The South Australian Political Landscape

[jo172]

Not really a fair comparison. Jack was elected by paid up members of the State Electoral College of Bragg namely because he was the one candidate who bothered to meet every member of the College. Further, because of the sudden resignation of the former member it's not as if anybody had the untoward opportunity to try and stack the branch. It was about as fair contest as you'll ever get.

Hardly like how the ALP operates in splitting the seats between various factionally aligned unions who then get to make their respective captain's picks.

With respect to lower-house pre-selections suggesting otherwise would be to significantly undemocratize that party.

[stan]

Voters - Hey, political parties, we want more diversity and more women in politics.

Libs - Here's a bloke in a suit.

#bragg

There a bit more to Jack Batty than just another man in suit. He comes with some good experience in the legal world at private law firms as well as his work for the high courts.

Whilst yes Australia is looking for more diversity you also need to select the best person for the position as well.

Pound for pound, this isn't a bad selection by the Liberal party.

[Jimmy_041]

Voters - Hey, political parties, we want more diversity and more women in politics.

Libs - Here's a bloke in a suit.

#bragg

There a bit more to Jack Batty than just another man in suit. He comes with some good experience in the legal world at private law firms as well as his work for the high courts.

Whilst yes Australia is looking for more diversity you also need to select the best person for the position as well.

Pound for pound, this isn't a bad selection by the Liberal party.

Well, they certainly need someone good

[mighty_tiger_79]

Mali getting in the back of an ambulance....

[JohnnyDog]

RAMBO Malinauskas is gonna fix the problem.

Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.

More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.

[Jimmy_041]

RAMBO Malinauskas is gonna fix the problem.

Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.

More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.

We need a nNRAH

[Dinglinga75]

Irrespective of who is in power

Is WorkSafe and Department for Child Protection the most toothless organisation in this state.....

[Booney]

RAMBO Malinauskas is gonna fix the problem.

Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.

More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.

Just go and advertise for more nurses and doctors then, yeah?

[Jim05]

RAMBO Malinauskas is gonna fix the problem.

Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.

More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.

Just go and advertise for more nurses and doctors then, yeah?

Amazing that just before the election the Ambo’s were scrawling graffiti on their vehicles and proactively slamming the Libs to get their mates elected and now ramping is worse crickets from them.
Who would have thought the mob that destroyed health in this state would be up to their old tricks

[Jim05]

Irrespective of who is in power

Is WorkSafe and Department for Child Protection the most toothless organisation in this state.....

Yep, disgraceful that neither party interested in fixing it

[jo172]

RAMBO Malinauskas is gonna fix the problem.

Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.

More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.

Just go and advertise for more nurses and doctors then, yeah?

Amazing that just before the election the Ambo’s were scrawling graffiti on their vehicles and proactively slamming the Libs to get their mates elected and now ramping is worse crickets from them.
Who would have thought the mob that destroyed health in this state would be up to their old tricks

No one will ever go broke betting on the self-interest and hypocrisy of the trade union movement.

Couldn't give a **** about health, Can give a **** about ensuring their state secretary gets a cushy pre-selection

[MW]

You mean how the ambulance union successfully argued for a 30.4 hour working week with anything over that being overtime rates?
Imagine the money you'd save reverting back to a standard 38 hour week with overtime rates after that...or spending it on extra ambos, drs, beds in hospitals etc...

[Jimmy_041]

You mean how the ambulance union successfully argued for a 30.4 hour working week with anything over that being overtime rates?
Imagine the money you'd save reverting back to a standard 38 hour week with overtime rates after that...or spending it on extra ambos, drs, beds in hospitals etc...

This is amusing

https://7news.com.au/politics/sa-labor- ... -c-5855477

Labor has pledged to build a $120 million Adelaide headquarters for the South Australian ambulance service along with a new city-based station with 32 paramedics if it wins the March state election.

Opposition Leader Peter Malinauskas says the plan will help fix the state's ambulance ramping crisis and allow staff to better deliver emergency services across SA.

Ahhh, so one of the causes of the ramping crisis was they didn't have a nice new HQ?
I always though it was the bottleneck at the end of the line - silly me

[Psyber]

More ambulances and more paramedics will just add to the numbers ramping.
The real issue is the lack of public hospital beds and nurses to run them.

No beds available - therefore they cannot clear the Emergency Departments by transferring patients who need longer observation to short stay beds.
No space in the ED makes the ambulances ramp. Years back when I worked in ED at the old RAH, because the hospital had beds, the ED was not chock full. Therefore a doctor and a staff member with a barouche bed could be at the ED entry when an an ambulance arrived and empty it immediately to free it up for the next call.

During the 1980s, under the Bannon government in SA, the state government scrapped training student nurses in hospitals, and once they had to go to CAEs instead of being paid for working while training more chose other courses.

Trained nurses get full pay so running more beds costs more, and so closing beds and selling off the land at the Psych hospitals like Glenside came next. Then all the Psych patients had to seek help via the EDs instead of going directly to the psych centres and helped clog up the EDs.

