Liberal MP Russell Broadbent have also suggested the change is a cost-cutting exercise, a claim strongly denied by the government.

The government argues that people with disabilities and their families are now forced to spend money collecting reports from experts. This has meant outcomes have been inconsistent and too often based on where a person lives or their access to health professionals.

This week the NDIS minister, Stuart Robert, released data showing plans were worth more on average in more affluent electorates in Adelaide, compared with less wealthy areas.

The government says the assessments – which will be free of charge and last about three hours on average – will create an easier, “streamlined” process.

Yet some people who have already taken part in an independent assessment have been highly critical of the plan.

Aaron Carpenter, a 41-year-old who lives with autism and agreed to take part in the pilot program, told the Guardian the experience had been “dehumanising”.

When he applied for the scheme, Carpenter’s own clinical psychologist wrote a report outlining the functional impact of his disability.

He questioned why his independent assessment was instead conducted by a physiotherapist.

Carpenter said he was asked many “yes or no” questions with “no context” and was at one point asked to complete a “task”, which was to make a cup of tea.

The NDIA has told participants the assessments include questions “about your life and what matters to you, and ask to see how you approach some everyday tasks”, and will also include some “standardised assessment tools”.

Carpenter said: “There’s a level of trauma that comes with disability and it’s through being made to be like a dancing monkey.

“We almost have to tell our story every single time we see somebody. To do that with a complete stranger, over the course of an hour or two, cannot capture us at all.”

After the assessment was finished, Carpenter applied to the NDIA for a copy of the independent assessor’s report.

He was dismayed when he saw a section titled “self-harm” was listed as “not-applicable”.

“When I have a bit of a sensory meltdown, it’s not nice,” he said. “I will punch things, I’ll punch myself, I’ll pull my clothing off.

“Probably my biggest impairment is being able to manage sensory input to the point where I don’t have meltdowns.”

Nicole Rogerson’s 25-year-old son, Jack, also lives with autism and took part in the pilot.

Rogerson, the chief executive of Autism Awareness Australia, told Guardian Australia she had “open mind” and understood why the agency had proposed the changes.

But she was so dissatisfied by the process she cut her son’s assessment short.

“It’s just sort of, sit down, the laptop comes out, out comes a manual of questions, and the testing begins,” she said.

“Some of the questions were about his capability in certain areas. And he’d be sitting there saying, ‘Oh, yeah, I can do a lot.’ It was, ‘Do you do all your own cooking?’ and he’d be like, ‘Oh, yeah, I can cook.’ There’s a big difference between whether you can cook something and, ‘Can you live independently?’

“He was answering incorrectly, not meaning to. And she’s noting all this down. My concern was, how good are these assessors? Do they know about autism, and/or intellectual disability? Are these answers going to be considered ‘the answers’?”

Rogerson said her son had been asked to take the garbage out during the assessment and eventually she could see him “starting to feel really low about himself”.

She was worried about how the assessments might impact the mental health of some participants.

“She’s asking him, ‘How does your disability affect your job? And he’s saying, ‘Oh, no, I’ve got a job. I’m fine.’

“And he’s looking at me like, why is this woman asking him to rate his own disability, of which he doesn’t really like talking about or think he has one.”...

Critics have compared the independent assessments to Abbott government reforms introduced for the disability support pension, which helped drive a large reduction in successful claims.

Jordon Steele-John, a Greens senator who lives with cerebral palsy, claimed the government was using the assessments as “a tool to reduce the number of people on NDIS”.

“That is their objective,” he told the Guardian. “They may dress it up in whatever bureaucratic language they want, but they want to knock people off the scheme.”

Labor’s NDIS spokesman, Bill Shorten, told a rally last month the government’s independent assessments plan was “nothing less than a complete all-out assault to undermine the NDIS”.

A spokesperson for Robert said the changes were based on the Productivity Commission’s original design for the scheme and on recommendations from the 2019 Tune review into the NDIS Act.

He rejected suggestions there had been no consultation, adding that over the past three months there had been “additional consultation to support the rollout of independent assessments”.

“These reforms, in addition to the already significant improvements to wait times, deliver on this roadmap and will set up the NDIS for the future – an NDIS that works for everyone,” he said.

All new applicants will need to undergo a mandatory independent assessment under the government’s plan, while the scheme’s existing 440,400 participants will be subjected to an assessment when their plan comes up for review.

The government is expected to release draft legislation shortly, before a bill is introduced to parliament that will allow the changes to come into effect by mid-2021.

Nationals MP for Page Kevin Hogan again reminded of the Federal Government's "lack of effective action on climate change"

Nationals MP for Page Kevin Hogan has been in the Australian House of Representatives since the September 2013 general election and, as far as I can tell has never voted against the wishes of his masters in Canberra.

Which means that Mr. Hogan does not support genuine climate change mitigation measures.  

However, the Knitting Nannas Against Gas (KNAG) have never stopped reminding him that it is his duty to represent the people in his northern NSW electorate not a particular political party.

 

Knitting Nannas Against Gas

Grafton Loop

C/- PO Box 763

Grafton 2460

__________________________________________________________

4th March 2021

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Mr Kevin Hogan MP

Member for Page

63 Molesworth St

LISMORE 2480

Email: kevin.hogan.mp@aph.gov.au

Dear Mr Hogan

Grafton Nanna Concerns

The Grafton Nannas have written to you a number of times over the years expressing their concern about the Federal Government’s lack of effective action on climate change.

We are dismayed that your Government is still ignoring the scientific advice about the need for urgent action on reducing Australia’s carbon emissions.

Your Government is at odds with the States and Territories which are all committed to net zero emissions by 2050 - irrespective of the party in government. Furthermore these governments are all taking action to ensure that they achieve this important goal.

Your Government is also at odds with many major companies in the private sector which understand that they need to make changes in their operations to survive – and prosper – in a carbon-constrained world.

It’s way past time that your Government stopped pandering to the fossil fuel lobby, dropped its ridiculous and damaging “gas-led recovery” and pursuit of futile pie in the sky nonsense such as carbon capture and storage and took its responsibility to the Australian people and future generations of Australians seriously.

We Nannas are particularly concerned for today’s young people who will inherit a world which is set to be irretrievably damaged by the selfishness and folly of you and your Coalition colleagues.

Do you, Mr Hogan, feel any personal responsibility for your Government’s failure to act effectively for our young people?

Yours sincerely

Leonie Blain

On behalf of the Grafton Nannas

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