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Legislative Assembly for the ACT: 1999 Week 4 Hansard (22 April) . . Page.. 1283 ..

Canberra Hospital - Review of Critical Care Beds

(Question No. 133)

Mr Stanhope asked the Minister for Health and Community Care, upon notice, on 25 March 1999:

In relation to the external review of The Canberra Hospital (TCH) critical care beds incorporating the Intensive Care Unit which, in answer to a question without notice on 28 October 1998, it was envisaged to be completed by December 1998, has the review been completed and if so, can a copy of the review be provided.

Mr Moore

: The answer to Mr Stanhope's question is as follows:

The external review of critical care beds was conducted on 1 and 2 December 1998 by nationally recognised expert intensivists from John Hunter Hospital and St George Hospital. The objectives of the ICU Review were to:

Advise on the number, distribution and location of critical care beds for TCH and the surrounding region, and determine the distribution and location of specific critical care beds, ie CCU. ICU and HDU.

Undertake a review of the resourcing levels and functions of the medical staff including Intensivists, Registrars and Junior Medical Officers.

Assess the work practices of the ICU including quality outcomes taking into account the preceding care at patient admission, continuity of care within ICU and continuity of care between referring specialists, admission and discharge practices.

Unfortunately while the Review highlighted areas where improvements could and should be made, the report has not been accepted by either the Reference Group overseeing the project nor by Mr Rayment, Chief Executive of TCH due to procedural anomalies. Acceptance of the Report now would lead to industrial action due to the terms of reference not being strictly followed. As the Report has not been accepted it is not appropriate to provide this Assembly with a copy.

Change in the management structure of the ICU is expected with the pending retirement of the current Director. The new Director of ICU, when appointed, can choose to further work with the ideas outlined in the Report or they may decide to mould the services in the ways they consider most appropriate in consultation with both the executive of the hospital and with the leaders of the Surgical SMT.

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