Ramping wasn't happening under the earlier Dunstan state government...

[am Bays]

More ambulances and more paramedics will just add to the numbers ramping.
The real issue is the lack of public hospital beds and nurses to run them.

No beds available - therefore they cannot clear the Emergency Departments by transferring patients who need longer observation to short stay beds.
No space in the ED makes the ambulances ramp. Years back when I worked in ED at the old RAH, because the hospital had beds, the ED was not chock full. Therefore a doctor and a staff member with a barouche bed could be at the ED entry when an an ambulance arrived and empty it immediately to free it up for the next call.

During the 1980s, under the Bannon government in SA, the state government scrapped training student nurses in hospitals, and once they had to go to CAEs instead of being paid for working while training more chose other courses.

Trained nurses get full pay so running more beds costs more, and so closing beds and selling off the land at the Psych hospitals like Glenside came next. Then all the Psych patients had to seek help via the EDs instead of going directly to the psych centres and helped clog up the EDs.

Ramping wasn't happening under the earlier Dunstan state government...

It's not the beds so much IMO (we have the beds) but clinicians available to to make the assessments and plan discharges to free up capacity in the system is what's required.

As you pointed out it is more expensive to pay registered nurses more than enrolled nurses and it's interesting to note that across Australia last year we started using 3rd year nursing students in hospitals to cover nursing shortages - a quasi return to the old enrolled nursing train on the job model.

Having staff furloughed due to Covid isn't helping either Australia wide.

In essence we need more Doctors and nurses, in the entire system especially doctors in the PHN so we can safely transfer patients out of hospital to create capacity in the system - especially in country areas where the populations are older and their health needs are more complex. Can be discharged out of a major metro hospital.

We need to change the funding models to allow for more clinicians so better decisions and better v communication can occur within hospitals and with community health services.

[Jimmy_041]

More ambulances and more paramedics will just add to the numbers ramping.
The real issue is the lack of public hospital beds and nurses to run them.

No beds available - therefore they cannot clear the Emergency Departments by transferring patients who need longer observation to short stay beds.
No space in the ED makes the ambulances ramp. Years back when I worked in ED at the old RAH, because the hospital had beds, the ED was not chock full. Therefore a doctor and a staff member with a barouche bed could be at the ED entry when an an ambulance arrived and empty it immediately to free it up for the next call.

During the 1980s, under the Bannon government in SA, the state government scrapped training student nurses in hospitals, and once they had to go to CAEs instead of being paid for working while training more chose other courses.

Trained nurses get full pay so running more beds costs more, and so closing beds and selling off the land at the Psych hospitals like Glenside came next. Then all the Psych patients had to seek help via the EDs instead of going directly to the psych centres and helped clog up the EDs.

Ramping wasn't happening under the earlier Dunstan state government...

It's not the beds so much IMO (we have the beds) but clinicians available to to make the assessments and plan discharges to free up capacity in the system is what's required.

As you pointed out it is more expensive to pay registered nurses more than enrolled nurses and it's interesting to note that across Australia last year we started using 3rd year nursing students in hospitals to cover nursing shortages - a quasi return to the old enrolled nursing train on the job model.

Having staff furloughed due to Covid isn't helping either Australia wide.

In essence we need more Doctors and nurses, in the entire system especially doctors in the PHN so we can safely transfer patients out of hospital to create capacity in the system - especially in country areas where the populations are older and their health needs are more complex. Can be discharged out of a major metro hospital.

We need to change the funding models to allow for more clinicians so better decisions and better v communication can occur within hospitals and with community health services.

Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public

[am Bays]

Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public

Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.

But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.

15% GST to fund more Doctors and Nurses??

[Jimmy_041]

Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public

Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.

But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.

15% GST to fund more Doctors and Nurses??

Very Labor

I’m a Thatcherite
The answer is never to increase taxes

I have some suggestions but I’ve been out to lunch all day so I’ll post when I’m lucid.
I wouldn’t want anyone to think I’m raving

[am Bays]

Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public

Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.

But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.

15% GST to fund more Doctors and Nurses??

Very Labor

I’m a Thatcherite
The answer is never to increase taxes

I have some suggestions but I’ve been out to lunch all day so I’ll post when I’m lucid.
I wouldn’t want anyone to think I’m raving

There has to be a serious discussion on funding models for health Australia wide to think about how we can better manage an aging population, reduce fatigue on clinical staff and provide better care. Dont get me wrong there are opportunities in current operational spends but when your biggest expenditure in health (~75%) is on human resources the need for extra clinicians comes at a cost.

I'm in a seminar with David Swan in a months time it will be a good question to ask him.

[Psyber]

Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public

Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.

But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.

15% GST to fund more Doctors and Nurses??

.
I must admit I'm considering not renewing my medical registration come September.
I'm currently doing a stint in Perth in the public system and half the booked public patients just don't show up.
And I'm running out of books to read while I wait for the next one...

It feels so futile. OK I'm in a follow up team not an acute area, but it seems people just don't follow through but just disappear until the next crisis event comes.